CRC/C/GC/9
Page 15
52.
It is important to emphasize that health services should be provided within the same
public health system that provides for children with no disabilities, free of charge, whenever
possible, and as updated and modernized as possible. The importance of community-based
assistance and rehabilitation strategies should be emphasized when providing health services
for children with disabilities. States parties must ensure that health professionals working
with children with disabilities are trained to the highest possible standard and practice based
on a child-centred approach. In this respect, many States parties would greatly benefit from
international cooperation with international organizations as well as other States parties.
B. Prevention
53.
Causes of disabilities are multiple and, therefore, the quality and level of prevention
vary. Inherited diseases that often cause disabilities can be prevented in some societies that
practice consanguineous marriages and under such circumstances public awareness and
appropriate pre-conception testing would be recommended. Communicable diseases are still
the cause of many disabilities around the world and immunization programmes need to be
stepped up aiming to achieve universal immunization against all preventable communicable
diseases. Poor nutrition has a long-term impact upon children’s development and it can lead
to disabilities, such as blindness caused by Vitamin A deficiency. The Committee
recommends that States parties introduce and strengthen prenatal care for children and ensure
adequate quality of the assistance given during the delivery. It also recommends that States
parties provide adequate post-natal health-care services and develop campaigns to inform
parents and others caring for the child about basic child healthcare and nutrition. In this
regard, the Committee also recommends that the States parties continue to cooperate and seek
technical assistance with, among others, WHO and UNICEF.
54.
Domestic and road traffic accidents are a major cause of disability in some countries
and policies of prevention need to be established and implemented such as the laws on seat
belts and traffic safety. Lifestyle issues, such as alcohol and drug abuse during pregnancy, are
also preventable causes of disabilities and in some countries the fetal alcohol syndrome
presents a major cause for concern. Public education, identification and support for pregnant
mothers who may be abusing such substances are just some of the measures that may be
taken to prevent such causes of disability among children. Hazardous environment toxins also
contribute to the causes of many disabilities. Toxins, such as lead, mercury, asbestos, etc., are
commonly found in most countries. Countries should establish and implement policies to
prevent dumping of hazardous materials and other means of polluting the environment.
Furthermore, strict guidelines and safeguards should also be established to prevent radiation
accidents.
55.
Armed conflicts and their aftermath, including availability and accessibility of small
arms and light weapons, are also major causes of disabilities. States parties are obliged to
take all necessary measures to protect children from the detrimental effects of war and armed
violence and to ensure that children affected by armed conflict have access to adequate health
and social services, including psychosocial recovery and social reintegration. In particular,
the Committee stresses the importance of educating children, parents and the public at large
about the dangers of landmines and unexploded ordnance in order to prevent injury and
death. It is crucial that States parties continue to locate landmines and unexploded ordnance,
take measures to keep children away from suspected areas, and strengthen their mine
clearance activities and, when appropriate, seek the necessary technical and financial support
within a framework of international cooperation, including from United Nations agencies.