Causes of Death in Children Aged < 15 Years in the Inner Mongolia Region of China, 2008-2012

Abstract

The objective of our study was to identify the causes of death in children <15 years of age in Inner Mongolia and to examine the age-specific causes of death. Study data from 2008–2012 were obtained from the Death Registry System that is maintained by the Inner Mongolia Centers for Disease Control and Prevention. The mortality rate (per 100,000) for children <15 years of age was calculated and stratified by age in different years. We computed the proportion of age-specific causes of death for children <15 years that occurred between 2008 and 2012 across eight monitoring points in Inner Mongolia. We used a log-linear model to analyze the year and age effects on childhood mortality. From 2008-2012, the standardized mortality of children <15 years of age was 42.78/100,000. The mortality rate was not significantly different from 2008 to 2012 (p>0.05); the mortality rate was the highest in the <1-year age group (p<0.05); and the mortality rate of the <1-year age group was higher in 2012 compared to that in 2009 (p<0.05), 2010 (p<0.05), and 2011 (p<0.05). In children aged 1-14 years, the leading cause of death was injuries, among which transport accident injuries were the most prevalent. To reduce the childhood mortality rate in Inner Mongolia, China, we should focus on the prevention of perinatal deaths in infants <1 year of age and on the prevention of transport accident injuries among older children (1-14 years).

Out-of-hospital deaths in Mongolia: a nationwide cohort study on the proportion, causes, and potential impact of emergency and critical care services

“…Furthermore, the widespread lack of pre-hospital emergency and acute care services, particularly in Mongolian regions, 4 , 5 , 6 , 7 , 17 , 18 likely contributed to the high burden of out-of-hospital deaths from acute conditions such as trauma, poisonings, self-harm, ischaemic heart disease, stroke, and hypothermia. While the lower proportion of out-of-hospital deaths in children compared to adults was expected and is in line with findings of a previous study, 19 it was surprising that the proportion of out-of-hospital deaths in the capital city was higher during winter than during spring/summer months but not in Mongolian regions. Poisonings including alcohol intoxication with or without consecutive hypothermia could partly explain this unexpected finding.…”

Patterns of Unnatural Deaths Among Children and Adolescents: Autopsy Study (2011-2018)

“…The most affected age group in our study was the 15 to 18-year age group. This was also observed in other studies 1,7,23 that used the same age group distribution, in contrast with Çekin et al 24 Turkish series of medicolegal childhood deaths in Adana, in which children aged between 0 and 6 years were more compromised. This difference may be explained by the fact that infants less than 1 year were not included in our study.…”

“…Unintentional injuries, including road traffic injuries, falls, burns, poisoning, and drowning account for almost 90% of these cases. 7 We conducted this study on unnatural deaths among children and adolescents in northern Tunisia. Our aim was to describe the epidemiological profile and pattern of these medicolegal deaths to serve as a basis for identifying vulnerability characteristics and high-risk situations of this population in Northern Tunisia.…”

A retrospective review of paediatric head injuries in Asia – a Pan Asian Trauma Outcomes Study (PATOS) collaboration

“…After infancy, childhood injuries remain high on the list of killers in various parts of Asia. 13 WHO recommends strengthening the role of the health sector in evidence-based advocacy and service provision for victims of such trauma. 14 This collaboration among participating PATOS centres enabled clinical childhood injury data across different centres in Asia to be analysed.…”