BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

Chapter VIII. Infectious Diseases
159
TABLz 86. Vaccinations Reported for Deceased Children 1-4 Years of Age in 14 Projects.
Smallpox Whooping iplitlheria m eii
P oetTotal cough Tetanus Polio. i lasies Otler
children-
No. % No. 17 No. % No. % No. % No. ' No. 7
ARGENTINA
Chaco Province ....... 287 7 2.4 21 7.3 22 7.7 21 7.3 53 18.5 - - 10 5.0
San Juan Province .... 247 14 5.7 111 44.9 III 44.9 127 51.4 102 77.7 - - 97 39.3
BOLIVIA project ....... 972 193 19.9 52 5.3 49 5.0 50 5.1 20 2.1 73 7.5 227 23.4
BRAZIL
Recife ............... 760 35 4.6 69 9.1 60 8.7 70 0.- 106 13.0 51 0.7 14 1.8
Ribeirfio Prto........ 146 50 34.2 77 52.7 78 53.4 77 52.7 124 84.0 1 0.7 38 20.0
Sao Paulo ............ 430 70 17.4 132 30.3 1.41 32.3 129 29.6 296 07.9 10 3.7 110 26.0
CANADA
Sherbrooke ........... 53 2 3.8 25 47.2 25 47.2 25 47.2 22 41.5 10 18.0 22 41.5
CHILE project ......... 252 02 24.6 169 07 1 170 07.5 21 8.3 147 58.3 01 30.1 187 74.2
COLOMBIA
Call ..... ........... 328 109 33.2 117 35.7 114 34.8 115 35.1 71 21.6 20 8.8 10 4.1
Cartagena ............ 298 77 25.8 47 15.8 50 10.8 48 16.1 k1 9.7 3 1.0 79 26.5
Medellin ............. 327 171 52.3 165 50.5 165 50.5 163 49.8 106 30.1 6 1.8 45 13.8
EL SALVADOR project. 1.033 93 0.0 304 29.4 309 29.0 308 29.8 223 21.6 41 4.0 158 15.3
JAMAICA
Kingston-St. Andrew. 281 24 8.5 34 12.1 41 14.6 41 14.0 35 12.5 - - I 0.4
MEXICO
Monterrey............ 605 41 6.8 15 25.8 150 24.8 153 25.3 453 74.9 21 3.5 53 8.8
In fanijlles in which home interviews were condlucted Id
inloicnition wts mlovidid.
per cent, respectively, of the deceased chil- ages also. Vaccination against diphtheria is
dren aged 1-4 years had been vaccinated. usually given with vacecination against
As the campaigns were carried out in the whooping cough and( tetanus (DPT) and
second year of the study, betwcen one-half thus the relationships can be evaluated.
and three-fourths of the children had died Polioinyelitis vltccine adll(been given to
before vaccination was introduced, and relatively high proportions of the deceased
some of the others Vere not in the correct children in five projects. However, the total
age group for inmnulization at the time it nulber of deaths (31) was too small for
was given. The high death rates from evaluation in reiation to vaccination. The
measles in IIll projects, in contrast to the three projects with the highest rates had low
successful results achieved in Chile, indi- proportions of child'en vaccinated.
cate the great need for additional vaccina- The nulbers of deltths fron measles,
tion programs in the Region.
whooping cough, tetanus, diplitheria, and
Immunization against dipltheria was ap- poliomyelitis (2,108, 290, 172, 91, and 31,
plied to higher proportions of the deceased respectively) add to a total of 2,692; this
children 1-4 years of age. In Recife, which does not include those leatls in which such
had the highest diphtheria death rate, the diseases acted as associated causes. This
percentage vaccinated was low, as it was high total figure comnpared with the low
also in Kingston-St. Andrew, where diph- level of coverage of vaccinations found
theria deaths occurred. Several projects among the deceased children aged 1-4 years
without dipitheria deaths had low percent- serves to indicate the need for well-con­