REPORT ON MEDICAL CERTIFICATION OF CAUSE OF DEATH 2000

52
No. DES 25 OF 2002 GOVERNMENT OF KARNATAKA REPORT ON MEDICAL CERTIFICATION OF CAUSE OF DEATH 2000 Office of the Chief Registrar of Births & Deaths And Directorate of Economics & Statistics Bangalore

Transcript of REPORT ON MEDICAL CERTIFICATION OF CAUSE OF DEATH 2000

Page 1: REPORT ON MEDICAL CERTIFICATION OF CAUSE OF DEATH 2000

No. DES 25 OF 2002

GOVERNMENT OF KARNATAKA

REPORT ON

MEDICAL CERTIFICATION

OF

CAUSE OF DEATH 2000

Office of the

Chief Registrar of Births & Deaths

And

Directorate of Economics & Statistics

Bangalore

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PREFACE

Man’s efforts to conquer diseases and the desire for better health are continuous. One of

the methods to conquer diseases is to have systematic data about these diseases, which can be

used by the Health personnel dealing with preventive and curative measures. The scheme of

Medical Certification of Causes of Death is one such scientific tool, which tries to analyse the

causes of death, on an annual basis. Under this scheme, certified causes of death are collected

from the selected hospitals in the State in the prescribed form no 4, coded and classified

according to the National list. This process is entwined into the Civil Registration System to

enable coverage of all the institutions as and when the infrastructure improves.

2. This report is the twentieth in the annual series. To begin with, the scheme was

introduced in 44 hospitals in 1967 in the State. Later, it was extended to teaching, district &

specialised hospitals. The coverage stood at 370 hospitals in 1999.

3. Our sincere thanks to all the selected hospital authorities who have continuously

supported our efforts by submitting the requisite qualitative data in time. Their continued co-

operation in the future is keenly sought.

4. The report is prepared in the Civil Registration Section of the Directorate overall

guidance of Sri.H D Ganesh, Joint Chief Registrar(I/C).

5. Data was processed at the Computer Centre of the CNL Division.

6. Suggestions for improvements are always welcome.

Bangalore T. Mokthamba

Dated: 1-6-2002 Director(I/c)

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NOs.

1 INTRODUCTION 1

2 LIMITATIONS OF THE CIVIL REGISTRATION SYSTEM 2

3 OBJECTIVES 2

4 COVERAGE 3

5 FLOW OF DATA & PROCESSING 3

6 MAIN FINDINGS 5

7 PRINCIPAL INDIVIDUAL CAUSES 12

8 ANALYSIS BY AGE & SEX 13

9 LEADING CAUSES OF INFANT DEATHS 15

10 LEADING CAUSES OF MATERNAL DEATHS 16

TABLE 9 FOR THE YEAR 2000

GRAPHS

…………#…………

CONTENTS

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TEAM INVOLVED IN THE PUBLICATION OF THIS REPORT

1. Sri. H.D.GANESH JOINT DIRECTOR I/C

2. Sri. S.T.SOLOMON DEPUTY CHIEF REGISTRAR

3. Sri. G.TULASI RAM ASSISTANT CHIEF REGISTRAR

4. Smt. G.VANAJAKSHI ASSISTANT STATISTICAL OFFICER

5. Smt. N.YASHODA STATISTICAL INSPECTOR

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MEDICAL CERTIFICATION OF CAUSES OF DEATH-2000

Introduction

There has been continuous efforts by human beings to conquer diseases. While some age

old diseases seem to be under control, suddenly, they erupt. In addition new ones emerge. The

causes of mortality and morbidity are both natural and man-made. Earthquakes, floods and

famines speak a lot for the natural disasters. People are also seen dying out of manmade

conditions like starvation, malnutrition, under-nutrition and poverty. In order to know the

profile of different natural & man made causes and to present them in a meaningful way, the

International Community of Medical Professionals under the aegis of World Health

Organisation have codified the diseases & named them “International Classification of

Diseases”.

This International Classification of Diseases is altered & adopted to the Indian conditions

under the scheme of Medical Certification of Causes of Death. Most important mortality like

Infant Mortality Rate, Maternal Mortality Rate & Child Mortality Rate can be derived from this.

This report is based on the 10th

revision of International Classification of Diseases. The

prescribed Form (No 4) has to be filled & issued by the physician who attended the deceased

during his/her last illness. This Form which clearly spells out the various causes of death is the

basis for this survey.

1.1. Enabling Provision in the Registration of Births & Deaths Act, 1969.

This Act contains a section regarding compulsory Medical Certification. Section 10(3) of

the Act (given below) read with Rule (7) of the Karnataka Registration of Births & Deaths

Rules, 1999 have made a provision for this. These together enable the State to obtain from the

medical practitioner/physician who attended the deceased during his/her last illness, a

certificate, free of cost, as to the underlying & immediate causes of death.

Section 10(3) of the RBD Act, 1969: “Where the State Government as required under Sub-

Section (2) that a certificate as to the cause of death shall be obtained, in the event of the death

of any person who, during his last illness, was attended by a medical practitioner, the medical

practitioner shall , after the death of that person, forthwith issue without any fee, to the person

required under this Act to give information concerning the death, a certificate in the prescribed

form stating to the best of his knowledge & belief the cause of death; & the certificate shall be

received & delivered by such person to the Registrar at the time of giving information

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concerning the death as required by this Act”. The Act has also a clause incorporated for

maintaining confidentiality of the information on cause of deaths, available in the registration

records. With Karnataka Registration of Births and Deaths Rules, 1970 being replaced by

Karnataka Registration of Births and Deaths Rules, 1999, Form 8 has been replaced by Form 4.

1.2 Meaning & scope of cause of death

The term “cause of death” has been defined as to go back to the root/underlying cause. It

is “the morbid condition to which can be traced the sequence of events ultimately resulting in

death”. It is this underlying cause which is the key element, particularly, if a number of ailments

had affected the deceased prior to his death. The form prescribed for certification has two parts,

part-1, for recording the diseases suffered by the deceased in a specific sequence, to facilitate

segregation of the underlying cause from the immediate cause and part-2 for other significant

morbid conditions, even, if they were not responsible for the death. The report of the inquesting

authorities is given preference in case of unnatural deaths leading to medico-legal cases.

2. Limitations of the Civil Registration System

The registration of deaths based on the returns received during 2000 was 77.6% of the

expected number of deaths in the state. Moreover, adequate infra structural facilities are not

available in rural areas for implementing the scheme. Even among the deaths reported, causes

are not always mentioned. In spite of these limitations, attempts have been made to fulfill the

following objectives.

3.Objectives

The objectives of the scheme are:

(i) To obtain mortality profile by causes, age & sex.

(ii) To study external/unnatural causes.

(iii) To study causes of infant & maternal mortality.

4. Coverage

For the first time, in 1967, the scheme was introduced in 44 hospitals. It was extended to

168 hospitals by 1990. 352 hospitals with a bed-strength of 20 or more in towns & cities with a

lakh or more population (as per 1981 census) were covered in 1991. This expansion was taken

up as per the recommendations of the workshop on statistics of cause of death held during 1986

at New Delhi. In 2000, 370 hospitals were covered and 56360 medically certified deaths in

Urban areas were brought under the scheme. The coverage of deaths increased marginally over

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1999(an increase of 3.8%). This would amount to 40.2% of the total number of deaths

registered in urban areas during the year. The coverage is confined only to institutional deaths.

Though the sample is representative, generalisations are not recommended, since a large

number of events remain outside the ambit of the survey.

TABLE 1: DISTRIBUTION OF HOSPITALS COVERED BY CATEGORY & BED-STRENGTH

Sl

NO

BED- STRENGTH/

HOSPITAL TYPE

<25 25-

50

51-

100

101-

200

201-

300

301-

400

401-

500

>500 NOT

STA

TED

TOT

-AL

PERCE-

NTAGE

1 2 4 5 6 7 8 9 10 11 3 12 13

1. Accident 0 0 1 0 0 0 0 0 0 1 0.3

2. Cardiac 2 0 0 0 1 0 0 0 0 3 0.8

3. Epidemic 1 1 0 1 0 0 0 0 0 3 0.8

4. General 77 108 36 26 10 7 3 11 6 284 76.7

5. Leprosy 0 4 2 0 1 0 0 0 1 7 1.9

6. Maternity 17 9 4 2 3 1 0 1 0 37 10.0

7. Maternity & Paediatric 1 0 0 0 0 0 0 0 0 1 0.3

8. Neurology 1 0 0 0 0 1 0 1 0 3 0.8

9. Oncology 0 1 0 0 0 1 0 0 0 2 0.5

10. Opthalmic 1 0 0 0 1 0 0 0 0 2 0.5

11. Paediatric 1 2 0 0 0 0 0 0 0 3 0.8

12. Teaching 0 0 2 3 1 0 0 8 0 14 3.8

13. Tuberculosis 0 0 4 1 3 0 2 0 0 10 2.7

Total 101 125 49 33 20 10 5 21 6 370

Percentage 27.1 33.6 13.1 8.9 5.4 2.7 1.4 5.6 1.6 100 100

Category wise, major composition of hospitals is as follows. General hospitals-76.7%.

Maternity homes and Paediatric centres –10.3%, Teaching hospitals- 3.8% followed by

Tuberculosis hospitals-2.7%

. Bed-strength wise, largest share of 73.8% was taken by hospitals with bed-strength

<25-100. The next significant category was 101-200 with 8.9%. Hospitals with bed-strength

between 201-300 was the next with a percentage share of 5.4% This was followed by those with

bed-strength more than 500. The least share were those with bed-strength between 401-500

(1.4%) preceded by those of 301-400 (2.7%).

5. Flow of data & processing.

The cause(s) of death certified by the doctors were sent in the prescribed Form (No 4)

directly from the selected institutions on a monthly basis to this office. They were scrutinised &

coded following the International Classification of Diseases, 10th Revision & Table-9 derived

as per the national list prescribed/designed by the Registrar General, India. Data was processed

at the in house computer centre of the CNL Division of the Directorate.

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TABLE –2 DISTRICTWISE AND SEXWISE DISTRIBUTION OF DEATHS.

Sl.No District No.of

Hospitals

Male Female Total % to

total

deaths

1 Bagalkote 4 347 221 568 1.01

2 Bangalore Urban 82 11609 6853 18462 32.76

3 Bangalore Rural 3 416 224 640 1.14

4 Belgaum 15 2000 1014 3014 5.35

5 Bellary 17 1163 633 1796 3.19

6 Bidar 4 247 131 378 0.67

7 Bijapur 14 786 432 1218 2.16

8 Chamarajanagara 5 408 215 623 1.11

9 Chickmagalur 4 316 161 477 0.85

10 Chitradurga 3 397 249 646 1.15

11 D.Kannada 34 2307 1182 3489 6.19

12 Davanagere 15 2074 1067 3141 5.57

13 Dharwad 40 2859 1750 4609 8.18

14 Gadag 11 602 324 926 1.64

15 Gulbarga 14 1072 643 1715 3.04

16 Hassan 4 487 254 741 1.31

17 Haveri 4 196 113 309 0.55

18 Kodagu 8 377 175 552 0.98

19 Kolar 11 1039 647 1686 2.99

20 Koppal 0 49 34 83 0.15

21 Mandya 11 938 446 1384 2.46

22 Mysore 27 2778 1552 4330 7.68

23 Raichur 6 145 97 242 0.43

24 Shimoga 10 632 358 990 1.76

25 Tumkur 12 1102 591 1693 3.00

26 Udupi 6 892 389 1281 2.27

27 Uttara Kannada 6 309 145 454 0.81

28 Other states 576 337 913 1.62

State Total 370 36123 20237 56360 100.00

The district-wise classification is based on the “Usual residence of the deceased and not

on the basis of place of the deceased’s last admission/treatment”.

An attempt is made to analyse the data districtwise. It may be observed from Table-2 that

deaths in Bangalore (urban) district with 82 hospitals were the highest because of its size and

infrastructural facilities available for medical care. Dharwad had the second highest number of

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hospitals. Less than five hundred deaths were accounted for by each of the districts of Bidar,

Chikmagalur, Haveri, Koppal, Raichur and Uttara Kannada. Least number of deaths were from

Koppal.

6. Main Findings. 6.1 Deaths by major cause groups: an analysis.

.Table-3 shows deaths by major cause groups further classified by sex & the rank of

each major cause, as per 10th

revision of International Classification of Diseases.

