Global & Disaster Medicine

Archive for the ‘Kids-Infants’ Category

Maternal and neonatal mortality is high in Africa. Why?

Lancet

Volume 7, ISSUE 4,
Pe513-e522, April 01, 2019
Maternal and neonatal outcomes after caesarean delivery in the African Surgical Outcomes Study: a 7-day prospective observational cohort study

“…….Findings

Between February, 2016, and May, 2016, 3792 patients were recruited from hospitals across Africa. 3685 were included in the postoperative complications analysis (107 missing data) and 3684 were included in the maternal mortality analysis (108 missing data). These hospitals had a combined number of specialist surgeons, obstetricians, and anaesthetists totalling 0·7 per 100 000 population (IQR 0·2–2·0). Maternal mortality was 20 (0·5%) of 3684 patients (95% CI 0·3–0·8). Complications occurred in 633 (17·4%) of 3636 mothers (16·2–18·6), which were predominantly severe intraoperative and postoperative bleeding (136 [3·8%] of 3612 mothers). Maternal mortality was independently associated with a preoperative presentation of placenta praevia, placental abruption, ruptured uterus, antepartum haemorrhage (odds ratio 4·47 [95% CI 1·46–13·65]), and perioperative severe obstetric haemorrhage (5·87 [1·99–17·34]) or anaesthesia complications (11·47 (1·20–109·20]). Neonatal mortality was 153 (4·4%) of 3506 infants (95% CI 3·7–5·0)……..”

UNICEF: Global cases of measles are surging to alarmingly high levels, led by 10 countries accounting for more than 74% of the total increase.

Unicef

Countries with ten highest increases in cases between 2017 and 2018

Ukraine 30,338
Philippines 13,192
Brazil 10,262
Yemen 6,641
Venezuela 4,916
Serbia 4,355
Madagascar 4,307
Sudan 3,496
Thailand 2,758
France 2,269


2/25/1984: A huge gas leak explosion destroys a shantytown in Brazil, killing at least 500 people, mostly young children.

HxC

“….When workers opened the wrong pipeline on February 24, highly combustible octane gas poured into the ditches of Vila Soco. Soon after midnight, an explosion was sparked, and a fireball ripped through the favela. Some homes were literally thrown hundreds of feet into the air; others were instantly incinerated. The temperature at the heart of the fireball was estimated at 1,800 degrees Fahrenheit…..”

 

 


Guatemala, 2017: After hours of incarceration someone lit a match. Fire, a locked door, guards nearby, and 41 girls dies

NYT


Pakistan has the highest infant mortality rate in the world


Venezuela: The only South American country with infant mortality rates that have risen back to 1990s levels

Thompson Reuters

“……Venezuela’s infant mortality rate – defined as the number of deaths under one year of age – was 21.1 deaths per 1,000 live births in 2016 – up by 1.4 times the rate in 2008.
This is the equivalent to levels recorded in the late 1990s, meaning 18 years of progress may have been lost…..”


Somalia: Pediatric Surgical Conditions

JAMA

Prevalence of Pediatric Surgical Conditions Across Somaliland

JAMA Netw Open. 2019;2(1):e186857.
“…..The most common conditions encountered were congenital anomalies (33.8%) and wound-related injuries (24.6%)…  Nationally, an estimated 256 745 children have surgical conditions, with an estimated 88 345 to 199 639 children having unmet surgical needs.…”

More than 303,500 women – 99 percent of them in developing countries – died during childbirth in 2015, according to the World Health Organization. In addition, some 2.7 million babies died in their first month, mainly from complications during pregnancy or childbirth.

Maternal-Infant Mortality

“……Hemorrhages, high blood pressure and infections accounted for three-fourths of maternal deaths.….”


Pediatric considerations in radiological emergencies: new recommendations

AAP

The reports, Pediatric Considerations Before, During, and After Radiological/Nuclear Emergencies, are available at

http://pediatrics.aappublications.org/content/early/2018/11/21/peds.2018-3000 and

http://pediatrics.aappublications.org/content/early/2018/11/21/peds.2018-3001

and will be published in the December issue of Pediatrics.


10 brilliant technological innovations to save moms and babies

For many mothers and babies around the world, the first 48 hours after birth are the most dangerous of their lives. For eight years, Saving Lives at Birth—spearheaded by USAID—has challenged problem solvers worldwide to create innovative solutions to make birth safer and save lives.


Categories

Recent Posts

Archives

Admin