| The changing face of paediatrics in the English-speaking Caribbean. | |
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MedLine Citation:
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PMID: 10555451 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Childhood mortality and morbidity patterns in the English-speaking Caribbean have changed significantly over the past 40 years. Acute respiratory illness, physical injury and conditions originating in the perinatal period have replaced malnutrition, gastroenteritis and other infectious diseases as major causes of illness and death in Caribbean children. Although population growth has slowed down, about one-third of the population of the English-speaking Caribbean remains under the age of 15 years. Infant mortality rates have also fallen but the major contributor to this decline has been a reduction in post-neonatal deaths. The decrease in mortality and morbidity from infectious diseases has led to a prominence of disorders originating in the perinatal period, psychosocial problems and chronic childhood disorders. Adverse economic conditions are held culpable for the re-emergence of protein energy malnutrition (PEM) and pulmonary tuberculosis in some territories. There is an urgent need to focus attention on the areas of perinatal and adolescent health, childhood disability, accidental and non-accidental injury, sexual abuse and human immunodeficiency virus (HIV) infection. Immunization programmes also require continuing support and expansion. These tasks cannot be accomplished without meaningful long term investment of financial and human resources in the health and educational services of the region. |
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Authors:
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R H Gray |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The West Indian medical journal Volume: 48 ISSN: 0043-3144 ISO Abbreviation: West Indian Med J Publication Date: 1999 Sep |
Date Detail:
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Created Date: 1999-11-24 Completed Date: 1999-11-24 Revised Date: 2008-03-10 |
Medline Journal Info:
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Nlm Unique ID: 0417410 Medline TA: West Indian Med J Country: JAMAICA |
Other Details:
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Languages: eng Pagination: 106-9 Citation Subset: IM; X |
Affiliation:
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Department of Obstetrics and Gynaecology and Child Health, University of the West Indies, Kingston, Jamaica, WI. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Caribbean Region / epidemiology Child Child Health Services* Child Welfare* Child, Preschool Humans Infant Infant Mortality Morbidity Mortality Pediatrics |
| Comments/Corrections | |
Comment In:
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West Indian Med J. 1999 Dec;48(4):251
[PMID:
10639856
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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