Background: Aceh, Indonesia, was the hardest-hit area in the 26 December 2004 Indian Ocean earthquake and tsunami, with more than 500,000 people displaced, 120,000 people dead, and total damages and losses estimated at $4.5 billion. The relief effort following the tsunami was also immense. Objectives: This study aimed to determine and assess utilization patterns of formal public versus private ...

Belfast: A Report of two years' experience at the Royal Belfast Hospital for Sick Children By 0. D. FISHER, M.D., M.R.C.P., D.C.B. Department of Child Health, Queen's University of Belfast, and the Royal Belfast Hospital for Sick Children ACCIDENTAL poisoning by ingestion of toxic substances, especially medicaments, is a notable but preventable cause of death in young children. Swinscow (1953) ...

OBJECTIVES To investigate the association between sick leave prescription and physician burnout and empathy in a primary care health district in Lleida, Spain. METHODS This descriptive study included 108 primary care doctors from 22 primary care centers in Lleida in 2014 (183,600 patients). Burnout was measured with the Maslach Burnout Inventory and empathy with the Jefferson Scale of Physici...

BACKGROUND Child undernutrition is one of the major public health problems in the developing countries having a devastating effect on the lives of many children under five years of age. However, its causes are multitude and not uniformly understood enough across the various parts of the world and that a thorough understanding of these causes is required to design appropriate intervention. The o...

Lassa fever (LF), an acute viral haemorrhagic fever, is an endemic zoonotic viral infection in West Africa countries with up to 15% case fatality rate. Though a rodent-borne infection, it can also be transmitted from person to person during the care of sick relations or more commonly in health care settings as a nosocomial infection. Vertical transmission from mother to child has been documente...

In an urban area of Guinea-Bissau, where more than 80% of the children have been vaccinated, measles continues to be a major cause of child mortality. Compared with the period before the introduction of vaccination, more cases occur outside the community, while more cases within the district are now guests and newcomers. Half of the new introductions of measles into the community and 30% of the...

BACKGROUND Children discharged from hospitals in developing countries are at high risk of morbidity and mortality. However, few data describe these outcomes among children seen and discharged from rural outpatient centers. OBJECTIVE The objective of this exploratory study was to identify predictors of immediate and follow-up morbidity and mortality among children visiting a rural health cente...

OBJECTIVE Mental health problems often affect functioning to such an extent that they result in sick leave. The worldwide reported prevalence of mental health problems in the working population is 10%-18%. In developed countries, mental health problems are one of the main grounds for receiving disability benefits. In up to 90% of cases the cause is stress-related, and health-care utilisation is...

OBJECTIVE Although private insurance typically covers many health care costs, the challenges faced by families who care for a sick child are substantial. These challenges may be more severe for children with special health care needs (CSHCN) with mental illnesses than for other CSHCN. Our objective was to determine if families of privately insured children who need mental health care face diffe...

The evolution of international standards on child rights 1924 The League of Nations adopts the Geneva Declaration on the Rights of the Child. The declaration establishes children’s rights to means for material, moral and spiritual development; special help when hungry, sick, disabled or orphaned; first call on relief when in distress; freedom from economic exploitation; and an upbringing that ...