MEDICAL CERTIFICATION OF CAUSES OF DEATH (MCCD)

Office of the Addl. Chief Registrar of Births & Deaths & Directorate of Economics & Statistics Planning & Programme Implementation Department Government of Mizoram 2018 MEDICAL CERTIFICATION OF CAUSES OF DEATHS (MCCD) MIZORAM 2018

Publisher :

Addl. Chief Registrar of Births & Deaths, & Directorate of Economics & Statistics, Planning & Programme Implementation Department, Government of Mizoram.

Printed at Mizoram Gov’t. Press

Copyright © : Publisher

Log on to : http://des.mizoram.gov.in Mail to : [email protected] Table of Contents

Preface (i)

MCCD at a Glance (ii) - (v)

Total numbers of Medically Certified Deaths for the last ten years (vi)

List of Hospitals / Institutions Submitting MCCD Montly Returns During 2018 (vii)

Index (viii)

Medically Certified Deaths by Age and Sex According to National list of 1 - 33 Tenth Revision of ICD

Time series data on MCCD (Major Group Wise Classification) 34 - 36 (i)

The current publication on Medical Certification of Causes of Death (MCCD) for the year 2018 in respect of Mizoram is the fourteenth in the series. The report in its present form is the out put of data processed in software designed and supplied by the Office of the Registrar General, Ministry of Home Affairs, Government of , New Delhi. Data in the present report of MCCD are coded in accordance with the 10th Revision of International Classification of Diseases. The report has been prepared exclusively on the basis of data on institutional deaths . In domiciliary cases MCCD is not reported, the readers of this report may bear in mind that this study is confined to 108 Hospitals / Institution which submit Monthly Returns on MCCD. I would like to express my appreciation to Officers and Staff of the Registration of Birth & Death (RBD) Section of this Directorate for their untiring efforts in coding and processing of the data and my gratitude to all the Medical Officers of Health & Family Welfare Department, Govt. of Mizoram and Private Institutions. It is hoped that this report will serve as an useful tool for policy makers relating to health sectors, socio economic planners, health planners, researchers, scholars etc. Suggestions for further improvement of the report is welcomed.

Dated Aizawl, (LALRIKHUMA SAILO) st the 21 May, 2019. Addl. Chief Registrar of Births & Deaths & Director, Economics & Statistics, Mizoram : Aizawl. (ii)

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MCCD AT A GLANCE

Medical Certification of Cause of Death (MCCD) scheme was proposed by WHO as an imperative tool to obtain scientific and reliable information in terms of causes of mortality. The scheme formulated by office of the Registrar General, India is a big step towards establishment of a system in the country for obtaining data on cause of death. Reliable cause specific mortality statistics is required on a regular basis by Administrators, Policy Planners, Researchers and other Professionals for evidence based decision making with regard to resource allocation, monitoring of indicators, identifying the Priorities for programmes and other related activities in the area of Public Health. Keeping this in view, the Scheme of Medical Certification of Cause of Death was introduced in the Country under the provisions of Registration of Births and Deaths Act, 1969. Section 10 (2) of the Act empowers the State Government to enforce the provision relating to MCCD in specified areas taking into consideration the availability of medical facilities. Section 10 (3) of the Act provides for issuing a certificate of the cause of death by the medical practitioner who has attended on the deceased at the time of death.

The necessary data is collected in the Prescribed form designed by World Health Organization (WHO) and are supposed to be filled-up by the medical professionals attending to the deceased at the time of terminal illness. Thereafter, these forms are to be sent to the Office of the Addl. Chief Registrar for tabulation as per National List based on International Classification of Death (ICD 10). The State subsequently send it to the Office of the Registrar General, India, Ministry of Home affairs, Govt. of India.

The report on Medical Certification of Cause of Death 2018 is based upon 3,280 (2,149 Males and 1,131 Females) medically certified deaths supplied by 108 Government and Private Hospitals, UPHC,CHC,PHC. who submitted Monthly Returns on MCCD. (iii)

During 2018, 2,149 Males and 1,131 Females deaths were recorded in the MCCD in Mizoram. The classification of medically certified deaths by leading causes as per International Classification of Disease 10th revision is presented as under. Group No. of Persons Name of Disease Group No Male Female Total 1 2 3 4 5 I Certain Infectious And Parasitic Diseases (A00-B99) 316 182 498 II Neoplasms (C00-D48) 245 162 407 Diseases of the blood and blood-forming organs and certain disorders involving the immune III 6 7 13 Mechanism (D50-D89) IV Endocrine,Nutritional and Metabolic Diseases.(E00-E89) 28 14 42 V Mental and Behavioural Disorders. (F01-F99) 14 0 14 VI Diseases of the nervous system. (G00-G98) 32 50 82 VII Diseases of the eye and adnexa. (H00-H59) 0 0 0 VIII Diseases of the ear and mastoid process. (H60-H95) 0 0 0 IX Diseases of the circulatory system. (I00-I99) 353 169 522 X Diseases of the respiratory system. (J00-J98) 243 195 438 XI Diseases of the digestive system. (K00-K92) 520 120 640 XII Diseases of the skin and subcutaneous tissue. (L00-L98) 5 1 6 XIII Diseases of the musculoskeletal system and connective tissue. (M00-M99) 0 5 5 XIV Diseases of the genitourinary system. (N00-N99) 127 51 178 XV Pregnancy,childbirth and the puerperium. (O00-O99) - 7 7 XVI Certain Conditions originating in the perinatal period. (P00-P96) 87 86 173 XVII Congenital malformation, deformations and chromosomal abnormalities (Q00-Q99) 14 7 21 XVIII Symptoms,signs and abnormal, clinical and laboratory findings not elsewhere classified (R00-R99) 72 48 120 XIX Injury,poisoning and certain other consequences of external causes (S00-T98) 72 25 97 XX External causes of morbidity and mortality (V01-Y89) 15 2 17 ALL CAUSES 2,149 1,131 3,280 (iv)

The following are seven leading cause constituting around 87 % of total medically certified deaths:

I. Diseases of the digestive system (19.5 %). II. Diseases of the Circulatory system (15.9 %). III. Certain Infectious and Parasitic Diseases (15.2 %). IV. Diseases of the Respiratory system (13.1 %). V. Neoplasm (12.4 %). VI. Diseases of the genitourinary system (5.4 %) VII. Certain Conditions originating in the perinatal period (5.3 %).

Top leading cause group during 2018 are Diseases of the digestive system contributing 19.5 % of the total death. Diseases of the Liver (Alcoholic, Toxic, Hepatitis, Cirrhosis & other diseases of liver) 15.3 % of the total death.

The Second leading cause group Diseases of the circulatory system accounting for 15.9 % of the total medically certified deaths. Cerebrovascular diseases account for 5.1 %. Hypertensive and Ischemic heart diseases accounts for 2.8 % of total medically certified deaths.

The third leading cause group Certain Infectious and Parasitic Diseases 15.2 %. Human immunodeficiency virus HIV contributing 5.2 % , Septicemia 4.8 of total medically certified deaths.

Under the fourth leading group Diseases of the respiratory system is mainly constituted by Lower respiratory diseases & Pneumonia. Under this major group, the share of these two diseases are 9.7 %. Lower respiratory diseases alone accounts for 5.9 % and Pneumonia 3.7 % of the total medically certified deaths. (v)

  Neoplasms (cancer) which is the fifth leading 12.4 % of the total medically certified deaths, of which Malignant Neoplasm of digestive organs (oesophagus, Stomach, colon, rectum, anal, liver & bile, pancreas) accounts for 5.4 %. Malignant neoplasm of respiratory and intrathoracic organs,(Ttrachea, bronchus & lung, Intrathoracic organs) account for 2.4 %.

