Annual report / Child Death Review Board.

              The Oklahoma Child Death Review Board
2010 Annual Report
Containing information on cases reviewed and closed during the 2010 calendar year
A statutorily established Board contracted through the
Oklahoma Commission on Children and Youth
Think. Prevent. Live.
Keep Our Children Safe
The mission of the Oklahoma Child Death Review
Board is to reduce the number of preventable deaths
through a multidisciplinary approach to case review.
Through case review, the Child Death Review Board
collects statistical data and system failure information
to develop recommendations to improve policies,
procedures, and practices within and between the
agencies that protect and serve the children of
Oklahoma.
Acknowledgements
The Oklahoma Child Death Review Board would like to thank the following agencies
for their assistance in gathering information for this report:
The Police Departments and County Sheriffs’ Offices of Oklahoma
Department of Public Safety
Office of the Chief Medical Examiner
Oklahoma Commission on Children and Youth
Oklahoma Department of Human Services
Oklahoma State Bureau of Investigation
Oklahoma State Department of Health -
Vital Statistics
Contact information:
Oklahoma Child Death Review Board Phone: (405) 606-4900
1111 N. Lee Ave. Fax: (405) 524-0417
Oklahoma City, OK 73103
http://okkids.org
Table of Contents
Introduction
Recommendations of the Board 1
Board Actions and Activities 8
Cases Closed in 2010 9
Government Involvement 10
Cases by Manner of Death
Accident 11
Homicide 12
Natural 13
Suicide 14
Unknown 15
Selected Causes of Death
Traffic Deaths 16
Drowning Deaths 17
Sleep Related Deaths 18
Firearm Deaths 19
Fire Deaths 20
Abuse/Neglect Deaths 21
Table of Contents
Near Deaths 22
Age of Decedent in Graph Form
By Manner 23
By Select Causes 25
Resources 27
Recommendations
The following are the 2011 annual recommendations of the Oklahoma Child Death
Review Board as submitted to the Oklahoma Commission on Children and Youth.
The majority of the recommendations are based on the deaths reviewed and closed
in 2010 that were due to motor vehicles, drowning, unsafe sleep practices, fires, and
child abuse/neglect.
Motor Vehicle Related Recommendations
Legislative recommendations:
 Mandatory sobriety testing of drivers in motor vehicle accidents resulting in a
child fatality and/or a critical or serious injury to a child.
Year first recommended: 2002
Total number of deaths since first recommended: 831
Number of additional deaths since last recommended: 81
 Legislation that bans the use of wireless hand-held telephone or electronic com-munication
device by motor vehicle operators.
Year first recommended: 2008
Total number of deaths since first recommended: 226
Number of additional deaths since last recommended: 81
 Strengthening of the booster seat legislation to include use up to age 8.
Year first recommended: 2005
Total number of deaths since first recommended: 45
Number of additional deaths since last recommended: 3 (Specific to
children between six and eight years of age.)
 Passage of All-Terrain Vehicle (ATV) legislation that contains elements prohibiting
passengers, prohibiting drivers aged 12 and under, and requiring ATV safety train-ing.
Requirements should be statewide, including on private land.
Year first recommended: 2006
Total number of deaths since first recommended: 23
Number of additional deaths since last recommended: 5
Administrative recommendations:
 Enforcement of child passenger safety restraint laws, which include fines for driv-ers
transporting unrestrained children.
Year first recommended: 2000
Total number of deaths since first recommended: 502
Oklahoma Child Death Review Board 2010 Annual Report Page 1
Recommendations
Number of additional deaths since last recommended: 50 (Specific to
unrestrained occupants.)
 Develop and disseminate a campaign that will promote the best practices related
to booster seat usage.
Year first recommended: 2006
Total number of deaths since first recommended: 34
Number of additional deaths since last recommended: 3 (Specific to
children between six and eight years of age.)
 Provide, at no cost, driver education classes for all high school and career tech
students.
Year first recommended: 2001
Total number of deaths since first recommended: 277
Number of additional deaths since last recommended: 27 (Specific to
decedent as driver.)
 Increase accessibility and usage of drug courts and drug treatment programs.
