scholarly journals Trends of drowning mortality in Vietnam: evidence from the national injury mortality surveillance system

2019 ◽  
Vol 26 (1) ◽  
pp. 42-48 ◽  
Author(s):  
Ha Nguyen ◽  
Rebecca Q Ivers ◽  
Cuong Pham ◽  
Jagnoor Jagnoor
Keyword(s):  
Mortality Rate ◽  
Surveillance System ◽  
Population Change ◽  
Mortality Rates ◽  
Socioeconomic Characteristics ◽  
Provincial Level ◽  
Injury Mortality ◽  
Geographical Regions ◽  
Central Highland ◽  
Mortality Surveillance

ObjectiveTo describe the trends of drowning mortality in Vietnam over time and to identify socioeconomic characteristics associated with higher drowning mortality at the provincial level.MethodsWe analysed data from the Ministry of Health injury mortality surveillance system from 1 January 2009 to 31 December 2013. The surveillance covers more than 11 000 commune health centres in all provinces of Vietnam. For provincial population and socioeconomic characteristics, we extracted data from the National census 2009, the Population change and family planning surveys in 2011 and 2013. Multilevel linear models were used to identify provincial characteristics associated with higher mortality rates.ResultsOver the 5-year period between 2009 and 2013, 31 232 drowning deaths were reported, equivalent to a 5-year average of 6246 drowning deaths. During this period, drowning mortality rate decreased 7.2/100 000 to 6.9/100 000 (p=0.035). Of six major geographical regions, Northern midland, Central highland and Mekong delta were those with highest mortality rates. In all regions, children aged 1–4 years had the highest mortality rates, followed by those aged 5–9 and 10–14 years. At provincial level, having a coastline was not associated with higher mortality rate. Provinces with larger population size and greater proportion of poor households were statistically significantly associated with higher mortality rates (p=0.042 and 0.006, respectively).ConclusionWhile some gains have been made in reducing drowning mortality, child deaths due to drowning in Vietnam remain alarmingly high. Targeted scale-up of known effective interventions such as child supervision and basic survival skills are needed for reducing child mortality due to drowning, particularly in socioeconomically disadvantaged provinces.

scholarly journals Injury-related mortality among children younger than 5 years in China during 2009–2016: an analysis from national surveillance system

2018 ◽  
Vol 25 (1) ◽  
pp. 60-66 ◽  
Author(s):  
Liangcheng Xiang ◽  
Ke Wang ◽  
Lei Miao ◽  
Leni Kang ◽  
Xiaohong Li ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Rural Areas ◽  
Surveillance System ◽  
Mortality Rates ◽  
Policy Interventions ◽  
Major Injury ◽  
Urban Rural ◽  
Mortality Surveillance ◽  
Health Programmes ◽  
Related Mortality

BackgroundEpidemiology in injury-related mortality among children younger than 5 years was unreported in China recently.MethodsData were obtained from China’s Under 5 Child Mortality Surveillance System (U5CMSS) in 2009-2016. Injury-related mortality rates were calculated by residence, age-group, gender and major injury type (drowning, traffic injuries, suffocation, poisoning, falls). The average annual decline rate (AADR) was calculated based on the annual mortality rates by Poisson regression and the relative risk (RR) between urban and rural residence was examined based on the rates of two years for each time point by Cochran-Mantel-Haenszel method.ResultsU5CMSS contained 6503 injury-related deaths of children younger than 5 years during the study period, of which 58.6% were male, 86.0% occurred in rural areas, 65.7% were children aged 12–59 months. Deaths were mainly attributed to suffocation (34.3%), drowning (29.6%), traffic injuries (17.7%), falls (7.2%) or poisoning (4.7%). The injury-related mortality rate dropped from 274.7 to 189.2 per 100 000 live births from 2009 to 2016, giving an AADR of 4.53% (95% CI 3.50% to 5.55%). During 2009–2016, the injury-related mortality rate in rural area was higher than that in urban area, the adjusted RRs (aRRs) in infants and children aged 12–59 months were 3.32–6.04 and 4.31–5.49, respectively.ConclusionThe rate of injury-related deaths in children younger than 5 years has decreased in China, but it remains high and strong urban–rural disparities still exist. Public health programmes and policy interventions should focus particularly on suffocation among infants and on drowning and traffic injuries among children aged 12–59 months, especially in rural areas.

