Cultural considerations in the declaration of death by neurologic criteria in Africa

Document Type

Book Chapter

ISBN

978-3-031-15946-6

Editor

Ariane Lewis, James L. Bernat

Publication (Name of Journal)

Death Determination by Neurologic Criteria

Department

Anaesthesiology (East Africa); Internal Medicine (East Africa)

DOI

https://doi.org/10.1007/978-3-031-15947-3_30

Publisher

Springer, Cham

Abstract

In most African countries, death can only be certified by law after circulatory-respiratory arrest. The idea that one can be declared dead by neurologic criteria while one’s heart is still beating is not widely accepted and, with the diversity of cultures and spiritual/religious beliefs on the continent, this is unlikely to change in the foreseeable future. Critical care resource limitation, public education that acknowledges religious and cultural diversity, and possibly even organ donation, are powerful drivers that we hope will guide the creation of future standards and laws about the declaration of death by neurologic criteria in Africa.

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