Year first recommended: 2000
Total number of deaths since first recommended: 1039
Number of additional deaths since last recommended: 81
Sleep Related Recommendations
 The Office of the Chief Medical Examiner and law enforcement agencies should
adopt the Centers for Disease Control’s model policy for investigation and clas-sification
of Sudden Unexpected Infant Deaths (SUID) and Sudden Infant Death
Syndrome (SIDS), including the use of scene recreation and digital photography.
The methods currently utilized do not adequately provide the opportunity to
distinguish accidental overlay (smothering) from other causes.
Year first recommended: 2007
Total number of deaths since first recommended: 334
Number of additional deaths since last recommended: 79
 Affordable childbirth classes should be available to all expectant mothers and ad-dress
safe sleep issues prior to birth. Scholarships should also be available to
those who cannot afford classes.
Year first recommended: 2006
Total number of deaths since first recommended: 411
Oklahoma Child Death Review Board 2010 Annual Report Page 2
Recommendations
Number of additional deaths since last recommended: 79
 Education on safe sleep environments should be provided to families after deliv-ery
but prior to discharge.
Year first recommended: 2006
Total number of deaths since first recommended: 411
Number of additional deaths since last recommended: 79
 Education on safe sleep environments should be provided to families at the first
well-child visit.
Year first recommended: 2007
Total number of deaths since first recommended: 334
Number of additional deaths since last recommended: 79
 Distribute cribs to low-income families.
Year first recommended: 2007
Total number of deaths since first recommended: 334
Number of additional deaths since last recommended: 79
 All hospitals in Oklahoma should adopt a policy regarding in-house safe sleep
issues.
Year first recommended: 2008
Total number of deaths since first recommended: 221
Number of additional deaths since last recommended: 79
*An unsafe sleep environment is defined as the child not in his/her own personal
sleep area (i.e. crib, bassinette, play pen), with pillows or other items, including peo-ple,
and/or placed face down to sleep.
Drowning Recommendations
Legislative recommendations:
 All pool/hot tub retailers in Oklahoma should be bound by law to distribute in-formation
on pool/hot tub safety to new pool/hot tub owners at the time of sale
or installation of any new pool/hot tub.
Year first recommended: 2005
Total number of deaths since first recommended: 47
Number of additional deaths since last recommended: 9 (Specific to
private pools only.)
Oklahoma Child Death Review Board 2010 Annual Report Page 3
Recommendations
Oklahoma Child Death Review Board 2010 Annual Report Page 4
Administrative recommendations:
 Increase access to swimming lessons for all children.
Year first recommended: 2008
Total number of deaths since first recommended: 55
Number of additional deaths since last recommended: 25
 Fund and distribute “Water Watcher” badges that promote appropriate and re-sponsible
adult supervision of children around water.
Year first recommended: 2008
Total number of deaths since first recommended: 55
Number of additional deaths since last recommended: 25
 Work with Oklahoma Parks and Recreation to provide “Water Watcher” badges
at Oklahoma lakes.
Year first recommended: 2009
Total number of deaths since first recommended: 8
Number of additional deaths since last recommended: 0 (There were
no lake deaths reviewed and closed in 2010.)
 EMS/National Weather Service include a warning regarding the dangers of flash
floods in weather alerts.
Year first recommended: 2010
Total number of deaths since first recommended: 49
Number of additional deaths since last recommended: 9 (Specific to
open water and a drainage ditch.)
Fire Recommendations
 Smoke alarm give-away programs should include carbon monoxide detectors.
Year first recommended: 2008
Total number of deaths since first recommended: 19
Number of additional deaths since last recommended: 5
 Increased penalties for homeowners who do not provide smoke alarms for
rental houses.
Year first recommended: 2008
Total number of deaths since first recommended: 10
Number of additional deaths since last recommended: 2 (There were
two cases where the smoke alarm information was unknown.)
Recommendations
Child Abuse/Neglect Recommendations
 Increased funding of primary and secondary prevention programs of the Okla-homa
Department of Human Services, Oklahoma State Health Department, De-partment
of Education, and the Oklahoma Department of Mental Health and
Substance Abuse Services.
