Child, Maternal Malnutrition Led To 68 Per Cent Under-Five Fatalities In India

Child, Maternal Malnutrition Led To 68 Per Cent Under-Five Fatalities In India

According to experts, while the efforts to control coronavirus should be strengthened as much as possible, other crucial health issues in the country like malnutrition should also continue to receive attention
Malnutrition, News, Swasth India
- in Malnutrition, News, Swasth India
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The India State-Level Disease Burden report shows that Under-5 Mortality Rate (U5MR) dropped in the country since 2000 by 49 per centThe India State-Level Disease Burden initiative says that Under-5 Mortality Rate (U5MR) dropped in the country since 2000 by 49 per cent
Highlights
  • The highest number of under-5 deaths in 2017 were in Uttar Pradesh
  • Neonatal Mortality Rate in India has dropped by 38 per cent since 2000
  • Death rate among newborns can be reduced by caring in the first month

New Delhi: Child and maternal malnutrition were behind 68 per cent of the under-five fatalities in India, while low birth weight and short gestation led to 83 per cent of neonatal deaths from 2000 to 2017, according to findings of the India State-Level Disease Burden Initiative released on Tuesday. The first comprehensive estimate of district-level trends of child mortality and child growth failure in India said though these indicators have improved substantially across India during 2000-2017, the inequality between districts has increased within many states, and that there are wide variations between districts of India.

Also Read: At 20.1 Million, India Expected To Have Highest Births Since COVID-19 Declared As Pandemic: UNICEF

The findings, which are part of two scientific papers on child survival, have been published at a time when the country is fighting COVID-19 pandemic. Health experts say that they remind us that while we must do all that we can to control coronavirus infection, other crucial health issues in India should also continue to receive attention commensurate with their contribution to health loss in India.

The studies stated that the under-5 Mortality Rate (U5MR) dropped in India since 2000 by 49 per cent but there is a 6-fold variation in the rate between the states and 11-fold variation between districts of India. There were 1.04 million under-5 deaths in India in 2017, of which 0.57 million were neonatal deaths, down from 2.24 million under-5 deaths including 1.02 million neonatal deaths in 2000. Neonatal Mortality Rate (NMR) has dropped by 38 per cent since 2000 but there is a 5-fold variation in the rate between the states and 8-fold variation between districts of India, the study stated. The study said,

The reduction in NMR has been less than for U5MR, and this reduction has been quite variable across states and districts.

Child growth failure, measured as stunting, wasting and underweight has improved in India since 2000, but their rates vary 4-5 fold between the districts of India and the inequality between districts within many states has increased, the study highlighted. “If the trends observed up to 2017 were to continue, India would meet the SDG 2030 U5MR target but not the SDG 2030 NMR target. 34 per cent of the districts in India would need higher U5MR reduction and 60 per cent districts would need higher NMR reduction to individually meet the SDG targets,” it stated. Director General, ICMR Dr Balram Bhargava said,

The district-level trends reported in these papers provide useful guidance for identifying priority districts in each state that need the highest attention.

Also Read: COVID-19 Could Cause Hundreds Of Thousands Of Additional Child Death: United Nations

Professor Rakhi Dandona, Professor at the Public Health Foundation of India (PHFI) and the lead author of the child mortality paper said comparison of child mortality trends in each of the 723 districts of India with the National Health Policy and SDG targets has identified the districts with high gap where more targeted attention is needed.

Bringing down death numbers among newborns in the first month of life by addressing specific causes of death is crucial. Malnutrition continues to be the leading risk factor for child death across India. Low birth weight is the biggest component in this risk factor. Professor K Srinath Reddy, President, Public Health Foundation of India said,

“Reductions in under-5 child mortality and neonatal mortality are promising as we move towards the SDG targets. Even neonatal mortality which was previously slow to change is now showing improvement. This decline needs to be further accelerated. Child malnutrition is a major determinant along with maternal malnutrition for these deaths and should be accorded highest priority for corrective action.

