Chronic Handicap in Childhood
نویسنده
چکیده
CHRONiC handicap is a major challenge to present*day paediatrics in Britain. The change in the paittern of child disease in western countries is well known-the decline in mortality of both infants and children: the virtuall eradication of serious acute infections such as tuberculosis, diphtheria and poliomyelitis: the diminishing incidence of acute rheumatism: and the control of ithe common infectious diseases. These changes have brought great improvements in the health of children but they have been offset in part -by increasing prominence of the conditions causing continuing disability. There are a number of reasons 'why this is so. Antibiotic therapy has allowed the survival of handicapped children who would iformerly have died in infancy from intercurreit infection: advances in surgery can correct malformation which would otherwise be lethal-but the child thus saved is often not completedy normal: there may be an albsolute increase in some conditions such as asthma, which in its severe manifestations can be crippling and at best interferes with normal education and social activities. A;lthough these and other chronic disabilities affect a comparatively small section of the child population, they claim a disproportionately large share of medical care, while they make great demands on the community in terms of buildings, transport and other facilities, skilled attendants and therapists, and special educational arrangements. Chronic handicap in childhood is a subject of vast proportions and in this brief review only a few facets which are of current interest to us in Aberdeen will be considered in any detail.
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تاریخ انتشار 2008