"The system will be called Child Death Review (CDR) (see below) and the ministry intends to implement it across the country as early as fiscal 2022. Starting in April this year, the ministry will introduce the CDR system at five local governments as a model project. By reviewing all cases of child death, the ministry aims to find abuse and accident cases that child consultation centers and police have failed to identify, and make use of the results to prevent such cases recurring. CDR is a framework in which children’s death certificates, measures taken by police, fire departments and child consultation centers, and other issues are examined from various viewpoints. The purpose is to prevent the recurrence of similar cases, rather than focusing on holding individuals and the relevant institutions and officials accountable, even when abuse or an accident is confirmed after the review. According to the ministry, about 3,800 children under the age of 18 died in 2018. Of them, about 70 children, or 2%, were subject to government investigations as child abuse deaths. However, a study group within the ministry collected and analyzed cases of the deaths of about 2,300 children under 18 from about 150 medical institutions nationwide for a period from 2014 to 2016. It found that 118 of those children were suspected to have died as a result of being abused, accounting for around 5% of the total. Based on this finding, the ministry expects other overlooked abuse cases will be exposed by using CDR to examine all child deaths..."