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2017 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 2017, the Orange County CFPT reviewed 11 child deaths and identified 2 system problems and recommendations for future prevention efforts. Below are highlights: Cause of Death System Problem Identified Recommendation Proposed Action hypercarbic respiratory failure due to status asthmaticus. Child with poorly controlled asthma playing sports More detailed sports physical form is created to identify poorly controlled asthma. Require athletic trainer for all school sports. Medical provider on team will submit proposal for revised sports physical form to schools. CFPT will submit recommendation for required athletic trainer to school systems. Homicide Possible undiagnosed mental health issues. Mental health first aid training for front line human services workers. Mental Health First Aid Training provided September, 2017. IV. Orange County CFPT Activities and Accomplishments Examples: • The annual CFPT Activity Summary was completed and sent by the date requested. • A two-part Mental Health First Aid Training was promoted by CFPT for human service workers and community members. • Information on multiple webinars regarding child safety issues was forwarded to team members. • Individual reports were completed on child deaths reviewed by the team and were forwarded to the State Coordinator.