Volume 56 No.30&31September 2009 - April 2010

WELCOME TO SHANGHAI, CHINA

13th Asian Pacific Congress of Pediatricsand. 3rd Asian Pacific Congress ofPediatric Nursing

The 13th Asian PacificCongress of Pediatricsand the 3rd Asian PacificCongress of PediatricNursing was held inShanghai, China fromOctober 14-18, 2009.The Congress started withthe one-day pre-congressworkshop on Promotionof Breastfeeding, whichwas considered as thefirst highlight of thisCongress. The OpeningCeremony and WelcomeReception was arrangedon October 14 at thevenue and started with the opening addressand welcome remarks from Prof. Xiaohu He,President of APPA2009 Congress, followedby congratulatory messages from WHOrepresentative Prof. JoseMartins, President ofAPPA, Prof. S. P.Lamabadusuriya, Dr. Chok-wan Chan, Presidentoflnternational PediatricAssociation, Mr. Zhao Minggang, Directorof the Dept. of Medical Administration,Ministry of Health, Mr. Liu Yanfei, Secretaryof Party Committee of Chinese MedicalAssociation, and Prof. Shen Xiaoming, ViceMayor of city of Shanghai. The Ceremonywas chaired by Prof. Yonghao Gui, Presidentof Chinese Society of Pediatrics, ExecutivePresident of APPA2009. A Faculty Dinnerwas also hosted at Shanghai YONGFOOELITEthe night of October 15, followed by

a Gala Dinner at Shanghai Harbor the nightof October 17.

Immense support has been receivedbuilding up to the three and a half dayScientific Program from October 15-18,which contributed as the most highlightedpart of this Congress and covered 3 key-notespeeches, 12 plenary lectures, a full-daynursing session, 48 topic-oriented sessions,accompanied by free paper sessions, andposter discussions. The first key-note speechwas delivered by Dr. Chok-wan Chan atthe Opening Ceremony on Building aSupportive Environment for Children.

The Young Research Awards competition atthis Congress was carried out among 1180

cont'd onpg 2

Editor: Prof. Dr. Mohd Sham Kasim / Asst. Editor: Fairos NazriTHIS BULLETIN IS PUBLISHED BY THE APPA SECRETARIAT

We invite articles and feedbackfrom readers. - Editor

• Prof. DnPerla D. Santes Ocarnpo- Philippines

·Qr. Chok-wan Chan - Hong Kong

• President:Prof. Xiaohu He - China

• Immediate Past President:Prof. Sanath P. Lamabadusuriya- Sri Lanka

• Secretary-General:Prof. Mohd Sham Kasim - Malaysia

• Deputy Secretary-General:Dr Zulkifli Ismail - Malaysia

• Treasurer:Dr Koh Chong Tuan - Malaysia

• AustraiJa - Assoc. Prof. Neil Wlgg• Bangladesh - Prof. Md. Ruhul Amin• China - Prof. Yonghao Gui• Hong Kong

- Dr. Aaron Chak-Man Yu• India - Dr. Panna Choudhury• Indonesia

- Prof. Dr. Nanan Sekarwana• JapaF/- Prof. Shumpei Yokota• Malaysia - Dr. 500 Thian Lian• Myanmar C Prof. Aye Mauflg Han• Nepal

- Dr. Rameshwar Man Shrestha• New Zealand - Dr. Rosemary Marks• Pakistan

- Dr. Gulzar Ahmed Choudhury• Papua New Guinea

- Dr. David Mokela• Philippines

- Dr. Estrella B. Paje-Villar• Singapore - Dr. Anne Goh• South Korea - Prof. Chang Hwi Kim• Sri Lanka - Dr B. J. c. Perera• Thailand - Prof. Usa Thisyakorn• Chinese Taipei

- Prof. Mei-Hwei Chang• Vietnam - Prof. Nguyen Gia Khanh• Macau - Dr. Kin Man Lui

Fairos Nazri - Malaysia

Asian Pacific PediatricAssociation (APPAl,3rd floor,National Cancer Society Bullding66, [alan Raja Muda Abdul Aziz,50300 Kuala Lumpur, MalaysiaTel: 603-2691 4575Fax: 603-2691 4773E-mail: appa@myjaring.netWebsite: www.appassoc.org

APPA Bulletin Qcont'dfrom pg. 1-.;...;"--_.•....-!

paper submissions, and as a result,10 were given the award. This Awardwas considered a big encouragementfor our young researchers to pursuebetter achievement on an academiclevel.

The industrial exhibition of thisCongress contributed as anotherhighlight of this Congress. Worldfamous companies like Meadjohnson, johnson & johnson, GSK,Sanofi-Pasteur, Wyeth all participatedfor this Congress, showing theirdedication on improving Children'shealthcare in each of their specializedfield. The Congress strictly followedand conducted the WHO Code onexclusive breastfeeding among allthe nutritional companies, whichreceived high compliments from WHO representative Prof.Jose Martins ..

