scholarly journals Causes of death in Serbia since the mid-20th century

Stanovnistvo ◽  
2012 ◽  
Vol 50 (1) ◽  
pp. 89-106
Author(s):  
Ivan Marinkovic

The structure of the leading causes of death in Serbia has considerably changed in the last half century. Diseases which presented the main threat to the population a few decades ago are now at the level of a statistical error. On the one side are causes which drastically changed their share in total mortality in this time interval, while others have shown stability and persistence among the basic causes of death. Acute infectious diseases "have been replaced" with chronic noninfectious diseases, due to the improvement of general and health conditions. One of the consequences of such changes is increased life expectancy and a larger share of older population which resulted in cardiovascular diseases and tumors to dominate more and more in total mortality. Convergent trends in the structure of the leading causes of death in Serbia from the middle of the 20th century are the reasons why there are considerably fewer diseases and causes with a significant rate in total population mortality at the beginning of the 21st century. During the 1950s, there were five groups of diseases and causes which participated individually with more than 10% of population mortality (infectious diseases, heart and circulatory diseases, respiratory diseases, some perinatal conditions and undefined states) while at the beginning of the new century there were only two such groups (cardiovascular diseases and tumors). Identical trends exist in all European countries, as well as in the rest of the developed world. The leading causes of death in Serbia are cardiovascular diseases. An average of somewhat over 57.000 people died annually in the period from 2007 - 2009, which represents 55.5% of total population mortality. Women are more numerous among the deceased and this difference is increasing due to population feminization. The most frequent cause of death in Serbia, after heart and circulatory diseases, are tumors, which caused 21,415 deaths in 2009. Neoplasms are responsible for one fifth of all deaths. Their number has doubled in three decades, from 9,107 in 1975 to about 20,000 at the beginning of the 21st century, whereby tumors have become the fastest growing cause of death. Least changes in absolute number of deaths in the last half century were marked among violent deaths. Observed by gender, men are in average three times more numerous among violent deaths than women. In the middle of the 20th century in Serbia, one third of the deaths caused by violence were younger than 25 and as many as one half were younger than 35 years old. Only one tenth (11%) of total number of violent deaths were from the age group of 65 or older. At the end of the first decade of the 21st century (2009), the share of population younger than 25 in the total number of violent deaths was decreased four times (and amounted to 8%). At the same time, the rate of those older than 65 or more quadrupled (amounted to 39%).

2018 ◽  
Vol 25 (5) ◽  
pp. 156-163
Author(s):  
E. A. Sukhova

Aim. This study was designed for the determination of the priority directions of the reduction of the population mortality of the Yamalo-Nenets autonomous district and the estimation of the place of death from certain major groups of death causes in total mortality in the Yamal-Nenets autonomous district for the period of 1993−2016.Materials and methods. There was performed the analysis of the dynamics of death rates and the number of deaths depending on the sex, age group, locality and causes of death.Results. The change in the sex and age structure of the population due to the natural aging and migration movements (the decrease in the proportion of the population younger than 20 years by 8.38% and the increase of the proportion of the population older than 60 years by 4.62% of the total population) had a major influence on the dynamics of the change in death rates of the population. The most significant causes of death in 2016 were: in men − cardiovascular diseases, external causes of death, neoplasms; in women − cardiovascular diseases, neoplasms, external causes of death. The primary directions of reducing the mortality of the population of the YNAO can be determined by the most significant groups of causes of death: cardiovascular diseases of the population; diseases of the digestive system; neoplasms of the digestive, respiratory and genital organs; infant mortality due to infections (with the exception of respiratory infections) and circulatory problems; deaths due to alcohol-related causes.Conclusion. The obtained results can form the basis for management measures to reduce mortality in the Yamalo-Nenets Autonomous District. 


