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Health and Safety
Module 6
WORLDWIDE CHILDHOOD
MORTALITY6.1
2
Worldwide Childhood Mortality
Sub-Saharan Africa
Highest rate of child mortality
Wars
Disease
Famine
1 in 8 die before
5th birthday
3
#1 Under 5 child mortality on significant decline
http://www.youtube.com/watch?v=hRrvsM4jxpQ
4
India
5
Children suffering diarrhea outside an hospital in
Malda, in a district some 500 km north of Calcutta.
SAFETY IN LATER CHILDHOOD
AND ADOLESCENCE6.2
6
Homicide & Suicide
Homicide
2nd leading cause
of death, 1 yr. olds.
7
Homicide & Suicide
“A child abuse case turns into a murder investigation after
an infant dies of her injuries.
Jeffrey Locker is now charged with murder.
Detectives say 1-year-old Brooklyn Saechao died
Thursday. Brooklyn was living with her mother, Jamie
Saechao & her boyfriend, Jeffrey Locker, 22.
Officials say it was Locker who called 911 & reported
Brooklyn had fallen & hit her head.
She was found with severe head injuries and was
unconscious when she was rushed to Legacy Emanuel.”
8
Homicide & Suicide
Major Risk Factors under 5?
9
Homicide & Suicide
http://www.childdeathreview.org/causesCAN.htm
Major Risk Factors
Under five
Parents or caregivers under 30
Low income, single-parent families experiencing major
stresses.
Children left with male caregivers lacking emotional
attachment to child
Children with emotional & health problems.
Lack of suitable childcare.
Substance abuse among caregivers.
Parents & caregivers with unrealistic expectations of child
development & behavior.
10
Homicide
2nd leading cause of death teens
Suicide rate has tripled since 1950s
Why?
Homicide & Suicide
11
Homicide & Suicide
Teens
2nd leading cause of death
African Americans
85% due to firearms
Suicide
More common than homicide
Risk factor depression
12
ACCIDENTS
13
#2 Little Kids and Accidents
14
Accidents
Most common childhood accidents?
15
Accidents
Death
SIDS:
Infants
Accidents:
2,000 toddlers, under age of 2 die per yr
Preventable accidents
Accidents related to culture?
Accidents related to SES?
16
ROAD AND TRAFFIC SAFETY
17
Road and Traffic Safety
Leading cause of death
2-5 yrs.:
Motor vehicle
Why?
18
Road and Traffic Safety
Why?
70% improper car restraints
Running into street
Climbing to unsafe heights
Exploring toxic substances
Walking to school
Riding bicycles
19
SKATING & CYCLING
20
Skating & Cycling
2007: 65,000 emergency room visits
Serious injuries, lack of proper sports
equipment
Are helmets cool?
"Almost 50% of skateboarding injuries have
at least some component of head injuries to
them," Dr. Michael Webb, NeuroTexas
Institute
Under 5 no skateboarding
21
DROWNING & WATER
INJURIES
22
Drowning & Water Injuries
Second leading cause of death 14 &
younger
Leading cause of death1- 2 yr. olds
2007: 844 toddlers died
Near drowning
Mild to severe brain injury
Many vegetated state
23
Drowning & Water Injuries
Infants
Mostly bath tubs
Under 5
Swimming pools
Adolescents
Lakes & oceans
Midjudge levels of risk
24
INJURY PREVENTION
25
WATCH THE
BABY!!
26
Injury Prevention
Injury Prevention?
27
Injury Prevention
Prevention strategies best
Safety equipment
Minimize risky behaviors
Seat belts and car seats
Proper adult supervision
Teach children how to cross the street
What is the issue?
Sum up leading causes of death by age
Infants:
SIDS
Younger than two:
1st leading cause
Drowning
2nd leading cause of death, 1 yr. olds.
