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Child Development and Public Health Concerns

Michele Barry, MD; Joseph Craft, MD; David Coleman, MD; Holly O. Coulter, MS; Ralph Horwitz, MD

JAMA. 1983;249(23):3200-3203.

Abstract
Since 1979, we have provided comprehensive medical care to a group of 142 Southeast Asian refugees who relocated in Connecticut. In this group, we identified clinically important issues in child development. As plotted on standard growth curves, 47% of refugee children were below the fifth percentile in height for age and 22% were below the fifth percentile in weight for height. Although these children are potentially at increased risk for nutrition-related health problems, our clinical assessment did not confirm malnutrition. We also confirm a high prevalence of intestinal parasitism (59%), positive tuberculin test results (40%), and hepatitis B antigenemia (16%), as observed previously by health authorities. We conclude that anthropometry should not replace a clinical nutritional assessment of refugee children.

(JAMA 1983;249:3200-3203)

Author Affiliations
From the Sections of General Medicine (Drs Barry, Horwitz, and Craft, and Ms Coulter) and Infectious Diseases (Dr Coleman), Department of Internal Medicine, Yale University, New Haven, Conn. Dr Horwitz is a Henry J. Kaiser Family Foundation Faculty Scholar in General Internal Medicine.

Footnotes
Reprint requests to Southeast Asian Refugee Clinic, Primary Care Center, Yale-New Haven Hospital, 20 York St, New Haven, CT 06504 (Dr Barry).

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