This review documents and assesses recent trends in sudden infant death syndrome. We review medical literature, Internet resources, and national governmental data. A striking reduction in SIDS incidence of more than 50% has been observed in various countries after interventions, particularly during the early 1990s, to reduce the prevalence of prone infant sleeping. A reduction in postneonatal mortality has accompanied these lower rates. Evaluation studies from several countries indicate that the SIDS rate drop is largely attributable to a decline in the proportion of babies sleeping prone. Within countries, the SIDS rate decline has not occurred to the same extent for different ethnic and socio-economic groups. Future public health activities must aim to address this issue. In the post-intervention era, the relative importance of the risk factors of side compared to supine sleeping and soft bedding near the infant's airway have become more evident. Recent death scene data indicate that a substantial proportion of the remaining SIDS deaths could be avoided by supine sleeping and by providing a safe sleeping environment for all infants. Copyright 2002, Elsevier Science (USA). All rights reserved.

Item Type:	Non Refereed Article
Research Division:	Health Sciences
Research Group:	Epidemiology
Research Field:	Epidemiology not elsewhere classified
Objective Division:	Health
Objective Group:	Specific population health (excl. Indigenous health)
Objective Field:	Neonatal and child health
UTAS Author:	Ponsonby, AL (Professor Anne Ponsonby)
UTAS Author:	Dwyer, T (Professor Terry Dwyer)
UTAS Author:	Cochrane, JA (Mrs Jennifer Cochrane)
ID Code:	24628
Year Published:	2002
Web of Science® Times Cited:	25
Deposited By:	Menzies Centre
Deposited On:	2002-08-01
Last Modified:	2003-03-11
Downloads:	0