To the Editor.—

A recent annotation by "Student" (Pediatrics 1989;83:180) is a quote from a letter from Johnson and MacFarlane in The Lancet of July 16, 1988, stating that, in geographically defined populations, a reduction in the level of morbidity among low birth weight survivors has not yet been demonstrated. We believe that there are, however, some encouraging signs.

There is a report from the Federal Republic of Germany1 describing a reduction in the frequency of neurologic sequelae in a very low birth weight population, born between 1977 and 1983, from a neonatal intensive care unit.

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