Mortality from external causes in Africa and Asia: evidence from INDEPTH Health and Demographic Surveillance System Sites

ABSTRACT

Glob Health Action

BACKGROUND: Mortality from external causes, of all kinds, is an important component of overall mortality on a global basis. However, these deaths, like others in Africa and Asia, are often not counted or documented on an individual basis. Overviews of the state of external cause mortality in Africa and Asia are therefore based on uncertain information. The INDEPTH Network maintains longitudinal surveillance, including cause of death, at population sites across Africa and Asia, which offers important opportunities to document external cause mortality at the population level across a range of settings. OBJECTIVE: To describe patterns of mortality from external causes at INDEPTH Network sites across Africa and Asia, according to the WHO 2012 verbal autopsy (VA) cause categories. DESIGN: All deaths at INDEPTH sites are routinely registered and followed up with VA interviews. For this study, VA archives were transformed into the WHO 2012 VA standard format and processed using the InterVA-4 model to assign cause of death. Routine surveillance data also provide person-time denominators for mortality rates. RESULTS: A total of 5,884 deaths due to external causes were documented over 11,828,253 person-years. Approximately one-quarter of those deaths were to children younger than 15 years. Causes of death were dominated by childhood drowning in Bangladesh, and by transport-related deaths and intentional injuries elsewhere. Detailed mortality rates are presented by cause of death, age group, and sex. CONCLUSIONS: The patterns of external cause mortality found here generally corresponded with expectations and other sources of information, but they fill some important gaps in population-based mortality data. They provide an important source of information to inform potentially preventive intervention designs.

Streatfield, P. K., Khan, W. A., Bhuiya, A., Hanifi, S. M., Alam, N., Diboulo, E., Niamba, L., Sie, A., Lankoande, B., Millogo, R., Soura, A. B., Bonfoh, B., Kone, S., Ngoran, E. K., Utzinger, J., Ashebir, Y., Melaku, Y. A., Weldearegawi, B., Gomez, P., Jasseh, M., Azongo, D., Oduro, A., Wak, G., Wontuo, P., Attaa-Pomaa, M., Gyapong, M., Manyeh, A. K., Kant, S., Misra, P., Rai, S. K., Juvekar, S., Patil, R., Wahab, A., Wilopo, S., Bauni, E., Mochamah, G., Ndila, C., Williams, T. N., Khaggayi, C., Nyaguara, A., Obor, D., Odhiambo, F. O., Ezeh, A., Oti, S., Wamukoya, M., Chihana, M., Crampin, A., Collinson, M. A., Kabudula, C. W., Wagner, R., Herbst, K., Mossong, J., Emina, J. B., Sankoh, O. A., Byass, P.

Pages:25366, Volume:7, Edition:11/8/2014, Date,

Link: https://www.ncbi.nlm.nih.gov/pubmed/25377327

Notes:Streatfield, P Kim|Khan, Wasif A|Bhuiya, Abbas|Hanifi, Syed M A|Alam, Nurul|Diboulo, Eric|Niamba, Louis|Sie, Ali|Lankoande, Bruno|Millogo, Roch|Soura, Abdramane B|Bonfoh, Bassirou|Kone, Siaka|Ngoran, Eliezer K|Utzinger, Juerg|Ashebir, Yemane|Melaku, Yohannes A|Weldearegawi, Berhe|Gomez, Pierre|Jasseh, Momodou|Azongo, Daniel|Oduro, Abraham|Wak, George|Wontuo, Peter|Attaa-Pomaa, Mary|Gyapong, Margaret|Manyeh, Alfred K|Kant, Shashi|Misra, Puneet|Rai, Sanjay K|Juvekar, Sanjay|Patil, Rutuja|Wahab, Abdul|Wilopo, Siswanto|Bauni, Evasius|Mochamah, George|Ndila, Carolyne|Williams, Thomas N|Khaggayi, Christine|Nyaguara, Amek|Obor, David|Odhiambo, Frank O|Ezeh, Alex|Oti, Samuel|Wamukoya, Marylene|Chihana, Menard|Crampin, Amelia|Collinson, Mark A|Kabudula, Chodziwadziwa W|Wagner, Ryan|Herbst, Kobus|Mossong, Joel|Emina, Jacques B O|Sankoh, Osman A|Byass, Peter|eng|101594/Wellcome Trust/United Kingdom|WT081993MA/Wellcome Trust/United Kingdom|5U22/PS022179_10/PS/NCHHSTP CDC HHS/|098610/Wellcome Trust/United Kingdom|058893/Z/99/A/Wellcome Trust/United Kingdom|091758/Wellcome Trust/United Kingdom|Medical Research Council/United Kingdom|084538/Wellcome Trust/United Kingdom|097318/Wellcome Trust/United Kingdom|U22 PS022179/PS/NCHHSTP CDC HHS/|085477/Z/08/Z/Wellcome Trust/United Kingdom|MC_UP_A900_1123/Medical Research Council/United Kingdom|069683/Z/02/Z/Wellcome Trust/United Kingdom|Research Support, N.I.H., Extramural|Research Support, Non-U.S. Gov’t|Research Support, U.S. Gov’t, P.H.S.|2014/11/08 06:00|Glob Health Action. 2014 Oct 29;7:25366. doi: 10.3402/gha.v7.25366. eCollection 2014.

