Children facing natural, economic and public health crisis in Europe: the risks of a predictable unpredictability
Children facing natural, economic and public health crisis in Europe: the risks of a predictable unpredictability
This opening article for the volume dedicated to the diversity of paediatric healthcare systems in Europe, discusses the topic of children facing natural, economic, and public health crises in Europe. The natural and economic adversities and public health crises, which have repeatedly stormed the globe during the past twenty years, have often unveiled a low degree of self-sufficiency and a high degree of unpreparedness by European countries. It is always the case that the most vulnerable take the brunt, and these adverse events have shown their effects and a negative direct impact particularly on the population aged 0–18 years, with important implications for families and communities. The article discusses a rational approach to properly confront future public health emergencies and crises in general. The authors stress the concept that such approaches should be built on past negative experiences, in order to explore, identify, and make clear which are the priorities governing the disaster management activities at all levels in this population group. The authors conclude that safeguarding the health of children could be effectively accomplished by developing adequate, shared emergency management strategies. Improving pediatric preparedness approaches with the use of emergency measures and ongoing collaboration will facilitate a better and more efficient response, able to effectively care for the needs of children in actual crises.
___
- 1. United Nations. World Population Prospects 2019. Data Booklet. Available at: http://www.europeanmi grationlaw.eu/documents/UN-WorldPopulationPros pects2019-Databooklet.pdf. Accessed 09 April, 2020.
- 2. Council of Europe. Common standards and policies. Available at: https://www.coe.int/en/? Accessed 03 April, 2020.
- 3. Ehrich J, Namazova-Baranova L, Pettoello-Mantovani M. Introduction to “Diversity of Child Health Care in Eu rope: A Study of the European Paediatric Association/ Union of National European Paediatric Societies and As sociations”. J Pediatr 2016; 177S: S1–10.
- 4. Ehrich JH, Tenore A, del Torso S, Pettoello-Mantovani M, Lenton S, Grossman Z. Diversity of Pediatric Workforce and Education in 2012 in Europe: A Need for Unifying Concepts or Accepting Enjoyable Differences?. J Pediatr 2015; 167: 471–6.e4.
- 5. European Environment Agency. Disasters in Europe: more frequent and causing more damage. Available at: https://www.eea.europa.eu/highlights/natural-haz ards-and-technological-accidents Accessed 10 April, 2020.
- 6. Karanikolos M, Mladovsky P, Cylus J, et al. Financial crisis, austerity, and health in Europe. Lancet 2013; 381: 1323–31.
- 7. Fauci AS, Lane HC, Redfield RR. Covid-19 - Navigating the Uncharted. N Engl J Med 2020; 382: 1268–9.
- 8. Pettoello-Mantovani M, Namazova-Baranova L, Ehrich J. Integrating and rationalizing public healthcare services as a source of cost containment in times of economic crises. Ital J Pediatr 2016; 42: 18.
- 9. Schnyder U. Trauma is a global issue. Eur J Psychotrau matol 2013; 4: 10.3402/ejpt.v4i0.20419.
- 10. Centre for Research on the Epidemiology of Disasters - CRED. 2018 Review of Disaster Events. Supplementary Information. Brussels: UC Louvain. Available at: https:// www.cred.be/2018-review-disaster-events. Accessed 12 April, 2020.
- 11. Cheng J, Liang Y, Fu L, Liu Z. Posttraumatic stress and depressive symptoms in children after the Wenchuan earthquake. Eur J Psychotraumatol 2018; 9: 1472992.
- 12. Codeanu TA, Celenza A, Jacobs I. Does disaster education of teenagers translate into better survival knowledge, knowledge of skills, and adaptive behavioral change? A systematic literature review. Prehosp Disaster Med 2014; 29: 629–42.
- 13. Pass Philipsborn R, Chan K. Climate change and global child health. Pediatrics 2018; 141: e20173774.
