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== Society and culture == Memoirs about multiple chemical sensitivity tend to follow a predictable pattern, with a description of various toxins and their effects alongside requests for others to help the writers by changing their behavior (e.g., by not wearing perfume).<ref name="Hsu">{{Citation |last=Hsu |first=Hsuan L. |title="Every Crime Has Its Peculiar Odor": Detection, Deodorization, and Intoxication |date=2020-12-31 |work=The Smell of Risk |pages=27–55 |url=https://www.degruyter.com/document/doi/10.18574/nyu/9781479807215.003.0002/html |publisher=New York University Press |doi=10.18574/nyu/9781479807215.003.0002 |isbn=978-1-4798-0537-2 |via=[[De Gruyter]]}}</ref><ref name="Alaimo">{{Cite book |last=Alaimo |first=Stacy |title=Bodily Natures: Science, Environment, and the Material Self |publisher=[[Indiana University Press]] |year=2010 |isbn=978-0-253-22240-4 |location=Bloomington (Ind.) |chapter=Deviant Agents: The Science, Culture, and Politics of Multiple Chemical Sensitivity}}</ref> Frequently the memoirs focus more on things than on people, with interpersonal relationships fading into the background as the writers describe the vigilance they apply to everyday life, such as holding their breath whenever a car drives by, or trying to guess whether nearby people are likely to be smoking or wearing perfumes.<ref name="Hsu" /> Multiple chemical sensitivity has been featured in the film [[Safe (1995 film)|''Safe'']], a 1995 fictional [[psychological horror]] film.<ref name="Alaimo" /><ref>{{Citation |first1=Stephen |last1=Tapert |title=Julianne Moore |date=2022-12-31 |work=Best Actress |pages=451–454 |url=https://www.degruyter.com/document/doi/10.36019/9781978809598-075/html |access-date=2024-05-15 |publisher=Rutgers University Press |doi=10.36019/9781978809598-075 |isbn=978-1-9788-0959-8}}</ref> === International Statistical Classification of Diseases === The [[International Statistical Classification of Diseases and Related Health Problems]] (ICD), maintained by the [[World Health Organization]], is a [[medical coding]] system used for [[medical billing]] and statistical purposes – not for deciding whether any person is sick, or whether any collection of symptoms constitutes a single disease. However, this does not mean that people with MCS-related symptoms cannot be treated or billed for medical services.MCS was illegally, without a proper proposal, added to USA ICD10 medical diagnostic code system 2011-2016, then, it was removed. https://icd.codes/icd10cm/F459# The public health service in Germany permits healthcare providers to bill for MCS-related medical services under the ICD-10 code T78.4, which is for idiosyncratic reactions, classified under the heading T78, <span lang="de" dir="ltr">Unerwünschte Nebenwirkungen, anderenorts nicht klassifiziert</span> ("adverse reactions, not otherwise specified").<ref name="Harter">{{Cite journal |last1=Harter |first1=Katharina |last2=Hammel |first2=Gertrud |last3=Fleming |first3=Megan |last4=Traidl-Hoffmann |first4=Claudia |date=February 2020 |title=Multiple chemical sensitivity (MCS) – a guide for dermatologists on how to manage affected individuals |journal=JDDG: Journal der Deutschen Dermatologischen Gesellschaft |language=en |volume=18 |issue=2 |pages=119–130 |doi=10.1111/ddg.14027 |issn=1610-0379 |pmid=32026633 |doi-access=free}}</ref> Being able to get paid for medical services and collect statistics about unspecified, idiosyncratic reactions does not mean that MCS is recognized as a specific disease or that any particular cause has been defined by the German government. MCS is named in [[Evidence-based medicine|evidence-based]] ("S3") [[Medical guideline|guidelines]] for the management of patients with nonspecific, functional symptoms.<ref name="Harter" />
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