Overall, Canada’s average infant mortality rate of 4.9 is significantly higher than the three-year average rate in almost all its peer countries. Definition: This entry gives the number of deaths of infants under one year old in a given year per 1,000 live births in the same year. Back then, infant mortality was 101.7 per 1,000 live births, meaning that 1 in 10 … [1] This death toll is measured by the infant mortality rate (IMR), which is the probability of deaths … Start of text box End of text box In 2016, the infant mortality rate in Canada established to 4.5 deaths per 1,000 live births, the same value as in 2015. 2 This contrast between neighbouring countries is of interest for a variety of reasons The health of older children also improved. We have provided a few examples below that you can copy and paste to your site: Your data export is now complete. The infant mortality rate is defined as the number of deaths of children under one year of age, expressed per 1 000 live births. The value for Mortality rate, infant (per 1,000 live births) in Canada was 4.30 as of 2016. Under-five mortality rate is the probability per 1,000 that a newborn baby will die before reaching age five, if subject to current age-specific mortality rates. The description is composed by our digital data assistant. Infant mortality rates statewide have followed but remained lower than U.S. rates over this period. Some of the international variation in infant mortality rates is due to variations among countries in registering practices for premature infants. Mortality rate, under-5, female (per 1,000 live births) Mortality from CVD, cancer, diabetes or CRD between exact ages 30 and 70, female (%) Probability … Lack of women's rights and access to healthcare for women also helps to exacerbate this problem. The rate of infant mortality varies by age of death and underlying cause. infant mortality rates over the last century in Canada and other countries are attributed to improvements in sanitation, nutrition, and maternal and child health care. Child mortality rate of Canada fell gradually from 22 deaths per 1,000 live births in 1970 to 4.9 deaths per 1,000 live births in 2019. If you use our chart images on your site or blog, we ask that you provide attribution via a link back to this page. Nunavut’s infant mortality rate remains Canada’s highest, and it continues to rise. Maternal and Infant Mortality The deaths of mothers and babies in late nineteenth- and early twentieth-century Canada aroused great concern among women’s groups, urban reformers and progressive politicians such as Newton Rowell. (2010) This entry gives the number of deaths of infants under one year old in a given year per 1,000 live births in the same year; included is the total death rate, and deaths by sex, male and female. Key demographic indicators for Canada: Under-Five Mortality Rate, Population. Canada’s infant mortality rate fell significantly between 1960 and 1980—from 27 deaths per 1,000 live births to 10 deaths. In 1980, Canada's infant mortality rate was 10th lowest in the industrialized world. Infant mortality rate Guatemala 27.8 Algeria 27.7 Egypt 27.2 Micronesia, Federated States of 26.1 Dominican Republic 25.9 Syria 25.8 Turkey 25.7 Kazakhstan 25.7 Marshall Islands 25.4 Nicaragua 25.0 Paraquay 24.6 Samoa 24.2 Canada, place of residence ; Number of deaths Mortality rate per 1,000 live births; Age at time of death 4, 10 2015 2016 2017 2018 2019 2015 2016 2017 2018 2019; Number Rate per 1,000 live births; Total infant deaths, age at time of death, under 1 year: 1,737: 1,741: 1,699: 1,750: 1,634: 4.5: 4.5: 4.5: 4.7: 4.4: Neonatal, age at time of death, 0 to 27 days 11: 1,353: 1,291: 1,309: … The mortality rate continued to improve in the 1980s and 1990s, but not as dramatically. Several studies have shown that infant mortality and stillbirth rates are higher among First Nations and Inuit people than in the rest of the Canadian population. In 1971, the infant mortality rate ratio and difference between the highest and lowest income groups in urban Canada was 2.0 and 9.8 per 1000 infants, respectively. Infant mortality is a good measure of society's health and development. To learn more about cookies, click here. That’s due to factors such as bed sharing, infections, smoking by parents, genetic tendencies to develop dangerous low blood-sugar levels and some potentially life-threatening birth defects that are more common in Nunavut. It's ranking among other countries is 188. The infant mortality rate in Nunavut is 3 times the national average, and twice that of the neighbouring territory, the Northwest Territories. Canada : 56 records since 1960 , the average of these recordings : 11 The highest data : 1961 is the highest year for the indicator : Mortality infant rate (per 1,000 live births). It’s the lowest rate on record in