Ecostat

Government of Kerala 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Department of Economics and Statistics 
Kerala 
 
REPORT ON 
MEDICAL  
CERTIFICATION 
OF CAUSE  
OF DEATH 
2021

PREFACE 
 
eliable cause-specific mortality statistics form the bedrock of public health and 
social development, offering indispensable insights that empower governments, 
health institutions, and communities to significantly elevate health outcomes and 
the collective well-being. Keeping this in view, the scheme of Medical Certification 
of Cause of Death (MCCD) was introduced in the country under the provisions of 
Registration of Births and Deaths (RBD) Act, 1969. Section 10(2) of the Act 
empowers the State Government to enforce the provision relating to medical certification of 
cause of death in specified areas taking into consideration the availability of medical facilities. 
Section 10(3) of the Act provides for issuing a certificate of the cause of death by the medical 
practitioner who has attended the deceased at the time of death. Under the scheme, the Office 
of the Registrar General, India (ORGI) systematically collects, compiles, and tabulates data on 
medically certified deaths, as sourced from the Offices of the Chief Registrars of Births and 
Deaths across various States and Union Territories. 
  In Kerala, the scheme of MCCD is being implemented in five urban local bodies viz 
Thiruvananthapuram, Kollam, Ernakulum and Kozhikode Corporations and Alappuzha 
Municipality. The report is prepared exclusively based on data on institutional deaths from these 
areas, cross-tabulated by age group and sex adhering to the meticulous standards set forth by 
the Tenth Revision of the International Classification of Diseases (ICD). 
The report on MCCD for the year 2021 is particularly significant as it captures the impact of 
the Covid-19 pandemic, which has profoundly affected the Stateâs public health landscape. 
Covid-19 emerged as the leading cause of death in several age groups, highlighting severe 
impact of the pandemic on public health. The report provides detailed insights into the leading 
causes of death, highlighting how the distribution of deaths by major cause has varied over the 
years and illustrating the differing risks of death across various age groups. The age-specific 
analysis sheds light on the different health risks encountered by various demographic groups, 
aiding in the formulation of targeted health interventions and policies. 
The report is prepared by Shri Preeth V.S., Nosologist under the supervision of Shri. T.P. 
Vinodan, Additional Director (General) and Additional Chief Registrar of Birth and Deaths in 
the State. The data collection and ICD-10 coding of the cause of death were expertly managed 
by the Deputy Health Officers in the respective local bodies. I extend my heartfelt 
congratulations to all contributors for their invaluable roles in bringing out this report in the 
present form.  
I hope this report will serve as an indispensable resource for policymakers, programme 
managers, academicians, and researchers. 
 
Place : Thiruvananthapuram Sreekumar B  
Date: 10 -07-2024     Director

CONTRIBUTING 
TEAM 
 
 
Guidance and Supervision 
T.P. Vinodan 
(Additional Director General &  
Additional Chief Registrar of Births and Deaths) 
 
Data Processing & Report Writing 
Preeth V S 
(Nosologist) 
 
Data Validation & Tabulation 
1. Vinu V K 
      (Research Assistant) 
2. Nimmy  
      (Statistical Assistant Gr-II) 
 
Data Collection & ICD CODING 
1. Gopikrishna P S 
     (Deputy Health Officer, Thiruvananthapuram) 
2. Mridas M.  
     (Deputy Health Officer, Kollam) 
3. Prasy K. Prabhakar 
     (Deputy Health Officer, Kochi) 
4. D. Praseeda 
     (Deputy Health Officer, Kozhikode) 
 
Layout & Design 
     Sivakumar A  
     (Taluk Statistical Officer, Ranni)

HIGHLIGHTS 
Year 
Total Number of 
Registered 
Deaths 
Number of 
medically 
certified deaths 
2020 250983 28192 
2021 339648 35965 
 
REPORT ON MEDICAL CERTIFICATION OF CAUSE OF DEATH 2021 
PERCENTAGE OF MEDICALLY CERTIFIED DEATHS BY SEX 
 
The scheme has been implemented in ï¬ve centres in 
Kerala, namely: 
1.Thiruvananthapuram Corporaon 
2.Kollam Corporaon 
3.Kochi Corporaon 
4.Kozhikode Corporaon 
5.Alappuzha Municipality 
Currently, data is being collected from 150 hospitals 
that oï¬er in-paent facilies across all these ï¬ve 
centres.

Top leading causes of death by major group 
The top leading cause of death in 2021 was COVID-19 and related causes, which 
accounted for 35.52% of total medically certified deaths, whereas in 2020, diseases of 
the circulatory system held the top position. The other leading causes of death in 2021, 
following COVID-19 and related causes, were diseases of the circulatory system 
(20.69%), endocrine, nutritional, and metabolic diseases (11.57%), neoplasms (9.64%), 
diseases of the respiratory system (4.83%), diseases of the digestive system (4.12%), and 
all other causes, which accounted for 13.63% of medically certified deaths. 
 
In 2021, COVID-19 and 
related causes ranked as the 
leading cause of death among 
medically certified deaths in 
men, accounting for 35.11% of 
the total medically certified 
deaths. This was followed by 
diseases of the circulatory 
system (20.48%), endocrine, 
nutritional, and metabolic 
diseases (11.02%), neoplasms 
(9.37%), diseases of the 
digestive system (5.29%), and 
diseases of the respiratory 
system (5.00%). All other 
causes accounted for 13.73% 
of medically certified deaths.

Covid-19 and related deaths in 2021 
In 2021, COVID-19 and related causes were the leading cause of medically certified 
female deaths, representing 36.17% of total certified deaths among women. 
Following this, diseases of the circulatory system accounted for 21.04%, endocrine, 
nutritional, and metabolic diseases for 12.45%, neoplasms for 10.06%, diseases of 
the respiratory system for 4.57%, and certain infectious and parasitic diseases for 
2.66%. All other causes contributed to 13.06% of medically certified female deaths. 
In Kerala during 2021, the leading major group of causes of death was COVID-19 
and its related factors, accounting for 35.52% of total medically certified deaths. Of 
these deaths, approximately 89% were directly attributed to COVID-19, with the 
remaining fatalities resulting from post-COVID complications. 
1

During 2021 in Kerala, the age group most severely affected by both COVID and 
post-COVID fatalities was 70 years and above, for both male and female. 
Additionally, it's worth noting that approximately 90% of all certified COVID-
related deaths were concentrated in individuals aged 45 years and older, for both 
male and female. 
Diseases of the Circulatory System 
2 
In Kerala during 2021, Diseases of the Circulatory System constituted 20.69% of all 
medically certified deaths, ranking as the second leading major disease group. 
Within this category, most of the deaths, accounting for 36.99%, were attributed to 
Ischaemic Heart diseases, followed by Cerebrovascular diseases at 28.61%, 
Hypertensive Diseases at 15.56%, and diseases of Pulmonary Circulation and other 
forms of heart diseases at 15.51%. Other causes contributed to 3.33% of the total 
medically certified deaths associated with Diseases of the Circulatory System. 
         Covid-19 and related deaths in 2021 by 
sex and age group

In the year 2021, Endocrine, Nutritional, and Metabolic Diseases stood as the third most 
prevalent cause of death, contributing to 11.57% of all medically certified deaths. Of these 
fatalities, a substantial 94.23% were specifically attributed to Diabetes Mellitus. 
Disease of Circulatory System in 2021 under MCCD by sex 
and age group 
In Kerala, during 2021, over 90% of the individuals who passed away due to diseases 
of the circulatory system were aged 45 years and older, for both males and females. 
Furthermore, the mortality rate attributed to diseases of the circulatory system within 
the age group of 45-69 years was higher for males compared to females. 
               Endocrine, Nutritional and Metabolic diseases  
Age and sex-wise distribuon of deaths due to diseases of the Circulatory System 
11.57
% 
3

Endocrine, Nutritional and Metabolic diseases by sex 
and age group 
Deaths due to Diabetes Mellitus predominantly affected individuals aged 45 years and 
above. The percentage of deaths attributed to Diabetes Mellitus among the age groups 45-
54, 55-64, and 65-69 was higher for males than females. However, for the age group above 
70 years, a reverse trend was observed, with females experiencing a higher percentage of 
deaths due to Diabetes Mellitus compared to males. 
Neoplasms 
4 
Neoplasms ranked as the fourth leading cause of death among all medically 
certified deaths in Kerala in 2021, contributing to 9.64% of all deaths under 
MCCD. Within the category of deaths due to Neoplasms, 29.77% were attributed 
to Malignant neoplasms of digestive organs. Following this were Malignant 
Neoplasms of respiratory and intrathoracic organs (17.69%), Malignant 
neoplasms of lymphoid (17.48%), Malignant neoplasms of bone (10.24%), and 
Malignant neoplasms of genitourinary organs (9.75%). Other causes accounted 
for 15.06% of deaths due to neoplasms under MCCD.

The incidence of neoplasm-related deaths was higher among individuals in the 
age groups of 55-64 and '70 and above'. A significant gender disparity was 
observed in the 35-44 age group, where the proportion of deaths due to 
neoplasms was 3.96 for males and 11.38 for females. 
% of respiratory diseases to total 
MCCD deaths in 2021 
In 2021, respiratory system diseases were the fourth most common cause of 
death among all medically certified deaths in Kerala, accounting for 4.83% of 
all deaths under MCCD. Among deaths attributed to respiratory diseases, 
Pneumonia accounted for 11%, Asthma contributed 2.90%, Pleurisy contributed 
0.50%, with the remaining attributed to other types of respiratory diseases. 
Neoplasms by sex and age Group 
Diseases of respiratory System 
5 
4.83 
%

Respiratory Diseases by age group and sex 
The age group '70 Years or above' has recorded the highest incidence of deaths 
for both males and females within this major cause group, followed by the age 
groups '55-64 years' and '65-69 years'. No significant gender difference was 
observed in any age group. 
Diseases of Digestive system 6 
Liver diseases accounted for the majority, 
approximately 82%, of deaths related to digestive 
system disorders. Pancreatic disorders contributed 
to 2.7% of such deaths, while other diseases in this 
category made up 15.37%

Infants ( age <1 year) 
2.37% 
Diseases of digestive system by age group and sex 
In the male population, the age group of 55-64 recorded the highest percentage of 
deaths (30%) attributed to diseases of the digestive system. Conversely, among 
females, the highest percentage was observed in the age group of 70 years and above, 
accounting for 42% of deaths in this category. In addition to the 55-64 age group, 
notable occurrences of deaths due to digestive system diseases were observed in the 
age groups of 45-54 (23%) and 70 years and above (21%) for males. Among females, 
the 55-64 age group contributed to 20% of total deaths from digestive system 
diseases, with the age group of 65-69 following closely with a contribution of 17%. 
*Details of other major causes of death were given in chapter 3 
SPECIFIC CAUSE OF MORTALITY IN DIFFERENT 
AGE GROUPS

Children aged 1-4 years. 
0.39 % 
ï· Among the total medically certified deaths, 0.39 percent were 
attributed to the age group 1-4 years. 
ï· The majority of deaths within this age group were attributed to 
congenital malformations, deformations, and chromosomal 
abnormalities, accounting for 21.43 percent. 
ï· Neoplasms account for a substantial share, specifically 15 %, of the 
causes of death in the 1-4 years age group. 
ï· Out of the total medically certified deaths, around 2.37 per cent 
has been reported for infants (children who could not complete 
their first birthday) 
ï· The highest incidence of deaths under this age-group are reported 
under Certain Conditions Originating in the Perinatal Period (59 
.37 per cent). 
Children aged 5-14 years. 
0.59 %

ï¶ The share of the 5-14 years age group in the total medically certified 
deaths was 0.59 percent. 
ï¶ A significant portion of deaths among children aged 5-14 years, 
accounting for 23.22%, is attributed to neoplasms. 
ï¶ The share of Injury, poisoning and certain other consequences of 
external causes is 13,27% followed by Congenital malformations, 
deformations and chromosomal abnormalities ( 12.80%) and Covid ( 
11.37%) 
Persons aged 15-24 years. 
1.15 % 
ï The age-group15-24 has contributed to 1.15 per cent of the total 
medically certified deaths. 
ï The cause group Injury, Poisoning and Certain Other Consequences of 
External Causes has caused highest deaths of 21.01 per cent of total 
deaths. 
ï Neoplasms are the second major cause in the age group 15-24 years, 
contributing 19.32% of the total deaths within this demographic. 
ï The other notable causes include Covid and Diseases of the circulatory 
system, contributing 12.8% and 8.7%, respectively, to the total deaths in 
this age group.

Persons aged 25-34 years. 
o The age group 25-34 years constitutes 1.86 per cent of total medically  
certified deaths 
o The most prominent cause of death in this age group is Covid-19  
(including post covid), constituting a significant share of 25.71%. 
o Both Neoplasms and Injury, Poisoning, and Certain Other Consequences 
of External Causes equally contribute a significant share, each 
accounting for 16.74%. 
Persons aged 35-44 years. 
4.85 % 
1.86%

Persons aged 45-54 years. 
11.32% 
 
ï The age group 45-54 has contributed to 11.32 per cent of the total 
medically certified deaths. 
ï The distribution of causes of death presents a notable impact of Covid-19, 
constituting the highest percentage at 33.16%. 
ï Diseases of the Circulatory System follow closely, contributing 18.57%, 
emphasizing the importance of addressing cardiovascular health. 
ï The other major determinants of deaths in this age group are 
Neoplasms(11.74%), Endocrine, nutritional and metabolic diseases 
(10.44%), Diseases of digestive system ( 7.34%) and  Injury, Poisoning 
and Certain Other Consequences of External Causes( 4.51%). 
 
ï¶ The overall contribution of the age-group 35-44 years in total medically  
ï¶ certified deaths is 4.85 per cent. 
ï¶ Covid-19 is the leading cause of death, constituting a substantial 
percentage of 30.26% 
ï¶ Diseases of the Circulatory System and Neoplasms follow, contributing 
14.73% and 13.81%, respectively.  
ï¶ Diseases of the Digestive System and Injury, Poisoning, and Certain Other 
Consequences of External Causes contribute 8.48% and 7.39% 
respectively, while Endocrine, Nutritional, and Metabolic Diseases 
account for 6.53%.

Persons aged 55-64 years. 
14.67% 
22.02% 
ï The age-group 55-64 years has a share of 22.02 per cent in the total 
medically certified deaths. 
ï The data on mortality distribution within the 55-64 age group highlights a 
noteworthy influence of Covid-19, representing the predominant factor 
with a substantial percentage of 34.12%. 
ï Diseases of the Circulatory System closely trail behind, making a 
significant contribution of 21.08%. 
ï Neoplasms, at 12.35%, highlight the presence of cancer-related fatalities, 
while Endocrine, Nutritional, and Metabolic Diseases contribute 13.10% 
Persons aged 65-69 years.

Persons aged 70 years or above 
38.95% 
ï The age-group 70 years and above ,  as expected, has reported the 
maximum  
ï incidences (38.95 per cent) of total medically certified deaths. 
ï Covid-19 stands out as the leading cause, constituting a substantial 
percentage of 40.73%, underscoring the severe impact of the 
pandemic on the elderly population. 
ï Diseases of the Circulatory System follow closely at 23.71% 
ï he other prominent causes include Endocrine, Nutritional, and 
Metabolic Diseases (12.45%), Neoplasms (6.73%), and Diseases of 
the Respiratory System (6.15%). 
ï The age-group 65-69 years has a share of 14.67 per cent in the total 
medically certified deaths. 
ï The distribution of mortality within the 65-69 age group reveals a 
substantial impact of Covid-19( including post covid), constituting the 
highest percentage at 36.10%. Diseases of The Circulatory System and 
Endocrine, Nutritional, and Metabolic Diseases also make notable 
contributions at 23.08% and 13.81%, respectively. 
ï Neoplasms, accounting for 9.89%, indicate the presence of cancer-
related fatalities,

Abbreviations  Description 
MCCD Medical Certiï¬cation of Cause of Death 
WHO World Health Organization 
RGI Registrar General of India 
ORGI Oï¬ce of Registrar General of India 
DES Department of Economics and Statistics 
ICD International Classiï¬cation of Diseases 
RBD Act 1969 Registration of Birth and Death Act 1969 
TIA Transient Ischemic Attack  
CHD Coronary Heart Disease 
 
List of Abbreviations  
used in the Report

Title 	Page No 
Preface  
Contributors  
Highlights  
List of Abbreviations used in the Report  
Contents  
Chapter I Introduction 	1-6 
Chapter II Scheme of MCCD: Status of Implementation 7-12 
Chapter III Distribution of Deaths by Cause 13-68 
Chapter IV Specific Cause of Mortality in Different Age 
Groups 
69-86 
Appendix I List of Hospitals Under MCCD  	87-92 
Appendix II  Form No 4 - Medical Certificate of Cause of Death    
- for Hospital events 
93-96 
Appendix III  Form No 4A - Medical Certificate of Cause of Death 
â for Non-Hospital events 
97-100 
Appendix IV Major Groups and the Description of ICD-10 Codes 101-104 
Appendix V National List based on ICD-10. 105-116 
Appendix VI Cause of Death (Age wise and Sex wise) 117-156 
 
Contents

Introduction 
Chapter

1.1 Introduction 
Accurate cause-specific mortality 
statistics are an indispensable requirement for 
administrators, policy planners, researchers, and 
various professionals engaged in public health. 
These statistics serve as a foundational resource 
for evidence-based decision-making, 
influencing critical aspects such as resource 
allocation, monitoring of key indicators, and 
identification of priority areas for public health 
programs and related activities. It also plays an 
important role in furtherance of medical research and is fundamental for monitoring as well as 
improving the methods of diagnosis and analysis. Under the system of Registration of Births 
& Deaths, the scheme of Medical Certification of Cause of Death (MCCD) â an integral part 
of the Vital Statistics System, aims at providing a reliable and temporal database for generating 
cause-specific mortality statistics. The Office of the Registrar General, India, (ORGI) obtains 
data on causes of death from the Chief Registrar of Births and Deaths of different States and 
Union Territories, under the Registration of Births & Deaths Act, 1969.  In Kerala the scheme 
is presently implemented only in four Corporations viz. â Thiruvananthapuram, Kollam, 
Ernakulum and Kozhikode and in Alappuzha Municipality. 
Amidst the formidable challenges posed by the 
devastating COVID-19 pandemic in 2021, India 
experienced a profound impact on public health, resulting 
in a considerable loss of lives. In this critical context, the 
role of the Medical Certification of Cause of Death 
(MCCD) becomes pivotal, serving as a crucial instrument 
for understanding and analysing the dynamic trends and 
evolving mortality patterns associated with various 
diseases. 
1.2 Legal Provisions 
The provisions relating to MCCD in Registration of Births & Deaths Act, 1969 are as 
follows: 
Chapter 1 
Medical Certiï¬cation of Cause of Death

Report on Medical Certiï¬cation of Cause of Death 2021  Page : 	4 
Section 10(2): In any area, the State Government having regard to the facilities available 
therein in this behalf may require that a certificate as to the cause of death shall be obtained 
by Registrar from such person and in such form as may be prescribed. 
Section 10(3): Where the State Government has required under sub-section (2) that a 
certificate as to the cause of death shall be obtained, in the event of the death of any person 
who, during his last illness, was attended by a medical practitioner, the medical practitioner 
shall, after the death of that person, forthwith, issue without charging any fee, to the person 
required under this Act to give information concerning the death, a certificate in the 
prescribed form stating to the best of his knowledge and belief the cause of death; and the 
certificate shall be received and delivered by such person to the Registrar at the time of 
giving information concerning the death as required by this Act. 
Section 17(1) (b): Subject to any rules made in this behalf by the State Government, 
including rules relating to the payment of fees and postal charges, any person may obtain 
an extract from registration-records relating to any death; provided that no extract relating 
to any death, issued to any person, shall disclose the particulars regarding the cause of death 
as entered in the register. 
Section 23(3): Any medical practitioner who neglects or refuses to issue a certificate under 
sub-section (3) of section 10 and any person who neglects or refuses to deliver such 
certificates shall be punishable with fine which may extend to fifty rupees. 
1.3 MCCD Forms 
The necessary data is collected in the prescribed Form No.4 (Appendix-II) as filled in 
by the concerned hospital authorities. A separate Form No.4A (Appendix-III) has been 
prescribed for non-institutional deaths, which are attended to by the medical practitioners. 
These forms conform to the international format of medical certification of cause of death as 
evolved by the World Health Organisation (WHO). These forms comprising two parts which 
incorporate immediate and antecedent causes of death along with the identification and other 
particulars of the deceased. Part-I provides for entering the diseases in a specific sequence of 
events leading to death, so that the immediate cause is recorded first and then the underlying 
cause. The underlying cause is that morbid condition which initiated the chain of events leading 
to death. Besides, there is also a provision for recording the approximate intervals between 
onset of disease and death in the sequence of events. Part- II of the form allows recording 
information on other significant morbid conditions, but not directly related to the cause of 
death. Doctors attending to the deceased during his/her terminal illness are required to fill the 
forms up.

Report on Medical Certiï¬cation of Cause of Death 2021  Page : 	5 
1.4 International Classification of Diseases (ICD) Coding. 
The International Classification of Diseases (ICD) 
plays a pivotal global role by offering comprehensive insights 
into the prevalence, causes, and repercussions of human 
diseases and mortality on a worldwide scale. Utilized for 
reporting and coding data, ICD forms the primary foundation 
for health records and disease statistics across various levels 
of care, including primary, secondary, and tertiary healthcare. 
It significantly contributes to cause-of-death certificates, 
facilitating crucial information for payment systems, service 
planning, quality and safety administration, and health services research. The diagnostic 
guidance associated with ICD categories not only standardizes data collection but also enables 
extensive and standardized research on a large scale. 
World Health Organisation (WHO) periodically reviews the system of International 
Classification of Diseases (ICD). Tenth revision of the ICD (ICD-10) was endorsed by the 
Forty-third World Health Assembly in May 1990 and came into use in WHO Member States 
as from 1994; however, it has been adopted in the Office of the Registrar General of India 
(ORGI) for classification of causes of deaths since 1999 Report on MCCD. The statistics on 
medically certified causes of deaths has been tabulated as per the National List (ICD â10, 
modified according to Indian conditions) as given in Appendices-IV & V. The underlying cause 
of death is taken into account while tabulating the cause-specific mortality. 
1.5 Contents of the Report. 
Comprising four chapters and nine appendices, this report delves into various aspects 
of the Medical Certification of Cause of Death (MCCD) scheme. After the introductory chapter, 
Chapter 2 provides a comprehensive update on the status of MCCD scheme implementation. 
In Chapter 3, the distribution of deaths based on major causes is detailed, while Chapter 4 
focuses on age-specific cause of mortality categorized by gender. 
The statistics presented in this report offer insights into cause-specific mortality, cross-
classified by sex and broad age-groups. It is important to note that the report is derived from 
medically certified deaths that occurred in hospitals, whether public or private, covered under 
the MCCD Scheme. However, as the scheme currently covers only selected hospitals, primarily 
from urban areas, the presented profile may not fully represent the reliable pattern of cause-
specific mortality prevalent in the state. Keeping this in view, the data users may take due 
caution while deducing the mortality pattern.

Report on Medical Certiï¬cation of Cause of Death 2021  Page : 	6

Chapter 2 
 
 
 
 
2.1 Scheme of MCCD 
The RBD Act, 1969, mandates the compulsory registration of births and deaths in the 
country, effective since April 1, 1970. Despite being a Central Act, its implementation falls 
under the purview of the States and Union Territories (UTs). At the national level, the Registrar 
General, India, appointed under Section 3 of the Act, unifies and coordinates the activities of 
Chief Registrars, offering general direction and guidance for the registration of births and 
deaths and the Act's implementation. Chief Registrars of Births and Deaths, appointed by State 
Governments under Section 4 of the Act, act as the Chief Executive Authority to ensure 
effective implementation and report on its functioning. Under the Civil Registration System, 
the implementation of the MCCD scheme is required to be notified under Section 10(2) of the 
RBD Act, 1969, by respective States and UTs, contingent upon the availability of necessary 
facilities therein. In Kerala, Joint Director of panchayats is the chief Registrar of Births and 
Deaths. 
2.2 Status of Implementation in Kerala 
Until 2021, the scheme was implemented in five urban local bodies, namely 
Thiruvananthapuram Corporation, Kollam Corporation, Ernakulum Corporation, Kozhikode 
Corporation, and Alappuzha Municipality. The geographical coverage is depicted in chart 
2.2.1. Data is systematically collected from 150 selected hospitals in these areas using the 
prescribed Form No.4. Centre wise number of hospitals covered under MCCD are presented in 
table 2.2.1 and the list of such hospitals are given in appendix I. 
Table 2.2.1. Number of hospitals covered under MCCD. 
 
Sl. 
No. 
 
Centre 
Number of hospitals covered under MCCD 
Govt Private Total 
1 Thiruvananthapuram 
corporation 
11 33 44 
2 Kollam Corporation 	6 11 17 
3 Alappuzha Municipality 7 1 8 
4 Cochin Corporation 	4 36 40 
5 Kozhikode Corporation 9 32 41 
6 Total 	37 113 150 
Chapter 2 
Scheme of MCCD: Status of Implementation

Report on Medical Certiï¬cation of Cause of Death 2021  Page : 	10 
It is noteworthy that non-institutional deaths, although addressed by a separate Form 
No.4A, are not included in this report. Deputy Health Officers in the local bodies are entrusted 
for the data collection and coding of cause of death as per ICD-10. As mentioned in para 2.1 
Joint Director of panchayaths is the chief Registrar of Births and Deaths while Additional 
Director (General) of Economics and Statistics Department act as the additional Chief Registrar 
of Births and Deaths. Further, a post of Nosologist is created in 2009 for the smooth functioning 
of the Scheme. Nosologist cross tabulates the data by cause of death, age and sex and prepares 
consolidation statement in prescribed format. The State subsequently send it to the Office of 
RGI in the form of Statistical Table-11 for consolidation at the National level. 
chart 2.2.1. Geographical Coverage of MCCD in Kerala

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 11 
2.3  Percentage of medically certified deaths to total registered deaths 
 in Kerala in 2021 
 
In the year 2021, the state of Kerala witnessed a total 
of 339,648 registered deaths. Out of this figure, 35,965 deaths, 
constituting 10.59% of the total, were officially documented 
with medical certification. Year wise percentage medically 
certified deaths to total registered deaths in Kerala is presented 
in chart 2.3.1. 
  
Chart 2.3.1. Time series on medically certified deaths to total registered deaths. 
 
 
In Chart 2.3.1, we delve into the nuanced dynamics of medically certified deaths in 
relation to total registered deaths in Kerala over the years. The data paints a vivid picture, 
showcasing a consistent trend where the percentage of medically certified deaths to total 
registered deaths generally maintains an approximate 11% mark, experiencing a slight dip in 
2021. Meanwhile, a broader perspective reveals a compelling narrative of overall mortality, 
with a discernible upward trajectory in total registered deaths spanning the years 2012 to 2021. 
The zenith of this trend is particularly evident in 2021, marked by a substantial spike, tallying 
up to 339,648 deaths.

Report on Medical Certiï¬cation of Cause of Death 2021  Page : 	12 
While these statistics provide valuable insights, a cautionary note arises regarding the 
potential limitations of relying solely on the analysis of causes of death based on the 
comparatively modest percentage of medically certified deaths. This data point may not 
adequately capture the true distribution of causes within the entire field of registered deaths. 
Consequently, the imperative to expand the existing scheme becomes apparent, as doing so 
promises a more nuanced and comprehensive understanding of the intricate factors influencing 
mortality patterns in the region.

Chapter 2 
 
 
3.1 Introduction 
Understanding the distribution of deaths by cause is paramount for informed public 
health planning and resource allocation. It enables targeted interventions and preventive 
measures by identifying prevalent health issues, guiding the development of policies, and 
fostering research and innovation. This knowledge not only assists in disease prevention and 
control but also allows for monitoring health trends and identifying emerging challenges. 
Moreover, communicating information about the leading causes of death promotes public 
awareness and education, empowering individuals to make informed choices for healthier 
lifestyles and proactive healthcare-seeking behaviour. This chapter aims to summarize the 
findings of the data reported on medically certified causes of deaths for Kerala in 2021 by age, 
sex, and major cause groups, contributing to a comprehensive understanding of mortality 
patterns that enhances the effectiveness of healthcare systems and contributes to the overall 
well-being of communities. 
3.2 Age and sex-wise distribution of Medically Certified Deathsâ2021 
During 2021, a total of 35965 medically certified deaths have been reported, of which 
22074 and 13891 pertains to males and females respectively. The age and sex distribution of 
such deaths is presented in the following Table 3.2.1 and is highlighted in Chart 3.2.1 
Chart 3.2.1 Age and sex-wise distribution of Medically Certified Deathsâ2021 
 
 
  
Chapter 3 
Distribution of Deaths by Cause

Report on Medical Certiï¬cation of Cause of Death 2021  Page : 	16 
Table 3.2.1: Age and sex-wise distribution of Medically Certified Deathsâ2021 
Age 
Group  
(In 
Years) 
Male 	Female 	Total 
Number 
of 
Medicall
y 
Certified 
Deaths 
Percentage to 
Number 
of 
Medicall
y 
Certified 
Deaths 
  
Number 
of 
Medicall
y 
Certified 
Deaths 
Percent
age to 
total 
medicall
y 
certified 
deaths 
Total 
male 
deaths 
under 
MCC
D 
Total 
medicall
y 
certified 
deaths 
Total 
female 
deaths 
under 
MCC
D 
Total 
medicall
y 
certified 
deaths 
1 2 3 4 5 6 7 8 9 
<1 491 2.22 1.37 363 2.61 1.01 854 2.37 
1-4 82 0.37 0.23 58 0.42 0.16 140 0.39 
5-14 105 0.48 0.29 106 0.76 0.29 211 0.59 
15-24 224 1.01 0.62 190 1.37 0.53 414 1.15 
25-34 390 1.77 1.08 279 2.01 0.78 669 1.86 
35-44 1091 4.94 3.03 654 4.71 1.82 1745 4.85 
45-54 2725 12.34 7.58 1346 9.69 3.74 4071 11.32 
55-64 5100 23.10 14.18 2818 20.29 7.84 7918 22.02 
65-69 3314 15.01 9.21 1962 14.12 5.46 5276 14.67 
70 Years 
or above 
8149 36.92 22.66 5860 42.19 16.29 14009 38.95 
Age Not 
Stated 
403 1.83 1.12 255 1.84 0.71 658 1.83 
TOTAL 22074 100 61.38 13891 100. 38.62 35965 100 
 
Table 3.2.1 and chart 3.2.1 shows that the contribution of male and female deaths in the 
total medically certified cases were reported to be 61.38 per cent and 38.62 per cent 
respectively, with a sex ratio of female deaths to male deaths to be 629 per thousand. It seems 
that more males availed the medical facilities during the time of terminal illness as compared 
to females. It is also observed that 38.95% of the total medically certified deaths are attributed 
to individuals aged 70 years and above, with a sex-specific breakdown revealing a higher 
percentage among females (42.19%) compared to males (36.92%). The age group 55-64 also 
shows a significant percentage (22.02%), with 23.1% for males and 20.29% for females. Sex 
wise percentage distribution of medically certified deaths among different age groups is 
depicted in Chart 3.2.2.

