16.01.2014
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Chaptfer II. Collection and Quality, of Baaic Data 33 Number and Percentage of Deaths of Children Under 5 Years Without Registration, by TABLE 3. Age Group, in 15 Projects, Without Without Without Without Total registration Total registration Total registration Total registration deaths - deaths deathi deaths Age group No. % No. % No. % No. % ARGENTINA ARGENTINA BOLIVIA BRAZIL Recife Chaco Province San Juan Province project 85 5.0 2,156 222 10.3 4,276 498 11.6 3,035 101 2.8 Under 5 years ............ 1,701 11.5 2,790 367 13.2 2,773 78 2.8 Infant................. 1.410 77 5.5 1,900 219 s0 8.8 906 169 18.7 1,091 230 21.1 1,073 32 3.0 Neonatal ............ 568 Under 1 day ....... 186 36 19.4 258 81 31.4 317 124 39.1 357 14 3.9 14 3.7 648 88 13.6 774 106 13.7 716 18 2.5 1-27 days.......... 382 27 994 50 5.0 1,699 137 8.1 1,700 46 2.7 Postneonatal ......... 842 3.2 8 2.7 256 3 1.2 1,486 131 8.8 862 23 2.7 1-4 years .............. 291 BRAZIL BRAZIL CANADA CIII.E SAo Paulo Sherbrooke project itibeirlo Prto 2,714 344 12.7 Under 5 years ............ 1.126 4 0.4 4,312 26 0.6 371 21 5.7 4 3,788 26 0.7 310 21 6.8 2,404 344 14.3 Infant ................. 959 0.4 1,160 343 29.6 Neonatal ............ 515 4 0.8 1.958 26 1.3 229 19 8.3 26 4.2 146 13 8.9 425 194 45.6 Under I day ........ 209 4 1.0 625 7.2 735 149 20.3 1-27 days .......... 306 - - 1,333 - - 83 6 - - 81 2 2.5 1,244 1 0.1 Poetneonatal ......... 444 - 1,830 - - 61 - - 310 - 1-4 years .............. 167 - - 524 COLOMBIA COLOMBIA COLOMBIA El, SALVADOR project Cali Cartagena Medellin 3.8 3,820 326 8.5 Under 5 years ........... 1,627 60 3.7 1,255 253 20.2 1,348 51 229 26.8 924 45 4.9 2.742 290 10.6 Infant ................. 1,153 60 5.2 856 60 11.2 401 200 49.9 383 37 0.7 917 237 25.8 Neonatal............. 536 95 65.1 136 18 13.2 305 126 41.3 Under I day........ 220 44 20.0 146 19 7.7 612 111 18.1 1-27 days .......... 316 16 5.1 255 105 41.2 247 29 6.4 541 8 1.5 1,825 53 2.9 Postneonatal ......... 617 - - 455 6 1.4 1,078 36 3.3 1-4 years .............. 474 399 24 6.0 424 JAMAICA MEXICO UNITED STATES Kingston-St. Andrew- Monterrey California project 188 4.8 898 - Under 5 years ............ 1,903 216 11.4 3,953 - - 10.1 3,220 187 5.8 784 infant ................. 1,589 160 990 79 8.0 1,377 181 13.1 570 - - Neonatal ............ 166 327 - - Under I day ........ 323 36 11.1 563 29.5 15 1.8 243 - 1-27 days .......... 667 43 6.4 814 599 81 13.5 1.843 6 0.3 214 - - Postneonatal ......... 1 0.1 114 - 1-4 years .............. 314 56 17.8 733 a Deaths considered registered in Kingston-St. Andrew were 18 months after death. those for which a death certificate was available within Death registration for children 1-4 years was deficient by over 10 per cent in only one project, namely Kingston-St. Andrew (Figure 17). One or more unregistered deaths in that age group were found in nine projects. In Latin American projects
34 Patterms of Mortality in Childhood Fia. 17. Percentage of Infant Deaths and of Deaths of Children 1-4 Years of Age Without Registration in 15 Projects. 0 0 PERCENT 20 30 0 POECENT 10 20 CAIIA6[A CHItLPODJIC BOLIVIAPROJECT SANJUANPROVINCE ItSALVADOR PROJCI INFANT 1.4 YEARS NHIIHHIOOI SHIH111 I CHACOPROVINCE CALl 14l0ltilli +O FAULO lIEIlAO P11O CALIIRRItA PHOJECT searches were conducted principally for mortality and was given close attention unregistered neonatal deaths and for "fetal because of the importance of improving deaths" with evidence of life. registration in that age period. Interna- The problem affects principally neonatal tional comparisons are often made without FIG. 18. Percentage of Neonatal Deaths Without Registration in Two Age Groups in 15 Projects. PEN CENT PERCENT 0 tO 20 30 40 50 60 70 0 10 20 30 40 50 CAHIAGINA UNDER I DAY 1.27 DAYS [ ItIIVADOI PROJECT BOLIVIA PROJECT SANJUANPROVINCE MONTERRET CAtl CHACOPROVINCE MIDILIIH IROION.SI.ANDREW SHERHIOOK[ E SioPAULO I CIIIjO PRiOER CAITORNIA PROJECT
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A'.1 ii,', r" lWAH', T , .NA ON i I
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PATTEiNS OF MORTALITY IN CHILnnooll
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PrincipalCollaborators Dr. Adela Le
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vi Patternsof Mortality in Childhoo
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DEDICATED TO ROBERT GOODWIN FIELD A
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CONTENTS (cont.) Page Comparisons w
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CONTENTS (cont.) Distribution of Li
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xvi Patternsof Mortality in Childho
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22 Patternsof Mrtalityin (i'=LWWoo
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24 Patternsof Mortality in Childhoo
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28: Patterhs ol Mortality in Childh
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30 Patterns 01Aortalil inChildhood
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36 Pattermsof Mortality in Childhoo
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38 Patternsof Mortalityin Childhood
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44 Patterns of Mortalitiiin'Childho
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46 Pattesof Mortality in Childhood
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48 Patternsof Mortality in Childhoo
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52 Patternsof Mortality in Childhoo
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54,, Pattyern of Mortality in:Child
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*56 Patterniof Mortality in Childho
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Chapter IV Mortality in Childhood T
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60 Pattern&'oJMortalityin Childhood
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62 Patternsof Mortality in Childhoo
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64 Patternsof Mortality,in Childhbo
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72 Pattern oflMortality in Childhoo
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!78 Patterisof Mortality.in Childho
