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Six years mortality statistics in a Libyan paediatric hospital.

During the six year period from 1975 to 1980, at Al-Fatch Paediatric Hospital 35,488 sick children under 12 years of age were admitted for inpatient treatment; 3 009 had a fatal outcome. The mortality rate per 1000 admissions and discharges respectively, was 54.9 and 52.1 in 1975; and 135.6 and 119.4 in 1980. The age specific mortality rate per thousand discharges was 219.4 for infants, 32.8 for 1 to 4 years, 21.7 for 5 to 9 years, 25.7 for 10 to 12 years of age. Although the overall mortality rate was almost equal for boys and girls, it was higher for boys below 1 year or over 10 years, and higher for girls between 1 to 9 years of age. The proportion of deaths and admissions was more during winter the season from September to January and during the summer season from May to July. More than 80% of those who recovered were admitted with acute respiratory infection, gastroenteritis, meningitis, diseases of urinary system, acute poisoning and symptoms or ill-defined conditions; whereas, more than 70% of expired cases were admitted with prematurity, gastroenteritis, septicaemia, acute respiratory diseases and congenital malformations. The case fatality in 1980 was 84.5% for septicaemia, 55.5% for prematurity, 41.7% for congenital malformations, 18.9% for malnutrition and 16.1% for diseases of nervous system.

Age Factors↗

[Child mortality in the Hauts de Seine district].

The authors present the results of the analysis of mortality statistics among the children who were born in 1977 in the French department of Hauts-de-Seine. The data were obtained from 8th day of life health certificates, from information given by the registry office and from hospital records. The results establish the department in an excellent position: child mortality rate: 7.34%, early neonatal mortality: 2.81%, late neonatal mortality 1.45% and post-neonatal mortality: 3.08%. The causes for child mortality are analysed and suggestions concerning possible improvements are made.

Female↗

Building a family: unplanned events.

Couples in developed societies are often unsuccessful in achieving precise family building goals despite the widespread use of birth control. Unplanned events that frustrate reproductive intentions to varying degrees include contraceptive failure, sterility, miscarriage, prolonged conception delay, undesired sex combination of offspring, divorce, and the death of a spouse or a child. This paper reviews the probability of the occurrence of these events using US data. It is concluded that the large majority of newlyweds will experience at least one unplanned event during the family building phase of the life cycle.

Congenital Abnormalities↗

[Epidemiology of carcinosis. 105 years of mortality statistics (author's transl)].

Cancer mortality in Hamburg, calculated per 10,000 living inhabitants of each age group of men and women for the years 1873 to 1978 proved to be essentially constant after eliminating sources of statistical error. Calculation or organ involvement by the same method for 1933 to 1978 showed that the increase in mortality for one type of location is compensated by a decrease elsewhere, so that altogether the constancy remains. This behavior can be explained if it be assumed. This behavior can be explained if it be assumed that a certain constant percentage of the population is prone to cancer and - possibly due to the action of exogenous noxae - becomes ill when the necessary age is reached. The nature of a determining factor which is most probably present is not known. Comparison with international figure shows that the results of the Hamburg Study can be considered a model case.

Adolescent↗

Evaluation of a rural perinatal care system.

A voluntary system of regionalized perinatal health care was developed in Iowa to provide accessible services for a rural population. Larger community hospitals were upgraded to serve as level II regional centers and small obstetric units continued to provide maternity services for low risk patients. Consolidation of services was encouraged only when accessibility was not compromised. Education rather than legislative fiat was the stimulus for change. Evaluation by review of birth and mortality data suggests that a stratified system of care exists in Iowa. Judged by mortality statistics, perinatal outcome has improved since the inception of the program in 1973. The concept of a mortality risk ratio (neonatal deaths/<1,500 gm live births) is suggested as a method of reviewing mortality data from the perspective of risks inherent in the population served.

Delivery of Health Care↗

[Changes in life expectancy and mortality in East Germany after reunification (1989-1992)].

Whereas some arguments can be advanced suggesting that the life expectancy in east Germany should have declined directly after the fall of the Berlin Wall in 1989, other arguments suggest an increase. The aim of this study was to identify the actual developments and to explain the findings. Census data and mortality statistics from East and West Germany before unification were used to calculate standardized mortality ratios and life expectancies for various population groups. The differences in life expectancy between East and West were broken down according to age groups. The main finding was that the life expectancy of east German men declined in 1990 by 0.9 years, and only reached the 1989 level again in 1992. This was due solely to an increase in mortality for men under the age of 65. In 1990 and 1991, there were 3,400 more deaths among men under the age of 65 than would have been expected on the basis of the mortality rates of 1989. In contrast, the life expectancy of women hardly declined at all in 1990, and in 1992 it was already one year more than for 1989. The most important reasons for the increased numbers of deaths of men under the age of 45 were motor vehicle accidents, whereas ischaemic heart disease and cirrhosis of the liver were more significant for men between the ages of 45 and 65. Suicides did not increase after the fall of the Berlin Wall. It could be shown that the findings were not the results of artifacts.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

Perinatal and neonatal mortality and morbidity in Lusaka, 1976.

