Здоровье для всех
Participamos el Dr. Luis Echezuria Marval y mi persona en el EUROPAEDIATRICS 2009 celebrado en la ciudad de Moscu, Rusia los días 3 al 6 de julio. Representamos con orgullo a nuestra casa de estudios la FACULTAD DE MEDICINA de la UNIVERSIDAD CENTRAL DE VENEZUELA y a nuestras Sociedades Científicas Venezolanas de Puericultura y Pediatria, de Salud Pública y de Infectología.
La experiencia enriquecedora desde el punto de vista profesional y mucho intercambio científico y cultural con colegas de toda Europa, presentamos 2 posters que fueron evaluados por el jurado examinador y recibieron sus aplausos y reconocimiento por la participación.
FELiCITACIONES también a los estudiantes de medicina que participaron en la investigación y su credencial internacional por un trabajo bien realizado, Uiversitarios Eduardo Peñaloza, Ordonez y Tulio Ramirez.
En las fotos los posters, los autores y la Dra. L. Mamazova-Baranova en discusión durante la presentación.
LOS RESUMENES DE LOS POSTERS PUBLICADOS EN LOS RESUMENES DEL CONGRESO
R115
EPIDEMIOLOGY OF HEPATITIS B AND C IN CHILDREN.
VENEZUELA 1997–2006
Echezuria L., Risquez A.
Departamento Medicina Preventiva y Social, Facultad de Medicina, Universidad
Central de Venezuela
Background. Hepatitis B and C (HVB and HVC) are a major global public health problem. Venezuela has, according to World Health Organization, Pan_American Health Organization, Center Diseases Control of United States of America, and Venezuela Ministry of Health, moderate endemic for HVB and low endemic HVC.
Aim. Evaluate morbi_mortality of HVB & HVC in less than 20 years old in Venezuela during 1997–2006.
Patients and methods. Data analysis of morbi_mortality registered by Ministry of Health (Official data). Descriptive statistics by age, sex and residency; rates, tables and charts, correlation and regression coefficients.
Results. Mean morbidity rates were 3,1_105, for < 20 y.o. 1997–2004 and were increasing during this lapse. While, mean mortality rates 2000–2006 decreased although regression tests for both were not significant (respectively B = 0,06, p = 0,24; B = _0,05, p = 0,21). Mean morbidity rates decreased with age groups (B = _0,004 CI95% _0,06 — 0,01). Mortality increased with age (B = 0,005 CI95% 0,004–0,01) both, were inversely proportional (r = _7,09, p = 0,000). Most deaths were reported as acute presentation, 17/25, 68% VHB and VHC 4/5 80%. Specific mortality (CID_10) during 2000–2006: VHB acute, without delta agent and without hepatic coma (B16.9) Mortality rate (105) 0,04; VHB Chronic without delta agent (B18.1) 0,02; VHC acute (B17.1) 0,00. Conclusion. Burden of disease in children from VHB is 410 new illnesses & 10 deaths annually. Immunization program against HVB was implemented in Venezuela since 2001 to children < 1 year and high risk populations, coverage still low and not impacted time_tendency. VHB & VHC should be screen and treat in high risk populations (e.g. sex workers, indigenous and rural) and timely post_exposure prophylaxis provided.
R462
ILLNESSES AND ACCIDENTS IN SCHOOL CHILDREN
ASSOCIATED WITH TRAVELING DURING SUMMER VACATIONS,
CARACAS, VENEZUELA 2008
Risquez A., Penaloza E., Ramirez T., Ornes A.
Catedra de Salud Publica, Facultad de Medicina, Universidad Central de Venezuela
Background. During summer school vacation large numbers of families with children travel around Venezuela. National tourism visiting different destinations and for different activities, go to beaches, mountains, "plains", savannas and tropical forests, exposed travelers to different environments risks. Urban children are at special risk for illnesses and accidents due to new activities, physical and psychological stresses that may occur during travel.
Aim. To determine frequency & factors related to illnesses and accidents associated to traveling in school children
during vacations in Venezuela.
Patients and methods. Crossectional study of 560 school children from 7 to 12 years old. Closed questions, self_administrative questionnaire from voluntary parents, two selected schools of Caracas. Destination and length of travel, pretravel preparation, illnesses and traumas due to external causes, and medical assistance.
Results. 160 questionnaires analyzed, 133 traveled, 65% between 9 and 12 y.o. 58% males. 85% are middle and poor class. 65% stayed in family or friends houses. Road transportation 85%. Destination were beaches or coasts 47%, towns 39%, mountains 7% and plains 3%.s 58% traveled less than 7 days, 11% more 30 days. 80% pre_travel protection (repellents, sun_blockers, first aid kit, etc.) Frequency 40/160 (25%; 95%CI 18–32%) were affected: 13 children had illnesses, 17 traumas & 10 both. Most common insect bites 17 (30%), Trauma 11 (20%), Unspecific symptoms 9 (16%), Gastrointestinal (16%) 13 patients received medical care, 1 surgical. Length of stay associated with illnesses and accidents, 50% chances > 30 days traveling (p = 0,044), activities and destination are risk factors associated to events (not significant, p > 0,05).
Conclusion. Children have a great risk of suffering an illness or trauma to external causes during vacation traveling. Protective and pretravel health & pediatric advice to parents and children may prevent most of illnesses and traumas in children associated with travel activities.
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