BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

ChapterXVII. Changes in Assignments of Cause. of Death
343
TADUx 204. Deaths Assigned to Certain Underlying Causes Based on Death Certificates and on Final
Assignments, with Ratios,* in Children Under 5 Years of Age in 14 Projects.
o roath. Dntha
Dthh
D
rrooIolo
D oleasma of a o
NNIt' 520"348V)
Dioeo of
Other defined
a...yte
4tll0r" i-nalr.102
421 4.1tIllo
Suidd
dotlh
Fina
- -1
Iy toad ithe
i itrmrl *,
th
(780-792. 7961) l300-E989l
Totalb...........
. . . .
884 am 0.97 5648 1.316 0.78 1,100 769 0.70 39 233 3.9
851 11 0.14 884 71 1.03
ARGENTINA
ChonProne..... . 8 39 0.67 257 237 0.92 44 37 0.64 4 8 I
So Ju pgrovince.. 85 66 0.78 42A 397 0.03 3 49 0.59 3 22 7.33
BOLIVIA pro t.... 45 ,15 0.78 1.149 .,075 0.93 99 37 0.37 4 13 3.25
BIRAZIL.
Raef. .. . 71 at 1.14 618 403 0.5 868 so 0.93 - a 0
R11nalrol8o . 3 31 0.9 197 120 0.61 45 36 0.73 - A •
61o Paulo ........ 19 217 1.1 1017 , 027 0.9 193 240 0.90 - 2s
CANADA
herbioke....
CHILE pro). ....
0
102
6
112
0
1.10
25
384
21
492
1.0
0.63
27
101
25
70
0.93
0.75
I
30
6
t
0
1.3
COLOMBIA
CoIl. . . 44 42 140 220 160 0.72 47 40 0.05 2 13 0.00
Cul0at . .. 26 23 0.2 128 201 0.79 76 30 0.47 I 0 8
M.0,lln .. . 32 11 1 .13 170 14 0..1 50 35 0.70 3 18 .. 33
JAMAICA
Ki..nn-St. Ain,.o
MEXICO
47 .1 1.13 210 130 0.02 22 fi8 0.71 - 13 *
Monum-y
UNITED STAIT"
Califoml. pro .
117
26
87
25
0.74
0.06
732
113
.19
02
0.73
0.19
141
42
M3
33
0.40
0.93
2
0 1
22
37
11.00
4.11
142 25 0.1 29 M 1.24
4f6i 0.10 75 69 0.92
s0 5 0.06 94 84 1.19
6f 40 0.66 27 42 14,2
52 0 0.10 28 19 0.7)
149 II 0.07 0 75 1.25
4 - # 38 32 0.64
21 6 0.3 2 12 15 203
6 2 30 53 21.65
12 - 25 27 1.08
Is 1 0.06 45 44 0.98
82 8 0.07 27 at 1.15
171 11 0.03 To n2o 0.16
5 3 0 67 69 1.03
R atio of dmthi on final 20.= 1.te asn drolmdeth emrlim ".
* hnludn; only d.ol. wit, nl on 1-. .1 o fvail r f l ni lrno2 otler bnod1rn .
Diii-soor not in 'lu 1 id el . ,hre in T 19I. . 09, 201, 1. and 204.
Ratio no .iion for Im 1i. so droll. by r hd. aaixn m. t.
* *I,,,r lhnn, 20airn li I* IiO l" [nliil i n20n 11,i , ,22I 1 .
drome" (category 795) increased from 59
to 233. In Silo Paulo, for example, 18 deaths
were assigned to this syndrome whereas
none had been so stated on death certificates..
In the Chile project the deaths attributed
to this syndrome increased from 30
to 46, and in California from 9 to 37. Accurate
measurement of this important problcm
is essential in order to provide guidelines
for studies of causes and means of
prevention,
On the whole, there was little change in
the external causes and diseases of the nervous
system as assigned from the death certificates.
However, the data for the individual
projects reveal an increase in Recife
for external causes, from 27 to 41 deaths.
• * * 2tional
In summary, the fact that the underlying
causes assigned in the Investigation were
in general agreement with only 52.5 per
cent of those derived from death certificates
(coded in accordance with international
rules and procedures) indicates major shortcomings
in certain aspects of current official
mortality statistics that affect their usefulness
for health planning. This is in addition
to other deficiencies in the quality of these
statistics described earlier, such as lack of
registration of deaths in early life. For a
common communicable disease of childhood
such as measles, only 55.4 per cent of the
deaths could have been known from death
certificates, and in several projects the
numbers of measles deaths were more than
doubled in the final assignment using addiinformation.
The distinction between
terminal condition and underlying cause