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—We thank Shapiro et al for pointing out the importance of current issues in pediatrics and of critical interest for children's health and welfare. We appreciate their observations concerning our contribution to Contempo. However, we disagree with their assessment of what we should have done. I have been contributing to Contempo for almost a decade now and usually have followed the format of a survey of the discipline at that moment. This time, we believed that what was happening in genetics was not an isolated phenomenon, applying to only a few individuals, but had the potential for affecting the very fabric of medicine, pediatrics, and preventive medicine. Given the space limitations of a Contempo article and given the scant attention that these revolutionary and rapidly developing advances in genetic science and medicine have received in the professional pediatric literature, we felt it important to highlight them for the
Fulginiti VA. Contempo: Pediatrics-Reply. JAMA. 1994;271(2):106. doi:10.1001/jama.1994.03510260030023