Leading Causes of Death

THE CARIBBEAN EPIDEMIOLOGY CENTRE (CAREC) PAHO/WHO
EPIDEMIOLOGY DIVISION
STATISTICS UNIT
LEADING CAUSES OF DEATH AND MORTALITY RATES
(COUNTS AND RATES)
IN
CARIBBEAN EPIDEMIOLOGY CENTRE MEMBER COUNTRIES (CMCS)
1985
1990
1995
2000
Leading Causes of Death And Mortality Rates (Counts and Rates)
in Caribbean Epidemiology Centre Member Countries (CMCs):
1985 1990 1995 2000
ISBN 976-8114-24-4
The Caribbean Epidemiology Centre (CAREC) welcomes requests for permission to
reproduce or translate its publications, in part or in full. Applications and enquiries should
be addressed to CAREC, which will be glad to provide the latest information on any changes
made on the text, plans for new editions, reprints and translations already available.
First Edition 2005
Caribbean Epidemiology Centre (CAREC) – 2005
Pan American Health Organization/World Health Organization (PAHO/WHO)
Publications of the Caribbean Epidemiology Centre (CAREC) enjoy copyright protection in
accordance with the provisions of Protocol 2 of the Universal Copyright Convention. All
rights are reserved.
The designations employed and the presentation of the material in this publication do
not imply the expression of any opinion whatsoever on the part of the CAREC concerning
the legal status of any country, territory, city or area of its authorities, or concerning the
delimitation of its frontiers or boundaries.
ACKNOWLEDGEMENTS
CAREC MEMBER COUNTRIES
Anguilla
Ms. Ezra Connor
Grenada
Ms. Angella Joseph, Dr. Allister Antoine
Antigua and Barbuda
Mr. Statchel Edwards
Guyana
Ms. Cheryl Peters, Dr. Navindra Persaud
Aruba
Ms. Maribelle Tromp
Jamaica
Dr. Affette McCaw-Binns, Dr. Deanna Ashley
Bahamas
Ms. Kathleen Wilson
Montserrat
Ms. Grethlyn West
Barbados
Ms. Ingrid Layne
Saint Lucia
Ms. Milva Edmunds-Jerome, Dr. Alina Jamie
Belize
Mr. Engelbert Emmanuel
St. Vincent & the Grenadines
Ms. Sandra Grant, Ms. Marjorie Browne
Bermuda
Ms. Brenda Vanderpool
St. Kitts & Nevis
Ms. Sandra Cotton, Ms. Gail Cranstoun
British Virgin Islands
Ms. Adeline Vanterpool
Suriname
Dr. Widya Punwasi
Cayman Islands
Dr. Alla Kumar
Trinidad & Tobago
Ms. Cheryl Rickson-Pinder
Curaçao and the Netherlands Antilles
Ms. Norediz Lourents, Dr. Izzy Gerstenbluth
Turks and Caicos Islands
Medical Records Department, Ministry of Health
Dominica
Ms. Lidy Warrington
CARIBBEAN EPIDEMIOLOGY CENTRE (CAREC)
Dr. Eldonna Boisson, Manager
Dr. George Legall, Senior Biostatistician
Ms. Marsha Ivey, Biostatistician
Mrs. Angela Hinds, Computer Systems Analyst/Programmer
Ms. Esther Bissessarsingh, Statistical Information Officer
Ms. Stacey Grant, Statistical Information Officer
Mr. Nigel Grant, Statistical Information Officer
Mr. Michael Dolabaille, Office/Printing Assistant
CONTENTS
Foreword
i
List of Abbreviations
ii
Notes to Tables
iii
Table 1.
Selected Mortality Rates: CAREC Member Countries – 1985 1990 1995 2000
1
Table 2.
Age-specific Crude Mortality Rates by Gender: CAREC Member Countries – 1985 1990 1995 2000
1
Table 3a.
Ten Leading Causes of Death: All Genders – CAREC Member Countries – 1985 1990 1995 2000
2
Table 3b.
Ten Leading Causes of Death: Males – CAREC Member Countries – 1985 1990 1995 2000
3
Table 3c.
Ten Leading Causes of Death: Females – CAREC Member Countries – 1985 1990 1995 2000
4
Table 4a.
Ten Leading Causes of Death by Age Group: CAREC Member Countries – 1985
5
Table 4b.
Ten Leading Causes of Death by Age Group: CAREC Member Countries – 1990
6
Table 4c.
Ten Leading Causes of Death by Age Group: CAREC Member Countries – 1995
7
Table 4d.
Ten Leading Causes of Death by Age Group: CAREC Member Countries – 2000
8
Table 5.
Deaths and Crude Mortality Rates (Per 100,000 Population) by Age Group and Gender for Selected Diseases: CAREC Member Countries – 1985 1990 1995 2000
9
Table 6.
Potential Years of Life Lost (PYLL) and PYLL Rate (Per 100,000) by Age Group and Gender for Selected Diseases: CAREC Member Countries – 1985 1990 1995 2000
12
Table 7a.
Causes of Death Due to Communicable Diseases: CAREC Member Countries – 1985 1990 1995 2000
16
Table 7b.
Causes of Death Due to Neoplasms: CAREC Member Countries – 1985 1990 1995 2000
17
Table 7bi.
Causes of Death Due to Neoplasms – Males: CAREC Member Countries – 1985 1990 1995 2000
18
Table 7bii.
Causes of Death Due to Neoplasms – Females: CAREC Member Countries – 1985 1990 1995 2000
19
Table 7c.
Causes of Death Due to Diseases of The Circulatory System: CAREC Member Countries – 1985 1990 1995 2000
20
Table 7d.
Causes of Death Due to Conditions Originating In The Perinatal Period: CAREC Member Countries – 1985 1990 1995 2000
21
Table 7e.
Causes of Death Due to External Conditions: CAREC Member Countries – 1985 1990 1995 2000
22
Table 7f.
Causes of Death Due to All Other Diseases: CAREC Member Countries – 1985 1990 1995 2000
23
Table 8a.
Potential Years of Lost Life (PYLL) and PYLL Rate by Age Group: Communicable Diseases; Neoplasms; Circulatory Disorders: CAREC Member Countries – 1985 1990 1995 2000
25
Table 8b.
Potential Years of Lost Life (PYLL) and PYLL Rate by Age Group: Perinatal Conditions; External Causes; Other Diseases: CAREC Member Countries – 1985 1990 1995 2000
26
Table 9a.
Standardised Mortality Rates by Age Group: CAREC Member Countries – 1985
27
Table 9b.
Standardised Mortality Rates by Age Group: CAREC Member Countries – 1990
30
Table 9c.
Standardised Mortality Rates by Age Group: CAREC Member Countries – 1995
33
Table 9d.
Standardised Mortality Rates by Age Group: CAREC Member Countries – 2000
36
Figure 1.
Crude Mortality Rates for Select Diseases by Year: CAREC Member Countries
39
Figure 2.
Potential Years of Life Lost by Six Major Cause of Death Groups: CAREC Member Countries – 1985 1990 1995 2000
40
Figure 3.
Potential Years of Life Lost by Six Major Cause of Death Groups for Selected Diseases: CAREC Member Countries – 2000
41
Appendix A
Population Distribution by Age Group and Gender: CAREC Member Countries – 1985 1990 1995 2000
42
Appendix B
Formulas Used
43
Appendix C
CAREC Ranking List
44
Appendix D
Mortality Tabulation ICD9/ICD10 Merger Listing
45
FOREWORD
Most CAREC member countries (CMCs) have experienced a health transition, with fertility and mortality rates decreasing and disease
patterns changing, such that the greatest morbidity and mortality burdens are due to chronic non-communicable diseases (NCDs), AIDS
and injuries, paralleled and sometimes driven by social and behavioural changes that affect health. In the Caribbean, CMCs have also
been experiencing another phase of the health transition described as a re-emergence of ‘old’ communicable diseases (e.g. tuberculosis)
and the emergence of new communicable diseases (e.g. AIDS), together with the increasing prominence of NCDs (e.g. heart disease,
cancers and diabetes).
A descriptive study of mortality data from all CMCs was conducted for four point years; 1985, 1990, 1995 and 2000. This publication
provides the summary, as well as age and sex specific tables for the leading causes of death for these four years. Analyses showed that
during 1985-2000, there was an overall 5% decrease in age-adjusted mortality rates in the CMCs and male mortality exceeded female
mortality. Overall, as well as among males and females, heart disease was the leading cause of death, with cancers, cerebrovascular
diseases, diabetes mellitus and hypertensive disease also in the top five causes in most years. Among cancers, prostate cancer was the
leading cause of death among men and among women cancer of the uterus and breast. HIV disease (AIDS) featured in the ten leading
causes of death for the first time in 1990 and was the 5th leading cause in 2000. In 2000, AIDS was the largest contributor to premature
death (contributing 14% of the total person years of life lost that year); followed by heart disease (7% PYLL), assault/homicide (6% PYLL),
diabetes (4% PYLL), cerebrovascular diseases (3% PYLL) and hypertensive disease (2% PYLL).
During the period 1985-2000, CMCs observed an increase in mortality due to NCDs diseases, AIDS and assaults (homicides), the latter
two causes occurring particularly in the 15-44 year age group. Member states of the Caribbean Community participate in the Caribbean
Cooperation in Health, an initiative aimed at improving and sustaining the health of the people of the Caribbean. Phase II of this initiative
includes NCDs and AIDS as priority areas, but not intentional injures and violence. The latter two areas must also be considered as priority
areas in phase III of this initiative. Non-communicable diseases, AIDS, injuries and violence are often considered to be a manifestation of
lifestyle choices, though it must be recognized that choices are greatly affected by social, cultural and economic factors. The determinants
of these conditions are influenced by many sectors other than health. Thus, a multi-sectoral, long-term approach is necessary to reverse
the increasing mortality due to these conditions.
This publication will be useful for public health and medical practitioners, policy makers and researchers, both regionally and
internationally. I thank the many persons in our 21 CMCs who have contributed to collecting data for this publication – medical and
public health practitioners, mortality data coders, statisticians, epidemiologists, researchers, etc. I also thank the CAREC staff and
collaborating partners who have produced this publication.
Dr. C. James Hospedales
Director, CAREC
Page i
LIST OF ABBREVIATIONS
AIDS
Acquired Immunodeficiency Syndrome
CAREC
Caribbean Epidemiology Centre
CCHD
Caribbean Commission on Health and Development
CDC
Centre For Disease Control and Prevention
CMCs
CAREC Member Countries
CTC
CAREC Assigned Tabulation Code
HIV
Human Immunodeficiency Virus
NCD
Non-Communicable Diseases
PAHO
Pan American Health Organization
PYLL
Potential Years of Life Lost
WYLL
Working Years of Life Lost
ICD
International Classification of Disease
Page ii
NOTES TO TABLES
1.
Data Source: Data submitted to CAREC by Government institutions from the following 21 CAREC member countries:
Anguilla; Antigua and Barbuda; Aruba; Bahamas; Barbados; Belize; Bermuda; British Virgin Islands; Cayman islands; Dominica; Grenada;
Guyana; Jamaica; Montserrat; Netherland Antilles (Curaçao); St Kitts and Nevis; St Lucia; St Vincent and the Grenadines; Suriname;
Trinidad and Tobago; Turks and Caicos Islands
2.
Tables 3A-4D, 7A-7F and 9A-9D are a mixture of ICD 9 and ICD 10 PAHO Mortality Tabulation Listing. Please refer to Appendix C and/or
Appendix D for guidance when interpreting.
3.
Tables 3A-4D were ranked using the CAREC Ranking List in Appendix C.
4.
Table 9A - 9D are ordered using the CAREC Assigned Tabulation Code (CTC) in Appendix D
5.
Rates calculated using population figures for CMCs and expressed per 100,000 (see Appendix A and Appendix B)
6.
The ‘Total’ columns and/or rows for the ‘All Genders’ tables are inclusive of ‘unknown’ categories and as such, may not agree with the
sum ‘Total’ columns for the Age and Gender specific tables.
7.
Mortality data are not included for the following countries: Aruba for 1985, Bahamas for 1990, Curaçao for 1995 and 2000, Montserrat
for 1985 and Grenada for 1995 and 2000.
8.
Mortality data substitutions were made for the following countries: Bermuda - 1994 for 1995; Curaçao - 1987 for 1985; Jamaica - 1996
for 1995 and 1998 for 2000.
9.
Population substitutions were made for following countries: Belize - 1986 for 1985; Grenada 1984 for 1985; and Guyana 1984 for
1985.
Page iii
TABLE 1. SELECTED MORTALITY RATES: CAREC MEMBER COUNTRIES
1985 1990 1995 2000
1985
1990
1995
2000
Crude Death Rate per 100,000
634.9
625.2
683.6
652.0
Under 5 Mortality Rate per 100,000
559.8
469.2
488.7
425.9
Potential Years of Life Lost – <65 years [rate per 100,000]
511,235 [89.9]
446,035 [79.1]
531,000 [89.9]
522,775 [84.9]
Working Years of Life Lost – 15-65 years [rate per 100,000]
223,730 [63.1]
216,990 [60.1]
305,005 [78.6]
321,770 [77.3]
TABLE 2. AGE-SPECIFIC CRUDE MORTALITY RATES BY GENDER: CAREC MEMBER COUNTRIES
1985 1990 1995 2000
1985
AGE GROUP
1990
1995
2000
Male
Female
Both
Sexes
Male
Female
Both
Sexes
Male
Female
Both
Sexes
Male
Female
Both
Sexes
0-4
603.7
514.9
559.8
513.1
424.2
469.2
518.2
428.3
488.7
451.9
387.0
425.9
5-14
47.8
39.1
43.5
46.3
37.6
42.0
44.2
29.8
37.1
43.3
33.2
38.3
15-24
120.8
62.9
91.7
113.1
61.1
87.2
169.2
80.4
124.9
150.5
73.3
112.1
25-44
262.5
147.8
204.1
247.9
142.9
194.5
365.7
191.9
277.2
365.5
207.6
284.9
45-64
1251.1
889.6
1064.0
1164.8
819.0
988.0
1189.3
826.0
1005.2
1115.5
789.9
950.5
65+
6052.2
5173.0
5571.5
5695.2
5058.5
5348.7
6145.9
5181.1
5616.4
5745.2
4656.8
5146.8
Overall
682.4
588.4
634.9
664.0
587.0
625.2
750.1
614.9
683.6
719.6
583.9
652.0
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
Page 1
TABLE 3A. TEN LEADING CAUSES OF DEATH: ALL GENDERS – CAREC MEMBER COUNTRIES
1985 1990 1995 2000
1985
Rank
Cause of Death
1990
n
%
Rate
Cause of Death
1995
n
%
Rate
Cause of Death
2000
n
%
Rate
Cause of Death
n
%
Rate
1
Heart Disease
6504
16.9
107.2
Heart Disease
6629
17.5
109.5
Heart Disease
7206
16.7
114.0
Heart Disease
6764
15.7
102.5
2
Cerebrovascular diseases
4997
13.0
82.3
Cancers
4943
13.1
81.6
Cerebrovascular diseases
6056
14.0
95.8
Cancers
6301
14.6
95.5
3
Cancers
4924
12.8
81.1
Cerebrovascular diseases
4804
12.7
79.3
Cancers
5593
12.9
88.5
Cerebrovascular diseases
4286
10.0
64.9
4
Diabetes mellitus
2199
5.7
36.2
Diabetes mellitus
3025
8.0
50.0
Diabetes mellitus
3280
8.0
51.9
Diabetes mellitus
4264
10.0
64.6
5
Hypertensive Disease
1854
4.8
30.6
Hypertensive Disease
1869
4.9
30.9
Hypertensive Disease
1983
5.0
31.4
HIV disease (AIDS)
2624
6.0
39.8
6
Accidents
1543
4.0
25.4
Acute Respiratory Infections
1354
3.6
22.4
Accidents
1649
4.0
26.1
Hypertensive Disease
2596
6.0
39.3
7
Acute Respiratory Infections
1462
3.8
24.1
Accidents
1273
3.4
21.0
Acute Respiratory Infections
1506
3.0
23.8
Accidents
1524
4.0
23.1
8
Nutritional Deficiencies and
nutritional anemia
1016
2.6
16.7
Diseases of the Urinary System
896
2.4
14.8
HIV disease (AIDS)
1238
3.0
19.6
Assault (homicide)
1147
3.0
17.4
9
Diseases of the Urinary System
918
2.4
15.1
Nutritional Deficiencies and
nutritional anemia
703
1.9
11.6
Assault (homicide)
1190
3.0
18.8
Acute Respiratory Infections
1060
2.0
16.1
10
Intestinal infectious diseases
720
1.9
11.9
Intestinal infectious diseases
602
1.6
9.9
Diseases of the Urinary System
744
2.0
11.8
Chronic lower respiratory diseases
783
2.0
11.9
Symptoms, signs and ill-defined
Conditions
3280
8.5
Symptoms, signs and ill-defined
Conditions
3375
8.9
Symptoms, signs and ill-defined
Conditions
2094
4.8
Symptoms, signs and ill-defined
Conditions
1788
4.2
All Other Deaths
9109
23.6
All Other Deaths
8382
22.1
All Other Deaths
10680
24.7
All Other Deaths
9899
23.0
Total Deaths
38526
Total Deaths
37855
Total Deaths
43219
Total Deaths
43036
Note: Refer to CAREC ranking list (Appendix C) for details on the ICD9/ICD10 groupings used for the above as they may differ from those used in other listings
Page 2
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
TABLE 3B. TEN LEADING CAUSES OF DEATH: MALES – CAREC MEMBER COUNTRIES
1985 1990 1995 2000
1985
Rank
Cause of Death
1990
n
%
Rate
Cause of Death
1995
n
%
Rate
Cause of Death
2000
n
%
Rate
Cause of Death
n
%
Rate
1
Heart Disease
3493
17.1
116.5
Heart Disease
3480
17.5
115.9
Heart Disease
3717
15.8
118.9
Heart Disease
3607
15.3
110.4
2
Cancers
2576
12.6
85.9
Cancers
2591
13.0
86.3
Cancers
3013
12.8
96.4
Cancers
3396
14.5
104.0
3
Cerebrovascular diseases
2349
11.5
78.3
Cerebrovascular diseases
2192
11.0
73.0
Cerebrovascular diseases
2888
12.3
92.4
Cerebrovascular diseases
1987
8.5
60.8
4
Accidents
1140
5.6
38.0
Diabetes mellitus
1241
6.2
41.3
Diabetes mellitus
1379
5.9
44.1
Diabetes mellitus
1793
7.6
54.9
5
Diabetes mellitus
878
4.3
29.3
Accidents
952
4.8
31.7
Accidents
1229
5.2
39.3
HIV disease (AIDS)
1664
7.1
51.0
6
Hypertensive Disease
796
3.9
26.5
Hypertensive Disease
823
4.1
27.4
Assault (homicide)
1032
4.4
33.0
Hypertensive Disease
1154
4.9
35.3
7
Acute Respiratory Infections
755
3.7
25.2
Acute Respiratory Infections
710
3.6
23.6
Hypertensive Disease
867
3.7
27.7
Accidents
1132
4.8
34.7
8
Diseases of the Urinary System
578
2.8
19.3
Diseases of the Urinary System
569
2.9
18.9
HIV disease (AIDS)
835
3.6
26.7
Assault (homicide)
984
4.2
30.1
9
Nutritional Deficiencies and
nutritional anemia
556
2.7
18.5
Nutritional Deficiencies and
nutritional anemia
355
1.8
11.8
Acute Respiratory Infections
822
3.5
26.3
Acute Respiratory Infections
561
2.4
17.2
10
Intestinal infectious diseases
416
2.0
13.9
Intestinal infectious diseases
352
1.8
11.7
Diseases of the Urinary System
449
1.9
14.4
Chronic lower respiratory diseases
557
2.4
17.1
Symptoms, signs and ill-defined
Conditions
1607
7.9
Symptoms, signs and ill-defined
Conditions
1669
8.4
Symptoms, signs and ill-defined
Conditions
1094
4.7
Symptoms, signs and ill-defined
Conditions
948
4.0
All other male deaths
5320
26.0
All other male deaths
5005
25.1
All other male deaths
6129
26.1
All other male deaths
5717
24.3
23454
100
Total Deaths
Total Deaths
20464
Total Deaths
19939
Total Deaths
23500
Note: Refer to CAREC ranking list (Appendix C) for details on the ICD9/ICD10 groupings used for the above as they may differ from those used in other listings
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
Page 3
TABLE 3C. TEN LEADING CAUSES OF DEATH: FEMALES – CAREC MEMBER COUNTRIES
1985 1990 1995 2000
1985
Rank
Cause of Death
1990
n
%
Rate
Cause of Death
1995
n
%
Rate
Cause of Death
2000
n
%
Rate
Cause of Death
n
%
Rate
1
Heart Disease
3011
16.7
98.1
Heart Disease
3149
17.6
103.2
Heart Disease
3487
17.7
109.1
Heart Disease
3156
16.2
94.6
2
Cerebrovascular diseases
2648
14.7
86.3
Cerebrovascular diseases
2612
14.6
85.6
Cerebrovascular diseases
3168
16.1
99.1
Cancers
2901
14.9
87.0
3
Cancers
2348
13.0
76.5
Cancers
2352
13.1
77.1
Cancers
2580
13.1
80.7
Diabetes mellitus
2470
12.7
74.1
4
Diabetes mellitus
1321
7.3
43.0
Diabetes mellitus
1784
10.0
58.5
Diabetes mellitus
1901
9.7
59.5
Cerebrovascular diseases
2298
11.8
68.9
5
Hypertensive Disease
1058
5.9
34.5
Hypertensive Disease
1046
5.8
34.3
Hypertensive Disease
1116
5.7
34.9
Hypertensive Disease
1442
7.4
43.2
6
Acute Respiratory Infections
707
3.9
23.0
Acute Respiratory Infections
644
3.6
21.1
Acute Respiratory Infections
683
3.5
21.4
HIV disease (AIDS)
959
4.9
28.8
7
Nutritional Deficiencies and
nutritional anemia
460
2.5
15.0
Nutritional Deficiencies and
nutritional anemia
348
1.9
11.4
Accidents
418
2.1
13.1
Acute Respiratory Infections
498
2.6
14.9
8
Accidents
403
2.2
13.1
Diseases of the Urinary System
327
1.8
10.7
HIV disease (AIDS)
403
2.1
12.6
Accidents
385
2.0
11.5
9
Diseases of the Urinary System
340
1.9
11.1
Accidents
321
1.8
10.5
Septicimia, except Neonatal
343
1.7
10.7
Diseases of the nervous
System,except meningitis
336
1.7
10.1
10
Intestinal infectious diseases
304
1.7
9.9
Intestinal infectious diseases
250
1.4
8.2
Diseases of the nervous
System,except meningitis
295
1.5
9.2
Respiratory disorders specific to
the perinatal period
290
1.5
8.7
Symptoms, signs and ill-defined
Conditions
1673
9.3
Symptoms, signs and ill-defined
Conditions
1706
9.5
Symptoms, signs and ill-defined
Conditions
981
5.0
Symptoms, signs and ill-defined
Conditions
830
4.3
All other male deaths
3789
21.0
All other male deaths
3377
18.8
All other male deaths
4277
21.8
All other male deaths
3907
20.1
Total Deaths
18062
Total Deaths
17916
Total Deaths
19652
Total Deaths
19472
Note: Refer to CAREC ranking list (Appendix C) for details on the ICD9/ICD10 groupings used for the above as they may differ from those used in other listings
Page 4
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
TABLE 4A. TEN LEADING CAUSES OF DEATH BY AGE GROUP: CAREC MEMBER COUNTRIES
1985
Rank
0-4
05-14
Cause of Death
n
%
Rate
1
Nutritional Deficiencies and
nutritional anemia
496
12.2
8.2
2
Intestinal infectious diseases
453
11.2
3
Slow Fetal Growth, fetal
malnut., short gestation,
low birth weight.
