TY - JOUR T1 - Rethinking hard-to-reach communities in the realm of global pediatrics: The urban poor and community health workers AU - Jacobs TA Y1 - 2010/03/01 N1 - 10.1001/archpediatrics.2009.294 JO - Archives of Pediatrics & Adolescent Medicine SP - 294 EP - 296 VL - 164 IS - 3 N2 - Our global pediatric world is changing. While thoughts of global health often invoke images of exotic diseases and hard-to-reach rural clinics, the reality is more nuanced. Progress has been made in mortality in children younger than 5 years—from 19 million annually in the 1960s to less than 9 million currently.1 As in the past, these children more often die of unexotic diseases like pneumonia and diarrhea as well as vaccine-preventable diseases like measles.2 These deaths are increasingly concentrated in fewer countries (eg, the Democratic Republic of Congo, India, and Nigeria). Still, challenges remain. SN - 1072-4710 M3 - doi: 10.1001/archpediatrics.2009.294 UR - http://dx.doi.org/10.1001/archpediatrics.2009.294 ER -