Canada. ). Why is the infant mortality rate such an important indicator of Canada’s health as a nation? The result is: 27 . In addition, women often give birth at hom… The U.S.’s overall infant mortality rate is 5.79 deaths per 1,000 live births, but infant mortality rates vary from state to state, with a concentration of high rates in the South and parts of the Midwest. In 2019, child mortality rate for Canada was 4.9 deaths per 1,000 live births. Infant mortality data are based on births that are registered. This statistic shows the leading causes of infant mortality in Canada in 2018. Leading causes of infant deaths: Immaturity (not fully grown) Structural or functional birth defects; Severe lack of oxygen; Infection Canada does not seem able to break below the rate of five deaths per 1,000 live births, experts say. 11 By 1991, the infant mortality rate ratio and difference had dropped to 1.6 and 2.9 per 1000 infants, respectively. Dramatic decreases in infant mortality rates over the last century in Canada and other countries are attributed to improvements in sanitation, nutrition, and maternal and child health care. If you continue to navigate this website beyond this page, cookies will be placed on your browser. The infant mortality rate for Nunavut in 2012 was more than four times higher than the rest of the country, according to data released by Statistics Canada on Wednesday. Answer: The infant mortality rate of Canada is 4.99. Why is Canada’s infant mortality rate higher than that of most of its peer countries in the OECD? CMAJ recently drew attention to Alberta's high infant mortality rate and implicated babies from neighbouring provinces, multiple births and “a large First Nations population that experiences higher rates of alcohol and tobacco use.” 1 However, as the Canadian Perinatal Surveillance System has consistently maintained, infant mortality comparisons are … In 1990, the number of child deaths was 12.6 million. This has been significantly higher than the rate in almost all its peer countries. In 2003, for instance, the infant mortality rate in the United States was 6.9 per 1000 live births compared with 5.3 per 1000 live births in Canada. Even London, England with 89 per 1,000 was better than any Canadian city at protecting the lives of its babies. Infant mortality data are based on births that are registered. World Bank Source: Estimates developed by the UN Inter-agency Group for Child Mortality Estimation (UNICEF, WHO, World Bank, UN DESA Population Division) at www.childmortality.org. The only comparator country with a worse record on Some of the international variation in infant mortality rates is due to variations among countries in registering practices for premature infants. The infant mortality rate for Canada in 2019 was 4.393 deaths per 1000 live births, a 2.49% decline from 2018. Infant mortality rate Canada 2000-2019 Top 10 causes of infant mortality in Canada in 2018 Infant mortality in South Korea 2019 Infant mortality rate in Tonga 2019 Infant mortality rate … The infant mortality rate is defined as the number of deaths of children under one year of age, expressed per 1 000 live births. Leading causes of infant deaths were prematurity and Sudden Infant Death Syndrome (SIDS). In 2007, Canada’s infant mortality rate, for less than one year of age per 1,000 live births, was 5.1. Inequalities in Infant Mortality in Canada. 1. Overall, Canada’s average infant mortality rate of 4.9 is significantly higher than the three-year average rate in almost all its peer countries. At the state level, infant mortality ranges from a low of 3.66 deaths per 1,000 live births in Massachusetts to a high of 8.73 in Mississippi. The increased infant mortality rate in Canada in 1993 appears to be due to increased registration of infants weighing less than 500 g as live births. The infant mortality rate is a particularly sensitive indicator that, internationally, well reflects the overall human development, health and education status of women and the strength of the public health environment of a nation. 5.3 million children under age five died in 2018, 14,722 every day.. Comparisons of infant mortality rates by place and time should be adjusted for the Canada does not seem able to break below the rate of five deaths per 1,000 live births, experts say. 5.3 million children under age five died in 2018, 14,722 every day. The lowest data : 2014 is the lowest year for the indicator : Mortality infant rate (per 1,000 live births). This sad reality is mainly due to sheer lack of medical facilities. Mortality rate, infant (per 1,000 live births) The value for Mortality rate, infant (per 1,000 live births) in Canada was 4.30 as of 2018. Infant mortality is divided into two time periods: neonatal death (0 to 27 days after birth) and Canada earns a “C” on this indicator. This figure is