1258 from 56 overseas countries and regions, amongwhich, I want to share with you the numbers from the top10 countries and regions. We have 201 delegates fromIndonesia, 167 (Thailand), 130 (Vietnam), 76 (Philippines),75 (Hong Kong), 70 (Malaysia), 57 (India), 47 (ChineseTaipei), 39 (Bangladesh), and 37 delegates from Singapore.

The Congress was successfully concluded on October18. In summary, this Congress has received 1180 papersubmissions, during the past three and half days, 288 oralpresentations were delivered, among which, 190 are invitedlectures, and 98 are free paper presentations. 337 posterswere presented in total. Some 2536 delegates participatedin this Congress, whereby 1278 were from China, and

The event was well organized and ran smoothly on both theacademic and logistic level. The Congress would like to takethis opportunity to thank the following organizations:

International Pediatric AssociationAsian Pacific Pediatric AssociationChinese Pediatric Society &Chinese Medical Association

By Prof. Xiaohu HeAPPAPresidentApril 20, 2010

Note:The 14th Asian Pacific Congress of Pediatrics & 4th Asian Pacific Congress of Pediatric Nursing

will be held in Sarawak, Malaysia in September 2012.

2 «<

Volume 56 Se tember 2009 -Ap-riI2010 No. 30 & 310NEW OFFICE-BEARERS

13th Asian Pacific Congress of Pediatrics (APCP),Shanghai, China, October 14 - 18, 2009

New Office-Bearers Of APPAASIAN PACIFIC PEDIATRIC ASSOCIATION (APPA) NEWOFFICE BEARERS (as of October 2009)

HONORARY PRESIDENT:Prof. Dr. Perla D. Santos Ocampo - PhilippinesDr. Chok-wan Chan - Hong Kong

EXECUTIVE COMMITTEE:• President: Prof. Xiaohu He - China• Immediate-Past President:

Prof. Sanath P. Lamabadusuriya - Sri Lanka• Secretary-General: Prof. Mohd Sham Kasim - Malaysia• Deputy Secretary-General: Dr Zulkifli Ismail - Malaysia• Treasurer: Dr Koh Chong Tuan - Malaysia

ADVISORY BOARD MEMBERSAustralia Assoc. Prof. Neil WiggBangladesh Prof. Md. Ruhul AminChina Prof. Yonghao GuiHong Kong Dr. Aaron Chak-Man YuIndia Dr. Panna ChoudhuryIndonesia Prof. Dr. Nanan Sekarwana

ANNOUNCEMENT

JapanMalaysiaMyanmarNepalNew ZealandPakistanPapua New GuineaPhilippinesSingaporeSouth KoreaSri LankaThailandChinese TaipeiVietnamMacau

Prof. Shumpei YokotaDr. Soo Thian LianProf. Aye Maung HanDr. Rameshwar Man ShresthaDr. Rosemary MarksDr. Gulzar Ahmed ChoudhuryDr. David MokelaDr. Estrella B. Paje-VillarDr. Anne GohProf. Chang Hwi KimDr B. J. c. PereraProf. Usa ThisyakornProf. Mei-Hwei ChangProf. Nguyen Gia KhanhDr. Kin Man Lui

APPA Secretariat:3rd Floor, National Cancer Society Building66, [alan Raja Muda Abdul Aziz50300 Kuala Lumpur, MalaysiaTel: 603-2691 4575 Fax: 603-2691 4773E-mail: appa@myjaring.net Website: www.appassoc.org

Macau Pediatric Society - New APPA MemberApril 18,2010

APPA Executive Committee MembersAdvisory Board Members & President / Secretary GeneralNational Paediatric Society / Association, affiliated to theAsian Pacific Pediatric Association (APPA)

Dear All APPA members,

Re: New APPA Member - Macau Pediatric SocietyGreetings from the Asian Pacific Pediatric Association (APPA)Secretariat office in Kuala Lumpur, Malaysia.

APPA is pleased to announce and welcome The Macau PediatricSociety as the new APPA member.

This decision was reached during the 33,d & 34th CouncilMeeting of National Delegates of APPA, held in Shanghai,China on October 15th & 16th, 2009 respectively. The CouncilMeeting was held in conjunction with the 13th Asian PacificCongress of Pediatrics (APCP), held from Oct 14-18, 2009 inShanghai, China.

Below, is the list of office-bearers and correspondence addressof the Macau Pediatric Society.

Thank you very much.

Ki nd regards,Prof. Mohd Sham KasimSecretary General, APPA

MACAU PEDIATRIC SOCIETY (MPS)

President:Vice President:

Dr Kin Man LuiDr Kin Mui leongDrYu QingWuDr George Wang ChayDr Man Hou Lai

Secretary General:Treasurer:

The Macau Pediatric Society's correspondence address:Service of Pediatrics & NeonatologyCentro Hospitalar Conde Sao JanuarioEstrada do Visconde S. IanuarioMacau, ChinaTel: 853-83908154 Fax: 853-83908130e-mail: rnacaupediwyahoo.com.hk

Dr Kin Man Lui is the representative from Macau in the APPAAdvisory Board.

