title: Deaths rates in public hospitals of eastern cape province of South Africa.
abstract: BACKGROUND
  South Africa (SA) is experiencing a rapid epidemiologic transition as a consequence of political, economic and social changes. In this study we described, based on hospital data, the mortality patterns of Non communicable Diseases (NCD), Communicable Diseases (CD), the NCD/CD ratios, and the trends of deaths.
  
  
  METHODS
  We conducted a cross-sectional survey of all deaths occurring in several public hospitals in the Eastern Cape Province of SA between 2002 and 2006. Causes of deaths were coded according to the ICD 10 Edition.
  
  
  RESULTS
  A total of 107380 admissions responded to the inclusion criteria between 2002 and 2006. The crude death rate was 4.3% (n=4566) with a mean age of 46±21 years and a sex ratio of 3.1 men (n=3453): 1 woman (n=1113). Out of all deaths, there were 62.9% NCD (n=2872) vs. 37.1% CD (n=1694) with NCD/CD ratio of 1.7. The ratio NCD/CD deaths in men was 1.3 (n=1951/1502) vs. NCD/CD deaths in women of 1.9 (n=735/378). The peak of deaths was observed in winter season. The majority of NCD deaths were at age of 30-64 years, whereas the highest rate of CD deaths was at age< 30 years. The trend of deaths including the majority of NCD, increased from 2002 to 2006. There was a tendency of increase in tuberculosis deaths, but a tendency of decrease in HIV/AIDS deaths was from 2002 to 2006.
  
  
  CONCLUSIONS
  Non-communicable diseases are the leading causes of deaths in rural Eastern Cape province of SA facing Post-epidemiologic transition stages. We recommend overarching priority actions for the response to the Non-communicable Diseases: policy change, prevention, treatment, international cooperation, research, monitoring, accountability, and re-orientation of health systems.
authors: Walter Sisulu University, Faculty of Health Sciences, Mthatha, Eastern Cap, South Africa.
authors: Dl
authors: D
authors: Buso
authors: B
authors: B
authors: Longo-Mbenza
authors: P
authors: P
authors: Bovet
authors: B
authors: B
authors: van den Borne
authors: A Nge
authors: AN
authors: Okwe
authors: M
authors: M
authors: Mzingelwa
keywords: Epidemiologic transition; Mortality; Non communicable diseases; South Africa
references: Circulation. 2001 Dec 4;104(23):2855-64
references: 11733407
references: BMC Public Health. 2009 Feb 02;9:47
references: 19187553
references: JAMA. 2004 Jun 2;291(21):2616-22
references: 15173153
references: AIDS. 1999 Jun 18;13(9):1091-7
references: 10397540
references: S Afr Med J. 2003 Sep;93(9):682-8
references: 14635557
references: Bull World Health Organ. 2007 Nov;85(11):880-5
references: 18038079
references: Int J Biometeorol. 2005 Jan;49(3):179-83
references: 15290433
references: Milbank Mem Fund Q. 1971 Oct;49(4):509-38
references: 5155251
references: S Afr Med J. 1995 Oct;85(10):1016-9
references: 8596965
references: Eur J Cardiovasc Prev Rehabil. 2008 Oct;15(5):503-8
references: 18830083
references: CMAJ. 2001 Oct 16;165(8):1033-6
references: 11699698
references: N Engl J Med. 2010 Dec 23;363(26):2530-9
references: 21175315
references: BMC Public Health. 2009 Sep 22;9:355
references: 19772598
references: Global Health. 2010 Apr 19;6:5
references: 20403167
references: S Afr Med J. 1989 Dec 16;76(12):672-5
references: 2595507
references: Health Serv Res. 1992 Aug;27(3):317-35
references: 1500289
references: Int J Cardiol. 1987 Jul;16(1):19-25
references: 3610394
references: PLoS Med. 2006 Sep;3(9):e344
references: 16953660
references: Lancet. 2008 Sep 13;372(9642):893-901
references: 18790312
references: Lancet. 2009 Sep 19;374(9694):1023-1031
references: 19709737
references: Acta Cardiol. 1988;43(2):133-9
references: 3259779
references: Glob Health Promot. 2010 Jun;17(2 Suppl):37-40
references: 20595339
references: Lancet. 2009 Sep 12;374(9693):934-47
references: 19709736
references: Global Health. 2009 Sep 14;5:9
references: 19751503
references: Lancet. 2006 May 27;367(9524):1747-57
references: 16731270
references: Int J Epidemiol. 2006 Dec;35(6):1522-9
references: 16997852
references: S Afr Med J. 1998 Aug;88(8):971-4
references: 9754208
references: Public Health Nutr. 2002 Feb;5(1A):157-62
references: 12027279