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 17 
 
Chart 3.2.2. Age and sex distribution of medically certified deaths 2021 
 
 
 
3.3 Major Groups of Diseases as per ICD -10 
The data on MCCD has been presented as per the National List based on 10th revision 
of International Classification of Diseases (ICD-10), to facilitate meaningful comparison and 
drawing valid conclusions thereof. Causes of deaths were categorized into 21 major groups 
according to the ICD-10 classification system as follows. 
Major 
Cause 
Groups 
    Description and ICD codes 
I Certain Infectious and parasitic diseases (A00-B99) 
II Neoplasms (C00-D48) 
III Diseases of the blood and blood forming organs and certain disorders involving 
the   immune mechanism (D50-D89) 
IV Endocrine, nutritional and metabolic diseases (E00-E89) 
V Mental and behavioural disorders (F01-F99) 
VI Diseases of the nervous system (G00-G98) 
VII Diseases of the eye and Adnexa (H00-H59) 
VIII Diseases of the ear and mastoid process (H60-H95) 
IX Diseases of the circulatory system (I00-I99) 
X Diseases of the respiratory system (J00-J98) 
XI Diseases of the digestive system (K00-K92) 
XII Diseases of the skin and subcutaneous tissue (L00-L98)

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 18 
XIII Diseases of the musculoskeletal system and connective tissue (M00-M99) 
XIV Diseases of the genitourinary system (N00-N99) 
XV Pregnancy, childbirth and the puerperium (O00-O99) 
XVI Certain conditions originating in the perinatal period (P00-P96) 
XVII Congenital malformation, deformation and chromosomal abnormalities (Q00-
Q99) 
XVIII Symptoms, signs and abnormal clinical and laboratory findings, n.e.c. (R00-
R99) 
XIX Injury, poisoning and certain other consequences of external causes (S00-T98) 
XX External causes of morbidity and mortality (V01-Y89) 
XXI Codes for special purposes ( U00-U49) 
 
In 2021, nine major groups of causes of deaths were identified, namely Codes for 
Special Purposes â Covid 19 (U00-U49), Diseases of the Circulatory System (I00-I99), 
Endocrine, Nutritional and Metabolic Diseases (E00-E89), Neoplasms (C00-D48), Diseases of 
the Respiratory System (J00-J98), Diseases of the Digestive System (K00-K92), Certain 
Infectious and Parasitic Diseases (A00-B99), and Injury, Poisoning, and Certain Other 
Consequences of External Causes (S00-T98), collectively contributing to approximately 94% 
of total medically certified deaths. The analysis of these major groups is detailed in the 
following sections. 
 
Chart 3.3.1 Distribution of Medically Certified Deaths by Nine Leading Cause Groups, 2021

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 19 
 
Chart 3.3.1 illustrates the distribution of Medically Certified Deaths by Nine Leading 
causes in Kerala for the year 2021. Notably, among the leading cause groups, Codes for Special 
Purposes â Covid 19 (U00-U49) constitute the highest percentage (35.52%) of total medically 
certified deaths, expectedly reflecting the severe impact of the pandemic on the state during 
2021. The second major cause group is Diseases of the Circulatory System (I00-I99), 
contributing to 20.69% of total medically certified deaths. Subsequent causes include 
Endocrine, Nutritional and Metabolic Diseases (E00-E89) (11.57%), Neoplasms (C00-D48) 
(9.64%), Diseases of the Respiratory System (J00-J98) (4.83%), Diseases of the Digestive 
System (K00-K92) (4.12%), Certain Infectious and Parasitic Diseases (A00-B99) (2.54%), 
Injury, Poisoning, and Certain Other Consequences of External Causes (S00-T98) (2.52%), and 
Diseases of the Genitourinary System (N00-N99) (2.15%). 
 
Chart 3.3.2 Distribution of Medically Certified Deaths by Sex and Nine Leading Cause Groups, 
2021 
 
 
The sex-wise distribution of medically certified deaths is depicted in Chart 3.3.2 and 
explained in Table 3.3.1. A nearly identical distribution is observed for male and female deaths 
across major cause groups. However, a notable gender difference is evident in the case of 
Diseases of the Digestive System (K00-K92), where males exhibit a higher percentage (5.29%) 
compared to females (2.27%). Another significant gender difference is observed in the cases

Report on Medical Certiï¬cation of Cause of Death 2021  Page : 	20 
of Covid-19 and Endocrine, Nutritional, and Metabolic Diseases (E00-E89). In both instances, 
the percentage is slightly higher among females compared to males. This nuanced analysis 
provides insights into specific areas of gender disparity within the distribution of medically 
certified deaths, contributing to a more comprehensive understanding of healthcare outcomes. 
 
Table 3.3.1 Distribution of Medically Certified Deaths by Sex and Nine Leading Cause Groups, 
2021 
 Sl. 
No. 
Major Cause Group 
Male Female Total 
Number % Number % Number % 
1 Codes for Special 
Purposes â Covid 19 
(U00-U49) 
7750 35.11 5024 36.17 12774 35.52 
2 Diseases of the 
Circulatory System  
(I00-I99) 
4520 20.48 2922 21.04 7442 20.69 
3 Endocrine, Nutritional 
and metabolic Diseases  
(E00-E89) 
2433 11.02 1729 12.45 4162 11.57 
4 Neoplasms (C00-D48) 2069 9.37 1397 10.06 3466 9.64 
5 Diseases of the 
Respiratory System  
(J00-J98) 
1103 5.00 635 4.57 1738 4.83 
6 Diseases of the digestive 
system (K00-K92) 
1168 5.29 315 2.27 1483 4.12 
7 Certain Infectious and 
Parasitic Diseases  
(A00-B99) 
544 2.46 370 2.66 914 2.54 
8  Injury, Poisoning and 
Certain Other 
Consequences of 
External Causes 
(S00-T98) 
640 2.90 267 1.92 907 2.52 
9 Diseases of the 
genitourinary system 
(N00-N99) 
512 2.32 262 1.89 774 2.15 
  Other Groups 1335 6.05 970 6.98 2305 6.42 
  Total  22074 100.00 13891 100.00 35965 100.00 
 
The comparison between the distribution of medically certified deaths by top leading 
cause groups reported in Kerala for the years 2021 and 2020 is presented in Chart 3.3.3 and 
Table 3.3.2.

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 21 
  
Chart 3.3.3. Distribution of medically certified deaths by top leading cause groups  
over the years 2020 and 2021 
 
 
Table 3.3.2: Distribution of Medically Certified Deaths by Nine Leading Cause Groups 
  
SL.NO 
Major Cause Group 	2020 	2021 
Number % Number % 
1 Codes for Special Purposes â 
Covid 19 (U00-U49) 
2148 7.62 12774 35.52 
2 Diseases of the Circulatory 
System (I00-I99) 
8058 28.58 7442 20.69 
3 Endocrine, Nutritional, and 
Metabolic Diseases (E00-E89) 
4364 15.48 4162 11.57 
4 Neoplasms (C00-D48) 4301 15.26 3466 9.64 
5 Diseases of the Respiratory 
System (J00-J98) 
1699 6.03 1738 4.83 
6 Diseases of the digestive system 
(K00-K92) 
1875 6.65 1483 4.12 
7 Certain Infectious and Parasitic 
Diseases (A00-B99) 
858 3.04 914 2.54 
8 Injury, Poisoning and Certain 
Other Consequences of External 
Causes 
(S00-T98) 
998 3.54 907 2.52 
9 Diseases of the genitourinary 
system (N00-N99) 
856 3.04 774 2.15 
  Other Groups 3035 10.76 2305 6.42 
  	Total  	28192 100.00 35965 100.00

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 22 
The most notable difference, as observed in Chart 3.3.3 and Statement 3.3.2, is the 
substantial increase in the percentage of deaths attributed to Codes for Special Purposes â 
Covid 19 (U00-U49), surging from 7.62% in 2020 to 35.52% in 2021. In contrast, Diseases of 
the Circulatory System (I00-I99) experienced a decline from 28.58% in 2020 to 20.69% in 
2021. Similar reductions in percentages are evident for other major cause groups as well. When 
COVID-related deaths are excluded from both years, an almost identical distribution emerges, 
as depicted in Chart 3.3.4. Consequently, it can be inferred that the reduction in the percentage 
for major cause groups in 2021 is primarily attributable to the significant increase in COVID-
related deaths during that year. 
 
Chart 3.3.4. Distribution of medically certified deaths by top leading cause group excluding 
Covid-19 over the years 2020 and 2021 
 
 
The percentage distribution of nine major cause groups of death for the period 2012 to 
2021 is presented in the Statement 3.3.3, chart 3.3.5 and chart 3.3.6.

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 23 
Table 3.3.3 Percentage distribution of nine major cause groups of death for the  
period 2012 to 2021 
 
 
Chart 3.3.5 Percentage distribution of nine major cause groups of death for the  
period 2012 to 2021 
 
  
Codes for 
Special 
Purposes 
â Covid 
19 (U00-
U49)
Diseases 
of the 
Circulato
ry 
System 
(I00-I99)
Endocrin
e, 
Nutrition
al and 
metaboli
c 
Diseases 
(E00-E89)
Neoplas
ms (C00-
D48)
Diseases 
of the 
Respirato
ry 
System 
(J00-J98)
Diseases 
of the 
digestive 
system 
(K00-K92)
Certain 
Infectiou
s and 
Parasitic 
Diseases 
(A00-
B99)
 Injury, 
Poisonin
g and 
Certain 
Other 
Consequ
ences of 
External 
Causes
(S00-T98)
Diseases 
of the 
genitouri
nary 
system 
(N00-
N99)
Other 
GroupsTotal
2012029.912.414.5410.947.376.933.762.6511.51100
2013029.7910.915.210.448.145.935.034.2310.34100
2014028.8110.8216.2210.758.15.595.183.5710.96100
2015029.5710.5716.9911.427.615.574.513.4810.28100
2016030.789.0615.8910.618.664.054.196.0910.67100
2017027.361116.4410.217.314.873.87.411.61100
2018027.9613.0616.39106.453.643.747.2111.55100
2019031.0314.8816.219.836.613.613.533.0111.29100
20207.6228.5815.4815.266.036.653.043.543.0410.76100
202135.5220.6911.579.644.834.122.542.522.156.42100
Year
Leading Major Casuse Group of Deaths

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 24 
Chart 3.3.6 Percentage distribution of nine major cause groups of death for the period 2012 to 
2021  
 
 
Diseases of the Circulatory System consistently ranked as the leading cause of death 
from 2012 to 2021, except in 2021 when Covid-19-related deaths reached their highest 
percentage. The devastating impact of the second wave of Covid-19 in 2021 resulted in an 
overall increase in both deaths due to Covid-19 and the total number of deaths in Kerala. 
Consequently, this surge led to a decrease in the proportional share of other major cause groups 
relative to the total medically certified deaths. While the percentage share of specific cause 
groups decreased in 2021, it does not necessarily indicate a reduction in the actual number of 
deaths for those causes. Instead, it reflects a redistribution among different causes, 
underscoring the complexity of assessing disease-specific trends solely based on percentage 
changes. For instance, Chart 3.3.5 depicts a percentage decrease for diseases of the circulatory 
system in 2021 compared to 2020. However, excluding Covid-19 deaths from both 2020 and 
2021 reveals a notable 1.15 percentage point increase for the same category, as shown in Chart 
3.3.4.

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 25 
LEADING CAUSES OF DEATHS 2021 
3.4 Deaths reported under Codes for Special Purposes (Covid-19 Deaths) 
This major cause group was introduced in 2020 as per the recommendation of the Indian 
Council of Medical Research. It is the topmost ranking major group of diseases in Kerala for 
the year 2021, constituting 35.52 per cent of total medically certified deaths It accounts for 
35.11 and 36.17 per cent respectively in males and female deaths. 
 
 
 
 
 
 
  
 
Chart 3.4.1 provides an overview of 
the major components within the Covid-19 
cause group. It shows that approximately 89% 
of total medically certified deaths in this 
category are directly attributed to Covid-19 
(U07), while the remaining deaths are 
attributed to post-Covid diseases (U09) 
 
 
 
 
 
Chart 3.4.1. distribution of major components 
under the major cause group Covid-19

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 26 
The distribution of major components 
within the major cause group is depicted in 
Chart 3.4.2 and Table 3.4.1, showing sex-
specific breakdowns. Among male deaths 
attributed to the Covid-19 cause group, 88.01% 
are due to Covid-19 itself, with the remainder 
attributed to post-Covid deaths. Conversely, 
among female deaths, the percentage attributed 
to Covid-19 is slightly higher than males, at 
90.15%. 
 
Table 3.4.1 Percentage distribution of major causes of deaths among medically  
certified deaths due to major cause group Covid-19 
 
Sl 
No 
Cause 
of 
Death 
Male Female Total % to 
total 
medically 
certified 
deaths 
Number % Number % Number % 
1 Covid-
19 
6821 88.01% 4529 90.15% 11350 88.85% 31.56% 
2 Post 
Covid-
19 
929 11.99% 495 9.85% 1424 11.15% 3.96% 
 
The funnel chart shown in chart 3.4.3 provides age distribution of medically certified 
deaths due to Covid-19 related diseases. The data indicates a clear trend of increased mortality 
with advancing age, with the highest death rates observed in older age groups. Specifically, 
individuals aged 70 and above account for the largest proportion of Covid-19 fatalities, 
comprising 44.67% of deaths, followed by the 55-64 age group with 21.15%, the 65-69 age 
group with 14.91%, and the 45-54 age group with 10.57%. Notably, individuals under 45 years 
old contribute to a relatively smaller percentage of Covid-19 deaths, with the <1, 1-4, 5-14, and 
15-24 age groups collectively accounting for less than 2% of fatalities.

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 27 
Chart 3.4.3 Age and sex-wise distribution of deaths due to Covid-19 related diseases 
 under MCCDâ2021 
 
 
Chart 3.4.4 Age and sex distribution of deaths due to COVID 19 (Codes for Special Purposes)  
under MCCD-2021

Report on Medical Certiï¬cation of Cause of Death 2021  Page : 	28 
Table 3.4.2 Age and sex distribution of deaths due to COVID 19 
(Codes for Special Purposes) under MCCD-2021 
Sl no Age 
Group 
Male Female Total 
Number % Number % Number % 
1 <1 9 0.12 5 0.10 14 0.11 
2 1-4 6 0.08 4 0.08 10 0.08 
3 5-14 9 0.12 15 0.30 24 0.19 
4 15-24 22 0.28 31 0.62 53 0.41 
5 25-34 103 1.33 69 1.37 172 1.35 
6 35-44 345 4.45 183 3.64 528 4.13 
7 45-54 863 11.14 487 9.69 1350 10.57 
8 55-64 1676 21.63 1026 20.42 2702 21.15 
9 65-69 1159 14.95 746 14.85 1905 14.91 
10 70 Years 
or 
above 
3379 43.60 2327 46.32 5706 44.67 
11 Age Not 
Stated 
179 2.31 131 2.61 310 2.43 
 Total 7750 100 5024 100 12774 100 
 
Chart 3.4.4 and Table 3.4.2 provides insight into how the distribution of deaths due to 
major causes of Covid-19 across different age groups varies between males and females. 
Overall, the distribution is almost similar between sexes across most age brackets. However, 
notable disparities of over one percentage point are observed in the 45-54, 55-64, and 70 years 
and above age groups. In the former two age groups, a higher percentage of deaths is recorded 
among males compared to females, while in the latter age group, females show a slightly higher 
percentage. 
 
3.5  Diseases of the Circulatory System 
Diseases of the Circulatory System are a group of disorders of the heart and blood 
vessels and include coronary heart disease, cerebrovascular disease, rheumatic heart disease 
and other conditions. Previously, this category ranked as the primary cause of death, but in 
2021, owing to the profound impact of the Covid-19 pandemic, it now holds the second 
position, accounting for 20.69% of all medically certified deaths. This figure comprises 20.48% 
of male deaths and 21.04% of female deaths.

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 29 
Table 3.5.1. Distribution of major causes of deaths among diseases of the  
Circulatory System under MCCD â2021 
 
 
Chart 3.5.1 Distribution of Medically certified deaths due to  
Diseases of the Circulatory System - 2021 
 
Female Total
Number%Number%Number%
1
Ischaemic heart diseases  
( I20-I25)
181240.0994132.20275336.997.65
2
Cerebrovascular diseases 
( I60-I69) 
125827.8387129.81212928.615.92
3
Hypertensive diseases 
(I10-I15)
63914.1451917.76115815.563.22
4
Diseases of pulmonary  
circulation and other 
forms of heart disease ( 
I26-I51)
66914.8048516.60115415.513.21
5Others
142 3.14 106 3.63 248 3.33 0.69
Total Medically Certified 
Deaths due
to Diseases of the 
Circulatory
System
4520100.002922100.007442100.0020.69
Deaths due to Diseases of 
the
Circulatory System as 
Percentage to
total Medically Certified 
Deaths
  20.48 21.04 20.69
Male
Cause of DeathsS.NO
% to
Total
Medically
Certified 
Deaths

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 30 
Chart 3.5.2. Sex wise distribution of Medically certified deaths due to Diseases of the 
Circulatory System - 2021 
 
 
The distribution of major components under this cause group is presented in Table 3.5.1 
and is depicted in Chart 3.5.1.and Chart 3.5.2. Ischaemic heart diseases, Cerebrovascular 
diseases, Hypertensive diseases and diseases of pulmonary circulation and other forms of heart 
disease are the major components in the diseases of circulatory system. Ischaemic heart 
diseases (I20-I25) refer to a group of heart-related conditions caused by reduced blood flow to 
the heart muscle. The reduction in blood flow is typically due to the narrowing or blockage of 
coronary arteries, which supply blood to the heart. Cerebrovascular diseases refer to a group of 
medical conditions that affect the blood vessels supplying the brain. These conditions include 
stroke, transient ischemic attack (TIA), cerebral haemorrhage, and subarachnoid haemorrhage. 
Hypertensive diseases refer to a range of conditions caused by high blood pressure. Diseases 
of pulmonary circulation and other forms of heart disease" encompass a broad category of 
medical conditions affecting the heart and the pulmonary (lung) circulation. This category 
includes various disorders such as pulmonary hypertension, pulmonary embolism, heart 
failure, congenital heart diseases, valvular heart diseases, cardiomyopathies, and arrhythmias. 
Ischaemic heart diseases (I20-I25) represent the highest percentage at 36.99%, followed 
by cerebrovascular diseases (I60-I69) at 28.61%. Hypertensive diseases (I10-I15) and diseases 
of pulmonary circulation and other forms of heart disease (I26-I51) both contribute notably, 
accounting for 15.56% and 15.51% respectively. The remaining causes of death fall under the 
category of 'Others,' representing 3.33% collectively. Sex wise distribution of major causes of 
deaths among medically certified deaths due to circulatory diseases can be viewed in chart 
40.09
27.83
14.14 14.80
3.14
32.20
29.81
17.76
16.60
3.63
0.00
5.00
10.00
15.00
20.00
25.00
30.00
35.00
40.00
45.00
Ischaemic heart
diseases  ( I20-
I25)
Cerebrovascular
diseases ( I60-
I69)
Hypertensive
diseases (I10-
I15)
Diseases of
pulmonary
circulation and
other forms of
heart disease (
I26-I51)
Others
Medically Certified Deaths(in %)
Male Female

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 31 
3.5.2. Across all categories females exhibits higher percentages of deaths compared to males, 
except for Ischaemic heart diseases (I20-I25, which show a higher prevalence among males 
(40.09%) compared to females (32.20%), indicating a narrow gender disparity to this condition. 
Chart 3.5.3 displays the percentage distribution of medically certified deaths attributed 
to the Circulatory System across various age groups from 2012 to 2021. The data reveals a 
consistent pattern where the highest number of deaths is consistently associated with the age 
group of 70 years and above throughout the years analysed. Additionally, age groups such as 
65-69 years, 55-64 years, and 45-54 years contribute significantly to the total deaths caused by 
Circulatory System issues. Interestingly, there is no discernible increasing or decreasing trend 
observed in the share of total deaths for any specific age group over the years, indicating a 
stable distribution of mortality across age brackets related to Circulatory System-related 
causes. 
Chart 3.5.3. Percentage distribution of medically certified deaths due Circulatory System 
among different age groups, 2012- 2021

Report on Medical Certiï¬cation of Cause of Death 2021  Page : 	32 
3.5.1. Ischaemic Heart Diseases 
Ischaemic heart disease, also called coronary heart disease (CHD) or coronary artery 
disease, is the term given to heart problems caused by narrowed heart (coronary) arteries that 
supply blood to the heart muscle. As discussed in Section 3.5, it constitutes the largest share, 
accounting for 36.99% of all circulatory system-related deaths in 2021. The table 3.5.1.1 
presents the age-group and sex-wise number and percentage distribution of deaths due to 
ischemic heart diseases. Out of the total deaths attributed to ischemic heart diseases, males 
dominated with 65.82%, while females accounted for 34.18%. The table also highlights a 
notable disparity in death counts between males and females across various age groups. In the 
youngest age groups (<1 and 1-4), male deaths are reported in small numbers, while female 
deaths are notably absent. As age increases, the number of deaths for both sexes rise, with 
males consistently comprising a higher percentage of total deaths compared to females. The 
largest discrepancy is observed in the 70+ age group, where male deaths significantly 
outnumber female deaths, contributing to a substantial portion of the total deaths recorded. 
Table 3.5.1.1. Age-group and Sex-wise number and percentage distribution of deaths due to 
Ischemic Heart Diseases, 2021 
 
Sl No 
Age 
Group 
SEX 
Male Female Total 
Number % Number % Number % 
1  <1  3 0.17 0 0 3 0.11 
2  1-4 1 0.06 0 0 1 0.04 
3 5-14 0 0 1 0.11 1 0.04 
4 15-24 1 0.06 1 0.11 2 0.07 
5 25-34 10 0.55 4 0.43 14 0.51 
6 35-44 36 1.99 25 2.66 61 2.22 
7 45-54 190 10.49 56 5.95 246 8.94 
8 55-64 470 25.94 167 17.75 637 23.14 
9 65-69 319 17.6 138 14.67 457 16.6 
10  70+ 756 41.72 534 56.75 1290 46.86 
11 N.S. 26 1.43 15 1.59 41 1.49 
  TOTAL 1812 100 941 100 2753 100

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 33 
Chart 3.5.1.1. Age-group and Sex-wise number of deaths due to Ischemic Heart Diseases, 2021 
 
 
If we analyse the data on percentage distribution of deaths due to ischemic heart 
diseases among different age groups for male and female, then we can realize significant 
disparities in the distribution. In younger age groups (<1, 1-4, 5-14, and 15-24), the percentages 
are relatively low for both males and females. However, as age increases, there is a noticeable 
increase in the percentage distribution, with the largest disparities observed in older age groups. 
For instance, in the 55-64 age group, males account for 25.94% of total deaths due to ischemic 
heart diseases, while females account for 17.75%. This trend continues with even wider gaps 
in the 70+ age group, where males constitute 41.72% compared to females at 56.75%. This 
indicates that while women predominantly experience deaths from ischemic heart disease after 
the age of 70, men between 45 and 70 years are also significantly more affected compared to 
women, with the highest impact observed in the age group of 70 years and above. 
3.5.2. Cerebrovascular Diseases 
Cerebrovascular diseases refer to a group of medical conditions that affect blood vessels 
supplying the brain, leading to disruptions in blood flow. It is the second leading cause of death 
among deaths due to circulatory diseases, account for 28.61% of total deaths in this 
category.Table 3.5.2.1 presents the age-group and sex-wise distribution of deaths due to 
Cerebrovascular Diseases, showing a clear pattern of higher mortality rates in older age groups 
and among males. In the younger age categories (<1, 1-4, 5-14, and 15-24), the number of 
deaths is relatively low, with percentages ranging from 0% to 1%. However, as age advances, 
there is a significant increase in both the number of deaths and the percentage distribution, with 
the highest numbers observed in the 70+ age group for both males and females. Males 
consistently account for a higher percentage of deaths across all age groups compared to

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 34 
females, with the widest gap seen in the 70+ age group, where males constitute 36% of total 
deaths compared to females at 52%. 
Table 3.5.2.1 Age-group and Sex wise distribution of deaths due to Cerebrovascular 
Diseases,2021 
Sl,No Age 
Group 
SEX 
Male 	Female Total 
Number % Number % Number % 
1  <1  0 0 0 0 0 0 
2   1-4 1 0 0 0 1 5 
3 5-14 3 0 1 0 4 0 
4  15-24 12 1 4 0 16 1 
5 25-34 10 1 10 1 20 1 
6  35-44 66 5 26 3 92 4 
7 45-54 165 13 69 8 234 11 
8  55-64 322 26 176 20 498 23 
9 65-69 217 17 124 14 341 16 
10   70+ 449 36 453 52 902 42 
11 N.S. 13 1 8 1 21 1 
  TOTAL 1258 100 871 100 2129 100 
 
Chart 3.5.2.1 Age-group and Sex wise number of deaths 
 due to Cerebrovascular Diseases,2021 
 
 
3.5.3 Hypertensive Diseases

Report on Medical Certiï¬cation of Cause of Death 2021  Page : 	35 
Hypertensive diseases refer to a group of medical conditions caused by high blood 
pressure. These conditions can affect various organs and systems in the body, leading to 
complications such as heart disease, stroke, kidney damage, and vascular disorders. 
Hypertension, or high blood pressure, occurs when the force of blood against the artery walls 
is consistently elevated, which can result in long-term damage to blood vessels and organs. 
Table 3.5.3.1 presents the distribution of deaths due to Hypertensive Diseases by age 
group and sex for the year 2021. Hypertensive diseases accounted for 15.56% of total deaths 
attributed to Circulatory system diseases during this period. Specifically, out of the 1158 
medically certified deaths due to Hypertensive Diseases, 55% were male and 45% were female. 
The data indicates a higher number of deaths in males across all age groups except for 
individuals aged 70 years and above, where females predominate. Notably, in younger age 
groups (<1 to 15-24), there were relatively fewer deaths, indicating a lower incidence of 
hypertensive diseases in these age groups. However, as age increases, there is a notable increase 
in both the absolute number of deaths and the percentage distribution, with the highest numbers 
observed in the 70+ age group for both males and females. 
Table 3.5.3.1. Age-group and Sex wise distribution of deaths 
due to Hypertensive Diseases,2021. 
 
Sl,No 
Age 
Group 
SEX 
Male 	Female 	Total 
Number % Number % Number % 
1  <1  0 0 0 0 0 0 
2  1-4 0 0 0 0 0 0 
3 5-14 0 0 0 0 0 0 
4 15-24 0 0 0 0 0 0 
5 25-34 2 0.31 0 0 2 0.17 
6 35-44 17 2.66 7 1.35 24 2.07 
7 45-54 48 7.51 32 6.17 80 6.91 
8 55-64 144 22.54 91 17.53 235 20.29 
9 65-69 119 18.62 74 14.26 193 16.67 
10  70+ 298 46.64 304 58.57 602 51.99 
11 N.S. 11 1.72 11 2.12 22 1.9 
  TOTAL 639 100 519 100 1158 100

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 36 
 
Chart 3.5.3.1. Age-group and Sex wise number of deaths due to Hypertensive Diseases,2021. 
 
 
3.5.4. Diseases of Pulmonary Circulation and other forms of Heart Diseases. 
Pulmonary heart disease is a term used to describe conditions that affect the right side 
of the heart due to issues related to the lungs or their blood vessels. This includes diseases like 
pulmonary hypertension, where the blood pressure in the pulmonary arteries is abnormally 
high, leading to strain on the right ventricle of the heart. 
Table 3.5.4.1. Age-group and Sex wise distribution of deaths due to Diseases of Pulmonary 
Circulation and other forms of heart diseases ,2021. 
Sl,No 
Age 
Group 
SEX 
Male 	Female 	Total 
Number % Number % Number % 
1  <1  0 0 1 0.21 1 0.09 
2  1-4 1 0.15 1 0.21 2 0.17 
3 5-14 3 0.45 6 1.24 9 0.78 
4 15-24 8 1.2 6 1.24 14 1.21 
5 25-34 12 1.79 3 0.62 15 1.3 
6 35-44 43 6.43 13 2.68 56 4.85 
7 45-54 107 15.99 49 10.1 156 13.52 
8 55-64 147 21.97 97 20 244 21.14 
9 65-69 111 16.59 84 17.32 195 16.9 
10  70+ 231 34.53 219 45.15 450 38.99 
11 N.S. 6 0.9 6 1.24 12 1.04 
  TOTAL 669 100 485 100 1154 100

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 37 
Chart 3.5.4.2 Age-group and Sex wise number of deaths due to Diseases of Pulmonary 
Circulation and other forms of heart diseases, 2021 
 
 
 
Age-group and Sex wise distribution of deaths due to Diseases of Pulmonary 
Circulation and other forms of heart diseases are presented in table 3.5.4.1. In 2021, Diseases 
of Pulmonary Circulation and other Heart Diseases accounted for 15.51% of total deaths 
attributed to Circulatory system disorders. Specifically, there were 1154 reported deaths due to 
these conditions in the areas of Kerala covered by the MCCD scheme, with males comprising 
58% and females 42% of these fatalities. The data reveals a clear trend of increasing mortality 
with advancing age, with the 70+ age group recording the highest number of deaths for both 
genders. While males generally had more deaths across age groups, females exhibited a slightly 
higher percentage of deaths in the 70+ age bracket compared to males. 
3.6 Endocrine, Nutritional and Metabolic Diseases 
Endocrine, Nutritional, and Metabolic Diseases encompass a wide range of medical 
conditions that affect the endocrine system, metabolism, and nutritional processes in the body. 
These diseases often involve hormonal imbalances, disturbances in metabolic pathways, and 
issues related to nutrient absorption, utilization, and storage.

Report on Medical Certiï¬cation of Cause of Death 2021  Page : 	38 
Table 3.6.1. Distribution of Major causes of deaths due to Endocrine, Nutritional and Metabolic 
diseases under MCCD â 2021 
 
 
The group of Endocrine, Nutritional, and Metabolic diseases stands as the third leading 
cause, contributing to 11.57% of total medically certified deaths, with a slightly higher 
percentage in females (12.45%) compared to males (11.02%). Among these, 'Diabetes mellitus' 
is the primary cause, responsible for serious health complications like renal failure, heart 
disease, stroke, and blindness, among others, accounting for 94.23% of total deaths in this 
group and 10.91% of all medically certified deaths. Other endocrine and metabolic diseases 
contribute to a lesser extent, comprising 5.38% of total deaths under this group. Disorders of 
the thyroid gland and malnutrition have minimal impacts, each representing less than 1% of 
total deaths within this category. The distribution of major causes of deaths under this group is 
given in Table 3.6.1 and depicted in the Chart 3.6.1. 
 
