Mortality from external causes in Pernambuco, 2001-2003 and 2011-2013

mortality from external causes reduced in Pernambuco, however, mortality increased in some health regions of the countryside. Increased numbers of deaths from accidents and event of undetermined intent were registered. There was an increase of deaths classified as "other/unspecified" event of undetermined intent.

Conclusion:

there was a change in the spatial distribution of mortality from external causes moving to Pernambuco countryside regions. We found necessity for data classification regarding deaths from external causes and strengthening of the monitoring.

Key words:
Mortality; External Causes; Information Systems

	Mortality			Mortality caused by external causes
Health region (HR)	2001-2003	2011-2013	2001-2003		2011-2013		Variation	Proportion ratio
			n	% (a)	n	% (b)	%	(b/a)
1^st HR	82.122	94.989	12.887	15.69	11.927	12,56	-19.99	0.80
2^nd HR	7.330	7.893	939	12.81	929	11.77	-8.12	0.92
3^rd HR	8.827	7.274	1.241	14.06	984	13.53	-3.78	0.96
4^th HR	21.390	23.199	2.639	12.34	2.965	12.78	3.59	1.04
5^th HR	8.856	9.706	926	10.46	1.092	11.25	7.60	1.08
6^th HR	5.771	5.549	612	10.60	664	11.97	12.84	1.13
7^th HR	1.938	2.133	210	10.84	257	12.05	11.19	1.11
8^th HR	6.009	6.958	1.004	16.71	1.063	15.28	-8.56	0.91
9^th HR	3.950	4.551	496	12.56	801	17.60	40.17	1.40
10^th HR	2.965	3.155	161	5.43	260	8.24	51.77	1.52
11^th HR	3.662	3.995	418	11.41	468	11.71	2.63	1.03
12^th HR	4.304	3.802	554	12.87	549	14.44	12.18	1.12
Ignored region	1	-	-	-	-	-	-	-
Pernambuco	157.125	173.204	22.087	14.06	21.959	12.68	-9.81	0.90

			2001-2003					2011-2013
Health region (HR)	Accidents	Intentional self-harm (Suicide)	Assault (Homicide)	Undetermined Intention	Other	Accident	Intentional self-harm (Suicide)	Assault	Undetermined Intention	Other
1^st HR	26.00	2.73	64.70	5.09	1.47	38.27	2.78	44.74	13.52	0.70
2^nd HR	30.78	4.26	60.17	4.58	0.21	41.44	7.00	48.65	2.58	0.32
3^rd HR	32.31	2.58	62.53	1.69	0.89	38.72	3.86	56.40	0.81	0.20
4^th HR	34.14	4.36	56.76	3.64	1.10	43.64	5.60	47.52	1.82	1.42
5^th HR	40.93	6.91	50.22	1.94	0.00	49.27	7.05	41.58	1.83	0.27
6^th HR	36.27	6.05	56.37	1.14	0.16	44.58	5.57	45.93	3.77	0.15
7^th HR	43.81	7.62	46.19	0.95	1.43	54.09	10.51	29.18	5.84	0.39
8^th HR	36.95	5.28	54.28	2.89	0.60	55.50	4.80	33.77	5.08	0.85
9^th HR	40.93	8.67	48.39	1.81	0.20	56.43	6.74	33.08	3.75	0.00
10^th HR	44.72	5.59	46.58	1.86	1.24	56.54	9.23	31.92	1.54	0.77
11^th HR	36.60	8.13	53.83	0.96	0.48	50.00	9.40	36.32	2.35	1.92
12^th HR	33.39	3.61	58.48	3.61	0.90	39.53	4.55	53.01	2.73	0.18
Pernambuco	29.97	3.69	61.09	4.11	1.14	42.07	4.28	44.42	8.52	0.71

Health region (HR)	Accidents		Intentional self-harm (Suicide)		Assault (Homicide)		Undetermined intent		Others
Health region (HR)	PV	PR	PV	PR	PV	PR	PV	PR	PV	PR
1st HR	47.19	1.47	1.60	1.02	-30.85	0.69	165.51	2.66	-52.80	0.47
2nd HR	34.65	1.35	64.25	1.64	-19.14	0.81	-43.59	0.56	51.61	1.52
3rd HR	19.83	1.20	49.76	1.50	-9.80	0.90	-51.96	0.48	-77.07	0.23
4th HR	27.83	1.28	28.48	1.28	-16.28	0.84	-49.93	0.50	28.90	1.29
5th HR	20.37	1.20	2.02	1.02	-17.21	0.83	-5.78	0.94	-	-
6th HR	22.89	1.23	-7.83	0.92	-18.52	0.81	229.17	3.29	-7.83	0.92
7th HR	23.46	1.23	37.89	1.38	-36.82	0.63	512.84	6.13	-72.76	0.27
8th HR	50.20	1.50	-9.11	0.91	-37.78	0.62	75.87	1.76	41.67	1.42
9th HR	37.88	1.38	-22.24	0.78	-31.63	0.68	106.41	2.06	-100.00	-
10th HR	26.43	1.26	65.13	1.65	-31.47	0.69	-17.44	0.83	-38.08	0.62
11th HR	36.60	1.37	15.59	1.16	-32.52	0.67	145.62	2.46	301.92	4.02
12th HR	18.37	1.18	26.14	1.26	-9.37	0.91	-24.32	0.76	-79.82	0.20
Pernambuco	40.38	1.40	15.89	1.16	-27.29	0.73	107.37	2.07	-37.73	0.62

