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Abstract:
In Vancouver, as in most metropolitan areas, families with preschoolers (infants to five-year-olds) are diverse in language, culture, ethnicity, class and socio-economic status. Immigration, transiency, very young families, single-parent families, poverty and rapid land development are characteristic in some areas. Despite this diversity, the community health nurses of the Vancouver health department have a mandate to provide early intervention and health promotion services for the preschoolers of this population. This has proved to be quite a challenge.