CONGENITAL ANOMALIES. AS RECORDED ON BIRTH CERTIFICATES IN THE DIVISION OF VITAL STATISTICS OF THE PENNSYLVANIA DEPARTMENT OF HEALTH, FOR THE PERIOD OF 1956 TO 1960, INCLUSIVE.
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"The present article attempts to take a deeper look at the most relevant aspects of the problems presented by the data on adult mortality and causes of death in Latin America.... Statistical coverage of registered deaths by age and sex is analysed, finding important differences among the countries and higher coverage in the registration of adult deaths than of younger ones.... Data quality on causes of death...showed some improvement during the period studied.... Reference is made to topics related to the analysis of causes of death [that] generally complicate the work, such as the heterogeneity of coverage and data quality at subnational levels, the compatibility among different revisions of the ICD, the use of ill-defined causes and, finally, access and management of basic information." (SUMMARY IN ENG)
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We describe a unique method for producing province-wide and selected regional birth and death statistics for the First Nations population, We identified births and deaths of persons with Indian Status in the province of British Columbia, Canada, using three databases: the Vital Statistics Agency's database of births and deaths, the Department of Indian Affairs' Indian Status Verification File and the provincial health insurance plan's Status Indian Entitlement file. A birth or death was considered Status Indian if the person was so identified in any of the three sources. From 1991 through 1998, 24,159 live births were identified as Status Indian: 54% by all three sources, 29% by two sources and 17% by one source. In the same period, 5,680 Status Indian deaths were identified: 28% by all three sources, 38% by two sources and 34% by one source. Deaths were grouped by Underlying Cause and rates in each category were age-standardized for comparison to the general population. This project underscores the importance of using more than one database to ensure complete counting. Otherwise, birth and death rates will be underestimated. This has implications for national reporting if each province does not have a comparable system.
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