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By Einar A. Helander
334 pp, $90
London, UK, Palgrave MacMillan, 2008
ISBN-13: 978-0-2305-7394-9

JAMA. 2009;302(5):573-574.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

This pithy book examines the issues of trauma and poverty in the lives of children through an international lens. Having worked for 30 years in 94 countries on 5 continents, Einar Helander brings a wealth of direct experience with children, family homes, schools, child-focused institutions, and Health and Social Welfare ministries from around the world. He asserts that 5 to 10 million children (primarily girls younger than 5 years) "die annually because of intentional neglect or outright murder" (p xviii).

In part 1, Helander presents the tremendous magnitude of the problem, concluding that "half of the world's population have been victims of childhood violence before the age of 18" (p 4), and he provides an excellent discussion of the definitions, materials, and methods determining his conclusions. It becomes clear that getting information about this ubiquitous worldwide problem is not an easy task. Surveillance of these commonplace problems (eg, 300 million . . . [Full Text of this Article]

Carl C. Bell, MD, Reviewer
Community Mental Health Council Inc
University of Illinois at Chicago
Chicago, Illinois
carlcbell@pol.net

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