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[1970 - 1982年墨西哥1岁以下儿童破伤风死亡率]

[Mortality from tetanus in children less than 1 year of age, Mexico, 1970-1982].

作者信息

Tirado-Gómez L L, López-Cervantes M, Lona-Zamora A, Rodríguez-Domínguez J, Ramírez-Portillo A

出版信息

Salud Publica Mex. 1989 May-Jun;31(3):334-45.

PMID:2772736
Abstract

The results of a study about mortality by tetanus in Mexican children under one year of age, during the 1970-1982 period, are reported. This age-group was subdivided in three, as follows: perinatal (less than 7 days), neonatal (less than 29 days) and postneonatal (29 to 364 days). Mortality by tetanus in children under one year of age showed a decreasing trend during the mentioned period, and this was most pronounced from 1979, because of changes in the codification of mortality by tetanus in this group of age. On the other hand, it was found that the greatest proportion of deaths by tetanus happened in the under one year of age group, and particularly in the neonatal group (less than 29 days). The geographic distribution of tetanus in Mexico was studied later, and showed a predominant incidence of the disease in coastal states of the country; an additional finding in this investigation was the displacement of the disease from the Pacific strip to the Gulf of Mexico. Finally, the mortality differentials by sex were studied, and showed that males were the most affected in the three age groups. We cannot explain this finding at the time.

摘要

报告了一项关于1970 - 1982年期间墨西哥一岁以下儿童破伤风死亡率的研究结果。该年龄组被细分为三个年龄段,如下:围产期(小于7天)、新生儿期(小于29天)和新生儿后期(29至364天)。在上述期间,一岁以下儿童的破伤风死亡率呈下降趋势,并且自1979年起这种趋势最为明显,这是由于该年龄组破伤风死亡率编码的变化。另一方面,发现破伤风死亡的最大比例发生在一岁以下年龄组,特别是新生儿组(小于29天)。随后研究了墨西哥破伤风的地理分布,结果显示该国沿海各州该疾病的发病率占主导;此次调查的另一项发现是该疾病从太平洋沿岸地区转移至墨西哥湾。最后,研究了性别死亡率差异,结果显示在三个年龄组中男性受影响最大。目前我们无法解释这一发现。

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