The canary in the coal mine
Historically, canaries were used to detect the levels of any dangerous gas buildups in coal mines, signaling to workers whether it was safe to enter. If the canary was heard singing, work would move forward, if there was silence, you did not enter. The rate of infant mortality is like the canary in the coal mine. It is an overall indicator of the quality of life in an area by telling us the health and well-being of the state’s most vulnerable population—infants. And in Michigan, the canary continues to be silenced.
According to a new League fact sheet, Michigan’s infant mortality rate has been higher than the national average over the last 20 years, at 7.5, as of 2009. The rate is determined by deaths under 1 year of age per 1,000 live births. The measure is associated with maternal health, quality of and access to health care, and socioeconomic conditions. The rate is also being used on the governor’s MiDashboard as an overall indicator of health in the state and is a key indicator for the Michigan Department of Community Health for their statewide health needs assessment.
Risk for infant mortality increases under the following conditions:
• Women living in poverty are far more likely to have preterm and low-birthweight babies.
• Research has connected factors including smoking, low maternal pre-pregnancy weight, single motherhood, socioeconomic status and race to low-birthweight.
• A mother who was a low-birthweight baby herself is four times more likely to have a low-birthweight baby.
• In 2008, almost a third of women in Michigan who gave birth had less than adequate prenatal care, measured by the month care began and the number of prenatal visits.
• More than four of every five Michigan teenagers under the age 18 who gave birth over the decade did not intend nor wish to have a child, increasing the risk of an unhealthy environment for an infant.
Infant mortality is also used to identify health disparities among populations across socioeconomic status and race. The rate among African American mothers has remained triple to that of white mothers over the last 30 years.
With infant mortality being a key indicator for overall health, well-being and disparities across populations, you would think that programs that reduce the risks would be wholeheartedly supported.
Reducing infant mortality rates in Michigan may be on the governor’s MiDashboard, but cuts to programs that target at-risk mothers, such as the elimination of the Department of Human Services’ 0 to 3 Secondary Prevention program, say otherwise. By supporting policies that protect our most vulnerable residents, the closer the state can become to improving the quality of life for everyone. It’s time to see the benefits of protecting our most vulnerable residents during their first days of life instead of bearing the consequences of what happens after they have been silenced.
– Anika Fassia




