The Czech Republic Annual Report 2010 Drug ... - Drogy-info.cz

Table 6-15: Deaths with the presence of drugs detected by forensic medicine departments in the Czech Republic in 2010 by
selected groups of drugs and causes of death (Národní monitorovací středisko pro drogy a drogové závislosti a SSLST ČLS
JEP, 2011)
Drug
Illness Accident Suicide Manslaughter Other Total Proportion
(n = 11) (n = 58) (n = 46) /murder (n = 2) (n = 0) (n = 117) (%)
Pervitin 7 27 15 1 0 50 42.7
THC 5 18 9 0 0 32 27.4
Benzodiazepines 1 9 15 1 0 26 22.2
Other psychoactive pills 0 6 12 0 0 18 15.4
Opiates/opioids 0 2 2 0 0 4 3.4
Inhalants 0 3 0 0 0 3 2.6
MDMA and other
synthetic (dance) drugs
0 3 0 0 0 3 2.6
Cocaine 0 0 2 0 0 2 1.7
Figure 6-10: Deaths with the presence of selected drugs detected by forensic medicine departments in the Czech Republic, 2004–
2010 (Národní monitorovací středisko pro drogy a drogové závislosti a SSLST ČLS JEP, 2011)
For information on the detection of drugs in the bodies of road accident fatalities see the chapter on Other Drug-
Related Health Correlates and Consequences (p. 92).
6.3.2 Drug-Related Deaths in the General Mortality Register
An extract of drug-related deaths from the general mortality register – Information System of Deaths – was
presented for the first time in 2010. The register is administered by the Czech Statistical Office 96 , which provides the
register to the Institute of Health Information and Statistics for further processing and publication 97 . To extract data
about drug-related deaths from the death statistics, EMCDDA criteria are used. These are based on selecting the
corresponding diagnosis for the cause of death or combined causes and the mechanism of death. As a standard,
EMCDDA selection B is used. This is based in selecting deaths where the cause of death is a mental disorder or
behavioural disorder caused by illegal drugs and combinations thereof (dg. F11, F12, F14–16, F19) or in cases
where there was accidental, intentional, or undetermined poisoning caused by illegal drugs, i.e. a combination of
96
The Act on Health Services passed in 2011 will fundamentally change the process for sending Certificates of Post-Mortem
Examination to and from various institutions (healthcare facilities, the register of births and deaths, and the Institute of Health
Information and Statistics), the collection and reporting of diagnoses related to the death, and time limits for reporting. Moreover, several
items of data, including the influence of narcotic and psychotropic substances on the death, are added to the report.
97
In all cases of death in the Czech Republic, the physician diagnosing the death must complete a Certificate of Post-Mortem
Examination which, if an autopsy is performed, is augmented by an autopsy diagnosis and sent to the register of births and deaths. At
the register of births and deaths, data from the Certificate of Post-Mortem Examination are copied into a Czech Statistical Office form
(Report of Death). The Czech Statistical Office then enters this information into the Information System of Deaths database. WHO
recommendations for coding the causes of death are applied. In the event that the physician or forensic medical examination
department ascertains new facts regarding the cause of death, a change to the Certificate of Post-Mortem Examination is reported to
the regional office of the Institute of Health Information and Statistics in Prague, Hradec Králové, Brno, or Ostrava, which passes this on
to the Czech Statistical Office.
page 98