The major group Diseases of the genitourinary system (Renal (Kidney) failure & Urinary System) is the six leading cause of death, contribute 5.4 % of the total medically certified deaths.

 The group of diseases relating to Certain conditions originating in the Perinatal Period is the seventh leading cause of death, birth asphyxia, birth injury, slow growth, malnutrition, pneumonia, congenital viral diseases, sepsis of new born, jaundice, hypoxia, and other Respiratory Conditions accounting for 5.3 %. (vi)

Total Numbers of Medically Certified Deaths for the Last Ten Years

Year 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009

1 2 4 5 6 7 8 9 10 11 12

Male 2,149 2,062 1,824 1,871 1,953 1,639 1,837 1,701 1,662 1,828

Female 1,131 972 880 908 1,059 941 978 840 923 1097

Total 3,280 3,034 2,704 2,779 3,012 2,580 2,815 2,541 2,585 2,925 (vii)

LIST OF HOSPITALS / INSTITUTIONS SUBMITTED MCCD MONTHLY RETURNS DURING 2018. Total Numbers of Hospitals / Institutions = 108. Total Numbers of Hospitals / Institutions Submitted Reports = 108. Mamit District 9. Care Hospital & Research Hospital 7. Borapansury PHC. 1. Kanhmun PHC. Centre, Aizawl. 1. District Hospital, Champhai. 8. Lawngpuighat PHC. 2. Rawpuichhip PHC. 10. New Life Hospital, Aizawl. 2. Biate CHC. 9. Lungpher PHC. 3. Khawzawl CHC. 3. Marpara PHC. 11. Aizawl Hospital & Research Centre. Lunglei District 12. BN Hospital, Aizawl. 4. PHC. 4. Kawrtethawveng PHC. 1. Civil Hospital, Lunglei. 5. W. Phaileng PHC. 13. Alpha Hospital, Aizawl. 5. Khawhai PHC. 6. PHC. 2. Christian Hospital, Serkawn. 6. Zawlnuam PHC. 14. Bethesda Hospital, Aizawl. 7. NE Khawdungsei PHC. 3. Hnahthial CHC. 7. Reiek PHC. 15. Nazareth Hospital, Chaltlang. 8. PHC. 4. Cherhlun PHC. 8. Kanghmun PHC. 16. Saitual CHC. 9. Sialhawk PHC. 5. Lungsen PHC. 9.District Hospital, Mamit. 17. Thingsulthliah CHC. 10. CHC. 6. Chhipphir PHC. 10.Phuldungsei PHC. 18. Lengpui CHC. 11. PHC. 7. Tawipui PHC. 11. Kawrthah CHC. 19. Chawlhhmun UPHC. 12.Bungzung PHC. 8. Bunghmun PHC. Kolasib District 20. Aibawk PHC. 13. PHC. 9. Pangzawl PHC. 1. District Hospital, Kolasib. 21. Khawruhlian PHC. 14. PHC. 10. Hrangchalkawn UPHC. 2. Vairengte CHC. 22 Phuaibuang PHC. 15. PHC. 11. Tlabung Hospital. 3. Bilkhawthlir PHC. 23. Phullen PHC. Serchhip District 12. Sazaikawn UPHC. 4. Kawnpui PHC. 24. Darlawn PHC. 1. District Hospital, Serchhip. 13. Haulawng PHC. 5. Bukpui PHC. 25. Sakawrdai CHC. 2. Thenzawl CHC. 14. S. Vanlaiphai PHC. 6. Lungdai PHC. 26. Sihphir UPHC. 3. Chhingchhip PHC. 15. Buar pui PHC. 7. Bairabi PHC. 27. Sairang PHC. 4. Ngentiang PHC. 16. John William Hospital, Lunglei Aizawl District 28. Hlimen UPHC. 5. East Lungdar PHC. 17. Hope Hospital, Lunglei. 6. Khawlailung PHC. 1. Civil Hospital, Aizawl. 29. ITI UPHC. 7. N. Vanlaiphai PHC. Saiha District 2. Kulikawn Hospital, Aizawl. 30. Lawipu UPHC. 1. District Hospital, Saiha. 3. Mizoram State Cancer Institute. Lawngtlai District 31. Sialsuk PHC. 2. Maraland Gospel Centenary Hospital, 4. Referral Hospital, Falkawn. 32. Zemabawk UPHC. 1. District Hospital, Lawngtlai. 2. Lairam Christian Medical Centre. Saiha. 5. Synod Hospital, Durtlang. 33. Suangpuilawn PHC. 3. Chakhang PHC. 6. Green Wood Hospital, Aizawl. 3. BCM Christian Hospital, Lawngtlai. 34. Nazareth Hospital, Ramhlun ‘N’ 4. Chawngte CHC. 4. Tuipang PHC. 7. Adventist Hospital, Aizawl. 35. LRM Hospital, Ramhlun. 5. Bualpui NG PHC. 5. Chhuarlung PHC. 8. Grace Nursing Home, Aizawl. 36. City Hospital, Mission veng. 6. Bungtlang ‘S’. 6. Phura PHC. (viii)

Major ICD Group Causes of Death Code Page No No I Certain Infectious and Parasitic Diseases. (A00 – B99) 1 - 5 II Neoplasms. (C00 – D48) 6 - 11 Diseases of the blood and blood forming organs and certain disorders involving the III 11 immune Mechanism. (D50 – D89) IV Endocrine, Nutritional and Metabolic Diseases. (E00 – E89) 11 - 12 V Mental and Behavioural Disorders. (F01 – F99) 12 - 13 VI Diseases of the Nervous System. (G00 - G98) 13 - 14 VII Diseases of the eye and adnexa.. (H00 - H59) 14 VIII Diseases of the ear and mastoid process. (H60 - H95) 14 IX Diseases of the circulatory system. (100 – 199) 15 - 17 X Diseases of the respiratory system. (J00 – J98) 17 - 18 XI Diseases of the Digestive system. (K00 - K92) 18 - 20 XII Diseases of the skin and subcutaneous tissue. (L00 – L98) 20 XIII Diseases of the musculoskeletal system and connective tissue. (M00 - M99) 20 - 21 XIV Diseases of the genitourinary system. (N00 – N99) 21 - 22 XV Pregnancy, childbirth and the puerperium. (O00 - O99) 22 - 23 XVI Certain conditions originating in the perinatal period. (P00 – P96) 23 - 24 XVII Congenital malformation, deformations and chromosomal abnormalities. (Q00 - Q99) 24 XVIII Symtoms, signs and abnormal, clinical and laboratory findings not elsewhere classified. (R00 - R99) 25 XIX Injury, poisoning and certain other consequences of external causes. (S00 - T98) 26 - 29 XX External causes of morbidity and mortality. (V01 - Y89) 29 - 33 Time series data on MCCD (Major Group Wise Classification) - 34 - 36 - 1 -

Abbrevation MG=Major Group, Cat=Categories, Sc=Sub-Categories.

