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PREFACE

Health Statistics from the Americas, 2006 Edition is the sixth in a series begun in 1991 to complement the quadrennial publication Health in the Americas. This is the second edition to be produced only in an electronic format, and includes a special topic on the ten leading causes of death in 31 countries of the Americas.

The 2006 edition contains mortality data for all country-years received after publication of the 2003 Edition of this series. This volume presents a large number of country-years of available data —155 data years from 42 countries. It includes 45 country-years of mortality data coded with the Ninth Revision (ICD-9) and 110 Country-years with the Tenth Revision (ICD-10). These data are presented for cause groups according to the PAHO 6/61 List for tabulation of ICD-9 and the PAHO 6/67 List for tabulation of ICD-10 coded mortality.

As countries strive to meet the growing demands for good data to monitor progress towards the Millennium Development Goals (MDGs), mortality data have become a key component with two MDGs expressing targets in terms of mortality.

The publication serves to display the extensive availability of detailed mortality data in countries of the Americas. It also highlights the importance of addressing deficiencies in data coverage and quality in order to improve the reliability and usefulness of registered mortality information. Despite improvements over the years, much more needs to be done to strengthen the civil registration and vital statistics systems in countries where they are deficient.

The Pan American Health Organization gratefully acknowledges the continued cooperation and support of its Member States in providing this information for dissemination. I am confident that this information can contribute toward health situation analyses used by policymakers to make decisions that improve the health of the populations of the Americas.

Mirta Roses Periago
Director

pdf  Contents

pdf Preface

pdf  Technical Notes


 Special Topic:
pdf  The leading causes of death in selected countries of the Americas.

Graphs

Table 1

pdf pdf Table 1

pdf pdf Table 2

 

Chapter I:
pdf  Average deaths and estimated rates per 100,000 population from selected groups of causes, by age group, sex, and country, around 1985 and last three years available.

Chapter II:
pdf  Deaths and estimated rates per 100,000 population by age group and sex, and male:female ratio, for cause groups of the PAHO 6/61 List (ICD-9), by country and year.

Chapter III:
pdf  Deaths and rates per 100,000 population by age group and sex, and male:female ratio, for broad cause groups of the PAHO 6/61 List (ICD-9), by country and year.

Chapter IV:
Deaths and estimated rates per 100,000 population by age group and sex, and male: female ratio, for cause groups of the PAHO 6/67 List (ICD-10), by country and year
pdf  Argentina—Dominican Republic
pdf  Ecuador—Venezuela

Chapter V:
pdf  Deaths and rates per 100,000 population by age group and sex, and male:female ratio, for broad cause groups of the PAHO 6/67 List (ICD-10), by country and year.

Chapter VI:
pdf  Selected Demographic Estimates and Projections.

pdf  Annex Tables


Prefacio 

The Secretariat of the Pan American Health Organization has a constitutional responsibility to report to the Pan American Sanitary Conference on health conditions and trends in the Region. Such is the principal purpose of this 2007 edition of Health in the Americas. It offers an updated, comprehensive presentation of the health situation throughout the hemisphere generally and specifically in the 46 countries and territories of the Americas,and it describes and analyzes the progress, constraints, and challenges of PAHO Member States in their efforts to improve the health of the peoples of the Region.

As a health agency, our core discipline is epidemiology, which enables us to measure, define, and compare health problems and conditions and their distribution from the perspectives of population, geography, and time.This publication addresses the issue of health as a human right, taking into account both the individual and community contexts, and examines various critical determinants of health, including those of a biological, social, cultural, economic, and political nature. That examination reveals the existence of gaps, disparities, and inequities that persist in our Region, especially those related to access to basic services, health, nutrition, housing, and adequate living conditions as well as to the lack of opportunities for human development—all of which contribute to the greater vulnerability to diseases and health risks of some population groups.

Therefore, in addition to the Secretariat’s institutionally specific remit to describe and analyze health problems and the response of the health sector to those problems, we have chosen to frame our analysis in the context of the universal commitment to the Millennium Development Goals of reducing hunger and poverty, promoting gender equity in opportunities for education, preventing and controlling diseases, managing and furthering cooperation among countries, and creating and strengthening subregional and intersectoral partnerships between governments and civil society as necessary conditions to achieve better health for the peoples of the Americas.

