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Abusive head trauma: Canadian and global perspectives.

Asthik Biswas1,2, Manohar M Shroff3,4

  • 1Department of Medical Imaging, University of Toronto, Toronto, ON, Canada.

Pediatric Radiology
|May 17, 2021
PubMed
Summary

Canada

Keywords:
Abusive head traumaCanadaChild abuseChildrenFemale feticideGlobalIncidencePreventionRadiology

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Area of Science:

  • Pediatrics
  • Public Health
  • Forensic Medicine

Background:

  • The concept of battered-child syndrome was first described in 1962.
  • Canada's efforts against abusive head trauma (AHT) intensified in 1999 with a national conference.
  • National guidelines for AHT were established and updated in 2020.

Purpose of the Study:

  • To review the progress and current status of addressing abusive head trauma (AHT) in Canada.
  • To compare AHT incidence in Canada with international data.
  • To highlight prevention strategies and global data challenges for AHT.

Main Methods:

  • Review of historical milestones in AHT recognition in Canada.
  • Comparison of Canadian AHT incidence with international population-based studies.
  • Analysis of AHT prevention strategies, focusing on infant crying management.
  • Discussion of factors limiting global AHT data collection.

Main Results:

  • Canada has developed national strategies and guidelines for AHT since 1999.
  • The incidence of AHT in Canada is comparable to that in Switzerland and New Zealand.
  • Parental education on managing infant crying is the primary AHT prevention method in Canada.
  • Global AHT data is scarce due to socio-cultural variations and inconsistent medico-legal recognition.

Conclusions:

  • Canada has made significant advancements in addressing abusive head trauma (AHT).
  • Effective prevention relies heavily on educating caregivers about infant crying.
  • International collaboration and standardized reporting are needed to understand global AHT incidence.