[Epidemiological study on the trend of accidental deaths among children under five in Guangzhou, 2001 - 2010].

OBJECTIVE To study the trend of accidental death among children under 5 years of age. METHODS A survey on accidental death among children was performed in Guangzhou to compare the data from the national monitoring program on the deaths under five in the same period during 2001 - 2010. Data on mortality and causes of injures were adjusted by missing reports. RESULTS Mortality rates on injuries were decreasing annually from 2001 to 2010. Comparing with 2001, the magnitude of the drop in mortality among the 0, 1 - 4 and under 5 year groups were 72.02%, 77.17% and 74.66% respectively, with statistically significant differences (P = 0.000). During the 10 years of observation, data showed a dropping trend (P = 0.000) of the mortalities on drowning, traffic accident, suffocation and falling, especially on drowning and suffocation. The main causes of death were suffocation in the 0 year group, drowning in the 1-2-year group, traffic accident and poisoning in the 3-year group, traffic accident and falling in the 4-year group. The accidental deaths happened in 'C area' which including Huadu, Conghua, Zengcheng, Panyu and Nansha, with the total proportion of accidental death in Guangzhou as 75.69%. CONCLUSION The mortality of accidental deaths among children under 5 years of age in Guangzhou had been decreasing during 2001 - 2010, mainly owing to the practice of intervention programs on drowning and suffocation, suggesting the necessity of integrating the health education programs on accidental injury with the healthcare management system in children in the country, focusing on the suburban and county levels where economy was relatively undeveloped or with more floating population.