TABLE-3 DEATHS BY MAJOR CAUSE GROUPS

Sl.No Group Major Cause of Death With Code Male Female Total % Rank

1 I Certain Infectious and Parasitic Diseases(A00-B99) 5689 2853 8542 15.16 II

2 II Neoplasms(C00-D48) 1360 811 2171 3.85 X

Diseases of Blood and Blood forming Organs and

Certain Disorders involving Immune Machanisum

(D50-D89)

3 III 575 584 1159 2.06 XII

4 IV Endocrine, Nutritional and Matabolic Diseases

(E00-E89) 1629 1007 2636 4.68 VIII

5 V Mental and Behavioural Disorders(F01-F99) 105 18 123 0.22 XVI

6 VI Diseases of the Nervous System(G00-G98)

1409 814 2223 3.94 IX

7 VII Diseases of the Eye and Adnexa (H00-H59)

11 1 12 0.02 XVIII

8 VIII Diseases of the Ear and Mastoid Process(H60-H95)

6 4 10 0.02 XIX

9 IX Diseases of the Circulatory System (I00-I99) 9654 5177 14831 26.31 I

10 X Diseases of the Respiratory System (J00-J98) 2550 1069 3619 6.42 VI

11 XI Diseases of the Digestive System(K00-K92) 3118 966 4084 7.25 V

12 XII Diseases of the Skin &Sub-cutaneous Tissue(L00-

L98) 147 96 243 0.43 XV

13 XIII Diseases of the Musculo Skeletal System & 30 33 63 0.11 XVII

Connective Tissue (M00-M99)

14 XIV Diseases of the Genito Urinary System(N00-N99) 839 495 1334 2.37 XI

15 XV Pregnancy,Childbirth and the Puereperium

(O00-O99) - 521 521 0.92 XIV

16 XVI Certain Conditions Originating in the Perinatal

Period (P00-P96) 3615 2171 5786 10.27 III

17 XVII Congenital Malfoermations, Deformations &

Chromosomal Abnormalities(Q00-Q99) 385 227 612 1.09 XIII

18 XVIII Symptoms, Signs and Abnormal Clinical and

Laboratory Findings, Not elsewhere

Classified(R00-R99)

2057 1141 3198 5.67 VII

19 XIX Injury, Poisoning and Certain Other Consequences

of External Causes(S00-T98) 2944 2249 5193 9.21 IV

Total 36123 20237 56360 100.00

For a consistently long period of time, four major cause groups have been on the top of

the killer list. They are (1) “Diseases of the Circulatory system” (2)“Certain Infectious and

parasitic diseases” (3) “Certain Conditions Originating in the Perinatal Period” and (4)

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“Injury, poisoning and Certain other Consequences of External Causes”. Of these, the

group “Diseases of the Circulatory system” has been topping the list with 26.3%,an increase

of 4.7% over 1999. It claimed 14831 deaths out of the total of 56360 deaths. Compared to

1999, it has taken an additional toll of 3117 deaths. This is followed by “Certain Infectious &

parasitic diseases”with 8542 (15.2%)deaths. “Certain Conditions Originating in the

Perinatal Period”, a group affecting only the new born are those who are less than one year old

has taken the third place from fourth during 1999. It claimed 5786 deaths(10.3%). This reflects

on the kind of nourishment the child, perhaps the mother gets in the prenatal period. Fourth in

the order is “Injury, poisoning and Certain other Consequences of External Causes” which

has taken a toll of 5193 deaths (9.2%). The havoc caused can be imagined considering that

together, these four were responsible for as many as 61% of the total deaths.

Relatively, other important groups in the descending order were (5), “Diseases of the

Digestive System”(7.3%), (6) “Diseases of the Respiratory System” (6.4%),(7) “Symptoms,

signs and Abnormal Clinical and laboratory findings not elsewhere classified”(5.6%), ( 8)

“Endocrine, nutritional & metabolic diseases ”(4.6%), (9) “Diseases of the Nervous system”

” (3.9%), (10) “Neoplasms” (3.8%), (11) “Diseases of the Genito-urinary system”(2.4%),

(12) “Diseases of the blood & blood forming organs and certain disorders involving the

immune mechanism”(2.1%), (13)“Congenital Malformations, Deformations &

Chromosomal Abnormalities (1.1%), (14)” Pregnancy,Child birth & puerperium”(0.9%),

(15)“ Diseases of the Skin & Subcutaneous Tissue” (0.4%), (16) “Mental & Behavioural

disorders” (0.2%), (17) “Diseases of the Musculo skeletal system & connective tissue”

(0.1%), (18) “ Diseases of the Eye and Adnexa” and(19)“Diseases of the Ear and Mastoid

process” together had a share of 0.02%.

6.2 Mortality by sex .

There were 36123 male deaths and 20237 female deaths. In almost all the major cause

groups, male deaths outnumbered female deaths (except of course in pregnancy complications).

Only in the case of “Diseases of the blood & blood forming organs and certain disorders

involving the immune mechanism” female deaths were more than male deaths, that too only

marginally. Sex wise difference was very distinct in the group “Mental & Behavioural

Disorders” (105 male deaths compared to 18 female deaths). Male deaths were more than one

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and a half times than female deaths in case of major groups “Certain Infectious & parasitic

diseases” & “Diseases of the Circulatory system” . It was more than double in “Diseases of the

Respiratory System” and “Diseases of the Digestive System”.

6.3 Impact of different cause groups .

A brief profile of the major cause groups is undertaken to study their important component

causes. We could start as per ranks in descending order.

6.3.1 Diseases of the Circulatory System (Group-IX) Rank 1

The fact that it was the top killer with a share of 26.3% of the total deaths shows the

enormity of the cause. This has been the top killer for the past eight years. Five causes of this

group have been the major killers. (1)“Cerebro vascular disease”,(2) “Acute Myocardial

Infarction”, & “All Other Ischaemic Heart Disease”. These have taken 65% of the deaths

of this group. They are followed by “Other forms of Heart Diseases” and “All other

Hypertensive diseases” and with 11% & 10.4%, respectively.

Worst affected were those who crossed 70+ years of age. People in the age group 55-64

were the next to be hit. It is sad that people in the relatively younger age group of 45-54 were

also victimised taking the third rank in the group.

6.3.2. Certain Infectious & Parasitic Diseases(Group-I) Rank 2

It has maintained its second rank. “Respiratory Tuberculosis” which is the top

individual killer is a part of this group, 3517 deaths were due to this. Worst affected were the

middle aged in the group 35-44. The other important sub groups are “Diarrhoea & gastro

enteritis of presumed Infectious Origin”(1086),“Septicaemia”(874)“Malaria”(428), and

under Viraldiseases “Japanese Encephalities”( 336)”,and “AcuteHepatitis”(325).

Individually, these have been responsible for more than three hundred deaths.

Maximum hit were in the age group 25-34, 35-44 and 45-54. All put together accounted

for 3976 deaths,(46.5%).

6.3.3. Certain Conditions originating in the perinatal period: (Group XVI) Rank 3

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This is the third largest killer disease which had taken 5786 young lives, an increase of

753 more compared to 1999. Like in 1999, “Slow Fetal growth, Fetal malnutrition &

Immaturity” was the top killer (46%), followed by “Hypoxia, Birth asphyxia & other

Respiratory Conditions”(32.7%). The residual category of “All other Conditions

originating in the perinatal period” took 16.5% of the lives in the group. Of the total infant

deaths, 79.7% can be attributed to this cause group. More male children died compared to

females.

6.3.4. Injury, Poisoning and Certain Other Consequences External Causes (Group XIX)

Rank 4

9.2% of the total deaths occurred due to this. Happily there is an decrease of 3169 deaths

compared to 1999. Out of a total of 11 sub causes, three causes have taken 90% of the deaths.

In the descending order, they are “Burns and Corrosions”, Poisoning by Drugs & Biological

Substances and Toxic effects of substances chiefly nonmedicinal as to source” &

“Intracranial & Internal Injuries including Nerves”. Only in “Burns & Corrosions” the

number of female deaths outnumbered the males (it was more than double-1499 females vis-à-

vis 631 males). Worst affected were in the age-groups 25-34, 15-24 & 25-44. As many as

67.8% of the deaths were in this age group. It is pathetic that people in these early age-groups

became victims to fatality through entirely man-made causes.

The magnitude of these causes can be driven home from the fact that just four out of the

19 categorised groups have been found to be responsible for 61% the total deaths.

6.3.5. “Diseases of the Digestive System”(Group-XI) Rank 5

This was the next major cause group. “All other diseases of the other parts of the

digestive system” was the top most killer with 1977 deaths. The difference between this cause

of death & the next killer disease i.e. “Diseases of the Liver” was too wide -1977 deaths due to

the former as against 879 deaths of the latter. “Peritonitis” with 325 deaths ranked third.

“Paralytic ileus and Intestinal Obstruction without Hernia” and “Gastric and Duodenal

Ulcer ” took a toll of 322 and 299. Worst affected were in the age-groups, 45-54, 35-44 & 55-

64, respectively.

6.3.6 “Diseases of the Respiratory System”(Group-X) Rank 6

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This occupied the sixth rank with 3619 deaths. Important Causes under this were Lower

Respiratory Diseases like “Acute Bronchitis and Acute Bronchiolitis, “Bronchitis, Chronic

& Unspecified Emphysema” & “Asthma” (1233deaths), “All other Diseases of the

Respiratory System” (1505deaths) and “pneumonia” (702 deaths). These five constituted

95.1% of the deaths in the group. Worst affected were in the age group 70 & above, followed

by those in the age group 55-64 & 45-54 respectively.

6.3.7. “Symptoms, Signs and Abnormal Clinical & Laboratory findings, Not elsewhere

Classified(XVIII) Rank 7

This is a set of diseases with vague causes. “All other symptoms, signs and Abnormal

Clinical & Laboratory findings, Not elsewhere Classified ” took a toll of 2628 (82.2%) out of

the total of 3198 deaths in the group. The next in the group was death due to “Shock”(345).

Worst affected were in the age group 70 & above and 55-64.

6.3.8 “Endocrine, Nutritional & Metabolic Diseases & Immunity Disorders”(Group-IV)

Rank 8

Deaths due to this group are not age specific. They are either due to malnutrition or

under nutrition. There are only two major sub-groups in this. Of these “Diabetes Mellitus”

took 87.3% of the deaths, (2302 out of a total of 2636), followed by “All Other Endocrine and

Metabolic Diseases” which claimed 156 deaths. People in the 70& above age groups and 55-64

were the worst affected

6.3.9. “Diseases of the Nervous system ”(Group-VI) Rank 9

Three important sub causes have occupied the prime place, viz., (1) “All other diseases

of the Nervous system ”,(2) “Meningitis” and (3) “Encephalitis, Myelitis and

Encephalomyelitis”. Of the total 2223 deaths, 1933 deaths were due to these three. The first

alone was responsible for 35% of the deaths. The three put together took a toll of 87% deaths in

the group. Adults in the 70+ age group were the worst affected followed by those in the age

group 15-24.

6.3.10.“Neoplasms”(Group-II) Rank 10

“Neoplasms” in medical terminology refer to tumours, both malignant and non-

malignant.. There were 2171 deaths due to this and has taken the tenth rank. Of the different

kinds of neoplasms, “Malignant Neoplasm of Trachea, Bronchus and Lung” with 287deaths

took the first place. This was followed by “Malignant Neoplasm of Stomach”(204),

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“Leukaemia” with 182 deaths & “Malignant Neoplasm of Meninges, Brain and Other

parts of Central Nervous System” with 172 deaths. People in the age group 55-64 were the

prime target followed by those in the age group70 & above and 45-54. The three age groups put

together accounted for more than 65.5% of the deaths.

6.3.11. “Diseases of the Genito-urinary System”(Group-XIV) Rank 11

This group ranked eleventh in the series. “Renal failure” was the highest killer in this

group with 686 deaths, followed by “Glomerular Diseases (including Nephritic Syndrome)”

with 559 deaths. Both accounted for 93.3%.

People in the age group 70 & above were the worst affected victims followed by those in

the age group 55-64 and 45-54.

6.3.12. “Diseases of the blood & blood forming organs and Certain Disorders involving the

immune Mechanism” (Group 111) Rank 12

This took the twelfth place. Only in this group, female deaths exceeded that of males.

“Other Anaemias” was the only major sub group with 998 out of a total of 1159 deaths forming

86.1% of the deaths. People in the age groups 70+, 25-34,35-44, 55-64 and 15-24 were

affected in the order.

While the first twelve major cause groups had a toll of more than thousand deaths each

in their account, the following seven major cause groups accounted for less than thousand deaths

each.

6.3.13.“Congenital Malformations, Deformations & Chromosomal Abnormalities”(Group-

XVII) Rank 13

Being in the thirteenth position, it took 612 lives. As the name itself indicates, these

deaths occur due to some malformation in the congenital stage. “Congenital malformations of

the Circulatory System” (467) & “All other congenital malformations, deformations &

chromosomal abnormalities, not elsewhere classified” (138) were the two important cause

groups. Children less than one year were the worst affected (422 out of a total of 612).

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6.3.14. “Pregnancy, Childbirth and the Puerperium”(Group-XV) Rank 14

The number of deaths due to this cause was 521. “Infections of Genitourinary tract in

Pregnancy” took the highest toll in this with (146) followed by “Oedema, Proteinuria and

Hypertensive Disorders in Pregnancy, Childbirth and the Puerperium” with 121 deaths.

The sub groups were “Complications Pre-Dominantly Related to the puerperium” and

“Other Complications of Pregnancy and Delivery” with 110 & 89 deaths respectively.

It goes without saying that females in the reproductive age groups of 15-24 and 25-34

were the worst affected. It is an area for urgent remedial measures.

6.3.15. “Diseases of the skin & Subcutaneous tissue”(Group-XII) Rank 15

This was ranked fifteenth and there were 243 deaths due to this. “Infections of skin &

subcutaneous tissue” one of the major components of this group, took a toll of 63.7% of the

deaths (155)..

6.3.16. “Mental and Behavioural Disorders”(Group-V) Rank 16

The ranking for this group was sixteenth, same as during 1999 and 123 deaths occurred

due to this. Of these, “All other mental and behavioural disorders” was the single largest

sub group with 116 deaths. Male female ratio was disproportionate,105 males as against 18

females. Worst hit were the people in the age group 45-54 & 35-44 (65 deaths), followed by 25-

34 (21 deaths).

