Mortality and causes of death in South Africa, 2016 ...

1 T +27 12 310 8911 F +27 12 310 8500 Private Bag X44, Pretoria, 0001, South africa ISIbalo House, Koch Street, Salvokop, Pretoria, 0002 STATISTICAL RELEASE Mortality and causes of death in South africa , 2016: Findings from death notification Embargoed until: 27 March 2018 11:30 ENQUIRIES: FORTHCOMING ISSUE: EXPECTED RELEASE DATE User Information Services 2017 February 2019 Tel.: 012 310 8600 STATISTICS South africa ii Mortality and causes of death in South africa , 2016: Findings from death notification Preface This statistical release presents information on Mortality and causes of death in South africa for deaths that occurred in 2016.

2 Deaths for the years 1997 2015 are also included to show trends in Mortality and causes of death , using updated information that includes late registrations. The statistical release is based on deaths collected through the South African civil registration system maintained by the Department of Home Affairs. The information on causes of death is as recorded on death notification forms completed by medical practitioners and other certifying officials. Mr Risenga Maluleke Statistician-General STATISTICS South africa iii Mortality and causes of death in South africa , 2016: Findings from death notification Table of Contents Preface.

3 Ii List of Tables .. vii List of Figures .. viii 1. Introduction ..1 Background ..1 Objectives of this statistical release ..2 Scope of this statistical release ..2 Organisation and presentation of this statistical release ..2 2. Data and methods ..3 Data source ..3 Data processing ..3 Classification of the causes of death ..4 Generation of the underlying causes of Data editing ..5 Assessment of the quality of data ..5 Data analysis ..6 3. Mortality ..7 Levels and trends of Age differentials.

4 8 Sex differentials .. 10 Age and sex differentials .. 11 Distribution of deaths by age and sex .. 11 Median ages at death by sex .. 11 Sex ratios by age .. 13 Population group differences in Mortality .. 15 Marital status differences in Mortality .. 15 Differences in Mortality by smoking status .. 16 Differences in Mortality by place or institution of death occurrence .. 16 Geographic variations in Mortality .. 17 Differences by province, age and sex .. 17 Differences by district municipality, age and 18 4.

5 causes of death .. 20 Introduction .. 20 Reported causes of death .. 21 Method of ascertaining cause of death .. 22 STATISTICS South africa iv Mortality and causes of death in South africa , 2016: Findings from death notification Main groups of the underlying causes of 23 Natural and non-natural causes of death .. 25 Natural and non-natural causes of death by age .. 28 Major groups of causes of death as per the Global Burden of Disease .. 28 Broad groups of natural causes of death .

6 32 Overall pattern of the leading underlying natural causes of death .. 32 Leading underlying natural causes of death by sex .. 33 Leading underlying natural causes of death by age .. 36 Leading underlying natural causes of death for children aged below five years by age group .. 38 Leading underlying natural causes of death for the population aged 15 24 40 Leading underlying natural causes of death by province of death occurrence .. 40 Underlying causes of death by district/metropolitan municipality of death occurrence.

7 43 Underlying natural causes of death by population group .. 45 Non-natural causes of death .. 45 Non-natural causes of death by age and sex .. 46 Non-natural causes of death by province of death occurrence .. 49 Non-natural causes of death by district municipality .. 51 Comparison between immediate, contributing and underlying causes of death .. 51 5. Summary and concluding remarks .. 54 6. References .. 56 Appendices .. 57 Appendix A: Definitions .. 57 Appendix B: death notification form (BI-1663).

8 58 Appendix B1: death notification form (DHA-1663A) .. 61 Appendix B2: death notification form (DHA-1663B) .. 64 Appendix C: Assessment of the quality of data .. 65 Appendix D: Number of deaths by age, sex and year of death , 1997 1999 .. 73 Appendix D1: Number of deaths by age, sex and year of death , 2000 2002 .. 74 Appendix D2: Number of deaths by age, sex and year of death , 2003 2005 .. 75 Appendix D3: Number of deaths by age, sex and year of death , 2006 2008 .. 76 Appendix D4: Number of deaths by age, sex and year of death , 2009 2011.

9 77 Appendix D5: Number of deaths by age, sex and year of death , 2012 2014 .. 78 Appendix D6: Number of deaths by age, sex and year of death , 2015 2016 .. 79 Appendix E: Year-to-year percentage changes in number of deaths by sex, 1997 2016 .. 80 Appendix F: Age-specific death rates (ASDR) by year of death , 2012 2016 .. 81 Appendix G: Sex ratios at death by year of death , 1997 2016 .. 82 STATISTICS South africa v Mortality and causes of death in South africa , 2016: Findings from death notification Appendix H: Number of deaths by province of death occurrence and province usual residence of the deceased, 2016.

10 83 Appendix H1: Percentage distribution of deaths by province of death occurrence and province of usual residence of deceased, 2016 .. 83 Appendix I: Number of deaths by age, province and district municipality of death occurrence, 2016 .. 84 Appendix I1: Percentage distribution of deaths by age, province and district municipality of death occurrence, 2016 .. 86 Appendix J: Number of deaths by sex, province and district municipality of death occurrence, 2016 .. 88 Appendix K: All underlying causes of death , 90 Appendix L: Detailed description of the broad-based groups of natural causes of death which were among the ten leading causes , 2016.