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78 Pdttern of Mortality in Childhoo
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86 Patterns of Mortality in Childho
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-88 .. . i atten8oiMortait~i 'Child
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90 Patternsof Mortality in Childhoo
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94 Patternsof Mortalityin Childhood
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96 Patters.of Mortality in Childhoo
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98. PatternsofMorti6ity in Childhoo
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100 Patternsof Mortality in Childho
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106 Patternsof Mortality in Childho
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108" .. Patternsof Mortality in Chi
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112: Pattern. of Mortality in Child
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114 .Pattern.of Mortality in Childh
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116 , patterniof. Mortality in Chil
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118 Patterns of Mortality in Childh
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120 Patternsof Mortality in Childho
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128 Patternsof Mortalityin'Childhoo
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130 Patterns of Mortality in Childh
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132 Pattenisof Mortality in Childho
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134i Patternsof Mortality in Childh
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4130 -Patternm of Mortality.in Chil
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138 Patternsof Mortality in Childho
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140. Patterisof Mortality in Childh
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S142 :Patternsof.Mortality in Child
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144 ,Patterna of Mortality in:Child
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148, PalternaoJMortalityin Childhoo
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'150 Patternsof Mortalityin Childho
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152 Patternsof Mortality in Childho
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1 64 Patternsof Mortalityin Uhlzdh
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156.. Patterhei o[Mortality'inChild
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160 Patternsof Mortality in Childho
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162 Pattern8of Mortalityin Childhoo
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164 Patternsof Mortalityin Childhoo
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188 Patter w8 Motalityin Childhood
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168 Patternaof Mortalityin Childhoo
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,170 Patternsof Mortalityin Childho
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172 Patternsof Mortalityin Childhoo
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174, Pat*ernof-Mortalityin Childhoo
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176 Patterns of Mortality in Childh
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182 Patterns of Mortality in Childh
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184 Patternsof Mortalityin Childhoo
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Chapter X Congenital Anomalies Know
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188 Patternsof Mortality in Childho
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190 Patternsof Mortalityin Childhoo
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192 Patternlof Mortality in Childho
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194 Pattern of Mortality in Childho
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212 Patterns of Mortality in Childh
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214 Patterns of Mortality in Childh
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216 Patternsof Mortality in Childho
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Chapter:XI Other Diseases and Exter
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220 Patternsof Mortalityin Childhoo
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230 Patternsof Mortality in Childho
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246 Patterns of Mortality in Childh
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260 Paiterns of Mortality in Childh
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262 Pattern,of Mortalityin Childhoo
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266 Patternsof Mortalityin Childhoo
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268 Patternsof Mortalityin Childhoo
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270 patternsofMortality in Childhoo
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Chater XI.v Socioeconomic and Relat
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274 Patternsof Mortality in Childho
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276 PatternsofMortality.inChildhood
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278 Patterna of Mortalityin Childho
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280 Patternsof Mortality in Childho
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298 Patternsof -Mord ity in Childho
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300 Patterni. of'Mortlity n C.hildh
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302 Patternsof Mortalityin Childhoo
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308 Patterns of Mortality in Childh
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312 Patternsof Mortality in Childho
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310' Pattern8 of Mortality in Child
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318 Pattern8.ofMortalityin Childhoo
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320 PatterisoflMortality in Childho