Year first recommended: 2003
Total number of deaths since first recommended: 337
Number of additional deaths since last recommended: 54
 Provide the Oklahoma Department of Human Services with funding to hire ad-ditional
child welfare staff to be in compliance with the recommended national
standard issued by the Child Welfare League of America and with a salary com-petitive
with positions in other states.
Year first recommended: 2000
Total number of deaths since first recommended: 439
Number of additional deaths since last recommended: 54
 Make court records pertaining to custody and guardianship available for public
inspection after a child death.
Year first recommended: 2007
Total number of deaths since first recommended: 168
Number of additional deaths since last recommended: 54
 Create and support through funding, a medical team to review the medical re-cords
in child abuse/neglect cases and submit an opinion if requested by the
court.
Year first recommended: 2007
Total number of deaths since first recommended: 168
Number of additional deaths since last recommended: 54
 Recommend the legislature ensure funding for the Period of Purple Crying dis-tribution
project of the Preparing for a Lifetime; It’s Everyone’s Responsibility in-fant
mortality reduction initiative.
Year first recommended: 2011
Total number of deaths since first recommended: N/A
Number of additional deaths since last recommended: N/A
 Recommend the legislature support the findings of the Shaken Baby Prevention
Education Initiative created by H.B. 2920 of the 2010 Legislative Session.
Oklahoma Child Death Review Board 2010 Annual Report Page 5
Year first recommended: 2011
Total number of deaths since first recommended: N/A
Number of additional deaths since last recommended: N/A
Agency Specific Recommendations
Oklahoma Safe Kids Coalition
 Promotion and establishment of funding for the Safe Kids Oklahoma Child Pas-senger
Safety Program. This program includes: providing car seats for low-income
families; providing training and car seats for every child care center in
the state starting July 2006; providing, through a loaner program, car seats for
special needs children; piloting a program for providing car beds for babies born
prematurely; and the “Please Be Seated” program which allows citizens the op-portunity
to send a card to Safe Kids with license plate information when a citi-zen
has observed a child to be transported unrestrained. Safe Kids then con-tacts
the family through a letter reminding them of the law and offering assis-tance
for obtaining a car seat.
 Promotion and establishment of funding for the Safe Kids Oklahoma “Walk This
Way” program which is aimed at reducing the number of child pedestrian inju-ries
and fatalities.
 Promotion and establishment of funding for the Safe Kids Oklahoma bicycle
safety program, which includes conducting bicycle safety rodeos and providing
free helmets to groups who conduct bike safety education events utilizing Safe
Kids curriculum.
 Promotion and establishment of funding for Safe Kids Oklahoma burn preven-tion
programs, which include the “Save-A-Life” smoke detector giveaway/
installment programs, and a fireworks safety campaign.
 Promotion and establishment of funding for the Safe Kids Oklahoma water
safety programs, which include the “Wee Water Wahoo” and “Wacky Water Wa-hoo”
water safety training events and the Brittany Project, which provides loaner
life jackets at Oklahoma Corps of Engineer lakes.
Year first recommended: 2004
Total number of deaths since first recommended: 1083
Number of additional deaths since last recommended: 127
Oklahoma Child Death Review Board
 Promotion and establishment of funding for the Oklahoma Child Death Review
Board’s Think. Prevent. Live. public service campaign addressing deaths due to
drowning, fires, wheeled activities, unsafe sleep practices, and child abuse/neglect.
Recommendations
Oklahoma Child Death Review Board 2010 Annual Report Page 6
Year first recommended: 2008
Total number of deaths since first recommended: 645
Number of additional deaths since last recommended: 238
New Recommendations:
 Creation of a drug death review board to look at the drug deaths (all ages) oc-curring
in Oklahoma.
 Creation of substance abuse programs for pregnant women who have a positive
drug screen prior to delivery.
 Legislation requiring first responders (law enforcement, EMS, medico-legal inves-tigators)
to undergo mandatory specialized training in child death scene investi-gation.
 Women’s health providers to include domestic violence screenings at health ap-pointments.
 Continued financial support for the Child Protection Committee of The Chil-dren’s
Hospital of Oklahoma.
Recommendations
Oklahoma Child Death Review Board 2010 Annual Report Page 7
Board Actions and Activities
Oklahoma Child Death Review Board 2010 Annual Report Page 8
Include but are not limited to:
 Continued collaborations with the Oklahoma Domestic Violence Fatality Review
Board, including case review.
