Table 1.

20th Century Trends in Pediatric Morbidity1

Classic Pediatric Morbidity
(1900–1955)
Beyond the New Morbidity
(1990s and Onward)
 Infectious diseases Social disarray
 High infant mortality rates Political ennui
 Poor nutrition New epidemics (eg, violence,
 Few cures for chronic diseases  AIDS, cocaine)
 Diseases of overcrowding Increased survivorship
 Epidemics (eg, influenza, polio)  High-technology care
The New Morbidity (1955–1990s)
 Family dysfunction
 Learning disabilities
 Coordination of care
 Emotional disorders
 Functional distress
 Educational needs