CURRENT PROBLEMS IN DEATHS OF PERSONS UNDER 20 YEARS OF AGE

Abstract

In the past 10 years mortality rates for persons under 20 have declined less rapidly than in that of the previous decades. Nevertheless, the application of new and well recognized procedures in the prevention of deaths due to pneumonia, influenza, appendicitis, diarrhea and contagious diseases, and tuberculosis have led to striking reductions in deaths due to these causes. Because of these reductions, other causes of death have assumed new importance. Thus, in children over one year of age accidents are today the leading cause of death. Heart disease, tuberculosis and cancer claim a high percentage among those from 10 to 20, while contagious and respiratory diseases are still important in children under 10. In infants, the deaths occurring before, at or near birth are of chief importance, with those associated with premature birth assuming an importance that demands active and immediate attention. Despite the gains made, deaths associated with childbirth (i.e., fetal and neonatal deaths) stand second today in claiming lives of all ages in New York City. Only heart disease has a larger mortality. The time has come for physicians to take cognizance of these facts and to see that all mothers and babies get the kind of care which good pediatricians and obstetricians know can be given. In addition, there is a pressing need for an intensified research program to the end that deaths in infancy and those due to accidents and heart disease can more effectively be prevented.