Botswana
Stats Brief
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Causes Of Mortality 2018
Botswana Causes of Mortality 2018 Stats Brief Statistics Botswana i
Preface
This publication provides information on the underlying causes of deaths that occurred in all health facilities of Botswana in 2018. The report present statistics on deaths by socio-demographic, geographic characteristics and trends in mortality over the years (2006–2018). Furthermore, the report presents other mortality indicators outlined in previous surveys and from civil registration.
Statistics Botswana Health Statistics Unit (HSU) is attached to provide statistical support to the Ministry of Health& wellness as an enabler of better national/public health programmes through the collection and dissemination of quality official statistics for evidence-based decision-making, programme monitoring and evaluation. The Unit produces Statistical Briefs on health related issues including, infant, children under five (5) and mortality by sex and mortality trends.
For more information, contact the Directorate of Stakeholder Relations at 3671300. All Statistics Botswana outputs/publications are available on the website at [email protected] and at the Statistics Botswana Information Resource Centre (Head-Office, Gaborone).
We sincerely thank all stakeholders involved in the formulation of this brief, for their continued support, as we strive to better serve users of our statistical products and services.
Dr. Burton MguniStatistician GeneralNovember 2020
iiStatistics Botswana Botswana Causes of Mortality 2018 Stats Brief
Table of Contents
Preface.....................................................................................................................................................i
Table of Contents.....................................................................................................................................................ii
List of Tables............................................................................................................................................................iii
List of Figures............................................................................................................................................................iii
1.0 Introduction........................................................................................................................................................1
2.0 Summary of Key Selected Mortality Indicators...........................................................................................1 2.1 Selected Key Mortality Indicators.....................................................................................................1 2.2 Deaths Registration (Civil and National Registration)...................................................................2
3.0 Health Institutional Death Registration..........................................................................................................3 3.1 Demographic Distribution....................................................................................................................3 3.2 Trends In Number of Deaths Reported from HealthFacilities...........................................................4 3.3 Top 10 Causes of Deaths......................................................................................................................4 3.4 Causes of Death by Broad Groups, Global Burden and Age Groups...........................................5 3.4.1 Causes of Death by Broad groups......................................................................................5 3.4.2 Causes of Death by Global Burden...................................................................................6 3.4.3 Major Causes of Death by Broad Age Groups..................................................................7
3.5 Neonatal Mortality .......................................................................................................................9
3.6 Infant and Under 5 Mortality..........................................................................................................................10
3.7 Maternal Mortality...........................................................................................................................................11
Appendices.....................................................................................................................................12 Appendix 1: Causes Of Maternal Mortality By Age Groups ,2018.......................................................13 Appendix 2: The Ten Leading Underlying Natural Causes Of Death By Broad Age Groups, 2018......14 Appendix 3: Cause Of Death By Icd 10 Three-Character Categories List, Sex And Age Group, 2018.................................................................................................16 Appendix 4: Cause Of Death By ICD 10 Three-Character Categories List And Health District, 2018..........................................................................22
Botswana Causes of Mortality 2018 Stats Brief Statistics Botswana iii
List of Tables
Table 2.1 1: Selected Mortality Indicators 1971-2011........................................................................................................2Table 3.3.1: The top ten leading causes of death, 2018.................................................................................................5Table 3.3. 2: The ten leading causes of death by Sex, 2018..............................................................................................6
Table 3.4. 1: Distribution of deaths by the 19 main groups..............................................................................................7Table 3.6. 1: Leading underlying causes of death among Infants (Excluding Neonatal Deaths),2018................................................................................................................12Table 3.6. 2: Leading underlying causes of death among under 5 ( Excluding Neonatal Deaths),2018..............................................................................................................12
List of Figures
Figure 3.1.1: Percentage Distribution Of Deaths By Age And Sex, 2018...........................................................................3Figure 3.2.1: Infant, Under-Five and Total Mortality Trend, 2006-2018...........................................................................5Figure 3.4.1: Underlying causes of death per the Global Burden of Diseases, 2018.................................................8Figure 3.4.2: Percentage Distribution Of Causes By Group Type And Age Group, 2018..............................................8Figure 3.4.3: Leading Cause Of Death Among 1-14 Years, 2018...................................................................................9Figure 3.4. 4: Leading Cause Of Death Among 15-44 Years, 2018......................................................................................9Figure 3.4.5: Leading Cause Of Death Among 45-64 Years, 2018..................................................................................10Figure 3.4. 6: Leading Cause Of Death Among 65+ Years, 2018.....................................................................................10Figure 3.5.1: Neonatal Mortality Trend, 2006-2018..........................................................................................................11Figure 3.5.2: Leading Underlying Causes Of Death Among Neonates, 2018..............................................................11Figure 3.7.1: Botswana Maternal Mortality Ratio (MMR), 2014-2018............................................................................14
1Statistics Botswana Botswana Causes of Mortality 2018 Stats Brief
1.0 Introduction
Cause-of-death operations in Botswana involve a number of institutions mainly Health Facilities (hospitals, clinics), Village chiefs, Police, Civil and National Registration. Each of these has specific roles to play in the coordination of civil registration.
This statistical brief mainly analyses administrative data from death notification from health facilities in Botswana. The health facilities uses the morbidity,`mortality and obstectric obstretic inpatient form(MH 017/Rev 2003). The form is completed by medical practitioners upon admission of patient at health facilities. Facilities collect data manually or electronically using the Integrated Patients Management System(IPMS). The inpatient form is divided into three sections Morbidity, Mortality and Obstetric sections.However this report focuses on the Mortality section only.
The mortality section of the system allows for reporting of the medical conditions that the medical certifier attributes to causing or contributing to death. A death record is designed to allow the certifying physician to record multiple causes of death for a deceased and to arrange them so that the causal relationship of the medical conditions that finally lead to death are recorded. In order to effectively evaluate the reported mortality information, the conditions listed by the medical certifier are coded using the International Classification of Diseases (ICD-10). The ICD-10 defines the underlying cause of death as:
(a) the disease or injury that initiated the sequence of events leading directly to death, or (b) the circumstances of the accident or violence that produced the fatal injury.
The publication present statistics on deaths by selected socio-demographic and geographic characteristics for deaths that occurred in health facilities; and provide trends in mortality over the years (2006–2018). Furthermore the statsbrief present other mortality indicators outlined in previous surveys and mortality statistics from civil registration.
2.0 Summary Of Key Selected Mortality Indicators
2.1 Selected Key Mortality Indicators
Table 2.1.1 shows a summary of key selected mortality indicators during the census years from 1971 to 2011. The Population of Botswana was estimated at 2,288,651 for the year 2018, with males constituting 49 percent compared to their female counterparts with 51 percent. The proportion of infant population and children less than five years was 2.4 percent and 12.1 percent respectively. The country experienced a decline in mortality levels between 2001 and 2011 as shown by a reduction in Mortality Indicators over the years. Infant Mortality Rate reduced from 97 in 1971 to 17 per 1,000 population in 2011, Child Mortality Rate decreased from 56 per 1,000 population in 1971 to 11 per 1,000 population in 2011 and under 5 Mortality decreased from 152 per 1,000 population in 1971 to 28 per 1,000 population. Life expectancy at birth in 1971 was estimated at 55.5 years and increased to 68 years in 2011 and was estimated at 66.2 in 2017.
Table 2.1.1: Selected Mortality Indicators 1971-2011Indicator 1971 1981 1991 2001 2011Infant Mortality Rate(per 1,000) 97 71 48 56 17
Child Mortality Rate(per 1,000) 56 35 16 19 11
Under 5 Mortality (per 1,000) 152 105 63 74 28
Life Expectancy at Birth (years) 56 57 65 56 68
Males 53 52 63 52 66
Females 59 60 67 57 70
Source: Population and Housing Census 2011 Analytical Report,Statistics Botswana. * Botswana Demographic Survey 2017
Botswana Causes of Mortality 2018 Stats Brief 2 Statistics Botswana
2.2 Deaths Registration (Civil and National Registration)
Table 2.2.1 shows the deaths registered in Botswana through the Civil and National Registration system from 2011-2018. These are death Registrations of all deaths that occurred and were registered in Botswana for the year 2018 and deaths that occurred in earlier years that were not registered previously. It also provides deaths that occurred in 2018 but were registered in the subsequent year provided the registration was done within the specified period (within 1 month of occurrence). Included also are persons whose place of usual residence was outside the country provided the death occurred within borders. A total of 12,609 deaths were registered in 2018 compared to an estimated 16,506 yielding a 76.4 percent registration.
Table 2.2.1: Death Registration2011 2012 2013 2014 2015 2016 2017 2018
Total Population Number 2,024,904 2,068,529 2,110,050 2,149,255 2,185,903 2,219,732 2,254,021 2,288,656
Total deaths (projected) Number 18,776 18,329 17,893 17,463 17,079 16,780 16,619 16,506
All deaths (registered) Number .. 12,270 11,967 12,177 13,030 12,825 12,386 12,609
Death registration Percent .. 67 67 70 76 76 75 76
Infant deaths Number .. .. 960 1, 045 1,012 1,012 998 891
CDR(a)(registered deaths) Rate 6 6 6 6 6 6 6 6
CDR(projected deaths) Rate 9 9 9 8 8 8 7 7
Infant mortality rate(b) Rate 17 .. 21 21 21 21 22 16
Source: Vital Statistics 2018,Statistics Botswana
3.0 Health Institutional Death Registration
This section provides information on underlying causes of death recorded in health institutions using the morbidity, mortality and obstetric inpatient form (MH 017/Rev 2003). Therefore, the section does not cover death notification from other institutions.
3.1 Demographic Distribution
Table 3.1.1 shows the number and percentage distribution of deaths by Health District. A total of 5,290 deaths were reported in Health Facilities of Botswana for the year 2018. The highest proportion of deaths occurred in Francistown (22.6%), followed by Gaborone (14.9%) and Kweneng East (11.8%). The lowest was from Kgalagadi North (0.7%) followed by Jwaneng (0.9%) and Chobe tied with Kgalagadi North at 1.0 percent
3Statistics Botswana Botswana Causes of Mortality 2018 Stats Brief
Table 3.1.1: Percentage Distribution of Deaths by Health District, 2018Health District Number PercentFrancistown 1197 22.6
Gaborone 789 14.9
Kweneng East 626 11.8
Serowe 332 6.3
Mahalapye 318 6.0
Southern 227 4.3
Ngamiland 200 3.8
Lobatse 165 3.1
South East 160 3.0
Kgatleng 149 2.8
Gantsi 134 2.5
Palapye 124 2.3
Tutume 120 2.3
Bobirwa 116 2.2
Okavango 105 2.0
Boteti 103 1.9
Selibe Phikwe 90 1.7
Goodhope 86 1.6
North East 59 1.1
Kgalagadi South 54 1.0
Chobe 51 1.0
Jwaneng 48 0.9
Kgalagadi North 37 0.7
Total 5290 100.0
The percentage distribution of deaths by age and sex for the year 2018 from health facilities is shown in Figure 3.1.1. The Proportion of male (53.4%) deaths was higher than females (46.6%) deaths. The highest proportion of deaths were amongst those aged 0-4(12.4%) followed by 85+ years (10.9%). The lowest deaths were in the age group 5-9 and 10-14 years at 0.4 percent each. The differences between the proportions of male and female deaths were minimal at younger ages (from age zero to age group 15-19 years). The distribution further shows that from age 20-24 to age group 30-34 years there were slightly more female deaths than males. The proportion of Male deaths also exceeded those of females from the age group 50-54 up to 75–79 years. At ages 80 years and above there were more female deaths than males.
Figure 3.1.1: Percentage Distribution of Deaths by Age and Sex, 2018
Botswana Causes of Mortality 2018 Stats Brief 4 Statistics Botswana
3.2 Trends in Number of Deaths Reported from HealthFacilities
The number of deaths attended by health Facilities in Botswana for the years 2006 to 2018 is shown in Figure 3.2.1. Generally, the figure reflects a decline in the level of mortality over the years for all ages including both Infant and under-five mortality. Since 2006, there was a gradual decline in deaths from 11,509 reported in 2006 to 5,290 reported in 2018. However, Under 5 mortality increased from 607 deaths in 2015 to 651 deaths in 2018 while infant mortality increased from 453 deaths in 2015 to 502 in 2018.
Figure 3.2.1: Infant, Under-Five and Total Mortality Trend, 2006-2018
3.3 Top 10 Causes of Deaths
Table 3.3.1 shows the top ten underlying causes of death in 2018. The table shows that of all the 5,290 deaths, the top ten conditions contributed up to 35.5 percent of all the deaths. The highest reported leading cause was Unspecified human immunodeficiency virus [HIV] disease (6.5%), followed by Pneumonia, unspecified (5.9%), and Essential (primary) hypertension (3.9%).