6.3.17. “Diseases of the musculoskeletal system & connective tissue”(Group-XIII) Rank 17

63 deaths were due to this. “All other diseases of the musculo skeletal system &

connective tissue” with 43 deaths was the important sub-group followed by “Rheumatoid

Arthritis and Other Inflammatory Polyarthropathies” with 18 deaths. Most vulnerable were

in the age group 70+ and 55-64.

6.3.18 “ Diseases of the Eye and Adnexa (Group VII) Rank 18

The total number of deaths due to this cause was 12 out of which 11 were males & only

one female.

6.3.19 “ Diseases of the Ear and Mastoid Process” (Group VIII) Rank 19

The last among nineteen took a toll of 10 deaths out of which 6 were male and 4 were

females of different age groups.

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12

TABLE-4 THE PRINCIPAL INDIVIDUAL CAUSES

Sl.

No Name of the Disease with code Male Female Total %

1 Cerebrovascular Diseases(I60-I69) 2546 1415 3961 (7.0)

2 Acute Myocardial Infarction(I21-I22) 2722 1096 3818 (6.8)

3 Respiratory Tuberculosis(A15-A16) 2616 901 3517 (6.2)

4 Slow fetal growth, fetal malnutrition & immaturity

(P05-P07) 1634 1035 2669 (4.7)

5 Diabetes Mellitus(E10-E14) 1454 848 2302 (4.1)

6 All other Symptoms, signs and abnormal clinical &

laboratory findings not elsewhere classified(R00-

R09,R11-R17,R19-R39,R41-R49,R51-R53,R58-R99)

1317 913 2230 (4.0)

7 Burns and Corrosions(T20-T32) 631 1494 2125 (3.8)

8 All other Diseases of the other parts of Digestive

System(K20-K22,K28,K30-K31,K50,K55,K57-

K63,K66,K82-K83 & K90-K92))

1530 467 1997 (3.5)

9 Hypoxia, Birth Asphyxia and other Respiratory

Conditions(P20-P28) 1193 700 1893 (3.4)

10 All other Ischaemic Heart Diseases(I20 & I23-I25) 1197 679 1876 (3.3)

11 Other forms of Heart Diseases(I30-I51) 1018 608 1626 (2.9)

12 All other Hypertensive Diseases(I10,I12-I15) 954 589 1543 (2.7)

13 Poisonings by drugs and Biological substances and toxic

effects of substances chiefly nonmedicinal as to

source(T36-T50 & T51-T65)

1071 455 1526 (2.7)

14 All other Diseases of the Respiratory System(J60-

J86,J92-J98) 1073 432 1505 (2.7)

15 Diarrhea and Gastro Enteritis of presumed infectious

Origin(A09) 651 435 1086 (1.9)

16 Asthma(J45-J46) 767 275 1042 (1.8)

17 Intracranial and internal injuries including

nerves(S04,S06,S14,S24,S26-S27,S34,S36-

S37,S44,S54,S64,S74,S84 & S94)

839 178 1017 (1.8)

Total 23213 12520 35733

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13

7. The principal individual causes

Some of the individual causes have claimed such a large number of lives that a brief

analysis of them is worth attempting. These, individual causes/cause groups which have taken a

toll more than one thousand deaths have been named the “Principal Individual Causes”. There

are just 17 of them which together were responsible for 35733 deaths out of a total 56360

deaths or 63.4% of the deaths. Table 4 gives a picture of these principal causes along with their

percentage shares and are ranked in the descending order. Most of the causes have repeatedly

figured as the main killers with a slight change in the ranking. Of these seventeen, five relate to

heart diseases, three to injury & poisoning & two relate to infant deaths. The heart related

diseases in the descending order are (1) “Cerebrovascular Disease”, (2) “Acute Myocardial

Infarction”, (3) “All other Ischaemic Heart Diseases” (4) “Other forms of heart diseases”, and

(5) “All other Hypertensive Diseases”. The three causes under injury and poisoning are (1)

“Burns and Corrosions”, (2) “Poisoning by drugs and biological substances & Toxic effects of

substances chiefly nonmedicinal as to source” & (3) “Intracranial & Internal Injuries including

nerves”. “Burns & Corrosions ” has come down to the fourth place from second in 1999. Those

killing the infants were (1) “Slow foetal growth, foetal malnutrition & immaturity”, (2)

“Hypoxia, birth asphyxia & other respiratory conditions”. Except under “Burns & Corrosions”,

under all other causes, male deaths exceeded that of females. They were more than two times in

case of ‘Acute Myocardial Infarction’, “ Respiratory tuberculosis” and it was more than three

times in the case of “All other Diseases of the other parts of the Digestive system”. The

difference was very wide in the case of “Intracranial and internal injuries including nerves” with

839 of males against 178 of females. On the whole, the sex wise distribution of deaths under

principal individual causes were 64.9% & 35.1% for males and females respectively. In case of

‘Burns & Corrosions’, female deaths were more than double the male deaths.

8. Analysis by age and sex

Eleven age wise groupings (as per the national list) have been made & deaths coded

according to the age group. Table-5 depicts the break-up of these age groups, sex -wise.

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14

TABLE 5 – DISTRIBUTION OF DEATHS BY AGE AND SEX

Sl.No Age Group Male Female Total

(In Years) No. (%) Rank No. (%) Rank No. (%) Rank

1 2 3 4 5 6 7 8 9 10 11

1 Below 1 year 4535 (12.6) IV 2723 (13.5) II 7258 (12.9) IV

2 1-4 761 (2.1) X 501 (2.5) X 1262 (2.2) XI

3 5-14 723 (2.0) XI 617 (3.0) IX 1340 (2.4) X

4 15-24 1691 (4.7) VIII 2400 (11.9) V 4091 (7.3) XIII

5 25-34 3099 (8.6) VI 2462 (12.2) III 5561 (9.9) VI

6 35-44 4138 (11.5) V 1910 (9.4) VII 6048 (10.7) V

7 45-54 5757 (15.9) II 2141 (10.6) VI 7898 (14.0) III

8 55-64 5744 (15.9) III 2440 (12.1) IV 8184 (14.5) II

9 65-69 850 (2.4) IX 501 (2.5) X 1351 (2.4) IX

10 70 & ABOVE 7061 (19.5) I 3824 (18.9) I 10885 (19.3) I

11 Age Not Stated

1764 (4.9) VII 718 (3.5) VIII 2482 (4.4) VIII

Total 36123 (100.0) 20237 (100.0) 56360 (100.0)

In terms of age, the distribution of deaths is highly skewed. Among the males, those who

had crossed 70 years ranked first followed by those in the age group 45-54 and 55-64 with

51.4% of male deaths. 35-44 had taken fifth rank with 4138 deaths. Infant deaths occupied the

fourth place. Least vulnerable were those in the group5-14.

Among the females also, 70+ had the largest share. Infant deaths occupied the second

place. Third place was for those in the prime age group of 25-34. This may be because a number

of deaths occurred due to Pregnancy Complications and Burns.

Upto the age group of 25-34, the percentage shares of different age groups were more in

the case of females than in the case of males, whereas, the position changed completely the other

way, commencing with the age group 35-44 onwards.

In the aggregate also, 70+ age group was the first to be hit. The next hit were in the age

group 55-64 and 45-54. Infant deaths occupied the fourth place.

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15

TABLE 6-LEADING CAUSES OF INFANT DEATHS

Sl.

No.

Major Cause of Death With Code Male Female Total % to

Total

infant

deaths

1 Slow fetal growth, fetal Malnutrition and

immaturity (P05-P07) 1634 1035 2669 36.8

2 Hypoxia,Birth Asphyxia and other respiratory

conditions(P20-P28) 1193 700 1893 26.1

3 All other conditions Originating in the

Perinatal period (P00-P04,P08,P29-P54) 622 334 956 13.2

4 Congenital Malformations of the Circulatory

System(Q20-Q28) 215 104 319 4.4

5 Haemolytic Disease of Fetus and new

born(P55) 132 96 228 3.1

6 Diarrhoea and Gastroenteritis of Presumed

Infectious Origin(A09) 142 85 227 3.1

7 Meningitis(G00 & G03) 85 52 137 1.9

8 Pneumonia(J12-J18) 67 39 106 1.5

9 All other conjenital Malformations,

deformations & Chromosomal obnormalities

not elsewhere classified(Q00-Q04,Q06-

Q07,Q10-Q18,Q30-Q34,Q38-Q99)

59 42 101 1.4

10 All other causes of infant deaths 386 236 622 8.6

Total 4535 2723 7258 100.00

9. Leading causes of infant deaths.

The death of a child which has not survived its first birthday is defined ‘Infant death’.

This, along with ‘Under-five mortality’, are reckoned as indicators of development. An effort

is made to find out the various causes responsible for these deaths. These are shown in Table-6

in the descending order. They accounted for 7258 deaths, an increase of 864 compared to 1999.

Of these, just one cause “Slow Fetal Growth, Fetal Malnutrition & Immaturity,” has taken a toll

of as much as 36.8% followed by “Hypoxia, Birth Asphyxia & Other Respiratory Conditions”,

with 26.1% deaths, “All other conditions originating in the perinatal period” was the third. The

three together have caused 76.1% of the infant deaths. Least harmful among them was ‘All

Other Congenital Malformations , deformations & chromosomal abnormalities, not elsewhere

classified’ with 101 deaths to its account.

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16

TABLE 7- LEADING CAUSES OF MATERNAL DEATHS.

Sl.

No

Major Cause of Death With Code No. of deaths % to Total

Maternal

deaths

1 Infections of Genito Urinary tract in pregnancy(O23) 146 28.0

2 Oedema, Proteinuria and Hypertensive disorders in

pregnancy, child birth and the puerperium(O10-O16)

121 23.2

3 Complication pre-dominantly related to the puerperium

(O85-O92)

110 21.1

4 Other complications of pregnancy and delivery(O67-

O75,O80-O84)

89 17.1

5 Spontaneous abortion(O03) 20 3.8

6 Other pregnancies with abortive outcome(O00-O02,&

O05-O08)

18 3.5

7 Others 17 3.3

Total maternal deaths 521

All other Female deaths 19716

Total Femal deaths 20237

10. Leading causes of Maternal deaths.

A few causes lead to deaths in the pre and post natal conditions of women. These are

classified as maternal deaths. Their number has increased from 437 during 1999 to 521. They

constituted 2.6 % of the total female deaths. Table -7 is a depiction of these causes (in a

descending order ). Of the causes listed, the most important was “Infectious of Genito Urinary

tract in Pregnancy”with 28% followed by “ “Oedema, Proteinuria and Hypertensive disorders in

pregnancy, child birth and the puerperium” with 23.2%%. The deaths due to “Complications

pre-dominantly related to the puerperium” was 110 (21.1%). The number who died due to

these three causes were more than hundred. Where as the other four causes it is less than 100.

Page 21: REPORT ON MEDICAL CERTIFICATION OF CAUSE OF DEATH 2000

17

Important findings

1.The sheme is in vogue in the State since 1967 and is aimed at drawing a profile of

mortality by cause, age and sex on an annual basis. To start with, 44 hospitals were covered

under the scheme and this grew up gradually to 370 hsopitals.

2. The enabling provision in the RBD Act, 1969,read with the KRBD Rules, 1970, have

been largely responsible for the coverage. This also would help in 100% coverage of causes of

death once the necessary infrastucture is established.

3. Year after year, “Diseases of the Circulatory System”, has been the most fatal

group. The first four of the major cause groups were responsible for 61% of the deaths.

They are (1) Diseases of the Circulatory System (2)Certain Infectious & Parasitic diseases

(3) Certain conditions originating in the perinatal period.(4) Injury, Poisoning and certain

other consequences of external causes

4. Among the individual causes, “Burns and Corrosions ” took the highest toll of

females & “Acute Myocardial Infarction”of males.

5. Infant deaths have taken the fourth place among the deaths by age.

6. Agewise, the age group 70+ had the highest share among males, females and total.

7..In all major causes, number of male deaths exceeded that of females except in the case

of “ Diseases of blood & blood forming organs and certain disorders involving the immune

mechanism”.

8..Leading cause of Infant deaths was ‘Slow fetal growth, fetal malnutrition &

immaturity’ & of Maternal Deaths “Infections of genitor urinary tract in pregnancy”.

9. The same cause groups have topped the killer list for several years and so have the

individual causes with slight variation in the ranks in different years.

