The Statistics on Causes of Death is a key tool for the Public Health. This article describes the complex process of the statistics, the advances achieved in recent years, such as the implementation of an international automatic system for coding multiple causes of death and for the selection of the underlying cause (IRIS) or the improvement in obtaining the external causes of death, as well as its usefulness for the epidemiological studies and health research. It is also discussed some of the lessons learned during the worst pandemic period, that, without any doubt, have highlighted the need of a more efficient method to get information through the implementation of an Electronic Death Certificate. And, finally, it is proposed to collect other variables of interest for the analysis of the causes of death using available administrative sources.
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