Red Cross Children's Hospital--a valuable national resource.
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Child↗
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The first two decades of the Red Cross War Memorial Children's Hospital.
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Anesthesiology↗
Blood donor counselling for HIV: results of a multi-country feasibility study.
A qualitative characterisation study was conducted by the World Health Organisation's Global Programme on AIDS, and the International Federation of Red Cross and Red Crescent Societies, in six developing countries in order to determine the feasibility of introducing blood donor counselling into procedures for blood donation at blood transfusion sites. After careful preparation of consultants, in-country visits were made to include structured discussions with key BTS and Red Cross, and national AIDS programme staff, and donors, and observations of relevant facilities. Necessary resources, management requirements, obstacles to and options for blood donor counselling were explicated, together with information on the role of HIV testing in motivating blood donation, and problems associated with this and with donor notification. Blood donor counselling is seen as feasible, provided minimum conditions can be established to ensure appropriate standards and availability of resources.
Acquired Immunodeficiency Syndrome↗
Diphtheria in Estonia, 1991-1996.
Clinical diphtheria reappeared in Estonia in 1991. Between 1991 and 1996, 61 cases and 5 deaths occurred; 19 cases were among children 5-9 years of age, and 11 were among persons 40-49 years of age. From 1993-1995, vaccine supplies donated by Finland were used in vaccination programs. In 1995, the International Federation of Red Cross and Red Crescent Societies and the Estonian Red Cross launched a mass vaccination campaign targeting the adult population. By the end of 1997, it was estimated that 46% of adults had received at least one dose of vaccine. Although the vaccination campaigns did not target the pediatric population, vaccination coverage in school-aged children remained high due to continuing routine vaccination programs. The reappearance and epidemic of clinical diphtheria cases and the mass vaccination campaign efforts demonstrated that preventive measures are important and must be maintained in order to keep diphtheria under control.
Adolescent↗
[Blood transfusion and advertising].
The Red-Cross and Red-Crescent International Museum has been owning from 1995 a collection (series) of 12,000 posters coming from the International Federation of the Red-Cross and Red-Crescent National Societies. These posters are dedicated to the prevention of diseases and health promotion. Blood donation is featured everywhere in this package. While the interpretation of the whole set is underway, this article presents some of these topics based on the display of some ten posters.
Advertising↗
["Gift or good?"].
The European Union and many transfusion international organizations and societies held the unpaid blood donation as an imperative for enrolling donors, not always providing the means for implementing this regulation, in particular induced by the (pharmaceutical) industry's hesitations. In spite of this, all available data, whatever former or recent, prove that the unpaid blood donation has a higher transfusion safety level than the remunerated donation's. The author also stresses that blood industrialization, while considerably improving the transfusion safety, has also destroyed the past vicinity between donor and receiver within the hospital environment, detrimental to enrolling donors. He also evokes challenges to be coming up soon in transfusion centres as well as changing the role of Red Cross and Red Crescent societies to refocusing their activities on the promotion of blood donation and donor enrollment.
Adult↗
Depleted uranium in Kosovo: an assessment of potential exposure for aid workers.
BACKGROUND: During the Kosovo conflict approximately 11 tons of depleted uranium munitions were used against armored targets, predominantly in the west. Potential exposure to uranium amongst employees of the International Red Cross and Red Crescent Movement in western Kosovo was assessed. METHODS: Individuals (n = 31) who had resided at least 3 mo in western Kosovo provided 24-h urine collections and completed an administered questionnaire. Specimens were analyzed for creatinine concentration, and uranium concentration was determined using inductively coupled mass spectrometry. FINDINGS: Subjects ranged in age from 22 to 45 y, and 77% were male. Mean duration of residency was 11 mo, and 14 individuals were in western Kosovo throughout the hostilities. Almost three quarters of subjects reported seeing destroyed tanks or vehicles, predominantly while passing by within a vehicle. Two individuals spent time within 50 m of a destroyed tank or vehicle while outside of a vehicle. Urinary uranium concentrations ranged from 3.5 to 26.9 ng of uranium per liter of urine (median 8.9 ng L(-)). Creatinine normalized values ranged from 2.9 to 21.1 ng of uranium per gram of creatinine (median 7.4 ng g(-1) creatinine). These results fall toward the lower end of urinary uranium determinations made amongst non-exposed populations drawn from a literature review. INTERPRETATION: These results do not indicate an increased exposure to uranium amongst adults living and working in western Kosovo who do not spend time in proximity to destroyed vehicles. Environmental sampling and replication of these results amongst a sample including children and individuals reporting intensive exposure to destroyed vehicles would further develop the exposure assessment.
