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| Child patients are under treatment of foot-and-mouth disease at a children's hospital in Ho Chi Minh City |
In general, the global mortality rate of children under the age of five fell from nearly 12 million in 1990 to an estimated 6.9 million in 2011.
Leading causes of child deaths include pneumonia, diarrhea, malaria, neonatal deaths, under-nutrition and HIV/AIDS.
San Marino, an island nation in the Italian peninsula, tops the latest report with only 2 child deaths for every 1,000 live births in 2011.
The next followers on the world’s lowest under-five mortality rates include Singapore, the Nordic countries, small European countries and Japan, each having 3 deaths among 1,000 live births last year. Australia and New Zealand follow with 5-6 deaths.
Sierra Leone in Sub-Saharan Africa stands at the bottom of the list of 207 countries with 185 deaths of children under five per every 1,000 births. Somalia and Mali are slightly better with 180 and 176 child deaths, respectively.
Notably, the report showed that half of all under-five deaths occur in just five countries. They are India with 1.7 million child deaths, accounting for 24 percent; Nigeria with 756,000 deaths at 11 percent; Democratic Republic of the Congo with 465,000 at 7 percent; Pakistan with 352,000 at 5 percent; and China with 249,000 at 4 percent.
“The global decline in under-five mortality is a significant success that is a testament to the work and dedication of many, including governments, donors, agencies and families,” said Anthony Lake, UNICEF Executive Director. “But there is also unfinished business: millions of children under five are still dying each year from largely preventable causes for which there are proven, affordable interventions.
“These lives could be saved with vaccines, adequate nutrition and basic medical and maternal care. The world has the technology and know-how to do so. The challenge is to make these available to every child.”




















