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2016 Child Fatality Prevention Team Annual Report I. Introduction In 1993, the North Carolina General Assembly established a network of local Child Fatality Prevention Teams (CFPT’s) across the state to confidentially review medical examiner reports, death certificates and other records of deceased residents under age 18. Each local team consists of representatives of public and nonpublic agencies in the community such as law enforcement, Guardian Ad Litem, health departments, among others, that provide services to children and their families. The purpose of this report is to give a summary of the causes of death, the number of cases reviewed, recommendations for prevention, if any, that have been made and to share local team activities and accomplishments. II. Role of the Orange County Commissioners and Board of Health • Receive annual reports which contain recommendations and advocate for system improvements and needed resources, if requested. • Appoint members of the local team as identified by the membership. III. Child Deaths by Cause, System Problems Identified, Recommendations for Prevention & Proposed Action In 2016, the Orange County CFPT reviewed 17 child deaths and identified 5 system problems and recommendations for future prevention efforts. Below are highlights: Cause of Death System Problem Identified Recommendation Proposed Action Neurodegenerative disorder undiagnosed genetic disorder New and potential parents be counseled and screened for genetic disorders. The CFPT chair will contact UNC OB regarding resources for genetic counseling. The health department clinic continues to refer prenatal patients to UNC for genetics counseling. Necrotizing enterocolitis of newborn; Extreme prematurity Smoking during pregnancy Pregnant women should be given resources to assist with tobacco cessation. Support tobacco cessation efforts and promote classes and Quitline to prenatal clients. Undetermined Possible improper use of infant carrying device Inform parents about the risk of using baby sling carriers OCHD post information on social media. Recommend banning the sale of sling carriers. Pedestrian vs motor vehicle accident Underage alcohol use Teens who use alcohol receive counseling and support to stop. School systems will promote Insight, a drug and alcohol counseling program, to parents in the community Motor vehicle accident Passenger not using seat belt Educate the public about the dangers of not wearing a seat belt in the back seat of a vehicle. Chapel Hill PD will promote rear seat belt use at passenger safety events. OCHD post information on social media.