BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

Chapter VIII. Inectious Diseases 149
Fla. 74. Number of Deaths from Measles by the serious health problems of these popula-
Calendar Month in Two Projects.
tions. This is illustrated in Figure 77, for
701ouVIA PRoJECi 11c1 the El Salvador project, where the highest
Deaths, 576.t,., .7 rates by three-month age groups were for
60 - *, 366.32 a., 1 320.40 infants 9-11 nionthis of age in the rural
30
municipios.
The study of the associated causes in
4,o deaths due to measles as underlying cause
C..p.,,0 reveals imp)ortant relationships and inter­
30 carpIeted actions (Table 79). Of the 2,106 deaths from
z
measles in the 13 Latin American projects,
0f
1,061 or 50.4 per eent had diarrheal (isease
, as a complication (consequence). In only
2.5 per cent was diarrheal disease a eon­
..... tributory or pre-existing condition to the
JULY JAN. JULY JAN. JULY JAN. JULY JAN.
1960 1970 1960 1969 1970 1968 onset of the underlying cause. This coinl)li-
MONTH AND YEAR
eating condition has been recognize(l for a
long time and has been attributed to inflamte
per 100,0o00 op.loti. matory changes in the jejunal inucosa
(Sheehy et al., 1964) and to malnutrition
commonly present inchildren suffering from
year-old children. Data are given for three- measles (Gosh and Dhatt, 1961). Various
month age groups in Table 78 in order to studies have indicated that several forms
show the groups with the high death rates.
In several projects (such as El Salvador and
Monterrey) infants aged 9-11 months had Fit. 75. Number of Deaths from Measles by
thle iighes:t (death rates.
Calendar Month in Two Projects.
Of the 674 measles delths in the first year 25 "si0 RLSAIVADP1011c
of life, 357 occurred before the infant Da.ths, 126 D..ah,.176
°
reached 9 months of age. Since the vaccine 20
Role, 64.0 Not., 142.1
is usually recommended for infants aged at
least 9 months, many infants would not he ,
protected in a vaccination campaign. There- ,
fore, in view of the deaths from measles
occurring in infants of less than 9 months, ,o 0
when a vaccination program against measles z
is first started it would seem advisable to
include in the attack phase infants from 6
months of age, at least in Latin Apierica. O . & ' i
During the prograni's iaintenance lhase, JUNE JAN. JULY JAN. SEPT.JAN. JULY JAN. JULY
however, vaccinations could be given begin- 1968 196? 1970 1960 1969 1970
ning at age 9 months.
MONs AND YEAR
The higher measles mortality in early life
in the rural areas is another indication of "ate per 100.000 pple,...