rosselli 2014 medicina.pdf

8/15/2019 Rosselli 2014 Medicina.pdf

1/16

!"# !""#$ &'(&)*+,- . /01!2!#3 4567689: ;6? #6= ( 4'&*: @97A= '(&)'>* . BCDE6 (&'+

$% '%$() *+ ,-$-./0% !1234"#!35(+ %+6$0'0' )* *'7%)8'70,%' 907%$*'

!"#$% '%((#))"*+ ,"-. /0102%304+ 5)6#17% 51%-08

!"#$%"&

Introducción: F6A EDGEHIG6JKA GK AI


2/16

!" $"%&' () *+%+,-." /012345/26 &) ")7%.$.$ '( ($8"'9$8.:"$ ;.8"%($

!"!!""#$ &'(&)*+,- . /01!2!#3 4567689: ;6? #6= ( 4'&*: @97A= '(&)'>* . BCDE6 (&'+

!"#$%& () *+$+,-(# ./01234.15

#) #)#$67(7 +8 9(%#$ 7%#%(7%(:7

;?;*>

Introduction: FGHV JG 68L6


3/16

!"#$% '%((#))"* +",- ./0/1%2/* 3)4#05% 30%,/

!"" !""#$ &'(&)*+,- . /01!2!#3 4567689: ;6? #6= ( 4'&*: @97A= '(&)'>* . BCDE6 (&'+

!"#$%&' )*%+!%)",#-+.- " .*"/01 2- ," /"!3+"!%4+'

2- ,&1 "+.%$%4.%!&1' 2-, .*"."#%-+.& 2- 5"!.&*-1 2-

*%-16& !& ," 2%"$-.-1 & ," 7%)-*.-+1%4+' 8 2- ,&1"+.%!&+!-).%/&1' 93-' ", -1)"!%"* ,&1 +"!%#%-+.&1'

:3-6"+ 3+ )")-, %#)&*."+.- -+ ," *-23!!%4+ 2- ,"

#&*.",%2"2 2- ,"1 #3:-*-1 -+ -2"2 *-)*&23!.%/";

!,31%/&

2- +3-1.*& )"?1 8 -1 #3!7& #"1 "!-,-*"2& 8 #"*=

!"2& -+ )"?1-1 2- %+6*-1&1 #"1 ",.&1 2&+2- 2%!7"1

%+.-*/-+!%&+-1 1&+ #"1 -5-!.%/"1 @AB;


4/16

!" $"%&' () *+%+,-." /012345/26 &) ")7%.$.$ '( ($8"'9$8.:"$ ;.8"%($

!"#!""#$ &'(&)*+,- . /01!2!#3 4567689: ;6? #6= ( 4'&*: @97A= '(&)'>* . BCDE6 (&'+

!"#"$%&' )* +',' -./0" ,) ),',1 2' Figura 1

$/)34.' #' 0&.5$&,) +"..)30"*,&)*4) '# '6" 789:;

$&)*4.'3 #'3 Figuras 2 y 3 $/)34.'* #"3 +'$%&"3 '

mitad y a fnal de los sesenta años de este estudio.

!" $%&'"()*"* )+,"+')(

Pocas variables demográfcas o epidemioló<

-&+'3 ='* +'$%&'," 4'*4" )* )34"3 3)3)*4' '6"3

+"$" #' $".4'#&,', &*>'*4 ?@). Figura 4A1 B )34'3

'#4/.'3 ,)# 3&-#" CCD .)3/#4' ,&>E+ ,) &$'-&*'. F/)

='+) '0)*'3 $),&" 3&-#" $".E'* '*/'#$)*4) )*

!"#"$%&' $53 ,) +&*+/)*4' $ *&6"3 +',' '6" '*4)3,) +/$0#&. 3/3 0.&$)."3 +&*+" '6"3 ,) @&,'1 G"H #'

+&>.' ."*,' #"3 3&)4) $ *&6"3 0". '6" ?/*' +&>.' F/)

4",'@E' 4&)*) )30'+&" 0'.' $)I".'.A1 J& 3) 4&)*) )*

+/)*4' F/) )* )34) #'03" ,) 3)3)*4' '6"3 #' 0"%#'<

+&K* 4"4'# 3) =' 4.&0#&+',"; 3) @) $)I". #' $'-*&4/,

Figura 2. Pirámide poblacional colombiana para 1986.