Table 3.3.1: The Ten Leading Underlying Natural Causes Of Death, 2018ICD 10 Code Cause of Death Number Percent
B24 Unspecified human immunodeficiency virus [HIV] disease 345 6.5
J18.9 Pneumonia, unspecified 312 5.9
I10 Essential (primary) hypertension 208 3.9
B20.0 HIV disease resulting in mycobacterial infection 200 3.8
C53.9 Malignant neoplasm of cervix uteri, unspecified 158 3.0
I50.0 Congestive heart failure 142 2.7
I64 Stroke, not specified as haemorrhage or infarction 139 2.6
A41.9 Septicaemia, unspecified 132 2.5
A16.2 Tuberculosis of lung, without mention of bacteriological or histological confir-mation
130 2.5
A09.0 Other and unspecified gastroenteritis and colitis of infectious origin 114 2.2
Causes Specified above 1880 35.5Other Causes 3410 64.5All diseases and conditions 5290 100.0
5Statistics Botswana Botswana Causes of Mortality 2018 Stats Brief
The distribution of the ten leading underlying causes of death by male and female in 2018 is shown in Table 3.3.2 .The ten leading causes of male deaths contributed 36.4 percent to all male deaths. Similarly, the ten leading causes for females contributed 38.4 percent to all female deaths. Six of the ten leading causes of death were the same for both males and females. Pneumonia, unspecified was the leading cause of death amongst males (7.2%) and unspecified human immunodeficiency virus [HIV] disease amongst females (6.7%). Malignant neoplasm of cervix uteri, unspecified was ranked second amongst females (6.3%) while Unspecified human immunodeficiency virus [HIV] disease was the second amongst males (6.4%). Pneumonia, unspecified was also the third in females (4.4%) and Essential (primary) hypertension was the third amongst males (4.2%).
Table 3.3. 2: The Ten Leading Causes Of Death By Sex, 2018
ICD 10 Code Cause of Death
Female MaleRank Number % Rank Number %
B24 Unspecified human immunodeficiency virus [HIV] disease 1 164 6.7 2 181 6.4
C53.9 Malignant neoplasm of cervix uteri, un-specified 2 156 6.3 - - -
J18.9 Pneumonia, unspecified 3 109 4.4 1 203 7.2
I10 Essential (primary) hypertension 4 107 4.3 3 118 4.2
B20.0 HIV disease resulting in mycobacterial infection 5 82 3.3 4 100 3.5
I64 Stroke, not specified as hemorrhage or infarction 6 74 3 7 65 2.3
A41.9 Septicemia, unspecified 7 73 3 - - -
E14.9 Unspecified diabetes mellitus, without complications 8 61 2.5 - - -
A09.0 Other and unspecified gastroenteritis and colitis of infectious origin 9 60 2.4 - - -
I50.0 Congestive heart failure 10 59 2.4 6 83 2.9
A16.2 Tuberculosis of the lung, without mention of bacteriological or histological confir-mation - - - 5 91 3.2
N18.9 Chronic renal failure, unspecified - - - 8 64 2.3
J44.9 Chronic obstructive pulmonary disease, unspecified - - - 9 62 2.2
X59.9 Exposure to unspecified factor - Unspeci-fied place - - - 10 61 2.2
Causes Specified above 945 38.4 1,028 36.4Other Causes 1,517 61.6 1,796 63.6
Total 2,462 100 2,824 100
3.4 Causes Of Death By Broad Groups, Global Burden And Age Groups
3.4.1 Causes Of Death By Broad Groups
Table 3.4.1 gives underlying causes of death according to the main groups (chapters). The International Classification of Diseases (IDC)-10 classifies diseases and related health problems into 22 chapters, of which 19 are used in the reporting of information on underlying causes of death. Certain infectious and parasitic diseases were the most common underlying cause of death’s main group, comprising 25.8 percent of deaths in 2018. This was followed by Neoplasms (16.7%), then Diseases of the circulatory system at 13.5 percent. No deaths were reported from Diseases of the ear and mastoid process, and Mental and behavioral disorders.
Botswana Causes of Mortality 2018 Stats Brief 6 Statistics Botswana
Table 3.4.1: Distribution Of Deaths By The 19 Main GroupsNo. ICD 10 Code Main Groups Of Underlying Causes Of Death Number Percent1 A00-B99 Certain infectious and parasitic diseases 1366 25.8
2 C00-D48 Neoplasms 886 16.7
3 D50-D89 Diseases of the blood and immune mechanism 82 1.6
4 E00-E88 Endocrine, nutritional and metabolic diseases 258 4.9
5 F01-F99 Mental and behavioural disorders 0 0.0
6 G00-G98 Diseases of the nervous system 126 2.4
7 H00-H59 Diseases of the eye and adnexa 1 0.0
8 H60-H95 Diseases of the ear and mastoid process 0 0.0
9 I00-I99 Diseases of the circulatory system 713 13.5
10 J00-J99 Diseases of the respiratory system 505 9.5
11 K00-K92 Diseases of the digestive system 213 4.0
12 L00-L98 Diseases of the skin and subcutaneous tissue 31 0.6
13 M00-M99 Diseases of the musculoskeletal system etc. 19 0.4
14 N00-N99 Diseases of the genitourinary system 308 5.8
15 O00-O99 Pregnancy, childbirth and puerperium 75 1.4
16 P00-P96 Certain conditions originating in the perinatal period 370 7.0
17 Q00-Q99 Congenital malformations 55 1.0
18 R00-R99 Symptoms and signs not elsewhere classified 74 1.4
19 V01-Y89 External causes of morbidity and mortality 208 3.9
Total 5290 100.0
3.4.2 Causes Of Death By Global Burden
This sections provide underlying causes of death which are divided into three different groups according to the Global Burden of Diseases. These three groups are; Group I:(Communicable diseases ,Nutritional, Maternal and Perinatal), Group II: Non-communicable diseases , and Group III: External causes of injuries.
Figure 3.4.1 shows that in 2018 most of the deaths were from Group I (52.2%),followed by Group II (42.5%) and the least were from Group III(5.3%).
Figure 3.4. 1: Underlying Causes Of Death Per The Global Burden Of Diseases, 2018
7Statistics Botswana Botswana Causes of Mortality 2018 Stats Brief
Figure 3.4.2 shows the distribution of causes of death from health facilities by group type and age groups. Generally the figure shows marginal fluctuations across all the age groups in all group types. The proportion of deaths due to Group I causes (communicable diseases, maternal, perinatal and nutritional conditions) was high among children age 0 to 4 years, It slows down to 5-9 years and increases steadily to the age group 40-44 years reaching another peak there after declining. Deaths due to non- communicable diseases was low among younger ages (0-24 years) thereafter it increases with age. The highest peak of non-communicable diseases was observed in the age group 85+. Deaths due to Group III was low at the ages 5-14 years and high between the ages 20-39 years with a peak observed at the ages 85+.
Figure 3.4. 2: Percentage Distribution Of Causes By Group Type And Age Group, 2018
3.4.3 Major Causes Of Death By Broad Age Groups
Figure 3.4.3 shows the leading underlying cause of death among the 1-14 years broad age category. Other and unspecified gastroenteritis and colitis of infectious origin was the leading underlying cause of death(14.49%),followed by Pneumonia, unspecified(12.8%) and the third leading underlying cause of death was Unspecified severe protein-energy malnutrition(6.2%).
Figure 3.4. 3: Leading Cause Of Death Among 1-14 Years, 2018
Figure 3.4.4 shows the leading underlying causes of death among 15-44 years broad age group category. For the broad age group 15-44 Years the major underlying causes of death were Unspecified human immunodeficiency virus [HIV] disease (13.2%), followed by HIV disease resulting in mycobacterial infection (8.5%) and the third was Pneumonia, unspecified(4.4%).
Botswana Causes of Mortality 2018 Stats Brief 8 Statistics Botswana
Figure 3.4. 4: Leading Cause Of Death Among 15-44 Years, 2018
The major underlying cause of death for the age group 45-64 years was Unspecified human immunodeficiency virus [HIV] disease (8.6%), followed by HIV disease resulting in mycobacterial infection (5.3%) and the third was Pneumonia, unspecified (4.8%.) (See Figure 3.4.5). For the broad age group 45-64 years the four top major causes of death were similar to the age group 15-44 years with similar rankings. Three of the top ten causes were HIV related deaths, which also shows a relatively high proportion of people who die in this age group because of HIV(See Annex 2).
Figure 3.4. 5: Leading Cause Of Death Among 45-64 Years, 2018
Figure 3.4.6 shows the leading underlying causes of death among the aging population (65+). The major underlying cause of death for the age group 65+ years was Essential (primary) hypertension (8.7%), followed by Pneumonia, unspecified (7.2%) and the third was Stroke, not specified as hemorrhage or infarction (5.2%).The majority (Six) of the top ten conditions were non-communicable.
9Statistics Botswana Botswana Causes of Mortality 2018 Stats Brief
Figure 3.4. 6: Leading Cause Of Death Among 65+ Years, 2018
3.5 Neonatal Mortality
A total of 300 in-patient neonatal deaths were recorded in 2018. Males accounted for 171 (57%) of this number while females accounted for 129 (43%). Figure 3.5.1 shows trends in Neonatal mortality from 2006 to 2018. Generally, a significant decline of 46.8 percent in Neonatal deaths was observed over the years from 2006 to 2018. However, male deaths increased from 156 in 2015 to 171 in 2018.
Figure 3.5. 1: Neonatal Mortality Trend, 2006-2018
Figure 3.5.2 shows the leading underlying causes of death among neonates. The leading underlying causes of death constituted 84.4 percent of all Neonatal deaths. The highest leading underlying cause of deaths among neonates for 2018 was other preterm infants (20.6%), followed by extremely low birth weight and extreme immaturity at 14.4 and 11.6 percent respectively.
Botswana Causes of Mortality 2018 Stats Brief 10 Statistics Botswana
Figure 3.5. 2: Leading Underlying Causes Of Death Among Neonates, 2018
3.6 Infant and Under 5 Mortality
The leading underlying causes of death among Infants (excluding neonates) is shown in Table 3.6.1. The leading underlying causes of death constituted 62.7 percent of all Infant deaths. In 2018 the leading cause was Pneumonia, unspecified (11.4%), followed by Other preterm infants (10.0%), and Bacterial sepsis of newborn, unspecified (9.5%).
Table 3.6.1: Leading Underlying Causes Of Death Among Infants( Excluding Neonatal Deaths),2018ICD10 Code Cause of Death Female Male Total %J18.9 Pneumonia, unspecified 11 12 23 11.4
P07.3 Other preterm infants 10 10 20 10.0
P36.9 Bacterial sepsis of newborn, unspecified 9 10 19 9.5
A09.0 Other and unspecified gastroenteritis and colitis of infectious origin 6 10 16 8.0
P07.0 Extremely low birth weight 5 10 15 7.5
A41.9 Septicaemia, unspecified 6 6 12 6.0
Q24.9 Congenital malformation of heart, unspecified 4 5 9 4.5
E43 Unspecified severe protein-energy malnutrition 2 2 4 2.0
J18.0 Bronchopneumonia, unspecified 2 2 4 2.0
P07.2 Extreme immaturity 0 4 4 2.0
Causes Specified above 55 71 126 62.7Other causes 38 37 75 37.3All diseases and conditions 93 108 201 100.0
Table 3.6.2 shows the leading underlying causes of death among under 5 (excluding neonates). The leading underlying causes of death constituted 60.0 percent of all Under 5 deaths. In 2018 the leading cause was Pneumonia, unspecified (13.4%), followed by Other and unspecified gastroenteritis and colitis of infectious origin (12.0%), and Other preterm infants (5.7%).
