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EDITOR,--Sebastian B Lucas and colleagues report an impressive series of paediatric necropsies from Abidjan, documenting the range of disease in African children infected with HIV.1 The sampling method was to carry out a necropsy on all HIV positive children in the mortuary during the study period and "randomly selected children" who were HIV negative. How random sampling was done is not discussed. The authors state that most children who die in the hospital and the community (the city) pass through the mortuary where the study was carried out; in the 10 month study 408 children were admitted to the mortuary. In a city such as Abidjan do only 40 paediatric (12 years or younger) deaths occur a month? Or are there hidden biases in this population that have not been appreciated?
One of the main outcome measures was cause
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