Figura 3. Pirámide poblacional colombiana para 2012.

"#$% "#&% "$% &% $% #&% #$%

&"'

$"(

#&"#'

#$"#(

)&")'

)$")(

*&"*'

*$"*(

'&"''

'$"'(

$&"$'

$$"$(

+&"+'

+$"+(

,&",'

,$",(

-& .

"#$% "#&% "$% &% $% #&% #$%

&"'

$"(

#&"#'

#$"#(

)&")'

)$")(

*&"*'

*$"*(

'&"''

'$"'(

$&"$'

$$"$(

+&"+'

+$"+(

,&",'

,$",(

-& .


5/16

!"#$% '%((#))"* +",- ./0/1%2/* 3)4#05% 30%,/

!"# !""#$ &'(&)*+,- . /01!2!#3 4567689: ;6? #6= ( 4'&*: @97A= '(&)'>* . BCDE6 (&'+

!" "$%" &'()*+, -. .*/+ !" 0+$ '/+$ &*.&-".%' %".1'

&'$* 2"*.%" 2"&"$ (3$ 45+)')*0*!'! !" (+5*5 '.%"$

!" $- 6-*.%+ &-(40"'/+$ 6-" -. .*/+ !" 7+89

:' 5"!-&&*;. !" 0' (+5%'0*!'! *.5'!+ ". %+!+ "0 (-.!+9 :'

Figura 5 (-"$%5' "$' 5"!-&&*;. ". 2'5*+$ 4'1$"$!" 0' 5">*;.9

"

#"$"""

%"$"""

&"$"""

'"$"""

("$"""

)"$"""

# * ( &

# * ( )

# * ( *

# * ) %

# * ) (

# * ) +

# * , #

# * , '

# * , ,

# * + "

# * + &

# * + )

# * + *

# * * %

# * * (

# * * +

% " " #

% " " '

% " " ,

% " # "

!

"!

#!

$!

%!

&!!

&"!

!

&$!

&%! ()*+

(,-./

(012+ 3-4+

56)7)+8

967/:2-:+

;/:/?@-40

A4)+B06

C6+1-.

D/6E

C0.-F-+

Figura 4. Número absoluto de defunciones ocurridas cada año en Colombia en niños menores de cinco

años de edad, 1953-2013.

Figura 5. Tasa de mortalidad en países seleccionados de América Latina, 1953-2013. Muertes en el primer

año de vida por cada mil nacidos vivos.


6/16

!" $"%&' () *+%+,-." /012345/26 &) ")7%.$.$ '( ($8"'9$8.:"$ ;.8"%($

!"#!""#$ &'(&)*+,- . /01!2!#3 4567689: ;6? #6= ( 4'&*: @97A= '(&)'>* . BCDE6 (&'+

!"#$%&'(%( !%$*#+%

Otra variable demográfca que ha cambiado

!"!#$%&'$()*%#* *% *!#,! !*!*%#$ $-,! *! ($ ),./

#$('0$0 )$#*.%$1 2$ Figura 6 )"*!#.$ *( %3)*.,

0* )"*.#*! 4,. *%5*.)*0$0*! $!,&'$0$! &,% *(

*)6$.$7, 0*!0* 89:; , 0*(

3(#'), )*0', !'>(,? *% 89:; ($! )"*.#*! 4,. '%,!$)*%#* 0* "%

:B $ 8EB? #.'4('&F%0,!* ($ 4.,4,.&'=% 0* )"*.#*!

4,. .$% 4$.#* 0*(

*!#"0',? *% *( $-, 899E !36'#$)*%#* *!#$ 4.,4,.&'=%

Figura 6. Número absoluto de mujeres fallecidas por enfermedades asociadas con el embarazo 1960-2012

!

"!!

#!!

$!!

%!!

&!!!

&"!!

!!

&$!!

&%!!

& ' $ !

& ' $ "

& ' $ #

& ' $ $

& ' $ %

& ' ( !

& ' ( "

& ' ( #

& ' ( $

& ' ( %

& ' % !