Unintentional injury mortality among indigenous communities of Taiwan: trends from 2002 to 2013 and evaluation of a community-based intervention

2017 ◽  
Vol 25 (1) ◽  
pp. 26-30 ◽  
Author(s):  
Stephen W Pan ◽  
Hiu Ha Chong ◽  
Hui-Chuan Kao
Keyword(s):  
Mortality Rate ◽  
Indigenous Population ◽  
Unintentional Injury ◽  
Indigenous Communities ◽  
Mortality Rates ◽  
Community Based ◽  
Injury Death ◽  
Injury Mortality ◽  
Injury Prevention Programme ◽  
Disproportionate Burden

IntroductionIndigenous communities in Taiwan shoulder a disproportionate burden of unintentional injury fatalities. We compare unintentional injury mortality rate trends among Taiwan’s indigenous communities and the general population from 2002 to 2013, and evaluate potential impact of a community-based injury prevention programme on indigenous unintentional injury death rates.MethodsStandardised and crude unintentional injury mortality rates were obtained from Taiwan government reports. Segmented linear regression was used to estimate and compare unintentional injury mortality rate trends before and after the intervention.ResultsBetween 2002 and 2013, unintentional injury mortality rates among Taiwan’s indigenous population significantly declined by about 4.5 deaths per 100 000 each year (p<0.0001). During that time, the unintentional injury mortality rate ratio between indigenous Taiwanese and the general population significantly decreased by approximately 1% each successive year (p=0.02). However, we were unable to detect evidence that the ‘Healthy and Safe Tribe’ programme was associated with a statistically significant decrease in the unintentional injury mortality rate trend among indigenous persons (p=0.81).ConclusionTaiwanese indigenous communities remain at significantly higher risk of unintentional injury death, though the gap may be slowly narrowing. We found no evidence that the ‘Healthy and Safe Tribe’ indigenous injury-prevention programme significantly contributed to the nationwide decline in unintentional injury mortality among indigenous Taiwanese communities from 2009 to 2013. Future interventions to address the disproportionate burden of unintentional injury fatalities among indigenous Taiwanese should consider interventions with wider coverage of the indigenous population, and complementing grass roots led community-based interventions with structural policy interventions as well.

scholarly journals VIOLENT DEATHS IN SA: The 2003 National Injury Mortality Surveillance System

2016 ◽  
Author(s):  
Richard Matzopoulos
Keyword(s):  
South Africa ◽  
Risk Factor ◽  
Surveillance System ◽  
Cape Town ◽  
Important Risk Factor ◽  
Homicide Rates ◽  
Common Cause ◽  
Injury Mortality ◽  
Mortality Surveillance ◽  
Fatal Injuries

The latest data from the National Injury Mortality Surveillance System – the most detailed source on the ‘who, what, when, where and how’ of fatal injuries in South Africa – shows that homicide remains the most common cause of injury-related deaths. Homicide rates varied significantly between the four major urban centres covered, and firearms were a key contributor to the high homicide rates. Alcohol was confirmed as an important risk factor for murder, with the highest percentage of alcohol positive cases being recorded in Cape Town.

scholarly journals A study on transformation in infant mortality rates in India: mortality indicators as major tool for indicating status of nation’s health

2020 ◽  
Vol 7 (3) ◽  
pp. 647
Author(s):  
Chandramohan Reddy S. ◽  
Dharna Reddy
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Sex Ratio ◽  
Rural Areas ◽  
Population Change ◽  
Principal Component ◽  
Mortality Rates ◽  
Infant Mortality Rate ◽  
P Value ◽  
Significant Difference

