Can't you do it entirely database-side? Or do you literally need to have the "A" be something else for each entry?
In standard SQL, this is either:
UPDATE disease_types
SET adapted_code = "A" || code;
if you're trying to modify the records in place, or if you really wanna
create a whole new set of records, more like:
INSERT INTO disease_types (adapted_code)
SELECT "A" || code FROM disease_types;
You can execute either of these with a $dbh->do(...) operation.
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