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Published Online First: 2 September 2005. doi:10.1136/thx.2005.050773
Thorax 2005;60:985-986
Copyright © 2005 BMJ Publishing Group Ltd & British Thoracic Society.

EDITORIAL

Paediatric respiratory mortality

Paediatric respiratory mortality: past triumphs, future challenges

G Russell

Correspondence to:
Professor G Russell
Department of Child Health, University of Aberdeen, Aberdeen AB9 2ZD, UK; libra@ifb.co.uk


Radical new ideas are needed to ensure that deaths from respiratory diseases in children continue to fall

Keywords: all cause mortality; respiratory deaths; bronchiolitis; pneumonia; cystic fibrosis; asthma; children

The first 150 words of the full text of this article appear below.

The invitation to comment on a paper that reports changes which occurred during a period that coincided, within a year or two, with my career as a consultant paediatrician presents me with an irresistible temptation to reminisce. At medical school in the late 1950s I learned that pneumonia, one time captain of the men of death, had responded dramatically first to sulphonamides and then to penicillin, but that some deaths were still "inevitable"—a phrase much used at that time to excuse our inability to manage conditions that we did not fully understand. Asthma was common in children but was considered to be an unusual cause of death, although it was responsible for the first death I encountered as a paediatric senior house officer. In the minds of my teachers asthma was readily distinguished from bronchitis and, to this day, I can replicate a table listing the differences . . . [Full text of this article]


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Trends in deaths from respiratory illness in children in England and Wales from 1968 to 2000
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