Levels of violence, abuse and neglect in early childhood are reported internationally as having reached epidemic proportions. The prevalence of all forms of violence to children has been difficult to establish, particularly in low and middle income countries. However, even in countries with a high GDP, the sexual abuse of children and young people by predatory adults may continue undetected for decades. In parts of Africa young children are mutilated and killed for religious reasons. Physical beatings that injure and break bones are still common in the Western world. Pornography and sexual...