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POLITICS
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SOCIETYChildren'shealthinChinaCHAPTER
01OverviewBirthrateinChinafrom2000to2022(inbirthsper1,000inhabitants)BirthrateinChina2000-202215.514.5714.5
14.0313.8313.5713.3813.2713.512.511.510.59.513.0312.8612.6412.4112.412.2912.09
12.1
12.1411.95
11.911.9910.8610.418.528.57.527.56.776.55.52000
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20223Description:In2022,thenumberofchildrenbornper1,000peopleinChinarangedstatisticallyat6.77.Thebirthratedroppedconsiderablysince2016,andthenumberofbirthsfellbelowthenumberofdeathsin2022forthefirsttimeindecades,leadingtoanegativepopulationgrowthrate.ReadmoreNote(s):China;2000to2022Source(s):NationalBureauofStatisticsofChinaChina:Infantmortalityratefrom2011to2021(indeathsper1,000livebirths)InfantmortalityrateinChina2021141210811.510.69.78.98.27.676.45.965.55.1420201120122013201420152016201720182019202020214Description:TheinfantmortalityrateinChinadecreasedto5.1deathsper1,000livebirthssincethepreviousyear.Therefore,theinfantmortalityrateinChinasawitslowestnumberinthatyearwith5.1deathsper1,000livebirths.
ReadmoreNote(s):China;2011to2021Source(s):WorldBankMortalityrateofchildrenunderfiveyearsoldinsurveillanceareasinChinafrom1991to2022(per1,000children)DeathrateofchildrenunderfiveinsurveillanceareasinChina1991-2022706050403020100199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120225Description:In2022,themortalityrateofchildrenunderfiveyearsofagein336monitoringsitesinChinawas6.8per1,000children.Inthepastthreedecades,prematuredeathsofyoungpeopleinChinaweresubstantiallyreduced,withthemortalityrateofchildrenunderfivedroppingbyalmost90percent.ReadmoreNote(s):China;1991to2022Source(s):MOH(China);NationalBureauofStatisticsofChinaShareofchildrenunderfiveyearsofagehavinglowweightfortheirheightinChinabetween1998and2021PrevalenceofwastingamongchildrenunderfiveyearsinChina1998-20212.7%2.6%2.6%2.5%2.5%2.4%2.3%2.2%2.1%2.0%1.9%1.8%1.9%1.9%1998-20022005-20092012-20162017-20216Description:Between2017and2021,theprevalenceofwastingamongyoungchildrenunderfiveyearsinChinaremainedbelowtwopercent.Inthepasttwodecades,nutritionamongtheChinesepopulationcontinuedtoimprove,withchildhoodwastingandstuntingundercontrol.Wastingreferstoachildbeingtoothinforhisorherheightandisanimportantindicatorreflectingrapidweightlossandacuteundernutrition.ReadmoreNote(s):China;1998to2002,2005to2009,and2012to2021Source(s):WelthungerhilfeShareofchildrenunderfiveyearsofagehavinglowheightfortheirageinChinabetween1998and2021PrevalenceofstuntingamongchildrenunderfiveyearsinChina1998-202120%17.8%18%16%14%12%10%8%9.1%8.1%6%4.8%4%2%0%1998-20022005-20092012-20162017-20217Description:Between2017and2021,theprevalenceofstuntingamongyoungchildrenunderfiveyearsinChinadroppedbelowfivepercent.Inthepasttwodecades,nutritionamongtheChinesepopulationcontinuedtoimprove,withchildhoodwastingandstuntingundercontrol.Stuntingreferstoachildbeingtooshortforhisorherageandisanimportantindicatorreflectingchronicundernutrition.ReadmoreNote(s):China;1998to2002,2005to2009,and2012to2021Source(s):WelthungerhilfeBreakdownofchildren'sphysicalconditioninChinain2021,byfitnesslevelChildren'sfitnesslevelbasedontheresultofphysicalassessmentinChina2021Unqualified10.87%Verygood5.47%Good24.00%Qualified60.18%8Description:In2021inChina,basedontheanalysisof213,837children'sphysicalassessmentdata,nearly5.5percentofchildren'sfitnesslevelwasratedasverygoodand23.5percentasgood.Incontrast,around11percentofchildren'sfitnesslevelwasnotqualifiedaccordingtostandardsinNationalStandardsforPhysicalFitnessMeasurementpublishedbytheGeneralAdministrationofSportofChina.ReadmoreNote(s):China;2021;213837respondents;3-6yearsSource(s):RuilaiTechnology;SohuShareofchildrenundertheageoffivesufferingfromwastingsyndromeinChinain2022PrevalenceofwastingamongchildrenundertheageoffiveinChina2022Childrenwithwastingsyndrome1.9%Childrenwithnowastingsyndrome98.1%9Description:In2022,lessthantwopercentofchildreninChinastillsufferedfromwastingsyndrome.Wastingistheprocessbywhichmuscleandfattissuesare"wasted"away,sometimesnamedacutemalnutrition.DataonwastingindicatesthevastmajorityofsuchchildrenliveinAsia.ReadmoreNote(s):China;2022Source(s):FAO;IFAD;UNICEF;WHO;WorldFoodProgrammeChildren'sandadolescents'levelofparticipationindailysportsactivitiesinChina2021Children'sandteenagers'interestinparticipatingindailysportsinChina2021Veryinactive3%Relativelyinactive24.6%Veryactive20.1%Relativelyactive52.3%10Description:AccordingtoasurveyconductedinChinain2021,20.1percentofsurveyedparentssaidtheirchildrenwereveryactiveinparticipatingindailysportsactivities.Thesurveyfoundoutthatchildreninprimaryschoolweremoreactiveinphysicalsportsactivitiesthanchildreninmiddleschoolandhighschool.ReadmoreNote(s):China;2021;1,165respondentsSource(s):ChinaYouthOnline;Website()Frequencyofchildrenandadolescents'participationinafter-schoolsportsactivitiesinChinaasof2021Frequencyofchildrenparticipatinginafter-schoolsportsactivitiesinChina2021ChildreninprimaryschoolChildreninmiddleschoolandhighschool60%52.5%50%41.8%40%32%30%25.9%22.2%20%13%10.1%10%0%2.5%BarelydosportsAtleastonehoureverydayLessthanonehoureverydaySometimesdosports11Description:AccordingtoasurveyconductedinChina,whenaskedhowchildrenpracticedailyone-hoursportsactivitiesafterschool,52percentofsurveyedparentssaidtheirchildrenparticipateinafter-schoolsportsactivitieslessthanonehoureveryday.Thesurveyindicatedthatchildreninprimaryschoolweremoreactiveinphysicalsportsactivitiesthanchildreninmiddleschoolandhighschool.ReadmoreNote(s):China;2021;1,165respondentsSource(s):ChinaYouthOnline;Website()CHAPTER
02PrevalenthealthissuesPrevalenceofobesityandoverweightamongchildrenandadolescentsinChinaagedbetween6and17yearsin2020Prevalenceofobesityamongthepeoplebetween6and17yearsoldinChina2020Obese7.9%Overweight11.1%Notoverweightorobese81%13Description:Thankstothesubstantialeconomicdevelopmentinthecountry,obesityisreplacingmalnutritionandgrowthdelayinbecominganewprominenthealthissueamongChina'syouth.InDecember2020,China'sNationalHealthCommissionreportedthatwhiletheaverageheightofyoungstersbetweensixand17yearsoldincreasedbetween2015and2020,theobesityratealsorosecontinuously,withalmostoneinfivechildrenandadolescentsagedbetweensixand17yearsbeingobeseor[...]
