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This article is an electronic version of an article originally
published in Cultic Studies Journal, 2000, Volume 17, pages 1-14. Please keep in
mind that the pagination of this electronic reprint differs from that of the
bound volume. This fact could affect how you enter bibliographic information in
papers that you may write.
Child Fatalities From Religion-Motivated Medical Neglect
Seth M. Asser
University of California, San Diego
School of Medicine
Rita Swan
Children's Healthcare is a Legal Duty (CHILD)
Abstract
Objective. To evaluate deaths of children from families in which faith healing
was practiced in lieu of medical care and to determine if such deaths were
preventable.
Design. Cases of child fatality in faith-healing sects were reviewed.
Probability of survival for each was then estimated based on expected survival
rates for children with similar disorders who receive medical care.
Participants. One hundred seventy-two children who died between 1975 and 1995
and were identified by referral or record search. Criteria for inclusion were
evidence that parents withheld medical care because of reliance on religious
rituals and documentation sufficient to determine the cause of death.
Results. One hundred forty fatalities were from conditions for which survival
rates with medical care would have exceeded 90%. Eighteen more had expected
survival rates of > 50%. All but three of the remainder would likely have had
some benefit from clinical help.
Conclusions. When faith healing is used to the exclusion of medical treatment,
the number of preventable child fatalities and the associated suffering are
substantial and warrant public concern. Existing laws may be inadequate to
protect children from this form of medical neglect. Pediatrics 1998;
101;625-629; child abuse, child neglect, child fatality, Christian Science,
faith healing, medical neglect, prayer, religion and medicine.
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