BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

152 Patternsof Mortality in Childhood
TABiz 79. Diarrheal Disease, Nutritional Deficiency, and Pneumonia as Consequences and Contributory
Causes of Deaths from Measles in 13 Projects.'
Diarrheal disease Nutritional deficiency Pneumonia
Total
Project measles Consequence
deaths
Contributory Consequence Contributory Consequence Contributory
No. % No. % No. , No. % No. % No. %
Total .................. 2.100 1,061 50.4 53 2.5 05 3.1 1,248 59.3 1,689 80.2 2 0.1
ARGENTINA
Chaco Province........ 53 33 62.3 3 5.7 3 5.7 20 54.7 28 2.8 - -
San Juan Province .... 96 30 31.2 I 1.0 5 5.2 20 30.2 80 83.3 - -
BOLIVIA project ........ 579 230 39.7 2 0.3 12 2.1 277 47.8 452 78.1 - -
BRAZIL
Recife ................ 397 249 62.7 16 4.0 9 2.3 285 71.8 341 85.9 1 0.3
RibelrAo PI"to......... 46 19 41.3 2 4.3 - - 31 67.4 43 93.5 - -
SAo Paulo ............. 156 02 39.7 2 1.3 5 3.2 09 44.2 138 88.5 - -
CHILE project .......... 21 4 19.0 1 4.8 - - 11 52.4 19 90.5 - -
COLOMBIA
Cali .................. 80 30 45.0 5 0.2 2 2.5 49 61.2 73 91.2 - -
Cartaena ............ 105 67 63.8 4 3.8 3 2.9 88 83.8 67 63.8 - -
Medellin .............. 89 44 49.4 2 2.2 1 1.1 08 76.4 74 83.1 - -
El, SALVADOR project.. 178 132 74.2 5 2.8 10 5.0 117 65.7 118 66.3 - -
JAMAICA
Kingston-Qt. Andrew... 3 # I # I # 2 # - -
MEXICO
Monterrey ............ 297 152 51.2 9 3.0 14 4.7 193 65.0 ?51 84.5 1 0.3
* The projects in Sherbrooka and California (with one death each) are not included.
a Percentage is not calculated when the base is less than 10.
causes) in 1,689 or 80.2 per cent oi the The foregoing discussion is an example of
deaths due to measles, and only in two the complexity of mortality in childhood. If
instances were pneumonias considered to be each one of the principal componentsa
contributory cause. This very high pro- namely, measles, diarrheal disease, nutriportion
of measles deaths complicated by tional deficiency, and respiratory conditions
respiratory conditions is probably an indi- -were to be analyzed in its own context
cation of the severity of the disease, deter- ,nd the concept of interaction of causes
mined by the state of decreased resistance of - omitted, a distorted picture would be
the host.
obtained.
TUBERCULOSIS
Deaths from tuberculosis as the under- Sherbrooke, Canada. Three projects (Recife,
lying cause numbered 330 in 13 Latin Chaco Province, and Bolivia) had tubercu-
American projects (Table 80). No deaths losis death rates in excess of 40 per 100,000
from this cause occurred in California or population. The rates in the Chilean,