Maharashtra State · code it as per ICD – 10th revision ... 1.6 MAJOR GROUPS ACCORDING TO ICD -...

2009

Maharashtra State

Foreward

Medical Certification of Cause of Death Scheme contributes to Health

System by providing scientific, authentic and basic information on causes of

mortality. This data profile will be definitely helpful for better health planning

and to design reliable and result yielding public health intervention

strategies.

The MCCD 2009 report includes data on deaths due to

Communicable & Non-communicable diseases, vaccine preventable

diseases, water borne and arthropod diseases as well as important

indicator like maternal deaths, infant deaths, due to malnutrition, etc. The

mortality data has been analyzed as Million plus Corporations & District.

The area wise disease and mortality pattern provides ready interpretation

for health planners.

The outcome of MCCD report will definitely provide valuable

reference data to medical professionals and researchers. The efforts of

Dr. H. H. Chavan, Deputy Director of Health Services, (HIVS), pune and his

team to bring out this report are appreciable.

Dr. G. S. Chindhe

Chief Registrar of Births and Deaths

&

Director of Health Services,

Maharashtra State, Mumbai.

Preface

Medical Certification of Cause of Death Scheme (MCCD) has been

implemented in most of the urban areas. However to obtain the data from

rural area, it was extended to Rural / Sub district Hospitals in the State. I

am happy to note that substantial number of MCCD certificates, possessing

good quality data has been received from these hospitals. It has created

awareness about proper identification of underlying cause of death and to

code it as per ICD – 10th revision through MCCD training to all districts.

MCCD certificates from reporting units year after year increased. We

had taken effort for that, we mostly concentrate on Corporation area. This

report will provide very essential statistical information to health personnel

for further studies & drafting future policies. I am happy to record

appreciation of efforts taken by Dr. Vijay Doiphode, Medical Officer, Shri

Sanjay.T. Jadhav, Statistical Assistant and his team for preparation of this

report.

I am deeply obligued to Shri. J. K. Banthia, Additional Chief

Secretary, Public Health Department, Maharashtra State, Dr. G. S Chindhe,

Director (Health) & Chief Register Birth & Death, for their valuable support

and guidance.

I hope this report will fulfill the purpose as an excellent data tool and

will be helpful to increase the further data on MCCD in future, to achieve

successful implementation of this scheme all over the state.

Dr. H. H. Chavan

Deputy Chief Registrar of Births and Deaths,

Maharashtra State & DDHS (SB HI & VS), Pune.

Contributors

Sr.No. Name of the

Officers/Staff Designation

1 Dr. G. S. Chindhe Director, Health Services &

Chief Registrar of Births &

Deaths, Maharashtra.

2 Dr. H.H Chavan Deputy Director, Health

Services (SBHI & VS, Pune)

& Dy. Chief Registrar of

Births & Deaths,

Maharashtra.

3 Dr. Vijay Doiphode. Medical Officer & In charge

of MCCD, SBHI & VS,

Pune, Maharashtra.

4 Mr. Sanjay Bhoite. Statistical Investigator.

5 Mr. Arvind Khot. Computer Operator.

6 Mr. Santosh Mhaske Junior Clerk

Sr.

No. Title Page No.

1 Introduction

1.1 Background 1

1.2 Usefulness of MCCD scheme 1

1.3 Legal provision 2

1.4 Reporting units of MCCD 2

1.5 Flow chart of reporting system 3

1.6 Major groups according to ICD10 4

2 Data Statistics 5-6

State highlights

2.1 State profile 7-12

2.2 District profile 13-14

3 Comments 15-19

4 Limitations 20-21

5 Statements 22

5.2 State report -2009 23-68

6 Annexure 69

6.1 Form No. 4, 4A. 70-73

6.2 List of the institutions submitted MCCD for 2009.

74-76

1.1 BACKGROUND:

Mortality statistics is the key health indicator to assess quality of

life. However reporting of deaths has been the challenge for Public

Health Organisations, Health Planners & Programmers. It is essential to

identify the disease burden through good documentation of data on

deaths. New types of killer diseases like AIDS, Cancer, Heart diseases,

Juvenile diabetes and other non-communicable diseases are raising

their ugly heads and ringing warning bells. Medical research is facing

stiff challenges from the spread of a variety of ailments. Due to lack of

authentic data; it becomes difficult to tackle these issues. Good

documentation of information on causes of deaths makes the way to

achieve the solutions.

Medical Certification of Cause of Death Scheme is an important

tool of obtaining authentic and scientific information regarding causes of

mortality. International Classification of Diseases is customised to the

Indian conditions under the MCCD scheme. This report is based on the

tenth revision of International Classification of Diseases. The prescribed

Form no. 4 / 4A (Annexure) to be carefully filled by the physician who

examines / attends / treats the diseased during the period of his/ her last

illness. This report is totally based on the cause of death written on it.

1.2 USEFULLNESS OF MCCD SCHEME:

Mortality statistics is essential for better health planning and

management of programmes and to undertake control measures in an

effective & planned manner. It provides scientific & basic information for

medical research and gives mortality profile for medical professionals. It

is useful to know the impact of health services and helps to understand

the trend and changing mortality pattern of various diseases & also to

find out the magnitude of newly emerged diseases like HIV/AIDS.

1.3 LEGAL PROVISION:

Registration of Births and Deaths Act, 1969 has a legal provision

for MCCD under section 10(2), 10(3) and 17(1) (b). Govt. of Maharashtra

has framed the Rules based on the provisions of RBD Act, 1969, with

the approval of Central Govt. These rules came into force from 1st May

2000. Under the Rule No. 7 of “Maharashtra Registration of Births and

Deaths Rules, 2000”, it is obligatory to submit MCCD to the local

registrar. MCCD notification has been published by the Public Health

Department, Govt. of Maharashtra, in the gazette dated, 8th Feb 2006.

By this, it has been made compulsory to send each and every MCCD

certificate, in Form 4/4A, by all Medical Practitioners and Medical

Institutions, in Govt. and Private sector, both in rural and urban areas.

1.4 REPORTING UNITS OF MCCD:

MCCD Certificates from all hospitals and private medical

practitioners are collected at the office of local Registrars and are sent to

office of Dy. Chief Registrar of Births & Deaths & DDHS, SBHI & VS

(Maharashtra State) Pune. MCCD certificates are collected centrally at

state headquarters from following reporting units:

1) Municipal Corporations 23

2) Municipal Councils 223

3) Cantonment Boards 7

4) Ordnance Factories 4

5) Rural/Cottage Hospitals 345

(Health Institutions Situated at Grampanchayat, are sending

MCCD through the respective Grampanchayat).

1.5 ORGANOGRAM -

FLOW OF MCCD FROM URBAN AND RURAL AREAS

Urban Rural

5

th of every month

10

th of every month

15

th July every year

15

th September every year

Head of Medical

Institutions (All

types) in Form

No. 4

Private Medical

Practitioners in

Form No.. 4A

Medical

Superintendent of

R. H. /C.H.

situated at

Municipal Council

Local Registrar of Births &

Deaths Municipal Corporations

/ Municipal

Councils/Cantonment

Boards/Ordnance Factories

Dy.Chief Registrar of Births

and Deaths and Dy. Director of

S.B.H.I.& V.S., Pune

Registrar General,

Govt. of India,

New Delhi.

Medical

Superintendent of

R. H. /C.H.

situated at

Grampanchayat

Chief Registrar of Births and

Deaths & DHS Maharashtra

State, Mumbai.

1.6 MAJOR GROUPS ACCORDING TO ICD - 10

Sr.No Group

no Major Group

ICD Code

1 I Certain Infectious and Parasitic Diseases

A00-B99

2 II Neoplasms C00-D48

3 III Diseases of Blood and Blood forming Organs and Certain Disorders Involving Immune Mechanism

D50-D89

4 IV Endocrine, Nutritional & Metabolic Diseases

E00-E89

5 V Mental and Behavioral Disorders F01-F99

6 VI Diseases of the Nervous System G00-G98

7 VII Diseases of the Eye and Adnexa H00-H59

8 VIII Diseases of the Ear and Mastoid Process

H60-H95

9 IX Diseases of the Circulatory System I00-I99

10 X Diseases of the Respiratory System J00-J98

11 XI Diseases of the Digestive System K00-K92

12 XII Diseases of the Skin and Subcutaneous Tissue

L00-L98

13 XIII Disease Of Musculoskeletal System and Connective Tissue

M00-M99

14 XIV Diseases of the Genitourinary System N00-N99

15 XV Pregnancy, Childbirth and The Puerperium

O00-O99

16 XVI Certain Conditions Originating in the Perinatal Period

P00-P96

17 XVII Congenital Malformations, Deformations and Chromosomal Abnormalities

Q00-Q99

18 XVIII Symptoms, Signs & Abnormal Clinical & Laboratory finding, not elsewhere classified

R00-R99

19 XIX Injury ,Poisoning & Certain other consequences of External Causes

S00-T98

20 XX External Causes of Morbidity and Mortality

V01-Y89

2.1.1 State Highlights-

Maharashtra State is the first state among major states

reporting highest no. of medically certified deaths

against the total registered deaths.

Maharashtra state reports above 2, 00,000 (Two lakh

medically certified deaths every year.

Out of the Total Registered deaths 33.53 % deaths are

medically certified. (Table No.2)

Overall Percentage of medically certified deaths to

total registered urban deaths is 65.38 %. (Table No.2)

Out of total medically certified deaths reported, male

deaths are approx. 61.3 % while female deaths are

38.7% in 2009 ( Table No 4 )

Other Forms of Heart Diseases (I30, I51) has emerged

as a highest principal individual cause of death for year

2009 followed by Acute Myocardial Infarction (I21-I22) (

Table No 5 )

Out of 20 major groups, diseases of the circulatory

system major group tops ( I00 – I99) with maximum

medically certified deaths followed by certain infectious

& parasitic diseases (A00-B99) major group(Table No

6 )

Top ten major groups‟ accounts for almost 93.15% of

the total medically certified deaths. (Table No 6)

Non communicable disease burden found to be more

than communicable disease burden as maximum

deaths occurred due to it.(Table no. 27 & 28)

Infants & children-under five deaths, show foetal

prematurely, foetal malnutrition as topmost cause,

followed by hypoxia, birth asphyxia & congenital

malformation of the circulatory system.(Table no. 21)

Leading causes of maternal deaths observed were

other complications of pregnancy and delivery (O67-

O75, O80-O84),oedema, proteinuria and hypertensive

disorders in pregnancy, childbirth and puerperium

(O10- O16) & Other Pregnancies with abortive

outcome (O00-O02, O05-O08)(Table no. 20)

Out of total Registered deaths in the state, Mumbai

reported maximum medically certified(100%) deaths

followed by Thane(52.4%) & Pune(43.9%)(Table no. 2)

Amongst the seven million plus city corporations in

Maharashtra; Mumbai, Pune and Thane corporations

reported maximum deaths.

2.1.2 Distribution of Deaths by Age & Sex-

Total no. of Medically Certified deaths reported in year 2009 is

212335. Out of the total deaths reported in 2009, 130078 (61.3%) deaths

are male deaths & 82257 (38.7%) are female deaths. Maximum deaths

are reported in 70+ years age group. i.e. 27.7% . Total 8% infant‟s

deaths are reported in 2009. (Table no. 4)

2.1.3 Principal Individual Death Causes-

Other Forms of Heart Diseases (I30-I51) with11% is top most cause of death followed by Acute Myocardial Infarction I21-I22 with 7.9% deaths in year 2009, Septicemia (A40-41) with 7.4%, Respiratory Tuberculosis with 6.5% deaths. Deaths reported as Senility (R54) is 3.6%. 3.1%. due to pneumonia and 2.7% Deaths are due to diabetes. (Table no. 6)

2.1.4 Deaths by Major Cause Groups-

Circulatory system major cause group leads with 28.9% deaths

followed by infectious & parasitic diseases with 17.7% deaths and

diseases of respiratory system with 10.5% deaths. (Table no. 6)

2.1.5 Medically Certified Causes of Deaths by age & sex-

In all causes of deaths, maximum deaths are reported in age

group of 70+ years i.e. 27.7%. While in age groups of 35 to 69 years

total deaths is 43.9%. Among all age groups, lowest proportion of

deaths is observed in 1 to 4 years age groups. Female proportion of

deaths in all age groups is significantly less, (38.7% than that of

male proportion (61.3). (Table no. 4)

2.1.6 Observations in leading Major Groups

1) “Diseases of the Circulatory System” is a topmost major

cause group for year 2009. It is observed that as age group advances,

the number of deaths increased gradually, which is more marked after

35-44 years age group. (Table no. 9)

2) “Certain infectious and parasitic diseases” is a major cause

group, accounting 17.7%. Maximum deaths are observed due to this

cause group between 25 to 64 years age group, Female proportion is

similar in age groups of 0 to 14 years. (Table no.10)

Top five causes of deaths due to Infectious & Parasitic Diseases

Maximum death occurred due to Septicemia ie 7.4%. Deaths due

to respiratory tuberculosis accounts for 6.5% of the total reported deaths.

Maximum deaths due to respiratory tuberculosis occurred in 35 to 54

years age group. Total deaths reported due to HIV are 1.1% . Maximum

deaths due to HIV in the age group of 25 to 54 . Diarrhoea & Gastro

enteritis accounts for 0.3%. Death due to diarrhoea occurred more in

terminal age groups of 0-1 year & 70 above years.

3) “Diseases of the respiratory system” is a major cause group,

accounting 10.5 %. Male deaths are double to female deaths in 25-69

years of age. (Table no. 12)

Top five causes of death due to Respiratory System

Deaths due to other diseases of the respiratory system is 3.9 and

deaths occurred due to pneumonia is 3.1% of total reported deaths.

Maximum deaths were observed in 70+ and above age group.

4) “Injury, poisoning & certain other consequences of external

causes” is a major cause group, accounting 8.8 %. Total 77.9 % deaths

were reported in the age groups of 15 to 64 years, which is economically

productive age group. People in these age groups were involved in

various activities for earning their livelihood & for other reasons, so they

may be exposed more to these external causes than other age groups.

(Table no. 13)

Top five causes of death due to Injury, poisoning & certain

other consequences of external causes

Deaths reported due to this cause group accounts for 8.8% of the

total deaths. Other injuries of specified, unspecified and Multiple body

region is a leading cause of death in this group, accounting for 3.0 % of

the total deaths followed by Burns & Corrosions is 1.9 % Female deaths

observed significantly more than males. Maximum deaths due to Burns

& Corrosions are reported in the age group of 15-34 years. Female‟s

deaths are more than two times to male deaths in this age group.

Top five causes of death due to Digestive System


total deaths. Diseases of Liver, tops higher with 3.2% of the total deaths.

Maximum deaths occurred in age group of in 45 to 64 years age

group.(Table no. 16)

Top five causes of death due Neoplasms


total deaths. Malignant neoplasm of trachea bronchus and lung tops

higher in this cause group accounting to 0.5 % the total deaths in the

state. In other causes of deaths due to malignant neoplasm male deaths

are found more than the female deaths.

2.1.7 Causes of deaths in Communicable & Non

communicable diseases-

Out of total deaths in the state, 10.3 % deaths are due to

communicable diseases, while 38.5% deaths are due to non

communicable diseases. Maximum deaths due to communicable

diseases are reported in the age group of 25 to 44 years age group.

Non-communicable disease burden found to be more than

communicable diseases. Male deaths are observed more than female

deaths.(Table no. 27 & 28)

2.1.7a Leading causes of deaths due to communicable diseases-

Communicable disease burden constitutes about 10.3 % of the

total reported deaths in the state. Respiratory infections tops higher

amongst this group measuring 7.2 % of the total deaths in the state.

Respiratory infections are predominantly more in 25 to 54 years of age

group . Male deaths are remarkably more than female deaths. (Table no.

27 )

2.1.7b Leading causes of deaths from non-communicable diseases-

Non-communicable disease burden constitutes about 38.5%

of the total reported deaths in the state. Coronary heart diseases are

the leading cause of death with 21.7% of the total deaths.

Neoplasms with 5.0% deaths, diabetes mellitus with 2.7% are other

major leading causes of deaths amongst non-communicable diseases.

Male deaths are remarkably higher after 25 years of age group in each

cause group. .(Table no. 28)

2.1.8 Leading causes of Maternal deaths-

Total Maternal deaths reported 324. Maximum Maternal deaths

are reported in 15 to 34 years of age group (Table no.20)

2.1.9 Leading causes of Infant & under five deaths-

Slow foetal growth, fetal malnutrition & prematurity are leading

causes of infant and under five deaths, accounting 22.8% infant deaths

& 18.9% under five deaths. Total 6.5% infant deaths & 7.6% under five

deaths are reported due to pneumonia. (Table no.21)

Percentage of MCCD received from districts is 33.53% to

the total registered deaths & 65.38 % to total urban

deaths respectively in the state.

Mumbai district has reported 100% MCCD certificates

out of the total registered deaths. Amravati (78.9%)

Thane (75.7 %), Ratnagiri(73.9%) Wardha (73.9%),

Sangli (71.2%) shows higher % of Medically certified

deaths against registered urban deaths. (Table no 2)

Hingoli(0.1%), Gadchiroli(1.5%), Washim(4%),

Jalgaon(6.2%), and Jalna(4.2%) districts have reported

less than 10% Medically certified deaths out of the total

registered deaths. (Table no 2)

Hingoli(0.5%), Gadchiroli(12.4%), Washim(14.2%),

Jalgaon(17.4%), and Jalna(17.4%) districts have reported

less than 20% Medically certified deaths out of the urban

registered deaths. (Table no 2)

Medical certification of cause of death scheme is aimed at

drawing mortality profile of the state, by cause, age and

sex annually. The provision in the RBD Act 1969

and Maharashtra births and deaths Rules 2000,

along with MCCD notification has been largely

responsible for this coverage in the State. Still more

efforts are needed to improve in future.

Recent trend shows other form of heart diseases (I30-I51)

as highest principal individual cause followed by acute

myocardial infarction (I21-I22) as per the reported

medically certified deaths for 2009. Till then septicemia

was the highest principal individual cause. Certain risk

factors like smoking, lack of physical exercise, obesity etc.

are responsible for this type of disease burden. Specific

intervention programme for non communicable diseases

can be applied to over come the issue.

From the Major group Diseases of circulatory

system (28.9%) has appeared as a largest killer

disease in Maharashtra State year after year.

This may be either due to specific risk factors (as

mentioned above) leading to more disease burden or

wrong reporting or coding of cause of death in form No. 4.

e.g. Cardiac failure, Cardio Respiratory Arrest etc.

Reduction in risk factors can help to reduce this disease

burden. Now is the time to launch National Health

Programme for Non-communicable diseases like

Diabetes, Heart diseases etc.

Yet many medical personnel mention the cause as mode

of death. Correct filling up of MCCD certificate has

became utmost important now. Repeated MCCD training

programmes must be continued in future for successful

outcome of the scheme in the state.

Except major group pregnancy, childbirth & puerperium

(O00 – O99), male deaths are reported more than female

deaths. It may be due to apathy on the part of co-

inhabitants, to provide the medical facilities to females in

their illness.

Symptoms, Signs & Abnormal Clinical & Laboratory

Finding not Elsewhere Classified major group still shows

maximum deaths. The coding of causes like “PM Done

(R99)”, “Viscera Preserved Opinion Reserved (R99)”,

“Histopathology Exam. (R99)”, “Senility (R54)” are

included in this group. These are not correct causes of

deaths. Hence correct reporting or coding of cause of

death will minimize the bulckyness of data

Deaths reported due to Respiratory tuberculosis

accounts for 6.5% of the total deaths in the state.

These deaths can still be reduced by strict implementation

of RNTCP .

Burns & corrosions are found more in females, indicative

of suicidal or homicidal and to some extent accidental

cause of death.

Senility is stated as a cause of death (though it is not) in

3.6% of all deaths in 2009. It can be still improved with

correct coding of causes of deaths through continuous

reorientation training programmes of Medical Officers.

Slow foetal growth, foetal malnutrition & prematurity are

responsible for 2.1% deaths in 2009, This can be

prevented with better antenatal services, safe delivery

practices & promoting institutional delivery services.