Background: Mortality is important to study population change in the country; infant mortality is considered as principal component balancing the child sex ratio. In this study authors aimed to analyze how mortality rates and child sex ratios are different in urban and rural areas and how its growth statistics are changing over years. Objectives of the study were to quantify infant mortality rates change over time and check the means among mortality indicators.Methods: The study was conducted using secondary data obtained from various issues and reports published by Registrar General and Census Commissioner, India for a period of 10 years from 2006 to 2016. The obtained data on mortality indicators were subjected to basic statistical analysis using percent change and paired t-test.Results: The Infant mortality rate which was reduced by 23 points indicating reduction of 67.65 percent control over a period from 2006 to 2016. Further, results show that, in case of urban mortality, there was significant difference between mortality indicators during study period, the p-value (0.011) was less than level of significance (0.05) so we reject the null hypothesis and it is concluded that there is significant difference between the means of urban mortality indicators over a period of from 2006 to 2016.Conclusions: The infant mortality rate frequently provided as a key indicator of overall the development. There is need for stable child sex ratio; health of children and women are essential for better growth and reaching stable child sex ratio for the ever increasing population.

scholarly journals Verification of Neonatal Tetanus Surveillance Systems in Katsina State, Nigeria

2017 ◽  
Vol 4 ◽  
pp. 233339281772958
Author(s):  
Shafique Sani Nass ◽  
Hadi Danawi ◽  
Loretta Cain ◽  
Monoj Sharma
Keyword(s):  
Mortality Rate ◽  
Active Surveillance ◽  
Surveillance System ◽  
Disease Surveillance ◽  
Mortality Rates ◽  
Neonatal Tetanus ◽  
Surveillance Systems ◽  
Surveillance And Response ◽  
Incidence And Mortality ◽  
Record Review

Background: The incidence and mortality rates of neonatal tetanus (NNT) remain underreported in Nigeria. The goal of the study was to compare the NNT prevalence and the mortality rates from the existing surveillance system and active surveillance of health facility records in 7 selected health facilities from 2010 to 2014 in Katsina State, Nigeria. Methods: The study is a retrospective record review using extracted data from NNT records and analyzed using descriptive statistics. Results: The prevalence of NNT and mortality rate were 336 cases and 3.4 deaths per 100 000 population, respectively, whereas the prevalence of NNT and mortality rate reported through the Integrated Disease Surveillance and Response (IDSR) system were 111 cases and 1.0 death per 100 000 population, respectively. Conclusion: The study shows underreporting of NNT in the existing IDSR system. Implications: Active surveillance is a good strategy for verifying underreporting of NNT in the surveillance system. The IDSR system should be strengthened with the capacity to detect events associated with a disease toward global elimination.

scholarly journals GETTING A GRIP ON GUNS: Rolling out the Firearms Control Act

2006 ◽  
Author(s):  
Sarah Meek
Keyword(s):  
South Africa ◽  
Surveillance System ◽  
Traffic Accidents ◽  
Annual Report ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Natural Death ◽  
Injury Mortality ◽  
The Government ◽  
Mortality Surveillance

The use of guns in crime remains high in South Africa. The annual report of the National Injury Mortality Surveillance System (NIMSS) for 2000 found that death caused by firearms is higher in South Africa than death occurring through road traffic accidents or any other external cause of non-natural death. The government maintains that controlling firearms remains a priority and is focusing on the implementation of the Firearms Control

scholarly journals Sex differences in the incidence, mortality, and fatality of COVID-19 in Peru

