MSF Paediatric Days 2021 - Virtual Edition
In humanitarian settings, access to specialists is often limited or absent. The MSF telemedicine store and forward network provides a space for online discussion with different specialists. Complemented with specific planned sessions, real-time discussion can occur among all parties involved, facilitating the resolution of complex cases.
The Ebola virus disease (EVD) outbreak declared in August 2018 in the Democratic Republic of Congo (DRC) is associated with a 62% mortality rate, with children accounting for 1/3 of cases. Infection prevention & control (IPC) protocols, the limitations of care in a remote field setting, and psycho-social aspects (including fear & lack of community acceptance) renders the care of critically & terminally ill paediatric patients more complex.
This study tested the feasibility of a simplified protocol (Optimizing treatment of acute malnutrition, or OptiMA) in Niger. OptiMA proposes three changes to the current national protocol: screening of acute malnutrition in the household by caretakers using mid-upper arm circumference (MUAC) bracelets; admission of children 6-59 months based on low MUAC or edema; and gradual dose reduction of ready-to-use therapeutic food (RUTF) during the course of recovery.
• Surfactant has been effectively used in neonates for several decades • It is unknown if the technique should change based on the population being treated and drug composition and/or volume; and how this can affect distribution • The McGill University Health Center (MUHC) neonatal unit uses Bovine Lipid Extract Surfactant (BLESTM ), given in a dose of 5mL/kg at a concentration of 27mg phospholipids/mL . • This low-cost surfactant has been used since 1983 but some adverse events were reported during instillation in infants with birth weight < 1000g, mainly the occurrence of severe airway obstruction (SAO). • Evidence based medicine suggests that following three specific administration steps reducing adverse outcomes: • Pre-recruitment of the lungs • Manual bagging during the procedure • The administration of a bolus dose for better distribution in the lungs
Using mid-upper arm circumference (MUAC) as a single anthropometric criterion for admission and discharge in a nutritional program offers operational advantages.
•Insuffisance hépatocellulaire: Altération des fonctions hépatocytaires, pouvant être secondaire à de multiples causes selon l’âge • Morbidité et mortalité : 60 – 80% • Au stade d’encéphalopathie hépatique, la mortalité chez l’adulte atteinte 80%. Chez l’enfant, la survie est meilleure étant donné les capacités de régénération du foie
Sierra Leone has one of the highest maternal and child mortality in the world. Stunting affects 29.5% of children under 5 years old and wasting 5.4% with peak incidence between 0 to 3 months. Breastfeeding has been promoted by the government in Sierra Leone to reduce infant mortality, and since 2000, the proportion of exclusively breastfed chIldren <6m that make up the patient population in MSF Hangha Hospital is a significant 21% since the opening in March 2019.In light of these two factors, the IFTC team wanted to improve and sustain the promotion of breastfeeding for this specific group of patients.
Wandor (GMW) since 2017. The project primarily focuses on pregnant women and children aged under five, and provides essential drugs, therapeutic food, and medical materials when needed. Teams are also engaged in capacity building, health promotion activities, and integrated community case management (iCCM) of malaria and diarrhoea. After three years, a slight change in health-seeking behaviour was observed but the practices of traditional healers and people’s attitudes towards them remain largely unknown. The GMW project therefore requested a qualitative study on the population’s health-seeking behaviour.
The healthcare of the increasing number of migrants in Europe and particularly of the unaccompanied minors (UMs) seeking asylum, has become a major challenge. We aimed to describe the health issues of UMs managed in a dedicated pediatric consultation in a care center in Paris.