Author(s):  
Ernest K.J. Pauwels

The musical composers in the Romantic Era (1800-1910) strived for compositions that expressed human life, including happiness, harmony and despair. They lived in a period in which freedom of thinking, expression of emotion and inspiration by nature predominate. During this period, intensive trading with other parts of the world brought new microorganisms along, which made infections and epidemics very common. This article serves to address the cause of death and relevant biographic data of a number of well- known Romantic composers. Primarily, this review refers to clinically significant findings using reports that were retrieved from Pubmed, Embase and Google over the 19th, 20th and 21st century till 14th June 2021. Here, this text dwells on diseases and the cause of death of ten composers, namely Mozart, Beethoven, Chopin, Schubert, Schumann, Mendelssohn, Brahms, Liszt, Mahler and Bruckner. It is evident that, in the sight of modern medicine, symptoms and forensic facts are not complete, but witnesses' reports and recent medical research have provided passable and plausible clarity. Although many questions will remain unanswered, it appears that the diseases of these composers and their causes of death have their origins in alcohol abuses, age, epidemics (like tuberculosis) and syphilis.


2021 ◽  
Vol 65 (5) ◽  
pp. 35-41
Author(s):  
A. Gorski ◽  
M. Maksyutov ◽  
K. Tumanov ◽  
E. Kochergina ◽  
N. Zelenskaya ◽  
...  

Purpose: Analysis and prognosis of mortality rate, specific causes of death and mortality structure in the male cohort of the Chernobyl cleanup workers monitored from 1992 over 2017. Materials and methods: Analysis and prognosis of mortality among the Chernobyl cleanup workers for the follow up period 1992-2017 were based on personal death records stored at the National Radiation Epidemiological Registry (NRER). The workers entered the exclusion zone in 1986 and in 1987, who had documented dose records were included in the monitoring cohort. In 1992 the cohort size was 72432 persons , average radiation dose was 130.8 mGy. For the period of the cohort monitoring 27051 cleanup workers died with the following causes of death: malignant neoplasms – 4621 cases, circulatory diseases – 11410 cases, traumas and poisoning – 5110 cases, other –5910. To prognose mortality and mortality structure data on age-specific intensity of partial mortality and total mortality during the monitoring period were used. Results: The predicted size of the cohort will be 22,000 persons in 2030. Mortality structure in 2017: malignant neoplasms – 17%; circulatory diseases – 42%; traumas and poisoning – 19%, other – 22%. The mortality structure in 2030 will be: malignant neoplasms – 24%; circulatory diseases – 49%; traumas and poisoning – 11%, other – 16%. Cleanup workers’ the average time left to live estimated in 2017 was 11.1 years (their average age in 2017 was 62.4 years), it means that their average life expectancy will be 73.5 years. Average life expectancy of Russian males is 70.4 years. Increased life span of the cleanup workers can be due to their good health, social support including regular special medical examination, the effect of the natural selection cannot be excluded as well. Conclusion: Results of the study can serve as example of organization of high effective specialized medical examination of the Chernobyl cleanup workers. The research outcomes will be useful for analysis of mortality among members of a closed population following exposure to hazardous technogeneous factors.


2005 ◽  
Vol 16 (3) ◽  
pp. 159-160 ◽  
Author(s):  
JM Conly ◽  
BL Johnston

At the beginning of the 20th century, illnesses caused by infectious agents ranked among the most common causes of death in North America and, indeed, worldwide. By the middle of the century, dramatic advances in the diagnosis, management and prevention of infectious diseases had occurred, and hopes were raised that many infectious diseases would be eliminated by the end of the 20th century. Much of this success in the management of infectious diseases was related to a continuous new armamentarium of antibiotics. The discovery of penicillin by Fleming in 1928 followed by the discovery and clinical use of sulphonamides in the 1930s heralded the age of modern antibiotherapy (1,2). Penicillin came into widespread use during the early 1940s. By the 1950s, the 'golden era' of antibiotic development and use was well underway, and multiple new classes of antibiotics were introduced over the next two decades (Table 1) (3).


