title: A child an hour: burden of injury deaths among children under 5 in Pakistan.
abstract: BACKGROUND
  Globally, more than 875 000 children under the age of 18 die due to injury every year. The rate of child injury death is 3.4 times higher in low-income and middle-income countries than in high-income countries.
  
  
  OBJECTIVE
  To study injury mortality burden among children under the age of 5 in Pakistan.
  
  
  METHODS
  Demographic and Health Survey in Pakistan was conducted from September 2006 until February 2007. It included 95 000 households, out of which 3232 households had death of a child under the age of 5 from January 2005 onwards. The Child Verbal Autopsy Questionnaire (CVAQ) was administered to these households with a response rate of 96%.
  
  
  RESULTS
  For age group 0-5 years, injury was the sixth leading cause of death and was responsible for 2.5% of all deaths (n=73). For age group 1-5 years, injury was found to be the third leading cause of death (11%) after diarrhoea (18%) and pneumonia (17%). The overall under fives mortality rate due to injury was estimated at 39.5 per 100 000 per year in Pakistan. Drowning (22%), road traffic injuries (12%), burns (11%) and falls (10%) were the most common types of injury. The mortality rate was twice as high in rural areas (32 per 100 000; 95% CI 18 to 45), compared to the urban areas (15 per 100 000; 95% CI 0.3 to 29).
  
  
  CONCLUSIONS
  Injury is the third leading cause of deaths among children 1-5 in Pakistan. The burden is twice as high in rural areas.
authors: Department of Emergency Medicine, The Aga Khan University, , Karachi, Sindh, Pakistan.
authors: Junaid A
authors: JA
authors: Razzak
authors: Uzma Rahim
authors: UR
authors: Khan
authors: Nukhba
authors: N
authors: Zia
authors: Iqbal
authors: I
authors: Azam
mesh_terms: D000058:Accidental Falls / Q000401:mortality; D000063:Accidents, Traffic / Q000401:mortality; D002056:Burns / Q000401:mortality; D002423:Cause of Death; D002675:Child, Preschool; D004332:Drowning / Q000401:mortality; D005260:Female; D006306:Health Surveys; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D010154:Pakistan / Q000453:epidemiology; D012423:Rural Health / Q000706:statistics & numerical data; D014504:Urban Health / Q000706:statistics & numerical data; D014947:Wounds and Injuries / Q000209:etiology / Q000401:mortality*
keywords: Epidemiology; Injury Prevention
references: Int J Epidemiol. 2006 Jun;35(3):741-8
references: 16144861
references: J Environ Public Health. 2009;2009:435403
references: 20052265
references: Bull World Health Organ. 1999;77(6):518-24
references: 10427938
references: J Pak Med Assoc. 1993 Nov;43(11):226-9
references: 8114258
references: Popul Health Metr. 2010 Mar 31;8:5
references: 20356350
references: Inj Prev. 2011 Jun;17(3):151-5
references: 21493757
references: Int J Epidemiol. 1990 Jun;19(2):380-6
references: 2376451
references: Paediatr Perinat Epidemiol. 2009 May;23(3):229-38
references: 19775384
references: Bull World Health Organ. 1998;76(2):161-71
references: 9648357
references: Inj Control Saf Promot. 2004 Sep;11(3):153-7
references: 15764101
references: Bull World Health Organ. 2006 Sep;84(9):706-13
references: 17128340
references: Health Policy Plan. 2002 Mar;17(1):1-13
references: 11861582
references: Bull World Health Organ. 1996;74(2):147-54
references: 8706229
references: Int J Epidemiol. 2004 Dec;33(6):1286-92
references: 15569662
references: Trop Med Int Health. 1999 Dec;4(12):846-57
references: 10632993
references: Inj Prev. 1998 Sep;4(3):222-4
references: 9788095
references: Health Policy Plan. 1999 Mar;14(1):11-7
references: 10351465
references: Am J Public Health. 2000 Aug;90(8):1235-40
references: 10937003