While stark inter-state and inter-district differences in health and nutrition continue to be challenges, these gaps must be quickly bridged through effective and equitable social development, nutrition and environmental health programmes. “Our pre-occupation with COVID-19 should not let these development imperatives slip into the shadows,” he underlined.

The highest number of under-5 deaths in 2017 were in Uttar Pradesh (312,800 which included 165,800 neonatal deaths) and Bihar (141,500 which included 75,300 neonatal deaths). According to the study, the U5MR and NMR was lower with the increasing level of development of the states. In 2017, there was 5.7 fold variation in U5MR ranging from 10 per 1000 live births in the more developed (high SDI) state of Kerala to 60 in the less developed (low SDI) state of Uttar Pradesh, and 4.5 fold variation for NMR ranging from 7 per 1000 live births in Kerala to 32 in Uttar Pradesh. The annual rate of reduction from 2010 to 2017 for U5MR ranged among the states from 2.7 per cent in Nagaland to 6.5 per cent in Telangana, and for NMR from 1.8 per cent in Nagaland to 5.5 per cent in the high SDI state of Tamil Nadu.

The annual rate of reduction of NMR was lower than that of U5MR in all states during 2010-2017, but this varied considerably between the states, the study stated. The two scientific papers released in The Lancet and EClinicalMedicine are a collaborative effort by the Indian Council of Medical Research, Public Health Foundation of India, Institute for Health Metrics and Evaluation, and a number of other key stakeholders in India.

Also Read: Malnutrition-Free India: Researchers Develop Tool To Tackle Diet Epidemic In India

World

4,44,51,707Cases
1,32,31,846Active
3,00,46,052Recovered
11,73,809Deaths
Coronavirus has spread to 189 countries. The total confirmed cases worldwide are 4,44,51,707 and 11,73,809 have died; 1,32,31,846 are active cases and 3,00,46,052 have recovered as on October 29, 2020 at 3:43 am.

India

80,40,203 49881Cases
6,03,687 -7116Active
73,15,989 56480Recovered
1,20,527 517Deaths
In India, there are 80,40,203 confirmed cases including 1,20,527 deaths. The number of active cases is 6,03,687 and 73,15,989 have recovered as on October 29, 2020 at 2:30 am.

State & District Details

State Cases Active Recovered Deaths
DistrictCases
Mumbai45,478
Thane13,660
Pune9,920
Mumbai Suburban5,363
Aurangabad1,974
Nashik1,575
Raigad1,462
Palghar1,421
Solapur1,291
Jalgaon1,039
Akola757
Nagpur692
Kolhapur646
Satara629
Ratnagiri350
Amravati291
Dhule228
Hingoli208
Jalna201
Ahmednagar190
Nanded176
Yavatmal150
Sangli145
Latur139
Osmanabad125
Sindhudurg114
Buldhana88
Parbhani78
gondia69
Beed54
Nandurbar42
Gadchiroli42
Bhandara41
Chandrapur32
Washim13
Wardha11

16,60,766 6,738

1,30,286 1,783

14,86,926 8,430

43,554 91

DistrictCases
Kurnool795
Krishna557
Guntur511
Anantapur428
East Godavari356
Chittoor319
Sri Potti Sriramulu Nell*296
Y.S.R.205
West Godavari199
Srikakulam183
Prakasam104
Visakhapatnam103
Vizianagaram23

8,14,774 2,949

26,622 678

7,81,509 3,609

6,643 18

DistrictCases
Udupi1,176
Kalaburagi669
Yadgir538
Bengaluru Urban529
Raichur369
Mandya346
Belagavi337
Bidar219
Hassan205
Davangere204
Vijayapura201
Dakshina Kannada179
Chikkaballapura149
Mysuru107
Bagalkote103
Uttara Kannada95
Shivamogga67
Dharwad61
Ballari60
Gadag45
Bengaluru Rural40
Tumakuru36
Kolar29
Haveri24
Chikkamagaluru19
Chitradurga14
Koppal5
Kodagu4
Ramanagara3
Chamarajanagara0

