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The review presents the literature data and, revealed by authors, the patterns of changes in the dynamics of the infant mortality rate and its structure over a long period (2005-2017) in St. Petersburg. This index is one of the lowest in the Russian Federation. There are analyzed changes in the individual components of the structure of the infant mortality rate, related both to objective and subjective factors. In the city of St. Petersburg there was shown a persistent decline in the infant mortality rate due to the implementation of federal and city programs, closely correlated with structural components. The authors believe the positive dynamics of structural components in St. Petersburg to indicate the organization of all types of specialized and high-tech medical care for newborns.

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