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BMJ 2003;327:407-408 (23 August), doi:10.1136/bmj.327.7412.407
Would depend on community participation and long term sustainability
| The first 150 words of the full text of this article appear below. |
We welcome the study in this issue showing improved health outcomes for children after swimming pools were installed in two remote Aboriginal communities in Western Australiabut with guarded optimism.1 Improvements in Aboriginal children's health, particularly in remote communities, have been remarkably difficult to achieve, so successful interventions that are potentially transferable warrant serious consideration.
Optimism, however, must be guarded. There is no quick fix for the many health problems that occur in remote communities, including both infectious and chronic illnesses. As the authors note, pyoderma and chronic ear disease have remained intractably high in children for decades. In some communities the prevalence of trachoma is as high as 40% in children under 10 years.2 Mortality for indigenous infants is 2.5 times as high as for all Australia,3 and hospital admissions for children under 14 years are 1.5 times as high.4 As the authors point out, continued efforts in the areas
Gillian Hall, lecturer
(gillian.hall@anu.edu.au)
Beverly Sibthorpe, associate director
National Centre for Epidemiology and Population Health, Australian National University, Acton, ACT 0200, Australia
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