The next few years are marked by continued physical growth, but at a slower rate than during infancy and early childhood. Personality traits become more established and, as the child progresses in school, intellectual development broadens. From now on, the best indication of a child's social and intellectual progress will come from teachers. The next few years are generally smooth ones. The next most trying period for both children and parents is puberty and adolescence.
Most states require children to be vaccinated before starting school.