Latest Posts

Covid-19 in India and South Africa – Back of the queue or leading the world?

“Vaccine inequity – The world is on the brink of a catastrophic moral failure, and the price of this failure will be paid with lives and livelihoods in the world’s poorest countries.”    
Dr Tedros Adhanom Ghebreyesus, WHO Director-General.

The availability of effective vaccines for the prevention of covid-19 has led to an unseemly competition as countries rushed to sign deals with manufacturers, often outbidding each other for access, to the exclusion of poorer countries. In high income countries 60% of people have received at least one dose of Covid vaccine, while in low income countries the figure is 3%.

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Delta in Kids- what we do and don’t know

We have a National Roadmap, which includes COVID-19 vaccine coverage targets for the easing of restrictions.  But how do children and adolescents fit into this, with regard the direct and indirect effects of Delta on their health and well-being?

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Involving children in clinical decision-making: Why it matters and how best to do it

This plenary session is named in honour of the recent Clinical Director of the Centre for Bioethics, A/Prof Jill Sewell. Professor Douglas Diekema will open the National Paediatric Bioethics Conference by considering the ethical underpinning of our conference theme, ‘Deciding with Children’. Deciding with Children is more than a vague abstraction or aspirational goal of children’s healthcare workers. Prof Diekema will demonstrate that Deciding with Children matters to the well-being of children and is a vital part of healthcare delivery. He will build on this foundation, using his clinical experience, to consider how best to authentically involve children in healthcare decisions. 

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Reproductive genetic carrier screening through the ages

Reproductive carrier screening has been possible since the 1970s. Initially conducted by testing of blood analytes for carrier status for haemoglobinopathies and Tay Sachs disease, screening for an ever increasing number of conditions became possible by genetic testing from the late 1980s. The advent of genomic sequencing means that it is now possible to screen over 1000 genes, a process called expanded carrier screening.

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Working together to optimise children’s mental health: The Campus Mental Health Strategy

Mental Health is an issue of growing concern across the community. This has been amplified through the COVID-19 pandemic. Child mental health is also an ongoing priority for the Melbourne Children’s Campus (MCC) and its three partners. The RCH treats many vulnerable patient groups (e.g., children with chronic illness, neurodevelopmental disorders, psychosocial challenges) with elevated risk of psychological and mental health difficulties. This extends across our inpatient and outpatient services and into the community. Despite this, mental health services can be fragmented and difficult to access. 

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Paediatric upper limb transplantation: A new frontier of surgery, immunology, and ethics

Hand transplantation is a technique to reconstruct absent and functionless upper limbs using cadaveric donor limbs.

In the 20 years since the world’s first hand transplant, the technique has developed into a reliable and valuable option for carefully selected adult amputees. The downside is the need for immunosuppression with its inherent risks (metabolic, infective, neoplastic, and renal impairment) for the duration of the transplant.

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Wadja Family Place in Focus, and what can RCH staff do to support Aboriginal patients and their families

The NAIDOC Week Grand Round will highlight how Wadja Aboriginal Family Place has provided excellence and leadership in health services to Aboriginal Children and their families at the Royal Children’s Hospital. Wadja works collaboratively in partnership in the areas of child health assessments, advocacy, liaison, research, mental health, education, and family support to improve the health and wellbeing of Aboriginal children and young people.  

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