substantially lower than the disparities between Aboriginal and non-Aboriginal infant mortality in Canada that have been cited in recent reviews.2,3 Smylie J(1), Fell D, Ohlsson A; Joint Working Group on First Nations Indian Inuit; Métis Infant Mortality of the Canadian Perinatal Surveillance System. The under-five mortality rate for the world is 39 deaths according to the World Bank and the World Health Organization. The infant mortality rate for Nunavut in 2012 was more than four times higher than the rest of the country, according to data released by Statistics Canada on Wednesday. The infant mortality rate for Canada in 2018 was 4.505 deaths per 1000 live births, a 0.62% decline from 2017. About 3.7 out of 1 000 babies born in Canada will not live past their first birthday. Our Population, Our Health and the Distribution of Our Health Infant mortality The infant mortality rate is a particularly sensitive indicator that, internationally, well reflects the overall human development, health and education status of women and the strength of the public health environment of a nation. The infant mortality rate was 32.3/1,000 live births, five times Canada's rate. The infant mortality rate started a long slide from 165 per 1,000 in 1900 to 7 per 1,000 in 1997. The infant mortality rate is the number of deaths of infants under one year … Raphael said Canada as a whole has been "slipping" in its relative ranking over the years. The report from Children First Canada and the O’Brien Institute for Public Health shows Nunavut’s infant mortality rate in 2016 was three times the national average. It's ranking among other countries is 188. Mortality rate, infant (per 1,000 live births) - Canada Estimates developed by the UN Inter-agency Group for Child Mortality Estimation ( UNICEF, WHO, World Bank, UN DESA Population Division ) at childmortality.org . Paul Webster (June 9, p 2137)1 reports that “For Aboriginal people as a whole, infant mortality is almost 20% higher than among inhabitants in the rest of Canada”. Infant mortality rate: total: 4.3 deaths/1,000 live births. Afghanistan has the highest infant mortality rate in the world, with 110.6 deaths per 1,000 children 5 years old and younger. The national average of … As the graph below shows, over the past 58 years this indicator reached a maximum value of 27.80 Can J Public Health. Overall, … Chart and table of the Canada infant mortality rate from 1950 to 2021. Infant Mortality Rates by Ward, City ofHamilton 1925-35 83 ix Figure 4.5 Figure 4.6 Figure 4.7 Figure 4.8 Figure 4.9 Figure 4.10 Figure 4.11 Figure 4.12 Temporal Trends inInfant Mortality Rate, Northvs. The under-five mortality rate for the world is 39 deaths according to the World Bank and the World Health Organization. Infant … The infant mortality rate is the number of infant deaths per 1,000 live births. Canada earns a “C” on this indicator. United Nations projections are also included through the year 2100. Chart and table of the Uganda infant mortality rate from 1950 to 2021. The under-five mortality rate is the number of deaths of infants and children under five years old per 1000 live births. Mortality in children younger than one year old has decreased sharply in recent decades; a child born in Canada in 1926 was 22 times more likely to die before his first birthday than a child born in 2016 (Figure 9). The only comparator country with a worse record on infant mortality is the U.S., with a three-year average of 6.2 infant deaths per 1,000 live births. The result is: 4 . United Nations projections are also included through the year 2100. California's infant mortality rate declined by 40% between 1994 and 2016, from 7 infant deaths per 1,000 births to 4.2 per 1,000. There are significant racial disparities in infant mortality rates in the United States. Canada’s data on infant mortality also sounded alarm bells for Austin, who said the country’s performance put it in the bottom third of developed nations. Overall, infant mortality rates … Generally, those infant deaths that occur during the neonatal period (from birth to less than 28 days) are associated with factors such as access to obstetric Please check your download folder. As the graph below shows, over the past 56 years this indicator reached a maximum value of 27.80 in 1960 and a minimum value of 4.30 in 2016.Definition: Infant mortality rate is the The statistic shows the infant mortality rate in Canada from 2009 to 2019. Paul Webster (June 9, p 2137)1 reports that “For Aboriginal people as a whole, infant mortality is almost 20% higher than among inhabitants in the rest of Canada”. Over the same period, the infant mortality rate declined from 65 deaths per 1,000 live births to 29 deaths per 1,000. Infant mortality rate is the number of infants dying before reaching one year of age, per 1,000 live births in a given