scholarly journals Rising Pediatric Morbidity and Mortality in the Developing World

Cureus ◽  
2021 ◽  
Author(s):  
Haider Ali ◽  
Sina Aziz



Author(s):  
Adam M Gembe ◽  
◽  
Erhad Bilaro ◽  

Stroke is among the common emergency department presentations in Tanzania at large. In the developing world, still there are challenges in diagnosis, management and monitoring of these cases hence high morbidity and mortality. A one month case series is presented here, from Pwani region Tanzania, to demonstrate the encountered challenges. Keywords: Acute stroke management clinician; Community unawareness.



This case focuses on complications during a child’s surgery by asking the question: What are the rates of perioperative adverse events among children of different ages? This was a large study that provided estimates of the rates for adverse perioperative events among children. The study used data from 29,220 anesthetics collected from 1982 to 1987 and analyzed the rate of perioperative adverse events for children in five age groups. Overall, approximately 40% of children experienced at least one perioperative adverse event. Over the 6 years of the study, there was a decrease in the rate of postoperative events. Despite the number of perioperative adverse events, there was little parental dissatisfaction with the anesthetic experience.



Author(s):  
Michelle Barton ◽  
Kayur Mehta ◽  
Kriti Kumar ◽  
Jielin Lu ◽  
Nicole Le Saux ◽  
...  

ABSTRACTBACKGROUNDEstimates of pediatric morbidity and mortality from COVID-19 are vital for planning optimal use of human and material resources throughout this pandemic.METHODSGovernment websites from countries with minimum 1000 cases in adults and children on April 13, 2020 were searched to find the number of cases confirmed in children, the age range, and the number leading to hospitalization, intensive care unit (ICU) admission or death. A systematic literature search was performed April 13, 2020 to find additional data from cases series.RESULTSData on pediatric cases were available from government websites for 23 of the 70 countries with minimum 1000 cases by April 13, 2020. Of 424 978 cases in these 23 countries, 8113 (1.9%) occurred in children. Nine publications provided data from 4251 cases in 4 additional countries. Combining data from the websites and the publications, 330 of 2361 cases required admission (14%). The ICU admission rate was 2.2 % of confirmed cases (44 of 2031) and 7.2% of admitted children (23 of 318). Death was reported for 15 cases.CONCLUSIONChildren accounted for 1.9% of confirmed cases. The true incidence of pediatric infection and disease will only be known once testing is expanded to individuals with less severe or no symptoms. Admission rates vary from 0.3 to 10% of confirmed cases (presumably varying with the threshold for testing) with about 7% of admitted children requiring ICU care. Death is rare in middle and high income countries.



2020 ◽  
Vol 59 (4-5) ◽  
pp. 375-379 ◽  
Author(s):  
James B. Leonard ◽  
Elizabeth Quaal Hines ◽  
Wendy Klein-Schwartz

Iron poisoning was a leading cause of pediatric morbidity and mortality. We sought to assess whether the removal of strict iron packaging requirements in 2003 resulted in an increase in iron-related morbidity and mortality in pediatric exposures. We performed a retrospective cohort study utilizing the National Poison Data System from 2000 to 2017. A total of 4110 exposures met inclusion criteria: 847 from before (2000-2003) and 3263 after removal of unit-dose package regulations (2004-2017). The incidence of any marker of severity (7.2% vs 3.8%; odds ratio = 0.51, 95% confidence interval = 0.37-0.69) and frequency of deferoxamine use were both higher in the early time period (2.6% vs 1.0%; odds ratio = 0.38, 95% confidence interval = 0.22-0.66). There was no difference in the frequency of key serious effects (acidosis, elevated transaminases, hypotension). Despite removal of iron packaging regulations in the United States, there continues to be a decrease in the incidence of severe iron exposures in children.



2010 ◽  
Vol 21 (1) ◽  
pp. 1-23 ◽  
Author(s):  
ANGUS RITCHIE ◽  
MARK A BROWN

Pre-eclampsia (PE) remains the leading cause of maternal and fetal mortality in the developed world and parts of the developing world. Morbidity and mortality from PE is increased in the developing world compared to the developed world, as availability and access to antenatal care and pathology services are limited.



Disasters ◽  
1979 ◽  
Vol 3 (2) ◽  
pp. 191-193
Author(s):  
William E. Woodward


2009 ◽  
Vol 45 (3) ◽  
pp. 205-209 ◽  
Author(s):  
Patrick J. O’Neill ◽  
Mary Foster Lumpkin ◽  
Benjamin Clapp ◽  
Tammy R. Kopelman ◽  
Marc R. Matthews ◽  
...  


1997 ◽  
Vol 2 (2) ◽  
pp. 15-16
Author(s):  
B Cryan ◽  
M Lynch ◽  
D Whyte

Acute diarrhoeal disease is the commonest single cause of morbidity and mortality worldwide. Infectious diarrhoea has been estimated to cause at least 5 million deaths each year in the developing world. Very young children are particularly susceptible to



Sign in / Sign up

Export Citation Format

Share Document