Sidebotham, Peter, Fraser, J. (James), Fleming, Peter J., Ward-Platt, Martin and Hain, Richard (2014) Patterns of child death in England and Wales. The Lancet, Volume 384 (Number 9946). pp. 904-914. doi:10.1016/S0140-6736(13)61090-9 ISSN 0140-6736.

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Abstract

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.

Item Type:	Journal Article
Subjects:	H Social Sciences > HQ The family. Marriage. Woman R Medicine > R Medicine (General)
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Children -- Mortality -- England, Children -- Mortality -- Wales
Journal or Publication Title:	The Lancet
Publisher:	Lancet Publishing Group
ISSN:	0140-6736
Official Date:	6 September 2014
Dates:	Date Event 6 September 2014 Published
Volume:	Volume 384
Number:	Number 9946
Page Range:	pp. 904-914
DOI:	10.1016/S0140-6736(13)61090-9
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
Date of first compliant deposit:	28 December 2015
Date of first compliant Open Access:	28 December 2015

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