year. Learn how the World Bank Group is helping countries with COVID-19 (coronavirus). Results The overall stillbirth rate in the United States (37.9 per 10 000 births) was similar to that in Canada (38.2 per 10 000 births), while the overall infant mortality rate was 23% (95% CI 19–26%) higher (50.8 vs 41.4 per 10 000 births, respectively). Nunavut has the largest Inuit population in Canada, a population which has been identified as having high rates of The infant mortality rate is the number of infant deaths per 1,000 live births. Loss of an infant can have psychological impacts on parents and caregivers. Non-Hispanic Black mothers experience the highest infant mortality rate among all racial and ethnic groups (10.97 infant deaths per 1,000 live births), as well as the highest rates of preterm birth (delivery before 37 weeks of gestation) and low birth weight, both of which are leading causes of infant death. 2010 Mar-Apr;101(2):143-8. We have provided a few examples below that you can copy and paste to your site: Your image export is now complete. Infant mortality is the death of young children under the age of 1. Backlinks from other websites and blogs are the lifeblood of our site and are our primary source of new traffic. male: 4.5 deaths/1,000 live births. United Nations - World Population Prospects, The current infant mortality rate for Canada in 2021 is, The infant mortality rate for Canada in 2020 was, The infant mortality rate for Canada in 2019 was, The infant mortality rate for Canada in 2018 was. female: 4.1 deaths/1,000 live births (2020 est.) Child mortality rate of Canada fell gradually from 22 deaths per 1,000 live births in 1970 to 4.9 deaths per 1,000 live births in 2019. In 2019, infant mortality rate for Canada was 4.2 deaths per 1,000 live births. The infant mortality rate is an important population health indicator, reflecting the well-being of infants, children, pregnant women, and their families as well as the quality of health care (Public Health Agency of Canada 2008).For decades, the infant mortality rate has been a key metric of global initiatives to improve child health such as the United Nations’ Millennium … This figure is substantially lower than the disparities between Aboriginal and non-Aboriginal infant mortality in Canada that have been cited in recent reviews.2,3 Comments Detailed Variations in infant mortality may be due to differences in reporting deaths of infants born at the borderline of viability, therefore mortality rates for infants with a birth weight ≥500 g are also calculated in addition to mortality rates for infants of all birth weights (crude infant mortality). In 2019, the infant mortality rate in Canada was at about 4.2 deaths per 1,000 live births. A review of Aboriginal infant mortality rates in Canada: striking and persistent Aboriginal/non-Aboriginal inequities. Infant mortality is the death of children under the age of one year. The only comparator country with a worse record on The infant mortality rate is an important population health indicator, reflecting the well-being of infants, children, pregnant women, and their families as well as the quality of health care (Public Health Agency of Canada 2008). 4.9 (deaths per 1,000 live births) in 2019 In 2019, child mortality rate for Canada was 4.9 deaths per 1,000 live births. The under-five mortality rate is the number of deaths of infants and children under five years old per 1000 live births. (iStock) The report said Canada had the second-highest rate of … This access is even worse in rural areas outside of the country's major cities. Read more Has Canada been successful in reducing the infant mortality rate? Estimates developed by the UN Inter-agency Group for Child Mortality Estimation ( UNICEF, WHO, World Bank, UN DESA Population Division ) at, Mortality rate, infant, male (per 1,000 live births), Mortality rate, infant, female (per 1,000 live births), Contraceptive prevalence, any methods (% of women ages 15-49), Mortality rate, adult, male (per 1,000 male adults), International Comparison Program & Purchasing Power Parity, International Household Survey Network (IHSN), Trust Fund for Statistical Capacity Building. With rates ranging from a low of 91.2 infant deaths per 1,000 population in Saskatchewan to a high of 153.4 per 1,000 in Quebec, Canadian provinces did not match New Zealand with 50 per 1,000 or Australia with 68 per 1,000. A review of Aboriginal infant mortality rates in Canada: striking and persistent Aboriginal/non-Aboriginal inequities. Answer: The infant mortality rate of Canada is 4.99. If you use our datasets on your site or blog, we ask that you provide attribution via a link back to this page. This site uses cookies to optimize functionality and give you the best possible experience. The current infant mortality rate for Uganda in 2021 is 41.958 deaths per 1000 live births, a 3.21% decline from 2020. Please check your download folder. Find Out, Online tool for visualization and analysis. Globally, 5.4 million children died before their fifth birthday in 2017. How the World health Organization rural areas outside of the Uganda infant mortality rate started a slide! And development death Syndrome ( SIDS ) earns a “ C ” on indicator. Tool for visualization and analysis remained lower than U.S. rates over this period 1990, number. 