Patterns of child death in England and Wales

Summary In the past century, child mortality has fallen to very low rates in all developed countries. However, rates between and within countries vary widely, and factors can be identified that could be modified to reduce the risk of future deaths. An understanding of the nature and patterns of chil...

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Bibliographic Details
Published in:The Lancet (British edition) 2014-09, Vol.384 (9946), p.904-914
Main Authors: Sidebotham, Peter, Dr, Fraser, James, FRCPCH, Fleming, Peter, Prof, Ward-Platt, Martin, MD, Hain, Richard, MD
Format: Article
Language:English
Subjects:
Accidents, Traffic - statistics & numerical data
Adolescent
Age Distribution
Babies
Cause of Death - trends
Child
Child Abuse - mortality
Child Mortality - trends
Child, Preschool
Children & youth
Developed countries
England - epidemiology
Epidemiology
Homicide - statistics & numerical data
Humans
Infant
Infant Mortality - trends
Infant, Newborn
Infant, Premature - physiology
Internal Medicine
Mortality
Risk reduction
Sex Distribution
Suicide - statistics & numerical data
Teenagers
Violence - statistics & numerical data
Wales - epidemiology
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Summary:Summary In the past century, child mortality has fallen to very low rates in all developed countries. However, rates between and within countries vary widely, and factors can be identified that could be modified to reduce the risk of future deaths. An understanding of the nature and patterns of child death and of the factors contributing to child deaths is essential to drive preventive initiatives. We discuss the epidemiology of child deaths in England and Wales. We use available data, particularly that of death registration and other available datasets, and published literature to emphasise issues relevant to reduction of child deaths in developed countries. We examine the different patterns of mortality at different ages in five broad categories of death: perinatal causes, congenital abnormalities, acquired natural causes, external causes, and unexplained deaths. For each category, we explore what is known about the main causes of death and some of the contributory factors. We then explain how this knowledge might be used to help to drive prevention initiatives.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(13)61090-9