& ' % "

& ' % #

& ' % $

& ' % %

& ' ' !

& ' ' "

& ' ' #

& ' ' $

& ' ' %

" ! ! !

" ! ! "

" ! ! #

" ! ! $

" ! ! %

" ! & !

" ! & "


7/16

!"#$% '%((#))"* +",- ./0/1%2/* 3)4#05% 30%,/

!"# !""#$ &'(&)*+,- . /01!2!#3 4567689: ;6? #6= ( 4'&*: @97A= '(&)'>* . BCDE6 (&'+

"#

$#

%#

'#

("#

($#

(%#

(

('#

$"#

( ) & "

( ) & $

( ) & %

( ) & &

( ) & '

( ) * "

( ) * $

( ) * %

( ) * &

( ) * '

( ) ' "

( ) ' $

( ) ' %

( ) ' &

( ) ' '

( ) ) "

( ) ) $

( ) ) %

( ) ) &

( ) ) '

$ " " "

$ " " $

$ " " %

$ " " &

$ " " '

$ " ( "

$ " ( $

"#

$#

%"#

%$#

&"#

&$#

% ' (

"

% ' (

&

% ' (

)

% ' (

(

% ' (

*

% ' +

"

% ' +

&

% ' +

)

% ' +

(

% ' +

*

% ' *

"

% ' *

&

% ' *

)

% ' *

(

% ' *

*

% ' '

"

% ' '

&

% ' '

)

% ' '

(

% ' '

*

& " "

"

& " "

&

& " "

)

& " "

(

& " "

*

& " %

"

& " %

&

"#"$

"#%$

"#&$

"#'$

"#($

)#"$

)#%$

)#&$

) * ' "

) * ' %

) * ' &

) * ' '

) * ' (

) * + "

) * + %

) * + &

) * + '

) * + (

) * ( "

) * ( %

) * ( &

) * ( '

) * ( (

) * * "

) * * %

) * * &

) * * '

) * * (

% " " "

% " " %

% " " &

% " " '

% " " (

% " ) "

% " ) %

Figura 7. Proporción de todas las muertes en Colombia que fueron atribuibles a homicidios en el período

!"#$%&$!&'

Figura 8. Proporción de muertes asociadas a transporte 1960-2012

Figura 9. Proporción de muertes en Colombia asociadas a suicidio 1960-2012


8/16

!" $"%&' () *+%+,-." /012345/26 &) ")7%.$.$ '( ($8"'9$8.:"$ ;.8"%($

!"#!""#$ &'(&)*+,- . /01!2!#3 4567689: ;6? #6= ( 4'&*: @97A= '(&)'>* . BCDE6 (&'+

!" $%&'($( ( )* +,-. /(0( 1(*2!*!0"! 3%*"2(*2!

4("2( '( (32)('5$($ 3%1% '% $!1)!"20( '( Figura 9.

!"#!$%!&'&!( *$+",*'(

6( Figura 10 1)!"20( !' 30!3515!*2% 70($)('

8 "%"2!*5$% $! '( /0%/%0359* $! 1)!02!" $! '%"

3%'%1&5(*%" :)! "%* (205&)5$(" ( 3;*3!0, !* +

3%00!"/%*$?( ( @,+- ( 3!03( $!' -+.A

B20( $! '(" !*C!01!$($!" 309*53(" /0!/%*D

$!0(*2!" !" '( $5(&!2!"A 6( Figura 11 1)!"20( !'

30!3515!*2% $!' *E1!0% $! $!C)*35%*!" (205&)5&'!"

( $5(&!2!", '( /!*$5!*2! 1)!"20( )*( 5*3'5*(359*

Figura 10. Proporción de las muertes en Colombia que son atribuidas a cáncer 1960-2012

Figura 11. Proporción de muertes por diabetes 1960-2012

"#

$#

%"#

%$#

&"#

&$#

% ' ( "

% ' ( &

% ' ( )

% ' ( (

% ' ( *

% ' + "

% ' + &

% ' + )

% ' + (

% ' + *

% ' * "

% ' * &

% ' * )

% ' * (

% ' * *

% ' ' "

% ' ' &

% ' ' )

% ' ' (

% ' ' *

& " " "

