In Florida and many other States, a doctor (including pediatricians and emergency room doctors) have a duty to report incidents or suspicions of abuse to State and / or local authorities. A study reported that 21 percent of physical injuries are consistent with abuse are not reported by health care professionals. There may be an increase in the incidents of child abuse due to the bad economy. Parents, often times stressed by the job market or mounting bills, will take out their stress on their children. Health care professionals including doctors need to be aware and trained as necessary on the signs and symptoms of abuse. It is also important for health care professional to know where and how to report incidents of abuse. See Reporting of Abuse by Health Care Professionals – Need for Better Reporting.