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Child death in high-income countries 2: Patterns of child death in England and Wales

Lookup NU author(s): Dr Martin Ward Platt


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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.

Publication metadata

Author(s): Sidebotham P, Fraser J, Fleming P, Ward-Platt M, Hain R

Publication type: Article

Publication status: Published

Journal: Lancet

Year: 2014

Volume: 384

Issue: 9946

Pages: 904-914

Print publication date: 06/09/2014

ISSN (print): 0140-6736

ISSN (electronic): 1474-547X

Publisher: Lancet Publishing Group


DOI: 10.1016/S0140-6736(13)61090-9


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