Calculate general and special demographic parameters.

Table 50

Variant 1

In city A in 2013:
Number of population	100 000
Was born	2000
Was died	660
Number of deaths:
Till 1 year	50
Till 1 month	25
In maternity hospital:
Born alive	2000
Born dead	15
Died before 1 week	15
Among the children who died before 1 year(50):
Deaths from pneumonia	25
Deaths from gastro-enteric diseases	5
Deaths from other reasons	5
Demographic parameters in city A in 2012:
Birth rate	25%o
Death rate	8 %o
Natural growth	13 %o
Infant death rate	27 %o
Early neonatal death-rate	12 %o
Perinatal death rate	20 %o

                                                                                                   Table 51

Variant 2

In city A in 2013:
Number of population	80 000
Was born	1600
Was died	800
Number of deaths:
Till 1 yr	48
Till 1 month	24
In maternity hospital:
Born alive	1600
Born dead	20
Died before 1 week	20
Among the children who died before 1 yr (50):
Deaths from pneumonia	20
Deaths from newborn’s disease	15
Deaths from gastro-enteric diseases	10
Deaths from other reasons	3
Demographic parameters in city A in 2012:
Birth rate	22%o
Death rate	8,3%o
Natural growth	13,7%o
Infant death rate	27%o
Early neonatal death-rate	13%o
Perinatal death rate	21%o

                                                                                                  Table 52

Variant 3

In city A in 2013:
Number of population	200 000
Was born	4500
Was died	1500
Number of deaths:
Till 1 yr	120
Till 1 month	58
In maternity hospital:
Born alive	4500
Born dead	42
Died before 1 week	45
Among the children who died before 1 yr (50):
Deaths from pneumonia	62
Deaths from newborn’s disease	28
Deaths from gastro-enteric diseases	18
Deaths from other reasons	12
Demographic parameters in city A in 2012:
Birth rate	21,5%o
Death rate	7,2%o
Natural growth	14,3%o
Infant death rate	24%o
Early neonatal death-rate	13%o
Perinatal death rate	20%o

Table 53

Variant 4

In city A in 2013:
Number of population	100 000
Was born	1700
Was died	600
Number of deaths:
Till 1 yr	45
Till 1 month	24
In maternity hospital:
Born alive	1700
Born dead	30
Died before 1 week	20
Among the children who died before 1 yr (50):
Deaths from pneumonia	20
Deaths from newborn’s disease	5
Deaths from gastro-enteric diseases	15
Deaths from other reasons	5
Demographic parameters in city A in 2012:
Birth rate	18,5%o
Death rate	7,2%o
Natural growth	11,3%o
Infant death rate	25,1%o
Early neonatal death-rate	12,7%o
Perinatal death rate	24%o

Table 54

Variant 5

In city A in 2013:
Number of population	150 000
Was born	3200
Was died	1100
Number of deaths:
Till 1 yr	83
Till 1 month	40
In maternity hospital:
Born alive	3200
Born dead	72
Died before 1 week	28
Among the children who died before 1 yr (50):
Deaths from pneumonia	43
Deaths from newborn’s disease	20
Deaths from gastro-enteric diseases	11
Deaths from other reasons	9
Demographic parameters in city A in 2012:
Birth rate	21%o
Death rate	7,1%o
Natural growth	13,9%o
Infant death rate	22%o
Early neonatal death-rate	12%o
Perinatal death rate	25%o

Table 55

Variant 6

In city A in 2013:
Number of population	135 000
Was born	2500
Was died	900
Number of deaths:
Till 1 yr	60
Till 1 month	28
In maternity hospital:
Born alive	2500
Born dead	35
Died before 1 week	20
Among the children who died before 1 yr (50):
Deaths from pneumonia	32
Deaths from newborn’s disease	15
Deaths from gastro-enteric diseases	7
Deaths from other reasons	6
Demographic parameters in city A in 2012:
Birth rate	18,5%o
Death rate	6,9%o
Natural growth	11,6%o
Infant death rate	22%o
Early neonatal death-rate	12%o
Perinatal death rate	23%o

Table 56

Variant 7

In city A in 2013:
Number of population	200 00
Was born	4000
Was died	1900
Number of deaths:
Till 1 yr	100
Till 1 month	60
In maternity hospital:
Born alive	4000
Born dead	39
Died before 1 week	41
Among the children who died before 1 yr (50):
Deaths from pneumonia	55
Deaths from newborn’s disease	30
Deaths from gastro-enteric diseases	10
Deaths from other reasons	5
Demographic parameters in city A in 2012:
Birth rate	18%o
Death rate	8,5%o
Natural growth	9,5%o
Infant death rate	26%o
Early neonatal death-rate	12,5%
Perinatal death rate	24%o

THEME 8

SICKNESS RATE

Features of the theme

The achievement of a high level of condition of good health of the population, the perfection of the form and methods of medical help, the control of the work of the establishment of public health is impossible without detailed study of sickness rate.

Aims of studies

To teach students to differentiate kinds of sickness, count its indices, acquire a habit of working with primary medical documents, registration forms (out-patient’s card, history of disease, statistic coupon, control card of dispensary patient’s, card left of the hospital) which is basic for work up results.

Aims of task

The student must know necessary information of sickness of population, its finds, methods and springs of standing, the main indices of sickness, its analysis for working-out optimal ways of improvement of quality of medical help, for solving prophylactic questions.

The student must master the differentiation of kinds of disease, analysis and count of indices of different kinds of sickness.

3. Main part.

Common sickness of the population shows the level of frequency of occurrence of all diseases together and each individual among the population in common and separately by age, sex, socially, professionally and other groups.

For studying and characterizing common sickness of population there are 3 rules: primary sickness, illness and pathological affection.

Primary sickness - totally new, never happened before, first time in this year among the population this disease occurs.

Illness - this is a total of all diseases among the population, which is found only this year when the patient goes to the hospital but the patient had already suffered from it earlier last year (chronic diseases).

Pathological affection (condition) changes for determining the condition of the pathology of population or a separate group, which ends by medical examination. Counting not only the diseases but also pathological conditions, this in the moment of examination, doesn’t give the possibility of the carriers condition when he doesn’t seek for the medical help.

Reliable information about the size and the character of the sickness of population there are 3 different groups: a) Age-sex b) Social c) Professional and others

They are for estimation of the health condition of the population of this group, the effectiveness of medical social measures, planning of different types of specialized helps, regional usage of material and health services personals.

Aims of studying the sickness rate.

- Characteristic condition of population health.

- Planning of medical aid.

-To work out prophylactic measures.

-To mark the effectiveness of measures.

Methods of studying the sickness rate.

- By medical aid applicability.

- Surveillance of medical checkups.

- Studying the cause of death-rate.