Homicide
Children 2-5
1. Motor vehicle
2. Drowning
Most common swimming pools
14 & younger (previously 17)
2nd Leading cause of death
Drowning
Teens
1. Unintentional injury (motor vehicle)
2. Homicide
2. Suicide
29
ILLNESSES6.3
30
Illnesses
75% common cold
May cause ear infections
More frequent infants & toddlers
Lower SES
More likely, health problems
Birth
More asthma, diabetes
Hospitalized more
Miss more school
Suffer consequences of less education
31
Illnesses
Asthma
Most common chronic disease in childhood
10 million children in US under 18
Rising recent decades
Why?
Asthma higher rate in wealthier countries
Higher death rate in developing countries
Born in US Mexican children
Higher rate than those born in Mexico
32
Illnesses
Asthma
African Americans
Highest prevalence in US
More severe
Less out patient treatment
More trips to ER & hospitalizations
33
Illnesses
Asthma
More common in athletes
Train outdoors
Exercise induced
Genetic & environmental variables
Tobacco
Air pollution
Respiratory infections
Stress
etc.
34
Illnesses
Asthma
Effects cognitive development
Medication side effects
Sleep disrupted
Concentration
Strict diet, medical regime
Frustration & anxiety
35
Illnesses
Asthma
Affect psychosocial development?
Missed school days
Lost social opportunities
No team sports
Embarrassed to use inhalers or take medication
Stress
Direct link between degree of stress & psychiatric
conditions
Depression
36
Illnesses
Diabetes
Risen
2 main types
Type 1 (Juvenile diabetes)
Type 2 (Adult)
95% of all cases
Preventable
Increasingly earlier ages
Overweight
Lack of physical activity
37
NUTRITION AND ACTIVITY6.4
Group Work
38
Nutrition (Group Work)
What do you know about proper nutrition?
Where did you learn it?
Do you think what you know is common knowledge?
How did your family eat?
Did you all eat together?
Did you eat in front of the TV?
Was there plenty of junk food in your house?
Was nutrition ever discussed?
Were you told to eat everything on your plate?
Want to eat less?
What are some EASY things to do?
39
Nutrition
Children born this century may not live as long as
their parents
Why?
40
Children born this century may not live as long as
their parents
Why?
Poor childhood nutrition is associated with later
Obesity
Diabetes
Heart Disease
Today 3” taller than in 1776
41
Nutrition
Children follow nutritional habits of parents.
Snacks in moderation
Adolescents
Poor eating habits
Additional healthy calories to support
accelerated growth
High need for calcium beginning age 9
42
Nutrition
Confess:
Do you eat breakfast?
What?
Did you eat breakfast as a kid?
What?
43
Nutrition
Why is breakfast the most important meal of
the day?
44
Nutrition
Why is breakfast the most important meal of the
day?
Positive effect
Memory
Increased:
Concentration
Reasoning ability
Problem-solving
Creativity
45
Nutrition
More
nutrients
More
involved
with peers
Expressed
more
positive
emotions
Less
anxiety
More
curious
Persistent
Self-
confident
More alert
Better
energy
46
Nutrition
Poor
nutrition
Less energy
Less physical
activity
Less
exploration
Less
attention to
environmental
stimuli
Diminished
cognitive
involvement
Diminished
development
47
Nutrition
Habit forming important
Children who eat breakfast:
More healthful food choices
More likely to keep proper weight
Create lifetime of better food choices
48
Nutrition
Adolescent and breakfast
More independent choices
Mean number of days eating breakfast drops
25%
Translates:
Greater weight in early adulthood
Males after 6 yrs. of no breakfast
37% risk of overweight
49
Nutritional Needs
Parents worry
Child eating enough?
Don’t worry
Provide healthy choices
Toddlers & preschoolers
Good at regulating nutritional intake
How do parents…
Encourage overeating?
Reward overeating?
Problems?
What should you feed your children?
50
Nutritional Needs
Daily basis kids need:
Low in fat & high in fiber
Protein
Lean meats such as chicken (low in fat)
Meat, rice, soy, beans, dairy and peanut
butter.
51
Nutrition
Daily basis kids need cont.:
High in Iron to prevent anemia
Dark leafy Vegetables
Iron fortified cereal
Meat
Seafood
Calcium-rich
Diary, soy, vegetables, nuts, fish
Bones
Teeth
52
MALNUTRITION6.5
53
Malnutrition in Infancy
Early weaning can cause
deficiencies
Can develop:
Marasmus
Wasting away of body
tissues infant’s 1st yr.