A prospective study of perinatal and neonatal mortality and morbidity at the University Teaching Hospital (UTH), Lusaka for 1976 is presented. The early neonatal mortality of the babies born in hospital was 28.7 per 1000 live-births; it was 239.96 per 1000 admissions of those born outside the hospital. The still-birth rate in the hospital-born babies was 25.2 per 1000 deliveries; the perinatal mortality was 53.3 per 1000 deliveries; and the neonatal mortality in the hospital-born was 31.1 per 1000 live-births. The cause of death were asphyxia, infections could injury, respiratory distress syndrome, congenital malformation and intracranial haemmorrhage. If the perinatal and neonatal mortality and morbidity are to be reduced, much effort and co-operation of all concerned with the health of the expectant mother, and her child are required. Records of birth-weights, stillbirth, and causes of deaths in the University Teaching Hospital (UTH) for the year 1976 have been analysed. The aim is to provide a basis for future comparisons and improvement of the care given to newborns.

Female↗

Common illnesses.

Although the infant mortality rates of Central Australian Aborigines has greatly improved since the early 70s the morbidity and early adult mortality statistics are still very poor. Solutions are complex and unclear. The author outlines some of the common problems that need to be resolved.

Adolescent↗

[Perinatal mortality. Statistics from the Gynecological and Obstetrical Service of the Notre-Dame-de-Bon-Secours Hospital (1961-1975)].

The authors present their statistics for perinatal mortality from 1961 to 1975. In the last 5 years this mortality is less than 15 per 1000, in spite of an increase in the numbers of pathological pregnancies. Over and above progress in obstetrics and neonatology that has occurred, this result can be attributed in part to the quality of supervision carried out by the senior obstetricians and in part to the existence of pathological consultation which takes place between colleagues about the therapy to be carried out in multidisciplinary meetings.

Female↗

[Statistics of mortality in 1994 and predictions of death caused by cancer 1997].

The latest mortality statistics available in France, for 1994, are presented and show that the first cause of death was cardiovascular disease (32%) followed by cancer (27%). Previsional estimations for 1997 reveal that in men, there will be an expected 85,000 deaths from cancer, the first cause of mortality in men, the first three localizations being lung cancer (24%), prostate cancer (11%) and colorectal cancer (10%). In women, there will be an estimated 55,000 deaths due to cardiovascular disease, the primary cause of mortality. Breast cancer is expected to be the number one cause of death by cancer (20%) followed by colorectal cancer (14%) and lung cancer (7%).

Adolescent↗

[Mortality trends in persons younger than 15 years of age. Spain, 1980-1993].

OBJECTIVE: To find the pattern of mortality in people between 1 and 14 years old and how this evolved between 1980 and 1993. DESIGN: A descriptive, epidemiological study. SETTING: State-wide study of mortality. PATIENTS AND OTHER PARTICIPANTS: The source of information were the vital statistics published by the National Institute of Statistics. The mortality statistics for the XVII groups of illnesses in the ninth ICD and the evolution of the main causes responsible. MEASUREMENTS AND MAIN RESULTS: The rate of mortality in 1993 was 24.76 per 10(5) (C.I. 95%, 23.55-25.97). The main causes of death were: malign tumours (4.17 per 10(5); C.I. 95%, 3.67-4.67), traffic accidents (3.56 per 10(5); C.I. 95%, 3.10-4.02) and congenital anomalies (3.1 per 10(5); C.I. 95%, 2.67-3.53). The highest rates were for the 1 to 4 years old period (39.38 per 10(5); C.I. 95%, 36.30-42.46), in which congenital anomalies predominated (7.67 per 10(5); C.I. 95%, 6.31-9.03). Between 1980 and 1993 mortality fell for all age and sex groups, and for all the large groups of diseases except group III, which increased by 44.5%. CONCLUSIONS: Children between 1 and 14 years old have a low mortality rate, which is evolving constantly over time both in frequency and in its main determining causes. Mortality fell considerably in recent years for almost all diseases.

Accidents, Traffic↗