F. PRINCIPAL. CAUSES OF DEATH.

65. Table 11 shows the principal causes of death for the years 1946 to 1950.

TABLE 11.

Causes of death (classified by 1988 Revision of International List)

Number of Deatha

1946

1947

1948

1949

1950

Smallpox

1,406

139

2

7

Cerebrospinal fever

86

137

19

16

Beri-beri

1,318

312

140

100

Diphtheria

62

52

40

76

39 135

Malaria

766

2563

193

116

89

Tuberculosia of respiratory system

1,476

1,420

1,443

1,712

2,166

Other forms of tuberculosis

343

443

$18

890

1,008

Syphilitic diseases

42

93

100

120

Influenzu

243

35

20

29

47

Cancer, malignant disease

277

201

307

513

650

Intracranial lesions of vascular origin...

139

264

276

294

$44

Other diseases of nervous system and

actise organs

132

180

78

80

Diseases of the heart

979

514

572

620

825

Other diseases of circulatory system

41

30

67

122

194

Bronchitia

839

5:29

419

611

743

Pneumonia (all forme)

4,129

3,464

3,167

4,391

4,485

Other diseases of respiratory system

197

139

125

105

248

Enteritin and diarrhoea ********

1.95

1,179

1,757

2,269

2514

337

301

318

454

492

220

341

360

343

287

982

1,289

1,214

1,201

1,262

445

517

600

722

142

101

113

81

114

631

686

781

620

718

469

522

803

889

1,052

16,663

Other diseases of digestive system Non-venereal diseases of genito-urinary

system

Premature births, congenital malforma- tions and diseases of early infancy

Other defined diseaseg

Old age, aenility

Violence, (accidents, suicide,

homicide, etc.)

11l-defined causes

TOTAL

DEL

13,231 13,434 16,287 18,445

66. Annexure F shows the number of cases of notifiable diseases and the deaths at all ages for the years 1946-1950, also the age groups of diseases notified for 1950 and the notifications, deaths and deaths per hundred notifications for cerebro-spinal meningitis, measles, diphtheria, enteric fever and smallpox since 1928.

PNEUMONIA.

The

67. The principal cause of death was pneumonia, all forms, figure of 4,485 represents a slight increase over the figure for 1949; of these deaths 2,117 occurred in children under one year old. DIPHTHERIA.

68. There was a considerable increase in the number of deaths from diphtheria towards the latter part of the year, and the number of cases notified gave rise to some anxiety but prospects of an increase in the Incidence in the new year fortunately did not materialize.

18

BABIES.

69. The outbreak of rabies which caused so much concern in 1949 died down to a considerable extent in 1950 and deaths from this disease totalled 11 human cases, 9 proved cases among dogs and one among cats. One human death occurred in November but with this exception there was no case of rabies in the last 5 months of the year.

70. The regulations introduced in 1949 for the control of dogs was still in operation at the end of 1960,

BERI-BERI.

71. Again there has been a fall in the number of deaths from beri- beri; and in view of the difficulty in finding clinical cases in the hospitals, there may well be some doubt about the diagnoses, mostly made post- mortem, of these recorded deaths.

ENTERITIS.

72. There was an increase in the deaths from enteritis and diarrhoea, 1,640 of these occurred among children under one year of age.

73. An investigation recently carried out by the infant welfare nurses and reported in greater detail under the heading of Maternity and Child Welfare, suggests that the large number of deaths occurring among children under one year may be due to the great frequency of artificial feeding.

MALIGNANT DISEASES.

74. Table 12 shows the number of deaths and the death rate per million for malignant diseases as a whole for the years 1946 to 1950.

TABLE 12,

Malignant Diseases for the year

1946-1950,

Year

Estimated Population

Number of Deaths

Death rate per million

M.

F.

T.

M.

F.

T.

1946

1,500,000-

114

168

277

73.5

105.2

178,7

1,600,000

1847

1,750,000

126

178

301

101.7

173.7

1948

1,800,000

169

*28

397

93.9

126.7

220.6

1949

1.857,000

269

244

513

144.0

131.4

276.3

1950

2,265,000

215

344

669

130.1

151.8

**

290.9

76. Table 13 shows the number of deaths and the death rate per 1,000 total deaths from malignant diseases according to site and sex for the years 1949 and 1950.

19

Mad

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