BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

Chapter XVII. Changes in Assignments of Causes of Death
331
CHANGES ON FINAL ASSIGNMENT, BY CAUSES
Analysis of the changes on final assignment,
by causes, shows that important
health problems were uncovered by using
the clinical information available in hospitals
and from autopsy records and by
questioning the families to learn of the
events leading to death. Five groups of
causes are presented in Table 196: infective
and parasitic diseases, nutritional deficiency,
certain perinatal causes, congenital
anomalies, and all other causes, for the
14 projects combined.
Of the five groups, the major shifts were
in the group of infective and parasitic diseases,
with 2,084 more deaths included in
these categories on final assignment than
ol the basis of death certificates-a 23-percent
increase. Asmall increase of 6 per cent
was noted in the group of certain perinatal
causes, and an increase of 15 per cent in
congenital anomalies. The shifts to these
three groups with increases were from nutritional
deficiency and from the group of
other causes, in which there were large decreases
of 34 and 23 per cent, respectively.
The changes in causes within each of the
groups are considered in the sections that
follow.
TABLE 196. Five Groups of Underlying Causes Based on Death Certificates and on Final Assignments,
with Ratios,' in Children Under 5 Years of Age in 14 Projects Combined.
Death Final Ratio
Cause group certificate asign,,tent
Total deaths ' ... .................................... 27,082 27,082 1.00
Infective and parasitic diseases ................. 000-136 9,055 11,139 1.23
Nutritional deficiency ......................... 260-269 1,336 881 0.66
Certain perinatal causes ....................... 760-778 5,879 6,231 1.06
Congenital anomalies ......................... 740-759 1,378 1,5190 1.15
All other causes ...................................... 9,434 7,241 0.77
ARatio of deaths on final assignment to those from death certificates.
bIncludes only deaths with information available from death certificates and from other sources.
INFECTIVE AND PARASITIC DISEASES
Data for five specific diseases and two
groups of the infective and parasitic diseases
are given for the 14 projectq combined
and for each project in Table 197. The
ratios of numbers of deaths on final assignment
to those on the basis of death certificates
are given also; the ratio of 1.23 for
the group of infective and parasitic diseases
indicates an increase on final assignment of
23 per cent. The ratios for the group of infectious
diseases as a whole were largest
for Ribeirflo Prato (1.70) and Chaco Prayince
(1.55), followed by Sio Paulo, San
Juan Province, and Monterrey. These high
ratios indicate a lack of statement of the
underlying causes on the death certificates,