Author Affiliations: Department of Pediatrics,
Albert Einstein College of Medicine/Children’s Hospital at Montefiore,
Bronx, NY (Dr Stein); Department of Pediatrics, Wayne State University School
of Medicine/Children’s Hospital of Michigan, Detroit (Dr Stanton); and
Departments of Pediatrics and Health Policy and Management, Johns Hopkins
University Medical Institutions, Baltimore (Dr Starfield).
By conventional measures that focus on diseases, injuries, and mortality,
children in the United States are healthier now than even a few decades ago.
They are less likely to die in childhood and more likely to be protected by
immunizations against serious infectious diseases.1,2 Rates
of death from injuries and exposures to some environmental hazards have decreased.3- 5 The infant mortality
rate has declined from 26 per 1000 in 1960 to 7 per 1000 in 2003, while the
mortality rate among those younger than 5 years has declined from 30 per 1000
to 8 per 1000 during these years.6
Stein REK, Stanton B, Starfield B. How Healthy Are US Children?. JAMA. 2005;293(14):1781-1783. doi:10.1001/jama.293.14.1781