How Do Infants Grow and Develop Physically?
Malnutrition in Infancy
Kwashiorkor
Deficiency in protein
Abdomen, feet
swollen with water
If not fatal, effects
detrimental
Lowest SES
Aided by supplementary
feeding
Instant Noodles
Malnourished
Health of 80-year old
Weighs 98 pounds & 5'3".
Isn’t worried, "I just love noodles!" she said.
56
OVERWEIGHT AND OBESITY IN
CHILDREN6.6
57
Overweight & Obesity in Childhood
Obesity: 20% higher than normal for height.
17% US children & adolescents obese
Since 1960’s tripled
Younger & younger children diagnosed
Breastfeeding may reduce risks
Overweight children susceptible in
adulthood
58
Overweight & Obesity in Childhood
Health issues later:
Cardiovascular diseases
Pulmonary
Endocrine
Pineal gland, pituitary gland, pancreas, ovaries,
testes, thyroid gland, parathyroid gland,
hypothalamus, gastrointestinal tract & adrenal
glands.
59
Overweight & Obesity in Childhood
Health issues later cont.:
Orthopedic problems
Risk of psychological problems
Lower self-esteem, tired, less attractive
Peer relations; rejection & withdrawal
60
Overweight & Obesity in Childhood
Motor development connected
Brain development
Long-term effects of being overweight.
Overweight infants
Excess fat cells
Life long overweight
Late motor development
Cause of being overweight
Nature or nurture?
Help?
61
Overweight Children
Treatment:
Combination of
Diet, weight loss programs
Exercise
Calorie-burning activities
Family walk
Other?
Behavior modification, lifestyle changes
Daily diary
Parents are very important for change
Activity levels are not hereditary
What Are Central Issues in Children’s Health?
62
Eating Disorders
6.7
63
Anorexia Nervosa
Potentially life-threatening eating disorder
Intense fear of becoming fat
Distorted body image
Self-starvation
Primarily in adolescent & young adult females
10% die in 10 yrs.
20% die in 20 yrs.
Recovery about 1.7 yrs.
64
Anorexia Nervosa
Highest mortality rate of any mental disorder
Starvation
Cardiac arrest
Suicide
Depression
65
Anorexia Nervosa
Pro-anoerxia web sites
“Tips & Tricks
Make yourself a snack, but instead of eating it throw it
away.
Leave the dirty dishes where your parents can find them.
They will think you ate.
Prepare a list of excuses as to why you can't eat - You're
sick, you're a vegetarian, allergic, etc. You'd be amazed at
how many good excuses there are.
Get out of your house! If you're not sitting around then
people can't start shit with you about not eating.
Join a pro-ana group or start your own website. Anything
that will keep you motivated.”
66
Anorexia (died 2010 age 38)
67
68
Bulimia Nervosa
Eating disorder
Characterized by binges of eating followed
by self-induced vomiting.
Binges
Vomiting
May after every meal
Each morsel of food or water
69
Bulimia Nervosa
Exercise
3 hours a day
Self-medicate
Speed
Enemas
Laxatives (whole
box)
Diuretics
70
Dangers Associated with Bulimia
Foreign Objects:
Objects used to induce purging. (rupture)
Teeth rotted away from stomach acid.
Acid / food damage to esophagus.
Finger skin & nail damage from acid.
Red spots around the eyes.
Subconjunctival hemorrhage
Prevent absorption of needed vitamins &
minerals
Skin ages.
71
Bulimia
Cause?
Treatment
Behavioral
Cognitive
Family
72
Binge Eating Disorder
Usually overweight
Rapidly eat unusually large amounts of food several times
week.
Binge when alone
Most common eating disorder among adolescents
1.6%
Cause unknown?
Depression
Brain chemicals
Hormones
73
Eating Disorders
Anyone willing to discuss a friend, family member with eating
disorder.
74

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