BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ... BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

pdf.usaid.gov
from pdf.usaid.gov More from this publisher
16.01.2014 Views

ChapterIX. NutritionalDeficiency 181 Fia. 92. Infant Mortality from Diarrheal Disease and Nutritional Deficiency by Three-Month Age Groups in 10 Projects. 2000 -CIFE CHACO SAO PAULO MONTERREY CALI PROVINCE 1500 -\-. 500 ...... .. 0 1500 0 OLIVIA PROJECT MEDELLIN CARTAGENA CHILE PROJECT KINGSTON. ~ST. ANDREW Soo 1000 Z 0O 1 1 1 I I I I I .............. 0.2 3.5 6.1 9.11 0.2 2.5 6.8 9.11 0.2 3.5 6.8 9.11 0.2 2.5 6.8 9-11 0.2 3.5 6.8 9.11 AGE IN MONTHS DIARRHEAL ......... DISEASE - NUTRITIONAL DEFICIENCY nutritional states were probably the result ticed and was continued longer than in the of low birth weight, among other determin- Brazilian projects. The pattern for nutriing factors. tional deficiency was also different in these In five of the other projects shown in projects, showing only small variations. In Figure 92 (Cali, Bolivia, Medellin, Carta- the project in Chile the patterns for both gena, and Kingston-St. Andrew), different diarrheal disease and nutritional deficiency patterns were found. Excessive rates from were similar to those in Recife and Silo diarrheal disease were not noted in the first Paulo, though the rates were much lo;,'er. three months of life. In these projects Two projects--El Salvador and San Juan breast feeding was more commonly prac- Province-had sufficient data to illustrate Fia. 93. Infant Mortality from Diarrheal Disease and Nutritional Deficiency by Three-Month Age Groups in Specific Areas of Three Projects. , 20010 ELSALVADOR PROJECT SAN JUAN PROVINCE RIBEIRAOPRITO 1000_ / %\ RURAL - % . RANCA CITY I UR€AN.A ~~ 00RALURBAN - I ' *" 0.2" 3.5 68 9.11 0.2 3.5 6.8 9.11 0.2 3.5 6.8 9.11 0.2 3.5 6.1 9.11 0.2 3.5 6.8 9.11 0.2 3.5 6.8 9.11 AGE IN MONTHS -**,*-*DIA2EHEAL DISEASE - NUTRITIONAL DEFICIENCY