******

Page 22: REPORT ON MEDICAL CERTIFICATION OF CAUSE OF DEATH 2000

TABLE - 9: - MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF ICD DURING THE YEAR 2000

STATE : KARNATAKA

M.G/ AGE GROUPS

CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

I CERTAIN INFECTIOUS AND PARASITIC DISEASES(A00-B99) Male 220 281 218 337 785 944 1070 744 72 731 287 5689

Female 155 185 189 397 425 400 352 253 38 328 131 2853

Total 375 466 407 734 1210 1344 1422 997 110 1059 418 8542

1 INTESTINAL INFECTIOUS DISEASES(A00-A09) Male 153 69 22 33 70 100 106 91 11 109 46 810

Female 97 61 34 32 40 41 72 39 10 93 23 542

1 CHOLERA(A00) Male 0 0 2 0 0 0 0 0 0 0 0 2

Female 0 1 0 0 0 0 0 1 0 0 0 2

2 TYPHOID FEVER AND PARATYPHOID FEVERS(A01) Male 2 0 3 13 19 12 7 5 0 9 5 75

Female 2 2 14 7 12 13 8 0 0 2 1 61

3 FOOD POISONING(A02,A05) Male 0 0 0 0 0 0 4 0 0 0 0 4

Female 0 0 0 0 0 0 0 0 0 0 2 2

4 SHIGELLOSIS(A03) Male 0 1 0 0 0 2 1 2 0 0 4 10

Female 0 2 0 1 0 0 0 0 0 0 0 3

5 AMOEBIASIS(A06) Male 9 1 0 2 10 11 7 9 0 12 2 63

Female 10 1 1 3 2 5 4 3 0 4 1 34

6DIARRHOEA AND GASTROENTERITIS OF PRESUMED INFECTIOUS Male 142 67 17 18 41 75 83 75 11 88 34 651

ORIGIN(A09) Female 85 55 19 21 26 22 56 35 10 87 19 435

7 OTHER INTESTINAL INFECTIOUS DISEASES(A04,A07-A08) Male 0 0 0 0 0 0 4 0 0 0 1 5

Female 0 0 0 0 0 1 4 0 0 0 0 5

2 TUBERCULOSIS(A15-A19) Male 24 77 63 193 493 626 659 457 41 390 169 3192

Female 25 43 50 193 251 238 170 128 5 105 86 1294

1 RESPIRATORY TUBERCULOSIS(A15-A16) Male 13 18 31 143 377 534 559 413 37 351 140 2616

Female 4 4 17 116 179 178 137 116 5 81 64 901

Page 23: REPORT ON MEDICAL CERTIFICATION OF CAUSE OF DEATH 2000

M.G/

CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

2 TUBERCULOSIS OF NERVOUS SYSTEM(A17) Male 8 54 26 47 97 59 78 33 3 30 23 458

Female 21 36 33 65 49 39 30 3 0 15 18 309

3 TUBERCULOSIS OF OTHER ORGANS AND MILIARY Male 3 5 6 3 19 33 22 11 1 9 6 118

TUBERCULOSIS(A18-A19) Female 0 3 0 12 23 21 3 9 0 9 4 84

3 OTHER BACTERIAL DISEASES(A20-A49) Male 13 46 36 49 78 94 142 118 13 157 46 792

Female 11 24 26 76 57 52 49 42 12 77 13 439

1 PLAGUE(A20) Male

Female

2 LEPROSY(A30) Male 0 0 0 0 1 12 6 14 1 15 0 49

Female 0 0 0 2 0 0 2 0 0 0 0 4

3 NEONATAL TETANUS(A33) Male 8 0 0 0 0 0 0 0 0 0 0 8

Female 10 0 0 0 0 0 0 0 0 0 0 10

4 OTHER TETANUS(A34-A35) Male 3 7 23 7 27 29 24 14 4 11 8 157

Female 0 6 7 12 7 8 12 4 3 6 2 67

5 DIPHTERIA(A36) Male 0 11 0 0 0 0 0 0 0 0 0 11

Female 1 1 9 0 0 0 0 0 0 0 0 11

6 WHOOPING COUGH(A37) Male 0 0 0 0 0 0 0 0 0 0 0 0

Female 0 0 0 0 0 0 0 0 0 0 0 0

7 MENINGOCOCCAL INFECTION(A39) Male 2 0 0 0 0 0 1 1 0 0 0 4

Female 0 0 0 0 1 0 0 0 0 0 0 1

8 SEPTICAEMIA(A40-A41) Male 0 28 13 42 48 53 102 89 8 121 36 540

Female 0 15 10 60 46 44 35 36 8 69 11 334

…..2

-------------No. deaths------------------

Page 24: REPORT ON MEDICAL CERTIFICATION OF CAUSE OF DEATH 2000

M.G/

CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

9 ALL OTHER TYPES OF BACTERIAL DISEASES(A21-A28,A31- Male 0 0 0 0 2 0 9 0 0 10 2 23

A32,A38,A42-A49) Female 0 2 0 2 3 0 0 2 1 2 0 12

4 IFECTIONS WITH A PREDOMINANTLY SEXUAL MODE OF Male 0 0 0 0 2 0 0 0 0 0 0 2

TRANSMISSION(A50-A64) Female 0 0 0 0 1 2 0 0 0 2 0 5

1 SYPHILIS(A50-A53) Male 0 0 0 0 2 0 0 0 0 0 0 2

Female 0 0 0 0 1 0 0 0 0 2 0 3

2 OTHER TYPES OF INFECTIONS WITH A PREDOMINANTLY Male 0 0 0 0 0 0 0 0 0 0 0 0

SEXUAL MODE OF TRANSMISSION(A54-A64) Female 0 0 0 0 0 2 0 0 0 0 0 2

5 VIRAL DISEASES(A70-A74 & A80-B34) Male 18 79 90 34 82 44 80 44 4 26 21 522

Female 20 33 52 52 34 35 35 24 4 29 6 324

1 ACUTE POLIOMYELITIS(A80) Male 0 0 0 0 0 0 4 0 0 1 0 5

Female 0 0 0 1 0 1 0 0 0 2 0 4

2 RABIES(A82) Male 0 0 12 6 8 6 6 3 1 3 0 45

Female 0 1 3 2 2 9 2 4 0 1 0 24

3 JAPANESE ENCEPHALITIS(A83.0) Male 15 62 43 6 33 10 19 12 0 8 12 220

Female 9 23 28 18 14 3 8 2 4 5 2 116

4 OTHER VIRAL ENCEPHALITIS(A83.1-A83.9,A84-A86) Male 2 0 0 0 0 4 0 0 0 0 0 6

Female 0 0 1 0 0 0 0 0 0 0 0 1

5 DENGUE FEVER(A90) Male 0 2 2 0 0 0 0 0 0 0 0 4

Female 0 2 4 0 0 0 0 0 0 0 0 6

6 OTHER ARTHOPOD-BORNE VIRAL FEVERS AND VIRAL Male 1 2 11 0 0 0 4 0 0 2 0 20

HAEMORRHAGIC FEVERS(A91-A94,A96-A99) Female 5 1 4 2 0 2 2 1 0 4 2 23

…..3

Page 25: REPORT ON MEDICAL CERTIFICATION OF CAUSE OF DEATH 2000

M.G/

CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

7 SMALLPOX(B03) Male 0 0 0 0 0 0 0 0 0 0 0 0

Female 0 0 0 0 0 0 0 0 0 0 0 0

8 MEASLES(B05) Male 0 3 1 0 0 0 0 0 0 0 0 4

Female 0 2 0 0 0 0 0 0 0 0 0 2

9 ACUTE HEPATITIS B(B16) Male 0 7 19 17 37 23 47 29 3 12 7 201

Female 0 4 8 21 16 16 23 17 0 17 2 124

10 OTHER VIRAL HEPATITIS(B15, B17-B19) Male 0 0 0 0 1 0 0 0 0 0 0 1

Female 0 0 0 0 0 2 0 0 0 0 0 2

11 HUMAN IMMUNODEFICIENCY VIRUS[HIV]DISEASE(B20-B24) Male 0 3 2 5 3 1 0 0 0 0 2 16

Female 6 0 4 8 2 2 0 0 0 0 0 22

12 ALL OTHER TYPES OF VIRAL DISEASES(A70-A74,A81,A87- Male 0 0 0 0 0 0 0 0 0 0 0 0

A89,A95,B00-B02,B04,B06-B09 & B25-B34) Female 0 0 0 0 0 0 0 0 0 0 0 0

6 PROTOZOAL DISEASES(B50-B64) Male 10 10 7 23 32 51 63 27 1 12 4 240

Female 2 22 16 36 35 24 15 18 4 17 2 191

1 MALARIA(B50-B54) Male 10 10 7 23 32 51 62 27 1 12 4 239

Female 0 22 16 36 35 24 15 18 4 17 2 189

2 ALL OTHER TYPES OF PROTOZOAL DISEASES(B55-B64) Male 0 0 0 0 0 0 1 0 0 0 0 1

Female 2 0 0 0 0 0 0 0 0 0 0 2

7OTHER CERTAIN INFECTIOUS AND PARASITIC DISEASES &

LATE EFFECTS OF INFECTIOUS & PARASITIC DISEASES Male 2 0 0 5 28 29 20 7 2 37 1 131

(A65-A69 & A75-A79,B35-B49,B65-B94 & B99) Female 0 2 11 8 7 8 11 2 3 5 1 58

1 FILARIASIS(B74) Male 1 0 0 2 12 6 5 3 2 22 1 54

Female 0 0 0 4 2 2 6 2 0 1 0 17

…..4

Page 26: REPORT ON MEDICAL CERTIFICATION OF CAUSE OF DEATH 2000

M.G/

CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

2 OTHER HELMINTHIASIS(B66-B73,B75,B77-B83) Male 0 0 0 0 0 0 1 0 0 0 0 1

Female 0 0 0 0 0 0 0 0 0 1 0 1

3 OTHER SPIROCHAETAL DISEASES AND RICKETTSIOSES(A65-A69 Male 0 0 0 0 0 2 0 0 0 0 0 2

& A75-A79) Female 0 0 0 0 0 0 0 0 0 0 0 0

4ALL OTHER INFECTIOUS AND PARASITIC DISEASES & LATE

EFFECTS OF INFECTIOUS AND PARASITIC DISEASES Male 1 0 0 3 16 21 14 4 0 15 0 74

(B35-B49,B65,B76,B85-B90 & B99) Female 0 2 11 4 5 6 5 0 3 3 1 40

II NEOPLASMS(C00-D48) Male 1 29 33 45 75 123 271 329 55 346 53 1360

Female 5 12 33 37 70 138 177 168 15 132 24 811

Total 6 41 66 82 145 261 448 497 70 478 77 2171

8 MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY AND Male 0 0 0 0 14 6 31 32 5 20 2 110

PHARYNX(C00-C14) Female 0 0 0 0 2 4 5 12 1 3 0 27