ReadmoreNote(s):China;2020Source(s):ChinaYouthOnline;NHCPrevalenceofshort-sightednessamongchildrenandadolescentsinChinain2022,byeducationlevelShareofchildrenandadolescentswithmyopiainChina2022,byeducationlevel90%80%70%60%50%81%71.6%53.6%40%30%20%10%0%36%14.5%Childrenattheageof6ElementaryschoolpupilsMiddleschoolstudentsHighschoolstudentsOverall14Description:In2022,53.6percentofallChinesechildrenandadolescentsweresufferingfromshort-sightedness.Theprevalenceofmyopiawasstronglylinkedtothechildren'seducationlevel.Whilelessthan15percentofsix-year-oldshadthecondition,oneinthreeprimaryschoolpupilsandfourinfivehighschoolstudentswereshort-sighted.Althoughmyopiaishardtoprevent,spendingmoretimeoutdoorscanhelpstopitfromgettingworse.However,withahighlycompetitiveeducationsystem,[...]
ReadmoreNote(s):China;2022Source(s):NHC;XinhuaNewsAgencyPercentageofparentswhowereworriedabouttheirchildren'seyesightinChinaasofApril2022Proportionofparentsworryingabouttheirchildren'svisioninChina202245%39.5%40%35%30%25%20%15%10%5%38%27%0%Parentsofchildrenaged12to18(middleschoolandhighschool)Parentsofchildrenaged6to12(primaryschool)Parentsofchildrenaged3to6(kindergarten)15Description:AccordingtoasurveyconductedinChinain2022,almost40percentofsurveyedparentsofchildrenaged12to18wereworriedabouttheirchildren'svision.Amongparentsofchildrenagedthreetosix,27percentwereanxiousaboutchildren'seyehealth.Commonproblemswithchildren'seyehealthincludemyopia,hyperopia,andastigmatism.ReadmoreNote(s):China;JanuarytoApril2022;1,200respondentsSource(s):GMYDChildrenFurniture;iResearchProportionofchildrenwithunhealthyspineinChinain2022PercentageofchildrenwithunhealthyspineinChina2022Childrenwithhealthyspine32%Childrenwithunhealthyspine68%16Description:In2022,68percentofchildreninChinahadhealthissueswiththeirspines.Followingobesityandmyopia,anunhealthyspinehasbecomethethirdmostprominenthealthproblemamongChinesechildren.ReadmoreNote(s):China;2022Source(s):GMYDChildrenFurniture;iResearch;NHC;Website(ChinaChildren'sDevelopmentCenter)DeathrateoftetanusamonginfantsunderoneyearoldinruralregionsinChinabetween2015and2021(per100,000population)TetanusmortalityrateamonginfantsinruralChina2015-20210.30.270.240.30.20.20.10.10.0-0.10.090.060.050.040201520162017201820192020202117Description:In2021,themortalityrateoftetanusamonginfantsinruralChinawas0.06per100,000.NeonataltetanuswasonceamajorcauseofdeathfornewbornsinChinaandmanyotherdevelopingcountries.Thisfataldiseaseistheresultofaninvasionoftetanusbacilliviatheumbilicalcord,whichisusuallycausedbyinsufficienthygienemeasuresinmaternitywards.Withimprovementstoconditionsinhospitalsandauniversalvaccineprogramcoveringallpregnantwomen,tetanuscaseswere[...]
