Cause-Specific Mortality Rates in Sub-Saharan Africa and Bangladesh/Taux De Mortalite Par Cause En Afrique Subsaharienne et Au Bangladesh/Tasas De Mortalidad Por Causas Especificas En El Africa Subsahariana Y En Bangladesh

By Adjuik, Martin; Smith, Tom et al. | Bulletin of the World Health Organization, March 2006 | Go to article overview

Cause-Specific Mortality Rates in Sub-Saharan Africa and Bangladesh/Taux De Mortalite Par Cause En Afrique Subsaharienne et Au Bangladesh/Tasas De Mortalidad Por Causas Especificas En El Africa Subsahariana Y En Bangladesh


Adjuik, Martin, Smith, Tom, Clark, Sam, Todd, Jim, Garrib, Anu, Kinfu, Yohannes, Kahn, Kathy, Mola, Mitiki, Ashraf, Ali, Masanja, Honorati, Adazu, Ubaje, Sacarlal, Jahit, Alam, Nurul, Marra, Adama, Gbangou, Adjima, Mwageni, Eleuther, Binka, Fred, Bulletin of the World Health Organization


Resume

Objectif Fournir des donnees comparables au niveau international sur la frequence des differentes causes de deces.

Methodes Il s'agissait d'analyser les autopsies verbales transmises entre 1999 et 2002 par 12 sites de surveillance demographique en Afrique subsaharienne et au Bangladesh afin de determiner les taux de mortalite par cause et par age. Les codes affectes aux causes de mortalite utilises par les sites ont ete harmonises pour etre conformes au systeme de la CIM10 et recapitules selon le systeme de categorisation de la charge de morbidite mondiale 2000 (version 2).

Resultats Les causes de deces dans les sites africains sont tres differentes de celles relevees au Bangladesh, ou certains elements indiquent une evolution de la morbidite des maladies transmissibles aux maladies non transmissibles et ou le paludisme est peu present. Le VIH est en revanche la cause dominante de mortalite dans les sites sud-africains a la difference de ce que l'on observe lans les sites a forte endemie palustre des autres pays d'Afrique ubsaharienne (meme au Mozambique voisin). Les contributions la mortalite de la rougeole et des maladies diarrheiques sont moins elevees en Afrique subsaharienne qu'on ne le pensait precedemment, alors que le paludisme revet une importance relativement plus grande.

Conclusion Les differents schemas de mortalite mis en evidence resultent peut-etre d'une modification recente de la disponibilite et de l'efficacite des interventions sanitaires contre les maladies de I'enfant apparaissant en grappes.

Resumen

Objetivo Aportar datos comparables internacionalmente sobre la frecuencia de las distintas causas de defuncion.

Metodos Analizamos las autopsias verbales obtenidas durante 1999-2002 en 12 sitios de vigilancia demografica del Africa subsahariana y de Bangladesh a fin de determinar las tasas de mortalidad por causas y por edades. Los codigos de las causas de defuncion utilizados por los distintos sitios fueron armonizados con arreglo al sistema de la CLE-10, y resumidos mediante el sistema de clasificacion de la Carga Mundial de Morbilidad 2000 (version 2).

Resultados Las causas de defuncion en Africa difieren marcadamente de las observadas en Bangladesh, donde los datos sugieren una transicion sanitaria hacia las enfermedades no transmisibles, con pocos casos de malaria. La infeccion por VIH destaca entre las causas de mortalidad en los lugares de Sudafrica analizados, que contrastan con las causas observadas en los lugares de alta endemicidad de malaria del resto del Africa subsahariana (incluso en el vecino Mozambique). La contribucion del sarampion y de las enfermedades diarreicas a la mortalidad en el Africa subsahariana es inferior a la sugerida hasta ahora, mientras que la malaria tiene una importancia relativamente mayor.

Conclusion Los diferentes perfiles de mortalidad que hemos observado podrian ser el resultado de los ultimos cambios experimentados por la disponibilidad y la eficacia de las intervenciones sanitarias contra las enfermedades infecciosas infantiles mas comunes.

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Mots cles Mortalites/statistique; Cause deces; Statistiques; Afrique subsaharienne; Bangladesh (source: MESH, INSERM).

Palabras clave Mortalidad/estadistica; Causa de muerte; Estadistica; Africa del Sur del Sahara; Bangladesh (fuente: DeCS, BIREME).

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Introduction

Statistics on causes of death are in great demand for developing and implementing public health interventions, (1) but few parts of the world have estimates of cause-specific mortality rates that are reliable enough. (2) This inadequacy is most common in developing countries, where medical personnel are rarely present to record details of deaths, and information on the causes of deaths is usually of poor quality. (3) Because of the absence of reliable information, the overall numbers of deaths and thus, the all-cause mortality rates, are also highly uncertain. …

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