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BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

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

TABLE 122. Deaths <strong>of</strong> Infants with Cleft Palate and Cleft Lip by Age <strong>of</strong> Mother in 15 Projects.<br />

Project<br />

Under 20-24 25-29 30-34 38 ears Unknown<br />

Total 20 year years years years ancrer<br />

Total ........................... 107 27 <br />

ARGENTINA<br />

Chaco Province ............... 12 1 <br />

San Juan Province ............... 17 2 <br />

BO)LIVIA project ................. . 8 2 <br />

BRAZI I<br />

Recife......................... 7 2 <br />

Ribeirfao Prto.................. 4 -<br />

Slo Paulo ..................... 24 4 <br />

CANADA<br />

Sherbrooke ..................... 3 -<br />

CHILE project................... 18 4 <br />

COLOMBIA<br />

Call ........................... 4 -<br />

Cartagena ..................... 7 -<br />

M edellin ....................... 14 4 <br />

El. SALVADOR project ........... 14 2 <br />

JAMAICA<br />

Hinaston-St. Andrew ............ 4 1 <br />

MEXICO<br />

Monterrey .................... . 17 2 <br />

UNITED STATES<br />

California project ................ 14<br />

3 <br />

I <br />

I<br />

36 42 24 20 9<br />

3 4 3 1 ­<br />

3 a 3 3 ­<br />

2 2 - - 2<br />

- 2<br />

- 3 ­<br />

2 - - I<br />

I<br />

4 9 4 3 ­<br />

- 2 - I<br />

4 2 4 4 -<br />

I 1 1 <br />

I -<br />

3 - - 1 3<br />

1 3 2 <br />

4 ­<br />

4 3 2 2 1<br />

1 - ­<br />

6 2 4 3 1<br />

3 6 1 1 <br />

I I - I I -I <br />

I<br />

-<br />

I<br />

for seven projects for which the distributions<br />

<strong>of</strong> live births by age <strong>of</strong> mother were<br />

available, the following rates per 100,000<br />

live births were obtained:<br />

Under 20 years 49.4<br />

20-24 years 27.7<br />

25-29 years 38.5<br />

30-34 years 44.3<br />

35 years andl over 48.4<br />

Thus the rates were practically the same<br />

for the youngest and the oldest age groups,<br />

the lowest rates being those for mothers<br />

20-24 years <strong>of</strong> age.<br />

Among. the other anomalies <strong>of</strong> the upper<br />

digestive tract, congenital pyloric stenosis<br />

(750.1) was a cause <strong>of</strong> death <strong>of</strong> 31 infants<br />

in 15 projects combined (Table 123). Early<br />

recognition and treatment could prevent<br />

such deaths. Another anomaly in this category<br />

<strong>of</strong> particularly serious prognosis is<br />

tracheo-esophageal fistula (750.2), which<br />

was responsible for 57 infant deaths in 15<br />

projects combined. Atresia and stenosis <strong>of</strong><br />

small intestine (751.1), frequently associated<br />

with Down's disease, was responsible<br />

for 43 deaths, while the subcategory 751.2<br />

(<strong>of</strong> rectum and anal canal), which includes<br />

anomaly <strong>of</strong> imperforate anus, produced 72<br />

deaths. Only 19 infant deaths in the Investigation<br />

were due to Hirsehsprung's disease<br />

(751.3) as underlying or associated cause,<br />

and five <strong>of</strong> these occurred in Kingston-St.<br />

Andrew. Finally, 58 deaths were found to be<br />

due to serious congenital anomalies <strong>of</strong> the<br />

gallbladder, bile ducts, and liver (751.6), <strong>of</strong><br />

which nearly all were atresia <strong>of</strong> bile ducts.

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