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Mortality and morbidity from external causes, Chile 1968-2003.

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Presentation on theme: "Mortality and morbidity from external causes, Chile 1968-2003."— Presentation transcript:

1 Mortality and morbidity from external causes, Chile 1968-2003

2 Both sexes male f emale rate External cause mortality by sex, Chile

3 ICD-7: N800-N999, E800-E999 (1958-1967). ICD-8: N800-N999, E800-E999 (1968-1979). ICD-9: 800-999, E800-E999 (1980-1996). ICD-10: V01-Y98 (1997- …).

4 Stages of cause of death statistics production in Chile 1843-1951: Office of Statistics 1952-1978: National Institute of Statistics y Dept of Statistics for National Health Service (2 publications). 1979-2000: National Institute of Statistics and Ministry of Health (in legal agreement since 1982). Civil Registry, 1884

5 1979-2000: There is no counterpart specialist in the health statistics agency nor an ICD expert in the Ministry of Health Instruction/education of technical personnel in Health Statistics agency was suspended, as was education of ICD coders

6

7 Health Statistics Recovery The Department of Health Statistics and Information is reborn (12/10/2000, resolution? 2164)."The Department of Health Statistics and Information is reborn (12/10/2000, resolution? 2164)." Two courses on cause-of-death coding are taught for 40 coders nationwide (PAHO - Health Ministry of Cuba).Two courses on cause-of-death coding are taught for 40 coders nationwide (PAHO - Health Ministry of Cuba). Rules and procedures on coding and updating/revising incorrectly coded certificates are implementedRules and procedures on coding and updating/revising incorrectly coded certificates are implemented Information is verified / corrected through matching against other sources of information, especially through querying the certifying physician.Information is verified / corrected through matching against other sources of information, especially through querying the certifying physician.

8 ICD-8 ICD-9 ICD-10

9 Transport accidents: N-XVII: N800- N999 + E800-E845, ICD-8; XVII: 800-999 + E800-E848, ICD-9; V01-V99, ICD-10. Suicide: N-XVII + E950-E959, CIE- 8; XVII + E950-E959, ICD-9; X60- X84 + Y87.0, ICD-10. Homicide: N-XVII + E960-E969, CIE-8; XVII + E960-E969, ICD-9; X85-Y09 + Y87.1, ICD-10.

10 Undetermined intent: N-XVII + E980-E989, ICD-8; XVII + E980- E989, ICD-9; Y10-Y34 + Y87.2, ICD-10. Note: Note: The few deaths coded as sequelae of legal intervention have been added as homicides

11 Relative difference between external cause death rates according to mechanism and intent: Chile, 1997-2000 & 2001-2003 All Cut/pierce Drowning Falls Fire/Hot objects Firearm Transport Poisoning Suffocation Other specified Unspecified

12 Hospital discharge rates by external cause, Chile 2002

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