title: Mortality in Cambodia: an 18-month prospective community-based surveillance of all-age deaths using verbal autopsies.
abstract: To estimate the 2009-2010 death rates, causes, and patterns of mortality in rural Cambodia, we conducted active, population-based death surveillance in 25 rural villages of Cambodia from March 2009 to August 2010. Among the population of 28,053 under surveillance, 280 deaths were reported and explored by physician-certified verbal autopsies, using the International Classification of Diseases 10, yielding an overall mortality rate (MR) of 6.7/1000 persons-year (95% CI 5.74-7.68). The MR was 39.1/1000 live births for those younger than 5 years old. Infants accounted for 5.4% of all deaths. In children younger than 5 years, infectious and parasitic diseases were the leading causes of death. In children 5 to 14 years, 3 out of 4 deaths were due to injuries. Adult deaths were mainly attributed to noncommunicable diseases (52%). We conclude that this rural population is facing a substantial burden of noncommunicable diseases while still struggling with infectious diseases, respiratory diseases in particular.
authors.affiliation: Institut Pasteur-Cambodia, Phnom Penh, Cambodia sophiegoyet@gmail.com.
authors.forename: Sophie
authors.initials: S
authors.lastname: Goyet
authors.affiliation: Institut Pasteur-Cambodia, Phnom Penh, Cambodia.
authors.forename: Blandine
authors.initials: B
authors.lastname: Rammaert
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Margaret
authors.initials: M
authors.lastname: McCarron
authors.affiliation: Institut Pasteur-Cambodia, Phnom Penh, Cambodia.
authors.forename: Virak
authors.initials: V
authors.lastname: Khieu
authors.affiliation: Institut Pasteur-Cambodia, Phnom Penh, Cambodia.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Fournier
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Paul
authors.initials: P
authors.lastname: Kitsutani
authors.affiliation: Institut Pasteur-Cambodia, Phnom Penh, Cambodia.
authors.forename: Sowath
authors.initials: S
authors.lastname: Ly
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Anthony
authors.initials: A
authors.lastname: Mounts
authors.affiliation: International Vaccine Institute, Seoul, Republic of Korea.
authors.forename: William G
authors.initials: WG
authors.lastname: Letson
authors.affiliation: Institut Pasteur-Cambodia, Phnom Penh, Cambodia.
authors.forename: Philippe
authors.initials: P
authors.lastname: Buchy
authors.affiliation: Institut Pasteur-Cambodia, Phnom Penh, Cambodia.
authors.forename: Sirenda
authors.initials: S
authors.lastname: Vong
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001344:Autopsy / Q000379:methods*; D002160:Cambodia / Q000453:epidemiology; D002423:Cause of Death; D002648:Child; D002675:Child, Preschool; D003141:Communicable Diseases; D006801:Humans; D007223:Infant; D008875:Middle Aged; D011159:Population Surveillance; D011446:Prospective Studies; D012424:Rural Population; D055815:Young Adult
keywords: Cambodia; mortality; rural health; verbal autopsy