 Continued collaborations with the Oklahoma Violent Death Reporting and Sur-veillance
System, Injury Prevention Services, Oklahoma State Department of
Health.
 Continued participation with Central Oklahoma Fetal Infant Mortality Review
Community Action Team.
 Began partnership with Preparing for a Lifetime, a statewide program aimed at
reducing infant mortality.
 Followed up with the Oklahoma Department of Human Services (OKDHS) on
14 cases, including but not limited to: requesting that OKDHS request the Okla-homa
State Bureau of Investigation investigate a case that had minimal law en-forcement
involvement; requesting clarification on the priority level a referral
was assigned; expressing the CDRB’s concern for the placement of a near death
victim; requesting OKDHS conduct an internal review of a child death; making a
formal referral; requesting the final disposition of a referral; and commending an
exceptional investigation.
 Correspondence to an attending physician educating on when the diagnosis of
Sudden Infant Death Syndrome can be utilized.
 Correspondence to an attending physician recommending the cause of death be
amended to reflect the true cause of death and not the underlying condition.
 Referred a physician to the Oklahoma Board of Medical Licensure.
 Followed up with the Oklahoma Chief Medical Examiner’s Office (OCME) on
eight cases, including but not limited to: recommending the cause and/or manner
of death be amended; referring cases to the OCME for review (cases that had
not been referred to that office); requesting clarification of content in reports;
and requesting clarification of policies and procedures.
 Followed up with the involved law enforcement agency, including but not limited
to: recommending the agency adopt the Center for Disease Control’s Sudden
Unexpected Infant Death Investigation protocols; recommending the agency
contact OKDHS when a child dies; requesting clarification on why a caregiver
was not interviewed; recommending a case be reopened; recommending an
agency follow statute and comply with CDRB requests for records; and request-ing
an agency request an out-of-state law enforcement agency make contact with
a caregiver.
 Followed up with District Attorney’s involved in four cases, including inquiring
about charges and expressing concern for the sentence of a perpetrator.
Cases Closed 2010
The Oklahoma Child Death Review Board is comprised of five review teams. The total
number of deaths reviewed and closed in 2010 by all five teams is 282. The year of death
for these cases ranged from 2005 to 2010.
Oklahoma Child Death Review Board 2010 Annual Report Page 9
2010 Deaths Reviewed
Manner Number Percent
Accident 127 45.0%
Unknown 64 22.7%
Natural 43 15.3%
Homicide 26 9.2%
Suicide 22 7.8%
Gender Number Percent
Males 186 66.0%
Females 96 34.0%
African
American
40 14.2%
American
Indian
37 13.1%
Asian 1 0.4%
Multi-race 16 5.7%
White 188 75.4%
Race
Ethnicity Number Percent
Hispanic (any race) 36 12.8%
Non-Hispanic 246 87.2%
Number of Deaths
Reviewed by County
The map to the right shows
the number of deaths that
were reviewed and closed
for each county.
The death is assigned to the
county in which the injury
or illness occurred.
Government Involvement
The chart below indicates a child’s involvement in government sponsored programs, either
at the time of death or previous to the time of death. The Child Welfare cases are those
children who had an abuse and/or neglect referral prior to the death incident. It does not
reflect those child deaths that were investigated by the Oklahoma Department of Human
Services.
In addition to the information in the chart below, there were five foster care deaths re-viewed
and closed in 2010. Five were ruled accidental deaths, two were ruled natural
deaths and one had an unknown manner of death. One was confirmed by the OKDHS/
CW as to the abuse/neglect allegations.
Oklahoma Child Death Review Board 2010 Annual Report Page 10
Number of Cases with Previous
Involvement in Selected State
Programs
Agency Number Percent
Of
All Deaths
OKDHS - TANF 219 77.7%
Oklahoma Health Care Au-thority
(Medicaid)
172 61.0%
OSDH - Children First 10 3.5%
OKDHS - Foster Care 5 1.8%
OKDHS - Emergency
Assistance
3 1.1%
OKDHS - Child Care
Assistance
17 6.0%
OKDHS - Child Welfare 52 18.4%
OKDHS - Child Support
Enforcement
136 48.2%
Office of Juvenile Affairs 20 7.1%
OKDHS - Food Stamps 51 18.1%
OKDHS - Disability 20 7.1%
OSDH - Office of Child
Abuse Prevention
3 1.1%
Accidents
The Board reviewed and closed 127 deaths in 2010 whose manner of death was ruled Ac-cident.
