The International Federation of Red Cross and Red Crescent Societies.
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Biomedical subjects
Publications and source records attributed to B Dick.
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The median age of death has been used as an index of mortality in South Africa. In cases where there is high infant mortality, the median age of death is too sensitive and its use is best avoided.
A survey was conducted to evaluate the care being received by non-institutionalized chronically ill persons in the Black, Coloured and White communities residing in the Municipality of Cape Town. Of the chronically ill persons identified, 170 (71%) of the Blacks, 188 (62%) of the Coloureds and 43 (86%) of the Whites were receiving care at the time of the survey, and the type, location and duration of this care are outlined. Only 26% of the chronically ill persons were considered to be receiving optimal care, and new recommendations for care were made for 201 (84%) of the Blacks, 203 (67%) of the Coloureds and 36 (72%) of the Whites. Of the patients for whom new recommendations were made, 37% were not currently receiving any care. The financial and occupational repercussions of chronic illness are considered, and methods of improving the comprehensive care of chronically ill persons are discussed.
A survey was conducted to investigate the prevalence and epidemiology of chronic illness in non-institutionalized persons residing in the Municipality of Cape Town. The Black, Coloured and White communities were independently surveyed and the standardized prevalence proportions of chronic illness were 24,7/1 000, 37,4/1 000 and 11,6/1 000 respectively. The epidemiological parameters investigated included age, sex, marital status, income, education occupation and the associated diseases, and the influence of these factors on the prevalence proportions are considered. Methodological problems of chronic illness surveys are discussed.
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The antibody response to further-attenuated live virus measles vaccine was assessed in 67 Coloured children between the ages of 6 and 12 months. Children less than 9 months of age were found to have suboptimal seroconversion rates and it is recommended that the routine administration of measles vaccine should be restricted to children over the age of 8 months. High-risk groups and problems of vaccine administration and storage are discussed.
The implications of the unavailability of free measles vaccine for an urban community are examined. Measles mortality and morbidity statistics for Cape Town are reviewed, and the Coloureds and Blacks are shown to be the population groups at highest risk. A case is made for vaccination of those members of the population between 9 months and 5 years of age who are at risk, and for including measles vaccination in the third visit of a modified immunisation schedule. A simple cost benefit analysis strongly favours vaccination.
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