11Statistics Botswana Botswana Causes of Mortality 2018 Stats Brief
Table 3.6.2: Leading Underlying Causes Of Death Among Under 5 ( Excluding Neonatal Deaths),2018ICD10 Code Cause of Death Female Male Total %J18.9 Pneumonia, unspecified 22 25 47 13.4
A09.0 Other and unspecified gastroenteritis and colitis of infectious origin 21 21 42 12.0
P07.3 Other preterm infants 10 10 20 5.7
A41.9 Septicaemia, unspecified 9 10 19 5.4
P36.9 Bacterial sepsis of newborn, unspecified 9 10 19 5.4
E43 Unspecified severe protein-energy malnutrition 9 7 16 4.6
P07.0 Extremely low birth weight 6 10 16 4.6
Q24.9 Congenital malformation of heart, unspecified 9 6 15 4.3
E46 Unspecified protein-energy malnutrition 5 4 9 2.6
J18.0 Bronchopneumonia, unspecified 3 4 7 2.0
Causes Specified above 103 107 210 60.0Other causes 64 76 140 40.0All diseases and conditions 167 183 350 100.0
3.7 Maternal Mortality
Figure 3.7.1 shows Botswana Maternal Mortality Ratio (MMR) for the period 2014 to 2018. There were 71 maternal deaths in 2018 from 53,115 total live births yielding MMR of 133.7 per 100,000 live-births. The direct causes constituted 73 percent compared to 26.8 percent of indirect causes. The MMR dropped from 143.2 to 133.7 per 100,000 live births between 2017 and 2018 showing a decline of 6.6 percent.
The most common causes of maternal deaths as shown in Appendix 2 was Genital tract & pelvic infection following abortion, ectopic and molar pregnancy (14 cases), followed by Other immediate postpartum haemorrhage (8 cases) followed by Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium (seven cases), and Rapture of the uterus during labour with seven cases each.
Additionally, the highest maternal deaths were recorded among the age group 25-29 years and 30-34 years at 22.5 percent each, followed by 35-39 years (19.7 %), 40-44 years (12.7 %). However there was no maternal death recorded among those aged less than 15 years.
Figure 3.7.1: Botswana Maternal Mortality Ratio (MMR), 2014-2018
Botswana Causes of Mortality 2018 Stats Brief 12 Statistics Botswana
Appendices
13Statistics Botswana Botswana Causes of Mortality 2018 Stats Brief
Appendix 1: Causes of Maternal Mortality by Age Groups ,2018
Code Direct Causes
Age Group Of Mothers (Years)
Tota
l
%<15
15-1
9
20-2
4
25-2
9
30-3
4
35-3
9
40-4
4
45+
N/S
O00.9 Ectopic Pregnancy, unspecified 0 0 1 0 0 0 0 0 0 1 1.4
O06.3 Unspecifed abortion, incomplete with other and unspecified complications.
0 1 0 0 0 0 0 0 0 1 1.4
O06.4 Unspecifed abortion, incomplete without complications.
0 0 0 0 1 0 0 0 0 1 1.4
O08.0 Genital tract and pelvic infection following abortion and ectopic and molar pregnancy
0 0 1 4 4 3 2 0 0 14 19.7
O14.1 Severe pre-eclampsia 0 0 1 0 1 0 0 0 0 2 2.8
O14.9 Pre-eclampsia, unspecified 0 0 1 0 0 0 0 0 0 1 1.4
O15.0 Eclampsia in pregnancy 0 0 0 0 1 1 0 0 0 2 2.8
O15.1 Eclampsia in labour 0 1 0 0 0 0 0 0 0 1 1.4
O24.9 Diabetes mellitus in pregnancy, unspecified
0 0 0 1 0 0 0 0 0 1 1.4
O26.8 Other specified pregnancy -related conditions (Renal disease)
0 0 1 0 0 0 0 0 0 1 1.4
O44.1 Placenta praevia with haemorrhage 0 0 0 0 1 0 0 0 0 1 1.4
O45.9 Premature separation of placenta, unspecified
0 0 0 1 2 1 0 0 0 4 5.6
O71.1 Rapture of uterus during labour 0 0 0 2 0 1 4 0 0 7 9.9
O72.1 Other immediate postpartum haemorrhage
0 1 0 0 1 4 1 1 0 8 11.3
O85 Puerperal sepsis 0 0 0 0 0 1 0 0 0 1 1.4
O88.2 Obstetric blood-clot embolism 0 1 1 0 0 1 1 0 0 4 5.6
O90.3 Cardiomyopathy in the puerperium 0 1 0 0 1 0 0 0 0 2 2.8
Total 0 5 6 8 12 12 8 1 0 52 73.2
Code Indirect Causes
Age Group Of Mothers (Years)
Tota
l
%<15
15-1
9
20-2
4
25-2
9
30-3
4
35-3
9
40-4
4
45+
N/S
O98.7 Human immunodeficiency(HIV) disease complicating pregnancy, childbirth and the puerperium
0 0 0 3 0 1 0 1 0 5 7
O98.8 Other maternal infections and parasitic diseases complicating pregnancy childbirth and the puerperium
0 0 0 0 1 0 0 0 0 1 1.4
O99.1 Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, childbirth and the puerperium
0 0 1 0 0 0 0 0 0 1 1.4
O99.3 Mental disorders and diseases of the nervous system complicating pregnancy, childbirth and the puerperium
0 0 0 2 1 0 0 0 0 3 4.2
O99.4 Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium
0 1 0 3 1 0 1 1 0 7 9.9
O99.5 Diseases of the respiratory system complicating pregnancy, childbirth and the puerperium
0 0 0 0 1 0 0 0 0 1 1.4
O99.6 Diseases of the digestive system complicating pregnancy, childbirth and puerperium.
0 0 0 0 1 0 0 0 1 1.4
Total 0 1 1 8 4 2 1 2 0 19 26.8Grand Total 0 6 7 16 16 14 9 3 0 71 100
Botswana Causes of Mortality 2018 Stats Brief 14 Statistics Botswana
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Rank
No.
%
Rank
No.
%
Rank
No.
%
Rank
No.
%
P07.
3O
the
r pre
term
infa
nts
182
16.3
--
--
--
--
--
--
P07.
0Ex
tre
me
ly lo
w b
irth
we
igh
t2
5811
.6-
--
--
--
--
--
-
P36.
9Ba
cte
rial s
ep
sis o
f ne
wb
orn
, un
spe
cifi
ed
342
8.4
--
--
--
--
--
--
P07.
2Ex
tre
me
imm
atu
rity
439
7.8
--
--
--
--
--
--
J18.
9Pn
eu
mo
nia
, un
spe
cifi
ed
524
4.8
225
12.8
357
4.4
369
4.8
213
47.
2
A09
.0O
the
r an
d u
nsp
ec
ifie
d g
ast
roe
nte
ritis
an
d c
olit
is o
f in
fec
tiou
s o
rigin
618
3.6
128
14.4
--
--
--
--
-
P24.
0N
eo
na
tal a
spira
tion
of m
ec
on
ium
718
3.6
--
--
--
--
--
--
P21.
0Se
vere
birt
h a
sph
yxia
817
3.4
--
--
--
--
--
--
P22.
0R
esp
irato
ry d
istre
ss s
ynd
rom
e o
f ne
wb
orn
917
3.4
--
--
--
--
--
--
P91.
6H
ypo
xic
isc
ha
em
ic e
nc
ep
ha
lop
ath
y [H
IE]
of n
ew
bo
rn10
173.
4-
--
--
--
--
--
-
E43
Un
spe
cifi
ed
se
vere
pro
tein
-en
erg
y m
aln
utr
itio
n-
--
312
6.2
--
--
--
--
-
A41
.9Se
ptic
ae
mia
, un
spe
cifi
ed
--
-4
94.
610
241.
9-
--
667
3.6
E46
Un
spe
cifi
ed
pro
tein
-en
erg
y m
aln
utr
itio
n-
--
58
4.1
--
--
--
--
-
G80
.9C
ere
bra
l pa
lsy, u
nsp
ec
ifie
d-
--
68
4.1
--
--
--
--
-
Q24
.9C
on
ge
nita
l ma
lform
atio
n o
f he
art
, un
spe
cifi
ed
--
-7
63.
1-
--
--
--
--
X09.
9Ex
po
sure
to
un
spe
cifi
ed
sm
oke
, fire
an
d fl
am
es
- U
nsp
ec
ifie
d p
lac
e-
--
86
3.1
--
--
--
--
-
J18.
0Br
on
ch
op
ne
um
on
ia, u
nsp
ec
ifie
d-
--
93
1.5
--
--
--
--
-
J69.
0Pn
eu
mo
niti
s d
ue
to
foo
d a
nd
vo
mit
--
-10
31.
5-
--
--
--
--
B24
Un
spe
cifi
ed
hu
ma
n im
mu
no
de
ficie
nc
y vi
rus
[HIV
] d
isea
se-
--
--
-1
170
13.2
112
28.
68
492.
6
B20.
0H
IV d
isea
se re
sulti
ng
in m
yco
ba
cte
rial i
nfe
ctio
n-
--
--
-2
109
8.5
275
5.3
--
-
C53
.9M
alig
na
nt
ne
op
lasm
of c
erv
ix u
teri,
un
spe
cifi
ed
--
--
--
456
4.4
462
4.3
--
-
X59.
9Ex
po
sure
to
un
spe
cifi
ed
fac
tor -
Un
spe
cifi
ed
pla
ce
--
--
--
540
3.1
--
--
--
B33.
8O
the
r sp
ec
ifie
d v
iral d
isea
ses
--
--
--
635
2.7
--
--
--
A16
.2Tu
be
rcu
losis
of l
un
g, w
itho
ut
me
ntio
n o
f ba
cte
riolo
gic
al o
r hist
olo
gic
al
co
nfir
ma
tion
--
--
--
732
2.5
553
3.7
1044
2.4
15Statistics Botswana Botswana Causes of Mortality 2018 Stats Brief
App
endi
x 2
Con
t’d: T
he Te
n Le
adin
g Un
derly
ing
Nat
ural
Cau
ses
Of D
eath
By
Broa
d A
ge G
roup
s, 2
018
ICD
10
Cod
eC
ause
of D
eath
<11-
1415
-44
45-6
465
+
Rank
No.
%
Rank
No.
%
Rank
No.
%
Rank
No.
%
Rank
No.
%
B20.
6H
IV d
isea
se re
sulti
ng
in P
ne
um
oc
ystis
ca
rinii
pn
eu
mo
nia
--
--
--
829
2.3
--
--
--
B45.
1C
ere
bra
l cry
pto
co
cc
osis
--
--
--
928
2.2
--
--
--
C34
.9M
alig
na
nt
ne
op
lasm
of b
ron
ch
us
or l
un
g, u
nsp
ec
ifie
d-
--
--
--
--
636
2.5
--
-
I10
Esse
ntia
l (p
rima
ry)
hyp
ert
en
sion
--
--
--
--
-7
342.
41
161
8.7
C15
.9M
alig
na
nt
ne
op
lasm
of o
eso
ph
ag
us,
un
spe
cifi
ed
--
--
--
--
-8
342.
4-
--
I64
Stro
ke, n
ot
spe
cifi
ed
as
ha
em
orr
ha
ge
or i
nfa
rctio
n-
--
--
--
--
932
2.2
397
5.2
I50.
0C
on
ge
stiv
e h
ea
rt fa
ilure
--
--
--
--
-10
312.
24
884.
7
E14.
9U
nsp
ec
ifie
d d
iab
ete
s m
elli
tus,
with
ou
t c
om
plic
atio
ns
--
--
--
--
--
--
572
3.9
N18
.9C
hro
nic
ren
al f
ailu
re, u
nsp
ec
ifie
d-
--
--
--
--
--
-7
603.
2
J44.
9C
hro
nic
ob
stru
ctiv
e p
ulm
on
ary
dise
ase
, un
spe
cifi
ed
--
--
--
--
--
--
947
2.5
Cau
ses
Spec
ified
abo
ve
332
66.1
10
855
.4
580
45.1
54
838
.4
819
44.2
Oth
er c
ause
s
170
33.9
87
44.6
70
754
.9
878
61.6
1,
035
55.8
All
dise
ases
and
con
ditio
ns
502
100.
0
195
100.
0
1,28
710
0.0
1,
426
100.