MEDICALLY CERTIFIED DEATHS BY AGE AND SEX ACCORDING TO NATIONAL LIST OF TENTH REVISION OF INTERNATIONAL CLASSIFICATION OF DISEASES

MG/ AGE GROUPS CAUSE OF DEATH Sex Cat/ SC < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Certain Infectious And Parasitic M 13 8 6 32 57 72 67 18 11 30 2 316 I Diseases (A00-B99) F 11 6 7 22 33 34 29 13 8 19 0 182

Intestinal infectious diseases M 100022201109 1 (A00-A09) F 100001120308

M 000000000000 1 Cholera (A00) F 000000000000

Typhoid Fever and paratyphoid M 000000000000 2 fevers (A01) F 000000000101

M 000000000000 3 Food Poisoning (A02,A05) F 000000000000

M 000000000000 4 Shigellosis (A03) F 000000000000

M 000000000000 5 Amoebiasis (A06) F 000000000000

M 100022200108 Diarrhoea and gastroenteritis of 6 persumed infectious origin (A09) F 100001120207 - 2 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC

Other intestinal infectious diseases M 000000001001 7 (A04,A07-A08) F 000000000000

M 0 1 0 5 15 9 16 2 2 6 0 56 2 Tuberculosis (A15-A19) F 0 0 0 5 4 3 2 4 1 3 0 22

Respiratory tuberculosis M 0 0 0 2 10 5 8 1 1 5 0 32 1 (A15-A16) F 0 0 0 2 2 2 1 3 0 1 0 11

Tuberculosis of nervous system M 010011300006 2 (A17) F 000010100002

Tuberculosis of other organs & M 0 0 0 3 4 3 5 1 1 1 0 18 3 miliary tuberculosis (A18-A19) F 000311011209

Other Bacterial diseases M 11 6 3 10 7 19 13 8 2 12 1 92 3 (A20-A49) F 10 6 1 10 6 7 10 2 6 9 0 67

M 000000000000 1 Plague (A20) F 000000000000

M 000000000000 2 Leprosy (A30) F 000000000000

M 000000000000 3 Neonatal tetanus(A33) F 000000000000

M 000000000000 4 Other tetanus(A34-A35) F 000000000000 - 3 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC M 000000000000 5 Diphtheria (A36) F 000000000000

M 000000000000 6 Whooping cough (A37) F 000000000000

M 000000000000 7 Meningococcal infection (A39) F 000000000000

M 11 6 3 10 7 19 13 8 1 12 1 91 8 Septicaemia (A40-A41) F 10 6 1 9 6 7 10 2 6 9 0 66

All other types of bacterial diseases M 000000001001 9 (A21-A28,A31-A32,A38,A42-A49) F 000100000001

Infections with a predominantly M 000000000000 4 sexual mode of transmission (A50-A64) F 000000000000

M 000000000000 1 Syphilis(A50-A53) F 000000000000

Other types of infections with a M 000000000000 2 predominantly sexual mode of transmission (A54-A64) F 000000000000

Viral diseases (A70-A74 & A80- M 1 0 0 14 30 35 31 6 5 7 1 130 5 B34) F 0 0 3 4 21 22 16 2 0 3 0 71

M 000000000000 1 Acute poliomyelitis (A80) F 000000000000 - 4 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC M 000000100001 2 Rabies (A82) F 000000000000

M 000000200002 3 Japanese encephalitis (A83.0) F 000000000000

Other viral encephalitis M 000000000000 4 (A83.1-A83.9,A84-A86) F 003000000205

M 000000000000 5 Dengu fever (A90) F 000000000000

Other arthropod-borne viral fevers M 000000000000 6 and viral haemorrhagic fevers (A91- A94,A96-A99) F 000000000000

M 000000000000 7 Smallpox (B03) F 000000000000

M 000000000000 8 Measles (B05) F 000000000000

M 000100000001 9 Acute Hepatitis-B (B16) F 000010000001

Other viral hepatitis M 0 0 0 4 1 2 3 0 0 4 0 14 10 (B15,B17-B19) F 000010200104

Human immunodeficiency M 1 0 0 8 28 33 26 6 5 3 1 111 11 virus[HIV] disease (B20-B24) F 0 0 0 4 19 22 13 2 0 0 0 60 - 5 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC

All other types of viral diseases M 000110000002 12 (A70-A74,A81,A87-A89,A95,B00- B02,B04,B06-B09 & B25-B34) F 000000100001

M 001002001105 6 Protozal Diseases (B50-B64) F 001100000002

M 001002001105 1 Malaria (B50-B54) F 001100000002

All other types of protozoal M 000000000000 2 diseases (B55-B64) F 000000000000

Other Certain infectious and parasitic diseases & late effects of M 0 1 2 3 3 5 5 1 0 3 0 23 7 infectious and parasitic diseases (A65-A69 & A75-A79,B35-B49,B65- F 0 0 2 2 2 1 0 3 1 1 0 12 B94 & B99)

M 000000000000 1 Filariasis (B74) F 000000000000

Other helminthiasis M 000000100001 2 (B65-B73,B75,B77-B83) F 000000000000

Other spirochaetal diseases and M 0 1 2 3 2 5 4 1 0 3 0 21 3 rickettsioses (A65-A69 & A75-A79) F 0 0 2 1 2 1 0 3 1 1 0 11

All other infectious and parasitic M 000010000001 diseases & late effects of infectious 4 and parasitic diseases (B35- B49,B65,B76,B85-B94 & B99) F 000100000001 - 6 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC

M 0 1 0 2 7 19 52 86 19 58 1 245 II Neoplasms (C00-D48) F 0 2 0 1 7 20 27 33 24 48 0 162

Malignant neoplasms of lip, oral M 0 0 0 0 0 4 7 13 3 2 0 29 8 cavity and pharynx (C00-C14) F 000000011305

Malignant neoplasms of lip,oral M 0 0 0 0 0 4 7 13 3 2 0 29 1 cavity and pharynx (C00-C14) F 000000011305

Malignant neoplasms of digestive M 0 0 0 1 5 11 33 47 11 24 0 132 9 organs (C15-C26) F 0 0 0 0 4 5 9 12 6 12 0 48

Malignant neoplasm of oesophagus M 0 0 0 0 0 4 21 27 3 4 0 59 1 (C15) F 000000312006

Malignant neoplasm of stomach M 0 0 0 0 1 2 6 8 5 12 0 34 2 (C16) F 0 0 0 0 0 0 4 6 1 4 0 15

Malignant neoplasm of small M 000000000000 3 intestine including duodenum (C17) F 000000000000

M 0 0 0 0 1 0 2 5 1 2 0 11 4 Malignant neoplasm of colon (C18) F 0 0 0 0 1 2 1 2 2 2 0 10

Malignant neoplasm of M 000101000002 5 rectosigmoid junction, rectum, anus and anal canal (C19-C21) F 000010010204

Malignant neoplasm of liver and M 0 0 0 0 3 4 3 4 1 3 0 18 6 intrahepatic bile ducts (C22) F 000021210309 - 7 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC

Malignant neoplasm of pancreas M 000000111306 7 (C25) F 000002000002

Other malignant neoplasms of M 000000110002 8 digestive organs (C23-C24,C26) F 000000001102

Malignant neoplasms of respiratory M 0 0 0 0 0 1 6 17 3 14 0 41 10 and intrathoracic organs (C30-C39) F 0 0 0 0 0 1 4 7 9 17 0 38

M 000000010001 1 Malignant neoplasm of larynx (C32) F 000000000202

Malignant neoplasm of M 0 0 0 0 0 1 6 16 3 14 0 40 2 trachea,bronchus and lung (C33-C34) F 0 0 0 0 0 1 4 6 9 14 0 34

Other Malignant neoplasm of M 000000000000 3 respiratory and intrathoracic organs (C30-C31,C37-C39) F 000000010102

