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To the Editor.
The article by Malloy and MacDorman in the May 2005 issue of Pediatrics, Changes in the Classification of Sudden Unexpected Infant Deaths: United States, 19922001,1 provides evidence for a pattern that we have noted in Louisiana in recent years. The authors note that since 1992, there has been a substantial reduction in sudden infant death syndrome (SIDS) deaths, most likely related to the marked reduction in prone-sleep-position prevalence. However, the lack of decline in the postneonatal mortality rate from 1999 to 2001 suggests that reclassification of SIDS cases is now occurring. It is interesting to note that the observations of Malloy and MacDormand predate the new classification system for SIDS recently proposed by Krous et al and an international consensus panel of SIDS experts.2 The newly proposed classification seeks to address some of the very
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