1. SIDS Sudden Infant Death Syndrome SIDS is defined as the sudden unexpected death of an infant < 1 year of age, with onset of the fatal episode apparently occurring during sleep,that remains unexplained after a thorough investigation, including performance of a complete autopsy and review of the circumstances of death and the clinical history General Definition (Pediatrics-2004)

2. What’s SIDS ? Each year six thousand babies in the United States go to sleep and never wake up. No one knows why. SIDS - A Parent’s Guide to Understanding and Preventing Sudden Infant Death Syndrome William Sears-1995

3. Back to sleep No smoking No overheating

6. Impatto in Australia

7. Impatto in DANIMARCA RTR Denmark

8. Impatto in FRANCIA France RTR

9. Impatto in GERMANIA RTR Germany

10. Impatto in IRLANDA RTR Ireland

11. Impatto in UK RTR England

12. Florence SIDS Center SIDS International Parent Association ISPID International Scientific Society SEEDS FOR SIDS Italian Parent Association The National and International Links ALAPE Latin American Scientific Society

13. Piano Sanitario Regionale (2002-2004): “promuovere le azioni per la riduzione dei casi di morte in culla “Sudden Infant Death Syndrome”- SIDS ( Sindrome della Morte Improvvisa del Lattante) attraverso la valorizzazione dei programmi di prevenzione”. Campagna Regionale di Riduzione del Rischio di SIDS Regional Health Plan

14. Distribution of the booklet Evaluation of the process

15. VII SIDS International Conference Florence 2002 Preventing SIDS Promoting Health: Knowledge Action Information Education Protected child

16. Many steps Published research Protected children (S. Cowan,VII SIDS Int. Conf.- Florence 2002)

17. The “RTR” message in a global health protection perspective Education of the masses Strategies to reach all social classes, age ranges, and ethnic groups

18. GETTING THROUGH TO High Migration Groups By overcoming cultural and language barriers via the translation of the booklet into different languages, and adequate distribution of the same

20. Social diagnosis Epidemiologic diagnosis Behavioral and environmental diagnosis Educational and organizational diagnosis Administrative and policy diagnosis Implementation Process evaluation Proximal outcome evaluation Ultimate outcome evaluation Precede Proceed Reducing the risk of SIDS /Planning model (Duggan A. Pediatrics 2005, mod.)