1 MALIGNANT NEOPLASMS OF LIP, ORAL CAVITY AND PHARYNX Male 0 0 0 0 14 6 31 32 5 20 2 110

(C00-C14) Female 0 0 0 0 2 4 5 12 1 3 0 27

9 MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS (C15-C26) Male 0 0 0 2 13 54 90 144 23 142 20 488

Female 0 0 0 8 15 23 36 43 3 45 3 176

1 MALIGNANT NEOPLASM OESOPHAGUS (C15) Male 0 0 0 0 0 12 29 26 7 29 5 108

Female 0 0 0 0 5 2 16 12 1 9 1 46

2 MALIGNANT NEOPLASM OF STOMACH (C16) Male 0 0 0 0 6 7 26 53 6 47 6 151

Female 0 0 0 1 6 5 7 17 0 17 0 53

3 MALIGNANT NEOPLASM OF SMALL INTESTINE INCLUDING Male 0 0 0 0 0 0 0 3 1 0 0 4

DUODENUM (C17) Female 0 0 0 0 1 0 0 1 0 0 0 2

…..5

Page 27: REPORT ON MEDICAL CERTIFICATION OF CAUSE OF DEATH 2000

M.G/

CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

4 MALIGNANT NEOPLASM OF COLON (C18) Male 0 0 0 0 1 4 6 0 0 2 0 13

Female 0 0 0 0 0 0 2 1 0 0 0 3

5 MALIGNANT NEOPLASM OF RECTOSIGMOID Male 0 0 0 2 2 2 7 7 0 5 2 27

JUNCTION,RECTUM,ANUS AND ANAL CANAL(C19-C21) Female 0 0 0 2 2 0 4 2 0 5 0 15

6 MALIGNANT NEOPLASM OF LIVER AND INTRAHEPATIC BILE Male 0 0 0 0 2 14 13 23 2 22 5 81

DUCTS (C22) Female 0 0 0 3 0 9 1 2 0 6 2 23

7 MALIGNANT NEOPLASM OF PANCREAS (C25) Male 0 0 0 0 2 14 8 24 5 35 2 90

Female 0 0 0 0 1 7 2 5 2 5 0 22

8 OTHER MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS (C23- Male 0 0 0 0 0 1 1 8 2 2 0 14

C24,C26) Female 0 0 0 2 0 0 4 3 0 3 0 12

10 MALIGNANT NEOPLASMS OF RESPIRATORY & Male 0 0 0 3 5 17 67 58 9 70 12 241

INTRATHORACIC ORGANS (C30-C39) Female 0 0 0 1 11 14 18 11 4 11 3 73

1 MALIGNANT NEOPLASM OF LARYNX (C32) Male 0 0 0 0 0 1 3 5 0 1 0 10

Female 0 0 0 0 0 0 0 0 0 1 0 1

2 MALIGNANT NEOPLASM OF TRACHEA, BRONCHUS AND LUNG Male 0 0 0 0 5 16 60 53 9 65 12 220

(C33-C34) Female 0 0 0 0 10 12 18 11 4 9 3 67

3 OTHER MALIGNANT NEOPLASM OF RESPIRATORY AND Male 0 0 0 3 0 0 4 0 0 4 0 11

INTRATHORACIC ORGANS(C30-C31,C37-C39) Female 0 0 0 1 1 2 0 0 0 1 0 5

11 MALIGNANT NEOPLASMS OF BONE,MESOTHELIAL AND SOFT Male 0 0 0 3 3 0 0 8 0 10 0 24

TISSUE,SKIN AND BREAST(C40-C50) Female 0 0 5 2 4 26 24 21 0 11 8 101

1 MALIGNANT NEOPLASM OF BONE AND ARTICULAR CARTILAGE Male 0 0 0 3 0 0 0 8 0 7 0 18

(C40-C41) Female 0 0 3 2 0 0 0 0 0 2 0 7

…..6

Page 28: REPORT ON MEDICAL CERTIFICATION OF CAUSE OF DEATH 2000

M.G/

CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

2 MALIGNANT MELANOMA OF SKIN (C43) Male 0 0 0 0 1 0 0 0 0 0 0 1

Female 0 0 0 0 0 0 0 0 0 0 0 0

3 OTHER MALIGNANT NEOPLASMS OF SKIN (C44) Male 0 0 0 0 0 0 0 0 0 1 0 1

Female 0 0 0 0 0 0 0 0 0 0 0 0

4 MALIGNANT NEOPLASMS OF MESOTHELIAL AND SOFT TISSUE Male 0 0 0 0 2 0 0 0 0 2 0 4

(C45-C49) Female 0 0 2 0 0 1 4 2 0 3 0 12

5 MALIGNANT NEOPLASM OF BREAST (C50) Female 0 0 0 0 4 25 20 19 0 6 8 82

12 MALIGNANT NEOPLASMS OF GENITOURINARY ORGANS Male 0 3 1 2 6 4 15 31 5 40 2 109

(C51-C68) Female 0 0 0 0 11 34 52 32 2 37 2 170

1 MALIGNANT NEOPLASM OF CERVIX UTERI (C53) Female 0 0 0 0 0 3 10 7 1 3 0 24

2MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED PARTS OF

UTERUS (C54-C55) Female 0 0 0 0 0 1 0 0 0 4 0 5

3 MALIGNANT NEOPLASM OF OVARY (C56) Female 0 0 0 0 9 28 38 21 1 24 2 123

4 MALIGNANT NEOPLASM OF PLACENTA (C58) Female 0 0 0 0 1 0 0 0 0 0 0 1

5OTHER MALIGNANT NEOPLASMS OF FEMALE GENITAL ORGANS

(C51-C52,C57) Female 0 0 0 0 0 0 0 0 0 0 0 0

6 MALIGNANT NEOPLASM OF PROSTATE (C61) Male 0 0 0 0 2 0 3 7 2 23 1 38

7OTHER MALIGNANT NEOPLASMS OF MALE GENITAL ORGANS

(C60,C62-C63) Male 0 0 0 0 0 0 0 0 0 0 0 0

8 MALIGNANT NEOPLASM OF BLADDER (C67) Male 0 0 0 0 1 1 8 20 2 17 0 49

Female 0 0 0 0 0 2 3 3 0 3 0 11

…..7

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M.G/

CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

9 OTHER MALIGNANT NEOPLASMS OF URINARY TRACT Male 0 3 1 2 3 3 4 4 1 0 1 22

(C64-C66,C68) Female 0 0 0 0 1 0 1 1 0 3 0 6

13 MALIGNANT NEOPLASMS OF EYE,BRAIN AND OTHER PARTS Male 0 6 8 1 10 14 18 15 6 25 7 110

OF CENTRAL NERVOUS SYSTEM(C69-C72) Female 3 5 6 3 6 10 8 12 3 4 3 63

1 MALIGNANT NEOPLASM OF EYE & ADNEXA (C69) Male 0 0 0 0 0 0 0 1 0 0 0 1

Female 0 0 0 0 0 0 0 0 0 0 0 0

2 MALIGNANT NEOPLASM OF MENINGES,BRAIN AND OTHER Male 0 6 8 1 10 14 18 14 6 25 7 109

PARTS OF CENTRAL NERVOUS SYSTEM (C70-C72) Female 3 5 6 3 6 10 8 12 3 4 3 63

14 MALIGNANT NEOPLASMS OF OTHER AND UNSPECIFIED Male 0 0 0 2 0 1 8 9 1 5 2 28

SITES(C73-C80 & C97) Female 0 3 0 2 6 6 8 4 0 3 0 32

1 MALIGNANT NEOPLASMS OF OTHER ILL-DEFINED, SECONDARY, Male 0 0 0 2 0 1 8 9 1 5 2 28

UNSPESIFIED AND MULTIPLE SITES (C73-C80 & C97) Female 0 3 0 2 6 6 8 4 0 3 0 32

15 MALIGNANT NEOPLASMS OF LYMPHOID, HAEMATOPOIETIC Male 1 20 21 32 24 27 40 27 6 27 8 233

AND RELATED TISSUE (C81-C96) Female 2 4 22 21 13 21 26 31 2 13 4 159

1 HODGKIN'S DISEASE(C81) Male 0 0 0 0 0 1 2 0 0 0 0 3

Female 0 0 1 0 0 1 0 0 0 0 0 2

2 NON HODGKIN'S LYMPHOMA(C82-C85) Male 0 4 12 15 11 13 15 11 3 12 1 97

Female 0 1 4 9 8 8 10 17 1 4 0 62

3 MULTIPLE MYELOMA AND MALIGNANT PLASMA CELL Male 0 0 0 0 1 3 0 3 2 3 2 14

NEOPLASMS(C90) Female 1 0 0 0 1 3 4 1 1 0 0 11

4 LEUKAEMIA(C91-C95) Male 1 15 8 16 11 8 20 11 1 10 4 105

Female 0 3 17 12 2 8 9 13 0 9 4 77

…..8

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M.G/

CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

5 OTHER MALIGNANT NEOPLASMS OF LYMPHOID, Male 0 1 1 1 1 2 3 2 0 2 1 14

HAEMATOPOIETIC AND RELATED TISSUE (C88 & C96) Female 1 0 0 0 2 1 3 0 0 0 0 7

16 CARCINOMA IN SITU(D00-D09) Male 0 0 1 0 0 0 1 1 0 5 0 8

Female 0 0 0 0 0 0 0 2 0 3 0 5

1 CARCINOMA IN SITU(D00-D09) Male 0 0 1 0 0 0 1 1 0 5 0 8

Female 0 0 0 0 0 0 0 2 0 3 0 5

17 BENIGN NEOPLASMS(D10-D36) Male 0 0 2 0 0 0 0 3 0 0 0 5

Female 0 0 0 0 2 0 0 0 0 2 0 4

1 LEIOMYOMA OF UTERUS(D25) FEMALE 0 0 0 0 0 0 0 0 0 2 0 2

2 ALL OTHER BENIGN NEOPLASMS(D10-D24,D26-D36) Male 0 0 2 0 0 0 0 3 0 0 0 5

Female 0 0 0 0 2 0 0 0 0 0 0 2

18 OTHER AND UNSPECIFIED NEOPLASM(D37-D48) Male 0 0 0 0 0 0 1 1 0 2 0 4

Female 0 0 0 0 0 0 0 0 0 0 1 1

1 OTHER AND UNSPECIFIED NEOPLASM(D37-D48) Male 0 0 0 0 0 0 1 1 0 2 0 4

Female 0 0 0 0 0 0 0 0 0 0 1 1

III DISEASES OF THE BLOOD & BLOOD FORMING ORGANS AND Male 22 15 27 40 56 80 75 95 16 113 36 575

CERTAIN DISORDERS INVOLVING THE IMMUNE Female 7 26 29 109 104 76 59 58 12 66 38 584

MECHANISM (D50-D89) Total 29 41 56 149 160 156 134 153 28 179 74 1159

19 DISEASES OF THE BLOOD & BLOOD FORMING ORGANS AND Male 22 15 27 40 56 80 75 95 16 113 36 575

CERTAIN DISORDERS INVOLVING THE IMMUNE

MECHANISM(D50-D89)

