Preventive Paediatrics

Hanish Bhurtun
Topics

� Immunization
� Child’s rights
� Dental Health
� Well baby clinics
Immunization
Most dramatic advances in paediatrics
What is immunization?

� What, why and how important?

� Why it is important for immunization education?
� Who delivers vaccines?
� Is it compulsory, is there a law, is there a right?
Some types of Immunization

� tuberculosis (BCG),
� oral polio, diphtheria, tetanus, pertussis, hepatitis B
� (Pentaviollent), haemophilus influenza type b (Hib)
� Measles
� Vaccination in Mauritius

Link
Child’s rights
UNITED NATIONS’ DECLARATION OF
THE RIGHTS OF THE CHILD
� To be free from discrimination
� To develop physically and mentally in freedom and dignity
� To have a name and nationality
� To have adequate nutrition, housing, recreation, and medical services
� To receive special treatment if handicapped
� To receive love, understanding, and material security
� To receive an education and develop his or her abilities
� To be the first to receive protection in disaster
� To be protected from neglect, cruelty, and exploitation
� To be brought up in a spirit of friendship among people
RIGHTS OF THE CHILD - Mauritius

� Mindmap
� LINK 1
� LINK 2

Focus on> Corporal or humiliating punishment

Disease Prevention and Health Promotion

� Mindmap
Dental Health

Focus on dental caries

Dental caries

� multifactorial disease
� the host, microorganisms, substrate, and time
Fluoridation

� introduction of fluoridation
� Fluoridation in water in some countries
� sucrose has been consistently implicated as the most cariogenic
Nursing Care Management

� Oral inspection
� Referral to dental services
� Paediatric nurses working in schools
� application of fluoride dental varnishes to children
� primary and permanent teeth of children
Teething

� One of the more difficult periods in the infant’s life

� eruption of the deciduous (primary) teeth
� 6 to 10 months of age – first teeth to appear
� Considerable variation among children
� A quick guide to assessment of deciduous teeth during the first 2 years is: Age of the child
in months – 6 =Number of teeth.
� For example: 8 months of age – 6 = 2 teeth at this time
Complications

� Some discomfort is common

� Fever and vomiting are not common complications from teething
 Well baby clinics

a health-service clinic for preventive monitoring, health education and advice for
parents of babies
Discussion

� The role of baby-clinics

� The context of Mauritius