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March 1, 2010

Rethinking Hard-to-Reach Communities in the Realm of Global PediatricsThe Urban Poor and Community Health Workers

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Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2010

Arch Pediatr Adolesc Med. 2010;164(3):294-296. doi:10.1001/archpediatrics.2009.294

Our global pediatric world is changing. While thoughts of global health often invoke images of exotic diseases and hard-to-reach rural clinics, the reality is more nuanced. Progress has been made in mortality in children younger than 5 years—from 19 million annually in the 1960s to less than 9 million currently.1 As in the past, these children more often die of unexotic diseases like pneumonia and diarrhea as well as vaccine-preventable diseases like measles.2 These deaths are increasingly concentrated in fewer countries (eg, the Democratic Republic of Congo, India, and Nigeria). Still, challenges remain.

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