Health region (HR)				2001-2003							2011-2013
Health region (HR)	A	B	C	D	E	F	G	A	B	C	D	E	F	G
1st HR	5.64	3.20	26.07	5.34	5.18	26.52	28.05	2.79	1.24	6.02	0.68	0.93	8.19	80.15
2nd HR	2.33	11.63	30.23	11.63	2.33	9.30	32.56	4.17	20.83	20.83	4.17	4.17	33.33	12.50
3rd HR	-	4.76	28.57	9.52	4.76	9.52	42.86	-	12.50	37.50	-	-	25.00	25.00
4th HR	3.13	12.50	35.42	16.67	5.21	18.75	8.33	12.96	7.41	11.11	-	3.70	33.33	31.48
5th HR	11.11	-	27.78	16.67	-	5.56	38.89	35.00	5.00	25.00	5.00	-	10.00	20.00
6th HR	14.29	-	14.29	42.86	14.29	-	14.29	8.00	16.00	32.00	4.00	-	4.00	36.00
7th HR	50.00	50.00	-	-	-	-	-	13.33	13.33	33.33	-	-	20.00	20.00
8th HR	10.34	3.45	34.48	3.45	-	24.14	24.14	0.00	7.41	48.15	1.85	1.85	7.41	33.33
9th HR	33.33	22.22	22.22	-	-	11.11	11.11	3.33	6.67	40.00	3.33	-	10.00	36.67
10th HR	-	100.00	-	-	-	-	-	25.00	-	25.00	25.00	-	-	25.00
11th HR	25.00	25.00	25.00	-	-	25.00	-	9.09	27.27	18.18	-	-	18.18	27.27
12th HR	-	10.00	45.00	-	5.00	10.00	30.00	-	-	53.33	-	-	-	46.67
Pernambuco	5.73	5.40	27.75	7.16	4.74	23.13	26.10	3.58	2.46	9.51	0.91	1.01	9.35	73.18

Health region (HR)	A		B		C		D		E		F		G
Health region (HR)	PV	PR	PV	PR	PV	PR	PV	PR	PV	PR	PV	PR	PV	PR
1st HR	-50.51	0.49	-61.24	0.39	-76.92	0.23	-87.21	0.13	-82.05	0.18	-69.13	0.31	185.75	2.86
2nd HR	79.17	1.79	79.17	1.79	-31.09	0.69	-64.17	0.36	79.17	1.79	258.33	3.58	-61.61	0.38
3rd HR	-	-	162.50	2.63	31.25	1.31	-100.00	-	-100.00	-	162.50	2.63	-41.67	0.58
4th HR	314.81	4.15	-40.74	0.59	-68.63	0.31	-100.00	-	-28.89	0.71	77.78	1.78	277.78	3.78
5th HR	215.00	3.15	-	-	-10.00	0.90	-70.00	0.30	-	-	80.00	1.80	-48.57	0.51
6th HR	-44.00	0.56	-	-	124.00	2.24	-90.67	0.09	-100.00	-	-	-	152.00	2.52
7th HR	-73.33	0.27	-73.33	0.27	-	-	-	-	-	-	-	-	-	-
8th HR	-100.00	-	114.81	2.15	39.63	1.40	-46.30	0.54	-	-	-69.31	0.31	38.10	1.38
9th HR	-90.00	0.10	-70.00	0.30	80.00	1.80			-	-	-10.00	0.90	230.00	3.30
10th HR	-	-	-100.00	-	-	-	-	-	-	-	-	-	-	-
11th HR	-63.64	0.36	9.09	1.09	-27.27	0.73	-	-	-	-	-27.27	0.73	-	-
12th HR	-	-	-100.00		18.52	1.19	-	-	-100.00	-	-100.00	-	55.56	1.56
Pernambuco	-37.50	0.62	-54.47	0.46	-65.74	0.34	-87.31	0.13	-78.57	0.21	-59.58	0.40	180.38	2.80

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[1] CORRESPONDING AUTHOR: Gabriela Bardelini Tavares Melo. E-mail: gabrig86@hotmail.com