Epidemiology and causes of death among children in a rural area of Bangladesh.
Int J Epidemiol
; 9(1): 25-33, 1980 Mar.
Article
em En
| MEDLINE
| ID: mdl-7419328
ABSTRACT
From a longitudinal surveillance programme among a rural Bangladesh population of 260,000, the epidemiology and causes of child death (under age 5) over 3 years (1975-1977) were analyzed. The most significant causes of death were diarrhoea (watery and dysentery), tetanus, measles, fever, respiratory disease, drowning, skin disease, and other causes. Of an infant mortality rate of 142.6/1000 live births, neonatal tetanus (37.4/1000), diarrhoea (19.6/1000), and respiratory disease (10.4/1000) were the most significant identifiable causes. Many infant deaths (62.2/1000) were unidentified, taking place during the neonatal (1-28 days) period. The 1-4 year mortality averaged 34.3/1 000. Diarrhoea (15.1/1 000), measles (4.5/1 000), fever (2.9/1 000) and respiratory disease (1.6/1 000) accounted for most 1-4 year deaths. Mortality trends over the past 10 years showed sharp temporary fluctuations in response to 2 disasters but no definitive long-term trend. Most causes of death displayed seasonal fluctuation, and sex differentials were marked with female deaths exceeding male deaths for all ages after the neonatal period. Malnourished children from low socioeconomic status families had higher mortality rates than their better nourished and wealthier counterparts. Overall, the data suggest that the delivery of a few basic health measures (oral hydration and immunization) could result in substantial reduction of under 5 mortality.
ABSTRACT
PIP From a longitudinal surveillance program among a rural Bangladesh population of 260,000, the epidemiology and causes of child death (under age 5) over 3 years (1975-77) were analyzed. The most significant causes of death were diarrhea (watery and dysentery), tetanus, measles, fever, respiratory diseases, drowning, skin disease, and other causes. Of an infant mortality rate of 142.6/1000 live births, neonatal tetanus (37.4/1000), diarrhea (19.6/1000), and respiratory disease (10.4/1000) were the most significant identifiable causes. Many infant deaths (62.2/1000) were unidentified, taking place during the neonatal period (1-28 days). The 1-4 year mortality averaged 34.3/1000. Diarrhea (15.1/1000), measles (4.5/1000), fever (2.9/1000), and respiratory disease (1.6/1000) accounted for most 1-4 year deaths. Mortality trends over the past 10 years showed sharp temporary fluctuations in response to 2 disasters but no definitive long-term trend. Most casues of death displayed seasonal fluctuation, and sex differentials were marked with female deaths exceeding male deaths for all ages after the neonatal period. Malnourished children from low socioeconomic status families had higher mortality rates than their better nourished and wealthier counterparts. Overall, the data suggest that the delivery of a few basic health measures (oral hydration and immunization) could result in substantial reduction of under 5 mortality.
Palavras-chave
Asia; Bangladesh; Causes Of Death; Child Mortality--etiology; Data Analysis; Delivery Of Health Care; Demographic Factors; Developing Countries; Diarrhea; Diarrhea, Infantile--statistics; Diseases--statistics; Epidemiologic Methods; Health; Health Services; Immunization; Infant Mortality--etiology; Mortality; Oral Rehydration; Population; Population Characteristics; Population Dynamics; Research Methodology; Rural Population; Southern Asia
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Mortalidade
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
/
Screening_studies
Aspecto:
Patient_preference
Limite:
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
/
Newborn
País/Região como assunto:
Asia
Idioma:
En
Revista:
Int J Epidemiol
Ano de publicação:
1980
Tipo de documento:
Article