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Retrospective and descriptive study based on a review of medical records of CSA cases from at Sulmaniya Medical Complex, the main secondary and tertiary medical care facility in Bahrain. The review included demographic data, child and family characteristics, manifestations and interventions. The children diagnosed with CSA had a mean age of 8 years range, 9 months to 17 years ; were males There was a steady increase in cases from 31 per year in to 77 cases in Genital touching and fondling Children came from all socio-economic classes.

During ten years there has been a 2. Improving the skill of professionals in identifying CSA indicators and a mandatory reporting law might be needed to improve the rate of recognition and referral of CSA cases. Further general population-based surveys are needed to determine more accurately the scope of CSA and the risk and protective factors in the family and community.

Child abuse and neglect is a common problem in pediatrics and a major public health concern world-wide. The association between child abuse and neglect and the leading causes of death are well illustrated in several studies worldwide. In the US, the adverse childhood experiences ACE study showed a strong link between child abuse and neglect and chronic diseases such as obesity, heart disease, diabetes, hypertension and cancer.