& " " &

& " " )

& " " (

& " " *

& " % "

& " % &

"#"$

"#%$

"$

%$

'#"$

'#%$

(#"$

(#%$

)#"$

)#%$

& * + "

& * + '

& * + )

& * + +

& * + ,

& * - "

& * - '

& * - )

& * - +

& * - ,

& * , "

& * , '

& * , )

& * , +

& * , ,

& * * "

& * * '

& * * )

& * * +

& * * ,

' " " "

' " " '

' " " )

' " " +

' " " ,

' " & "

' " & '


9/16

!"#$% '%((#))"* +",- ./0/1%2/* 3)4#05% 30%,/

!"# !""#$ &'(&)*+,- . /01!2!#3 4567689: ;6? #6= ( 4'&*: @97A= '(&)'>* . BCDE6 (&'+

!"

#"

$"

%"

&"

'!"

'#"

'$"

'%"

'&"

#!"

' ( % !

' ( % #

' ( % $

' ( % %

' ( % &

' ( ) !

' ( ) #

' ( ) $

' ( ) %

' ( ) &

' ( & !

' ( & #

' ( & $

' ( & %

' ( & &

' ( ( !

' ( ( #

' ( ( $

' ( ( %

' ( ( &

# ! ! !

# ! ! #

# ! ! $

# ! ! %

# ! ! &

# ! ' !

# ! ' #

"#"$

"#%$

"$

%$

'#"$

'#%$

(#"$

(#%$

& ) * "

& ) * '

& ) * +

& ) * *

& ) * ,

& ) - "

& ) - '

& ) - +

& ) - *

& ) - ,

& ) , "

& ) , '

& ) , +

& ) , *

& ) , ,

& ) ) "

& ) ) '

& ) ) +

& ) ) *

& ) ) ,

' " " "

' " " '

' " " +

' " " *

' " " ,

' " & "

' " & '

Figura 12. Proporción de muertes por infarto de miocardio 1960-2012

Figura 13. Proporción de muertes por enfermedad renal


10/16

!" $"%&' () *+%+,-." /012345/26 &) ")7%.$.$ '( ($8"'9$8.:"$ ;.8"%($

!"#!""#$ &'(&)*+,- . /01!2!#3 4567689: ;6? #6= ( 4'&*: @97A= '(&)'>* . BCDE6 (&'+

!"#"$%& % $% () $% Figura 10 *+) ,-&&)!.-/() %

$% .&-.-&,"0/ () #+)&1)! .-& ,2/,)&3 4/ 5678

$% .&-.-&,"0/ )&% #)/-& %$ 89:; < %+#)/10 %+/ =98;3

Figura 14. Proporción de muertes por enfermedad cerebrovascular en Colombia 1973-2012

Figura 15. Proporción de las muertes en Colombia que son atribuidas a tuberculosis.

!"#$%&$'('$) +$%$,%-.()+/0(%$)

4$ ,-#.-&1%#")/1- () $%! #+)&1)! .-& )/>)&?

#)(%( ,)&)@&-A%!,+$%& /- )!12/ .&),"."1%(- ,-#-

"#

$#

%#

'#

(#

)#

*#

+#

,#

"#"$

"#%$

"$

%$

'#"$

'#%$

(#"$

& ) * "

& ) * '

& ) * +

& ) * *

& ) * ,

& ) - "

& ) - '

& ) - +

& ) - *

& ) - ,

& ) , "

& ) , '

& ) , +

& ) , *

& ) , ,

& ) ) "

& ) ) '

& ) ) +

& ) ) *

& ) ) ,

' " " "

' " " '

' " " +

' " " *

' " " ,

' " & "

' " & '


11/16

!"#$% '%((#))"* +",- ./0/1%2/* 3)4#05% 30%,/

!"# !""#$ &'(&)*+,- . /01!2!#3 4567689: ;6? #6= ( 4'&*: @97A= '(&)'>* . BCDE6 (&'+

!" $!" %!&'( $! !)*!%+!$,$!& -%.)/-,&0 1, 2!)$/!)'!

$! 2%(2(%-/.) $! +3!%'!& 2(% !&', !)*!%+!$,$ )( !&

',) !+2/),$, &/!)$( -,&/ 2",),4 !) 5678 9 $3%,)'!