  
Number%Number%Number%
1Diabetes mellitus (E10-E14) 230894.86161493.35392294.2310.91
2
All other endocrine  and  metabolic 
diseases (E15-E34 & E65-E89)
1164.771086.252245.380.62
3Disorders of thyroid gland ( E00-E07) 70.2950.29120.290.03
4Malnutrition ( E40-E46) 20.0820.1240.100.01
5
All other nutritional deficiencies ( E50-
E64)
00.0000.0000.000.00
Total Medically Certified
Deaths due to Endocrine,
Nutritional & Metabolic
Diseases
2433100.001729100.004162100.0011.57
Deaths due to Endocrine,
Nutritional & Metabolic
Diseases as Percentage
to total Medically
Certified Deaths
-11.02-12.45-11.57 -
% to Total 
Medically 
Certified 
Deaths
S.NO Cause of Deaths
Male	Female	Total

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 39 
 
Chart 3.6.1. Percentage Distribution of Medically Certified Deaths due to Endocrine, 
Nutritional & Metabolic Diseases â 2021 
 
 
 
 
Table 3.6.2 presents the age distribution of deaths due to Diabetes Mellitus under 
MCCD for the year 2021. A total of 3922 deaths were reported under MCCD, with males 
accounting for 59% and females for 41%. The data reveals a notable increase in deaths with 
advancing age, particularly in the 70+ age group, where both males and females experience the 
highest number of deaths, representing 39.51% and 45.42% of the total deaths for each sex 
category respectively. Additionally, the 55-64 age group also shows a significant percentage of 
deaths, accounting for 26.34% for males and 23.79% for females. In contrast, younger age 
groups (<1 to 15-24) exhibit minimal to no deaths, indicating a lower incidence of diabetes-
related fatalities in these age groups.

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 40 
Table 3.6.2. Age distribution of deaths due to Diabetes Mellitus under MCCD â 2021 
Sl,No 
Age 
Group 
SEX 
Male Female Total 
Number % Number % Number % 
1  <1  0 0 0 0 0 0 
2  1-4 0 0 0 0 0 0 
3 5-14 0 0 0 0 0 0 
4 15-24 4 0.17 7 0.43 11 0.28 
5 25-34 11 0.48 11 0.68 22 0.56 
6 35-44 58 2.51 46 2.85 104 2.65 
7 45-54 265 11.48 139 8.61 404 10.3 
8 55-64 608 26.34 384 23.79 992 25.29 
9 65-69 418 18.11 269 16.67 687 17.52 
10  70+ 912 39.51 733 45.42 1645 41.94 
11 N.S. 32 1.39 25 1.55 57 1.45 
  TOTAL 2308 100 1614 100 3922 100 
 
Chart 3.6.2. Age distribution of deaths due to Diabetes Mellitus under MCCD â 2021 
 
 
Table 3.6.3 showcases the number of deaths attributed to Diabetes Mellitus as recorded 
in the MCCD data from 2012 to 2021. Additionally, Chart 3.6.3 illustrates the time series graph 
depicting the percentage of Diabetes Mellitus-related deaths during the same period. Notably, 
there's a noticeable upward trend in the percentage of Diabetes Mellitus-related deaths 
concerning the total MCCD deaths from 2016 to 2020, with a subsequent decrease observed in 
2021. This decline can be attributed to the significant impact of Covid-19, which contributed 
to approximately 35% of the total MCCD deaths, leading to a dip in the percentage of Diabetes 
Mellitus-related deaths.

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 41 
Table 3.6.3. Diabetes Mellitus death under MCCD, 2012-2021 
Year 
Total MCCD 
Deaths 
due to Diabetes 
Mellitus 
Total MCCD 
Deaths 
Percentage of Diabetes 
Mellitus 
deaths to total MCCD 
Deaths 
2012 3624 31333 	11.57 
2013 3282 32096 	10.23 
2014 3135 30437 	10.30 
2015 3099 32416 	9.56 
2016 2162 27535 	7.85 
2017 2861 29280 	9.77 
2018 3664 30894 	11.86 
2019 4195 31511 	13.31 
2020 4017 28192 	14.25 
2021 3922 35965 	10.91 
 
Chart 3.6.3. Percentage of Diabetes Mellitus deaths to total MCCD Deaths, 2012-2021

Report on Medical Certiï¬cation of Cause of Death 2021  Page : 	42 
3.7 Neoplasms 
Neoplasms refer to abnormal growths of tissue resulting from uncontrolled, rapid, and 
abnormal cell division. These growths can be benign or malignant (cancerous), with malignant 
neoplasms having the potential to invade nearby tissues and spread to other parts of the body. 
Neoplasms, commonly known as cancer, ranked as the fourth leading cause of death in 
Kerala in 2021, constituting 9.64% of total medically certified deaths, with 9.37% for males 
and 10.06% for females. The distribution of major causes of deaths under this group is given 
in the table 3.7.1 and is depicted in Chart 3.7.1. Total medically certified deaths due to 
Neoplasms in 2021 were 3466, with males contributing 60% and females 40%. Among specific 
types, 'Malignant neoplasms of digestive organs' stood out as the primary contributor, 
accounting for 29.77% of Neoplasms-related deaths, followed by 'Malignant neoplasms of 
respiratory and intrathoracic organs' at 17.69%, and 'Malignant neoplasms of lymphoid, 
haematopoietic, and related tissue' at 17.48%. Moreover, 'Malignant neoplasms of bone, 
mesothelial and soft tissue, skin, and breast' contributed 10.24% to Neoplasms-related deaths. 
Noteworthy gender disparities were evident, especially in 'Malignant neoplasms of digestive 
organs,' where males accounted for 35.77% compared to females at 20.90%. For males, 
'Malignant neoplasms of digestive organs' ranked as the leading cause of death in this category, 
while 'Malignant neoplasms of bone, mesothelial and soft tissue, skin, and breast' were the top 
causes for females. 
Table 3.7.1. Distribution of Major causes of deaths due to Neoplasms under MCCD 2021 
 
 
Number%Number%Number%
1
Malignant neoplasms of digestive organs (C15-
C26)	74035.7729220.90103229.772.87
2
Malignant neoplasms of  respiratory and 
intrathoracic organs (C30-C39) 47623.011379.8161317.691.70
3
Malignant neoplasms of lymphoid, 
haematopoietic and related tissue (C81-C96)32915.9027719.8360617.481.68
4
Malignant neoplasms of bone, mesothelial and 
soft tissue,skin and breast (C40-C50) 381.8431722.6935510.240.99
5
Malignant neoplasms of genitourinary organs 
(C51-C68)	1557.4918313.103389.750.94
6Others	331 16.00 191 13.67 522 15.06 1.45
Total Medically Certified Deaths due to
Neoplasms	2069100.001397100.003466100.009.64
Deaths due to Neoplasms as Percentage to total 
Medically Certified Deaths 9.37 10.06 9.64
MALE FEMALE TOTAL
Cause of DeathS.
No
% to
Total
Medically
Certified
Deaths

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 43 
Chart 3.7.1. Percentage Distribution of Medically Certified Deaths due to Neoplasms 2021 
 
 
 
Table 3.7.2. Age distribution of deaths due to Neoplasm under MCCD â 2021 
S.NO 
Age Group 
(In Years) Male 	Female 	Total 
  Number % Number % Number % 
1 <1 2 0.10 1 0.07 3 0.09 
2 1-4 15 0.72 6 0.43 21 0.61 
3 5-14 33 1.59 16 1.15 49 1.41 
4 15-24 30 1.45 50 3.58 80 2.31 
5 25-34 47 2.27 65 4.65 112 3.23 
6 35-44 82 3.96 159 11.38 241 6.95 
7 45-54 264 12.76 214 15.32 478 13.79 
8 55-64 600 29.00 378 27.06 978 28.22 
9 65-69 348 16.82 174 12.46 522 15.06 
10 
70 Years or 
above 620 29.97 323 23.12 943 27.21 
11 
Age Not 
Stated 28 1.35 11 0.79 39 1.13 
  TOTAL 2069 100.00 1397 100.00 3466 100.00 
 
Table 3.7.2. provides a comprehensive breakdown of mortality rates across different 
age groups for both males and females, with a total of 3,466 deaths recorded. Notably, the 
highest number of deaths for males is in the 70+ age group (620), followed closely by those 
aged 55-64 age group (600). At the same time highest number of deaths for females is in the 
55-64 age group (978), followed by those aged 70 years or above (943). This data indicates a 
significant increase in mortality rates with advancing age for both sex groups.

Report on Medical Certiï¬cation of Cause of Death 2021  Page : 	44 
 
3.7.1. Malignant Neoplasms of Digestive Organs 
Malignant neoplasms of digestive organs refer to cancerous growths or tumours that 
develop in the organs involved in the digestive system. These organs include the oesophagus, 
stomach, liver, pancreas, gallbladder, small intestine, large intestine (colon and rectum), and 
anus.  
Table 3.7.1.1 Distribution of major causes of deaths among âMalignant Neoplasms of Digestive 
Organsâ, 2021 
Sl.N
o 
Cause Of Death Male Female Total 
Number  % Number % Number % 
1 Malignant neoplasm of 
liver and intrahepatic 
bile ducts  (C22) 
304 41.08 61 20.89 365 35.37 
2 Malignant neoplasm of 
stomach (C16) 
107 14.46 34 11.64 141 13.66 
3 Malignant neoplasm of 
recto sigmoid junction, 
rectum, anus and anal 
canal (C19-C21) 
76 10.27 42 14.38 118 11.43 
4 Malignant neoplasm of 
colon (C18) 
67 9.05 54 18.49 121 11.72 
5 Malignant neoplasm of 
oesophagus( C15) 
83 11.22 30 10.27 113 10.95 
6 Malignant neoplasm of 
pancreas (C25) 
61 8.24 40 13.70 101 9.79 
7 Other malignant 
neoplasms of digestive 
organs  
(C23-C24,C26) 
38 5.14 25 8.56 63 6.10 
8 Malignant neoplasm of 
small intestine including 
duodenum (C17)   
4 0.54 6 2.05 10 0.97 
  Total Medically Certified 
Deaths due to 'Malignant 
neoplasms of digestive 
organs ' 
740 100 292 100 1032 100 
  Deaths due to 'Malignant 
neoplasms of digestive 
organs' as percentage to 
total Neoplasm deaths. 
2069 35.77 1397 20.90 3466 29.77

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 45 
Chart 3.7.1.1. Percentage distribution of major causes of deaths due to âMalignant Neoplasms of 
Digestive Organsâ by sex 
 
 
As discussed in section 3.7 , 29.77 percentage of Medically certified deaths due to 
Neoplasms were attributed to Malignant Neoplasms of Digestive Organs. The distribution of 
major causes of deaths under the group is given in the in table 3.7.1.1 and chart 3.7.1.1. 
Among all malignant neoplasms of digestive organs, liver cancer emerges as the 
primary cause of death, accounting for 35.37% of total deaths. Following are stomach cancer 
and colon cancer, contributing 13.66% and 11.72% of deaths, respectively. For males, liver 
cancer, stomach cancer, and oesophageal cancer are the top three causes within this group, 
while for females, the top three causes are liver cancer, colon cancer, and neoplasms of the 
rectosigmoid junction, rectum, anus, and anal canal. The gender disparity in liver cancer deaths 
is striking, with 41.08% of males and 20.89% of females, indicating a significant gap in its 
impact between genders. Colon cancer also reveals a notable gender difference, affecting 
18.49% of females compared to 9.05% of males, underscoring a significant discrepancy in its 
prevalence. Additionally, pancreatic cancer demonstrates a gender divide, with 13.7% of 
females affected versus 8.24% of males, highlighting the importance of gender-specific 
considerations in understanding and addressing digestive organ neoplasms. 
The age-wise distribution of major causes of deaths under 'Malignant Neoplasms of 
Digestive Organs' is presented in Table 3.7.1.2 and illustrated in Chart 3.7.1.2. Both the table 
and chart provide an insightful breakdown of deaths attributed to 'Malignant Neoplasms of 
Digestive Organs' across different age groups and genders. It's notable that the majority of 
deaths occur in older age groups, particularly in individuals aged 55 and above, which 
collectively account for about 79.18% of all deaths due to these neoplasms. Among males, the 
highest number of deaths occurs in the 55-64 age group (32.97%), followed closely by those 
aged 70 and above (30.68%). Conversely, among females, while the trend is similar with the 
highest percentage of deaths in the 55-64 age group (28.42%), the second-highest percentage 
occurs in the 70+ age group (33.22%), indicating a slightly higher impact in older females 
compared to males in the same age category. The age-wise distribution also reveals a relatively

Report on Medical Certiï¬cation of Cause of Death 2021  Page : 	46 
low number of deaths in younger age groups, with negligible percentages in the <1, 1-4, and 
5-14 age groups. This pattern aligns with the general understanding that malignant neoplasms 
of digestive organs are more prevalent and consequential in older populations. 
Table 3.7.1.2. Age distribution of deaths due to âMalignant Neoplasms of Digestive Organsâ, 
2021 
Sl,No 
Age 
Group 
SEX 
Male Female 	Total 
No. % No. % No. % 
1  <1  0 0 0 0 0 0 
2  1-4 0 0 0 0 0 0 
3 5-14 1 0.14 1 0.34 2 0.19 
4 15-24 1 0.14 1 0.34 2 0.19 
5 25-34 7 0.95 4 1.37 11 1.07 
6 35-44 30 4.05 20 6.85 50 4.84 
7 45-54 101 13.65 38 13.01 139 13.47 
8 55-64 244 32.97 83 28.42 327 31.69 
9 65-69 120 16.22 46 15.75 166 16.09 
10  70+ 227 30.68 97 33.22 324 31.4 
11 N.S. 9 1.22 2 0.68 11 1.07 
  TOTAL 740 100 292 100 1032 100 
 
Chart 3.7.1.2 Age group wise Percentage distribution of deaths due to Malignant Neoplasms of 
Digestive Organs, 2021 
 
 
 
0
0
0.14
0.14
0.95
4.05
13.65
32.97
16.22
30.68
1.22
0
0
0.34
0.34
1.37
6.85
13.01
28.42
15.75
33.22
0.68
0
5
10
15
20
25
30
35
  <1  1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+N.S.
Medically Certified Deaths(In %)
Age Group
MaleFemale

Report on Medical Certiï¬cation of Cause of Death 2021  Page : 	47 
3.7.2. Malignant Neoplasm of Respiratory and Intra Thoracic Organs 
Malignant neoplasms of respiratory and intrathoracic organs refer to cancerous tumors 
located in the respiratory system and the intrathoracic region, which includes the organs within 
the thoracic cavity. This category encompasses various types of cancers such as those affecting 
the bronchus, lung, pleura, mediastinum, and other related structures. 
Table 3.7.2.1. Distribution of major causes of deaths among âMalignant Neoplasms of 
Respiratory and Intra Thoracic Organs,2021 
 
Sl, 
No 
   C A U S E   O F   D E A T H 
SEX 
Male Female Total 
No.  % No.  % No.  % 
1 Malignant neoplasm of  larynx  68 14.29 5 3.65 73 11.91 
2 
Malignant neoplasm of trachea, 
bronchus and  lung 
399 83.82 105 76.64 504 82.22 
3 
Other  malignant neoplasm of  
respiratory and intrathoracic 
organs 
9 1.89 27 19.71 36 5.87 
  
Total Medically Certified 
Deaths due to Malignant 
neoplasms of  respiratory and 
intrathoracic organs 
476 100 137 100 613 100 
  
Deaths due to 'Malignant 
neoplasms of  respiratory and 
intrathoracic organs'  as 
percentage to  total Neoplasm 
deaths. 
2069 23.01 1397 9.81 3466 17.69 
 
A detailed breakdown of deaths due to malignant neoplasms of respiratory and 
intrathoracic organs, categorized by sex, is presented in Table 3.7.2.1 and Chart 3.7.2.1. It is 
seen that 17.69% of deaths due to neoplasms are attributed to malignant neoplasms of 
respiratory and intrathoracic organs. Among the total 613 deaths due to these malignant 
neoplasms, males dominate with 77.65%, while females contribute 22.35%. The majority of 
these deaths were caused by malignant neoplasms of the trachea, bronchus, and lung, 
accounting for 83.82% of male deaths and 76.64% of female deaths, totaling 82.22% overall. 
Malignant neoplasm of the larynx caused 14.29% of male deaths and 3.65% of female deaths, 
making up 11.91% of the total. Other malignant neoplasms of respiratory and intrathoracic 
organs were relatively rare, constituting 1.89% of male deaths and 19.71% of female deaths, 
with an overall percentage of 5.87%.

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 48 
Chart 3.7.2.2 Percentage distribution of major causes of deaths among âMalignant Neoplasms of 
Respiratory and Intra Thoracic Organs,2021 
 
 
Age-group distribution of deaths due to Malignant Neoplasms of Respiratory and Intra 
Thoracic Organs are presented in table 3.7.2.3 and chart 3.7.2.3. The highest incidence of these 
deaths is in the 55-64 age group, accounting for 30.02%. Significant rates are also observed in 
the 70+ age group (29.2%) and the 65-69 age group (20.55%). No deaths were reported for 
those under 5 years old, and the number of deaths in the 5-44 age group is considerably lower 
compared to those aged 45 and above. A noticeable sex difference is evident in the distribution: 
for males, the majority of deaths occur in the 70+ age group, while for females, the highest 
incidence is in the 55-64 age group. 
Table 3.7.2.3. Age-group and Sex wise distribution of deaths due to Malignant Neoplasms of 
Respiratory and Intra Thoracic Organs, 2021 
 
Sl,No 
Age 
Group 
SEX 
Male 	Female 	Total 
No. % No. % No. % 
1  <1  0 0 0 0 0 0 
2  1-4 0 0 0 0 0 0 
3 5-14 1 0.21 2 1.46 3 0.49 
4 15-24 1 0.21 0 0 1 0.16 
5 25-34 2 0.42 6 4.38 8 1.31 
6 35-44 8 1.68 19 13.87 27 4.4 
7 45-54 59 12.39 17 12.41 76 12.4 
8 55-64 137 28.78 47 34.31 184 30.02 
9 65-69 108 22.69 18 13.14 126 20.55 
10  70+ 152 31.93 27 19.71 179 29.2 
11 N.S. 8 1.68 1 0.73 9 1.47 
  TOTAL 476 100 137 100 613 100

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 49 
Chart 3.7.2.3. Percentage distribution of deaths due to Malignant Neoplasms of Respiratory and 
Intra Thoracic Organs by Age-group and Sex, 2021 
 
 
3.7.3. Malignant Neoplasms of Lymphoid, Haematopoietic and Related Tissue 
Malignant neoplasms of lymphoid, haematopoietic, and related tissue refer to cancers 
that originate in the cells of the lymphatic system, bone marrow, and blood-forming tissues. 
This group includes lymphomas (cancers of lymphocytes, such as Hodgkin and non-Hodgkin 
lymphoma), leukaemiaâs (cancers starting in the bone marrow leading to abnormal blood cells 
in the bloodstream), multiple myeloma (cancer of plasma cells in the bone marrow), 
myelodysplastic syndromes (disorders caused by poorly formed or dysfunctional blood cells), 
and myeloproliferative neoplasms (diseases causing overproduction of blood cells in the bone 
marrow). These malignancies are characterized by uncontrolled cell growth and proliferation, 
disrupting normal blood cell production and function, and leading to a variety of symptoms 
and health complications. 
Table 3.7.3.1 and Chart 3.7.3.1 presents the distribution of medically certified deaths 
due to malignant neoplasms of lymphoid, haematopoietic, and related tissue, categorized by 
sex. Leukaemia is the leading cause, accounting for 45.05% of total deaths, with a slightly 
higher percentage in females (48.74%) compared to males (41.95%). Non-Hodgkin's 
lymphoma is the second most common cause, representing 24.26% of total deaths, with a 
higher incidence in males (25.53%) than females (22.74%). Multiple myeloma and malignant 
plasma cell neoplasms account for 18.98% of the total deaths, with males at 20.67% and 
females at 16.97%. Other malignant neoplasms of lymphoid, haematopoietic, and related tissue 
contribute to 9.41% of deaths, with nearly equal distribution between males (9.42%) and 
females (9.39%). Hodgkin's disease is the least common, causing 2.31% of total deaths, slightly 
more in males (2.43%) than females (2.17%). Overall, males constitute 54.29% of these deaths,

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 50 
while females account for 45.71%, totalling 606 deaths from these specific malignant 
neoplasms. 
Table 3.7.3.1. Distribution of Major Causes of Medically Certified Deaths Due to Malignant 
Neoplasms of Lymphoid, Haematopoietic, and Related Tissue by Sex, 2021 
 
 
Chart 3.7.3.1. Percentage Distribution of Major Causes of Medically Certified Deaths Due to 
Malignant Neoplasms of Lymphoid, Haematopoietic, and Related Tissue by Sex 
 
 
Age-group and sex wise distribution of Malignant neoplasms of lymphoid, 
haematopoietic, and related tissue is shown in table 3.7.3.2 and chart 3.7.3.2. The highest 
incidence of these deaths is seen in the age group 55-64, which accounts for 22.44% of the total 
deaths, followed by the 70+ age group at 20.63%. Notably, there is a male predominance in the 
55-64 age group (24.32%) compared to females (20.22%). Conversely, females dominate in 
the 35-44 age group, constituting 13.36% compared to 5.78% of males. The age group 45-54 
also shows a higher male representation (13.07%) compared to females (10.11%). Additionally, 
the age groups under 15 years show a very low incidence of these deaths, with only 7.6% of 
the total deaths occurring in this group. 
No. %No. %No. %
1
Leukaemia 
13841.9513548.7427345.05
2
Non-Hodgkin's lymphoma 
8425.536322.7414724.26
3
Multiple myeloma and malignant plasma cell
6820.674716.9711518.98
4
Other malignant neoplasms of lymphoid, haematopoietic and related tissue 
319.42269.39579.41
5
Hodgkin's disease 
82.4362.17142.31
Total Medically Certified Deaths due to 
Malignant neoplasms of lymphoid, 
haematopoietic and related tissue
329100277100606100
Sl,No   C A U S E   O F   D E A T H
SEX
Male Female Total

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 51 
Table 3.7.3.2. Age-group and sex wise distribution of Malignant neoplasms of lymphoid, 
haematopoietic, and related tissue, 2021 
Sl,No 
Age 
Group 
SEX 
Male 	Female 	Total 
No. % No. % No. % 
1  <1  2 0.61 1 0.36 3 0.5 
2  1-4 7 2.13 5 1.81 12 1.98 
3 5-14 21 6.38 10 3.61 31 5.12 
4 15-24 26 7.9 28 10.11 54 8.91 
5 25-34 25 7.6 20 7.22 45 7.43 
6 35-44 19 5.78 37 13.36 56 9.24 
7 45-54 43 13.07 28 10.11 71 11.72 
8 55-64 80 24.32 56 20.22 136 22.44 
9 65-69 37 11.25 33 11.91 70 11.55 
10  70+ 67 20.36 58 20.94 125 20.63 
11 N.S. 2 0.61 1 0.36 3 0.5 
  TOTAL 329 100 277 100 606 100 
 
Chart 3.7.3.2 percentage distribution of deaths due Malignant neoplasms of lymphoid, 
haematopoietic, and related tissue by sex and age-group,2021 
 
 
3.7.4. Malignant Neoplasms of Bone, Mesothelial and Soft Tissue, Skin and Breast 
Malignant neoplasms of the bone, mesothelial and soft tissue, skin, and breast 
accounted for 10.24% of all medically certified deaths due to neoplasms in Kerala in 2021.  
Among the 355 total deaths, the vast majority (77.75%) are attributed to malignant neoplasms 
of the breast, with 87.07% of these occurring in females. Although malignant neoplasms of the 
breast can rarely affect males, no such cases were reported in 2021.Malignant neoplasms of 
mesothelial and soft tissue account for the second-highest proportion at 14.37%, affecting both 
males (60.53%) and females (8.83%). Malignant neoplasms of bone and articular cartilage

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 52 
constitute 5.35% of the deaths, with a higher incidence in males (31.58%) compared to females 
(2.21%). Malignant melanoma of the skin and other malignant neoplasms of the skin are less 
common, comprising 1.69% and 0.85% of the total deaths, respectively.  
Table 3.7.4.1. Distribution of Major Causes of Medically Certified Deaths Due to Malignant 
Neoplasms of Bone, Mesothelial and Soft Tissue, Skin and Breast, 2021 
 
 
Chart 3.7.4.1. Percentage Distribution of Major Causes of Medically Certified Deaths Due to  
Malignant Neoplasms of Bone, Mesothelial and Soft Tissue, Skin and Breast, 2021 
 
 
As shown in Table 3.7.4.1, approximately 78% of the total medically certified deaths 
under this group were due to malignant neoplasms of the breast, occurring exclusively among 
females. Therefore, the age-group and sex-wise analysis focuses on female breast cancer cases, 
as presented in Chart 3.7.4.2. The highest incidence of these deaths was in the 55-64 age group 
at 32.25%, followed by the 45-54 age group at 22.10% and those aged 70 and above at 15.94%. 
Other significant age groups included 35-44 at 12.68%, 65-69 at 9.78%, and 25-34 at 5.80%. 
No. %No. %No. %
1
Malignant neoplasm of bone and articular cartilage 
1231.5872.21195.35
2
Malignant melanoma of skin 
25.2641.2661.69
3
Other malignant neoplasms of  skin 
12.6320.6330.85
4
Malignant neoplasms of mesothelial  and soft tissue
2360.53288.835114.37
5
Malignant neoplasm of  breast 
0027687.0727677.75
Total Medically Certified Deaths due to Malignant 
neoplasms of lymphoid, haematopoietic and related tissue
38 100 317 100355100
Sl,No   C A U S E   O F   D E A T H
SEX
Male Female Total

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 53 
Chart 3.7.4.2. Age-group distribution of deaths due to malignant neoplasms of breast among 
females, 2021 
 
 
3.7.5. Malignant Neoplasms of Genitourinary Organs 
Malignant neoplasms of genitourinary organs refer to cancerous tumours that originate 
in the organs of the genitourinary system. This system includes the organs involved in the 
production and excretion of urine, as well as the reproductive organs. Specifically, these 
malignancies can affect the kidneys, ureters, bladder, urethra, prostate, testicles, and penis in 
males, as well as the ovaries, fallopian tubes, uterus, cervix, vagina, and vulva in females. 
These cancers are characterized by uncontrolled cell growth, the potential to invade 
surrounding tissues, and the ability to metastasize to other parts of the body. 
Considering the biological differences between males and females, the distribution of 
major causes of medically certified deaths due to Malignant Neoplasms of Genitourinary 
Organs is presented separately for each gender in Table 3.7.5.1, Chart 3.7.5.1, and Chart 
3.7.5.2. For males, the leading cause of death within this category was Malignant Neoplasm of 
the Prostate, accounting for 50.32% of the total deaths. Malignant Neoplasm of the Bladder 
and Other Malignant Neoplasms of the Urinary Tract also represented significant portions, with 
25.16% and 18.71% respectively. For females, the predominant cause of death was Malignant 
Neoplasm of the Ovary, contributing 42.62% of the total deaths. This was followed by 
Malignant Neoplasm of the Cervix Uteri at 24.59%, and Malignant Neoplasm of Other and 
Unspecified types at 16.94%. Other Malignant Neoplasms of the Urinary Tract also played a 
notable role, comprising 10.93% of the deaths.

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 54 
Table 3.7.5.1. Distribution of Major Causes of Medically Certified Deaths due to Malignant 
Neoplasms of Genitourinary Organs,2021 
 
 
 
 
Chart 3.7.5.1 . Percentage Distribution of Major Causes of Medically Certified deaths among 
males due to Malignant Neoplasms of Genitourinary Organs,2021 
 
 
 
 
No. % No. %
1
Malignant Neoplasm of Cervix Uteri 
4524.59
Malignant Neoplasm of Prostate 
7850.32
2
Malignant Neoplasm of Other and 
Unspecified 
3116.94
Other Malignant Neoplasms of Male 
95.81
3
Malignant Neoplasm of Ovary 
7842.62
Malignant Neoplasm of Bladder 
3925.16
4
Other Malignant Neoplasms of Urinary 
tract
2010.93
Other Malignant Neoplasms of 
Urinary tract
2918.71
5
Others
94.92
Total
155100
Total 183100
Female
   C A U S E   O F   D E A T H
Male
Sl,No   C A U S E   O F   D E A T H

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 55 
Chart 3.7.5.2. Percentage Distribution of Major Causes of Medically Certified deaths among 
females due to Malignant Neoplasms of Genitourinary Organs,2021 
 
 
Table 3.7.5.3 presents the age-group and sex-wise distribution of medically certified 
deaths due to Malignant Neoplasms of Genitourinary Organs. Among males, the highest 
number of deaths occurred in the 70+ age group, accounting for 56.13% of total male deaths, 
with the 55-64 and 65-69 age groups contributing 18.06% and 16.77% respectively. For 
females, the highest percentage of deaths was in the 70+ age group at 27.32%, followed closely 
by the 55-64 age group at 25.68% and the 45-54 age group at 13.11%. Combined data reveals 
that the majority of deaths (40.53%) occurred in the 70+ age group, followed by the 55-64 age 
group (22.19%) and the 65-69 age group (15.09%). Deaths in younger age groups (under 25) 
were minimal for both sexes. The distribution indicates a higher mortality rate due to these 
neoplasms in older age groups, particularly those aged 55 and above. While males exhibit a 
higher mortality rate in these older age groups, a significant number of deaths among females 
occurred from the age group 35-44 years onwards. 
Table 3.7.5.3. Age-group and sex-wise distribution of medically certified deaths due to 
Malignant Neoplasms of Genitourinary Organs,2021 
 
 
No.%No.%No.%
1
  <1 
0 0 0 0 0 0
2
  1-4
3 1.94 0 0 3 0.89
3
 5-14
0 0 0 0 0 0
4
 15-24
0 0 4 2.19 4 1.18
5
 25-34
2 1.29 7 3.83 9 2.66
6
 35-44
0 0 22 12.02 22 6.51
7
 45-54
6 3.87 24 13.11 30 8.88
8
 55-64
28 18.06 47 25.68 75 22.19
9
 65-69
26 16.77 25 13.66 51 15.09
10
  70+
87 56.13 50 27.32 137 40.53
11
N.S.
3 1.94 4 2.19 7 2.07
TOTAL
155 100 183 100 338 100
Sl,No
Age 
Group
SEX
Male Female Total

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 56 
Chart 3.7.5.3 Percentage distribution of medically certified deaths due to Malignant Neoplasms 
of Genitourinary Organs by age-group and sex,2021 
 
 
3.8  Diseases of the Respiratory System 
Respiratory diseases are a type of illness that affect the lungs and other parts of the 
respiratory system. These diseases can be caused by various factors, including infections, 
smoking tobacco, inhaling second-hand smoke, and exposure to radon, asbestos, or other forms 
of air pollution. Common respiratory diseases include asthma, chronic obstructive pulmonary 
disease (COPD), pulmonary fibrosis, pneumonia, and lung cancer. These conditions are also 
referred to as lung disorders or pulmonary diseases. 
 