8,12,784 3,146

68,180 3,169

7,33,558 6,260

11,046 55

DistrictCases
Chennai23,324
Chengalpattu1,314
Thiruvallur774
Villupuram509
Kanchipuram503
Tiruvannamalai496
Cuddalore477
Ariyalur444
Tirunelveli433
Tuticorin333
Kallakurichi324
Madurai322
Salem258
Coimbatore188
Virudhunagar185
Dindigul175
Perambalur133
Ranipet133
Thanjavur130
Theni129
Tiruchirappalli119
Ramanathapuram119
Tiruppur116
Kanniyakumari110
Tenkasi103
Nagapattinam99
Karur88
Namakkal83
Erode75
Vellore71
Thiruvarur67
Pudukkottai53
Sivaganga46
Tirupathur45
Krishnagiri43
The Nilgiris17
Dharmapuri15

7,16,751 2,516

26,356 1,378

6,79,377 3,859

11,018 35

DistrictCases
Gautam Buddha Nagar1,119
Agra933
Ghaziabad794
Meerut504
Lucknow386
Saharanpur298
Kanpur Nagar286
Moradabad252
Varanasi243
Hapur225
Aligarh215
Basti214
Amethi206
Rampur203
Jaunpur194
Firozabad190
Barabanki168
Gorakhpur166
Bulandshahr166
Siddharth Nagar159
Ghazipur159
Bijnor157
Deoria143
Azamgarh138
Sant Kabeer Nagar132
Mathura129
Ayodhya120
Muzaffarnagar117
Sambhal116
Sultanpur97
Ambedkar Nagar92
Maharajganj85
Amroha80
Rae Bareli78
Bahraich73
Kheri72
Kannauj69
Baghpat68
Kushi Nagar67
Bhadohi60
Ballia60
Gonda59
Etah52
Hardoi49
Balrampur49
Mau48
Mainpuri46
Etawah46
Hathras43
Unnao42
Jalaun41
Jhansi41
Shamli40
Chandauli38
Auraiya37
Farrukhabad36
Sitapur32
Prayagraj30
Banda27
Shahjahanpur25
Shravasti23
Budaun23
Mirzapur22
Bareilly17
Kasganj16
Pratapgarh15
Pilibhit15
Sonbhadra10
Kaushambi6
Kanpur Dehat4
Chitrakoot4
Lalitpur3
Hamirpur3
Mahoba3
Fatehpur3

4,76,034 1,980

25,487 780

4,43,589 2,742

6,958 18

DistrictCases
Kannur357
Kasaragod333
Palakkad224
Malappuram119
Kollam118
Thrissur106
Thiruvananthapuram104
Pathanamthitta98
Kozhikode90
Alappuzha76
Kottayam73
Ernakulam60
Idukki40
Wayanad36

4,11,464 8,790

93,369 1,103

3,16,692 7,660

1,403 27

DistrictCases
North West5,463
Central4,817
West4,768
New Delhi3,405
North3,059
East2,472
South East2,446
South West2,391
South2,329
North East1,914
Shahdara1,580

3,70,014 5,673

29,378 1,505

3,34,240 4,128

6,396 40

DistrictCases
Kolkata2,777
Howrah1,435
24 Paraganas North1,031
Hooghly604
24 Paraganas South281
Maldah235
Dinajpur Uttar216
Coochbehar210
Birbhum206
Medinipur West159
Medinipur East153
Nadia139
Purba Bardhaman130
Murshidabad125
Bankura116
Darjeeling97
Jalpaiguri88
Paschim Bardhaman70
Purulia66
Dinajpur Dakshin50
Alipurduar39
Kalimpong18
Jhargram9

