Post-neonatal mortality (28 days to 1 year)

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1 Figure A1: Infant, neonatal and post-neonatal mortality rate (per 1000 live births), Deaths per 1000 live births 8 6 4! N ZHIS CYMRC # Infant mortality Neonatal mortality Post-neonatal mortality Post-neonatal mortality (28 days to 1 year) The majority of post-neonatal deaths occur outside hospital. The largest group is medical (48 percent), with congenital malformations being the largest contributor to this group. Sudden unexpected death in infancy (SUDI) is the second highest cause (37 percent). (See Figures A1 and A2 and Table A1.) Figure A2: Post-neonatal categories of death (224 deaths), 2002 and 2003 Sudden unexpected death in infancy 37% 0% 6% 1% Undetermined cause 4% Subject to coroner's 49% Child and Youth Mortality Review Committee: Second Report to the Minister of Health 27

2 1 4 years Figure A3: Age specific mortality rate for children 1-4 years, Deaths per 100, ! NZHIS CYMRC # Figure A4: Categories of death for 1 4-year-olds (150 deaths), 2002 and % 1% Sudden unexpected death in infancy 4% 2% Undetermined cause Subject to coroner's 51% Child and Youth Mortality Review Committee: Second Report to the Minister of Health 29

3 Table A2: Causes of death for 1 4-year-olds, 2002 and 2003 Category Cause Deaths Age specific rate per 100, Total % Infectious and parasitic disease Neoplasms Diseases of the blood and bloodforming organs and disorders of immune system Endocrine, nutritional and metabolic diseases Diseases of nervous system Diseases of circulatory system Diseases of respiratory system Diseases of digestive system Diseases of genitourinary system Certain conditions originating in the perinatal period Congenital malformations, deformations and chromosomal abnormalities Total medical Drowning/submersion Fire/burn/heat/smoke Vehicular Poisoning Struck by, against Suffocation Total unintentional injury Struck by, against Total assault Drowning/submersion Total undetermined intent Sudden unexpected death in infancy (SUDI) Total sudden unexpected death in infancy Undetermined cause Total undetermined cause Subject to coroner s Total subject to coroner s Grand total Child and Youth Mortality Review Committee: Second Report to the Minister of Health

4 5 9 years Figure A5: Age specific mortality rate for children 5 9 years, Deaths per 100, ! NZHIS CYMRC # Figure A6: Categories of death of 5 9-year-olds (86 deaths), 2002 and % 1% 2% Subject to coroner's 57% Child and Youth Mortality Review Committee: Second Report to the Minister of Health 31

5 Table A3: Causes of death for 5 9-year-olds, 2002 and 2003 Category Cause Deaths Age specific rate per 100, Total % Infectious and parasitic disease Neoplasms Endocrine, nutritional and metabolic diseases Diseases of nervous system Diseases of circulatory system Diseases of respiratory system Diseases of digestive system Diseases of genitourinary system Certain conditions originating in the perinatal period Congenital malformations, deformations and chromosomal abnormalities Total medical Drowning/submersion Fire/burn/heat/smoke Vehicular Struck by, against Suffocation Total unintentional injury Struck by, against Total assault Drowning/submersion Vehicular Total undetermined intent Coroner Total subject to coroner s Grand total Child and Youth Mortality Review Committee: Second Report to the Minister of Health

6 10 14 years Figure A7: Age specific mortality rate for children years, ! NZHIS CYMRC # 25 Deaths per 100, Figure A8: Categories of death of year-olds (110 deaths), 2002 and % Intentional self-harm 5% 5% Undetermined cause 1% Subject to coroner's 51% Child and Youth Mortality Review Committee: Second Report to the Minister of Health 33

7 Table A4: Causes of death for year-olds, 2002 and 2003 Category Cause Deaths Age specific rate per 100, Total % Infectious and parasitic disease Neoplasms Endocrine, nutritional and metabolic diseases Diseases of nervous system Diseases of circulatory system Diseases of respiratory system Diseases of genitourinary system Certain conditions originating in the perinatal period Congenital malformations, deformations and chromosomal abnormalities Total medical Drowning/submersion Fall Fire/burn/heat/smoke Vehicular Poisoning Suffocation Total unintentional injury Suicide Suffocation Total suicide Struck by, against Total assault Drowning/submersion Vehicular Struck by, against Total undetermined intent Undetermined cause Total undetermined cause Coroner Total subject to coroner s Grand total Child and Youth Mortality Review Committee: Second Report to the Minister of Health

