The most dangerous day
Aug 16, 2024
Our World in Data published this interesting chart about infant mortality in the U.S.
The article that sent me to this chart called the first day of life the "most dangerous day". This dot plot seems to support the notion, as the "per-day" death rate is the highest on the day of birth, and then drops quite fast (note log scale) over the the first year of life.
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Based on the same dataset, I created the following different view of the data, using the same dot plot form:
By this measure, a baby has 99.63% chance of surviving the first 30 days while the survival rate drops to 99.5% by day 180.
There is an important distinction between these two metrics.
The "per day" death rate is the chance of dying on a given day, conditional on having survived up to that day. The chance of dying on day 2 is lower partly because some of the more vulnerable ones have died on day 1 or day 0, etc.
The survival rate metric is cumulative: it measures how many babies are still alive given they were born on day 0. The survival rate can never go up, so long as we can't bring back the dead.
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If we are assessing a 5-day-old baby's chance of surviving day 6, the "per-day" death rate is relevant since that baby has not died in the first 5 days.
If the baby has just been born, and we want to know the chance it might die in the first five days (or survive beyond day 5), then the cumulative survival rate curve is the answer. If we use the per-day death rate, we can't add the first five "per-day" death rates It's a more complicated calculation of dying on day 0, then having not died on day 0, dying on day 1, then having not died on day 0 or day 1, dying on day 2, etc.
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