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By C. David Jenkins

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Make healthy foods more popular and accessible. • Make tobacco harder to get. • Increase taxes on tobacco products. • Develop social norms against cigarettes as dirty, harmful. Separate agent from host • Wear seat belts. • Install air bags. • Keep fatty foods and cigarettes out of the home. • Make the home, workplace, health facility smoke-free. • Limit purchase places. Interrupt transmission • Move damage off-road. • Set up flares to prevent additional automobile accidents. • Issue penalties for recurring violations.

Diarrheal diseases and intestinal parasites reduce the nutrient stores in the mother, and, if severe enough, can malnourish the fetus (Perez-Escamilla and Pollitt, 1992; Last, 1986, pp. 1515–1531). Research in recent decades has highlighted the damaging effects of “everyday toxins” such as those contained in cigarette smoke and alcohol. It has been well established that these are risk factors for low birthweight—which is a common intermediary for immature development—congenital anomalies, and infant mortality.

Complications of pregnancy, often rooted in the first three causes, add their toll as well. The foundations for healthy babies come from educating and motivating youth well before their fertile years. Potential problems can be monitored and often prevented by alert prenatal care begun in the first trimester and continued throughout pregnancy. Poor nutrition is more often due to a lack of protein, minerals (especially iodine and Poor nutrition, infections, and toxins iron), and vitamins (especially folic acid), are the three most frequent—and than to simple caloric deficits.

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