RT Journal Article SR Electronic T1 Sudden unexpected death and covert homicide in infancy JF Archives of Disease in Childhood JO Arch Dis Child FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health SP 443 OP 447 DO 10.1136/adc.2003.036202 VO 89 IS 5 A1 S Levene A1 C J Bacon YR 2004 UL http://adc.bmj.com/content/89/5/443.abstract AB It is impossible to be certain, but it is estimated that each year in England and Wales there may be about 30–40 infant deaths from covert homicide, which represents about 10% of the current annual total of sudden unexpected deaths in infancy. This paper reviews the features that have been suggested as possible indicators of covert homicide, describes the difficulties in its identification and the need for better evidence, and emphasises the importance of thorough medical investigation of all sudden infant deaths.