ReadmoreNote(s):China;2015to2021Source(s):NationalBureauofStatisticsofChinaDeathrateofsepsisamonginfantsunderoneyearoldinurbanandruralregionsinChinabetween2015and2021(per100,000population)SepsismortalityrateamonginfantsinurbanandruralChina2015-2021Urbanregions7.4Ruralregions8765432106.075.945.445.215.113.523.273.222.982.992.842.622.39201520162017201820192020202118Description:In2021,themortalityrateofsepsisamonginfantsdeclinedfurthertorecordlowlevelsinbothurbanareasofChina.Developmentsintreatmentregimesandmeasuresenablingearlierdetectionwerethemaincontributingfactorstothecontrolofthedisease.ReadmoreNote(s):China;2015to2021Source(s):NationalBureauofStatisticsofChinaDeathrateofcongenitalheartdiseaseamonginfantsunderoneyearoldinurbanandruralregionsinChinabetween2015and2021(per100,000population)CHDmortalityrateamonginfantsinurbanandruralChina2015-2021UrbanregionsRuralregions8070605040302010068.7160.7353.751.0547.8844.9639.1135.8132.1127.1226.12320.1914.9201520162017201820192020202119Description:In2021,themortalityrateofcongenitalheartdiseaseamonginfantsinChinadroppedto14.9per100,000inurbanareasand23per100,000inruralregions.Althoughtheratedroppedsubstantiallyinthepastdecade,thedisease,togetherwithothertypesofcongenitalmalformations,deformations,andchromosomalabnormalitiesremainedamajorkillerofchildreninChina.ReadmoreNote(s):China;2015to2021Source(s):NationalBureauofStatisticsofChinaDeathrateofleukemiaamongchildrenunder14yearsoldinurbanandruralregionsinChinain2021,byagegroup(per100,000population)LeukemiamortalityrateamongchildreninurbanandruralChina2021,byagegroupUrbanregionsRuralregions1.61.41.21.00.80.60.40.20.01.491.281.240.950.920.90.790.62Under1year1-4years5-9years10-14years20Description:In2021,thedeathrateofleukemiaamongchildrenunder14yearsofageinChinaremainedrelativelylow.Thankstobetterhealthcareservices,Chinesechildrenlivinginurbanregionsgenerallyhadlowerrisksofdeathfromleukemiathantheircounterpartsinruralareas.LeukemiaisthemostcommoncanceramongchildrenandyoungpeopleinChina.Withthehelpofchemotherapy,targetedtherapy,andhematopoieticstemcelltransplantation,manytypesofleukemiaarenowcurable.
ReadmoreNote(s):China;2021Source(s):NationalBureauofStatisticsofChinaParents'concernsabouttheirchildren'smentalhealthinChinain2022Concernsofparentsabouttheirchildren'smentalhealthinChina2022Parentsofchildrenaged3to6(kindergarten)Parentsofchildrenaged6to12(primaryschool)Parentsofchildrenaged12to18(middleschoolandhighschool)35%30%25%20%15%10%5%32%22.5%18.3%18.3%17.3%15%13.8%11.5%9%0%Tireseasily/frequentlyToolittlesleep/insomnia/wakeupatnightfrequentlyMooddisorder/tendencytoautismordepression21Description:AccordingtoasurveyconductedinChinainApril2022,aroundoneinthreeparentswithchildrenagedbetween12and18yearsoldwereworriedabouttheirchildrenbeingnotenergeticenough.Almostoneinfourparentshadconcernsovertheirchildren'slackofsleep.ReadmoreNote(s):China;JanuarytoApril2022;1,200respondentsSource(s):GMYDChildrenFurniture;iResearchCHAPTER
03PediatrichealthcareservicesNumberofchildren'shospitalsinChinafrom2015to2021Children'shospitalnumbersinChina2015-2021160151151141140120100801291171171146040200201520162017201820192020202123Description:Between2015and2021,thenumberofchildren'shospitalsinChinaincreasedbymorethan30percent.Mostchildren'shospitalsinChinaarelocatedinregionalcentersandprovincialcapitals.Theyprovidecrucialspecializedtreatmentstochildrenandaremostlyoperatingatfullcapacity,withbedoccupancyratesforinpatientsconstantlyexceeding90percent.ReadmoreNote(s):China;2015to2021Source(s):NationalBureauofStatisticsofChinaNumberofpediatricwardbedsinChinafrom2015to2021PediatricwardbednumbersinChina2015-2021600,000563,334559,696551,600541,303516,924483,288500,000400,000300,000200,000100,0000464,598201520162017201820192020202124Description:Between2015and2021,thenumberofbedsinpediatricwardsinChinaincreasedbymorethan21percent.AlthoughthebirthrateinChinastartedtodeclineinrecentyears,thedemandsforthetreatmentofpediatricdiseasesremainedatasignificantlevel,withbedoccupancyratesinpediatricwardssometimesexceeding95percent.Tomeetthedemandsofthepatients,morechildren'shospitalswerebuiltinthepastdecade,whilepediatricwardsingeneralhospitalsalsoexpanded[...]