Malignant neoplasms of M 000000010102 11 bone,mesothelial and soft tissue, skin and breast (C40-C50) F 0 0 0 0 1 4 3 2 2 6 0 18

Malignant neoplasm of bone & M 000000010001 1 articular cartilage (C40-C41) F 000001000001

M 000000000101 2 Malignant melanoma of skin (C43) F 000000100001 - 8 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC

Other malignant neoplasms of skin M 000000000000 3 (C44) F 000000000000

Malignant neoplasms of mesothelial M 000000000000 4 and soft tissue (C45-C49) F 000000000000

M 000000000000 5 Malignant neoplasm of breast (C50) F 0 0 0 0 1 3 2 2 2 6 0 16

Malignant neoplasms of M 0 0 0 0 0 1 0 3 1 6 0 11 12 genitourinary organs (C51-C68) F 0 0 0 0 2 10 3 6 3 2 0 26

Malignant neoplasm of cervix uteri 1 F 0 0 0 0 1 8 2 3 1 1 0 16 (C53)

Malignant neoplasm of other and 2 unspecified parts of uterus F 000000010001 (C54-C55)

3 Malignant neoplasm of ovary (C56) F 000011122108

Malignant neoplasm of placenta 4 F 000001000001 (C58)

Other malignant neoplasms of 5 female genital organs F 000000000000 (C51-C52,C57)

Malignant neoplasm of prostate 6 M 000001001507 (C61) - 9 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC Other malignant neoplasms of male 7 genital organs M 000000000000 (C60,C62-C63)

Malignant neoplasm of bladder M 000000020103 8 (C67) F 000000000000

Other malignant neoplasms of M 000000010001 9 urinary tract (C64-C66,C68) F 000000000000

Malignant neoplasms of eye,brain M 010001000002 13 and other parts of central nervous system (C69-C72) F 000100000102

Malignant neoplasm of eye & M 010000000001 1 adnexa (C69) F 000000000000

Malignant neoplasm of M 000001000001 meninges,brain and other parts of 2 central nerveous system F 000100000102 (C70-C72)

Malignant neoplasms of other and M 000010020317 14 unspecified sites (C73-C80 & C97) F 000000201205

Malignant neoplasm of other,ill- M 000010020317 1 defined,seconday,unspecified and multiple sites (C73-C80 & C97) F 000000201205

Malignant neoplasms of M 0 0 0 1 0 0 6 3 1 7 0 18 15 lymphoid,haematopoietic and related tissue (C81-C96) F 0 2 0 0 0 0 6 4 2 4 0 18 - 10 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC

M 000000000000 1 Hodgkin's disease(C81) F 000000000000

Non-Hodgkin's lymphoma M 000000201306 2 (C82-C85) F 000000311409

Multiple myeloma and malignant M 000000000000 3 plasma cell neoplasms (C90) F 000000000000

M 0 0 0 1 0 0 4 3 0 4 0 12 4 Leukaemia (C91-C95) F 020000331009

Other malignant neoplasms of M 000000000000 5 lymphoid,haematopoietic and related tissue (C88 & C96) F 000000000000

M 000000000000 16 Carcinoma in situ (D00-D09) F 000000010001

M 000000000000 1 Carcinoma in situ (D00-D09) F 000000010001

M 000010000001 17 Benign neoplasms (D10-D36) F 000000000000

1 Leiomyoma of uterus (D25) F 000000000000

All other benign neoplasms M 000010000001 2 (D10-D24,D26-D36) F 000000000000 - 11 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC

Other and unspecified neoplasm M 000001000102 18 (D37-D48) F 000000000101

Other and unspecified neoplasm M 000001000102 1 (D37-D48) F 000000000101

Diseases of the blood and blood- M 200031000006 forming organs and certain III disorders involving the immune mechanism(D50-D89) F 201011100107

Diseases of the blood and blood- M 200031000006 forming organs and certain 19 disorders involving the immune F 201011100107 mechanism (D50-D89)

M 000000000000 1 Thalassaemia (D56) F 000000000000

Other anaemias M 100011000003 2 (D50-D55,D57-D64) F 101001000104

All other diseases of blood and M 100020000003 3 blood-forming organs (D65-D77) F 100000100002

Certain disorders involving the M 000000000000 4 immune mechanism (D80-D89) F 000010000001

Endocrine,Nutritional and Metabolic M 0 0 0 0 3 3 4 8 2 8 0 28 IV Diseases (E00-E89) F 0 0 0 0 2 2 1 2 0 7 0 14 - 12 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC M 000000000000 20 Malnutrition (E40-E46) F 000000000000

M 000000000000 1 Kwashiorkor (E40) F 000000000000

M 000000000000 2 Nutritional marasmus (E41) F 000000000000

Other protein-energy malnutrition M 000000000000 3 (E42-E46) F 000000000000

Endocrine,other nutritional and M 0 0 0 0 3 3 4 8 2 8 0 28 21 metabolic diseases (E00-E34 & E50- E89) F 0 0 0 0 2 2 1 2 0 7 0 14

Disorders of thyroid gland M 000000000000 1 (E00-E07) F 000000000000

M 0 0 0 0 1 2 2 7 2 8 0 22 2 Diabetes mellitus (E10-E14) F 0 0 0 0 2 1 1 2 0 7 0 13

All other nutritional deficiencies M 000000000000 3 (E50-E64) F 000000000000

All other endocrine and metabolic M 000021210006 4 diseases (E15-E34 & E65-E89) F 000001000001

Mental and Behavioural Disorders M 0 0 0 0 0 7 4 2 0 1 0 14 V (F01-F99) F 000000000000 - 13 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC

Mental and behavioural disorders M 0 0 0 0 0 7 4 2 0 1 0 14 22 (F01-F99) F 000000000000

Mental and behavioural disorders M 0 0 0 0 0 7 4 2 0 1 0 14 1 due to psychoactive substance use (F10-F19) F 000000000000

Schizophrenia,schizotypal & M 000000000000 2 delusional disorders (F20-F29) F 000000000000

All other mental and behavioural M 000000000000 3 disorders (F01-F09,F30-F99) F 000000000000

Diseases of the nervous system M 5 1 4 1 6 3 5 2 0 5 0 32 VI (G00-G98) F 9 6 1 2 4 8 4 1 2 13 0 50

Inflammatory diseases of the M 5 1 4 1 4 1 1 1 0 0 0 18 23 central nervous system (G00-G09) F 8 6 1 1 2 5 3 0 0 4 0 30

M 000110000002 1 Meningitis (G00 & G03) F 3 6 0 0 0 2 0 0 0 0 0 11

Encephalitis,myelitis and M 5 1 4 0 2 1 1 1 0 0 0 15 2 encephalomyelitis (G04) F 5 0 1 1 2 3 3 0 0 4 0 19

Other inflammatory diseases of the M 000010000001 3 central nervous system (G06,G08- G09) F 000000000000 - 14 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC

Other diseases of the nervous M 0 0 0 0 2 2 4 1 0 5 0 14 24 system (G10-G98) F 1 0 0 1 2 3 1 1 2 9 0 20

M 000000000101 1 Alzheimer's disease (G30) F 000100000203

M 000000000000 2 Epilepsy (G40-G41) F 000000000000

All other diseases of the nervous M 0 0 0 0 2 2 4 1 0 4 0 13 3 system (G10-G25,G31,G35- G37,G43-G98) F 1 0 0 0 2 3 1 1 2 7 0 17