Nine (81.8%) of the 11 asphyxia deaths were infants.
Both of the accidental overdoses were due to a combination of prescription medications.
The crushing death was due to a forklift.
Oklahoma Child Death Review Board 2010 Annual Report Page 11
Type Number Percent
Vehicular 81 62.2%
Drowning 25 19.7%
Asphyxia/
Suffocation
11 8.7%
Fire 5 4.7%
Poisoning/
Overdose
2 1.6%
Firearm 1 0.8%
Crush 1 0.8%
Medical
Misadventure 1 0.8%
Mechanism of Death
Gender Number Percent
Males 80 63.0%
Females 47 37.0%
Race
African
American
9 7.0%
American
Indian
19 15.0%
Multi-race 5 4.0%
White 94 74.0%
Ethnicity Number Percent
Hispanic (any race) 19 15.0%
Non-Hispanic 108 85.0%
Accidental Deaths by County
Homicides
The Board reviewed and closed 26 deaths in 2010 whose manner of death was ruled
Homicide.
Thirteen (50%) of these were due to physical abuse, with nine (34.6%) specific to abusive
head trauma.
Oklahoma Child Death Review Board 2010 Annual Report Page 12
Mechanism of Death
Method Number Percent
Firearm 11 42.4%
Struck/
Shaken/Beat 11 42.4%
Drowning 1 3.8%
Overdose 1 3.8%
Stabbed 1 3.8%
Suffocation 1 3.8%
Gender Number Percent
Males 16 61.5%
Females 10 38.5%
Race
African
American 12 46.2%
American
Indian 1 3.8%
Multi-race 3 11.5%
White 10 38.5%
Ethnicity Number Percent
Hispanic (any race) 2 7.7%
Non-Hispanic 24 92.3%
Homicide Deaths by County
Naturals
The Board reviewed and closed 43 deaths in 2010 whose manner of death was ruled
Natural.
Oklahoma Child Death Review Board 2010 Annual Report Page 13
Mechanism of Death
Gender Number Percent
Males 30 69.8%
Females 13 30.2%
Race
African
American
8 18.6%
American
Indian
4 9.3%
Multi-race 1 2.3%
White 30 69.8%
Ethnicity Number Percent
Hispanic (any race) 8 18.6%
Non-Hispanic 35 81.4%
Illness/Disease Number Percent
SIDS 18 41.9%
Infectious
Disease
11 25.6%
Seizure Disorder 3 7.0%
Cardiovascular 2 4.7%
Other Conditions 4 9.3%
Congenital
Anomaly
1 2.3%
Malnutrition 1 2.3%
Prematurity 1 2.3%
Undetermined 1 2.3%
Unknown 1 2.3%
Natural Deaths by County
Suicides
The Board reviewed and closed 22 deaths in 2010 whose manner of death was ruled
Suicide.
Oklahoma Child Death Review Board 2010 Annual Report Page 14
Gender Number Percent
Males 19 86.4%
Females 3 13.6%
Race
African
American
1 4.5%
American
Indian
2 9.1%
White 19 86.4%
Ethnicity Number Percent
Hispanic (any race) 0 0%
Non-Hispanic 22 100%
Mechanism of Death
Method Number Percent
Firearm 14 63.7%
Asphyxia 7 31.8%
Motor Vehicle 1 4.5%
Suicide Deaths by County
Unknown
The Board reviewed and closed 64 deaths in 2010 ruled Unknown.
Fifty-nine (92.2%) were 2 years or younger.
Fifty-four (84.4%) were less than 1 year of age.
Fifty-one (79.7%) involved questionable safe sleeping environments.
Seven (10.9%) were suspicious for trauma.
Two (3.1%) were premature infants with maternal drug exposure in utero.