Meaningful developmental programmes & remedial

measures should concentrate a foetal malnutrition.

Diabetes Mellitus is still an increasing public health

problem with 2.7% deaths in 2009. This may be due to

sedentary life style, obesity, lack of physical exercise etc.

Improvement in living life style, physical exercise &

reducing other risk factors will minimize this disease

burden. Intervention strategy alongwith awareness and

IEC activities should be designed to overcome this

burden.

Non Communicable disease burden found significantly

more than communicable diseases in 2009. This data

profile has forced the Public Health Specialists

/Researchers to design intervention strategies for better

health planning in future. Hence, the policy to combat

with these non communicable diseases like Coronary

Heart diseases, cerebro vascular disorders, accidents,

cancer, diabetes mellitus & hypertensive heart diseases,

needs to be designed.

Complications of pregnancy & delivery, indirect obstetric

deaths are major causes of maternal deaths. It has to be

reduced by giving excellent antenatal, intranatal &

postnatal services. Provision of institutional deliveries &

delivery by trained personnel will make a necessary

impact to reduce these deaths.

Perfect planning & strict implementation of Routine

Immunization Programme is necessary to reduce the

death due to Vaccine preventable diseases. High risk

areas such as out skirts, periurban area & area with low

vaccination coverage should be identified & child vent

mother must be immunized.

Strategy to overcome the disease burden due to water

borne & vector borne diseases is to be adopted.

Surveillance activity should be strengthened especially for

newer diseases.

Problems of malnutrition, mental disorders etc. should be

looked upon with due care.

In short, medical certification of cause of death scheme

provides a scientific, authentic and valuable data on

mortality, provided properly diagnosed and correct coding

is mentioned, which enables public health researchers to

design further interventional strategies.

Coverage of MCCD is all urban institutes and

private and Govt. hospitals from rural areas also.

The percentage of MCCD received is hardly 33.5 %

to total registered deaths. This annual report is

totally based on the reported institutions which are

attached in the annexure no 4.

Casual approach of medical personnel to fill up form

no.4 & 4A correctly and to determine the underlying

cause. Trainings are organized for Medical

Personnel about MCCD every year.

In some certificates, causes were not mentioned &

those certificates could have been wrongly coded.

Some data was found incomplete as age & sex are

not mentioned in certificates. Sequence of events to

death and interval of diseases were wrongly

mentioned in some cases. Such certificates are

send to concern registrars for corrections.

Findings of this report cannot be generalised as

deaths occurred mostly in urban area are reported.

Analysis of MCCD is totally based on numerator

only.

Vital rates like Infant mortality rate & maternal

mortality rate cannot be calculated from this data as

the denominator cannot be given.

No statistical tests have been applied for this data.

FORM NO. 4

(See Rule 7) MEDICAL CERTIFICATION OF CAUSE OF DEATH

(Hospital in-patients. Not to be used for still births) To be sent to Registrar along with Form No.2 (Death Report)

Name of the Hospital .............................................................................................. I hereby certify that the person whose particulars are given below died in the hospital in Ward No ........................ on ..................... at ........... A.M./P.M.

NAME OF DECEASED For use of Statistical

Office

Sex Age at Death

If 1 year or more, age in Years

If less than 1 year, age in Months

If less than one month, age in Days

If less than one day, age in Hours

1. Male 2. Female

CAUSE OF DEATH I Immediate cause (a) ............................................... State the disease, injury or complication Due to (or as a consequences of) which caused death, not the mode of dying such as heart failure, asthenia, etc. Antecedent cause (b) ............................................... Morbid conditions, if any, giving rise to Due to (or as a consequences of) the above Cause, stating underlying conditions last (c) ............................................... II Other significant conditions contributing ................................................. to the death but not related to the disease ................................................. or conditions causing it

Interval between on set & death approx. ..........................

Manner of Death How did the injury occur ?

1. Natural 2. Accident 3. Suicide 4. Homicide 5. Pending investigation

If deceased was a female, was the death associated with pregnancy ? 1. Yes 2. No If yes, was there a delivery ? 1. Yes 2. No

Name and signature of the Medical Attendant certifying the cause of death Date of certification ......................................................................................

SEE REVERSE FOR INSTRUCTIONS

(To be detached and handed over to the relative of the deceased) Certified that Shri/Smt./Kum. ............................................................................. S/W/D of Shri ............................. ...................................... R/O ....................................................... Was admitted to this hospital on ..................................... and expired on .................................... Doctor ...................................................

(Medical Supdt. & Name of Hospital)

FORM NO. 4A

(See Rule 7) MEDICAL CERTIFICATION OF CAUSE OF DEATH

(For non-institutional deaths. Not to be used for still births) To be sent to Registrar along with Form No.2 (Death Report)

I hereby certify that the deceased Shri/Smt./Km. ............................................... son of /wife of/ daughter of .................................................. resident of .................................................................. was under my treatment from ....................... to ..................... and he/she died on .......................... at ................... A.M./P.M.

NAME OF DECEASED For use of Statistical

Office

Sex Age at Death

If 1 year or more, age in Years

If less than 1 year, age in Months

If less than one month, age in Days If less than one day, age in Hours

1. Male 2. Female

CAUSE OF DEATH I Immediate cause (a) ............................................... State the disease, injury or complication Due to (or as a consequences of) which caused death, not the mode of dying such as heart failure, asthenia, etc. Antecedent cause (b) ............................................... Morbid conditions, if any, giving rise to Due to (or as a consequences of) the above Cause, stating underlying conditions last (c) ............................................... II Other significant conditions contributing ................................................. to the death but not related to the disease ................................................. or conditions causing it

Interval between on set & death approx. ..........................

If deceased was a female, was the death associated with pregnancy ? 1. Yes 2. No If yes, was there a delivery ? 1. Yes 2. No

Name and signature of the Medical Practitioner certifying the cause of death Date of certification ........................................................................................

SEE REVERSE FOR INSTRUCTIONS

(To be detached and handed over to the relative of the deceased) Certified that Shri/Smt./Kum. ............................................................................. S/W/D of Shri ............................. ...................................... R/O ....................................................... Was under my treatment from ......................................... to .......................... and he/she expired on ........................... at ................................. A.M./P.M. Doctor ................................................... (Name of Doctor)

MEDICAL CERTIFICATE OF CAUSE OF DEATH

Directions for completing the form

Name of deceased : To be given in full. Do not use Initials. If deceased is an infant, not yet named at time of death, write. „Son of (S/O) or „Daughter of (D/O), followed by names of mother and father. Age : If the deceased was over 1 year of age, give age in completed years. If the deceased was below 1 year of age, give age in months and if below 1 month give age in completed number of days, and if below one day, in hours. Cause of Death : This part of the form should always be completed by the attending physician personally.

The certificate of cause of death is divided into two parts, I and II, Part I is again divided into three parts, lines (a) (b) (c) . If a single morbid condition completely explains the deaths, then this will be written on line (a) of Part I, and nothing more is needed to be written in the rest of Part I or Part II, for example gastroentritis, lobar pneumonia, rabies are sufficient cause of death and usually nothing more is needed.

Often, however, a number of morbid conditions will have been present at death, and the doctor must then complete the certificate in the proper manner so that the correct underlying cause will be tabulated. First, enter in Part I (a) the immediate cause of death. This does not mean the mode of dying. e.g. heart failure, respiratory failure, etc. These terms should not appear on the certificate at all since they are modes of dying and not causes of death. Next consider whether the immediate cause is a complication or delayed result of some other cause. If so, enter the antecedent cause in part I, line (b). Sometimes there will be three stages in the course of events leading to death. If so, line (c) will be completed. The underlying cause to be tabulated is always written last in Part I.

Morbid conditions or injuries may be present which were not directly related to the chain of events causing death but which contributed in some way to the fatal outcome. Sometimes the doctor finds it difficult to decide, especially for infant deaths, which of several independent conditions was the primary cause of death; but only one cause can be tabulated, so the doctor must decide. If the other diseases are not effects of the underlying cause, they are entered in Part II.

Do not write two or more conditions on a single line. Please write the names of the diseases (in full ) in the certificates as legible as possible to avoid the risk of their being misread. Onset : Complete the column for interval between onset and death whenever possible, even if very approximately, e.g.” from birth” several years.‟ Accidental or violent deaths : Both the external cause and the nature of the injury are needed and should be stated. The doctor or hospital should always be able to describe the injury, stating the part of the body injured, and should give the external cause in full when this is shown. Example: (a) Hypostatic pneumonia ; (b) Fracture of neck of lemur, (c) fall from ladder at home. Maternal deaths : Be sure to answer the questions on pregnancy and delivery. This information is needed for all women of child-bearing age, even though the pregnancy may have had nothing to do with the death. Old age or senility: Old age (or senility) should be not given as a cause of death if a more specific cause is known. If old age was a contributory factor, it should be entered in Part II. Example: (a) Chronic bronchitis, II old age. Completeness of information : A complete case history is not wanted, but if the information is available enough details should be given to enable the underlying cause to be property classified. Example : Anaemia - Give type of anaemia, if known, Neoplasms- indicate whether benign or malignant, and site with site of primary neoplasm, whenever possible, Heart disease-Describe the condition specifically, if congestive heart failure, chronic on pulmonale, etc are mentioned , give the antecedent conditions. Tetanus -Describe the antecedent injury, if known. Operation-State the condition for which the operation was performed. Dysentry-Specify whether becillary, amoebic, etc, if know. Complications of pregnancy or delivery-Describe the complication specifically Tuberculosis-Give organs affected. Symptomatic statement: Convulsions, diarrhoea, fever, ascites, jaundice, debility etc. are symptoms which may be due to any one of a number of different conditions. Sometimes nothing more is know, but whenever possible, give the disease which caused the symptom. Manner of Death : Deaths not due to external cause should be identified as „Natural.‟ If the cause of death is known, but it is not known whether it was the result of an accident suicide or homicide and is subject to further investigation, the cause of death should invariably be filled in and the manner of death should be shown as „Pending investigation‟.

Summary

MCCD Scheme is implemented under RBD Act, 1969, Section 10(2) (3)

and Maharashtra Registration of Births and Deaths Rules, 2000- Rule 7.

It is obligatory to the attending physician / surgeon to certify death in

form No. 4/4A.

It is the legal responsibility of the head of institutions to submit MCCD

to the Local Registrar regularly.

Fill in form No.4 for institutional deaths and form No. 4A for

domiciliary events but certified by private medical practitioners.

Do not fill in MCCD form 4/4A for still births.

Each and every column of certificate should be filled in.

Cause of Death :-

(I) write the immediate cause, first.

(ii) Antecedent cause on next line.

(iii) Underlying cause, last.

In case of injury and poisoning- Write the type of injury and the part of

the body involved and supplementary cause of injury/poisoning.

In case of deaths due to HIV/AIDS write the seropositive status along

with opportunistic infection or disease conditions responsible for fatal

outcome.

International Classification of Diseases 10th

Revision (ICD-10) is used

for classification of causes of deaths.

Do correct coding of underlying cause of death.

YearTotal No. of Registered

Deaths

Total No. of Urban Deaths

Medically Certified Deaths

% of Medically Certified Deaths to Total Registered

Deaths

% of Medically Certified Deaths to

Urban Deaths

1993 445569 209531 129512 29.07 61.81

1994 425999 207571 135132 31.72 65.10

1995 436146 208890 145704 33.41 69.75

1996 453940 222237 148313 32.67 66.74

1997 412066 218461 151541 36.78 69.37

1998 512649 255158 172494 33.65 67.60

1999 479114 247561 170406 35.57 68.83

2000 512330 265149 172724 33.71 65.14

2001 512241 254227 173026 33.78 68.06

2002 564485 276901 172995 30.65 62.48

2003 602711 290326 182910 30.35 63.00

2004 518533 251810 181294 34.96 72.00

2005 554633 279627 191586 34.54 68.51

2006 565892 269432 209515 37.02 77.76

2007 608598 304524 215045 35.33 70.62

2008 629770 320644 217642 34.56 67.88

2009 633206 324768 212335 33.53 65.38

Medical Certification of Cause of Death- Maharashtra

Table no. 1 - Growth in MCCD Reporting- Maharashtra during year 2009

Sr. No. District Total Registered

Deaths

Total Registered

Urban Deaths

Medically Certified Deaths


Total Registered

Deaths


Urban Deaths

Rank

1 Nandurbar 6912 1671 924 13.4 55.3 122 Dhule 10921 4173 1225 11.2 29.4 263 Jalgaon 24443 8766 1525 6.2 17.4 314 Buldhana 14356 4478 1293 9.0 28.9 275 Akola 9957 4945 1739 17.5 35.2 236 Washim 5087 1452 206 4.0 14.2 327 Amravati 19115 8695 6864 35.9 78.9 28 Wardha 9732 2654 1961 20.2 73.9 59 Nagpur 35802 25426 9512 26.6 37.4 22

10 Bhandara 9527 2176 672 7.1 30.9 2511 Gondia 9787 1747 355 3.6 20.3 2912 Gadchiroli 6495 808 100 1.5 12.4 3313 Chandrapur 15177 5500 2206 14.5 40.1 1914 Yavatmal 14458 4923 2049 14.2 41.6 1815 Nanded 13492 4411 2358 17.5 53.5 1316 Hingoli 4296 973 5 0.1 0.5 3417 Parbhani 7649 3279 684 8.9 20.9 2818 Jalna 7540 1814 316 4.2 17.4 3019 Aurangabad 17075 8807 4373 25.6 49.7 1520 Nashik 28795 15315 6007 20.9 39.2 2021 Thane 46919 32476 24594 52.4 75.7 322 Mumbai +(Sub.) 90033 90033 90033 100.0 100.0 123 Raigad 14432 2856 1964 13.6 68.8 824 Pune 48505 34811 21311 43.9 61.2 1025 Ahemadnagar 23393 6628 4700 20.1 70.9 726 Beed 10438 2584 972 9.3 37.6 2127 Latur 10162 3083 2017 19.8 65.4 928 Osmanabad 7966 1972 613 7.7 31.1 2429 Solapur 25262 12052 5951 23.6 49.4 1630 Satara 18835 5548 3222 17.1 58.1 1131 Ratnagiri 13283 1876 1387 10.4 73.9 432 Sindhudurg 7910 1118 546 6.9 48.8 1733 Kolhapur 25948 9891 5081 19.6 51.4 1434 Sangli 19504 7827 5570 28.6 71.2 6

Total 633206 324768 212335 33.53 65.38

Medical Certification of Cause of Death- Maharashtra, 2009Table no.2 - Districtwise MCCD Ranking for year 2009

In the year 2008, total of 191586 Medically certified deaths are reported, out of 554633 total registered deaths in the state i.e. 34.5% & 279627 total registered urban deaths i.e.68.5% .

Out of 35 districts, reported percentage of medically certified deaths to total registered urban deaths was 75% & above in 5 districts, 50 to 75% in 12 districts, 25 to 50% in 14 districts and < 25% in remaining 3 districts.

Poor reporting of Medically certified deaths observerd in Hingoli 1.6 % Nashik 14%,Jalgaon 13.3%,

YearIX XVIII I XIX X XVI XI II IV VI Others* Total

1999 23.4 19.4 14.4 11.5 8.5 6.2 4.4 3.6 3.3 1.7 3.8 100.02000 22.3 20.9 16.0 9.9 8.1 5.5 4.6 3.6 3.7 1.9 3.6 100.02001 29.9 10.0 14.9 11.1 13.2 4.7 3.6 3.6 1.9 1.9 5.3 100.02002 28.0 7.6 15.0 12.2 13.6 4.8 4.3 4.3 2.5 2.3 5.5 100.02003 27.0 9.0 14.2 12.1 13.9 4.7 4.1 4.2 2.6 2.2 6.0 100.02004 26.2 9.3 16.5 10.4 11.7 4.9 4.5 5.5 2.8 3.1 5.1 100.02005 26.2 9.1 17.5 10.1 11.9 4.3 4.4 5.7 2.8 2.5 5.5 100.02006 26.3 9.9 17.2 9.8 12.3 4.5 4.1 5.3 2.9 2.5 5.2 100.02007 29.3 10.7 17.0 9.5 10.6 4.1 3.8 5.3 2.7 2.1 4.9 100.02008 27.2 10.7 18.7 9.8 10.2 4.5 3.9 5.5 3.1 2.0 4.4 100.02009 28.9 10.9 17.7 8.8 10.5 4.5 3.8 5.0 3.0 1.0 5.9 100.0

Others*- includes the remaining major cause groups.

XVI

XVIII SYMPTOMS, SIGNS & ABNORMAL CLINICAL & LABORATORY FINDING, NOT ELSEWHERE CLASSIFIED (R00-R99)

XIX INJURY ,POISONING & CERTAIN OTHER CONSEQUENCES OF EXTERNAL CAUSES (S00-T98)

CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD (P00-P96)

DISEASES OF THE CIRCULATORY SYSTEM (I00-I99)IX

DISEASES OF THE RESPIRATORY SYSTEM (J00-J98)X

DISEASES OF THE DIGESTIVE SYSTEM (K00-K92)XI

DISEASES OF THE NERVOUS SYSTEM (G00-G98)VI

CERTAIN INFECTIOUS AND PARASITIC DISEASES (A00-B99)I

NEOPLASMS (C00-D48)II

Medical Certification of Cause of Death- Maharashtra

Table no. 3 - % Distribution of Leading Major Cause Groups of Deaths During 2009

Leading Major Cause Groups of Deaths based on ICD-10

Major Group as per ICD-10Major Group

ENDOCRINE, NUTRITIONAL & METABOLIC DISEASES (E00-E89)IV

Sr. No. Age Group Male Female Total % to total Deaths

Rank

1 Below 1 Year 9844 7235 17079 8.0 6

2 1 to 4 Years 1579 1368 2947 1.4 11

3 5 to 14 Years 2187 1786 3973 1.9 10

4 15 to 24 Years 6079 4969 11048 5.2 8

5 25 to 34 Years 10713 5901 16614 7.8 7

6 35 to 44 Years 15366 5855 21221 10.0 4

7 45 to 54 Years 17835 7294 25129 11.8 3

8 55 to 64 Years 19398 9416 28814 13.6 2

9 65 to 69 Years 11162 6958 18120 8.5 5

10 70 + Years 30087 28707 58794 27.7 1

11 Unspecified 5828 2768 8596 4.0 9

Total 130078 82257 212335 100.0

Medical Certification of Cause of Death- Maharashtra, 2009Table no.4 - Distribution of Deaths by Age & Sex for year 2009

Sr. No. Name of Disease with Code

Male Female Total % Share

1 ACUTE MYOCARDIAL INFARCTION (I21-I22) 13836 9620 23456 11.02 OTHER FORMS OF HEART DISEASES (I30-I51) 10636 6042 16678 7.93 SEPTICAEMIA (A40-A41) 8619 7112 15731 7.44 RESPIRATORY TUBERCULOSIS (A15,A16) 9403 4320 13723 6.55 SENILITY (R54) 4889 3421 8310 3.96 CEREBROVASCULAR DISEASES (I60-I69) 3435 4241 7676 3.67 PNEUMONIA (J12-J18) 5754 983 6737 3.28 ALL OTHER DISEASES OF THE RESPIRATORY SYSTEM (J60-J86,J92-J98) 3871 2780 6651 3.19 DISEASES OF LIVER (K70-K76) 4236 2311 6547 3.1

10 OTHER INJURIES OF SPECIFIED, UNSPECIFIED AND MULTIPLE BODY REGIONS (S00-S01,S05,S09-S11,S15-S16,S19-S21,S25,S29-S31,S35,S39-S41,S45-S46,S49-S51,S55-S56,S59-S61.S65-S66,S69-S71,S75-S76,S79-S81,S85-S86,S89-S91,S95-S96,S99,T00-T01,T06-T07,T09,T11-T14)

4904 1405 6309 3.0

11 ALL OTHER ISCHAEMIC HEART DISEASES (I20 & I23-I25) 3542 2303 5845 2.812 DIABETES MELLITUS (E10-E14) 3364 2437 5801 2.713 RENAL FAILURE (N17-N19) 3310 1871 5181 2.4

