7.7.2.8 Declining health cluster
One or more were noted in 48 (32%) of the 151 cases.
• Testing positive for one or more blood-borne viruses (Hepatitis
B and C, and HIV) combined with a progression in the
symptoms (hepatitis, cirrhosis of the liver, and renal failure
requiring dialysis)
• Recurrent infections, abscesses or ulcers (complicated by
MRSA); deep vein thromboses
• Respiratory problems such as asthma, emphysema,
pneumonia or tuberculosis
• Cardiac problems (myocardial infarction, endocarditis)
• Progression of existing disease – MS, cancer, rheumatoid
arthritis, diabetes
• Problems associated with long-term alcohol abuse- severe
pancreatitis, cirrhosis of the liver, memory loss.
Physician: Diagnosis of severe chronic liver disease
secondary to Hep B and Hep C viruses – from IV drug use.
Three months before death looked unwell and had lost eight