tailieunhanh - EIGHTEENTH ANNUAL REPORT NOVEMBER 2011

Finally, mindful of the importance of using limited resources to greatest efficiency, the strategy focuses on investing in the areas most likely to achieve maximum impact. As such, interventions are targeted at pregnant mothers and children up to the age of two years as the critical window of opportunity for reducing undernutrition and its adverse effects. (Lancet series on Maternal and Child Undernutrition). Furthermore, many of the interventions identified in this strategy correspond to those acknowledged by the Copenhagen Consensus 2008 as the most cost effective interventions for global development. This strategy has been developed through strong interagency collaboration, with. | Jflrizonq Child Fatality Wl Review Program Eighteenth Annual Report November 2011 November 15 2011 Dear Friends of Arizona s Children The death of a child is a tragedy not only for their family but also for our communities. The child fatality review process provides a critical opportunity to learn about the causes and circumstances of children s deaths in order to prevent future deaths as well as disabilities and injuries. A multidisciplinary team from the child s community reviews each death to determine not only the cause of death but also its preventability. In 2010 a total of 862 children younger than 18 years of age died in Arizona and the teams determined that 33 percent of these deaths could have been prevented. The number of deaths in 2010 was less than in 2009 when 947 children died. Despite this decrease the number of maltreatment deaths increased from 2009 to 2010. The Child Fatality Review Program determined that 70 children died as a result of maltreatment in 2010. By comparison there were 64 children who died as a result of maltreatment in 2009. Over half of these children were less than one year old. Drugs and or alcohol contributed to 69 percent of the deaths n 48 . Deaths due to prematurity have steadily declined from 321 in 2007 to 197 in 2010. The rate of motor vehicle fatalities in 2010 was deaths per 100 000 children a decline of 57 percent over six years. Eighty-nine percent of all motor vehicle and other transport fatalities during 2010 were determined to have been preventable n 54 . Lack of or improper use of vehicle restraints was identified as a preventable factor for 20 of the motor vehicle crash deaths and drugs and or alcohol was a factor in 18 of the deaths. In 2010 155 of the child deaths occurred in or around the home. Twenty-eight of these deaths were due to drowning. Nearly half of the children who died in and around the home were less than one year old. Eighty-eight percent of these deaths were deemed to have been preventable

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