Study: Black Infants 2.5 Times More Likely to Die of NEC

A study on NEC infant mortality in the United States has found that while the gap has decreased, black infant mortality rates in 2020 were still significantly higher.


A study on NEC infant mortality in the United States has found that while the gap has decreased over the last 20 years, black infant mortality rates in 2020 were still significantly higher. 

The research study published recently in JAMA Open Network took a deep dive into more than 90 million births from 1999 to 2020. It evaluated all infant deaths up to 1 year of age with the underlying cause of necrotizing enterocolitis.

The results were staggering. In 2020, white infant mortality rates sat at 6.4 per 100,000 live births compared to 16.1 for black infants. In short, black infants were 2.5 times more likely to die of NEC.  

In 1999, black infants were 4.2 times more likely to die from NEC, meaning the black-to-white infant mortality ratio has decreased over time. The study, however, did not examine what has caused this gap to narrow. 

The overall infant mortality rate for non-Hispanic black/African Americans hovers at 2.4 times that of non-Hispanic whites, according to the Office of Minority Health. They are also almost 4 times as likely to die from complications related to low birth weight.

Necrotizing enterocolitis is a serious gastrointestinal condition characterized by inflammation and infection in the intestinal lining. It can lead to severe complications including holes in the intestine and tissue death and is seen primarily in premature infants. 

According to the study, 8951 infants died of NEC over the 21-year research period. By state, Mississippi had the highest infant mortality rates, and Iowa had the lowest.

NEC affects approximately 1 in every 1000 infants worldwide, with 70% of cases occurring in infants born before 36 weeks. Of the premature infants who develop NEC, mortality ranges from 10% to 50%.

NEC is a leading cause of illness and infant mortality in the United States. While the cause of the condition is not fully understood, cow’s milk-based formulas have been linked to the disease for over 30 years. Many NEC lawsuits have been filed in recent years against manufacturing giants Abbott Laboratories and Mead Johnson & Co, the makers of Similac and Enfamil baby formulas. 

Read Trends and Racial and Geographic Differences in Infant Mortality in the United States Due to Necrotizing Enterocolitis, 1999 to 2020

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NEC Baby Formula Lawsuit: Seek Accountability Today

Navigating an NEC baby formula lawsuit can be overwhelming, but an experienced attorney will fight for the resolution you deserve.

Having an NEC diagnosis is not always required to have a valid claim against the manufacturers of Similac and Enfamil baby formulas. You may qualify if:

  1. Your infant was born prematurely.
  2. Your premature infant was diagnosed with any of the following: necrotizing enterocolitis (NEC), sepsis, short gut syndrome, cerebral palsy, meningitis, cronobacter, bowel amputation, bacterial infection, bloody stool, abnormal bleeding, shortness of breath, fatigue, or salmonella.
  3. Your premature infant was fed formula and/or human milk fortifier before the diagnosis.

If you are unsure if you qualify, we encourage you to fill out one of our NEC infant formula claims for a free and confidential case review. An attorney will review your case and advise the best legal options.