Volume 28, Number 11—November 2022
Dispatch
Deaths Related to Chagas Disease and COVID-19 Co-Infection, Brazil, March–December 2020
, Marcia C. Castro, Antonio Luiz P. Ribeiro, Jorg Heukelbach, and Guilherme L. Werneck
Table 1
Underlying causes on death certificates that listed Chagas disease and COVID-19 co-infection, Brazil, March–December 2020*
| Underlying causes of death (ICD-10 codes) | No. (%) |
|---|---|
| Coronavirus disease 19 – COVID-19 (B34.2, U07.1, U07.2)† | 434 (88.2) |
| Coronavirus infection, unspecified site + COVID-19, virus identified (laboratory confirmed) (B34.2 + U07.1) | 335 (68.1) |
| Coronavirus infection, unspecified site + COVID-19, virus not identified (clinically or epidemiologically diagnosed (B34.2 + U07.2) | 52 (10.6) |
| Coronavirus infection, unspecified site (B34.2) | 47 (9.6) |
| Chagas disease (B57, K23.1, K93.1) | 38 (7.7) |
| Chagas disease (chronic) with heart involvement (B57.2) | 27 (5.5) |
| Chagas disease (chronic) with digestive system involvement (B57.3) | 6 (1.2) |
| Acute Chagas disease with heart involvement (B57.0) | 3 (0.6) |
| Chagas disease (chronic) with nervous system involvement (B57.4) | 2 (0.4) |
| Pneumonia (J12-J18) | 3 (0.6) |
| Chronic obstructive pulmonary disease (J40-J44) | 3 (0.6) |
| Diabetes mellitus (E10-E14) | 2 (0.4) |
| Hypertensive diseases (I10-I15) | 2 (0.4) |
| Other respiratory disorders (J98) | 1 (0.2) |
| Infection due to other mycobacteria (A31) | 1 (0.2) |
| Sepsis (A40-A41) | 1 (0.2) |
| Secondary and unspecified malignant neoplasm of lymph nodes (C77) | 1 (0.2) |
| Dementia (F00-F04) | 1 (0.2) |
| Other disorders of brain (G93) | 1 (0.2) |
| Appendicitis (K35-K37) | 1 (0.2) |
| Paralytic ileus and intestinal obstruction without hernia (K56) | 1 (0.2) |
| Cholelithiasis (K80) | 1 (0.2) |
| Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and puerperium (O98) | 1 (0.2) |
| Total | 492 (100.0) |
*COVID-19, coronavirus disease; ICD-10, International Statistical Classification of Diseases and Related Health Problems, 10th revision. †ICD-10 codes were based on the Brazilian Ministry of Health codification guidelines for COVID-19 (http://plataforma.saude.gov.br/cta-br-fic/codificacao-Covid-19.pdf), which recommends the standardized use of the ICD-10 code B34.2 (Coronavirus infection, unspecified site) for deaths of COVID-19 in Brazil, with the inclusion of pandemic marker codes U07.1 (COVID-19, identified virus) or U07.2 (COVID-19, unidentified virus, clinical or epidemiologic criteria), defined by the World Health Organization, next to code B34.2 in the same line of the death certificate.