0
1,85
410
0.0
Botswana Causes of Mortality 2018 Stats Brief 16 Statistics Botswana A
ppen
dix
3: C
ause
Of D
eath
By
ICD
10 Th
ree-
Cha
ract
er C
ateg
orie
s Lis
t, Se
x A
nd A
ge G
roup
, 201
8
ICD
10
Cod
eC
ause
of D
eath
Mal
eFe
mal
eN
/SG
rand
To
tal
<11-
1415
-44
45-6
465
+N
/STo
tal
<11-
1415
-44
45-6
465
+N
/STo
tal
A00
-B99
Cer
tain
Infe
ctio
us A
nd P
aras
itic
Dise
ases
A00
-A09
Inte
stin
al i
nfe
ctio
us
dise
ase
s8
1611
821
6412
149
913
570
121
012
1A
15-A
19Tu
be
rcu
losis
25
3823
1583
01
3955
4514
01
224
022
4A
30-A
49O
the
r ba
cte
rial d
isea
ses
64
118
4473
65
1312
2359
113
30
133
A50
-A64
Infe
ctio
ns
with
a p
red
om
ina
ntly
se
xua
l mo
de
of t
ran
smiss
ion
00
00
00
00
10
12
02
02
A65
-A69
Oth
er s
piro
ch
ae
tal d
isea
ses
00
00
00
00
01
01
01
01
A80
-A89
Vira
l In
fec
tion
s o
f th
e c
en
tra
l ne
rvo
us
syst
em
00
11
02
00
10
01
03
03
B15-
B19
Vira
l he
pa
titis
01
01
02
00
22
04
17
07
B20-
B24
HIV
32
162
127
3232
62
319
713
342
377
470
70
707
B25-
B34
Oth
er v
iral d
isea
ses
00
2315
947
00
2017
441
088
088
B35-
B49
Myc
ose
s0
010
61
170
022
130
350
520
52B5
0-B6
4Pr
oto
zoa
l dise
ase
s0
06
31
100
09
41
141
251
25B6
5-B8
3H
elm
inth
iase
s0
00
01
10
00
00
00
10
1B9
5-B9
8Ba
cte
rial,
vira
l an
d o
the
r in
fec
tiou
s a
ge
nts
00
00
11
00
01
01
02
02
Tota
l19
2826
219
212
562
620
2331
324
712
973
28
1,36
61
1366
C00
-D48
Neo
plas
ms
C00
-C14
Ma
lign
an
t n
eo
pla
sms
of l
ip, o
ral c
avi
ty a
nd
ph
ary
nx
00
02
35
00
114
621
026
026
C15
-C26
Ma
lign
an
t n
eo
pla
sms
of d
ige
stiv
e o
rga
ns
01
640
4087
00
1760
6914
61
234
023
4C
30-C
39M
alig
na
nt
ne
op
lasm
of r
esp
irato
ry a
nd
intr
ath
ora
cic
org
an
s0
02
1010
220
04
2829
610
830
83C
40-C
41M
alig
na
nt
ne
op
lasm
s o
f bo
ne
an
d a
rtic
ula
r ca
rtila
ge
01
30
26
00
20
13
09
09
C43
-C44
Me
lan
om
a a
nd
oth
er m
alig
na
nt
ne
op
lasm
s o
f ski
n0
03
45
120
02
114
170
290
29C
45-C
49M
alig
na
nt
ne
op
lasm
s o
f me
soth
elia
l an
d s
oft
tiss
ue
01
43
311
00
56
213
024
024
C50
Ma
lign
an
t n
eo
pla
sm o
f bre
ast
00
1527
1658
00
00
00
159
159
C51
-C58
Ma
lign
an
t n
eo
pla
sm o
f fe
ma
le g
en
ital o
rga
ns
10
7184
5120
70
00
02
20
209
020
9C
60-C
63M
alig
na
nt
ne
op
lasm
of m
ale
ge
nita
l org
an
s0
01
01
20
01
1340
541
570
57C
64-C
68M
alig
na
nt
ne
op
lasm
s o
f urin
ary
tra
ct
01
02
14
00
12
25
09
09
C69
-C72
Ma
lign
an
t n
eo
pla
sms
of e
ye, b
rain
an
d o
the
r pa
rts
of c
en
tra
l n
erv
ou
s sy
ste
m0
01
04
50
35
42
140
190
19
C73
-C75
Ma
lign
an
t n
eo
pla
sms
of t
hyr
oid
an
d o
the
r en
do
crin
e g
lan
ds
01
00
12
01
01
13
05
05
C76
-C80
Ma
lign
an
t n
eo
pla
sms
of i
ll-d
efin
ed
, se
co
nd
ary
an
d u
nsp
ec
ifie
d
site
s0
03
34
100
02
99
201
310
31
C81
-C96
Ma
lign
an
t n
eo
pla
sms,
sta
ted
or p
resu
me
d t
o b
e p
rem
ary
, of
lym
ph
oid
, ha
em
ato
po
ietic
an
d re
late
d t
issu
e0
315
45
270
116
115
330
600
60
D00-
D09
In s
itu n
eo
pla
sms
00
01
01
00
00
00
01
01
D10-
D36
Ben
ign
ne
op
lasm
s0
02
33
80
01
20
30
110
11D3
7-D4
8N
eo
pla
sms
of u
nc
ert
ain
or u
nkn
ow
n b
eh
avi
ou
r0
13
31
80
03
63
120
200
20To
tal
19
129
186
150
475
05
6016
717
540
74
886
188
6
17Statistics Botswana Botswana Causes of Mortality 2018 Stats Brief
App
endi
x 3
Con
t’d: C
ause
Of D
eath
By
ICD
10 Th
ree-
Cha
ract
er C
ateg
orie
s Lis
t, Se
x A
nd A
ge G
roup
, 201
8
ICD
10
Cod
eC
ause
of D
eath
Mal
eFe
mal
eN
/SG
rand
To
tal
<11-
1415
-44
45-6
465
+N
/STo
tal
<11-
1415
-44
45-6
465
+N
/STo
tal
D50-
D89
Dise
ases
of t
he b
lood
and
blo
od-fo
rmin
g an
d ce
rtain
diso
rder
s in
volv
ing
the
imm
une
mec
hani
smD5
0-D5
3N
utr
itio
na
l an
ae
mia
s0
00
12
03
00
10
00
10
4D5
5-D5
9H
ae
mo
lytic
an
ae
mia
s0
01
00
01
00
00
00
00
1D6
0-D6
4A
pla
stic
an
d o
the
r an
ae
mia
s1
06
617
030
00
810
110
290
59D6
5-D6
9C
oa
gu
latio
de
fec
ts, p
urp
ura
an
d o
the
r ha
em
orr
ha
gic
co
n-
diti
on
s0
04
02
06
01
32
00
60
12
D70-
D77
Oth
er d
isea
ses
of b
loo
d a
nd
blo
od
-fo
rmin
g o
rga
ns
01
00
30
40
10
00
01
05
D80-
D89
Ce
rta
in d
isord
ers
invo
lvin
g t
he
imm
un
e m
ec
ha
nism
00
00
00
00
01
00
01
01
Tota
l1
111
724
044
02
1312
110
380
82E0
0-E8
8 En
docr
ine,
nut
ritio
nal a
nd m
etab
olic
dise
ases
E0
0-E0
7D
isord
ers
of t
hyr
oid
gla
nd
10
00
10
20
02
00
02
04
E10-
E14
Dia
be
tes
me
llitu
s0
011
2541
077
00
932
720
113
019
0E1
5-E1
6O
the
r diso
rde
rs o
f glu
co
se re
gu
latio
n a
nd
pa
nc
rea
tic in
tern
al
sec
retio
n1
03
02
17
10
01
20
40
11
E20-
E35
Diso
rde
rs o
f oth
er e
nd
oc
rine
gla
nd
s1
00
00
01
00
00
00
00
1E4
0-E4
6M
aln
utr
itio
n2
90
01
012
314
10
10
190
31E7
0-E9
0M
eta
bo
lic d
isord
ers
01
26
11
110
00
46
010
021
Tota
l5
1016
3146
211
04
1412
3781
014
80
258
G00
-G98
Dise
ases
of t
he n
ervo
us s
yste
m
G00
-G09
Infla
mm
ato
ry d
isea
ses
of t
he
ce
ntr
al n
erv
ou
s sy
ste
m1
312
104
131
14
104
30
220
53G
10-G
14Sy
ste
mic
atr
op
hie
s p
rima
rily
aff
ec
ting
th
e c
en
tra
l ne
rvo
us
syst
em
00
00
10
10
00
00
00
01
G20
-G26
Extr
ap
yra
mid
al a
nd
mo
vem
en
t d
isord
ers
00
01
20
30
00
00
00
03
G30
-G32
Oth
er d
eg
en
era
tive
dise
ase
s o
f th
e n
erv
ou
s sy
ste
m0
03
02
05
00
10
20
30
8G
40-G
47Ep
isod
ic a
nd
pa
roxy
sma
l diso
rde
rs0
05
42
011
00
82
20
120
23G
60-G
64Po
lyn
eu
rop
ath
ies
an
d o
the
r diso
rde
rs o
f th
e p
erip
he
ral n
erv
-o
us
syst
em
00
00
00
00
01
00
01
01
G80
-G83
Ce
reb
ral p
alsy
an
d o
the
r pa
raly
tic s
ynd
rom
es
14
12
10
90
41
00
05
014
G90
-G99
Oth
er d
isord
ers
of t
he
ne
rvo
us
syst
em
04
62
30
150
13
40
08
023
Tota
l2
1127
1915
175
19
2410
70
510
126
H00-
H59
Dise
ases
of t
he e
ye a
nd a
dnex
a H1
5-H2
2D
isord
ers
of s
cle
ra, c
orn
ea
, iris
an
d c
ilia
ry b
od
ys0
00
10
01
00
00
00
00
1
Botswana Causes of Mortality 2018 Stats Brief 18 Statistics Botswana
App
endi
x 3
Con
t’d: C
ause
Of D
eath
By
ICD
10 Th
ree-
Cha
ract
er C
ateg
orie
s Lis
t, Se
x A
nd A
ge G
roup
, 201
8
ICD
10
Cod
eC
ause
of D
eath
Mal
eFe
mal
eN
/SG
rand
To
tal
<11-
1415
-44
45-6
465
+N
/STo
tal
<11-
1415
-44
45-6
465
+N
/STo
tal
I00-
I99
Dise
ases
of t
he c
ircul
ator
y sy
stem
I0
0-I0
2A
cu
te r
he
um
atic
feve
r0
01
00
01
00
00
00
00
1I0
5-I0
9C
hro
nic
rh
eu
ma
tic h
ea
rt d
isea
ses
00
10
10
20
01
00
01
03
I10-
I15
Hyp
ert
en
sive
dise
ase
s0
09
2792
012
80
09
2111
90
149
127
8I2
0-I2
5Is
ch
ae
mic
he
art
dise
ase
s0
01
20
03
00
30
30
60
9I2
6-I2
8Pu
lmo
na
ry h
ea
rt d
isea
se a
nd
dise
ase
s o
f pu
lmo
na
ry c
ircu
la-
tion
01
16
30
110
05
56
016
027
I30-
I52
Oth
er f
orm
s o
f he
art
dise
ase
00
2021
560
970
111
1542
271
016
8I6
0-I6
9C
ere
bro
vasc
ula
r dise
ase
s0
010
3349
294
00
1120
800
111
020
5I7
0-I7
9D
isea
ses
of a
rte
ries,
art
erio
les
an
d c
ap
illa
ries
00
14
30
80
01
13
05
013
I80-
I89
Dise
ase
s o
f ve
ins,
lym
ph
atic
ve
sse
ls a
nd
lym
ph
no
de
s, n
ot
else
wh
ere
cla
ssifi
ed
00
12
10
40
01
21
04
08
I95-
I99
Oth
er a
nd
un
spe
cifi
ed
diso
rde
rs o
f th
e c
ircu
lato
ry s
yste
m0
00
00
00
00
01
00
10
1To
tal
01
4595
205
234
80
142
6525
42
364
171
3J0
0-J9
9 Di
seas
es o
f the
resp
irato
ry s
yste
m
J00-
J06
Ac
ute
up
pe
r re
spira
tory
infe
ctio
ns
01
01
10
30
01
10
02
05
J09-
J18
Influ
en
za a
nd
pn
eu
mo
nia
1516
3746
992
215
1312
2325
461
120
033
5J2
0-J2
2O
the
r ac
ute
low
er r
esp
irato
ry in
fec
tion
s1
10
03
05
00
01
20
30
8J3
0-J3
9O
the
r dise
ase
s o
f up
pe
r re
spira
tory
tra
ct
00
01
00
10
00
01
01
02
J40-
J47
Ch
ron
ic lo
we
r re
spira
tory
dise
ase
s0
02
2650
078
00
18
110
200
98J6
0-J7
