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. 2017 Nov 21;359:j5018. doi: 10.1136/bmj.j5018

Table 2.

Prevalence of microcephaly by country and region, 2005-14

Country and region (No of hospitals) Hospital based Population based
Cases Total births Prevalence, per 10 000
(95% CI)
Cases Births Prevalence, per 10 000
(95% CI)
Argentina (35): 95 316 771 3.0 (2.4 to 3.7) 39 237 702 1.6 (1.2 to 2.2)
 Buenos Aires (9) 17 53 032 3.2 (1.8 to 5.1) 4 43 420 0.92 (0.25 to 2.4)
 Centro (2) 13 33 768 3.8 (2.1 to 6.6) 6 27 793 2.2 (0.79 to 4.7)
 Cuyo (5) 3 31 566 1.0 (0.20 to 2.8) 2 26 609 0.75 (0.09 to 2.7)
 Nordeste (1) 2 17 096 1.2 (0.14 to 4.2) 2 17 096 1.2 (0.14 to 4.2)
 Noroeste (4) 36 92 936 3.9 (2.7 to 5.4) 6 45 718 1.3 (0.48 to 2.9)
 Pampa (9) 23 80 233 2.9 (1.8 to 4.3) 18 68 926 2.6 (1.6 to 4.1)
 Patagonia (5) 1 8140 1.2 (0.03 to 6.8) 1 8140 1.2 (0.03 to 6.8)
Bolivia (5): 18 80 322 2.2 (1.3 to 3.5) 11 58 080 1.9 (0.95 to 3.4)
 Andes (4) 14 52 372 2.7 (1.5 to 4.5) 9 40 520 2.2 (1.0 to 4.2)
 Subandina (1) 4 27 950 1.4 (0.4 to 3.7) 2 17 560 1.1 (0.14 to 4.1)
Brazil (22): 251 303 922 8.3 (7.3 to 9.4) 114 209 834 5.4 (4.5 to 6.5)
 Centro (1) 1 3997 2.5 (0.06 to 13.9) 1 3854 2.6 (0.07 to 14.5)
 Nordeste (4) 76 90 891 8.4 (6.6 to 10.5) 34 49 501 6.9 (4.8 to 9.6)
 Sudeste (11) 144 88 052 16.4* (13.8 to 19.3) 70 68 178 10.3 (8 to 12.9)
 Sul (6) 30 120 982 2.5 (1.7 to 3.5) 9 88 301 1.0 (0.47 to 1.9)
Chile (11): 89 192 401 4.6 (3.7 to 5.7) 43 102 631 4.2 (3.0 to 5.6)
 Lagos (1) 7 34 665 2.0 (0.81 to 4.2) 5 23 229 2.2 (0.70 to 5.0)
 Maule (4) 19 91 244 2.1 (1.3 to 3.3) 12 49 915 2.4 (1.2 to 4.2)
 Metropolitana (6) 63 66 492 9.5 (7.3 to 12.1) 26 29 487 8.8 (5.8 to 12.9)
Colombia (15): 53 152 485 3.5 (2.6 to 4.6) 41 122 437 3.3 (2.4 to 4.5)
 Caribe (1) 2 1411 14.2 (1.7 to 51.2) 1 1411 7.1 (0.18 to 39.5)
 Sabana (12) 40 83 693 4.8 (3.4 to 6.5) 34 69 115 4.9 (3.4 to 6.9)
 Valle (2) 11 67 381 1.6 (0.8 to 2.9) 6 51 911 1.2 (0.4 to 2.5)
Ecuador (11): 23 81 835 2.8 (1.8 to 4.2) 10 63 085 1.6 (0.76 to 2.9)
 Costa (4) 2 19 484 1.0 (0.1 to 3.7) 0 16 666 0 (0 to 2.2)
 Sierra (7) 21 62 351 3.4 (2.1 to 5.2) 10 46 419 2.2 (1.0 to 3.9)
Paraguay (1): 1 5237 1.9 (0.05 to 10.6) 0 1885 0 (0 to 19.6)
 Asuncion (1) 1 5237 1.9 (0.05 to 10.6) 0 1885 0 (0 to 19.6)
Peru (1): 6 19 881 3.0 (1.1 to 6.6) 6 19 881 3.0 (1.1 to 6.6)
 Lima (1) 6 19 881 3.0 (1.1 to 6.6) 6 19 881 3.0 (1.1 to 6.6)
Uruguay (2): 0 9553 0 (0 to 3.9) 0 9553 0 (0 to 3.9)
 Maldonado (1) 0 1922 0 0 1922 0
 Montevideo (1) 0 7631 0 0 7631 0
Venezuela (4): 16 84 778 1.9 (1.1 to 3.1) 4 55 986 0.71 (0.19 to 1.8)
 Guyana (1) 1 9868 1.0 (0.03 to 5.7) 1 9868 1.0 (0.03 to 5.7)
 Occidente (1) 13 54317 2.4 (1.3 to 4.1) 2 25 525 0.78 (0.09 to 2.8)
 Zulia (2) 2 20593 1.0 (0.12 to 3.5) 1 20 593 0.49 (0.01 to 2.7)
All countries (107) 552 1 247 185 4.4* (4.1 to 4.9) 268 881 074 3.0 (2.7 to 3.4)

*Removal of high prevalence tertiary A05 hospital from Brazil gives estimated hospital based prevalence for Brazil SE of 9.6/10 000 (95% CI 7.5 to 11.9; n=75; births=78 470) and all countries prevalence of 3.9/10 000 (3.6 to 4.3; n=483; births=1 237 603). A05 alone has hospital based prevalence of 72/10 000 (56.1 to 91; n=69; births=9582) and population based prevalence of 52.4/10 000 (36.3 to 76.1). Brazil SE population based prevalence without A05 is 2.7/10 000 (2.3 to 3.0).

†Estimated from 71% of controls residing within municipality of hospital (0.71*1 247 187=881 074).