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dc.contributor.authorHokama, T.
dc.contributor.authorLee, Andy
dc.contributor.editorLeon V Berhardt
dc.date.accessioned2017-01-30T15:26:15Z
dc.date.available2017-01-30T15:26:15Z
dc.date.created2012-07-08T20:00:13Z
dc.date.issued2012
dc.identifier.citationHokama, Tomiko and Lee, Andy H. 2012. Infant Mortality in Okinawa and Japan, 1973 - 2009, in Berhardt, Leon V. (ed), Advances in Medicine and Biology, Volume 37. pp. 189-194. New York: Nova Biomedical Books.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/46295
dc.description.abstract

Background: Infant mortality rate (IMR), defined as the number of infant deaths per 1000 live births, is a widely accepted indicator of the level of health and living standard in a country. After the Second World War, Japan has made substantial progress in reducing its IMR through regular maternal and infant health examination, as well as nutritional education for pregnant mothers. Okinawa, an island prefecture furthest from mainland Japan, experienced one of the highest IMR among all prefectures prior to 1973. Objective: To document the trend in IMR for Okinawa and all Japan and investigate the leading causes of infant death. Method: Infant mortality data from 1973 to 2009 were retrieved from the Okinawa Prefectural Government Office Report and the Maternal and Child Health Statistics of Japan. The main causes of infant death were obtained for the recent period 2005-2008. Results: IMR decreased from 14.S (Okinawa) and 11.3 (Japan) in 1973 to 2.4 in 2009. For Japan, the three leading causes of infant mortality were (I) congenital malformations, deformations and chromosomal abnormalities; (2) respiratory and cardiovascular disorders specific to perinatal period; and (3) sudden infant death syndrome, which together accounted for approximately 55% of all infant deaths during the period 2005-2008. For Okinawa, the total number of deaths was small (about 30 to 40 annually). Consequently, the rates for various causes were unstable, apart from the leading cause congenital malformations, deformations and chromosomal abnormalities Conclusion: Despite the relatively low per capita income, the Okinawa prefecture was successful in reducing its IMR to one of the lowest rate in the world. Implementation of a good health care system including universal health insurance and neonatal care contributed to this significant reduction over the past four decades.

dc.publisherNova Biomedical Books
dc.titleInfant Mortality in Okinawa and Japan, 1973 - 2009
dc.typeBook Chapter
dcterms.source.startPage189
dcterms.source.endPage194
dcterms.source.titleAdvances in Medicine and Biology
dcterms.source.isbn978-1-61470-980-0
dcterms.source.placeNew York
dcterms.source.chapter12
curtin.department
curtin.accessStatusFulltext not available


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