Dr Kin-Man LuiPresident of Macau Pediatric Societyc/o address: Service of Pediatrics & NeonatologyCentro Hospitalar Conde Sao januarioEstrada do Visconde S. januarioMacau, ChinaTel: 853-83908154 Fax: 853-83908130e-mail: luikm@ssm.gov.mo

»> 3

experience both in Sri Lanka and abroad, having workedas a Consultant Paediatrician and Postgraduate tutor inthe United Kingdom and Saudi Arabia. He was also thePast President of the Sri Lanka College of Paediatricians.Prof. Warnasuriya's research interest has been in the fieldof growth and nutrition and has authored many researchpapers and served as member of several national andinternational expert committees in this field. He is also aFellow of the Royal College of Physicians of London.

APPA Bulletin Oloo-.__ ~ __ ~_-_~_~_----_~ __ ~ __ ~~_--_~

13th Asian Pacific Congress Of Pediatrics(APCP), Shanghai, China

October 14-18, 2009

Twelve recipients received the prestigious Outstanding Asian Pediatrician Award 2009 during the 13th Asian Pacific Congressof Pediatrics (APCP), which was held at the Shanghai International Convention Center (SICC) from Oct 14-18, 2009.

Here are the names of the 12 Outstanding Asian Pediatricians 2009:

CONGRATULA TIONS

OUTSTANDING ASIAN PAEDIATRICIAN AWARD 2009

Prof. Usa Thisyakorn (Thailand)Prof. Usa Thisyakorn is currentlyProfessor of Pediatrics atChulalongkorn University, Bangkok,Thailand. For more than 30 years,Prof. Usa has worked closely withUNICEF, WHO, the governmentof Thailand and UNAIDS to reachimportant milestones in Pediatrics.

Her international work in the fields of HIV/AIDS & Dengueis well-known, making her well-respected among herpeers and colleagues. Her pioneer efforts in tacklingmother-to-child transmission of HIV plays a major role inleading Thailand to success as one of the few countriesin prevention of mother-to-child transmission of HIV andserve as a lesson learned at global level. Chief among Prof.Usa's responsibilities is her position as Deputy Director ofthe Thai Red Cross AIDS Research Centre and UNAIDSCollaborating Centre, apart from among others, SecretaryGeneral of the Asian Society for Pediatric InfectiousDiseases and Advisory Board Member of the Asian PacificPediatric Association (APPA).

Prof. Fu-Yuan Huang (Chinese Taipei)Prof. Fu-Yuan Huang is a distinguishedexpert in the fields of pediatricinfectious diseases and pediatricnephrology. From year 2000-2002,he worked as Deputy Minister of theDepartment of Health, Executive Yuan,Taiwan and made great contributionto the welfare of children and the

establishment of national health insurance system. In 2003,as one of the leaders of the SARS team, he successfully ledthe combat against SARS in Taiwan. He has also writtennumerous articles in local & international journals andbooks. Although now retired, he still works very hard atthe national level of medical care and is also engaged inimproving children's health care in the Asia Pacific region.

Prof. Narada Warnasuriya (Sri Lanka)Prof. Narada Warnasuriya is presentlythe Senior Professor of Paediatrics ofThe University of Sri Jayawardanepura.Prior to this, he was the Vice Chancellorand Dean of the Faculty of MedicalSciences in the same University. Heis a senior academic with a wealth of

4 «<

Prof. Dr. S. Yati Soenarto (Indonesia)Prof. Dr. Yati Soenarto is Professorof Pediatrics, Consultant forGastroenterology at the Faculty ofMedicine, Gadjah Mada University,Yogyakarta, Indonesia. Among herpresent international appointments areas member of the Asian SurveillanceRotavirus Network (ASRN), WHO's

temporary consultant for Medical Education on DiarrhealDisease and member of Data and Safety Monitoring Boardin Southeast Asia Infectious Disease Clinical ResearchNetwork. While at the national level, she is among others,Director, Clinical Epidemiology & Biostatics Unit, Facultyof Medicine, Gadjah Mada University & Consultant at theIntegrated Crisis Services of Women & Children at SardjitoTeaching Hospital.

Dr. Yen Chow Tsao (Hong Kong)Dr. y.c. Tsao is the most seniorpracticing paediatrician in HongKong today. He qualified in 1958and in his long career, has launchedmany pioneering work in the field ofpaediatrics in Hong Kong. Togetherwith the late Prof. C. Elaine Field,he built the HKU Department of

Paediatrics from scratch and organised the DepartmentalLaboratory to serve the needs of children and for research.He joined the Hong Kong Paediatric Society when it wasnewly formed and had served in various capacities in itsCouncil, including two terms as President. Dr. Tsao isnow in private practice but is also the Deputy MedicalSuperitendent and Member, Board of Directors of theHong Kong Sanatorium & Hospital, the most prestigiousprivate hospital in Hong Kong.

cont'd on pg. 5

Volume 56 September 2009 - ARril 2010 No. 30 & 310cont'd from pg. 4

Dr. Chung-bong Chow (Hong Kong)Or. Chung-bong Chow is currently,among others, ConsultantPaediatrician at the Departments ofPaediatrics & Adolescent Medicine,Princess Margaret Hospital andCaritas Medical Centre. He is alsoChairman of various associationssuch as the Hong Kong Childhood

Injury Prevention & Research and Hong Kong EarlyChildhood Development Research Foundation. Or.Chow is Editor of the Hong Kong journal of Paediatricsand Hong Kong Medical journal and has carried outvarious researches and intervention programmes. Amonghis present experience is Adjunct Associate Professor,School of Nursing, Hong Kong Polytechnic University.He has written over 100 original articles, abstracts andchapters in books.

