The quality and
design of a child’s physical environment can cause or prevent illness,
disability and injury; therefore a high-quality environment is essential for
children health to achieve optimal health and development. While pediatricians
are accustomed to thinking about health hazards from toxic exposures, much less
attention has been given to the potential for adverse effects from built
environments such as poor-quality housing and haphazard land-use,
transportation, and community planning. In fact, children spend little time in
natural environments compared to the time they spend indoors and in
neighborhoods.
Pediatric
injuries that affect the health of children
Pediatric injuries
are the leading cause of death for children aged 1 to 21 years. Annually, 20%
to 25% of all children sustain an injury severe enough to require medical
attention, missed school, or bed rest. Each type of injury has a particular
demographic pattern and set of risk and preventive factors. Pedestrian
injuries, falls from windows, carbon monoxide poisoning, and burns all are
preventable with known interventions. Pediatric injuries affect health of
children greatly.
Children
health indicator for determination of health status
Because of the mutable
nature of childhood and the desired long-range impact of any initiative
targeting early childhood, the Board will face challenges in how to use
outcomes and indicators to measure their success in attaining optimal health.
Outcomes will need to be viewed in both the short and long term. In addition,
because health indicators are indirect measures of the health of communities as
well as our state it is important that FTF choose indicators of health that
measure Health status from the perspective of not only the child, but also
their environment.
Effective
childhood lead poisoning prevention programs
Childhood lead
poisoning prevention programs will also need to expand their focus and improves
health of children. The presence and degree of lead hazards in housing is tied
to the structural integrity or deterioration of the home; controlling lead
hazards requires controlling underlying structural defects .Lead programs must
become comprehensive programs to control housing-based health hazards. Children health transformation will require a strategically staged and sustained effort,
with the highest level of intervention for the most hazardous housing and a
more modest approach for homes with few or potential hazards.
Environmental
and social challenges in families and communities
Children face numerous environmental and social challenges in the
contexts of families, schools, and communities that significantly affect their
well-being and health outcomes. To address this expanded approach to
understanding children's health, primary care pediatrics is transforming itself
to be able to influence the critical determinants of children's health and
well-being, and primary care pediatricians have begun to successfully merge public
health and population-based approaches with traditional clinical skills
directed at individual children or families.
Diagnosis
of affected health by child care specialists
Physical, intellectual, emotional, and social maturation are
all important markers of a child's overall health and well-being. When
evaluating health pediatricians and child-care specialists assess related skill
sets, such as a child's acquisition and use of language, fine and gross motor
skills, cognitive growth, and socialization, and achievement of certain
milestones in these areas. A developmental milestone is a task or skill set
that a child is expected to reach at a certain age or stage of life.

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