BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ... BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

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Chapter XI. Other Diseasesand ExternalCauses 235 Fxo. 114. Mortality from External Causes in Children Under 5 Years, by Age Group, in 15 Projects. 10 SAN JUAN CHILE MEDELUN CHACO PROVINCE PROJECT PROVINCE ROLIVIA SHIiIEOOKI CALl PROJECT 100 z 0 30 0 o 0 R ' "El SALVADOR RECIFE CALIFORNIA CARTAGENA KINGSTON. MONTERREY SAO PAULO RIBEIRAO P1iED PROJECT PROJECT ST.ANDREW = UNDER I YEAR I YEAR [-1_2.4 YEARS .,1Unde, I yeo po, 900.000 1i- bflIh. causes. The highest figure (67.0 per 100,000 population) was in San Juan Province and the lowest (23.0) in Ribeirfto Prto. Though the proportions of deaths due to external causes were higher in children aged 1-4. years, the rates were highest in infancy in 11 of the projects; in four others they were highest in the second year of life. Thus, very young children must be protected ones. from external causes as well as older one. iical Variations in the rates occurred as the result of differences in frequency of fatal injuries of several different types. Deaths in the 15 projects combined for nine groups of external causes were as follows: No. of deaths Motor vehicle accidents (E810-E823) 191 Accidental poisoning (ES50-ES77) . . 04 Accidental falls (ESSO-ES87) ...... 70 Accidents caused by fires and flames (E890-ES99) ................... 70 Accidental drowning and submersion (E910) ......................... 103 Accidental by food or obstruction other object, or and suffocation mechansuffocation (E91I-E913) ...... 124 Accident caused by hot substance, corrosive liquid, and steam (E924) ... 65 Homicide (E960-E969) ............ 36 All other external causes (rest of E800-E989) .................... 124

236 Patternsof Mortality in Childhood The data for these nine groups are given by age at death in Tables 142, 143, and 144. Motor vehicle accidents caused 191 deaths or 22.6 per cnt of the total from external causes. The rate:varied widely, from the low of 0.8 per 100,000 population due to one death in Recife to the highl of 19. ione eahr in Recde to high 18e of 19.8 in tile Sherbrooke project due to 18 deaths (Figure 115). In fact, in that project nearly half the deaths from external causes were due to motor vehicle accidents (18 of 37 deaths). The Bolivia project hlad the second highest rate, 19.0 per 100,000 population due to 30 deaths. Mortality from motor vehicle accidents was higher in the 1-4-yeai age group than in infancy for the• 15 projects combined; only 18 of the 191 deatls from this cause were of infants. The child aged 1-4 years is at greater risk of such accidents, when walking on streets and highways and also riding as a passenger. Four other types of accidents caused many deaths in children aged 1-4 years: poisoning, fires, burns by hot substance, and drowning. Deaths from these causes in that age group as well as in all children tinder 5 years are given in Table 143. In addition to the 70 deaths due to fires, there were 65 in which burns from lhot substance were the underlying cause. Only one project had no deaths due to this cause; three projects had one each, but the others had from 2 to 14 deaths. Drowning caused 103 deaths, of which 32 were in San Juan Province, where the rate was high for children 1-4 years (36.8 per 100,000 population). Many of these accidental deaths were due to falls into canals of the irrigation system, Four other types of external causes were responsible for deaths principally in infancy. Theze were falls, obstruction and TABLE 142. Mortality' from Motor Vehicle Accidentsb in Children Under 5 Years, by Age Group, in 15 -'rojr:cts. Project Under Under 1-4 years 5years Iy -4eear 5__ __Iyear No. Rate No. Rate No. Rate Total ................. 191 9.1 18 3.8 173 10.5 ARGENTINA Chaco Province ....... 5 6.5 1 5.7 4 6.6 San Juan Province .... 12 11.5 5 21.4 7 8.3 BOLIVIA project ...... 30 19.0 4 10.6 26 21.2 BRAZIL Recife .............. 1 0.8 - - 1 1.0 Ribeirao L-rrto ........ 4 4.8 - - 4 6.1 Sao Paulo ............ 24 8.8 2 3.4 22 11.7 CANADA Sherbrooke ........... IS 18.8 3 17.7 15 20.2 CHILE project ......... 21 10.1 - - 21 12.5 COLOMBIA Cai .. .. .. .. . C~artagena ............. 1 1.13 - - 12 14.8 . Cn................ 12I 1.2[ - - 1 1.6 Medellin ............. 14 15.0 1 5.2 13 17.4 EL SALVADOR project.. 7 5.6 - - 7 7.2 JAMAICA Kingston-St. Andrew... 7 3.8 - - 7 4.9 MEXICO Monterrey ............ 22 10.1 1 1.9 21 12.4 UNITED STATES California project ..... 13 6.4 1 2.2 12 7.5 ______________________ Rates under 1 year of ago per 100,000 live births; others per 100,000 population. bCategories E810-E823. Fa.115. Mortality from Motor Vehicle Accidents in Children Under 5 Years of Age in 15 Projects. DEATHS PER 100,000POPULATION 0 to ,s 20 1,011 4 . , (al so JunP €SllPI1J51 mw I PARlS t CALIOM1A MHO Hsa, 11111( m13Pen.O cuta '' ___________ C1..... '

