Children are more likely to die as babies, five-year-olds have rotting teeth and a quarter of youngsters are obese by their final year of primary school.
A series of reports presented to councillors at a health scrutiny meeting has painted a grim picture of the challenges faced by children growing up in Oldham.
But health chiefs say the situation is unlikely to substantially change for the better unless more families are lifted out of poverty and deprivation.
The borough’s infant mortality rate, where a child dies under the age of one, has been higher than the England rate ‘consistently’ for more than a decade.
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