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 Vol. 14 No. 5, November 2005
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AAP Grand Rounds 14:52-53 (2005)
© 2005 American Academy of Pediatrics

EPIDEMIOLOGY

The Cost of Saving 6 Million Children’s Lives

Source: Bryce J, Black RE, Walker N, et al. Can the world afford to save the lives of 6 million children each year? Lancet. 2005;365:2193–2200.[Medline]

The first 20% of the full text of this article appears below.

Universal worldwide implementation of 23 proven preventive and therapeutic interventions could avert more than 6 million of the 10 million deaths that occur annually among children younger than age 5 years.1 Investigators from Pakistan and multiple United States locations estimated the additional ongoing annual costs for universal delivery of these interventions in the 42 countries that account for 90% of deaths in this age group. The 7 treatment and 16 prevention interventions were proven effective and considered feasible for universal delivery in low-income countries. The authors assumed interventions would be delivered by trained health care professionals and community workers in outpatient and inpatient facilities and through outreach activities. Only the cost of providing additional services (over year 2000 coverage levels) needed to achieve universal coverage . . . [Full Text of this Article]

Michael B. Aldous, MD, MPH, FAAP
Pediatrics, University of Arizona, Tucson, AZ