403
4
Acute Respiratory Infection
5
Hypoxia, birth asphyxia and
other resp. conditions
6
Cause of Death
15-24
n
%
Rate
Accidents
121
19.6
2.0
7.5
Heart Disease
50
8.1
9.9
6.6
Diseases of the nervous
System, except meningitis
49
385
9.5
6.3
Cancers
365
9.0
6.0
Nutritional Deficiencies and
nutritional anemia
Congenital malformations,
deformations and
chromosomal abnormalities.
320
7.9
5.3
7
Accidents
128
3.2
8
Fetus & newborn affected by
obstetric complications, and
birth trauma
81
9
Heart Disease
10
Cause of Death
25-44
n
%
Rate
Accidents
269
22.1
4.4
0.8
Assault (homicide)
113
9.3
8.0
0.8
Cancers
80
43
7.0
0.7
Heart Disease
33
5.4
0.5
Diseases of the nervous
System, except meningitis
Congenital malformations,
deformations and
chromosomal abnormalities.
31
5.0
0.5
2.1
Acute Respiratory Infection
26
4.2
2.0
1.3
Intestinal infectious diseases
16
80
2.0
1.3
Cerebrovascular diseases
Diseases of the nervous
System, except meningitis
75
1.8
1.2
Symptoms, signs and illdefined Conditions
314
All other Deaths
958
Total Deaths
4058
Cause of Death
45-64
n
%
Rate
Accidents
464
15.3
7.6
1.9
Cancers
366
12.1
6.6
1.3
Heart Disease
337
73
6.0
1.2
Assault (homicide)
58
4.8
1.0
Cerebrovascular diseases
Intentional self-harm
(suicide)
43
3.5
0.7
0.4
Cerebrovascular diseases
31
2.5
2.6
0.3
Complications of pregnancy,
childbirth & puerperium
29
13
2.1
0.2
Diseases of the Urinary
System
Diseases of the Urinary
System
11
1.8
0.2
7.7
Symptoms, signs and illdefined conditions
52
23.6
All other Deaths
171
Total Deaths
616
Cause of Death
65+
n
%
Rate
Cancers
1535
19.7
25.3
6.0
Heart Disease
1510
19.3
11.1
5.6
Cerebrovascular diseases
1038
145
4.8
2.4
Diabetes mellitus
129
4.3
2.1
Hypertensive Disease
Diabetes mellitus
104
3.4
1.7
0.5
Cirrhosis and certain other
chronic diseases of liver
102
3.4
2.4
0.5
Diseases of the nervous
System, except meningitis
77
28
2.3
0.5
Diseases of the Urinary
System
Acute Respiratory Infection
27
2.2
0.4
8.4
Symptoms, signs and illdefined conditions
127
27.8
All other Deaths
338
Total Deaths
1216
Cause of Death
n
%
Rate
Heart Disease
4404
20.7
72.6
24.9
Cerebrovascular diseases
3713
17.4
61.2
13.3
17.1
Cancers
2849
13.4
46.9
698
8.9
11.5
Hypertensive Disease
1372
6.4
22.6
372
4.8
6.1
Diabetes mellitus
1368
6.4
22.5
Accidents
265
3.4
4.4
Acute Respiratory Infection
781
3.7
12.9
1.7
Cirrhosis and certain other
chronic diseases of liver
231
3.0
3.8
Diseases of the Urinary
System
575
2.7
9.5
2.5
1.3
Diseases of the Urinary
System
201
2.6
3.3
Atherosclerosis
430
2.0
7.1
77
2.5
1.3
Acute Respiratory Infection
147
1.9
2.4
Chronic & unspec.
bronchitis, emphysema &
Asthma
394
1.8
6.5
Acute Respiratory Infection
75
2.5
1.2
Chronic & unspec.
bronchitis, Emphysema &
Asthma
139
1.8
2.3
Nutritional Deficiencies and
Nutritional Anemia
309
1.4
5.1
10.4
Symptoms, signs and illdefined conditions
228
7.5
Symptoms, signs and illdefined conditions
394
5.0
Symptoms, signs and illdefined conditions
2041
9.6
27.8
All other Deaths
928
30.6
All other Deaths
1275
16.3
All other Deaths
3075
14.4
Total Deaths
3032
Total Deaths
7805
Total Deaths
21311
Note: Refer to CAREC ranking list (Appendix C) for details on the ICD9/ICD10 groupings used for the above as they may differ from those used in other listings
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
Page 5
TABLE 4B. TEN LEADING CAUSES OF DEATH BY AGE GROUP: CAREC MEMBER COUNTRIES
1990
0-4
Rank
Cause of Death
05-14
n
%
Rate
Cause of Death
15-24
n
%
Rate
Cause of Death
25-44
n
%
Rate
Cause of Death
45-64
n
%
Rate
Cause of Death
65+
n
%
Rate
Cause of Death
n
%
Rate
1
Slow Fetal Growth,
fetal malnutrition, short
gestation, low birth wt.
468
14.8
7.7
Accidents
126
22.1
2.1
Accidents
206
19.0
3.4
Cancers
419
13.2
6.9
Heart Disease
1483
20.3
24.5
Heart Disease
4552
20.6
75.2
2
Hypoxia, Birth Asphyxia and
other respiratory conditions
393
12.4
6.5
Diseases of the nervous
System, except Meningitis
51
9.0
0.8
Intentional self-harm
(suicide)
95
8.8
1.6
Accidents
336
10.6
5.5
Cancers
1389
19.0
22.9
Cerebrovascular diseases
3599
16.3
59.4
3
Intestinal infectious diseases
373
11.8
6.2
Cancers
44
7.7
0.7
Assault (homicide)
94
8.7
1.6
Heart Disease
331
10.4
5.5
Cerebrovascular diseases
952
13.0
15.7
Cancers
2934
13.3
48.5
4
Congenital malformations,
deformations and
chromosomal abnormalities
257
8.1
4.2
Acute Respiratory Infection
41
7.2
0.7
Heart Disease
79
7.3
1.3
Intentional self-harm
(suicide)
152
4.8
2.5
Diabetes mellitus
813
11.1
13.4
Diabetes Mellitus
2072
9.4
34.2
5
Nutritional Deficiencies and
Nutritional Anemia
246
7.8
4.1
Nutritional Deficiencies and
Nutritional Anemia
32
5.6
0.5
Cancers
58
5.4
1.0
Cerebrovascular diseases
151
4.8
2.5
Hypertensive Disease
333
4.6
5.5
Hypertensive Disease
1446
6.5
23.9
6
Acute Respiratory Infection
242
7.6
4.0
Heart Disease
31
5.4
0.5
Diseases of the nervous
System, except meningitis
53
4.9
0.9
Assault (homicide)
147
4.6
2.4
Accidents
219
3.0
3.6
Acute Respiratory Infection
838
3.8
13.8
7
Accidents
107
3.4
1.8
Intestinal infectious diseases
20
3.5
0.3
Nutritional Deficiencies and
Nutritional Anemia
35
3.2
0.6
Diabetes Mellitus
101
3.2
1.7
Diseases of the Urinary
System
190
2.6
3.1
Diseases of the Urinary
System
568
2.6
9.4
8
Heart Disease
78
2.5
1.3
Assault (homicide)
16
2.8
0.3
Diseases of the Urinary
System
28
2.6
0.5
HIV disease (AIDS)
96
3.0
1.6
Cirrhosis and certain other
chronic diseases of liver
186
2.5
3.1
Atherosclerosis
302
1.4
5.0
9
Fetus & newborn affected
by obstetric complications,
birth trauma
74
2.3
1.2
Congenital malformations,
deformations and
chromosomal abnormalities.
15
2.6
0.2
Acute Respiratory Infection
25
2.3
0.4
Diseases of the Nervous
System, except Meningitis
84
2.6
1.4
Acute Respiratory Infection
116
1.6
1.9
Chronic & unspec.
Bronchitis, Emphysema &
Asthma
278
1.3
4.6
10
Diseases of the Nervous
System, except meningitis
66
2.1
1.1
Cerebrovascular diseases
14
2.5
0.2
Cerebrovascular diseases
21
1.9
0.3
Acute Respiratory Infection
80
2.5
1.3
Chronic & unspec.
Bronchitis, Emphysema &
Asthma
98
1.3
1.6
Accidents
257
1.2
4.2
Symptoms, signs and illdefined conditions
216
6.8
Symptoms, signs and illdefined conditions
40
7.0
Symptoms, signs and illdefined conditions
84
7.8
Symptoms, signs and illdefined conditions
199
6.3
Symptoms, signs and illdefined conditions
412
5.6
Symptoms, signs and illdefined conditions
2341
10.6
All other Deaths
644
20.4
All other Deaths
139
24.4
All other Deaths
304
28.1
All other Deaths
1078
34.0
All other Deaths
1117
15.3
All other Deaths
2905
13.1
Total Deaths
3164
Total Deaths
569
Total Deaths
1082
Total Deaths
3174
Total Deaths
7308
Total Deaths
22092
Note: Refer to CAREC ranking list (Appendix C) for details on the ICD9/ICD10 groupings used for the above as they may differ from those used in other listings
Page 6
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
TABLE 4C. TEN LEADING CAUSES OF DEATH BY AGE GROUP: CAREC MEMBER COUNTRIES
1995
Rank
0-4
05-14
Cause of Death
n
%
Rate
1
Hypoxia, birth asphyxia and
other respiratory conditions
397
12.5
6.3
2
Intestinal infectious diseases
303
9.6
3
Respiratory disorders
specific to the perinatal
period
295
4
Congenital malformations,
deformations and
chromosomal abnormalities.
5
Cause of Death
15-24
n
%
Rate
Accidents
151
29.7
2.4
4.8
Cancers
38
7.5
9.3
4.7
Diseases of the nervous
System, except meningitis
32
284
9.0
4.5
Heart Disease
Slow Fetal Growth, fetal
malnut., short gestation,
low birth wt.
273
8.6
4.3
6
Acute Respiratory Infection
189
6.0
7
Accidents
103
8
Bacterial sepsis of newborn
9
10
Cause of Death
25-44
n
%
Rate
Assault (homicide)
311
20.7
4.9
0.6
Accidents
242
16.1
6.3
0.5
Intentional self-harm
(suicide)
116
29
5.7
0.5
Cancers
Assault (homicide)
28
5.5
0.4
3.0
Acute Respiratory Infection
21
4.1
3.3
1.6
Congenital malformations,
deformations and
chromosomal abnor.
20
74
2.3
1.2
HIV disease (AIDS)
Nutritional Deficiencies and
nutritional anemia
68
2.1
1.1
Diseases of the nervous
System, except meningitis
68
2.1
1.1
Symptoms, signs and illdefined Conditions
155
All other Deaths
959
Total Deaths
3168
Cause of Death
45-64
n
%
Rate
HIV disease (AIDS)
777
15.3
12.3
3.8
Assault (homicide)
565
11.1
7.7
1.8
Cancers
522
91
6.0
1.4
Accidents
HIV disease (AIDS)
89
5.9
1.4
0.3
Heart Disease
87
5.8
3.9
0.3
Diseases of the nervous
System, except meningitis
55
15
2.9
0.2
Acute Respiratory Infection
Intestinal infectious diseases
14
2.8
0.2
Nutritional Deficiencies and
nutritional anemia
12
2.4
0.2
4.9
Symptoms, signs and illdefined Conditions
17
30.3
All other Deaths
132
Total Deaths
509
Cause of Death
65+
n
%
Rate
Heart Disease
1588
18.7
25.1
8.9
Cancers
1467
17.3
10.3
8.3
Cerebrovascular diseases
1278
497
9.8
7.9
Diabetes mellitus
Heart Disease
427
8.4
6.8
1.4
Intentional self-harm
(suicide)
255
5.0
3.7
0.9
Cerebrovascular diseases
195
36
2.4
0.6
Acute Respiratory Infection
Diseases of the Urinary
System
25
1.7
0.4
Cerebrovascular diseases
23
1.5
0.4
3.3
Symptoms, signs and illdefined Conditions
82
25.9
All other Deaths
348
Total Deaths
1505
Cause of Death
n
%
Rate
Heart Disease
4928
20.9
77.9
23.2
Cerebrovascular diseases
4459
18.9
70.5
15.1
20.2
Cancers
3413
14.5
54.0
901
10.6
14.3
Diabetes mellitus
2202
9.4
34.8
Hypertensive Disease
353
4.2
5.6
Hypertensive Disease
1516
6.4
24.0
4.0
HIV disease (AIDS)
274
3.2
4.3
Acute Respiratory Infection
881
3.7
13.9
3.8
3.1
Accidents
257
3.0
4.1
Septicimia, except Neonatal
442
1.9
7.0
156
3.1
2.5
Cirrhosis and certain other
chronic diseases of liver
215
2.5
3.4
Diseases of the Urinary
System
430
1.8
6.8
Diabetes mellitus
138
2.7
2.2
Acute Respiratory Infection
183
2.2
2.9
Accidents
312
1.3
4.9
Diseases of the nervous
System, except meningitis
111
2.2
1.8
Diseases of the Urinary
System
173
2.0
2.7
Diseases of the nervous
System, except meningitis
309
1.3
4.9
5.4
Symptoms, signs and illdefined Conditions
182
3.6
Symptoms, signs and illdefined Conditions
253
3.0
Symptoms, signs and illdefined Conditions
1232
5.2
23.1
All other Deaths
1256
24.7
All other Deaths
1543
18.2
All other Deaths
3408
14.5
Total Deaths
5081
Total Deaths
8485
Total Deaths
23532
Note: Refer to CAREC ranking list (Appendix C) for details on the ICD9/ICD10 groupings used for the above as they may differ from those used in other listings
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
Page 7
TABLE 4D. TEN LEADING CAUSES OF DEATH BY AGE GROUP: CAREC MEMBER COUNTRIES
2000
0-4
Rank
Cause of Death
05-14
n
%
Rate
Cause of Death
15-24
n
%
Rate
Cause of Death
25-44
n
%
Rate
Cause of Death
45-64
n
%
Rate
Cause of Death
65+
n
%
Rate
Cause of Death
n
%
Rate
1
Respiratory disorders
specific to the perinatal
period
706
25.6
10.7
Accidents
115
22.3
1.7
Assault (homicide)
271
19.7
4.1
HIV disease (AIDS)
1624
28.8
24.6
Cancers
1795
19.8
27.2
Heart Disease
4631
20.2
70.2
2
Congenital malformations,
deformations and
chromosomal abnormalities
295
10.7
4.5
Cancers
45
8.7
0.7
Accidents
215
15.6
3.3
Assault (homicide)
576
10.2
8.7
Heart Disease
1556
17.2
23.6
Cancers
3728
16.3
56.5
3
Intestinal infectious diseases
252
9.1
3.8
HIV disease (AIDS)
44
8.5
0.7
HIV disease (AIDS)
189
13.7
2.9
Cancers
565
10.0
8.6
Diabetes mellitus
1346
14.8
20.4
Cerebrovascular diseases
3301
14.4
50.0
4
Slow Fetal Growth, fetal
malnut., short gestation,
low birth wt.
