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Autopsies of COVID-19 deceased? Absolutely!
1Department of Legal Medicine, University Medical Center Hamburg-Eppendorf, Butenfeld 34, D-22529 Hamburg, Germany.
Insights
Autopsies are crucial for understanding new diseases like COVID-19. Despite potential infection risks being overestimated, performing autopsies on deceased patients offers invaluable scientific insights.
Area of Science:
- Pathology
- Infectious Diseases
- Public Health
Background:
- Autopsies are vital for understanding novel diseases.
- There is a global reluctance to perform autopsies on COVID-19 deceased patients.
- This reluctance hinders disease comprehension and control.
Purpose of the Study:
- To review the global status of COVID-19 autopsy studies.
- To highlight Hamburg's approach to ordering autopsies for disease control.
- To address concerns regarding infection risks from SARS-CoV-2 positive deceased individuals.
Main Methods:
- Literature review of published autopsy series worldwide.
- Case study analysis of Hamburg's public health authority's autopsy protocols.
- Risk assessment of SARS-CoV-2 transmission from deceased individuals.
Main Results:
- Significant underutilization of autopsies for COVID-19 research globally.
- Hamburg's proactive approach demonstrates a viable model for disease control through autopsies.
- The perceived infection risk from SARS-CoV-2 positive deceased individuals may be overestimated.
Conclusions:
- Autopsies on COVID-19 deceased patients are essential for scientific understanding.
- Hamburg's strategy provides a framework for overcoming reluctance and leveraging autopsies for public health.
- The scientific and clinical benefits of examining tissue samples are substantial and should be pursued.
Abstract:
Autopsies are an essential tool for understanding new diseases. Against this background, it is incomprehensible why there is great reluctance worldwide to perform autopsies on COVID-19 deceased patients. The article provides an overview of the status of the autopsy series published worldwide and shows the path taken by the city of Hamburg in Germany, where autopsies are ordered by the health authorities in the interests of disease control. The risk of infection posed by SARS-CoV-2-positive deceased persons may be overestimated. The scientific benefit that can be drawn from experience with autopsies and further examination of tissue samples is immeasurable.
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