[Updated medical death documents: Medical Death Certificate and the Birth Statistics Bulletin].

Public health physicians have constantly urged that the Medical Death Certificate (CMD in Spain) and the notification of perinatal deaths be adapted to WHO standards. The new CMD came into effect in January 2009, whilst significant changes were made to the Birth Statistics Bulletin (BEP acronym in Spanish) in 2007. In this article the certifying doctor is informed on their novel and key aspects. The health significance of this medico-legal act is emphasised. At the same time associated issues are mentioned that still need to be resolved in Spain. The CMD unifies the medical certificate and the death statistics bulletin on one form and complies with WHO recommendations. It asks whether the death has been the result of an already registered traffic or work accident, and if an autopsy (clinical) has been performed. For place of death, it means the place where the cadaver has been recognised and the death certified. The approximate time of the causes of death must also be indicated. The BEP registers the births and deaths in labour. It includes the education level and occupation levels of the mother and father, and still has the number of weeks gestation and the birth weight in grams. Notification of legal deaths and perinatal deaths still need to be improved; the confidential transfer of causes of death to doctors and researchers; and death statistics according to cause with less delay between the events and their availability and publication. Copyright 2009 Elsevier España, S.L. All rights reserved.