8 Youth mortality (15 24 years) The following figures for youth mortality are shown in two age bands: years (Figures A9 and A10 and Table A5) and years (Figures A11 and A12 and Table A6). The mortality rate is calculated as the number of deaths per 100,000 estimated mean resident population of the respective age group. In 2002, year-olds had the highest mortality rate, but in 2003, year-olds had the highest mortality rate. The major causes of death in these age groups are motor vehicle accidents and suicide. causes drop to being just under 25 percent of all deaths years Figure A9: Age specific mortality rate for youth years, ! NZHIS CYMRC # 80.0 Death rate per 100, Figure A10: Categories of death of year-olds (387 deaths), 2002 and 2003 Intentional self-harm 25% 6% 38% Undetermined cause 1% Subject to coroner's 2% 25% Child and Youth Mortality Review Committee: Second Report to the Minister of Health 35

9 Table A5: Causes of death for year-olds, 2002 and 2003 Category Cause Deaths Age specific rate per 100, Total % Infectious and parasitic disease Neoplasms Diseases of nervous system Diseases of circulatory system Diseases of respiratory system Diseases of digestive system Diseases of musculoskeletal system and connective tissue Diseases of genitourinary system Certain conditions originating in the perinatal period Total medical Adverse effect of drug or medicament Drowning/submersion Fall Fire/burn/heat/smoke Machinery Vehicular Poisoning Struck by, against Suffocation Total unintentional injury Suicide Drowning/submersion Fall Firearm Vehicular Poisoning Suffocation Total suicide Cut/pierce Vehicular Struck by, against Total assault Poisoning Cut/pierce Fall Vehicular Total undetermined intent Undetermined cause Total undetermined cause Coroner Total subject to coroner s Grand total Child and Youth Mortality Review Committee: Second Report to the Minister of Health

10 20 24 years Figure A11: Age specific mortality rate for youth years, Deaths per 100, ! NZHIS CYMRC # Figure A12: Categories of death for year-olds (392 deaths), 2002 and 2003 Intentional self-harm 26% 7% Undetermined cause 2% 34% 2 Subject to coroner's 5% Child and Youth Mortality Review Committee: Second Report to the Minister of Health 37

11 Table A6: Causes of death for year olds in 2002 and 2003 Category Unintentional injury Suicide Undetermined intent Undetermined cause Cause Deaths Age specific rate per 100, Total % Infectious and parasitic disease Neoplasms Diseases of the blood, blood-forming organs and disorders of immune system Endocrine, nutritional and metabolic diseases Diseases of nervous system Diseases of circulatory system Diseases of respiratory system Certain conditions originating in the perinatal period Congenital malformations, deformations and chromosomal abnormalities Total medical Drowning/submersion Fall Fire/burn/heat/smoke Firearm Vehicular Natural/environmental/animal Poisoning Struck by, against Suffocation Total unintentional injury Cut/pierce Drowning/submersion Fall Fire/burn/heat/smoke Firearm Vehicular Poisoning Suffocation Electrocution Total suicide Cut/pierce Firearm Struck by, against Suffocation Total assault Drowning/submersion Fall Vehicular Natural/environmental/animal Poisoning Total undetermined intent Total undetermined cause Coroner Total subject to coroner s Grand total Child and Youth Mortality Review Committee: Second Report to the Minister of Health

12 Most deaths occur by hanging in males (71 percent) and females (61 percent), with an increased proportion of deaths by poisoning (mainly carbon monoxide poisoning) in the age group and females. As in previous years, Maori rates are higher than for non-maori, with 35 percent of female suicide deaths being classified as Maori and 32 percent of male deaths classified as Maori. Table A13: Deaths from self-harm by age and gender, 2002 and 2003 Gender Age group Deaths Age specific rate per 100, Total Female years years years Total female Male years years years Total male Both years years years Grand total Table A14: Means of death from self-harm, 2002 and 2003 Means of self-harm deaths Female Male Total Total Total Suffocation Poisoning Fall Firearm Vehicular Drowning/submersion Cut/pierce Fire/burn/heat/smoke Electrocution Grand total Child and Youth Mortality Review Committee: Second Report to the Minister of Health

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