", +,9(%:, $! "(& ,;(& !&'< -!%-,), ," => 9 !) !"

,;( ?85? ""!@, ," A>0 BC!% Figura 14D

!"#$%&"'()*)

E) -3!)'( , ", '3F!%-3"(&/& -() !" 2,&( $!

"(& ,;(& ", 2%(2(%-/.) $! +3!%'!& G, $/&+/)3/$(

-()&/$!%,F"!+!)'! -(+( +3!&'%, Figura 15. E)

5678 ",& +3!%'!& -(%%!&2()$:,) , 3) 2(-( +


12/16

!" $"%&' () *+%+,-." /012345/26 &) ")7%.$.$ '( ($8"'9$8.:"$ ;.8"%($

!"!!""#$ &'(&)*+,- . /01!2!#3 4567689: ;6? #6= ( 4'&*: @97A= '(&)'>* . BCDE6 (&'+

!" $%&'"()*"* )+,"+')(

!"#$% '()*+, -". /(%(,0"*(1 -" !+.2-3 .+ 0+,+ -"

41*0+.(-+- "% %(51, 4"%1*", -" 6 +51, "% 71.148(+

9+ -",'"%-(-1 :+*+ .."#+* "% ". ; 42"*?

0", :1* =@D@ M% ". ,(#.1 NNH ," 9+ A(,01 2% (4:+'01

'1%,(-"*+8." "% .+ *"-2''(I% -" .+ 41*0+.(-+- B"% ".

'+48(1 -" ,(#.1 .+ '()*+ "*+ '"*'+%+ + ;6 -" '+-+

4(. %+'(-1, A(A1,D -"8(-1 + :1.O0('+, %+'(1%+.", "

(%0"*%+'(1%+.", -" '1%0*1. -" "%)"*4"-+-", (%42?

%1:*"A"%(8.", J + *"-2''(I% -" 42"*0" 4+0"*%+ BED@

P2%K2" .1, -+01, 42",0*+% +A+%'", '1%,(-"*+8.",

"% *"-2''(I% -" 41*0+.(-+- (%)+%0(. "% .1, $.0(41,

C< +51, ",0" (%-('+-1* 01-+AO+ :2"-" ,"* *"-2'(-1

,( ," (%,0*24"%0+% :1.O0('+, "% ,+.2- :+*+ 2% 4"Q1*'2(-+-1 (%)+%0(. ,24+-+, + :1.O0('+, -" -",+**1..1

,1'(+. K2" :"*4(0+% + .1, 91#+*", '1.148(+%1,

4"Q1*", '1%-('(1%", ,1'(1"'1%I4('+, BRD@

-%&'"()*"* $"'.&+"

M. 4"Q1*+4("%01 -" .+ ,+.2- 4+0"*%+ ", 2%1 -"

.1, 18Q"0(A1, :*(1*(0+*(1, -" S",+**1..1 -". /(."%(1@

T+*+ +.'+%U+* ",0" 18Q"0(A1 .1, :+O,", -". 42%-1

," '14:*14"0("*1% + *"-2'(* .+ 41*0+.(-+- 4+0"*%+

"% 0*", '2+*0+, :+*0", "%0*" .1, +51, =RR< J ;>G -" .+, 42Q"*", "% 71.148(+ +,(,0"% + ,2

:*(4"* '1%0*1. :*"%+0+. + .1, V 4",", J .+ 4"-(+%+

-" '1%0*1.", :*"%+0+.", )2" -" ;@> B=;D@

/%$)0)*)%1

71.148(+ )2" "% ,2 414"%01 ". :+O, '1% 4+?

