How does the United States compare with other developed countries in infant mortality?
In 2004 (the latest year that data are available for all countries), the United States ranked 29th in the world in infant mortality, tied with Poland and Slovakia (5). See Table 25 in Health, United States, 2007. Infant mortality rates were generally lowest (below 3.5 per 1,000) in selected Scandinavian (Sweden, Norway, and Finland) and East Asian (Japan, Hong Kong, and Singapore) countries. In 2004, 22 countries had infant mortality rates below 5.0 (5). The United States’ international ranking fell from 12th in 1960 to 23d in 1990, and to 29th in 2004 (5). International comparisons of infant mortality can be affected by differences in reporting of fetal and infant deaths. However, it appears unlikely that differences in reporting are the primary explanation for the United States’ relatively low international ranking.