World Pneumonia Day: vaccines, oxygen therapy and the impact of Covid-19

It is World Pneumonia Day on November 12th.  Pneumonia and other acute lower respiratory infections remain the most common causes of childhood death, and illness requiring hospitalization globally. This is despite the effective pneumococcal conjugate vaccine (PCV) being widely available, which points to the varied causation of childhood pneumonia in 2020.

“Bring in the Allies!” Allied Health, united in care

RCH is excited to be celebrating Allied Health Professionals Day on 14 October 2020. Allied Health Professionals Day first began in the UK in 2018 and has since become an international event to recognise and celebrate the Allied Health Professional community.

The Consultative Council on Obstetric and Paediatric Mortality and Morbidity (CCOPMM) in the time of the pandemic

The Consultative Council on Obstetric and Paediatric Mortality and Morbidity (CCOPMM) monitors the causes and factors involved in all child deaths throughout Victoria, and provides recommendations to Government, health care professionals and the community.  In recent years the Council has identified the social and economic gradient in risk of child deaths, which includes virtually all causes, from accidental trauma, drowning, SIDS, infections and chronic illnesses.  The Council has long recommended improvements in the systems for provision of child welfare and support to families who are vulnerable, especially families of children with chronic illness, and these needs are magnified in the COVID-19 pandemic era.

Practical and ethical challenges in treatment of paediatric neurogenetic disorders

There has in recent years been a rapid increase in the number and complexity of clinical trials and novel therapies for neurogenetic conditions. Many of these conditions are individually rare, but their impact upon affected children and their families may be very severe.  While the increasing awareness and availability of new treatments brings great hope and excitement for all involved in care of these children, it also presents significant challenges for clinicians and for patients and their families.

COVID-19 Kids: Have you checked the children? Understanding the unintended consequences of COVID-19

Fortunately, COVID-19 in children is generally mild. However, the necessary public health mitigation measures to control community transmission have resulted in many unintended consequences for families and children.
How are Victorian children tracking during the pandemic? What can families do to help their children through these uncertain times? And how are young people with disabilities faring? 

CAR T Cell Therapy for acute leukaemia: The RCH experience as the national paediatric referral centre

Chimeric Antigen Receptor (CAR) T cells have revolutionised treatment for patients with acute lymphoblastic leukaemia (ALL) where standard therapies have failed.  We reflect on our first 12 months as the first national paediatric referral centre providing CAR T cell treatment to children with relapsed or refractory ALL from Australia and New Zealand, and highlight the collective efforts and lessons for the hospital-wide CAR T cell team. 

How can a 10 year old be sent to prison in Australia?

Currently in Australia, children as young as 10 years old can be arrested, held in police cells, taken before a magistrate and incarcerated in prison-like settings.  Most children who are incarcerated are never convicted of a crime. 

From scarlet fever to polio: epidemics and pandemics in the history of the Royal Children’s Hospital

In the early decades of European settlement, Australia was free of some infectious diseases such as measles, scarlet fever and diphtheria which could not survive the long voyage to Australia. When these infections did arrive, as shipping times reduced, resistance was low and severe epidemics occurred, especially among children in the crowded slums of the cities, and among indigenous populations who were previously free of these infections.