Table 3.8.1. Distribution of Major Causes of Medically Certified Deaths due to diseases of the 
Respiratory System,2021. 
 
 
Female Total
Number%Number%Number%
1Pneumonia  1059.528713.7019211.050.53
2Asthma 111.00406.30512.930.14
3Pleurisy 50.4540.6390.520.03
4Bronchitis, chronic and unspecified, emphysema 10.0920.3130.170.01
5Acute bronchitis and acute bronchiolitis 10.0900.0010.060.00
6Others 98088.8550279.06148285.274.12
Total Medically Certified Deaths
due to Diseases of the Respiratory 1103100.00635100.001738100.004.83Deaths due to Disease of
Respiratory System as Percentage
to total Medically Certified Deaths 5.00 4.57 4.83
S.NO Cause of Deaths
Male
% to
Total
Medically
Certified Deaths

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 57 
Chart 3.8.1. Percentage distribution of Major Causes of Medically Certified Deaths due to 
diseases of the Respiratory System, 2021 
 
 
Diseases of the Respiratory System ranked as the fifth leading cause of medically 
certified deaths in Kerala for the year 2021, accounting for 4.83% of the total. This includes 
5.00% of male deaths and 4.57% of female deaths. Table 3.8.1 and Chart 3.8.1 provide a 
detailed breakdown of the main components of this major cause group. Pneumonia is the 
leading cause of death, accounting for 11.05% of total respiratory-related deaths, with a higher 
percentage in females (13.70%) than in males (9.52%). Asthma is the second most common 
cause, responsible for 2.93% of the deaths, again showing a higher impact on females (6.30%) 
compared to males (1.00%). Other causes like pleurisy, chronic bronchitis, and acute bronchitis 
have significantly lower percentages, collectively contributing less than 1% to the total. Most 
deaths (85.27%) fall under the 'Others' category, indicating a wide range of less common 
respiratory conditions 
Age distribution of Medically Certified Deaths due to diseases of the Respiratory 
System for the year 2021 is given in table 3.8.2. and chart 3.8.2. The data highlights that the 
majority of deaths occur in older age groups, with individuals aged 70 years or above 
accounting for 49.54% of total deaths, comprising 48.69% of male and 51.02% of female 
deaths. This trend underscores the vulnerability of the elderly population to respiratory 
diseases. The 55-64 and 65-69 age groups also show significant mortality rates at 20.08% and 
15.25%, respectively. In contrast, younger age groups (below 45 years) show markedly lower 
death rates, with the under-1-year group accounting for just 0.29% of total deaths. Additionally,

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 58 
there are some unclassified age deaths (1.96%), indicating a minor fraction where age data 
wasn't recorded. No significant gender disparity is observed across different age groups. 
Table 3.8.2 Age distribution of deaths due to diseases of  
Respiratory System under MCCD â2021 
 
 
 
Chart 3.8.2. Age group wise percentage distribution of deaths due to diseases of  
Respiratory System under MCCD â2021 
 
 
 
 
Number % Number % Number %
1 <1 5 0.45 0 0.00 5 0.29
2 1-4 4 0.36 5 0.79 9 0.52
3 5-14 2 0.18 0 0.00 2 0.12
4 15-24 2 0.18 3 0.47 5 0.29
5 25-34 7 0.63 11 1.73 18 1.04
6 35-44 29 2.63 27 4.25 56 3.22
7 45-54 80 7.25 54 8.50 134 7.71
8 55-64 229 20.76 120 18.90 349 20.08
9 65-69 179 16.23 86 13.54 265 15.25
10
70 Years or 
above 537 48.69 324 51.02 861 49.54
11
Age Not 
Stated 29 2.63 5 0.79 34 1.96
 TOTAL 1103 100.00 635 100.001738 100.00
Male Female Total
Sl.NO
Age Group (In 
Years)

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 59 
Age-group wise percentage distribution of deaths due to respiratory diseases for the 
years from 2012 to 2021 is depicted in chart 3.8.3. The data on deaths due to diseases of the 
respiratory system from 2012 to 2021 reveals that the highest percentage of deaths consistently 
occurs in the age group of 70 years or above. The next significant age groups are 55-64 and 
65-69, showing substantial mortality rates throughout the years. In contrast, younger age 
groups (below 45 years) consistently show much lower death rates, with the under-1-year group 
demonstrating the least percentage of deaths each year. 
Chart 3.8.3. Age group wise percentage distribution of deaths due to diseases of Respiratory 
System under MCCD ,2012-2021 
 
 
3.9 Diseases of the Digestive System 
Diseases of the digestive system encompass a variety of conditions that affect different 
parts of the digestive tract, including the oesophagus, stomach, small and large intestines, liver, 
pancreas, and biliary tract. The cause group of diseases of digestive system is the sixth leading 
cause and has contributed to 4.12 per cent of the total medically certified deaths with 5.29 per 
cent of male and 2.27 per cent of female deaths. This data underscores a significant gender 
disparity, with males experiencing more than double the mortality rate compared to females. 
The distribution of major causes of deaths under this group is given in the table 3.9.1 and is 
highlighted in Chart 3.9.1.  
Diseases of the liver were the primary cause of death within the digestive system 
category, accounting for 81.93% of total deaths, with a higher prevalence in males (83.65%) 
compared to females (75.56%). Disorders of the pancreas and paralytic ileus and intestinal 
obstruction without hernia also contributed to mortality, though to a much lesser extent, at 
2.76% and 1.89%, respectively. Other causes, such as hernia and peritonitis, were relatively 
rare, each accounting for around 0.67% of the total deaths. The "other" category represented

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 60 
12.07% of deaths, with a higher percentage in females (15.56%) compared to males (11.13%). 
This distribution highlights the significant impact of liver diseases within the digestive system 
category and underscores the gender disparity in mortality rates from these diseases. 
Table 3.9.1. Distribution of Major Causes of Medically Certified Deaths due to Diseases of the 
Digestive System,2021. 
 
 
Chart 3.9.1. Percentage distribution of Major Causes of Medically Certified Deaths due to 
Diseases of the Digestive System, 2021 
 
 
Age distribution of Medically Certified Deaths due to diseases of the Digestive System 
for the year 2021 is given in table 3.9.2. and chart 3.9.2. Most deaths occur in the older age 
groups, particularly those aged 55-64 years (27.85%) and 70 years or above (25.08%). Notably, 
males in the 55-64 age group account for the highest percentage (29.88%) of deaths among 
males, while females aged 70 years or above have the highest percentage (41.59%) among 
females. The age groups 45-54 and 65-69 also have significant percentages, with 20.16% and 
11.60% of total deaths, respectively. The distribution across younger age groups is considerably 
lower, with the under 1 year, 1-4 years, and 5-14 years categories each contributing less than 
1% to the total deaths. 
Number%Number%Number%
Diseases of the liver 
97783.6523875.56121581.93 3.38
Disorders of the pancreas 342.9172.22412.76 0.11
Paralytic ileus and intestinal obstruction 
without hernia 
161.37123.81281.89 0.08
Hernia 50.4351.59100.67 0.03
Peritonitis 60.5141.27100.67 0.03
Others 13011.134915.5617912.07 0.50
Total Medically Certified Deaths due 
to Diseases of Digestive System
1168100.00315100.001483100.00 4.12
Deaths due to Diseases of Digestive 
System as Percentage to total
Medically Certified Deaths
 5.29 2.27 4.12
Cause of Death
Male Female Total
% to Total 
Medically Certified
Deaths

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 61 
Table 3.9.2. Age distribution of deaths due to diseases of Digestive System under MCCD â2021 
 
 
Chart 3.9.2. Age group wise percentage distribution of deaths due to diseases of Digestive 
System under MCCD â2021 
 
 
3.10 Certain Infectious and Parasitic Diseases 
Infectious diseases are caused by pathogenic microorganisms, which can spread 
directly or indirectly from one person to another. Parasitic diseases are caused by parasites, 
which are organisms that live on or in a host organism and derive nutrients at the host's expense. 
These diseases accounted for 2.54% of total medically certified deaths reported in the state for 
the year 2021, which is the seventh leading cause of death. It constitutes 2.46 per cent of male 
and 2.66 per cent of female deaths of their respective totals. 
The distribution of the major components under this cause group is illustrated in Table 
3.10.1 and Chart 3.10.1. The data reveals that septicaemia, also known as sepsis, was the 
Age Group
(in Years)NumberPercentageNumberPercentageNumberPercentage
<1
3 0.26 0 0.00 3 0.20
1-4
2 0.17 1 0.32 3 0.20
5-14
4 0.34 3 0.95 7 0.47
15-24
12 1.03 8 2.54 20 1.35
25-34
22 1.88 4 1.27 26 1.75
35-44
127 10.87 21 6.67 148 9.98
45-54
273 23.37 26 8.25 299 20.16
55-64
349 29.88 64 20.32 413 27.85
65-69
119 10.19 53 16.83 172 11.60
70 Years or
above
24120.6313141.5937225.08
Age Not
Stated
16 1.37 4 1.27 20 1.35
TOTAL
1168 100 315 100 1483 100
Male Female Total

Report on Medical Certiï¬cation of Cause of Death 2021  Page : 	62 
predominant cause of death, accounting for 33.81% of the total deaths attributed to Certain 
Infectious and Parasitic Diseases. This serious bloodstream infection occurs when bacteria 
enter the bloodstream and spread throughout the body. Notably, the percentage of female deaths 
due to septicaemia (35.68%) exceeds that of males (32.54%). Tuberculosis is the second 
leading cause, contributing to 14.00% of the deaths, with 14.71% of male deaths and 12.97% 
of female deaths. HIV disease accounts for 3.61% of the deaths, with a higher percentage 
among males (4.04%) compared to females (2.97%). Dengue fever and Diarrhoea and 
Gastroenteritis of presumed infectious origin (A09) are fewer common causes, each accounting 
for 3.06% and 1.86% of the deaths respectively, with slight gender differences. 
Table 3.10.1 Distribution of Major Causes of Medically Certified Deaths due to Certain 
Infectious and Parasitic Diseases,2021. 
 
 
 
 
 
Number%Number%Number%
Septicaemia (A40-A41)
17732.5413235.6830933.81 0.86
Tuberculosis (A15-A19)
8014.714812.9712814.00 0.36
Human immunodeficiency virus [HIV] 
disease (B20-B24)
224.04112.97333.61 0.09
Dengue fever ( A90)
183.31102.70283.06 0.08
Diarrhoea and gastroenteritis of 
presumed infectious origin (A09)
81.4792.43171.86 0.05
Others
23943.9316043.2439943.65 1.11
Total Medically Certified
Deaths due to Infectious &
Parasitic Disease
544100.00370100.00914100.002.54
Deaths due to Infectious &
Parasitic Diseases as
Percentage to total Medically
Certified Deaths
 2.46 2.66 2.54
Cause of Deaths
Male Female Total
% to
Total
Medically
Certified Deaths

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 63 
Chart 3.10.1 Percentage distribution of Major Causes of Medically Certified Deaths due to 
Certain Infectious and Parasitic Diseases, 2021 
 
 
 
Age-group and sex wise distribution of medically certified deaths due to certain 
infectious and parasitic diseases is presented in table 3.10.2 and chart 3.10.2. The highest 
percentage of deaths occurs in individuals aged 70 years or above, accounting for 26.59% of 
the total, with a slight difference between males (26.65%) and females (26.49%). The 55-64 
age group also has a significant proportion, making up 22.43% of the total deaths, with a higher 
percentage among females (25.14%) compared to males (20.59%). The age group 45-54 years 
contributes 14.55% of the total deaths, again with more male deaths (17.10%) compared to 
females (10.81%). Deaths in younger age groups are relatively less frequent, with those under 
1 year making up 4.05% of the total, and the 1-4 and 5-14 age groups each accounting for 
1.09%. 
Table 3.10.2 Age distribution of deaths due to Certain Infectious and  
Parasitic Diseases under MCCD â2021 
 
Number%Number%Number	%
<1	20 3.68 17 4.59 37 4.05
1-4	6 1.10 4 1.08 10 1.09
5-14	5 0.92 5 1.35 10 1.09
15-24 12 2.21 9 2.43 21 2.30
25-34 16 2.94 15 4.05 31 3.39
35-44 55 10.11 29 7.84 84 9.19
45-54 93 17.10 40 10.81 133 14.55
55-64 112 20.59 93 25.14 205 22.43
65-69 70 12.87 48 12.97 118 12.91
70 Years or 
above 14526.6598 26.4924326.59
Age Not Stated 10 1.84 12 3.24 22 2.41
TOTAL 544100.00370100.00914100.00
Male Female TotalAge Group (In 
Years)

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 64 
Chart 3.10.2 Age group wise percentage distribution of deaths due to Certain Infectious and 
Parasitic Diseases under MCCD â2021 
 
 
3.11 Injury, Poisoning and Certain Other Consequences of External Causes 
It is the eighth leading cause group, responsible for 2.52 percent of total medically 
certified deaths. This group accounted for 2.90 percent of male deaths and 1.92 percent of 
female deaths. Furthermore, of the total medically certified deaths in this group, 70 percent 
were males and 30 percent were females. 
The table 3.11.1 and chart 3.11.1 present the distribution of deaths due to injury, 
poisoning, and certain other external causes according to the Medical Certification of Cause of 
Death (MCCD) for 2021. Burns and corrosions were the leading cause, accounting for 17.31% 
of deaths in this category, with a notable gender disparity: 41.20% of these deaths were among 
females, compared to 7.34% among males. Poisonings by drugs, biological substances, and the 
toxic effects of chiefly nonmedicinal substances were responsible for 12.02% of the deaths, 
affecting males (12.66%) slightly more than females (10.49%). Fractures accounted for 6.28% 
of deaths, with a higher percentage among males (6.88%) than females (4.87%). Most of the 
deaths fell into the "others" category, making up 64.39%, with males (73.13%) again 
experiencing a higher percentage than females (43.45%). This distribution underscores 
significant gender differences, particularly in deaths due to burns and corrosions, where 
females are disproportionately affected.

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 65 
Table 3.11.1. Distribution of Major Causes of Medically Certified Deaths due to Injury, 
Poisoning and Certain Other Consequences of External Causes,2021. 
 
 
Chart 3.11.1 Percentage distribution of Major Causes of Medically Certified Deaths due to 
Injury, Poisoning and Certain Other Consequences of External Causes,2021 
 
 
Age-group and sex wise distribution of medically certified deaths due to Injury, 
Poisoning and Certain Other Consequences of External Causes for the year 2021 is presented 
in table 3.11.2 and chart 3.11.2. The highest percentage of deaths occurred in the 45-54 age 
group, accounting for 20.6% of male deaths and 19.5% of female deaths, contributing to 20.3% 
of the total deaths. This is followed by the 55-64 age group, which represents 18.1% of male 
deaths and 12.4% of female deaths, making up 16.4% of the total deaths. The 35-44 age group 
also has a significant proportion, with 14.7% of deaths for males and 13.1% for females. Deaths 
in older age groups (70 years or above) accounted for 13.3% of the total, with females (18.4%) 
having a higher percentage than males (11.3%). In contrast, the youngest age groups (<1 year, 
Number%Number%Number%
Burns and Corrosions	47 7.34 110 41.20 157 17.310.44
Poisonings by drugs & biological 
substances; and Toxic effects of 
substances chiefly nonmedicinal as to 
source 
8112.662810.4910912.020.30
Fractures 	44 6.88 13 4.87 57 6.28 0.16
Others	468 73.13 116 43.45 584 64.391.62
Total Medically Certified Deaths 
due to Injury, Poisoning & other 
consequences of external causes
640100.00267100.00907100.002.52
Deaths due to Injury, Poisoning & 
other consequences of external 
causes as Percentage to total
Medically Certified Deaths
 2.90 1.92 2.52
Cause of Death
Male Female Total %  to 
Total 
Medicall
y

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 66 
1-4 years, and 5-14 years) had the lowest percentages of deaths, each constituting less than 2% 
of the total. This distribution highlights that middle-aged adults are most affected by deaths 
due to injuries, poisoning, and other external causes, with notable gender differences in the 
older and younger age groups. 
Table 3.11.2. Age distribution of deaths due to Injury, Poisoning and Certain  
Other Consequences of External Causes, 2021 
 
Age 
Group(in 
Years) 
Male 	Female 	Total 
Number Percentage Number Percentage Number Percentage 
<1 4 0.6 4 1.5 8 0.9 
1-4 10 1.6 7 2.6 17 1.9 
5-14 11 1.7 17 6.4 28 3.1 
15-24 67 10.5 20 7.5 87 9.6 
25-34 79 12.3 33 12.4 112 12.3 
35-44 94 14.7 35 13.1 129 14.2 
45-54 132 20.6 52 19.5 184 20.3 
55-64 116 18.1 33 12.4 149 16.4 
65-69 49 7.7 16 6.0 65 7.2 
70 Years or 
above 
72 11.3 49 18.4 121 13.3 
Age Not Stated 6 0.9 1 0.4 7 0.8 
TOTAL 640 100.0 267 100.0 907 100.0 
 
Chart 3.11.2. Age group wise percentage distribution of deaths due to Injury,  
Poisoning and Certain Other Consequences of External Causes,2021

Report on Medical Certiï¬cation of Cause of Death 2021  Page : 	67 
3.12 Diseases of the Genitourinary System 
Diseases of the Genitourinary System covers a range of conditions affecting the 
kidneys, urinary tract, male and female genital organs, and breasts. This category ranks as the 
9th leading cause of death, contributing to 2.15% of total medically certified deaths, with 
2.32% of male and 1.89% of female deaths. Notably, 66.15% of deaths in this group are males, 
while the remaining 33.85% are females. Glomerular diseases, including nephritic syndrome, 
Renal failure and Renal tubulo-interstitial disease were the major causes of death under this 
group. Glomerular diseases, including nephritic syndrome, refer to a group of kidney disorders 
that affect the glomeruli, which are tiny structures in the kidneys responsible for filtering blood. 
Nephritic syndrome is characterized by inflammation of the glomeruli, leading to haematuria 
(blood in the urine), proteinuria (protein in the urine), reduced kidney function, and 
hypertension. These conditions can result from various causes, including infections, 
autoimmune diseases, and systemic illnesses. Renal tubulo-interstitial disease refers to a group 
of disorders that affect the kidney's tubules and the surrounding interstitial tissue. These 
diseases can be caused by infections, toxins, drugs, autoimmune conditions, or other underlying 
health issues. Symptoms may include reduced urine output, blood in the urine, flank pain, and 
signs of kidney dysfunction such as increased blood urea and creatinine levels. 
Table 3.12.1. Distribution of Major Causes of Medically Certified Deaths  
due Diseases of the Genitourinary System,2021. 
 
 
Table 3.12.1 and chart 3.12.1. display the distribution of major causes of deaths due to 
diseases of the genitourinary system in 2021. Glomerular diseases (including nephritic 
syndrome) were the leading cause under this group, accounting for 49.48% of the total deaths, 
with a slightly higher percentage in males (49.61%) than females (49.24%). Renal failure was 
the second leading cause, contributing to 38.11% of the deaths, with 40.04% in males and 
34.35% in females. Renal tubulo-interstitial diseases accounted for 1.94% of the deaths, and 
other causes made up 10.47%. In total, 2.15% of all medically certified deaths were due to 
diseases of the genitourinary system, with a higher percentage of males (2.32%) compared to 
females (1.89%). 
Number%Number%Number%
Glomerular diseases (including Nephritic 
Synodrome) 
25449.6112949.2438349.481.06
Renal failure 
20540.049034.3529538.110.82
Renal tubulo-interstitial diseases
112.1541.53151.940.04
Others
428.203914.898110.470.23
Total Medically Certified Deaths due to 
Diseases of Genitourinary System
512100.00262100.00774100.002.15
Deaths due to Diseases of 
Genitourinary System as
Percentage to total Medically Certified 
Deaths
 2.32 1.89 2.15
Cause of Death
Male Female Total	% to Total 
Medically 
Certified
Deaths

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 68 
Chart 3.12.1. Percentage distribution of Major Causes of Medically Certified Deaths due 
Diseases of the Genitourinary System,2021 
 
 
Table 3.12.2. Age distribution of deaths due to Diseases of the Genitourinary System,2021 
S. 
NO 
Age Group 
(In Years) 
Male 	Female 	Total 
Number % Number % Number % 
1 <1 	0 0.00 1 0.38 1 0.13 
2 1-4 0 0.00 1 0.38 1 0.13 
3 5-14 5 0.98 3 1.15 8 1.03 
4 15-24 5 0.98 5 1.91 10 1.29 
5 25-34 15 2.93 9 3.44 24 3.10 
6 35-44 22 4.30 12 4.58 34 4.39 
7 45-54 70 13.67 28 10.69 98 12.66 
8 55-64 105 20.51 43 16.41 148 19.12 
9 65-69 73 14.26 46 17.56 119 15.37 
10 
70 Years or 
above 
203 39.65 107 40.84 310 40.05 
11 Age Not 
Stated 
14 2.73 7 2.67 21 2.71 
  TOTAL 512 100 262 100 774 100 
 
Age-group and sex wise distribution of medically certified deaths due Diseases of the 
Genitourinary System, the highest number of deaths occurred in the 70+ age group, comprising 
40.05% of the total, with females (40.84%) having a higher percentage than males 
(39.65%).The next highest percentage is in the 55-64 age group at 19.12%, followed by the 65-
69 age group at 15.37%. Females accounted for a larger proportion of deaths across all age 
groups except for ages 45-54 and 55-64. The lowest percentage of deaths was recorded in the 
<1 and 1-4 age groups, each at 0.13%.

Chapter 2 
 
 
 
 
4.1. Introduction 
Mortality rates and the causes of death vary significantly across different age groups, 
reflecting distinct health risks and environmental factors that affect individuals at various 
stages of life. The impact of external factors, such as pandemics, can also vary by age. For 
example, COVID-19 had a disproportionate effect on older adults, significantly increasing 
mortality rates in this age group compared to younger populations. This variability in causes 
and rates of mortality across age groups highlights the need for age-specific health 
interventions and policies to effectively address the distinct health challenges faced by each 
demographic. Thus, this chapter analyses the specific cause of mortality among different age 
groups by Sex. 
4.2. Infants  
The prominent causes of mortality among infants by Sex are presented in Table 4.2.1 
and Chart 4.2.1. 
Table 4.1.  Prominent Causes of Mortality among Infants -2021 
 
 
Number%Number%Number%
1
Certain Conditions Originating in 
Perinatal Period
29159.2721659.550759.37
i)
Slow fetal growth, fetal malnutrition 
and immaturity
12325.0510228.122526.35
ii)
Hypoxia, birth asphyxia and other 
respiratory conditions
7314.875815.9813115.34
2
Congenital malformations, 
deformations and chromosomal 
abnormalities
13527.4910930.0324428.57
i)
Congenital malformations of the 
circulatory system  
8417.116517.9114917.45
3Certain Infectious & Parasitic Diseases204.07174.68374.33
i)Septicaemia	19 3.87 15 4.13 34 3.98
4Codes for Special Purposes: Covid 19 91.8351.38141.64
5Diseases Of The Nervous System 8 1.63 3 0.83 11 1.29
i)Meningitis 	0 0 3 0.83 3 0.35
Total medically certified infant 
deaths in the age <1  Year
491 363 854
Infant mortality Age <1 years as 
percentage to total medically 
certified deaths
2.22 2.61 2.37
Male Female Total
Cause of DeathS. No.
Chapter 4 
Speciï¬c Cause of Mortality in Different Age Groups

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 72 
 
 
Out of the total medically certified 
deaths, around 2.4 per cent has been 
reported for infants (children who could 
not complete their first birthday). The 
shares of male and female infant deaths to 
the corresponding totals of medically 
certified deaths are 2.2 per cent and 2.6 per 
cent respectively. The highest incidences 
of deaths under this age-group are reported 
under Certain Conditions Originating in 
the Perinatal Period (59.4 per cent). The 
constituent diseases of this group like slow 
fetal growth, fetal malnutrition and 
Immaturity forming one combination and 
Hypoxia, birth asphyxia and other 
respiratory conditions forming another 
combination, caused 26.4 per cent and 
15.4 per cent deaths respectively. The next major group accounting for 28.6 per cent deaths is 
Congenital malformations, deformations and chromosomal abnormalities. Congenital 
malformations of the circulatory system accounted for 17.5 per cent deaths under this major 
group. The third in order is Certain Infectious & Parasitic Diseases (A00-B99) which was 
constitutes 4.3 per cent deaths. The constituent disease of this group, Septicaemia alone caused 
4 per cent deaths. 
 
4.3. Children aged 1-4 years 
Table 4.3.1 and Chart 4.3.1 highlights the prominent causes of mortality among children 
aged 1-4 years in 2021, segmented by gender. It shows that congenital malformations, 
deformations, and chromosomal abnormalities are the leading causes of death, accounting for 
21.43% of the total deaths in this age group. This includes congenital malformations of the 
circulatory system, which alone constitute 12.14% of the deaths. Neoplasms, including 
leukemia, are the second leading cause, responsible for 15% of the deaths. Injuries, poisoning, 
and certain other external causes rank third, making up 12.14% of the deaths, with poisoning 
by drugs and biological substances accounting for 2.86%.Diseases of the nervous system, 
including epilepsy, are another significant cause, contributing to 10% of the deaths. Certain 
infectious and parasitic diseases, including septicaemia, account for 7.14% of the deaths.  
 
Chart 4.2.1. Percentage distribution of Prominent 
Causes of Mortality among Infants -2021

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 73 
Table 4.3.1. The prominent Causes of Mortality among  
Children in the Age Group 1-4 Years -2021 
 
 
Chart 4.3.1. Percentage distribution of prominent Causes of Mortality among Children in the 
Age Group 1-4 Years -2021 
 
Number%Number%Number%
1
Congenital malformations, 
deformations and chromosomal 
abnormalities 
1720.731322.413021.43
i)
Congenital malformations of the 
circulatory system
910.98813.791712.14
2Neoplasm 1518.29610.342115
i)Leukaemia 78.5446.9117.86
3
Injury, Poisoning And Certain 
Other Consequences Of 
External Causes 
1012.2712.071712.14
i)
Poisonings by drugs & biological 
substances; and Toxic effects of 
substances chiefly nonmedicinal 
as to source 
33.6611.7242.86
4
Diseases Of The Nervous 
System 
56.1915.521410
i)Epilepsy (G40-G41) 11.2235.1742.86
5
Certain Infectious And Parasitic 
Diseases
67.3246.9107.14
i)Septicaemia 11.2211.7221.43
Total medically certified 
deaths in the age group 1 - 4 
Years
8210058100140100
Deaths in the age group 1 - 4  
years as percentage to total 
medically certified deaths
0.37 0.42 0.39
Rank  Cause of Death
Male Female Total

Report on Medical Certiï¬cation of Cause of Death 2021  Page : 	74 
 
The data indicates a gender disparity in mortality causes. For instance, female children 
have a higher percentage of deaths due to diseases of the nervous system (15.52%) compared 
to male children (6.1%). Conversely, male children have a higher percentage of deaths due to 
neoplasms (18.29%) compared to female children (10.34%). 
4.4. Children aged 5-14 years 
The share of this age-group in the total medically certified death is 0.6 per cent, 
constituting 0.5 per cent and 0.8 per cent of total male and female medically certified deaths 
respectively. The leading cause of mortality is neoplasms, which account for 23.22% of the 
total deaths, with a higher percentage observed in males (31.43%) compared to females 
(15.09%). Injury, poisoning, and certain other consequences of external causes are the second 
major cause, making up 13.27% of the deaths, with a higher incidence in females (16.04%) 
than males (10.48%). Congenital malformations, deformations, and chromosomal 
abnormalities rank third, contributing to 12.80% of the deaths, equally affecting both genders. 
COVID-19 is the fourth leading cause, responsible for 11.37% of the deaths, with females 
(14.15%) more affected than males (8.57%). Diseases of the circulatory system account for 
8.06% of the deaths, with a higher incidence in females (10.38%) compared to males 
(5.71%).Other major groups account for 31.28% of the deaths, with a relatively balanced 
distribution between males (33.33%) and females (29.25%). 
Table 4.4.1. Distribution of Mortality among Children in the Age Group 5-14 Years  
by Major Cause Groups-2021 
 
  
Number%Number%Number%
1Neoplasms 3331.431615.094923.22
2
Injury, Poisoning and Certain Other 
consequences of External Causes
1110.481716.042813.27
3
Congenital Malformations, Deformations 
and Chromosomal Abnormalities
1110.481615.092712.80
4Covid-19 98.571514.152411.37
5Diseases of the Circulatory system 65.711110.38178.06
6Other Major Groups 3533.333129.256631.28
Total medically certified
deaths in the age group 5-14 Years
105100106100211100
Deaths in the age group  5 - 14 years as 
percentage to total
medically certified deaths
 0.48 0.76 0.59
S.No
Major Cause Group Male Female Total

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 75 
 
Chart 4.4.1. .Percentage Distribution of Mortality among Children in the  
Age Group 5-14 Years by Major Cause Groups-2021 
 
 
4.5. Persons aged 15-24 years 
This age-group has contributed to1.2 per cent of the total medically certified deaths 
with the share of male and female deaths to the corresponding total deaths being 1 per cent and 
1.4 per cent respectively. 
Table 4.5.1. Distribution of Mortality among Persons in the Age Group 15-24 Years  
by Major Cause Groups-2021 
 
 
Number%Number%Number%
1Injury, Poisoning and Certain 
Other Consequences of External 
Causes
(S00-T98)
6729.912010.538721.01
2 Neoplasam	3013.395026.328019.32
3Covid-19	22 9.82 31 16.32 53 12.80
4 Diseases of the Circulatory System 
229.82147.37368.70
5Certain Infectious and Parasitic 
Diseases 
125.3694.74215.07
6Diseases of the Digestive System
125.3684.21204.83
7Other Major Groups
5926.345830.5311728.26
Total medically certified deaths 
in the age group 15-24 Years224100.00190100.00414100.00
Deaths in the age group 15 - 24 
years as percentage to total 
medically certified deaths
1.01 1.37 1.15
Sl.NoMajor Cause Group
Male Female Total

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 76 
Chart 4.5.1 Percentage Distribution of Mortality among Males in the Age Group 15-24 Years by 
Major Cause Groups-2021 
 
 
Chart 4.5.2 Percentage Distribution of Mortality among Females in the Age Group 15-24 Years 
by Major Cause Groups-2021 
 
 
Table 4.5.1, Chart 4.5.1 and Chart 4.5.2 provide a detailed breakdown of the causes of 
death among individuals aged 15-24, categorized by Sex. The leading cause of mortality in this 
age group is "Injury, Poisoning, and Certain Other Consequences of External Causes (S00-
T98)," which accounts for 21.01% of total deaths. This cause significantly affects males more

Report on Medical Certiï¬cation of Cause of Death 2021  Page : 	77 
than females, with 29.91% of male deaths compared to 10.53% of female deaths. Neoplasms 
are the second leading cause of death, responsible for 19.32% of total deaths. Interestingly, this 
cause has a higher impact on females (26.32%) than males (13.39%). COVID-19 is the third 
leading cause, contributing to 12.80% of the deaths, with females (16.32%) being more affected 
than males (9.82%). Diseases of the circulatory system account for 8.70% of the deaths, with 
a slightly higher incidence in males (9.82%) compared to females (7.37%). Certain infectious 
and parasitic diseases and diseases of the digestive system are also notable causes, representing 
5.07% and 4.83% of the deaths, respectively. 
The leading causes of mortality among individuals aged 15-24 years exhibit distinct 
patterns between males and females. Among males, the top cause of death is external causes 
and injuries, accounting for 29.91% of male deaths. This category includes injuries, poisoning, 
and other consequences of external causes, highlighting the high risk of accidental and 
traumatic events in young males. Neoplasms are the second leading cause among males, 
representing 13.39% of deaths. COVID-19 ranks third, contributing to 9.82% of male deaths, 
indicating a significant impact of the pandemic on this age group. For females, the primary 
cause of death is neoplasms, accounting for 26.32% of female deaths. This indicates a higher 
prevalence of cancers among young females compared to their male counterparts. COVID-19 
is the second leading cause of death among females, responsible for 16.32% of deaths, showing 
a greater impact of the pandemic on young females compared to males. The third leading cause 
of death among females is external causes and injuries, contributing to 10.53% of female 
deaths. This category, which is the leading cause among males, ranks third among females, 
suggesting differences in risk exposure and behaviour between genders in this age group. 
4.6. Persons aged 25-34 years 
This age group constitutes around 1.9 per cent of total medically certified deaths with 
1.8 per cent male share of death and 2 per cent female share to total male and female medically 
certified deaths respectively. Table 4.6.1 and Chart 4.6.1 reveals that COVID-19 was the 
leading cause of death in this age group, accounting for 25.71% of total deaths (26.41% in 
males and 24.73% in females). The second leading cause of mortality was a tie between "Injury, 
Poisoning and Certain Other Consequences of External Causes" and "Neoplasms," each 
responsible for 16.74% of total deaths. However, there is a gender disparity: injuries and 
external causes accounted for 20.26% of male deaths but only 11.83% of female deaths, 
whereas neoplasms caused 23.30% of female deaths compared to 12.05% of male deaths. 
Diseases of the circulatory system were the fourth leading cause, contributing to 8.37% of the 
deaths, with a slightly higher impact on males (9.23%) than females (7.17%). Certain infectious 
and parasitic diseases and endocrine, nutritional, and metabolic diseases were responsible for 
4.63% and 4.04% of the deaths, respectively, showing an even distribution between genders. 
Lastly, other major groups accounted for 23.77% of the deaths, evenly distributed among males 
(24.10%) and females (23.30%).

