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dc.contributor.authorCárdenas Ayala, Víctor Manueles_ES
dc.contributor.authorNuñez Urquiza, Rosa Maríaes_ES
dc.contributor.authorBrogan, Donna Res_ES
dc.contributor.authorIbarra Rosales, Jorge Mes_ES
dc.contributor.authorGatica Valdés, Noées_ES
dc.contributor.authorSmith, Terrence Ees_ES
dc.contributor.authorGalván Arriaga, Salvadores_ES
dc.contributor.authorFlores Collins, María Estrellaes_ES
dc.contributor.authorEscobar Mesa, Alejandroes_ES
dc.date.accessioned2016-03-05T18:55:42Z
dc.date.available2016-03-05T18:55:42Z
dc.date.issued1995es_ES
dc.identifier.urihttps://iris.paho.org/handle/10665.2/26902
dc.description.abstractThis article describes a survey conducted in the State of Veracruz, Mexico, to estimate neonatal tetanus (NNT) mortality. The survey, which entailed visits to 72 720 households, collected data on 8 401 live births and 209 infants deaths ocurring between April 1988 and May 1989. Twenty-six of the 209 fatalities conformed to a WHO standard case definition of death from neonatal tetanus. The estimated neonatal tetanus mortality was thus 3.1 deaths per 1 000 live births (95 percent confidence limits = 1.7,4.5). Comparison of this rate to reported figures suggests that for every NNT death recorded in Veracruz during the study period, as many as 50 others went unreported. A case-control study nested within the survey was conducted to assess preventable NNT risk factors. Limited information on 13 NNT deaths and 217 controls showed an increased risk for neonates who were delivered at home and whose parents' ethnic background was Mexican Indian. Five of the 13 fatalities had their umbilical cords cut with a domestic or traditional cutting tool such as a reed cane, as compared to none of the 217 controls. The observed vaccine efficacy of 2 = doses of tetanus toxoid was 70 percent (95 percent confidence limits = 52,100). Both the mothers of neonates who died of NNT and their controls missed an average of five opportunities to receive tetanus toxoid. These findings underscore the need to launch a perinatal health program serving Mexico's high-risk poulations (AU)en_US
dc.description.abstractThis article will also be published in Spanish in the BOSP. Vol. 119, 1995en_US
dc.relation.ispartofseriesBulletin of the Pan American Health Organization (PAHO);29(2),jun. 1995en_US
dc.subjectTetanyes_ES
dc.subjectCase-Control Studieses_ES
dc.subjectEpidemiological Surveillancees_ES
dc.subjectMexicoes_ES
dc.titleNeonatal tetanus mortality in Veracruz, Mexico, 1989es_ES
dc.typeJournal articlesen_US
dc.rights.holderPan American Health Organizationen_US


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