Two (3.1%) had questionable safe sleep environments as well as upper respiratory ill-nesses.
One (1.6%) died of hyperthermia and the pathologist was unable to determine an exact
manner of death.
Oklahoma Child Death Review Board 2010 Annual Report Page 15
Race
African
American
10 15.6%
American
Indian
11 17.2%
Asian 1 1.6%
Multi-Race 7 10.9%
White 35 54.7%
Gender Number Percent
Males 41 64.1%
Females 23 35.9%
Ethnicity Number Percent
Hispanic (any race) 6 9.4%
Non-Hispanic 58 90.6%
Unknown Deaths by County
The Board reviewed and closed 81 accidental deaths in 2010 related to traffic.
For the ATV deaths, all were operators and only two were wearing a helmet.
The child in the motorcycle death was wearing a helmet; the children on the bicycles/
tricycle were not wearing helmets.
*Other includes the fender of a tractor, a child in utero, a
child riding the sideboards, and a child exiting a vehicle with
the car stopped in traffic (game)
Traffic Related Deaths
Oklahoma Child Death Review Board 2010 Annual Report Page 16
Vehicle of Decedent
Vehicle Number Percent
Car 24 29.6%
Pick-Up 18 22.2%
SUV 18 22.2%
Pedestrian 8 9.9%
ATV 5 6.3%
Bicycle 3 3.7%
Van 2 2.5%
Motorcycle 1 1.2%
Tricycle 1 1.2%
Tractor 1 1.2%
Use of Safety Restraints
Seatbelt/Car seat Use Number Percent
Properly Restrained 18 22.2%
Not Properly Restrained 50 61.7%
Not Applicable 13 16.1%
Activity of Decedent
Position Number Percent
Operator 27 33.3%
Rear Passenger 25 31.0%
Front Passenger 15 18.5%
Other* 4 4.9%
Unknown Passenger
Placement
1 1.2%
Truck Bed 1 1.2%
N/A 8 9.9%
Gender Number Percent
Males 52 64.2%
Females 29 35.8%
Race
African
American 2 2.5%
American
Indian 16 19.8%
Multi-race 3 3.7%
White 60 74.1%
Ethnicity Number Percent
Hispanic (any race) 11 13.6%
Non-Hispanic 70 86.4%
The Board reviewed and closed 25 accidental deaths in 2010 due to drowning.
Drowning Deaths
Oklahoma Child Death Review Board 2010 Annual Report Page 17
Location of Drowning
Location Number Percent
Private, Residential
Pool 9 36.0%
Open Body of Water
(i.e. creek, river, pond,
lake)
8 32.0%
Bathtub 6 24.0%
Drainage Ditch 1 4.0%
Bucket 1 4.0%
Type of Residential Pool
Type of Pool Number Percent
Above Ground 5 55.6%
In Ground 4 44.4%
Gender Number Percent
Males 15 60.0%
Females 10 40.0%
Race
African
American
2 8.0%
American
Indian
1 4.0%
White 21 84.0%
Multi-Race 1 4.0%
Ethnicity Number Percent
Hispanic (any race) 4 16.0%
Non-Hispanic 21 84.0%
Type of Open Body of Water
Open Body Number Percent
Pond 6 75.0%
River 2 25.0%
The Board reviewed and closed 79 deaths that were related to sleep environments. These
included accidental asphyxiations, SIDS, and Undetermined manners of death where the
pathologist noted the sleep environment was a possible contributor to the death.