14 SLOW FETAL GROWTH, FETAL MALNUTRITION AND IMMATURITY (P05-P07) 2740 2015 4755 2.215 HYPOXIA BIRTH ASPHYXIA AND OTHER RESPIRATORY CONDITIONS (P20-

P28)2657 1903 4560 2.1

16 OTHER LOWER RESPIRATORY DISORDERS (J22,J44 & J47) 1425 2707 4132 1.917 BURNS AND CORROSIONS (T20-T32) 2197 1587 3784 1.818 ALL OTHER HYPERTENSIVE HEART DISEASES (I10,I12-I15) 2294 1414 3708 1.7

Total 91112 58472 149584 70.4Total No. of Deaths in the State 130078 82257 212335

Medical Certification of Cause of Death- Maharashtra, 2009Table no. 5 - Principal individual Death Causes for year 2009

Sr. No. Group Cause of Death with Code

Male Female Total % Share Rank

1 I CERTAIN INFECTIOUS AND PARASITIC DISEASES (A00-B99) 23202 14316 37518 17.7 22 II NEOPLASMS (C00-D48) 5565 5043 10608 5.0 73 III DISEASES OF BLOOD AND BLOOD FORMING ORGANS AND

CERTAIN DISORDERS INVOLVING IMMUNE MECHANISM (D50-D89)

1080 964 2044 1.0 13

4 IV ENDOCRINE, NUTRITIONAL & METABOLIC DISEASES (E00-E89) 3692 2744 6436 3.0 105 V MENTAL AND BEHAVIOURAL DISORDERS (F01-F99) 49 44 93 0.0 186 VI DISEASES OF THE NERVOUS SYSTEM (G00-G98) 2416 1494 3910 1.8 127 VII DISEASES OF THE EYE AND ADNEXA (H00-H59) 8 9 17 0.0 198 VIII DISEASES OF THE EAR AND MASTOID PROCESS (H60-H95) 4 3 7 0.0 209 IX DISEASES OF THE CIRCULATORY SYSTEM (I00-I99) 37431 24036 61467 28.9 1

10 X DISEASES OF THE RESPIRATORY SYSTEM (J00-J98) 13206 9186 22392 10.5 411 XI DISEASES OF THE DIGESTIVE SYSTEM (K00-K92) 6615 1429 8044 3.8 912 XII DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE (L00-

L98)87 50 137 0.1 16

13 XIII DISEASE OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE (M00-M99)

31 63 94 0.0 17

14 XIV DISEASES OF THE GENITOURINARY SYSTEM (N00-N99) 3746 2441 6187 2.9 1115 XV PREGNANCY, CHILDBIRTH AND THE PUERPERIUM (O00-O99) 0 324 324 0.2 1516 XVI CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL

PERIOD (P00-P96)5648 3975 9623 4.5 8

17 XVII CONGENITAL MALFORMATIONS, DEFORMATIONS AND CHROMOSOMAL ABNORMALITIES (Q00-Q99)

1031 694 1725 0.8 14

18 XVIII SYMPTOMS, SIGNS & ABNORMAL CLINICAL & LABORATORY FINDING, NOT ELSEWHERE CLASSIFIED (R00-R99)

13851 9222 23073 10.9 3

19 XIX INJURY ,POISONING & CERTAIN OTHER CONSEQUENCES OF EXTERNAL CAUSES (S00-T98)

12416 6220 18636 8.8 5

20 XX EXTERNAL CAUSES OF MORBIDITY AND MORTALITY (V01-Y89) 12416 6220 18636 8.8 5TOTAL 130078 82257 212335 100.0

Medical Certification of Cause of Death- Maharashtra, 2009Table no.6 - Deaths by Cause Groups for year 2009

Below 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70 Yr & Un-1 Year Yrs. Yrs. Yrs. Yrs. Yrs. Yrs. Yrs. Yrs. Above Specified

I CERTAIN INFECTIOUS AND PARASITIC M 933 408 481 987 2500 4047 3485 2859 1314 5429 759 23202 37518 17.7DISEASES (A00-B99) F 729 311 484 1048 1427 1457 1373 1353 824 4953 357 14316

II NEOPLASMS M 28 46 93 157 211 402 859 1282 717 1589 181 5565 10608 5.0(C00-D48) F 17 27 64 95 201 477 1012 1110 560 1339 141 5043

III DISEASES OF BLOOD AND BLOOD FORMING M 64 31 55 83 89 142 159 129 74 194 60 1080 2044 1.0ORGANS AND CERTAIN DISORDERS INVOLVING F 53 34 46 101 98 73 100 93 64 254 48 964IMMUNE MECHANISM (D50-D89)

IV ENDOCRINE, NUTRITIONAL & METABOLIC M 50 22 21 33 76 183 492 981 549 1106 179 3692 6436 3.0DISEASES (E00-E89) F 32 22 15 33 28 93 306 579 448 1065 123 2744

V MENTAL AND BEHAVIOURAL DISORDERS M 4 1 8 7 4 1 3 2 6 10 3 49 93 0.0(F01-F99) F 1 3 2 6 6 2 2 2 2 17 1 44

VI DISEASES OF THE NERVOUS M 152 121 115 127 184 286 280 308 221 506 116 2416 3910 1.8SYSTEM (G00-G98) F 102 87 106 95 97 117 111 133 143 448 55 1494

VII DISEASES OF THE EYE AND ADNEXA M 1 0 1 0 0 2 0 2 2 0 0 8 17 0.0(H00-H59) F 2 0 1 0 0 0 0 1 2 3 0 9

VIII DISEASES OF THE EAR AND MASTOID M 0 1 1 0 1 0 1 0 0 0 0 4 7 0.0PROCESS (H60-H95) F 0 0 0 0 0 1 0 0 0 2 0 3

IX DISEASES OF THE M 260 208 342 726 1467 3067 5614 8007 4561 11068 2111 37431 61467 28.9CIRCULATORY SYSTEM (I00-I99) F 177 186 270 633 817 1323 2261 3693 2818 10878 980 24036

X DISEASES OF THE M 1203 354 322 517 613 1061 1368 1808 1295 4091 574 13206 22392 10.5RESPIRATORY SYSTEM (J00-J98) F 1072 386 220 397 370 521 680 972 750 3544 274 9186

XI DISEASES OF THE DIGESTIVE M 72 41 49 151 678 1578 1788 1096 416 439 307 6615 8044 3.8SYSTEM (K00-K92) F 43 30 49 88 134 138 210 268 152 262 55 1429

XII DISEASES OF THE SKIN AND M 2 0 1 6 8 7 8 15 13 25 2 87 137 0.1SUBCUTANEOUS TISSUE (L00-L98) F 1 1 1 2 3 4 7 5 11 13 2 50

XIII DISEASE OF MUSCULOSKELETAL SYSTEM M 1 0 2 4 0 5 4 5 3 5 2 31 94 0.0AND CONNECTIVE TISSUE (M00-M99) F 1 0 5 4 8 6 7 12 2 17 1 63

XIV DISEASES OF THE M 64 29 58 116 235 339 519 727 400 1100 159 3746 6187 2.9GENITOURINARY SYSTEM (N00-N99) F 34 19 44 96 126 198 321 469 269 814 51 2441

XV PREGNANCY, CHILDBIRTH AND THE M 0 0 0 0 0 0 0 0 0 0 0 0 324 0.2PUERPERIUM (O00-O99) F 0 0 0 107 136 58 2 0 0 0 21 324

XVI CERTAIN CONDITIONS ORIGINATING M 5643 0 1 0 0 0 0 0 0 0 4 5648 9623 4.5IN THE PERINATAL PERIOD (P00-P96) F 3972 1 0 0 0 0 0 0 0 0 2 3975

XVII CONGENITAL MALFORMATIONS, DEFORMATIONS M 932 44 35 0 0 0 0 0 0 0 20 1031 1725 0.8 AND CHROMOSOMAL ABNORMALITIES (Q00-Q99) F 628 29 22 0 0 0 0 0 0 0 15 694

XVIIISYMPTOMS, SIGNS & ABNORMAL M 367 140 234 1153 1654 1923 1620 1161 1156 3485 958 13851 23073 10.9CLINICAL & LABORATORY FINDING, F 287 126 214 895 895 566 410 422 725 4228 454 9222NOT ELSEWHERE CLASSIFIED (R00-R99)

XIX INJURY ,POISONING & CERTAIN OTHER M 68 133 368 2012 2993 2323 1635 1016 435 1040 393 12416 18636 8.8CONSEQUENCES OF EXTERNAL CAUSES (S00-T98) F 84 106 243 1369 1555 821 492 304 188 870 188 6220

XX EXTERNAL CAUSES OF MORBIDITY AND M 68 133 368 2012 2993 2323 1635 1016 435 1040 393 12416 18636 8.8MORTALITY (V01-Y89) F 84 106 243 1369 1555 821 492 304 188 870 188 6220ALL CAUSES M 9844 1579 2187 6079 10713 15366 17835 19398 11162 30087 5828 130078 212335 100.0(MAJOR GROUP I TO XIX) F 7235 1368 1786 4969 5901 5855 7294 9416 6958 28707 2768 82257

T 17079 2947 3973 11048 16614 21221 25129 28814 18120 58794 8596 212335

Table no. 7 - Medically Certified Causes of Deaths by Age and Sex by Cause Group Maharashtra State, 2009

% share

AGE GROUPS

Grand Total

Sr. No.

Causes of DeathSEX Total


1 DISEASES OF THE M 260 208 342 726 1467 3067 5614 8007 4561 11068 2111 37431 61467 28.9

CIRCULATORY SYSTEM (I00-I99) F 177 186 270 633 817 1323 2261 3693 2818 10878 980 24036

2 CERTAIN INFECTIOUS AND PARASITIC M 933 408 481 987 2500 4047 3485 2859 1314 5429 759 23202 37518 17.7

DISEASES (A00-B99) F 729 311 484 1048 1427 1457 1373 1353 824 4953 357 14316

3 SYMPTOMS, SIGNS & ABNORMAL M 367 140 234 1153 1654 1923 1620 1161 1156 3485 958 13851 23073 10.9

CLINICAL & LABORATORY FINDING, F 287 126 214 895 895 566 410 422 725 4228 454 9222

NOT ELSEWHERE CLASSIFIED (R00-R99)

4 DISEASES OF THE M 1203 354 322 517 613 1061 1368 1808 1295 4091 574 13206 22392 10.5

RESPIRATORY SYSTEM (J00-J98) F 1072 386 220 397 370 521 680 972 750 3544 274 9186

5 INJURY ,POISONING & CERTAIN OTHER M 68 133 368 2012 2993 2323 1635 1016 435 1040 393 12416 18636 8.8

CONSEQUENCES OF EXTERNAL CAUSES (S00-T98) F 84 106 243 1369 1555 821 492 304 188 870 188 6220

6 NEOPLASMS M 28 46 93 157 211 402 859 1282 717 1589 181 5565 10608 5.0

(C00-D48) F 17 27 64 95 201 477 1012 1110 560 1339 141 5043

7 CERTAIN CONDITIONS ORIGINATING M 5643 0 1 0 0 0 0 0 0 0 4 5648 9623 4.5

IN THE PERINATAL PERIOD (P00-P96) F 3972 1 0 0 0 0 0 0 0 0 2 3975

8 DISEASES OF THE DIGESTIVE M 72 41 49 151 678 1578 1788 1096 416 439 307 6615 8044 3.8

SYSTEM (K00-K92) F 43 30 49 88 134 138 210 268 152 262 55 1429

9 ENDOCRINE, NUTRITIONAL & METABOLIC M 50 22 21 33 76 183 492 981 549 1106 179 3692 6436 3.0

DISEASES (E00-E89) F 32 22 15 33 28 93 306 579 448 1065 123 2744

10 DISEASES OF THE M 64 29 58 116 235 339 519 727 400 1100 159 3746 6187 2.9

GENITOURINARY SYSTEM (N00-N99) F 34 19 44 96 126 198 321 469 269 814 51 2441M 8688 1381 1969 5852 10427 14923 17380 18937 10843 29347 5625 125372 203984 96.1F 6447 1214 1603 4654 5553 5594 7065 9170 6734 27953 2625 78612T 15135 2595 3572 10506 15980 20517 24445 28107 17577 57300 8250 203984M 9844 1579 2187 6079 10713 15366 17835 19398 11162 30087 5828 130078 212335 100.0F 7235 1368 1786 4969 5901 5855 7294 9416 6958 28707 2768 82257T 17079 2947 3973 11048 16614 21221 25129 28814 18120 58794 8596 212335

Total of Top Ten Major Groups

% Share

Total Deaths due to all Major Groups

AGE GROUPS

Medical Certification of Cause of Death- Maharashtra, 2009Table no. 8 - Top Ten Major Groups

Sr. No.


Grand Total

Below 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70 Yr & Un-

1 Year Yrs. Yrs. Yrs. Yrs. Yrs. Yrs. Yrs. Yrs. Above Specified

1 OTHER FORMS OF HEART DISEASES * M 189 173 239 408 700 1299 1935 2511 1457 3817 1108 13836 23456 38.2 11.0

(I30-I51) F 132 159 211 415 492 677 920 1288 874 3949 503 9620

2 ACUTE MYOCARDIAL INFARCTION M 0 0 0 65 291 862 1856 2582 1253 3248 479 10636 16678 27.1 7.9

(I21-I22) F 0 0 0 33 66 216 534 1071 703 3225 194 6042

3 CEREBROVASCULAR DISEASES M 54 19 50 136 233 381 657 935 473 1117 181 4236 6547 10.7 3.1

(I60-I69) F 37 12 19 85 85 144 283 352 281 931 82 2311

4 ALL OTHER ISCHAEMIC HEART DISEASES M 0 4 5 12 67 152 442 853 635 1032 108 3310 5181 8.4 2.4

(I20 & I23-I25) F 0 0 2 10 25 39 134 327 416 862 56 1871

5 ALL OTHER HYPERTENSIVE HEART M 0 2 11 13 38 122 366 619 391 1080 98 2740 4755 7.7 2.2

DISEASES (I10,I12-I15) F 0 7 10 14 20 38 151 357 286 1076 56 2015

M 243 198 305 634 1329 2816 5256 7500 4209 10294 1974 34758 56617 92.1 26.7

F 169 178 242 557 688 1114 2022 3395 2560 10043 891 21859

T 412 376 547 1191 2017 3930 7278 10895 6769 20337 2865 56617

M 260 208 342 726 1467 3067 5614 8007 4561 11068 2111 37431 61467 100.0 28.9

F 177 186 270 633 817 1323 2261 3693 2818 10878 980 24036

T 437 394 612 1359 2284 4390 7875 11700 7379 21946 3091 61467

Total Deaths in the State 17079 2947 3973 #### 16614 21221 25129 28814 18120 58794 8596 212335 212335

to Circulatory

System

*- Other forms of Heart Diseases includes Diseases of Pericardium, Pericarditis, Endocarditis, Myocarditis, Cardiomyopathy, Heart block, Fibrillation and Flutter, Cardic arrythmias, Heart Failure etc.

Total Deaths in the state

SEX Total

% Share

Total Deaths due to Circulatory System

Total of Top Five Causes

Medical Certification of Cause of Death- Maharashtra, 2009Table no. 9 - Top five Causes of Deaths of Circulatory System

Grand Total

AGE GROUPSSr. No.

Causes of Death


1 SEPTICAEMIA M 727 195 141 284 446 665 880 1091 593 3327 270 8619 15731 41.9 7.4

(A40-A41) F 547 158 159 318 357 366 541 672 402 3421 171 7112

2 RESPIRATORY TUBERCULOSIS M 17 45 63 295 1325 2127 1773 1277 466 1724 291 9403 13723 36.6 6.5

(A15, A16) F 27 13 100 459 615 617 512 406 262 1209 100 4320

3 HUMAN IMMUNODEFICIENCY VIRUS (HIV) M 11 16 37 51 290 670 310 90 30 13 63 1581 2246 6.0 1.1

DISEASE (B20-B24) F 8 6 25 28 198 230 99 34 6 9 22 665

4 DIARRHOEA AND GASTROENTERITIS OF M 72 24 15 12 21 33 31 33 21 65 11 338 653 1.7 0.3

PRESUMED INFECTIOUS ORIGIN (A09) F 67 30 19 11 11 15 14 27 21 92 8 315

5 OTHER VIRAL HEPATITIS M 3 8 12 28 40 51 46 41 18 20 19 286 438 1.2 0.2

(B15,B17-B19) F 3 5 9 20 21 27 20 14 6 21 6 152

M 830 288 268 670 2122 3546 3040 2532 1128 5149 654 20227 32791 87.4 15.4

F 652 212 312 836 1202 1255 1186 1153 697 4752 307 12564

T 1482 500 580 1506 3324 4801 4226 3685 1825 9901 961 32791

M 933 408 481 987 2500 4047 3485 2859 1314 5429 759 23202 37518 100.0 17.7

F 729 311 484 1048 1427 1457 1373 1353 824 4953 357 14316

T 1662 719 965 2035 3927 5504 4858 4212 2138 10382 1116 37518

Total Deaths in the State 17079 2947 3973 11048 16614 21221 25129 28814 18120 58794 8596 212335 212335

SEX Total

Medical Certification of Cause of Death- Maharashtra, 2009Table no. 10 - Top five Causes of Deaths due to Infectious & Parasitic Diseases

% Share

to Infectious Group

Total Deaths in

Grand Total

AGE GROUPS

Total Deaths due to Infectious & Parasitic Major Group

Sr. No.

Causes of Death

Total of Top five Causes


M 209 105 195 1012 1481 1743 1427 987 427 737 590 8913 12954 56.1 6.1

F 153 86 173 810 804 497 330 320 174 495 199 4041

2 SENILITY M 0 0 0 0 0 0 0 0 621 2527 287 3435 7676 33.3 3.6

(R54) F 0 0 0 0 0 0 0 0 481 3547 213 4241

3 SHOCK, NOT ELSEWHERE CLASSIFIED M 64 24 24 105 147 154 160 142 77 181 73 1151 1824 7.9 0.9

(R57) F 30 22 27 64 79 57 65 86 57 149 37 673

4 FEVER OF UNKNOWN ORIGIN M 90 11 12 34 24 23 25 20 26 28 5 298 533 2.3 0.3

(R50) F 99 16 12 20 10 11 14 13 10 26 4 235

5 ASCITES M 1 0 0 0 2 0 5 7 2 3 1 21 29 0.1 0.0

(R18) F 0 0 0 1 1 0 1 3 1 1 0 8

M 364 140 231 1151 1654 1920 1617 1156 1153 3476 956 13818 23016 99.8 10.8

F 282 124 212 895 894 565 410 422 723 4218 453 9198

T 646 264 443 2046 2548 2485 2027 1578 1876 7694 1409 23016

M 367 140 234 1153 1654 1923 1620 1161 1156 3485 958 13851 23073 100.0 10.9

F 287 126 214 895 895 566 410 422 725 4228 454 9222

T 654 266 448 2048 2549 2489 2030 1583 1881 7713 1412 23073


Table no. 11 - Top five Causes of Deaths due to Signs, Symptoms & Other ill defined conditions

ALL OTHER SYMPTOMS, SIGNS AND ABNORMAL CLINICAL AND LABORATORY FINDINGS NOT ELSEWHERE CLASSIFIED(R00-R09,R11-R17,R19-R39,R41-R49,R51-R53,R58-R99)

1

Total Deaths due to Signs, Symptoms & Other ill defined conditions Major Group

Total of Top Five Diseases

Medical Certification of Cause of Death- Maharashtra, 2009

to Ill defined

M.G.


SEX Total

% ShareAGE GROUPSSr. No.

