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As a doctor-in-training, I am very familiar with the old adage "an ounce of prevention is worth a pound of cure." However, there may be no context more appropriate for this statement than the prevention of mother-to-child, or "vertical," transmission of HIV. A prevented case of pediatric HIV infection saves more than mere pounds of resources. Stopping the transmission of HIV to a baby allows him/her to avoid an entire lifetime of antiretrovirals, prophylactic medications, and HIV-related illnesses.
In June 2009, I spent one month in Baní, a medium-sized city in the Dominican Republic located approximately 70 km west of the capital, Santo Domingo.
I arranged the elective through Dr. Kim Wilson, a pediatrician at Martha Eliot Community Health Center who co-founded an organization called Infante Sano (Healthy Infant) to improve maternal and neonatal care in the Dominican Republic.
I arrived in Liberia about 10 days ago. I was fresh off a wonderful trip to Panama to see my best friend get married (Congratulations Becky and Josh!!). After a 24 hours stop in Boston, I spent 24-hours en route, and prepared for descent to Monrovia tired, cramped, and cranky. Yet somehow, the petroleum-filled air at Robertsfield Airport made me feel better. (more...)
On Wednesday April 22, I had lunch with Vibha Krishnamurthy, former Developmental Disabilities fellow at Boston Children's.
Vibha remains as an affiliated member of the Children's Hospital staff although she spends almost all of her time in Mumbai, India where she is the Founder and Director of the Ummeed Foundation. (more...)
The existence of a Harvard Graduate School of Education (HGSE) project in Santiago represents a serendipitous alignment of circumstances. In early 2006, Chile's newly elected president, Michelle Bachelet--herself a pediatrician--vowed to widen access to preschool, making it free for the poorest 40 percent of the populace. (more...)
Sleep disturbances are common but transient in infants and children and usually can be handled by small adjustments in bedtime routines. Parents should rest assured that most infants and toddlers will get enough sleep, though some babies do develop patterns of waking that are problematic to their parents. (more...)
Dr. Bruce D. Walker, an acclaimed AIDS specialist at Massachusetts General Hospital, didn't really want to go to South Africa. He was engrossed in his laboratory's AIDS research in Boston, and a trip to see his team's field work seemed a risky distraction. (more...)
The future of pediatrics will be forged by thinking differently, breaking paradigms and joining together in a shared vision of tackling the toughest challenges before us.”