This review of Child-Abuse-Related-Deaths (CARD) in the UK and twenty Western countries brings together research from the past forty years from which we can learn new perspectives. Until the 1960’s CARD were not issue until Kempe’s seminal 1962 paper on `Baby Battering Syndrome’, as the concept was inimical to `natural’ feeling so when such tragedies occurred the media and public outcry was enormous. One such tragedy led to the first comparative international study of CARD, based upon WHO date from 1973 to 1988. Against media expectations, deaths had fallen in most Western countries, though USA had the highest rates throughout the period 1. The reduction of CARD can be described as a `hidden’ success and have continued to monitor CARD, in which the latest study between 1989-91 to 2013-15 shows the UK, who was fourth highest is now third lowest 2.