A 5 YEAR STUDY OF UNNATURAL CHILDHOOD DEATHS IN IMPHAL FROM 2009-2013
Keywords:
Pediatric autopsy, Unnatural childhood deaths, Cause of death, Manner of deathAbstract
Injury & Violence are major killers of children and adolescents under the age of 18 years throughout the world, and are responsible for about 950000 deaths each year. Unnatural childhood deaths are not only sad, but also involve a sense of deep remorse blaming oneself for the inability to protect one’s children from harm. Out of the 1879 post-mortem examinations done during the period, 2009-2013, at the Morgue of Regional Institute of Medical Sciences, Imphal, 2.34%, i.e., 44 cases were paediatric cases. The purposes of this study were to report the autopsy findings of unnatural childhood deaths, and to identify the prevalence of specific factors such as age and sex distribution, postmortem findings, cause of death, manner of death, seasonal variation, the various types of accidental and homicidal deaths, rural-urban distribution, age-group prevalence of the manner and types of death and to analyze and compare the findings with studies from other parts of the world. Children up to 12 years of age were studied. Majority of the cases were accidental in nature with road traffic accident being the cause. Since most of these deaths are preventable, a thorough analysis of the causes will help in formulating preventive guidelines.
References
1. Santhosh Chandrappa Siddappa, Siddesh R C, Viswanathan K G and Ashok Gupta. A prospective study of paediatric autopsies conducted at Bapuji Hospital and Research Centre, Davangere. International Journal of Biomedical and Advanced Research,2014, 05 (02).
2. Hardelid P, Davey J, Dattani N, Gilbert R, et al. Child Deaths Due to Injury in the Four UK Countries: A Time Trends Study from 1980 to 2010. (2013) PLoS ONE 8(7): e68323. doi:10.1371/journal.pone.0068323
3. Asirdizer Mahmut, Yavuz M Sunay, Albek Emre, Canturk Gurol. Infant and adolescent deaths due to home accidents in Istanbul. Turkish Journal of Pediatrics, 2005; 47(2): 141-9.
4. Hideto Suzuki, Wakako Hikiji, Takanobu Tanifuji, Nobuyuki Abe, and Tatsushige Fukunaga. Child Deaths from Injury in the Special Wards of Tokyo, Japan (2006–2010): A Descriptive Study. J Epidemiol 2014; 24(3):178-182.
5. Marika Väli, Katrin Lang, Ruth Soonets, Marika Talumäe and Andrej M Grjibovski. Childhood deaths from external causes in Estonia, 2001–2005. BMC Public Health 2007, 7:158.
6. Roy Meadow: Unnatural sudden infant death. BMJ, September, 2014.
7. Pan SY, Ugnat AM, Semenciw R, Desmeules M, Mao Y, Macleod M: Trends in childhood injury mortality in Canada, 1979–2002. Inj Prev 2006, 12(3):155-160.
8. Lyons RA, Brophy S: The epidemiology of childhood mortality in European Union. Current Paediatrics 2005, 15(2):151-162.
9. Brenner RA, Overpeck MD, Trumble AC, DerSimonian R, Berendes H: Deaths attributable to injuries in infants, United States, 1983–1991. Pediatrics 1999, 103(5 Pt 1):968-974.
10. Overpeck MD, Brenner RA, Trumble AC, Smith GS, MacDorman MF, Berendes HW: Infant injury deaths with unknown intent: what else do we know? Inj Prev 1999, 5(4):272-275.
11. Herman-Giddens ME, Brown G, Verbiest S, Carlson PJ, Hooten EG, Howell E, Butts JD: Underascertainment of child abuse mortality in the United States. JAMA 1999, 282(5):463-467.
13. Crawley T: Childhood injury: significance and prevention strategies. J Pediatr Nurs 1996, 11(4):225- 232.
14. McKee M, Oreskovic S: Childhood injury: call for action. Croat Med J 2002, 43(4):375-378.
15. Childhood injuries. A priority area for the transition countries of Central and Eastern Europe and the Newly Independent States. Final Report ECO-HOST, London School of Hygiene and Tropical Medicine in collaboration with WHO European Centre on Environment and Health. London; 1998.
16. Flavin MP, Dostaler SM, Simpson K, Brison RJ, Pickett W: Stages of development and injury patterns in the early years: a population-based analysis. BMC Pub Health 2006, 6:187.
17. Morrison A, Stone DH, Redpath A, Campbell H: Childhood injury mortality in Scotland, 1981–95. Health Bull (Edinb) 1999, 57:241-246.
18. Angermann A, Bauer R, Nossek G, Zimmermann N: Injuries in the European Union: Statistics summary 2003–2005 Vienna: Eurosafe; 2007.
19. Parkkari J, Niemi S, Pekka K: Injury-Related Deaths Among Finnish Children, 1971–2001. JAMA 2003, 289:702-703.
20. Stone DH, Jeffrey S: Injury in Children. A research briefing paper NHS Health Scotland; 2004.
21. The Mental Health Foundation: Suicide among children and young people. The Mental Health Foundation Updates 2003, 4(15):1-4.
22. Leitner M, Barr W, Hobby L: Effectiveness of Interventions to Prevent Suicide and Suicidal Behaviour: A systematic review Edinburgh: Scottish Government Social Research; 2008.
23. McClure GM: Suicide in children and adolescents in England and Wales 1970–1998. Br J Psychiatry 2001, 178:469-474.
24. Groholt B, Ekeberg O: Suicide in young people under 15 years: problems of classification. Nord J Psychiatry 2003, 57:411-417.