2020 ◽  
Author(s):  
Ana Balseiro ◽  
Luis José Royo ◽  
Elena Gayo ◽  
Ramón Balsera ◽  
Olga Alarcia ◽  
...  

Abstract Background This work summarizes the confirmed causes of death of twenty-five free-ranging Eurasian brown bears ( Ursus arctos arctos ) from the Cantabrian mountain range submitted for necropsy in Asturias and Castilla y León (northwestern Spain) from 1998 to 2018. Results Causes of death were classified based on (i) pathological findings and (ii) caused by “human intervention” or “non human intervention”. In four cases (16%) it was not possible to determine the cause of death due to the bad preservation of found remains or insufficient tissue availability. Based on pathological findings seven out of the 21 (33.3%) brown bears in which the cause of death could be determined died due to infectious diseases (clostridiosis n =4 or infectious canine hepatitis n =3), two (9.5%) due to exertional (degenerative) myopathy (one of those bears also showed clostridiosis) and one due to strychnine poisoning (4.8%), neoplasia (4.8%) or mushroom poisoning (4.8%). The remaining animals died due to traumatic lesions (including fights or infanticide), shooting or wire snare. Mortality data was also classified by deaths caused by “human intervention” or “non human intervention”. The death of one bear showing exertional myopathy after handling was not ascribed to any of the former classifications. Six out of the 20 (30%) brown bears died as a consequence of “human intervention” due to illegal hunting (wire snare hunting n =3 or shooting n =2) and, strychnine poisoning ( n =1). In contrast, fourteen (14/20, 70%) brown bears died by “non-human intervention”; nine of them (9/20, 45%) due to traumatic lesions (fights n =4, traumas n =3 or infanticide n =2), three (3/20, 15%) due to infectious canine hepatitis caused by canine adenovirus type 1 (CAdV-1) infection, one (1/20, 5%) due to cholangiocarcinoma and another one (5%) due to mushroom poisoning. Conclusions This study shows that the main causes of death in Eurasian brown bears are those caused by infectious diseases. In contrast to previous data on free-ranging bears for the first time infectious diseases appear as an important cause of death. These data are valuable and may help in the conservation and management of this recovering population.


2009 ◽  
Vol 8 (2) ◽  
pp. 127-130
Author(s):  
A. T. Adamyan ◽  
S. Yu. Kladov

The mortality of Tomsk people aged from 15 to 74 from diseases of the blood circulation system have been studied for 1990—2001 and main risk factors have been determined. For the 12-year period, the mortality increased in all the main classes of causes of death. The analysis of differences in male and female mortality from individual causes of death shows that cardiovascular diseases and violent death in the active working age are major contributors to mortality differentiation depending on sex. Four risk factors can be separated: high arterial tension, high cholesterol level, smoking, and excessive alcohol consumption. They determine 87.5% in total mortality and 58.5% in the years of life with disability. Prophylaxis of mortality from circulatory diseases should be aimed, first of all, at these groups of factors.


2021 ◽  
Author(s):  
Exaverio Chireshe

Abstract This study aimed at identifying underlying patterns in mortality due to causes of death in South Africa using mortality statistics from 2005 to 2015 obtained from Statistics South Africa. Log-linear analysis was used in this study on mortality by causes of death dataset having three variables, cause of death (C), province (P) and year (Y). Log-linear analysis was preferred because of its capability to tease out relationships among variables. Results revealed that there are variations in mortality due to causes of death. Mortality was found to differ widely across the country, among provinces. It is recommended that prevention and management policies for HIV and TB be intensified since they still remain South Africa's major causes of death. A replication of the study could be done in another developing country using latest data to see if it will yield the same results. A multi-population mortality modeling could also be carried out using the same approach.