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253193
Author(s):  
Max Carlos Ramírez-Soto ◽  
Hugo Arroyo-Hernández ◽  
Gutia Ortega-Cáceres
Keyword(s):  
Sex Differences ◽  
Mortality Rate ◽  
Odds Ratio ◽  
Surveillance System ◽  
Epidemiological Data ◽  
Mortality Rates ◽  
Population Based ◽  
Fatality Rate ◽  
Death Rates ◽  
Death Data

Background There is a worrying lack of epidemiological data on the sex differential in COVID-19 infection and death rates between the regions of Peru. Methods Using cases and death data from the national population-based surveillance system of Peru, we estimated incidence, mortality and fatality, stratified by sex, age and geographic distribution (per 100,000 habitants) from March 16 to November 27, 2020. At the same time, we calculated the risk of COVID-19 death. Results During the study period, 961894 cases and 35913 deaths were reported in Peru. Men had a twofold higher risk of COVID-19 death within the overall population of Peru (odds ratio (OR), 2.11; confidence interval (CI) 95%; 2.06–2.16; p<0.00001), as well as 20 regions of Peru, compared to women (p<0.05). There were variations in incidence, mortality and fatality rates stratified by sex, age, and region. The incidence rate was higher among men than among women (3079 vs. 2819 per 100,000 habitants, respectively). The mortality rate was two times higher in males than in females (153 vs. 68 per 100,000 habitants, respectively). The mortality rates increased with age, and were high in men 60 years of age or older. The fatality rate was two times higher in men than in women (4.96% vs. 2.41%, respectively), and was high in men 50 years of age or older. Conclusions These findings show the higher incidence, mortality and fatality rates among men than among women from Peru. These rates vary widely by region, and men are at greater risk of COVID-19 death. In addition, the mortality and fatality rates increased with age, and were most predominant in men 50 years of age or older.

scholarly journals Mortality rate in children caused by traffic accidents according to geographical regions : Brazil, 1997 - 2005

2012 ◽  
Vol 15 (2) ◽  
pp. 308-314 ◽  
Author(s):  
Maria Loffredo ◽  
Celso Arruda ◽  
Leonor de Castro Monteiro Loffredo
Keyword(s):  
Mortality Rate ◽  
Traffic Accidents ◽  
Motor Vehicle ◽  
Age Groups ◽  
Mortality Rates ◽  
Motor Vehicle Accidents ◽  
Vehicle Accidents ◽  
National Mortality ◽  
Geographical Regions ◽  
Educational Campaigns

Fatal injuries in children caused by motor vehicle accidents represent a common situation in many countries worldwide. The present study addresses the mortality rate in children as vehicle passengers in Brazil, from 1997 to 2005. To evaluate mortality rates, the number of deaths was collected from the National Mortality Information System (SIM) and the population size was obtained using the Brazilian Bureau Census (IBGE) data available at DATASUS. Mortality rates were estimated in three-year periods and analyzed according to age groups (younger than 1 year old, 1-4 years old, 5-9 years old) and geographical regions using a 95% confidence interval. Overall results showed mortality rates of 5.68, 7.32 and 6.78 (per 1,000,000) for the 1997-1999, 2000-2002 and 2003-2005 periods, respectively for the whole country. Children younger than 1 year old had a mortality rate of 10.18 (per 1,000,000), which was higher than for the other age groups. For the period analyzed, the highest rates were observed for the Mid-West and South regions of Brazil, with rates of 13.88 and 11.47 (per 1,000,000), respectively. These results show the risk of fatal injury in children caused by motor vehicle accidents and may contribute to the establishment of educational campaigns aiming injury prevention in children as vehicle passengers.