Causes of Death

Grand Total

Below 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70 Yr & Un-

1 Year Yrs. Yrs. Yrs. Yrs. Yrs. Yrs. Yrs. Yrs. Above Specified1 ALL OTHER DISEASES OF THE M 577 128 147 250 283 526 562 658 408 1134 216 4889 8310 37.1 3.9

RESPIRATORY SYSTEM (J60-J86,J92-J98) ** F 425 130 90 230 201 243 303 393 229 1048 129 34212 PNEUMONIA M 542 200 145 209 251 330 393 429 265 988 119 3871 6651 29.7 3.1

(J12-J18) F 572 215 104 122 127 166 163 197 133 926 55 27803 OTHER LOWER RESPIRATORY DISORDERSM 30 6 7 17 24 80 202 382 294 1157 95 2294 3708 16.6 1.7

(J22,J44 & J47) * F 33 6 9 12 14 47 101 205 168 784 35 14144 ASTHMA M 18 6 11 17 27 64 139 237 256 602 108 1485 2596 11.6 1.2

(J45-J46) F 14 17 10 15 15 35 75 131 168 590 41 11115 BRONCHITIS, CHRONIC AND UNSPECIFIED M 16 5 1 6 6 24 26 47 38 122 20 311 549 2.5 0.3

EMPHYSEMA (J40-J43) F 14 5 1 2 2 13 14 19 28 133 7 238

M 1183 345 311 499 591 1024 1322 1753 1261 4003 558 12850 21814 97.4 10.3

F 1058 373 214 381 359 504 656 945 726 3481 267 8964

T 2241 718 525 880 950 1528 1978 2698 1987 7484 825 21814

M 1203 354 322 517 613 1061 1368 1808 1295 4091 574 13206 22392 100.0 10.5

F 1072 386 220 397 370 521 680 972 750 3544 274 9186

T 2275 740 542 914 983 1582 2048 2780 2045 7635 848 22392


to Respiratory

System

Total of Top five Causes

Total Deaths due to Respiratory System

*- Diseases of Other Lower Respiratory Disorders includes Acute Bronchitis, Bronchiolitis, COPD, Unspecified Lower Respiratory Infection etc.

**- All Other Diseases of Respiratory System includes ARDS, Pulmonary Oedema, Interstitial Pulmonary Diseases, Abscess of Lung, Pneumothorax, Respiratory failure etc.

Medical Certification of Cause of Death- Maharashtra, 2009Table no. 12 - Top five Causes of Deaths of Respiratory System


Total

SEX

% ShareSr. No.

Causes of Death

AGE GROUPS

Grand Total


4 M 14 29 95 707 1226 868 579 405 177 720 84 4904 6309 33.9 3.0

F 15 22 39 105 170 135 127 98 60 613 21 1405

1 BURNS AND CORROSIONS M 12 26 62 223 386 278 179 122 37 48 52 1425 4132 22.2 1.9

(T20-T32) F 16 25 81 782 886 413 178 91 42 102 91 2707

3 M 17 14 59 223 272 240 157 72 34 37 42 1167 1564 8.4 0.7

F 21 11 28 134 99 40 21 14 10 10 9 397

2 M 2 16 37 184 214 215 165 87 51 41 107 1119 1543 8.3 0.7

F 5 6 28 123 86 53 41 18 11 17 36 424

M 45 85 253 1337 2098 1601 1080 686 299 846 285 8615 13548 72.7 6.4

F 57 64 176 1144 1241 641 367 221 123 742 157 4933

T 102 149 429 2481 3339 2242 1447 907 422 1588 442 13548

M 68 133 368 2012 2993 2323 1635 1016 435 1040 393 12416 18636 100.0 8.8

F 84 106 243 1369 1555 821 492 304 188 870 188 6220

T 152 239 611 3381 4548 3144 2127 1320 623 1910 581 18636


AGE GROUPS

Grand Total

POISONING BY DRUGS, MEDICAMENTS & BIOLOGICAL SUBSTANCES & TOXIC EFFECTS OF SUBSTANCES CHIEFLY NON-MEDICINAL AS TO SOURCE (T36-T50,T51-T65)


Medical Certification of Cause of Death- Maharashtra, 2009Table no. 13 - Top Causes of Death due to Injuries & Poisoning.

to Injury M. G.

Total Deaths in

% ShareSr. No.

Total Deaths due to Injury Major Group

OTHER INJURIES OF SPECIFIED, UNSPECIFIED AND MULTIPLE BODY REGIONS (S00-S01,S05,S09-S11,S15-S16,S19-S21,S25,S29-S31,S35,S39-S41,S45-S46,S49-S51,S55-S56,S59-S61 S65-S66,S69-S71,S75-S76,S79-S81,S85-S86,S89-S91,S95-S96,S99,T00-T01,T06-T07,T09,T11-T14)


OTHER AND UNSPECIFIED EFFECTS OF EXTERNAL CAUSES AND CERTAIN EARLY COMPLICATIONS OF TRAUMA (T33-T35,T66-T78,T79)


1 MALIGNANT NEOPLASM OF TRACHEA, M 0 2 0 3 16 33 115 192 124 229 25 739 1067 10.1 0.5

BRONCHUS AND LUNG(C33-C34) F 0 0 0 2 5 30 59 79 39 108 6 328

2 MALIGNANT NEOPLASM OF BREAST M 0 0 0 0 0 2 3 6 1 3 1 16 1016 9.6 0.5

(C50) F 0 0 0 5 50 121 270 239 69 221 25 1000

3 LEUKAEMIA M 3 24 49 63 54 38 66 57 31 53 12 450 764 7.2 0.4

(C91-C95) F 5 18 28 40 32 31 42 43 17 55 3 314

4 MALIGNANT NEOPLASM OF OESOPHAGUSM 0 0 3 2 4 16 64 112 48 170 14 433 728 6.9 0.3

(C15) F 0 1 0 0 7 23 49 59 47 97 12 295

M 3 26 52 68 74 89 248 367 204 455 52 1638 3575 33.7 1.7

F 5 19 28 47 94 205 420 420 172 481 46 1937

T 8 45 80 115 168 294 668 787 376 936 98 3575

M 28 46 93 157 211 402 859 1282 717 1589 181 5565 10608 100.0 5.0

F 17 27 64 95 201 477 1012 1110 560 1339 141 5043

T 45 73 157 252 412 879 1871 2392 1277 2928 322 10608


Total of Top Diseases

Total Deaths due to Neoplasm Major Group

Total Deaths in

to Neoplasm

SEX

AGE GROUPS

Grand Total

Medical Certification of Cause of Death- Maharashtra, 2009Table no. 14 - Top Causes of deaths due to Neoplasms

Total

Sr. No.

Causes of Death% Share


1 SLOW FETAL GROWTH, FETAL M 2657 0 0 0 0 0 0 0 0 0 0 2657 4560 47.4 2.1

MALNUTRITION AND IMMATURITY(P05-P07)F 1903 0 0 0 0 0 0 0 0 0 0 1903

2 HYPOXIA BIRTH ASPHYXIA AND OTHER M 2197 0 0 0 0 0 0 0 0 0 0 2197 3784 39.3 1.8

RESPIRATORY CONDITIONS(P20-P28) F 1587 0 0 0 0 0 0 0 0 0 0 1587

3 ALL OTHER CONDITIONS ORIGINATING IN M 451 0 1 0 0 0 0 0 0 0 0 452 736 7.6 0.3

THE PERINATAL PERIOD * (P00-P04,P08,P29-P54,P56-P57,P60-P96)

F 283 1 0 0 0 0 0 0 0 0 0 284

4 OTHER PERINATAL JAUNDICE M 324 0 0 0 0 0 0 0 0 0 3 327 513 5.3 0.2

(P58-P59) F 186 0 0 0 0 0 0 0 0 0 0 186

5 BIRTH TRAUMA M 7 0 0 0 0 0 0 0 0 0 1 8 22 0.2 0.0

(P10-P15) F 12 0 0 0 0 0 0 0 0 0 2 14

M 5636 0 1 0 0 0 0 0 0 0 4 5641 9615 99.9 4.5

F 3971 1 0 0 0 0 0 0 0 0 2 3974

T 9607 1 1 0 0 0 0 0 0 0 6 9615

M 5643 0 1 0 0 0 0 0 0 0 4 5648 9623 100.0 4.5

F 3972 1 0 0 0 0 0 0 0 0 2 3975

T 9615 1 1 0 0 0 0 0 0 0 6 9623


*- All Other Conditions Originating in the Perinatal Period includes Low birth weight, Foetus affected by complications of labour, neonatal sepsis, hydrops fetalis, karnicterus, hemolytic disease of new borne, digestive system disorders, hypothermia, convulsions and other conditions originating in perinatal period,

Medical Certification of Cause of Death- Maharashtra, 2009Table no. 15 - Top five Causes of Deaths due to Conditions Originating in Perinatal Period.

AGE GROUPS

Grand TotalTotal

Sr. No.

Causes of DeathTotal

Deaths in 0-

% Share

to Perinatal M. G.

Total Deaths due to Conditions Originating in Perinatal Period

Major Group


SEX


1 DISEASES OF LIVER M 34 31 36 119 595 1427 1633 959 334 321 265 5754 6737 83.8 3.2

(K70-K76) F 17 16 32 56 108 106 165 196 95 156 36 983

2 DISORDERS OF THE PANCREAS M 2 2 2 10 40 76 55 36 25 17 12 277 364 4.5 0.2

(K85-K86) F 1 2 3 6 10 6 12 16 15 13 3 87

3 ALL OTHER DISEASES OF THE OTHER * M 18 4 2 5 9 28 30 25 17 29 6 173 293 3.6 0.1

PARTS OF DIGESTIVE SYSTEM (K20-K22,K28, K30-K31,K50-K55,K57-K63,K66,K82-K83,K90-K92)

F 10 4 5 10 5 9 11 19 12 32 3 120

4 PERITONITIS M 3 1 4 6 22 24 27 40 20 29 8 184 290 3.6 0.1

(K65) F 6 5 6 12 5 7 8 16 12 21 8 106

5 PARALYTIC ILEUS AND INTENSTINAL M 7 0 1 3 2 4 7 12 7 15 5 63 101 1.3 0.0

OBSTRUCTION WITHOUT HERNIA (K56) F 4 0 0 2 1 1 5 7 7 11 0 38

M 64 38 45 143 668 1559 1752 1072 403 411 296 6451 7785 96.8 3.7

F 38 27 46 86 129 129 201 254 141 233 50 1334

T 102 65 91 229 797 1688 1953 1326 544 644 346 7785

M 72 41 49 151 678 1578 1788 1096 416 439 307 6615 8044 100.0 3.8

F 43 30 49 88 134 138 210 268 152 262 55 1429

T 115 71 98 239 812 1716 1998 1364 568 701 362 8044


Total

Sr. No.


Deaths in the state

% Share

to Digestive System


Medical Certification of Cause of Death- Maharashtra, 2009Table no. 16 - Top five Causes of Deaths of Digestive System

SEX

AGE GROUPS

Grand Total

*- All Other Diseases of the Other Parts of Digestive System includes Diseases of Oesophagus, noninfective enteritis & colitis, Diseases of intestine including perforation & paralytic ileus, peritonitis, diseases of gall bladder, malabsorption etc.

Total Deaths due to Digestive System Major Group


1 DIABETES MELLITUS M 8 6 13 20 55 147 451 939 518 1043 164 3364 5801 90.1 2.7

(E10-E14) F 5 3 9 23 13 75 275 550 413 957 114 2437

2 ALL OTHER ENDOCRINE AND METABOLIC M 29 8 6 10 15 20 18 24 21 44 7 202 361 5.6 0.2

DISEASES(E15-E34 & E65-E89)*** F 16 8 2 3 7 7 14 16 18 63 5 159

3 OTHER PROTEIN-ENERGY MALNUTRITION M 8 8 2 2 5 13 13 13 3 5 1 73 116 1.8 0.1

(E42-E46)** F 7 8 4 0 1 1 4 1 4 13 0 43

4 ALL OTHER NUTRITIONAL DEFICIENCIES M 4 0 0 0 1 3 5 2 4 7 3 29 58 0.9 0.0

(E50-E64)* F 2 1 0 0 2 1 1 4 4 12 2 29

5 NUTRITIONAL MARASMUS M 0 0 0 0 0 0 0 0 1 2 1 4 10 0.2 0.0

(E41) F 2 1 0 0 0 0 1 0 2 0 0 6

M 49 22 21 32 76 183 487 978 547 1101 176 3672 6346 98.6 3.0

F 32 21 15 26 23 84 295 571 441 1045 121 2674

T 81 43 36 58 99 267 782 1549 988 2146 297 6346

M 50 22 21 33 76 183 492 981 549 1106 179 3692 6436 100.0 3.0

F 32 22 15 33 28 93 306 579 448 1065 123 2744

T 82 44 36 66 104 276 798 1560 997 2171 302 6436

Total Deaths in the State 17079 2947 3973 #### #### #### #### 28814 #### 58794 8596 212335 212335

*- All other nutritional defeciency includes dietary, vitamin & mineral deficiencies**-Other PEM includes Marasmic Kwashiorkor, unspecified & mild, moderate, severe type of malnutrition.

Total


Sr. No.


Deaths in

% Share

to Endocrine

***- All Other Endocrine and Metabolic Diseases includes hypoparathyroidism, Other diseases of adrenal gland, Cushings syndrome, obesity, disorders of metabolism, volume depletion etc.

Medical Certification of Cause of Death- Maharashtra, 2009Table no. 17 - Top five Causes of Deaths of Endocrine, Nutritional & Metabolic Diseases

Total Deaths due to Endocrine, Nutritional & Metabolic Diseases

Major Group

SEX

AGE GROUPS

Grand Total

Below 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70 Yr & Un-


1 RENAL FAILURE M 58 28 53 105 220 324 492 691 370 1048 153 3542 5845 94.5 2.8

(N17-N19) F 34 17 39 89 114 187 300 444 256 779 44 2303

2 OTHER DISORDERS OF KIDNEY AND M 1 0 0 1 2 4 7 14 6 11 0 46 62 1.0 0.0

URETER (N25-N28) F 0 0 0 0 2 2 5 3 1 3 0 16

3 ALL OTHER DISEASES OF URINARY M 1 0 0 2 1 3 5 2 5 9 0 28 46 0.7 0.0

SYSTEM (N30-N39) F 0 0 0 0 3 0 1 3 1 9 1 18

4 UROLITHIASIS M 1 0 0 0 0 0 3 0 1 2 0 7 14 0.2 0.0

(N20-N23) F 0 0 0 0 0 0 1 3 2 1 0 7

5 HYPERPLASIA OF PROSTATE M 0 0 0 0 0 0 1 0 2 2 0 5 5 0.1 0.0(N40) F 0 0 0 0 0 0 0 0 0 0 0 0

M 61 28 53 108 223 331 508 707 384 1072 153 3628 5972 96.5 2.8

F 34 17 39 89 119 189 307 453 260 792 45 2344T 95 45 92 197 342 520 815 1160 644 1864 198 5972

M 64 29 58 116 235 339 519 727 400 1100 159 3746 6187 100.0 2.9

F 34 19 44 96 126 198 321 469 269 814 51 2441T 98 48 102 212 361 537 840 1196 669 1914 210 6187

Total Deaths in the State 17079 2947 3973 11048 16614 21221 25129 28814 18120 58794 8596 2E+05 212335

Medical Certification of Cause of Death- Maharashtra, 2009Table no. 18 - Top five Causes of Deaths of Diseases of Genitourinary System

Total Deaths due to Diseases of Genitourinary System Major Group

SEX

AGE GROUPS

Grand TotalTotal


Sr. No.

Causes of Death Total Deaths in the state

% Shareto

Genitourinary M.G.

Below 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70 Yr & Un-


1 ALL OTHER DISEASES OF THE NERVOUS M 48 22 30 30 66 127 166 210 169 408 66 1342 2215 56.6 1.0

SYSTEM (G10-G25,G31,G35-G37,G43-G98)* F 27 17 33 32 33 53 61 95 111 378 33 873

2 MENINGITIS M 62 41 26 46 60 79 47 39 23 30 21 474 741 19.0 0.3

(G00-G03) F 55 26 22 26 32 30 20 16 15 18 7 267

3 EPILEPSY M 24 32 25 25 24 45 46 31 14 35 17 318 484 12.4 0.2

(G40-G41) F 11 20 20 19 19 19 16 13 8 17 4 166

4 ENCEPHALITIS,MYELITIS AND M 14 21 23 17 24 21 14 19 8 16 8 185 312 8.0 0.1

ENCEPHALOMYELITIS (G04) F 8 19 26 10 10 11 9 6 7 12 9 127

5 OTHER INFLAMMATORY DISEASES OF THEM 4 5 11 9 10 14 7 9 6 7 3 85 130 3.3 0.1

CENTRAL NERVOUS SYSTEM (G00-G09) F 1 5 5 8 3 4 5 3 1 8 2 45

M 152 121 115 127 184 286 280 308 220 496 115 2404 3882 99.3 1.8

F 102 87 106 95 97 117 111 133 142 433 55 1478

T 254 208 221 222 281 403 391 441 362 929 170 3882

M 152 121 115 127 184 286 280 308 221 506 116 2416 3910 100.0 1.8

F 102 87 106 95 97 117 111 133 143 448 55 1494

T 254 208 221 222 281 403 391 441 364 954 171 3910


Medical Certification of Cause of Death- Maharashtra, 2009Table no. 19 - Top five Causes of Deaths of Diseases of the Nervous System

to Nervous Sys. M.G.

Sr. No.

Causes of Death

% Share

Grand Total

Total Deaths due to Diseases of the Nervous System Major Group

*- All other diseases of Nervous system includes systemic atrophies(huntingtons disease, ataxia etc.), extra pyramidal, demyelinating & degenerative diseases of CNS(Parkinsonism, alzheimer's disease, multiple sclerosis etc.), migrane, polyneuropathies & other paralytic syndrome.



Total

SEX

AGE GROUPS

15-24 25-34 35-44 45-49 Total % Share

Yrs. Yrs. Yrs. Yrs.

1 OTHER COMPLICATIONS OF PREGNANCY 40 44 10 0 94 31.8

AND DELIVERY (O67-O75,O80-O84)

2 OEDEMA,PROTEINURIA AND HYPERTENSIVE 44 29 12 0 85 28.7

DISORDERS IN PREGNANCY,CHILDBIRTH AND

PUERPERIUM (O10-O16)

3 OTHER PREGNANCIES WITH ABORTIVE 7 22 13 0 42 14.2

OUTCOME (O00-O02,O05-O08)

4 COMPLICATIONS PRE-DOMINANTLY 8 8 4 2 22 7.4

RELATED TO THE PUERPERIUM (O85-O92)

5 INDIRECT OBSTETRIC DEATHS 2 8 4 0 14 4.7

(O98-O99)

6 OBSTRUCTED LABOUR 1 4 3 0 8 2.7

(O64-O66)

7 ALL OTHER OBSTETRIC CONDITIONS, NOT 1 5 3 0 9 3.0

ELSEWHERE CLASSIFIED (O95-O97)

8 SPONTANEOUS ABORTION 1 2 0 0 3 1.0

(O03)

9 MEDICAL ABORTION 2 10 7 0 19 6.4

(O04)

Grand total 106 132 56 2 296 100.0

Total Female Deaths in 15-49 Agegroup 4969 5901 5855 3626 20351

Medical Certification of Cause of Death- Maharashtra, 2009Table no. 20 - Leading causes of Maternal Deaths

AGE GROUPSSr. No.

Causes of Death

Below Rank 1-4 Total Rank

1 Year Yrs. 1-4 Yrs.

1 SLOW FETAL GROWTH, FETAL M 2657 4560 26.7 1 0 0 2657 4560 22.8 1

MALNUTRITION AND IMMATURITY(P05-P07)F 1903 0 1903

2 HYPOXIA, BIRTH ASPHYXIA AND OTHER M 2197 3784 22.2 2 0 0 2197 3784 18.9 2

RESPIRATORY CONDITIONS(P20-P28) F 1587 0 1587

3 SEPTICAEMIA M 727 1454 8.5 4 195 922 922 2376 11.9 3

(A40-A41) F 727 727 1454

4 CONGENITAL MALFORMATIONS OF THE M 932 1560 9.1 3 44 73 976 1633 8.2 4

CIRCULATORY SYSTEM(Q20-Q28) F 628 29 657

5 PNEUMONIA M 542 1114 6.5 5 200 415 742 1529 7.6 5

(J12-J18) F 572 215 787

6 ALL OTHER DISEASES OF THE M 577 1002 5.9 6 128 258 705 1260 6.3 6

RESPIRATORY SYSTEM (J60-J86,J92-J98)*F 425 130 555

7 ALL OTHER CONDITIONS ORIGINATING INM 286 479 2.8 7 9 13 295 492 2.5 7

THE PERINATAL PERIOD** F 193 4 197

(P00-P04,P08,P29-P54,P56-P57,P60-P96)

8 DIARRHOEA AND GASTROENTERITIS OF M 72 139 0.8 8 24 54 96 193 1.0 8

PRESUMED INFECTIOUS ORIGIN (A09) F 67 30 97

9 MENINGITIS M 62 117 0.7 9 41 67 103 184 0.9 9

(G00-G03) F 55 26 81

M 8052 641 8693

F 6157 1161 7318

T 14209 1802 16011

M 9844 1579 11423

F 7235 1368 8603

T 17079 2947 20026

Medical Certification of Cause of Death- Maharashtra, 2009Table no. 21 - Leading causes of Infants & Under five Deaths

Total infant

deaths

% to total infant deaths

Total under five deaths

Sr. No.