213
7.7
3.2
Diseases of the nervous
System, except meningitis
39
7.6
0.6
Heart Disease
78
5.7
1.2
Accidents
442
7.8
6.7
Cerebrovascular diseases
775
8.5
11.7
Diabetes mellitus
2699
11.8
40.9
5
Bacterial sepsis of newborn
130
4.7
2.0
Heart Disease
36
7.0
0.5
Cancers
75
5.5
1.1
Heart Disease
374
6.6
5.7
HIV disease (AIDS)
578
6.4
8.8
Hypertensive Disease
1914
8.3
29.0
6
HIV disease (AIDS)
107
3.9
1.6
Assault (homicide)
24
4.7
0.4
Intentional self-harm
(suicide)
61
4.4
0.9
Diabetes mellitus
172
3.0
2.6
Hypertensive Disease
549
6.1
8.3
Acute Respiratory Infection
733
3.2
11.1
7
Accidents
99
3.6
1.5
Septicimia, except Neonatal
19
3.7
0.3
Diseases of the nervous
System, except meningitis
38
2.8
0.6
Intentional self-harm
(suicide)
153
2.7
2.3
Accidents
269
3.0
4.1
Chronic lower respiratory
diseases
564
2.5
8.5
8
Acute Respiratory Infection
76
2.8
1.2
Acute Respiratory Infection
19
3.7
0.3
Certain Vector-borne
diseases and rabies
26
1.9
0.4
Cerebrovascular diseases
148
2.6
2.2
Diseases of the Urinary
System
190
2.1
2.9
Diseases of the Urinary
System
435
1.9
6.6
9
Diseases of the nervous
System,except meningitis
61
2.2
0.9
Congenital malformat
ions,deformations and
chromosomal abnormalities.
17
3.3
0.3
Cerebrovascular diseases
19
1.4
0.3
Diseases of the nervous
System,except meningitis
148
2.6
2.2
Cirrhosis and certain other
chronic diseases of liver
167
1.8
2.5
Septicimia, except Neonatal
360
1.6
5.5
10
Nutritional Deficiencies and
nutritional anemia
56
2.0
0.8
Meningitis
16
3.1
0.2
Meningitis
18
1.3
0.3
Hypertensive Disease
94
1.7
1.4
Diseases of the nervous
System,except meningitis
138
1.5
2.1
Diseases of the nervous
System,except meningitis
317
1.4
4.8
Symptoms, signs and illdefined Conditions
96
3.5
Symptoms, signs and illdefined Conditions
19
3.7
Symptoms, signs and illdefined Conditions
68
4.9
1.0
Symptoms, signs and illdefined Conditions
185
3.3
Symptoms, signs and illdefined Conditions
213
2.3
Symptoms, signs and illdefined Conditions
1075
4.7
All other Deaths
671
24.3
All other Deaths
123
23.8
All other Deaths
318
23.1
All other Deaths
1159
20.5
All other Deaths
1489
16.4
All other Deaths
3184
13.9
Total Deaths
2762
Total Deaths
516
Total Deaths
1376
Total Deaths
5640
Total Deaths
9065
Total Deaths
22941
Note: Refer to CAREC ranking list (Appendix C) for details on the ICD9/ICD10 groupings used for the above as they may differ from those used in other listings
Page 8
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
TABLE 5. DEATHS AND CRUDE MORTALITY RATES (PER 100,000 POPULATION) BY AGE GROUP AND GENDER FOR SELECTED DISEASES:
CAREC MEMBER COUNTRIES
1985 1990 1995 2000
1985
1990
1995
2000
Disease
Age
Group
n
rate
n
rate
n
rate
n
rate
n
rate
n
rate
n
rate
n
rate
n
rate
n
rate
n
rate
n
rate
HIV Disease (AIDS)
0-4
1
0.1
1
0
0
0
16
2.4
6
1.8
10
2.9
39
6
24
7.5
15
4.6
107
16.5
52
16.3
55
16.7
5-14
0
0
0
0
0
0
1
0.1
0
0
1
0.1
15
1.1
9
1.3
6
0.9
44
3.3
25
3.8
19
2.8
15-24
2
0.2
1
0
1
0.2
15
1.2
4
0.6
11
1.8
89
7.4
50
8.3
39
6.5
189
15.4
107
17.5
82
13.3
25-44
8
0.5
1
0
7
1
96
5.9
25
3
71
8.8
777
42.4
240
25.7
537
59.8
1624
82
574
56.8
1050
108.4
45-64
1
0.1
0
0
1
0.3
31
4.2
4
1.1
27
7.5
274
32.5
68
15.9
206
49.5
578
60.6
176
36.4
402
85.6
65+
1
0.3
0
0
1
0.6
3
0.7
1
0.4
2
1.1
34
8.1
10
4.3
24
12.7
67
15
17
6.9
49
24.5
Total
13
0.2
3
0.0
10
0.3
162
2.7
40
1.3
122
4.1
1238
19.6
403
12.6
835
26.7
2624
39.8
959
28.8
1664
51.0
0-4
385
53.1
193
54
192
52.4
242
35.9
108
32.4
134
39.3
189
29.2
77
24.1
111
33.8
76
11.7
33
10.4
42
12.7
Acute Respiratory
Infections (ARI)
Hypertensive
Disease
Total
Female
Male
Total
Female
Male
Total
Female
Male
Total
Female
Male
5-14
26
1.8
15
2
11
1.5
41
3
25
3.7
16
2.3
21
1.5
9
1.3
12
1.7
19
1.4
9
1.4
10
1.5
15-24
27
2
11
2
16
2.4
25
2
13
2.1
12
1.9
36
3
13
2.2
23
3.8
14
1.1
6
1
8
1.3
25-44
75
5
28
4
47
6.4
80
4.9
29
3.5
51
6.4
156
8.5
64
6.8
92
10.2
70
3.5
29
2.9
41
4.2
45-64
147
20
50
13
97
27.4
116
15.7
43
11.4
73
20.2
183
21.7
69
16.1
114
27.4
132
13.8
47
9.7
85
18.1
65+
781
204.2
400
191
381
219.8
838
202.9
419
186.4
419
222.6
881
210.3
435
188.9
446
236.4
733
164.4
370
150.7
363
181.3
Total
1462
24.1
707
23.0
755
25.2
1354
22.4
644
21.1
710
23.6
1506
23.8
683
21.4
822
26.3
1060
16.1
498
14.9
561
17.2
0-4
14
1.9
13
4
1
0.3
2
0.3
0
0
2
0.6
0
0
0
0
0
0
2
0.3
0
0
2
0.6
5-14
2
0.1
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0.2
0
0
3
0.4
15-24
5
0.4
2
0
3
0.5
7
0.6
3
0.5
4
0.6
7
0.6
5
0.8
2
0.3
10
0.8
4
0.7
6
1
25-44
64
4.3
28
4
36
4.9
54
3.3
29
3.5
25
3.1
76
4.1
34
3.6
42
4.7
94
4.7
54
5.3
40
4.1
45-64
372
50.7
188
50
184
52
333
45
161
42.6
172
47.6
353
41.8
156
36.4
197
47.4
549
57.6
277
57.2
272
57.9
65+
1372
358.7
812
388
560
323
1446
350.1
840
373.7
606
321.9
1516
361.8
904
392.5
612
324.4
1914
429.4
1095
446
819
409.1
Total
1854
30.6
1058
35.0
796
26.5
1869
30.9
1046
34.3
823
27.4
1983
31.4
1116
34.9
867
27.7
2596
39.3
1442
43.2
1154
35.3
.../Cont’d Page 10
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
Page 9
TABLE 5 (Cont’d). DEATHS AND CRUDE MORTALITY RATES (PER 100,000 POPULATION) BY AGE GROUP AND GENDER FOR SELECTED DISEASES:
CAREC MEMBER COUNTRIES
1985 1990 1995 2000
Disease
Cerebrovascular
Diseases
Heart Disease
Assault (Homicide)
Age
Group
1985
Total
1990
Female
Male
Total
1995
Female
Male
Total
2000
Female
Male
Total
Female
Male
n
rate
n
rate
n
rate
n
rate
n
rate
n
rate
n
rate
n
rate
n
rate
n
rate
n
rate
n
rate
0-4
36
5
18
5
18
4.9
18
2.7
8
2.4
10
2.9
11
1.7
6
1.9
5
1.5
6
0.9
2
0.6
4
1.2
5-14
13
0.9
7
1
6
0.8
14
1
10
1.5
4
0.6
3
0.2
2
0.3
1
0.1
5
0.4
4
0.6
1
0.1
15-24
31
2.3
11
2
20
3
21
1.7
7
1.1
14
2.2
23
1.9
12
2
11
1.8
19
1.5
7
1.1
12
1.9
25-44
129
8.7
54
7
75
10.3
151
9.3
66
8
85
10.6
195
10.6
83
8.9
112
12.5
148
7.5
64
6.3
84
8.7
45-64
1038
141.5
480
127
558
157.6
952
128.7
434
114.8
518
143.2
1278
151.4
570
133.1
708
170.2
775
81.3
343
70.9
432
92
65+
3713
970.7
2054
982
1659
956.9
3599
871.3
2056
914.6
1543
819.7
4459
1064.2
2451
1064.1
2008
1064.4
3301
740.6
1864
759.2
1436
717.2
Total
4997
82.3
2648
86.0
2349
78.3
4804
79.3
2612
85.6
2192
73
6056
95.8
3168
99.1
2888
92.4
4286
64.9
2298
68.9
1987
60.8
0-4
80
11
48
13
32
8.7
78
11.6
35
10.5
43
12.6
35
5.4
18
5.6
17
5.2
26
4
15
4.7
11
3.3
5-14
50
3.5
22
3
28
3.9
31
2.3
21
3.1
10
1.5
29
2.1
13
1.9
16
2.3
36
2.7
18
2.7
18
2.6
15-24
73
5.5
36
5
37
5.6
79
6.4
37
6
42
6.7
87
7.2
47
7.8
40
6.6
78
6.4
34
5.6
44
7.1
25-44
337
22.7
142
19
195
26.7
331
20.3
125
15.1
206
25.7
427
23.3
186
19.9
241
26.8
374
18.9
152
15
222
22.9
45-64
1510
205.9
565
149
945
266.9
1483
200.5
559
147.9
924
255.5
1588
188.1
665
155.3
923
221.9
1556
163.2
573
118.4
983
209.3
65+
4404
1151.4
2175
1040
2229
1285.6
4552
1102.1
2336
1039.1
2216
1177.3
4928
1176.2
2508
1088.8
2419
1282.3
4631
1039
2334
950.7
2296
1146.8
Total
6504
107.2
3011
98.0
3493
116.5
6629
109.5
3149
103.2
3480
115.9
7206
114.0
3487
109.1
3717
118.9
6764
102.5
3156
94.6
3607
110.4
0-4
10
1.4
4
1
6
1.6
8
2.5
9
2.4
0
2.6
19
2.9
8
2.5
11
3.3
12
1.9
4
1.3
8
2.4
5-14
10
0.7
2
0
8
1.1
2
1.2
14
0.3
0
2
28
2
7
1
21
3
24
1.8
8
1.2
16
2.3
15-24
113
8.5
18
3
95
14.4
15
7.6
79
2.4
0
12.7
311
25.8
27
4.5
284
47.1
271
22.1
26
4.3
245
39.8
25-44
145
9.8
23
3
122
16.7
26
9
121
3.1
0
15.1
565
30.8
74
7.9
490
54.6
576
29.1
78
7.7
497
51.3
45-64
42
5.7
8
2
34
9.6
11
6.6
38
2.9
0
10.5
132
15.6
29
6.8
103
24.8
134
14.1
19
3.9
115
24.5
65+
32
8.4
10
5
22
12.7
10
6.8
18
4.4
0
9.6
45
10.7
9
3.9
36
19.1
69
15.5
23
9.4
46
23
Total
358
5.9
66
2.0
292
9.7
74
5.9
281
2.4
0
9.4
1190
18.8
156
4.9
1032
33.0
1147
17.4
160
4.8
984
30.1
.../Cont’d Page 11
Page 10
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
TABLE 5 (Cont’d). DEATHS AND CRUDE MORTALITY RATES (PER 100,000 POPULATION) BY AGE GROUP AND GENDER FOR SELECTED DISEASES:
CAREC MEMBER COUNTRIES
1985 1990 1995 2000
Disease
Diabetes Mellitus
Age
Group
1985
Total
1990
Female
Male
Total
1995
Female
Male
Total
2000
Female
Male
Total
Female
Male
n
rate
n
rate
n
rate
n
rate
n
rate
n
rate
n
rate
n
rate
n
rate
n
rate
n
rate
n
rate
0-4
2
0.3
1
0
1
0.3
4
0.6
2
0.6
2
0.6
3
0.5
0
0
3
0.9
4
0.6
4
1.3
0
0
5-14
3
0.2
3
0
0
0
1
0.1
1
0.1
0
0
1
0.1
1
0.1
0
0
3
0.2
2
0.3
1
0.1
15-24
12
0.9
7
1
5
0.8
8
0.6
5
0.8
3
0.5
11
0.9
7
1.2
4
0.7
13
1.1
8
1.3
5
0.8
25-44
104
7
48
6
56
7.7
101
6.2
60
7.2
41
5.1
138
7.5
69
7.4
69
7.7
172
8.7
92
9.1
80
8.3
45-64
698
95.2
397
105
301
85
813
109.9
463
122.5
350
96.8
901
106.7
484
113
417
100.3
1346
141.1
751
155.2
595
126.7
65+
1368
357.6
860
411
508
293
2072
501.6
1238
550.7
834
443.1
2202
525.6
1321
573.5
881
467
2699
605.5
1600
651.7
1099
548.9
Total
2199
36.2
1321
43.0
878
29.3
3025
50.0
1784
58.5
1241
41.3
3280
51.9
1901
59.5
1379
44.1
4264
64.6
2470
74.1
1793
54.9
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
Page 11
TABLE 6. POTENTIAL YEARS OF LIFE LOST (PYLL) AND PYLL RATE (PER 100,000) BY AGE GROUP AND GENDER FOR SELECTED DISEASES:
CAREC MEMBER COUNTRIES
1985 1990 1995 2000
Disease Group
Hiv Disease (AIDS
Age Group
0-4
5-14
15-24
25-44
45-64
Total
Acute Respirtory Infections (ARI)
0-4
5-14
15-24
25-44
45-64
Total
1985
1990
1995
2000
Total
Female
Male
Total
Female
Male
Total
Female
Male
Total
Female
Male
PYLL
63
63
0
1000
375
625
2438
1500
938
6688
3250
3438
Rate
8.6
17.4
0.0
148.3
112.6
183.1
376.0
469.7
285.1
1031.2
1020.9
1041.3
PYLL
0
0
0
55
0
55
825
495
330
2420
1375
1045
Rate
0.0
0.0
0.0
4.1
0.0
8.0
60.1
72.7
47.7
179.7
206.8
153.3
PYLL
90
45
45
675
180
495
4005
2250
1755
8505
4815
3690
Rate
6.8
6.8
6.8
54.4
29.2
79.4
332.3
373.8
290.8
693.0
787.5
599.2
PYLL
240
30
210
2880
750
2130
23310
7200
16110
48720
17220
31500
Rate
16.2
4.0
28.8
176.5
90.5
265.3
1271.9
770.3
1794.1
2461.5
1703.6
3252.5
PYLL
10
0
10
310
40
270
2740
680
2060
5780
1760
4020
Rate
1.4
0.0
2.8
41.9
10.6
74.7
324.6
158.8
495.3
606.1
363.7
855.8
PYLL
403
138
265
4920
1345
3575
33318
12125
21193
72113
28420
43693
Rate
7.1
4.8
9.4
87.2
47.6
127.0
564.4
408.9
721.3
1171.6
919.9
1425.2
PYLL
24063
12063
12000
15125
6750
8375
11813
4813
6938
6688
3250
3438
Rate
3319.5
3364.7
3275.3
2242.9
2026.6
2454.0
1822.3
1506.8
2109.6
732.5
647.8
795.1
PYLL
1430
825
605
2255
1375
880
1155
495
660
2420
1375
1045
Rate
101.0
117.8
84.5
166.4
205.2
128.4
84.1
72.7
95.4
77.6
74.4
80.7
PYLL
1215
495
720
1125
585
540
1620
585
1035
630
270
360
Rate
91.6
74.3
109.1
90.7
94.8
86.6
134.4
97.2
171.5
51.3
44.2
58.5
PYLL
2250
840
1410
2400
870
1530
4680
1920
2760
2100
870
1230
Rate
151.5
111.1
193.3
147.1
105.0
190.6
255.4
205.4
307.4
106.1
86.1
127.0
PYLL
9555
3250
6305
7540
2795
4745
11895
4485
7410
8580
3055
5525
Rate
1302.6
856.4
1781.0
1019.4
739.3
1312.1
1409.1
1047.4
1781.5
899.7
631.2
1176.2
PYLL
38513
17473
21040
28445
12375
16070
31163
12298
18803
17105
6753
10290
Rate
677.3
610.9
744.6
504.2
437.7
571.0
527.9
414.7
639.9
277.9
218.6
335.6
.../Cont’d Page 13
Page 12
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
TABLE 6 (Cont’d). POTENTIAL YEARS OF LIFE LOST (PYLL) AND PYLL RATE (PER 100,000) BY AGE GROUP AND GENDER FOR SELECTED DISEASES:
CAREC MEMBER COUNTRIES
1985 1990 1995 2000
Disease
Hypertensive Disease
Age Group
0-4
5-14
15-24
25-44
45-64
Total
Cerebrovascular Disease
0-4
5-14
15-24
25-44
45-64
Total
1985
1990
1995
2000
Total
Female
Male
Total
Female
Male
Total
Female
Male
Total
Female
Male
PYLL
910
845
65
130
0
130
0
0
0
130
0
130
Rate
125.5
235.7
17.7
19.3
0.0
38.1
0.0
0.0
0.0
20.0
0.0
39.4
PYLL
110
110
0
0
0
0
0
0
0
165
0
165
Rate
7.8
15.7
0.0
0.0
0.0
0.0
0.0
0.0
0.0
12.3
0.0
24.2
PYLL
225
90
135
315
135
180
315
225
90
450
180
270
Rate
17.0
13.5
20.5
25.4
21.9
28.9
26.1
37.4
14.9
36.7
29.4
43.8
PYLL
1920
840
1080
1620
870
750
2280
1020
1260
2820
1620
1200
Rate
129.3
111.1
148.0
99.3
105.0
93.4
124.4
109.1
140.3
142.5
160.3
123.9
PYLL
3720
1880
1840
3330
1610
1720
3530
1560
1970
5490
2770
2720
Rate
507.1
495.4
519.7
450.2
425.9
475.6
418.2
364.3
473.6
575.7
572.3
579.1
PYLL
6885
3765
3120
5395
2615
2780
6125
2805
3320
9055
4570
4485
Rate
121.1
131.6
110.4
95.6
92.5
98.8
103.7
94.6
113.0
147.1
147.9
146.3
PYLL
2250
1125
1125
1125
500
625
687.5
375
312.5
375
125
250
Rate
310.4
313.8
307.1
166.8
150.1
183.1
106.1
117.4
95.0
57.8
39.3
75.7
PYLL
715
385
330
770
550
220
165
110
55
275
220
55
Rate
50.5
55.0
46.1
56.8
82.1
32.1
12.0
16.1
7.9
20.4
33.1
8.1
PYLL
1395
495
900
945
315
630
1035
540
495
855
315
540
Rate
105.2
74.3
136.4
76.2
51.1
101.0
85.9
89.7
82.0
69.7
51.5
87.7
PYLL
3870
1620
2250
4530
1980
2550
5850
2490
3360
4440
1920
2520
Rate
260.5
214.3
308.4
277.6
238.9
317.7
319.2
266.4
374.2
224.3
189.9
260.2
PYLL
10380
4800
5580
9520
4340
5180
12780
5700
7080
7750
3430
4320
Rate
1415.1
1264.8
1576.2
1287.1
1148.0
1432.4
1514.0
1331.1
1702.1
812.6
708.7
919.7
PYLL
18610
8425
10185
16890
7685
9205
20517.5
9215
11302.5
13695
6010
7685
Rate
327.3
294.5
360.4
299.4
271.8
327.0
347.5
310.7
384.7
222.5
194.5
250.7
.../Cont’d Page 14
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
