BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

Chapter IV. Mortality in Childhood
71
TABLE 27. Death Rates, Under 5 Years by Age TABLE 28. Death Ratesa Under 5 Years by Age
Group in Two Areas of the Investigation in Group in Monterrey in the Investigation, and
Jamaica, and Official Rate for Jamaica.
Official Rates for Monterrey, State of Nuevo Le6n,
- - and Mexico.
Under Under 1-4
Area 5 years I year years Under Under 1-4
Area 5 years I year years
Investigation
Kingston-St. Andrew .... 10.4 38.8 2.2 Investigation
Metropolitan Kingston... 10.5 30.5 2.1 Monterrey............... 18.1 60.7 4.3
St. Andrew, rural......... 9.5 31.6 3.1
Official data. 1960
Official data, 1068 Monterrey .............. ... 51.7 5.4
Jamaica ................ . 11.5 34.7 5.4 Nuevo L.e6n ............. ... 50.0 h. I
I Mexico ................. . 22.0 (6.7 .7
Deaths under I year per 1,000 live births; others per __ ___II _ ­
1,000 population. - Deaths under I year per 1,000 live irthis; others per
1,000 population.
may be a similar deficit in registration in inclusion of non-registered deaths in tile
other parishes. A deficiency in regard to numerator and the exclusion of non-resident
neonatal deaths was noted in rural St. births in the denominator of tile infant
Andrew even though procedures were death rate. It is significant to note that
established whereby deaths were reported Monterrey's hospitals are used for deliveries
currently for investigation by tile local staff. by non-residents coming from a large out-
For children 1-4 years of age the rate of lying area.
2.2 per 1,000 population in Kingston-St. The official rate for Monterrey was lower
Andrew was less than half the rate of 5.4 than the rate for the country as a whole
for the country as a whole. This higher rate (66.7). No doubt the rural rate is much
in early childhood for ,Jamaica suggests that higher than that for this city, as has been
mortality is greater in the rural areas than shown for rural areas of El Salvador,
in the capital city, and that higher infant Bolivia, and San Juan Province in
mortality would also be found if registra- Argentina.
tion was complete.
For children 1-4 years of age, the rate of
Improved procedures such as those made 4.3 per 1,000 population obtained for Monpossible
in the Investigation in Kingston terrey in tile Investigation was less than
with the introduction of the WHO defini- half the official rate of 9.7 for the whole of
tion of a live birth need to be extended to Mexico. This difference likewise could be
the rest of Jamaica. Also, measures should attributed to high death rates in rural areas.
be established for registration of all deaths
on a current basis.
United States, California
Mexico The data from the California project
were unusually favorable, the infant death
The infant death rate of 60.7 per 1,000 rate being slightly lower than that for the
live births obtained for Monterrey in the United States (Table 29). The suburban
Investigation was higher than the official counties had an even lower rate (17.2 per
rate of 51.7 for the same area (Table 28). 1,000 live births) than that of San Fran-
Among the factors responsible for the cisco (18.5), which was similar to that for
higher rate in the Investigation were the the State of California (18.3).