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Document 0356
DOCN M9650356
TI The changing pattern of mortality in an African medical ward.
DT 9605
AU Harries AD; Mvula B; Department of Medicine, Queen Elizabeth Central
Hospital,; Blantyre, Malawi.
SO Trop Geogr Med. 1995;47(4):171-4. Unique Identifier : AIDSLINE
MED/96085991
AB The pattern of adult medical deaths in Queen Elizabeth Central Hospital,
Blantyre, Malawi was documented over a 12 month period between April
1992 and March 1993. Results were compared with mortality data collected
from the same wards in the pre-AIDS era in 1973. Tuberculosis and AIDS
together accounted for 49% of all medical deaths in 1992-93. Eighty-two
per cent of deaths occurred in the age group 13-49 years; tuberculosis,
AIDS, gastroenteritis, pneumonia, pyogenic meningitis and septicaemia
were the most important causes of death in these young patients. These
findings are very different to those observed in the same wards 20 years
previously when tuberculosis was responsible for 13% of deaths and there
were no deaths due to AIDS. The predicted upsurge in AIDS-related deaths
in sub-Saharan Africa in the 1990s will have grave consequences not only
for the health sector, but for the social and economic fabric of the
countries concerned.
DE Acquired Immunodeficiency Syndrome/MORTALITY Adolescence Adult Age
Distribution Cause of Death/*TRENDS *Developing Countries Female
Hospital Mortality/*TRENDS Human Malawi/EPIDEMIOLOGY Male Middle Age
Risk Factors Sex Distribution Survival Rate Tuberculosis/MORTALITY
JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).