Burden of Disease Research Unit, South African Medical Research Council, Cape Town, South Africa; School of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, South Africa.
S Afr Med J. 2019 Dec 5;109(11b):69-76. doi: 10.7196/SAMJ.2019.v109i11b.14273.
For several decades, researchers from the South African Medical Research Council have made invaluable contributions towards improving the health of the population through the analysis and interpretation of cause of death data. This article reflects the mortality trends in pre-and post-apartheid South Africa (SA), and describes efforts to improve vital statistics, innovations to fill data gaps, and studies to estimate the burden of disease after adjusting for data deficiencies. The profound impact of HIV/AIDS, particularly among black African children and young adults, is striking, within a protracted epidemiological transition and the current reversals of multiple epidemics. Over the next 20 years, it will be important to sustain and enhance the country's capacity to collect, analyse and utilise cause of death data. SA needs to support development in the region, harnessing new data platforms and approaches such as including verbal autopsy tools in the official system and improving data linkage.
几十年来，南非医学研究理事会的研究人员通过分析和解释死因数据，为改善人口健康状况做出了宝贵的贡献。本文反映了种族隔离前后南非的死亡率趋势，并描述了为改善人口动态统计数据所做的努力、填补数据空白的创新措施，以及在调整数据不足后对疾病负担的估计研究。在长期的流行病学转变和当前多种流行病的逆转过程中，艾滋病毒/艾滋病的流行，特别是在黑非洲儿童和青年中的流行，造成了巨大的影响。在未来 20 年，重要的是要维持和加强国家收集、分析和利用死因数据的能力。南非需要支持该地区的发展，利用新的数据平台和方法，例如将死因推断工具纳入官方系统并改进数据链接。
