Figure 1. Trends in infant mortality rates (IMR); 3-year

During the late 1980s, Alaska’s infant mortality rate (IMR) was 1.2 times greater than that of the United States overall. In response, the Alaska Section of Women’s, Children’s, and Family Health established the Maternal-Infant Mortality Review (MIMR) program. For every infant death, MIMR coordinates retrospective reviews by a committee of health-care providers and public health practitioners to evaluate the circumstances surrounding the death and make recommendations for reducing Alaska’s IMR. The MIMR committee reviewed 755 of the 759 (99.5%) known Alaskan infant deaths that occurred during 1992 through 2001. This report summarizes their consensus findings. Results The 3-year moving average IMR in Alaska declined from 8.