182 Patterns of Mortality in Childhood TABLE 98. Infant Mortality from Diarrheal Disease and Nutritional Deficiency by Three-Month Age Groups in 18 Areas of 13 Projects. Diarrheal disea., underlying cause NuO"lonal deficiency, Arem Deaths Axe in months R.ates (,r 1(0,00) live birtihs Age in monthl Deaths Age in months. Rates per 100,000 live births Age in mouths Total 0-2 3-5 A-8 9-11 Total 0-2 3-5 0-8 9-11 Tot.) 0-2 3-5 6-8 9-11 Total 0-2 3-5 -8 0-II ARGENTINA ChaC Province ............. 493 161 175 105 52 2.801.1 014.8 04.3 .590.6 205.5 485 121 193 101 70 2.755.7 687.5 1.010.0 573.0 397.7 Ban Juan Povince-Toal ..... 510 251 152 74 33 2.18.1.2 1,074.5 050.7 316.8 141.3 511 1 19(0 02 37 2.187.5 821.0 813.4 393.8 158.4 Sui Juan(city) .......... 62 30 It, 0 2 1.065.3 811. 257.7 154, 34.4 55 30 10 7 2 945.0 515.5 274.0 120.3 34.4 Suburban dp.rtment.. . 170 85 51 20 0 2,146.5 1,073.2 043.9 328.3 101.0 187 66 68 39 (4 2,301.1 833.3 058.6 492.4 170.8 tur) delyrtnt........ 278 130 8i 39 23 2.889.8 1,351.4 814.0 405.4 239.1 209 90 06 40 21 2.790.3 097.9 1.101.0 470.2 218.3 R1OI,[VIAproject....... 10 192 148 140 130 1.021.9 510.5 393.5 372.2 315.7 771 224 195 165 187 2,050,0 55.0 518.0 438.7 407.2 B(RAZIL E(i ........... 1,141 540 335 179 87 3,753.3 1.776.3 1,102.0 588.8 280.2 1.080 335 325 233 187 3.552.6 1,102.0 1.069.1 766.4 015.1 libdlro Il1to-Tot. 308 150 08 41 13 1,688.6 835.3 537.3 224.8 71.3 299 97 112 57 33 1.439.3 531.8 614.0 312.5 180.0 ibeirlioPOo (city) . 11.5 6 28 (8 3 1.2152 708.9 300.8 193.3 32.2 116 4) 40 22 13 1.240.0 440.4 429.0 230.3 130.6 Fran.u..... .. 134 06 45 (0 7 2.632.0 1,290.7 881.1 314.3 137.5 119 31 45 20 II 2,337.9 720.9 884.) 510.8 216.1 Commuili.. . .. 59 24 25 7 3 1.536.5 625.0 651.0 (82.3 78.1 04 19 27 9 0 1.660.7 404.8 703.1 234.4 234.4 Sao Paulo. . . . 1.149 ,742 287 83 37 1.975.0 1,275.8 493.5 142.7 03.1 1.062 941331 156 81 1.820.0 819.4 569.1 268.2 139.3 CI||IJ project..... . 498 230 154 75 33 1.142.7 541.5 353.4 172.1 75.7 560 2002(19 10 40 1.285.0 458.0 502.5 231.8 91.8 COLOMIIIA Call .... .... 362 0 1 1 04 6) 1.715.6" 431.3 511.8 445.5 327.0 306 5 98 80 69 1,450.2 279.0 464.5 379.1 327.0 Catagena ....... .. 222 63 59 02 38 1.210.2 352.0 329.6 346.4 212.3 278 59 07 74 78 1,553.1 329. 374.3 413.4 435.8 MedIl.... . 289 95 00 12 52 1.409.7 489.7 412.4 319.6 268.0 308 55 101 06 0" 1,587.6 283.5 520.0 443.3 340.2 El, 8ALVADIOR pro)Je Tota, 1,208 401 (24 20 1885 4,184.4 1,292.7 1,306.9 928.4 590.4 795 :0 258 10 16 2,5C2.9 5996 831.7 596.4 535.1 San Salvador ....... . 961 315324 204 (18 3,751.0 1,229.5 1,261.6 790.3 460.' 597 14 197 (2Z3 125 2,330.2 569.9 768.0 503.5 487.8 Rural .. ainpio........ 337 8100 84 67 0,240.7 1,592.6 1,831.9 1,555.6 1.240,7 198 40 61 56 41 3.00.7 740.7 1.129.6 1037.0 759.3 JAMAICA Kilonto-St. Andrew. 334 104 70 81 73 8111.4 253.0 185.5 197.8 178.2 243 50 52 04 71 .503.3 130.7 127.0 156.2 173.3 Monterey ............... 050 439204 140 77 1,792.1 828.1 554,. 264.1 14 1.003 35) ,319 199 134 1,892.1 662.1 0101.8 370.4 252.8 0Undedying or 'oateod cause. the differences in rates in urban and rural being highest among infants 3-5 months of areas, and in Ribeirdo Pr~to the differences age. The delayed deleterious effect of dibetween an interior city (Franca) and the arrheal disease was thus clearly evident in city of Ribeiriio Pr6to (which had more this age period. As in the projects shown in medical facilities and better environmental Fig. 92, the numbers of infant deaths from conditions) can be shown (Figure 93). Di- the two causes (diarrheal disease as underarrheal disease rates were found to be much lying and nutritional deficiency as underhigher in rural areas than in the cities, the lying or associated) were practically the rural rates being about twice as high in the same. These data of the Investigation thus case of San Juan Province. indicate the seriousness of this complex of Mortality from nutritional deficiency diarrheal disease-nutritional deficiency in was also greater in rural areas but in gen- rural areas of Latin America and probably eral followed a different pattern, the rates in interior cities as well.

182 <strong>Patterns</strong> <strong>of</strong> Mortality in Childhood<br />

TABLE 98. Infant Mortality from Diarrheal Disease and Nutritional Deficiency by Three-Month Age<br />

Groups in 18 Areas <strong>of</strong> 13 Projects.<br />

Diarrheal disea., underlying cause<br />

NuO"lonal deficiency,<br />

Arem<br />

Deaths<br />

Axe in months<br />

R.ates (,r 1(0,00) live birtihs<br />

Age in monthl<br />

Deaths<br />

Age in months.<br />

Rates per 100,000 live births<br />

Age in mouths<br />

Total 0-2 3-5 A-8 9-11 Total 0-2 3-5 0-8 9-11 Tot.) 0-2 3-5 6-8 9-11 Total 0-2 3-5 -8 0-II<br />

ARGENTINA<br />

ChaC Province ............. 493 161 175 105 52 2.801.1 014.8 04.3 .590.6 205.5 485 121 193 101 70 2.755.7 687.5 1.010.0 573.0 397.7<br />

Ban Juan Povince-Toal ..... 510 251 152 74 33 2.18.1.2 1,074.5 050.7 316.8 141.3 511 1 19(0 02 37 2.187.5 821.0 813.4 393.8 158.4<br />

Sui Juan(city) .......... 62 30 It, 0 2 1.065.3 811. 257.7 154, 34.4 55 30 10 7 2 945.0 515.5 274.0 120.3 34.4<br />