Page 13
TABLE 6 (Cont’d). POTENTIAL YEARS OF LIFE LOST (PYLL) AND PYLL RATE (PER 100,000) BY AGE GROUP AND GENDER FOR SELECTED DISEASES:
CAREC MEMBER COUNTRIES
1985 1990 1995 2000
Disease
Heart Disease
Age Group
0-4
5-14
15-24
25-44
45-64
Total
Assault (Homicide)
0-4
5-14
15-24
25-44
45-64
Total
1985
1990
1995
2000
Total
Female
Male
Total
Female
Male
Total
Female
Male
Total
Female
Male
PYLL
5000
3000
2000
4875
2188
2688
2188
1125
1063
1625
938
688
Rate
689.8
836.8
545.9
722.9
656.8
787.5
337.5
352.2
323.1
250.6
294.5
208.3
PYLL
2750
1210
1540
1705
1155
550
1595
715
880
1980
990
990
Rate
194.2
172.8
215.2
125.8
172.3
80.3
116.1
105.0
127.2
147.0
148.9
145.3
PYLL
3285
1620
1665
3555
1665
1890
3915
2115
1800
3510
1530
1980
Rate
247.7
243.2
252.3
286.6
269.9
303.1
324.8
351.4
298.3
286.0
250.2
321.5
PYLL
10110
4260
5850
9930
3750
6180
12810
5580
7230
11220
4560
6660
Rate
680.6
563.6
801.8
608.6
452.5
769.9
699.0
597.0
805.2
566.9
451.1
687.7
PYLL
15100
5650
9450
14830
5590
9240
15880
6650
9230
15560
5730
9830
Rate
2058.6
1488.8
2669.4
2005.0
1478.7
2555.2
1881.2
1553.0
2219.0
1631.6
1184.0
2092.7
PYLL
36245
15740
20505
34895
14348
20548
36388
16185
20203
33895
13748
20148
Rate
637.4
550.3
725.7
618.5
507.5
730.0
616.4
545.8
687.6
550.7
445.0
657.2
PYLL
625
250
375
1063
500
563
1187.5
500
687.5
750
250
500
Rate
86.2
69.7
102.4
74.1
168.9
0.0
183.2
156.6
209.1
115.7
78.5
151.5
PYLL
550
110
440
880
110
770
1540
385
1155
1320
440
880
Rate
38.8
15.7
61.5
8.1
114.9
0.0
112.1
56.5
166.9
98.0
66.2
129.1
PYLL
5085
810
4275
4230
675
3555
13995
1215
12780
12195
1170
11025
Rate
383.5
121.6
647.8
54.4
576.2
0.0
1161.1
201.9
2117.9
993.7
191.4
1790.3
PYLL
4350
690
3660
4410
780
3630
16950
2220
14700
17280
2340
14910
Rate
292.8
91.3
501.6
47.8
438.0
0.0
924.9
237.5
1637.0
873.0
231.5
1539.5
PYLL
420
80
340
490
110
380
1320
290
1030
1340
190
1150
Rate
57.3
21.1
96.0
14.9
100.5
0.0
156.4
67.7
247.6
140.5
39.3
244.8
PYLL
9855
1580
8275
11073
2175
8898
32265
3725
28510
30815
3700
27085
Rate
173.3
55.2
292.9
196.3
267.6
0.0
546.5
125.6
970.3
500.6
119.8
883.5
.../Cont’d Page 15
Page 14
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
TABLE 6 (Cont’d). POTENTIAL YEARS OF LIFE LOST (PYLL) AND PYLL RATE (PER 100,000) BY AGE GROUP AND GENDER FOR SELECTED DISEASES:
CAREC MEMBER COUNTRIES
1985 1990 1995 2000
Disease
Diabetes Mellitus
Age Group
0-4
5-14
15-24
25-44
45-64
Total
1985
1990
1995
2000
Total
Female
Male
Total
Female
Male
Total
Female
Male
Total
Female
Male
PYLL
125
63
63
250
125
125
188
0
188
250
250
0
Rate
17.2
17.4
17.1
37.1
37.5
36.6
28.9
0.0
57.0
38.6
78.5
0.0
PYLL
165
165
0
55
55
0
55
55
0
165
110
55
Rate
11.7
23.6
0.0
4.1
8.2
0.0
4.0
8.1
0.0
12.3
16.5
8.1
PYLL
540
315
225
360
225
135
495
315
180
585
360
225
Rate
40.7
47.3
34.1
29.0
36.5
21.6
41.1
52.3
29.8
47.7
58.9
36.5
PYLL
3120
1440
1680
3030
1800
1230
4140
2070
2070
5160
2760
2400
Rate
210.0
190.5
230.3
185.7
217.2
153.2
225.9
221.5
230.5
260.7
273.0
247.8
PYLL
6980
3970
3010
8130
4630
3500
9010
4840
4170
13460
7510
5950
Rate
951.6
1046.1
850.2
1099.1
1224.7
967.9
1067.3
1130.3
1002.5
1411.4
1551.7
1266.7
PYLL
10640
5725
4915
11520
6655
4865
13645
7225
6420
19205
10630
8575
Rate
187.1
200.2
173.9
204.2
235.4
172.9
231.1
243.6
218.5
312.0
344.1
279.7
Note: The PYLL is calculated for those under 65 years – Refer to Appendix B for formula
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
Page 15
TABLE 7A. CAUSES OF DEATH DUE TO COMMUNICABLE DISEASES: CAREC MEMBER COUNTRIES
1985 1990 1995 2000
Rank
1985
Cause of Death
1990
n
%
Rate
Cause of Death
1995
n
%
Rate
Cause of Death
2000
n
%
Rate
Cause of Death
n
%
Rate
1
Acute Respiratory Infections
1462
48.4
24.1
Acute Respiratory Infections
1354
45.7
22.4
Acute Respiratory Infections
1506
33.3
23.8
HIV disease (AIDS)
2624
49.2
39.8
2
Intestinal infectious diseases
720
23.8
11.9
Intestinal infectious diseases
602
20.3
9.9
HIV disease (AIDS)
1238
27.4
19.6
Acute Respiratory Infections
1060
19.9
16.1
3
Septicimia, except Neonatal
336
11.1
5.5
Septicimia, except Neonatal
386
13.0
6.4
Septicimia, except Neonatal
638
14.1
10.1
Septicimia, except Neonatal
564
10.6
8.5
4
Meningitis
136
4.5
2.2
HIV disease (AIDS)
162
5.5
2.7
Intestinal infectious diseases
588
13.0
9.3
Intestinal infectious diseases
375
7.0
5.7
5
Tuberculosis
121
4.0
2.0
Meningitis
140
4.7
2.3
Tuberculosis
145
3.2
2.3
Tuberculosis
226
4.2
3.4
6
Certain diseases preventable by
42
1.4
0.7
Tuberculosis
103
3.5
1.7
Meningitis
129
2.9
2.0
Meningitis
158
3.0
2.4
13
0.4
0.2
Certain Vector-borne Diseases
33
1.1
0.5
Certain Vector-borne Diseases
43
1.0
0.7
Certain Vector-borne diseases
114
2.1
1.7
11
0.2
0.2
0
0.0
0.0
198
3.7
3.0
immunization
7
HIV disease (AIDS)
and rabies
8
Certain Vector-borne Diseases
5
0.2
0.1
Certain Vector-borne diseases
28
0.9
0.5
and rabies
9
Certain Vector-borne diseases
0
0.0
0.0
and rabies
10
Other infectious & parasitic
184
6.1
3.0
Other infectious & parasitic
0
Total
0.6
0.4
0.0
0.0
Certain diseases preventable by
Certain diseases preventable by
immunization
14
0.3
0.2
Certain Vector-borne Diseases
187
4.1
3.0
Other infectious & parasitic
immunization
157
diseases
3019
28
and rabies
and rabies
diseases
Total
Certain Vector-borne diseases
Certain Vector-borne diseases
5.3
2.6
Other infectious & parasitic
diseases
2965
Total
diseases
4516
Total
5330
Note: Refer to Appendix D for details on the ICD9/ICD10 classifications used for the above as they may differ from those used in other listings
Page 16
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
TABLE 7B. CAUSES OF DEATH DUE TO NEOPLASMS: CAREC MEMBER COUNTRIES
1985 1990 1995 2000
Rank
1985
Cause of Death
1990
n
%
Rate
Cause of Death
1995
n
%
Rate
Cause of Death
2000
n
%
Rate
Cause of Death
n
%
Rate
1
Malignant neoplasm of digestive
organs & peritoneum, except
stomach and colon
830
16.4
13.7
Malignant neoplasm of digestive
organs & peritoneum, except
stomach and colon
673
13.3
11.1
Malignant Neoplasm of prostate
877
15.3
13.9
Malignant Neoplasm of prostate
1001
15.5
15.2
2
Malignant neoplasm of Stomach
659
13.0
10.9
Malignant Neoplasm of prostate
613
12.1
10.1
Malignant neoplasm of digestive
organs & peritoneum, except
stomach and colon
824
14.4
13.0
Malignant neoplasm of digestive
organs & peritoneum, except
stomach and colon
877
13.6
13.3
3
Malignant Neoplasm of prostate
503
9.9
8.3
Malignant neoplasm of Stomach
571
11.2
9.4
Malignant neoplasm of
trachea,bronchus and lung
564
9.8
8.9
Malignant neoplasm of
trachea,bronchus and lung
635
9.8
9.6
4
Malignant neoplasm of
trachea,bronchus and lung
460
9.1
7.6
Malignant neoplasm of
trachea,bronchus and lung
499
9.8
8.2
Malignant neoplasm of Stomach
498
8.7
7.9
Malignant neoplasm of female
breast
571
8.8
8.7
5
Malignant neoplasm of uterus
454
9.0
7.5
Malignant neoplasm of uterus
493
9.7
8.1
Malignant neoplasm of female
breast
475
8.3
7.5
Malignant neoplasm of uterus
540
8.4
8.2
6
Malignant neoplasm of female
breast
412
8.1
6.8
Malignant neoplasm of female
breast
463
9.1
7.6
Malignant neoplasm of uterus
457
8.0
7.2
Malignant neoplasm of lymphoid
other hematopoietic and related
tissue
514
8.0
7.8
7
Malignant neoplasm of lymphoid
other hematopoietic and related
tissue
350
6.9
5.8
Malignant neoplasm of lymphoid
other hematopoietic and related
tissue
407
8.0
6.7
Malignant neoplasm of lymphoid
other hematopoietic and related
tissue
428
7.5
6.8
Malignant neoplasm of Stomach
486
7.5
7.4
8
Malignant neoplasm of other
genitourinary organs
307
6.1
5.1
Malignant neoplasm of colon and
recto-sigmoid junction
294
5.8
4.9
Malignant neoplasm of colon and
recto-sigmoid junction
329
5.7
5.2
Malignant neoplasm of colon and
recto-sigmoid junction
378
5.8
5.7
9
Malignant neoplasm of colon and
recto-sigmoid junction
270
5.3
4.4
Malignant neoplasm of other
genitourinary organs
293
5.8
4.8
Malignant neoplasm of other
genitourinary organs
271
4.7
4.3
Malignant neoplasm of other
genitourinary organs
325
5.0
4.9
10
Malignant neoplasm of respiratory
and intra-thoracic organ
75
1.5
1.2
Malignant neoplasm of respiratory
and intra-thoracic organ
70
1.4
1.2
Malignant neoplasm of respiratory
and intra-thoracic organ
63
1.1
1.0
Malignant neoplasm of respiratory
and intra-thoracic organ
81
1.3
1.2
Malignant neoplasm of other and
unspecfied sites
604
12
10.0
Malignant neoplasm of other and
unspecfied sites
567
11
9.4
Malignant neoplasm of other and
unspecfied sites
807
14
12.7
Malignant neoplasm of other and
unspecfied sites
893
14
13.5
Benign carcinoma in situ and
neoplasms of uncertain behaviour
138
2.7
2.3
Benign carcinoma in situ and
neoplasms of uncertain behaviour
133
2.6
2.2
Benign carcinoma in situ and
neoplasms of uncertain behaviour
94
1.6
1.5
Carcinoma in situ, benign neoplasms
and neoplasms of uncertain or
unknown behaviour
159
2.5
2.4
0
0.0
0.0
Carcinoma in situ, benign neoplasms
and neoplasms of uncertain or
unknown behaviour
0
0.0
0.0
Carcinoma in situ, benign neoplasms
and neoplasms of uncertain or
unknown behaviour
39
0.7
0.6
Benign carcinoma in situ and
neoplasms of uncertain behaviour
2
0.0
0.0
Carcinoma in situ, benign neoplasms
and neoplasms of uncertain or
unknown behaviour
Total
5062
Total
5076
Total
5726
Total
6462
Note: Refer to Appendix D for details on the ICD9/ICD10 classifications used for the above as they may differ from those used in other listings
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
Page 17
TABLE 7Bi. CAUSES OF DEATH DUE TO NEOPLASMS – MALES: CAREC MEMBER COUNTRIES
1985 1990 1995 2000
Rank
1985
Cause of Death
1990
n
%
Rate
Cause of Death
1995
n
%
Rate
Cause of Death
2000
n
%
Rate
Cause of Death
n
%
Rate
1
Malignant neoplasm of prostate
503
19.0
16.8
Malignant neoplasm of prostate
613
23.0
20.4
Malignant neoplasm of prostate
877
28.6
28.0
Malignant neoplasm of prostate
1001
28.9
30.6
2
Malignant neoplasm of digestive
organs & peritoneum, execpt
stomach and colon
459
17.4
15.3
Malignant neoplasm of
trachea,bronchus and lung
383
14.4
12.8
Malignant neoplasm of digestive
organs & peritoneum, execpt
stomach and colon
443
14.5
14.2
Malignant neoplasm of other and
unspecfied sites
484
14.0
14.8
3
Malignant neoplasm of Stomach
433
16.4
14.4
Malignant neoplasm of digestive
organs & peritoneum, execpt
stomach and colon
375
14.1
12.5
Malignant neoplasm of other and
unspecfied sites
439
14.3
14.0
Malignant neoplasm of digestive
organs & peritoneum, execpt
stomach and colon
484
14.0
14.8
4
Malignant neoplasm of
trachea,bronchus and lung
335
12.7
11.2
Malignant neoplasm of Stomach
367
13.8
12.2
Malignant neoplasm of
trachea,bronchus and lung
414
13.5
13.2
Malignant neoplasm of
trachea,bronchus and lung
481
13.9
14.7
5
Malignant neoplasm of other and
unspecfied sites
319
12.1
10.6
Malignant neoplasm of other and
unspecfied sites
316
11.9
10.5
Malignant neoplasm of Stomach
295
9.6
9.4
Malignant neoplasm of Stomach
294
8.5
9.0
6
Malignant neoplasm of lymphoid
other hematopoietic and related
tissue
193
7.3
6.4
Malignant neoplasm of lymphoid
other hematopoietic and related
tissue
211
7.9
7.0
Malignant neoplasm of lymphoid
other hematopoietic and related
tissue
243
7.9
7.8
Malignant neoplasm of lymphoid
other hematopoietic and related
tissue
290
8.4
8.9
7
Malignant neoplasm of other
genitourinary organs
144
5.5
4.8
Malignant neoplasm of colon and
recto-sigmoid junction
144
5.4
4.8
Malignant neoplasm of colon and
recto-sigmoid junction
163
5.3
5.2
Malignant neoplasm of colon and
recto-sigmoid junction
189
5.4
5.8
8
Malignant neoplasm of colon and
recto-sigmoid junction
136
5.1
4.5
Malignant neoplasm of other
genitourinary organs
128
4.8
4.3
Malignant neoplasm of other
genitourinary organs
88
2.9
2.8
Malignant neoplasm of other
genitourinary organs
103
3.0
3.2
9
Benign carcinoma in situ and
neoplasms of uncertain behaviour
66
2.5
2.2
Benign carcinoma in situ and
neoplasms of uncertain behaviour
74
2.8
2.5
Malignant neoplasm of respiratory
and intra-thoracic organ
50
1.6
1.6
Carcinoma in situ, benign
neoplasms and neoplasms of
uncertain or unknown behaviour
73
2.1
2.2
10
Malignant neoplasm of respiratory
and intra-thoracic organ
54
2.0
1.8
Malignant neoplasm of respiratory
and intra-thoracic organ
54
2.0
1.8
Benign carcinoma in situ and
neoplasms of uncertain behaviour
40
1.3
1.3
Malignant neoplasm of respiratory
and intra-thoracic organ
66
1.9
2.0
11
Carcinoma in situ, benign
neoplasms and neoplasms of
uncertain or unknown behaviour
0
0.0
0.0
Carcinoma in situ, benign
neoplasms and neoplasms of
uncertain or unknown behaviour
0
0.0
0.0
Carcinoma in situ, benign
neoplasms and neoplasms of
uncertain or unknown behaviour
12
0.4
0.4
Benign carcinoma in situ and
neoplasms of uncertain behaviour
0
0.0
0.0
Total
2642
Total
2665
Total
3064
Total
3465
Note: Refer to Appendix D for details on the ICD9/ICD10 classifications used for the above as they may differ from those used in other listings