3,61,703 3,924

37,111 61

3,17,928 3,925

6,664 60

DistrictCases
Ganjam581
Jajapur322
Khordha238
Baleshwar190
Kendrapara164
Cuttack155
Bhadrak137
Balangir129
Puri103
Sundargarh102
Jagatsinghapur91
Nayagarh86
Mayurbhanj73
Nuapada69
Gajapati61
Dhenkanal36
Boudh34
Kendujhar34
Deogarh33
Kalahandi33
Sonepur29
Kandhamal28
Anugul26
Malkangiri20
Bargarh16
Koraput16
Sambalpur16
Jharsuguda8
Nabarangpur2
Rayagada2

2,85,482 1,540

14,068 487

2,70,130 2,015

1,284 12

DistrictCases
Hyderabad2,475
Ranga Reddy183
Suryapet87
Jagitial77
Nizamabad76
MedchalMalkajgiri75
Mancherial43
YadadriBhuvanagiri40
Jogulamba Gadwal40
Vikarabad40
Nalgonda33
Warangal Urban32
Mahabubnagar30
Sangareddy26
Khammam26
Adilabad22
Nirmal21
Karimnagar17
RajannaSircilla16
Medak11
Kamareddy11
Mahabubabad10
Jayashankar Bhupalapally9
Nagarkurnool8
Kumuram Bheem Asifabad8
Jangoan8
Siddipet7
Peddapalli5
Bhadradri Kothagudem5
Warangal Rural4
Mulugu3
Narayanpet3
Wanaparthy1

2,35,656 1,504

17,979 63

2,16,353 1,436

1,324 5

DistrictCases
Patna279
Bhagalpur266
Rohtas256
Khagaria253
Begusarai243
Madhubani199
Munger188
Jehanabad178
Katihar175
Darbhanga143
Samastipur139
Siwan139
PurbiChamparan138
Purnia135
Banka134
Buxar134
Nalanda123
Gopalganj123
Nawada122
Sheikhpura118
Gaya115
Kaimur (bhabua)105
Bhojpur103
Saran101
Muzaffarpur96
Saharsa88
Supaul87
Vaishali87
Madhepura82
Kishanganj75
Aurangabad75
Sitamarhi73
Lakhisarai72
Araria68
Pashchim Champaran57
Arwal52
Jamui47
Sheohar20

2,13,576 491

8,329 517

2,04,178 1,004

1,069 4

DistrictCases
Kamrup Metro276
Golaghat203
Nagaon143
Hojai89
Dima Hasao86
Karimganj85
Tinsukia84
Cachar80
Dibrugarh61
Hailakandi57
Lakhimpur57
Marigaon50
Dhemaji47
Kamrup42
Kokrajhar37
Dhubri30
Charaideo29
Barpeta28
Udalguri28
Sonitpur27
Jorhat24
Nalbari23
Darrang20
Sivasagar20
Goalpara19
Biswanath16
Baksa14
KarbiAnglong13
Bongaigaon12
Chirang6
West KarbiAnglong5
South SalmaraMancachar4
Majuli2

2,05,237 448

11,803 1,042

1,92,517 1,487

917 3

DistrictCases
Jaipur2,177
Jodhpur1,748
Udaipur724
Bharatpur563
Kota503
Nagaur500
Ajmer379
Dungarpur374
Pali352
Jhalawar329
Bhilwara250
Sikar231
Chittorgarh188
Tonk171
Jalore164
Rajsamand140
Sirohi130
Bikaner112
Banswara91
Alwar90
Churu81
Jhunjhunu64
Dausa61
Dholpur60
Baran59
Jaisalmer53
Barmer34
Hanumangarh31
SawaiMadhopur26
Karauli17
Pratapgarh14
Ganganagar8
Bundi5

