BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

S142
:Patternsof.Mortality in Childhood
children, if they survive infancy, are at high
risk of dying later in life from another
diarrheal episode or from other infectious
diseases. Thus a vicious cycle is often
established and it is difficult to know which
of the conditions should be considered as
underlying cause (diarrheal disease or nutritional
deficiency) because of their reciprocal
implications,
Another difficulty is frequently encountered
when the duration of the illness is to
be determined in cases where diarrheal disease
recurred at various times within short
intervals: for one informant the onset could
have been that of the first episode, while for
another it could have been the last. Likewise,
the treating physician could state that
the child was suffering from an acute or
from a chronic gastroenteritis, which have
different categories and fall in different seetions
of the InternationalClassification.Finally,
the assignment by etiologic agent
becomes complicated because often more
than one pathogenic agent is isolated in bacteriologic
culture; also, if cultures are performed
and are positive they may have been
taken during a previous episode and the
current manifestations may not be due to
the same agent. It is highly possible that
as frequency and quality of diagnostic
methods are improved an increasing number
of deaths now included in category 009
will be assigned to more specific categories.
Mortality from diarrheal disease by
month of age in the first year of life differed
markedly in Latin America, as can be seen
in Table 73 and in Figure 71, where 13 projects
are shown in descending order accord-
Fia. 71. Infant Mortality from Diarrheal Disease by Month of Age in First Year of Life for 13
Projects.,
So 4164.4 SALVADOR 3753.3 RECIFE 2101.1 CHACO 2103.2 SAN JUAN 1975.6 SAO 1792.1 MONTERREY
tOJECT PROVINCE PROVINCE PAULO
600 - RURBAL
400
RURAL
a 0
RURAL
UURBAN
400:: FRNCA
700 1715.6 CALl 1618.6 RBEIRAO 1621.9 BOLIVIA 1489.7 MEDELLIN 1240.2 CARTACONA 1142.7 CHILE $13.4 KINGSTON.BT.
- PAITO PROJECT PROJECT ANDREW
600
200
URBAN
1 16 "JLl..L1. 6 .LL 6LL AJ.LJ.LJ LIl
. .1 6 .1 6 .1 6 .1 6 .1 6 .1 6
AOE IN MONTHS