0Lu
ng
dise
ase
s d
ue
to
ext
ern
al a
ge
nts
12
00
00
31
10
00
02
05
J80-
J84
Oth
err
esp
irato
ry d
isea
ses
prin
cip
ally
aff
ec
ting
th
e in
ters
titiu
m0
01
46
011
00
11
00
20
13J8
5-J8
6Su
pp
ura
tive
an
d n
ec
rotic
co
nd
itio
ns
of l
ow
er r
esp
irato
ry t
rac
t0
02
01
14
01
10
10
30
7J9
0-J9
4O
the
r dise
ase
s o
f ple
ura
00
11
60
80
01
24
07
015
J95-
J99
Oth
er d
isea
ses
of t
he
resp
irato
ry s
yste
m0
14
33
011
00
21
30
60
17To
tal
1721
4782
169
333
914
1430
3968
116
60
505
K00-
K92
Dise
ases
of t
he d
iges
tive
syst
em
K20-
K31
Dise
ase
s o
f oe
sop
ha
gu
s, s
tom
ac
h a
nd
du
od
en
um
01
53
100
190
02
33
08
027
K35-
K38
Dise
ase
s o
f ap
pe
nd
ix0
03
13
07
00
01
00
10
8K4
0-K4
6H
ern
ia0
01
00
01
00
00
20
20
3K5
0-K5
2N
on
infe
ctiv
e e
nte
ritis
an
d c
olit
is0
00
10
01
00
00
00
00
1K5
5-K6
3O
the
r dise
ase
s o
f in
test
ine
s0
02
1311
127
11
14
51
130
40K6
5-K6
7d
isea
se o
f pe
rito
ne
um
00
11
10
30
12
00
03
06
K70-
K77
Dise
ase
s o
f liv
er
23
914
160
440
06
1114
031
075
K80-
K87
Diso
rde
rs o
f ga
llbla
dd
er,
bili
ary
tra
ct
an
d p
an
cre
as
00
23
60
110
00
511
016
027
K90-
K93
Oth
er d
isea
ses
of t
he
dig
est
ive
sys
tem
10
35
30
120
03
37
013
025
K90-
K94
Oth
er d
isea
ses
of t
he
dig
est
ive
sys
tem
00
00
00
00
00
01
01
01
Tota
l3
426
4150
112
51
214
2743
188
021
3
19Statistics Botswana Botswana Causes of Mortality 2018 Stats Brief
App
endi
x 3
Con
t’d: C
ause
Of D
eath
By
ICD
10 Th
ree-
Cha
ract
er C
ateg
orie
s Lis
t, Se
x A
nd A
ge G
roup
, 201
8
ICD
10
Cod
eC
ause
of D
eath
Mal
eFe
mal
eN
/SG
rand
To
tal
<11-
1415
-44
45-6
465
+N
/STo
tal
<11-
1415
-44
45-6
465
+N
/STo
tal
L00-
L98
Dise
ases
of t
he s
kin
and
subc
utan
eous
tiss
ue
L00-
L08
Infe
ctio
ns
of t
he
ski
n a
nd
su
bc
uta
ne
ou
s tis
sue
02
11
40
80
00
11
02
010
L10-
L14
Bullo
us
diso
rde
rs0
00
10
01
00
00
20
20
3L5
0-L5
4U
rtic
aria
an
d e
ryth
em
a0
00
01
01
00
01
10
20
3L8
0-L9
9O
the
r diso
rde
rs o
f th
e s
kin
an
d s
ub
cu
tan
eo
us
tissu
e0
00
24
06
00
02
70
90
15To
tal
02
14
90
160
00
411
015
031
M00
-M99
Dise
ases
of t
he m
uscu
losk
elet
al s
yste
m a
nd c
onne
ctiv
e tis
sues
M
00-M
25A
rth
rop
ath
ies
00
01
10
20
10
11
03
05
M30
-M36
Syst
em
ic c
on
ne
ctiv
e t
issu
e d
isord
ers
00
20
00
20
02
00
02
04
M40
-M54
Do
rso
pa
thie
s0
00
00
00
00
20
00
20
2M
60-M
79So
ft t
issu
e d
isord
er
00
01
10
20
00
11
02
04
M80
-M94
Ost
eo
pa
thie
s a
nd
ch
on
dro
pa
thie
s0
01
10
02
00
00
20
20
4To
tal
00
33
20
80
14
24
011
019
N00
-N99
Dise
ases
of t
he g
enito
urin
ary
syst
em
N00
-N08
Glo
me
rula
r dise
ase
s0
00
00
00
00
20
00
20
2N
10-N
16R
en
al t
ub
ulo
-inte
rstit
ial d
isea
ses
00
15
80
140
00
25
07
021
N17
-N19
Re
na
l Fa
ilure
00
1641
840
141
02
1237
430
940
235
N20
-N23
Uro
lith
iasis
00
00
10
10
00
00
00
01
N25
-N29
Oth
er d
isord
ers
of k
idn
ey
an
d u
rete
r0
00
01
01
00
01
00
10
2N
30-N
39O
the
r dise
ase
s o
f urin
ary
sys
tem
00
03
110
140
00
04
04
018
N40
-N51
Dise
ase
s o
f ma
le g
en
ital o
rga
ns
00
02
220
240
00
00
00
024
N70
-N77
Infla
mm
ato
ry d
isea
ses
of f
em
ale
pe
lvic
org
an
s0
00
00
00
00
00
20
20
2N
80-N
98N
on
infla
mm
ato
ry d
isord
ers
of f
em
ale
ge
nita
l tra
ct
00
00
00
00
01
20
03
03
Tota
l0
017
5112
70
195
02
1542
540
113
030
8
Botswana Causes of Mortality 2018 Stats Brief 20 Statistics Botswana
App
endi
x 3
Con
t’d:C
ause
Of D
eath
By
ICD
10 Th
ree-
Cha
ract
er C
ateg
orie
s Lis
t, Se
x A
nd A
ge G
roup
, 201
8
ICD
10
Cod
eC
ause
of D
eath
Mal
eFe
mal
eN
/SG
rand
To
tal
<11-
1415
-44
45-6
465
+N
/STo
tal
<11-
1415
-44
45-6
465
+N
/STo
tal
O00
-O99
Pre
gnan
cy, c
hild
birth
and
the
puer
periu
m
O00
-O08
Pre
gn
an
cy
with
ab
ort
ive
ou
tco
me
00
00
00
00
018
00
018
018
O10
-O16
Oe
de
ma
, pro
tein
uria
an
d h
ype
rte
nsiv
e d
isord
ers
in p
reg
-n
an
cy,
ch
ildb
irth
an
d t
he
pu
erp
eriu
m0
00
00
00
00
60
00
60
6O
20-O
29O
the
r ma
tern
al d
isord
ers
pre
do
min
an
tly re
late
d t
o p
reg
-n
an
cy
00
01
00
10
02
01
03
04
O30
-O48
Ma
tern
al c
are
rela
ted
to
th
e fe
tus
an
d a
mn
iotic
ca
vity
a
nd
po
ssib
le d
eliv
ery
pro
ble
ms
00
00
00
00
05
00
05
05
O60
-O75
Co
mp
lica
tion
s o
f la
bo
ur a
nd
de
live
ry0
00
00
00
00
141
00
150
15O
85-O
92c
om
plic
atio
ns
pre
do
min
an
tly re
late
d t
o t
he
pu
erp
eriu
m0
00
00
00
00
70
00
70
7O
94-O
99O
the
r ob
ste
tric
co
nd
itio
ns,
no
t e
lsew
he
re c
lass
ifie
d0
00
00
00
00
182
00
200
20To
tal
00
01
00
10
070
31
074
075
P00-
P96
Cer
tain
con
ditio
ns o
rigin
atin
g in
the
perin
atal
per
iod
P00-
P04
Fetu
s a
nd
ne
wb
orn
aff
ec
ted
by
ma
tern
al f
ac
tors
an
d b
y c
om
plic
atio
ns
of p
reg
na
nc
y, la
bo
ur a
nd
de
live
ry1
00
00
01
00
00
00
00
1P0
5-P0
8D
isord
ers
rela
ted
to
len
gth
of g
est
atio
n a
nd
feta
l gro
wth
100
10
00
010
179
10
00
080
118
2P2
0-P2
9R
esp
irato
ry a
nd
ca
rdio
vasc
ula
r diso
rde
rs s
pe
cifi
c t
o p
eri-
na
tal p
erio
d55
00
00
055
350
00
00
350
90P3
5-P3
9In
fec
tion
s sp
ec
ific
to
th
e p
erin
ata
l pe
riod
240
00
00
2418
00
00
018
042
P50-
P61
Ha
em
orr
ha
gic
an
d h
ae
ma
tolo
gic
al d
isord
ers
of f
etu
s a
nd
n
ew
bo
rn5
00
00
05
30
00
00
30
8P7
5-P7
8D
ige
stiv
e s
yste
m d
isord
ers
of f
etu
s a
nd
ne
wb
orn
50
00
00
55
00
00
05
010
P80-
P83
Co
nd
itio
ns
invo
lvin
g t
he
inte
gu
me
nt
an
d t
em
pe
ratu
re
reg
ula
tion
of f
etu
s a
nd
ne
wb
orn
00
00
00
01
00
00
01
01
P90-
P96
Oth
er d
isord
ers
orig
ina
ting
in t
he
pe
rina
tal p
erio
d21
00
00
021
150
00
00
150
36To
tal
211
10
00
021
215
61
00
00
157
137
0Q
00-Q
99 C
onge
nita
l mal
form
atio
ns, d
iform
atio
ns a
nd c
hrom
osom
al a
bnor
mal
ities
Q
00-Q
07C
on
ge
nita
l ma
lform
atio
ns
of e
ye, e
ar,
fac
e a
nd
ne
ck
20
10
00
37
10
00
08
011
Q20
-Q28
Co
ng
en
ital m
alfo
rma
tion
s o
f th
e c
ircu
lato
ry s
yste
m7
40
00
011
45
00
00
90
20Q
30-Q
34C
on
ge
nita
l ma
lform
atio
ns
of t
he
resp
irato
ry s
yste
m0
00
00
00
10
00
00
10
1Q
38-Q
45O
the
r co
ge
nita
l ma
lform
atio
ns
of t
he
dig
est
ive
sys
tem
11
00
00
20
10
00
01
03
Q60
-Q64
Co
ng
en
ital m
alfo
rma
tion
s o
f th
e u
rina
ry s
yste
m1
00
03
04
11
01
00
30
7Q
80-Q
89O
the
r co
ng
en
ital m
alfo
rma
tion
s2
00
00
02
40
10
00
50
7Q
90-Q
99C
hro
mo
som
al a
bn
orm
alit
ies,
no
t e
lsew
he
re c
lass
ifie
d3
00
00
03
30
00
00
30
6To
tal
165
10
30
2520
81
10
030
055
21Statistics Botswana Botswana Causes of Mortality 2018 Stats Brief
App
endi
x 3
Con
t’d::
Cau
se O
f Dea
th B
y IC
D 10
Thre
e-C
hara
cter
Cat
egor
ies
List,
Sex
And
Age
Gro
up, 2
018
ICD
10
Cod
eC
ause
of D
eath
Mal
eFe
mal
eN
/SG
rand
To
tal
<11-
1415
-44
45-6
465
+N
/STo
tal
<11-
1415
-44
45-6
465
+N
/STo
tal
R00-
R99
Sym
ptom
s, s
igns
and
abn
orm
al c
linic
al a
nd la
bora
tory
find
ings
not
else
whe
re s
peci
fied
R00-
R09
Sym
pto
ms
an
d s
ign
s in
volv
ing
th
e c
ircu
lato
ry a
nd
resp
irato
-ry
sys
tem
s0
00
05
05
00
01
30
40
9
R10-
R19
Sym
pto
ms
an
d s
ign
s in
volv
ing
th
e d
ige
stiv
e s
yste
m a
nd
a
bd
om
en
00
22
50
90
03
24
09
018
R20-
R23
Sym
pto
ms
an
d s
ign
s in
volv
ing
th
e s
kin
an
d s
ub
cu
tan
eo
us
tissu
e0
01
00
01
00
00
00
00
1
R40-
R46
Sym
pto
ms
an
d s
ign
s in
volv
ing
co
gn
itio
n, p
erc
ep
tion
, em
o-
tion
al s
tate
an
d b
eh
avi
ou
r0
00
10
01
00
01
00
10
2
R50-
R69
Ge
ne
ral s
ymp
tom
s a
nd
sig
ns
02
02
10
51
00
25
08
013
R70-
R79
Ab
no
rma
l fin
din
gs
on
exa
min
atio
n o
f blo
od
, with
ou
t d
iag
-n
osis
00
00
00
00
00
01
01
01
R90-
R94
Ab
no
rma
l fin
din
gs
on
dia
gn
ost
ic im
ag
ing
an
d in
fun
ctio
n