1,91,629 1,785

15,708 241

1,74,044 2,016

1,877 10

DistrictCases
Bilaspur100
Korba100
Mungeli87
Baloda Bazar85
Jashpur77
Janjgir-Champa56
Mahasamund54
Rajnandgaon52
Kabirdham52
Raigarh47
Raipur46
Balod41
Korea39
Durg31
Bemetara21
Kanker19
Balrampur17
Surguja14
Gariyaband10
Surajpur9
Dhamtari6
Bijapur2
Bastar2
Dantewada0
Kondagaon0
Narayanpur0
Sukma0

1,81,583 1,929

22,167 474

1,57,480 1,400

1,936 55

DistrictCases
Ahmadabad17,125
Surat2,311
Vadodara1,555
Gandhinagar410
Mahesana159
Banas Kantha147
Bhavnagar146
Rajkot135
Arvalli134
Mahisagar125
Anand107
PanchMahals107
Patan105
SabarKantha101
Kachchh99
Kheda98
Jamnagar63
Bharuch56
Botad55
Surendranagar55
Valsad47
GirSomnath45
Dohad43
Chhotaudepur37
Naysari35
Junagadh31
Narmada25
DevbhumiDwarka22
Amreli16
Porbandar11
Tapi6
Dang5
Morbi4

1,69,891 980

13,332 133

1,52,858 1,107

3,701 6

DistrictCases
Indore3,839
Bhopal1,880
Ujjain799
Burhanpur351
Neemuch319
Jabalpur276
East Nimar266
Sagar228
Gwalior211
Khargone196
Dewas140
Dhar132
Mandsaur112
Morena109
Bhind87
Raisen71
Barwani60
Ratlam51
Rewa39
Shajapur39
Hoshangabad37
Vidisha37
Chhatarpur35
Betul35
Rajgarh31
Dindori29
Sheopur26
Damoh26
Satna24
Anuppur22
Panna20
Tikamgarh18
Sidhi17
Narsinghpur17
Chhindwara16
Agar Malwa15
Mandla15
Shivpuri15
Jhabua14
Shandol14
Singrauli13
Ashoknagar13
Datia12
Sehore12
Umaria10
Balaghat9
Guna8
Harda4
Alirajpur3
Katni3
Seoni2
Niwari0

1,69,271 788

10,094 259

1,56,264 1,032

2,913 15

DistrictCases
Gurugram2,950
Faridabad867
Sonipat404
Rohtak145
Palwal120
Jhajjar114
Karnal104
Hisar98
Ambala93
Panipat78
Nuh68
Bhiwani60
Rewari56
Kurukshetra55
Sirsa50
Kaithal48
Mahendragarh47
CharkiDadri43
Panchkula39
Fatehabad38
Jind38
Yamunanagar19

1,62,223 1,518

11,014 562

1,49,451 948

1,758 8

DistrictCases
Amritsar485
Jalandhar297
Ludhiana293
Tarn Taran163
Gurdaspur154
Hoshiarpur140
S.A.S Nagar137
Patiala132
Sangrur107
Shahid Bhagat Singh Nagar (Nawanshahr)99
Pathankot86
Rupnagar (Ropar)74
Faridkot74
Sri Muktsar Sahib71
Moga65
Bathinda60
Fatehgarh Sahib57
Fazilka53
Firozepur50
Kapurthala44
Mansa31
Barnala25

1,32,263 526

4,239 150

1,23,866 356

4,158 20

DistrictCases
East Singhbum170
Ranchi148
Hazaribagh110
Garhwa80
Ramgarh75
Koderma58
Simdega48
Dhanbad32
Gumla28
Palamu27
West Singhbhum21
SaraikelaKharsawan20
Giridih19
Bokaro16
Latehar14
Khunti10
Lohardaga8
Deoghar5
Dumka5
Pakur4
Jamtara2
Godda2
Chatra1
Sahebganj0

