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PubMed1989

Infant mortality in Cuba, 1969-1988.

The available statistical data indicate that Cuban infant mortality fell substantially, by roughly 74.5%, between 1969 and 1988. Especially great gains were made against late neonatal (7-28 days) and postneonatal (28 days-11 months) mortality, though reduction in early neonatal (0-6 days) mortality was also substantial, amounting to about 64.0%. In general the gains were spread fairly evenly among the country's provinces, with infant mortality tending to remain higher in the eastern provinces than in the central and western regions. A key factor contributing to these improvements was a policy decision made in the early 1960s that assigned high priority to the health sector and led to major improvements in health service organization, quality, and coverage. Other associated changes that seem to have made significant contributions to this trend include improvements in living standards, sanitary and epidemiologic conditions, outpatient medical care, hospital care, and health technology.

Birth Rate↗
PubMedDate not supplied

[Cryptosporidium sp. in children with diarrhea in Cuba].

During the period from May to September 1987 stools from 200 children (aged 2 months to 4 years) with diarrhoea at Children's Hospital in Havana City were tested for enteropathogens. Three stool samples collected from each patient on alternative days were examined for Cryptosporidium oocysts by direct wet mounts, concentration by the method of Ritchie (formol-ether sedimentation) and by modified Ziehl-Neelsen staining technique. Total prevalence of intestinal parasitoses was as high as 24.5%. Cryptosporidium infection was found in 8% (16 children). Cryptosporidium was the second most commonly detected enteric pathogen overall after Lamblia intestinalis (identified in 10%). In the overwhelming majority of patients Cryptosporidium was the only detectable pathogen (13 cases of monoinfection). In the youngest children Cryptosporidium was the commonest parasite. It is noteworthy that all children who excreted the Cryptosporidium oocysts were exclusively bottle-fed.

Animals↗