Bulletin of the World Health Organization

Rotavirus mortality in India: estimates based on a nationally representative survey of diarrhoeal deaths

Shaun K Morris, Shally Awasthi, Ajay Khera, Diego G Bassani, Gagandeep Kang, Umesh D Parashar, Rajesh Kumar, Anita Shet, Roger I Glass, Prabhat Jha & for the Million Death Study Collaborators

Volume 90, Number 10, October 2012, 720-727

Table 1. Deaths from diarrhoea – all-cause and rotavirus-attributable – detected during the study and estimated nationally, among Indian children younger than 5 years, by age, during 2005a

Age (months) Study findings
National estimates, 2005a
All-cause diarrhoea deaths (No.)b Deaths attributable to RV (%)c All-cause diarrhoea deaths (No.) Deaths attributable to RV (No.)d Mortality ratee (99% CI)
< 1 241 26.0 31 800 8 300 0.30 (0.22–0.67)
1–2 368 26.1 30 600 8 000 0.29 (0.18–0.47)
3–11 811 42.8 89 700 38 400 1.41(1.08–1.82)
12–23 634 44.2 69 500 30 700 1.12 (0.85–1.47)
24–59 996 24.9 111 300 27 700 1.01 (0.81–1.27)
Overall 3053 34.0 334 000 113 000 4.14 (3.14–5.68)

CI, confidence interval; MDS, Million Death Study; RV, rotavirus infection.

a Data are corrected on the basis of United Nations estimates of live births (n = 27 311 155) and deaths in India during 2005.

b Data are from Million Death Study, 2001–2003. Values do not sum to the overall value because the month of death was missing for three children.

c Data are from the Indian Rotavirus Strain Surveillance Network, 2005–2007. Overall value is weighted to the age distribution in the MDS.

d Cumulative proportion of all rotavirus-attributable deaths is as follows: < 1 month, 8%; < 2 months, 14%; < 12 months, 47%; < 24 months, 75%; < 60 months, 100%. The overall value is rounded to the nearest 1000.

e Deaths from rotavirus diarrhoea per 1000 live births.