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Health of refugee children: Broader lessons to be learned

In the latest edition of Australia’s Health 1 the health of Australia’s children appears fairly robust, however, further examination of these statistics is more alarming. Not all children are doing so well. For example, the perinatal death rate and child mortality for Indigenous children is still at least double that of other Australian children. Children in rural areas have higher rates of injury morbidity and mortality. 2 Poorer children are more obese, 3 have more mental health problems 4 and have poorer literacy and numeracy results at school. 5 Unfortunately, we lack specific data about a number of diverse groups in Australia that are often at risk, particularly refugee and immigrant children. These data reflect the considerable inequality in health and developmental outcomes for children in Australia. Paediatricians have the opportunity to play a key role in looking after the health of all Australian children, however, there are a number of significant clinical and advocacy challenges in undertaking this role, many of which have been highlighted by Davidson et al . in their papers focusing on refugee children. 6,7 These issues are relevant not only to refugee children, but to many children in Australia. In fact, what is striking from these papers is not that there is something very different about the issues for refugee children, but that the issues are so very similar to those that face many children and challenge health care providers around Australia everyday.