Causes of Death % to total under five

deaths

Infant deaths

Grand Total

Total 80.014209 1802

***- All other congenital malformations include Anencephaly, encephalocele, malformations of eye, ear, face and

Total Deaths in that Age Group 17079 2947 20026

Under five deaths

*- All Other Diseases of Respiratory System includes Pulmonary Oedema, Interstitial Pulmonary Diseases, Abscess of Lung,Plural effusion, Pneumothorax, Respiratory failure & Lung diseases due to external agent llike Pneumoconiosis etc.**- All Other Conditions Originating in the Perinatal Period includes Low birth weight, Foetus affected by complications of labour, neonatal sepsis, hydrops fetalis, karnicterus, hemolytic disease of new borne, digestive system disorders, hypothermia, convulsions and other conditions originating in perinatal period.

83.2 16011


1 TUBERCULOSIS (A15-A19) M 17 45 63 295 1325 2127 1773 1277 466 1724 291 9403 14329 98.9 6.7

F 46 35 127 552 718 698 585 481 309 1267 108 4926

2 ACUTE HEPATITIS- B M 0 0 3 7 11 17 30 14 15 9 4 110 146 1.0 0.1

(B16) F 1 0 2 4 6 3 8 5 4 1 2 36

3 DIPHTHERIA M 1 0 3 1 0 0 0 0 0 0 1 6 9 0.1 0.0

(A36) F 0 0 2 0 1 0 0 0 0 0 0 3

4 NEONATAL TETANUS M 2 0 0 0 0 0 0 0 0 0 0 2 3 0.0 0.0

(A33) F 1 0 0 0 0 0 0 0 0 0 0 1

5 MEASLES M 0 1 1 0 0 0 0 0 0 0 0 2 2 0.0 0.0

(B05) F 0 0 0 0 0 0 0 0 0 0 0 0

6 WHOOPING COUGH M 0 0 0 0 0 1 0 0 0 0 0 1 1 0.0 0.0

(A37) F 0 0 0 0 0 0 0 0 0 0 0 0

M 20 46 70 303 1336 2145 1803 1291 481 1733 296 9524 14490 100.0 6.8

F 48 35 131 556 725 701 593 486 313 1268 110 4966

T 68 81 201 859 2061 2846 2396 1777 794 3001 406 14490

17079 2947 3973 11048 16614 21221 25129 28814 18120 58794 8596 212335 212335

SEX Total

% Share

to Vaccine P.D. Group

AGE GROUPS

Total Deaths in the State

Total


Sr. No.

Causes of Death

Grand Total

Table no. 22 - Causes of Deaths due to Vaccine Preventable Diseases

to all deaths in

Below 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70 Yr & Un-


1 DIARRHOEA AND GASTROENTERITIS OF M 72 24 15 12 21 33 31 33 21 65 11 338 653 84.8 0.3

PRESUMED INFECTIOUS ORIGIN (A09) F 67 30 19 11 11 15 14 27 21 92 8 315

2 TYPHOID FEVER AND PARATYPHOID M 0 5 1 9 5 9 9 7 3 5 3 56 105 13.6 0.0

FEVERS (A01) F 3 1 5 10 7 4 6 3 2 6 2 49

3 CHOLERA M 0 0 0 0 0 1 3 0 0 2 0 6 7 0.9 0.0

(A00) F 0 1 0 0 0 0 0 0 0 0 0 1

4 AMOEBIASIS M 0 0 0 1 0 1 0 0 0 1 0 3 5 0.6 0.0

(A06) F 0 0 0 1 0 0 1 0 0 0 0 2

5 SHIGELLOSIS M 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0.0

(A03) F 0 0 0 0 0 0 0 0 0 0 0 0

M 72 29 16 22 26 44 43 40 24 73 14 403 770 100.0 0.4

F 70 32 24 22 18 19 21 30 23 98 10 367

T 142 61 40 44 44 63 64 70 47 171 24 770

17079 2947 3973 11048 16614 21221 25129 28814 18120 58794 8596 212335 212335

Table no.23 - Leading Causes of Deaths due to Water borne diseases


Total

Sr. No.

Causes of Death


% Share

to Water borne Group

SEX Total

AGE GROUPS

to all deaths in

stateGrand Total

Below 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70 Yr & Un-


1 MALARIA M 18 13 30 102 133 114 127 94 53 81 26 791 1152 80.9 0.5

(B50-54) F 10 12 28 44 45 39 34 46 31 59 13 361

2 DENGUE FEVER M 6 3 14 15 19 12 5 6 2 7 3 92 146 10.3 0.1

(A90) F 2 3 7 6 3 14 5 7 4 2 1 54

3 OTHER ARTHROPOD-BORNE VIRAL FEVERS M 6 3 15 13 9 9 7 1 3 3 2 71 125 8.8 0.1

AND VIRAL HAEMORRHAGIC FEVERS (A91-A94,A96-A99)

F 5 4 15 3 2 3 8 7 2 3 2 54

4 JAPANESE ENCEPHALITIS M 0 0 0 0 0 1 0 0 0 0 0 1 1 0.1 0.0

(A83.0) F 0 0 0 0 0 0 0 0 0 0 0 0

M 30 19 59 130 161 136 139 101 58 91 31 955 1424 100.0 0.7

F 17 19 50 53 50 56 47 60 37 64 16 469

T 47 38 109 183 211 192 186 161 95 155 47 1424

17079 2947 3973 11048 16614 21221 25129 28814 18120 58794 8596 212335 212335

Causes of Death


Total

Medical Certification of Cause of Death- Maharashtra, 2009Table no.24 - Leading Causes of Deaths due to Vector borne diseases

to all deaths in

state

SEX Total

AGE GROUPS

Grand Total

% Share

to Vector borne Group

Sr. No.

Below 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70 Yr & Un-


1 OTHER PROTEIN-ENERGY MALNUTRITION *M 8 8 2 2 5 13 13 13 3 5 1 73 116 62.0 0.1

(E42-E46) F 7 8 4 0 1 1 4 1 4 13 0 43

2 ALL OTHER NUTRITIONAL DEFICIENCIES M 4 0 0 0 1 3 5 2 4 7 3 29 58 31.0 0.0

(E50-E64)** F 2 1 0 0 2 1 1 4 4 12 2 29

3 NUTRITIONAL MARASMUS M 0 0 0 0 0 0 0 0 1 2 1 4 10 5.3 0.0

(E41) F 2 1 0 0 0 0 1 0 2 0 0 6

4 KWASHIORKOR M 0 0 0 0 0 0 0 1 0 0 0 1 3 1.6 0.0

(E40) F 0 1 0 0 0 1 0 0 0 0 0 2

M 12 8 2 2 6 16 18 16 8 14 5 107 187 100.0 0.1

F 11 11 4 0 3 3 6 5 10 25 2 80

T 23 19 6 2 9 19 24 21 18 39 7 187

17079 2947 3973 11048 16614 21221 25129 28814 18120 58794 8596 212335 212335

*- Other protein energy malnutrition includes marasmic kwashiorkor, mild, moderate, severe, unspecified PEM**- All other nutritional defeciency includes diatery, vitamin & mineral defeciencies

Grand Total


Total

Medical Certification of Cause of Death- Maharashtra, 2009Table no. 25 - Leading Causes of Deaths due to Malnutrition

to all deaths in

state

SEX Total

AGE GROUPS % Share

Causes of Death to Malnutrition

Group

Sr. No.


1 ALL OTHER MENTAL AND BEHAVIOURAL M 4 0 7 7 3 0 1 2 3 5 2 34 67 72.0 0.0

DISORDERS (F01-F09,F30-F99)* F 1 3 2 5 3 2 1 0 1 14 1 33

2 SCHIZOPHRENIA,SCHIZOTYPAL & M 0 0 0 0 0 0 0 0 2 5 0 7 14 15.1 0.0

DELUSIONAL DISORDERS (F20-F29) F 0 0 0 1 1 0 1 2 0 2 0 7

3 MENTAL AND BEHAVIOURAL DISORDERS DUE M 0 1 1 0 1 1 2 0 1 0 1 8 12 12.9 0.0

TO PSYCHOACTIVE SUBSTANCE USE (F10-F19) F 0 0 0 0 2 0 0 0 1 1 0 4

M 4 1 8 7 4 1 3 2 6 10 3 49 93 100.0 0.0

F 1 3 2 6 6 2 2 2 2 17 1 44

T 5 4 10 13 10 3 5 4 8 27 4 93

17079 2947 3973 11048 16614 21221 25129 28814 18120 58794 8596 212335 212335

*- Includes Organic, symptomatic, mood disorders, behavioural disorders, mental retardation & other unspecified mental disorders etc.

Causes of Death

Total


Medical Certification of Cause of Death- Maharashtra, 2009Table no.26 - Leading Causes of Deaths due to Mental Disorders

to all deaths in

SEX Total

AGE GROUPS % Share

to Mental.

Grand Total

Sr. No.

Below 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70 Yr & Un-

1 Year Yrs. Yrs. Yrs. Yrs. Yrs. Yrs. Yrs. Yrs. Above Specified1 RESPIRATORY INFECTIONS* M 29 76 111 372 1456 2350 1928 1374 521 1803 327 10347 15306 70.1 7.2

F 49 35 133 554 721 698 586 484 312 1278 109 49592 SURFACE INFECTIONS**** M 13 18 44 57 294 676 316 94 32 16 63 1623 2313 10.6 1.1

F 9 8 29 33 200 233 100 35 7 13 23 6903 INTESTINAL INFECTIONS** M 80 38 31 64 85 117 125 98 59 105 40 842 1427 6.5 0.7

F 77 36 36 47 46 53 54 51 37 126 22 5854 ARTHROPOD BORNE DISEASES****** M 30 19 59 130 161 135 140 101 59 91 31 956 1426 6.5 0.7

F 17 19 50 53 50 56 47 60 37 65 16 4705 ALL OTHER TYPES OF M 55 59 77 70 53 99 89 87 50 95 28 762 1266 5.8 0.6

COMMUNICABLE DISEASES*** F 31 54 76 44 53 51 43 49 28 58 17 5046 ZOONOTIC DISEASES***** M 0 3 18 11 8 9 9 17 4 1 1 81 105 0.5 0.0

F 0 0 5 1 1 1 6 4 4 2 0 24M 207 213 340 704 2057 3386 2607 1771 725 2111 490 14611 21843 100.0 10.3F 183 152 329 732 1071 1092 836 683 425 1542 187 7232T 390 365 669 1436 3128 4478 3443 2454 1150 3653 677 21843M 9844 1579 2187 6079 10713 15366 17835 19398 11162 30087 5828 130078 212335 100.0F 7235 1368 1786 4969 5901 5855 7294 9416 6958 28707 2768 82257T 17079 2947 3973 11048 16614 21221 25129 28814 18120 58794 8596 212335

****** - Includes malaria, dengue fever, dengue haemorrhagic fever, filariasis etc.

% Share

to Comm. Group

to all deaths in

state

* - Includes respiratory tuberculosis, tuberculosis of nervous system, tuberculosis of other organs, diphtheria, whooping cough, meningococcal infection, small pox, measles, influenza etc..

*** - All other communicable diseases includes viral encephalitis, infective parasitic diseases of protozoal bacteria & viral, spirochaetal diseases & rickettsioses.

Total of Leading Causes of Communicable Diseases

Medical Certification of Cause of Death- Maharashtra, 2009Table no. 27 - Leading Causes of Deaths due to Communicable Diseases


AGE GROUPS

Grand Total

*****- Includes rabies, Japaneses encephalitilis, plague etc.

Sr.


** - Includes cholera, Thyphoid & parathyphoid fever, food poisoning, shigellosis, amoebiasis, diarrhoea & gastroentritis, viral hepatits & Other helminthiasis etc.

**** - Surface infection includes tetanus, syphilis, other STD etc.


1 CORONARY HEART DISEASES M 189 178 245 498 1076 2334 4267 5997 3378 8206 1705 28073 45848 57.4 21.6(I21-I51) F 133 162 214 469 604 954 1615 2717 2015 8129 763 17775

2 NEOPLASMS M 28 46 93 157 211 402 859 1282 717 1589 181 5565 10608 13.3 5.0(C00-D48) F 17 27 64 95 201 477 1012 1110 560 1339 141 5043

3 HYPERTENSIVE HEART DISEASES M 0 4 17 17 57 197 537 914 604 1583 188 4118 7186 9.0 3.4(I10-I15) F 0 8 13 22 31 79 225 512 449 1622 107 3068

4 CEREBROVASCULAR DISORDERS M 55 21 51 145 244 418 711 994 534 1199 186 4558 7035 8.8 3.3(I60-I78) F 37 12 20 88 89 157 300 374 306 1010 84 2477

5 DIABETES MELLITUS M 8 6 13 20 55 147 451 939 518 1043 164 3364 5801 7.3 2.7(E10-E14) F 5 3 9 23 13 75 275 550 413 957 114 2437

6 ACCIDENT M 8 19 66 262 400 322 284 190 74 144 68 1837 2430 3.0 1.1(V09-V99) F 5 21 36 61 90 92 79 57 38 99 15 593

7 RHEUMATIC HEART DISEASES M 2 2 21 53 59 76 68 54 30 33 29 427 681 0.9 0.3(I00-I02.I05-I09) F 2 2 20 46 84 122 111 68 41 64 20 580

M 290 276 506 1152 2102 3896 7177 10370 5855 13797 2521 47942 79915 100.0 37.6

F 199 235 376 804 1112 1956 3617 5388 3822 13220 1244 31973

T 489 511 882 1956 3214 5852 10794 15758 9677 27017 3765 79915M 9844 1579 2187 6079 10713 15366 17835 19398 11162 30087 5828 130078 212335 100.0F 7235 1368 1786 4969 5901 5855 7294 9416 6958 28707 2768 82257T 17079 2947 3973 11048 16614 21221 25129 28814 18120 58794 8596 212335


Medical Certification of Cause of Death- Maharashtra, 2009Table no. 28 - Leading Causes of Death due to Non Communicable Diseases

% Share

Total

AGE GROUPS

Grand Total to all deaths in

to Comm. Group

Sr. Causes of DeathSEX

Grand total

Medically Certified Causes of Deaths by Age and Sex in Maharashtra State, 2009

Below 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70 Yr & Un-1 Year Yrs. Yrs. Yrs. Yrs. Yrs. Yrs. Yrs. Yrs. AboveSpecified

I CERTAIN INFECTIOUS AND PARASITIC M 933 408 481 987 2500 4047 3485 2859 1314 5429 759 23202DISEASES (A00-B99) F 729 311 484 1048 1427 1457 1373 1353 824 4953 357 14316

1 INTESTINAL INFECTIOUS DISEASES (A00-A09) M 77 30 16 28 32 47 48 43 26 75 17 439F 73 32 25 23 18 21 23 32 27 102 13 389

1 CHOLERA M 0 0 0 0 0 1 3 0 0 2 0 6(A00) F 0 1 0 0 0 0 0 0 0 0 0 1

2 TYPHOID FEVER AND PARATYPHOID M 0 5 1 9 5 9 9 7 3 5 3 56FEVERS (A01) F 3 1 5 10 7 4 6 3 2 6 2 49

3 FOOD POISONING M 0 0 0 1 1 2 1 1 0 0 0 6(A02,A05) F 0 0 0 0 0 1 1 0 0 2 0 0

4 SHIGELLOSIS M 0 0 0 0 0 0 0 0 0 0 0 0(A03) F 0 0 0 0 0 0 0 0 0 0 0 0

5 AMOEBIASIS M 0 0 0 1 0 1 0 0 0 1 0 3(A06) F 0 0 0 1 0 0 1 0 0 0 0 2

6 DIARRHOEA AND GASTROENTERITIS OF M 72 24 15 12 21 33 31 33 21 65 11 338PRESUMED INFECTIOUS ORIGIN (A09) F 67 30 19 11 11 15 14 27 21 92 8 315

7 OTHER INTESTINAL INFECTIOUS M 5 1 0 5 5 1 4 2 2 2 3 30DISEASES (A04,A07-A08) F 3 0 1 1 0 1 1 2 4 2 3 7242

2 TUBERCULOSIS (A15-A19) M 26 74 106 369 1452 2344 1926 1371 517 1794 323 10302F 46 35 127 552 718 698 585 481 309 1267 108 4926

1 RESPIRATORY TUBERCULOSIS M 17 45 63 295 1325 2127 1773 1277 466 1724 291 9403(A15,A16) F 27 13 100 459 615 617 512 406 262 1209 100 4320

2 TUBERCULOSIS OF NERVOUS SYSTEM M 3 24 26 35 66 97 78 39 15 23 16 422(A17) F 9 17 8 48 55 29 23 30 14 14 2 249

3 TUBERCULOSIS OF OTHER ORGANS & M 6 5 17 39 61 120 75 55 36 47 16 477MILIARY TUBERCULOSIS (A18-A19) F 10 5 19 45 48 52 50 45 33 44 6 357

3 OTHER BACTERIAL DISEASES (A20-A49) M 744 200 156 305 459 695 917 1124 608 3370 282 8860F 559 164 170 321 373 377 552 688 409 3453 176 7242

1 PLAGUE M 0 0 0 0 0 0 0 0 0 0 0 0(A20) F 0 0 0 0 0 0 0 0 0 0 0 0

2 LEPROSY M 0 0 0 0 0 0 0 0 0 0 0 0(A30) F 0 0 0 0 0 0 0 0 0 0 0 0

3 NEONATAL TETANUS M 2 0 0 0 0 0 0 0 0 0 0 2(A33) F 1 0 0 0 0 0 0 0 0 0 0 1

4 OTHER TETANUS M 0 2 7 3 3 3 4 1 0 1 0 24(A34-A35) F 0 2 4 0 2 1 1 0 0 1 0 11

M.G

./C

AT

./S

.C.

Causes of Death

SE

X

Total

AGE GROUPS


Below 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-69 70 Yr & Un-1 Year Yrs. Yrs. Yrs. Yrs. Yrs. Yrs. Yrs. Yrs. AboveSpecifiedM

.G./

CA

T./

S.C

.

