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According to the report titled: Report on Medical Certification of Cause of Death 2008 (published in 2013), Office of the Registrar General, India, GoI, http://www.censusindia.gov.in/2011-Documents/mccd_Report1/
Report%20on%20Medical%20Certification%202.pdf


•    The present report for the year 2008 is the thirty fourth in the series of the publication presenting statistics on causes of death obtained through the Civil Registration System under the Registration of Births and Deaths Act, 1969. The report on MCCD-2008, is based upon 8,78,339 (Males: 5,51,069 and Females: 3,27,270) total medically certified deaths (19.3 per cent of total registered deaths) supplied by 26 States/UTs. The necessary data is collected in the prescribed forms (Form 4 for Hospital deaths and Form 4A for Non-institutional deaths). Both these forms have been designed by World Health Organization (WHO).

•    Following are eight leading cause-groups of deaths constituting around 87.9 percent of total deaths:
* Diseases of Circulatory System (27.7 percent)
* Certain Infectious and Parasitic Diseases (14.0 percent)
* Injury, Poisoning and Certain other Consequences of External Causes (8.9 percent).
* Diseases of Respiratory System (8.5 percent)
* Certain Conditions Originating in the Perinatal Period (7.0 per cent)
* Neoplasms (4.7 percent)
* Endocrine, Nutritional and Metabolic Diseases (4.0 percent)
* Symptoms Signs & Abnormal Clinical Findings Not Elsewhere Classified (13.1 percent)

•    Among the “Diseases of Circulatory System” deaths, Ischaemic Heart Diseases (IHD) and the diseases of pulmonary circulation and other forms of heart diseases account for 31.5 and 35.2 percent deaths, respectively. Since 1990, the group Diseases of the Circulatory System has not only occupied the position of top-most killer but its percentage to total deaths has registered an increasing trend over the years. This group accounts for 27.8 percent males and 27.6 percent female deaths in their respective totals of medically certified deaths.

•    The major Group “Certain Infectious and Parasitic Diseases” which is the second leading cause of death is mainly constituted by Tuberculosis and Septicemia. The group Certain Infectious & Parasitic Diseases constitutes 14.0 percent of medically certified deaths for all the reporting States taken together.

•    The third leading cause group “Injury, Poisoning and Certain Other Consequences of External Causes”, has a major constituent The group of Injury, Poisoning and Certain other Consequences of External Causes has contributed to 8.9 per cent of total medically certified deaths in 2008. The proportion of deaths under this category has exhibited a fluctuating pattern over the years. ‘Burns and Corrosions’ contributing around 24.2 per cent of the total deaths under this cause group and 2.1 per cent of the total medically certified deaths.

•    Under the fourth leading group “Diseases of Respiratory System”, Pneumonia, caused 25.1 out of every hundred reported deaths, followed by Asthma causing around 11 deaths. Pneumonia alone accounts for 2.1 per cent of the total medically certified deaths. The share of medically certified deaths due to Diseases of Respiratory System has varied in the range of 7.0 per cent to 9.6 per cent during the period 1990 to 2008, thus accounting for around 7 to 10 deaths per hundred reported medically certified deaths.

•    The group of diseases relating to “Certain Conditions Originating in the Perinatal Period” is the fifth leading cause of death, accounting for 7.0 per cent of the total medically certified deaths. Deaths under this category has shown a declining trend in percentage terms over the years.

•    The major group “Neoplasm” (Cancer) is the sixth leading cause accounting for 4.7 percent of the total medically certified deaths, of which ‘Malignant neoplasm of digestive organs’ accounts for more than one-fourth of deaths.

•    The seventh leading cause, “Endocrine, Nutritional and Metabolic Diseases” is responsible for 4.0 per cent of the total medically certified deaths, of which ‘Diabetes Mellitus’ alone accounts for about 86.4 per cent of the deaths. The share of Diabetes Mellitus in the total medically certified deaths is 3.4 percent. The incidence of Diabetes Mellitus death is reported to be the highest for the age 70 years or above.

•    About 13 per cent of the total medically certified deaths were classified under the “Symptoms, signs & abnormal clinical and laboratory findings not elsewhere classified” which is the eighth leading cause.

Age-wise

•    Every tenth reported medically certified death has been of the infants (age less than 1 year)

•    About 69.0 per cent of infant deaths have been reported to be caused by Certain Conditions Originating in the Perinatal Period.

•    Among the children aged 1-4 years, Certain Infectious and Parasitic Diseases have taken the highest toll of 25.8 per cent. Among the children aged 0-4 years, Certain Conditions originating in the Perinatal Period cause 57.7% of deaths. Septicemia causes 6.2 percent of deaths followed by Pneumonia (4.8%) and diseases of Circulatory Systems (3.7%).

•    In the age-group 5-14 years, the cause group Certain Infectious and Parasitic Diseases claimed the top most position with the share of 23.6 percent.

•    In the age-group of 15-24 and 25-34 years, major group “Injury, Poisoning & Certain Other Consequences of External Causes” is the first among the leading causes contributing around 29.7 per cent and 25.3 per cent respectively. It implies that these age-groups of youth and adolescent are more vulnerable to injuries and poisoning related deaths.

•    In the age-group 35-44 years, the first two leading causes, Diseases of Circulatory System and Certain Infectious and Parasitic Diseases are having the shares of 21.4 per cent and 21.0 percent respectively.

•    For all the age-groups of 45 years and above, Diseases of Circulatory System is the first leading cause of death. The percentage contribution of this cause group for 45 years and above, to respective age-group totals has been increasing with age. The percentage share of this cause group to the total medically certified deaths for these ages varies from 30.6 percent to 41.7 percent.

•    The highest number of deaths (1, 90,761, i.e. 21.7 per cent of total), as expected, has been reported for the age-group 70 years and above.

Gender-wise

•    The contributions of male and female deaths in the total medically certified cases has been reported to be 62.7 per cent and 37.3 per cent respectively, with a sex ratio of females to males to be 594 per thousand.

•    There is no significant difference for both males and females as far as eight leading causes are concerned, except for Neoplasm deaths and deaths due to Diseases of the Digestive System.

•    The percentage of female Neoplasm deaths to total female medically certified deaths is 4.9 percent as compared to the corresponding male figure of 3.9 percent. On the contrary, the percentage of female Digestive System Deaths to total female medically certified deaths is just 2.6 percent as compared to the corresponding male figure of 5.0 percent.


 

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