Less than 200 years ago, one in three Dutch children died before the age of five

Losing a child is one of the worst things that can happen to a parent.

Imagine living in a world where there was a one-in-three chance your child would die. This wasn't just the reality for your children; it could just as well happen to your siblings, friends, or neighbors.

Such a world seems unimaginable today, but it wasn’t too far from reality two centuries ago, even in some economically advanced countries.

The chart shows the share of newborns who died before age five in the Netherlands since 1840. These historical estimates are more uncertain than recent data, but it's likely that before the 1870s, about one-in-three newborns died. Each birth carried odds no parent today could contemplate facing.

But a huge amount of progress has been made since then. Today, one in 250 Dutch children dies. This progress was driven by many factors, including improvements in nutrition, access to clean water, sanitation, vaccines, and reductions in poverty.