Community child health, public health and epidemiology
Public health
Social paediatrics and child public health
a European
perspective
MARION CROUCHMAN, MICHEL PECHEVIS, BORIS SANDLER
The Association for Paediatric Education in Europe
Service Néonatal, Hôpital Pellegrin
Maternité
33076 Bordeaux, France
Correspondence to: Dr M Crouchman
Paediatric Neurosciences, King's College Hospital
London SE5 9RS, UK
| The first 150 words of the full text of this article appear below. |
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Why we need social paediatrics |
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The past 20 years have produced dramatic changes in the configuration of Europe and the health of our children. While important progress has been made in areas such as neonatal and intensive care, treatment of malignancy, and transplant surgery, paediatricians enter the new millennium knowing that many children are increasingly disadvantaged by the social and political climate of their countries.
In the early 1980s when community paediatrics became a sub-specialty in
the UK and the World Health Organisation drew up its policy document
"Targets for health for all", Europe consisted of 32 member states.
Today we are divided into 51 countries with very different history,
culture, economy, and health needs.1 The multiple armed
conflicts of central and eastern Europe have resulted in massive
migration, separation of families, disruption of even the most basic
health services, and regression of child health indicators to levels
far below those targets set 20 years ago.2-4 Although the
incidence
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