Abstract
Children of poverty and children of industrialization share problems inherent in their vulnerability to environmental conditions and their dependence on leaders to protect them. Children are often the silent sentinels of changing conditions. Unable to articulate their concerns, and possessing immature physiologic systems, the very young are vulnerable to disease. Sophisticated and sustainable societies can be measured in part by the health of their children; nursing leaders have the vision, authenticity, and power to influence a broad constituency. This article discusses the impact of the environment on children's health and the important role of nurse leaders.