BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

!78 Patterisof Mortality.in Childhood
escape single-cause analysis. The knowledge
so derived, complemented by the study
of other various factors involved in mor-
tality, should serveas a .basis for health
planning and teaching, with an integrated
multidisciplinary focus.
MORTALITY BY AGE GROUP
­
The infant is at greatest risk of death in The infant death rates for 24 areas
the first few hours and days of life, and (Table 31) varied widely, from less than
mortality declines rapidly from high rates 20 per 1,000 live births in three areas to 120
in the first dJay to the lowest ones later in or more in two rural areas (the highest
childhood. Of the 35,095 deaths under 5 being 7.2 times the lowest). The variation
years of age subjected to thorough study of
multiple causes and related factors, 27,602 TABLE 31. Death Rates' in Infancy, Neonatal,
and Postneonatal Periods in 24 Areas of 15
or nearly four-fifths (78.6 per cent) were of Projects.
infants. The infant period is divided into
neonatal (0-27 (lays of age) and post- Project and yder n nata Post­
_ I year
11 months). Projectandarea
neonatal (28 lays through
More than a third of the deaths of children
under 5 years were neonatal deaths (12,674,
ARGENTINA
Chaco Province
Resistencia ............ 76.2 33.4 42.9
or 36.1 per cent). Rural departments.. 85.0 30.9 54.1
In several areas deaths under 5 years San Juan Province
San Juan (city) ........ 50.7 20.6 21.1
were heavily concentrated in the neonatal Suburban departments.. 87.9 44.6 43.3
Rural departments ..... 94.5 39.6 54.9
period, accounting for more than 60 per cent BOLIVIA
in three areas in Canada and California: La Paz ................ 73.0 28.5 44.5
Viacha ................ 123.5 49.4 74.1
Percent BRAZIL
Recife ................... 91.2 35.3 55.9
California, suburban counties 63.7 Ribeirlo Preto
San Francisco 62.8 Ribeirio Preto (city)... 43.0 24.0 19.0
Sherbrooke 61.7 Franca................715 36.9 34.6
Communities .......... 50.8 27.1 23.7
8o Paulo ............... 65.1 33.7 31.5
CANADA
At the other extreme, the following four
areas had very low percentages in the CHILE Sherbrooke .............. 18.3 13.5 4.8
neonatal period: Santiago .............. 54.9 27.2 27.7
Comunas .............. 57.9 19.4 38.5
COLOMBIA
Percent
San Salvador 26.4 Cai .................... 54.6 25.4 29.2
Cartagena............... 47.8 22.4 25.4
Viacha 26.1 Medellin ................ 47.6 19.7 27.9
La Paz 25.5 EL SALVADOR
El Salvador, rural 18.0 San Salvador .......... 81.7 28.2 53.8
Rural municipioa....... 120.0 36.1 83.9
This great variation in distributions of
JAMAICA
Kingston-St. Andrew ..... 38.8 24.2 14.6
deaths by age, as well as by causes, indi- MEXICO
Mouterrey ............... 60.7 26.0 34.8
UNITED STATES
cates the complexity of the process of
analyzing and interpreting data on infant San Francisco .......... 18.5 13.0 5.5
California, suburban i7.2 12.7 4.5
mortality fr)m areas with such widely
divergent health problems.
0Per 1.000 live births.