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Injuries in Day-care Centers-Reply

Petra Landman, MD, MPH; Gary B. Landman, MD
Am J Dis Child. 1987;141(9):938. doi:10.1001/archpedi.1987.04460090015003.
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In Reply.–We cannot agree more—comparable injury rates in a non-day-care population are not available. More research is needed! Although problematic, the comparison with a similar non–day-care population is important because it provides the only available data with which we can begin to evaluate injury rates in the day-care population. Our article's primary goal was to provide a "descriptive epidemiologic analysis of the incidence of injuries," not to answer the question of whether children in day-care centers have more or fewer injuries than those at home. We do not agree that "7.02% may, in fact, be an overestimate of the true proportion of the injuries requiring medical treatment." Indeed, we suspect that the current Maryland guidelines, which require the presence at all times of an individual with approved first-aid training, may actually decrease the number of injuries referred for outside medical treatment. Furthermore, we are not familiar with the


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