TAILIEUCHUNG - 2011 Report from the Child Fatality Review Team Understanding Child Injury Deaths

The guidance assumes the presence of a trained health worker to administer the uterotonic, the medicine is used after childbirth for postpartum hemorrhage, and that 600 micrograms of misoprostol is administered. In low-resource settings, these conditions are not often met, which poses a disadvantage to the selection and use of misoprostol. A recent WHO publication—intended to clarify WHO protocols for the prevention of postpartum hemorrhage—outlines critical challenges with misoprostol administration and indicates that giving pregnant women misoprostol (for self-administration after childbirth) is not recommended. 18 This publication clarifies that distribution of misoprostol to women either through prenatal care or by community. | 2011 Report from the Child Fatality Review Team Understanding Child Injury Deaths NYC Michael R. Bloomberg Mayor Department of Health Mental Hygiene Thomas Farley . . Commissioner NYC Michael R. Bloomberg Mayor Department of Health Mental Hygiene Thomas Farley . . Commissioner Dear Fellow New Yorker Childhood injury deaths are tragic events that prematurely end the lives of young people each year. Keeping children safe from injury is a basic responsibility of families and communities. In 2006 to better understand unnatural deaths in children ages one to 12 years old and to identify strategies for injury prevention New York City NYC established a multidisciplinary Child Fatality Review Team CFRT . This year s report of the CFRT presents an updated examination of trends in child injury deaths integrating an overview of nonfatal child injuries and a review of sleep-related injury deaths among infants younger than one year old. This report presents multiple strategies to mitigate the circumstances that bring about fatal and serious injury among our City s children and infants. Recommendations for the enforcement of select safety regulations as well as the formulation of new regulations are presented with attention to leading causes of child injury in NYC. Further health care providers parents and caregivers are given targeted guidance for creating safer environments for children. We hope this report will advance comprehensive childhood injury prevention among NYC children. Sincerely Thomas Farley . . H. Commissioner New York City Department of Health and Mental Hygiene Annual Report 2011 NEW YORK CITY CHILD FATALITY REVIEW TEAM Chair Laura DiGrande DrPH MPH Co-Director Injury Surveillance and Prevention Program New York City Department of Health and Mental Hygiene Coordinator Princess Fortin MPH City Research Scientist New York City Department of Health and Mental Hygiene City Agency Representatives Administration for Children s Services Angel V.

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