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Burden of Disease Research Unit

Frequently asked questions

What are the leading causes of death in children under 5 years of age?

The leading cause of death amongst children under 5 years according to the Revised Burden of Disease estimates for the Comparative Risk Factor Assessment for South Africa, 2000 (pdf format 259 kb) accounting for 33734 deaths or 35.1% of the deaths in under fives. This is followed by low birth weight (12.1%), diarrhoeal disease (11.0%), lower respiratory infections (6.3%) and protein-energy malnutrition (4.7%). The number and percentage of the total deaths amongst under fives are shown by specific cause in the table and figure below. The estimates from the Initial Burden of Disease estimates for South Africa, 2000 (pdf format, 457 kb) are shown in Tables 2 and Figure 2. Compared with the initial estimates, the revised estimates have the same ranking of causes but have a lower number of HIV/AIDS deaths for the year 2000. It should however, be noted that the number of HIV/AIDS deaths are likely to have increased since 2000.

Table: Top twenty specific causes of death in children under 5 years, South Africa 2000 - Revised

Rank

Cause of death

Deaths

%

1

HIV/AIDS

33735

35.1

2

Low birth weight

11597

12.1

3

Diarrhoeal diseases

10622

11.0

4

Lower respiratory infections

6019

6.3

5

Protein-energy malnutrition

4528

4.7

6

Neonatal infections

2851

3.0

7

Birth asphyxia and trauma

2523

2.6

8

Road traffic accidents

1269

1.3

9

Congenital heart disease

1213

1.3

10

Fires

1145

1.2

11

Bacterial meningitis

1124

1.2

12

Neural tube defects

999

1.0

13

Septicaemia

965

1.0

14

Tuberculosis

741

0.8

15

Interpersonal violence

680

0.7

16

Drowning

556

0.6

17

Cot death

480

0.5

18

Down syndrome and other chromosomal

470

0.5

19

Congenital disorders of GIT

371

0.4

20

STD excl HIV

252

0.3

  

All causes

96158

  

Figure: Top twenty specific causes of death in children under 5 years, South Africa 2000 – Revised

Table: Top twenty specific causes of death in children under 5 years, South Africa 2000 (Initial Burden of Disease Study)

Rank
Cause of death
Deaths
%
1
HIV/AIDS
42749
40.3
2
Low birth weight
11876
11.2
3
Diarrhoeal diseases
10786
10.2
4
Lower respiratory infections
6110
5.8
5
Protein-energy malnutrition
4564
4.3
6
Neonatal infections
2920
2.8
7
Birth asphyxia and trauma
2584
2.4
8
Congenital heart disease
1238
1.2
9
Road traffic accidents
1219
1.1
10
Bacterial meningitis
1141
1.1
11
Fires
1102
1.0
12
Neutral tube defects
1019
1.0
13
Septicaemia
980
0.9
14
Tuberculosis
743
0.7
15
Homicide/violence
654
0.6
16
Drowning
532
0.5
17
Cot death
491
0.5
18
Down syndrome and other chromosomal
445
0.4
19
Congenital disorders of GIT
379
0.4
20
Congenital syphilis
257
0.2
   All causes
106070
  

Figure: Top twenty specific causes of death in children under 5 years, South Africa 2000 (Initial Burden of Disease Study)

Top twenty specific causes of death in children under 5 years, South Africa 2000

Authors: Dr Rosana Norman, Prof Debbie Bradshaw, Michelle Schneider, Desiree Pieterse and Dr Pam Groenewald

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Last updated:
23 December, 2010
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