Diseases of the eye and adnexa M 000000000000 VII (H00-H59) F 000000000000

Diseases of the eye and adnexa M 000000000000 25 (H00-H59) F 000000000000

Diseases of the eye and adnexa M 000000000000 1 (H00-H59) F 000000000000

M Diseases of the ear and mastoid 000000000000 VIII process (H60-H95) F 000000000000

Diseases of the ear and mastoid M 000000000000 26 process (H60-H95) F 000000000000

Diseases of the ear and mastoid M 000000000000 1 process (H60-H95) F 000000000000 - 15 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC

Diseases of the circulatory system M 10 2 4 12 22 51 51 57 33 111 0 353 IX (I00-I99) F 10 0 1 6 10 14 23 24 10 71 0 169

Acute rheumatic fever and chronic M 000000000000 27 rheumatic heart diseases (I00-I09) F 000000200305

M 000000000000 1 Acute rheumatic fever (I00-I02) F 000000000000

Chronic rheumatic heart diseases M 000000000000 2 (I05-I09) F 000000200305

M 0 0 0 0 1 0 5 6 1 7 0 20 28 Hypertensive diseases (I10-I15) F 0 0 0 0 1 2 1 0 1 8 0 13

M 000000000000 1 Hypertensive heart diseases (I11) F 000000000000

All other hypertensive diseases M 0 0 0 0 1 0 5 6 1 7 0 20 2 (I10,I12-I15) F 0 0 0 0 1 2 1 0 1 8 0 13

Ischaemic heart diseases M 0 0 0 1 2 1 8 12 2 20 0 46 29 (I20-I25) F 0 0 0 0 0 0 4 2 2 5 0 13

Acute myocardial infarction M 0 0 0 1 2 1 8 10 0 16 0 38 1 (I21-I22) F 0 0 0 0 0 0 2 2 2 5 0 11

All other ischaemic heart diseases M 000000022408 2 (I20 & I23-I25) F 000000200002 - 16 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC

Diseases of pulmonary circulation M 10 2 3 7 11 25 21 15 21 41 0 156 30 and other forms of heart diseases (I26-I51) F 10 0 1 5 7 6 9 11 3 30 0 82

Pulmonary heart disease and M 0 0 0 1 3 8 1 6 8 6 0 33 1 diseases of pulmonary circulation (I26-I28) F 1 0 0 1 2 0 4 4 0 6 0 18

Other forms of heart diseases (I30- M 10 2 3 6 8 17 20 9 13 35 0 123 2 I51) F 9 0 1 4 5 6 5 7 3 24 0 64

Cerebrovascular diseases M 0 0 1 3 7 21 16 24 9 42 0 123 31 (I60-I69) F 0 0 0 0 2 6 6 9 4 22 0 49

Cerebrovascular diseases M 0 0 1 3 7 21 16 24 7 42 0 121 1 (I60-I69) F 0 0 0 0 2 6 6 9 2 22 0 47

Other diseases of the circulatory M 000114100108 32 system (I70-I99) F 000100120307

M 000000000000 1 Atherosclerosis (I70) F 000000000000

Arterial embolism and thrombosis M 000100000001 2 (I74) F 000000000000

Other diseases of arteries, M 000000000000 3 arterioles & capillaries (I71-I73 & I77-I78) F 000000100102 - 17 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC Phlebitis,thrombophlebitis,venous M 000011000002 4 embolism and thrombosis (I80-I82) F 000000010102

All other diseases of the circulatory M 000003100105 5 system (I83-I99) F 000100010103

Diseases of the respiratory system M 12 5 4 6 22 35 32 35 10 81 1 243 X (J00-J98) F 16 5 2 7 10 12 11 31 19 81 1 195

Diseases of the upper respiratory M 000000000000 33 tract (J00-J06 & J30-J39) F 000100000001

Acute pharyngitis and acute M 000000000000 1 tonsillitis (J02-J03) F 000000000000

M 000000000000 2 Acute laryngitis and tracheitis (J04) F 000000000000

Other acute upper respiratory M 000000000000 3 infections (J00-J01 & J05-J06) F 000000000000

All other diseases of upper M 000000000000 4 respiratory tract (J30-J39) F 000100000001

Lower respiratory diseases M 1 0 0 0 2 5 13 19 5 54 0 99 34 (J20-J22 & J40-J47) F 2 0 0 1 4 2 6 19 14 56 1 105

Acute bronchitis and acute M 000000000000 1 bronchiolitis (J20-J21) F 100000001103 - 18 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC

Bronchitis,chronic and M 000000100102 2 unspecified,emphysema (J40-J43) F 000000211004

M 0 0 0 0 1 0 1 3 0 6 0 11 3 Asthma (J45-J46) F 000000100203

Other lower respiratory disorders M 1 0 0 0 1 5 11 12 5 47 0 82 4 (J22,J44 & J47) F 1 0 0 1 4 2 3 13 12 53 1 90

Other diseases of the respiratory M 11 5 4 6 20 30 19 16 5 27 1 144 35 system (J10-J18,J60-J98) F 14 5 2 5 6 10 5 12 5 25 0 89

M 000000000000 1 Influenza (J10-J11) F 000000000000

M 10 5 2 2 11 14 12 8 2 12 0 78 2 Pneumonia (J12-J18) F 12 3 2 5 1 7 1 5 1 8 0 45

M 000000000000 3 Pleurisy (J90) F 000000001001

All other diseases of the respiratory M 1 0 2 4 9 16 7 8 3 15 1 66 4 system (J60-J86,J92-J98) F 2 2 0 0 5 3 4 7 3 17 0 43

Diseases of the digestive system M 4 3 2 4 96 176 143 53 10 27 2 520 XI (K00-K92) F 0 0 0 6 24 29 34 14 7 6 0 120

Diseases of oral cavity,salivary M 000000000000 36 glands and jaws (K00-K14) F 000000000000

Diseases of oral cavitiy,salivary M 000000000000 1 glands and jaws (K00-K14) F 000000000000 - 19 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC

Diseases of the other parts of M 4 3 2 4 96 176 143 53 10 27 2 520 37 digestive system (K20-K92) F 0 0 0 6 24 29 34 14 7 6 0 120

Gastric and duodenal ulcer M 000003110005 1 (K25-K27) F 100001001003

M 000002000002 2 Gastritis and duodenitis (K29) F 000000000000

M 000000000000 3 Diseases of appendix (K35-K38) F 000000000000

M 000000000000 4 Hernia (K40-K46) F 000000000000

Paralytic ileus and intestinal M 120010201209 5 obstruction without hernia (K56) F 000010100002

M 000000000000 6 Peritonitis (K65) F 000000001001

M 0 0 1 5 79 144 125 35 6 13 1 409 7 Diseases of the Liver (K70-K76) F 0 0 0 4 21 24 28 11 3 1 0 92

Cholelithiasis and cholecystitis (K80- M 000000000000 8 81) F 000000000000

Disorders of the pancreas M 0 0 0 1 5 6 7 6 0 1 0 26 9 (K85-K86) F 000000300306 - 20 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC

All other diseases of the other parts M 1 1 1 0 11 21 8 11 3 11 1 69 of digestive system (K20- 10 K22,K28,K30-K31,K50-K55,K57- K63,K66,K82-K83 & K90-K92) F 1 0 0 0 2 4 2 3 2 2 0 16

Diseases of the skin and M 000012020005 XII subcutaneous tissue (L00-L98) F 000000000101

Diseases of the skin and M 000012020005 38 subcutaneous tissue (L00-L98) F 000000000101

Infections of the skin and M 000012010004 1 subcutaneous tissue (L00-L08) F 000000000101

All other diseases of the skin and M 000000010001 2 subcutaneous tissue (L10-L98) F 000000000000

Diseases of the musculoskeletal M 000000000000 XIII system and connective tissue (M00- M99) F 000410000005

Diseases of the musculoskeletal M 000000000000 39 system and connective tissue (M00- M99) F 000410000005

Rheumatoid arthritis and other M 000000000000 1 inflammatory polyarthropathies (M05-M13) F 000000000000

M 000000000000 2 Osteomyelitis (M86) F 000000000000 - 21 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC All other diseases of the M 000000000000 musculoskeletal system and 3 connective tissue (M00-M02, F 000410000005 M15-M43,M45-M85,M87-M99)

Diseases of the genitourinary M 3 0 1 5 13 17 24 28 7 29 0 127 XIV system (N00-N99) F 1 0 0 4 5 10 9 8 4 10 0 51

Diseases of urinary system M 3 0 1 5 13 17 24 27 6 29 0 125 40 (N00-N39) F 1 0 0 4 4 10 9 8 4 10 0 50

Glomerular diseases (including M 000000000000 1 Nephritic Syndrome) (N00-N07) F 000000000000

Renal tubulo-interstitial diseases M 000000000000 2 (N10-N15) F 000010000001

M 3 0 1 5 13 17 22 25 4 25 0 115 3 Renal failure (N17-N19) F 1 0 0 3 3 10 9 6 2 10 0 44

M 000000000000 4 Urolithiasis (N20-N23) F 000000010001

Other disorders of kidney and M 000000122409 5 ureter (N25-N28) F 000000000000

All other diseases of urinary system M 000000100001 6 (N30-N39) F 000110012005

Other diseases of the genitourinary M 000000011002 41 system (N40-N99) F 000000000000 - 22 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC

1 Hyperplasia of prostate (N40) M 000000000000

All other diseases of male genital 2 M 000000011002 organs (N41-N50)

3 Salpingitis and oophoritis (N70) F 000000000000

All other diseases of female genital M 000000000000 4 organs (N60-N64,N71-N76,N80- N99) F 000000000000

Pregnancy,childbirth and the XV F 000043000007 puerperium (O00-O99)

Pregnancy with abortive outcome 42 F 000000000000 (O00-O08)

1 Spontaneous abortion (O03) F 000000000000

2 Medical abortion (O04) F 000000000000

Other pregnancies with abortive 3 F 000000000000 outcome (O00-O02 & O05-O08)

Other direct obstetric deaths 43 F 000033000006 (O10-O92) Oedema,proteinuria and hypertensive disorders in 1 F 000000000000 pregnancy,childbirth and the puerperium(O10-O16) Infections of genitourinary tract in 2 F 000000000000 pregnancy (O23) - 23 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC

3 Obstructed labour (O64-O66) F 000000000000

Complications pre-dominantly 4 related to the puerperium F 000020000002 (O85-O92) Other complications of pregnancy 5 and delivery (O20-O22,O24- F 000023000005 O63,O67-O75,O80-O84) Other obstetric conditions, not 44 F 000000000000 elsewhere classified (O95-O99)

Indirect obstetric deaths 1 F 000000000000 (O98-O99)

All other obstetric conditions not 2 F 000000000000 elsewhere classified (O95-O97)

Certain Conditions originating in M 87 0 0 0 0 0 0 0 0 0 0 87 XVI the perinatal period (P00-P96) F 86 0 0 0 0 0 0 0 0 0 0 86

Certain conditions originating in the M 87 0 0 0 0 0 0 0 0 0 0 87 45 perinatal period (P00-P96) F 86 0 0 0 0 0 0 0 0 0 0 86

Slow fetal growth ,fetal M 18 0 0 0 0 0 0 0 0 0 0 18 1 malnutrition and immaturity (P05-P07) F 15 0 0 0 0 0 0 0 0 0 0 15

M 000000000000 2 Birth trauma (P10-P15) F 000000000000

Hypoxia,birth asphyxia and other M 47 0 0 0 0 0 0 0 0 0 0 47 3 respiratory conditions (P20-P28) F 50 0 0 0 0 0 0 0 0 0 0 50 - 24 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC

Haemolytic disease of fetus and M 000000000000 4 new-born (P55) F 000000000000

Other perinatal jaundice M 100000000001 5 (P58-P59) F 100000000001

All other conditions originating in M 21 0 0 0 0 0 0 0 0 0 0 21 6 the perinatal period (P00-P04, P08,P29-P54,P56-P57,P60-P96) F 20 0 0 0 0 0 0 0 0 0 0 20

Congential malformation, M 10 1 2 0 0 0 1 0 0 0 0 14 XVII deformations and chromosomal abnormalities (Q00-Q99) F 600001000007

Congenital malformation, M 10 1 2 0 0 0 1 0 0 0 0 14 46 deformations and chromosomal abnormalities (Q00-Q99) F 600001000007

M 000000000000 1 Spina bifida (Q05) F 000000000000

Congenital malformations of the M 9 0 2 0 0 0 0 0 0 0 0 11 2 circulatory system (Q20-Q28) F 300001000004

Cleft lip and cleft palate M 000000000000 3 (Q35-Q37) F 000000000000

All other congenital malformations, M 110000100003 deformations, and chromosomal 4 abnormalities, not elsewhere classified (Q00-Q04, Q06-Q07,Q10- Q18,Q30-Q34, Q38-Q99) F 300000000003 - 25 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC Symptoms,signs and abnormal, M 7 1 1 3 14 12 13 7 2 12 0 72 clinical and laboratory findings not XVIII elsewhere classified (R00-R99) F 5 0 1 4 7 9 4 4 3 11 0 48 Symptoms,signs and abnormal M 7 1 1 3 14 12 13 7 2 12 0 72 clinical and laboratory findings, not 47 elsewhere classified F 5 0 1 4 7 9 4 4 3 11 0 48 (R00-R99) M 001100110206 1 Abdominal and pelvic pain (R10) F 000000011103

M 000000000101 2 Ascites (R18) F 000000000000

Somnolence,stupor and coma M 000000100001 3 (R40) F 000000000000

M 100000000001 4 Fever of unknown origin (R50) F 100000000001 M 000000000000 5 Senility (R54) F 000000000000 M 000000000000 6 Syncope and collapse (R55) F 000000000000 Convulsion, not elsewhere classified M 100000000102 7 (R56) F 300000000104

Shock, not elsewhere classified M 2 0 0 0 3 6 5 4 0 5 0 25 8 (R57) F 1 0 0 0 4 5 1 1 0 5 0 17 All other symptoms, signs and abnormal clinical and laboratory M 3 1 0 2 11 6 6 2 2 3 0 36 9 findings, not elsewhere classified (R00-R09,R11-R17,R19-R39,R41- F 0 0 1 4 3 4 3 2 2 4 0 23 R49,R51-R53,R58-R99) - 26 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC

Injury,poisoning and certain other M 1 0 0 4 16 17 12 9 0 13 0 72 XIX consequences of external causes (S00-T98) F 1 0 0 2 5 4 0 5 0 8 0 25

Fractures M 000011100003 48 (S02,S12,S22,S32,S42,S52,S62,S7 2,S82,S92,T02,T08,T10,T12) F 000000000000

Fracture of skull and facial bones M 000011100003 1 (S02) F 000000000000

Fracture of neck,thorax, or pelvis M 000000000000 2 (S12,S22,S32 & T08) F 000000000000