Page 18
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
TABLE 7Bii. CAUSES OF DEATH DUE TO NEOPLASMS – FEMALES: CAREC MEMBER COUNTRIES
1985 1990 1995 2000
Rank
1985
Cause of Death
1990
n
%
Rate
Cause of Death
1995
n
%
Rate
Cause of Death
2000
n
%
Rate
Cause of Death
n
%
Rate
1
Malignant neoplasm of uterus
454
18.8
14.8
Malignant neoplasm of uterus
493
20.4
16.2
Malignant neoplasm of female
breast (C50 in women)
475
17.9
14.9
Malignant neoplasm of female
breast (C50 in women)
569
19.0
17.1
2
Malignant neoplasm of female
breast (C50 in women)
412
17.0
13.4
Malignant neoplasm of female
breast (C50 in women)
463
19.2
15.2
Malignant neoplasm of uterus
457
17.2
14.3
Malignant neoplasm of uterus
540
18.1
16.2
3
Malignant neoplasm of digestive
organs & peritoneum, execpt
stomach and colon
371
15.3
12.1
Malignant neoplasm of digestive
organs & peritoneum, execpt
stomach and colon
298
12.4
9.8
Malignant neoplasm of digestive
organs & peritoneum, execpt
stomach and colon
381
14.3
11.9
Malignant neoplasm of other and
unspecfied sites
405
13.5
12.1
4
Malignant neoplasm of other and
unspecfied sites
285
11.8
9.3
Malignant neoplasm of other and
unspecfied sites
251
10.4
8.2
Malignant neoplasm of other and
unspecfied sites
367
13.8
11.5
Malignant neoplasm of digestive
organs & peritoneum, execpt
stomach and colon
393
13.1
11.8
5
Malignant neoplasm of Stomach
226
9.3
7.4
Malignant neoplasm of Stomach
204
8.5
6.7
Malignant neoplasm of Stomach
203
7.6
6.4
Malignant neoplasm of lymphoid
other hematopoietic and related
tissue
223
7.5
6.7
6
Malignant neoplasm of other
genitourinary organs
163
6.7
5.3
Malignant neoplasm of lymphoid
other hematopoietic and related
tissue
196
8.1
6.4
Malignant neoplasm of lymphoid
other hematopoietic and related
tissue
185
7.0
5.8
Malignant neoplasm of other
genitourinary organs
221
7.4
6.6
7
Malignant neoplasm of lymphoid
other hematopoietic and related
tissue
157
6.5
5.1
Malignant neoplasm of other
genitourinary organs
165
6.8
5.4
Malignant neoplasm of other
genitourinary organs
183
6.9
5.7
Malignant neoplasm of Stomach
192
6.4
5.8
8
Malignant neoplasm of colon and
recto-sigmoid junction
134
5.5
4.4
Malignant neoplasm of colon and
recto-sigmoid junction
150
6.2
4.9
Malignant neoplasm of colon and
recto-sigmoid junction
166
6.2
5.2
Malignant neoplasm of colon and
recto-sigmoid junction
189
6.3
5.7
9
Malignant neoplasm of
trachea,bronchus and lung
125
5.2
4.1
Malignant neoplasm of
trachea,bronchus and lung
116
4.8
3.8
Malignant neoplasm of
trachea,bronchus and lung
150
5.6
4.7
Malignant neoplasm of
trachea,bronchus and lung
153
5.1
4.6
10
Benign carcinoma in situ and
neoplasms of uncertain behaviour
72
3.0
2.3
Benign carcinoma in situ and
neoplasms of uncertain behaviour
59
2.4
1.9
Benign carcinoma in situ and
neoplasms of uncertain behaviour
54
2.0
1.7
Carcinoma in situ, benign
neoplasms and neoplasms of
uncertain or unknown behaviour
86
2.9
2.6
11
Malignant neoplasm of respiratory
and intra-thoracic organ
21
0.9
0.7
Malignant neoplasm of respiratory
and intra-thoracic organ
16
0.7
0.5
Carcinoma in situ, benign
neoplasms and neoplasms of
uncertain or unknown behaviour
27
1.0
0.8
Malignant neoplasm of respiratory
and intra-thoracic organ
15
0.5
0.4
12
Carcinoma in situ, benign
neoplasms and neoplasms of
uncertain or unknown behaviour
0
0.0
0.0
Carcinoma in situ, benign
neoplasms and neoplasms of
uncertain or unknown behaviour
0
0.0
0.0
Malignant neoplasm of respiratory
and intra-thoracic organ
13
0.5
0.4
Benign carcinoma in situ and
neoplasms of uncertain behaviour
2
0.1
0.1
Total
2420
Total
2411
Total
2661
Total
2988
Note: Refer to Appendix D for details on the ICD9/ICD10 classifications used for the above as they may differ from those used in other listings
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
Page 19
TABLE 7C. CAUSES OF DEATH DUE TO DISEASES OF THE CIRCULATORY SYSTEM: CAREC MEMBER COUNTRIES
1985 1990 1995 2000
Rank
1985
Cause of Death
1990
n
%
Rate
Cause of Death
1995
n
%
Rate
Cause of Death
2000
n
%
Rate
Cause of Death
n
%
Rate
1
Cerebrovascular diseases
4997
35.2
82.3
Cerebrovascular diseases
4804
34.5
79.3
Cerebrovascular diseases
6056
38.3
95.8
Ischaemic heart diseases
4288
30.2
65.0
2
Ischaemic heart diseases
3390
23.9
55.9
Ischaemic heart diseases
3451
24.8
57.0
Ischaemic heart diseases
4133
26.1
65.4
Cerebrovascular diseases
4286
30.2
64.9
3
Pul circ.dis & Other heart Dis
3000
21.2
49.4
Pul circ.dis & Other heart Dis
3092
22.2
51.1
Pul circ.dis & Other heart Dis
2977
18.8
47.1
Hypertensive Disease
2596
18.3
39.3
4
Hypertensive Disease
1854
13.1
30.6
Hypertensive Disease
1869
13.4
30.9
Hypertensive Disease
1983
12.5
31.4
Pul circ.dis & Other heart Dis
2376
16.7
36.0
5
Atherosclerosis
462
3.3
7.6
Atherosclerosis
327
2.4
5.4
Atherosclerosis
264
1.7
4.2
Atherosclerosis
213
1.5
3.2
6
Acute rheumatic fever & chronic
rheumatic heart diseases
114
0.8
1.9
Acute rheumatic fever & chronic
rheumatic heart diseases
86
0.6
1.4
Acute rheumatic fever & chronic
rheumatic heart diseases
96
0.6
1.5
Acute rheumatic fever & chronic
rheumatic heart diseases
100
0.7
1.5
Other diseases of the cirulatory
system
364
2.6
6.0
Other diseases of the cirulatory
system
280
2.0
4.6
All other diseases of the circulatory
system
103
0.7
1.6
All other diseases of the circulatory
system
327
2.3
5.0
0
0.0
0.0
All other diseases of the circulatory
system
0
0.0
0.0
Other diseases of the cirulatory
system
202
1.3
3.2
Other diseases of the cirulatory
system
1
0.0
0.0
All other diseases of the circulatory
system
Total
14181
Total
13909
Total
15814
Total
14187
Note: Refer to Appendix D for details on the ICD9/ICD10 classifications used for the above as they may differ from those used in other listings
Page 20
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
TABLE 7D. CAUSES OF DEATH DUE TO CONDITIONS ORIGINATING IN THE PERINATAL PERIOD: CAREC MEMBER COUNTRIES
1985 1990 1995 2000
Rank
1985
Cause of Death
1990
n
%
Rate
Cause of Death
1995
n
%
Rate
Cause of Death
2000
n
%
Rate
Cause of Death
n
%
Rate
1
Slow Fetal Growth, fetal malnut.,
short gestation, low birth wt.
454
40.3
7.5
Slow Fetal Growth, fetal malnut.,
short gestation, low birth wt.
469
41.6
7.7
Hypoxia, birth asphyxia and other
respiratory conditions
399
26.3
6.3
Respiratory disorders specific to
the perinatal period
707
52.7
10.7
2
Hypoxia, birth asphyxia and other
respiratory conditions
374
33.2
6.2
Hypoxia, birth asphyxia and other
respiratory conditions
395
35.0
6.5
Respiratory disorders specific to
the perinatal period
297
19.6
4.7
Slow Fetal Growth, fetal malnut.,
short gestation, low birth wt.
213
15.9
3.2
3
Fetus & newborn affected by
obstetric complications and birth
trauma
83
7.4
1.4
Fetus & newborn affected by
obstetric complications and birth
trauma
75
6.7
1.2
Slow Fetal Growth, fetal malnut.,
short gestation, low birth wt.
275
18.1
4.3
Bacterial sepsis of newborn
130
9.7
2.0
4
Respiratory disorders specific to
the perinatal period
0
0.0
0.0
Respiratory disorders specific to
the perinatal period
0
0.0
0.0
Bacterial sepsis of newborn
74
4.9
1.2
Fetus & newborn affected by
obstetric complications and birth
trauma
44
3.3
0.7
5
Bacterial sepsis of newborn
0
0.0
0.0
Bacterial sepsis of newborn
0
0.0
0.0
Fetus & newborn affected by
obstetric complications and birth
trauma
60
4.0
0.9
Hypoxia, birth asphyxia and other
respiratory conditions
4
0.3
0.1
6
Bacterial sepsis of newborn
0
0.0
0.0
Bacterial sepsis of newborn
0
0.0
0.0
Fetus & newborn affected by
certain maternal conVVMditions
3
0.2
0.0
Fetus & newborn affected by
certain maternal conditions
3
0.2
0.0
Remainder of certain conditions
originating in the perinatal period
11
1.0
0.2
Remainder of certain conditions
originating in the perinatal period
5
0.4
0.1
Remainder of certain conditions
originating in the perinatal period
243
16.0
3.8
Remainder of certain conditions
originating in the perinatal period
241
18.0
3.7
Other conditions orginating in
perinatal period
185
16.4
3.0
Other conditions orginating in
perinatal period
171
15.2
2.8
Other conditions orginating in
perinatal period
165
10.9
2.6
Other conditions orginating in
perinatal period
0
0.0
0.0
Total
1127
Total
1127
Total
1516
Total
1342
Note: Refer to Appendix D for details on the ICD9/ICD10 classifications used for the above as they may differ from those used in other listings
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
Page 21
TABLE 7E. CAUSES OF DEATH DUE TO EXTERNAL CONDITIONS: CAREC MEMBER COUNTRIES
1985 1990 1995 2000
Rank
1985
Cause of Death
1990
n
%
Rate
Cause of Death
1995
n
%
Rate
Cause of Death
2000
n
%
Rate
Cause of Death
n
%
Rate
1
Land transport accidents
488
20.1
8.0
Land transport accidents
378
16.6
6.2
Assault (homicide)
1190
30.5
18.8
Assault (homicide)
1147
33.9
17.4
2
Assault (homicide)
358
14.7
5.9
Assault (homicide)
355
15.6
5.9
Land transport accidents
587
15.1
9.3
Land transport accidents
717
21.2
10.9
3
Accidental drowning and
submersion
204
8.4
3.4
Intentional self-harm (suicide)
331
14.5
5.5
Intentional self-harm (suicide)
549
14.1
8.7
Intentional self-harm (suicide)
326
9.6
4.9
4
Accidental falls
171
7.0
2.8
Accidental drowning and
submersion
194
8.5
3.2
Accidental drowning and
submersion
271
6.9
4.3
Accidental drowning and
submersion
253
7.5
3.8
5
Intentional self-harm (suicide)
161
6.6
2.7
Accidental falls
182
8.0
3.0
Accidental falls
208
5.3
3.3
Exposure to smoke fire & flames
79
2.3
1.2
6
Accidental poisoning by and
exposure to noxious substances
81
3.3
1.3
Exposure to smoke fire & flames
56
2.5
0.9
Exposure to smoke fire & flames
76
1.9
1.2
Falls
66
1.9
1.0
7
Exposure to smoke fire & flames
66
2.7
1.1
Accidents caused by firearm
discharge
35
1.5
0.6
Accidental poisoning by and
exposure to noxious substances
51
1.3
0.8
Accidental threats to breathing
63
1.9
1.0
8
Accidents caused by firearm
discharge
63
2.6
1.0
Accidental poisoning by and
exposure to noxious substances
13
0.6
0.2
Falls
32
0.8
0.5
Accidental poisoning by and
exposure to noxious substances
23
0.7
0.3
9
Falls
0
0.0
0.0
Falls
0
0.0
0.0
Accidental threats to breathing
31
0.8
0.5
Exposure to electric current
19
0.6
0.3
10
Accidental threats to breathing
0
0.0
0.0
Accidental threats to breathing
0
0.0
0.0
Accidents caused by firearm
discharge
27
0.7
0.4
Accidents caused by firearm
discharge
16
0.5
0.2
11
Exposure to electric current
0
0
0.0
Exposure to electric current
0
0
0.0
Exposure to electric current
7
0
0.1
Accidental falls
1
0
0.0
Other unspecified transport
accidents
131
5.4
2.2
Other accidents including late
effects
329
14.5
5.4
Event of undetermined intent
491
12.6
7.8
Event of undetermined intent
337
9.9
5.1
All other Accidents
87
3.6
1.4
Event of undetermined intent
317
13.9
5.2
All other Accidents
185
4.7
2.9
All other Accidents
262
7.7
4.0
Other accidents including late
effects
252
10.4
4.2
All other Accidents
56
2.5
0.9
Other accidents including late
effects
157
4.0
2.5
All other external causes
53
1.6
0.8
Event of undetermined intent
366
15.1
6.0
Other unspecified transport
accidents
30
1.3
0.5
All other external causes
21
0.5
0.3
Other unspecified transport
accidents
23
0.7
0.3
0
0.0
0.0
All other external causes
0
0.0
0.0
Other unspecified transport
accidents
17
0.4
0.3
Other accidents including late
effects
2
0.1
0.0
All other external causes
Totals
2428
Total
2276
Total
3900
Total
3387
Note: Refer to Appendix D for details on the ICD9/ICD10 classifications used for the above as they may differ from those used in other listings
Page 22
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
TABLE 7F. CAUSES OF DEATH DUE TO ALL OTHER DISEASES: CAREC MEMBER COUNTRIES
1985 1990 1995 2000
Rank
1985
Cause of Death
1990
n
%
Rate
Cause of Death
1995
n
%
Rate
Cause of Death
2000
n
%
Rate
Cause of Death
n
%
Rate
1
Diabetes mellitus
2199
23.3
36.2
Diabetes mellitus
3025
33.1
50.0
Diabetes mellitus
3280
34.0
51.9
Diabetes mellitus
4264
40.5
64.6
2
Nutritional Deficiencies and
nutritional anemia
1016
10.8
16.7
Diseases of the Urinary System
896
9.8
14.8
Diseases of the Urinary System
744
7.7
11.8
Chronic lower respiratory diseases
783
7.4
11.9
3
Diseases of the Urinary System
918
9.7
15.1
Nutritional Deficiencies and
nutritional anemia
703
7.7
11.6
Diseases of the nervous System,
except meningitis
682
7.1
10.8
Diseases of the nervous System,
except meningitis
747
7.1
11.3
4
Chronic & unspec. bronchitis,
emphysema & Asthma
634
6.7
10.4
Diseases of the nervous System,
except meningitis
546
6.0
9.0
Cirrhosis and certain other chronic
diseases of liver
437
4.5
6.9
Diseases of the Urinary System
727
6.9
11.0
5
Diseases of the nervous System,
except meningitis
574
6.1
9.5
Chronic & unspec. bronchitis,
emphysema & Asthma
479
5.2
7.9
Chronic lower respiratory diseases
405
4.2
6.4
Congenital malformations,
deformations and chromosomal
abnor.
