Sudden unexpected infant death (SUID) is a major contributor to infant death and a persistent public health issue. After an initial decline after the 1994 "Back to Sleep" campaign, SUID numbers plateaued. Currently, ∼10 infants die suddenly and unexpectedly each day in the United States. In 2019, we established a surveillance system for SUID in Cook County, Illinois, partnering our academic medical center, the Cook County Medical Examiner's Office, and child death review to create the Cook County SUID Case Registry. Our data show that, in Cook County, including the city of Chicago, ∼1 infant dies unexpectedly during sleep every week. Of these SUID, ∼25% were because of suffocation/possible suffocation. SUID peaks at 30 to 60 days old. SUID rates are 15 times higher in non-Hispanic Black infants and 3 times higher in Hispanic infants, compared with white infants. Nearly all involved 1 or more unsafe sleep factors. SUID are concentrated in community areas experiencing high hardship. Through our Community Partnership Approaches for Safe Sleep-Chicago team, we have developed collaborative prevention approaches in affected communities, allowing for conversations with families and those who support them to better understand barriers to safe sleep that they experience. These partnerships and our data allow for tailoring of informed prevention approaches to address upstream factors driving disproportionate infant mortality in historically disinvested communities, as well as optimizing the immediate risks posed by the infant sleep environment. Data from our system show the number of SUID declining modestly since our prevention work began.

中文翻译：

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使用婴儿意外突然死亡病例登记数据来推动预防。


婴儿意外猝死 （SUID） 是导致婴儿死亡的主要因素，也是一个持续的公共卫生问题。在 1994 年“Back to Sleep”活动后最初下降后，SUID 数字趋于稳定。目前，美国每天有 10 名婴儿突然意外死亡。2019 年，我们在伊利诺伊州库克县建立了 SUID 监测系统，与我们的学术医疗中心、库克县法医办公室和儿童死亡审查合作，创建了库克县 SUID 病例登记处。我们的数据显示，在库克县，包括芝加哥市，每周有 ∼1 名婴儿在睡眠中意外死亡。在这些 SUID 中，∼25% 是由于窒息/可能窒息。SUID 在 30 到 60 天大时达到高峰。与白人婴儿相比，非西班牙裔黑人婴儿的 SUID 率高 15 倍，西班牙裔婴儿的 SUID 率高 3 倍。几乎所有研究都涉及 1 个或多个不安全的睡眠因素。SUID 集中在高度困难的社区地区。通过我们的 Community Partnership Approaches for Safe Sleep-Chicago 团队，我们在受影响的社区开发了协作预防方法，允许与家庭和支持他们的人进行对话，以更好地了解他们遇到的安全睡眠障碍。这些合作伙伴关系和我们的数据允许定制明智的预防方法，以解决在历史上投资不足的社区中导致婴儿死亡率不成比例的上游因素，并优化婴儿睡眠环境带来的直接风险。我们系统的数据显示，自预防工作开始以来，SUID 的数量略有下降。