stu
die
s, w
itho
ut
dia
gn
osis
00
11
20
40
00
10
01
05
R95-
R99
Ill-d
efin
ed
an
d u
nkn
ow
n c
au
ses
of m
ort
alit
y3
03
36
015
01
42
30
100
25
Tota
l3
27
919
040
11
79
160
340
74V0
1-Y8
9 Ex
tern
al c
ause
s of
mor
bidi
ty a
nd m
orta
lity
V20-
V29
Mo
torc
ycle
rid
er i
nju
red
in t
ran
spo
rt a
cc
ide
nt
00
02
00
20
00
00
00
02
V40-
V49
Ca
r oc
cu
pa
nt
inju
red
in t
ran
spo
rt a
cc
ide
nt
01
00
00
10
00
00
00
01
V50-
V59
Oc
cu
pa
nt
of p
ick-
up
tru
ck
or v
an
inju
red
in t
ran
spo
rt a
cc
i-d
en
t0
01
00
01
00
00
00
00
1
V80-
V89
Oth
er l
an
d t
ran
spo
rt a
cc
ide
nts
01
124
00
170
04
20
06
023
V98-
V99
Oth
er a
nd
un
spe
cifi
ed
tra
nsp
ort
ac
cid
en
ts0
00
10
01
00
00
00
00
1
W00
-W19
Falls
00
02
00
20
00
00
00
02
W75
-W84
Oth
er a
cc
ide
nta
l th
rea
ts t
o b
rea
thin
g1
01
01
03
00
00
00
00
3
X00-
X09
Exp
osu
re t
o s
mo
ke, fi
re a
nd
fla
me
s0
12
12
06
15
10
60
130
19
X20-
X29
Co
nta
ct
with
ve
no
mo
us
an
ima
ls a
nd
pla
nts
01
00
00
10
20
00
02
03
X40-
X49
Ac
cid
en
tal p
oiso
nin
g b
y a
nd
exp
osu
re t
o n
oxi
ou
s su
b-
sta
nc
es
02
31
10
73
00
02
05
012
X58-
X59
Ac
cid
en
tal e
xpo
sure
to
oth
er a
nd
un
spe
cifi
ed
fac
tors
01
4011
251
780
28
916
035
011
3
X60-
X84
Inte
ntio
na
l se
lf-h
arm
00
61
00
70
02
00
02
09
X85-
Y09
Ass
au
lt0
06
12
09
00
00
10
10
10
Y10-
Y34
Eve
nt
of u
nd
ete
rmin
ed
inte
nt
00
11
00
21
00
00
01
03
Y40-
Y84
Co
mp
lica
tion
s o
f me
dic
al a
nd
su
rgic
al c
are
01
11
00
30
02
10
03
06
Tota
l1
873
2631
114
05
917
1225
068
020
8G
rand
tota
l27
994
647
784
1004
1628
2422
210
164
064
185
08
2462
452
90
Botswana Causes of Mortality 2018 Stats Brief 22 Statistics Botswana
App
endi
x 4:
Cau
se O
f Dea
th B
y IC
D 10
Thre
e-C
hara
cter
Cat
egor
ies
List A
nd H
ealth
Dist
rict,
2018
ICD
10
Cod
eC
ause
of d
eath
Bobirwa
Boteti
Chobe
Francistown
Gaborone
Gantsi
Goodhope
Jwaneng
Kgalagadi
Kgalagadi
Kgatleng
Kweneng
Lobatse
Mahalapye
Ngamiland
North East
Okavango
Palapye
Selibe Phikwe
Serowe
South East
Southern
Tutume
Grand Total
A00
-B99
Cer
tain
Infe
ctio
us A
nd P
aras
itic
Dise
ases
A00
-A09
Inte
stin
al i
nfe
ctio
us
dise
ase
s4
33
227
91
00
44
143
128
15
20
91
63
121
A15
-A19
Tub
erc
ulo
sis2
113
2437
117
25
311
317
1410
16
14
143
152
224
A30
-A49
Oth
er b
ac
teria
l dise
ase
s1
34
1821
86
20
12
124
99
09
52
81
71
133
A50
-A64
Infe
ctio
ns
with
a p
red
om
ina
ntly
se
xua
l mo
de
o
f tra
nsm
issio
n0
00
00
00
00
00
10
00
00
00
10
00
2A
65-A
69O
the
r sp
iroc
ha
eta
l dise
ase
s0
00
10
00
00
00
00
00
00
00
00
00
1A
80-A
89V
iral I
nfe
ctio
ns
of t
he
ce
ntr
al n
erv
ou
s sy
ste
m0
00
11
00
00
00
00
01
00
00
00
00
3B1
5-B1
9V
iral h
ep
atit
is0
00
20
00
20
00
10
02
00
00
00
00
7B2
0-B2
4H
IV23
264
6392
1313
84
139
9836
3617
1213
4114
6241
3534
707
B25-
B34
Oth
er v
iral d
isea
ses
22
357
04
13
10
00
19
40
00
00
10
088
B35-
B49
Myc
ose
s1
01
76
00
10
14
31
62
10
44
44
11
52B5
0-B6
4Pr
oto
zoa
l dise
ase
s0
00
61
11
00
02
20
22
03
03
01
10
25B6
5-B8
3H
elm
inth
iase
s0
00
10
00
00
00
00
00
00
00
00
00
1B9
5-B9
8Ba
cte
rial,
vira
l an
d o
the
r in
fec
tiou
s a
ge
nts
01
00
10
00
00
00
00
00
00
00
00
02
Tota
l33
4620
246
2918
2232
162
5288
5515
3653
2798
5265
4113
66
23Statistics Botswana Botswana Causes of Mortality 2018 Stats Brief
App
endi
x 4
Con
t’d::
Cau
se O
f Dea
th B
y IC
D 10
Thre
e-C
hara
cter
Cat
egor
ies
List A
nd H
ealth
Dist
rict,
2018
ICD
10
Cod
eC
ause
of D
eath
Bobirwa
Boteti
Chobe
Francistown
Gaborone
Gantsi
Goodhope
Jwaneng
Kgalagadi
Kgalagadi
Kgatleng
Kweneng
Lobatse
Mahalapye
Ngamiland
North East
Okavango
Palapye
Selibe Phikwe
Serowe
South East
Southern
Tutume
Grand Total
C00
-D48
Neo
plas
ms
C00
-C14
Ma
lign
an
t n
eo
pla
sms
of l
ip, o
ral c
avi
ty a
nd
p
ha
ryn
x0
00
66
21
01
10
20
30
01
00
21
00
26
C15
-C26
Ma
lign
an
t n
eo
pla
sms
of d
ige
stiv
e o
rga
ns
43
160
416
32
32
532
159
64
12
514
67
323
4C
30-C
39M
alig
na
nt
ne
op
lasm
of r
esp
irato
ry a
nd
in
tra
tho
rac
ic o
rga
ns
21
025
81
10
00
48
76
21
01
15
43
383
C40
-C41
Ma
lign
an
t n
eo
pla
sms
of b
on
e a
nd
art
icu
lar
ca
rtila
ge
00
04
20
00
00
00
01
00
02
00
00
09
C43
-C44
Me
lan
om
a a
nd
oth
er m
alig
na
nt
ne
op
lasm
s o
f ski
n2
00
17
00
01
02
52
40
02
10
20
00
29
C45
-C49
Ma
lign
an
t n
eo
pla
sms
of m
eso
the
lial a
nd
so
ft t
issu
e0
00
92
00
00
01
40
23
00
10
10
10
24
C50
Ma
lign
an
t n
eo
pla
sm o
f bre
ast
01
111
120
20
01
09
43
11
20
02
35
159
C51
-C58
Ma
lign
an
t n
eo
pla
sm o
f fe
ma
le g
en
ital
org
an
s7
52
4849
35
02
16
179
117
03
64
76
56
209
C60
-C63
Ma
lign
an
t n
eo
pla
sm o
f ma
le g
en
ital o
rga
ns
32
15
82
01
00
55
16
11
22
03
35
157
C64
-C68
Ma
lign
an
t n
eo
pla
sms
of u
rina
ry t
rac
t0
01
32
00
00
00
10
01
00
00
10
00
9C
69-C
72M
alig
na
nt
ne
op
lasm
s o
f eye
, bra
in a
nd
o
the
r pa
rts
of c
en
tra
l ne
rvo
us
syst
em
00
010
20
10
00
05
00
00
01
00
00
019
C73
-C75
Ma
lign
an
t n
eo
pla
sms
of t
hyr
oid
an
d o
the
r e
nd
oc
rine
gla
nd
s0
00
13
00
00
10
00
00
00
00
00
00
5
C76
-C80
Ma
lign
an
t n
eo
pla
sms
of i
ll-d
efin
ed
, se
co
nd
-a
ry a
nd
un
spe
cifi
ed
site
s0
00
710
11
01
00
10
13
00
00
33
00
31
C81
-C96
Ma
lign
an
t n
eo
pla
sms,
sta
ted
or p
resu
me
d
to b
e p
rem
ary
, of l
ymp
ho
id, h
ae
ma
top
oie
t-ic
an
d re
late
d t
issu
e
20
019
180
20
00
08
22
11
01
12
10
060
D00-
D09
In s
itu n
eo
pla
sms
00
01
00
00
00
00
00
00
00
00
00
01
D10-
D36
Ben
ign
ne
op
lasm
s0
00
60
00
10
00
01
10
00
00
20
00
11D3
7-D4
8N
eo
pla
sms
of u
nc
ert
ain
or u
nkn
ow
n b
eh
av-
iou
r1
00
103
01
00
02
10
10
00
01
00
00
20
Tota
l21
126
226
173
1517
48
625
9841
5025
811
1712
4427
2614
886
Botswana Causes of Mortality 2018 Stats Brief 24 Statistics Botswana
App
endi
x 4
Con
t’d: C
ause
Of D
eath
By
ICD
10 Th
ree-
Cha
ract
er C
ateg
orie
s Lis
t And
Hea
lth D
istric
t, 20
18
ICD
10
Cod
eC
ause
of D
eath
Bobirwa
Boteti
ChobeFrancis-town
Gaborone
Gantsi
Goodhope
Jwaneng
Kgalagadi
Kgalagadi
Kgatleng
Kweneng
Lobatse
Mahala-pye
Ngamiland
North East
Okavango
Palapye
Selibe Phikwe
Serowe
South East
Southern
Tutume
Grand Total
D50-
D89
Dise
ases
of t
he b
lood
and
blo
od-fo
rmin
g an
d ce
rtain
diso
rder
s in
volv
ing
the
imm
une
mec
hani
smD5
0-D5
3N
utr
itio
na
l an
ae
mia
s0
00
00
00
00
00
30
00
00
00
10
00
4D5
5-D5
9H
ae
mo
lytic
an
ae
mia
s0
10
00
00
00
00
00
00
00
00
00
00
1D6
0-D6
4A
pla
stic
an
d o
the
r an
ae
mia
s2
11
910
11
00
03
13
45
14
02
80
21
59D6
5-D6
9C
oa
gu
latio
de
fec
ts, p
urp
ura
an
d o
the
r h
ae
mo
rrh
ag
ic c
on
diti
on
s0
10
33
00
00
00
30
00
00
02
00
00
12
D70-
D77
Oth
er d
isea
ses
of b
loo
d a
nd
blo
od
-fo
rmin
g
org
an
s0
00
31
00
00
00
10
00
00
00
00
00
5
D80-
D89
Ce
rta
in d
isord
ers
invo
lvin
g t
he
imm
un
e
me
ch
an
ism0
00
01
00
00
00
00
00
00
00
00
00
1
Tota
l2
31
1515
11
00
03
83
45
14
04
90
21
82E0
0-E8
8 En
docr
ine,
nut
ritio
nal a
nd m
etab
olic
dise
ases
E0
0-E0
7D
isord
ers
of t
hyr
oid
gla
nd
00
01
20
00
00
01
00
00
00
00
00
04
E10-
E14
Dia
be
tes
me
llitu
s10
22
4127
23
00
17
219
105
62
54
136
95
190
E15-
E16
Oth
er d
isord
ers
of g
luc
ose
reg
ula
tion
an
d
pa
nc
rea
tic in
tern
al s
ec
retio
n0
00
01
00
02
02
30
10
00
01
00
10
11
E20-
E35
Diso
rde
rs o
f oth
er e
nd
oc
rine
gla
nd
s0
00
10
00
00
00
00
00
00
00
00
00
1E4
0-E4
6M
aln
utr
itio
n1
50
32
00
00
00
30
82
00
00
50
02
31E7
0-E9
0M
eta
bo
lic d
isord
ers
00
05
31
00
00
04
21
10
10
02
01
021
Tota
l11
72
5135
33
02
19
3211
208
63
55
206
117
258
G00
-G98
Dise
ases
of t
he n
ervo
us s
yste
mG
00-G
09In
flam
