RESUMEN
OBJECTIVE: This study examined cancer-related mortality rates among the 21 Caribbean countries that submitted mortality data to the Caribbean Public Health Agency. METHODS: We calculated proportions and age-standardized mortality rates (ASMR) by cancer site and gender for each country using the most recent five years of mortality data available from 2003 to 2013. Calculations were completed using SEER*Stat software and the world (Segi 1960) standard million population. RESULTS: Age-standardized mortality rates for all cancers combined ranged from 46.1 to 139.3 per 100 000. Among males, prostate cancer was the most common cause of cancer deaths in all countries, accounting for 18.447.4% of cancer deaths, and an ASMR of 15.1 to 74.1 per 100000. Lung cancer (4.634.0 per 100 000) was the second or third leading cause of cancer deaths among males in most countries. Among females, breast cancer was the most common cause of cancer deaths in 16 of 18 countries(with > 6 reported cases), accounting for 16.130% of cancer deaths and an ASMR of 10.0 to 27.3 per 100 000. The ASMR of cervical cancer was higher than the world average (6.8 per 100 000) in 11 countries, and accounted for 4.518.2% of cancer deaths. CONCLUSION: There is great variability in cancer-specific mortality rates within the Caribbean region; however, prostate and breast cancers are consistently the leading causes of cancer-related deaths among males and females, respectively. Lung and cervical cancerscancers for which World Health Organization best buy interventions existare also important causes of mortality in many countries.
Asunto(s)
Humanos , Neoplasias/mortalidad , Región del CaribeRESUMEN
OBJECTIVE: To quantify and characterize deaths from injuries and violence in the English- and Dutch-speaking Caribbean. DESIGN AND METHODS: The most recent year of available national cause-of-death data for each country for the period 2007-2013 was selected from the CARPHA regional mortality database. An analysis of regional causes of deaths by age and gender was completed. The crude injury death rate for each country, by gender, was also calculated followed by a descriptive analysis of the type of injuries contributing to death in each country. RESULTS: In the English- and Dutch-speaking Caribbean, annual deaths from injuries accounted for 11.5% of all deaths and four times as many men as women died from an injury. Among persons aged 15-44 years, 116,931 person-years of life was lost due to injuries. More males aged 1-44 years died from violence (one in four) than from any other cause. The injury death rate and the related causes varied substantially across countries within the region. CONCLUSIONS: Understanding the current mortality profile of injury and violence in the region is critical to the development of effective and efficient interventions to address this problem. Variability of these profiles across the region suggests that more research is needed to inform development of age, gender and country-specific programmes.
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Violencia , Violencia Doméstica , Violencia contra la Mujer , Delitos Sexuales , Región del Caribe , Mortalidad , MortalidadRESUMEN
Se estudia la historia clínica de una paciente de sexo femenino y 64 años de edad, quien fue internada en el Hospital Sano Tomás con diagnóstico de Diabetes Mellitus y acidosis severa y por una úlcera necrótica en el paladar blando. La paciente desarrolló durante su hospitalización un cuadro clínico compatible con trombosis del seno cavernoso. La biopsia y la necropsia confirmaron que tenía mucormicosis palatina, una complicación fatal en el paciente diabético y pobremente controlado