Diarrhea, Pneumonia, and Infectious Disease Mortality in Children Aged 5 to 14 Years in India 英文参考文献.docVIP
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Diarrhea, Pneumonia, and Infectious Disease Mortality in Children Aged 5 to 14 Years in India 英文参考文献
Diarrhea,Pneumonia,andInfectiousDiseaseMortalityin
ChildrenAged5to14YearsinIndia
Shaun K. Morris1,2*, Diego G. Bassani1, Shally Awasthi3, Rajesh Kumar4, Anita Shet5, Wilson Suraweera1,
Prabhat Jha1, for the MDS Collaborators
1CentreforGlobalHealthResearch,LiKaShingKnowledgeInstitute,StMichael’sHospital,DallaLanaSchoolofPublicHealth,UniversityofToronto,Toronto,Ontario,
Canada, 2DivisionofInfectiousDiseases,HospitalforSickChildren,UniversityofToronto,Toronto,Ontario,Canada, 3DepartmentofPediatrics,KingGeorge’sMedical
University,Lucknow,UttarPradesh,India, 4SchoolofPublicHealth,PostGraduateInstituteofMedicalEducation,Chandigarh,India, 5DepartmentofPediatrics,St.John’s
NationalAcademyofHealthSciences,Bangalore,India
Abstract
Background:LittleisknownaboutthecausesofdeathinchildreninIndiaafteragefiveyears.Theobjectiveofthisstudyis
toprovidethefirsteverdirectnationalandsub-nationalestimatesofinfectiousdiseasemortalityinIndianchildrenaged5
to14years.
Methods:Averbalautopsybasedassessmentof3855deathsischildrenaged5to14yearsfromanationallyrepresentative
surveyofdeathsoccurringin2001–03in1?1millionhomesinIndia.
Results:Infectiousdiseasesaccountedfor58%ofalldeathsamongchildrenaged5to14years.About18%ofdeathswere
duetodiarrhealdiseases,10%duetopneumonia,8%duetocentralnervoussysteminfections,4%duetomeasles,and
12%duetootherinfectiousdiseases.Nationally,in2005about59000and34000childrenaged5to14yearsdiedfrom
diarrheal diseases and pneumonia, corresponding to mortality of 24?1 and 13?9 per 100000 respectively. Mortality was
nearly50%higheringirlsthaninboysforbothdiarrhealdiseasesandpneumonia.
Conclusions: Approximately 60% of all deaths in this age group are due to infectious diseases and nearly half of these
deathsareduetodiarrhealdiseasesandpneumonia.Mortalityinthisagegroupfrominfectiousdiseases,anddiarrheain
particular,ismuchhigherthanpreviouslyestimated.
Citation:MorrisSK,BassaniDG,AwasthiS,KumarR,ShetA,etal.(2011)Diarrhea,Pneumonia
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