2019 ◽  
Vol 47 (1) ◽  
pp. 29-38
Author(s):  
Kristina Kristina ◽  
Lamria Pangaribuan ◽  
Hendrik Hendrik

AbstractDeath can be caused by a number of diseases such as infectious diseases, disease not causing injury. Thepattern of death and cause of death is one indicator used to assess health programs. Objective: to findout the images of the causes and causes of death in 2011 in Bekasi Regency. Methods: Articles are thesubsequent analysis of the study of the Health Control Model Based on Death Registrations and Causesof Death in 12 Districts / Cities in Indonesia. The method is an analysis of national agriculture in 2011.Population: all death events in Bekasi Regency. Samples: deaths of residents of Bekasi Regency who diedin 2011. Instruments used: 1) AV1 Questionnaire, to collect information on perinatal deaths, namely fetal/ infant mortality with a womb age of more than 22 weeks until the age of 6 days and advanced neonataldeaths, 7 days old infants up to 27 days. 2). The AV2 questionnaire, collected information on death,aged 28 days and five years, 5 years. 3) AV3 Questionnaire, collect the 5-year death report above andthe Death Cause Information Form (FKPK). Results: The number of deaths obtained in 2011 was 5,011deaths. As many as 82.7% of deaths were at home and 15.6% were hospitalized. Most deaths were in men(56.1%) compared to women (43.9%). The cause of death due to adolescents is not higher (61.4%) thanother causes. Space deaths increase sharply in the group 65 years and above. The cause of stroke wasdeath in Bekasi Regency in 2011. Conclusion: The main causes of the age group IUFD + 0-6 days werepremature. Diarrhea is the leading cause of death in the age group 29 months -4 years. TB is the leadingcause of death in women and number two in men aged 15-44 years. Stroke is the leading cause of deathin the age group 55-64 years, 65 years and over and in men aged 45-54 years. Keywords: death, stroke, cause of death, primary AbstrakKematian dapat disebabkan beberapa hal seperti penyakit menular, penyakit tidak menular maupun karenakecelakaan. Pola kematian dan penyebab kematian merupakan salah satu indikator yang digunakanuntuk menilai program kesehatan.Tujuan:mengetahui gambaran kematian dan penyebab kematian utamatahun 2011 di Kabupaten Bekasi. Metode:Artikel ini merupakan hasil analisis lanjut dari studi ModelPengendalian Kesehatan Berbasis Registrasi Kematian dan Penyebab Kematian di 12 Kabupaten/Kotadi Indonesia. Metode studi merupakan analisis regresi kematian tahun 2011. Populasi: semua kejadiankematian di Kabupaten Bekasi. Sampel: kematian penduduk Kabupaten Bekasi yang meninggal tahun2011. Instrumen yang digunakan: 1) Kuesioner AV1, untuk mengumpulkan informasi kematian perinatalyaitu kematian janin/bayi dengan umur kandungan lebih dari 22 minggu sampai dengan umur 6 hari dankematian neonatal lanjut, bayi berumur 7 hari sampai dengan 27 hari. 2). Kuesioner AV2, mengumpulkaninformasi kematian bayi berumur 28 hari sampai dibawah 5 tahun. 3) Kuesioner AV3, mengumpulkaninformasi kematian berusia 5 tahun keatas dan Formulir Keterangan Penyebab Kematian (FKPK). Hasil:Jumlah kematian yang didapatkan pada tahun 2011 adalah 5.011 kematian. Sebanyak 82,7% kematianterjadi di rumah dan 15,6% di rumah sakit. Kematian paling banyak pada laki-laki (56,1%) dibandingperempuan (43,9%). Penyebab kematian akibat penyakit tidak menular lebih tinggi (61,4%) dibandingkanpenyebab lain. Angka kematian meningkat tajam pada kelompok 65 tahun ke atas. Penyakit strokepenyebab kematian utamadi Kabupaten Bekasi tahun 2011. Kesimpulan: Penyebab kematian utama padakelompok umur IUFD +0-6 hari adalah karena prematur. Diare merupakan penyebab kematian utamapada kelompok umur 29 bulan-4 tahun. TBC merupakan penyebab kematian utama pada perempuandan nomor dua pada laki-laki umur 15-44 tahun. Stroke adalah penyebab kematian utama pada kelompokumur 55-64 tahun, 65 tahun ke atas dan pada laki-laki kelompok umur 45-54 tahun. Kata kunci: kematian, stroke, penyebab kematian, utama  


