Analysis on death status and life lost in children in Wuxi, 2008-2015

Objective To analyze mortality and epidemiological characteristics of children in Wuxi in order to provide scientific basis for carrying out prevention.Methods The children death data in Wuxi from 2008 to 2015 were analyzed to calculate mortality,annual percent change (APC) and potential years of life lost.Results The average mortality of children from 2008 to 2015 was 37.89/105(standardized mortality 40.43/105),boys' mortality was significant higher than girls'(u=7.315,P<0.01).There was no significant trend in mortality during 8 years (APC=1.01%,95%CI=-4.76-7.11,P>0.05).The proportion of children's death in the whole population decreased 40.40%.The first three leading causes of mortality were injury and poisoning,certain conditions originating in the perinatal period,congenital malformations deformations and chromosomal abnormalities.The major death cause in 0-1 years old was certain conditions during the perinatal period,in 1-17 years old was injury and poisoning.The total PYLL was 67 368.5 person years,PYLL‰ was 12.63‰,AYLL was 61.41 year.The three leading causes of PYLL were injury and poisoning,neoplasms,congenital malformations deformations and chromosomal abnormalities.Conclusion Injury and poisoning,certain conditions during the perinatal period,congenital malformations deformations and chromosomal abnormalities are the leading causes of death in children in Wuxi.Comprehensive prevention and control measures should be carried out to reduce child mortality.