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The Use Of Cremation Data For Timely Mortality Surveillance During The Covid-19 Pandemic In Ontario, Canada: Validation Study, Gemma Postill, Regan Murray, Andrew S. Wilton, Richard A. Wells, Renee Sirbu, Mark J. Daley, Laura Rosella
The Use Of Cremation Data For Timely Mortality Surveillance During The Covid-19 Pandemic In Ontario, Canada: Validation Study, Gemma Postill, Regan Murray, Andrew S. Wilton, Richard A. Wells, Renee Sirbu, Mark J. Daley, Laura Rosella
Neuroscience Institute Publications
Background: Early estimates of excess mortality are crucial for understanding the impact of COVID-19. However, there is a lag of several months in the reporting of vital statistics mortality data for many jurisdictions, including across Canada. In Ontario, a Canadian province, certification by a coroner is required before cremation can occur, creating real-time mortality data that encompasses the majority of deaths within the province. Objective: This study aimed to validate the use of cremation data as a timely surveillance tool for all-cause mortality during a public health emergency in a jurisdiction with delays in vital statistics data. Specifically, this study …
Ethics Of Non-Therapeutic Research On Imminently Dying Patients In The Intensive Care Unit, Nicholas Murphy, Charles Weijer, Derek Debicki, Geoffrey Laforge, Loretta Norton, Teneille Gofton, Marat Slessarev
Ethics Of Non-Therapeutic Research On Imminently Dying Patients In The Intensive Care Unit, Nicholas Murphy, Charles Weijer, Derek Debicki, Geoffrey Laforge, Loretta Norton, Teneille Gofton, Marat Slessarev
Neuroscience Institute Publications
Non-Therapeutic research with imminently dying patients in intensive care presents complex ethical issues. The vulnerabilities of the imminently dying, together with societal disquiet around death and dying, contribute to an intuition that such research is beyond the legitimate scope of scientific inquiry. Yet excluding imminently dying patients from research hinders the advancement of medical science to the detriment of future patients. Building on existing ethical guidelines for research, we propose a framework for the ethical design and conduct of research involving the imminently dying. To enable rapid translation to practice, we frame the approach in the form of eight ethical …