Suburban dp.rtment.. . 170 85 51 20 0 2,146.5 1,073.2 043.9 328.3 101.0 187 66 68 39 (4 2,301.1 833.3 058.6 492.4 170.8<br />

tur) delyrtnt........ 278 130 8i 39 23 2.889.8 1,351.4 814.0 405.4 239.1 209 90 06 40 21 2.790.3 097.9 1.101.0 470.2 218.3<br />

R1OI,[VIAproject....... 10 192 148 140 130 1.021.9 510.5 393.5 372.2 315.7 771 224 195 165 187 2,050,0 55.0 518.0 438.7 407.2<br />

B(RAZIL<br />

E(i ........... 1,141 540 335 179 87 3,753.3 1.776.3 1,102.0 588.8 280.2 1.080 335 325 233 187 3.552.6 1,102.0 1.069.1 766.4 015.1<br />

libdlro Il1to-Tot. 308 150 08 41 13 1,688.6 835.3 537.3 224.8 71.3 299 97 112 57 33 1.439.3 531.8 614.0 312.5 180.0<br />

ibeirlioPOo (city) . 11.5 6 28 (8 3 1.2152 708.9 300.8 193.3 32.2 116 4) 40 22 13 1.240.0 440.4 429.0 230.3 130.6<br />

Fran.u..... .. 134 06 45 (0 7 2.632.0 1,290.7 881.1 314.3 137.5 119 31 45 20 II 2,337.9 720.9 884.) 510.8 216.1<br />

Commuili.. . .. 59 24 25 7 3 1.536.5 625.0 651.0 (82.3 78.1 04 19 27 9 0 1.660.7 404.8 703.1 234.4 234.4<br />

Sao Paulo. . . . 1.149 ,742 287 83 37 1.975.0 1,275.8 493.5 142.7 03.1 1.062 941331 156 81 1.820.0 819.4 569.1 268.2 139.3<br />

CI||IJ project..... . 498 230 154 75 33 1.142.7 541.5 353.4 172.1 75.7 560 2002(19 10 40 1.285.0 458.0 502.5 231.8 91.8<br />

COLOMIIIA<br />

Call .... .... 362 0 1 1 04 6) 1.715.6" 431.3 511.8 445.5 327.0 306 5 98 80 69 1,450.2 279.0 464.5 379.1 327.0<br />

Catagena ....... .. 222 63 59 02 38 1.210.2 352.0 329.6 346.4 212.3 278 59 07 74 78 1,553.1 329. 374.3 413.4 435.8<br />

MedIl.... . 289 95 00 12 52 1.409.7 489.7 412.4 319.6 268.0 308 55 101 06 0" 1,587.6 283.5 520.0 443.3 340.2<br />

El, 8ALVADIOR pro)Je Tota, 1,208 401 (24 20 1885 4,184.4 1,292.7 1,306.9 928.4 590.4 795 :0 258 10 16 2,5C2.9 5996 831.7 596.4 535.1<br />

San Salvador ....... . 961 315324 204 (18 3,751.0 1,229.5 1,261.6 790.3 460.' 597 14 197 (2Z3 125 2,330.2 569.9 768.0 503.5 487.8<br />

Rural .. ainpio........ 337 8100 84 67 0,240.7 1,592.6 1,831.9 1,555.6 1.240,7 198 40 61 56 41 3.00.7 740.7 1.129.6 1037.0 759.3<br />

JAMAICA<br />

Kilonto-St. Andrew. 334 104 70 81 73 8111.4 253.0 185.5 197.8 178.2 243 50 52 04 71 .503.3 130.7 127.0 156.2 173.3<br />

Monterey ............... 050 439204 140 77 1,792.1 828.1 554,. 264.1 14 1.003 35) ,319 199 134 1,892.1 662.1 0101.8 370.4 252.8<br />

0Undedying or<br />

'oateod cause.<br />

the differences in rates in urban and rural being highest among infants 3-5 months <strong>of</strong><br />

areas, and in Ribeirdo Pr~to the differences age. The delayed deleterious effect <strong>of</strong> dibetween<br />

an interior city (Franca) and the arrheal disease was thus clearly evident in<br />

city <strong>of</strong> Ribeiriio Pr6to (which had more this age period. As in the projects shown in<br />

medical facilities and better environmental Fig. 92, the numbers <strong>of</strong> infant deaths from<br />

conditions) can be shown (Figure 93). Di- the two causes (diarrheal disease as underarrheal<br />

disease rates were found to be much lying and nutritional deficiency as underhigher<br />

in rural areas than in the cities, the lying or associated) were practically the<br />

rural rates being about twice as high in the same. These data <strong>of</strong> the Investigation thus<br />

case <strong>of</strong> San Juan Province.<br />

indicate the seriousness <strong>of</strong> this complex <strong>of</strong><br />

Mortality from nutritional deficiency diarrheal disease-nutritional deficiency in<br />

was also greater in rural areas but in gen- rural areas <strong>of</strong> Latin America and probably<br />

eral followed a different pattern, the rates in interior cities as well.

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!