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322 Potterne of Mortality,in Childh
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324 Pattems of Mortality in Childho
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326 Patternsof Mortality in Childho
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328 . Pattern ofMortality in Childh
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330 Pattern of, Mortality in Childh
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332 Patternsof Mortality,in Childho
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334 Patterna of Moitalityin Childho
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340, Patternsof Mortalityin Childho
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344 Pattern of.Mortality in Childho
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346 Patternsof Mortalityin Childhoo
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348 Patterna,Oe4MortalityinChildhoo
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350 Patternaof Mortalityin Childhoo
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352 Paternsof Mortalityin Childhood
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354 . patteens of Mortality*in Chil
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356' Pattirn 'ofMortality in Childh
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APPENDICES
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APPENDIX 1 STANDARD FORM OF QUESTIO
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Appendix 1 363 Confidential INTER-A
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Appendix 1 365 INTER-AMERICAN INVES
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o- ~-: ' 4vApendix'1 367 Confidenti
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Appendiz 1 369 Confidential INTER-A
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APPENDIX 2 UNDERLYING AND ASSOCIATE
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Appendix 2 373 DEATH RATES Chaco Pr
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Appendix 2 375 DEATH RATES Resisten
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Appendix 8 377 DEATH RATES Rural De
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DEATH RATES San Juan Province-ARGEN
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Appendii 2 381 DEATH RATES City of
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4ppendiz2 383 DEATH RATES Suburban
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Appendiz 2 385 DEATH RATES Rural De
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ppendix 2 087 DEATH-RATES La Paz-BO
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Appendix 8 389 DEATH RATES Viacha-B
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Appendix 2 391 DEATH RATES Recife-B
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Appendix 9 393 DEATH RATES City of
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dppendix 8 395 DEATH RATES Franca,
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Appendix'$ :397 DEATH RATES Ribeiri
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Appendix B 399 Cause DEATH RATES S
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Appendix . 401 DEATH RATES Sherbroo
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Appendiz 8 403 DEATH RATES Santiago
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Appendix 9 405 nfective and parasit
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Appendiz 2 407 DEATH RATES Cali-COL
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Appendix 2 409 DEATH RATES Cartagen
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Appendiz, 411 DEATH RATES MedellIn-
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Appendix 2 413 DEATH RATES San Salv
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Appendix 2 415 DEATH RATES Rural
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Appendix 9 417 DEATH RATES Kingston
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1pPendix2 419 Cause 5 years Total D
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Appendix 8 421 DEATH RATES Rural St
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Appendirs 423 DEATH RATES Monterrey
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AppendixlB 425 DEATH RATES San Fran
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Appmdx 427 DEATH RATES Suburban Cou
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APPENDIX 4 HOME INTERVIEWS OF FAMIL
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Appenam a Sol APPENDIX 5 (cont.) NU
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-Appendix 6 433 Miguel A. Garcia Ce
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Appenae uO Denise Bernier Cleuza Ma
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REFERENCES-' American Society of Cl
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References, 439 rof,Differing Socio
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References 441 Pan American Health
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References 4 Verhoestuaete, L.J. an
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Index Accidents, 234-238 Age of mo
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447 Bolivia project, La Paz (cont.)
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Index 449 California project, Unite
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Index 451 Chaco Province project, A
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Index 453 'bile, City of Santiago (
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El Salvador project (cont.) Nutrit
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Inter American Investigation (cont.
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Index 459 Maternal infection, 99-10
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ItidI 481 Monterrey project, mexico
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irurcx 463 Recife project, Brazil (
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Index 465 Ribeirfo Pr~to, communiti
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Index 467 San Juan Provin,e project
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Index- 469 Sheehy, T. W., 149, 442