Female 7 26 29 109 104 76 59 58 12 66 38 584

1 THALASSAEMIA(D56) Male 0 0 0 0 0 2 0 0 0 0 0 2

Female 0 0 1 2 0 0 0 0 0 1 0 4

…..9

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M.G/

CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

2 OTHER ANAEMIAS(D50-D55,D57-D64) Male 19 10 23 39 49 60 59 72 11 99 31 472

Female 7 22 21 105 99 67 47 53 10 58 37 526

3ALL OTHER DISEASES OF BLOOD & BLOOD FORMING ORGANS

(D65-D77) Male 3 2 2 1 4 7 9 7 5 3 1 44

Female 0 4 6 0 3 4 5 2 0 2 1 27

4CERTAIN DISORDERS INVOLVING THE IMMUNE

MECHANISM(D80-D89) Male 0 3 2 0 3 11 7 16 0 11 4 57

Female 0 0 1 2 2 5 7 3 2 5 0 27

IV ENDOCRINE,NUTRITIONAL AND MATABOLIC DISEASES Male 28 38 21 34 51 108 292 430 56 490 81 1629

(E00-E89) Female 29 24 13 49 41 56 139 221 48 353 34 1007

Total 57 62 34 83 92 164 431 651 104 843 115 2636

20 MALNUTRITION(E40-E46) Male 9 25 3 7 5 4 0 4 4 4 4 69

Female 14 20 5 6 4 1 4 1 1 11 2 69

1 KWASHIORKOR(E40) Male 0 0 0 0 0 0 0 0 0 0 0 0

Female 0 0 0 0 0 0 0 0 0 0 0 0

2 NUTRITIONAL MARASMUS(E41) Male 0 6 0 0 0 1 0 0 0 0 1 8

Female 5 1 0 0 0 0 0 0 0 0 0 6

3 OTHER PROTEIN-ENERGY MALNUTRITION(E42-E46) Male 9 19 3 7 5 3 0 4 4 4 3 61

Female 9 19 5 6 4 1 4 1 1 11 2 63

21 ENDOCRINE, OTHER NUTRITIONAL AND METABOLIC Male 19 13 18 27 46 104 292 426 52 486 77 1560

DISEASES(E00-E34 & E50-E89) Female 15 4 8 43 37 55 135 220 47 342 32 938

1 DISORDERS OF THYROID GLAND(E00-E07) Male 0 3 0 0 0 1 1 3 0 4 0 12

Female 0 0 0 0 0 0 3 1 0 5 0 9

…..10

Page 32: REPORT ON MEDICAL CERTIFICATION OF CAUSE OF DEATH 2000

M.G/

CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

2 DIABETES MELLITUS(E10-E14) Male 10 4 6 22 32 93 281 413 52 467 74 1454

Female 4 4 6 23 22 44 130 209 46 328 32 848

3 ALL OTHER NUTRITIONAL DEFICIENCIES(E50-E64) Male 1 0 0 1 2 1 3 2 0 0 3 13

Female 1 0 1 1 1 0 0 1 0 1 0 6

4 ALL OTHER ENDOCRINE AND METABOLIC DISEASES Male 8 6 12 4 12 9 7 8 0 15 0 81

(E15-E34 & E65-E89) Female 10 0 1 19 14 11 2 9 1 8 0 75

V MENTAL AND BEHAVIOURAL DISORDERS(F01-F99) Male 0 0 0 1 16 20 37 11 2 12 6 105

Female 0 0 0 2 5 5 3 0 0 3 0 18

TOTAL 0 0 0 3 21 25 40 11 2 15 6 123

22 MENTAL AND BEHAVIOURAL DISORDERS(F01-F99) Male 0 0 0 1 16 20 37 11 2 12 6 105

Female 0 0 0 2 5 5 3 0 0 3 0 18

1 MENTAL AND BEHAVIOURAL DISORDERS DUE TO Male 0 0 0 0 1 0 0 0 0 2 0 3

PSYCHOACTIVE SUBSTANCE USE (F10-F19) Female 0 0 0 2 0 2 0 0 0 0 0 4

2 SCHIZOPHRENIA, SCHIZOTYPAL & DELUSIONAL DISORDERS Male 0 0 0 0 0 0 0 0 0 0 0 0

(F20-F29) Female 0 0 0 0 0 0 0 0 0 0 0 0

3 ALL OTHER MENTAL AND BEHAVIOURAL DISORDERS Male 0 0 0 1 15 20 37 11 2 10 6 102

(F01-F09,F30-F99) Female 0 0 0 0 5 3 3 0 0 3 0 14

VI DISEASES OF THE NERVOUS SYSTEM(G00-G98) Male 140 128 110 136 138 167 162 116 27 214 71 1409

Female 78 63 80 109 102 74 69 67 21 112 39 814

Total 218 191 190 245 240 241 231 183 48 326 110 2223

23 INFLAMMATORY DISEASES OF THE CENTRAL NERVOUS Male 110 82 81 71 82 100 56 38 7 43 42 712

SYTEM(G00-G09) Female 67 47 55 79 68 45 31 30 1 25 17 465

1 MENINGITIS(G00 & G03) Male 85 44 33 47 57 60 35 26 4 28 25 444

Female 52 34 35 44 40 27 19 18 1 17 9 296

…..11

Page 33: REPORT ON MEDICAL CERTIFICATION OF CAUSE OF DEATH 2000

M.G/

CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

2 ENCEPHALITIS,MYELITIS AND ENCEPHALOMYELITIS(G04,G05) Male 25 38 48 23 16 36 21 12 3 15 17 254

Female 15 13 20 35 25 16 11 12 0 8 8 163

3 OTHER INFLAMMATORY DISEASES OF THE CENTRAL NERVOUS Male 0 0 0 1 9 4 0 0 0 0 0 14

SYSTEM(G06,G08-G09) Female 0 0 0 0 3 2 1 0 0 0 0 6

24 OTHER DISEASES OF THE NERVOUS SYSTEM(G10-G98) Male 30 46 29 65 56 67 106 78 20 171 29 697

Female 11 16 25 30 34 29 38 37 20 87 22 349

1 ALZHEIMER'S DISEASE(G30) Male 0 0 0 0 0 0 0 0 12 48 2 62

Female 0 0 0 0 0 0 0 0 12 24 0 36

2 EPILEPSY(G40-G41) Male 0 12 11 22 9 14 15 6 3 14 5 111

Female 0 4 9 9 8 13 4 3 2 4 5 61

3 ALL OTHER DISEASES OF THE NERVOUS SYSTEM Male 30 34 18 43 47 53 91 72 5 109 22 524

(G10-G25,G31,G35-G37,G43-G98) Female 11 12 16 21 26 16 34 34 6 59 17 252

VII DISEASES OF THE EYE AND ADNEXA(H00-H59) Male 2 2 0 2 0 2 1 1 0 0 1 11

Female 0 1 0 0 0 0 0 0 0 0 0 1

Total 2 3 0 2 0 2 1 1 0 0 1 12

25 DISEASES OF THE EYE AND ADNEXA(H00-H59) Male 2 2 0 2 0 2 1 1 0 0 1 11

Female 0 1 0 0 0 0 0 0 0 0 0 1

1 DISEASES OF THE EYE AND ADNEXA(H00-H59) Male 2 2 0 2 0 2 1 1 0 0 1 11

Female 0 1 0 0 0 0 0 0 0 0 0 1

VIII DISEASES OF THE EAR AND MASTOID PROCESS (H60-H95) Male 0 1 0 1 0 0 0 0 0 4 0 6

Female 0 0 1 0 0 0 2 0 0 1 0 4

Total 0 1 1 1 0 0 2 0 0 5 0 10

26 DISEASES OF THE EAR AND MASTOID PROCESS(H60-H95) Male 0 1 0 1 0 0 0 0 0 4 0 6

Female 0 0 1 0 0 0 2 0 0 1 0 4

…..12

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M.G/

CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

1 DISEASES OF THE EAR AND MASTOID PROCESS(H60-H95) Male 0 1 0 1 0 0 0 0 0 4 0 6

Female 0 0 1 0 0 0 2 0 0 1 0 4

IX DISEASES OF THE CIRCULATORY SYSTEM(I00-I99) Male 14 8 13 139 491 907 1771 2323 357 3101 530 9654

Female 6 2 20 208 379 442 721 1006 259 1951 183 5177

Total 20 10 33 347 870 1349 2492 3329 616 5052 713 14831

27 ACUTE RHEUMATIC FEVER AND CHRONIC RHEUMATIC Male 14 8 13 52 38 43 50 28 0 22 19 287

HEART DISEASES(I00-I09) Female 6 2 20 54 79 71 52 32 2 28 6 352

1 ACUTE RHEUMATIC FEVER(I00-I02) Male 0 0 0 0 0 0 0 0 0 0 2 2

Female 0 0 0 0 0 0 0 0 0 0 0 0

2 CHRONIC RHEUMATIC HEART DISEASES(I05-IO9) Male 14 8 13 52 38 43 50 28 0 22 17 285

Female 6 2 20 54 79 71 52 32 2 28 6 352

28 HYPERTENSIVE DISEASES(I10-I15) Male 0 0 0 0 34 76 188 277 38 292 50 955

Female 0 0 0 0 9 38 107 131 49 233 26 593

1 HYPERTENSIVE HEART DISEASES(I11) Male 0 0 0 0 0 0 0 0 0 1 0 1

Female 0 0 0 0 0 0 0 0 0 4 0 4

2 ALL OTHER HYPERTENSIVE DISEASES(I10,I12-I15) Male 0 0 0 0 34 76 188 277 38 291 50 954

Female 0 0 0 0 9 38 107 131 49 229 26 589

29 ISCHAEMIC HEART DISEASES(I20-I25) Male 0 0 0 0 113 308 754 1008 170 1373 193 3919

Female 0 0 0 0 32 83 239 397 117 848 59 1775

1 ACUTE MYOCARDIAL INFARCTION(I21-I22) Male 0 0 0 0 96 274 593 703 91 818 147 2722

Female 0 0 0 0 18 63 180 263 72 469 31 1096

2 ALL OTHER ISCHAEMIC HEART DISEASES(I20& I23-I25) Male 0 0 0 0 17 34 161 305 79 555 46 1197

Female 0 0 0 0 14 20 59 134 45 379 28 679

…..13

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M.G/

CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

30 DISEASES OF PULMONARY CIRCULATION AND OTHER Male 0 0 0 36 89 160 264 384 46 507 100 1586

FORMS OF HEART DISEASE(I26-I51) Female 0 0 0 35 73 95 131 149 43 276 40 842

1 PULMONARY HEART DISEASES AND DISEASES OF PULMONARY Male 0 0 0 0 14 58 111 157 16 182 30 568

CIRCULATION(I26-I28) Female 0 0 0 0 26 24 48 49 18 57 12 234

2 OTHER FORMS OF HEART DISEASES(I30-I51) Male 0 0 0 36 75 102 153 227 30 325 70 1018

Female 0 0 0 35 47 71 83 100 25 219 28 608

31 CEREBROVASCULAR DISEASES(I60-I69) Male 0 0 0 34 181 281 441 553 83 814 159 2546

Female 0 0 0 109 158 123 158 250 40 529 48 1415

1 CEREBROVASCULAR DISEASES(I60-I69) Male 0 0 0 34 181 281 441 553 83 814 159 2546

Female 0 0 0 109 158 123 158 250 40 529 48 1415

32 OTHER DISEASES OF THE CIRCULATORY SYSTEM(I70-I99) Male 0 0 0 17 36 39 74 73 20 93 9 361

Female 0 0 0 10 28 32 34 47 8 37 4 200

1 ATHEROSCLEROSIS(I70) Male 0 0 0 1 8 5 14 22 14 9 2 75

Female 0 0 0 2 4 5 6 7 6 6 3 39

2 ARTERIAL EMBOLISM AND THROMBOSIS(I74) Male 0 0 0 10 15 11 24 20 3 36 5 124

Female 0 0 0 4 8 9 9 28 0 15 1 74

3 OTHER DISEASES OF ARTERIES, ARTERIOLES & CAPILLARIES Male 0 0 0 2 0 12 8 13 0 9 0 44

(I71-I73 & I77-I78) Female 0 0 0 0 1 0 4 2 2 2 0 11

4 PHLEBITIS,THROMBOPHLEBITIS,VENOUS EMBOLISM AND Male 0 0 0 0 0 0 0 0 1 0 0 1

THROMBOSIS(I80-I82) Female 0 0 0 0 3 2 0 0 0 0 0 5

5 ALL OTHER DISEASES OF THE CIRCULATORY SYSTEM(I83-I99) Male 0 0 0 4 13 11 28 18 2 39 2 117

Female 0 0 0 4 12 16 15 10 0 14 0 71

…..14

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M.G/

CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

X DISEASES OF THE RESPIRATORY SYSTEM(J00-J98) Male 121 79 23 85 147 196 378 503 84 804 130 2550

Female 75 56 33 89 76 68 129 183 40 287 33 1069

Total 196 135 56 174 223 264 507 686 124 1091 163 3619

33 DISEASES OF THE UPPER RESPIRATORY TRACT Male 2 0 0 0 0 0 2 0 0 5 0 9

(J00-J06 & J30-J39) Female 0 2 1 1 0 1 0 0 0 0 0 5

1 ACUTE PHARYNGITIS AND ACUTE TONSILLITIS(J02-J03) Male 0 0 0 0 0 0 0 0 0 0 0 0

Female 0 0 0 1 0 0 0 0 0 0 0 1

2 ACUTE LARYNGITIS AND TRACHEITIS(J04) Male 0 0 0 0 0 0 0 0 0 0 0 0

Female 0 0 1 0 0 0 0 0 0 0 0 1

3OTHER ACUTE UPPER RESPIRATORY INFECTIONS(J00-J01 & J05-

J06) Male 0 0 0 0 0 0 2 0 0 5 0 7

Female 0 2 0 0 0 1 0 0 0 0 0 3

4 ALL OTHER DISEASES OF UPPER RESPIRATORY TRACT(J30-J39) Male 2 0 0 0 0 0 0 0 0 0 0 2

Female 0 0 0 0 0 0 0 0 0 0 0 0

34 LOWER RESPIRATORY DISEASES(J20-J22 & J40-J47) Male 36 15 1 11 28 72 116 193 46 343 46 907

Female 17 4 4 6 7 14 51 73 17 119 14 326

1 ACUTE BRONCHITIS AND ACUTE BRONCHIOLITIS(J20-J21) Male 23 3 0 5 7 11 10 14 0 16 7 96

Female 12 1 0 0 2 0 2 6 2 3 1 29

2 BRONCHITIS, CRONIC AND UNSPECIFIED EMPHYSEMA(J40-J43) Male 4 4 0 0 4 3 7 8 2 12 0 44

Female 2 0 2 0 0 1 5 3 2 2 1 18

3 ASTHMA(J45-J46) Male 9 8 1 6 17 58 99 171 44 315 39 767

Female 3 3 2 6 5 13 42 64 13 112 12 275

4 OTHER LOWER RESPIRATORY DISORDERS(J22,J44 & J47) Male 0 0 0 0 0 0 0 0 0 0 0 0

Female 0 0 0 0 0 0 2 0 0 2 0 4

…..15

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M.G/

CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

35 OTHER DISEASES OF THE RESPIRATORY SYSTEM Male 83 64 22 74 119 124 260 310 38 456 84 1634

(J10-J18,J60-J98) Female 58 50 28 82 69 53 78 110 23 168 19 738

1 INFLUENZA(J10-J11) Male 0 0 0 0 0 0 0 0 0 0 0 0

Female 0 0 0 0 0 0 0 0 0 0 0 0

2 PNEUMONIA(J12-J18) Male 67 43 5 26 43 45 55 69 12 79 27 471

Female 39 37 13 20 17 12 14 22 6 45 6 231

3 PLEURISY(J90) Male 4 3 4 3 13 8 18 17 3 13 4 90

Female 1 4 6 4 3 8 13 22 4 10 0 75

