Centre for Global Health Research, Li Ka Shing Knowledge Institute, St Michael's Hospital, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
PLoS One. 2011;6(5):e20119. doi: 10.1371/journal.pone.0020119. Epub 2011 May 24.
Little is known about the causes of death in children in India after age five years. The objective of this study is to provide the first ever direct national and sub-national estimates of infectious disease mortality in Indian children aged 5 to 14 years.
A verbal autopsy based assessment of 3 855 deaths is children aged 5 to 14 years from a nationally representative survey of deaths occurring in 2001-03 in 1.1 million homes in India.
Infectious diseases accounted for 58% of all deaths among children aged 5 to 14 years. About 18% of deaths were due to diarrheal diseases, 10% due to pneumonia, 8% due to central nervous system infections, 4% due to measles, and 12% due to other infectious diseases. Nationally, in 2005 about 59 000 and 34 000 children aged 5 to 14 years died from diarrheal diseases and pneumonia, corresponding to mortality of 24.1 and 13.9 per 100 000 respectively. Mortality was nearly 50% higher in girls than in boys for both diarrheal diseases and pneumonia.
Approximately 60% of all deaths in this age group are due to infectious diseases and nearly half of these deaths are due to diarrheal diseases and pneumonia. Mortality in this age group from infectious diseases, and diarrhea in particular, is much higher than previously estimated.
对于五岁以上印度儿童的死因知之甚少。本研究旨在提供首次针对印度五岁至十四岁儿童传染病死亡率的全国和次国家级直接估计。
利用一项基于口述尸检的评估，对 2001-03 年在印度 110 万户家庭中发生的死亡进行了全国性代表性调查，涉及 3855 名五岁至十四岁儿童的死亡。
传染病占五岁至十四岁儿童所有死亡的 58%。约 18%的死亡归因于腹泻病，10%归因于肺炎，8%归因于中枢神经系统感染，4%归因于麻疹，12%归因于其他传染病。在全国范围内，2005 年约有 59000 名和 34000 名五岁至十四岁儿童死于腹泻病和肺炎，对应的死亡率分别为每 10 万人 24.1 例和 13.9 例。女孩的腹泻病和肺炎死亡率均比男孩高近 50%。
该年龄组约 60%的死亡归因于传染病，其中近一半归因于腹泻病和肺炎。该年龄组传染病死亡率，特别是腹泻病死亡率，远高于先前的估计。