Chapter XI. Other Diseasesand ExternalCauses<br />

235<br />

Fxo. 114. Mortality from External Causes in Children Under 5 Years, by Age Group, in 15 Projects.<br />

10 SAN JUAN CHILE MEDELUN CHACO<br />

PROVINCE PROJECT PROVINCE<br />

ROLIVIA SHIiIEOOKI CALl<br />

PROJECT<br />

100<br />

z<br />

0 30<br />

0<br />

o 0<br />

R<br />

' "El SALVADOR RECIFE CALIFORNIA CARTAGENA<br />

KINGSTON. MONTERREY SAO PAULO RIBEIRAO P1iED<br />

PROJECT<br />

PROJECT <br />

ST.ANDREW<br />

= UNDER I YEAR I YEAR<br />

[-1_2.4 YEARS<br />

.,1Unde, I yeo po, 900.000 1i- bflIh.<br />

causes. The highest figure (67.0 per 100,000<br />

population) was in San Juan Province and<br />

the lowest (23.0) in Ribeirfto Prto.<br />

Though the proportions <strong>of</strong> deaths due to<br />

external causes were higher in children aged<br />

1-4. years, the rates were highest in infancy<br />

in 11 <strong>of</strong> the projects; in four others they<br />

were highest in the second year <strong>of</strong> life.<br />

Thus, very young children must be protected<br />

ones. from external causes as well as older<br />

one. iical<br />

Variations in the rates occurred as the<br />

result <strong>of</strong> differences in frequency <strong>of</strong> fatal<br />

injuries <strong>of</strong> several different types. Deaths<br />

in the 15 projects combined for nine groups<br />

<strong>of</strong> external causes were as follows:<br />

No. <strong>of</strong><br />

deaths<br />

Motor vehicle accidents (E810-E823) 191<br />

Accidental poisoning (ES50-ES77) . . 04<br />

Accidental falls (ESSO-ES87) ...... 70<br />

Accidents caused by fires and flames<br />

(E890-ES99) ................... 70<br />

Accidental drowning and submersion<br />

(E910) ......................... 103<br />

Accidental<br />

by food or<br />

obstruction<br />

other object,<br />

or<br />

and<br />

suffocation<br />

mechansuffocation<br />

(E91I-E913) ...... 124<br />

Accident caused by hot substance, corrosive<br />

liquid, and steam (E924) ... 65<br />

Homicide (E960-E969) ............ 36<br />

All other external causes (rest <strong>of</strong><br />

E800-E989) .................... 124

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