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SAHR 2007 - Health Systems Trust

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Disability<br />

Data on disability remains poor. Even though the General<br />

Household Survey does include questions about disability,<br />

the number of responses is low, and this makes disaggregation<br />

below the national level problematic. The national<br />

Department of <strong>Health</strong> has set a target for reporting of birth<br />

defects, and thus prioritised training of health workers in<br />

human genetics. Updated data on deaths associated with<br />

birth defects were calculated from data released with the<br />

Statistics South Africa in the “Mortality and causes of death in<br />

South Africa, 2005: Findings from death notification” report<br />

[StatsSA Causes of death 2005] (Table 10).<br />

Table 10: Deaths due to birth defects by province and selected underlying causes, 2003-2005<br />

Year Underlying cause (ICD-10) EC FS GP KZN LP MP NC NW WC SA<br />

2003 Birth defects of the cardiovascular system<br />

(Q20-Q28)<br />

% of deaths from<br />

birth defects by<br />

cause<br />

55 49 159 88 20 39 12 38 87 547 30.0<br />

Neural tube defects (Q05-Q07) 10 13 15 18 4 7 3 11 10 91 5.0<br />

Down’s syndrome (Q90) 19 9 34 10 4 7 4 9 11 107 5.9<br />

Other 88 76 302 219 70 58 31 103 134 1 081 59.2<br />

All birth defects 172 147 510 335 98 111 50 161 242 1 826 100.0<br />

2004 Birth defects of the cardiovascular system<br />

(Q20-Q28)<br />

67 57 168 79 27 37 11 35 94 575 29.8<br />

Neural tube defects (Q05-Q07) 13 8 24 21 6 6 3 7 12 100 5.2<br />

Down’s syndrome (Q90) 18 7 35 31 5 8 4 7 19 134 7.0<br />

Other 109 98 283 208 53 76 29 85 177 1 118 58.0<br />

All birth defects 207 170 510 339 91 127 47 134 302 1 927 100.0<br />

2005 Birth defects of the cardiovascular system<br />

(Q20-Q28)<br />

71 39 175 87 33 43 18 53 87 606 30.3<br />

Neural tube defects (Q05-Q07) 15 5 17 14 7 3 2 14 9 86 4.3<br />

Down’s syndrome (Q90) 11 13 35 30 8 12 3 13 30 155 7.8<br />

Other 118 87 319 205 73 74 30 100 145 1 151 57.6<br />

All birth defects 215 144 546 336 121 132 53 180 271 1 998 100.0<br />

Source: Calculated from StatsSA Causes of death 2005.<br />

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