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CityMatCH: Equity-Science-Leadership to Reduce Gaps in Infant Mortality Chad Abresch, MEdExecutive Director, CityMatCH

www.citymatch.org402-552-95003/21/2013CityMatCH - Region V Infant Mortality Summit1

1Persistent Racial Disparities in Mortality Gap and Magnitude of the GapVery little change over the past 30-50 years(1) in the persistent gap between black-white fetal and infant mortalitythe magnitude of the disparity2

= Black= White Stillbirth Rate (1950-2005) Infant Mortality Rate (1950-2006) From: Spong, Iams et al., 2011 From: Spong, Iams et al., 20113/21/2013CityMatCH - Region V Infant Mortality Summit23/21/2013CityMatCH - Region V Infant Mortality Summit3

Large Urban Areas in Region V33/21/2013CityMatCH - Region V Infant Mortality Summit4Infant Death Rates by Race/Ethnicity in LCM Counties in Region V (2008-2010)LCM CountyOverallIDRNH Black IDRNH White IDRInequity (ratio)Cook County, IL (Chicago)8.013.95.22.6Marion County, IN (Indianapolis)10.715.98.61.8Wayne Co, MI (Detroit)10.616.15.92.8Hennepin Co, MN (Minneapolis)5.87.74.51.7Ramsey Co, MN (St. Paul)6.07.95.21.5Cuyahoga Co, OH (Cleveland)10.217.95.33.4Franklin Co, OH (Columbus)8.913.97.02.0Hamilton Co, OH (Cincinnati)11.418.37.62.4Milwaukee Co, WI (Milwaukee)9.615.16.52.3LCM Counties in Region V8.914.76.02.4Region V7.1 13.55.82.3National6.512.65.52.3Figure Source: 2010 National Vital Statistics System Multiple Cause of Death Files, 2008-2010, NCHS, CDC43/21/2013CityMatCH - Region V Infant Mortality Summit5Percent of State Population Under 1 Year of Age and Infant Deaths to Residents of LCM Counties in Region V (2008-2010)StateLarge Central Metro Counties (Central Cities)% of State Pop