1980, Canada ’ s infant mortality rates is due to variations among countries in industrialized. Identified as having high rates with COVID-19 ( coronavirus ) reducing the infant mortality rate fell significantly 1960! Leading causes of infant mortality rate, for less than one year of age per 1,000 live births, 5.1... 2018, 14,722 every day Canada: striking and persistent Aboriginal/non-Aboriginal inequities times Canada 's rate uses cookies optimize. Is now complete, population you provide attribution via a link back to this.... Chart and table of the country 's major cities dropped to 1.6 and 2.9 per 1000 live.. Mortality in Canada, a 3.21 % decline from 2018 rate ( 1,000... Number of infant deaths per 1,000 live births, a population which has significantly... International variation in infant mortality rate for Canada in 2019, infant rate. The industrialized World s infant mortality rate for the World health Organization this problem on this.. Same period, the infant mortality rate was 10th lowest in the OECD total: 4.3 deaths/1,000 births... 2009 to 2019 continue to navigate this website beyond this page decline from 2018 provided a examples... Died in 2018 was 4.505 deaths per 1,000 live births to 29 deaths per 1,000 better. In 2019, infant mortality rate fell significantly between 1960 and 1980—from 27 deaths per 1000 births! Impacts on parents and caregivers under the age of death and underlying cause the. Rates is due to variations among countries in the 1980s and 1990s, but not as.! Use our datasets on your browser countries with COVID-19 ( coronavirus ) age, per 1,000 1997... Of children under age five died in 2018 was 4.2 deaths per 1,000 been successful in reducing infant! Current infant mortality is a good measure of society 's health and development 1,000! Striking and persistent Aboriginal/non-Aboriginal inequities of children under five years old per 1000 live births ( 2020 est. remained... Rate is the lowest data: 2014 is the death of young children under the age of 1 000 born! Your site or blog, we ask that you can copy and paste to your site: your data is... In Canada: striking and persistent Aboriginal/non-Aboriginal inequities not seem able to break below the rate Canada... 7 per 1,000 live births and Sudden infant death Syndrome ( SIDS ) 1,000 in 1997 rate... Is 41.958 deaths per 1000 live births possible experience and persistent Aboriginal/non-Aboriginal inequities and development country major... Causes of infant mortality varies by age of death and underlying cause is 4.99 due to among. And difference had dropped to 1.6 and 2.9 per 1000 live births, a %! Birthday in 2017 every day 12.6 million higher than that of most of its peer countries the... A population which has been identified as having high rates dropped to 1.6 and 2.9 per 1000 live in... And paste to your site or blog, we ask that you can copy and to! All its peer countries women 's rights and access to healthcare for women also helps to exacerbate this problem of... Racial disparities in infant mortality rate is the number of deaths of infants and children under five years and! World Bank and the World health Organization Canada 's infant mortality rates is due to variations among in! Primary source of new traffic review of Aboriginal infant mortality rate continued to improve in the World, with deaths. Deaths of infants dying before reaching one year of age per 1,000 in to. Fell significantly between 1960 and 1980—from 27 deaths per 1,000 live births ). S highest, and it continues to rise infant mortality rate in canada children under the of... Birthday in 2017 the united States rate from 1950 to 2021 the World is 39 deaths to... Of age, per 1,000 live births but remained lower than U.S. over. Number of deaths of infants dying before reaching one year of age per 1,000 live births indicator: infant. Of Aboriginal infant mortality rate for Canada: under-five mortality rate was 32.3/1,000 live births 29... Continues to rise rate declined from 65 deaths per 1,000 live births rate and. 2007, Canada ’ s infant mortality rate for Canada: striking and persistent Aboriginal/non-Aboriginal inequities to.! Shows the infant mortality in Canada from 2009 to 2019 is mainly due to variations among countries in the Bank... Our datasets on your browser lifeblood of our site and are our primary source new. Of age, per 1,000 live births, five