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 78 
Table 4.6.1. Distribution of Mortality among Persons in the  
Age Group 25-34 Year by Major Cause Groups-2021 
 
 
Chart 4.6.1. Percentage Distribution of Mortality among Persons in the Age Group 25-34 Year 
by Major Cause Groups-2021 
 
 
  
Number%Number%Number%
1
Codes for Special Purposes: Covid 19
103 26.41 69 24.73 172 25.71
2
Injury, Poisoning and Certain Other Consequences of External Causes 
7920.263311.8311216.74
3
Neoplasms
4712.056523.3011216.74
4
Diseases of the Circulatory System 
36 9.23 20 7.17 56 8.37
5
Certain Infectious and Parasitic Diseases
16 4.10 15 5.38 31 4.63
6
Endocrine, Nutritional and Metabolic Diseases
153.85124.30274.04
7
Other Major Groups
94 24.10 65 23.30 159 23.77Total medically certified deaths in the age group 25-34 Years
390 100 279 100 669 100Deaths in the age group 25-34 years as percentage to total
medically certified deaths
 1.77 2.01 1.86
S.No
Major Cause Group Male Female Total

Report on Medical Certiï¬cation of Cause of Death 2021  Page : 	79 
4.7. Persons aged 35-44 years 
The overall contribution of this age-group in total medically certified deaths is 4.9 per 
cent, accounting for 4.9 per cent for male and 4.7 per cent of female deaths.  Table 4.7.1. and 
chart 4.7.1 indicates that COVID-19 was the leading cause of death in this age group, 
accounting for 30.26% of total deaths (31.62% in males and 27.98% in females). The second 
leading cause was diseases of the circulatory system, responsible for 14.73% of deaths, with a 
higher incidence in males (16.32%) than in females (12.08%). Neoplasms were the third 
leading cause, comprising 13.81% of the deaths, with a significant gender disparity: 24.31% in 
females and 7.52% in males. Diseases of the digestive system were the fourth leading cause, 
contributing to 8.48% of deaths, predominantly affecting males (11.64%) compared to females 
(3.21%). Injury, poisoning, and other external causes ranked fifth, accounting for 7.39% of 
deaths, with higher male mortality (8.62%) than female (5.35%). Endocrine, nutritional, and 
metabolic diseases constituted 6.53% of deaths, with a slightly higher percentage in females 
(7.95%) than males (5.68%). Other major groups accounted for 18.80% of the deaths, almost 
evenly distributed between males (18.61%) and females (19.11%). 
Table 4.7.1 Distribution of Mortality among Persons in the 
 Age Group 35-44 Year by Major Cause Groups-2021 
Sl.
No 
Major Cause Group 
Male Female Total 
Number % 
Numbe
r 
% Number % 
1 Codes for Special Purposes: 
Covid 19 
345 31.62 183 27.98 528 
30.2
6 
2 Diseases of the Circulatory 
System  
178 16.32 79 12.08 257 
14.7
3 
3  Neoplasam 
82 7.52 159 24.31 241 
13.8
1 
4 Diseases of the Digestive 
System  
127 11.64 21 3.21 148 8.48 
5 Injury, Poisoning and Certain 
Other Consequences of 
External Causes  
94 8.62 35 5.35 129 7.39 
6 
Endocrine, Nutritional and  
Metabolic Diseases 
62 5.68 52 7.95 114 6.53 
7 Other Major Groups 
203 18.61 125 19.11 328 
18.8
0 
  
Total medically certified 
deaths in the age group 35-44 
Years 
1091 100 654 100 1745 100 
  
Deaths in the age group  
 35 â 44 years as percentage to 
total medically certified 
deaths 
  4.94  4.71  4.85

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 80 
Chart 4.7.1. Percentage Distribution of Mortality among Persons in the Age Group 35-44 Year 
by Major Cause Groups-2021 
 
 
4.8. Persons aged 45-54 years 
This age group has contributed to 11.3 per cent of the total medically certified deaths, 
constituting 12.3 per cent and 9.7 per cent of total male and female medically certified deaths 
respectively. 
Table 4.8.1 Distribution of Mortality among Persons in the Age Group 45-54 Year by Major 
Cause Groups-2021 
 
 
 
Number%Number%Number%
1Codes for Special Purposes: Covid 19 863 31.67 487 36.181350 33.16
2Diseases of the Circulatory System 528 19.38 228 16.94 756 18.57
3 Neoplasms 	264 9.69 214 15.90 478 11.74
4 Endocrine, Nutritional and Metabolic Diseases27910.2414610.8542510.44
5Diseases of the Digestive System 	273 10.02 26 1.93 299 7.34
6Injury, Poisoning and Certain Other Consequences 
of External Causes 	1324.84523.861844.52
7Other Major Groups	386 14.17 193 14.34 579 14.22
Total medically certified deaths in the age 
group 45-54 Years	272510013461004071100
Deaths in the age group 45 - 54  years as 
percentage to total medically certified deaths
 12.34 9.69 11.32
Sl.No Major Cause Group Male Female Total

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 81 
Chart 4.8.1. Percentage Distribution of Mortality among Persons in the Age Group 45-54 Year 
by Major Cause Groups-2021 
 
 
Table 4.8.1 and Chart 4.8.1 present the distribution of mortality among persons in the 
age group 45-54 years by major cause groups for the year 2021. The leading cause of death in 
this age group is Covid-19, accounting for 33.16% of total deaths, with a higher percentage of 
deaths among females (36.18%) compared to males (31.67%). The second major cause is 
diseases of the circulatory system, responsible for 18.57% of the deaths, with a higher incidence 
in males (19.38%) than females (16.94%). Neoplasms are the third leading cause, contributing 
to 11.74% of deaths, with a significant disparity between males (9.69%) and females (15.90%). 
Endocrine, nutritional, and metabolic diseases rank fourth, causing 10.44% of deaths, with 
nearly equal impact on males (10.24%) and females (10.85%). Diseases of the digestive 
system, injury and poisoning, and other major groups also contribute to mortality, though to a 
lesser extent. 
4. 9 Persons aged 55-64 years 
This age-group has a share of 22 per cent in the total medically certified deaths, 
accounting for 23.1 per cent and 20.3 per cent of total male and female medically certified 
deaths respectively. Distribution of Mortality among Persons in the Age Group 55-64 Year by 
Major Cause Groups is presented in table 4.9.1 and chart 4.9.1.

Report on Medical Certiï¬cation of Cause of Death 2021  Page : 	82 
Table 4.9.1 Distribution of Mortality among Persons in the Age Group 55-64 Year  
by Major Cause Groups-2021 
 
 
In the age group 55-64 years, Covid-19 was the leading cause of mortality, accounting 
for 32.86% of male deaths and 36.41% of female deaths, resulting in a combined total of 
34.12%. Following Covid-19, diseases of the circulatory system were the second leading cause, 
representing 21.88% of male deaths and 19.62% of female deaths, making up 21.08% of the 
total. Neoplasms were the third most significant cause, responsible for 11.76% of male deaths 
and 13.41% of female deaths, with a combined total of 12.35%. Endocrine, nutritional, and 
metabolic diseases accounted for 12.43% of male deaths and 14.30% of female deaths, 
contributing to 13.10% overall. Additionally, diseases of the digestive system and injury, 
poisoning, and certain other consequences of external causes accounted for 5.22% and 1.88% 
of deaths, respectively. This data indicates a notable impact of Covid-19 on mortality in this 
age group, with diseases of the circulatory system and neoplasms also being major contributors. 
  
Number%Number%Number%
1Codes for Special Purposes â Covid 19 167632.86102636.41270234.12
2Diseases of the Circulatory System 111621.8855319.62166921.08
3Neoplasms 60011.7637813.4197812.35
4
Endocrine, Nutritional and Metabolic 
Diseases 
63412.4340314.30103713.10
5Diseases of the Digestive System 3496.84642.274135.22
6
Injury, Poisoning and Certain Other 
Consequences of External Causes 
1162.27331.171491.88
7Other Major Groups 60911.9436112.8197012.25
Total medically certified deaths in the 
age group 55-64 Years
510010028181007918100
Deaths in the age group  55 - 64 years 
as percentage to total medically 
certified deaths
 23.10 20.29 22.02
Sl.No Major Cause Group Male Female Total

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 83 
 
Chart 4.9.1. Percentage Distribution of Mortality among Persons in the Age Group 55-64 Year  
by Major Cause Groups-2021 
 
 
4.10 Persons aged 65-69 years 
This age group constitutes 14.7% of the total medically certified deaths, with males 
accounting for 15% and females for 14.1% of their respective totals. The distribution of 
mortality among persons aged 55-64 by major cause groups is detailed in Table 4.10.1 and 
Chart 4.10.1. Covid-19 was the leading cause of death, responsible for 36.11% of the total 
deaths in this age group. Diseases of the circulatory system and endocrine, nutritional, and 
metabolic diseases were the second and third leading causes, contributing 23.09% and 13.82%, 
respectively. Neoplasms, diseases of the respiratory system, and diseases of the digestive 
system followed, accounting for 9.89%, 5.02%, and 3.26% of the total deaths. The distribution 
of these causes is similar for both males and females, with the top six leading causes being the 
same for both genders.

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 84 
Table 4.10.1 Distribution of Mortality among Persons in the  
Age Group 65-69 Year by Major Cause Groups-2021 
 
 
 
Chart 4.10.1. Percentage Distribution of Mortality among Persons in the Age Group 65-69 Year 
by Major Cause Groups-2021 
 
 
  
Number%Number%Number%
1Codes for Special Purposes: Covid 19 115934.9774638.02190536.11
2Diseases of  The Circulatory System 78623.7243222.02121823.09
3
Endocrine, Nutritional and Metabolic 
Diseases 
43813.2229114.8372913.82
4Neoplasms 34810.501748.875229.89
5Diseases of the Respiratory System 1795.40864.382655.02
6Diseases of the Digestive System 1193.59532.701723.26
7Other Major Groups 2858.601809.174658.81
Total medically certified deaths in the 
age group 65-69 Years
331410019621005276100
Deaths in the age group 65 - 69
years as percentage to total medically 
certified deaths
 15.01 14.12 14.67
Sl.No Major Cause Group Male Female Total

Report on Medical Certiï¬cation of Cause of Death 2021  	Page : 85 
4.11. Persons aged of 70 years or above 
This age-group, as expected, has reported the maximum incidences (38.9 per cent) of 
total medically certified deaths. As high as 36.9 per cent and 42.2 per cent of total male and 
female medically certified deaths have respectively been reported from this age- group. 
Distribution of Mortality among Persons in the Age Group 70 Years or above by Major Cause 
Groups-2021 is presented in table 4.11.1 and chart 4.11.1. 
Table 4.11.1 Distribution of Mortality among Persons in the Age Group 70 Years or above by 
Major Cause Groups-2021 
 
Chart 4.11.1 Percentage Distribution of Mortality among Persons in the Age Group 70  Years or 
above by Major Cause Groups-2021 
 
 
Number%Number%Number%
1 Codes for Special Purposes: Covid 19 337941.47232739.71570640.73
2Diseases of the Circulatory System178321.88153826.25332123.71
3
Endocrine, Nutritional and Metabolic 
Diseases
95711.7478713.43174412.45
4Neoplasms 6207.613235.519436.73
5Diseases of the Respiratory System5376.593245.538616.15
6Diseases of the Digestive System2412.961312.243722.66
7Other Major Groups 6327.764307.3410627.58
Total medically certified deaths 
in the age group 70 years or 
Above
8149100586010014009100
Deaths in the age group 70 years 
or Above as percentage to total
medically certified deaths
 36.92 42.19 38.95
Sl.No Major Cause Group Male Female Total

Report on Medical Certiï¬cation of Cause of Death 2021  Page : 	86 
In 2021, Covid-19 was the leading cause of mortality among individuals aged 70 years 
or older, accounting for 41.47% of male deaths and 39.71% of female deaths, contributing to a 
total of 40.73%. Diseases of the circulatory system followed as the second leading cause, 
responsible for 21.88% of male deaths and 26.25% of female deaths, making up 23.71% of the 
total deaths in this age group. Endocrine, nutritional, and metabolic diseases were the third 
major cause, representing 11.74% of male deaths and 13.43% of female deaths, totalling 
12.45%. Neoplasms accounted for 7.61% of male deaths and 5.51% of female deaths, leading 
to 6.73% of the total. Diseases of the respiratory system, digestive system, and other major 
groups also contributed to mortality, with respective totals of 6.15%, 2.66%, and 7.58%. The 
data indicates that Covid-19 had a significant impact on mortality in this age group, with 
circulatory and endocrine diseases also being major contributors.

Appendix 
 
 
 
I.List of Hospitals under MCCD 
II.Form â 4 
III.Form â 4A 
IV.Major Groups and the Description of 
ICD-10 Codes 
V.National List for Tabulation of 
Mortality & Morbidity based on The 
Tenth Revision of International 
Classification of Diseases (ICD) 
VI.Cause of Death (Age wise and Sex 
wise)

87

88

89 
 
 
 
LIST OF HOSPITALS UNDER MCCD 
Thiruvananthapuram (44 Nos.) 
Sl No Name of Hospital Govt/Pvt 
1 CHC Fort Hospital, Trivandrum 	Govt 
2 ESI Hospital, Peroorkada 	Govt 
3 Govt. Dist.Model Hospital ,Peroorkada 	Govt 
4 Govt. Mental Healthcare, Oolampara 	Govt 
5 General Hospital ,Trivandrum 	Govt 
6 Govt. MCH ,Trivandrum 	Govt 
7 Govt. W&C Hospital, Thycaud 	Govt 
8 Regional Cancer Centre ,Trivandrum 	Govt 
9 Sanitorium for Chest diseases, Pulayanarcotta 	Govt 
10 SAT Hospital , Trivandrum 	Govt 
11 SreeChithiraThirunal Institute of Medical Science& 
Technology 
Govt 
12 AJ Hospital, Kazhakkoottam 	Pvt 
13 Al Areef Hospital ,Ambalathara 	Pvt 
14 Anadiyil Hospital, Thekkummoody 	Pvt 
15 AnanthapuriHospital&Research Centre, Chakka 	Pvt 
16 Arumana Hospital, 	Pvt 
17 Attukal Devi Institute of medical Sciences Ltd , Attukal Pvt 
18 BNV Hospital, Thiruvallam. 	Pvt 
19 BeemaMahim SUT, Beemapally 	Pvt 
20 Cosmopolitan Hospital ,Murinjapalam 	Pvt 
21 Credence Hospital, Ulloor 	Pvt 
22 CSI Mission Hospital ,Kazhakkoottam 	Pvt 
23 Dr.Govindans Hospital, GH Junction 	Pvt 
24 Geethanjali Hospital, Vazhuthacaud 	Pvt 
25 Gowreesha Hospital, Gowreeshapattam 	Pvt 
26 Holy Cross Hospital , Sangumugham 	Pvt 
27 Jubilee Memorial Hospital, Palayam 	Pvt 
28 KJK Hospital ,Nalanchira 	Pvt 
29 KIMS Hospital, Anayara. 	Pvt 
30 Lords Hospital, Anayaara 	Pvt 
31 Meditrena Hospital, Plamoodu 	Pvt 
32 PRS Hospital, Killipalam 	Pvt 
33 Samad Hospital, Pattoor 	Pvt 
34 Santhwana Hospital, Ambalamukku 	Pvt 
35 SK Hospital, Edapazhinji 	Pvt 
36 SP Fort Hospital ,Fort 	Pvt 
37 SreeRamakrishnaAshramam Hospital, Shasthamangalam Pvt 
38 St.Anns Nursing Home Pallimukku 	Pvt 
39 SUT Hospital, Pattom 	Pvt

90 
 
Sl No Name of Hospital 	Govt/Pvt 
40 SUT Royal Hospital, Pongummoodu 	Pvt 
41 SUT Royal Mother&Baby Hospital 	Pvt 
42 The India Hospital, Melethampanoor 	Pvt 
43 TSC Hospital, Veli 	Pvt 
44 Valsala Nursing Home, Bakery 	Pvt 
 
 
Kollam (17 Nos.) 
Sl. 
No 
Name of Hospital Govt/Pvt 
1 AARM District Hospital 	Govt 
2 AGC Nursing Home 	Pvt 
3 Bishop Benziger Hospital  	Pvt 
4 Dr.KDamodaran Memorial Hospital 	Pvt 
5 Dr.Nairs Hospital 	Pvt 
6 Victoria Hospital 	Govt 
7 Kumar Hospital 	Pvt 
8 ESI Hospital 	Govt 
9 N.S.Hospital 	Pvt 
10 SankarShashtyabdapoorthy Memorial Hospital 	Pvt 
11 Upasana Hospital 	Pvt 
12 Prathibha Hospital 	Pvt 
13 PHC Palathra 	Pvt 
14 Govt. Homoeo Hospital 	Govt 
15 Govt. Ayurvedic Hospital 	Govt 
16 Nani Memorial Hospital 	Govt 
17 N.S Hospital Maternity Home 	Pvt 
 
 
Alappuzha (8 Nos.) 
SlNo Name of Hospital Govt/Pvt 
1 T.D.Medical College Hospital 	Govt 
2 General Hospital 	Govt 
3 Women&Children Hospital 	Govt 
4 ESI Hospital 	Govt 
5 District Ayurveda Hospital 	Govt 
6 Panchakarma Hospital 	Govt 
7 District Homoeo Hospital 	Govt 
8 Sahrudaya Hospital 	Pvt

91 
 
 
Ernakulam (40 Nos.) 
Sl No 
Name of Hospital 
Govt/Pvt 
1 General Hospital, Ernakulam 	Govt 
2 LisieHospital,Ernakulam 	Pvt 
3 LourdeHospital,Ernakulam 	Pvt 
4 Lakshmi Hospital,Ernakulam 	Pvt 
5 M.A.J Hospital,Edappilly 	Pvt 
6 
Amritha Institute of Medical Science and Research  Centre 
Pvt 
7 Medical Trust Hospital 	Pvt 
8 Ernakulam Medical Centre 	Pvt 
9 P.V.S Memorial Hospital 	Pvt 
10 Cochin Hospital 	Pvt 
11 Krishna Hospital 	Pvt 
12 Akshaya Hospital 	Pvt 
13 SreeSudheendra Medical Mission 	Pvt 
14 Dr.Joy's Hospital for Women and Children 	Pvt 
15 E S I Hospital 	Pvt 
16 Welcare Hospital 	Pvt 
17 Specialist Hospital 	Pvt 
18 Dr.Kunjalu's Nursing Home 	Pvt 
19 City Hospital Pvt. Ltd 	Pvt 
20 P N V M Hospital  	Pvt 
21 I N H S Sanjeevani 	Pvt 
22 Cochin Port Trust Hospital 	Pvt 
23 Indira Gandhi Co-operative Hospital  	Pvt 
24 Govt. Women  and Children 	Govt 
25 Govt. Hospital Fort Cochin 	Govt 
26 Govt. Maharaja's Hospital 	Govt 
27 Gautham Hospital 	Pvt 
28 Lakshmi Hospital  Fort Cochin 	Pvt 
29 Sangeeth Nursing Home 	Pvt 
30 Jishy Hospital 	Pvt 
31 Jacob's Hospital 	Pvt 
32 Westside Hospital 	Pvt 
33 Chandrassery Hospital 	Pvt 
34 Holy Cross Hospice 	Pvt 
35 Anne Marry Joachim Hospital 	Pvt 
36 Our Lady Hospital 	Pvt 
37 Fathima Hospital 	Pvt 
38 Sunrise Hospital 	Pvt 
39 Polakkulath Narayanan RenaiMedicity 	Pvt 
40 V.G.Saraf Memorial  Hospital 	Pvt

92 
 
 
Kozhikode (41 Nos) 
SlNo Name of Hospital Govt/Pvt 
1 Alsheimerâs and Related disorder society of India 	Pvt 
2 Ashoka Hospital 	Pvt 
3 Baby Memorial Hospital 	Pvt 
4 Calicut Hospital and Nursing Home 	Pvt 
5 Chest Hospital 	Pvt 
6 City Co-op Hospital 	Pvt 
7 District Co-op Hospital ,Kozhikode 	Pvt 
8 Dr.Vidhya Prakashâs Homoeo clinic 	Pvt 
9 
Dr.IsmailSait Medical centre for Homoeopathic Research and 
Hospital 
Pvt 
10 Fathima Hospital 	Pvt 
11 Govt. Homoeo Hospital 	Govt 
12 Govt. Leprosy Hospital Kozhikode 	Govt 
13 Govt. Women&Children Hospital 	Govt 
14 Govt. Ayurvedic Hospital 	Govt 
15 Govt. General Hospital 	Govt 
16 Govt. Homoeo Medical College Hospital 	Govt 
17 Govt. Mental Hospital 	Govt 
18 Institute of Chest Diseases 	Govt 
19 Institute of Maternal and Child Health Medical College Govt 
20 Iquraa International Hospital and Research Centre 	Pvt 
21 Koyas Hospital 	Pvt 
22 Malabar Diabetic Foundation 	Pvt 
23 Malabar Eye Hospital&Research Centre Pvt Ltd 	Pvt 
24 Malabar Hospital& Urology Centre 	Pvt 
25 Malabar Institute of Medical Science Ltd 	Pvt 
26 Manohar Hospital 	Pvt 
27 Medical College Hospital 	Pvt 
28 Super Speciality Block 	Pvt 
29 National Hospital 	Pvt 
30 Nirmala Hospital 	Pvt 
31 PVS Hospital Pvt Ltd 	Pvt 
32 Pain &Palliative Care Society 	Pvt 
33 Rajendra Nursing Home 	Pvt 
34 Ramanatha Nursing Home 	Pvt 
35 R.M Hospital 	Pvt 
36 Santhi Hospital 	Pvt 
37 Shiba Surgery & Urology Centre 	Pvt 
38 TPs Hospital 	Pvt 
39 Vathiad Medical Centre 	Pvt 
40 Vijaya Hospital 	Pvt 
41 Viveka Hospital 	Pvt 
TOTAL MCCD HOSPITAL IN KERALA-150

93

94

95 
 
FORM NO. 4 
(See Rule 7) 
MEDICAL CERTIFICATE OF CAUSE OF DEATH 
(Hospital In-patients. Not to be used for still births) 
To be sent to Registrar along with Form No. 2 (Death Report) 
NameoftheHospital..............................................................................................................................I 
herebycertifythatthepersonwhose particular caregivenbelowdiedinthe hospital in 
wardNo.....................On................................................... At....................AM/PM. 
NAME OF DECEASED :  	For use of 
Statistical 
Office 
Sex 
1.Male 
2.Female 
Age of Death : 
Ifone year or 
more,age in 
years  
If less than one 
year, age in 
month 
If less than one 
month age in 
days 
If less than one 
day, age in hours 
CAUSE OF DEATH 
I                                                   (a)â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦.                               
 
Immediate cause                     Due to( or as a consequences of)                                             
Statethedisease,injuryorcomplication 
Whichcauseddeath,not themodeofdying  
such as heart failure, asthenia, etc. 
 
Antecedent cause                       (b)â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦ 
                                                 Due to (or as a consequences of ) 
  Morbidconditions,ifany, 
 Givingrisetotheabovecause 
Statingunderlyingconditions last 
(c)â¦â¦â¦â¦â¦â¦â¦â¦â¦.                                                                                                                
 
II 
Othersignificantconditions   
contributing to the death                   â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦                    
but not related to the diseaseor  â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦.                          
Conditioncausing it.â¦â¦â¦.. 
Interval between 
onset and death 
approx. 
 
 
Manner of Death 
 How did the injury occur? 
1.Natural  2. Accident 2.Suicide3.Homicide5.Pending investigation. 
If deceased was afemale,was the pregnancy the death associated with ?    1.Yes  2.No 
If yes, was there a delivery? 1. Yes  2.No. 
Name and signature of the Medical attendant certifying the cause of death 
Date of verificationâ¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦.. 
(To be detached and handed over to the relative of the deceased) 
Certified that Sri/Smt/Kumâ¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦S/W/D of 
Sriâ¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦..R/Oâ¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦.was admitted to 
this hospital on â¦â¦â¦â¦â¦â¦â¦â¦and expired on â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦.. 
Doctorâ¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦... 
(Medical Superintendent& Name of Hospital)

96

97

98

99 
 
 
 
FOR NON-HOSPITAL EVENTS 
FORM NO. 4A 
(See Rule 7) 
MEDICAL CERTIFICATE OF CAUSE OF DEATH 
(For non-institutional deaths .Not to be used for still birth) 
To be sent to register along with Form No.2(Death Report) 
 
I hereby certify that the deceased Sri/Smt/Kum â¦â¦â¦â¦â¦â¦â¦â¦â¦son/wife/daughter of 
â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦resident of â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦..was under my treatment 
fromâ¦â¦â¦â¦â¦â¦..toâ¦â¦â¦â¦..and he/she died on â¦â¦â¦â¦â¦â¦..at â¦â¦â¦â¦AM/PM. 
NAME OF DECEASED 	For use of 
Statistical 
Office 
Sex 
1.Male 
2.Female 
 Age of Death 
Ifone year or 
more,age in 
years  
If less than one 
year, age in 
month 
If less than one 
month age in 
days 
If less than one 
day, age in 
hours 
CAUSE OF DEATH 
I                                       (a)â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦.                               
Immediate cause              Due to (or as a consequences of)                                             
Statethedisease,injuryorcomplication 
Whichcauseddeath,not themodeofdying 
such as heart failure, asthenia, etc 
 
Antecedent cause (b)â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦ 
Due to (or as a consequences of ) 
Morbidconditions,ifany, 
Givingrisetotheabovecause,  
Statingunderlyingconditions last 
                                        (c)â¦â¦â¦..â¦â¦â¦â¦â¦â¦ 
II 
Othersignificantconditions    
Contributing to the death  â¦â¦â¦â¦â¦â¦â¦â¦â¦.      
But not related to the diseaseor    â¦â¦â¦â¦â¦â¦â¦â¦â¦. 
Condition causing it.       â¦â¦â¦â¦â¦â¦â¦â¦â¦ 
Interval 
between onset 
and death 
approx. 
 
 
If deceased was afemale,was the pregnancy the death associated with?    1. Yes  2.No 
If yes, was there a delivery? 1. Yes 2.No 
 
 Name and signature of the Medical attendant certifying the cause of death 
                                                                Date of verificationâ¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦.. 
 
(To be detached and handed over to the relative of the deceased) 
 
Certified that Sri/Smt/Kumâ¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦S/W/D of 
Sriâ¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦..R/Oâ¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦.was under 
my treatment fromâ¦â¦â¦â¦â¦â¦â¦â¦â¦â¦toâ¦â¦â¦â¦â¦â¦â¦â¦.and he/she expired on 
â¦â¦â¦â¦â¦â¦â¦â¦â¦â¦AM/PM. 
Doctorâ¦â¦â¦â¦â¦â¦â¦â¦.. 
(Medical Superintendent& 
Name of Hospital)

100

Appendix IV 
 
 
 
 
 
MAJOR GROUPS AND  
THE 
DESCRIPTION  
OF ICD-10 CODES

MAJOR GROUPS AND THE  
DESCRIPTION OF ICD-10 CODES 
 The classification of diseases may be defined as a system of categories to which morbid 
entities are assigned according to established criteria. The Tenth Revision of International 
Classification of Diseases (ICD-10) is a single coded list of three-character categories, each of 
which can be further divided into up to ten four-character subcategories. In place of the purely 
numeric coding system of ICD-9, ICD-10 uses alphanumeric code with a letter in the first 
position and a number in the second, third and fourth positions; the fourth character follows a 
decimal point. The code numbers can range from A00.0 to Z99.9. Earlier the letter U was not 
used and kept blank for use in future. Codes U00-U49 was kept reserved to be used for the 
provisional assignment of new diseases of uncertain etiology. The World Health Organisation 
created two emergency codes for COVID-19 in ICD-10 to collect data on COVID-19 deaths 
when pandemic broke-out. The Codes were assigned as follows i) Code â U07.1 COVID-19 
virus identified ii) Code â U07.2 COVID- 19 virus not identified. Codes U50-U99 may be used 
in research, e.g. when testing an alternative sub-classification for a special project. 
 
