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perceived little connection between their health and safety problems and their alcohol and<br />

drug use.<br />

2.4.3 Health issues<br />

The United Nations' Year of the Child and its Declaration on the Rights of Children<br />

focused much attention on the situation of street children in less developed countries<br />

throughout the world. The situation includes violence directed toward street children,<br />

such as police brutality, frequent imprisonment, and even (in at least one case) killings of<br />

street children that are informally sanctioned and abetted by officials and the media. In<br />

their haste to condemn these intolerable conditions in the less developed nations, many<br />

commentators in the more developed countries have all too easily forgotten that the<br />

conditions of children in their own countries have steadily deteriorated in the past decade.<br />

There is every reason to expect that street children experience exceptionally widespread<br />

health problems, an expectation that is borne out by what little research exists. For<br />

instance, there are studies that compared the health problems of 110 street children in Los<br />

Angeles to those of 655 children in normal family home who had been seen in the same<br />

health clinics. Among the conclusions of the study were that street youth are at greater<br />

risk for a wide variety of medical problems and of health-compromising behaviours<br />

including suicide and depression, prostitution, and drug use.<br />

It has been noted that more widespread among the street children were genitourinary<br />

problems, hepatitis, asthma, serious respiratory infections (pneumonia), lice, drug abuse,<br />

and trauma. Life on the streets or even in institutions, such as refuges or detention<br />

centres, away from family, caring adults, and normal routines, has been shown to be<br />

hazardous to health. About 75% of this group have sought medical care since becoming<br />

homeless.<br />

The high medical risk of homelessness is apparent in the list of medical problems<br />

reported by this group that range from what medical informants emphasize are common<br />

ailments experienced by homeless persons, such as scabies, head lice, foot problems, and<br />

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