BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

188 Patternsof Mortality in Childhood
TAnLm 101. Number of Deceased Infants and Children 1-4 Years of Age* with Congenital Anomalies
as Underlying or Associated Causes of Death or with Minor Anomalies in 15 Projects.
Under 1year
1-4 years
Poet TtlMinor Case of death Cause of death Minor
Totaect Total
ahem- Total nor
infants Under- Asso. ao' children Under- Asso- aly
Toa lyToa Tota lying ciated
slyr
Total lying ciated
No. Rate No. Rate No. Rate No. Rate No. Rate No. Rate No.Rate No.Rato
No. Rate No. Rate
Total ................
2,873 606.1 2.286 482.2 1.697 358.0 589 121.2 587 123.8, 44 20.0 347 '21.0 251 15.2 06 5.8 97 5.9
ARGENTINA
Cliaco Province ..... 74 420.5 62 352.3 50 28-1.1 12 68.2 12 68.2 14 23.2 11 18.2 10 16.6 1 1.7 3 5.0
San Juan Province.. 176 753.4 127 5A3.7 91 389.6 30 151.1 .1920!.8 122 26.1 17 20.2 12 14.3 5 5.9 5 5.9
BOLIVIA project ..... 92 244.6 69 183.5 50 132.9 19 50.5 23 612:1 .1 11.4 9 7.3 4 3.3 5 4.1 5 4.1
BRAZIL
Reife.............. 206 677.6 174572A 110 381.6 58190.8 32 1053 18 18.8 1. 14.6 10 10.4 4 4.2 4 4.2
Ribeir.loPrto ....... 101 553.7 91 498.9 71 380.3 20109.6 10 51.8! 13 20.0 0 13.8 8 12.3 1 1.5 4 6.1
Sio Paulo ........... .158 787.5 316 5 13.3 223 383.4 93 159.9 1.12 2114.21,16 2.1.4 38 20.2 26 13.8 12 6.4 8 4.2
CANADA
Sherbrooke .......... 1 730.7 115 677.7 101 595.2 1.1 82.5 9 53.0,' 14 18.8 9 12.1 7 9.4 2 2.7 5 6.7
9 5.4 2 1.2
CILE project........ .17 70-1.5 235 530.2 176 10.11 59135A 72 165.2: .11 24.5 39 23.3 30 17.9
COLOM BIlA
Call ............. . 107 507.1 90 426.5 59 279.1 31 1.16.9 17 80.6;, 25 30.9 17 21.0 12 14.8 5 6.2 8 9.0
Cartagena ....... 110 614.5 87 .186.0 59 329.6 28 156.1 23 128.5' .10.7 23 33.4 1.1 20.3 0 13.1 5 7.3
,Medellin...........
126 649.5 96 194.8 69 155.7 27 139.21 30 15-1.6 16 61.7 32 .12.9 21 28.2 11 14.7 14 18.8
EL SALVADOR project 216 696.3 16.1 528.7 119 383.6 511.15.1 52167.61 41 42.4 27 28.0 18 18.6 9 .3 14 14.5
JAMAICA
Kingston-St. Andrew. 201 490.7 166 105.3 1:1-:127.1 32 78.1 35 85.4' .15 31.3 40 27.9w31 21.6 9 0.3 5 3.5
MEXICO
Monterrey..... ... 53 665.9 306 577.21 229 .132.0 77 1.15.3 47 88.71 601: 43 25.3 36 21.2 26 15.3 10 5.0 7 4.1
UN lm rl.SATES .. 3. 8 5.0
:14 21 1 26 16.2 22 137 4 2.5
38 81.9 34
... 222 496.2 188 420.2 150 335.3
California project
tilitesuidir I yar of uge lLr 100.000 live I irtliM; others per 100,000 lopulation.
that found for nany causes (Figure 96). ceased infants, to the lack of inedical atten-
Excluding the Bolivia project, tile rates tion for diagnosis of anomalies, or perhaps
ranged froln 420.5 to 787.5 per 100,000 live to an actual lower frequency of anoinalies.
births. Those for anomalies as underlying Certain serious anoinalies that are clearly
causes varied fromu 279.6 to 432.0 in 13 of the visible tire usually reported even when
projects. The Sherbrooke project had the medical facilities for diagnosis are liimited.
very high rate of 595.2. In fact, of the 310 This was the case in the rural 1111fnicipios of
infant deatls ill that project, 124 or 40.0 El Salvador. The results in Bolivia cerper
cent were of infants with anomialies, and tainly indicate the need for further research
(as will be reported later in this chapter) into the many unique findings of this Investhe
serious anlllaly anencephahls was tigation in high-altitude areas.
found nore frequently in Sherbrooke than Infants with anomalies as Ininor condiin
the other projects. The situation ill Bo- tions only were reported frequently in Sao
livia is lIuzzling; the very low rate (244.6 Paulo and in San Juan Province (244.2 and
per 100,000 live births) could be attributed 209.8 per 100,000 live births, respectively).
to failure to find some of the families of de- For six of the countries in which the In­