J1* %$4"*1 -" 914('(-(1, "% .+ *"#(I%3 '1% 2%+

0+,+ -" EV 42"*0", :1* =


13/16

!"#$% '%((#))"* +",- ./0/1%2/* 3)4#05% 30%,/

!"# !""#$ &'(&)*+,- . /01!2!#3 4567689: ;6? #6= ( 4'&*: @97A= '(&)'>* . BCDE6 (&'+

!"#$%&'"!() $' "(&"(%($!#$ !#$!#% +,("!(% -'+'

.'% /'+0-010'%2 %'$ !#+304$ ,$ &"'3.(+# (&01(5

+0'.670-' 0+&'"!#$!(8 9$ (. #:' ;


14/16

!" $"%&' () *+%+,-." /012345/26 &) ")7%.$.$ '( ($8"'9$8.:"$ ;.8"%($

!""!""#$ &'(&)*+,- . /01!2!#3 4567689: ;6? #6= ( 4'&*: @97A= '(&)'>* . BCDE6 (&'+

!"#!$%!&'& )!$!*$+,'-)./'$ 0123222 &! 4223222

%.!$5!-6 +).$$!" 7$!%'5.$'%!"5! !" 7!$-+"'-

%!"+$!- &! 89 ':+- 0;963 " /' ?@/5F7/!-

#H$%')+- '.%!"5G &! ;Q;3128 !" ;222 ' 4;43;2D

!" ;224V D 7'Z-!- 0WPF"'C T"&F' O ̀ .-F'6 $!7$!-!"5'"

8;E &!/ 5+5'/ &! /+- 7')F!"5!- 0DD63

I/ 7$+O!)5'$-! -!-!"5' ':+- '5$H-C ".!-5$+

!-5.&F+ %.!-5$' )+" )/'$F&'& /+- =$'"&!- )'%[

*F+- K.! P'" 5!"F&+ /+- F"&F)'&+$!- &! /' -'/.& !"

W+/+%*F'3


15/16

!"#$% '%((#))"* +",- ./0/1%2/* 3)4#05% 30%,/

!"# !""#$ &'(&)*+,- . /01!2!#3 4567689: ;6? #6= ( 4'&*: @97A= '(&)'>* . BCDE6 (&'+

!"#" %&!'()(* +,(&-.( " /'"!0* 1&2-2- 1(3(3 )2

#"41(5&)() &-6(-1&5 !,(14" 72!23 #83 (51(3 9,2 5(3

)2 :4(,!(* ;,!42 " ;(-1(-)24 ?@

A31"3 )(1"3 )2 5"3 32&3 )2!2-&"3 #83 42!&2-123

)2 -,2314( '&31"4&( 32 B,2)2- B4"C2!1(4 (5 6,1,4"@ A5

!(#D&" 2- 5( 3(5,) )2 5"3 !"5"#D&(-"3 -" '( 124E

#&-()" (F-@ A- 5"3 (G"3 72-&)24"3 (,#2-1(48 (F-

#83 5( 2)() B4"#2)&"* C 5( !"-3&H,&2-12 B427(52-!&(

)2 2-624#2)()23 !40-&!(3@ ¿Estará preparado

nuestro sistema de salud para asumir ese reto?

!"#"!"$%&'(

I@ J"-K24 L:@ A31(1&"- "6 5&62 2MB2!1(-!C &- 1'2 L&))52 :H23@ J N"C(5 ;1(1 ;"! :@ OPP=QRR@

O@ U4H(-&V(!&0- W(-(#24&!(-( )2 5( ;(5,)@ ;(5,) 2-5(3 :#X4&!(3@ A)&!&0- )2 OPIOS W(-"4(#( 42H&"-(5y perles de pais. Infografías: Esperanza de vida.

Y( B"D5(!&0- )2 5(3 :#X4&!(3 7&72 #(3 (G"3 9,22- IZPP@ [(3'&-H1"-S U4H(-&V(!&0- W(-(#24&!(-(de la Salud; 2012. Publicación Cientíca y Técnica

\"@ R=R@ ]&3B"-&D52 2-S '11BS^^___@B('"@"4H^3(5,Edenlasamericas/index.php?option=com_content&v

iew=article&id=9&Itemid=14&lang=es

=@ ["45) ̀ 2(51' U4H(-&V(1&"-@ +5"D(5 '2(51' 4&3K3S #"4E1(5&1C (-) D,4)2- "6 )&32(32 (114&D,1(D52 1" 3252!12)#(a"4 4&3K3@ +2-27(S ["45) `2(51' U4H(-&V(1&"-Q

