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  • Title: [The rates of postneonatal mortality and sudden infant death in Spain compared with other countries].
    Author: Cortes Viana MP, Mingot Lluis M.
    Journal: An Esp Pediatr; 1991 Dec; 35 Suppl 47():61-2. PubMed ID: 1821598.
    Abstract:
    Studies of infant mortality permit evaluation of the level of health care enjoyed by a population. Official Spanish mortality statistics are based on the medical certificate of death required before burial and on the Statistical Bulletin of Mortality, both of which contain detailed information on the causes of death. The developed countries have similar rates of infant mortality achieved through effective medical treatment of infections and other early problems. In the latest series of infant mortality statistics, Spain's rates varied from 9.88/1000 live births in 1984 to 9.20 in 1986, levels similar to those of the UK, Federal Republic of Germany, Ireland, and Belgium and slightly higher than those of France, Denmark, and Holland which averaged 8/1000 during the same period. Spain's rates were favorable compared to those of Greece, which declined from 14.34/1000 in 1984 to 11.04 n 1988 and of Portugal, where the rate was 12.18 in 1989. Infant mortality decline depends on declines in postneonatal mortality. Postneonatal mortality rates in Spain declined from 3.15/1000 in 1984 to 3.01 in 1986. The latest available data, for 1988, showed postneonatal rates of 2.9 for Denmark and Greece, 2.2 for Holland, and 2.05 for Italy. Portugal's rate declined from 5.41 in 1984 to 4.11 in 1989. Studies of sudden infant death syndrome (SIDS) show a progressively increasing incidence. Rates of death from SIDS in 1988 ranged from 1.3 to 2.8/1000 in France, the Federal Republic of Germany, and the UK. Rates in Spain increased from .15/1000 in 1984 to .23 in 1986. The annual increase probably results from a greater number of deaths attributed to SIDS in death certificates in the absence of autopsy findings. SIDS is a main cause of postneonatal mortality in most of the world, especially among term infants of adequate birth weight.
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