Royer P
Schweiz Med Wochenschr. 1978 May 27;108(21):800-4.
Preventive medicine perhaps achieved its earliest and most complete successes in the field of pediatrics. Work on the problems of main concern in the last third of the century has reached a stage where preventive medicine has virtually mastered those of nutrition and infection in our countries. The current problems are malformation, accidents, and suicide, and this has meant a major shift of interest for preventive activity. In some fields, prevention-detection of neonatal affections takes place in the prenatal period: here, the pediatrician joins hands with the geneticist and the obstetrician. In other fields, such as accident prevention, the pediatrician's role is of particular importance to the authorities, industry, and the family. Finally, and this is new, the pediatrician is responsible for the prevention of diseases occurring in the adult. His role in this was a matter of course in nutritional diseases such as malnutrition and rickets, and in infections such as tuberculosis. It is assuming increasing importance in the detection and prevention of certain risk factors and common affections of the adult such as obesity, hypertension and atheroma.
预防医学或许在儿科学领域取得了最早且最为全面的成功。针对本世纪最后三分之一时期主要关注问题的研究已达到这样一个阶段：在我国，预防医学实际上已掌控了营养和感染方面的问题。当前的问题是畸形、事故和自杀，这意味着预防活动的关注点发生了重大转变。在某些领域，新生儿疾病的预防检测在产前阶段进行：在此，儿科医生与遗传学家和产科医生携手合作。在其他领域，如事故预防，儿科医生的角色对当局、行业和家庭而言尤为重要。最后，也是新出现的情况，儿科医生负责预防成人期出现的疾病。他在诸如营养不良和佝偻病等营养性疾病以及诸如结核病等感染性疾病方面发挥的作用是理所当然的。在检测和预防肥胖、高血压和动脉粥样硬化等成人特定风险因素和常见疾病方面，其作用正变得越来越重要。
