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Why has it been so desperately to move from knowing to doing? First, most of the decisions affecting children are made not by those in the health sector, but by our professional colleagues in the agriculture, education, energy, housing, mining, and transportation sectors. Just like are from Mars and women are from Venus, it appears as if professionals in each of those sectors are from different planets. Although we might speak the same language, we rarely have more than a cursory understanding of the forces that shape one another decisions and other considerations. Because the CEH movement has focused on educating the health community, few efforts have been made to establish relationships with other economic sectors. To use a developmental analogy, we are still involved primarily in play rather than team sports. Professionals in the health sciences may work alongside professionals in other sectors, but we are absorbed in our own activities and usually have little interaction outside them. Instead of sitting at the table with urban planners, housing specialists, and energy experts when health professionals are intending an approach to a child health problem for example asthma, we usually move ahead to design a study, implement it, analyze the results, and then present it as a fait accompli to the colleagues in other economic sectors, and hope that they'll find it useful.
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