ISBN: 1654-9880 (Electronic)|1654-9880 (Linking) Permanent ID: PMC4220124 Accession Number: 25377327

Author Address: Matlab HDSS, Bangladesh| International Centre for Diarrhoeal Disease Research, Bangladesh| INDEPTH Network, Accra, Ghana.|International Centre for Diarrhoeal Disease Research, Bangladesh| INDEPTH Network, Accra, Ghana| Bandarban HDSS, Bangladesh.|INDEPTH Network, Accra, Ghana| Chakaria HDSS, Bangladesh| Centre for Equity and Health Systems, International Centre for Diarrhoeal Disease Research, Bangladesh.|INDEPTH Network, Accra, Ghana| AMK HDSS, Bangladesh| Centre for Population, Urbanisation and Climate Change, International Centre for Diarrhoeal Disease Research, Bangladesh.|INDEPTH Network, Accra, Ghana| Nouna HDSS, Burkina Faso| Nouna Health Research Centre, Nouna, Burkina Faso.|INDEPTH Network, Accra, Ghana| Ouagadougou HDSS, Burkina Faso| Institut Superieur des Sciences de la Population, Universite de Ouagadougou, Burkina Faso.|INDEPTH Network, Accra, Ghana| Taabo HDSS, Cote d’Ivoire| Centre Suisse de Recherches Scientifiques en Cote d’Ivoire, Abidjan, Cote d’Ivoire.|INDEPTH Network, Accra, Ghana| Taabo HDSS, Cote d’Ivoire| Universite Felix Houphoet-Boigny, Abidjan, Cote d’Ivoire.|INDEPTH Network, Accra, Ghana| Taabo HDSS, Cote d’Ivoire| Swiss Tropical and Public Health Institute, Basel, Switzerland.|INDEPTH Network, Accra, Ghana| Kilite-Awlaelo HDSS, Ethiopia| Department of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.|INDEPTH Network, Accra, Ghana| Farafenni HDSS, The Gambia| Medical Research Council, The Gambia Unit, Fajara, The Gambia.|INDEPTH Network, Accra, Ghana| Navrongo HDSS, Ghana| Navrongo Health Research Centre, Navrongo, Ghana.|INDEPTH Network, Accra, Ghana| Dodowa HDSS, Ghana| Dodowa Health Research Centre, Dodowa, Ghana.|INDEPTH Network, Accra, Ghana| Ballabgarh HDSS, India| All India Institute of Medical Sciences, New Delhi, India.|INDEPTH Network, Accra, Ghana| Vadu HDSS, India| Vadu Rural Health Program, KEM Hospital Research Centre, Pune, India.|INDEPTH Network, Accra, Ghana| Purworejo HDSS, Indonesia| Department of Public Health, Universitas Gadjah Mada, Yogyakarta, Indonesia.|INDEPTH Network, Accra, Ghana| Kilifi HDSS, Kenya| KEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.|INDEPTH Network, Accra, Ghana| Kilifi HDSS, Kenya| KEMRI-Wellcome Trust Research Programme, Kilifi, Kenya| Department of Medicine, Imperial College, St. Mary’s Hospital, London, United Kingdom.|INDEPTH Network, Accra, Ghana| Kisumu HDSS, Kenya| KEMRI/CDC Research and Public Health Collaboration and KEMRI Center for Global Health Research, Kisumu, Kenya.|INDEPTH Network, Accra, Ghana| Nairobi HDSS, Kenya| African Population and Health Research Center, Nairobi, Kenya.|INDEPTH Network, Accra, Ghana| Karonga HDSS, Malawi| Karonga Prevention Study, Chilumba, Malawi.|INDEPTH Network, Accra, Ghana| Karonga HDSS, Malawi| Karonga Prevention Study, Chilumba, Malawi| London School of Hygiene and Tropical Medicine, London, United Kingdom.|INDEPTH Network, Accra, Ghana| Agincourt HDSS, South Africa| MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa| Umea Centre for Global Health Research, Umea University, Umea, Sweden.|INDEPTH Network, Accra, Ghana| Agincourt HDSS, South Africa| MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.|INDEPTH Network, Accra, Ghana| Umea Centre for Global Health Research, Umea University, Umea, Sweden| Africa Centre for Health and Population Studies, University of KwaZulu-Natal, Somkhele, KwaZulu-Natal, South Africa.|INDEPTH Network, Accra, Ghana| Umea Centre for Global Health Research, Umea University, Umea, Sweden| Africa Centre for Health and Population Studies, University of KwaZulu-Natal, Somkhele, KwaZulu-Natal, South Africa| National Health Laboratory, Surveillance & Epidemiology of Infectious Diseases, Dudelange, Luxembourg.|INDEPTH Network, Accra, Ghana.|INDEPTH Network, Accra, Ghana| School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa| Hanoi Medical University, Hanoi, Vietnam| osman.sankoh@indepth-network.org.|MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa| WHO Collaborating Centre for Verbal Autopsy, Umea Centre for Global Health Research, Umea University, Umea, Sweden.

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