title: All-cause mortality and cardiovascular mortality in Kerala state of India: results from a 5-year follow-up of 161,942 rural community dwelling adults.
abstract: OBJECTIVE
  In India, Kerala has the best health indicators, having experienced dramatic shifts in mortality and fertility. However, the mortality pattern in Kerala has not been studied. In this article, the authors analyze and report the pattern of mortality in the PROLIFE cohort (n = 161,942).
  
  
  METHODS
  Data on death were collected through regular home visits using a pretested, structured questionnaire. The data were validated by a physician. The deaths were grouped under disease categories using ICD 10.
  
  
  RESULTS
  Out of 4271 deaths recorded during 5 years, diseases of the circulatory system contributed 40%. Coronary heart disease was the leading cause of death in men (31.1%) and women (17.6%). Age-standardized cardiovascular disease (CVD) death rates were 490 for men and 231 for women per 100,000 person years.
  
  
  CONCLUSIONS
  The burden of CVD deaths in this community now exceeds that of industrialized countries.
authors.affiliation: Health Action by People, Trivandrum, Kerala, India. crsoman@vsnl.com
authors.forename: C R
authors.initials: CR
authors.lastname: Soman
authors.forename: V R
authors.initials: VR
authors.lastname: Kutty
authors.forename: S
authors.initials: S
authors.lastname: Safraj
authors.forename: K
authors.initials: K
authors.lastname: Vijayakumar
authors.forename: K
authors.initials: K
authors.lastname: Rajamohanan
authors.forename: K
authors.initials: K
authors.lastname: Ajayan
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002318:Cardiovascular Diseases / Q000401:mortality*; D002423:Cause of Death; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D012424:Rural Population; D011795:Surveys and Questionnaires