Prof. Makoto Nakazawa (Japan)Prof. Makoto Nakazawa is Prof.Emeritus at the Tokyo Women'sMedical University; Director,Pediatric and Lifelong CongenitalCardiology Institute SouthernTohoku General Hospital andVisiti ng Professor at the ji kei MedicalUniversity. Prof. Nakazawa has

been devoting his career to the healthcare of childrenespecially in the field of pediatric cardiology and morerecently as one of the directors of the japan PediatricSociety, where he has been involved to establish theguideline for proper pediatric emergency care in thenational health care system. He is President-elect ofthe Asian Pacific Society for Pediatric Cardiology andCardiac Surgery as well as Vice-chair, Division ofPediatric Cardiology, Asian Pacific Society of Cardiologyand Founder of the JCK (Japan-China-Korea) PediatricForum. He is recognized as one of the representatives ofpediatric cardiology of Asia region.

Prof. Xiqiang Yang (China)Or. Xiqiang Yang is Professor ofPediatrics at the Chi Idren's Hospital,Chongqing Medical University inChina. As a pediatrician, he makesgreat effort in saving and improvingthe health of thousands of infantsand children with various illnesses.He also regularly visits remote and

mountain areas in Western China to serve indigenouschildren. Prof. Yang has also engaged actively inconfronting the prevalence of SARSand Avian InfluenzaInfections in the country and devoting in reformingthe medical education system in China. His research'sinterest is pediatric clinical immunology and is thePrincipal Investigator for 7 projects of the NationalNature Science Foundation of China. Prof. Yang haspublished 480 articles and has received numerousawards for his contribution in the healthcare of infantsand children in China.

Dr. Mazeni Alwi (Malaysia)Dr. Mazeni Alwi is currently Consultant& Head of the Department of PaediatricCardiology, National Heart Institute(IJN) in Kuala Lumpur. Dr. Mazeni, aconsultant since IJN'sinception in 1992was given the responsibility of startingthe new department of PaediatricCardiology as a separate entity from

the Department of Cardiology, taking cognizance growthin the speciality for diagnose and treatment of congenitalheart disease. He has also established the Clinical ResearchDepartment in 2004 where he is Director. Or. Mazeni's mainarea of clinical work and research interest is in interventionalcardiology and have published a number of papers on thesubject and presented at many interventional conferences.His peer-reviewed publications, invited articles and BookChapter have also appeared in the British Heart journal,American journal of Cardiology, Asia Pacific Heart journal,journal of the American College of Cardiology and Asian-Oceanian journal of Pediatrics and Child Health. Dr. Mazeniis also committee member of both the Asia Pacific Societyof Paediatric Cardiology & Cardiac Surgery & InternationalSociety of Invasive Cardiology and member of NationalHeart Association of Malaysia.

Prof. Dr. Nguyen Cong Khanh(Vietnam)For the past 48 years (since 1961),Prof. Dr. Nguyen Cong Khanh hascontributed greatly towards improvingthe healthcare of Vietnamese childrenand also in the field of paediatricsand research. He was former ViceChairman of Pediatric Faculty at the

Hanoi Medical University and Director of the NationalHospital of Pediatrics in Hanoi, Vietnam. Currently, Prof.Nguyen Cong Khanh who is Professor of Pediatrics is theSecretary General and Vice President of Vietnam PediatricAssociation (VPA).As former Advisory Board Member of theAsian Pacific Pediatric Association (APPA)from 2003-2009,he has enhanced the relation between VPA, APPA and theInternational Pediatric Association (IPA) and indirectly,improving Asian children healthcare. Prof. Nguyen CongKhanh is Chief Editor of several medical journals and havepublished over 150 articles in various national journals,whereby some were reported and printed at internationalcongresses.

Prof Dr. Aye Maung Han (Myanmar)Prof. Or Aye Maung Han is Presidentof the Pediatric Society of MyanmarMedical Association (PSMMA). He isa brilliant & well-known clinician andacademician in the field of Pediatrics,not only in Myanmar but also in theregion. Prof Dr. Han recently retiredas Rector (Dean) of the University

of Medicine (1), Yangon, Myanmar in May 2009 after adistinguished career spanning 33 years in the service of

cont'd on pg. 6

»> 5

APPA Bulletin 0cont'dfrompg. 5

his country. He has served on many government policycommittees and has co-authored and published morethan 25 articles and papers. When Cyclone Nargis hitthe country in 2008, he was among the first to reach theaffected area to organize and coordinate relief activities inthe field. In the aftermath of the cyclone, Prof. Dr. Han wasinstrumental in sending nutritional supplements to childrenin the affected villages and played a pivotal role in helpingto rebuild schools and villages as well as establishing safewater supplies.

