Vulnerability of children: more than a question of age.

The vulnerability of children in disasters is well-established. Children are at greater risk of the impacts of disasters because of both their age and level of physiological, anatomical, cognitive and emotional development. Frequently overlooked, however, is the influence of other social and health determinants. This article highlights the importance of family and household income in determining the ability of children to withstand the shocks of catastrophic events. Children raised in lower income families are made disadvantaged in multiple ways; by poor living and neighbourhood conditions, less stable home environments, as well as lower levels of education and health care. During disasters, lower income families and children suffer disproportionately, both because they are frequently the hardest hit but also because they have fewer resources with which to cope. The article emphasises not only the importance of understanding the vulnerability of children within a broader family context, but a continuing requirement for public health and emergency planners to integrate more fully the diverse needs of children and families into emergency preparedness policies and plans.