CLARK E B
Calif Med. 1950 Jul;73(1):22-6.
The over-all rates of death in childhood decreased five to ten fold during the first half of the century, with the greatest drop occurring in deaths due to infections. The death rate due to accidents has shown a relatively slight decrease; hence, accidents are now the leading cause of childhood death, and in California account for 32 per cent of the deaths in the group 1 to 15 years of age. In California, and among certain insured groups of children, cancer is the leading or second leading cause of death due to disease. There is indication that the incidence of leukemia is increasing in early childhood and in the older age groups.Accidents, the leading cause of childhood death, do not happen; they are caused, and so can be prevented. The medical profession should concern itself much more actively in the field of accident prevention.
在本世纪上半叶,儿童期的总体死亡率下降了五至十倍,其中因感染导致的死亡下降幅度最大。因事故导致的死亡率下降幅度相对较小;因此,事故现在是儿童期死亡的主要原因,在加利福尼亚州,1至15岁年龄段儿童死亡中有32%是由事故造成的。在加利福尼亚州以及某些参保儿童群体中,癌症是因病死亡的主要或第二大原因。有迹象表明,幼儿期和老年人群体中白血病的发病率正在上升。事故作为儿童期死亡的主要原因,并非自然发生;它们是由某些因素导致的,因此是可以预防的。医学专业人士应在事故预防领域更加积极地发挥作用。