OPPZ@ b;c\ Z>d ZO e ITR=d> I@ ]&3B"-&D52 2-S '11BS^^___@_'"@&-1^'2(51'&-6"^H5"D(5fD,4)2-f)&32(32^+5"ED(5`2(51'N&3K3f42B"41f6,55@B)6

e@ W(D0- N")4.H,2V :* N,&V ;(5H,24" L@ Y( #"41(5&)()2- /"5"#D&(S -&72523 (a,31()"3 )2 #"41(5&)() B"432!!&"-23 )25 B(.3 IZ>=EIZdT C (-85&3&3 )2 !(,3(3B"4 32M" C 2)() IZ>ZEIZdI@%"5@=@ c"H"18S b-31&1,1"\(!&"-(5 )2 ;(5,)Q IZdR@

T@ W(D0- N")4.H,2V :* N,&V ;(5H,24" L@ Y( #"41(5&)()2- /"5"#D&(S A)()* 32M" C !(,3(3@ %"5@O@ c"H"18]/S b-31&1,1" \(!&"-(5 )2 ;(5,)Q IZdO@

R@ :3. %(#"3 2- ;(5,) gb-124-21h@ c"H"18 ]/S /2-14" )2b--"7(!&0- C A),!(!&0- 2- ;(5,) i j,-)(!&0- ;(-1(j2 )2 c"H"18Q OPIO g(!!23" IT )2 (D4&5 )2 OPI=h@ k(3()2 L"41(5&)() 2- L2-"423 )2 T (G"3 i +2"426242-E!&()"@ ]&3B"-&D52 2-S '11BS^^___@(3&7(#"32-3(5,)@org/inidicadores/estado-de-salud/graca.ver/8

>@ c4C!2 J* 25 :4&622- ;* W(4&C" +* Y(-(1( /* +_(1K&- ]*`(D&!'1 JW* 21 (5@ N2),!&-H !'&5) #"41(5&1CS !(- B,D5&!health deliver? Y(-!21@ OPP=Q=ROd?SITZEIRe@

d@ L(-4&9,2E:D4& 5 j* L(41.-2VEL(41.- :j* L25X-)2VE l57(42V cj@ ]26,-!&"-23 2- -&G"3 ( B4&-!&B&"3 )2

5"3 3&H5"3 mm C mmb 2- c"C(!8E/"5"#D&(@ N27 ;(5,)W,D5&!( OPIOQ Ie@ b-31&1,1" \(!&"-(5 )2 L2)&!&-( Y2H(5 C /&2-!&(3j"42-323@ j"42-3&3Q OPII@ ]&3B"-&D52 2-S___@#2)&E!&-(52H(5@H"7@!"^&-)2M@B'B^231()&31&!(3^6"42-3&3^IZ=E6"42-3&3EOPII

Id@ L(!(-( \@ /"#B"41(#&2-1" )25 3,&!&)&" 2- /"5"#D&(*OPII@ c"H"18 ]/S b-31&1,1" \(!&"-(5 )2 L2)&!&-(Y2H(5 C /&2-!&(3 j"42-323Q OPII@

IZ@ b-31&1,1" \(!&"-(5 )2 /(-!24"5"H.(Eb-31&1,1" +2"Egráco Agustin Codazzi. Atlas de la mortalidad por!8-!24 2- /"5"#D&(@ c"H"18 ]/S b-31&1,1" \(!&"-(5de Cancerología-Instituto Geográco Agustin CodaEVV&Q OPIP@ ]&3B"-&D52 2-S '11BS^^___@!(-!24@H"7@!"^


16/16

!" $"%&' () *+%+,-." /012345/26 &) ")7%.$.$ '( ($8"'9$8.:"$ ;.8"%($

!"#!""#$ &'(&)*+,- . /01!2!#3 4567689: ;6? #6= ( 4'&*: @97A= '(&)'>* . BCDE6 (&'+

!"#$%&'(")*+,-.")*/(01)2343*51.(&623786239623

:&)$0(1!");

23< @1A"(9B1%=1A'1 /C 5&((,(( DEC F'A&0A1$ GGC &( 10<

HI=& 2 !,1-&(&) 1%"'A J".(K /%&.,#1' #K,0!.&' 1'!