Dr. Uday Govindrao Bodhankar(India)Dr. Uday Govindrao Bodhankar hasmade distinguished contributionin preventing aspects of neonatalthrough the CommonwealthAssociation for Health And Disability(COMHAD) and therefore waselected as COMHAD UK's Secretary

NEWS FROM AFFILIATES

General of Commonwealth foundation comprISing 54member countries. He is the founder of Neonatologychapter of the Indian Academy of Pediatrics and foughtfor the rights of newborn. Currently, he is Chairman forthe Indian College of Maternal and Child Health PediatricUnit, India. Dr. Bodhankar is also a well-known crusaderin initiating, protecting & promoting breast-feeding. Hehas strived hard for extending maternity leave benefitsto working mothers in the welfare of neonate and hasdelivered many guest lectures on newborn care andpediatrics at national & international conferences andhas numerous articles to his credit in various journals.Dr Bodhankar has also received various internationalrecognition for his great contribution to child welfare.

Compiled by Fairos Nazri

A report bythe Vietnam Pediatric Association

On December 2008, the Vietnam Pediatric Association(VPA) organized its 19th annual meeting in Ho Chi MinhCity. Approximately 600 pediatricians all over Vietnamparticipated in the event. It was honored to have Dr.Chok Wan Chan - President of the International PediatricAssociation (IPA), Dr.Mohd Sham Kasim- Secretary

• General of the Asian Pacific Pediatric Association (APPA),Prof. Xiaohu He, Honorary President of the ChinesePediatric Society and other Professors and Doctors fromChina and Japan attending the meeting.

During this meeting VPA has selected its 19th ExecutiveCommittee which included 49 members. Prof NguyenThu Nhan, Prof Nguyen Cong Khanh & Prof Le Nam Trawere elected as Chairwoman, General Secretary andDeputy Chairman of the VPA respectively.

In the last year, VPA has worked effectively and:1. Organized 12 trainings for pediatricians from 10

cities and provinces across the country. The topicfor the training include: Immunology and Allergy,Functional Foods, New Growth Chart of WHO,Newborn Screening, Antibiotics, Asthma, NewVaccines, Program of Immunization for Children,Newborn Care and Pediatric Emergency.

2. Completed 2 research projects:Food allergyDetection and early treatment of aminoacidemiaand organic academia in children using Gc/MS-MS/MS.

3. Organized Extended Pediatric Conferences in DaNang and 12 provinces in the middle of Vietnam.

4. Organized a Vietnam delegation to participate in the4th European Pediatric Meeting in Moscow in July2009, and

S. Working on the completion of a Pediatric text book

Apparently, Vietnam is also suffering from flu NH1 N1and Dengue fever epidemics. Pediatric Hospitals andPediatric Departments (of other Hospitals) are overloadedwith high number of patients.

However, almost all pediatricians are working effectivelyand actively participating in meetings and writing textbooks.

By: Prof. Nguyen Thu Nhan, President, Vietnam PediatricAssociationOctober 13, 2009

6 «<

Volume 56 September 2009 - ARril 2010 No. 30 & 31 0,

Diarrhoea - Why children are still dying andwhat can be done: UNICEF and WHOlaunch

report on the second greatest killerof children

DIARRHOEA AMONG CHILDREN

Despite the existence of inexpensive and efficient meansof treatment, diarrhoea kills more children than AIDS,malaria and measles combined, according to a reportissued by the United Nations Children's Fund (UNICEF)and the World Health Organization (WHO).

The report, titled: "Diarrhoea: Why Chi Idren Are Sti11Dying and What Can Be Done," includes informationon the causes of diarrhoea, data on access to meansof prevention and treatment, and a seven-point plan toreduce diarrhea deaths. It is a tragedy that diarrhoea,which is little more than an inconvenience in thedeveloped world, kills an estimated 1.5 million childreneach year," said UNICEF Executive Director, Ann M.Veneman. "Inexpensive and effective treatments fordiarrhoea exist, but in developing countries only39 percent of children with diarrhea received therecommended treatment."

Or. Margaret Chan, Di rector-General of WHO said: "Weknow where children are dying of diarrhoea. We knowwhat must be done to prevent those deaths. We mustwork with governments and partners to put this seven-point plan into action."

Diarrhoea is a common symptom of gastrointentinalinfection, which can have a variety of sources. However,just a handful of organisms are responsible for most acutecases of diarrhoea and one, Rotavi rus, is responsible formore than 40 percent of all diarrhoea- related hospitaladmissions of children under five. A new vaccine forRotavirus has been found to be safe and effective but isstill largely unavailable in most developing countries.

