       Document 0217
 DOCN  M9610217
 TI    Child health 2000: new pediatrics in the changing environment of
       children's needs in the 21st century.
 DT    9601
 AU    Haggerty RJ; Department of Pediatrics, University of Rochester School
       of; Medicine and Dentistry, NY, USA.
 SO    Pediatrics. 1995 Oct;96(4 Pt 2):804-12. Unique Identifier : AIDSLINE
       MED/96000134
 AB    Pediatric practice in the next millennium will require greater knowledge
       of new morbidities, such as acquired immunodeficiency syndrome and
       social and behavioral disorders, reemergent old disorders, such as
       tuberculosis, and disorders rarely seen of late in the United States but
       now being brought here by recent immigrants, such as malaria and other
       parasitic diseases. Diversity in ethnic and cultural backgrounds and
       beliefs will continue to increase, and it will need to be understood to
       prevent and treat diseases of children effectively. Although the current
       antagonism toward immigrants may lead to a decrease in this particular
       source of diversity, changes in family structure--such as divorce, gay
       and lesbian couples as parents, and corporate pressure on families--will
       continue, requiring pediatricians to understand and to accept this
       diversity if they are to be the health care providers of children. The
       increased isolation of individuals from society and separation from
       families of origin will require pediatricians to be more active in
       communities and schools and to participate with other disciplines and
       social support groups. At the same time, the advancement of science and
       technology will continue to drive what the pediatrician does. Increased
       survival of children who previously had fatal illnesses will mean more
       emphasis on care of children who have chronic illnesses. Pediatricians
       will need to be partners with others in the exciting new fields of risk
       assessment and prevention of psychosocial disorders.
 DE    Acquired Immunodeficiency Syndrome/PREVENTION & CONTROL  Child  *Child
       Welfare  Child, Preschool  Cultural Diversity  Emigration and
       Immigration  Health Services/ECONOMICS/ORGANIZATION & ADMIN/STANDARDS
       Human  Infant  Infant, Newborn  Mental Disorders/PREVENTION & CONTROL
       Pediatrics/STANDARDS/*TRENDS  United States  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

