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BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

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ChapterXI. Other Diseases and External Causes<br />

227<br />

Fia. 111. Mortality from Diseases <strong>of</strong> Nervous<br />

System and Sense Organs as Underlying or Associated<br />

Causes in Children Under 5 Years, by Age<br />

Group, in 15 Projects.<br />

OEAIHS Pik 100,000 LIVE MIIRH$<br />

0 tOO 200 300 400 0 100<br />

I I I IYEA<br />

UNDER I YEAR<br />

.4 YEARS<br />

S J l Iu I , JC<br />

ski m NOROCI<br />

0MIK E- I<br />

11*0 FENl<br />

maum<br />

CEO'<br />

, A L,<br />

RIVIAStoIC<br />

UNDEILYING<br />

ASSOCIATED<br />

F. 1.4 l,p., 100.000 pOp.1.l11­<br />

was great, with those as underlying cause<br />

going from 1.1 and 1.2 per 100,000 population<br />

in the Sherbrooke and Ribeirdo Prto<br />

projects to over 9 in Chile and Sio Paulo, as<br />

is shown in Figure 112. Most <strong>of</strong> these deaths<br />

had the precedent <strong>of</strong> difficult labor with<br />

trauma or asphyxia, or a history <strong>of</strong> severe<br />

asphyxia at birth. No double coding was<br />

in category 345 (epilepsy) were not found<br />

to be significant as underlying or associated<br />

causes <strong>of</strong> death. The forms encountered<br />

were <strong>of</strong> the generalized convulsive type<br />

known to be relatively infrequent in small<br />

children. Less than 2 per cent <strong>of</strong> children<br />

have an onset under 2 years <strong>of</strong> age (Livingston,<br />

1954). In the 15 projects only 33<br />

the cerebral palsy was due to<br />

deaths<br />

dah<br />

were<br />

eerpre<br />

reported as sdet due to epilepsy plpyaas<br />

usedlicwhensthe cerbr pael wasTetounderlying cause and 26 as associated cause.<br />

complications <strong>of</strong> labor or delivery. The The figurs obtained cannot be taken as a<br />

marked variations in <strong>mortality</strong> from thismesr<strong>of</strong>teicdncfeplsyTh<br />

measure <strong>of</strong> the incidence <strong>of</strong> epilepsy. The<br />

morbid state indicate the need to search for<br />

causes such as complications <strong>of</strong> labor and<br />

delivery in each <strong>of</strong> the project areas,<br />

The various forms <strong>of</strong> disorders included<br />

need is clear, however, for prompt recognition<br />

and supervised treatment to help prevent<br />

deaths as well as complications in<br />

survivors.

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