Fracture of upper limb M 000000000000 3 (S42,S52,S62,T10) F 000000000000

Fractures of lower limb M 000000000000 4 (S72,S82,S92 & T12) F 000000000000

Fractures involving multiple body M 000000000000 5 regions, and of unspecified body region (T02) F 000000000000

Dislocations,sprains and strains of M 000000000000 specified and multiple body regions 49 (S03,S13,S23,S33,S43,S53,S63,S7 3,S83,S93,T03) F 000000000000

Dislocations, sprains and strains of M 000000000000 specified and multiple body regions 1 (S03,S13,S23,S33,S43,S53,S63,S7 3,S83,S93,T03) F 000000000000 - 27 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC Intracranial and internal injuries, including nerves M 0 0 0 1 3 9 3 5 0 7 0 28 50 (S04,S06,S14,S24,S26-S27, S34, S36-S37, S44,S54, S64,S74, S84 & F 1 0 0 0 4 4 0 3 0 5 0 17 S94)

Intracranial and internal injuries, including nerves M 0 0 0 1 3 9 3 5 0 7 0 28 1 (S04,S06,S14,S24,S26-S27,S34, S36-S37,S44,S54,S64,S74,S84 & F 1 0 0 0 4 4 0 3 0 5 0 17 S94)

Crushing injuries and traumatic amputations of specified and M 000000000000 multiple body regions (S07-S08, 51 S17-S18,S28,S38,S47-S48,S57- S58,S67-S68,S77-S78,S87-S88, F 000000000000 S97-S98,T04-T05) Crushing injuries and traumatic amputations of specified and M 000000000000 multiple body regions (S07-S08, 1 S17-S18,S28,S38,S47-S48,S57- S58,S67-S68,S77-S78,S87-S88, F 000000000000 S97-S98,T04-T05)

Other injuries of specified, unspecified and multiple body regions (S00-S01,S05,S09-S11, M 1 0 0 3 7 4 8 4 0 5 0 32 S15-S16,S19-S21,S25,S29-S31, 52 S35,S39-S41,S45-S46,S49-S51, S55-S56,S59-S61,S65-S66, S69- S71,S75-S76,S79-S81,S85-S86, S89-S91,S95-S96,S99,T00-T01, F 000010000203 T06-T07,T09,T11 & T13-T14) - 28 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC Other injuries of specified, unspecified and multiple body regions (S00-S01,S05,S09-S11, M 1 0 0 3 7 4 8 4 0 5 0 32 S15-S16,S19-S21,S25,S29-S31, 1 S35,S39-S41,S45-S46,S49-S51, S55-S56,S59-S61,S65-S66,S69- S71,S75-S76,S79-S81,S85-S86, F 000010000203 S89-S91,S95-S96,S99,T00-T01, T06-T07,T09,T11 & T13-T14)

Effects of foreign body entering M 000000000000 53 through natural orifice(T15-T19) F 000000000000

Effects of foreign body entering M 000000000000 1 through natural orifice (T15-T19) F 000000000000

M 000011000103 54 Burns and Corrosions (T20-T32) F 000100000001

M 000011000103 1 Burns and corrosions (T20-T32) F 000100000001

Poisonings by drugs & biological M 000041000005 substances ; and toxic effects of 55 substances chiefly nonmedicinal as to source (T36-T50 & T51-T65) F 000100000001

Poisoning by drug & biological M 000041000005 substances; and Toxic effects of 1 substances chiefly nonmedicinal as to source (T36-T50 & T51-T65) F 000100000001 - 29 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC Other and unspecified effects of M 000000000000 external causes and certain early 56 complications of trauma (T33-T35, F T66-T78 & T79) 000000000101

Others and unspecified effects of M 000000000000 external causes and certain early 1 complications of trauma (T33-T35, T66-T78 & T79) F 000000000101

Complications of surgical and M 000001000001 57 medical care, not where classified (T80-T88) F 000000010001

Complications of surgical and M 000001000001 1 medical care, not elsewhere classified (T80-T88) F 000000010001

Late effects of injuries,of poisoning M 000000000000 58 and of other consequences of external causes (T90-T98) F 000000010001

Late effects of injuries, of poisoning M 000000000000 1 and of other consequences of external causes(T90-T98) F 000000010001

External causes of morbidity M 0 2 1 4 4 3 1 0 0 0 0 15 XX and mortality (V01-Y89) F 000100000102

M 010223100009 E48 Transport accidents (V01-V99) F 000100000102 - 30 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC Railway accidents M 000000000000 1 (V05,V15,V80.6,V81,V82.2,V87.6 & C88.6) F 000000000000 Motor vehicle traffic accidents (V02- V04,V09.2-V09.3,V12-V14, V19.4- V19.6 & V19.9,V20-V28, V29.4- M 010002000003 V29.6 & V29.9,V30-V38, V39.4- V39.6 & V39.9,V40-V48, V49.4- 2 V49.6 & V49.9,V50-V58, V59.4- V59.6 & V59.9,V60-V68, V69.4- V69.6 & V69.9,V70-V78, V79.4- F 000000000000 V79.6 & V79.9,V80.3- V80.5,V82.1,V87.0-V87.5 & V87.7- V87.9 & V89.2-V89.3) Other road vehicle accidents M 000220100005 (V01,V06,V09.9,V10-V11,V16- 3 V18,V19.8,V29.8,V39.8,V49.8,V59. 8,V69.8,V79.8,V80.0-V80.2, V80.7- F 000100000102 V80.9,V82.3-V82.7,V82.9 & V89.1)

Water transport accidents M 000000000000 4 (V90-V94) F 000000000000

Air & Space transport accidents M 000000000000 5 (V95-V97) F 000000000000 All other transport accidents (V09.0- V09.1,V19.0-V19.3,V29.0- M 000001000001 V29.3,V39.0-V39.3,V49.0-V49.3, 6 V59.0-V59.3,V69.0-V69.3,V79.0- V79.3,V82.0-V82.8,V83-V86, V87.0- V87.5,V87.7-V87.9,V88.0- F 000000000000 V88.5,V88.7-V88.9,V89.0 & V89.9, V98-V99) - 31 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC M 011010000003 E49 Accidental Falls (W00-W19) F 000000000000

M 011010000003 1 Accidental falls (W00-W19) F 000000000000

Accidental drowning and M 000000000000 E50 submersion (W65-W74) F 000000000000

Accidental drowning and M 000000000000 1 submersion (W65-W74) F 000000000000

Exposure to smoke, fire and flames M 000000000000 E51 (X00-X09) F 000000000000

Exposure to smoke, fire and flames M 000000000000 1 (X00-X09) F 000000000000

Accidental poisoning by and M 000000000000 E52 exposure to noxious substances (X40-X49) F 000000000000

Accidental poisoning by and M 000000000000 1 exposure to noxious substances (X40-X49) F 000000000000

Intentional self-harm(suicide- M 000110000002 E53 attempted)(X60-X84) F 000000000000

Intentional self-harm M 000110000002 1 (suicide-attempted) (X60-X84) F 000000000000 - 32 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC M 000000000000 E54 Assault(Homicide)(X85-Y09) F 000000000000

M 000000000000 1 Assault(Homicide) (X85-Y09) F 000000000000

M 000000000000 E55 Other Violence (Y10-Y36) F 000000000000

Event of undertermined intent (Y10- M 000000000000 1 Y34) F 000000000000

M 000000000000 2 Legal intervention (Y35) F 000000000000

M 000000000000 3 Operations of war (Y36) F 000000000000

Complications of medical and M 000000000000 E56 surgical care (Y40-Y84) F 000000000000

