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1957 - United Nations Statistics Division

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cluded in the total deaths under 1 year and set forth in a<br />

footnote.<br />

It should be noted that the age classification used is not<br />

in accord with the current international standard. In<br />

defining infant deaths for purposes of cause-of-death<br />

statistics and in standardizing the age classification for<br />

special statistics of infant mortality, the World Health<br />

Organization and the <strong>United</strong> <strong>Nations</strong> have recommended<br />

31 that deaths under 4 weeks, i.e., under 28 days,<br />

be considered as mortality of newborn or early infancy.<br />

However, since many countries have not yet adopted this<br />

standard and since those that do tabulate infant deaths<br />

according to this classification did not initiate the revised<br />

procedure before 1950 or 1951, it was considered more<br />

convenient to show the calendar-month class and footnote<br />

the 4-week exceptions. This will be apparent in Table<br />

12. For Austria, Finland, and Norway, it was possible to<br />

include data for the same .year tabulated according to<br />

both classifications; these overlapping series are separated<br />

by a horizontal rule in the table. These data, therefore,<br />

enable an evaluation to be made of the probable effect<br />

of the change.<br />

Since data in Table 12 are for males and females separately,<br />

but not for both sexes combined, deaths of unstated<br />

sex are of necessity excluded from the statistics<br />

but are given in footnotes in all cases. <strong>Statistics</strong> not available<br />

by sex are shown under "male" preceded by a new<br />

box-head specifying "both sexes". Discrepancies of unknown<br />

origin between these and data in Tables 10 and<br />

9 are indicated in footnotes.<br />

Coverage: <strong>Statistics</strong> of infant deaths by detailed age are<br />

presented in Table 12 for 118 geographic areas. These<br />

include sovereign and non-sovereign countries and data<br />

for ethnic groups or geographic sub-divisions when nothing<br />

else was available. The latter frequencies are shown<br />

in smaller type to aid in distinguishing them from national<br />

coverage.<br />

Limitations: These data are subject to all the general qualifications<br />

of vital statistics set forth on p. 23. Of particular<br />

concern are limitations of completeness due to underregistration<br />

of deaths (see code on Table 9) and variations<br />

in definitions which result in the exclusion of the<br />

deaths of infants who die before registration of birth or<br />

before completion of 24 hours of life. This latter qualification<br />

affects total infant deaths, those under 1 day of<br />

age, and even those up to 3 or more days, depending on<br />

the statutory time allowed for registration of death. For<br />

relative numbers of such infants, see Table 7's footnotes<br />

to Guadeloupe and Martinique.<br />

Limitations in comparability due to differences in<br />

classification by age have been noted above in the discussion<br />

of "under I month" versus "under 4 weeks". Variations<br />

in the method of reckoning infant age at the time of<br />

death also exist; it is an important consideration with<br />

respect to age intervals up to one week. In general, the<br />

age at death is determined on the basis of the time<br />

elapsed after birth (hours, minutes, days, as appropriate)<br />

and is expressed in completed units of time. In some<br />

cases, however, the age is expressed to the nearest day<br />

or is based on calendar days, the calendar day of birth<br />

31 Regulations No. I of the World Health Organization, Article 8;<br />

<strong>United</strong> <strong>Nations</strong> PrincijJles for a Vital <strong>Statistics</strong> System, op. cit.,<br />

Principle 410 (e) (15).<br />

81<br />

being counted as the first day of life and infants dying<br />

the day after birth being classified as I day of age even<br />

though they may have died less than 24 hours after birth.<br />

Age classifications known to be expressed in other than<br />

completed units of time reckoned from the exact time of<br />

birth, are noted in the table. This factor is disregarded<br />

for age intervals of one month or over.<br />

Table 13<br />

Annual rates of infant mortality by detailed age for<br />

each sex and both sexes combined are presented in Table<br />

13. This table corresponds to, and has been based on,<br />

Table 12 and covers the same period-1948-1956. As in<br />

the case of Table 12, this table last appeared in the 1951<br />

Demographic Yearbook, where rates for the period 1936­<br />

1949 were set forth. The present table has been designed<br />

to extend this time coverage to 1956.<br />

As noted in connexion with Table 12 above, infantmortality<br />

rates by detailed infant age provide an extension<br />

of rates in Table 11 to newborn and infancy ages.<br />

The importance of these data for analysis of mortality<br />

has been set forth in the text to the frequency table.<br />

The age classification used in Table 13 is the same as<br />

that employed in the base Table 12 and for the same reasons.<br />

Sub-divisions by age are 5, namely under 1 day, 1<br />

day - under 1 week, 1 week - under 1 month, 1-5 months,<br />

and 6-11 months. Unknown age is included only in the<br />

rate for age under 1 year. For Austria, Finland, and<br />

Norway, rates for both "under 1 [calendar] month" and<br />

"under 4 weeks" have been computed on the same year's<br />

data so that the effect of the classification revision may<br />

be evaluated.<br />

Deaths of unstated sex are included in the rates for<br />

both sexes in this table and, hence, the rate for both sexes<br />

combined, shown in the first column of the table, should<br />

agree with the conventional infant mortality rate shown<br />

in Table 9. Discrepancies of any magnitude are indicated<br />

in footnotes.<br />

Coverage: Rates are available for 108 geographic areas.<br />

The criterion for rate computation was a total frequency<br />

of infant deaths for both sexes combined of 50 or more.<br />

National and sub-national figures are included when this<br />

criterion was met.<br />

Rate computation: Rates are the number of deaths of the<br />

specified age and sex which occurred in the year per 1,000<br />

live births of the same sex during the same period. Thus,<br />

the base of each age-sex rate is the same as that of the rate<br />

for all ages of the same sex, and no adjustment was made<br />

to take account of the fact that some of the deaths were<br />

those of infants born not in the current year but in the<br />

preceding one. Live births used in the denominator of<br />

the rates for both sexes are those presented in Table 6.<br />

Limitations: Although infant mortality rates by detailed<br />

age are of course subject to all the limitations noted in<br />

connexion with vital statistics (see p. 23), perhaps the<br />

most important is that which results from tabulation of<br />

live births by date of registration rather than date of<br />

occurrence. The implications of this procedure have been<br />

set forth in connexion with Tables 6 and 9 above, to<br />

which reference should be made.<br />

Underregistration of births and deaths, as indicated in<br />

the quality codes appended to Tables 6 and 9, also

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