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SAHR 2007 - Health Systems Trust

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<strong>Health</strong> and Related Indicators 15<br />

The report states baldly that all cause mortality of those<br />

aged 15-64 “increased substantially” from 1997 to 2004, for<br />

both sexes. Expressed as the age-standardised death rate,<br />

the value for males increased 1.8 times over that period,<br />

while the value for females increased 2.4 times. This was even<br />

more evident in particular age groups, where, for example,<br />

death rates for females aged 20-39 more than tripled and<br />

<strong>Health</strong> Status – Mortality<br />

those for males aged 30-44 more than doubled. The bulk<br />

of that increase is attributed to communicable diseases. The<br />

relative contribution of unnatural, communicable and noncommunicable<br />

diseases over time is shown in Figure 2, for<br />

males and females. Figure 3 clearly illustrates the considerable<br />

increase in deaths due to communicable diseases, as<br />

well as the increased death rates in younger women.<br />

Figure 2:<br />

Contribution of the three Global Burden of Disease categories to the age-standardised death rate per<br />

100 000, age 15-64, 1997-2004<br />

Male<br />

1 800<br />

1 600<br />

1 400<br />

Female<br />

Deaths per 100 000<br />

1 200<br />

1 000<br />

800<br />

600<br />

400<br />

200<br />

0<br />

1997 1998 1999 2000 2001 2002 2003 2004<br />

1997 1998 1999 2000 2001 2002 2003 2004<br />

Communicable and related Non-communicable Unnatural causes<br />

Source:<br />

StatsSA Adult mortality.<br />

Figure 3: Death rates by age and sex per 100 000 from communicable and related diseases, 1997 and 2004<br />

1 600<br />

1 400<br />

Deaths per 100 000<br />

1 200<br />

1 000<br />

800<br />

600<br />

400<br />

200<br />

0<br />

15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64<br />

Male 1997 Male 2004 Female 1997<br />

Female 2004<br />

Source:<br />

StatsSA Adult mortality.<br />

229

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