{'fraction_non_alphanumeric': 0.02700646633701027, 'fraction_numerical': 0.014834537847090148, 'mean_word_length': 4.692640692640692, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Paediatric medical care for children and young people with eating disorders: Achievements and where to next

No other diagnoses epitomise the need for dual consideration of mental and physical health more than eating disorders. Anorexia Nervosa (AN) for example has the highest mortality rate of any mental health disorder, and half of deaths are thought to be due to physical complications (Sullivan, 1995). For this reason it is crucial for acute paediatrics and eating disorder teams to work closely over the assessment and management of these disorders, particularly in the early stages when physical risks are often highest. This is not as easy as it sounds: mental health and physical health teams are often geographical distant from each other, have different ways of working, and may even view and speak of risk in different ways. Despite this, as for many countries, in the United Kingdom (UK), the journey to provide better paediatric care for children and young people (CYP) with eating disorders has been a gradual one, albeit with a number of recent victories. As two paediatricians working with CYP with eating disorders and eating disorder teams in the UK, we summarise the important developments of the past 10 years in the UK, and look to future steps. The case for the joining up physical and psychological care in CYP health is powerful. Globally, the last 50 years has seen a significant shift in the epidemiology of child health from communicable to non-communicable disease, with death rates in the under 5s being exceeded by the adolescent age groups (Viner et al., 2011). More than half of deaths in the 15 to 19 year old age group in the UK are closely linked to mental health, being due to external causes such as injuries and poisonings, substance abuse or suicide (Royal College of Paediatrics and Health Child Health, 2019). In the post vaccine era in the UK, the incidence of eating disorders in children now exceeds that of meningococcal disease (Hudson et al., 2011). Indeed, at the time of writing, as the COVID-19 pandemic has swept across almost every country in the world, the biggest risk posed to children and young people is likely to be their mental health (Holmes et al., 2020). In most middle and high income countries, there has been an increase in survival of CYP with longstanding conditions, meaning an increase in prevalence (Van Cleave et al., 2010), and as chronic illness becomes more common, so does the impact on the mental health in those same people (Eccleston et al., 2015). For example, young women with type I diabetes mellitus are almost twice as likely to have an eating