irurcx 463 Recife project, Brazil (cont.) Recommendations (cont.) Mortality external causes, study of causation and preinfant, 61-62, 67, 76, 78, 80, 82-89 vention, 238 Inter-American Investigation of Mortality, in neonatal, 76, 84-85, 92-122 one year, 129-131 adults 1-4 years, 65, 124-128 handling of multiple causes, 1, 75 postneonatal, 76, 84-89 use of comluter techniques, 1 2-4 years, 133-134 maternal and child health, 351-352 under 5 years, 58-61, 67 measures most needed, 185 Nervous system, diseases of, 225-228, 343 nutrition of mother, 263, 308, 351-352 nutritional deficiency, types, analysis for, 180 Nutritional deficiency, 336 outcome of pregnancy, recording, 31, 353-354 age at death, 168-171, 174-176 breast feeding and, 268-270 planning for healthy infants, 242 children 1-4 years, 126-128 prenatal care, increase of, 299 diarrheal disease and, 181-183 principal collaborators, 351, 354 immaturity and, 165-166 registration of births and deaths, 72 study of health of mother, outcome of preginfant, 82-83, 86-87 measles and, 183 nancy and survival, 90, 353 type, 174-176 sudden death, research needed, 356 Occupation of father, 275, 277-278 tetanus, prevention of, 155 Poliomyelitis, 156, 160 vaccination programs against measles, 146, Prenatal care, 296-299 159-160 Previous pregnancies, 253-256 age recommended, 149 Registration of deaths, 32-34 vital statistics, improvement of, 353-355 certification of causes of deaths, 344, 347 Respiratory system, diseases of, 229-230, 343 solutions to problems encountered in Inves- Sanitary facilities (toilet), 318-320 Septicemia, 157-158, 332 tigations, 31, 58 Sudden (leath, 239, 343 use of sampling, 30 Syphilis, 157 use of WHO definition of live birth, 35, 44, Tetanus, 154-155 62, 64, 354 Tuberculosis, 152-153, 332 water supplies (see also goals of meetings of Ministers of Vaccinations, 159-160 Water supplies, 311-315, 318-320 Health) reduction ofmortality, 324, 350, 351 Whooping cough, 155, 332 Recommendations Registration of deaths, 29-35 Andean Region, Ministers of Health, 350 evaluation of completeness, 29-31 anomalies, congenital Reproductive patterns, 241-256 Down's diseases, prevention of, 205 age of mother, 242-248 malignant neoplasms, association with, 222 birth order, 24S-252 nervous system, research on, 195, 200, 217, outcome of previous pregnancies, 252-256 347-348, 356 Reproductive wastage, 348 attention to rural areas, 136 Respiratory system, (lisease- of, 229-231 breast feeding changes in assignments, :342-343 participation of better educated mothers, 265 Ribeirfo Prto project, Brazil (see also areas included below: Ribeirfio Pr~to research on, 261-262 (city), Franca and Ribeir~o Pr~to consteps needed, 262-263 Charter of Pintadel Este, 123 munities) distribution of live births Anomalies, congenital, 188-194, 196, 200-202, age of mother, by, 119, 246-252 204, 206-208, 210-214, 216, 342 birth order, by, 119, 251-252 Assignments, changes of, 330, 332-333, 335-336, birth weight, by, 53-54, 57, 83 339, 342-343 education in health sciences, 352-353 Autopsies congenital anomalies, 191 epidemiologic research, 355-357
464, Patternsof Mortality in Childhood Ribeirio Pr~to project, Brazil (cont.j Autopsies (cont.) neonatal, 93 nutritional deficiency, 102 Birth(s) rates, 243 weights, 102, 105, 110 Breast feeding, 258-264, 260-270 Death (s) (see Mortality below) by age of mother, 242-243 by birth order, 248-249 Description of, 16-17 Diarrheal disease, 141, 332, 335 breast feeding and, 266-267 nutritional deficiency and, 181-183 Education of mother, 281-288, 290-293 breast feeding and, 264 infectious diseases and, 286-287, 290-291 nutritional deficiency and, 292-293 perinatal causes and, 285-288 External causes, 234-238, 343 Immaturity, 339 neonatal mortality, 97-112 Malignant neoplasms, 219-221 Measles, 148, 150-152, 159-160, 183, 332-333 Mortality infant, 61 neonatal, 92-122 Nervous system, diseases of, 226-228, 343 Nutritional deficiency, 336 age at death, 174-176 breast feeding and, 268-270 diarrheal disease and, 181-183 measles and, 183 type, 174-176 Occupation of father, 277-278 Previous pregnancies, 253-256 Registration of deaths, 32-34 Respiratory system, diseases of, 229-230, 343 Septicemia, 157-158, 332 Sudden death, 239, 343 Syphilis, 157 Tetanus, 155 Tuberculosis, 153, 332 Vaccinations, 159-160 Whooping cough, 155, 332 RibeirAo Pr6to (city) Autopsies, 37-40 Birth(s) multiple, among neonatal deaths, 55 place of, 300-302 Ribeirlo Pr~to (city) (cont.) Birth(s) (cont.) rates, 35-36 weights of infant deaths, availability of, 47-48 neonatal deaths, 47-57 postneonatal deaths, 88-89 Death(s) (see also Mortality below) by age, 61, 392, 430 by cause, 392 place of, 307 rates by age, 61, 393 by cause, 393 Diarrheal disease, 86-87, 125-126, 130, 142-143 Education of mother, 279-280 Hospitalization, 302-304 Housing, 321-323 Immaturity, 82-83, 165-166 Infectious diseases, 125-126, 137-138 Interviews family, 429 medical, 37-38 Measles, 125, 146-147 Mortality infant, 61-62, 67, 76, 78, 80, 82-89 neonatal, 76, 84-85 one year, 129-130 1-4 years, 65, 124-128 postneonatal, 76, 84-89 2-4 years, 133 under 5 years, 59, 61 Nutritional deficiency age at death, 168-171 children 14 years, 126-128 immaturity and, 165-166 infant, 82-83, 86-87 Occupation of father, 275 Prenatal care, 296-299 Sanitary facilities (toilet), 318-320 Water supplies, 310-312, 314-315, 318-320 Ribeirfio Pr6to, communities Autopsies, 37-40 Birth(s) multiple, among neonatal deaths, 55 place of, 300-302 rates, 35-36 weights of infant deaths, availability of, 47-48 Death(s) (see also Mortality below) by age, 61, 396, 430 by cause. 396
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