Oklahoma Child Death Review Board 2010 Annual Report Page 18
Manner Number Percent
Accidental 10 12.6%
Natural (SIDS) 18 22.8%
Undetermined 51 64.6%
Sleep Related Deaths
Manner of Death for
Sleep Related Deaths
Position of Infant When Placed to Sleep
Position Number Percent
On Back 22 27.8%
On Side 9 11.4%
On Stomach 11 13.9%
Unknown* 37 46.9%
Sleeping Arrangement of Infant
Sleeping
Arrangement
Number Percent
Alone 45 57.0%
With Adult and/or
Other Child
34 43.0%
Sleeping Location of Infant
Location Number Percent
Adult Bed 40 50.6%
Couch 11 13.9%
Crib 9 11.4%
Playpen 4 5.1%
Bassinette 2 2.5%
Chair 1 1.3%
Floor 1 1.3%
Other 9 11.4%
Unknown* 2 2.5%
Gender Number Percent
Males 51 63.1%
Females 28 36.9%
Race
Ethnicity Number Percent
Hispanic (any race) 10 12.7%
Non-Hispanic 69 87.3%
Position of Infant When Found
Position Number Percent
On Back 13 16.5%
On Side 10 12.7%
On Stomach 26 32.9%
Unknown* 30 37.9%
*This information is unknown due to the lack of information collected by scene investigators
African
American 14 17.7%
American
Indian 14 17.7%
Asian 1 1.3%
Multi-race 8 10.1%
White 42 53.2%
The Board reviewed and closed 26 deaths in 2010 due to firearms.
Oklahoma Child Death Review Board 2010 Annual Report Page 19
Manner Number Percentage
Accident 1 3.9%
Homicide 11 42.3%
Suicide 14 53.8%
Type of
Firearm
Number Percent
Handgun 14 53.9%
Hunting Rifle 5 19.2%
Shot gun 2 7.7%
Assault Rifle 2 7.7%
Unknown 3 11.5%
Firearm Deaths
Type of Firearm Used
Manner of Death for
Firearm Victims
Gender Number Percent
Males 21 80.8%
Females 5 19.2%
Race
African
American
10 38.4%
American
Indian
1 3.9%
White 15 57.7%
Ethnicity Number Percent
Hispanic (any race) 1 3.9%
Non-Hispanic 25 96.1%
The Board reviewed and closed five deaths in 2010 due to fires. Four fires resulted in five
deaths. Four died of smoke inhalation, one died of thermal injuries.
Oklahoma Child Death Review Board 2010 Annual Report Page 20
Fire Deaths
Working Smoke Detector Present
Detector Number Percent
Yes 1 20.0%
No 2 40.0%
Unknown 2 40.0%
Fire Ignition Source
Source Number Percent
Appliance 2 40.0%
Matches 1 20.0%
Space
Heater 1 20.0%
Wall
Heater 1 20.0%
Gender Number Percent
Males 3 60.0%
Females 2 40.0%
Race
African
American 2 40.0%
White 3 60.0%
Ethnicity Number Percent
Hispanic (any race) 0 0
Non-Hispanic 5 100%
The Board reviewed and closed 42 cases where it was determined that abuse or neglect
caused or contributed to the death.
Thirteen (31.0%) cases were ruled abuse, 28 (66.7%) cases were ruled neglect, and one
(2.3%) was ruled both.
Oklahoma Child Death Review Board 2010 Annual Report Page 21
Abuse/Neglect Deaths
Manner of Death for
Abuse/Neglect Cases
Manner Number Percent
Accident 21 50.0%
Homicide 14 33.3%
Natural 2 4.8%
Suicide 3 7.1%
Undetermined 2 4.8%
Gender Number Percent
Males 24 57.1%
Females 18 42.9%
Race
Asian 1 2.4%
African
American 7 16.6%
American
Indian 2 4.8%
Multi-race 4 9.5%
White 28 66.7%
Ethnicity Number Percent
Hispanic (any race) 6 14.3%
Non-Hispanic 36 85.7%
The Board reviewed and closed 49 near death cases in 2010. A case is deemed near death
if the child was admitted to the hospital diagnosed in serious or critical condition by the
treating physician as a result of suspected abuse or neglect.
Forty-one (83.7%) were substantiated by OKDHS as to having been abuse and/or neglect.
Thirteen (26.5%) had a previous referral that was investigated by OKDHS.