2. The National list for tabulation of Morbidity and Mortality based on the Ninth Revision of 
ICD-9,1975 was adopted in MCCD from 1980 to 1998. Subsequently, the World Health 
Organization (WHO)brought out 10th Revision of International Classification of Diseases 
(ICD) and the National List for tabulation of Morbidity and Mortality data, based on ICD-
10has been finalized in consultation with the states to meet their requirements and has been 
adopted from 1999 onward for MCCD Report. The list based on ICD-10 comprises of 20 major 
Groups, 69 categories and 193 sub-categories of causes as compared to 18 major groups 
including supplementary classification of Injury & poisoning, 66 categories and 194 sub-
categories of causes (includes few single causes) of national list based on ICD-9. Chapters, 
Blocks of three-character categories and group of three/four-character categories of ICD-10 
have been considered as Major Groups, Categories and sub-categories respectively in the 
national list. 
3. As per the recommendations of the ICD-10, data on âMedical Certification of Cause of 
Deathâ have been tabulated for a total of 69 categories of causes under Major Groups I to XX 
of National List including External Causes of morbidity and mortality.

National List based on ICD-10 
Major Groups I to XIX: 
1. Categories-58 (Group of three-character categories) 
2. Sub-categories-177 (Group of 3/4âcharacter categories and 3/4 -character single 
category) 
& 
 
Major Group XX: External Causes of Morbidity & Mortality 
2. Categories-11 (Group of three-character categories) 
3. Sub-categories-16 (Group of 3/4âcharacter categories and 3/4 -character single 
category) 
The descriptions for all Major Groups of the  
National list based on ICD-10 are as under 
 
Major 
Cause 
Groups 
Description and ICD codes 
I Certain Infectious and parasitic diseases (A00-B99) 
II Neoplasms (C00-D48) 
III Diseases of the blood and blood forming organs and certain disorders involving the   
immune mechanism (D50-D89) 
IV Endocrine, nutritional and metabolic diseases (E00-E89) 
V Mental and behavioural disorders (F01-F99) 
VI Diseases of the nervous system (G00-G98) 
VII Diseases of the eye and Adnexa (H00-H59) 
VIII Diseases of the ear and mastoid process (H60-H95) 
IX Diseases of the circulatory system (I00-I99) 
X Diseases of the respiratory system (J00-J98) 
XI Diseases of the digestive system (K00-K92) 
XII Diseases of the skin and subcutaneous tissue (L00-L98) 
XIII Diseases of the musculoskeletal system and connective tissue (M00-M99) 
XIV Diseases of the genitourinary system (N00-N99) 
XV Pregnancy, childbirth and the puerperium (O00-O99) 
XVI Certain conditions originating in the perinatal period (P00-P96) 
XVII Congenital malformation, deformation and chromosomal abnormalities (Q00-Q99) 
XVIII Symptoms, signs and abnormal clinical and laboratory findings, n.e.c. (R00-R99) 
XIX Injury, poisoning and certain other consequences of external causes (S00-T98) 
XX External causes of morbidity and mortality (V01-Y89) 
XXI* Factors influencing health status and contact with health services (Z00-Z99) 
XXII Codes for Special Purposes- Covid 19( U00-U49) 
* Not in use in India.

105 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
APPENDIX - V 
NATIONAL LIST FOR 
TABULATION  
OF MORTALITY & MORBIDITY 
BASED ON THE 
TENTH REVISION OF 
INTERNATIONAL 
CLASSIFICATION 
 OF DISEASES (ICD)

106

107 
 
 
NATIONAL LIST FOR TABULATION  
OF MORTALITY & MORBIDITY BASED ON THE 
TENTH REVISION OF INTERNATIONAL 
CLASSIFICATION 
 OF DISEASES (ICD) 
 
Major 
Group                                CAUSE OF DEATH ICD-10 CODES    
No. 
I. CERTAIN INFECTIOUS AND PARASITIC DISEASES                      A00-B99 
1 Intestinal infectious diseases                                                                                    A00-A09 
1 Cholera                                                                                                               A00 
2 Typhoid fever and paratyphoid fevers                                                              A01 
3 Food poisoning                                                                                                A02, A05 
4 Shigellosis                                                                                                         A03 
5 Amoebiasis                                                                                                         A06 
6 Diarrhoea and gastroenteritis of presumed infectious                                        A09 
 origin       
7 Other intestinal infectious diseases                                                             A04, A07-A08 
 
2 Tuberculosis                                                                                                                  A15-A19 
 
1 Respiratory tuberculosis                                                                                   A15-A16 
2 Tuberculosis of nervous system                                                                            A17 
3 Tuberculosis of other organs & miliary tuberculosis                                         A18-A19 
 
3 Other bacterial diseases                                                                                                  A20-A49 
1 Plague                                                                                                                    A20 
2 Leprosy                                                                                                                  A30 
3 Neonatal tetanus                                                                                                     A33 
4 Other tetanus                                                                                                     A34-A35 
5 Diphtheria                                                                                                             A36 
6 Whooping cough                                                                                                   A37 
7 Meningococcal infection                                                                                        A39 
8 Septicaemia                                                                                                          A40-A41 
9 All other types of bacterial diseases                                 A21-A28, A31-A32, A38, A42-A49  
 
4 Infections with a predominantly sexual mode oftransmission                                     A50-A64 
1 Syphilis                                                                                                                  A50-A53 
2 Other types of infections with a predominantly sexual

108 
 
mode of transmission                                                                                              A54-A64 
 
5 Viral diseases                                                                                                 A70-A74 & A80-B34 
 
1 Acute poliomyelitis                                                                                            A80 
2 Rabies                                                                                                                 A82 
3 Japanese encephalitis                                                                                          A83 
4 Other viral encephalitis                                                                 A82.1-A82.9, A84-A86 
5 Dengue fever                                                                                                      A90 
6 Other arthropod-borne viral fevers and viral 
     haemorrhagic fevers                                                                             A91-A94, A96-A99 
7 Smallpox                                                                                                              B03 
8 Measles                                                                                                                 B05 
9 Acute Hepatitis                                                                                                     B16 
10 Other viral hepatitis                                                                                     B15, B17-B19 
11 Human immunodeficiency virus [HIV] disease                                                B20-B24 
12 All other types of viral diseases                                              A70-A74, A81, A87-A89, A95, 
B00-B02, B04, B06-B09 & B25-B346  
 
6 Protozoal diseases                                                                                         B50-B64 
 
  1 Malaria                                                                                                B50-B54 
  2 All other types of protozoal diseases                                                  B55-B64 
 
7  Other certain infectious & parasitic diseases and late 
effects of infectious & parasitic diseases                                      A65-A69 & A75-A79, B35-B49 
 
 1 Filariasis                                                                                                    B74 
 2 Other helminthiasis                                                                   B65-B73, B75, B77-B83 
 3 Other spirochaetal diseases and Rickettsioses                               A65-A69 & A75-A79 
 4 All other infectious & parasitic diseases and late 
   effects of infectious & parasitic diseases                                     B35-B49, B76, B85-B99 
 
II. NEOPLASMS                                                                                     C00-D48 
 
8 Malignant neoplasms of lip, oral cavity and pharynx                                    C00-C14 
9 Malignant neoplasms of digestive organs                                                        C15-C26 
 
  1 Malignant neoplasm of oesophagus                                                        C15 
  2 Malignant neoplasm of stomach                                                             C16 
  3 Malignant neoplasm of small intestine including 
     Duodenum                                                                                                C17 
  4 Malignant neoplasm of colon                                                                  C18 
  5 Malignant neoplasm of rectosigmoid junction, 
rectum,anus and anal canal                                                                        C19-C21 
  6 Malignant neoplasm of liver and intrahepatic bile ducts                          C22 
  7 Malignant neoplasm of pancreas                                                               C25 
  8 Other malignant neoplasms of digestive organs                                 C23-C24, C26

109 
 
 
 
 
10 Malignant neoplasms of respiratory and intrathoracic 
      Organs                                                                                                             C30-C39 
1 Malignant neoplasm of larynx                                                                    C32 
2 Malignant neoplasm of trachea, bronchus and lung                               C33-C34 
3 Other malignant neoplasm of respiratory and 
intrathoracic organs                                                                         C30-C31, C37-C39 
 
11 Malignant neoplasms of bone, mesothelial and soft 
tissue,skin and breast                                                                                         C40-C50 
 
1 Malignant neoplasm of bone and articular cartilage                             C40-C41 
2 Malignant melanoma of skin                                                                     C43 
3 Other malignant neoplasms of skin                                                           C44 
4 Malignant neoplasms of mesothelial and soft tissue                            C45-C49 
5 Malignant neoplasm of breast                                                                    C50 
12 Malignant neoplasms of genitourinary organs                                           C51-C68 
 
1 Malignant neoplasm of cervix uteri                                                           C53 
2 Malignant neoplasm of other and unspecified parts of 
      Uterus                                                                                                     C54-C55 
3 Malignant neoplasm of ovary                                                                       C56 
4 Malignant neoplasm of placenta                                                                   C58 
5 Other malignant neoplasms of female genital organs                            C51-C52, C57 
6 Malignant neoplasm of prostate                                                                       C61 
7 Other malignant neoplasms of male genital organs                                C60, C62-C63 
8 Malignant neoplasm of bladder                                                                       C67 
9 Other malignant neoplasms of urinary tract                                             C64-C66, C68 
13 Malignant neoplasms of eye, brain and other parts of 
central nervous system                                                                                                 C69-C72 
 
1 Malignant neoplasm of eye & adnexa                                                                C69 
2 Malignant neoplasm of meninges, brain and other parts 
of central nervous system                                                                                 C70-C72 
14 Malignant neoplasms of other and unspecified sites                                     C73-C80 & C97 
15 Malignant neoplasms of lymphoid, haematopoietic and 
related tissue                                                                                                                  C81-C96 
 
1 Hodgkinâs disease                                                                                               C81 
2 Non-Hodgkinâs lymphoma                                                                             C82-C85 
3 Multiple myeloma and malignant plasma cell neoplasms                                   C90 
4 Leukaemia                                                                                                        C91-C95 
5 Other malignant neoplasms of lymphoid, haematopoietic 
and related tissue                                                                                          C88 & C96 
16 Carcinoma in situ                                                                                               D00-D09 
17 Benign neoplasms                                                                                              D10-D36 
 1 Leiomyoma of uterus                                                                                    D25

110 
 
 2 All other benign neoplasms                                                              D10-D24 & D26-D36 
18 Other and unspecified neoplasm                                                                       D37-D48 
 
III. DISEASES OF THE BLOOD AND BLOOD-FORMING 
ORGANS AND CERTAIN DISORDERS INVOLVING THE 
IMMUNE MECHANISM                                                                                   D50-D89 
 
19 Diseases of the blood and blood-forming organs and 
certain disorders involving the immune mechanism                                                       D50-D89 
  
1 Thalassaemia                                                                                                            D56 
2 Other anaemias                                                                                           D50-D55, D57-D64 
3 All other diseases of blood and blood-forming organs                                        D65-D76 
4 Certain disorders involving the immune mechanism                                           D80-D89 
 
IV. ENDOCRINE, NUTRITIONAL AND METABOLIC 
DISEASES                                                                                                      E00-E89 
 
20 Malnutrition                                                                                                             E40-E46 
 
  1 Kwashiorkor                                                                                                    E40 
  2 Nutritional marasmus                                                                                      E41 
  3 Other protein-energy malnutrition                                                              E42-E46 
21 Endocrine, other nutritional and metabolic diseases                               E00-E34 & E50-E89 
 
  1 Disorders of thyroid gland                                                                           E00-E07 
  2 Diabetes mellitus                                                                                          E10-E14 
  3 All other nutritional deficiencies                                                                E50-E64 
  4 All other endocrine and metabolic diseases                                       E15-E34 & E65-E89 
 
V. MENTAL AND BEHAVIOURAL DISORDERS                                  F01-F99 
 
22 Mental and behavioural disorders                                                                      F01-F99 
 
  1 Mental and behavioural disorders due to psychoactive 
      substance use                                                                                               F10-F19 
  2 Schizophrenia, schizotypal & delusional disorders                                     F20-F29 
  3 All other mental and behavioural disorders                                            F01-F09, F30-F99 
VI. DISEASES OF THE NERVOUS SYSTEM                                           G00-G98 
 
23 Inflammatory diseases of the central nervous system                                          G00-G09 
 
1 Meningitis                                                                                                     G00 & G03 
2 Encephalitis,myelitis and encephalomyelitis                                                       G04 
3 Other inflammatory diseases of the central nervous  System                      G06, G08-G09 
 
24 Other diseases of the nervous system                                                                      G10-G98 
 
1 Alzheimerâs disease                                                                                              G30 
2 Epilepsy                                                                                                              G40-G41

111 
 
3 All other diseases of the nervous system                          G10-G25, G31, G35-G37, G43-G98 
 
VII. DISEASES OF THE EYE AND ADNEXA                                                   H00-H59 
 
25 Disease of the eye and adnexa                                                                                         H00-H59 
 
VIII. DISEASES OF THE EAR AND MASTOID PROCESS                           H60-H95 
 
26 Diseases of the ear and mastoid process                                                                         H60-H93 
 
IX. DISEASES OF THE CIRCULATORY SYSTEM                                         I00-I99 
27 Acute rheumatic fever and chronic rheumatic heart 
Diseases                                                                                                                                   I00-I09 
 
1 Acute rheumatic fever                                                                                            I00-I02 
2 Chronic rheumatic heart diseases                                                                           I05-I09 
28 Hypertensive diseases                                                                                                       I10-I15 
 
1 Hypertensive heart disease                                                                                        I11 
2 All other hypertensive diseases                                                                         I10, I12-I15 
29 Ischaemic heart diseases                                                                                                 I20-I25 
 
1 Acute myocardial infarction                                                                                    I21-I22 
2 All other ischaemic heart diseases                                                                    I20 & I23-I25 
30 Diseases of pulmonary circulation and other forms of 
heart disease                                                                                                                           I26-I51 
 
1 Pulmonary heart disease and diseases of pulmonary 
Circulation                                                                                                                  I26-I28 
2 Other forms of heart diseases                                                                                   I30-I51 
31 Cerebrovascular diseases                                                                                                   I60-I69 
 
32 Other diseases of the circulatory system                                                                           I70-I99 
 
1 Atherosclerosis                                                                                                             I70 
2 Arterial embolism and thrombosis                                                                               I74 
3 Other diseases of arteries, arterioles & capillaries                                         I71-I73 & I77-I78 
4 Phlebitis, thrombophlebitis, venous embolism and 
thrombosis                                                                                                                    I80-I82 
5 All other diseases of the circulatory system                                                              I83-I99 
 
X. DISEASES OF THE RESPIRATORY SYSTEM                                             J00-J98 
 
33 Diseases of the upper respiratory tract                                                                 J00-J06 & J30-J39 
 
1 Acute pharyngitis and acute tonsillitisJ02-J03 
2 Acute laryngitis and tracheitisJ04 
3 Other acute upper respiratory infections J00-J01 & J05-J06 
4 All other diseases of upper respiratory tract J30-J39

112 
 
 
 
34 Lower respiratory diseases                                                                 J20-J22 & J40-J47 
 
  1 Acute bronchitis and acute bronchiolitis                                        J20-J21 
  2 Bronchitis, chronic and unspecified, emphysema                          J40-J43 
  3 Asthma                                                                                          J45-J46 
  4 Other lower respiratory disorders                                                J22, J44 & J47 
35 Other diseases of the respiratory system                                          J10-J18, J60-J98 
 
  1 Influenza                                                                                       J10-J11 
  2 Pneumonia                                                                                    J12-J18 
  3 Pleurisy                                                                                            J90 
  4 All other diseases of the respiratory system                            J60-J86, J92-J98. 
 
 
XI. DISEASES OF THE DIGESTIVE SYSTEM                          K00-K92 
 
36 Diseases of oral cavity, salivary glands and jaws                                 K00-K14 
 
37 Diseases of the other parts of digestive system                                      K20-K92 
 
  1 Gastric and duodenal ulcer                                                                K25-K27 
  2 Gastritis and duodenitisK29 
  3 Diseases of appendix                                                                         K35-K38 
  4 Hernia                                                                                                K40-K46 
  5 Paralytic ileus and intestinal obstruction without hernia                     K56 
  6 Peritonitis                                                                                              K65 
  7 Diseases of the liver                                                                           K70-K76 
  8 Cholelithiasis and cholecystitis                                                          K80-K81 
  9 Disorders of the pancreas                                                                  K85-K86 
 10 All other diseases of the other parts of digestive system       K20-K22, K28, K30-K31, 
                                                                                                 K50-K55,K57-K63, K66, K82-K83 
                                                                                                                    &K90-K92 
XII. DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE           L00-L98 
 
38 Diseases of the skin and subcutaneous tissue                                                         L00-L98 
 
1 Infections of the skin and subcutaneous tissue                                               L00-L08 
2 All other diseases of the skin and subcutaneous tissue                                   L10-L98 
 
XIII. DISEASES OF THE MUSCULOSKELETAL SYSTEM AND 
CONNECTIVE TISSUE                                                                                  M00-M99 
 
39 Diseases of the musculoskeletal system and connective 
tissue                                                                                                                               M00-M99 
1 Rheumatoid arthritis and other inflammatory 
Polyarthropathies                                                                                                M05-M13 
2 Osteomyelitis                                                                                                         M86

113 
 
3 All other diseases of the musculoskeletal system and 
connective tissue                                                                        M00-M02, M15-M85, M87-M99 
 
XIV. DISEASES OF THE GENITOURINARY SYSTEM             N00-N99 
 
40 Diseases of urinary system                                                                       N00-N39 
 
1 Glomerular diseases (including Nephritic Syndrome)                     N00-N07 
2 Renal tubulo-interstitial diseases                                                      N10-N15 
3 Renal failure                                                                                     N17-N19 
4 Urolithiasis                                                                                       N20-N23 
5 Other disorders of kidney and ureter                                                N25-N28 
6 All other diseases of urinary system                                                N30-N39 
 
41 Other diseases of the genitourinary system                                               N40-N99 
 
  1 Hyperplasia of prostate                                                                          N40 
  2 All other diseases of male genital organs                                          N41-N50 
  3 Salpingitis and oophoritis                                                                         N70 
  4 All other diseases of female genital organs                                   N60-N64 & N71-N99 
 
XV. PREGNANCY, CHILDBIRTH AND THE PUERPERIUM      O00-O99 
 
42 Pregnancy with abortive outcome                                                               O00-O08 
  1 Spontaneous abortion                                                                              O03 
  2 Medical abortion                                                                                      O04 
  3 Other pregnancies with abortive outcome                                   O00-O02 & O05-O08 
43 Other direct obstetric deaths                                                                       O10-O92 
 
   1 Oedema, proteinuria and hypertensive disorders in 
       pregnancy, childbirth and the puerperium                                          O10-O16 
  2 Infections of genitourinary tract in pregnancy                                           O23 
  3 Obstructed labour                                                                               O64-O66 
  4 Complications pre-dominantly related to the puerperium                   O85-O92 
  5 Other complications of pregnancy and delivery                 O20-O22, O24-O63 & O67-O84 
44 Other obstetric conditions, not elsewhere classified                                      O95-O99 
 
  1 Indirect obstetric deaths                                                                          O98-O99 
  2 All other obstetric conditions, not elsewhere classified                        O95-O97 
 
XVI. CERTAIN CONDITIONS ORIGINATING IN THE 
        PERINATAL PERIOD                                                                      P00-P96 
45 Certain conditions originating in the perinatal period                                   P00-P96 
 
  1 Slow foetal growth, foetal malnutrition and immaturity                          P05-P07 
  2 Birth trauma                                                                                               P10-P15 
  3 Hypoxia, birth asphyxia and other respiratory conditions                       P20-P28 
  4 Haemolytic disease of foetus and new-born                                                P55 
  5 Other perinatal jaundice                                                                             P58-P59

114 
 
  6 All other conditions originating in the perinatal period                 P00-P04, P08, P29-P54, 
                                                                                                                   P56-P57,P60-P96. 
XVII. CONGENITAL MALFORMATIONS, DEFORMATIONS 
          AND CHROMOSOMAL ABNORMALITIES                               Q00-Q99 
46 Congenital malformations, deformations and 
      chromosomal abnormalities                                                                              Q00-Q99 
  
  1 Spina bifida                                                                                                 Q05 
  2 Congenital malformations of the circulatory system                                Q20-Q28 
  3 Cleft lip and cleft palate                                                                          Q35-Q37 
  4 All other congenital malformations, deformations and 
     chromosomal abnormalities, not elsewhere classified                       Q00-Q04, Q06-Q18,  
                                                                                                                 Q30-Q34 & Q38-Q99 
XVIII. SYMPTOMS, SIGNS AND ABNORMAL CLINICAL 
            AND LABORATORY FINDINGS,NOT ELSEWHERE 
               CLASSIFIED                                                                                  R00-R99 
47 Symptoms, signs and abnormal clinical and laboratory 
         findings, not elsewhere classified                                                                    R00-R99 
 
1 Abdominal and pelvic pain                                                                               R10 
2 Ascites                                                                                                              R18 
3 Somnolence, stupor and coma                                                                          R40 
4 Fever of unknown origin                                                                                   R50 
5 Senility                                                                                                              R54 
6 Syncope and collapse                                                                                        R55 
7 Convulsions, not elsewhere classified                                                               R56 
8 Shock, not elsewhere classified                                                                         R57 
 
9 All other symptoms, signs and abnormal clinical and                R00-R09, R11-R17, R19-R39 
laboratory findings, not elsewhere classified                                  R41- R49, R51-R53, R58-R99 
 
XIX. INJURY, POISONING AND CERTAIN OTHER 
         CONSEQUENCES OF EXTERNAL CAUSES                          S00-T98 
 
48 Fractures                                                                                  S02, S12, S22, S32, S42, S52, S62, 
                                                                                                        S72, S82, S92, T02, T08, T10 & T12 
  1 Fracture of skull and facial bones                                                           S02 
  2 Fracture of neck, thorax or pelvis                                                    S12, S22, S32 & T08 
  3 Fracture of upper limb                                                                     S42, S52, S62 & T10 
  4 Fractures of lower limb                                                                    S72, S82, S92 & T12 
  5 Fractures involving multiple body regions and of 
     unspecified body region                                                                               T02 
 
49 Dislocations, sprains and strains of specified and multiple 
body regions                                                                                              S03, S13, S23, S33, S43, S53, 
                                                                                                                        S63, S73, S83, S93, T03 
 
50 Intracranial and internal injuries, including nerves                           S04, S06, S14, S24, S26-S27, 
                                                                                                                         S34,S36-S37, S44, S54, S64,   
                                                                                                                                     S74, S84 &S94

115 
 
 
 
51 Crushing injuries and traumatic amputations of specified 
and multiple body regions                                                                           S07-S08, S17-S18, S28, 
                                                                                                                         S38, S47-S48, S57-S58, 
                                                                                                                      S67-S68,S77-S78, S87-S88, 
                                                                                                                              S97-S98,T04-T05 
 
52 Other injuries of specified, unspecified and multiple body 
regions                                                                         S00-S01, S05, S09-S11,S15-S16, S19-S21, S25, 
                                                                                        S29-S31, S35,S39-S41 S45-S46, S49-S51,S55-S56,                                                    
                                                                                                            S59-S61, S65-S66,S69-S71,  
                                                                                                              S75-S76, S79-S81,S85-S86,  
                                                                                                                   S89-S91, S95-S96, S99,   
                                                                                                                    T00-T01, T06-T07, T09,  
                                                                                                                         T11,T13-T14 
 
53 Effects of foreign body entering through natural orifice                                       T15-T19 
 
54 Burns and Corrosions                                                                                              T20-T32 
 
55 Poisonings by drugs & biological substances; and Toxic 
effects of substances chiefly nonmedicinal as to source                                   T36-T50 & T51-T65 
 
56 Other and unspecified effects of external causes and 
certain early complications of trauma                                                                T33-T35, T66-T79 
 
57 Complications of Surgical and Medical care, not 
elsewhere classified                                                                                                        T80-T88 
 
58 Late effects of injuries, of poisoning and of other 
consequences of external causes                                                                                    T90-T98 
 
XX. EXTERNAL CAUSES OF MORBIDITY AND MORTALITY    V01-Y89 
 
E48 Transport accidents                                                                                        V01-V99 
  1 Railway accidents                                                                V05, V15, V80.6, V81, V82.2,  
V87.6& V88.6 
  2 Motor vehicle traffic accidents                                         V02-V04, V09.2-V09.3, V12- V14, 
                                                                                               V19.4-V19.6, V19.9, V20-V28, 
                                                                                               V29.4-V29.6, V29.9, V30-V38, 
                                                                                               V39.4-V39.6, V39.9, V40-V48, 
                                                                                               V49.4-V49.6, V49.9, V50-V58, 
                                                                                               V59.4-V59.6, V59.9, V60-V68, 
                                                                                               V69.4-V69.6, V69.9, V70-V78, 
                                                                                               V79.4- V79.6, V79.9, V80.3- V80.5, 
                                                                                               V82.1, V87.0-V87.5, V87.7-87.9, 
                                                                                                V89.2-V89.3 
  3 Other road vehicle accidents                                             V01, V06, V09.9, V10-V11, 
                                                                                                V16-V18, V19.8, V29.8, V39.8, 
                                                                                                V49.8, V59.8, V69.8, V79.8,

116 
 
                                                                                                V80.0-V80.2, V80.7-V80.9, 
                                                                                                V82.3-V82.7, V82.9 & V89.1 
4 Water transport accidents                                                                       V90-V94 
5 Air & Space transport accidents                                                             V95-V97 
 
 6 All other transport accidents                                                       V09.0-V09.1, V19.0-V19.3, 
                                                                                                         V29.0-V29.3, V39.0-V39.3, 
                                                                                                         V49.0-V49.3, V59.0-V59.3, 
                                                                                                         V69.0-V69.3, V79.0-V79.3 
                                                                                                          V82.0,V82.8, V83-V86, 
                                                                                                           V88.0-V88.5,V88.7-V88.9, 
                                                                                                              V89.0, V89.9,V98-V99 
E49 Accidental Falls                                                                                               W00-W19 
 
E50 Accidental drowning and submersion                                                           W65-W74 
 
E51 Exposure to smoke, fire and flames                                                               X00-X09 
 
E52 Accidental poisoning by and exposure to noxious 
         substances                                                                                                       X40-X49 
 
E53 Intentional self-harm (Suicide- attempted)                                                   X60-X84 
 
E54 Assault (Homicide)                                                                                         X85-Y09 
 
E55 Other Violence                                                                                                 Y10-Y36 
 
  1 Event of undetermined intent Y10-Y34 
  2 Legal intervention Y35 
  3 Operations of war Y36 
E56 Complications of medical and surgical care                                                Y40-Y84 
 
  1 Drugs,medicaments and biological substances causing 
              adverse effects in therapeutic use                                                  Y40-Y59 
  2 Misadventures during surgical & medical care, adverse 
      incidents in diagnostic and therapeutic use, abnormal 
        reactions and late complications                                        Y60-Y69, Y70-Y82 & Y83-Y84 
 
E57 Other external causes of accidental injury, not elsewhere 
Classified                                                                                  W20-W64, W75-W99, X10-X39, X50-X59 
 
1 Accidents caused by machinery, and by cutting & 
piercing instruments                                                                                 W24-W31 
2 Accidents caused by firearm missile                                                     W32-W34 
3 Bites of snakes & other venomous animals                                            X20-X27 
4 Sun stroke                                                                                                    X32 
5 All other accidents including late effects                       W20-W23, W35-W64, W75-W99, 
X10-X19, X28-X31, X33-X39 &X50-X59 
 
E58 Late effects of external causes of morbidity and mortality                       Y85-Y89

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
M 20 6 5 12 16 55 93 112 70 145 10 544
F 17 4 5 9 15 29 40 93 48 98 12 370
T 37 10 10 21 31 84 133 205 118 243 22 914
M 0 1 0 0 1 2 1 1 0 4 0 10
F 1 0 1 0 1 0 0 1 1 6 0 11
T 1 1 1 0 2 2 1 2 1 10 0 21
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 1 0 0 0 0 0 0 1
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 1 0 0 0 0 0 0 1
M 0 0 0 0 0 0 0 0 0 1 0 1
F 0 0 0 0 0 0 0 0 1 0 0 1
T 0 0 0 0 0 0 0 0 1 1 0 2
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
CERTAIN INFECTIOUS AND PARASITIC 
DISEASES (A00-B99)
Intestinal infectious diseases (A00-A09)
Cholera ( A00)
Typhoid fever and paratyphoid fevers (A01)
Food poisoning (A02, A05)
Shigellosis (A03)  
Amoebiasis ( A06)
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
2
3
4
1
I.
1
5
119

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 0 1 0 0 0 2 1 1 0 3 0 8
F 1 0 1 0 1 0 0 1 0 5 0 9
T 1 1 1 0 1 2 1 2 0 8 0 17
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 1 0 1
T 0 0 0 0 0 0 0 0 0 1 0 1
M 0 1 0 1 2 13 13 22 10 16 2 80
F 1 0 2 4 2 3 6 11 5 13 1 48
T 1 1 2 5 4 16 19 33 15 29 3 128
M 0 1 0 0 1 6 6 19 9 13 2 57
F 1 0 1 0 1 0 0 4 1 5 1 14
T 1 1 1 0 2 6 6 23 10 18 3 71
M 0 0 0 0 0 4 3 2 0 0 0 9
F 0 0 1 2 0 1 4 2 0 0 0 10
T 0 0 1 2 0 5 7 4 0 0 0 19
M 0 0 0 1 1 3 4 1 1 3 0 14
F 0 0 0 2 1 2 2 5 4 8 0 24
T 0 0 0 3 2 5 6 6 5 11 0 38
M 19 1 1 7 6 25 45 50 30 62 4 250
F 15 2 1 4 9 18 19 64 33 61 9 235
T 34 3 2 11 15 43 64 114 63 123 13 485
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
Diarrhoea and gastroenteritis of presumed infectious 
origin (A09)
Other intestinal infectious diseases (A04,A07-A08)
Other bacterial diseases (A20-A49)
Plague (A20)
Tuberculosis of  other organs & miliarytuberculosis 
(A18-A19) 
Respiratory tuberculosis (A15-A16)
Tuberculosis of nervous system (A17) 
1
2
1
2
3
3
6
7
Tuberculosis (A15-A19)
120

