BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

Chapter XI. Other Diseases and External Causes
231
was encountered
the term grippe,
group influenza.
is used to signify
in connection with use of
an inclusion term in the
In several areas "grippe"
an upper respiratory in-
fection. Thus, some of the 55 deaths assigned
to influenza might in fact belong to
the group of upper respiratory infections or
to pneumonia.
The association of bronchopneumonia
with infectious diseases (diarrheal disease,
measles, whooping cough, and others) was
very common and was observed usually as a
terminal condition. In many of those deaths
the contribution of nutritional deficiency
was very important. It seems apparent,
from a review of the records of such deaths,
that as diagnostic and recording procedures
are improved the role of lower respiratory
conditions as underlying causes decreases
and they become more significant is associated
conditions (consequences) of other
causes of death.
DISEASES OF CIRCULATORY SYSTEM
In the 15 projects 59 deaths from diseases
of the' circulatory system were assigned
as underlying causes (Table 137). A
few occurred in each of 14 projects; Sio
Paulo, with 20 deaths, had the highest rate
(8.2 per 100,000 population) while the Bolivia
project, with 9 deaths, had the second
highest (5.7). The conditions most commonly
assigned as underlying cause were
myocarditis (category 422) and cardiac insufficiency
of unspecified origin (428).
Rheumatic fever, included in this group in
the InternationalClassificationof Diseases
was found as underly-
(categories 390-392),
ing cause of only five deaths: two in Recife,
two in Ribeirio Pr~to, and one in Chaco
Province.
Diseases in this group were associated
causes in 936 deaths, the most frequent
among the conditions assigned being con-
gestive heart failure and cardiac insufficiency,
pericarditis, and myocarditis. They
were usually the consequences of infectious
diseases such as diphtheria, and of respiratory
disease, congenital anomalies, overhyteatent
urig fdhydatina-
dration during treatment of dehydration draton accompanying
diarrheal disease, severe anemias,
and others.
TAnLE 137. Mortality' from Diseases of Circulatory
System" as Underlying or Associated Causes
in Children Under 5 Years of Age in 15 Projects.
Project
Underlying
No.
Total ...................... r
ARGENTINA
Chaco Province ............ 3
San Juan Province ......... 3
BOLIVIA project ............ 9
ZiLn.
Recife ............... .... 3
Ribeirto Prto ............. 3
S'o Paulo ................. 20
CANADA
Sherbrooke ................ 1
CI II.E project .............. .. ..
Co1,MnIA
Call ...................... I
Cartayena ................ 2
Medellin .................. 3
EL SALVADOR project ...... 1
JAMAICA
HXtOn-t. Andrew........4
Monterrey ................ 4
UNITED STATES
California project .......... 2
Categories 390458.
Rates per 100,000 population.
Associated
Rate No. Rate
2.8 936 44.6
3.9 12 15.0
2.9 50 47.9
5.7 17 10.8
2.4 101 81.5
3.0 31 37.6
8.2 153 62.8
1.1 10 17.6
. 79 38.0
1.0 34 33.6
2.3 47 54.7
3.2 53 56.8
0.8 104 83.0
2.2 08 53.5
1.8 105 48.2
1.0 36 17.7