Changing causes of death in the West African town of Banjul, 1942-97.

Abstract:

OBJECTIVE:To determine trends in the causes of death in a West African town. Mortality caused by infectious diseases is reported to be declining while degenerative and man-made mortality factors are increasingly significant. Most mortality analyses for sub-Saharan Africa have involved extrapolation and have not been derived from community-based data. METHODS:Historical data on causes of death coded by physicians were analysed for the urban population of Banjul for the period 1942-97. As the calculation of rates is not possible in the absence of a reliable population denominator, age-standardized proportional mortality ratios (PMRs) for men and women by major groups of causes of death were calculated, using the 1942-49 data for reference purposes. FINDINGS:Most deaths were attributable to communicable diseases. There was a shift in proportional mortality over the study period: the contribution of communicable diseases declined and that of noncommunicable diseases and injuries increased. These trends were more marked among men than women. CONCLUSION:The data illustrate that while noncommunicable diseases and injuries are emerging as important contributors to mortality in sub-Saharan Africa, communicable diseases remain significant causes of mortality and should not be neglected.

authors

van der Sande MA,Inskip HM,Jaiteh KO,Maine NP,Walraven GE,Hall AJ,McAdam KP

subject

Has Abstract

pub_date

2001-01-01 00:00:00

pages

133-41

issue

2

eissn

0042-9686

issn

1564-0604

journal_volume

79

pub_type

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