Causes of Death

SE

X

Total

AGE GROUPS

5 DIPHTHERIA M 1 0 3 1 0 0 0 0 0 0 1 6(A36) F 0 0 2 0 1 0 0 0 0 0 0 3

6 WHOOPING COUGH M 0 0 0 0 0 1 0 0 0 0 0 1(A37) F 0 0 0 0 0 0 0 0 0 0 0 0

7 MENINGOCOCCAL INFECTION M 1 1 1 1 1 1 0 0 0 0 2 8(A39) F 2 0 0 0 1 0 0 1 0 3 0 7

8 SEPTICAEMIA M 727 195 141 284 446 665 880 1091 593 3327 270 8619(A40-A41) F 547 158 159 318 357 366 541 672 402 3421 171 7112

9 ALL OTHER TYPES OF BACTERIAL M 13 2 4 16 9 25 33 32 15 42 9 200DISEASES (A21-A28,A31-A32,A38,A42-A49) F 9 4 5 3 12 10 10 15 7 28 5 108

4 INFECTIONS WITH A PREDOMINANTLY SEXUAL M 0 0 0 3 1 3 2 3 2 2 0 16MODE OF TRANMISSION (A50-A64) F 0 0 0 5 0 2 0 1 1 3 1 13

1 SYPHILIS M 0 0 0 3 1 0 1 2 2 1 0 10(A50-A53) F 0 0 0 5 0 1 0 1 1 2 1 11

2 OTHER TYPES OF INFECTIONS WITH A M 0 0 0 0 0 3 1 1 0 1 0 6PREDOMINANTLY SEXUAL MODE OF F 0 0 0 0 0 1 0 0 0 1 0 2TRANSMISSION (A54-A64)

5 VIRAL DISEASES (A70-A74 & A80-B34) M 60 83 171 170 411 819 442 206 93 90 109 2654F 38 63 130 94 258 312 167 99 41 57 44 1303

1 ACUTE POLIOMYELITIS M 0 0 0 0 0 0 0 0 0 0 0 0(A80) F 0 0 0 0 0 0 0 0 0 0 0 0

2 RABIES M 0 3 18 11 8 8 9 17 4 1 1 80(A82) F 0 0 5 1 1 1 6 4 4 2 0 24

3 JAPANESE ENCEPHALITIS M 0 0 0 0 0 1 0 0 0 0 0 1(A83.0) F 0 0 0 0 0 0 0 0 0 0 0 0

4 OTHER VIRAL ENCEPHALITIS M 22 39 62 29 20 27 21 25 11 25 12 293(A83.1-A83.9,A84-A86) F 12 36 53 24 18 23 13 20 11 16 8 234

5 DENGUE FEVER M 6 3 14 15 19 12 5 6 2 7 3 92(A90) F 2 3 7 6 3 14 5 7 4 2 1 54

6 OTHER ARTHROPOD-BORNE VIRAL FEVERS M 6 3 15 13 9 9 7 1 3 3 2 71AND VIRAL HAEMORRHAGIC FEVERS F 5 4 15 3 2 3 8 7 2 3 2 54(A91-A94,A96-A99)

7 SMALLPOX M 0 0 0 0 0 0 0 0 0 0 0 0(B03) F 0 0 0 0 0 0 0 0 0 0 0 0

8 MEASLES M 0 1 1 0 0 0 0 0 0 0 0 2(B05) F 0 0 0 0 0 0 0 0 0 0 0 0



.G./

CA

T./

S.C

.

Causes of Death

SE

X

Total

AGE GROUPS

9 ACUTE HEPATITIS- B M 0 0 3 7 11 17 30 14 15 9 4 110(B16) F 1 0 2 4 6 3 8 5 4 1 2 36

10 OTHER VIRAL HEPATITIS M 3 8 12 28 40 51 46 41 18 20 19 286(B15,B17-B19) F 3 5 9 20 21 27 20 14 6 21 6 152

11 HUMAN IMMUNODEFICIENCY VIRUS (HIV) M 11 16 37 51 290 670 310 90 30 13 63 1581DISEASE (B20-B24) F 8 6 25 28 198 230 99 34 6 9 22 665

12 ALL OTHER TYPES OF VIRAL DISEASES(A70-A74, M 12 10 9 16 14 24 14 12 10 12 5 138A81,A87-A89,A95,B00-B02,B04,B06-B09& B25-B4) F 7 9 14 8 9 11 8 8 4 3 3 84

6 PROTOZOAL DISEASES (B50-B64) M 20 16 30 108 138 124 132 97 54 87 27 833F 11 12 28 44 52 42 39 48 34 64 13 387

1 MALARIA M 18 13 30 102 133 114 127 94 53 81 26 791(B50-54) F 10 12 28 44 45 39 34 46 31 59 13 361

2 ALL OTHER TYPES OF PROTOZOAL M 2 3 0 6 5 10 5 3 1 6 1 42DISEASE (B20-B24) F 1 0 0 0 7 3 5 2 3 5 0 26

7 OTHER CERTAIN INFECTIOUS AND PARASITIC M 6 5 2 4 7 15 18 15 14 11 1 98DISEASES & LATE EFFECTS OF INFECTIOUS AND F 2 5 4 9 8 5 7 4 3 7 2 56PARASITIC DISEASES(A65-A69 & A75-A79,B35-B49,B65-B94 &B99)

1 FILARIASIS M 0 0 0 0 0 0 1 0 1 0 0 2(B74) F 0 0 0 0 0 0 0 0 0 1 0 1

2 OTHER HELMINTHIASIS M 0 0 0 1 2 2 1 0 0 1 0 7(B65-B73,B75,B77-B83) F 0 0 0 0 1 1 0 0 0 0 1 3

3 OTHER SPIROCHAETAL DISEASES AND M 1 3 1 1 3 4 8 5 4 3 0 33RICKETTSIOSES(A65-A69 & A75-A79) F 1 4 2 8 4 1 2 4 1 1 1 29

4 ALL OTHER INFECTIOUS AND PARASITIC DISEASES M 5 2 1 2 2 9 8 10 9 7 1 56& LATE EFFECTS OF INFECTIOUS & PARASITIC F 1 1 2 1 3 3 5 0 2 5 0 23 DISEASES (B35-B49,B65,B76,B85-B94,B99)

II NEOPLASMS M 28 46 93 157 211 402 859 1282 717 1589 181 5565(C00-D48) F 17 27 64 95 201 477 1012 1110 560 1339 141 5043

8 MALIGNANT NEOPLASMS OF LIP, ORAL M 2 1 1 6 25 78 146 195 73 153 20 700CAVITY AND PHARYNX (C00-C14) F 1 0 4 4 5 32 51 53 29 84 5 268

1 MALIGNANT NEOPLASMS OF LIP, ORAL M 2 1 1 6 25 78 146 195 73 153 20 700CAVITY AND PHARYNX (C00-C14) F 1 0 4 4 5 32 51 53 29 84 5 268

9 MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS M 7 0 7 18 43 125 252 460 284 561 72 1626(C15-C26) F 2 1 4 5 49 103 217 280 198 410 40 1172

1 MALIGNANT NEOPLASM OF OESOPHAGUS M 0 0 3 2 4 16 64 112 48 170 14 433(C15) F 0 1 0 0 7 23 49 59 47 97 12 295



.G./

CA

T./

S.C

.

Causes of Death

SE

X

Total

AGE GROUPS

2 MALIGNANT NEOPLASM OF STOMACH M 1 0 2 2 6 25 44 61 40 71 17 269(C16) F 0 0 0 1 9 20 35 44 21 48 9 187

3 MALIGNANT NEOPLASM OF SMALL M 0 0 0 2 1 2 5 8 10 8 4 40INTESTINE INCLUDING DUODENUM (C17) F 0 0 0 0 1 1 5 4 3 11 3 28

4 MALIGNANT NEOPLASM OF COLON M 1 0 1 2 8 13 28 38 21 53 6 171(C18) F 0 0 2 1 5 5 21 40 16 55 5 150

5 MALIGNANT NEOPLASM OF RECTOSIGMOID M 1 0 0 6 12 20 24 50 33 47 10 203JUNCTION,RECTUM,ANUS & ANAL CANAL(C19-C21)F 0 0 1 1 10 17 25 29 21 31 2 137

6 MALIGNANT NEOPLASM OF LIVER AND M 4 0 1 4 8 17 44 97 58 102 10 345INTRAHEPATIC BILE DUCTS(C22) F 0 0 0 0 6 13 24 31 39 71 5 189

7 MALIGNANT NEOPLASM OF PANCREAS M 0 0 0 0 1 14 22 61 50 70 8 226(C25) F 1 0 1 1 5 7 29 30 26 45 3 148

8 OTHER MALIGNANT NEOPLASM OF M 0 0 0 0 3 18 21 33 24 40 3 142DIGESTIVE ORGANS(C23-C24,C26) F 1 0 0 1 6 17 29 43 25 52 1 175

10 OTHER MALIGNANT NEOPLASM OF RESPIRATORYM 1 2 1 8 16 46 165 262 164 303 32 1000 AND INTRATHORACIC ORGANS (C30-C39) F 0 0 0 4 6 36 73 93 49 147 13 421

1 MALIGNANT NEOPLASM OF LARYNX M 0 0 1 2 0 8 40 58 35 68 7 219(C32) F 0 0 0 0 1 2 8 12 9 32 5 69

2 MALIGNANT NEOPLASM OF TRACHEA, M 0 2 0 3 16 33 115 192 124 229 25 739BRONCHUS AND LUNG(C33-C34) F 0 0 0 2 5 30 59 79 39 108 6 328

3 OTHER MALIGNANT NEOPLASM OF RESPIRATORYM 1 0 0 3 0 5 10 12 5 6 0 42AND INTRATHORACIC ORGANS(C30-C31,C37-C39) F 0 0 0 2 0 4 6 2 1 7 2 24

11 MALIGNANT NEOPLASMS OF BONE, MESOTHELIALM 2 1 2 11 2 12 12 25 10 17 5 99AND SOFT TISSUE,SKIN & BREAST(C40-C50) F 1 2 5 10 54 127 283 245 74 230 25 1056

1 MALIGNANT NEOPLASM OF BONE & M 1 1 2 11 2 7 7 7 3 6 2 49ARTICULAR CARTILAGE(C40-C41) F 1 0 4 4 2 4 4 2 2 2 0 25

2 MALIGNANT MELANOMA OF SKIN M 0 0 0 0 0 0 0 3 3 2 0 8(C43) F 0 0 0 0 1 0 1 1 0 1 0 4

3 OTHER MALIGNANT NEOPLASM OF SKIN M 0 0 0 0 0 0 1 2 2 4 0 9(C44) F 0 1 0 0 0 0 3 0 1 2 0 7

4 MALIGNANT NEOPLASMS OF MESOTHELIAL M 1 0 0 0 0 3 1 7 1 2 2 17AND SOFT TISSUE(C45-C49) F 0 1 1 1 1 2 5 3 2 4 0 20

5 MALIGNANT NEOPLASM OF BREAST M 0 0 0 0 0 2 3 6 1 3 1 16(C50) F 0 0 0 5 50 121 270 239 69 221 25 1000

12 MALIGNANT NEOPLASMS OF GENITOURINARY M 2 1 0 5 15 16 51 90 72 288 11 551ORGANS(C51-C68) F 0 0 2 6 20 79 203 244 107 238 29 928



.G./

CA

T./

S.C

.

Causes of Death

SE

X

Total

AGE GROUPS

1 MALIGNANT NEOPLASM OF CERVIX UTERI M 0 0 0 0 0 0 0 0 0 0 0 0(C53) F 0 0 0 0 6 25 75 102 30 72 14 324

2 MALIGNANT NEOPLASM OF OTHER AND M 0 0 0 0 0 0 0 0 0 0 0 0UNSPECIFIED PARTS OF UTERUS(C54-C55) F 0 0 0 0 3 9 21 27 16 43 4 123

3 MALIGNANT NEOPLASM OF OVARY M 0 0 0 0 0 0 0 0 0 0 0 0(C56) F 0 0 2 5 9 40 94 98 46 95 8 397

4 MALIGNANT NEOPLASM OF PLACENTA M 0 0 0 0 0 0 0 0 0 0 0 0(C58) F 0 0 0 1 1 0 0 1 0 1 0 4

5 OTHER MALIGNANT NEOPLASMS OF FEMALE M 0 0 0 0 0 0 0 0 0 0 0 0GENITAL ORGANS(C51-C52,C57) F 0 0 0 0 1 2 6 7 7 12 0 35

6 MALIGNANT NEOPLASM OF PROSTATE M 0 0 0 0 2 3 10 29 33 192 6 275(C61) F 0 0 0 0 0 0 0 0 0 0 0 0

7 OTHER MALIGNANT NEOPLASMS OF MALE M 0 1 0 2 8 5 11 8 5 12 1 53GENITAL ORGANS(C60,C62-C63) F 0 0 0 0 0 0 0 0 0 0 0 0

8 MALIGNANT NEOPLASM OF BLADDER M 2 0 0 0 0 3 8 24 18 56 4 115(C67) F 0 0 0 0 0 1 6 5 7 15 3 37

9 OTHER MALIGNANT NEOPLASM OF URINARY M 0 0 0 3 5 5 22 29 16 28 0 108TRACT (C64-C66,C68) F 0 0 0 0 0 2 1 4 1 0 0 8

13 MALIGNANT NEOPLASM OF EYE, BRAIN & OTHER M 3 7 11 10 16 13 26 38 11 31 7 173PARTS OF CENTRAL NERVOUS SYSTEM (C69-C72)F 2 3 6 10 6 17 28 19 15 17 2 125

1 MALIGNANT NEOPLASM OF EYE & ADNEXA M 0 2 0 0 0 1 0 2 0 0 0 5(C69) F 0 0 0 0 0 0 1 0 2 0 0 3

2 MALIGNANT NEOPLASM OF MENINGES, M 3 5 11 10 16 12 26 36 11 31 7 168BRAIN AND OTHER PARTS OF CENTRAL F 2 3 6 10 6 17 27 19 13 17 2 122NERVOUS SYSTEM (C70-C72)

14 MALIGNANT NEOPLASM OF OTHER & M 0 4 6 10 11 27 61 80 28 72 7 306UNSPECIFIED AND SITES (C73-C80 & C97) F 1 0 7 3 11 20 40 40 30 60 8 220

1 MALIGNANT NEOPLASM OF OTHER, ILL- M 0 4 6 10 11 27 61 80 28 72 7 306DEFINED,SECONDARY,UNSPECIFIED AND F 1 0 7 3 11 20 40 40 30 60 8 220MULTIPLE SITES (C73-C80 & C97)

15 MALIGNANT NEOPLASMS OF LYMPHOID, M 3 29 61 82 74 77 133 106 61 137 22 785HAEMATOPOIETIC AND RELATED (C81-C96) F 5 20 33 45 41 42 71 88 37 109 4 495

1 HODGKIN'S DISEASES M 0 1 6 8 3 8 14 7 6 19 5 77(C81) F 0 0 1 2 3 1 5 8 7 10 0 37

2 NON-HODGKINS LYMPHOMA M 0 3 1 10 11 27 35 27 13 41 3 171(C82-C85) F 0 2 3 2 5 5 18 22 7 26 0 90



.G./

CA

T./

S.C

.

Causes of Death

SE

X

Total

AGE GROUPS

3 MULTIPLE MYELOMA AND MALIGNANT M 0 0 0 1 1 1 14 11 7 17 1 53PLASMA CELL NEOPLASMS(C90) F 0 0 0 0 1 3 3 13 5 13 1 39

4 LEUKAEMIA M 3 24 49 63 54 38 66 57 31 53 12 450(C91-C95) F 5 18 28 40 32 31 42 43 17 55 3 314

5 OTHER MALIGNANT NEOPLASMS OF M 0 1 5 0 5 3 4 4 4 7 1 34LYMPHOID,HAEMATOPOIETIC AND RELATED F 0 0 1 1 0 2 3 2 1 5 0 15TISSUE (C88 & C96)

16 CARCINOMA IN SITU M 0 0 0 1 0 2 1 9 3 6 0 22(D00-D09) F 1 1 0 2 5 13 35 27 14 21 8 127

1 CARCINOMA IN SITU M 0 0 0 1 0 2 1 9 3 6 0 22(D00-D09) F 1 1 0 2 5 13 35 27 14 21 8 127

17 BENIGN NEOPLASMS (D10-D36) M 6 0 2 2 8 0 6 4 7 8 1 44F 3 0 3 4 1 0 6 10 3 10 3 43

1 LEIOMYOMA OF UTERUS M 0 0 0 0 0 0 0 0 0 0 0 0(D25) F 0 0 0 0 0 0 0 1 0 0 0 1

2 ALL OTHER BENIGN NEOPLASMS M 6 0 2 2 8 0 6 4 7 8 1 44(D10-D24,D26-D36) F 3 0 3 4 1 0 6 9 3 10 3 42

18 OTHER AND UNSPECIFIED NEOPLASM M 2 1 2 4 1 6 6 13 4 13 4 56(D37-D48) F 1 0 0 2 3 8 5 11 4 13 4 51

1 OTHER AND UNSPECIFIED NEOPLASM M 2 1 2 4 1 6 6 13 4 13 4 56(D37-D48) F 1 0 0 2 3 8 5 11 4 13 4 51

III DISEASES OF BLOOD AND BLOOD FORMING M 64 31 55 83 89 142 159 129 74 194 60 1080ORGANS AND CERTAIN DISORDERS INVOLVING F 53 34 46 101 98 73 100 93 64 254 48 964IMMUNE MECHANISM (D50-D89)

19 DISEASES OF BLOOD AND BLOOD FORMING M 64 31 55 83 89 142 159 129 74 194 60 1080ORGANS AND CERTAIN DISORDERS INVOLVING F 53 34 46 101 98 73 100 93 64 254 48 964IMMUNE MECHANISM (D50-D89)

1 THALASSAEMIA M 0 4 10 6 1 0 0 1 0 1 0 23(D56) F 3 1 4 3 2 0 0 1 0 2 0 16

2 OTHER ANAEMIAS M 38 23 35 65 71 127 138 115 72 183 55 922(D50-D55 & D57-D64) F 34 25 40 86 73 69 90 85 58 241 45 846

3 ALL OTHER DISEASES OF BLOOD AND M 25 3 8 9 13 10 14 12 2 7 5 108BLOOD-FORMING ORGANS(D65-D77) F 14 6 2 12 19 3 8 5 6 10 3 88

4 CERTAIN DISORDERS INVOLVING THE M 1 1 2 3 4 5 7 1 0 3 0 27IMMUNE MECHANISM(D80-D89) F 2 2 0 0 4 1 2 2 0 1 0 14

IV ENDOCRINE, NUTRITIONAL & METABOLIC M 50 22 21 33 76 183 492 981 549 1106 179 3692DISEASES (E00-E89) F 32 22 15 33 28 93 306 579 448 1065 123 2744



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AGE GROUPS

20 MALNUTRITION (E40-E46) M 8 8 2 2 5 13 13 14 4 7 2 78F 9 10 4 0 1 2 5 1 6 13 0 51

1 KWASHIORKOR M 0 0 0 0 0 0 0 1 0 0 0 1(E40) F 0 1 0 0 0 1 0 0 0 0 0 2

2 NUTRITIONAL MARASMUS M 0 0 0 0 0 0 0 0 1 2 1 4(E41) F 2 1 0 0 0 0 1 0 2 0 0 6

3 OTHER PROTEIN-ENERGY MALNUTRITION M 8 8 2 2 5 13 13 13 3 5 1 73(E42-E46) F 7 8 4 0 1 1 4 1 4 13 0 43

21 ENDOCRINE, OTHER NUTRITIONAL AND M 42 14 19 31 71 170 479 967 545 1099 177 3614METABOLIC DISEASES (E00-E34 & E50-E89) F 23 12 11 33 27 91 301 578 442 1052 123 2693

1 DISORDERS OF THYROID GLAND M 1 0 0 1 0 0 5 2 2 5 3 19(E00-E07) F 0 0 0 7 5 8 11 8 7 20 2 68

2 DIABETES MELLITUS M 8 6 13 20 55 147 451 939 518 1043 164 3364(E10-E14) F 5 3 9 23 13 75 275 550 413 957 114 2437

3 ALL OTHER NUTRITIONAL DEFICIENCIES M 4 0 0 0 1 3 5 2 4 7 3 29(E50-E64) F 2 1 0 0 2 1 1 4 4 12 2 29

4 ALL OTHER ENDOCRINE AND METABOLIC M 29 8 6 10 15 20 18 24 21 44 7 202DISEASES(E15-E34 & E65-E89) F 16 8 2 3 7 7 14 16 18 63 5 159

V MENTAL AND BEHAVIOURAL DISORDERS M 4 1 8 7 4 1 3 2 6 10 3 49(F01-F99) F 1 3 2 6 6 2 2 2 2 17 1 44

22 MENTAL AND BEHAVIOURAL DISORDERS M 4 1 8 7 4 1 3 2 6 10 3 49(F01-F99) F 1 3 2 6 6 2 2 2 2 17 1 44

1 MENTAL AND BEHAVIOURAL DISORDERS DUE M 0 1 1 0 1 1 2 0 1 0 1 8TO PSYCHOACTIVE SUBSTANCE USE (F10-F19) F 0 0 0 0 2 0 0 0 1 1 0 4

