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Showing posts with label adoption. Show all posts
Showing posts with label adoption. Show all posts

Thursday, May 8, 2008

China Hails Doctor For Raising Child Virus Alarm - New York Times

Sent to you by john via Google Reader:

via www.nytimes.com on 5/8/08
The New York Times

May 8, 2008

China Hails Doctor For Raising Child Virus Alarm

By REUTERS

Filed at 11:43 p.m. ET

BEIJING (Reuters) - A deadly strain of hand, foot and mouth disease has killed two more children in China, bringing the death toll in recent weeks to 32, state media said on Friday, as it praised a doctor who alerted authorities to the epidemic.

An eight-month-old girl and a boy aged one and a half, who both died in southern China, were the latest victims of an outbreak international experts have warned has yet to peak.

Hand, foot and mouth is a common childhood illness, but in the current outbreak, has been linked with enterovirus 71 (EV71) which can cause a severe form of the disease characterized by high fever, paralysis and meningitis.

The girl died early Monday morning in Guangdong province, which has registered four deaths from EV71, after emergency treatment failed, Xinhua said.

The boy, from the neighboring Guangxi region, started running a fever and coughing on Saturday but his parents didn't take him to hospital until Tuesday, when he fell into a coma. Doctors could not save him and he became Guangxi's second victim.

A cluster of EV71 cases in Fuyang in the central province of Anhui in March saw 22 deaths. Some 104 patients remain in critical condition across the province, official media has said.

The outbreak was not made public until late April, triggering memories of the deadly SARS epidemic that crippled China in 2003 and provoking calls for Fuyang officials to be sacked.

The World Health Organisation has said the delay was not because of any cover-up, but was due to problems local doctors faced trying to identify the illness.

China has since issued a nationwide alert, closing kindergartens and sending officials to visit nurseries and primary schools and educate staff on hygiene and prevention.

A U.S. health official offered to assist China in curbing the outbreak, and U.S. Health Secretary Michael Leavitt is to visit Beijing next week, Xinhua reported.

"We are willing to help China in any way possible with this issue," it quoted William Steiger, head of the Office of Global Health Affairs at the U.S. Department of Health, as saying.

State media Friday was filled with praise for a doctor who called in experts after she was baffled by the deaths of several children that colleagues insisted were just suffering severe colds or flu.

The official People's Daily carried a tribute with the headline "We salute you, Fuyang's Liu Xiaolin," comparing Liu to a doctor who helped lead the fight against the deadly SARS virus.

"We have no way to count how many children were treated and cured because of Liu Xiaolin's responsibility and steadfastness; there is also no way to calculate how many families avoided the epidemic because of her sharpness and courage," it said.

Liu had previously helped uncover a baby milk scandal, when fake formula made without key nutrients caused the death by malnutrition of several children.

(Reporting by Emma Graham-Harrison and Lindsay Beck; Editing by Nick Macfie)


Things you can do from here:

Tuesday, April 15, 2008

travel kit recommendations

Travel kit recommendations
Stuff to tide you and the little one over in your travels...
-Tylenol (acetaminophen) liquid preparation for the infant: Approximately 1 to 1 1/2 teaspoons depending on weight.

-Motrin (Ibuprofen) liquid preparation for the infant: Approximately 1 to 1 1/2 teaspoons depending on weight.

-hydrocortisone 1% for itching; hydrocortisone 2.5% for eczema or inflamed itchy skin (this is a prescription only)

-triple antibiotic ointment for topical cuts and abrasions

-Benadryl or diphenhydramine suspension for congestion and some forms of cough, usually not useful for children under 2 yrs of age. (this is the reason many of the otc products have been pulled from the market.)

-thermometer

-bandages

-electrolyte solution, such packaged (powdered) Pedialyte

-infant formula(one cow's milk based such as Similac or Enfamil: No need for lactose-free)

-soy milk based formula if formula intolerance is suspected

-moisturizing cream: (Cetaphil, Eucerin)

-antibiotic alcohol based and wipes
-simethicone drops for infants (often not very helpful and not harmful, and makes you fell like you are doing something)

-Pepto-Bismol for parents

-DEET-based mosquito repellent 10% for the child (more relevant in rural contexts)

-tweezers, scissors, alcohol

-diaper cream (any zinc oxide based product/petroleum)10%-40% (butt paste, AND ointment,

-nystatin or clotrimazole ointment for fungal diaper rash (can be found in local pharmacy foot section), or I can prescribe it.
-earplugs for travel, can be nice to give to people around you and alleviate your discomfort and their discomfort with a crying infant.

I do not think that you need any antibiotics by mouth. Where bacterial infections are suspected, I prefer that the child be examined and treated by a local physician generally. In most countries, some kind of Western based medical clinics are available.
Depending on your preference, I can prescribe anti-scabies medications. Occasionally children are infested with scabies and it certainly improves the quality of life in the first several weeks, if you treat the child. This may also prevent spread to the rest of the family. Please let me know what your preference is.