360
3.4
5.5
6
Cirrhosis and certain other chronic
diseases of liver
500
5.3
8.2
Cirrhosis and certain other chronic
diseases of liver
407
4.5
6.7
Congenital malformations,
deformations and chromosomal
abnormalities
362
3.8
5.7
Cirrhosis and certain other chronic
diseases of liver
349
3.3
5.3
7
Congenital malformations,
deformations and chromosomal
abnormalities
389
4.1
6.4
Congenital malformations,
deformations and chromosomal
abnormalities
315
3.5
5.2
Nutritional Deficiencies and
nutritional anemia
345
3.6
5.5
Nutritional deficiencies and
nutritional anemia
326
3.1
4.9
8
Mental and behavioural disorders
221
2.3
3.6
Mental and behavioural disorders
171
1.9
2.8
Chronic & unspecified bronchitis,
emphysema & Asthma
218
2.3
3.4
Mental and behavioural disorders
180
1.7
2.7
9
Appendicitis, hernia of abdominal
cavity and intestinal obstruction
180
1.9
3.0
Appendicitis, hernia of abdominal
cavity and intestinal obstruction
154
1.7
2.5
Mental and behavioural disorders
175
1.8
2.8
Appendicitis, hernia of abdominal
cavity and intestinal obstruction
178
1.7
2.7
10
Complications of pregnancy,
childbirth & puerperium
86
0.9
1.4
Hyperplasia of prostate
73
0.8
1.2
Appendicitis, hernia of abdominal
cavity and intestinal obstruction
153
1.6
2.4
Hyperplasia of prostate
84
0.8
1.3
Note: Refer to Appendix D for details on the ICD9/ICD10 classifications used for the above as they may differ from those used in other listings
.../Cont’d Page 24
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
Page 23
TABLE 7F. CAUSES OF DEATH DUE TO ALL OTHER DISEASES: CAREC MEMBER COUNTRIES
1985 1990 1995 2000
Rank
1985
Cause of Death
1990
n
%
Rate
Cause of Death
1995
n
%
Rate
Cause of Death
2000
n
%
Rate
Cause of Death
n
%
Rate
11
Hyperplasia of prostate
81
1
1.3
Complications of pregnancy,
childbirth & puerperium
63
1
1.0
Nutritional deficiencies and
nutritional anemia
148
2
2.3
Pregnancy, childbirth, and the
puerperium
66
1
1.0
12
Nutritional deficiencies and
nutritional anemia
0
0.0
0.0
Nutritional deficiencies and
nutritional anemia
0
0.0
0.0
Hyperplasia of prostate
87
0.9
1.4
Chronic & unspec. bronchitis,
emphysema & Asthma
3
0.0
0.0
13
Chronic lower respiratory diseases
0
0.0
0.0
Chronic lower respiratory diseases
0
0.0
0.0
Complications of pregnancy,
childbirth & puerperium
61
0.6
1.0
Nutritional Deficiencies and
nutritional anemia
2
0.0
0.0
14
Pregnancy, childbirth, and the
puerperium
0
0.0
0.0
Pregnancy, childbirth, and the
puerperium
0
0.0
0.0
Pregnancy, childbirth, and the
puerperium
35
0.4
0.6
Complications of pregnancy,
childbirth & puerperium
0
0.0
0.0
All other diseases of the digestive
system
1214
12.9
20.0
Residual
894
9.8
14.8
All other diseases of the digestive
system
1003
10.4
15.9
Remainder of all other diseases
1325
12.6
20.1
Residual
820
8.7
13.5
All other diseases of the digestive
system
866
9.5
14.3
Residual
614
6.4
9.7
All other diseases of the digestive
system
846
8.0
12.8
Other chronic pulmonary disease,
due to external agents & other
diseases of respiratory system
597
6.3
9.8
Other chronic pulmonary disease,
due to external agents & other
diseases of respiratory system
535
5.9
8.8
Other chronic pulmonary disease,
due to external agents & other
diseases of respiratory system
398
4.1
6.3
Remainder of diseases of the
respiratory system
282
2.7
4.3
Remainder of diseases of the
respiratory system
0
0.0
0.0
Remainder of diseases of the
respiratory system
0
0.0
0.0
Remainder of all other diseases
379
3.9
6.0
Residual
13
0.1
0.2
Remainder of all other diseases
0
0.0
0.0
Remainder of all other diseases
0
0.0
0.0
Remainder of diseases of the
respiratory system
127
1.3
2.0
Other chronic pulmonary disease,
due to external agents & other
diseases of respiratory system
5
0.0
0.1
Total
9429
Total
9127
Total
9653
Total
10540
Note: Refer to Appendix D for details on the ICD9/ICD10 classifications used for the above as they may differ from those used in other listings
Page 24
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
TABLE 8A. POTENTIAL YEARS OF LOST LIFE (PYLL) and PYLL RATE BY AGE GROUP: COMMUNICABLE DISEASES; NEOPLASMS; CIRCULATORY DISORDERS
CAREC MEMBER COUNTRIES
1985 1990 1995 2000
Age Group
0-4
5-14
15-24
25-44
45-64
Total
COMMUNICABLE DISEASES
NEOPLASMS
CIRCULATORY DISORDERS
1985
1990
1995
2000
1985
1990
1995
2000
1985
1990
1995
2000
PYLL
62313
48250
40375
34000
2813
2875
2438
3500
8313
6375
3063
2125
Rate
8596.2
7155.0
6228.5
5242.9
388.0
426.3
376.0
539.7
1146.7
945.4
472.4
327.7
PYLL
4290
5115
4355
6655
3025
2640
2925
2805
3795
2805
2145
2420
Rate
303.0
377.3
317.1
494.2
213.6
194.8
213.0
208.3
268.0
206.9
156.2
179.7
PYLL
3825
4140
8550
12600
4005
3195
4455
3870
5265
5040
5445
4905
Rate
288.4
333.7
709.4
1026.7
302.0
257.5
369.6
315.3
397.0
406.3
451.8
399.7
PYLL
5670
9660
34800
58710
11820
13230
16320
17940
16740
16740
21600
19500
Rate
381.7
592.1
1898.8
2966.2
795.7
810.9
890.5
906.4
1126.9
1026.0
1178.6
985.2
PYLL
3470
3340
7050
9350
15710
14290
14960
18300
30110
28360
32940
29540
Rate
473.1
451.6
835.2
980.4
2141.7
1932.0
1772.2
1918.9
4104.9
3834.2
3902.2
3097.4
PYLL
79567.5
70505
95130
121315
37372.5
36230
41097.5
46415
64222.5
59320
65192.5
58490
Rate
1399.4
1249.7
1611.4
1970.9
657.3
642.2
696.1
754.1
1129.5
1051.5
1104.3
950.2
.../Cont’d Page 26
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
Page 25
TABLE 8B (Cont’d). POTENTIAL YEARS OF LOST LIFE (PYLL) and PYLL RATE BY AGE GROUP: PERINATAL CONDITIONS; EXTERNAL CAUSES; OTHER DISEASES
CAREC MEMBER COUNTRIES
1985 1990 1995 2000
Age Group
0-4
5-14
15-24
25-44
45-64
Total
Page 26
PERINATAL CONDITIONS
EXTERNAL CAUSES
OTHER DISEASES
1985
1990
1995
2000
1985
1990
1995
2000
1985
1990
1995
2000
PYLL
66250
69938
94063
83625
10063
9313
9375
7688
84250
47500
39000
35688
Rate
9139.4
10371.1
14510.8
12895.3
1388.1
1381.0
1446.3
1185.4
11622.5
7043.8
6016.4
5503.1
PYLL
0
0
0
0
8635
9240
13520
8635
11275
9295
9035
6820
Rate
0.0
0.0
0.0
0.0
609.8
681.6
984.5
641.3
796.3
685.7
657.9
506.5
PYLL
0
45
0
0
22815
20700
33435
27405
13095
11790
12150
10080
Rate
0.0
3.6
0.0
0.0
1720.5
1668.6
2774.0
2233.1
987.5
950.4
1008.1
821.4
PYLL
30
30
60
0
24120
22320
44340
39060
25740
27270
29850
28440
Rate
2.0
1.8
3.3
0.0
1623.7
1368.0
2419.4
1973.4
1732.8
1671.4
1628.8
1436.9
PYLL
0
0
0
0
4030
3740
5730
5310
20790
19230
21640
26020
Rate
0.0
0.0
0.0
0.0
549.4
505.6
678.8
556.8
2834.3
2599.8
2563.5
2728.3
PYLL
66280
70013
94123
83625
69663
65313
106400
88098
155150
115085
111675
107048
Rate
1165.7
1241.0
1594.3
1358.6
1157.7
1802.3
1431.2
2728.7
2039.9
1891.6
1739.1
1225.2
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
TABLE 9A. STANDARDISED MORTALITY RATES BY AGE GROUP: CAREC MEMBER COUNTRIES – 1985
CTC
1.00
2.00
DESCRIPTION
0-4
05-14
15-24
25-44
45-64
65+
3811.2
78.3
57.5
83.9
234.1
2858.5
16.8
9.8
15.7
80.2
247.4
855.9
0
0
0
0
0
0
25.2
14.7
15.7
25.5
73.6
242.2
COMMUNICABLE DISEASES
1.01
Intestinal infectious diseases
1.02
Tuberculosis
1.03
Certain Vector-borne diseases and rabies
1.04
Certain diseases preventable by immunization
1.05
Meningitis
597.3
24.5
47.1
32.8
93.6
452.2
1.06
Septicimia, except Neonatal
437.5
34.3
47.1
72.9
341
3036.2
1.07
HIV disease (AIDS)
8.4
0
10.5
29.2
6.7
16.1
1.08
ARIs
3239.1
127.3
141.2
273.5
983
12613
1.09
Other infectious & parasitic diseases
244
88.1
109.8
87.5
334.4
678.3
1.11
Certain Vector-borne Diseases
8.4
4.9
0
3.6
6.7
16.1
NEOPLASMS
2.01
Malignant neoplasm of Stomach
0
0
0
102.1
1230.4
7154.4
2.02
Malignant neoplasm of colon and recto-sigmoid junction
0
0
0
32.8
588.5
2793.9
2.03
Malignant neoplasm of digestive organs & peritoneum, except
25.2
0
26.2
164.1
1812.2
8123.4
2.04
Malignant neoplasm of trachea, bronchus and lung
0
0
20.9
94.8
1143.5
4182.8
2.05
Malignant neoplasm of respiratory and intra-thoracic organ
0
4.9
0
10.9
200.6
662.1
2.06
Malignant neoplasm of female breast (C50 in women)
8.4
0
0
211.5
1183.6
2810.1
2.07
Malignant neoplasm of uterus
0
0
5.2
200.6
1217.1
3423.8
2.10
Malignant Neoplasm of prostate
0
0
0
0
428
7073.6
2.11
Malignant neoplasm of other genitourinary organs
67.3
14.7
31.4
91.2
688.8
2616.3
2.12
Malignant neoplasm of lymphatic and hematopoietic
143
141.9
193.5
211.5
608.5
1905.7
2.14
Malignant neoplasm of other and unspecfied sites
50.5
48.9
141.2
215.2
1163.6
5264.9
2.15
Carcinoma in situ, benign neoplasms of uncertain or unknown behavior
0
0
0
0
0
0
2.16
Benign carcinoma in situ and neoplasms of uncertain or unknown behavior
84.1
58.7
47.1
102.1
240.7
662.1
Note: Refer to Appendix D for details on the ICD9/ICD10 classifications used for the above as they may differ from those used in other listings
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
Page 27
TABLE 9A (Cont’d). STANDARDISED MORTALITY RATES BY AGE GROUP: CAREC MEMBER COUNTRIES – 1985
CTC
3.00
4.00
5.00
DESCRIPTION
0-4
05-14
15-24
25-44
45-64
65+
0
102.8
125.5
116.7
120.4
306.8
117.8
9.8
26.2
233.4
2487.6
22157.6
67.3
9.8
31.4
547.1
6392.9
36321.1
DISEASES OF THE CIRCULATORY SYSTEM
3.01
Acute rheumatic fever & chronic rheumatic heart diseases
3.02
Hypertensive Disease
3.03
Ischaemic heart diseases
3.04
Pul circ. dis & Other heart Diseases
605.8
132.1
224.9
565.3
3584.3
34496.1
3.07
Cerebrovascular diseases
302.9
63.6
162.2
470.5
6941.3
59964.5
3.08
Atherosclerosis
16.8
0
0
0
153.8
6944.4
3.09
All other diseases of the circulatory system
0
0
0
0
0
0
3.10
Other diseases of the cirulatory system
8.4
19.6
41.8
102.1
454.7
4102.1
159.9
0
0
0
0
0
CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD
4.01
Fetus & newborn affected by certain maternal conditions
4.02
Fetus & newborn affected by obstetric complic. birth trauma
4.03
Slow Fetal Growth, fetal malnut., short gestation, low birth wt
4.04
681.5
0
0
0
0
0
3390.5
0
0
3.6
0
0
Respiratory disorders specific to the perinatal period
0
0
0
0
0
0
4.05
Bacterial sepsis of newborn
0
0
0
0
0
0
4.06
Remainder of certain cond. originating in the perinata period
92.5
0
0
0
0
0
4.07
Hypoxia, birth asphyxia and other resp. conditions
3070.8
0
0
0
0
0
4.08
Other conditions orginating in perinatal period
1522.8
0
0
0
0
0
134.6
186
585.9
612.7
615.2
969
75.7
97.9
109.8
94.8
193.9
355.3
EXTERNAL CAUSES
5.01
Land transport accidents
5.02
Other unspecified transport accidents
5.03
Falls
0
0
0
0
0
0
5.04
Accidents caused by firearm discharge
0
4.9
136
94.8
46.8
32.3
5.05
Accidental drowning and submersion
109.4
83.2
214.5
291.8
240.7
242.2
5.06
Accidental threats to breathing
0
0
0
0
0
0
5.07
Exposure to electric current
0
0
0
0
0
0
5.08
Exposure to smoke fire & flames
218.7
29.4
15.7
25.5
40.1
290.7
5.09
Accidental poisoning by and exposure to noxious substances
50.5
58.7
47.1
105.8
80.2
145.3
Note: Refer to Appendix D for details on the ICD9/ICD10 classifications used for the above as they may differ from those used in other listings
Page 28
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
TABLE 9A (Cont’d). STANDARDISED MORTALITY RATES BY AGE GROUP: CAREC MEMBER COUNTRIES – 1985
CTC
6.00
DESCRIPTION
5.10
All other Accidents
5.11
Intentional self-harm (suicide)
5.12
Assault (homicide)
5.13
Event of undetermined intent
5.14
All other external causes
5.15
Accidental falls
5.16
Other accidents including late effects
0-4
05-14
15-24
25-44
45-64
65+
42.1
9.8
94.2
83.9
93.6
355.3
0
19.6
224.9
233.4
180.6
339.1
84.1
48.9
591.1
528.8
280.9
516.8
193.5
107.7
428.9
477.8
461.4
613.7
0
0
0
0
0
0
67.3
44
73.2
105.8
167.2
1388.9
378.6
78.3
130.8
277.2
294.2
694.4
16.8
14.7
62.8
379.3
4667.6
22093
ALL OTHER DISEASES
6.01
Diabetes mellitus
6.02
Nutritional deficiencies and nutritional anemia
0
0
0
0
0
0
6.03
Mental and behavioural disorders
84.1
34.3
52.3
113.1
361.1
1728
6.04
Diseases of the nervous System, except meningitis
631
239.8
303.4
280.8
655.3
3375.3
6.05
Chronic lower respiratory diseases
0
0
0
0
0
0
6.06
Remainder of diseases of the respiratory system
0
0
0
0
0
0
6.07
Appendicitis, hernia of abdom. cavity and intestinal obstruction
143
29.4
36.6
54.7
240.7
1582.7
6.08
Cirrhosis and certain other chronic diseases of liver
126.2
34.3
36.6
372
1544.7
2147.9
6.09
All other diseases of the digestive system
1808.9
78.3
204
543.4
2039.6
7638.9
6.10
Diseases of the Urinary system
159.9
53.8
146.5
280.8
1344.1
9286.2
6.11
Hyperplasia of prostate
0
0
0
0
33.4
1227.4
6.12
Pregnancy, childbirth, and the puerperium
0
0
0
0
0
0
6.13
Congenital malformations, deformations and chromosomal abnormalities
2692.2
151.7
94.2
29.2
26.7
96.9
6.14
Remainder of all other diseases
0
0
0
0
0
0
6.15
Nutritional Deficiencies and nutritional anemia
4173
161.5
125.5
189.6
508.2
4990.3
6.16
Chronic & unspec. Bronchitis, Emphysema & Asthma
286.1
44
73.2
145.9
929.5
6363
6.17
Diseases due to external agents & other diseases of respiratory system
656.2
73.4
109.8
175.1
715.5
5248.7
6.18
Complications of pregnancy, childbirth & puerperium
