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February 10, 1989

Preventing CAN Deaths: An International Study of Deaths Due to Child Abuse and Neglect

Author Affiliations

Children's Hospital and Health Center San Diego

Children's Hospital and Health Center San Diego

JAMA. 1989;261(6):924-925. doi:10.1001/jama.1989.03420060140055

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Dr Greenland has performed a major service to the field of child abuse and neglect studies with this very comprehensive work. The ultimate conclusion of the book is that deaths from child abuse can and should be prevented, and the arguments presented to support the conclusion are powerful. The statement is of vital importance at this time when many social workers, some judges and lawyers, and even a few physicians are accepting the inevitability of child abuse deaths as a price that must be paid to avoid excessive invasion of family life.

The literature on deaths from child abuse and neglect is reviewed in three national perspectives, the United States, Canada (emphasizing Ontario), and the United Kingdom. Virtually all published studies on the subject from these countries are cited and the analysis and comments of the author are balanced and fair, clearly expressing the many and sometimes divergent viewpoints of