OBJECTIVES: To analyze mortality due to neural-tube defects (NTD) in children under 5 years of age, 1998-2006 and select priority municipalities and compare them to those selected for birth defects (BD). MATERIALS AND METHODS: Sources of data were the Secretary of Health and the National Institute of Statistics and Geography. Spatial analysis was used to select municipalities and criteria were based on percentiles. RESULTS: Deaths due to NTD represented 39.63% - 56.91% of nervous system defects and decreased 53%; the rate decreased 59%. Regarding deaths, 86-93% occurred in children under 5 years of age. The rate for children under 1 year of age decreased 51%, and 60% for 1-4 years of age. A total of 205 municipalities resulted in being high priority, where 63.23% of deaths were concentrated. The Kappa index between BD/NTD priority municipalities was 0.75. CONCLUSION: Actions against NTD should be emphasized in the selected municipalities.
OBJECTIVES: To analyze mortality due to neural-tube defects (NTD) in children under 5 years of age, 1998-2006 and select priority municipalities and compare them to those selected for birth defects (BD). MATERIALS AND METHODS: Sources of data were the Secretary of Health and the National Institute of Statistics and Geography. Spatial analysis was used to select municipalities and criteria were based on percentiles. RESULTS: Deaths due to NTD represented 39.63% - 56.91% of nervous system defects and decreased 53%; the rate decreased 59%. Regarding deaths, 86-93% occurred in children under 5 years of age. The rate for children under 1 year of age decreased 51%, and 60% for 1-4 years of age. A total of 205 municipalities resulted in being high priority, where 63.23% of deaths were concentrated. The Kappa index between BD/NTD priority municipalities was 0.75. CONCLUSION: Actions against NTD should be emphasized in the selected municipalities.
Authors: Cecilia Contreras-Cubas; Beatríz E Sánchez-Hernández; Humberto García-Ortiz; Angélica Martínez-Hernández; Francisco Barajas-Olmos; Miguel Cid; Elvia C Mendoza-Caamal; Federico Centeno-Cruz; Gabriela Ortiz-Cruz; José Concepción Jiménez-López; Emilio J Córdova; Eva Gabriela Salas-Bautista; Yolanda Saldaña-Alvarez; Juan Carlos Fernández-López; Osvaldo M Mutchinick; Lorena Orozco Journal: PLoS One Date: 2016-09-20 Impact factor: 3.240