6.21
Residual
7.00
Symptoms, signs and ill-defined Conditions
0
4.9
151.7
200.6
0
0
563.7
83.2
125.5
364.7
835.9
7751.9
2641.8
254.5
664.3
831.5
2634.7
32961.9
Note: Refer to Appendix D for details on the ICD9/ICD10 classifications used for the above as they may differ from those used in other listings
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
Page 29
TABLE 9B. STANDARDISED MORTALITY RATES BY AGE GROUP: CAREC MEMBER COUNTRIES – 1990
CTC
1.00
2.00
DESCRIPTION
0-4
05-14
15-24
25-44
45-64
65+
3138.1
97.9
62.8
87.5
214
2164.1
33.7
9.8
5.2
65.6
207.3
759
0
0
0
0
0
0
8.4
34.3
5.2
0
26.7
226.1
504.8
29.4
57.5
76.6
120.4
339.1
488
19.6
31.4
131.3
428
3472.2
COMMUNICABLE DISEASES
1.01
Intestinal infectious diseases
1.02
Tuberculosis
1.03
Certain Vector-borne diseases and rabies
1.04
Certain diseases preventable by immunization
1.05
Meningitis
1.06
Septicimia, except Neonatal
1.07
HIV disease (AIDS)
134.6
4.9
78.5
350.1
207.3
48.4
1.08
ARIs
2036
200.7
130.8
291.8
775.7
13533.6
1.09
Other infectious & parasitic diseases
101
44
73.2
145.9
227.4
678.3
1.11
Certain Vector-borne Diseases
50.5
14.7
36.6
25.5
26.7
80.7
NEOPLASMS
2.01
Malignant neoplasm of Stomach
0
0
5.2
76.6
902.8
6508.4
2.02
Malignant neoplasm of colon and recto-sigmoid junction
0
4.9
10.5
36.5
508.2
3294.6
2.03
Malignant neoplasm of digestive organs & peritoneum, execpt
16.8
0
10.5
153.2
1210.4
7041.3
2.04
Malignant neoplasm of trachea,bronchus and lung
0
0
10.5
113.1
1230.4
4425.1
2.05
Malignant neoplasm of respiratory and intra-thoracic organ
16.8
0
10.5
21.9
167.2
565.2
2.06
Malignant neoplasm of female breast (C50 in women)
0
0
0
240.7
1223.8
3439.9
2.07
Malig.neoplasm of uterus(inc.ICD10(2.07,2.08,2.09
0
0
20.9
302.7
1130.1
3666
2.10
Malignant Neoplasm of prostate
2.11
Malignant neoplasm of other genitourinary organs
2.12
Malig.neoplasm of lymphatic and hematopoietic
2.14
Malignant neoplasm of other and unspecfied sites
2.15
Carcinoma in situ, benign neoplasms of uncertain or unkn
2.16
Benign carcinoma in situ and neoplasms of uncerta
0
0
0
3.6
454.7
8688.6
33.7
4.9
20.9
94.8
488.2
2923.1
201.9
127.3
104.6
277.2
809.1
2244.8
67.3
78.3
109.8
207.9
1163.6
4586.6
0
0
0
0
0
0
50.5
19.6
68
80.2
267.5
742.9
Note: Refer to Appendix D for details on the ICD9/ICD10 classifications used for the above as they may differ from those used in other listings
Page 30
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
TABLE 9B (Cont’d). STANDARDISED MORTALITY RATES BY AGE GROUP: CAREC MEMBER COUNTRIES – 1990
CTC
3.00
4.00
5.00
DESCRIPTION
0-4
05-14
15-24
25-44
45-64
65+
DISEASES OF THE CIRCULATORY SYSTEM
3.01
Acute rheumatic fever & chronic rheumatic heart diseases
16.8
53.8
83.7
116.7
86.9
177.6
3.02
Hypertensive Disease
16.8
0
36.6
196.9
2226.8
23352.7
3.03
Ischaemic heart diseases
25.2
4.9
10.5
455.9
6593.6
37193.2
3.04
Pul circ.dis & Other heart Diseases
614.2
93
319.1
634.6
3236.6
36143.4
3.07
Cerebrovascular diseases
151.4
68.5
109.8
550.7
6366.2
58123.4
3.08
Atherosclerosis
16.8
4.9
0
14.6
93.6
4877.3
3.09
All other diseases of the circulatory system
0
0
0
0
0
0
3.10
Other diseases of the cirulatory system
16.8
24.5
26.2
65.6
361.1
3133.1
101
0
0
0
0
0
CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD
4.01
Fetus & newborn affected by certain maternal conditions
4.02
Fetus & newborn affected by obstetric complic.birth trauma
622.6
0
0
3.6
0
0
4.03
Slow Fetal Growth,fetal malnut.,short gestation,low birth wt
3937.4
0
0
0
0
0
4.04
Respiratory disorders specific to the perinatal period
0
0
0
0
0
0
4.05
Bacterial sepsis of newborn
0
0
0
0
0
0
4.06
Remainder of certain cond.originating in the perinata period
42.1
0
0
0
0
0
4.07
Hypoxia,birth asphyxia and other resp. conditions
3306.4
0
5.2
0
0
0
4.08
Other conditions orginating in perinatal period
1405
0
0
0
0
16.1
EXTERNAL CAUSES
5.01
Land transport accidents
143
205.6
340
455.9
501.5
742.9
5.02
Other unspecified transport accidents
16.8
14.7
26.2
25.5
40.1
113
5.03
Falls
0
0
0
0
0
0
5.04
Accidents caused by firearm discharge
8.4
9.8
31.4
54.7
66.9
16.1
5.05
Accidental drowning and submersion
151.4
107.7
292.9
189.6
167.2
242.2
5.06
Accidental threats to breathing
0
0
0
0
0
0
5.07
Exposure to electric current
0
0
0
0
0
0
5.08
Exposure to smoke fire & flames
126.2
29.4
10.5
25.5
40.1
306.8
5.09
Accidental poisoning by and exposure to noxious substances
16.8
14.7
10.5
7.3
20.1
16.1
Note: Refer to Appendix D for details on the ICD9/ICD10 classifications used for the above as they may differ from those used in other listings
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
Page 31
TABLE 9B (Cont’d). STANDARDISED MORTALITY RATES BY AGE GROUP: CAREC MEMBER COUNTRIES – 1990
CTC
6.00
DESCRIPTION
5.10
All other Accidents
5.11
Intentional self-harm (suicide)
5.12
Assault (homicide)
5.13
Event of undetermined intent
5.14
All other external causes
5.15
Accidental falls
5.16
Other accidents including late effects
0-4
05-14
15-24
25-44
45-64
65+
33.7
9.8
36.6
32.8
60.2
387.6
0
44
496.9
554.4
327.7
387.6
143
78.3
491.7
536.1
327.7
452.2
210.3
83.2
340
397.5
381.2
516.8
0
0
0
0
0
0
92.5
24.5
68
102.1
200.6
1485.8
311.3
200.7
261.5
331.9
367.8
839.8
33.7
4.9
41.8
368.4
5436.7
33462.5
ALL OTHER DISEASES
6.01
Diabetes mellitus
6.02
Nutritional deficiencies and nutritional anemia
6.03
Mental and behavioural disorders
6.04
Diseases of the nervous System,except meningitis
6.05
0
0
0
0
0
0
8.4
34.3
31.4
109.4
227.4
1453.5
555.3
249.6
277.2
306.4
581.8
3230
Chronic lower respiratory diseases
0
0
0
0
0
0
6.06
Remainder of diseases of the respiratory system
0
0
0
0
0
0
6.07
Appendicitis,hernia of abdom. cavity and intestinal obstruc.
101
14.7
15.7
76.6
140.4
1469.6
6.08
Cirrhosis and certain other chronic diseases of liver
42.1
14.7
31.4
258.9
1243.8
2083.3
6.09
All other diseases of the digestive system
252.4
53.8
115.1
499.7
1364.2
7348.2
6.10
Diseases of the Urinary System
143
44
146.5
288.1
1270.6
9173.1
6.11
Hyperplasia of prostate
0
0
0
0
40.1
1065.9
6.12
Pregnancy, childbirth, and the puerperium
0
0
0
0
0
0
6.13
Congenital malformations,deformations and chromosomal abnor.
2162.2
73.4
57.5
54.7
60.2
113
6.14
Remainder of all other diseases
0
0
0
0
0
0
6.15
Nutritional Deficiencies and nutritional anemia
2069.7
156.6
183.1
218.8
474.8
4005.2
6.16
Chronic & unspec. bronchitis,emphysema & Asthma
201.9
53.8
73.2
186
655.3
4489.7
6.17
Diseases due to external agents & other diseases of resp. sy
403.8
48.9
62.8
196.9
548.3
5248.7
6.18
Complications of pregnancy,childbirth &puerperium
6.21
Residual
7.00
Symptoms, signs and ill-defined Conditions
0
9.8
78.5
164.1
6.7
0
420.7
68.5
256.3
587.2
809.1
7881.1
1817.3
195.8
439.4
725.8
2755.1
37806.8
Note: Refer to Appendix D for details on the ICD9/ICD10 classifications used for the above as they may differ from those used in other listings
Page 32
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
TABLE 9C. STANDARDISED MORTALITY RATES BY AGE GROUP: CAREC MEMBER COUNTRIES – 1995
CTC
1.00
2.00
DESCRIPTION
0-4
05-14
15-24
25-44
45-64
65+
COMMUNICABLE DISEASES
1.01
Intestinal infectious diseases
2549.2
68.5
52.3
127.6
260.8
2680.9
1.02
Tuberculosis
25.2
0
26.2
142.2
334.4
742.9
1.03
Certain Vector-borne diseases and rabies
42.1
0
31.4
47.4
20.1
16.1
1.04
Certain diseases preventable by immunization
8.4
0
5.2
10.9
13.4
113
1.05
Meningitis
302.9
19.6
31.4
72.9
160.5
597.5
1.06
Septicimia, except Neonatal
361.8
24.5
62.8
178.7
535
7138.2
1.07
HIV disease (AIDS)
328.1
73.4
465.6
2833.8
1832.3
549.1
1.08
ARIs
1590.1
102.8
188.3
568.9
1223.8
14228
1.09
Other infectious & parasitic diseases
168.3
34.3
99.4
204.2
260.8
742.9
1.11
Certain Vector-borne Diseases
58.9
4.9
31.4
43.8
73.6
64.6
NEOPLASMS
2.01
Malignant neoplasm of Stomach
0
0
10.5
124
642
5814
2.02
Malignant neoplasm of colon and recto-sigmoid junction
0
0
5.2
51.1
555
3730.6
2.03
Malignant neoplasm of digestive organs & peritoneum, execpt
16.8
0
36.6
175.1
1518
8607.9
2.04
Malignant neoplasm of trachea,bronchus and lung
0
0
10.5
134.9
1277.3
5329.5
2.05
Malignant neoplasm of respiratory and intra-thoracic organ
0
0
0
7.3
153.8
613.7
2.06
Malignant neoplasm of female breast (C50 in women)
0
0
10.5
295.4
1344.1
3084.6
2.07
Malig.neoplasm of uterus
0
0
15.7
317.3
1023.1
3343
2.10
Malignant Neoplasm of prostate
0
0
5.2
0
501.5
12903.7
2.11
Malignant neoplasm of other genitourinary organs
25.2
14.7
31.4
91.2
501.5
2535.5
2.12
Malig.neoplasm of lymphatic and hematopoietic
101
93
224.9
324.6
722.2
2535.5
2.14
Malignant neoplasm of other and unspecfied sites
109.4
78.3
125.5
382.9
1571.5
6621.4
2.15
Carcinoma in situ, benign neoplasms of uncertain or unkn
16.8
9.8
10.5
32.8
33.4
290.7
2.16
Benign carcinoma in situ and neoplasms of uncerta
58.9
24.5
31.4
47.4
160.5
629.8
Note: Refer to Appendix D for details on the ICD9/ICD10 classifications used for the above as they may differ from those used in other listings
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
Page 33
TABLE 9C (Cont’d). STANDARDISED MORTALITY RATES BY AGE GROUP: CAREC MEMBER COUNTRIES – 1995
CTC
3.00
4.00
5.00
DESCRIPTION
0-4
05-14
15-24
25-44
45-64
65+
DISEASES OF THE CIRCULATORY SYSTEM
3.01
Acute rheumatic fever & chronic rheumatic heart diseases
0
39.2
78.5
134.9
133.7
258.4
3.02
Hypertensive Disease
0
0
36.6
277.2
2360.6
24483.2
3.03
Ischaemic heart diseases
33.7
19.6
52.3
609.1
6867.7
46430.9
3.04
Pul circ.dis & Other heart Diseases
260.8
83.2
324.3
813.3
3617.8
32897.3
3.07
Cerebrovascular diseases
92.5
14.7
120.3
711.2
8546.2
72012.3
3.08
Atherosclerosis
0
0
0
3.6
80.2
4005.2
3.09
All other diseases of the circulatory system
8.4
4.9
5.2
18.2
147.1
1098.2
3.10
Other diseases of the cirulatory system
16.8
0
15.7
58.4
274.2
2261
25.2
0
0
0
0
0
CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD
4.01
Fetus & newborn affected by certain maternal conditions
4.02
Fetus & newborn affected by obstetric complic.birth trauma
504.8
0
0
0
0
0
4.03
Slow Fetal Growth,fetal malnut.,short gestation,low birth wt
2296.8
0
0
0
0
0
4.04
Respiratory disorders specific to the perinatal period
2481.9
0
0
0
0
0
4.05
Bacterial sepsis of newborn
622.6
0
0
0
0
0
4.06
Remainder of certain cond.originating in the perinata period
2010.8
0
0
7.3
0
0
4.07
Hypoxia,birth asphyxia and other resp. conditions
3340.1
0
0
0
0
16.1
4.08
Other conditions orginating in perinatal period
1379.8
0
0
0
0
0
176.7
205.6
580.6
802.4
648.7
1114.3
0
4.9
31.4
21.9
13.4
16.1
25.2
0
5.2
14.6
33.4
290.7
0
14.7
41.8
36.5
6.7
0
168.3
220.2
282.5
222.5
274.2
419.9
143
4.9
0
21.9
13.4
16.1
0
4.9
5.2
18.2
0
0
EXTERNAL CAUSES
5.01
Land transport accidents
5.02
Other unspecified transport accidents
5.03
Falls
5.04
Accidents caused by firearm discharge
5.05
Accidental drowning and submersion
5.06
Accidental threats to breathing
5.07
Exposure to electric current
5.08
Exposure to smoke fire & flames
92.5
53.8
0
80.2
46.8
306.8
5.09
Accidental poisoning by and exposure to noxious substances
25.2
53.8
15.7
62
66.9
96.9
Note: Refer to Appendix D for details on the ICD9/ICD10 classifications used for the above as they may differ from those used in other listings
Page 34
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
TABLE 9C (Cont’d). STANDARDISED MORTALITY RATES BY AGE GROUP: CAREC MEMBER COUNTRIES – 1995
CTC
6.00
DESCRIPTION
0-4
05-14
15-24
25-44
45-64
65+
67.3
63.6
120.3
156.8
214
888.2
8.4
29.4
606.8
930
702.2
726.7
5.10
All other Accidents
5.11
Intentional self-harm (suicide)
5.12
Assault (homicide)
159.9
137
1626.8
2060.6
882.7
726.7
5.13
Event of undetermined intent
227.2
107.7
345.2
554.4
528.3
1227.4
5.14
All other external causes
0
4.9
41.8
32.8
0
32.3
5.15
Accidental falls
67.3
39.2
36.6
204.2
200.6
1566.5
5.16
Other accidents including late effects
101
73.4
146.5
171.4
200.6
323
25.2
4.9
57.5
503.3
6025.1
35562
395.4
9.8
5.2
14.6
100.3
1211.2
8.4
0
36.6
83.9
254.1
1615
572.1
156.6
287.7
404.8
648.7
4990.3
67.3
29.4
31.4
58.4
494.9
4635
151.4
24.5
31.4
65.6
113.7
904.4
ALL OTHER DISEASES
6.01
Diabetes mellitus
6.02
Nutritional deficiencies and nutritional anemia
6.03
Mental and behavioural disorders
6.04
Diseases of the nervous System,except meningitis
6.05
Chronic lower respiratory diseases
6.06
Remainder of diseases of the respiratory system
6.07
Appendicitis,hernia of abdom. cavity and intestinal obstruc.
84.1
24.5
10.5
76.6
167.2
1437.3
6.08
Cirrhosis and certain other chronic diseases of liver
33.7
4.9
20.9
302.7
1437.7
1986.4
6.09
All other diseases of the digestive system
269.2
44
104.6
496
1885.8
8188
6.10
Diseases of the Urinary System
58.9
58.7
130.8
328.2
1156.9
6944.4
6.11
Hyperplasia of prostate
0
0
0
3.6
13.4
1356.6
6.12
Pregnancy, childbirth, and the puerperium
0
0
41.8
91.2
0
32.3
6.13
Congenital malformations,deformations and chromosomal abnor.
