Measels outbreak in Lancaster County

[AnthonyMartin]

I shouldn’t has said the blanket “don’t trust”. It would have been better to say that an election year will greatly influence the slant that will through with everything they say.

Edit: I doubt any of us can speak to things like this without our biases shaping our words…

[Soloist]

I shouldn’t has said the blanket “don’t trust”. It would have been better to say that an election year will greatly influence the slant that will through with everything they say.

Edit: I doubt any of us can speak to things like this without our biases shaping our words…

This shouldn’t be political… but it is

[JohnH]

Presumably, the coroner knows about deaths before the state does, since the coroner reports them to the state.

No. Infectious disease events are integrated with the states Epidemiology department who are required by law to track, alert, and work to mitigate the outbreak. So, the state will get the information earlier, or simultaneously as the coroner.

Considering:

- it was the death of a baby who was being born
- the coroner almost always examines the death of a baby, and in any case is the first to examine
- the cause of death wasn’t measles (obviously)
- the cause of death wasn’t being unvaccinated, since a baby being born obviously is never vaccinated
- the coroner would then (eventually) report this to the state

I’d like to understand how, exactly, you think the state would have some kind of foreknowledge of this at all.

[AnthonyMartin]

Presumably, the coroner knows about deaths before the state does, since the coroner reports them to the state.

No. Infectious disease events are integrated with the states Epidemiology department who are required by law to track, alert, and work to mitigate the outbreak. So, the state will get the information earlier, or simultaneously as the coroner.

Considering:

- it was the death of a baby who was being born
- the coroner almost always examines the death of a baby, and in any case is the first to examine
- the cause of death wasn’t measles (obviously)
- the cause of death wasn’t being unvaccinated, since a baby being born obviously is never vaccinated
- the coroner would then (eventually) report this to the state

I’d like to understand how, exactly, you think the state would have some kind of foreknowledge of this at all.

What I said above. It’s the EMR that is integrated.

[ken_sylvania]

Presumably, the coroner knows about deaths before the state does, since the coroner reports them to the state.

No. Infectious disease events are integrated with the states Epidemiology department who are required by law to track, alert, and work to mitigate the outbreak. So, the state will get the information earlier, or simultaneously as the coroner.

Considering:

- it was the death of a baby who was being born
- the coroner almost always examines the death of a baby, and in any case is the first to examine
- the cause of death wasn’t measles (obviously)
- the cause of death wasn’t being unvaccinated, since a baby being born obviously is never vaccinated
- the coroner would then (eventually) report this to the state

I’d like to understand how, exactly, you think the state would have some kind of foreknowledge of this at all.

So we ought to believe that some guy from Ohio knows more about how Lancaster County handles such things than an EMS guy from Lebanon/Lancaster county PA? Maybe just a little bit of humility would be in order.

[JohnH]

No. Infectious disease events are integrated with the states Epidemiology department who are required by law to track, alert, and work to mitigate the outbreak. So, the state will get the information earlier, or simultaneously as the coroner.

Considering:

- it was the death of a baby who was being born
- the coroner almost always examines the death of a baby, and in any case is the first to examine
- the cause of death wasn’t measles (obviously)
- the cause of death wasn’t being unvaccinated, since a baby being born obviously is never vaccinated
- the coroner would then (eventually) report this to the state

I’d like to understand how, exactly, you think the state would have some kind of foreknowledge of this at all.

What I said above. It’s the EMR that is integrated.

Who’s making the entry into that EMR that determines the cause of death?

As far as I know, coroners are still responsible for determining a cause of death. I may just be “some guy in Ohio”, but I’m a bit surprise to hear the state has taken over medical examiner duties.

[AnthonyMartin]

Considering:

- it was the death of a baby who was being born
- the coroner almost always examines the death of a baby, and in any case is the first to examine
- the cause of death wasn’t measles (obviously)
- the cause of death wasn’t being unvaccinated, since a baby being born obviously is never vaccinated
- the coroner would then (eventually) report this to the state

I’d like to understand how, exactly, you think the state would have some kind of foreknowledge of this at all.

What I said above. It’s the EMR that is integrated.

Who’s making the entry into that EMR that determines the cause of death?

As far as I know, coroners are still responsible for determining a cause of death. I may just be “some guy in Ohio”, but I’m a bit surprise to hear the state has taken over medical examiner duties.

EMRs are completed by the physicians and nurses real-time. I'm not sure you want to know.

[Soloist]

What I said above. It’s the EMR that is integrated.

Who’s making the entry into that EMR that determines the cause of death?

As far as I know, coroners are still responsible for determining a cause of death. I may just be “some guy in Ohio”, but I’m a bit surprise to hear the state has taken over medical examiner duties.

EMRs are completed by the physicians and nurses real-time. I'm not sure you want to know.

In the legal process, doesn’t the autopsy supersede the doctor’s death record?
I never would have thought a medical examiner would be a political position until it happened…
Are nurses or emt’s able to declare death in PA?

[AnthonyMartin]

Who’s making the entry into that EMR that determines the cause of death?

As far as I know, coroners are still responsible for determining a cause of death. I may just be “some guy in Ohio”, but I’m a bit surprise to hear the state has taken over medical examiner duties.

EMRs are completed by the physicians and nurses real-time. I'm not sure you want to know.

In the legal process, doesn’t the autopsy supersede the doctor’s death record?
I never would have thought a medical examiner would be a political position until it happened…
Are nurses or emt’s able to declare death in PA?

The doctor can declare death, the coroner determines cause of death if it goes to him. Doctor's document factors in death for the majority of deaths that do not go through the coroner.

[JohnH]

Who’s making the entry into that EMR that determines the cause of death?

As far as I know, coroners are still responsible for determining a cause of death. I may just be “some guy in Ohio”, but I’m a bit surprise to hear the state has taken over medical examiner duties.

EMRs are completed by the physicians and nurses real-time. I'm not sure you want to know.

In the legal process, doesn’t the autopsy supersede the doctor’s death record?
I never would have thought a medical examiner would be a political position until it happened…
Are nurses or emt’s able to declare death in PA?

Coroner is often an elected position.

As far as I can tell, in PA a coroner’s examination isn’t required for a death eg in a NICU from progression of a disease, but a death shortly after childbirth not in a hospital would be considered “unexpected” and would almost always be examined.

Who knows though. Maybe they didn’t. I’m just a peasant, but I’d think a baby who suddenly dies at birth is going to get examined. I’d expect that for my own kids as opposed to some nurse typing in a few keystrokes into epic.