Substances in the environment that are potentially harmful to children's health and development, from conception onward, include metals such as lead and mercury, pesticides, indoor air pollution, residues of synthetic chemicals, radiation from the sun, nuclear sources, and air pollution. Children's exposures to these substances, as well as…

Assesses the complex problem of infant deaths in America and reviews the policy options before the nation. High infant mortality rates have been attributed to population heterogeneity, poverty, or differences in the way health services are organized. Links health policy issues to the larger issue of social and economic equity. (AF)

The seven cohort studies of the relation between prenatal and postnatal exposure to polychlorinated biphenyls (PCBs) to cognitive, neuropsychological and behavioral development have suggested that exposure to PCBs can cause persistent changes in cognitive functioning. D.V. Cicchetti, A.S. Kaufman, and S.S. Sparrow (this issue) apply six scientific…

In this paper we address the points raised by groups of scientists who were invited to respond to our initial critique of polychlorinated biphenyl (PCB) research in this special issue. In that article, we applied six objective criteria to more than two decades of published PCB research and concluded that much of the research was badly flawed. The…

Statistics show that the improvement in the U.S. infant mortality rate began slowing down in 1981 and completely ended in 1985; this has been reflected in a significant increase in the percentage of infants born prematurely and with low birth weight. Increased attention is being given to the effects of maternal behavior during pregnancy, and…

The influx of children prenatally exposed to drugs represents a heightened challenge to early childhood education programs. Efforts are needed for establishing developmentally appropriate practices, administrative supports, access to special education services, and personnel preparation programs. Guidelines and suggestions relating to these…

Despite years of concern about the toxic effects of high lead exposure and recent knowledge about the less apparent effects of exposure to low doses of lead, a total of 3 to 4 million children in the United States are still being exposed to concentrations of lead that could compromise their cognitive and social development. This paper discusses:…

Increase in number of children infected with human immunodeficiency virus (HIV), and consequential developmental disabilities of these children are discussed. Families caring for HIV-infected children express four recurrent themes: psychological stress, grief and mourning, guilt and self-blame, and isolation and fear of discrimination. Flexible…

The aim of the review of D.V. Cicchetti, A.S. Kaufman, and S.S. Sparrow (funded by the General Electric Company; this issue) is to "evaluate [the] literature relating the effects of prenatal and postnatal exposure to polychlorinated biphenyls (PCBs) upon neurobehavioral, health-related, and cognitive deficits in neonates, developing infants,…

This invited response to the paper by D.V. Cicchetti, A.S. Kaufman, and S.S. Sparrow (CKS), and the responses by the investigative teams of the studies criticized by them, addresses specific errors of logic and interpretation by CKS, and integrates comments made by the study investigators. CKS provide a flawed analysis of the literature on the…

Studies characteristics of 29 pregnant homeless women (18 African Americans, 6 whites, and 5 others). In general, respondents are young, unmarried minority group members with no income other than entitlements, who have been without a home one year or less. These women have more health problems than the average population. (SLD)

This publication presents information for each of the 60 research projects active under the support of the Maternal and Child Health Research Program (MCHRP) in Fiscal Years 1990 and 1991. The variety of research topics and objectives pursued by the 60 investigations mirrors the broad mandate of the MCHRP as well as the eclectic and…

There is no national policy on assisting drug-using pregnant mothers nor on the children they produce. This paper looks at the issue of "crack-cocaine" and mothers who give birth to children after using drugs during pregnancy. It attempts to lay out what is known, and it puts forth "best guesses" regarding helping children born…

This report summarizes two joint sessions held by the Indian Nations At Risk Task Force and the National Advisory Council on Indian Education to hear testimony on health and substance abuse prevention issues relevant to Native American children. Issues and problems fell into the following areas: (1) general health and wellness, including the need…

A Congressional hearing was held to focus on problems faced by schools due to students who have been exposed to drugs, and ways the federal government can help teachers and administrators ameliorate the crisis of student exposure to drugs. The topics discussed included teachers' difficulties in dealing with the increasing number of drug-exposed…