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(chromosome studies); on the other, by population genetical studies.
Much wider knowledge is required before valid genetic counselling can
be given to couples seeking advice on possible genetic malformations in
their offspring.
Ironically, whilst such work continues, the testing of powerful
atomic, hydrogen and fcobalt bombs proceeds with a concomitant pollution
of the atmosphere by radioactive substances which are known to have an
adverse effect on mutation in cells, and so potentially can lead to
malformations of genetic origin. Such activities would appear to be
incomprehensible, an example of man creating his own deleterious environment
for himself and for future generations. Prevention, here, is our
own direct responsibility and duty.
Neonatal Mortality.
Whilst the Infant Mortality Rate (defined as the number of deaths
of infants under one year per 1,000 registered live births) has shown a
consistent fall over the years, the figures for Neonatal Mortality
(defined as the deaths among live-born infants under four weeks of age
per 1,000 live births) have not shown such a decrease.(See graphs
facing this page).
This year there were 32 deaths of infants under 4 weeks old,
representing a neonatal mortality rate of 17.17. Last year there were
19 neonatal deaths and the rate was 11.08.
Further analysis of the Neonatal Mortality Rate reveals that many
deaths occur in the first seven days of life, which combined with the
still-births (defined as a child that has been issued forth from its
mother after the 28th week of pregnancy and which did not at any time
after being completely expelled, breathe or show any other sign of life),
are an indication of factors operating in utero, during and immediately
after birth, and are defined as the Perinatal Mortality.
Maternal Mortality.
There was one maternal death during the year. Some days after a
caesarian section and delivery of a living child, the mother died of
pulmonary embolism, which is a natural risk of the post-natal period.
This maternal death therefore can be classified as non-preventable.
Accidental Deaths.
The number of deaths due to accidents was 40, or 7 less than last
year. These included 8 due to motor vehicles (13 less than in the
previous year); 14 in the home; 2 at work; 2 from drowning, and 14 due
to various other causes. (See Table 2 on page 51 relating to Road
Accidents).
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