BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

194 Pattern of Mortality in Childhood
The rate for anencephalus in Sherbrooke
was 106.1 per 100,000 live births, which was
almost three times the rate in the California
project (38.0) and in Monterrey (37.7).
The rate in El Salvador was 25.8, while for
all others it was less than 20 per 100,000
live births.
For spina bifida three projects had high
rates, the highest being that of 128.9 per
100,000 live births in El Salvador, followed
by 112.0 in Sherbrooke and 92.4 in Monterrey.
These rates were significantly higher
than those in all other projects.
In Sherbrooke four infants with anenas
an associated
cephalus had spina bifida
cause. Also there was one such death in each
of the projects in El Salvador, Medellin, and
California.
Anomalies of the nervous system arc
usually serious, and of the 511 deceased infants
with such conditions, in 419 or 82.0 per
cent they were underlying causes and in
70 (13.7 per cent) associated causes (Table
104). In only 22 deceased infants (4.3 per
cent) were such anomalies considered minor.
In the Sherbrooke and El Salvador projects
(as well as in three others) all of these
anomalies were classed as underlying or as­
sociated causes.
In the rural municipios of El Salvador
there were 18 infants with anomalies of the
nervous system, which gave a rate of 333.3
per 100,000 live births (Table 105). The
rate for the city of San Salvador was less
than half as high-156.1-and the difference
is significant. Though the numbers are
Deaths' of Infants with Congenital Anomalies of Nervous System as Underlying or Asso-
TALE 104.
ciated Causes or as Minor Anomalies in 15 Projects.
Project
b
Total Underlying cause Associated cause
No. Rate No. Rate No. Rate
Minor anomaly
No.
Rate
Total .......................... 511 107.8 419 88.4 70
14.8
22 4.6
ARGENTINA
14 79.5 9 51.1 3 17.0
Chaco Province ...............
98.5 19 81.3 2 8.6
San Juan Province ............ 23
-
-
BOLIVIA project ................ 7 18.6 7 18.6
BRAZIL
Recife ........................ 36 118.4 31 102.0 5 16.4
Ribeirio Preto ................ 15 82.2 12 05.8 1 5.5
Sao Paulo .................... 68 116.9 52 89.4 12 20.6
CANADA
Sherbrooke .................. 38 223.9 36 212.1 2 11.8
CHILE project .................. 47 107.8 37 84.9 8 18.4
COLOMBIA
Cali....................... 16 75.8 12 56.9 3 14.2
Cartagena ................... 14 78.2 11 61.5 3 10.8
Medellin ..................... 14 72.2 10 51.5 3 15.5
EL SALVAI)OR project ......... 58 187.0 47 151.5 11 35.5
JAMAICA
Kingston-St. Andrew ........... 30 73.2 24 58.6 3 7.3
MEXICO
Monterrey. .................. 91 171.7 80 150.9 9 17.0
UNITED STATES
11.2
California project .............. 40 89.4 32 71.5 5
2 11.4
2 8.6
-
-
- -
2 11.0
4 6.9
-
-
2 4.6
1 4.7
- -
1 5.2
-
-
3 7.3
2 3.8
3 0.7
a Rates per 100,000 live births.
e of anomaly of the nervous system and the totals in this table are smaller than
b Several infants had more than one ty
in Table 103.
the totals for the three types of anomales of the nervous system shown