BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

Choper X. CongenitalAnomalies 191
TAntz 102. Evidence for Diagnosis of Congenital Anomalies as Underlying Causes of Death in Children
Under 5 Years of Age in 15 Projects.
Medical
Min certificate
Death
and only only rview or other
Project Total autopsy only recent
No. % No. % No. % No. % No. %
Total ................................... 1,048 404 20.7 1,260 64.7 140 7.2 80 4.1 64 3.3
ARGENTINA
Chaco Province ........................ 60 5 8.3 43 71.7 3 5.0 3 5.0 6 10.0
San Juan Province ...................... 103 21 20.4 72 69.9 7 0.8 3 2.9 - -
BOLIVIA project ........................ 54 3 5.0 30 72.2 2 3.7 5 0.3 5 0.3
BRAZIL
Recifo ................................. 126 0 7.1 73 57.9 24 10.0 11 8.7 9 7.1
Ribeirlo Prto ......................... 79 16 20.3 50 74.7 2 2.5 2 2.5 - -
S5o Paulo ............................. 249 30 12.0 201 80.7 18 7.2 - - - -
CANADA
Sherbrooke ............................ 108 45 41.7 58 53.7 5 4.6 - - - -
CHILE project .......................... 206 34 10.5 153 74.3 10 4.9 3 1.5 6 2.0
COLOMBIA
Cali .................................. 71 10 14.1 53 74.6 3 4.2 2 2.8 3 4.2
Cartagena............................. 73 17 23.3 43 58.9 8 11.0 1 1.4 4 5.5
Medellin .............................. 0 5 5.0 70 87.8 - - 4 4.4 2 2.2
EL SALVADOR project .................. 137 18 13.1 07 70.8 3 2.2 18 13.1 1 0.7
JAMAICA
Kingston-St. Andrew................... 105 64 38.8 57 34.5 21 12.7 15 0.1 8 4.8
MEXICO
Munterrey............................. 255 15 5.9 200 80.8 1 0.4 13 5.1 20 7.8
UNITED STATES
California project ..................... 172 112 05.1 27 15.7 33 19.2 - - - ­
deaths or 4.1 per cent) and even fewer on system was classified, this being especially
the basis of death certificates or other lim- true in the California project.
ited record (64 deaths or 3.3 per cent). The total numbers of anomalies classified
The frequency of the diagnoses depends in as underlying or associated causes (catepart
on the seriousness of the anoinalies gories 740-759 of the InternationalClassiand
also on visible signs; for example, it is fication) are given in the Appendix tables.
probable that nearly all the deaths due to In this chapter the analysis of these data is
anencephalus or other serious anomalies of in terms of deceased children with specific
the nervous system were diagnosed (except types of anomalies. In addition to anomathose
for non-registered deaths of infants lies classified in categories 740-759, other
born at hone). Also, nearly all those with congenital abnormalities in categories 550,
definite manifestations of Down's disease 551 (congenital hernias), in 524 (congenital
were detected, while certain congenital de- dento-facial anomalies), as well as in 605
fects of the heart and circulatory system (congenital redundant prepluce and phimight
have been missed or not clearly speei- mnosis) have been included in tables of this
fled in the absence of )ostmortem examina- chapter. Such additions have been reconition.
mended for inclusion in the section on con-
In assigning associated causes, frequently genital anomalies in the 1975 Revision of
more than one anomaly of the circulatory the InternationalClassification.