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Vital Records

Civil Registration System (CRS) in India has been in vogue for more than 100 years now. The Registration of Births and Deaths Act, 1969 came into force in 1970. Even after 4 decades of the enactment of the Act, there are wide inter-state and intra-state variations. Our study is on Andhra Pradesh (AP), a South Indian state with a population of 84.6 million (Census of India, 2011) wherein the birth and death registrations varies from 23.2% - 148.6% registrations. We conducted an analysis of four (2007 - 2010) years civil registration data of AP.

Objective

1. To assess the district wise reporting and registrations of births and deaths in AP from 2007 - 2010. 2. To make an urban vs. rural comparison of proportions of these registrations. 3. To identify factors influencing civil registration in AP and steps for strengthening CRS.

Submitted by elamb on

Many studies have shown relationships between race/ethnicity and some birth defects. For example, white teenagers have higher rates of gastroschisis than African-American teenagers 1 , and transposition of great arteries is more prevalent in white than non-white children 2 .The Louisiana Birth Defects Monitoring Network (LBDMN) is a population-based surveillance system created in 2005. LBDMN actively collects information from multiple sources to track babies born with birth defects up to three years old in the state. Racial disparity in birth defects has never been evaluated using birth defects surveillance data in Louisiana. Findings from this study are expected to help LBDMN and Louisiana Children and Youth with Special Health Needs Program better understand variations in the prevalence of some birth defects among certain racial/ethnic groups in the state.

Objective

This study aimed to evaluate relationships between race/ethnicity and selected major birth defects using 2006-2008 Louisiana birth defects surveillance data.

Submitted by elamb on

Pakistan ranks 26th in Childhood mortality rates, globally. Pakistan, with other 4 countries is responsible for about half of the deaths of children age under 5. Despite such burden vital registration system is not well established, health facilities are not easily accessible and mostly deaths occur at home, making identification of cause of death (COD) difficult.

Objective

To identify Cause of deaths among children below age of 5years from a prospective cohort of women in one urban and four peri-urban settings of Karachi, Pakistan

 

Submitted by uysz on

There is a resurgence in the need to evaluate the economic burden of prescription drug hospitalizations in the United States. We used the Wisconsin 2014 Hospital Discharge data to examine opioid related hospitalization incidence and costs. Fentanyl, a powerful synthetic opioid, is frequently being used for as an intraoperative agent in anesthesia, and post-operative recovery in hospitals. According to a 2013 study, synthetic Fentanyl is 40 times more potent than heroin and other prescription opioids; the strength of Fentanyl leads to substantial hospitalizations risks. Since, 1990 it has been available with a prescription in various forms such as transdermal patches or lollipops for treatment of serious chronic pain, most often prescribed for late stage cancer patients. There have been reported fatal overdoses associated with misuse of prescription fentanyl. In Wisconsin number of total opioid related deaths increased by 51% from 2010 to 2014 with the number of deaths involving prescription opioids specifically increased by 23% and number of deaths involving heroin increased by 192%. We hypothesized that opioids prescription drugs, as a proxy of Fentanyl use, result in excessive health care costs.

Objective

In this paper we used hospital charges to assess costs incurred due to prescription drug/opioid hospitalizations

Submitted by elamb on
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