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'Over 16 Lakh Children Below 5 Yrs Died in India in 2010'
PTI | NEW DELHI | MAY 11, 2012
More than 16.8 lakh children below five years died of infectious but preventable diseases in India in 2010 and more than half of them could not complete the first month of their life, a new study has claimed.
Of the total deaths, 52 per cent or about 0.875 million were among the children who died in the first 28 days of their life, according to the study published in The Lancet today.
Pneumonia remained the leading killer which accounted for 28.6 per cent of all deaths in children under five, followed by preterm birth complications (18.1 per cent) and diarrhoea (12.6 per cent), the study found.
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The Lancet, Early Online Publication, 11 May 2012
doi:10.1016/S0140-6736(12)60560-1Cite or Link Using DOI
Global, regional, and national causes of child mortality: an updated systematic analysis for 2010 with time trends since 2000
Li Liu PhD a, Hope L Johnson PhD a, Prof Simon Cousens MA b, Jamie Perin PhD a, Susana Scott PhD b, Joy E Lawn PhD c, Prof Igor Rudan MD d, Prof Harry Campbell MD d, Richard Cibulskis PhD e, Mengying Li MSPH a, Colin Mathers PhD f, Prof Robert E Black MD a , for the Child Health Epidemiology Reference Group of WHO and UNICEF
Summary
Background
Information about the distribution of causes of and time trends for child mortality should be periodically updated. We report the latest estimates of causes of child mortality in 2010 with time trends since 2000.
Methods
Updated total numbers of deaths in children aged 0?27 days and 1?59 months were applied to the corresponding country-specific distribution of deaths by cause. We did the following to derive the number of deaths in children aged 1?59 months: we used vital registration data for countries with an adequate vital registration system; we applied a multinomial logistic regression model to vital registration data for low-mortality countries without adequate vital registration; we used a similar multinomial logistic regression with verbal autopsy data for high-mortality countries; for India and China, we developed national models. We aggregated country results to generate regional and global estimates.
Findings
Of 7?6 million deaths in children younger than 5 years in 2010, 64?0% (4?879 million) were attributable to infectious causes and 40?3% (3?072 million) occurred in neonates. Preterm birth complications (14?1%; 1?078 million, uncertainty range [UR] 0?916?1?325), intrapartum-related complications (9?4%; 0?717 million, 0?610?0?876), and sepsis or meningitis (5?2%; 0?393 million, 0?252?0?552) were the leading causes of neonatal death. In older children, pneumonia (14?1%; 1?071 million, 0?977?1?176), diarrhoea (9?9%; 0?751 million, 0?538?1?031), and malaria (7?4%; 0?564 million, 0?432?0?709) claimed the most lives. Despite tremendous efforts to identify relevant data, the causes of only 2?7% (0?205 million) of deaths in children younger than 5 years were medically certified in 2010. Between 2000 and 2010, the global burden of deaths in children younger than 5 years decreased by 2 million, of which pneumonia, measles, and diarrhoea contributed the most to the overall reduction (0?451 million [0?339?0?547], 0?363 million [0?283?0?419], and 0?359 million [0?215?0?476], respectively). However, only tetanus, measles, AIDS, and malaria (in Africa) decreased at an annual rate sufficient to attain the Millennium Development Goal 4.
Interpretation
Child survival strategies should direct resources toward the leading causes of child mortality, with attention focusing on infectious and neonatal causes. More rapid decreases from 2010?15 will need accelerated reduction for the most common causes of death, notably pneumonia and preterm birth complications. Continued efforts to gather high-quality data and enhance estimation methods are essential for the improvement of future estimates.
Funding
The Bill & Melinda Gates Foundation.
PTI | NEW DELHI | MAY 11, 2012
More than 16.8 lakh children below five years died of infectious but preventable diseases in India in 2010 and more than half of them could not complete the first month of their life, a new study has claimed.
Of the total deaths, 52 per cent or about 0.875 million were among the children who died in the first 28 days of their life, according to the study published in The Lancet today.
Pneumonia remained the leading killer which accounted for 28.6 per cent of all deaths in children under five, followed by preterm birth complications (18.1 per cent) and diarrhoea (12.6 per cent), the study found.
...
The Lancet, Early Online Publication, 11 May 2012
doi:10.1016/S0140-6736(12)60560-1Cite or Link Using DOI
Global, regional, and national causes of child mortality: an updated systematic analysis for 2010 with time trends since 2000
Li Liu PhD a, Hope L Johnson PhD a, Prof Simon Cousens MA b, Jamie Perin PhD a, Susana Scott PhD b, Joy E Lawn PhD c, Prof Igor Rudan MD d, Prof Harry Campbell MD d, Richard Cibulskis PhD e, Mengying Li MSPH a, Colin Mathers PhD f, Prof Robert E Black MD a , for the Child Health Epidemiology Reference Group of WHO and UNICEF
Summary
Background
Information about the distribution of causes of and time trends for child mortality should be periodically updated. We report the latest estimates of causes of child mortality in 2010 with time trends since 2000.
Methods
Updated total numbers of deaths in children aged 0?27 days and 1?59 months were applied to the corresponding country-specific distribution of deaths by cause. We did the following to derive the number of deaths in children aged 1?59 months: we used vital registration data for countries with an adequate vital registration system; we applied a multinomial logistic regression model to vital registration data for low-mortality countries without adequate vital registration; we used a similar multinomial logistic regression with verbal autopsy data for high-mortality countries; for India and China, we developed national models. We aggregated country results to generate regional and global estimates.
Findings
Of 7?6 million deaths in children younger than 5 years in 2010, 64?0% (4?879 million) were attributable to infectious causes and 40?3% (3?072 million) occurred in neonates. Preterm birth complications (14?1%; 1?078 million, uncertainty range [UR] 0?916?1?325), intrapartum-related complications (9?4%; 0?717 million, 0?610?0?876), and sepsis or meningitis (5?2%; 0?393 million, 0?252?0?552) were the leading causes of neonatal death. In older children, pneumonia (14?1%; 1?071 million, 0?977?1?176), diarrhoea (9?9%; 0?751 million, 0?538?1?031), and malaria (7?4%; 0?564 million, 0?432?0?709) claimed the most lives. Despite tremendous efforts to identify relevant data, the causes of only 2?7% (0?205 million) of deaths in children younger than 5 years were medically certified in 2010. Between 2000 and 2010, the global burden of deaths in children younger than 5 years decreased by 2 million, of which pneumonia, measles, and diarrhoea contributed the most to the overall reduction (0?451 million [0?339?0?547], 0?363 million [0?283?0?419], and 0?359 million [0?215?0?476], respectively). However, only tetanus, measles, AIDS, and malaria (in Africa) decreased at an annual rate sufficient to attain the Millennium Development Goal 4.
Interpretation
Child survival strategies should direct resources toward the leading causes of child mortality, with attention focusing on infectious and neonatal causes. More rapid decreases from 2010?15 will need accelerated reduction for the most common causes of death, notably pneumonia and preterm birth complications. Continued efforts to gather high-quality data and enhance estimation methods are essential for the improvement of future estimates.
Funding
The Bill & Melinda Gates Foundation.
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