1,00,569 345

5,363 111

94,326 452

880 4

DistrictCases
Anantnag395
Srinagar300
Kulgam295
Baramulla271
Shopian255
Kupwara231
Bandipora175
Udhampur155
Ramban151
Jammu138
Budgam110
Pulwama108
Kathua53
Rajouri39
Ganderbal37
Poonch35
Doda27
Reasi26
Samba25
Kishtwar10
Mirpur0
Muzaffarabad0

93,213 536

6,976 14

84,782 546

1,455 4

DistrictCases
Dehradun370
Nainital323
Tehri Garhwal110
Haridwar94
Udam Singh Nagar83
Almora71
Champawat45
Pithoragarh43
Chamoli36
PauriGarhwal36
Bageshwar31
Rudraprayag30
Uttar Kashi24

61,261 304

3,696 169

56,556 471

1,009 2

DistrictCases
South Goa69
North Goa57

42,968 221

2,402 18

39,974 196

592 7

DistrictCases
Pondicherry111
Mahe4
Karaikal2
Yanam0

34,583 101

3,686 55

30,307 154

590 2

DistrictCases
Dhalai196
Sepahijala174
Gomati74
South Tripura53
Unakoti49
West Tripura45
Khowai24
North Tripura14

30,566 113

1,696 58

28,525 170

345 1

DistrictCases
Hamirpur117
Kangra105
Una41
Solan32
Chamba29
Bilaspur21
Mandi21
Sirmaur11
Shimla10
Kullu4
Kinnaur2
Lahaul And Spiti0

21,149 332

2,646 125

18,203 205

300 2

DistrictCases
Churachandpur32
Kangpokpi26
Imphal West21
Thoubal18
Imphal East10
Tengnoupal9
Bishnupur7
Senapati6
Chandel5
Kamjong5
Ukhrul4
Jiribam3
Pherzawl3
Kakching2
Tamenglong2
Noney1

17,809 205

4,233 13

13,420 212

156 6

DistrictCases
Changlang31
Papum Pare8
Lohit3
Namsai2
West Siang1
East Siang1
Upper Siang1
Tawang1
PakkeKessang1
West Kameng0
Upper Subansiri0
Tirap0
Siang0
Shi Yomi0
Anjaw0
Lower Subansiri0
Lower Dibang Valley0
Longding0
Leparada0
KurungKumey0
KraDaadi0
Kamle0
East Kameng0
Dibang Valley0
Lower Siang0

14,580 108

2,064 75

12,480 183

36

DistrictCases
Chandigarh313

14,212 60

629 21

13,359 80

224 1

DistrictCases
East Khasi Hills22
West Garo Hills5
South West Garo Hills4
North Garo Hills1
West Jaintia Hills1
West Khasi Hills1
East Garo Hills0
East Jaintia Hills0
Ribhoi0
South Garo Hills0
South West Khasi Hills0

9,226 90

1,364 47

7,777 134

85 3

DistrictCases
Dimapur20
Mon8
Kohima7
Kiphire3
Tuensang3
Peren2
Phek1
Longleng0
Mokokchung0
Wokha0
Zunheboto0

8,824 98

1,845 20

6,945 117

34 1

DistrictCases
Kargil77
LehLadakh43

6,085 61

642 47

5,369 107

74 1

DistrictCases
South Andamans33
Nicobars1
North And Middle Andaman1

4,289 15

192 5

4,039 20

58

DistrictCases
East District3
South District3
North District0
West District0

3,875 12

263 1

3,545 11

67

DistrictCases
Dadra And Nagar Haveli20

3,237 6

51 3

3,184 3

2

DistrictCases
Kolasib11
Aizawl10
Mamit8
Lawngtlai2
Lunglei2
Saitual1
Champhai0
Hnahthial0
Khawzawl0
Saiha0
Serchhip0

2,656 49

417 43

2,238 5

1 1

DistrictCases
Lakshadweep District0

0

0 0

0

0

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