By Michael Rowland Alderson
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Extra resources for International Mortality Statistics
Larsson (1967) suggested that mortality statistics were perhaps more reliable for cerebrovascular disease compared with many other conditions, though he advocated combining all forms of cerebrovascular disease in order to study trends. International Mortality Statistics Following an examination of multiple cause coding of Swedish data, he suggested there was considerable underestimate of the occurrence of the cerebrovascular disease in the three largest cities and one county in Sweden. Acheson et al.
1973) compared death certificates with medical records for US veterans dying with strokes and 'control' deaths. Mortality from strokes was higher in Georgia than in five western states, but there was no evidence that the quality of care and certification wail contributing to this difference. Epilepsy. This condition has been identified in the lCD since the beginning of the century, and there is no problem with classification. The real problem is likely to be the variation in allocating underlying cause of death where epilepsy is associated with accidents; the procedure may have varied over time and between countries (WHO, 1955d).
1966) sent questionnaires to the 29 International Mortality Statistics certifiers for a national sample of deaths from cardiovascular disease. There was only an 87 per cent response and there was no check whether there was relevant data they did not learn about other than through the responses. They considered that for 53 per cent the diagnosis of death had been a reasonable inference or better (some were reasonably supported and others well established). The majority of the remaining deaths should have been attributed elsewhere in' the broad cause 'cardiovascularrenal' disease.
International Mortality Statistics by Michael Rowland Alderson