BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

-158. Patternsof Mortality in Childhood
tion. Hehninthiases were the underlying
cause of 69 deaths in all tie projects, but
were diagnosed as associated causes in 1,076
(for several deaths more than one disease
was an associated cause).
Septicemia (038) was the underlying
of 424 deaths in all projects and the
cause
associated cause of 1,889. To illustrate the
im)ortance of this condition, Figure 80 pretile
death rates for septicemia as an
sents
underlying as well as an associated cause.
The completeness of clinical records influences
the size of these rates for septicemia
as associated cause, and this may account in
part for the low figures in Ribeirio Pr to,
Bolivia, and Chaco Province. The rates were
very low in tile Sherbrooke and California
projects.
In addition to 303 deaths in which amiebiasis
was the underlying cause in all projects,
it was an associated cause in 80.
Monterrey had 41 deaths due to anebiasis
as associated cause; this brought the total
deaths from that condition to 197 for the
Fia. 80. Mortality from Septicemia as Underlying
and as Associated Cause of Death in Children
Under 5 Years of Age in 15 Projects.
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UNDELYINoCAUSE
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- ASSOCIATED CAUSE
Monterrey project, or a death rate of 90.4
per 100,000 population for children under
5 years of age.
VACCINATIONS
In the interviews of families of deceased
children, information was requested regarding
vaccinations the children had received.
Although some vaccinations may have been
forgotten by the families, the information
obtained provides a general measure of immunizations
in tIle population studied. The
data for vaccinations against six diseases
and a group termed "other" are given in
Table 86 for deceased children 1-4 years of
age. Figure 81 shows in the left section
death rates from measles, diphtheria, and
poliomyelitis (scales adapted to the death
rates) and in the right section the percentages
of tile deceased children vaccinated.
Unfortunately, data were not available for
the California project as home interviews
were not conducted.
Of the other 14 projects, vaccination
against measles had been carried out for a
relatively large proportion of deceased children
only in Chile (that project had one of
the lowest death rates for measles). In
La Paz and Recife measles immunization
programs were started during the period of
the Investigation, but only 7.5 and 6.7