BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

Chapter XVI1. Changes in Assignments of Causes of Death
337
TABLE 200. Final Assignments of Deaths of Children Under 5 Years of Age from Two Types of Nutritional
Deficiency, Compared with Underlying Causes Stated on Death Certificates in 14 Projects Cornbined.
Final assignment
Protein
Nutritional
Death certificate cause malnutrition marasinua
(267) (208)
Total deaths&................................ *................. 504
Protein malnutrition ...................................... 267 29
Nutritional maiasmus ..................................... 268 5
Other nutritional deficiency ....................... 260-200,269 110
Diarrheal disease ......................................... 009 197
Pneumonia and influenza .............................. 470-486 63
All other causes ............................................... 100
No.
% No. %
100.0 3.14 100.0
5.8
1.0
21.8
39.1
12.5
6
39
78
106
59
1.7
11.3
22.7
30.8
17.2
19.8 56 16.3
aIncludes only deaths with information available from death certificates and from other sources.
ficiency is important for preventive action
according to severity of condition and age
affected.
Within the group of nutritional deficiency,
the final assignments to protein malnutrition
were more than five times the
number assigned from death certificates
(504 and 96, respectively). Likewise, for
nutritional marasm.ius, the increase was from
166 to 344 deaths. Table 200 and Figure
170 show the causes stated on death eertificates
for these deaths from protein realnutrition
and nutritional marasmus. More
than 50 per cent of all the deaths found due
to protein malnutrition as underlying cause
had been classed as diarrheal disease or in
the group of pneuionias and influenza, and
22.8 per cent had been classed as other
forms of nutritional deficiency. The deaths
from nutritional marasmus had been assigned
to diarrheal disease or pneumonia in
48.0 per cent of the cases and to other nutritional
deficiency in 24.4 per cent. It is
worth noting again that in the Investigation
nutritional deficiency of all types was
usually found to be an associated cause,
and that only through the multiple-cause
approach was it possible to measure the
real magnitude of this most serious health
problem in Latin America.
Fia. 170. Final Assignments of Deaths of Children
Under 5 Years of Age from Protein Malnutrition
and Nutritional Marasmus, Compared with
Underlying Causes Stated on Death Certificates
i 14Poet Projects Combined. obnd
PROTEIN MALNUTRITION NUTRITIONAL MARASMUS
504DEATHS)
.%
.. ....
DEATHCERIICATE CAUSE.
SAMEAS FINALCAUSE
OTHEFNUIIONAL
,DIARHEAt DISEASE
134 EATHS)
PNEUMONIA AND
INFLUENZA
OIE CAUS