BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

Chapter IV. Mortality in Childhood
65
Fla. 35. Mortality in Children 1-4 Years of Ag, in 25 Areas of 15
Projects.
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Calif'jrnia (Table 15 and Figure 35). The
highest rate was 38 times the lowest. The
rural areas in El Salvador and Bolivia had
rates two to three times larger than those in
three cities with the next highest figures
(La Paz, Recife, and San Salvador). These
rural areas are close to medical centers and
thus mortality in the remote rural populations
is probably even higher.
In descending order, the rural departments
of Chaco Province had the sixth
highest death rate (6.3 per 1,000 population),
followed by only slightly . ver ones
in the three cities of Colombia. Ten of the
25 areas had rates within the range of 4.3
(Monterrey) to 2.1 (Metropolitan Kingston).
The rates were low in three Latin
American cities: 1.9 in Ribeirio Prato, 1.8
in Santiago, and 1.5 in San Juan.
This great variability in death rates indicates
the wide differences in health conditions
in urban, suburban, and rural areas
and shows also that the rates can be reduced
to very low levels.
COMPARISONS WITH OFFICIAL DATA
Several factors affect comparisons of the
death rates obtained in the Investigation
with those published in official reports of
the countries, provinces or departments, or
cities. First, the data of the Investigation
are based on place of residence of the deceased,
both for deaths (the numerator) and
for live births (the denominator of infant
death rates). Moreover, these data refer to
the specific areas described in Chapter I.
For cities such as Cali, Cartagena, and
Medellin, they include only urban areas of
the city. In Sdo Paulo and Santiago as well,
they are for specifically defined areas. The