@article{3d2b0fc4810a412bba466bfa45d2340a,
title = "Where and why are 10 million children dying every year?",
abstract = "More than 10 million children die each year, most from preventable causes and almost all in poor countries. Six countries account for 50% of worldwide deaths in children younger than 5 years, and 42 countries for 90%. The causes of death differ substantially from one country to another, highlighting the need to expand understanding of child health epidemiology at a country level rather than in geopolitical regions. Other key issues include the importance of undernutrition as an underlying cause of child deaths associated with infectious diseases, the effects of multiple concurrent illnesses, and recognition that pneumonia and diarrhoea remain the diseases that are most often associated with child deaths. A better understanding of child health epidemiology could contribute to more effective approaches to saving children's lives.",
author = "Black, {Robert E.} and Morris, {Saul S.} and Jennifer Bryce",
note = "Funding Information: The search strategy for the model used to estimate proportionate causes of death has been described. 32 Estimates of the importance of risk factors were taken from published results. 12 For our comorbidity analyses we also contacted researchers and directors of demographic surveillance areas in low-income and middle-income countries. Contributors R Black, S Morris, and J Bryce conceived the idea for this article and wrote the paper. Conflict of interest statement None declared. Acknowledgments Barbara Ewing provided essential help with the preparation of the figures and references. Colin Mathers reviewed earlier drafts of the manuscript and offered useful suggestions on how it could be improved. Members of the Child Health Epidemiology Reference Group (CHERG) who contributed systematic reviews and analyses that have been partly used include Harry Campbell and Igor Rudan (pneumonia); Cynthia Boschi-Pinto, Claudio Lanata, and Walter Mendoza (diarrhoea); Rick Steketee and Alex Rowe (malaria); and Joy Lawn and Zulfiqar Bhutta (neonatal causes). This work was funded by Bill and Melinda Gates Foundation, WHO Department of Child and Adolescent Health and Development, and Johns Hopkins Family Health and Child Survival Cooperative Agreement with the US Agency for International Development. Substantial work was done during a conference supported by the Rockefeller Foundation at the Bellagio Study and Conference Center. The sponsors had no role in these analyses or the preparation of the manuscript. The views represented in this article are those of the individual authors and do not represent the views of their institutions. ",
year = "2003",
month = jun,
day = "28",
doi = "10.1016/S0140-6736(03)13779-8",
language = "English (US)",
volume = "361",
pages = "2226--2234",
journal = "The Lancet",
issn = "0140-6736",
publisher = "Elsevier Limited",
number = "9376",
}