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- Robert J. Haggerty
In this issue of Pediatrics in Review (PIR), we emphasize several aspects of prevention. The article by Belay and colleagues on pediatric precursors of adult diseases emphasizes a new and challenging part of pediatric practice: Identifying children who have no evidence of disease but who are at risk for developing certain diseases as adults and initiating interventions to prevent such problems. The article on smoking prevention, with the linkage to a PREP self-assessment question and critique on the same topic, deals with the single most important modifiable factor in adult health. However, smoking also can be considered a pediatric disease because nearly all who become addicted to tobacco do so before age 18 years, even though the consequences do not appear until later adult life.
Our Index of suspicion (IOS) section continues to be valued highly by our readers. However, we receive many more good cases for IOS …
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