Focus Area 16: Maternal, Infant, and Child Health Progress Review

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Focus Area 16Maternal, Infant, and Child
HealthProgress Review

• October 22, 2003

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Healthy People 2010 Focus Area 16 Objectives
Healthy Pregnancies and Healthy Infants
Fetal and infant deaths Low and very low birth
weight Preterm births Spina bifida and other
neural tube defects
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Infant Death Rates (Within 1 Year) by Race and
Ethnicity 1998 - 2001
Per 1,000 live births
Black, Not Hispanic
Native Hawaiian/ Other Pacific Islander
American Indian/ Alaska Native
Total
2010 Target
White, Not Hispanic
Asian
Hispanic
Obj. 16-1c
Persons of Hispanic origin may be of any race.
Source NVSS, NCHS, CDC.
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Infant Death Rates (Within 1 Year) by Race and
Ethnicity 1998 - 2001
Per 1,000 live births
International rates (2000)
--- Bosnia 15
Black, Not Hispanic
Native Hawaiian/ Other Pacific Islander
American Indian/ Alaska Native
--- Kuwait 9
Total
--- Canada 6
--- Japan 4
2010 Target
White, Not Hispanic
Asian
Hispanic
Obj. 16-1c
Persons of Hispanic origin may be of any race.
Source NVSS, NCHS, CDC.
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All Infant Deaths (Within 1 Year) by State
1998-2000
2010 Target 4.5
D.C.
N
Per 1,000 live births
(6) (9) (15) (13) (8)
9.0 or more 8.0 - 8.9 7.0 7.9 6.0 6.9 Less
than 6.0
Obj. 16-1c
Source NVSS, NCHS, CDC.
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All Infant Deaths (Within 1 Year) by State
1998-2000
2010 Target 4.5
D.C.
N
Per 1,000 live births
(6) (9) (15) (13) (8)
9.0 or more 8.0 - 8.9 7.0 7.9 6.0 6.9 Less
than 6.0
Obj. 16-1c
Source NVSS, NCHS, CDC.
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Leading Causes of Infant Death (Within 1 Year)
2001
Infant deaths per 100,000 live births
Black, Not Hispanic
White, Not Hispanic
Cause of death
All races
VLBW
Total
LBW
Birth defects
137.6
1011.8
2247.8
Preterm LBW
109.5
1361.8
7105.0
293.5
2159.3
8961.4
77.5
1081.6
6157.1
SIDS
55.5
139.4
159.4
Maternal
complications
37.3
459.1
2353.6
Persons of Hispanic origin may be of any race.
Source NVSS, NCHS, CDC.
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Leading Causes of Infant Death (Within 1 Year)
2001
Infant deaths per 100,000 live births
Infant deaths per 100,000 live births
Infant deaths per 100,000 live births
Black, Not Hispanic
Black, Not Hispanic
Black, Not Hispanic
White, Not Hispanic
White, Not Hispanic
Cause of death
Cause of death
Cause of death
All races
Cause of death
All races
All races
All races
VLBW
VLBW
VLBW
Total
LBW
Total
LBW
Total
LBW
Birth defects
137.6
1011.8
2247.8
Birth defects
137.6
1011.8
2247.8
Preterm LBW
109.5
1361.8
7105.0
293.5
2159.3
8961.4
77.5
1081.6
6157.1
Preterm LBW
109.5
1361.8
7105.0
SIDS
55.5
139.4
159.4
SIDS
55.5
139.4
159.4
Maternal
Maternal
complications
37.3
459.1
2353.6
37.3
459.1
2353.6
Persons of Hispanic origin may be of any race.
Source NVSS, NCHS, CDC.
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LBW (lt5 lbs 8 oz) and VLBW (lt3 lbs 4 oz) by Race
and Ethnicity 2001
Percent of live births
Economic and Social Impact Economic and Social Impact
Health care 24 fold differential in first year medical costs between VLBW infants and all infants born in the US.
Education Children born LBW are almost 50 more likely to be enrolled in any type of special education than children who were normal weight at birth.
Social services Recent disaggregated costs are not available. Costs would include developmental services, day care programs, case management and counseling, respite care and residential care.
Family expenses Special care for LBW infants directly attributed to an infants illness account for 2 - 4 of a family's income.
LBW 2010 Target
VLBW 2010 Target
Asian
White, Not Hispanic
Hispanic
Total
Native Hawaiian/ Other Pacific Islander
American Indian/ Alaska Native
Black, Not Hispanic
Obj. 16-10
Persons of Hispanic origin may be of any race.
Source NVSS, NCHS, CDC.
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Sudden Infant Death Syndrome and Sleep Position
1996 - 2001
SIDS deaths
Per 100,000 live births
SIDS deaths 2010 Target
1996
1997
1998
1999
2000
2001
Obj. 16-1h
Sources NVSS, NCHS, CDC NISPS, NICHD, NIH.
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Sudden Infant Death Syndrome and Sleep Position
1996 - 2001
SIDS deaths
Infants put to sleep on their backs
Per 100,000 live births
Percent
Sleep position 2010 Target
SIDS deaths 2010 Target
1996
1997
1998
1999
2000
2001
Obj. 16-1h 16.13
Sources NVSS, NCHS, CDC NISPS, NICHD, NIH.
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Progress review data and slides can be found on
the web at
http//www.cdc.gov/nchs/hphome.htm