Phil B.FontanarosaMD, Deputy EditorIndividualAuthorMargaret A.WinkerMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor
In Reply: Dr Rosenberg and Ms Freedman stress
2 of the causes we cited for differences in the number of child abuse deaths
recorded by the vital statistics system and the number obtained in our study.
We appreciate their further elaboration on the limitations under which nosologists
function and their recognition of the need to improve documentation of child
abuse homicides. Our intent was to demonstrate that death certificate data,
as currently collected, yield a significant underascertainment of child abuse
fatality incidence and rates. We did not mean to impugn the vital statistics
system, which we found to provide timely and accurate data under the limitations
in which it must operate.
Herman-Giddens ME, Brown G, Verbiest S, Carlson PJ, Hooten EG, Butts JD. Accurate Ascertainment of Child-Abuse Mortality—Reply. JAMA. 2000;283(3):337-338. doi:10-1001/pubs.JAMA-ISSN-0098-7484-283-3-jac90010