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Physicians routinely incorporate strategies for prevention of illness and injury into routine health supervision. Immunizations have resulted in a drastic reduction in the rates of certain infectious diseases and, consequently, on their attendant morbidity and mortality. Currently, injuries, rather than infections, cause the majority of deaths in childhood and adolescence. Illness and injury prevention must be a prominent and recurrent theme during health maintenance and other health care visits. Unfortunately, not all injury is unintentional. Some are self-inflicted and some intentionally caused by others. Motor vehicle accidents, homicide and suicide are the three leading causes of death for adolescents. Abuse also occurs at all ages.