2389.4
97.9
68
58.4
120.4
145.3
6.14
Remainder of all other diseases
201.9
88.1
130.8
222.5
347.7
3052.3
6.15
Nutritional Deficiencies and nutritional anemia
572.1
58.7
104.6
156.8
254.1
2470.9
6.16
Chronic & unspec. bronchitis,emphysema & Asthma
58.9
24.5
26.2
94.8
300.9
2083.3
6.17
Diseases due to external agents & other diseases of resp. sy
193.5
39.2
88.9
193.3
481.5
3585.3
6.18
Complications of pregnancy,childbirth &puerperium
6.21
Residual
7.00
Symptoms, signs and ill-defined Conditions
0
0
57.5
167.8
6.7
16.1
168.3
14.7
177.9
306.4
662
5797.8
1304.1
83.2
428.9
663.8
1691.9
19896.6
Note: Refer to Appendix D for details on the ICD9/ICD10 classifications used for the above as they may differ from those used in other listings
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
Page 35
TABLE 9D (Cont’d). STANDARDISED MORTALITY RATES BY AGE GROUP: CAREC MEMBER COUNTRIES – 2000
CTC
1.00
2.00
DESCRIPTION
0-4
05-14
15-24
25-44
45-64
65+
COMMUNICABLE DISEASES
1.01
Intestinal infectious diseases
2120.1
39.2
5.2
18.2
93.6
1065.9
1.02
Tuberculosis
58.9
29.4
73.2
218.8
321
1098.2
1.03
Certain Vector-borne diseases and rabies
42.1
14.7
136
156.8
180.6
161.5
1.04
Certain diseases preventable by immunization
0
0
0
0
40.1
80.7
1.05
Meningitis
361.8
78.3
94.2
105.8
127.1
532.9
1.06
Septicimia, except Neonatal
328.1
93
41.8
229.8
434.7
5814
1.07
HIV disease (AIDS)
900.2
215.3
988.6
5922.9
3865.2
1082
1.08
ARIs
639.4
93
73.2
255.3
882.7
11837.9
1.09
Other infectious & parasitic diseases
126.2
29.4
52.3
229.8
307.6
823.6
1.11
Certain Vector-borne Diseases
0
0
0
0
0
0
NEOPLASMS
2.01
Malignant neoplasm of Stomach
8.4
4.9
10.5
80.2
835.9
5394.1
2.02
Malignant neoplasm of colon and recto-sigmoid junction
8.4
0
0
83.9
742.3
3892.1
2.03
Malignant neoplasm of digestive organs & peritoneum, execpt
16.8
9.8
15.7
255.3
1745.4
8559.4
2.04
Malignant neoplasm of trachea, bronchus and lung
0
0
15.7
105.8
1691.9
5604
2.05
Malignant neoplasm of respiratory and intra-thoracic organ
0
4.9
10.5
18.2
140.4
823.6
2.06
Malignant neoplasm of female breast (C50 in women)
8.4
4.9
5.2
393.9
1297.3
4295.9
2.07
Malig. neoplasm of uterus
0
0
15.7
320.9
1364.2
3924.4
2.10
Malignant Neoplasm of prostate
0
0
0
7.3
588.5
14631.8
2.11
Malignant neoplasm of other genitourinary organs
50.5
19.6
20.9
83.9
708.8
2858.5
2.12
Malig. neoplasm of lymphatic and hematopoietic
176.7
102.8
125.5
317.3
983
3391.5
2.14
Malignant neoplasm of other and unspecfied sites
151.4
73.4
172.6
393.9
1905.8
6831.4
2.15
Carcinoma in situ, benign neoplasms of uncertain or unkn
50.5
29.4
57.5
113.1
234.1
1065.9
2.16
Benign carcinoma in situ and neoplasms of uncerta
0
0
0
7.3
0
0
Note: Refer to Appendix D for details on the ICD9/ICD10 classifications used for the above as they may differ from those used in other listings
Page 36
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
TABLE 9D (Cont’d). STANDARDISED MORTALITY RATES BY AGE GROUP: CAREC MEMBER COUNTRIES – 2000
CTC
3.00
4.00
5.00
DESCRIPTION
0-4
05-14
15-24
25-44
45-64
65+
DISEASES OF THE CIRCULATORY SYSTEM
3.01
Acute rheumatic fever & chronic rheumatic heart diseases
16.8
53.8
94.2
124
133.7
242.2
3.02
Hypertensive Disease
16.8
14.7
52.3
342.8
3671.3
30910.9
3.03
Ischaemic heart diseases
16.8
14.7
68
514.2
7596.6
47852.1
3.04
Pul circ.dis & Other heart Diseases
185.1
107.7
245.9
725.8
2674.9
26695.7
3.07
Cerebrovascular diseases
50.5
24.5
99.4
539.8
5182.6
53310.7
3.08
Atherosclerosis
0
0
0
10.9
113.7
3100.8
3.09
All other diseases of the circulatory system
0
0
10.5
113.1
381.2
3795.2
3.10
Other diseases of the cirulatory system
0
0
0
0
0
16.1
25.2
0
0
0
0
0
CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD
4.01
Fetus & newborn affected by certain maternal conditions
4.02
Fetus & newborn affected by obstetric complic. birth trauma
370.2
0
0
0
0
0
4.03
Slow Fetal Growth, fetal malnut., short gestation, low birth wt
1792
0
0
0
0
0
4.04
Respiratory disorders specific to the perinatal period
5939.8
0
0
0
0
0
4.05
Bacterial sepsis of newborn
1093.7
0
0
0
0
0
4.06
Remainder of certain cond. originating in the perinata period
2002.4
0
0
0
0
0
4.07
Hypoxia, birth asphyxia and other resp. conditions
33.7
0
0
0
0
0
4.08
Other conditions orginating in perinatal period
0
0
0
0
0
0
210.3
234.9
638.2
930
902.8
1437.3
0
4.9
20.9
25.5
53.5
48.4
33.7
14.7
10.5
43.8
113.7
419.9
0
0
10.5
36.5
26.7
0
EXTERNAL CAUSES
5.01
Land transport accidents
5.02
Other unspecified transport accidents
5.03
Falls
5.04
Accidents caused by firearm discharge
5.05
Accidental drowning and submersion
176.7
166.4
266.8
237.1
280.9
274.5
5.06
Accidental threats to breathing
193.5
9.8
15.7
29.2
40.1
258.4
5.07
Exposure to electric current
0
4.9
26.2
36.5
13.4
0
5.08
Exposure to smoke fire & flames
109.4
48.9
47.1
54.7
53.5
339.1
5.09
Accidental poisoning by and exposure to noxious substances
16.8
9.8
5.2
32.8
33.4
64.6
Note: Refer to Appendix D for details on the ICD9/ICD10 classifications used for the above as they may differ from those used in other listings
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
Page 37
TABLE 9D (Cont’d). STANDARDISED MORTALITY RATES BY AGE GROUP: CAREC MEMBER COUNTRIES – 2000
CTC
6.00
DESCRIPTION
0-4
05-14
15-24
25-44
45-64
65+
92.5
68.5
83.7
178.7
280.9
1889.5
0
24.5
319.1
558
461.4
565.2
5.10
All other Accidents
5.11
Intentional self-harm (suicide)
5.12
Assault (homicide)
101
117.5
1417.6
2100.7
896.1
1114.3
5.13
Event of undetermined intent
101
58.7
240.6
364.7
381.2
759
5.14
All other external causes
0
4.9
83.7
113.1
13.4
16.1
5.15
Accidental falls
0
0
0
0
0
16.1
5.16
Other accidents including late effects
0
0
0
7.3
0
0
33.7
14.7
68
627.3
9000.9
43588.5
471.1
58.7
15.7
58.4
267.5
2955.4
16.8
4.9
20.9
138.6
327.7
1372.7
513.2
190.9
198.8
539.8
922.8
5119.5
143
19.6
41.8
167.8
916.1
9108.5
168.3
24.5
36.6
182.4
528.3
1808.8
ALL OTHER DISEASES
6.01
Diabetes mellitus
6.02
Nutritional deficiencies and nutritional anemia
6.03
Mental and behavioural disorders
6.04
Diseases of the nervous System, except meningitis
6.05
Chronic lower respiratory diseases
6.06
Remainder of diseases of the respiratory system
6.07
Appendicitis, hernia of abdom. cavity and intestinal obstruc.
75.7
24.5
41.8
47.4
227.4
1728
6.08
Cirrhosis and certain other chronic diseases of liver
16.8
4.9
31.4
196.9
1116.8
1841.1
6.09
All other diseases of the digestive system
260.8
29.4
125.5
361.1
1330.7
7687.3
6.10
Diseases of the Urinary System
25.2
24.5
88.9
244.4
1270.6
7025.2
6.11
Hyperplasia of prostate
0
0
0
3.6
33.4
1243.5
6.12
Pregnancy, childbirth, and the puerperium
0
0
78.5
182.4
6.7
0
6.13
Congenital malformations, deformations and chromosomal abnor.
2481.9
83.2
83.7
51.1
60.2
96.9
6.14
Remainder of all other diseases
597.3
127.3
329.5
645.5
1377.6
12403.1
6.15
Nutritional Deficiencies and nutritional anemia
0
0
0
3.6
0
16.1
6.16
Chronic & unspec. bronchitis, emphysema & Asthma
0
0
0
0
6.7
32.3
6.17
Diseases due to external agents & other diseases of resp. sy
0
0
5.2
0
0
64.6
6.18
Complications of pregnancy, childbirth & puerperium
0
0
0
0
0
0
6.21
Residual
0
0
5.2
7.3
6.7
145.3
7.00
Symptoms, signs and ill-defined Conditions
807.7
93
355.7
674.7
1424.4
17361.1
Note: Refer to Appendix D for details on the ICD9/ICD10 classifications used for the above as they may differ from those used in other listings
Page 38
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
FIGURE 1. CRUDE MORTALITY RATES (per 100,000 population) FOR SELECT DISEASES BY YEAR: CAREC MEMBER COUNTRIES
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
Page 39
FIGURE 2. POTENTIAL YEARS OF LIFE LOST BY SIX MAJOR CAUSE OF DEATH GROUPS: CAREC MEMBER COUNTRIES – 1985 1990 1995 2000
Page 40
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
FIGURE 3. POTENTIAL YEARS OF LIFE LOST BY SIX MAJOR CAUSE OF DEATH GROUPS FOR SELECTED DISEASES: CAREC MEMBER COUNTRIES – 2000
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
Page 41
APPENDIX A
POPULATION DISTRIBUTION BY AGE GROUP AND GENDER: CAREC MEMBER COUNTRIES
1985
1990
1985
1995
2000
1990
1995
2000
Age Group
Page 42
Males
Females
Males
Females
Males
Females
Males
Females
0-4
366383
358503
341282
333067
328849
319377
330132
318361
5-14
715688
700321
685349
670223
692043
681246
681547
665020
15-24
659966
666107
623570
616987
603418
601874
615814
611413
25-44
729597
755863
802745
828816
897963
934726
968484
1010819
45-64
354017
379504
361622
378043
415945
428203
469724
483970
65+
173376
209126
188230
224808
188646
230338
200218
245512
Total
2999027
3069424
3002798
3051944
3126864
3195764
3265919
3335095
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
APPENDIX B
FORMULAS USED
i.
Crude Mortality Rate =
Number of Deaths
Total Population
ii.
Age –Specific Death Rate =
x 100,000
Number of Deaths in Specified Age-group
Total Population in Specified Age-group
iii.
Cause –Specific Death Rate =
Number of Deaths from Cancer
Total Population
iv.
Under 5 Mortality Rate =
x 100,000
x 100,000
Number of Deaths of children under 5 years
Total Population under 5 years
x 100,000
v.
Age-Specific Potential Years of Life Lost =
(65 - Midpoint of age group) x Number of deaths in age group
vi.
Potential Years of Life Lost (PYLL) =
Sum of Age-specific PYLL below the age of 65 years
vii.
Working Years of Life Lost (15-64 years) =
Sum of Age-specific WYLL from 15 to 64 years
viii.
Potential Years of Life Lost Rare (<65 years) =
Midpoint of age group = [Age groups youngest age + oldest age + 1] ÷ 2
PYLL
Population under 65 years
ix.
Working Years of Life Lost Rare (15-64 years) =
WYLL
Population 15-64 years
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
x 100,000
x 100,000
Page 43
APPENDIX C
CAREC RANKING LIST
Bel
COMMUNICABLE DISEASES
1
Intestinal infectious diseases (ICD9&10 1.01)
21
Accidents (ICD9&10 5.01-5.10)
2
Tuberculosis (ICD9&10 1.02)
22
Intentional self-harm (suicide) (ICD9&10 5.11)
3
Certain vector-borne diseases and rabies (ICD10 1.03)
23
Assault (homicide) (ICD9&10 5.12)
4
Certain diseases preventable by immunization (ICD9 1.03 & ICD10 1.04)
5
Meningitis (ICD9 1.07 & ICD10 1.05)
24
Diabetes mellitus (ICD9&10 6.01)
6
Septicemia, except neonatal (ICD9 1.05 & ICD10 1.06)
25
Nutritional deficiencies and nutritional anemia (ICD10 6.02)
7
HIV disease (AIDS) (ICD9 1.10 & ICD10 1.07)
26
Diseases of the nervous system, except meningitis (ICD9&10 6.04)
8
Acute respiratory infections (ICD9&10 1.08)
27
Chronic lower respiratory diseases (ICD10 6.05)
9
Certain vector-borne diseases (ICD9 1.04)
28
Appendicitis, hernia of abdominal cavity and intestinal obstruction (ICD9&10 6.07)
29
Cirrhosis and certain other chronic diseases of liver (ICD9&10 6.08)
30
Diseases of the urinary system (ICD9&10 6.10)
31
Hyperplasia of prostate (ICD9&10 6.11)
NEOPLASMS
10
Cancers (ICD9 2.01-2.11 & ICD10 2.01-2.15)
DISEASES OF THE CIRCULATORY SYSTEM
ALL OTHER DISEASES
11
Heart diseases (ICD9 3.01;3.03-3.04 & ICD10 3.01;3.03-3.06)
32
Pregnancy, childbirth and the puerperium (ICD10 6.12)
12
Hypertensive diseases (ICD9&10 3.02)
33
Congenital malformations, deformations and chromosomal abnormalities (ICD9&10 6.13)
13
Cerebrovascular diseases (ICD9 3.05 & ICD10 3.07)
34
Nutritional deficiencies and nutritional anemia (ICD9 6.02)
14
Atherosclerosis (ICD9 3.06 & ICD10 3.08)
35
Chronic and unspecified bronchitis, emphysema and asthma (ICD9 6.05)
36
Complications of pregnancy, childbirth and the puerperium (ICD9 6.12)
CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD
Page 44
EXTERNAL CAUSES
15
Fetus and newborn affected by certain maternal conditions (ICD9&10 4.01)
16
Fetus and newborn affected by obstetric complications, birth trauma (ICD9&10 4.02)
17
Slow fetal growth, fetal malnutrition, short gestation, low birth weight (ICD9&10 4.03)
18
Respiratory disorders specific to the perinatal period (ICD10 4.04)
19
Bacterial sepsis of newborn (ICD10 4.05)
20
Hypoxia, birth asphyxia and other respiratory conditions (ICD9 4.04)
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
APPENDIX D
MORTALITY TABULATION ICD9/ICD10 MERGER LISTING
This table reflects the merging of the PAHO ICD 9 and ICD 10 Mortality Tabulation Listing for the purpose of a four point analysis of mortality data in CAREC member countries. This compilation was specifically done to support the Caribbean Commission on Health and Development
(CCHD). The list is by no way comprehensive as it was not possible to align all ICD9 tabulation codes with a corresponding ICD10 tabulation code and vice versa. The first three columns give the ICD 9 and ICD 10 tabulation codes and the CAREC assigned tabulation codes (CTC) used
for the analysis. The column ‘Description’ outlines the descriptions used as taken from the PAHO ICD 9/ICD10 Mortality Tabulation Listing.
TABULATION CODES
DESCRIPTION
ICD9
ICD10
CTC
0.00
0.00
7.00
Symptoms, signs and ill-defined conditions
1.00
1.01
1.02
*
1.03
1.07
1.05
1.10
1.00
1.01
1.02
1.03
1.04
1.05
1.06
1.07
1.00
1.01
1.02
1.03
1.04
1.05
1.06
1.07
1.08
1.06,1.09
1.04
2.00
2.01
2.02
2.03
2.04
1.08
1.09
*
2.00
2.01
2.02
2.03
2.04
2.05
2.06
2.07
2.08
2.09
2.10
2.11
*
2.12
TABULATION CODES
DESCRIPTION
ICD9
ICD10
CTC
Communicable Diseases
Intestinal infectious diseases
Tuberculosis
Certain vector-borne diseases and rabies
Certain diseases preventable by immunization
Meningitis
Septicemia, except neonatal
HIV disease (AIDS)
3.00
3.01
3.02
3.03
3.04
3.05
3.06
*
3.00
3.01
3.02
3.03
3.04-3.06
3.07
3.08
3.09
3.00
3.01
3.02
3.03
3.04
3.07
3.08
3.09
Diseases of the Circulatory System
Acute rheumatic fever and chronic rheumatic heart diseases
Hypertensive diseases
Ischemic heart diseases
Disease of pulmonary circulation and other forms of heart disease
Cerebrovascular diseases
Atherosclerosis
All other diseases of the circulatory system
1.08
1.09
1.11
2.00
2.01
2.02
2.03
2.04
Acute respiratory infections
Other infectious and parasitic diseases
Certain vector-borne diseases
Neoplasms
Malignant neoplasm of stomach
Malignant neoplasm of colon and recto-sigmoid junction
Malignant neoplasm of digestive organs and peritoneum, except stomach and colon
Malignant neoplasm of trachea, bronchus and lung
3.07
*
3.10
Other diseases of the circulatory system
4.00
4.01
4.02
4.03
*
4.00
4.01
4.02
4.03
4.04
4.00
4.01
4.02
4.03
4.04
Certain conditions originating in the Perinatal Period
Fetus and newborn affected by certain maternal conditions
Fetus and newborn affected by obstetric complications, birth trauma
Slow fetal growth, fetal malnutrition, short gestation, low birth weight
Respiratory disorders specific to the perinatal period
2.05
2.05
*
4.05
4.05
Bacterial sepsis of newborn
2.06
2.07-2.09
2.10
2.11
2.12-2.13
2.14
2.15
*
2.06
2.07
2.10
2.11
2.12
2.14
2.15
2.16
Malignant neoplasm of respiratory and intra-thoracic organs, except trachea, bronchus and
lung
Malignant neoplasm of female breast (C50 in women)
Malignant neoplasm of uterus
Malignant neoplasm of prostate
Malignant neoplasm of other genitourinary organs
Malignant neoplasm of lymphatic and hematopoietic tissue
Malignant neoplasm of other and unspecified sites
Carcinoma in situ, benign neoplasms and neoplasms of uncertain or unknown behavior
Benign carcinoma in situ and neoplasms of uncertain or unknown behavior and unspecified
nature
4.05
4.04
4.06
4.06
*
*
4.06
4.07
4.08
Remainder of certain conditions originating in the perinatal period
Hypoxia, birth asphyxia and other respiratory conditions
Other conditions originating in perinatal period
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates
Page 45
TABULATION CODES
DESCRIPTION
ICD9
ICD10
CTC
5.00
5.00
5.00
5.01
5.01
5.01
5.02
5.02
5.02
Other and unspecified transport accidents
*
5.03
5.03
Falls
5.09
5.04
5.04
Accidents caused by firearm discharge
5.07
5.05
5.05
*
5.06
5.06
*
5.07
5.07
5.06
5.08
5.03
5.09
5.04,5.08
TABULATION CODES
DESCRIPTION
ICD9
ICD10
CTC
External Causes
6.00
6.00
6.00
All other Diseases
Land transport accidents
6.01
6.01
6.01
Diabetes mellitus
*
6.02
6.02
Nutritional deficiencies and nutritional anemia
6.03
6.03
6.03
Mental and behavioral disorders
6.04
6.04
6.04
Diseases of the nervous system, except meningitis
Accidental drowning and submersion
*
6.05
6.05
Chronic lower respiratory diseases
Accidental threats to breathing
*
6.06
6.06
Remainder of diseases of the respiratory system
Exposure to electric current
6.07
6.07
6.07
Appendicitis, hernia of abdominal cavity and intestinal obstruction
5.08
Exposure to smoke, fire and flames
6.08
6.08
6.08
Cirrhosis and certain other chronic diseases of liver
5.09
Accidental poisoning by and exposure to noxious substances
6.09
6.09
6.09
All other diseases of the digestive system
5.10
5.10
All other accidents
6.10
6.10
6.10
Diseases of the urinary system
5.11
5.11
5.11
Intentional self-harm (suicide)
6.11
6.11
6.11
Hyperplasia of prostate
5.12
5.12
5.12
Assault (homicide)
*
6.12
6.12
Pregnancy, childbirth and the puerperium
5.13
5.13
5.13
Event of undetermined intent
6.13
6.13
6.13
Congenital malformations, deformations and chromosomal abnormalities
*
5.14
5.14
All other external causes (Y35-Y36, Y85-Y89)
*
6.14
6.14
Remainder of all other diseases
5.05
*
5.15
Accidental falls
6.02
*
6.15
Nutritional deficiencies and nutritional anemia
5.10
*
5.16
Other accidents including late effects
6.05
*
6.16
Chronic and unspecified bronchitis, emphysema and asthma
6.06
*
6.17
6.12
*
6.18
Other chronic pulmonary disease, pulmonary diseases due to external agents, and other
diseases of respiratory system
Complications of pregnancy, childbirth and the puerperium
6.14
*
6.21
Residual
Page 46
CAREC/PAHO/WHO Epidemiology Division – Statistics Unit
Leading Causes of Death and Mortality Rates