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