Drugs,medicaments and biological M 000000000000 substances causing adverse effects 1 in therapeutic use (Y40-Y59) F 000000000000 Misadventures during surgical & medical care, adverse incidents in M 000000000000 diagnostic and therapeutic 2 use,abnormal reactions and late complications(Y60-Y69,Y70-Y82 & F 000000000000 Y83-Y84) - 33 -

MG/ CAUSE OF DEATH Sex < 1 1 - 4 5 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 69 70 + N.S. Total Cat/ SC

Other external causes of accidental M 000000000000 E57 injury, not elsewhere classified (W20- W64,W75-W99,X10-X39,X50-X59) F 000000000000

Accidents caused by machinery, M 000000000000 1 and by cutting & piercing instruments (W24-W31) F 000000000000

Accidents caused by firearm missile M 000000000000 2 (W32-W34) F 000000000000

Bites of snakes & other venomous M 000000000000 3 animals (X20-X27) F 000000000000

M 000000000000 4 Sun stroke (X32) F 000000000000

All other accidents including late M 000000000000 effects (W20-W23,W35-W64, W75- 5 W99,X10-X19,X28-X29,X30- F 000000000000 X31,X33-X39 & X50-X59)

Late effects of external causes of M 000100000001 E58 morbidity and mortality (Y85-Y89) F 000000000000

Late effects of external causes of M 000100000001 1 morbidity and moratality (Y85-Y89) F 000000000000

M 152 24 25 75 264 418 409 307 94 375 6 2,149 ALL CAUSES (MAJOR GROUP I TO XIX) F 148 19 13 57 113 147 143 135 77 277 2 1,131

ALL CAUSES Total 300 43 38 132 377 565 552 442 171 652 8 3,280 (MAJOR GROUP I TO XIX) TIME SERIES DATA ON MCCD (Major Group Wise Classification) - 34 -

MEDICALLY CERTIFIED DEATHS BY SEX ACCORDING TO MAJOR CAUSE GROUPS TENTH REVISION OF ICD

Major Y E A R Group Cause of Death Sex No 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005

Male 316 258 260 287 350 263 404 353 350 490 415 307 309 208 I Certain infectious & Parasitic Diseases Female 182 123 158 157 209 148 186 198 194 315 285 186 177 120 Total 498 381 418 444 559 411 590 551 544 805 700 493 486 328 Male 245 270 209 221 151 107 135 151 109 87 91 54 48 58 II Neoplasms Female 162 169 122 119 80 66 89 78 74 58 70 33 43 41 Total 407 439 331 340 231 173 224 229 183 145 161 87 91 99 Diseases of the blood and blood-forming Male 6 4 7 12 9 7 15 13 17 17 4 8 17 10 III organs and certain disorders involving the Female 7 8 9 3 5 6 7 12 8 9 6 3 4 10 immunemechanism Total 13 12 16 15 14 13 22 25 25 26 10 11 21 20 Male 28 42 30 49 46 36 35 48 32 24 20 15 28 15 Endocrine, Nutritional and Metabolic IV Female Diseases 14 14 14 27 25 20 28 25 16 18 14 11 17 10 Total 42 56 44 76 71 56 63 73 48 42 34 26 45 25 Male 14 14 4 3 2 7 13 38 3 11 2 4 1 1 V Mental and Behavioural Disorders Female 0 1 2 1 0 2 0 12 0 1 0 1 1 1 Total 14 15 6 4 2 9 13 50 3 12 2 5 2 2 Male 32 35 52 56 84 94 97 65 45 113 81 46 21 36 VI Diseases of nervous system Female 50 21 34 33 60 86 68 43 51 76 78 41 15 19 Total 82 56 86 89 144 180 165 108 96 189 159 87 36 55 Male 00000000000000 VII Diseases of eye and adnexa Female 00000000000000 Total 00000000000000 Male 00000000010000 VIII Diseases of ear and mastoid process Female 00000000000000 Total 00000000010000 - 35-

Major Y E A R Group Cause of Death Sex No 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005

Male 353 331 270 250 291 248 226 222 202 201 140 90 85 63 IX Diseases of circulatory system Female 169 146 116 134 149 123 108 85 70 86 90 62 40 39 Total 522 477 386 384 440 371 334 307 272 287 230 152 125 102 Male 243 237 258 248 221 194 286 241 214 339 232 164 124 84 X Disease of respiratory system Female 195 167 141 151 154 103 187 143 162 244 178 107 104 75 Total 438 404 399 399 375 297 473 384 376 583 410 271 228 159 Male 520 478 367 371 346 249 286 194 248 214 184 121 101 108 XI Diseases of digestive system Female 120 99 98 68 82 71 82 62 64 58 59 46 41 28 Total 640 577 465 439 428 320 368 256 312 272 243 167 142 136 Male 54112022312383 XII Diseases of skin and subcutaneous tissue Female 10200100232151 Total 6 4 3 1 2 1 2 2 5 4 4 4 13 4 Male 02231100262000 Diseases of the musculoskeletal system XIII 55498836962720 and connective tissue Female Total 5 7 6 12 9 9 3 6 11 12 4 7 2 0 Male 127 113 78 93 85 80 76 68 73 65 46 42 14 7 XIV Diseases of genitourinary system Female 51 48 46 53 39 44 43 43 32 39 29 23 11 12 Total 178 161 124 146 124 124 119 111 105 104 75 65 25 19 Male 00000000000000 XV Pregnancy, childbirth and the puerperium Female 7 1 7 4 6 4 8 1 5 7 12 6 6 6 Total 7 1 7 4 6 4 8 1 5 7 12 6 6 6 Male 87 83 91 120 195 206 120 138 189 92 53 101 98 47 Certain conditions originating in the XVI 86 87 68 96 166 205 119 92 152 88 65 70 46 46 perinatal period Female Total 173 170 159 216 361 411 239 230 341 180 118 171 144 93 - 36 -

Major Y E A R Group Cause of Death Sex No 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005

Male 14 8 5 7 13 13 7 7 5 5 5 3 1 3 Congential malformatiom, deformations XVII 7 12 6 9 11 14 9 3 10 5 2 0 1 0 and chromosomal abnormalities Female Total 21 20 11 16 24 27 16 10 15 10 7 3 2 3 Male 72 92 103 64 53 46 52 79 78 80 115 93 47 35 Symtoms, signs and abnormal, clinical and XVIII 48 49 33 25 41 15 27 26 52 49 73 54 16 14 laboratory finding not elsewhere classified Female Total 120 141 136 89 94 61 79 105 130 129 188 147 63 49 Male 72 75 65 71 85 81 82 78 88 49 44 56 28 29 Injury, poisoning and certain other XIX 25 14 17 17 20 28 13 11 22 16 13 15 8 9 consequences of external causes Female Total 97 89 82 88 105 109 95 89 110 65 57 71 36 38 Male 15 16 22 15 19 8 1 4 4 5 3 12 40 21 XX External causes of morbidity and mortality Female 24324210051497 Total 17 20 25 17 23 10 2 4 4 10 4 16 49 28 Male 2,149 2,062 1,824 1,871 1,953 1,639 1,837 1,701 1,662 1,828 1,439 1,119 970 724

All Causes Female 1,131 972 880 908 1,059 941 978 840 923 1,097 979 670 546 438

Total 3,280 3,034 2,704 2,779 3,012 2,580 2,815 2,541 2,585 2,925 2,418 1,789 1,516 1,166