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 1 0 0 1
F 0 0 0 0 0 1 0 0 0 0 0 1
T 0 0 0 0 0 1 0 0 1 0 0 2
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 19 1 0 4 3 9 27 36 25 50 3 177
F 15 1 1 3 7 9 7 32 18 34 5 132
T 34 2 1 7 10 18 34 68 43 84 8 309
M 0 0 1 3 3 16 18 14 4 12 1 72
F 0 1 0 1 2 8 12 32 15 27 4 102
T 0 1 1 4 5 24 30 46 19 39 5 174
Diphtheria ( A36)
Other tetanus (A34-A35)
Neonatal tetanus (A33)
Leprosy (A30)
All other types of bacterial diseases (A21-A28,A31-
A32,A38, A42-A49)
Septicaemia (A40-A41)
Meningococcal infection ( A39)
Whooping cough ( A37)
7
8
9
2
3
4
5
6
121

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 0 0 0 0 0 0 0 0 1 0 0 1
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 1 0 0 1
M 0 0 0 0 0 0 0 0 1 0 0 1
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 1 0 0 1
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 1 4 2 5 12 23 18 5 9 1 80
F 0 0 0 1 1 7 8 7 5 5 2 36
T 0 1 4 3 6 19 31 25 10 14 3 116
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 1 0 3 1 0 1 0 0 1 7
F 0 0 0 0 0 2 0 0 0 0 0 2
T 0 0 1 0 3 3 0 1 0 0 1 9
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 1 0 0 1 1 0 0 0 0 3
F 0 0 0 0 0 0 0 0 0 1 0 1
T 0 0 1 0 0 1 1 0 0 1 0 4
Rabies (A82)
Acute poliomyelitis (A80)
Viral diseases (A70-A74 & A80-B34) 
Other types of infections with a predominantly 
sexual mode of transmission (A54-A64)
Syphilis (A50-A53)
Infections with a predominantly sexual mode of 
transmission (A50-A64)
Other viral encephalitis (A83.1-A83.9,A84-A86)
Japanese encephalitis ( A83.0)3
4
1
2
5
1
2
4
122

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 0 0 1 1 0 2 4 3 2 5 0 18
F 0 0 0 0 0 0 2 4 1 2 1 10
T 0 0 1 1 0 2 6 7 3 7 1 28
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 1 1
T 0 0 0 0 0 0 0 0 0 0 1 1
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 1 0 0 0 0 0 0 0 0 0 1
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 1 0 0 0 0 0 0 0 0 0 1
M 0 0 0 0 0 2 3 5 0 2 0 12
F 0 0 0 0 0 2 1 1 0 0 0 4
T 0 0 0 0 0 4 4 6 0 2 0 16
M 0 0 0 0 1 0 2 0 1 2 0 6
F 0 0 0 0 0 0 0 0 1 0 0 1
T 0 0 0 0 1 0 2 0 2 2 0 7
M 0 0 0 0 0 3 10 8 1 0 0 22
F 0 0 0 1 1 2 4 1 2 0 0 11
T 0 0 0 1 1 5 14 9 3 0 0 33
M 0 0 1 1 1 3 3 1 1 0 0 11
F 0 0 0 0 0 1 1 1 1 2 0 6
T 0 0 1 1 1 4 4 2 2 2 0 17
All other types of viral diseases (A70-A74,A81, 
A87-A89,A95,B00-B02,B04,B06-B09 & B25-B34)
Human immunodeficiency virus [HIV] disease (B20-
B24)
Other viral hepatitis (B15, B17-B19)
Acute Hepatitis B ( B16)
Measles (B05)
Smallpox (Covid-19) (B03)
Other arthropod-borne viral fevers and viral  
haemorrhagic fevers (A91-A94, A96-A99)
Dengue fever ( A90)
8
9
10
11
12
5
6
7
123

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 1 2 0 2 2 3 11 21 24 54 3 123
F 0 2 1 0 2 1 7 10 4 13 0 40
T 1 4 1 2 4 4 18 31 28 67 3 163
M 0 0 0 0 0 0 0 0 0 1 0 1
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 1 0 1
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 1 0 1 0 2
T 0 0 0 0 0 0 0 1 0 1 0 2
M 1 2 0 2 2 3 11 21 24 53 3 122
F 0 2 1 0 2 1 7 9 4 12 0 38
T 1 4 1 2 4 4 18 30 28 65 3 160
Protozoal diseases ( B50-B64)
Malaria ( B50-B54)
All other types of protozoal diseases ( B55-B64)
Filariasis ( B74) 
Other helminthiasis ( B65-B73,B75,B77-B83)
Other spirochaetal diseases and Rickettsioses (A65-
A69 & A75-A79)
Other  certain infectious & parasitic diseases and 
late effects of infectious & parasitic diseases  ( 
A65-A69 & A75-A79,B35-B49,B65-B99)
All other  infectious & parasitic diseases and  late 
effects of infectious & parasitic diseases (B35-
B49,B76, B85-B99)
2
3
4
6
1
2
7
1
124

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 2 15 33 30 47 82 264 600 348 620 28 2069
F 1 6 16 50 65 159 214 378 174 323 11 1397
T 3 21 49 80 112 241 478 978 522 943 39 3466
M 0 0 0 0 2 11 28 45 23 42 3 154
F 0 0 0 0 2 9 9 12 7 8 0 47
T 0 0 0 0 4 20 37 57 30 50 3 201
M 0 0 0 0 2 11 28 45 23 42 3 154
F 0 0 0 0 2 9 9 12 7 8 0 47
T 0 0 0 0 4 20 37 57 30 50 3 201
M 0 0 1 1 7 30 101 244 120 227 9 740
F 0 0 1 1 4 20 38 83 46 97 2 292
T 0 0 2 2 11 50 139 327 166 324 11 1032
M 0 0 0 0 0 3 11 28 17 24 0 83
F 0 0 0 0 1 3 2 6 5 13 0 30
T 0 0 0 0 1 6 13 34 22 37 0 113
M 0 0 0 0 2 2 17 30 18 38 0 107
F 0 0 0 0 1 1 7 12 2 11 0 34
T 0 0 0 0 3 3 24 42 20 49 0 141
M 0 0 0 0 0 0 1 0 0 3 0 4
F 0 0 0 0 0 0 3 0 3 0 0 6
T 0 0 0 0 0 0 4 0 3 3 0 10
M 0 0 1 1 2 4 7 16 9 25 2 67
F 0 0 1 1 0 3 5 16 9 19 0 54
T 0 0 2 2 2 7 12 32 18 44 2 121
Malignant neoplasm of colon (C18)
Malignant neoplasms of digestive organs (C15-
C26)
Malignant neoplasms of lip, oral cavity and pharynx 
(C00-C14)
Malignant neoplasms of lip, oral cavity and 
pharynx (C00-C14)
Malignant neoplasm of oesophagus  
( C15)
Malignant neoplasm of stomach (C16) 
Malignant neoplasm of small intestine including 
duodenum (C17)  
NEOPLASMS  (C00-D48)
4
1
9
1
2
3
II.
8
125

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 0 0 0 0 0 7 13 19 14 22 1 76
F 0 0 0 0 0 3 5 12 5 17 0 42
T 0 0 0 0 0 10 18 31 19 39 1 118
M 0 0 0 0 3 8 34 121 44 90 4 304
F 0 0 0 0 1 3 7 13 14 22 1 61
T 0 0 0 0 4 11 41 134 58 112 5 365
M 0 0 0 0 0 4 15 19 10 13 0 61
F 0 0 0 0 0 4 6 16 6 8 0 40
T 0 0 0 0 0 8 21 35 16 21 0 101
M 0 0 0 0 0 2 3 11 8 12 2 38
F 0 0 0 0 1 3 3 8 2 7 1 25
T 0 0 0 0 1 5 6 19 10 19 3 63
M 0 0 1 1 2 8 59 137 108 152 8 476
F 0 0 2 0 6 19 17 47 18 27 1 137
T 0 0 3 1 8 27 76 184 126 179 9 613
M 0 0 0 0 1 0 14 14 11 28 0 68
F 0 0 0 0 0 1 0 1 1 2 0 5
T 0 0 0 0 1 1 14 15 12 30 0 73
M 0 0 1 1 1 8 45 120 95 120 8 399
F 0 0 2 0 3 16 12 41 11 19 1 105
T 0 0 3 1 4 24 57 161 106 139 9 504
M 0 0 0 0 0 0 0 3 2 4 0 9
F 0 0 0 0 3 2 5 5 6 6 0 27
T 0 0 0 0 3 2 5 8 8 10 0 36
Malignant neoplasm of liver and intrahepatic bile 
ducts  (C22)
Malignant neoplasm of pancreas  (C25)
Other malignant neoplasms of digestive organs (C23-
C24,C26)
Malignant neoplasms of  respiratory and 
intrathoracic organs (C30-C39) 
Other  malignant neoplasm of  respiratory and 
intrathoracic organs  ( C30-C31, C37-C39)
Malignant neoplasm of trachea, bronchus and  lung 
(C33-C34)
Malignant neoplasm of  larynx (C32)
Malignant neoplasm of rectosigmoid junction, 
rectum,anus and anal canal (C19-C21)
10
1
2
3
5
6
7
8
126

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 0 0 5 2 5 2 4 8 7 5 0 38
F 0 0 0 11 20 38 70 99 28 50 1 317
T 0 0 5 13 25 40 74 107 35 55 1 355
M 0 0 3 2 2 1 0 2 2 0 0 12
F 0 0 0 4 1 0 1 0 0 1 0 7
T 0 0 3 6 3 1 1 2 2 1 0 19
M 0 0 0 0 0 0 1 1 0 0 0 2
F 0 0 0 0 0 0 1 0 0 2 1 4
T 0 0 0 0 0 0 2 1 0 2 1 6
M 0 0 0 0 0 0 0 0 0 1 0 1
F 0 0 0 0 1 0 0 0 0 1 0 2
T 0 0 0 0 1 0 0 0 0 2 0 3
M 0 0 2 0 3 1 3 5 5 4 0 23
F 0 0 0 3 2 3 7 10 1 2 0 28
T 0 0 2 3 5 4 10 15 6 6 0 51
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 4 16 35 61 89 27 44 0 276
T 0 0 0 4 16 35 61 89 27 44 0 276
Malignant neoplasm of  breast ( C50)  
Malignant neoplasms of mesothelial  and soft tissue 
(C45-C49) 
Other malignant neoplasms of  skin (C44) 
Malignant melanoma of skin  ( C43)
Malignant neoplasm of bone and articular cartilage 
(C40-C41)
Malignant neoplasms of bone, mesothelial and 
soft tissue,skin and breast  (C40-C50)
1
2
3
4
5
11
127

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 0 3 0 0 2 0 6 28 26 87 3 155
F 0 0 0 4 7 22 24 47 25 50 4 183
T 0 3 0 4 9 22 30 75 51 137 7 338
F 0 0 0 0 1 5 4 13 5 14 3 45
T 0 0 0 0 1 5 4 13 5 14 3 45
F 0 0 0 0 1 2 7 10 5 5 1 31
T 0 0 0 0 1 2 7 10 5 5 1 31
F 0 0 0 4 4 13 11 18 9 19 0 78
T 0 0 0 4 4 13 11 18 9 19 0 78
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 1 1 1 1 1 0 5
T 0 0 0 0 0 1 1 1 1 1 0 5
M 0 0 0 0 0 0 0 10 16 50 2 78
T 0 0 0 0 0 0 0 10 16 50 2 78
M 0 2 0 0 1 0 1 1 1 3 0 9
T 0 2 0 0 1 0 1 1 1 3 0 9
M 0 0 0 0 0 0 1 10 3 25 0 39
F 0 0 0 0 1 0 0 1 0 2 0 4
T 0 0 0 0 1 0 1 11 3 27 0 43
M 0 1 0 0 1 0 4 7 6 9 1 29
F 0 0 0 0 0 1 1 4 5 9 0 20
T 0 1 0 0 1 1 5 11 11 18 1 49
Malignant neoplasm of bladder   (C67)
Other malignant neoplasms of urinary tract
 (C64-C66,C68)
Malignant neoplasms of genitourinary organs 
(C51-C68)
Other malignant neoplasms of male genital organs 
(C60,C62-C63) 
Other  malignant neoplasms of female genital organs 
(C51-C52,C57)
Malignant neoplasm of placenta ( C58)
Malignant neoplasm of prostate ( C61)
Malignant neoplasm of ovary ( C56)
Malignant neoplasm of other and unspecified parts 
of uterus (C54-C55)
Malignant neoplasm of cervix uteri
 ( C53)
5
6
7
8
9
12
1
2
3
4
128

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 0 4 4 0 2 1 4 9 4 2 0 30
F 0 0 2 2 4 7 5 6 3 2 1 32
T 0 4 6 2 6 8 9 15 7 4 1 62
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 4 4 0 2 1 4 9 4 2 0 30
F 0 0 2 2 4 7 5 6 3 2 1 32
T 0 4 6 2 6 8 9 15 7 4 1 62
M 0 1 1 0 1 7 16 32 19 25 1 103
F 0 1 1 4 2 7 19 20 9 24 0 87
T 0 2 2 4 3 14 35 52 28 49 1 190
M 0 1 1 0 1 7 16 32 19 25 1 103
F 0 1 1 4 2 7 19 20 9 24 0 87
T 0 2 2 4 3 14 35 52 28 49 1 190
M 2 7 21 26 25 19 43 80 37 67 2 329
F 1 5 10 28 20 37 28 56 33 58 1 277
T 3 12 31 54 45 56 71 136 70 125 3 606
M 0 0 0 1 1 0 1 2 1 2 0 8
F 0 0 0 1 2 1 0 1 0 1 0 6
T 0 0 0 2 3 1 1 3 1 3 0 14
M 0 0 1 5 3 3 10 32 9 20 1 84
F 0 0 2 6 5 6 8 14 13 9 0 63
T 0 0 3 11 8 9 18 46 22 29 1 147
15
Malignant neoplasms of  eye, brain and other 
parts of central nervous system           ( C69-C72)
Malignant neoplasm of eye & adnexa (C69)
Malignant neoplasm of meninges, brain and other 
parts of central nervious system ( C70-C72)
Malignant neoplasms  of other and unspecified 
sites (C73-C80 & C97)
Malignant neoplasm of other, ill-defined, secondary,  
unspecified and multiple sites
(C73-C80 & C97)
Malignant neoplasms of lymphoid, 
haematopoietic and related tissue
 (C81-C96)
Hodgkin's disease (C81)
Non-Hodgkin's lymphoma  (C82-C85)
1
2
13
1
2
14
1
129

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 0 0 0 0 2 2 5 16 18 24 1 68
F 0 0 0 0 0 4 2 13 12 16 0 47
T 0 0 0 0 2 6 7 29 30 40 1 115
M 2 7 20 17 15 12 22 22 6 15 0 138
F 1 4 7 20 11 23 17 24 6 21 1 135
T 3 11 27 37 26 35 39 46 12 36 1 273
M 0 0 0 3 4 2 5 8 3 6 0 31
F 0 1 1 1 2 3 1 4 2 11 0 26
T 0 1 1 4 6 5 6 12 5 17 0 57
M 0 0 0 0 0 1 0 0 0 0 0 1
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 1 0 0 0 0 0 1
M 0 0 0 0 0 1 0 0 0 0 0 1
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 1 0 0 0 0 0 1
M 0 0 0 0 1 1 2 13 4 5 2 28
F 0 0 0 0 0 0 4 8 2 4 1 19
T 0 0 0 0 1 1 6 21 6 9 3 47
F 0 0 0 0 0 0 0 0 0 1 1 2
T 0 0 0 0 0 0 0 0 0 1 1 2
M 0 0 0 0 1 1 2 13 4 5 2 28
F 0 0 0 0 0 0 4 8 2 3 0 17
T 0 0 0 0 1 1 6 21 6 8 2 45
Benign neoplasms( D10-D36)
Leiomyoma of uterus ( D25)
All other benign neoplasms 
(D10-D24 & D26-D36) 
Multiple myeloma and malignant plasma cell 
neoplasms ( C90)
Leukaemia  (C91-C95)
Other malignant neoplasms of 
lymphoid,haematopoietic and related tissue
 (C88 & C96)
Carcinoma in situ ( D00-D09) 
Carcinoma in situ ( D00-D09)
16
1
17
1
2
3
4
5
130

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 0 0 0 0 0 2 1 4 0 8 0 15
F 0 0 0 0 0 0 0 0 3 3 0 6
T 0 0 0 0 0 2 1 4 3 11 0 21
M 0 0 0 0 0 2 1 4 0 8 0 15
F 0 0 0 0 0 0 0 0 3 3 0 6
T 0 0 0 0 0 2 1 4 3 11 0 21
M 4 5 4 9 9 7 10 13 9 30 0 100
F 0 0 8 4 7 9 8 17 6 33 3 95
T 4 5 12 13 16 16 18 30 15 63 3 195
M 4 5 4 9 9 7 10 13 9 30 0 100
F 0 0 8 4 7 9 8 17 6 33 3 95
T 4 5 12 13 16 16 18 30 15 63 3 195
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 2 1 4 5 4 5 9 7 27 0 64
F 0 0 5 1 5 6 5 13 5 26 1 67
T 0 2 6 5 10 10 10 22 12 53 1 131
M 2 3 3 5 4 3 4 4 2 3 0 33
F 0 0 2 2 2 3 3 4 0 6 2 24
T 2 3 5 7 6 6 7 8 2 9 2 57
M 2 0 0 0 0 0 1 0 0 0 0 3
F 0 0 1 1 0 0 0 0 1 1 0 4
T 2 0 1 1 0 0 1 0 1 1 0 7
Other and unspecified  neoplasm (D37-D48) 
Other and unspecified  neoplasm (D37-D48) 
DISEASES OF THE BLOOD AND BLOOD-
FORMING ORGANS AND CERTAIN 
DISORDERS INVOLVING THE IMMUNE 
MECHANISM ( D50-D89) 
Diseases of the blood and blood-forming organs 
and certain disordersinvolving the immune 
mechanism ( D50-D89)  
Thalassaemia ( D56)
Other anaemias ( D50-D55,D57-D64)
All other diseases of blood and blood-forming 
organs ( D65-D76)
Certain disorders involving the immunemechanism ( 
D80-D89)
2
3
4
18
1
III.
19
1
131

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 2 5 3 5 15 62 279 634 438 957 33 2433
F 2 2 1 8 12 52 146 403 291 787 25 1729
T 4 7 4 13 27 114 425 1037 729 1744 58 4162
M 1 0 0 0 0 1 0 0 0 0 0 2
F 1 0 0 0 0 0 0 0 0 1 0 2
T 2 0 0 0 0 1 0 0 0 1 0 4
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 1 0 0 0 0 1 0 0 0 0 0 2
F 1 0 0 0 0 0 0 0 0 1 0 2
T 2 0 0 0 0 1 0 0 0 1 0 4
M 1 5 3 5 15 61 279 634 438 957 33 2431
F 1 2 1 8 12 52 146 403 291 786 25 1727
T 2 7 4 13 27 113 425 1037 729 1743 58 4158
M 0 0 0 0 0 1 0 1 1 4 0 7
F 1 0 0 0 0 0 0 0 2 2 0 5
T 1 0 0 0 0 1 0 1 3 6 0 12
M 0 0 0 4 11 58 265 608 418 912 32 2308
F 0 0 0 7 11 46 139 384 269 733 25 1614
T 0 0 0 11 22 104 404 992 687 1645 57 3922
ENDOCRINE, NUTRITIONAL AND 
METABOLIC DISEASES (E00-E89)
Malnutrition ( E40-E46)
Kwashiorkor ( E40) 
Nutritional marasmus ( E41) 
Other protein-energy malnutrition (E42-E46)
Endocrine, other nutritional and metabolic 
diseases ( E00-E34 & E50-E89)
Disorders of thyroid gland ( E00-E07) 
Diabetes mellitus (E10-E14)2
1
2
3
21
1
IV.
20
132

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 1 5 3 1 4 2 14 25 19 41 1 116
F 0 2 1 1 1 6 7 19 20 51 0 108
T 1 7 4 2 5 8 21 44 39 92 1 224
M 0 0 0 0 0 1 0 1 1 2 0 5
F 0 0 0 0 0 0 0 0 0 1 0 1
T 0 0 0 0 0 1 0 1 1 3 0 6
M 0 0 0 0 0 1 0 1 1 2 0 5
F 0 0 0 0 0 0 0 0 0 1 0 1
T 0 0 0 0 0 1 0 1 1 3 0 6
M 0 0 0 0 0 1 0 0 0 0 0 1
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 1 0 0 0 0 0 1
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 1 1 2 0 4
F 0 0 0 0 0 0 0 0 0 1 0 1
T 0 0 0 0 0 0 0 1 1 3 0 5
All other nutritional deficiencies( E50-E64) 3
4
22
Mental and behavioural disorders
( F01-F99) 
Mental and behavioural disorders due 
topsychoactive substance use ( F10-F19) 
Schizophrenia, schizotypal & delusional  disorders ( 
F20-F29)
All other mental and behavioural disorders (F01-
F09,F30-F99 )
V.
All other endocrine  and  metabolic diseases (E15-
E34 & E65-E89)
MENTAL AND BEHAVIOURAL DISORDERS 
( F01-F99)
1
2
3
133

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 8 5 8 8 11 20 35 34 17 72 7 225
F 3 9 5 8 8 11 15 29 16 56 5 165
T 11 14 13 16 19 31 50 63 33 128 12 390
M 1 0 0 2 3 8 6 5 7 6 2 40
F 3 0 1 2 2 2 7 5 1 4 0 27
T 4 0 1 4 5 10 13 10 8 10 2 67
M 0 0 0 1 1 2 1 2 3 2 1 13
F 3 0 0 0 0 0 2 1 0 0 0 6
T 3 0 0 1 1 2 3 3 3 2 1 19
M 1 0 0 0 2 6 3 2 4 3 1 22
F 0 0 1 2 2 2 4 4 1 4 0 20
T 1 0 1 2 4 8 7 6 5 7 1 42
M 0 0 0 1 0 0 2 1 0 1 0 5
F 0 0 0 0 0 0 1 0 0 0 0 1
T 0 0 0 1 0 0 3 1 0 1 0 6
M 7 5 8 6 8 12 29 29 10 66 5 185
F 0 9 4 6 6 9 8 24 15 52 5 138
T 7 14 12 12 14 21 37 53 25 118 10 323
M 0 0 0 0 0 0 0 0 0 1 0 1
F 0 0 0 0 0 0 0 0 0 3 0 3
T 0 0 0 0 0 0 0 0 0 4 0 4
M 0 1 0 3 1 0 3 3 0 3 2 16
F 0 3 0 1 0 1 0 1 0 2 1 9
T 0 4 0 4 1 1 3 4 0 5 3 25
Epilepsy (G40-G41)
23
VI.
DISEASES OF THE NERVOUS SYSTEM (G00-
G98)
Inflammatory diseases of the centralnervous system 
( G00-G09)
Meningitis ( G00 & G03)
Encephalitis,myelitis and encephalomyelitis'(G04)
Other inflammatory diseases of the centralnervous 
system ( G06,G08-G09)
Other diseases of the nervous system (G10-G98)
Alzheimer's disease (G30)
2
1
2
3
24
1
134

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 7 4 8 3 7 12 26 26 10 62 3 168
F 0 6 4 5 6 8 8 23 15 47 4 126
T 7 10 12 8 13 20 34 49 25 109 7 294
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
All other diseases of the nervous system (G10-
G25,G31,G35-G37,G43-G98) 
Disease of the eye and adnexa ( H00-H59) 
DISEASES OF THE EAR AND MASTOID 
PROCESS  (H60-H95)
Diseases of the ear and mastoid process ( H60-
H93)
Diseases of the ear and mastoid process 
( H60-H93)  
DISEASES OF THE EYE AND ADNEXA (H00-
H59)
Disease of the eye and adnexa ( H00-H59) 
1
VIII.
26
1
3
25
VII.
135

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 3 3 6 22 36 178 528 1116 786 1783 59 4520
F 1 3 11 14 20 79 228 553 432 1538 43 2922
T 4 6 17 36 56 257 756 1669 1218 3321 102 7442
M 0 0 0 0 1 5 6 9 0 4 0 25
F 0 0 2 1 2 5 16 15 6 14 2 63
T 0 0 2 1 3 10 22 24 6 18 2 88
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 1 5 6 9 0 4 0 25
F 0 0 2 1 2 5 16 15 6 14 2 63
T 0 0 2 1 3 10 22 24 6 18 2 88
M 0 0 0 0 2 17 48 144 119 298 11 639
F 0 0 0 0 0 7 32 91 74 304 11 519
T 0 0 0 0 2 24 80 235 193 602 22 1158
M 0 0 0 0 1 7 25 85 79 188 5 390
F 0 0 0 0 0 4 13 57 39 199 9 321
T 0 0 0 0 1 11 38 142 118 387 14 711
M 0 0 0 0 1 10 23 59 40 110 6 249
F 0 0 0 0 0 3 19 34 35 105 2 198
T 0 0 0 0 1 13 42 93 75 215 8 447
Hypertensive heart disease ( I11)
All other hypertensive diseases (I10, I12-I15)
DISEASES OF THE CIRCULATORY SYSTEM 
( I00-I99)
Acute rheumatic fever and chronic rheumatic 
heart  diseases ( I00-I09) 
Acute rheumatic fever  (I00-I02)
Chronic rheumatic heart diseases ( I05-I09) 
Hypertensive diseases (I10-I15)
2
27
1
2
28
1
IX.
136

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 3 1 0 1 10 36 190 475 319 751 26 1812
F 0 0 1 1 4 25 56 167 138 534 15 941
T 3 1 1 2 14 61 246 642 457 1285 41 2753
M 0 0 0 0 4 8 28 41 32 76 1 190
F 0 0 0 0 0 3 5 16 15 66 0 105
T 0 0 0 0 4 11 33 57 47 142 1 295
M 3 1 0 1 6 28 162 434 287 675 25 1622
F 0 0 1 1 4 22 51 151 123 468 15 836
T 3 1 1 2 10 50 213 585 410 1143 40 2458
M 0 1 3 8 12 43 107 147 111 231 6 669
F 1 1 6 6 3 13 49 97 84 219 6 485
T 1 2 9 14 15 56 156 244 195 450 12 1154
M 0 0 0 0 1 0 2 8 3 4 0 18
F 0 0 0 1 0 2 3 4 3 8 0 21
T 0 0 0 1 1 2 5 12 6 12 0 39
M 0 1 3 8 11 43 105 139 108 227 6 651
F 1 1 6 5 3 11 46 93 81 211 6 464
T 1 2 9 13 14 54 151 232 189 438 12 1115
M 0 1 3 12 10 66 165 322 217 449 13 1258
F 0 0 1 4 10 26 69 176 124 453 8 871
T 0 1 4 16 20 92 234 498 341 902 21 2129
M 0 1 3 12 10 66 165 322 217 449 13 1258
F 0 0 1 4 10 26 69 176 124 453 8 871
T 0 1 4 16 20 92 234 498 341 902 21 2129
Diseases of pulmonary  circulation and other 
forms of heart disease ( I26-I51)
Pulmonary heart disease and diseases of pulmonary  
circulation ( I26-I28)
Other forms of heart diseases ( I30-I51)
Cerebrovascular diseases ( I60-I69) 
Cerebrovascular diseases ( I60-I69)
Ischaemic heart diseases  ( I20-I25)
Acute myocardial infarction  ( I21-I22)
All other ischaemic heart diseases
 ( I20 & I23-I25)
1
2
31
1
29
1
2
30
137

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 0 0 0 1 1 11 12 19 20 50 3 117
F 0 2 1 2 1 3 6 7 6 14 1 43
T 0 2 1 3 2 14 18 26 26 64 4 160
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 1 0 1
F 0 0 0 0 0 1 0 0 0 0 0 1
T 0 0 0 0 0 1 0 0 0 1 0 2
M 0 0 0 1 1 11 10 17 18 45 3 106
F 0 2 1 2 0 1 5 6 5 11 1 34
T 0 2 1 3 1 12 15 23 23 56 4 140
M 0 0 0 0 0 0 1 2 1 3 0 7
F 0 0 0 0 1 1 0 1 1 1 0 5
T 0 0 0 0 1 1 1 3 2 4 0 12
M 0 0 0 0 0 0 1 0 1 1 0 3
F 0 0 0 0 0 0 1 0 0 2 0 3
T 0 0 0 0 0 0 2 0 1 3 0 6
M 5 4 2 2 7 29 80 229 179 537 29 1103
F 0 5 0 3 11 27 54 120 86 324 5 635
T 5 9 2 5 18 56 134 349 265 861 34 1738
X.
Other diseases of the circulatoryvsystem
 ( I70-I99)
Atherosclerosis ( I70)  
Arterial embolism and thrombosis ( I74) 
Other diseases of arteries, arterioles & capillaries 
(I71-I73 & I77-I78)
Phlebitis, thrombophlebitis, venous embolism and 
thrombosis ( I80-I82)
All other diseases of the circulatory system ( I83-
I99)
DISEASES OF THE RESPIRATORY SYSTEM 
(J00-J98)
1
2
3
4
5
32
138

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 0 0 0 0 0 1 1 1 1 0 0 4
F 0 0 0 0 0 0 0 0 1 1 0 2
T 0 0 0 0 0 1 1 1 2 1 0 6
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 1 0 1
T 0 0 0 0 0 0 0 0 0 1 0 1
M 0 0 0 0 0 1 1 1 1 0 0 4
F 0 0 0 0 0 0 0 0 1 0 0 1
T 0 0 0 0 0 1 1 1 2 0 0 5
M 1 0 0 0 1 12 51 162 130 404 22 783
F 0 0 0 0 8 7 34 71 58 224 3 405
T 1 0 0 0 9 19 85 233 188 628 25 1188
M 0 0 0 0 0 0 0 0 0 1 0 1
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 1 0 1
M 0 0 0 0 0 0 1 0 0 0 0 1
F 0 0 0 0 0 0 1 0 0 1 0 2
T 0 0 0 0 0 0 2 0 0 1 0 3
33
Diseases of the upper respiratory tract (J00-J06 
& J30-J39)
Acute pharyngitis and acute tonsillitis 
 ( J02-J03)
Acute laryngitis and tracheitis ( J04)
Other acute upper respiratory infections
 (J00-J01 & J05-J06)
All other diseases of upper respiratory tract
 ( J30-J39)
Lower respiratory diseases 
(J20-J22 & J40-J47)
Acute bronchitis and acute bronchiolitis 
( J20-J21)
Bronchitis, chronic and unspecified, emphysema ( 
J40-J43)
1
2
1
2
3
4
34
139