Though most episodes of childhood diarrhoea aremild, acute cases can lead to significant fluid loss anddehydration. This dehydration can lead to death unless

fl uids are quickly replaced. Oral rehydration therapy isthe cornerstone of fluid replacement and the new low-osmolarity formula of oral rehydration salts (ORS) is asimple, inexpensive and life-saving remedy that preventsdehydration in children suffering diarrhoea.

Some 88 percent of diarrhoeal deaths worldwide areattributable to unsafe water, inadequate sanitation andpoor hygiene.

Access to clean water and good hygiene practices areextremely effective in preventing childhood diarrhoea.Hand washing with soap has been shown to reducethe incidence of diarrhoeal disease by over 40 percent,making it one of the most cost-effective interventions forreducing child deaths caused by this neglected killer. Theoverall health and nutrition of chi Idren is also criticalto their susceptibility to diarrhoea and the damage itcan cause. Undernourished children are at higher risk ofsuffering more frequent, severe and prolonged episodesof diarrhoea, and repeated bouts of diarrhoea also placechildren at greater risk of worsening nutritional status.

The seven point plan to save the lives of childrenstricken by diarrhoea includes two treatment and fiveprevention elements. The two treatment elements are:1- fluid replacement to prevent dehydration and 2- zinctreatments, which decrease the severity and duration ofthe attack.

While the five prevention elements are: 1- immunizationagainst rotavirus and measles; 2- early and exclusivebreastfeeding and vitamin A supplementation; 3-handwashing with soap 4- improved water supplyquantity and quality and 5- promoting community-widesanitation.

Campaigns targeting childhood diarrhoea in the 70sand 80s achieved success by educating caregiversand scaling up oral rehydration therapy to preventdehydration. The campaigns delivered promising resultsbut following that success, focus shifted to other healthproblems.

There is now an urgent need to shift attention & resourcesback to treating & preventing diarrhoea. - UNICEF /New York, United States, Oct. 14, 2009.

»> 7

APPA Bulletin U'------------------------------------'ASVAC

Brief report on the First Asian VaccineConference (ASVAC) 2009

The First Asian Vaccine Conference (ASVAC) 2009with the theme "Improving Child Survival throughVaccination" organized by Asian Society for PediatricInfectious Diseases (ASPID), National Pediatric HospitalCambodia (NPH), International Society of TropicalPediatrics - Philippines (ISTP-Ph) and PhilippineFoundation for Vacci nation (PFV) was held at RoyalAngkor Resort, Siem Reap, Kingdom of Cambodia fromAugust 20-22, 2009 with Professor Lulu C Bravo as theover-all chair. Many distinguished international speakerswere invited as well as the members of the Asian StrategicAlliance for Pneumococcal disease Prevention (ASAP),the EPIand National immunization Program managers ofmany Asian countries and the leaders of the 4 organizingsocieties, ASPID, NPH, ISTP-Ph and PFV.Therewere 350participants from several countries mainly from Asia.

The ASVAC 2009 highlights the role of immunization inthe control and prevention of childhood illnesses thatclaim the lives of millions of children each year. Almost4 million lives could be saved every year in the worldif these vaccines could be universally available to thechildren especially of the developing countries of Asiaand Africa. The conference focus the value of vaccinationand how this can contribute to the achievement of the 4thmillennium development goal.

The Scientific Program comprised Key Note Message of"Improving child survival in resources-limited countries:Focus on vaccination", Plenary, and Symposium sessions.

8 «<

Presentations covered The value of vaccination, The basicof immunology, Assessing new vaccines for inclusionin the national immunization programs, Advances invaccination: 21st century solutions to age-old diseases,Vaccine for all ages, Getting new vaccines into thenational immunization programs, New vaccines inthe horizon: dengue, AIDS, Malaria and TB, Practicalconsiderations in immunization, Vaccine as a social right,Communicating value of vaccines, Sharing best practicesin immunization . Participants participated fully in theaccompanyi ng discussions.

The signing of "Siem Reap Declaration 2009" by allcountry representatives and organizations were doneas its output will call on all Asian governments, healthcare workers, NGOs, industry, professional and civilsocieties and all policy makers to recognize the valueof immunization and support the introduction of newunderutilized vaccines that have been found to be safeand efficacious for the control of childhood illnesses:

The ASVAC 2009 was successful in sharing the strategiesand activities to achieve universal vaccination by variousgroups and is feasible which could be adopted by thecommunity at large.

Professor Usa Thisyakorn, M.D., President the 9th leTP2011, Secretary General, Asian Society for PediatricInfectious Diseases, Advisory Board Member, AsianPacific Pediatric Association.