2 SCHIZOPHRENIA,SCHIZOTYPAL & M 0 0 0 0 0 0 0 0 2 5 0 7DELUSIONAL DISORDERS (F20-F29) F 0 0 0 1 1 0 1 2 0 2 0 7

3 ALL OTHER MENTAL AND BEHAVIOURAL M 4 0 7 7 3 0 1 2 3 5 2 34DISORDERS (F01-F09,F30-F99) F 1 3 2 5 3 2 1 0 1 14 1 33

VI DISEASES OF THE NERVOUS M 152 121 115 127 184 286 280 308 221 506 116 2416SYSTEM (G00-G98) F 102 87 106 95 97 117 111 133 143 448 55 1494

23 INFLAMMATORY DISEASES OF THE M 80 67 60 72 94 114 68 67 37 53 32 744CENTRAL NERVOUS SYSTEM (G00-G09) F 64 50 53 44 45 45 34 25 23 38 18 439

1 MENINGITIS M 62 41 26 46 60 79 47 39 23 30 21 474(G00-G03) F 55 26 22 26 32 30 20 16 15 18 7 267

2 ENCEPHALITIS,MYELITIS AND M 14 21 23 17 24 21 14 19 8 16 8 185ENCEPHALOMYELITIS (G04) F 8 19 26 10 10 11 9 6 7 12 9 127

3 OTHER INFLAMMATORY DISEASES OF THE M 4 5 11 9 10 14 7 9 6 7 3 85CENTRAL NERVOUS SYSTEM (G00-G09) F 1 5 5 8 3 4 5 3 1 8 2 45



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24 OTHER DISEASES OF THE NERVOUS M 72 54 55 55 90 172 212 241 184 453 84 1672SYSTEM (G10-G98) F 38 37 53 51 52 72 77 108 120 410 37 1055

1 ALZHEIMER'S DISEASE M 0 0 0 0 0 0 0 0 1 10 1 12(G30) F 0 0 0 0 0 0 0 0 1 15 0 16

2 EPILEPSY M 24 32 25 25 24 45 46 31 14 35 17 318(G40-G41) F 11 20 20 19 19 19 16 13 8 17 4 166

3 ALL OTHER DISEASES OF THE NERVOUS M 48 22 30 30 66 127 166 210 169 408 66 1342SYSTEM (G10-G25,G31,G35-G37,G43-G98) F 27 17 33 32 33 53 61 95 111 378 33 873

VII DISEASES OF THE EYE AND ADNEXA M 1 0 1 0 0 2 0 2 2 0 0 8(H00-H59) F 2 0 1 0 0 0 0 1 2 3 0 9

25 DISEASE OF THE EYE AND ADNEXA M 1 0 1 0 0 2 0 2 2 0 0 8(H00-H59) F 2 0 1 0 0 0 0 1 2 3 0 9

1 DISEASE OF THE EYE AND ADNEXA M 1 0 1 0 0 2 0 2 2 0 0 8(H00-H59) F 2 0 1 0 0 0 0 1 2 3 0 9

VIII DISEASES OF THE EAR AND MASTOID M 0 1 1 0 1 0 1 0 0 0 0 4PROCESS (H60-H95) F 0 0 0 0 0 1 0 0 0 2 0 3

26 DISEASE OF THE EAR AND MASTOID M 0 1 1 0 1 0 1 0 0 0 0 4PROCESS (H60-H93) F 0 0 0 0 0 1 0 0 0 2 0 3

1 DISEASE OF THE EAR AND MASTOID M 0 1 1 0 1 0 1 0 0 0 0 4PROCESS (H60-H93) F 0 0 0 0 0 1 0 0 0 2 0 3

IX DISEASES OF THE M 260 208 342 726 1467 3067 5614 8007 4561 11068 2111 37431CIRCULATORY SYSTEM (I00-I99) F 177 186 270 633 817 1323 2261 3693 2818 10878 980 24036

27 ACUTE RHEUMATIC FEVER AND CHRONIC M 2 2 21 53 59 76 68 54 30 33 29 427RHEUMATIC HEART DISEASES (I00-I09) F 2 2 20 46 84 122 111 68 41 64 20 580

1 ACUTE RHEUMATIC FEVER AND M 1 0 1 5 2 5 6 6 6 4 2 38(I00-I02) F 1 0 2 1 3 15 4 5 5 4 1 41

2 CHRONIC RHEUMATIC HEART DISEASES M 1 2 20 48 57 71 62 48 24 29 27 389(I05-I09) F 1 2 18 45 81 107 107 63 36 60 19 539

28 HYPERTENSIVE DISEASES (I10-I15) M 0 4 17 17 57 197 537 914 604 1583 188 4118F 0 8 13 22 31 79 225 512 449 1622 107 3068

1 HYPERTENSIVE HEART DISEASES M 0 2 6 4 19 75 171 295 213 503 90 1378(I11) F 0 1 3 8 11 41 74 155 163 546 51 1053

2 ALL OTHER HYPERTENSIVE HEART M 0 2 11 13 38 122 366 619 391 1080 98 2740DISEASES (I10,I12-I15) F 0 7 10 14 20 38 151 357 286 1076 56 2015

29 ISCHAEMIC HEART DISEASES (I20-I25) M 0 4 5 77 358 1014 2298 3435 1888 4280 587 13946F 0 0 2 43 91 255 668 1398 1119 4087 250 7913

1 ACUTE MYOCARDIAL INFARCTION M 0 0 0 65 291 862 1856 2582 1253 3248 479 10636(I21-I22) F 0 0 0 33 66 216 534 1071 703 3225 194 6042



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2 ALL OTHER ISCHAEMIC HEART DISEASES M 0 4 5 12 67 152 442 853 635 1032 108 3310(I20 & I23-I25) F 0 0 2 10 25 39 134 327 416 862 56 1871

30 DISEASES OF PULMONARY CIRCULATION AND M 189 174 240 421 718 1320 1969 2562 1490 3926 1118 14127OTHER FORMS OF HEART DISEASES F 133 162 212 426 513 699 947 1319 896 4042 513 9862

1 PULMONARY HEART DISEASE AND DISEASES M 0 1 1 13 18 21 34 51 33 109 10 291OF PULMONARY CIRCULATION (I26-I28) F 1 3 1 11 21 22 27 31 22 93 10 242

2 OTHER FORMS OF HEART DISEASES M 189 173 239 408 700 1299 1935 2511 1457 3817 1108 13836(I30-I51) F 132 159 211 415 492 677 920 1288 874 3949 503 9620

31 CEREBROVASCULAR DISEASES M 54 19 50 136 233 381 657 935 473 1117 181 4236(I60-I69) F 37 12 19 85 85 144 283 352 281 931 82 2311

1 CEREBROVASCULAR DISEASES M 54 19 50 136 233 381 657 935 473 1117 181 4236(I60-I69) F 37 12 19 85 85 144 283 352 281 931 82 2311

32 OTHER DISEASES OF THE CIRCULATORY M 15 5 9 22 42 79 85 107 76 129 8 577SYSTEM (I70-I99) F 5 2 4 11 13 24 27 44 32 132 8 302

1 ATHEROSCLEROSIS M 0 0 0 2 9 16 17 18 8 13 0 83(I70) F 0 0 0 0 0 0 4 6 5 12 3 30

2 ARTERIAL EMBOLISM AND THROMBOSIS M 1 0 0 3 1 12 16 16 20 36 0 105(I74) F 0 0 0 2 2 3 7 6 13 39 1 73

3 OTHER DISEASES OF ARTERIES, M 0 2 1 5 6 15 27 28 29 23 2 138ARTERIOLES & CAPILLARIES (I71-I73, & I77-I78) F 0 0 1 1 2 8 6 12 10 23 1 64

4 PHLEBITIS THROMBOPHLEBITIS, VENOUS M 7 1 1 6 11 12 6 6 4 12 2 68EMBOLISM AND THROMBOSIS (I80-I82) F 2 0 3 4 3 3 3 4 1 10 1 34

5 ALL OTHER DISEASES OF THE M 7 2 7 6 15 24 19 39 15 45 4 183CIRCULATORY SYSTEM (I83-I99) F 3 2 0 4 6 10 7 16 3 48 2 101

X DISEASES OF THE M 1203 354 322 517 613 1061 1368 1808 1295 4091 574 13206RESPIRATORY SYSTEM (J00-J98) F 1072 386 220 397 370 521 680 972 750 3544 274 9186

33 DISEASES OF THE UPPER RESPIRATORY M 2 5 3 4 5 4 6 7 2 11 1 50TRACT (J00-J06 & J30-J39) F 2 5 0 4 2 4 5 2 4 7 0 35

1 ACUTE PHARYNGITIS AND ACUTE M 0 0 0 0 0 0 0 0 0 1 0 1TONSILLITIS (J02-J03) F 0 0 0 0 0 0 1 0 0 0 0 1

2 ACUTE LARYNGITIS AND TRACHEITIS M 1 1 1 3 0 1 2 1 1 0 0 11(J04) F 0 2 0 1 0 2 1 1 1 1 0 9

3 OTHER ACUTE UPPER RESPIRATORY M 1 4 1 1 5 2 3 4 1 5 0 27INFECTIONS (J00-J01 & J05-J06) F 1 2 0 2 0 0 2 1 1 1 0 10

4 ALL OTHER DISEASES OF UPPER M 0 0 1 0 0 1 1 2 0 5 1 11RESPIRATORY TRACT (J30-J39) F 1 1 0 1 2 2 1 0 2 5 0 15

34 LOWER RESPIRATORY DISEASES M 79 18 22 44 60 178 384 693 600 1920 227 4225(J20-J22 & J40-J47) F 72 34 20 32 38 100 201 363 372 1542 84 2858



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AGE GROUPS

1 ACUTE BRONCHITIS AND ACUTE M 15 1 3 4 3 10 17 27 12 39 4 135BRONCHIOLITIS (J20-J21) F 11 6 0 3 7 5 11 8 8 35 1 95

2 BRONCHITIS, CHRONIC AND UNSPECIFIED M 16 5 1 6 6 24 26 47 38 122 20 311EMPHYSEMA (J40-J43) F 14 5 1 2 2 13 14 19 28 133 7 238

3 ASTHMA M 18 6 11 17 27 64 139 237 256 602 108 1485(J45-J46) F 14 17 10 15 15 35 75 131 168 590 41 1111

4 OTHER LOWER RESPIRATORY DISORDERS M 30 6 7 17 24 80 202 382 294 1157 95 2294(J22,J44 & J47) F 33 6 9 12 14 47 101 205 168 784 35 1414

35 OTHER DISEASES OF THE RESPIRATORY M 1122 331 297 469 548 879 978 1108 693 2160 346 8931SYSTEM (J10-J18,J60-J98) F 998 347 200 361 330 417 474 607 374 1995 190 6293

1 INFLUENZA M 1 0 0 1 3 4 2 3 4 9 1 28(J10-J11) F 1 0 4 2 1 0 1 2 3 8 1 23

2 PNEUMONIA M 542 200 145 209 251 330 393 429 265 988 119 3871(J12-J18) F 572 215 104 122 127 166 163 197 133 926 55 2780

3 PLEURISY M 2 3 5 9 11 19 21 18 16 29 10 143(J90) F 0 2 2 7 1 8 7 15 9 13 5 69

4 ALL OTHER DISEASES OF THE M 577 128 147 250 283 526 562 658 408 1134 216 4889RESPIRATORY SYSTEM (J60-J86,J92-J98) F 425 130 90 230 201 243 303 393 229 1048 129 3421

XI DISEASES OF THE DIGESTIVE M 72 41 49 151 678 1578 1788 1096 416 439 307 6615SYSTEM (K00-K92) F 43 30 49 88 134 138 210 268 152 262 55 1429

36 DISEASES OF ORAL CAVITY, SALIVARY M 0 0 0 0 3 5 9 1 0 2 1 21GLANDS AND JAWS (K00-K14) F 0 0 1 0 0 1 3 2 0 3 2 12

1 DISEASES OF ORAL CAVITY, SALIVARY M 0 0 0 0 3 5 9 1 0 2 1 21GLANDS AND JAWS (K00-K14) F 0 0 1 0 0 1 3 2 0 3 2 12

37 DISEASES OF THE OTHER PARTS OF M 72 41 49 151 675 1573 1779 1095 416 437 306 6594DIGESTIVE SYSTEM(K20-K92) F 43 30 48 88 134 137 207 266 152 259 53 1417

1 GASTRIC AND DUODENAL ULCER M 1 0 1 0 3 5 11 10 5 16 5 57(K25-K27) F 1 0 0 1 2 5 1 3 6 12 0 31

2 GASTRITIS AND DUODENITIS M 6 2 0 1 0 4 5 3 5 2 1 29(K29) F 4 2 1 0 0 1 2 3 2 6 1 22

3 DISEASES OF APPENDIX M 0 0 1 4 3 3 3 4 1 1 0 20(K35-K38) F 0 1 0 1 1 0 2 2 1 0 1 9

4 HERNIA M 0 1 2 3 0 1 2 3 1 2 3 18(K40-K46) F 0 0 1 0 1 0 0 4 1 2 1 10

5 PARALYTIC ILEUS AND INTENSTINAL M 7 0 1 3 2 4 7 12 7 15 5 63OBSTRUCTION WITHOUT HERNIA (K56) F 4 0 0 2 1 1 5 7 7 11 0 38

6 PERITONITIS M 3 1 4 6 22 24 27 40 20 29 8 184(K65) F 6 5 6 12 5 7 8 16 12 21 8 106

7 DISEASES OF LIVER M 34 31 36 119 595 1427 1633 959 334 321 265 5754(K70-K76) F 17 16 32 56 108 106 165 196 95 156 36 983



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AGE GROUPS

8 CHOLELITHIASIS AND CHOLECYSTITIS M 1 0 0 0 1 1 6 3 1 5 1 19(K80-K81) F 0 0 0 0 1 2 1 0 1 6 0 11

9 DISORDERS OF THE PANCREAS M 2 2 2 10 40 76 55 36 25 17 12 277(K85-K86) F 1 2 3 6 10 6 12 16 15 13 3 87

10 ALL OTHER DISEASES OF THE OTHER M 18 4 2 5 9 28 30 25 17 29 6 173PARTS OF DIGESTIVE SYSTEM(K20-K22,K28, F 10 4 5 10 5 9 11 19 12 32 3 120K30-K31,K50-K55,K57-K63,K66,K82-K83,K90-K92)

XII DISEASES OF THE SKIN AND M 2 0 1 6 8 7 8 15 13 25 2 87SUBCUTANEOUS TISSUE (L00-L98) F 1 1 1 2 3 4 7 5 11 13 2 50

38 DISEASES OF THE SKIN AND SUBCUTANEOUS M 2 0 1 6 8 7 8 15 13 25 2 87TISSUE(L00-L98) F 1 1 1 2 3 4 7 5 11 13 2 50

1 INFECTIONS OF THE SKIN AND M 1 0 1 5 3 4 3 11 12 20 2 62SUBCUTANEOUS TISSUE (L00-L08) F 0 0 0 1 0 2 4 3 7 9 1 27

2 ALL OTHER DISEASES OF THE SKIN AND M 1 0 0 1 5 3 5 4 1 5 0 25SUBCUTANEOUS TISSUE (L10-L98) F 1 1 1 1 3 2 3 2 4 4 1 23

XIII DISEASE OF MUSCULOSKELETAL SYSTEM M 1 0 2 4 0 5 4 5 3 5 2 31AND CONNECTIVE TISSUE (M00-M99) F 1 0 5 4 8 6 7 12 2 17 1 63

39 DISEASE OF MUSCULOSKELETAL SYSTEM M 1 0 2 4 0 5 4 5 3 5 2 31AND CONNECTIVE TISSUE (M00-M99) F 1 0 5 4 8 6 7 12 2 17 1 63

1 RHEUMATOID ARTHRITIS AND OTHER M 0 0 0 1 0 0 0 0 0 0 1 2INFLAMMATORY POLYARTHROPATHIES (M05-M13)F 0 0 0 1 0 1 5 7 0 8 1 23

2 OSTEOMYELITIES M 0 0 1 0 0 0 1 0 0 0 0 2(M86) F 0 0 0 0 0 0 0 0 0 0 0 0

3 ALL OTHER DISEASES OF THE MUSCULOSKELETALM 1 0 1 3 0 5 3 5 3 5 1 27SYSTEM AND CONNECTIVE TISSUE F 1 0 5 3 8 5 2 5 2 9 0 40(M00-M02,M15-M43,M45-M85,M89-M99)

XIV DISEASES OF THE M 64 29 58 116 235 339 519 727 400 1100 159 3746GENITOURINARY SYSTEM (N00-N99) F 34 19 44 96 126 198 321 469 269 814 51 2441

40 DISEASES OF URINARY M 64 29 58 115 233 339 518 726 395 1094 158 3729SYSTEM (N00-N39) F 34 19 43 95 123 197 317 464 266 807 49 2414

1 GLOMERULAR DISEASES (INCLUDING M 2 1 4 6 3 3 6 6 6 10 1 48NEPHROTIC SYNDROME) (N00-N07) F 0 1 3 4 4 6 2 4 2 5 2 33

2 RENAL TUBULO-INTERSTITIAL DISEASES M 1 0 1 1 7 5 5 13 7 14 4 58(N10-N15) F 0 1 1 2 0 2 8 7 4 10 2 37

3 RENAL FAILURE M 58 28 53 105 220 324 492 691 370 1048 153 3542(N17-N19) F 34 17 39 89 114 187 300 444 256 779 44 2303



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4 UROLITHIASIS M 1 0 0 0 0 0 3 0 1 2 0 7(N20-N23) F 0 0 0 0 0 0 1 3 2 1 0 7

5 OTHER DISORDERS OF KIDNEY AND M 1 0 0 1 2 4 7 14 6 11 0 46URETER (N25-N28) F 0 0 0 0 2 2 5 3 1 3 0 16

6 ALL OTHER DISEASES OF URINARY M 1 0 0 2 1 3 5 2 5 9 0 28SYSTEM (N30-N39) F 0 0 0 0 3 0 1 3 1 9 1 18

41 OTHER DISEASES OF GENITOURINARY M 0 0 0 1 2 0 1 1 5 6 1 17SYSTEM (N40-N99) F 0 0 1 1 3 1 4 5 3 7 2 27

1 HYPERPLASIA OF PROSTATE M 0 0 0 0 0 0 1 0 2 2 0 5(N40) F 0 0 0 0 0 0 0 0 0 0 0 0

2 ALL OTHER DISEASES OF MALE GENITAL M 0 0 0 1 2 0 0 1 3 3 1 11ORGANS (N41-N50) F 0 0 0 0 0 0 0 0 0 0 0 0

3 SALPINGITIS AND OOPHORITIS M 0 0 0 0 0 0 0 0 0 1 0 1(N70) F 0 0 0 0 0 0 0 1 0 1 0 2

4 ALL OTHER DISEASES OF FEMALE M 0 0 0 0 0 0 0 0 0 0 0 0GENITAL ORGANS (N60-N64,N71-N76,N80-N99) F 0 0 1 1 3 1 4 4 3 6 2 25

XV PREGNANCY, CHILDBIRTH AND THE M 0 0 0 0 0 0 0 0 0 0 0 0PUERPERIUM (O00-O99) F 0 0 0 107 136 58 2 0 0 0 21 324

42 PREGNANCIES WITH ABORTIVE M 0 0 0 0 0 0 0 0 0 0 0 0OUTCOME (O00-O08) F 0 0 0 10 34 20 0 0 0 0 3 67

1 SPONTANEOUS ABORTION M 0 0 0 0 0 0 0 0 0 0 0 0(O03) F 0 0 0 1 2 0 0 0 0 0 0 3

2 MEDICAL ABORTION M 0 0 0 0 0 0 0 0 0 0 0 0(O04) F 0 0 0 2 10 7 0 0 0 0 1 20

3 OTHER PREGNANCIES WITH ABORTIVE M 0 0 0 0 0 0 0 0 0 0 0 0OUTCOME (O00-O02,O05-O08) F 0 0 0 7 22 13 0 0 0 0 2 44

43 OTHER DIRECT OBSTETRIC DEATHS (O10-O92) M 0 0 0 0 0 0 0 0 0 0 0 0F 0 0 0 94 89 31 2 0 0 0 17 233

1 OEDEMA,PROTEINURIA AND HYPERTENSIVE M 0 0 0 0 0 0 0 0 0 0 0 0DISORDERS IN PREGNANCY,CHILDBIRTH AND F 0 0 0 44 29 12 0 0 0 0 7 92PUERPERIUM (O10-O16)

