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BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

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33V_<br />

Patternm.<strong>of</strong>Mortality iMChildhood<br />

NUTRITIONAL DEFICIENCY<br />

More deaths were attributed to this im- derlying cause. Marked differences were<br />

portant group on death certificates than noted among the projects, with large inon<br />

final assignment-1,336 compared with creases occurring in Recife and Cali.<br />

881 (Table 199). This reduction was due On the basis <strong>of</strong> death certificates, 1,336<br />

principally to the rules and procedures fol- deaths were assigned to nutritional delowed<br />

in the Inve3stigation whereby the in- ficiency and only in one fifth <strong>of</strong> these (262<br />

fectious disease was considered as under- deaths) were the specific types stated,<br />

lying cause and the nutritional deficiency as namely, protein mahiutrition (category<br />

contributory cause. Thus, if measles or di- 267) with 96 deaths and nutritional marasarrheal<br />

disease initiated the chain <strong>of</strong> events mus (category 268) with 166 deaths. Difleading<br />

to death they were assigned as un- ferentiation between types <strong>of</strong> nutritional de-<br />

TAuLE 199. Deaths Assigned to Nutritional Deficiency as Underlying Cause Based on Death Certificates<br />

and on Final Assignments, with Ratios,, in Children Under 5 Years <strong>of</strong> Age in 14 Projects.<br />

ProjectFia<br />

Deaths Deaths Deaths Deaths<br />

Ratio Ratio Ratio Ratio<br />

Cer-Final tifica Cer Cer- retIFnl t Fcato<br />

tifiCat F tificat<br />

Nutritional Protein Nutritional Other nutritional<br />

deficiency malnutrition marasmus deficiency<br />

(260-260) (267) (268) (260-260,269)<br />

b<br />

Tota ................. <br />

1,330 881 0.60 90 504 5.25 160 344 2.07 1,074 33 0.03<br />

ARGENTINA<br />

Chaco Province ........ 161 43 0.27 7 16 2.29 19 10 1.00 135 8 0.00<br />

San Juan Province... 140 63 0.45 I 5 # 21 52 2.48 118 3 0.03<br />

BOLIVIA project ....... 149 53 0.36 18 26 1.44 18 20 1.44 113 1 0.01<br />

BRAZIL<br />

Recife ............... 04 137 1.40 37 100 2.70 0 30 0.00 51 1 0.02<br />

nibeirfto Prato ........ 04 25 0.39 0 15 2.80 10 10 1.00 48 - *<br />

SAo Paulo ............ 237 99 0.42 12 29 2.42 00 59 0.98 165 11 0.07<br />

CANADA<br />

Sherbrooke .......... - - . . . . . . . ..<br />

CHILE project ......... 53 51 0.00 4 11 2.75 9 39 4.33 40 1 0.02<br />

COLOMBIA<br />

Call ................. 78 118 1.49 1 84 84.00 6 30 5.00 71 2 0.03<br />

Cartagena ............ 88 107 1.22 3 88 29.33 2 15 7.50 83 4 0.05<br />

Medellin ............. 03 59 0.94 - 44 * 4 15 3.75 59 - *<br />

JAMAICA<br />

Kingston-St. Andrew.. 62 50 0.90 4 34 8.50 4 21 5.25 8- 1 0.02<br />

MEXICO<br />

Monterrey ........... 147 72 0.49 3 49 '10.33 7 22 3.14 137 1 0.01<br />

UNITED STATES<br />

Caiifornia project. - . . . . . . . ..<br />

Ratio <strong>of</strong> deaths on final assignment to those assigned from death certificates.<br />

bIncludes only deaths with information available from death certificates and from other sources.<br />

* Ratio not computed for less than 10 deaths by each assignment.<br />

* More than 10 deaths by one assignment, none by the other.

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