Production of this publication has been a major and complex undertaking of more than 500 of the Secretariat’s staff members. In the course of their work, they have consulted countless sources, both official and unofficial, to compile this compendium of information; consequently, some discrepancies in the presentation of data may have occurred. It bears noting, moreover, that the quality of information from the countries varies considerably and that it was impossible to obtain from some of them within-country disaggregations of data that would enable measurement of disparities in the health status of specific population groups. Nonetheless, this regional panorama expresses our commitment to work with the countries to address the unfinished agenda of unnecessary, preventable deaths of mothers, children, and other vulnerable population groups; to continue and renew efforts to sustain achievements in health, such as the elimination of diseases preventable by immunization;and to tackle ongoing and future challenges such as,among others, HIV/AIDS, multiresistant tuberculosis, juvenile violence, and new forms of bioterrorism.

In our determination to add value to the information we provide our readers, this edition of Health in the Americas offers some new features such as individual highlights of each country’s efforts to deal with a specific national health problem,and several other features described in the note to our readers. And, in our continuing attempts to broaden the reach of our information and to capitalize on changing technologies for the benefit of our readers, we are publishing this edition of Health in the Americas in print,online,and other digital platforms.

Along with the description and analysis of regional health conditions, this edition provides the perspectives of 10 internationally renowned experts regarding the “Health Agenda for the Americas, 2008-2017,” an initiative of the countries of the Region launched on the occasion of the XXXVII General Assembly of the Organization of American States (Panama City, 3 June 2007), the aim of which is to pursue over the coming decade an integrated, collective enterprise to attain the health goals of the Region.

In closing, we aver that this latest in a series of 14 editions of our flagship publication gathers facts and presents intelligence with regard to health in the Americas, by providing analysis, perspec- tives, and context as accurately, fairly, and authoritatively as possible. We hope that our readers will bear in mind that behind every number and every statistic in this publication is the life of a girl, a boy, a woman, or a man living in some corner of the Region. We further hope that the 2012 edition of the publication will bring news of the countries’ great progress in their common covenant to attain better health and longer, fuller, more fruitful lives for all the peoples of the Americas, especially those who thus far have been excluded from the benefits of development.

Mirta Roses Periago
Director


Note to our Readers 

This edition of Health in the Americas introduces a number of changes to previous editions.

The Regional Volume includes an opening chapter that provides an overview of health in terms of the Millennium Development Goals; of the health status continuum—the unfinished agenda, the protection of health gains, and the confrontation of emerging threats; and of the national and international health sector response to that health status. Also added is a final chapter that contemplates a vision of the future of public health in the Region in the context of the Health Agenda for the Americas, 2008 - 2017, with commentaries from a number of distinguished international experts. Each of the intervening chapters commences with an introductory summary, which is set off from the main text with a different format. Color is used throughout the volume to assure the clarity of graphic material. Finally,as one of the main purposes of the series Health in the Americasis to trace regional trends in health conditions and health systems over time, complementing this edition are quotations from the Directors of the Organization—from Hugh S.Cumming in the 1920s to Mirta Roses Periago in the 21st century— that are germane to the subjects of the various chapters.

The Country Volume presents maps of each country and territory, as well as short notices that highlight a specific health challenge and the response of the national health sector to that challenge.

Throughout both volumes,text boxes are introduced to provide additional material; figures and tables are inserted as close as possible to their in-text mention; and bibliographic references are included.

We hope that these editorial enhancements will serve both to interest and to enlighten you, our readers.


Regional Volume

Complete Download

Contents
regional volume

An overview of regional health

Chapter 1:
Health in the context of development

Chapter 2:
Health conditions
and trends

Chapter 3:
Sustainable development and environmental health

Chapter 4:
Public policies
and health systems and services

Chapter 5:
Health and internacional cooperation

Chapter 6:
Prospects for
regional health

Contributors

Acronyms


Country Volumes

 

Anguilla
Antigua and Barbuda
Argentina
Aruba
Bahamas
Barbados
Belize
Bermuda
Bolivia
Brazil (Portuguese Version)
British Virgin Islands
Canada
Cayman Islands
Chile
Colombia
Costa Rica
Cuba
Dominica
Dominican Republic
Ecuador
El Salvador
French Guiana, Guadeloupe and Martinique (French Departments in French)
Grenada

  Guatemala
Guyana
Haiti (Version in French)
Honduras
Jamaica
Mexico
Montserrat
Netherlands Antilles
Nicaragua
Panama
Paraguay
Peru
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines Suriname
Trinidad and Tobago
Turks and Caicos Islands
United States of America
Uruguay
Venezuela
United States-Mexico Border Area

 


Communicable Diseases and Environmental Determinants of Health
www.paho.org/cde