•.•... V~o~lu_me56 September 2009 - A ril 2010 No. 30 & 310

, EVENTS

International Events 2010-2012

19th World Congress of the International Association for Child andAdolescent Psychiatry and Allied Professions6th congress of the Asian Society for Child and Adolescent Psychiatry andAllied ProfessionsDates: June 2-6, 201 0Venue: China National Convention Center, Beijing, ChinaCongress SecretariatTEL:861058303190 Mobile: 861381467954fax: 861065123754 E-maiI: iacapap201 O@cma.org.cn

CHINAWorld Congress of Cardiology Scientific Sessions 2010Featuring the 3'" International Conference on Women,Heart Disease & StrokeJune 16-19, 2010, 8eijing, Chinawww.worldcardiocongress.org

Brain Development & Learning: Making Sense of The ScienceJuly 16-20, 2010, Hyatt Hotel, Vaqncouver, BC, Canadawww.interprofessional.ubc.calbdl.html

CHINESE TAIPEI,The 5th Asian Congress of Pediatrcis Infectious Diseases, Taipei, TaiwanSept. 23-26, 2010Secretariat office: 00 K&AInternational Co.Ltd., 7F,No. 249, Fuxing S.Rd.Sec. 1 Taipei, Taiwan 10666Tel: 886-2-2701-8768 Fax: 886-2-2702-2025

~-mail: 201 Oacpid@knaiAr.com.tw Website: www.l0l0acpid.org.AI

INDIA3'" World Congress of Pediatric Surgery 2010 (WOFAPS)Hotel Taj Palace, New Delhi, India, October 21-24, 2010Secretariat:3'" World Congress of Pediatric Surgery 2010Department of Pediatric Surgery, All India Institute of Medical SceicnesNew Delhi - 110029 IndiaWebsite: www.pedsurgery.inEmail: wcps.info@gmail.com/secretariat@pedsurgery.in

AustriaThe 1" Global Congress for Consensus in Child Health & Pediatrics.17-20 February, 2011, Vienna, Austriawww.cipediatrics.orgSecretariat-Paragon Conventions18 Avenue Louis Casai, 1209 Geneva, SwitzerlandTel: 41 to) 227477930, E-mail: cip@cipediatrics.org

BELGIUM27th Annual Meeting of the European Society for Paediatric InfectiousDiseases, Brussels, Belgium, June 9-13, 2009.Further information, please log on to :www.kenes.com/espid.

CANADAInnocenti & BeyondBreastfeeding in a Family - Friendly WorldWABAGlobal Forum & Quebec City, CanadaJune, 14-172010www.wabaglobalforum3.org

CHINESE TAIPEI "'The 61h Annual Meeting of GCACMID in conjunction with The 51h ACPIDSeptember 23-26, 2010 Taipei, Taiwanwww.201 Oacpid.orgVenue: Taipei International Convention Center, TICC

_---I: SOUTH .AF.RICA

The 26th International Pediatric Association Congressof Pediatrics, Johannesburg South AfricaAug. 5-9, 2010Website; www.ipa-world.orgCongress Organizers: 26th ipa/icp Clo Kenes International,1-3 rue de Chantepoulet P.O.Box 1726, CH-1211 Geneva, SwitzerlandTel: + 41 229080488 Fax: + 41 22 7322850E-mail: adminoffice@ipa-world.orgWebsite: www.ipa-world.org

UNITED STATESThe XVllllntemational Society for Prevention of Child Abuse and Neglect(lSPCAN), International CongressHonolulu, Hawaii, USASept. 26-29, 2010Congress Secretariat:Email: congress201 O@ispcan.orgWebsite: www.ispcan.orglcongress2010

DENMJUU(The 3rd Congress of the European Academy of Pediatric Societies (EAPS),Copenhagen, DenmarkOct. 23-26, 2010Theme: Three Societies. One Congress. AWealth of Knowledge.Congress Secretariat: Kenes International,1-3 Rue de Chantepoulet, P.O. Box1726, CH-1211 Geneva 1, Switzerland.Tel: 41 22 908 0488 Fax: 41 229069140E-mail: paediatrlcswkenes.corn

Compiled by: Fairos Nazri & Prof. Iqbal Ahmed Memon, Vice-President, Pakistan Pediatric Association (Center)

International Events 2011THAILAND, ,

9th International Congress ofTropical Pediatric, Bangkok, ThailandOctober 2011"Global Partnership & Networking for Child Health"Thailand Chapter of International Society ofTR(")PICAl PEDIJ\TRICSFaculty of Tropical MMediciAe Mahidol University420/6 Ratchawithi ROAD Bangkok 10400, THAILAND

~el: 66023549161 Fax+ 66023549163 www.tropped.org

International Events 2012CHINESE TAIPEI, ~

4th WCPC:;HANWorld Cngress of Pediatric Gastroenterology, Hepatologyand NutritionNov. 14-18, 2012Taiwan Society of Pediatric Gastroenterlogy, Hepatology and NutritionNo.7, Chung-Shan S.Road, Taipei, 100Taiwan.Fax: 886-2-23938871

~-mail: wcpghan2012®gmail.com http://www.wcpghan2012.com

»> 9

APPA Bulletin (;)"-- ----'

WSPID

Report on the 6th World Congress of the WorldSociety for Pediatric Infectious Diseases

The 6th World Congress of the World Society for PediatricInfectious Diseases (WSPID) was held at Sheraton BuenosAires Hotel & Convention Center, Buenos Aires, Argentinafrom November 18-22, 2009 with 2,700 participants fromover 90 countries.