4 ALL OTHER DISEASES OF THE RESPIRATORY SYSTEM Male 12 18 13 45 63 71 187 224 23 364 53 1073

(J60-J86, J92-J98) Female 18 9 9 58 49 33 51 66 13 113 13 432

XI DISEASES OF THE DIGESTIVE SYSTEM(K00-K92) Male 39 53 68 106 348 639 825 504 63 319 154 3118

Female 24 32 41 105 117 134 179 149 19 127 39 966

Total 63 85 109 211 465 773 1004 653 82 446 193 4084

36 DISEASES OF ORAL CAVITY, SALIVARY GLANDS AND Male 0 0 0 0 0 0 0 2 0 2 0 4

JAWS(K00-K14) Female 0 0 0 0 1 2 0 0 0 0 0 3

1 DISEASES OF ORAL CAVITY, SALIVARY GLANDS AND JAWS Male 0 0 0 0 0 0 0 2 0 2 0 4

(K00-K14) Female 0 0 0 0 1 2 0 0 0 0 0 3

37 DISEASES OF THE OTHER PARTS OF DIGESTIVE SYSTEM Male 39 53 68 106 348 639 825 502 63 317 154 3114

(K20-K92) Female 24 32 41 105 116 132 179 149 19 127 39 963

1 GASTRIC AND DUODENAL ULCER(K25-K27) Male 1 1 1 8 28 38 66 51 3 26 12 235

Female 0 0 2 14 3 9 11 8 4 10 3 64

2 GASTRITIS AND DUODENITIS (K29) Male 0 0 1 2 2 0 6 5 3 2 0 21

Female 0 0 0 0 0 0 0 0 1 0 0 1

…..16

Page 38: REPORT ON MEDICAL CERTIFICATION OF CAUSE OF DEATH 2000

M.G/

CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

3 DISEASES OF APPENDIX(K35-K38) Male 0 0 2 0 0 0 0 0 0 0 0 2

Female 0 0 0 0 0 1 0 0 0 0 0 1

4 HERNIA(K40-K46) Male 4 0 1 5 7 12 24 24 4 16 7 104

Female 1 0 1 1 6 0 7 6 2 2 0 26

5 PARALYTIC ILEUS AND INTESTINAL OBSTRUCTION WITHOUT Male 3 13 7 11 32 36 33 22 3 42 11 213

HERNIA(K56) Female 5 2 2 15 9 7 30 18 3 13 5 109

6 PERITONITIS(K65) Male 2 2 13 12 39 69 33 41 0 17 11 239

Female 1 5 4 10 19 17 8 11 0 7 4 86

7 DISEASES OF THE LIVER(K70-K76) Male 5 9 13 16 71 162 210 101 13 67 31 698

Female 4 4 3 15 22 30 40 18 1 39 5 181

8 CHOLELITHIASIS AND CHOLECYSTITIS(K80-K81) Male 2 0 2 5 5 11 16 11 4 8 4 68

Female 1 1 4 2 1 0 4 5 2 2 2 24

9 DISORDERS OF THE PANCREAS(K85) Male 1 0 0 1 0 0 0 2 0 0 0 4

Female 0 0 0 2 0 0 0 0 0 2 0 4

10 ALL OTHER DISEASES OF THE OTHER PARTS OF DIGESTIVE

SYSTEM(K20-K22,K28,K30-K31,K50-K55,K57-K63,K66,K82-K83 Male 21 28 28 46 164 311 437 245 33 139 78 1530

& K90-K92) Female 12 20 25 46 56 68 79 83 6 52 20 467

XII DISEASES OF THE SKIN AND SUBCUTANIOUS TISSUE(L00-L98) Male 1 3 0 3 10 22 20 31 3 43 11 147

Female 1 1 3 6 10 18 14 21 2 18 2 96

Total 2 4 3 9 20 40 34 52 5 61 13 243

38 DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE(L00-L98) Male 1 3 0 3 10 22 20 31 3 43 11 147

Female 1 1 3 6 10 18 14 21 2 18 2 96

…..17

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M.G/

CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

1 INFECTIONS OF THE SKIN AND SUBCUTANEOUS TISSUE(L00-L08) Male 1 3 0 3 6 15 14 26 0 31 7 106

Female 0 1 1 4 4 11 7 12 1 6 2 49

2 ALL OTHER DISEASES OF THE SKIN AND SUBCUTANEOUS Male 0 0 0 0 4 7 6 5 3 12 4 41

TISSUE(L10-L98) Female 1 0 2 2 6 7 7 9 1 12 0 47

XIII DISEASES OF THE MUSCULOSKELETAL SYSTEM AND Male 4 0 0 2 1 4 2 5 2 8 2 30

CONNECTIVE TISSUE(M00-M99) Female 4 0 1 2 3 5 6 6 0 6 0 33

Total 8 0 1 4 4 9 8 11 2 14 2 63

39 DISEASES OF THE MUSCULOSKELETAL SYSTEM AND Male 4 0 0 2 1 4 2 5 2 8 2 30

CONNECTIVE TISSUE(M00-M99) Female 4 0 1 2 3 5 6 6 0 6 0 33

1 RHEUMATOID ARTHRITIS AND OTHER INFLAMMATORY Male 0 0 0 0 0 2 0 2 0 4 0 8

POLYARTHROPATHIES(M05-M13) Female 0 0 0 0 0 3 2 2 0 3 0 10

2 OSTEOMYELITIS(M86) Male 0 0 0 0 0 0 0 0 0 0 0 0

Female 0 0 0 0 0 0 0 2 0 0 0 2

3 ALL OTHER DISEASES OF THE MUSCULOSKELETAL SYSTEM AND Male 4 0 0 2 1 2 2 3 2 4 2 22

CONNECTIVE TISSUE(M00-M02,M15-M43,M45-M85,M87-M99) Female 4 0 1 2 3 2 4 2 0 3 0 21

XIV DISEASES OF THE GENITOURINARY SYSTEM(N00-N99) Male 21 15 19 35 51 89 141 145 31 232 60 839

Female 8 9 15 49 56 70 74 84 12 104 14 495

Total 29 24 34 84 107 159 215 229 43 336 74 1334

40 DISEASES OF URINARY SYSTEM(N00-N39) Male 21 15 19 35 50 89 140 144 30 226 60 829

Female 8 9 15 44 49 66 73 81 11 102 14 472

1 GLOMERULAR DISEASES (INCLUDING NEPHRITIC SYNODROME ) Male 18 5 11 21 29 49 54 52 20 93 17 369

(N00-N07) Female 4 7 9 21 23 33 24 29 9 29 2 190

…..18

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M.G/

CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

2 RENAL TUBULO-INTERSTITIAL DISEASES(N10-N15) Male 0 0 0 0 0 0 0 0 1 0 0 1

Female 0 0 0 0 0 0 0 0 0 2 0 2

3 RENAL FAILURE(N17-N19) Male 2 8 8 14 21 36 79 88 9 118 43 426

Female 4 2 6 22 25 32 46 46 2 63 12 260

4 UROLITHIASIS(N20-N23) Male 1 0 0 0 0 1 1 0 0 0 0 3

Female 0 0 0 0 0 0 0 0 0 0 0 0

5 OTHER DISORDERS OF KIDNEY AND URETER(N25-N28) Male 0 0 0 0 0 0 0 0 0 0 0 0

Female 0 0 0 0 0 0 0 0 0 0 0 0

6 ALL OTHER DISEASES OF URINARY SYSTEM(N30-N39) Male 0 2 0 0 0 3 6 4 0 15 0 30

Female 0 0 0 1 1 1 3 6 0 8 0 20

41OTHER DISEASES OF THE GENITOURINARY SYSTEM(N40-N99) Male 0 0 0 0 1 0 1 1 1 6 0 10

Female 0 0 0 5 7 4 1 3 1 2 0 23

1 HYPERPLASIA OF PROSTATE(N40) Male 0 0 0 0 0 0 0 1 0 4 0 5

2 ALL OTHER DISEASES OF MALE GENITAL ORGANS(N41-N50) Male 0 0 0 0 1 0 1 0 1 2 0 5

3 SALPINGITIS AND OOPHORITIS(N70) Female 0 0 0 4 5 2 0 0 1 0 0 12

4ALL OTHER DISEASES OF FEMALE GENITAL ORGANS(N60-

N64,N71-N76,N80-N99)Female

0 0 0 1 2 2 1 3 0 2 0 11

XV PREGNANCY,CHILDBIRTH AND THE PUERPERIUM(O00-O99) Female 0 0 0 240 217 37 0 0 0 0 27 521

42 PREGNANCY WITH ABORTIVE OUTCOME (O00-O08) Female 0 0 0 15 13 6 0 0 0 0 4 38

1 SPONTANEOUS ABORTION (O03) Female 0 0 0 11 5 2 0 0 0 0 2 20

…..19

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CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

2 MEDICAL ABORTION(O04) Female 0 0 0 0 0 0 0 0 0 0 0 0

3OTHER PREGNANCIES WITH ABORTIVE OUTCOME(O00-O02 &

O05-O08)Female

0 0 0 4 8 4 0 0 0 0 2 18

43 OTHER DIRECT OBSTETRIC DEATHS (O10-O92) Female 0 0 0 225 200 31 0 0 0 0 22 478

1OEDEMA,PROTEINURIA AND HYPERTENSIVE DISORDERS IN

PREGNANCY,CHILDBIRTH AND THE PUERPERIUM (O10-O16)Female 0 0 0 54 51 9 0 0 0 0 7 121

2 INFECTIONS OF GENITOURINARY TRACT IN PREGNANCY(O23) Female 0 0 0 77 57 6 0 0 0 0 6 146

3 OBSTRUCTED LABOUR(O64-O66) Female 0 0 0 5 7 0 0 0 0 0 0 12

4COMPLICATIONS PRE-DOMINANTLY RELATED TO THE

PUERPERIUM(O85-O92)Female 0 0 0 49 48 10 0 0 0 0 3 110

5OTHER COMPLICATIONS OF PREGNANCY AND DELIVERY(O20-

O22,O24-O63,O67-O75, O80-O84)Female 0 0 0 40 37 6 0 0 0 0 6 89

44OTHER OBSTETRIC CONDITIONS,NOT ELSEWHERE

CLASSIFIED(O95-O99)Female 0 0 0 0 4 0 0 0 0 0 1 5

1 INDIRECT OBSTETRIC DEATHS(O98-O99) Female 0 0 0 0 2 0 0 0 0 0 1 3

2ALL OTHER OBSTETRIC CONDITIONS,NOT ELSEWHERE

CLASSIFIED (O95-O97)Female 0 0 0 0 2 0 0 0 0 0 0 2

XVI CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL Male 3615 0 0 0 0 0 0 0 0 0 0 3615

PERIOD(P00-P96) Female 2171 0 0 0 0 0 0 0 0 0 0 2171

Total 5786 0 0 0 0 0 0 0 0 0 0 5786

45 CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL Male 3615 0 0 0 0 0 0 0 0 0 0 3615

PERIOD (P00-P96) Female 2171 0 0 0 0 0 0 0 0 0 0 2171

…..20

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CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

1 SLOW FETAL GROWTH,FETAL MALNUTRITION AND Male 1634 0 0 0 0 0 0 0 0 0 0 1634

IMMATURITY (P05-P07) Female 1035 0 0 0 0 0 0 0 0 0 0 1035

2 BIRTH TRAUMA(P10-P15) Male 4 0 0 0 0 0 0 0 0 0 0 4

Female 4 0 0 0 0 0 0 0 0 0 0 4

3 HYPOXIA,BIRTH ASPHYXIA AND OTHER RESPIRATORY Male 1193 0 0 0 0 0 0 0 0 0 0 1193

CONDITIONS(P20-P28) Female 700 0 0 0 0 0 0 0 0 0 0 700

4 HAEMOLYTIC DISEASE OF FETUS AND NEW-BORN (P55) MALE 132 0 0 0 0 0 0 0 0 0 0 132

Male 96 0 0 0 0 0 0 0 0 0 0 96

Female

5 OTHER PERINATAL JAUNDICE(P58-P59) Male 30 0 0 0 0 0 0 0 0 0 0 30

Female 2 0 0 0 0 0 0 0 0 0 0 2

6 ALL OTHER CONDITIONS ORIGINATING IN THE PERINATAL Male 622 0 0 0 0 0 0 0 0 0 0 622

PERIOD(P00-P04,P08,P29-P54,P56-P57,P60-P96) Female 334 0 0 0 0 0 0 0 0 0 0 334

XVII CONGENITAL MALFORMATIONS,DEFORMATIONS & Male 276 32 34 36 0 0 0 0 0 0 7 385

CHROMOSOMAL ABNORMALITIES(Q00-Q99) Female 146 9 10 55 0 0 0 0 0 0 7 227

Total 422 41 44 91 0 0 0 0 0 0 14 612

46 CONGENITAL MALFORMATIONS,DEFORMATIONS & Male 276 32 34 36 0 0 0 0 0 0 7 385

CHROMOSOMAL ABNORMALITIES(Q00-Q99) Female 146 9 10 55 0 0 0 0 0 0 7 227

1 SPINA BIFIDA(Q05) Male 2 0 0 1 0 0 0 0 0 0 0 3

Female 0 0 0 4 0 0 0 0 0 0 0 4

2 CONGENITAL MALFORMATIONS OF THE CIRCULATORY Male 215 25 25 24 0 0 0 0 0 0 7 296

SYSTEM(Q20-Q28) Female 104 9 10 41 0 0 0 0 0 0 7 171

3 CLEFT LIP AND CLEFT PALATE(Q35-Q37) Male 0 0 0 0 0 0 0 0 0 0 0 0

Female 0 0 0 0 0 0 0 0 0 0 0 0

…..21

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CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

4 ALL OTHER CONGENITAL MALFORMATIONS,DEFORMATIONS & Male 59 7 9 11 0 0 0 0 0 0 0 86

CHROMOSOMAL ABNORMALITIES, NOT ELSEWHERE

CLASSIFIED(Q00-Q04,Q06-Q07,Q10-Q18,Q30-Q34,Q38-Q99)Female 42 0 0 10 0 0 0 0 0 0 0 52

XVIII SYMPTOMS,SIGNS AND ABNORMAL CLINICAL & LABORA- Male 3 23 45 173 216 274 329 306 56 489 143 2057

TORY FINDINGS,NOT ELSEWHERE CLASSIFIED(R00-R99) Female 2 46 41 148 191 120 106 150 19 247 71 1141

Total 5 69 86 321 407 394 435 456 75 736 214 3198

47 SYMPTOMS,SIGNS AND ABNORMAL CLINICAL & LABORA- Male 3 23 45 173 216 274 329 306 56 489 143 2057

TORY FINDINGS,NOT ELSEWHERE CLASSIFIED(R00-R99) Female 2 46 41 148 191 120 106 150 19 247 71 1141

1 ABDOMINAL AND PELVIC PAIN(R10) Male 0 0 0 0 0 4 5 2 0 2 0 13

Female 0 0 1 2 2 2 0 3 0 2 0 12

2 ASCITES(R18) Male 1 0 0 5 3 6 1 16 0 3 2 37

Female 0 0 0 3 2 0 4 2 0 7 0 18

3 SOMNOLENCE, STUPOR AND COMA(R40) Male 0 0 2 0 1 0 2 3 0 1 0 9

Female 0 0 0 2 0 0 0 0 0 0 0 2

4 FEVER OF UNKNOWN ORIGIN(R50) Male 2 0 0 0 2 0 0 1 0 0 0 5

Female 2 4 0 0 0 2 2 0 0 0 0 10

5 SENILITY(R54) Male 0 0 0 0 0 0 0 0 0 27 8 35

Female 0 0 0 0 0 0 0 0 0 13 2 15

6 SYNCOPE AND COLLAPSE(R55) Male 0 0 0 3 10 4 5 5 0 6 1 34

Female 0 0 0 2 14 0 4 1 0 8 0 29

7 CONVULSIONS, NOT ELSEWHERE CLASSIFIED(R56) Male 0 0 0 0 0 2 2 0 0 0 0 4

Female 0 0 0 0 0 0 0 2 0 0 0 2

8 SHOCK, NOT ELSEWHERE CLASSIFIED(R57) Male 0 0 0 21 27 27 41 44 2 33 12 207

Female 0 0 0 34 21 14 13 24 1 23 8 138

…..22

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CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

