Letter To The Editor

PEDIATRICS ◽  
1970 ◽  
Vol 45 (6) ◽  
pp. 1042-1044
Author(s):  
I. M. Moriyama

We are grateful to two authorities for the following replies to Dr. Nickey. First, Dr. Moriyama: Is the differential between the infant mortality rate for the United States (22.4 per 1,000 live births in 1967) and the corresponding rate for Sweden (13.7), the Netherlands (13.4), Norway (14.8), and other countries of low mortality real?1, 2 One possible reason for the large differential is the contribution that the nonwhite population makes to the relatively high mortality rate for the United States.

Author(s):  
MacKenzie Lee ◽  
Eric S. Hall ◽  
Meredith Taylor ◽  
Emily A. DeFranco

Objective Lack of standardization of infant mortality rate (IMR) calculation between regions in the United States makes comparisons potentially biased. This study aimed to quantify differences in the contribution of early previable live births (<20 weeks) to U.S. regional IMR. Study Design Population-based cohort study of all U.S. live births and infant deaths recorded between 2007 and 2014 using Centers for Disease Control and Prevention's (CDC's) WONDER database linked birth/infant death records (births from 17–47 weeks). Proportion of infant deaths attributable to births <20 vs. 20 to 47 weeks, and difference (ΔIMR) between reported and modified (births ≥20 weeks) IMRs were compared across four U.S. census regions (North, South, Midwest, and West). Results Percentages of infant deaths attributable to birth <20 weeks were 6.3, 6.3, 5.3, and 4.1% of total deaths for Northeast, Midwest, South, and West, respectively, p < 0.001. Contribution of < 20-week deaths to each region's IMR was 0.34, 0.42, 0.37, and 0.2 per 1,000 live births. Modified IMR yielded less regional variation with IMRs of 5.1, 6.2, 6.6, and 4.9 per 1,000 live births. Conclusion Live births at <20 weeks contribute significantly to IMR as all result in infant death. Standardization of gestational age cut-off results in more consistent IMRs among U.S. regions and would result in U.S. IMR rates exceeding the healthy people 2020 goal of 6.0 per 1,000 live births.


PEDIATRICS ◽  
1966 ◽  
Vol 38 (5) ◽  
pp. 800-800
Author(s):  
T. E. C.

The infant mortality rate for a single New England town for the years 1782 and 1783 cannot be used as a true index of this statistic for the 13 states which made up the United States during the 1780's. As we lack data concerning infant mortality for the country as a whole during this period, information about the mortality of infants in the town of Salem, Massachusetts, where all births were recorded, should be of interest to pediatricians. Doctor Edward A. Holyoke of Salem in a letter to Mr. Caleb Garnett, the Recording Secretary of the American Academy of Arts and Sciences, gave these figures for the town of Salem: In 1782 there were 311 live-born infants and of these 36 died before they reached their first birthday, for an infant mortality rate of 115. In 1783 of 374 live-born infants, 38 died during their first year of life, for an infant mortality of 102. When one recalls that the rate for 1915 in the United States was 100, the infants, at least in Salem, did not fare too badly.


2003 ◽  
Vol 35 (2) ◽  
pp. 201-212 ◽  
Author(s):  
P. WILLIAMSON ◽  
R. I. WOODS

This paper considers the age pattern of mortality between conception and first birthday. It highlights the various problems that still limit our understanding of the ways in which the age components of mortality are associated, especially during the perinatal period. A mathematical function is fitted which captures the interaction between six mortality components for a typical high mortality society, one in which the infant mortality rate is 150 per thousand live births. This experiment helps to clarify the need to link infant with fetal mortality, to conduct further research on the level of risk in each component, and to consider the cumulative early-age mortality profile in its entirety.


PEDIATRICS ◽  
1994 ◽  
Vol 94 (2) ◽  
pp. 173-173
Author(s):  
J. F. L.

ATLANTA—The U.S. infant mortality rate dropped to a record low, but black babies died at more than twice the rate of whites, and the gap is growing, health officials reported Thursday. For every 1,000 births in 1990, 9.2 babies died before age 1, down from 9.8 in 1989, the Centers for Disease Control and Prevention said. It credited most of the drop to a new way of treating the underdeveloped lungs that kill thousands of premature and underweight babies. The rate in 1990, the most recent year for which data are available, propelled the United States up two notches—to 20th place—in UNICEF's ranking of infant mortality in 23 developed countries. Japan has the world's best rate, 5 per 1,000. Despite the new lung treatment, 38,351 babies died in 1990, down from 39,655 in 1989. The District of Columbia had by far the deadliest rate, 20.7. Vermont had the lowest rate, 5.4. The mortality rate for black infants was 18, compared with 7.6 for whites, and the disparity is growing, the CDC said. Low birthweight was the leading killer of black babies, while birth defects claimed more white babies. Vt. is best Infant mortality rates in 1990, from the Centers for Disease Control and Prevention. Numbers are per 1,000 live births: • Connecticut, 7.9 • Maine, 6.2 • Massachusetts, 7.0 • New Hampshire, 7.1 • New York, 9.6 • Rhode Island, 8.1 • Vermont, 5.4, the nation's lowest rate • United States, 9.2


Author(s):  
Sean S. Scholz ◽  
Rainer Borgstedt ◽  
Leoni C. Menzel ◽  
Sebastian Rehberg ◽  
Gerrit Jansen

Abstract Background Paediatric resuscitation is rare but potentially associated with maximal lifetime reduction. Notably, several nations experience high infant mortality rates even today. To improve clinical outcomes and promote research, detailed analyses on evolution and current state of research on paediatric resuscitation are necessary. Methods Research on paediatric resuscitation published in-between 1900 and 2019 were searched using Web of Science. Metadata were extracted and analyzed based on the science performance evaluation (SciPE) protocol. Research performance was evaluated regarding quality and quantity over time, including comparisons to adult resuscitation. National research performance was related to population, financial capacities, infant mortality rate, collaborations, and authors’ gender. Results Similar to adult resuscitation, research performance on paediatric resuscitation grew exponentially with most original articles being published during the last decade (1106/1896). The absolute number, however, is only 14% compared to adults. The United States dominate global research by contributing the highest number of articles (777), Hirsch-Index (70), and citations (18,863). The most productive collaboration was between the United States and Canada (52). When considering nation’s population and gross domestic product (GDP) rate, Norway is leading regarding population per article (62,467), per Hirsch-Index (223,841), per citation (2226), and per GDP (2.3E-04). Regarding publications per infant mortality rate, efforts of India and Brazil are remarkable. Out of the 100 most frequently publishing researchers, 25% were female. Conclusion Research efforts on paediatric resuscitation have increased but remain underrepresented. Specifically, nations with high infant mortality rates should be integrated by collaborations. Additional efforts are required to overcome gender disparities.


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