ReadmoreNote(s):China;2015to2021Source(s):NationalBureauofStatisticsofChinaNumberofdoctorspracticinginchildren'shospitalsinChinafrom2015to2021Numberofdoctorsworkinginchildren'shospitalsinChina2015-202125,00020,00022,19421,47020,04218,48817,01515,66015,76615,00010,0005,0000201520162017201820192020202125Description:Withmorechildren'shospitalsbeingopenedinChina,thenumberofpediatriciansworkinginchildren'shospitalsinthecountryalsoincreasedsubstantiallyinrecentyears.In2021,morethan22,000doctorsandassistantdoctorswerepracticinginchildren'shospitals.In2019,the141children'shospitalsinChinareceivedmorethan67millionpatientvisits,beforebeingimpactedbytheCOVID-19pandemic.ReadmoreNote(s):China;2015to2021;includingassistantpracticingdoctorsSource(s):NationalBureauofStatisticsofChinaNumberofpatientvisitstochildren'shospitalsinChinafrom2015to2021(inmillions)Children'shospitalpatientvisitnumbersinChina2015-2021807067.5162.5860.4859.71605040302010055.7355.2247.92201520162017201820192020202126Description:In2021,Children'shospitalsinChinareceivedmorethan62millionpatientvisits,afterbeingimpactedbytheCOVID-19pandemicin2020.Althoughmorechildren'shospitalswerecommissionedinthelastdecade,suchhospitalsremainedoperatingatfullcapacity,withmorethan90percentofbedsconstantlyoccupied,andpediatriciansworkingunderexcessivepressuretomeetthedemandsofthepatients.ReadmoreNote(s):China;2015to2021Source(s):NationalBureauofStatisticsofChinaNumberofpatientvisitstopediatricwardsinhealthcarefacilitiesinChinafrom2015to2021(inmillions)PediatricwardpatientvisitnumbersinChina2015-2021600541.67542.58503.98497.66497.765004003002001000475.05367.18201520162017201820192020202127Description:In2021,pediatricwardsacrossChinareceivedmorethan500millionpatientvisits,afterthenumberofpatientsdroppedsignificantlyin2020duetotheimpactofCOVID-19ongeneralhospitals.DemandsforpediatrictreatmentsincreasedsubstantiallyinChinainthepastdecade,whilesevereillnessessuchascongenitalheartdiseaseandsepsisweresuccessfullycontrolled.ReadmoreNote(s):China;2015to2021Source(s):NationalBureauofStatisticsofChinaNumbersofinpatientsadmittedtochildren'shospitalsinChinafrom2015to2021(inmillions)Inpatientnumbersofchildren'shospitalsinChina2015-20212.52.262.062.031.942.01.791.711.691.51.00.50.0201520162017201820192020202128Description:In2021,thenumberofinpatientsadmittedtochildren'shospitalsinChinaroseto2.03million.Thedemandsforspecializedinpatientcareforchildrengrewsignificantlyinthepastdecade,fuelingtheexpansionofchildren'shospitalsandpediatricwardsingeneralhospitalsnationwide.ReadmoreNote(s):China;2015to2021Source(s):NationalBureauofStatisticsofChinaOccupancyrateofchildren'shospitalbedsinChinafrom2015to2021Children'shospitalbedutilizationinChina2015-2021120%96.9%95.9%100%80%60%40%20%0%94.2%94%94.12%77.45%68.86%201520162017201820192020202129Description:In2021,thebedutilizationrateinchildren'shospitalsinChinadroppedtobelow80percent.PriortotheCOVID-19pandemic,children'shospitalsinChinawereconstantlyexperiencinghighdemands,witharound95percentofbedsoccupied.Thesehospitalsaremostlylocatedinlargerregionalcentersandcanprovidespecializedcareandtreatmentstochildren.ReadmoreNote(s):China;2015to2021Source(s):NationalBureauofStatisticsofChinaCHAPTER
04PediatricdrugsDistributionofapprovedmedicinesinChinaasofMay2022,bytypeBreakdownofmedicinesapprovedinChina2022,bytypeChildren'smedicine5%Non-children'smedicine95%31Description:AsofMay2022,China'sFoodandDrugAdministrationhadgrantedapprovalsto18.4thousanddrugs,ofwhichonly5percentwerechildren
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