BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

84 Patternsof Mortality in Childhood
Fic. 39. Certain Causes of Neonatal and Postneovtatal Mortality in 24 Areas of 15 Projects.
DEATHSPER 1,000 LIVE 611THS
0 10 20 30 40 50 0
I I I
NEONATAL
10 20
I
30 40 50
I I
POSTNEONATAL
60
I
70
I
00
.
90
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although the three areas with the lowest
neonatal mortality also have the lowest
postneonatal death rates.
For these two age groups the underlying
causes are given in Table 34, the leading
groups of causes being shown in Figure 39.
In the neonatal period more than half the
deaths were included in the group of certain
perinatal causes. Infectious diseases were
responsible for death rates of at least 5 per
1,000 live births in eight areas (rural Chaco
6.3, suburban San Juan 7.7, rural San Juan
7.9, Recife 6.5, Franca 6.5, Sio Paulo 7.5,
San Salvador 6.3, and rural El Salvador
11.3). Diarrheal disease was the leading
cause in this group in all areas except those
in Canada, California, Kingston-St. Andrew
in Jamaica, and rural El Salvador. In the
Sherbrookc project no neonatal death was
due to diarrheal disease but one was due to
septicemia. In San Francisco two were due
to diarrheal disease, two to septicemia, and
two to poliomyelitis (in the group of
others). In the suburban counties of California
no death was caused by diarrheal
disease but six were due to septicemia. In
the rural municipios of El Salvador more
deaths were caused by tetanus (28) than by
diarrheal disease (27). In Kingston-St. Andrew
the deaths from septicemia numbered
more than those from diarrheal disease (57
and 45). Also in this project tetanus was
responsible for 16 deaths.
Thus in addition to diarrheal disease,
tetanus and septicemia caused many neonatal
deaths in several projects. Tetanus
was responsible for eight neonatal deaths in
Resistencia, 15 in rural Chaco, 22 in Recife,