The opening ceremony was held on the evening of 18thNovember, 2009 with the opening words by ProfessorRon Dagan, President of the WSPID; Dr. Angela Gentile,Chairperson of the Local Scientific and Social EventCommittees followed by children choir and a small stringorchestra.

The scientific program started in the morning of the 18thNovember, 2009 and went on until the 22nd November,2009. At the closi ng, two awards were given to one best freepaper and one best poster out of 800 abstracts submitted.

The scientific program included vaccines, nosocomialinfections, respiratory infections, immunocompromisedpatients, emerging infections, the regional societiessymposia from Africa, Asia, Australiasia, Europe, NorthAmerica and Latin America, antimicrobial resistance,infection control, consensus symposium on catheterrelated infections and quinolone use in children, theworld lecture on elimination of rubella and the following9 meet the professor sessions: update on immunization,

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pneumonia in developing countries, immunization of HIV-infected child, TB in children, hospital acquired outbreaks,treatment of bacterial respiratory infections, diarrhealdiseases, bacterial meningitis, children with sore throat.

Eight hundred abstracts were submitted, some wereselected for oral presentation and some were selected tobe orally presented in the poster walk session.

The 6th World Congress of the WSPID was a very successfulevent in opening dialogue of pediatric infectious diseasesworldwide, exchanging ideas, sharing new methods ofprevention and treatment and breakthroughs, most of all itcreates the worldwide partnerships that can cross bordersnot only to specialists, practitioners, researchers andscientists, but to the patients as well.

The next World Congress of the WSPID will be held inMelbourne, Australia on 16-20 November 2011.

Professor Usa Thisyakorn, M.D.President,9th ICTP2011Executivecommittee, International Society ofTropical PediatricsPresident, Pediatric Infectious DiseasesSociety ofThailandSecretaryGeneral, Asian Society for Pediatric Infectious DiseasesBoard member,World Society for Pediatric Infectious Diseases

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. .. . .

Background:

Gangliosides are components of cell membranes

and are found throughout the body; they are

involved in cell structure and function. in

particular in the brain. The fastest rate of

Ganglioside synthesis and accumulation in the

developing brain occurs during pregnancy and in

early neonatal life. during the periods of dendritic

branching and new synapse formation.

. .

Brain cell structure showing myelinated axonsand dendrites. and synapse connections.

J._-+-::;;?' Gangliosides

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Stimulating neuronal cell outgrowths

- axons and dendrites.

Formation of synapses - Gangliosides are most

concentrated at nerve endings where the

connections between brain cells are formed

Function of the synaptic connections including

neurotransmitter release. recognition of

neurotransmitters. restoration of the synapseFunction in Myelination and in maintaining the

integrity ofaxons and myelin

Serum GA levels;Control vs Supplemented Group + CML _GA 3

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Control

Impact of supplementation on cognitive developmentat early stage of life. 3

Score

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TotalIQ Hand Eye Performance

• Supplemented + CML Control

RANGE OFANMUMTMPRODUCTSFROM PRE.GNANCYTO CHILDHOOD

Fonterra Brands believes that breast milk is best for babies and we supportbreastfeeding as the natural and unequalled way in providing the best foodfor optimal growth and development of babies.

Important Notice: Breast Milk is still the Best

Breast milk is the best food for optimal growth and development in infants. This is because breast milk contains just theright amount of all nutrients needed to fulfil the infants' total nutritional requirements during the first 6 months of life. Thebest time to initiate breastfeeding is within 1 hour post-delivery. Furthermore, the act of breastfeeding provides a unique

• biological and emotional foundation for bonding between mother and child. A complete and balanced maternal diet isimportant for maintaining the quality and supply of breast milk. There can be negative effects on breastfeeding if partialbottle-feeding is introduced too early. Once bottle-feeding is initiated, the decision to discontinue breastfeeding may bedifficult to reverse. Prior to using infant formulas, mothers should be aware of the social and financial implications ofbottle-feeding. Incorrect preparation or feeding methods may lead to health hazards in infants. Working mothers shouldbe encouraged to continue breastfeeding for as long as possible, even after they resume their full-time jobs. Those whoneed support and advice can seek help from healthcare professionalsReferences:1. Marie EN (2004). Human Anatomy and Physiology. 6th Ed. Pearson Benjamin Cummings, San Francisco.2. Website: www.zerotothree.org. Accessed on 20th August 2007.3. Goswami UB (2004). Neuroscience and education. Bri/ish journal of Education Psychology 74: 1-14.4. BerIc LE (1999). Infanls, Children and Adolescenls. 3,d Ed. A1lyn and Bacon, Needham Heights, Massachusetts, United Slates of America.

Fonterra Brands (M) Sdn. Bhd. Lot 12, Subang Hi-Tech Industrial Park, Batu liga,40300 Shah Alam, Selangor Darul Ehsan, Malaysia. Tel: 03-588.5 1888 Fax: 03-5637 2878Website: www.anmum.com/h~

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