9 ALL OTHER SYMPTOMS,SIGNS AND ABNORMAL CLINICAL &

LABORATORY FINDINGS,NOT ELSEWHERE CLASSIFIED(R00-R09, Male 0 23 43 144 173 231 273 235 54 417 120 1713

R11-R17, R19-R39, R41-R49, R51-R53,R58-R99) Female 0 42 40 105 152 102 83 118 18 194 61 915

XIX INJURY,POISONIG AND CERTAIN OTHER CONSEQUENCES OF Male 28 54 112 516 714 563 383 201 26 155 192 2944

EXTERNAL CAUSES(S00-T98) Female 12 35 108 795 666 267 111 74 16 89 76 2249

Total 40 89 220 1311 1380 830 494 275 42 244 268 5193

48 FRACTURES(S02,S12,S22,S32,S42,S52,S62,S72,S82,S92,T10,T12, Male 2 1 9 8 10 16 20 16 2 29 8 121

T02,T08) Female 0 0 2 4 5 4 3 4 0 10 0 32

1 FRACTURE OF SKULL AND FACIAL BONES(S02) Male 0 0 0 0 0 0 0 0 0 0 0 0

Female 0 0 0 0 0 0 0 0 0 0 0 0

2 FRACTURE OF NECK,THORAX OR PELVIS(S12,S22,S32 & T08) Male 0 0 3 3 3 10 9 4 1 5 3 41

Female 0 0 1 0 1 3 3 0 0 0 0 8

3 FRACTURE OF UPPER LIMB(S42,S52,S62 & T10) Male 0 0 0 0 1 3 0 1 0 0 1 6

Female 0 0 0 0 0 0 0 0 0 0 0 0

4 FRACTURE OF LOWER LIMB(S72,S82,S92 & T12) Male 1 1 6 5 6 3 11 11 1 24 4 73

Female 0 0 1 4 4 1 0 4 0 10 0 24

5 FRACTURES INVOLVING MULTIPLE BODY REGIONS, AND OF Male 1 0 0 0 0 0 0 0 0 0 0 1

UNSPECIFIED BODY REGION(T02) Female 0 0 0 0 0 0 0 0 0 0 0 0

49 DISLOCATION,SPRAINS AND STRAINS OF SPECIFIED AND Male 0 0 0 2 4 3 1 7 1 1 0 19

MULTIPLE BODY REGIONS(S03,S13,S23, S33,S43,S53, S63,

S73,S83,S93,T03)Female 0 2 0 0 3 0 0 0 0 0 0 5

50INTRACRANIAL AND INTERNAL INJURIES INCLUDING

NERVES(S04,S06,S14,S24,S26-S27,S34,S36-S37,

Male 11 17 33 115 173 159 127 80 9 57 58 839

S44,S54,S64,S74,S84 & S94) Female 8 5 17 13 24 31 22 18 6 27 7 178

…..23

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CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

51CRUSHING INJURIES AND TRAUMATIC AMPUTATIONS OF

SPECIFIED AND MULTIPLE BODY REGIONS(S07-S08,S17-S18,Male 3 2 2 2 16 8 10 8 3 12 3 69

S28,S38,S47-S48,S57,S77-S78,S87-S88,S97-S98,T04-T05,S58,S67-S68) Female 0 0 0 0 5 2 2 1 0 2 2 14

52 OTHER INJURIES OF SPECIFIED,UNSPECIFIED AND MULTIPLE

BODY REGIONS(S00-S01,S05,S09-S11,S15-S16,S19-S21,S25,S29-

S31,S35,S39-S41,S45-S46,S49-S51,S55-S56,S59-S61,S65-S66,S69-

S71,S75-S76,S79-S81,S85-S86,S89-S91,S95- Male 0 0 0 0 4 0 0 1 0 0 1 6

S96,S99,T00-T01,T06-T07,T09,T11 &T13-T14) Female 0 0 0 2 0 0 1 0 0 0 0 3

53 EFFECTS OF FOREIGN BODY ENTERING THROUGH NATURAL Male 0 0 0 2 1 2 2 0 0 1 0 8

ORIFICE(T15-T19) Female 0 2 0 0 0 0 0 0 0 0 0 2

54 BURNS AND CORROSIONS(T20-T32) Male 6 13 30 121 194 130 54 23 3 16 41 631

Female 2 18 59 569 508 169 54 30 7 39 44 1499

55POISONINGS BY DRUGS AND BIOLOGICAL SUBSTANCES,AND

TOXIC EFFECTS OF SUBSTANCES CHIEFLY NONMEDICINAL Male 5 16 28 243 274 203 141 61 8 28 64 1071

AS TO SOURCE(T36-T50 & T51-T65) Female 1 7 25 189 110 51 23 16 3 11 19 455

56OTHER AND UNSPECIFIED EFFECTS OF EXTERNAL CAUSES

AND CERTAIN EARLY COMPLICATIONS OF TRAUMA Male 1 5 10 23 37 40 26 5 0 9 17 173

(T33-T35,T66-T78 & T79) Female 1 1 5 11 11 9 6 5 0 0 4 53

57 COMPLICATIONS OF SURGICAL AND MADICAL CARE NOT Male 0 0 0 0 1 2 2 0 0 2 0 7

ELSEWHERE CLASSIFIED(T80-T88) Female 0 0 0 7 0 0 0 0 0 0 0 7

58 LATE EFFECTS OF INJURIES,OF POISONING AND OF OTHER Male 0 0 0 0 0 0 0 0 0 0 0 0

CONSEQUENCES OF EXTERNAL CAUSES(T90-T98) Female 0 0 0 0 0 1 0 0 0 0 0 1

…..24

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CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

XXEXTERNAL CAUSES OF MORBIDITY AND MORTALITY(V01-

Y89)Male 28 54 112 516 714 563 383 201 26 155 192 2944

Female 12 35 108 795 666 267 111 74 16 89 76 2249

Total 40 89 220 1311 1380 830 494 275 42 244 268 5193

E48 TRANSPORT ACCIDENTS(V01-V99) Male 9 10 21 89 149 125 90 35 9 36 44 617

Female 1 3 17 81 95 42 15 18 1 13 12 298

1 RAILWAY ACCIDENTS(V05,V15,V80.6,V81) Male 1 0 0 1 0 0 0 0 0 0 0 2

Female 0 0 0 0 0 1 0 0 0 0 0 1

2MOTOR VEHICLE TRAFFIC ACCIDENTS(V02-V04,V09.2-V09.3,V12-

V14,V20-V29,V30-V39,V40-V49,V50-V59,V60-V69,V70-V79,V80.3- Male 6 4 14 42 83 81 52 28 5 33 29 377

V80.5,V82.1,V87.0-V87.5 &V87.7-V87.8,V88.0-V88.5 &V89.2) Female 1 3 7 1 11 16 11 10 0 7 0 67

3

OTHER ROAD VEHICLE ACCIDENTS (V01,V06,V09.0-V09.1,V10-

V11,V16-V18,V80.0-V80.2,V80.7-V80.9,V82.0-V82.2-V82.9,V87.9,V88.0-

V82.9,V87.9, Male 2 4 5 46 66 44 38 7 4 3 15 234

V88.0-V88.5,V88.7-V88.9 &V89.0-V89.1) Female 0 0 10 80 84 25 4 8 1 6 12 230

4 WATER TRANSPORT ACCIDENTS(V90-V94) Male 0 2 2 0 0 0 0 0 0 0 0 4

Female 0 0 0 0 0 0 0 0 0 0 0 0

5 AIR & SPACE TRANSPORT ACCIDENTS(V95-V97) Male 0 0 0 0 0 0 0 0 0 0 0 0

Female 0 0 0 0 0 0 0 0 0 0 0 0

6 ALL OTHER TRANSPORT ACCIDENTS(V09.1,V09.9,V19,V83- Male 0 0 0 0 0 0 0 0 0 0 0 0

V86,V89.3,V89.9 & V98-V99) Female 0 0 0 0 0 0 0 0 0 0 0 0

E49 ACCIDENTAL FALLS(W00-W19) Male 1 4 7 7 18 19 18 22 3 14 13 126

Female 2 4 3 2 10 3 1 5 1 6 1 38

E50 ACCIDENTAL DROWING AND SUBMERSION(W65-W74) Male 0 0 0 0 1 2 0 0 0 0 0 3

Female 0 0 0 0 0 0 0 0 0 0 0 0

…..25

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CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

E51 EXPOSURE TO SMOKE, FIRE AND FLAMES(X00-X09) Male 3 9 21 85 118 76 35 13 0 17 22 399

Female 2 11 40 385 310 97 41 20 3 31 21 961

E52 ACCIDENTAL POISOINING BY AND EXPOSURE TO NOXIOUS Male 5 8 17 145 192 125 81 43 7 11 49 683

SUBSTANCES(X40-X49) Female 0 9 23 195 160 67 21 11 5 12 22 525

E53 INTENTIONAL SELF-HARM(SUICIDE-ATTEMPTED)(X60-X84) Male 0 0 0 83 83 77 39 16 0 14 17 329

Female 0 0 0 100 47 26 9 1 0 2 5 190

54 ASSAULT(HOMICIDE)(X85-Y09) Male 0 1 0 4 7 8 4 1 0 2 6 33

Female 0 0 0 2 4 0 1 1 0 0 0 8

E55 OTHER VIOLENCE(Y10-Y36) Male 0 0 0 0 0 0 0 0 0 0 0 0

Female 0 0 0 0 0 0 0 1 0 0 0 1

1 EVENT OF UNDERTERMINED INTENT(Y10-Y34) Male 0 0 0 0 0 0 0 0 0 0 0 0

Female 0 0 0 0 0 0 0 0 0 0 0 0

2 LEGAL INTERVENTION(Y35) Male 0 0 0 0 0 0 0 0 0 0 0 0

Female 0 0 0 0 0 0 0 1 0 0 0 1

3 OPERATIONS OF WAR(Y36) Male 0 0 0 0 0 0 0 0 0 0 0 0

Female 0 0 0 0 0 0 0 0 0 0 0 0

E56 COMPLICATIONS OF MEDICAL AND SURGICAL CARE(Y40-Y84)Male 0 2 2 8 17 6 12 2 1 2 2 54

Female 0 1 2 3 2 6 0 0 0 1 0 15

1DRUGS,MEDICAMENTS AND BIOLOGICAL SUBSTANCES

CAUSING Male 0 0 0 3 7 3 0 0 0 0 0 13

ADVERSE EFFECTS IN THE THERAPEUTIC USE (Y40-Y59) Female 0 1 0 1 2 2 0 0 0 0 0 6

…..26

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CAT/ CAUSE OF DEATH SEX <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70+ N.S TOTAL

S.C

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

2

MISADVENTURES DURING SURGICAL AND MEDICAL CARE,

ADVERSE INCIDENTS IN DIAGNOSTIC &THERAPEUTIC USE

ABNORMAL REACTIONS AND LATE COMPLICATIONS Male 0 2 2 5 10 3 12 2 1 2 2 41

(Y60-Y69,Y70-Y82 & Y83-Y84) Female 0 0 2 2 0 4 0 0 0 1 0 9

E57 OTHER EXTERNAL CAUSES OF ACCIDENTAL INJURY,NOT Male 10 20 44 95 129 125 104 69 6 59 39 700

ELSEWHERE CLASSIFIED (W20-W64,W75-W99,X10-X39,X50-X59) Female 7 7 23 27 38 26 23 17 6 24 15 213

1ACCIDENTS CAUSED BY MACHINERY,AND BY CUTTING

PIERCING Male 0 0 0 1 0 0 0 0 0 0 0 1

INSTRUMENTS(W24-W31) Female 0 0 0 2 0 0 0 0 0 0 0 2

2 ACCIDENTS CAUSED BY FIREARM MISSILE(W32-W34) Male 0 0 0 0 0 0 0 0 0 0 0 0

Female 0 0 0 0 0 0 0 0 0 0 0 0

3 BITES OF SNAKES AND OTHER VENOMOUS ANIMALS(X20-X27) Male 1 6 16 12 6 12 7 5 2 2 4 73

Female 1 4 12 9 5 5 2 6 0 3 2 49

4 SUN STROKE(X32) Male 0 0 0 0 1 0 0 0 0 0 0 1

Female 0 0 0 0 0 0 0 0 0 0 0 0

5 ALL OTHER ACCIDENTS INCLUDING LATE EFFECTS(W20-W23, Male 9 14 28 82 122 113 97 64 4 57 35 625

W35-W64,W75-W99,X10-X19,X28-X29,X30-X31,X33-X39 & X50-X59) Female 6 3 11 16 33 21 21 11 6 21 13 162

E58 LATE EFFECTS OF EXTERNAL CAUSES OF MORBIDITY AND Male 0 0 0 0 0 0 0 0 0 0 0 0

MORTALITY(Y85-Y89) Female 0 0 0 0 0 0 0 0 0 0 0 0

ALL CAUSES (MAJOR GROUP I TO XIX) Male 4535 761 723 1691 3099 4138 5757 5744 850 7061 1764 36123

Female 2723 501 617 2400 2462 1910 2141 2440 501 3824 718 20237

Total 7258 1262 1340 4091 5561 6048 7898 8184 1351 10885 2482 56360

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