Monday, December 15, 2008

Child stats in NZ

The Otago Daily Times' editorial this morning uses a number of highly emotive words in its discussion of child injury and death in New Zealand. The writer tells us that two children die every week as a result of accidents, and that we are killing our children in their hundreds.

But a look at the Ministry of Health figures, rather than World Health Organisation or Unicef Report Cards (both of which have are flawed because they don't always compare like to like) show that between 1991 and 2005 the unintentional injury death rate for children under five dropped from 23.1% for males under five to 15.1%. The female figure, on the other hand, grew a couple of points from 12.8% to 14.14%.

In the 5-9 age range, both male and female figures dropped, from 12.8 and 9.5 respectively, to 6.7 and 6.3.

10-14 year-olds showed the same downward trend: males down from 20.4 to 8.7 and females down from 6.3 to 3.3.

Part of the issue of using international comparisons is that reporting is inconsistent. Reports may not relate to the same years or the same basic standards, and many countries take time to catch up with reporting on issues. The current reporting on bullying dates back to the early part of this century, not only in NZ, but also abroad.

In the editorial, Jean Simpson, of the Injury Prevention Research Unit, is reported as saying, 'compared with other wealthy nations our statistics are appalling.' Unfortunately, like so much else in this editorial real stats are not actually given, only an emotive statement.

According to my reading of the Ministry of Transport's graph on Road traffic injury and death rate per 100,000 population aged 0–14 and 15–24 years, 1985–2007, deaths from road accidents for the period have dropped, rather than increased.

The Ministry of Social Development report on Children and Young People: Indicators of Wellbeing in 2008 (Safety) states,

In 2006, New Zealand’s road death rate for youth aged 15–24 years (16.9 per 100,000) was just above the OECD median of 15.8 per 100,000 for that year. New Zealand ranked 18th out of 27 OECD countries, a considerable improvement compared to 2005, when New Zealand ranked 25th with a rate of 22.4 per 100,000. New Zealand’s 2006 rate was similar to that of Canada (16.4 per 100,000 in 2005) and Australia (15.8 per 100,000 in 2006), well above that of the United Kingdom (11.2 per 100,000 in 2006), but well below that of the United States (25.5 per 100,000 in 2005).
[This report can be downloaded from the Ministry of Development]

Stats are a useful tool, but always need to be checked, double-checked and possibly triple-checked. In one episode of TV series, The West Wing, Sam Seaborn commands his staff to find the stats on some obscure area, and to get three different lots of stats, so that he can compare what is being reported. Clarity is always an issue.

Equally, stats tell us nothing of the pain and anguish of those involved with the death of a child. The recent Nia Glassie trial was atypical in showing adults expressing little concern over the death of a toddler; most parents and relatives are deeply shocked in such circumstances.

Thus, while any decrease in deaths from unintentional injury is something to be rejoiced about, there are still many people out there who have lost someone precious to them. And that should always be a concern. Guilt trips from anonymous editors do nothing to help.

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