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From refusal to conduct post-mortem despite the family of the deceased asking for it to local medical officers deciding that a death post-vaccination could not be an adverse event following immunisation (AEFI) as it happened 24 hours later, there is a huge variation in how AEFI reporting and investigation is being done on the ground. Worryingly, it is these ground-level reports that the National AEFI Committee depends on to do causal assessments. The committee has to give guidance to the health authorities at the district level what to look for. They need to be told how to conduct a pathological autopsy. This is not a post-mortem to detect a crime. You will find something only if you are told what to look for, said Dr Amar Jesani, editor of the Indian Journal of Medical Ethics.

United kingdomMalini aisolaAmar jesaniNational committeeEuropean medicines agencyIndian journalஒன்றுபட்டது கிஂக்டம்மாலினி ஐசோழஅமர் ஜேசனிதேசிய குழுஇந்தியன் இதழ்