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Child Health in Complex Emergencies by William J. Moss

By William J. Moss

(National Academies Press) Johns Hopkins Bloomberg college of Public overall healthiness, Baltimore, MD. provides a overview of released literature on little ones in complicated emergencies. themes contain method, burden of formative years ailment, significant explanations of morbidity and mortality, unique issues in advanced emergencies, and extra. For clinicians and researchers. Softcover.

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The strength of these guidelines is in briefly addressing preventive and public health measures, although they are not comprehensive clinical guidelines. For example, the manage- CHILD HEALTH IN COMPLEX EMERGENCIES 31 ment of children with malaria or pneumonia is not addressed, and the handbook discusses the management of diarrhea, cholera, dysentery, and meningitis only briefly. The handbook emphasizes many less common diseases that are unlikely to be major causes of morbidity or mortality in complex emergencies.

In addition, organizations rely on existing WHO, UNICEF, and ministry of health guidelines to provide preventive care, including prevention of neonatal tetanus and malaria, routine childhood vaccination, promotion of breastfeeding, and routine vitamin A supplementation. Some organizations attempt to integrate nutritional CHILD HEALTH IN COMPLEX EMERGENCIES 29 management with routine child health activities, for example, promotion of early and exclusive breastfeeding and encouragement of appropriate weaning foods.

Regressive or aggressive tendencies are other examples of the longterm consequences of early exposure to violence in childhood (Pearn, 2003). Few studies have assessed the mental health of refugee or internally displaced children who are not exiled, particularly in regions outside Europe. In a Sudanese refugee camp in northern Uganda, 20 percent of 56 children were assessed to have chronic posttraumatic stress disorder (Peltzer, 1999). In contrast, a study of 58 Guatemalan Mayan Indian children living in refugee camps in Mexico found little evidence of psychological trauma CHILD HEALTH IN COMPLEX EMERGENCIES 23 (Miller, 1996).

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