BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

226 Patterns of Mortalityin Childhood
TABLE 134. Mortality' from Diseases of Nervous System and Sense Organsb as Underlying or Associated
Causes in Children Under 5 Years, by Age Group, in 15 Projects.
Underlying cause
Associated cause
Project
5
Under
years
Under Under 1-4
Under 1-1
I year years 5 years 1 year years
No. Rate No. Rate No. Rate No. Rate
No. Rate No. Rate
Total ............................. 965 46.0 050 138.4 309 18.7 1,428 68.0 1,010 213.1 418 25.3
AROEN'IFI.A
Chaco Province ..................
San Juan Province................
BOLIVIA project ..................
BRAZIL
Recife ...........................
RibeirAo Prto ...................
Sito Paulo .......................
CANADA
Sherbrooke ......................
CHILE project ....................
COLOMBIA
Cali ............................
Cartagena .......................
Medellin .......................
49
70
50
83
37
217
7
116
40
25
39
47
63.8
67.0
31.0
07.0
44.8
89.0
7.7
55.8
45.5
29.1
41.8
37.5
30
51
24
204.5
218.3
63.8
44 144.7
27 1.48.0
177 304.3
1
84
20
18
25
25
5.9
192.7
123.2
100.0
128.9
80.0
13
19
20
30
10
40
6
32
20
7
14
22
21.0
22.0
21.2
40.7
15.4
21.2
8.1
19.1
24.7
10.2
18.8
22.8
60
110
57
158
58
234
1.
120
54
60
03
02
78.1
105.3
30.1
127.5
70.3
90.0
15.4
60.6 1
El, SALVADOR project ............
JAMAICA
Kingston-St. Andrew ............. 57 31.1 29 70.8 28 19.5 70 41.5 54 131.8 22 15.3
MEXICO
Monterrey....................... 97 44.5 74 130.6 23 13.5 230 108.3 105 311.3 71 41.8
UNITED STATES
California project ................ 25 12.3 15 33.5 10 0.2 30 14.7 22 49.2 8 5.0
a tes under I year of age per 100,000 live births; others per 100,000 population.
b Categories 320-389, with the addition of a few associated causes in 310-315.
53.4
69.8
67.5
73.4
40
87
28
107
38
195
10
103
28
36
29
62
201.4
372.4
74.4
352.0
208.3
335.3
58.9
230.3
132.7
201.1
149.5
199.9
14
23
29
51
20
39
4
23
20
24
34
30
23.2
27.3
23.6
53.2
30.7
20.7
5.4
13.7
32.1
34.9
45.6
31.1
diseases as associated causes were always found in the Sherbrooke and California
higher tllan those as underlying causes, and projects. Rates several times higher in the
in general the same was noted in children Latin American projects, where diagnostic
1-4 years of age. The largest nulnber of procedures may not be as frequently utilmorbid
conditions in tie group consisted of ized, reflect the size of this problem and tile
inflammatory diseases of the central nervous need for improving health care to prevent
system (excluding specific diseases with these serious diseases and their late effects.
localization in or invasion of that system, Cerebral spastic infantile paralysis (catesuch
its viral encephalitis, tuberculous men- gory 343) includes a large number of coningitis
and others, which are coded in the ditions such as cerebral infantile palsy,
group of infective and parasitic diseases). spastic diplegia, paralysis due to birth in-
Inflammatory diseases of the central ner- jury and others, and tile causes of these
vous system (categories 320-324) alone were conditions are extensive. In the 15 projects
responsible for 513 deaths and were as- 105 deaths were assigned to this category
signed as associated causes in 674 in tile 15 as underlying cause and 63 as associated
projects (Table 135). The lowest rates were cause (Table 135). The variation in rates