2020 ◽  
Vol 5 ◽  
pp. 217
Author(s):  
Donnie Mategula ◽  
Judy Gichuki

Background: To assign a cause of death to non-medically certified deaths, verbal autopsies (VAs) are widely used to determine the cause of death. The time difference between the death and the VA interview, also referred to as recall time, varies depending on social and operational factors surrounding the death. We investigated the effect of recall time on the assignment of causes of death by VA. Methods: This is a secondary analysis of 2002-2015 survey data of the Nairobi Urban Health Demographic Surveillance System (NUHDSS). The independent variable recall time was derived from the date of death and the date when the VA was conducted. Univariate and multivariate logistic regression methods were used to calculate odds ratios of assigning a cause of death in defined categories of recall time. Results: There were 6218 deaths followed up between 2002 and 2016, out of which 5495 (88.3%) had VAs done. Recall time varied from 1-3001 days (mean 115.5 days, sd216.8). Majority of the VAs (45.7%) were conducted between 1-3 months after death. The effect of recall time varied for different diseases. Compared to VAs conducted between 1-3 months, there was a 24% higher likelihood of identifying HIV/AIDS as the cause of death for VAs conducted 4-6 months after death (AOR 1.24; 95% CI 1.01-1.54; p-value = 0.043) and a 40% increased chance of identifying other infectious diseases as the cause of death for VAs conducted <1 month after death (AOR 1.4; 95% CI 1.02-1.92, p-value = 0.024). Conclusions: Recall time affected the assignment of VA cause of death for HIV/AIDS, other infectious diseases and maternal/neonatal causes. Our analysis indicates that in the urban informal setting, VAs should be conducted from one month up to 6 months after the death to improve the probability of accurately assigning the cause of death.


2021 ◽  
Vol 5 ◽  
pp. 217
Author(s):  
Donnie Mategula ◽  
Judy Gichuki

Background: To assign a cause of death to non-medically certified deaths, verbal autopsies (VAs) are widely used to determine the cause of death. The time difference between the death and the VA interview, also referred to as recall time, varies depending on social and operational factors surrounding the death. We investigated the effect of recall time on the assignment of causes of death by VA. Methods: This is a secondary analysis of 2002-2015 survey data of the Nairobi Urban Health Demographic Surveillance System (NUHDSS). The independent variable recall time was derived from the date of death and the date when the VA was conducted. Univariate and multivariate logistic regression methods were used to calculate odds ratios of assigning a cause of death in defined categories of recall time. Results: There were 6218 deaths followed up between 2002 and 2016, out of which 5495 (88.3%) had VAs done. Recall time varied from 1-3001 days (median  92 days, IQR 44-169 days). Majority of the VAs (45.7%) were conducted between 1-3 months after death. The effect of recall time varied for different diseases. Compared to VAs conducted between 1-3 months, there was a 24% higher likelihood of identifying HIV/AIDS as the cause of death for VAs conducted 4-6 months after death (AOR 1.24; 95% CI 1.01-1.54; p-value = 0.043) and a 40% increased chance of identifying other infectious diseases as the cause of death for VAs conducted <1 month after death (AOR 1.4; 95% CI 1.02-1.92, p-value = 0.024). Conclusions: Recall time affected the assignment of VA cause of death for HIV/AIDS, other infectious diseases,maternal/neonatal and indeterminate causes. Our analysis indicates that in the urban informal setting, VAs should be conducted from one month up to 6 months after the death to improve the probability of accurately assigning the cause of death.


Sign in / Sign up

Export Citation Format

Share Document