1!"0&)#&'()L 1' &=,!&%,"0"A,#10 .&M,&N 1'! 1 =$-0,#

K&10(K =&.)=(,M&< E 5&!,1(.< 2333O4PQLQQR9QS2<

24< TK1N EFC T,#.&& :/C U,%%&( 5U< V0"-10 &)(,%1(&)

"> (K& =.&M10&'#& "> !,1-&(&) >". 2343 1'! 23P3<

D,1-&(&) :&)< B0,'< 5.1#(< 2343OWSX4YL R94R<

22< Z".0! [&10(K \.A1',]1(,"'< V0"-10 K&10(K .,)^)L %".9

(10,(I 1'! -$.!&' "> !,)&1)& 1((.,-$(1-0& (" )&0(&!

%1_". .,)^)< V&'&M1L Z".0! [&10(K \.A1',]1(,"'O

233`< 7TaJ ̀ SW ̀ 2 R 4bQPWS 4< D,)="',-0& &'L K((=L**

NNN". .&!$#,'A ($-&.#$0"),)

,'#,!&'#&C =.&M10&'#&C 1'! !&1(K) A0"-100I< E/G/<

233bO2`PX22YL 2SQS9Sb<

2W< B"')&_" J1#,"'10 !& 5"0c(,#1 F#"'h%,#1 I T"#,10C

:&=m-0,#1 !& B"0"%-,1 I D&=1.(1%&'(" J1#,"'10 !&

501'&1#,h'< D"#$%&'(" B"'=&) T"#,10 ̀ 4L nG&(1) I

&)(.1(&A,1) !& B"0"%-,1 =1.1 &0 0"A." !& 0") \-_&(,M")

!& D&)1.."00" !&0 G,0&'," 9 234b< a"A"(g DBL B"')&_"

J1#,"'10 !& 5"0c(,#1 F#"'h%,#1 I T"#,10C :&=m-0,#1

!& B"0"%-,1 I D&=1.(1%&'(" J1#,"'10 !& 501'&1#,h'O

233b< D,)="',-0& &'L K((=L**NNN". [7d ,'>(,"' ,' 1!$0() 1'! 1!"0&)#&'()<

V&'&M1L Z".0! [&10(K \.A1',]1(,"'O 233`< D,)="',-0&&'L K((=L**NNN %$0(,!.$A9.&),)(1'( ($-&.#$0"),)< E< 7'>(<

D,)< 233QO4`RXRYLRS̀ 9Wb<

PR< D&=1.(1%&'(" /!%,',)(.1(,M" J1#,"'10 !& F)(1!c)9

(,#1)< B"'#,0,1#,h' B&')10 4`Wbi233bL B10,!1! !&

0") !1(") B&')" 233b< a"A"(g DBL D&=1.(1%&'("

/!%,',)(.1(,M" J1#,"'10 !& F)(1!c)(,#1)O 233S<

Pb< F)01M19T#K%10-1#K E[C :,'#h' BEC V$1.',]"9[&..&q"

BB< 7'&j$,!1! !& 01 &p=(1(,M1 !& M,!1 10 '1#&.

=". )&p" I !&=1.(1%&'(") !& B"0"%-,1< a,"%&!,#1<

PPXPYLPWP9`2<

PQ< T1'!"M109d1.A1) rVC F)01M19T#K%10-1#K E[< 7'9

&j$,!1!&) &' %".(10,!1! %1(&.'1 =". !&=1.(1%&'(")

&' B"0"%-,1 =1.1 0") 1q") 233392334C 233b9233Q I233W9233`< :&M< )10$! =m-0,#1< 234PO4bXRYLb2`9bR4<

PS< E1.1%,00"9G&_c1 GBC BK&.',#K"M)^I DC E,%k'&]9

G"0&h' EE< a.K1) .&A,"'10&) !& 01 %".(10,!1!

,'>1'(,0 &' B"0"%-,1< :&M,)(1 5&.$1'1 !& G&!,#,'1

Fp=&.,%&'(10 I T10$! 5$-0,#1< 234POP3Lbb39`<

!"#$%$&'( *+,$' -. /012

345'%6&'( *+,$' 1-. /012

Correspondencia:

D,&A" :"))&00,

[email protected]

rosselli 2014 medicina.pdf

Documents