ma
tory
dise
ase
s o
f th
e c
en
tra
l ne
rvo
us
syst
em
12
118
32
10
00
32
06
30
31
15
01
053
G10
-G14
Syst
em
ic a
tro
ph
ies
prim
aril
y a
ffe
ctin
g t
he
c
en
tra
l ne
rvo
us
syst
em
00
00
10
00
00
00
00
00
00
00
00
01
G20
-G26
Extr
ap
yra
mid
al a
nd
mo
vem
en
t d
isord
ers
00
00
10
00
00
00
00
10
01
00
00
03
G30
-G32
Oth
er d
eg
en
era
tive
dise
ase
s o
f th
e n
erv
ou
s sy
ste
m0
00
10
00
00
01
11
00
00
01
00
21
8
G40
-G47
Episo
dic
an
d p
aro
xysm
al d
isord
ers
02
04
41
00
01
02
10
20
00
11
03
123
G60
-G64
Poly
ne
uro
pa
thie
s a
nd
oth
er d
isord
ers
of t
he
pe
riph
era
l ne
rvo
us
syst
em
00
01
00
00
00
00
00
00
00
00
00
01
G80
-G83
Ce
reb
ral p
alsy
an
d o
the
r pa
raly
tic s
yn-
dro
me
s0
00
22
00
10
00
50
10
00
00
01
20
14
G90
-G99
Oth
er d
isord
ers
of t
he
ne
rvo
us
syst
em
00
06
60
00
01
05
01
00
00
11
01
123
Tota
l1
41
3217
31
10
24
152
86
03
24
71
93
126
H00-
H59
Dise
ases
of t
he e
ye a
nd a
dnex
aH1
5-H2
2D
isord
ers
of s
cle
ra, c
orn
ea
, iris
an
d c
ilia
ry
bo
dys
10
00
00
00
00
00
00
00
00
00
00
01
25Statistics Botswana Botswana Causes of Mortality 2018 Stats Brief
App
endi
x 4
Con
t’d: C
ause
Of D
eath
By
ICD
10 Th
ree-
Cha
ract
er C
ateg
orie
s Lis
t And
Hea
lth D
istric
t, 20
18
ICD
10
Cod
eC
ause
of D
eath
Bobirwa
Boteti
Chobe
Francistown
Gaborone
Gantsi
Goodhope
Jwaneng
Kgalagadi
Kgalagadi
Kgatleng
Kweneng
Lobatse
Mahalapye
Ngamiland
North East
Okavango
Palapye
Selibe Phikwe
Serowe
South East
Southern
Tutume
Grand Total
I00-
I99
Dise
ases
of t
he c
ircul
ator
y sy
stem
I00-
I02
Ac
ute
rh
eu
ma
tic fe
ver
00
01
00
00
00
00
00
00
00
00
00
01
I05-
I09
Ch
ron
ic r
he
um
atic
he
art
dise
ase
s0
10
02
00
00
00
00
00
00
00
00
00
3
I10-
I15
Hyp
ert
en
sive
dise
ase
s8
23
7329
64
12
24
2417
96
72
64
1918
1121
278
I20-
I25
Isc
ha
em
ic h
ea
rt d
isea
ses
00
00
20
00
00
04
10
10
00
00
01
09
I26-
I28
Pulm
on
ary
he
art
dise
ase
an
d d
isea
ses
of
pu
lmo
na
ry c
ircu
latio
n0
00
46
20
20
21
22
20
01
00
20
01
27
I30-
I52
Oth
er f
orm
s o
f he
art
dise
ase
13
030
135
51
10
720
219
124
141
87
411
016
8
I60-
I69
Ce
reb
rova
scu
lar d
isea
ses
31
159
2610
42
11
921
318
72
33
06
418
320
5
I70-
I79
Dise
ase
s o
f art
erie
s, a
rte
riole
s a
nd
ca
pill
arie
s0
00
33
00
00
01
30
10
00
01
00
10
13
I80-
I89
Dise
ase
s o
f ve
ins,
lym
ph
atic
ve
sse
ls a
nd
ly
mp
h n
od
es,
no
t e
lsew
he
re c
lass
ifie
d0
00
41
00
00
00
00
10
00
00
20
00
8
I95-
I99
Oth
er a
nd
un
spe
cifi
ed
diso
rde
rs o
f th
e
circ
ula
tory
sys
tem
00
00
00
00
00
00
00
00
00
00
01
01
Tota
l12
74
174
8223
136
45
2274
2550
2613
2010
1336
2643
2571
3J0
0-J9
9 Di
seas
es o
f the
resp
irato
ry s
yste
m
J00-
J06
Ac
ute
up
pe
r re
spira
tory
infe
ctio
ns
01
00
11
00
00
10
00
00
00
00
01
05
J09-
J18
Influ
en
za a
nd
pn
eu
mo
nia
92
776
278
76
11
636
424
205
1310
639
913
633
5
J20-
J22
Oth
er a
cu
te lo
we
r re
spira
tory
infe
ctio
ns
00
00
10
10
00
31
01
00
10
00
00
08
J30-
J39
Oth
er d
isea
ses
of u
pp
er r
esp
irato
ry t
rac
t0
00
01
00
00
00
10
00
00
00
00
00
2
J40-
J47
Ch
ron
ic lo
we
r re
spira
tory
dise
ase
s0
20
75
70
00
45
221
63
22
31
118
81
98
J60-
J70
Lun
g d
isea
ses
du
e t
o e
xte
rna
l ag
en
ts0
00
30
00
00
00
00
10
00
00
10
00
5
J80-
J84
Oth
err
esp
irato
ry d
isea
ses
prin
cip
ally
aff
ec
t-in
g t
he
inte
rstit
ium
30
02
21
02
01
01
01
00
00
00
00
013
J85-
J86
Sup
pu
rativ
e a
nd
ne
cro
tic c
on
diti
on
s o
f lo
we
r re
spira
tory
tra
ct
10
02
10
01
00
01
01
00
00
00
00
07
J90-
J94
Oth
er d
isea
ses
of p
leu
ra1
00
11
20
00
10
31
10
00
01
12
00
15
J95-
J99
Oth
er d
isea
ses
of t
he
resp
irato
ry s
yste
m0
00
43
00
00
21
31
10
10
00
10
00
17
Tota
l14
57
9542
198
91
916
687
3623
816
138
5319
227
505
Botswana Causes of Mortality 2018 Stats Brief 26 Statistics Botswana
App
endi
x 4
Con
t’d: C
ause
Of D
eath
By
ICD
10 Th
ree-
Cha
ract
er C
ateg
orie
s Lis
t And
Hea
lth D
istric
t, 20
18
ICD
10
Cod
eC
ause
of D
eath
Bobirwa
Boteti
Chobe
Francistown
Gaborone
Gantsi
Goodhope
Jwaneng
Kgalagadi
Kgalagadi
Kgatleng
Kweneng
Lobatse
Mahalapye
Ngamiland
North East
Okavango
Palapye
Selibe Phikwe
Serowe
South East
Southern
Tutume
Grand Total
K00-
K92
Dise
ases
of t
he d
iges
tive
syst
emK2
0-K3
1D
isea
ses
of o
eso
ph
ag
us,
sto
ma
ch
a
nd
du
od
en
um
00
05
51
20
10
14
11
20
10
11
01
027
K35-
K38
Dise
ase
s o
f ap
pe
nd
ix0
00
13
00
00
00
20
00
00
00
20
00
8K4
0-K4
6H
ern
ia0
00
20
00
00
00
00
00
00
00
10
00
3K5
0-K5
2N
on
infe
ctiv
e e
nte
ritis
an
d c
olit
is0
00
01
00
00
00
00
00
00
00
00
00
1K5
5-K6
3O
the
r dise
ase
s o
f in
test
ine
s0
00
177
10
10
00
11
31
01
01
31
11
40K6
5-K6
7d
isea
se o
f pe
rito
ne
um
00
04
00
00
00
02
00
00
00
00
00
06
K70-
K77
Dise
ase
s o
f liv
er
31
114
62
01
00
413
32
40
04
18
34
175
K80-
K87
Diso
rde
rs o
f ga
llbla
dd
er,
bili
ary
tra
ct
an
d p
an
cre
as
00
03
60
00
00
06
04
00
00
12
04
127
K90-
K93
Oth
er d
isea
ses
of t
he
dig
est
ive
sy
ste
m0
01
74
10
01
02
20
21
10
00
30
00
25K9
0-K9
4O
the
r dise
ase
s o
f th
e d
ige
stiv
e
syst
em
00
00
00
01
00
00
00
00
00
00
00
01
Tota
l3
12
5332
52
32
07
305
128
12
44
204
103
213
27Statistics Botswana Botswana Causes of Mortality 2018 Stats Brief
App
endi
x 4
Con
t’d: C
ause
Of D
eath
By
ICD
10 Th
ree-
Cha
ract
er C
ateg
orie
s Lis
t And
Hea
lth D
istric
t, 20
18
ICD
10
Cod
eC
ause
of D
eath
Bobirwa
Boteti
Chobe
Francistown
Gaborone
Gantsi
Goodhope
Jwaneng
Kgalagadi
Kgalagadi
Kgatleng
Kweneng
Lobatse
Mahalapye
Ngamiland
North East
Okavango
Palapye
Selibe Phikwe
Serowe
South East
Southern
Tutume
Grand Total
L00-
L98
Dise
ases
of t
he s
kin
and
subc
utan
eous
tiss
ue
L00-
L08
Infe
ctio
ns
of t
he
ski
n a
nd
su
bc
uta
ne
ou
s tis
sue
00
02
00
00
00
00
01
60
00
10
00
010
L10-
L14
Bullo
us
diso
rde
rs0
00
30
00
00
00
00
00
00
00
00
00
3L5
0-L5
4U
rtic
aria
an
d e
ryth
em
a0
10
00
00
00
01
10
00
00
00
00
00
3L8
0-L9
9O
the
r diso
rde
rs o
f th
e s
kin
an
d
sub
cu
tan
eo
us
tissu
e0
00
32
10
01
03
00
00
10
20
00
11
15
Tota
l0
10
82
10
01
04
10
16
10
21
00
11
31M
00-M
99 D
iseas
es o
f the
mus
culo
skel
etal
sys
tem
and
con
nect
ive
tissu
es
M00
-M25
Art
hro
pa
thie
s0
00
20
00
00
00
10
01
01
00
00
00
5M
30-M
36Sy
ste
mic
co
nn
ec
tive
tiss
ue
diso
rde
rs0
00
22
00
00
00
00
00
00
00
00
00
4M
40-M
54D
ors
op
ath
ies
00
01
00
00
00
10
00
00
00
00
00
02
M60
-M79
Soft
tiss
ue
diso
rde
r0
00
13
00
00
00
00
00
00
00
00
00
4M
80-M
94O
ste
op
ath
ies
an
d c
ho
nd
rop
ath
ies
10
01
10
00
00
00
00
00
00
00
10
04
Tota
l1
00
76
00
00
01
10
01
01
00
01
00
19N
00-N
99 D
iseas
es o
f the
gen
itour
inar
y sy
stem
N
00-N
08G
lom
eru
lar d
isea
ses
00
02
00
00
00
00
00
00
00
00
00
02
N10
-N16
Re
na
l tu
bu
lo-in
ters
titia
l dise
ase
s1
01
141
00
00
00
20
10
00
00
10
00
21N
17-N
19R
en
al F
ailu
re8
22
5138
72
12
19
242
97
35
117
1311
1010
235
N20
-N23
Uro
lith
iasis
00
00
10
00
00
00
00
00
00
00
00
01
N25
-N29
Oth
er d
isord
ers
of k
idn
ey
an
d u
rete
r0
00
00
00
00
00
01
00
00
00
10
00
2N
30-N
39O
the
r dise
ase
s o
f urin
ary
sys
tem
11
03
01
00
00
03
01
11
00
03
02
118
N40
-N51
Dise
ase
s o
f ma
le g
en
ital o
rga
ns
01
16
20
11
10
02
04
20
00
00
02
124
N70
-N77
Infla
mm
ato
ry d
isea
ses
of f
em
ale
pe
lvic
o
rga
ns
00
00
10
00
00
00
00
00
00
10
00
02
N80
-N98
No
nin
flam
ma
tory
diso
rde
rs o
f fe
ma
le
ge
nita
l tra
ct
00
02
00
00
00
00
00
00
00
01
00
03
Tota
l10
44
7843
83
23
19
313
1510
45
118
1911
1412
308
Botswana Causes of Mortality 2018 Stats Brief 28 Statistics Botswana
App
endi
x 4
Con
t’d: C
ause
Of D
