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Home▶Archive▶Vol. 42 No. 2 (2025)▶Karnataka’s Bold Step to Classify Sudden Deaths as…
Print ISSN 0971-1929 · Online ISSN 0974-4568
Short Communication

Karnataka’s Bold Step to Classify Sudden Deaths as Notifiable: A National Imperative in the setting benchmark.

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Yatiraj Singi — Professor & Head, Dept of Forensic Medicine & Toxicology, AIIMS Bilaspur
Sanjay Gupta — Professor & Head, Dept of Forensic Medicine & Toxicology, AIIMS Rajkot
Dipen Dabhi — Associate Professor, Dept of Forensic Medicine & Toxicology, AIIMS Bilaspur
Utsav Parekh — Associate Professor, Dept of Forensic Medicine & Toxicology, AIIMS Rajkot
Nirmal Nagar — Senior Resident, Dept of Forensic Medicine & Toxicology, AIIMS Bilaspur
Published 29 Jul 2025 Vol. 42 No. 2 (2025), pp. 161-163
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Abstract

In a significant public health development, the Karnataka government has proposed making sudden out-of-hospital  deaths, particularly in individuals under 45, a notifiable condition. This initiative, driven by expert committee recom mendations, also mandates autopsies in such cases and the creation of a centralized registry. By aligning with interna tional best practices and emphasizing data-driven strategies, this model addresses India’s long-standing gaps in mortality  surveillance. While ethical and logistical challenges persist, Karnataka’s policy can serve as a national blueprint for  reforming death investigation and improving cardiovascular health outcomes

KeywordsNotifiable DeathSudden DeathNational Policy

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  1. The Hindu Bureau. (2025, July 8). Sudden heart attack deaths among people under age of 45 declared notifiable in Karnataka. The Hindu. Retrieved July 8, 2025, from https://www.thehindu.com/news/national/karnataka/sudden-heart-attack-deaths-among-people-under-age-of-45-declared-notifiable-in-karnataka/article69783397.ece
  2. Tnn. (2025, June 30). Series of sudden heart-related deaths in Karnataka prompts study. The Times of India. https://timesofindia.indiatimes.com/city/bengaluru/series-of-sudden-heart-related-deaths-in-karnataka-prompts-study/articleshow/122166670.cms
  3. Myerburg, R. J., & Junttila, M. J. (2012). Sudden cardiac death caused by coronary heart disease. Circulation, 125(8), 1043–1052.
  4. Tester, D. J., & Ackerman, M. J. (2007). Postmortem long QT syndrome genetic testing for sudden unexplained death in the young. Journal of the American College of Cardiology, 49(2), 240–246.
  5. World Health Organization. (2019). International Statistical Classification of Diseases and Related Health Problems, 11th Revision (ICD-11). Geneva: WHO.
  6. Centers for Disease Control and Prevention (CDC). (2024). Sudden Unexpected Infant Death and Sudden Death in the Young. Retrieved July 9, 2025, from https://www.cdc.gov/comec/data-systems/suid-sdy.html
  7. United Kingdom Parliament. (2009). Coroners and Justice Act 2009. Retrieved July 9, 2025, from https://www.legislation.gov.uk/ukpga/2009/25/contents
  8. Paratz, E. D., Rowsell, L., van Heusden, A., et al. (2021). The End Unexplained Cardiac Death (EndUCD) Registry for Young Australian Sudden Cardiac Arrest. Heart Lung Circ, 30(5), 714–720. https://doi.org/10.1016/j.hlc.2020.09.937
  9. Allan, K., Dorian, P., & Lin, S.; C-SCAN Investigators. (2019). Developing a Pan-Canadian Registry of Sudden Cardiac Arrest: Challenges and Opportunities. CJC Open, 1(2), 53–61. https://doi.org/10.1016/j.cjco.2019.01.005
  10. Jensen, T. W., Blomberg, S. N., Folke, F., et al. (2022). The National Danish Cardiac Arrest Registry for Out-of-Hospital Cardiac Arrest - A Registry in Transformation. Clinical Epidemiology, 14, 949–957. https://doi.org/10.2147/CLEP.S374788
  11. Margey, R., Roy, A., Tobin, S., et al. (2011). Sudden cardiac death in 14- to 35-year olds in Ireland from 2005 to 2007: a retrospective registry. EP Europace, 13(10), 1411–1418. https://doi.org/10.1093/europace/eur161
  12. Panshewdkar, H. N., Buktar, S., Tayade, M. C., & Pundkar, R. D. (2023). Study of Cultural and Societal Influences on Postmortem Practices in India. Pravara Medical Review, 15(4).
  13. Mohanty, M. K., Sahu, S. S., Singh, S. R., et al. (2023). External challenges for specialists dealing with forensic autopsies. Medico-Legal Journal, 93(1_suppl), 19–24. https://doi.org/10.1177/00258172231195733
  14. Basso, C., Aguilera, B., Banner, J., et al. (2017). Guidelines for autopsy investigation of sudden cardiac death: 2017 update from the Association for European Cardiovascular Pathology. Virchows Archiv, 471(6), 691–705. https://doi.org/10.1007/s00428-017-2221-0
  15. World Health Organization. (2016). Verbal Autopsy Standards: Ascertaining and Attributing Causes of Death. Retrieved July 9, 2025, from https://www.who.int/standards/classifications/other-classifications/verbal-autopsy-standards-ascertaining-and-attributing-causes-of-death-tool

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