INFECTIOUS diseases and vital statistics.
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In 2001, three simultaneous changes were introduced which influence the reporting of vital statistics by socio-economic status. Registrar General's Social Class was replaced by the new National Statistics Socio-Economic Status (NS SEC); the Standard Occupational Classification (SOC) was updated from SOC90 to SOC2000; and the coding of employment status on vital statistics changed to stay in line with census coding and SOC2000. This article reports on these changes and describes a method for coding data prior to 2001 to NS SEC (named NS SEC90) in order to facilitate the analysis of health inequalities over time. NS SEC90 allocates 90 per cent of deaths to the same analytical category as NS SEC. This figure varies according to sub group.
Records of cervical cancer mortality in vital statistics have been so affected by differences in diagnosis, certification, compilation and presentation that they are not suitable for time and place comparisons. Records of combined mortality charged to cervical cancer, other uterine cancer and cancer of other genital organs have been less affected. These records from different places show declines which do not appear to be correlated with control programs but, in recent years, have brought the rates from places cited into agreement. Reductions in reported cases of cervical cancer following screening for and treatment of carcinoma in situ have stimulated interest. However, the uncertainty in the mortality records and in understanding of cervical cancer and its relationship to carcinoma in situ, agreement in recent mortality rates despite diversity of sources, and other pertinent considerations cast doubt on the significance of such reductions.