eath
By
ICD
10 Th
ree-
Cha
ract
er C
ateg
orie
s Lis
t And
Hea
lth D
istric
t, 20
18
ICD
10
Cod
eC
ause
of D
eath
Bobirwa
Boteti
Chobe
Francistown
Gaborone
Gantsi
Goodhope
Jwaneng
Kgalagadi
Kgalagadi
Kgatleng
Kweneng
Lobatse
Mahalapye
Ngamiland
North East
Okavango
Palapye
Selibe Phikwe
Serowe
South East
Southern
Tutume
Grand Total
O00
-O99
Pre
gnan
cy, c
hild
birth
and
the
puer
periu
mO
00-O
08Pr
eg
na
nc
y w
ith a
bo
rtiv
e o
utc
om
e0
00
58
00
00
00
31
10
00
00
00
00
18O
10-O
16O
ed
em
a, p
rote
inu
ria a
nd
h
ype
rte
nsiv
e d
isord
ers
in p
reg
na
nc
y,
ch
ildb
irth
an
d t
he
pu
erp
eriu
m
00
03
20
00
00
01
00
00
00
00
00
06
O20
-O29
Oth
er m
ate
rna
l diso
rde
rs
pre
do
min
an
tly re
late
d t
o p
reg
na
nc
y0
00
10
10
00
00
20
00
00
00
00
00
4
O30
-O48
Ma
tern
al c
are
rela
ted
to
th
e fe
tus
an
d a
mn
iotic
ca
vity
an
d p
oss
ible
d
eliv
ery
pro
ble
ms
00
01
10
00
00
01
01
10
00
00
00
05
O60
-O75
Co
mp
lica
tion
s o
f la
bo
ur a
nd
de
live
ry0
00
55
00
00
00
11
11
00
10
00
00
15O
85-O
92c
om
plic
atio
ns
pre
do
min
an
tly re
late
d
to t
he
pu
erp
eriu
m0
00
21
10
00
00
10
00
01
10
00
00
7
O94
-O99
Oth
er o
bst
etr
ic c
on
diti
on
s, n
ot
else
wh
ere
cla
ssifi
ed
10
04
51
10
00
15
01
00
00
01
00
020
Tota
l1
00
2122
31
00
01
142
42
01
20
10
00
75
29Statistics Botswana Botswana Causes of Mortality 2018 Stats Brief
App
endi
x 4
Con
t’d: C
ause
Of D
eath
By
ICD
10 Th
ree-
Cha
ract
er C
ateg
orie
s Lis
t And
Hea
lth D
istric
t, 20
18
ICD
10
Cod
eC
ause
of D
eath
Bobirwa
Boteti
Chobe
Francistown
Gaborone
Gantsi
Goodhope
Jwaneng
Kgalagadi
Kgalagadi
Kgatleng
Kweneng
Lobatse
Mahalapye
Ngamiland
North East
Okavango
Palapye
Selibe Phikwe
Serowe
South East
Southern
Tutume
Grand Total
P00-
P96
Cer
tain
con
ditio
ns o
rigin
atin
g in
the
perin
atal
per
iod
P00-
P04
Fetu
s a
nd
ne
wb
orn
aff
ec
ted
by
ma
-te
rna
l fa
cto
rs a
nd
by
co
mp
lica
tion
s o
f p
reg
na
nc
y, la
bo
ur a
nd
de
live
ry
00
00
00
10
00
00
00
00
00
00
00
01
P05-
P08
Diso
rde
rs re
late
d t
o le
ng
th o
f ge
sta
tion
a
nd
feta
l gro
wth
02
274
290
40
27
032
310
50
00
04
44
018
2
P20-
P29
Re
spira
tory
an
d c
ard
iova
scu
lar d
isord
ers
sp
ec
ific
to
pe
rina
tal p
erio
d1
20
2410
02
31
00
184
39
00
10
24
60
90
P35-
P39
Infe
ctio
ns
spe
cifi
c t
o t
he
pe
rina
tal
pe
riod
01
025
100
10
00
01
10
20
00
00
01
042
P50-
P61
Ha
em
orr
ha
gic
an
d h
ae
ma
tolo
gic
al
diso
rde
rs o
f fe
tus
an
d n
ew
bo
rn0
00
24
00
00
00
20
00
00
00
00
00
8
P75-
P78
Dig
est
ive
sys
tem
diso
rde
rs o
f fe
tus
an
d
ne
wb
orn
01
02
50
00
00
02
00
00
00
00
00
010
P80-
P83
Co
nd
itio
ns
invo
lvin
g t
he
inte
gu
me
nt
an
d t
em
pe
ratu
re re
gu
latio
no
f fe
tus
an
d
ne
wb
orn
00
00
10
00
00
00
00
00
00
00
00
01
P90-
P96
Oth
er d
isord
ers
orig
ina
ting
in t
he
pe
rina
-ta
l pe
riod
21
016
11
00
10
03
21
11
00
03
02
136
Tota
l3
72
143
601
83
47
058
1014
171
01
09
813
137
0Q
00-Q
99 C
onge
nita
l mal
form
atio
ns, d
iform
atio
ns a
nd c
hrom
osom
al a
bnor
mal
ities
Q00
-Q07
Co
ng
en
ital m
alfo
rma
tion
s o
f eye
, ea
r, fa
ce
an
d n
ec
k0
00
73
00
00
00
10
00
00
00
00
00
11
Q20
-Q28
Co
ng
en
ital m
alfo
rma
tion
s o
f th
e c
ircu
la-
tory
sys
tem
01
01
101
00
00
05
02
00
00
00
00
020
Q30
-Q34
Co
ng
en
ital m
alfo
rma
tion
s o
f th
e re
spira
-to
ry s
yste
m0
00
01
00
00
00
00
00
00
00
00
00
1
Q38
-Q45
Oth
er c
og
en
ital m
alfo
rma
tion
s o
f th
e
dig
est
ive
sys
tem
00
00
20
00
00
00
00
00
00
00
10
03
Q60
-Q64
Co
ng
en
ital m
alfo
rma
tion
s o
f th
e u
rina
ry
syst
em
00
01
00
00
10
01
20
00
00
00
11
07
Q80
-Q89
Oth
er c
on
ge
nita
l ma
lform
atio
ns
00
00
00
00
00
00
03
10
00
01
20
07
Q90
-Q99
Ch
rom
oso
ma
l ab
no
rma
litie
s, n
ot
else
-w
he
re ]
cla
ssifi
ed
00
00
30
00
00
01
00
00
00
00
02
06
Tota
l0
10
919
10
01
00
82
51
00
00
14
30
55
Botswana Causes of Mortality 2018 Stats Brief 30 Statistics Botswana
App
endi
x 4
Con
t’d: C
ause
Of D
eath
By
ICD
10 Th
ree-
Cha
ract
er C
ateg
orie
s Lis
t And
Hea
lth D
istric
t, 20
18
ICD
10
Cod
eC
ause
of D
eath
Bobirwa
Boteti
Chobe
Francistown
Gaborone
Gantsi
Goodhope
Jwaneng
Kgalagadi
Kgalagadi
Kgatleng
Kweneng
Lobatse
Mahalapye
Ngamiland
North East
Okavango
Palapye
Selibe Phikwe
Serowe
South East
Southern
Tutume
Grand Total
R00-
R99
Sym
ptom
s, s
igns
and
abn
orm
al c
linic
al a
nd la
bora
tory
find
ings
not
else
whe
re s
peci
fied
R00-
R09
Sym
pto
ms
an
d s
ign
s in
volv
ing
th
e
circ
ula
tory
an
d re
spira
tory
sys
tem
s0
00
21
10
00
03
00
00
00
00
10
10
9
R10-
R19
Sym
pto
ms
an
d s
ign
s in
volv
ing
th
e
dig
est
ive
sys
tem
an
d a
bd
om
en
00
04
10
00
00
43
01
10
10
12
00
018
R20-
R23
Sym
pto
ms
an
d s
ign
s in
volv
ing
th
e s
kin
a
nd
su
bc
uta
ne
ou
s tis
sue
00
01
00
00
00
00
00
00
00
00
00
01
R40-
R46
Sym
pto
ms
an
d s
ign
s in
volv
ing
co
gn
itio
n,
pe
rce
ptio
n, e
mo
tion
al s
tate
an
d
be
ha
vio
ur
00
00
00
00
00
01
00
00
00
00
01
02
R50-
R69
Ge
ne
ral s
ymp
tom
s a
nd
sig
ns
11
01
21
00
00
11
01
10
01
00
02
013
R70-
R79
Ab
no
rma
l fin
din
gs
on
exa
min
atio
n o
f b
loo
d,
with
ou
t d
iag
no
sis
00
00
00
00
00
10
00
00
00
00
00
01
R90-
R94
Ab
no
rma
l fin
din
gs
on
dia
gn
ost
ic im
ag
ing
an
d in
fun
ctio
n s
tud
ies,
with
-o
ut
dia
gn
osis
00
01
00
00
10
00
01
00
00
01
01
05
R95-
R99
Ill-d
efin
ed
an
d u
nkn
ow
n c
au
ses
of
mo
rta
lity
01
03
60
00
00
72
01
40
00
10
00
025
Tota
l1
20
1210
20
01
016
70
46
01
12
40
50
74
31Statistics Botswana Botswana Causes of Mortality 2018 Stats Brief
App
endi
x 4
Con
t’d: C
ause
Of D
eath
By
ICD
10 Th
ree-
Cha
ract
er C
ateg
orie
s Lis
t And
Hea
lth D
istric
t, 20
18
ICD
10
Cod
eC
ause
of D
eath
Bobirwa
Boteti
Chobe
Francistown
Gaborone
Gantsi
Goodhope
Jwaneng
Kgalagadi
Kgalagadi
Kgatleng
Kweneng
Lobatse
Mahalapye
Ngamiland
North East
Okavango
Palapye
Selibe Phikwe
Serowe
South East
Southern
Tutume
Grand Total
V01-
Y89
Exte
rnal
cau
ses
of m
orbi
dity
and
mor
talit
y V2
0-V2
9M
oto
rcyc
le ri
de
r in
jure
d in
tr
an
spo
rt a
cc
ide
nt
00
00
00
00
00
02
00
00
00
00
00
02
V40-
V49
Ca
r oc
cu
pa
nt
inju
red
in
tra
nsp
ort
ac
cid
en
t0
00
00
00
00
00
10
00
00
00
00
00
1
V50-
V59
Oc
cu
pa
nt
of p
ick-
up
tru
ck
or v
an
inju
red
in t
ran
spo
rt
ac
cid
en
t
00
00
00
00
00
01
00
00
00
00
00
01
V80-
V89
Oth
er l
an
d t
ran
spo
rt a
cc
ide
nts
00
015
40
00
00
02
02
00
00
00
00
023
V98-
V99
Oth
er a
nd
un
spe
cifi
ed
tr
an
spo
rt
ac
cid
en
ts
00
00
00
00
01
00
00
00
00
00
00
01
W00
-W19
Falls
00
01
00
00
00
01
00
00
00
00
00
02
W75
-W84
Oth
er a
cc
ide
nta
l th
rea
ts t
o
bre
ath
ing
00
00
10
01
00
00
00
00
00
01
00
03
X00-
X09
Exp
osu
re t
o s
mo
ke, fi
re a
nd
fla
me
s0
10
55
10
10
00
40
00
00
00
20
00
19
X20-
X29
Co
nta
ct
with
ve
no
mo
us
an
ima
ls a
nd
pla
nts
10
01
00
00
00
01
00
00
00
00
00
03
X40-
X49
Ac
cid
en
tal p
oiso
nin
g b
y a
nd
e
xpo
sure
to
no
xio
us
sub
sta
nc
es
00
31
00
00
00
00
00
00
01
05
10
112
X58-
X59
Ac
cid
en
tal e
xpo
sure
to
oth
er
an
d u
nsp
ec
ifie
d fa
cto
rs1
10
4148
00
00
00
71
31
10
12
20
22
113
X60-
X84
Inte
ntio
na
l se
lf-h
arm
00
11
12
00
00
00
11
00
10
01
00
09
X85-
Y09
Ass
au
lt0
10
54
00
00
00
00
00
00
00
00
00
10Y1
0-Y3
4Ev
en
t o
f un
de
term
ine
d in
ten
t0
00
00
00
00
00
00
00
01
10
00
10
3Y4
0-Y8
4C
om
plic
atio
ns
of m
ed
ica
l a
nd
su
rgic
al c
are
00
01
20
00
00
00
01
00
00
00
00
26
Tota
l2
34
7165
30
20
10
192
71
12
32
111
35
208
Gra
nd To
tal
103
5111
9778
913
486
4854
149
626
165
318
200
5910
512
490
332
160
227
120
5290
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