The Situational Context of Adolescent Homicide Victimization in Johannesburg, South Africa

2015 ◽  
Vol 33 (4) ◽  
pp. 637-661 ◽  
Author(s):  
Lu-Anne Swart ◽  
Mohamed Seedat ◽  
Juan Nel
Keyword(s):  
South Africa ◽  
Surveillance System ◽  
Male Victims ◽  
Related Event ◽  
Female Victims ◽  
Male Offenders ◽  
Homicide Victimization ◽  
Injury Mortality ◽  
Situational Contexts ◽  
Mortality Surveillance

Although studies have described the incidence and epidemiology of adolescent homicide victimization in South Africa, little is known about the situational contexts in which they occur. This study aimed to describe the victim, offender, and event characteristics of adolescent homicide and to generate a typology based on the particular types of situational contexts associated with adolescent homicide in South Africa. Data on homicides among adolescents (15-19 years) that occurred in Johannesburg (South Africa) during the period 2001-2007 were obtained from the National Injury Mortality Surveillance System (NIMSS) and police case records. Of the 195 cases available for analysis, 81% of the victims were male. Most of the offenders were male (90%), comprising of strangers (42%) and friends/acquaintances (37%). Arguments (33%) were the most common precipitating circumstances, followed by revenge (11%), robbery (11%), and acts of vigilantism/retribution for a crime (8%). Through the use of cluster analysis, the study identified three categories of adolescent homicide: (a) male victims killed by strangers during a crime-related event, (b) male victims killed by a friend/acquaintance during an argument, and (c) female victims killed by male offenders. The results can serve to inform the development of tailored and focused strategies for the prevention of adolescent homicide.

scholarly journals All-cause mortality supports the COVID-19 mortality in Belgium and comparison with major fatal events of the last century

2020 ◽  
Vol 78 (1) ◽  
Author(s):  
Natalia Bustos Sierra ◽  
Nathalie Bossuyt ◽  
Toon Braeye ◽  
Mathias Leroy ◽  
Isabelle Moyersoen ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Nursing Homes ◽  
Excess Mortality ◽  
Influenza Pandemic ◽  
Mortality Rates ◽  
Mortality Data ◽  
Term Care ◽  
All Cause Mortality ◽  
Hospital Deaths ◽  
Mortality Surveillance

Abstract Background The COVID-19 mortality rate in Belgium has been ranked among the highest in the world. To assess the appropriateness of the country’s COVID-19 mortality surveillance, that includes long-term care facilities deaths and deaths in possible cases, the number of COVID-19 deaths was compared with the number of deaths from all-cause mortality. Mortality during the COVID-19 pandemic was also compared with historical mortality rates from the last century including those of the Spanish influenza pandemic. Methods Excess mortality predictions and COVID-19 mortality data were analysed for the period March 10th to June 21st 2020. The number of COVID-19 deaths and the COVID-19 mortality rate per million were calculated for hospitals, nursing homes and other places of death, according to diagnostic status (confirmed/possible infection). To evaluate historical mortality, monthly mortality rates were calculated from January 1900 to June 2020. Results Nine thousand five hundred ninety-one COVID-19 deaths and 39,076 deaths from all-causes were recorded, with a correlation of 94% (Spearman’s rho, p < 0,01). During the period with statistically significant excess mortality (March 20th to April 28th; total excess mortality 64.7%), 7917 excess deaths were observed among the 20,159 deaths from all-causes. In the same period, 7576 COVID-19 deaths were notified, indicating that 96% of the excess mortality were likely attributable to COVID-19. The inclusion of deaths in nursing homes doubled the COVID-19 mortality rate, while adding deaths in possible cases increased it by 27%. Deaths in laboratory-confirmed cases accounted for 69% of total COVID-19-related deaths and 43% of in-hospital deaths. Although the number of deaths was historically high, the monthly mortality rate was lower in April 2020 compared to the major fatal events of the last century. Conclusions Trends in all-cause mortality during the first wave of the epidemic was a key indicator to validate the Belgium’s high COVID-19 mortality figures. A COVID-19 mortality surveillance limited to deaths from hospitalised and selected laboratory-confirmed cases would have underestimated the magnitude of the epidemic. Excess mortality, daily and monthly number of deaths in Belgium were historically high classifying undeniably the first wave of the COVID-19 epidemic as a fatal event.

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