BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

!68 Patternsof Mortalityin Childhood
These official rates for the state are much
higher than those for the project areas, and
the difference is probably due in part to
high rates in rural areas that were not ineluded
in the Investigation. Also deaths of
residents of other states may have been included
in the official figures. Birth certificates
were not found for 9.5 per cent of the
deceased infants included in tile Investigation
in the District of Silo Paulo (Laurenti
et al., 1971) and therefore the denominator
of the infant death rates may be too low.
The development of birth and death statistics
by residence would be very beneficial
for purposes of health planning. Steps to
ensure registration of all births routinely
are also important.
The official birth rate in Sfio Paulo State
declined from 33.5 per 1,000 population in
1961 to 26.3 in 1970, a 21-per-cent reduction
in 10 years.
Canada
edath rIn
The death rates in the Sherbrooke project
(Table 23) were slightly lower than those
Since registration
for Canada as a whole.
of neonatal deaths was found to be incomplete
in this project, there may be some
deficits in other areas of the country as
well. In any event, the death rates in
infancy and early childhood are low in
Canada.
TABLE 23. Death Rates' Under 5 Years by Age
Group in the Sherbrooke Project of the Investigation
and in Canada.
Under Under 1-4
Area 5 years I year years
Chile
At the present time when the birth rate
in Chile is declining rapidly, analyses of
infant mortality are of unusual value. The
birth rate for the Province of Santiago
(Chile, National Health Service, Zone V,
1970) as well as for the country (Chile, National
Health Service, 1971) declined in the
10 years 1961-1970 (Figure 36). The birth
rates per 1,000 population were as follows:
Country Province
1961 37.0 35.6
1962 38.0 37.6
1963 37.7 36.4
1964 36.2 35.2
1965 35.6 31.5
1966 34.0 28.2
1967 30.4 27.8
1968 29.2 27.7
1969 28.1 26.6
1970 26.9 23.5
this 10-year period the reduction in the
birth rate was around 30 per cent both in
and in Santiago Province (27
the country
Fie. 36. Birth Rates in Province of Santiago
and in Chile, 1961-1970.
,
3%
z
0 30 PROVINCE OF
= NIAO
2
2 ­
20
\
Invebtlgation
Sherbrooke .............. 4.1 18.3 0.8
Offilal data, 1909
Canada ................. 4.4 19.3 0.9
5 Deaths under year per 1,000 live births; oters
I
1,000 population.
per
of 198I947 I9 0
YEAR