News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search

 

Child and Youth Mortality Review

Child and Youth Mortality Review Committee releases Fifth Report

The report released today by the Child and Youth Mortality Review Committee shows continuing reductions in many types of deaths but highlights a continuing toll of preventable deaths. The report examines deaths of babies aged from four weeks through to young adults aged up to 25 years and focuses on some key areas, such as Sudden Unexpected Death in Infancy (SUDI), drowning, unintentional injury in young people during the risk-taking years, youth suicide and systems improvement.

"A major improvement in deaths from Sudden Unexpected Death in Infancy (SUDI) has occurred since the early 1990s with the annual death toll dropping from 200 a year to 60. Sixty is still too many and a large number of deaths could be prevented if every baby slept safely every sleep,” said Dr Nick Baker, Chair of the Committee.

"The Committee is recommending a major push to reduce this toll by better supporting families to keep their infants safe. The development of a toolkit for health workers is recommended, to bridge the gap between what is known and advised - and what actually happens for infants. The toolkit would aim to remove the real barriers that prevent families - especially vulnerable families - from putting advice into practice"

Fences around private pools have been a great success story in New Zealand, helping to drop the annual number of drowning deaths for young children in pools from 11 per year to two to three a year.

“Children no longer die in unfenced pools,” Dr Baker says, “they die when the protective barrier (the fence) breaks down - often when it is not maintained, or has been altered or damaged.”

The Report recommends that pool fencing legislation is strengthened to include the need to check fences are safe. A 'warrant of fitness' for pool fences is suggested. “December is the worst month, every pool needs a check now to make sure it is safe for summer, even if children are not normally around, for example at their grandparents' house."

The Report states that the most common health threat for young people is injury. After the relative safety of the middle years of childhood (from 5 to 14 years) a sudden increase in death, especially for young men, occurs from age 14 onwards. Dr Simon Denny, a youth health physician has co-authored this section of the report. Dr Denny says that taking risks is a normal part of development, “as a society we must work to make the environment in which our young people grow up less hazardous, while providing them with the opportunity to develop competence in managing risk without dying.”

The report recommends zero tolerance for alcohol for young and novice drivers and a new approach to youth injury that focuses on making this developmental phase less dangerous as a whole, rather than focusing on particular risks.

"While good routinely collected data is available for deaths there is frequently a lack of information about serious and permanently disabling injury. Permanent injury of a child can be a tragedy that carries enormous human and financial cost. A brain damaged infant can cost $20,000,000 over their lifetime for additional care. It is therefore recommended that New Zealand develop better information systems that link and collect data on injuries, perform surveillance, and report. This is very important to help plan injury prevention priorities.” Dr Nick Baker said.

The final chapter of the report discusses opportunities for system improvement. It is noted that services do not always work together to provide coordinated collaborative care and information sharing, and it is too easy for service gaps to form, especially at times of transition. The Local Child and Youth Mortality Review Groups in DHBs have provided a valuable to link local services and they can develop solutions for issues that are highlighted during death reviews. The current restructuring of the health system provides an opportunity to better support a holistic approach to child and youth health to increase leadership, collaboration and coordination, with a reduction in service gaps. Services should focus on keeping children and young people at the centre of their concerns and strengthen work across sectors.

ENDS

© Scoop Media

 
 
 
Culture Headlines | Health Headlines | Education Headlines

 


Howard Davis: Emerald Fennell's Promising Young Woman'


The Guardian needed not one, but three reviews to do justice to Fennell's unsettling approach, which indicates exactly how ambiguous and controversial its message really is. More>>


Howard Davis: Jill Trevelyan's Rita Angus

Although Angus has become one of Aotearoa’s best-loved painters, the story of her life remained little known and poorly understood before Jill Trevelyan's acclaimed and revelatory biography, which won the Non Fiction Award at the Montana New Zealand Book Awards in 2009, and has now been republished by Te Papa press. More>>

Howard Davis: The Back of the Painting

Painting conservators are the forensic pathologists of the art world. While they cannot bring their subjects back to life, they do provide fascinating insights into the precise circumstances of a painting's creation, its material authenticity, and constructive methodology. More>>


Howard Davis: Black Panthers on the Prowl

A passionate and gripping political drama from Shaka King, this is an informative and instructive tale of human frailty that centers around the charismatic Chicago Black Panther leader Fred Hampton, who was murdered at the age of twenty-one during a police raid. More>>

Howard Davis: Controlling the High Ground

Stephen Johnson's raw and angry film not only poses important questions with scrupulous authenticity, but also provides a timely reminder of the genocidal consequences of casual bigotry and xenophobia. More>>

Howard Davis: Dryzabone - Robert Conolly's The Dry

After the terrible devastation caused by last year’s bushfires, which prompted hundreds of Australians to shelter in the ocean to escape incineration and destroyed uncountable amounts of wildlife, The Dry has been released during a totally different kind of dry spell. More>>


Howard Davis: Hit the Road, Jack - Chloé Zhao's Nomadland

Nomadland is perhaps the ultimately 'road' movie as it follows a group of dispossessed and disenfranchised vagabonds who find a form of communal refuge in camp sites and trailer parks after the economic contraction of 2008. More>>

 
 
 
 
 
 

LATEST HEADLINES

  • CULTURE
  • HEALTH
  • EDUCATION
 
 
  • Wellington
  • Christchurch
  • Auckland