BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

Chapter X. Congenital Anomalies
209
Fia. 104. Mortality of Infants with Congenital Anomalies of Circulatory System by Age of Mother
in Seven Projects.
?00
6.00-
CHACO
PROVINCE
AO PAULO SHERBROOKE CHILE
PROJECT
EL SALVADOR
PROJECT
MONTERREY
CAUFORNIA
PROJECT
0
400
S200
AGE Of MOII
IN YEARS
ANOMALIES OF THE DIGESTIVE SYSTEM
Thc digestive systemi was the site of Table 103 presented the dlata on 866
anomialies in 809 deceased infants, that is, anomalies of the digestive system, in four
mnore than onie-fourth of those with con- groups:
genital anonahes 128.2 per cent I. Seventy
Number
per cent of those condhitions were involvedl Cleft paIlate and ldeft lip) (749) 167
as underlying or associated causes and the Other anoinalies of upier alinenrest
were considered non-causal or mninor tairy tract (52-4, 750) 138
(Table 120). C'ongenitail hernmias (550, 551 I 261
Thle variation in death rates for sinain- Otherasnoitialies of digestive
alies of this typ)e was from 100.1 p~er 100,000 sYstemn (7511 3100
live births in Kingston-St. Andrew to 265.4 However, s:everal of these conditions w~ere
in San Juan Prov'ince. The rate in the Bo- diagnosed in infants with adlditional anomnlivia
project wats similar to that in Kings- alies in one of the other groups. For exton-St.
Andrew (Figure 105). lin the latter ample, of the 261 (leceawed infants with eonproject
the diagnostic faeilities were tin- genital hernias, 9 hiad cleft plate or cleft
usually good (autopsies with or wvithotit lip and 28 had other anomalies of thme diclinical
informnation wvere available for 51.5 gestive system classed ats 750 or 751. After
per cent of deceased children front aill typ~es elimination of all dulplication there were
of anomalies I and it is p~rob~able that a high 809 infatnts wvith an anomaly of the digesproportion
of the serious anoinalies of the tive systein.
digestive system were (discoveredI. In the Cleft p~alate and dlept lip (category 749)
California piroject the dleath rate wats only tire anomalies that aire easily dliagnosedl and
slightly higher, but that project had thme are atcause of great concern because of thme
lowest rate for these anomalies ats underly- (lisa bility they p~roduce in the infant. For
ing cause (40.2 pe 100,000 live births), this reason, dlata for tlins category tire shown