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).