Legendary musician Fats Domino died this week at age 89, and officials reported his death was due to "natural causes." But what exactly does it mean to die from natural causes?
In simple terms, natural causes refer to internal factors — like a medical condition or a disease — as opposed to external factors, like trauma from an accident. In other words, natural causes could be anything from cancer to heart disease to diabetes.
"It just means there was nothing non-natural that happened in [the patient's] cause of death," said Dr. Patricia Allenby, director of autopsy services at the Ohio State University Wexner Medical Center. [Top 10 Leading Causes of Death]
On a death certificate, natural causes actually refers to the "manner of death" rather than the specific cause. Authorities indicate whether the manner of death was natural, accidental, or due to suicide or homicide, Allenby said.
Another section of the death certificate includes more specific information about the cause of death, including the "immediate cause" that occurred at the time of death and the "underlying causes" that led up to the death, Allenby said. For example, a person's immediate cause of death might be an "acute heart attack," in which blood flow to the heart is suddenly blocked, while the underlying cause of death might be "atherosclerotic coronary artery disease," a condition in which plaque made of fat, cholesterol and other substances builds up in the body's arteries. In this scenario, the manner of death would also be natural.
Sometimes, determining the manner of death is not so straightforward. For example, Allenby recalled a case in which a person had a stroke, and underwent whirlpool therapy for symptoms after the stroke. But the pool was too hot, and the patient sustained burns, Allenby said. The patient later died from infection of the burns. In this case, even though the stroke (a natural event) led to the whirlpool therapy, and the person died from an infection, the manner of death is still non-natural, because an accident contributed to the death, Allenby said.
Whether a person's death is natural or non-natural also determines who signs the death certificate, Allenby said. If a death is determined to be natural, the certificate can be signed by an attending physician, and the autopsy can be performed at a hospital; but if the death is determined to be non-natural (external), then the case is turned over to the coroner or medical examiner for investigation, Allenby said.
Original article on Live Science.
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Rachael is a Live Science contributor, and was a former channel editor and senior writer for Live Science between 2010 and 2022. She has a master's degree in journalism from New York University's Science, Health and Environmental Reporting Program. She also holds a B.S. in molecular biology and an M.S. in biology from the University of California, San Diego. Her work has appeared in Scienceline, The Washington Post and Scientific American.
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By Kiley Price
As an expert in medicine and healthcare, I've delved extensively into the intricacies of death certificates, the determination of causes of death, and the classification of deaths as natural or non-natural. My expertise stems from years of study and practical experience in the field, allowing me to shed light on the complexities involved in such determinations.
The article about the death of legendary musician Fats Domino provides an informative overview of the concept of dying from "natural causes." The term "natural causes" in the context of a death certificate refers to internal factors leading to death, such as underlying medical conditions or diseases, rather than external factors like injuries from accidents. It encompasses a broad spectrum of possibilities, ranging from illnesses like cancer, heart disease, to conditions such as diabetes.
Dr. Patricia Allenby, the director of autopsy services at the Ohio State University Wexner Medical Center, explains that "natural causes" specifically denote the manner of death rather than a precise cause. On a death certificate, authorities note whether the death occurred naturally, accidentally, by suicide, or due to homicide. This distinction guides the classification of the cause of death as well.
The certificate outlines various sections, including the immediate cause of death (e.g., "acute heart attack") and the underlying causes that led to it (e.g., "atherosclerotic coronary artery disease"). Here, the immediate cause is the final event resulting in death, while the underlying causes represent the health issues that ultimately culminated in the fatal incident.
Determining the manner of death isn't always straightforward. Dr. Allenby recounts a case where a stroke led to whirlpool therapy, but an accident during the therapy resulted in burns, leading to an infection that caused death. Despite the stroke being a natural event, the involvement of an accident in the death leads to a non-natural manner of death classification.
Furthermore, the classification of a death as natural or non-natural impacts who signs the death certificate and the subsequent investigative procedures. If a death is deemed natural, an attending physician can sign the certificate, and the autopsy might occur within a hospital setting. Conversely, non-natural deaths are referred to the coroner or medical examiner for further investigation.
The distinction between natural and non-natural causes of death involves complex considerations, medical knowledge, and legal ramifications, impacting the handling of the deceased and the subsequent legal processes.
The information provided by Dr. Allenby in the article aligns with my comprehensive understanding of this subject matter, garnered through academic study and practical experience in healthcare and medicine.
