BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

Chapter XI. Other Diseases and External Causes
223
TABLE 131. Deaths from All Causes and from
Malignant Neoplasms by Educational Level of
Mother, in Children 1-4 Years of Age in 13 Latin
American Projects Combined.
Educational level
of mother
Total
deaths
Total................5,972
Secondary, university... 360
Primary, 3 years and over. 2,347
Primary, I and 2 years... 1,076
None...............2,189
a In fainflie. in wiicl hoie :,derviews were
infornation was provided.
Malignant
neopms
No. 9(
10 1.7
15 4.2
50 2.1
20 1.9
19 0.9
conilucted
nd
cation died from malignant neoplasms, cornpared
with 0.9 per cent of those whose
mothers had no education. Caution should be
exercised in interpreting this finding in view
of o the oother factors that may be involved.
Smaller prol)ortions of children of mothers
with higher level of education died from infectious
diseases than did those of mothers
with no education. If certain children were
at risk of dying from malignancies ecause
of it genetic suscetibility, in certain fainilies
they may have died from an infectious
disease before the age of development of the
malignant neollSm.
ENDOCRINE AND METABOLIC DISEASES
Endocrine and metabolic diseases were
underlying causes of only 64 deaths in 14 of
the projects, with rates varying fromn a low
of 0.6 per 100,000 population in Bolivia to
5.5 in Sherbrooke (Table 132). Of the 103
deaths in which these diseases were assigned
as associated causes nearly half (50) were
found in Recife. In that project the local
group frequently found acute adrenal insufficiency
resulting from hemorrhage of this
gland as a complication of severe dehydration
and toxic states. In fact, of the 50
deaths in which these conditions were assou
diCANADA diarrheal disciated
causes, 38 were (ue to
ease as underlying cause.
Cystic fibrosis of the pancreas (category
273.0), a hereditary disease of children,
adolescents, and young adults characterized
by generalized dysfunction of exocrine
glands, was found in only 18 deaths, of
which 14 occurred in eight Latin American
projects, three in Sherbrooke, and 1nein
California. In populations of Caucasian
descent an incidence of cystic fibrosis (ho-
mozygotes) of about 1 in 2,000 live births
TABLE 132. Mortality" from Endocrine and
Melabolic Diseases" as Underlying or Associated
Cau.ses of Death in Children Under 5 Years of Age
in 15 Projects.
Project
Total ................. 0.1 3.0 103 4.9
ARGENTINA
Chaco Province......
San Juan Province...
BOLIVIA project .......
BRAZIL
Recife ..............
llibeirio Pr~to .......
So Paulo ...........
Sherbrooke ..........
COoHILE projectBIA.......
Cali ................
Cartagena ..........
'Medellln ............
ELSALVA)OR projct.
JAMAICA
Kingston-St. Andrew..
MEXICO
Monterre,...........
nCifri UNITED STATES..0 pr
California project.
1 population
,
•Rates C,,tego per ors 100,000 2820-27.
population.
UnderlyinIAssociate
No. Rate No. Rate
4
5
1
4
2
8
5
11
5
-
4
4
4
3
4
5.2 - ­
4.8 7 6.7
0.6 2 1.3
3.2 50 40.4
2.4 1 1.2
3.3 5 2.1
5.5
5.3
4.9
-
4.3
3.2
2.2
1.4
2.0
-
1 1.1
4.3
2 2.0
4 4.7
1 1.1
3 2.4
4 2.2
5 2.3
9 4.4