Oklahoma Child Death Review Board 2010 Annual Report Page 22
Near Deaths
Injuries in Near Death Cases
Injury Number Percent
Physical Abuse 24 49.0%
Poison/Overdose 13 26.6%
Fire 2 4.1%
Firearm 2 4.1%
Medical Condition 2 4.1%
Non-Organic
Failure to Thrive 2 4.1%
Asphyxia 1 2.0%
Fall 1 2.0%
Drowning 1 2.0%
Stabbing 1 2.0%
Gender Number Percent
Males 33 67.3%
Females 16 32.7%
Race
Asian 1 2.0%
African
American
11 22.4%
American
Indian
9 18.4%
Multi-race 2 4.1%
White 26 53.1%
Ethnicity Number Percent
Hispanic (any race) 4 8.2%
Non-Hispanic 45 91.8%
Oklahoma Child Death Review Board 2010 Annual Report Page 23
Age of Decedents by Manner
0
20
40
60
80
100
120
<1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Number of Deaths
Age
All Deaths by Age
0
2
4
6
8
10
12
14
16
18
20
<1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Number of Deaths
Age
Accidental Deaths by Age
0
5
10
15
20
25
30
35
<1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Number of Deaths
Age
Natural Deaths by Age
Oklahoma Child Death Review Board 2010 Annual Report Page 24
Age of Decedents by Manner
0
1
2
3
4
5
6
<1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Number of Deaths
Age
Homicide Deaths by Age
0
1
2
3
4
5
6
7
8
<1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Number of Deaths
Age
Suicide Deaths by Age
0
10
20
30
40
50
60
<1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Number of Deaths
Age
Unknown Deaths by Age
Oklahoma Child Death Review Board 2010 Annual Report Page 25
Age of Decedents by Select Causes
0
2
4
6
8
10
12
14
16
<1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Number of Deaths
Age
Traffic Related Deaths by Age
0
1
2
3
4
5
6
<1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Number of Deaths
Age
Drowning Deaths by Age
0
2
4
6
8
10
<1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Number of Deaths
Age
Firearm Deaths by Age
Oklahoma Child Death Review Board 2010 Annual Report Page 26
Age of Decedents by Select Causes
0
5
10
15
20
25
<1 1 2 3 4 5 6 7 8 9 10 11 12
Number of Deaths
Age (in months)
Sleep Related Deaths by Age
0
0.5
1
1.5
2
2.5
3
3.5
<1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Number of Deaths
Age
Fire Deaths by Age
0
2
4
6
8
10
12
<1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Number of Deaths
Age
Abuse/Neglect Deaths by Age
Oklahoma Child Death Review Board 2010 Annual Report Page 27
Resources
Child Abuse Reporting Hotline
Heartline Crisis Helpline
Office of the Chief Medical Examiner
Oklahoma Coalition Against Domestic Violence and Sexual Assault
Oklahoma Commission on Children and Youth
Oklahoma Health Care Authority
Oklahoma Mental Health and Substance Abuse Services
Oklahoma Office of Juvenile Affairs
SAFE KIDS Oklahoma
Oklahoma State Department of Education
Oklahoma State Department of Health
Acute Disease Service
Adolescent Health Program
Child Abuse Prevention
Children First Program
Dental Health Services
Injury Prevention Service
SoonerStart
Sudden Infant Death (SIDS) Program
Vital Records
WIC
Oklahoma State House of Representatives
Oklahoma State Senate
Oklahoma Department of Human Services
SAFELINE
TEENLINE
1-800-522-3511
1-800-784-2433
(405) 239-7141
(405) 524-0700
1-866-335-9288 or
(405) 606-4900
(405) 522-7300
(405) 522-3908
(405) 530-2800
(405) 271-5695
(405) 521-3301
(405) 271-5600
(405) 271-4060
(405) 271-4480
(405) 271-7611
(405) 271-7612
(405) 271-5502
(405) 271-3430
(405) 271-6617
(405) 271-4471
(405) 271-4040
1-888-655-2942
(405) 521-2711
(405) 524-0126
(405) 521-3646
1-800-522-7233
1-800-522-TEEN
Oklahoma 211 Collaborative www.211Oklahoma.com
Joint Oklahoma Information Network www.join.ok.gov
Suicide Prevention Resource Center www.sprc.org
This publication, printed in June 2011 by the University of Oklahoma Health Sciences Center
printing office, is issued by the Oklahoma Child Death Review Board. [150] copies were pro-duced
at a cost of [$1530.00]. Copies have been deposited with the Publications
Clearinghouse of the Oklahoma Department of Libraries.
Proud partner of Preparing for a Lifetime to ensure a safe and healthy start for Oklahoma babies
For more information please visit: http://www.iio.health.ok.gov