Confronting the Social Determinants of Health — Obesity, Neglect, and Inequity

sion to file a report in this case was based on three considerations: concerns that the severity and trajectory of the girls’ medi cal problems portended lifethreatening and potentially irreversible end-organ disease with lifelong sequelae; the hope that CPS involvement might bolster medical adherence by providing support services; and the dearth of other reasonable options for engaging the family in appropriate care. As the obesity epidemic un