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 1 0 0 0 0 1 2 1 2 4 0 11
F 0 0 0 0 0 2 7 8 3 19 1 40
T 1 0 0 0 0 3 9 9 5 23 1 51
M 0 0 0 0 1 11 48 161 128 399 22 770
F 0 0 0 0 8 5 26 63 55 204 2 363
T 0 0 0 0 9 16 74 224 183 603 24 1133
M 4 4 2 2 6 16 28 66 48 133 7 316
F 0 5 0 3 3 20 20 49 27 99 2 228
T 4 9 2 5 9 36 48 115 75 232 9 544
M 0 1 0 0 0 0 0 0 0 0 0 1
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 1 0 0 0 0 0 0 0 0 0 1
M 2 3 1 1 2 7 11 23 9 43 3 105
F 0 4 0 0 1 6 5 21 7 42 1 87
T 2 7 1 1 3 13 16 44 16 85 4 192
M 0 0 0 0 0 1 0 3 1 0 0 5
F 0 0 0 0 0 0 1 1 0 1 1 4
T 0 0 0 0 0 1 1 4 1 1 1 9
M 2 0 1 1 4 8 17 40 38 90 4 205
F 0 1 0 3 2 14 14 27 20 56 0 137
T 2 1 1 4 6 22 31 67 58 146 4 342
Asthma (J45-J46)
Other lower respiratory disorders 
(J22, J44 & J47)
Other diseases of the respiratory system (J10-
J18,J60-J98)
Influenza (J10-J11)  
Pneumonia  ( J12-J18)
Pleurisy ( J90)
All other diseases of the respiratory system (J60-
J86,J92-J98.)
1
2
3
4
3
4
35
140

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 3 2 4 12 22 127 273 349 119 241 16 1168
F 0 1 3 8 4 21 26 64 53 131 4 315
T 3 3 7 20 26 148 299 413 172 372 20 1483
M 0 0 0 1 1 0 0 0 0 0 0 2
F 0 0 0 0 0 1 0 0 0 0 0 1
T 0 0 0 1 1 1 0 0 0 0 0 3
M 0 0 0 1 1 0 0 0 0 0 0 2
F 0 0 0 0 0 1 0 0 0 0 0 1
T 0 0 0 1 1 1 0 0 0 0 0 3
M 3 2 4 11 21 127 273 349 119 241 16 1166
F 0 1 3 8 4 20 26 64 53 131 4 314
T 3 3 7 19 25 147 299 413 172 372 20 1480
M 0 0 0 0 0 0 0 2 0 2 0 4
F 0 0 0 0 0 0 1 0 0 0 0 1
T 0 0 0 0 0 0 1 2 0 2 0 5
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 1 0 0 0 0 0 1
T 0 0 0 0 0 1 0 0 0 0 0 1
M 0 0 0 0 0 1 1 3 0 1 0 6
F 0 0 0 0 0 1 0 0 0 1 0 2
T 0 0 0 0 0 2 1 3 0 2 0 8
M 0 0 0 0 0 0 0 1 1 3 0 5
F 0 0 1 0 0 0 0 0 1 3 0 5
T 0 0 1 0 0 0 0 1 2 6 0 10
Hernia
 ( K40-K46)
3
4
DISEASES OF THE  DIGESTIVE SYSTEM 
(K00-K92)
Diseases of oral cavity, salivary glands and jaws 
(K00-K14)
Diseases of oral cavity, salivary glands and jaws ( 
K00-K14)
Diseases of the other parts of digestive system ( 
K20-K92)
Gastric and duodenal ulcer 
( K25-K27)
Gastritis and duodenitis 
( K29) 
Diseases of appendix
 (K35-K38)
36
1
37
1
2
XI.
141

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 1 1 1 0 0 4 1 2 1 5 0 16
F 0 0 0 1 0 2 1 1 1 6 0 12
T 1 1 1 1 0 6 2 3 2 11 0 28
M 0 0 0 1 0 0 1 1 1 2 0 6
F 0 0 0 0 0 0 0 2 1 1 0 4
T 0 0 0 1 0 0 1 3 2 3 0 10
M 1 0 2 7 17 106 248 304 98 179 15 977
F 0 0 1 5 3 13 20 54 41 97 4 238
T 1 0 3 12 20 119 268 358 139 276 19 1215
M 0 0 0 0 0 0 0 1 2 2 0 5
F 0 0 0 0 1 0 1 0 0 3 0 5
T 0 0 0 0 1 0 1 1 2 5 0 10
M 0 0 1 1 2 8 8 5 3 5 1 34
F 0 0 1 1 0 1 1 1 0 2 0 7
T 0 0 2 2 2 9 9 6 3 7 1 41
M 1 1 0 2 2 8 14 30 13 42 0 113
F 0 1 0 1 0 2 2 6 9 18 0 39
T 1 2 0 3 2 10 16 36 22 60 0 152
Paralytic ileus and intestinal obstruction without 
hernia ( K56)
Peritonitis 
( K65)
Diseases of the liver
 ( K70-K76)
Cholelithiasis and cholecystitis
 ( K80-K81)
Disorders of the pancreas
(K85-K86)
All other diseases of the other parts of digestive 
system (K20-K22,K28,K30-K31,K50-K55,K57-
K63, K66,K82-K83 & K90-K92)
5
8
9
10
6
7
142

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 0 0 0 0 0 4 3 4 3 7 0 21
F 1 0 1 0 2 1 2 3 2 11 0 23
T 1 0 1 0 2 5 5 7 5 18 0 44
M 0 0 0 0 0 4 3 4 3 7 0 21
F 1 0 1 0 2 1 2 3 2 11 0 23
T 1 0 1 0 2 5 5 7 5 18 0 44
M 0 0 0 0 0 3 3 4 3 3 0 16
F 0 0 1 0 1 0 1 2 0 2 0 7
T 0 0 1 0 1 3 4 6 3 5 0 23
M 0 0 0 0 0 1 0 0 0 4 0 5
F 1 0 0 0 1 1 1 1 2 9 0 16
T 1 0 0 0 1 2 1 1 2 13 0 21
M 0 1 1 1 0 0 1 3 5 13 0 25
F 0 0 0 5 2 7 6 7 0 15 0 42
T 0 1 1 6 2 7 7 10 5 28 0 67
M 0 1 1 1 0 0 1 3 5 13 0 25
F 0 0 0 5 2 7 6 7 0 15 0 42
T 0 1 1 6 2 7 7 10 5 28 0 67
M 0 0 0 0 0 0 0 0 2 0 0 2
F 0 0 0 1 0 2 2 1 0 2 0 8
T 0 0 0 1 0 2 2 1 2 2 0 10
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 1 1 1 0 0 1 3 3 13 0 23
F 0 0 0 4 2 5 4 6 0 13 0 34
T 0 1 1 5 2 5 5 9 3 26 0 57
Infections of the skin and subcutaneous tissue (L00-
L08)
All other diseases of the skin and subcutaneous 
tissue (L10-L98)
DISEASES OF THE MUSCULOSKELETAL 
SYSTEM AND CONNECTIVE TISSUE 
(M00-M99)
Diseases of the musculoskeletal system and 
connective tissue (M00-M99)
Rheumatoid arthritis and other inflammatory 
polyarthropathies  (M05-M13)
Osteomyelitis (M86)
All other diseases of the musculoskeletal system and 
connective tissue
 (M00-M02, M15-M85,M87-M99)
DISEASES OF THE SKIN AND 
SUBCUTANEOUS TISSUE  
(L00-L98)
Diseases of the skin and subcutaneous tissue 
(L00-L98)
1
2
3
38
1
2
XIII.
39
XII.
143

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 0 0 5 5 15 22 70 105 73 203 14 512
F 1 1 3 5 9 12 28 43 46 107 7 262
T 1 1 8 10 24 34 98 148 119 310 21 774
M 0 0 5 5 14 22 70 104 72 197 14 503
F 1 1 2 5 9 11 28 43 46 105 7 258
T 1 1 7 10 23 33 98 147 118 302 21 761
M 0 0 5 4 9 16 30 46 36 106 2 254
F 1 0 2 2 6 8 16 26 18 48 2 129
T 1 0 7 6 15 24 46 72 54 154 4 383
M 0 0 0 0 0 0 2 2 2 5 0 11
F 0 0 0 0 0 1 1 1 0 1 0 4
T 0 0 0 0 0 1 3 3 2 6 0 15
M 0 0 0 1 2 6 34 54 31 67 10 205
F 0 0 0 1 2 1 10 13 26 32 5 90
T 0 0 0 2 4 7 44 67 57 99 15 295
M 0 0 0 0 1 0 0 0 0 0 0 1
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 1 0 0 0 0 0 0 1
M 0 0 0 0 0 0 1 0 0 0 0 1
F 0 1 0 0 0 0 0 0 0 1 0 2
T 0 1 0 0 0 0 1 0 0 1 0 3
M 0 0 0 0 2 0 3 2 3 19 2 31
F 0 0 0 2 1 1 1 3 2 23 0 33
T 0 0 0 2 3 1 4 5 5 42 2 64
Renal failure  (N17-N19)
Urolithiasis (N20-N23) 
Other disorders of kidney and ureter (N25-N28)
All other diseases of urinary system 
( N30-N39)
DISEASES OF THE GENITOURINARY 
SYSTEM  (N00-N99)
Diseases of urinary system 
(N00-N39) 
Glomerular diseases (includingNephritic 
Synodrome) (N00-N07)
Renal tubulo-interstitial diseases
 (N10-N15) 
6
1
2
3
4
5
XIV.
40
144

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 0 0 0 0 1 0 0 1 1 6 0 9
F 0 0 1 0 0 1 0 0 0 2 0 4
T 0 0 1 0 1 1 0 1 1 8 0 13
M 0 0 0 0 0 0 0 1 0 4 0 5
T 0 0 0 0 0 0 0 1 0 4 0 5
M 0 0 0 0 1 0 0 0 1 2 0 4
T 0 0 0 0 1 0 0 0 1 2 0 4
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 1 0 0 1 0 0 0 2 0 4
T 0 0 1 0 0 1 0 0 0 2 0 4
F 0 0 0 5 5 2 0 0 0 0 0 12
T 0 0 0 5 5 2 0 0 0 0 0 12
F 0 0 0 0 1 0 0 0 0 0 0 1
T 0 0 0 0 1 0 0 0 0 0 0 1
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 1 0 0 0 0 0 0 1
T 0 0 0 0 1 0 0 0 0 0 0 1
PREGNANCY, CHILDBIRTH AND THE 
PUERPERIUM ( O00-O99)
Pregnancy with abortive outcome 
(O00-O08)
Spontaneous abortion ( O03)
Medical abortion  ( O04)
Other pregnancies with abortive outcome ( O00-
O02 & O05-O08)
Other diseases of the genitourinary system ( N40-
N99)
Hyperplasia of prostate ( N40)
All other diseases of male genital organs 
(N41-N50)
Salpingitis and oophoritis ( N70) 
All other diseases of female genital organs ( N60-
N64 & N71-N99)
3
4
XV.
42
1
2
41
1
2
3
145

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
F 0 0 0 5 4 1 0 0 0 0 0 10
T 0 0 0 5 4 1 0 0 0 0 0 10
F 0 0 0 1 1 0 0 0 0 0 0 2
T 0 0 0 1 1 0 0 0 0 0 0 2
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 1 1 0 0 0 0 0 0 2
T 0 0 0 1 1 0 0 0 0 0 0 2
F 0 0 0 3 2 1 0 0 0 0 0 6
T 0 0 0 3 2 1 0 0 0 0 0 6
F 0 0 0 0 0 1 0 0 0 0 0 1
T 0 0 0 0 0 1 0 0 0 0 0 1
F 0 0 0 0 0 1 0 0 0 0 0 1
T 0 0 0 0 0 1 0 0 0 0 0 1
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 291 0 0 0 0 0 0 0 0 0 0 291
F 216 0 0 0 0 0 0 0 0 0 0 216
T 507 0 0 0 0 0 0 0 0 0 0 507
M 291 0 0 0 0 0 0 0 0 0 0 291
F 216 0 0 0 0 0 0 0 0 0 0 216
T 507 0 0 0 0 0 0 0 0 0 0 507
M 123 0 0 0 0 0 0 0 0 0 0 123
F 102 0 0 0 0 0 0 0 0 0 0 102
T 225 0 0 0 0 0 0 0 0 0 0 225
Complications pre-dominantly related to the 
puerperium  ( O85-O92) 
Other complications of pregnancy and delivery (O20-
O22,O24-O63 & O67-O84)
All other obstetric conditions, not elsewhere 
classified  ( O95-O97)
Indirect obstetric deaths  (O98-O99)
Other obstetric conditions, not elsewhere 
classified ( O95-O99) 
Slow fetal growth, fetal malnutrition and immaturity  
( P05-P07)
Certain conditions originating in the perinatal 
period  ( P00-P96)
CERTAIN CONDITIONS ORIGINATING  IN 
THE PERINATAL  PERIOD ( P00-P96)
Other direct obstetric deaths ( O10-O92)
Oedema, proteinuria and hypertensive disorders in 
pregnancy, childbirth and the puerperium
 ( O10-O16)
Infections of genitourinary tract in pregnancy 
( O23)
Obstructed labour ( O64-O66)
XVI.
45
1
4
5
44
1
2
43
1
2
3
146

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 1 0 0 0 0 0 0 0 0 0 0 1
F 0 0 0 0 0 0 0 0 0 0 0 0
T 1 0 0 0 0 0 0 0 0 0 0 1
M 73 0 0 0 0 0 0 0 0 0 0 73
F 58 0 0 0 0 0 0 0 0 0 0 58
T 131 0 0 0 0 0 0 0 0 0 0 131
M 1 0 0 0 0 0 0 0 0 0 0 1
F 2 0 0 0 0 0 0 0 0 0 0 2
T 3 0 0 0 0 0 0 0 0 0 0 3
M 7 0 0 0 0 0 0 0 0 0 0 7
F 1 0 0 0 0 0 0 0 0 0 0 1
T 8 0 0 0 0 0 0 0 0 0 0 8
M 86 0 0 0 0 0 0 0 0 0 0 86
F 53 0 0 0 0 0 0 0 0 0 0 53
T 139 0 0 0 0 0 0 0 0 0 0 139
M 135 17 11 5 3 4 3 1 2 2 1 184
F 109 13 16 6 4 3 7 3 2 0 1 164
T 244 30 27 11 7 7 10 4 4 2 2 348
M 135 17 11 5 3 4 3 1 2 2 1 184
F 109 13 16 6 4 3 7 3 2 0 1 164
T 244 30 27 11 7 7 10 4 4 2 2 348
M 0 0 0 0 1 0 0 0 0 0 0 1
F 1 1 0 0 0 0 0 0 0 0 0 2
T 1 1 0 0 1 0 0 0 0 0 0 3
Spina bifida  ( Q05)
Birth trauma ( P10-P15) 
Hypoxia, birth asphyxia and other respiratory 
conditions ( P20-P28)
Haemolytic disease of fetus and new-born
 ( P55)
Other  perinatal jaundice ( P58-P59) 
All other conditions originating in the perinatal 
period  ( P00-P04,P08,P29-P54,P56-P57,P60-P96.)
CONGENITAL MALFORMATIONS, 
DEFORMATIONS  AND CHROMOSOMAL 
ABNORMALITIES ( Q00-Q99)
Congenital malformations, deformations and 
chromosomal abnormalities ( Q00-Q99)
1
4
5
6
XVII.
46
2
3
147

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 84 9 9 3 1 2 1 0 2 1 0 112
F 65 8 12 3 3 2 5 2 1 0 0 101
T 149 17 21 6 4 4 6 2 3 1 0 213
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 1 0 0 0 0 0 0 0 0 0 1
T 0 1 0 0 0 0 0 0 0 0 0 1
M 51 8 2 2 1 2 2 1 0 1 1 71
F 43 3 4 3 1 1 2 1 1 0 1 60
T 94 11 6 5 2 3 4 2 1 1 2 131
M 5 3 3 24 27 61 91 107 56 86 21 484
F 3 3 5 14 13 24 33 46 44 60 7 252
T 8 6 8 38 40 85 124 153 100 146 28 736
M 5 3 3 24 27 61 91 107 56 86 21 484
F 3 3 5 14 13 24 33 46 44 60 7 252
T 8 6 8 38 40 85 124 153 100 146 28 736
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 2 1 0 0 3
F 0 0 0 0 0 0 0 1 1 0 0 2
T 0 0 0 0 0 0 0 3 2 0 0 5
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
All other congenital malformations, deformations 
and chromosomal abnormalities, not elsewhere 
classified (Q00-Q04,Q06-Q18,Q30-Q34 & Q38-
Q99)
SYMPTOMS,  SIGNS AND ABNORMAL 
CLINICAL AND LABORATORY 
FINDINGS,NOT ELSEWHERE  CLASSIFIED  
( R00-R99)
Symptoms, signs and abnormal clinical and 
laboratory findings, not elsewhere classified 
(R00-R99)
Abdominal and pelvic pain ( R10)
Ascites ( R18)
Somnolence, stupor and coma ( R40)
Congenital malformations of the circulatory system ( 
Q20-Q28)
Cleft lip and cleft palate  ( Q35-Q37)
47
1
2
3
2
3
4
XVIII.
148

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 1 0 1
F 0 0 0 0 0 0 0 0 0 2 0 2
T 0 0 0 0 0 0 0 0 0 3 0 3
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 1 1 1 0 1 0 4
F 0 0 0 0 0 0 0 1 0 0 0 1
T 0 0 0 0 0 1 1 2 0 1 0 5
M 0 0 0 0 0 0 0 2 1 1 0 4
F 0 0 0 0 0 0 0 0 0 1 0 1
T 0 0 0 0 0 0 0 2 1 2 0 5
M 5 3 3 24 27 60 90 102 54 83 21 472
F 3 3 5 14 13 24 33 44 43 57 7 246
T 8 6 8 38 40 84 123 146 97 140 28 718
Convulsions, not elsewhere classified ( R56) 
Shock, not elsewhere classified  ( R57)
All other  symptoms, signs and abnormal clinical 
and laboratory findings, not elsewhere classified 
(R00-R09, R11-R17,R19-R39,R41-R49,R51-
R53,R58-R99)
Fever of unknown origin ( R50)
Senility ( R54)
Syncope and collapse (R55)
5
6
7
8
9
4
149

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 4 10 11 67 79 94 132 116 49 72 6 640
F 4 7 17 20 33 35 52 33 16 49 1 267
T 8 17 28 87 112 129 184 149 65 121 7 907
M 0 0 0 4 5 6 10 6 6 7 0 44
F 0 0 0 0 1 2 2 1 1 5 1 13
T 0 0 0 4 6 8 12 7 7 12 1 57
M 0 0 0 2 2 2 2 1 0 1 0 10
F 0 0 0 0 1 1 1 0 0 0 0 3
T 0 0 0 2 3 3 3 1 0 1 0 13
M 0 0 0 1 0 0 1 1 0 1 0 4
F 0 0 0 0 0 0 0 0 1 2 0 3
T 0 0 0 1 0 0 1 1 1 3 0 7
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 1 3 4 7 4 6 5 0 30
F 0 0 0 0 0 1 1 1 0 3 1 7
T 0 0 0 1 3 5 8 5 6 8 1 37
Fractures of lower limb ( S72,S82,S92 & T12)
Fractures involving multiple body regions , and of 
unspecified body region ( T02  )
INJURY, POISONING AND CERTAIN 
OTHER CONSEQUENCES OF EXTERNAL 
CAUSES ( S00-T98)
Fractures ( S02,S12,S22,S32,S42,S52, 
S62,S72,S82,S92,T02,T08,T10 & T12 ) 
Fracture of skull and facial bones ( S02) 
Fracture of neck, thorax or pelvis  ( S12,S22,S32 & 
T08)
Fracture of upper limb  ( S42,S52,S62 & T10)
4
5
XIX.
48
1
2
3
150

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 0 0 0 0 0 0 0 0 0 0 0	0
F 0 0 0 0 0 0 0 0 0 0 0	0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 1 0 16 20 9 32 26 7 12 1	124
F 0 3 0 0 0 3 8 6 2 8 0	30
T 0 4 0 16 20 12 40 32 9 20 1 154
M 0 0 0 0 0 0 0 0 0 0 0	0
F 0 0 0 0 0 0 0 0 0 0 0	0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 1 1 0 26 37 35 55 45 23 26 2	251
F 0 1 4 3 0 3 8 8 4 7 0	38
T 1 2 4 29 37 38 63 53 27 33 2 289
M 1 1 0 0 0 1 0 0 0 1 0	4
F 0 1 0 0 0 0 0 0 0 0 0	1
T 1 2 0 0 0 1 0 0 0 1 0 5
Burns and Corrosions 	M 0 2 2 6 3 8 8 8 2 7 1	47
( T20-T32)	F 1 0 6 10 17 18 22 10 4 22 0	110
T 1 2 8 16 20 26 30 18 6 29 1 157
Effects of foreign body entering through natural 
orifice ( T15-T19)
Dislocations, sprains and strains of specified and 
multiple body regions  
(S03,S13,S23,S33,S43,S53,S63,S73,S83,S93,T03 )
Intracranial and internal injuries, including 
nerves (S04,S06,S14,S24,S26-S27,S34,S36-
S37,S44,S54,S64,S74,S84 & S94)
Crushing injuries and traumatic amputations of 
specified and multiple body regions (S07-S08,S17-
S18,S28,S38,S47-S48,S57-S58,S67-S68,S77-
S78,S87-S88,S97-S98,T04-T05)
Other injuries of specified,unspecified and 
multiple body regions (S00-S01,S05,S09-S11,S15-
S16,S19-S21,S25,S29-S31,S35,S39-S41,S45-
S46,S49-S51,S55-S56,S59-S61,S65-S66,S69-
S71,S75-S76,S79-S81,S85-S86,S89-S91,S95-
S96,S99,T00-T01,T06, T07,T09, T11,T13-T14)
52
53
54
49
50
51
151

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 0 3 1 7 10 17 11 15 7 8 2	81
F 0 1 2 2 8 4 6 2 1 2 0	28
T 0 4 3 9 18 21 17 17 8 10 2 109
M 0 1 8 4 1 6 4 3 0 1 0	28
F 0 0 4 4 5 0 0 0 1 0 0	14
T 0 1 12 8 6 6 4 3 1 1 0 42
M 2 1 0 4 2 12 10 12 2 10 0	55
F 3 1 1 1 2 5 6 6 3 5 0	33
T 5 2 1 5 4 17 16 18 5 15 0 88
M 0 0 0 0 1 0 2 1 2 0 0	6
F 0 0 0 0 0 0 0 0 0 0 0	0
T 0 0 0 0 1 0 2 1 2 0 0 6
M 5 13 14 76 98 111 141 134 53 75 4 724
F 4 9 14 25 33 39 51 39 17 39 0 270
T 9 22 28 101 131 150 192 173 70 114 4 994
M 0 2 1 46 65 56 94 79 34 35 2 414
F 0 3 3 6 4 13 18 14 5 11 0 77
T 0 5 4 52 69 69 112 93 39 46 2 491
M 0 0 0 0 0 1 0 0 0 0 0 1
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 1 0 0 0 0 0 1
M 0 2 1 46 65 55 94 79 34 34 2 412
F 0 3 3 6 4 13 18 14 5 11 0 77
T 0 5 4 52 69 68 112 93 39 45 2 489
Poisonings by drugs & biological substances; and 
Toxic effects of substances chiefly 
nonmedicinalas to source ( T36-T50 & T51-T65)  
Other and unspecified effects of external causes 
and certain early complications of  trauma (T33- 
T35,T66-T79)
Complications of Surgical and Medical care, not  
elsewhere classified ( T80-T88)
Late effects of injuries, of poisoning and of other 
consequences of external causes (T90-T98)
EXTERNAL CAUSES OF MORBIDITY AND 
MORTALITY ( V01-Y89)
Transport accidents  (V01-V99)E48
1
2
Railway accidents  (V05,V15,V80.6,V81, V82.2, 
V87.6 & V88.6)
Motor vehicle traffic accidents  (V02-V04,V09.2-
V09.3,V12-V14,V19.4-V19.6,V19.9,V20-
V28,V29.4-V29.6,V29.9, V30-V38,V39.4-
V39.6,V39.9,V40-V48,V49.4-V49.6,V49.9, V50-
V58,V59.4-V59.6,V59.9,V60-V68,V69.4-
55
56
57
58
XX.
152

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 1 0 1
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 1 0 1
M 0 0 1 4 6 5 7 10 3 4 0	40
F 0 1 1 0 0 0 0 2 2 2 0	8
T 0 1 2 4 6 5 7 12 5 6 0 48
M 0 1 1 0 0 0 0 0 0 1 0	3
F 0 0 0 0 0 0 0 0 0 0 0	0
T 0 1 1 0 0 0 0 0 0 1 0 3
M 0 2 2 6 4 8 6 8 2 7 0	45
F 0 0 4 8 11 14 17 10 4 18 0	86
T 0 2 6 14 15 22 23 18 6 25 0 131
M 0 1 0 0 0 0 0 0 1 0 0	2
F 0 0 0 0 0 0 1 0 0 0 0	1
T 0 1 0 0 0 0 1 0 1 0 0 3
E51
E52
5
6
All other transport accidents (V09.0-V09.1,V19.0-
V19.3,V29.0-V29.3,V39.0-V39.3,V49.0-
V49.3,V59.0-V59.3,V69.0-V69.3, V79.0-V79.3, 
V82.0, V82.8, V83-V86,V88.0-V88.5,V88.7-
V88.9,V89.0,V89.9,V98-V99)
E49
E50
Air & Space transport accidents ( V95-V97) 
Accidental Falls (W00-W19)
Accidental drowning and submersion (W65-
W74)
Exposure to smoke, fire and flames (X00-X09)
Accidental poisoning by and exposure to noxious 
substances (X40-X49)
3
4
Other road vehicle accidents (V01,V06,V09.9,V10-
V11,V16-
V18,V19.8,V29.8,V39.8,V49.8,V59.8,V69.8,V79.8
, V80.0-V80.2,V80.7-V80.9, V82.3-V82.7, V82.9 
& V89.1)
Water transport accidents  ( V90-V94) 
153

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 0 0 1 10 13 21 16 15 6 5 1	88
F 0 0 1 6 13 6 4 3 0 2 0	35
T 0 0 2 16 26 27 20 18 6 7 1 123
M 0 0 0 1 0 1 1 0 1 0 0	4
F 0 0 0 0 0 0 0 0 0 0 0	0
T 0 0 0 1 0 1 1 0 1 0 0 4
M 0 2 1 1 1 2 1 1 0 3 1 13
F 1 1 0 1 2 1 1 0 1 0 0 8
T 1 3 1 2 3 3 2 1 1 3 1 21
M 0 2 1 1 1 2 1 1 0 3 1 13
F 1 1 0 1 2 1 1 0 1 0 0 8
T 1 3 1 2 3 3 2 1 1 3 1 21
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
Event of undetermined intent (Y10-Y34) 
Legal intervention ( Y35) 
Operations of war (Y36)
1
2
3
E53
E54
E55
Intentional self-harm (Suicide- attempted) ( X60-
X84)
Assault (Homicide) ( X85-Y09)
Other Violence (Y10-Y36)
154

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 3 3 1 6 2 8 9 13 4 10 0 59
F 3 3 2 3 2 4 8 8 5 4 0 42
T 6 6 3 9 4 12 17 21 9 14 0 101
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 1 0 0 0 0 1 0 0 2
T 0 0 0 1 0 0 0 0 1 0 0 2
2 M 3 3 1 6 2 8 9 13 4 10 0 59
F 3 3 2 2 2 4 8 8 4 4 0 40
T 6 6 3 8 4 12 17 21 8 14 0 99
M 2 2 6 2 7 10 7 8 1 10 0 55
F 0 1 3 1 1 1 2 1 0 2 0 12
T 2 3 9 3 8 11 9 9 1 12 0 67
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
M 1 0 0 0 5 6 5 8 1 9 0 35
F 0 0 0 0 0 1 0 1 0 1 0 3
T 1 0 0 0 5 7 5 9 1 10 0 38
M 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0
T 0 0 0 0 0 0 0 0 0 0 0 0
Complications of medical and surgical care ( Y40-
Y84)
Drugs,medicaments and biological substances 
causing adverse effects in therapeutic use (Y40-
Y59)
Misadventures during surgical & medical 
care,adverse incidents in diagnostic and 
therapeuticuse, abnormal reactions and late 
complications (Y60-Y69,Y70-Y82 & Y83-Y84)
Other external causes of accidental injury, not 
elsewhere classified (W20-W64,W75-W99, X10-
X39,X50-X59)
Accidents caused by machinery, and by cutting  & 
piercing instruments ( W24-W31 )
Accidents caused by firearm missile (W32-W34)
Bites of snakes & other venomous animals ( X20-
X27)
Sun stroke ( X32)4
E57
1
2
3
E56
1
155

<1   1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69  70+ N.S. TOTAL
 TABLE:-    MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2021
M.G/CAT./S.C   C A U S E   O F   D E A T H SEX
AGE GROUPS
M 1 2 6 2 2 4 2 0 0 1 0 20
F 0 1 3 1 1 0 2 0 0 1 0 9
T 1 3 9 3 3 4 4 0 0 2 0 29
M 0 0 0 0 0 0 0 0 1 0 0	1
F 0 0 0 0 0 0 0 1 0 0 0	1
t 0 0 0 0 0 0 0 1 1 0 0	2
M 9 6 7 18 92 292 742 1446 1011 3042 156	6821
F 3 3 13 28 60 159 440 915 665 2127 116	4529
T 12 9 20 46 152 451 1182 2361 1676 5169 272	11350
M 0 0 2 4 11 53 121 230 148 337 23	929
F 2 1 2 3 9 24 47 111 81 200 15	495
T 2 1 4 7 20 77 168 341 229 537 38	1424
M 482 76 96 202 287 746 1862 3424 2155 4770 224 14324
F 358 54 91 159 210 471 859 1792 1216 3533 124 8867
T 840 130 187 361 497 1217 2721 5216 3371 8303 348 23191
M 491 82 105 224 390 1091 2725 5100 3314 8149 403 22074
F 363 58 106 190 279 654 1346 2818 1962 5860 255 13891
T 854 140 211 414 669 1745 4071 7918 5276 14009 658 35965
M 496 95 119 300 488 1202 2866 5234 3367 8224 407 22798
F 367 67 120 215 312 693 1397 2857 1979 5899 255 14161
T 863 162 239 515 800 1895 4263 8091 5346 14123 662 36959
E58
COVID (U07)
POST COVID (U09)
All other accidents including late effects(W20-
W23,W35-W64, W75-W99,X10-X19,X28-X31, 
X33-X39 &  X50-X59 ) 
Late effects of external causes of morbidity and 
mortality ( Y85-Y89)
5
ALL CAUSES ( MAJOR GROUP  I to XIX) 
WITH OUT COVID AND POST COVID
ALL CAUSES ( MAJOR GROUP  I to XIX) 
INCLUDING COVID AND POST COVID
ALL CAUSES (MAJOR GROUP I TO  XX)  
+COVID AND POST COVID DATA
156
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