2 INFECTIONS OF GENITOURINARY TRACT M 0 0 0 0 0 0 0 0 0 0 0 0IN PREGNANCY (O23) F 0 0 0 1 4 2 0 0 0 0 0 7



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3 OBSTRUCTED LABOUR M 0 0 0 0 0 0 0 0 0 0 0 0(O64-O66) F 0 0 0 1 4 3 0 0 0 0 1 9

4 COMPLICATIONS PRE-DOMINANTLY M 0 0 0 0 0 0 0 0 0 0 0 0RELATED TO THE PUERPERIUM (O85-O92) F 0 0 0 8 8 4 2 0 0 0 1 23

5 OTHER COMPLICATIONS OF PREGNANCY M 0 0 0 0 0 0 0 0 0 0 0 0AND DELIVERY (O67-O75,O80-O84) F 0 0 0 40 44 10 0 0 0 0 8 102

44 OTHER OBSTETRIC CONDITIONS, NOT M 0 0 0 0 0 0 0 0 0 0 0 0ELSEWHERE CLASSIFIED (O95-O99) F 0 0 0 3 13 7 0 0 0 0 1 24

1 INDIRECT OBSTETRIC DEATHS M 0 0 0 0 0 0 0 0 0 0 0 0(O98-O99) F 0 0 0 2 8 4 0 0 0 0 1 15

2 ALL OTHER OBSTETRIC CONDITIONS, NOT M 0 0 0 0 0 0 0 0 0 0 0 0ELSEWHERE CLASSIFIED (O95-O97) F 0 0 0 1 5 3 0 0 0 0 0 9

XVI CERTAIN CONDITIONS ORIGINATING M 5643 0 1 0 0 0 0 0 0 0 4 5648IN THE PERINATAL PERIOD (P00-P96) F 3972 1 0 0 0 0 0 0 0 0 2 3975

45 CERTAIN CONDITIONS ORIGINATING IN M 5643 0 1 0 0 0 0 0 0 0 4 5648THE PERINATAL PERIOD (P00-P96) F 3972 1 0 0 0 0 0 0 0 0 2 3975

1 SLOW FETAL GROWTH, FETAL M 2657 0 0 0 0 0 0 0 0 0 0 2657MALNUTRITION AND IMMATURITY(P05-P07) F 1903 0 0 0 0 0 0 0 0 0 0 1903

2 BIRTH TRAUMA M 7 0 0 0 0 0 0 0 0 0 1 8(P10-P15) F 12 0 0 0 0 0 0 0 0 0 2 14

3 HYPOXIA BIRTH ASPHYXIA AND OTHER M 2197 0 0 0 0 0 0 0 0 0 0 2197RESPIRATORY CONDITIONS(P20-P28) F 1587 0 0 0 0 0 0 0 0 0 0 1587

4 HAEMOLYTIC DISEASES OF FETUS AND M 7 0 0 0 0 0 0 0 0 0 0 7NEW BORN(P55) F 1 0 0 0 0 0 0 0 0 0 0 1

5 OTHER PERINATAL JAUNDICE M 324 0 0 0 0 0 0 0 0 0 3 327(P58-P59) F 186 0 0 0 0 0 0 0 0 0 0 186

6 ALL OTHER CONDITIONS ORIGINATING IN M 451 0 1 0 0 0 0 0 0 0 0 452THE PERINATAL PERIOD F 283 1 0 0 0 0 0 0 0 0 0 284(P00-P04,P08,P29-P54,P56-P57,P60-P96)

XVII CONGENITAL MALFORMATIONS, DEFORMATIONS M 932 44 35 0 0 0 0 0 0 0 20 1031 AND CHROMOSOMAL ABNORMALITIES (Q00-Q99) F 628 29 22 0 0 0 0 0 0 0 15 694

46 CONGENITAL MALFORMATIONS, DEFORMATIONS M 932 44 35 0 0 0 0 0 0 0 20 1031 AND CHROMOSOMAL ABNORMALITIES (Q00-Q99) F 628 29 22 0 0 0 0 0 0 0 15 694

1 SPINA BIFIDA M 1 0 0 0 0 0 0 0 0 0 0 1(Q05) F 2 0 0 0 0 0 0 0 0 0 0 2

2 CONGENITAL MALFORMATIONS OF THE M 640 35 30 0 0 0 0 0 0 0 14 719CIRCULATORY SYSTEM(Q20-Q28) F 428 25 18 0 0 0 0 0 0 0 11 482

3 CLEFT LIP AND CLEFT PALATE M 5 0 0 0 0 0 0 0 0 0 0 5(Q35-Q37) F 5 0 0 0 0 0 0 0 0 0 0 5



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4 ALL OTHER CONGENITAL MALFORMATIONS, M 286 9 5 0 0 0 0 0 0 0 6 306DEFORMATIONS AND CHROMOSOMAL F 193 4 4 0 0 0 0 0 0 0 4 205ABNORMALITIES NOT ELSEWHERE CLASSIFIED(Q00-Q04,Q06-Q07,Q10-Q18,Q30-Q34)

XVIII SYMPTOMS, SIGNS & ABNORMAL M 367 140 234 1153 1654 1923 1620 1161 1156 3485 958 13851CLINICAL & LABORATORY FINDING, F 287 126 214 895 895 566 410 422 725 4228 454 9222NOT ELSEWHERE CLASSIFIED (R00-R99)

47 SYMPTOMS, SIGNS & ABNORMAL M 367 140 234 1153 1654 1923 1620 1161 1156 3485 958 13851CLINICAL & LABORATORY FINDING, F 287 126 214 895 895 566 410 422 725 4228 454 9222NOT ELSEWHERE CLASSIFIED (R00-R99)

1 ABDOMINAL AND PELVIC PAIN M 0 0 0 0 0 1 0 0 0 0 0 1(R10) F 0 0 0 0 0 0 0 0 0 0 0 0

2 ASCITES M 1 0 0 0 2 0 5 7 2 3 1 21(R18) F 0 0 0 1 1 0 1 3 1 1 0 8

3 SOMNOLENCE, STUPOR AND COMA M 0 0 0 0 0 0 0 1 0 0 0 1(R40) F 0 0 0 0 0 0 0 0 0 0 0 0

4 FEVER OF UNKNOWN ORIGIN M 90 11 12 34 24 23 25 20 26 28 5 298(R50) F 99 16 12 20 10 11 14 13 10 26 4 235

5 SENILITY M 0 0 0 0 0 0 0 0 621 2527 287 3435(R54) F 0 0 0 0 0 0 0 0 481 3547 213 4241

6 SYNCOPE AND COLLAPSE M 0 0 0 0 0 0 1 0 3 3 2 9(R55) F 0 0 0 0 1 0 0 0 1 9 1 12

7 CONVULSIONS, NOT ELSEWHERE M 3 0 3 2 0 2 2 4 0 6 0 22CLASSIFIED(R56) F 5 2 2 0 0 1 0 0 1 1 0 12

8 SHOCK, NOT ELSEWHERE CLASSIFIED M 64 24 24 105 147 154 160 142 77 181 73 1151(R57) F 30 22 27 64 79 57 65 86 57 149 37 673

9 ALL OTHER SYMPTOMS, SIGNS AND M 209 105 195 1012 1481 1743 1427 987 427 737 590 8913ABNORMAL CLINICAL AND LABORATORY F 153 86 173 810 804 497 330 320 174 495 199 4041FINDINGS NOT ELSEWHERE CLASSIFIED(R00-R09,R11-R17,R19-R39,R41-R49,R51-R53,R58-R99)

XIX INJURY ,POISONING & CERTAIN OTHER M 68 133 368 2012 2993 2323 1635 1016 435 1040 393 12416CONSEQUENCES OF EXTERNAL CAUSES (S00-T98)F 84 106 243 1369 1555 821 492 304 188 870 188 6220

48 FRACTURES (S02,S12,S22,S32,S42,S52,S62,S72, M 0 0 10 32 51 44 32 21 7 44 7 248S82,S92,T10,T12,T02,T08) F 0 1 7 9 6 6 3 3 2 35 4 76

1 FRACTURE OF SKULL AND FACIAL BONES M 0 0 4 19 28 23 8 9 2 4 2 99(S02) F 0 1 1 4 3 2 1 1 0 0 1 14

2 FRACTURE OF NECK,THORAX OR PELVIS M 0 0 2 7 14 13 16 6 1 5 4 68(S12,S22,S32 & T08) F 0 0 1 1 2 1 2 2 1 8 2 20

3 FRACTURE OF UPPER LIMB M 0 0 1 0 0 2 0 2 0 2 0 7(S42,S52,S62 & T10) F 0 0 1 2 0 1 0 0 0 1 0 5



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Causes of Death

SE

X

Total

AGE GROUPS

4 FRACTURE OF LOWER LIMB M 0 0 0 1 5 3 3 4 4 31 1 52(S72,S82,S92 &T12) F 0 0 3 0 0 0 0 0 1 25 1 30

5 FRACTURE INVOLVING MULTIPLE BODY M 0 0 3 5 4 3 5 0 0 2 0 22REGIONS AND OF UNSPECIFIED BODY (T02) F 0 0 1 2 1 2 0 0 0 1 0 7

49 DISLOCATIONS, SPRAINS & STRAINS OF M 0 0 0 3 2 0 3 1 0 1 0 10SPECIFIED AND MULTIPLE BODY REGION F 0 0 0 0 1 0 0 0 0 1 0 2(S03,S13,S23,S33,S43,S53,S63,S73,S83,S93 & T03)

50 INTRACRANIAL AND INTERNAL INJURIES, M 2 9 29 126 161 143 108 65 25 23 21 712INCLUDING NERVES (S04,S06,S14,S24,S26-S27, F 3 9 15 20 28 18 19 16 8 16 6 158S34,S36-S37,S44,S54,S64,S74,S84,S94)

51 CRUSHING INJURIES AND TRAUMATIC M 0 2 7 61 94 67 41 26 11 13 9 331AMPUTATIONS OF SPECIFIED AND F 0 1 3 12 42 14 11 6 3 8 2 102(S07-S08,S17-S18,S28,S38,S47-S48,S57-S58,S67-S68,S77-S78,S87-S88,S97-S98,T04-T05)

52 OTHER INJURIES OF SPECIFIED, M 14 29 95 707 1226 868 579 405 177 720 84 4904UNSPECIFIED AND MULTIPLE BODY REGIONS F 15 22 39 105 170 135 127 98 60 613 21 1405(S00-S01,S05,S09-S11,S15-S16,S19-S21,S25,S29-S31,S35,S39-S41,S45-S46,S49-S51,S55-S56,S59-S61

S65-S66,S69-S71,S75-S76,S79-S81,S85-S86,S89-S91,S95-S96,S99,T00-T01,T06-T07,T09,T11-T14)

53 EFFECTS OF FOREIGN BODY ENTERING M 0 0 0 1 2 2 1 0 0 1 0 7THROUGH NATURAL ORIFICES (T15-T19) F 2 0 1 0 0 0 0 1 0 1 0 5

54 BURNS AND CORROSIONS M 12 26 62 223 386 278 179 122 37 48 52 1425(T20-T32) F 16 25 81 782 886 413 178 91 42 102 91 2707

55 POISONING BY DRUGS, MEDICAMENTS & M 2 16 37 184 214 215 165 87 51 41 107 1119BIOLOGICAL SUBSTANCES & TOXIC EFFECTS OF F 5 6 28 123 86 53 41 18 11 17 36 424SUBSTANCES CHIEFLY NON-MEDICINAL AS TO SOURCE (T36-T50,T51-T65)

56 OTHER AND UNSPECIFIED EFFECTS OF M 17 14 59 223 272 240 157 72 34 37 42 1167EXTERNAL CAUSES AND CERTAIN EARLY F 21 11 28 134 99 40 21 14 10 10 9 397COMPLICATIONS OF TRAUMA (T33-T35,T66-T78,T79)

57 COMPLICATIONS OF SURGICAL AND MEDICAL M 1 0 1 0 4 3 3 3 1 1 0 17CARE, NOT ELSEWHERE CLASSIFIED (T80-T88) F 2 0 0 3 2 2 3 1 2 2 0 17

58 LATE EFFECTS OF INJURIES, OF M 20 37 68 452 581 463 367 214 92 111 71 2476POISONING AND OF OTHER CONSEQUENCES F 20 31 41 181 235 140 89 56 50 65 19 927OF EXTERNAL CAUSES (T90-T98)

XX EXTERNAL CAUSES OF MORBIDITY AND M 68 133 368 2012 2993 2323 1635 1016 435 1040 393 12416MORTALITY (V01-Y89) F 84 106 243 1369 1555 821 492 304 188 870 188 6220

E48 TRANSPORT ACCIDENTS M 8 19 66 262 400 322 284 190 74 144 68 1837(V01-V99) F 5 21 36 61 90 92 79 57 38 99 15 593



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AGE GROUPS

1 RAILWAY ACCIDENTS M 1 6 18 70 89 67 54 29 11 32 4 381(V05,V15,V80.6,V81,V87.6,V88.6) F 3 5 11 26 33 24 22 13 6 23 2 168

2 MOTOR VEHICLE TRAFFIC ACCIDENTS M 1 5 18 40 54 49 37 17 10 32 4 267(V02-V04,V09.2,V09.3,V12-V14,V20-V29,V30-V39, F 1 4 8 10 13 19 20 12 10 22 1 120V40-V49,V50-V59,V60-V69,V70-V79,V80.3-V80.5,V82V87.0-V87.5,V87.7-V87.9,V88.0-V88.5,V89.2)

3 OTHER ROAD VEHICLE ACCIDENTS M 0 2 2 21 42 22 27 29 13 36 4 198(V01,V06,V09.0-V09.1,V10-V11,V16-V18,V80.0-V80.2 F 0 1 2 5 13 8 10 15 13 31 1 99V80.7-V80.9,V82.0,V82.2-V82.9,V87.9,V88.0-V88.5V88.7-V88.9,V89.0-V89.1

4 WATER TRANSPORT ACCIDENTS M 0 0 0 2 1 0 1 1 0 0 1 6(V90-V94) F 0 0 0 0 0 0 1 0 0 0 0 1

5 AIR & SPACE TRANSPORT ACCIDENTS M 0 0 0 0 0 0 0 0 0 0 0 0(V95-V97) F 0 0 0 0 0 0 0 0 0 0 0 0

6 ALL OTHER TRANSPORT ACCIDENTS M 6 6 28 129 214 184 165 114 40 44 55 3726(V09.1,V09.9,V19,V83-V86,V89.3,V89.9,V98-V99) F 1 11 15 20 31 41 26 17 9 23 11 792

E49 ACCIDENTAL FALLS M 1 0 5 12 13 15 5 5 2 3 5 66(W00-W19) F 0 1 2 3 4 2 1 3 2 2 0 20

E50 ACCIDENTAL DROWNING & SUBMERSION M 3 15 60 95 85 70 72 63 28 64 16 571(W65-W74) F 3 9 23 31 41 23 28 28 23 43 1 253

E51 EXPOSURE TO SMOKE, FIRE AND FLAMES M 2 3 9 36 75 52 36 22 6 10 12 263(X00-X09) F 3 7 11 171 179 88 49 22 9 17 30 586

E52 ACCIDENTAL POISONING BY AND M 0 2 4 33 48 41 36 15 9 6 17 211EXPOSURE TO NOXIOUS SUBSTANCES (X40-X49) F 0 2 5 26 16 9 6 1 1 1 5 72

E53 INTENTIONAL SELF-HARM (SUICIDE- M 1 0 3 93 144 134 113 92 33 37 20 670ATTEMPTED) (X60-X84) F 0 1 6 61 65 29 43 32 17 28 10 292

E54 ASSAULT (HOMOCIDE) M 0 0 6 29 49 42 23 7 4 12 2 174(X85-Y09) F 0 2 5 21 30 14 5 0 4 7 3 91

E55 OTHER VIOLENCE (Y10-Y36) M 17 58 117 590 902 809 575 340 141 235 206 3990F 21 42 106 680 765 410 200 129 70 199 108 2730

1 EVENT OF UNDETERMINED INTENT M 17 58 117 588 902 808 575 340 140 234 206 3985(Y10-Y34) F 21 42 106 680 765 410 199 129 70 199 108 2729

2 LEGAL INTERVENTION M 0 0 0 2 0 1 0 0 1 1 0 5(Y35) F 0 0 0 0 0 0 1 0 0 0 0 1

3 OPERATIONS OF WAR M 0 0 0 0 0 0 0 0 0 0 0 0(Y36) F 0 0 0 0 0 0 0 0 0 0 0 0

E56 COMPLICAITONS OF MEDICAL AND SURGICAL M 0 0 0 3 9 5 3 4 1 16 0 41CARE(Y40-Y84) F 0 0 0 5 7 4 1 1 2 12 0 32

1 DRUGS, MEDICAMENTS AND BIOLOGICAL M 0 0 0 0 0 1 0 0 0 0 0 1SUBSTANCES CAUSING ADVERSE EFFECTS F 0 0 0 0 0 0 0 0 0 0 0 0IN THERAPEUTIC USE (Y40-Y59)



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AGE GROUPS

2 MISADVENTURES DURING SURGICAL & MEDICAL M 0 0 0 3 9 4 3 4 1 16 0 40 CARE, ADVERSE INCIDENTS IN DIAGNOSTIC F 0 0 0 5 7 4 1 1 2 12 0 32 AND THERAPEUTIC USE, ABNORMAL REACTIONS & LATE COMPLICATIONS(Y60-Y69,Y70-Y82,Y83-Y84)

E57 OTHER EXTERNAL CAUSES OF ACCIDENTAL M 35 30 86 801 1184 775 423 251 126 487 31 4229INJURY NOT ELSEWHERE CLASSIFIED (W20-W64, F 51 20 44 293 339 136 70 21 20 450 13 1457W75-W99,X10-X39,X50-X59)

1 ACCIDENTS CAUSED BY MACHINERY, AND M 0 0 0 0 1 0 0 0 0 0 0 1BY CUTTING & PIERCING INSTRUMENTS F 0 0 0 0 0 0 0 0 0 0 0 0(W24-W31)

2 ACCIDENTS CAUSED BY FIREARM MISSILE M 0 0 0 1 0 1 0 0 0 0 0 2(W32-W34) F 0 0 0 1 0 0 0 0 0 0 0 1

3 BITES OF SNAKES & OTHER VENOMOUS M 1 3 17 14 16 14 8 9 7 3 10 102ANIMALS (X20-X27) F 0 1 3 12 7 4 5 1 3 3 3 42

4 SUN STROKE M 0 0 0 0 0 0 0 0 0 0 0 0(X32) F 0 0 0 0 0 0 0 0 0 0 0 0

5 ALL OTHER ACCIDENTS INCLUDING LATE M 34 27 69 786 1167 760 415 242 119 484 21 4124EFFECTS F 51 19 41 280 332 132 65 20 17 447 10 1414(W20-W23,W35-W64,W75-W99,X10-X19,X28-X29,X50-X59,X30-X31,X33-X39)

E58 LATE EFFECTS OF EXTERNAL CAUSES OF M 1 6 12 58 84 58 65 27 11 26 16 364MORBIDITY AND MORTALITY (Y85-Y89) F 1 1 5 17 19 14 10 10 2 12 3 94ALL CAUSES M 9844 1579 2187 6079 10713 15366 17835 19398 11162 30087 5828 130078(MAJOR GROUP I TO XIX) F 7235 1368 1786 4969 5901 5855 7294 9416 6958 28707 2768 82257

T 17079 2947 3973 11048 16614 21221 25129 28814 18120 58794 8596 212335

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