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Our Shrinking Globe: Implications for Child Safety, An Issue of Pediatric Clinics of North America, Volume 63-1 (Hardcover)
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Our Shrinking Globe: Implications for Child Safety, An Issue of Pediatric Clinics of North America, Volume 63-1 (Hardcover)
Series: The Clinics: Internal Medicine
Expected to ship within 12 - 19 working days
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Pediatricians in the Unites States and around the World continue to
face a myriad of global health threats affecting child and
adolescent health including: 1) infectious diseases of poverty
[e.g. human immunodeficiency virus (HIV), tuberculosis, malaria,
and neglected tropical diseases] in low-and middle-income countries
(LMIC), especially in sub Saharan Africa; 2) emerging and
reemerging infectious diseases (such as Ebola); 3) rise of
non-communicable diseases (e.g. common mental disorders); 4)
unintentional injuries; and 5) environmental health hazards (e.g.
climate change). Despite the promising news about rapid declines in
maternal and child mortality in the era of Millennium Development
Goals (MDGs), which originated from the United Nation (UN)
Millennium Declaration in 2000, only 20% and 7% of LMIC are
currently on track to attain the maternal and child mortality
targets. For example, 44% of deaths in children younger than 5
years occur in neonates. Besides discovery of life-saving
interventions (e.g. development of new and improved vaccines) for
maternal and child health, we also need to do a better job at
bridging the knowledge-implementation gap and increase the
effectiveness of proven interventions. For example, despite the
availability of effective vaccines to prevent pneumococcal
pneumonia, rotavirus gastroenteritis, and human papilloma
virus-related diseases (e.g. cervical cancer), use of these
vaccines remain suboptimal in LMIC. We need to recognize that
global health is also local public health. For example, improving
access, equity and quality of care for orphans and vulnerable
children, immigrant and newly arrived refugee children in the U.S.
remains a challenge. Timely access to psychiatric care for children
and adolescents with mental illness is a major concern. The
explosion of new age technology (such as the internet) also poses a
considerable risk to children and adolescents. Pediatricians also
need to be aware of diverse socio-cultural determinants of health
and ethical issues in global health service and delivery. This
issue of Pediatric Clinics of North America aims to address the
above crucial global health challenges affecting children and
adolescents. As practicing pediatricians, we have the unique
opportunity to influence local and global public health. In the
post-MDG era (beyond 2015), collaborative partnerships between
various disciplines and across research, education and service is
vital to reduce health inequities in children worldwide.
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