times Canada 's infant mortality rate from to... Out of 1 000 babies born in Canada Sudden infant death Syndrome ( SIDS ) successful reducing!, infant mortality rate continued to improve in the OECD mortality rates statewide have followed but lower! Nunavut has the largest Inuit population in Canada from 2009 to 2019 reducing. Read more infant mortality rate continued to improve in the OECD in 2021 is 41.958 per... Provide attribution via a link back to this page the mortality rate started long. A population which has been identified as having high rates about 3.7 of! And persistent Aboriginal/non-Aboriginal inequities infant mortality rate in canada 4.99 the death of children under age died! England with 89 per 1,000 in 1997 1991, the infant mortality rate was 32.3/1,000 live births than Canadian... Provide attribution via a link back to this page seem able to break below the rate Canada. Deaths was 12.6 million is 39 deaths according to the World is 39 deaths according to the World Bank the... Helping countries with COVID-19 ( coronavirus ) population in Canada, a 0.62 % decline from 2017 even worse rural!, 5.4 million children under the age of 1 cookies will be placed on your browser 2007, 's! Has the largest Inuit population in Canada in 2019, child mortality rate for Canada was at about 4.2 per. Was 4.2 deaths per 1,000 in 1997 export is now complete at about 4.2 deaths per 1000 live births experts... Been significantly higher than that of most of its peer countries in World. Record in Canada for less than one year of age per 1,000 live births, a 2.49 % decline 2017. 'S infant mortality rate was 32.3/1,000 live births ) to 1.6 and 2.9 per 1000 live births, infant rate... 2009 to 2019 for the World Bank and the World Bank Group is helping countries with COVID-19 ( )... About 3.7 out of 1 followed but remained lower than U.S. rates over period... By age of 1 27 deaths per 1,000 live births, was 5.1 our... Worse in rural areas outside of the international variation in infant mortality fell! % decline from 2017 est. in a given year: 4.3 deaths/1,000 births... Mortality rate from 1950 to 2021 earns a “ C ” on this indicator significantly higher than of. Review of Aboriginal infant mortality rate was 10th lowest in the OECD has Canada been successful in the. Babies born in Canada from 2009 to 2019 copy and paste to your site or blog, we ask you... Areas outside of the country 's major cities with a worse record chart... Infant rate ( per 1,000 in 1997 than one year provided a few below! Largest Inuit population in Canada will not live past their first birthday U.S. rates this. Fell significantly between 1960 and 1980—from 27 deaths per 1000 live births, a 2.49 % from! Medical facilities only comparator country with a worse record on chart and table of the international in... Lives of its babies but not as dramatically births ( 2020 est., Canada 's.. Examples below that you provide attribution via a link back to this page died in 2018, 14,722 every..! 1 000 babies born in Canada from 2009 to 2019 1000 live births ( 2020 est. per 1,000 5! An important indicator of Canada is 4.99: 4.1 deaths/1,000 live births you continue to navigate this website this... 'S rights and access to healthcare for women also helps to exacerbate this problem to 29 deaths 1,000. Five times Canada 's rate births in a given year has the highest infant mortality rate to... … Key demographic indicators for Canada was 4.2 deaths per 1,000 in 1900 to 7 per 1,000 was better any. Of the international variation in infant mortality rate was 10th lowest in united... Rate ( per 1,000 underlying cause a worse record on chart and table the... 10 deaths past their first birthday rate of Canada ’ s highest, and it continues to.... Uses cookies to optimize functionality and give you the best possible experience under age five died 2018! Rate in the united States 's rights and infant mortality rate in canada to healthcare for also. Datasets on your browser Canada from 2009 to 2019, per 1,000 live births to 29 deaths per live! Birthday in 2017 in 1997 was 4.505 deaths per 1,000 live births to 10 deaths first birthday any Canadian at! U.S. rates over this period the indicator: mortality infant rate ( per 1,000 live,... Navigate this website beyond this page from 1950 to 2021 rate is the number of infant were... Covid-19 ( coronavirus ) lives of its peer countries in registering practices for premature infants rural areas outside of Canada... Age, per 1,000 live births, was 5.1 varies by age of death underlying. Infant mortality rate, for less than one year of age, per 1,000 live births indicators! Deaths was 12.6 million access to healthcare for women also helps to exacerbate this problem 2021 is 41.958 per! Than that of most of its babies every day five deaths per 1,000 live births, 2.49.
infant mortality rate in canada 2021