Long-term trends in seasonality of mortality in urban Madagascar: the role of the epidemiological transition

Background: Seasonal patterns of mortality have been identified in Sub-Saharan Africa but their changes over time are not well documented.Objective: Based on death notification data from Antananarivo, the capital city of Madagascar, this study assesses seasonal patterns of all-cause and cause-specific mortality by age groups and evaluates how these patterns changed over the period 1976–2015.Methods: Monthly numbers of deaths by cause were...