Worsening Inequalities in Child Injury Deaths in the WHO European Region

Abstract

This article compares the mortality data for injuries in children aged 0–14 years in the World Health Organization WHO European region as estimated by the WHO Global Health Estimates for 2000 and 2015. While the region has seen a decline in child mortality due to injuries over the years, inequality persists between the low- and middle-income countries and high-income countries in the region. The gap in child mortality due to unintentional injuries has widened over the years between these two socioeconomic regions, particularly in terms of road injuries. In contrast, mortality rate ratios due to intentional injuries have narrowed between 2000 and 2015. The low- and middle-income countries need to scale up their efforts in injury prevention by adopting stricter regulations and higher safety practices to narrow the East-West gap in unintentional injuries.

Socio-Cultural Constraints in Protecting Child Rights in a Society in Transition: A Review and Synthesis from Oman

“…Every year about 31,000 children under the age of 15 are reported to die due to abuse (Sethi et al 2017). Even this figure may be an underestimation as many child deaths from maltreatment are attributed to accidental causes (Douglas 2016).…”

Disparities in Non-Fatal Health Outcomes in Pediatric General Trauma Studies

“…Globally 950,000 children aged <18 years die from injuries each year and 10–30 million experience non-fatal injuries [ 1 ]. This burden is disproportionately greater in low- and middle-income countries, and recent evidence suggests that disparities in child injury deaths are worsening in some contexts, including within high-income countries [ 2 ]. Reported disparities in child injury deaths are particularly likely by ethnicity/race, socio-economic status and insurance cover [ 3 , 4 , 5 , 6 , 7 ].…”

“…Acknowledging non-fatal childhood injuries as a neglected public health problem with substantial health, social, and economic costs [ 8 , 9 , 10 ], the 64th World Health Assembly adopted a child injury prevention resolution calling on member states to strengthen emergency and rehabilitation services in order to improve outcomes for injured or disabled children [ 11 ]. However, well-recognized situations with other health conditions in addition to the trends in child injury deaths noted above raise the possibility that even when improvements in non-fatal injury outcomes and recovery trajectories are realized at the population level, there could be intractable or widening inequalities between sub-groups [ 2 , 12 ]. Factors ranging from increased exposure to injuries to unequal access to high-quality emergency trauma and rehabilitation care can place children in socially disadvantaged groups at increased risk of injury-related disability [ 13 , 14 , 15 , 16 , 17 , 18 ].…”

Correction of Micronutrient Status of the Population of the Irkutsk Region as a Means of Lowering Infant Mortality

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