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demographic yearbook annuaire demographique 1951

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B. 26 weeks (or 6 months, as indicated)<br />

Africa:<br />

Egypt (6 months)<br />

America, South:<br />

Colombia<br />

(6 months)<br />

Venezuela<br />

(6 months)<br />

C. 20 weeks (or 5 months, as indicated)<br />

America, North:<br />

Alaska [U.S.] (beginning 1947)<br />

Panama (5 months)<br />

Puerto Rico [U.S.] (beginning 1945)<br />

United States (beginning 1942)<br />

Virgin Islands [U.S.] (beginning 1945)<br />

Oceania:<br />

Hawaii [U.S.] (beginning 1946)<br />

D. 3 months<br />

Asia:<br />

Japan<br />

II. Areas specifying only that the foetus be viable or<br />

recognizable as a human being:<br />

Africa:<br />

Southern Rhodesia [U.K.]<br />

South-West Africa<br />

Europe:<br />

Portugal<br />

III. Areas without criteria of viability:<br />

Africa:<br />

Union of South Africa<br />

Angola [Port.]<br />

Cape Verde Islands [Port.]<br />

Sao Tome and Principe<br />

[Port.]<br />

Zanzibar and Pemba<br />

[U.K.]<br />

America, North:<br />

El Salvador<br />

Netherlands Antilles<br />

Europe:<br />

Austria (6 months)<br />

Belgium<br />

Czechoslovakia<br />

Finland (6 months)<br />

France (6 months)<br />

Italy (6 months)<br />

Luxembourg (6 months)<br />

Netherlands (before 1950)<br />

Switzerland (6 months)<br />

Trieste (6 months)<br />

Asia:<br />

Portuguese India<br />

Europe:<br />

Channel Islands<br />

[U.K.]<br />

Greece<br />

Hungary<br />

Spain<br />

Where the period of gestation is expressed in months, it is<br />

sometimes intended that lunar months be understood, sometimes<br />

calendar months. It was not possible to determine for<br />

each case just which type of measure was used, but, in<br />

general, countries indicating 7 months refer to lunar months<br />

(28 weeks) and those indicating 6 months refer to calendar<br />

months (usually equated to 180 days or to 26 weeks).<br />

Because the comparability of stillbirth statistics is so<br />

affected by procedural variations of the type already described<br />

as well as by a number of others, the Expert Committee<br />

on Health Statistics of the World Health Organization<br />

has suggested that use of the term "stillbirth" be discontinued<br />

and that the term "foetal death" be adopted<br />

in reference to all products of human gestation that show<br />

no evidence of life after separation from the mother. 12<br />

The Committee has recommended that statistics be compiled<br />

for all foetal deaths and that they be tabulated by<br />

duration of gestation as follows:<br />

Group I -less than 20 completed weeks;<br />

Group II - 20-27 completed weeks;<br />

Group III -<br />

Group IV -<br />

28 completed weeks and over;<br />

gestation period not classifiable in groups<br />

I, II and III.<br />

Implementation of these proposals would greatly enhance<br />

the comparability of statistics on this subject.<br />

Table 10 presents stillbirth numbers for 102 areas and<br />

table 11 presents crude stillbirth ratios for 90 areas. The<br />

ratio is the number of stillbirths reported for the specified<br />

year per 1,000 live births reported for the same year.<br />

Ratios are not shown for areas where less than 50 stillbirths<br />

were reported per year.<br />

DEATH STATISTICS<br />

Statistics of mortality are presented in tables 12 to 23.<br />

These data, as in the case of births, do not represent a uniform<br />

degree of accuracy or completeness of registration.<br />

Because underregistration of deaths is more difficult to<br />

detect or measure than underregistration of births, the<br />

reliability code columns in the tables presenting total deaths,<br />

infant deaths and corresponding crude rates (tables 13, 14,<br />

18 and 19) contain more "unknowns" than do those in the<br />

tables presenting birth statistics. It is generally believed that<br />

deaths are more completely registered than births, but this<br />

may not be the case everywhere. In fact, evidence is beginning<br />

to accumulate which suggests that, in some areas and<br />

under certain conditions, births may be more fully registered<br />

than deaths.<br />

The figures exclude stillbirths except in a few cases (so<br />

noted in the tables) where the presumption seemed warranted<br />

that the number of stillbirths included was too small<br />

to invalidate the data. Deaths of infants who, though born<br />

alive, died before registration of birth are not included in<br />

the totals for certain countries. This exclusion is potentially<br />

an important one, inasmuch as deaths up to three days<br />

after birth, a period at which mortality tends to be high,<br />

may thus escape registration.<br />

The data presented relate to deaths which occurred within<br />

the boundaries of the given country. Therefore, they may<br />

be presumed to include, unless otherwise specified, deaths<br />

among nomadic tribes and aborigines and those among<br />

national or alien armed forces, displaced persons, war<br />

refugees and aliens residing in the country at the time when<br />

death occurred. They normally exclude deaths among armed<br />

forces and civilian nationals stationed or residing outside the<br />

country. It should be emphasized that the absence of qualifying<br />

notes about inclusions or exclusions does not necessarily<br />

mean that the data conform to the standard definition. However,<br />

the information is given for virtually all cases where<br />

the difference involved is other than negligible.<br />

The tables have been carefully cross-checked and discrepancies<br />

in numbers or rates are in most cases explained<br />

in footnotes or otherwise accounted for. Differences which<br />

could not be explained are also indicated in footnotes,<br />

except where they are very small and involve only 1 or 2<br />

deaths. Discrepancies in rates resulting from the use of<br />

12 See the report on the second session of the Expert Committee<br />

on Health Statistics, World Health Organization, Technical Report<br />

Series No. 25, Geneva, 1950.<br />

33

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