- 14. Pettoello Mantovani M, Guandalini S, Ecuba P, Corvino C, di Martino L. Lactose malabsorption in children with symptomatic Giardia lamblia infection: feasibility of yo gurt supplementation. J Pediatr Gastroenterol Nutr 1989; 9: 295–300.
- 15. Albenzio M, Campanozzi A, D’Apolito M, Santillo A, Mantovani MP, Sevi A. Differences in protein fraction from goat and cow milk and their role on cytokine pro duction in children with cow’s milk protein allergy. Small Ruminant Research 2012; 105: 202–5.
- 16. Pianese P, Salvia G, Campanozzi A, et al. Sterol profiling in red blood cell membranes and plasma of newborns re ceiving total parenteral nutrition. J Pediatr Gastroenterol Nutr 2008; 47: 645–51.
- 17. Rajmil L, Fernandez de Sanmamed MJ, Choonara I, et al. Impact of the 2008 economic and financial crisis on child health: a systematic review. Int J Environ Res Public Health 2014; 11: 6528–46.
- 18. Vlachadis N, Kornarou E. Increase in stillbirths in Greece is linked to the economic crisis. BMJ 2013; 346: f1061.
- 19. Anagnostopoulos DC, Soumaki E. The state of child and adolescent psychiatry in Greece during the international financial crisis: a brief report. Eur Child Adolesc Psychia try 2013; 22: 131–4.
- 20. Ferrara P, Caporale O, Cutrona C, et al. Femicide and murdered women’s children: which future for these chil dren orphans of a living parent?. Ital J Pediatr 2015; 41: 68.
- 21. de Wit E, van Doremalen N, Falzarano D, Munster VJ. SARS and MERS: recent insights into emerging corona viruses. Nat Rev Microbiol 2016; 14: 523–34.
- 22. Sachedina N, Donaldson LJ. Paediatric mortality related to pandemic influenza A H1N1 infection in England: an observational population-based study. Lancet 2010; 376: 1846–52.
- 23. Jiao WY, Wang LN, Liu J, et al. Behavioral and Emotional Disorders in Children during the COVID-19 Epidemic. J Pediatr 2020; 221: 264–6.e1.
- 24. Ehrich JH, Kerbl R, Pettoello-Mantovani M, Lenton S. Opening the Debate on Pediatric Subspecialties and Spe cialist Centers: Opportunities for Better Care or Risks of Care Fragmentation?. J Pediatr 2015; 167: 1177–8.e2.
- 25. More P. Children are not small adults. Lancet 1998; 352: 630.
- 26. Shahrour N. Lessons learned from the 2009-2010 H1N1 pandemic. Avicenna J Med 2012; 2: 38–9.
- 27. Dyregrov A, Yule W, Olff M. Children and natural disas ters. Eur J Psychotraumatol 2018; 9: 1500823.
- 28. Pettoello-Mantovani M, Pop TL, Mestrovic J, et al. Foster ing Resilience in Children: The Essential Role of Health care Professionals and Families. J Pediatr 2019; 205: 298– 9.e1.
- 29. McIntosh ED, Janda J, Ehrich JH, Pettoello-Mantovani M, Somekh E. Vaccine Hesitancy and Refusal. J Pediatr 2016; 175: 248–9.e1.
- 30. Pettoello-Mantovani M, Ehrich J, Romondia A, Nigri L, Pettoello-Mantovani L, Giardino I. Diversity and differ ences of postgraduate training in general and subspe cialty pediatrics in the European Union. J Pediatr 2014; 165: 424–6.
- 31. Hojsak I, Fabiano V, Pop TL, et al. Guidance on the use of probiotics in clinical practice in children with select ed clinical conditions and in specific vulnerable groups. Acta Paediatr 2018; 107: 927–37.
- 32. Corsello G, Ferrara P, Chiamenti G, Nigri L, Campanozzi A, Pettoello-Mantovani M. The Child Health Care Sys tem in Italy. J Pediatr 2016; 177S: S116–26.