Adult↗
Primary health care in complex humanitarian emergencies: Rwanda and Kosovo experiences and their implications for public health training.
In a complex humanitarian emergency, a catastrophic breakdown of political, economic, and social systems, often accompanied by violence, contributes to a long-lasting dependency of the affected communities on external service. Relief systems, such as the Emergency Response Units of the International Federation of Red Cross and Red Crescent Societies, have served as a sound foundation for fieldwork in humanitarian emergencies. The experience in emergencies gained in Rwanda in 1994 and Kosovo in 1999 clearly points to the need for individual adjustments of therapeutic standards to preexisting morbidity and health care levels within the affected population. In complex emergencies, public health activities have been shown to promote peace, prevent violence, and reconcile enemies. A truly democratic and multi-professional approach in all public health training for domestic or foreign service serves as good pattern for fieldwork. Beyond the technical and scientific skills required in the profession, political, ethical, and communicative competencies are critical in humanitarian assistance. Because of the manifold imperatives of further public health education for emergency assistance, a humanitarian assistance competence training center should be established. Competence training centers focus on the core competencies required to meet future needs, are client-oriented, connect regional and international networks, rely on their own system of quality control, and maintain a cooperative management of knowledge. Public health focusing on complex humanitarian emergencies will have to act in prevention not only of diseases and impairments but also of political tension and hatred.
Altruism↗
Pricing behavior of non-profit agencies. The case of blood products.
In this study we examine the pricing behavior of a non-profit agency, the American National Red Cross blood service units. Two alternative hypotheses are presented: one in which the agency maximizes profits,, and one in which output is maximized subject to a breakeven constraint. Following a general approach developed by Eckstein and Fromm , pricing equations for separate blood products are applied to cross-sectional data from Red Cross blood centers to determine the impact of demand, cost, competition, and subsidy variables. The impact of these variables, in particular the impact of the fixed subsidy on price, is shown to be consistent with the output-maximizing model.
Blood Banks↗
Optimizing recovery of platelets in platelet rich plasma by the simplex strategy.
A Simplex is an empirical, geometric feedback strategy which progressively programs a series of experiments according to the results of the preceeding experiments. It leads to definition of conditions which maximize or minimize the result of experiments in two or more variables. When applied to study a laboratory method it dictates simultaneous variation of the conditions of an experiment, differing from the usual approach in which variables are altered sequentially and arbitrarily. A two variable Simplex (force and duration of centrifugation) has been applied to maximize platelet recovery in platelet rich plasma (PRP). The technique of Simplex is described. Maximal recovery of platelets in PRP was reached by centrifugation at 2160 X g for 2.7 minutes. To confirm the correctness of this result, platelet concentrates were prepared from PRP's separated by three different methods: 1) conditions determined by Simplex, 2) American National Red Cross recommended method (2820 X g for two minutes), and 3) Canadian Red Cross recommended method (995 X g for nine minutes). Mean recovery of 78 per cent was obtained by Simplex, significantly higher than 61 per cent with the American National Red Cross method (p greater than .005) and higher than 69 per cent with the Canadian Red Cross method. Simplex strategy is recommended as a simple, powerful technique for determining optimal experimental or laboratory conditions.
Blood Banks↗
Caring for people at home.
This new series presents advice and interesting tips on caring for sick, elderly and disabled people in their homes. Although it is written mainly for people who care for others at home the advice is useful knowledge for the attending medical practitioner. The topics are reproduced from the Australian Red Cross Society 'Caring For People At Home' manual. The Red Cross programme has three components--the manual, a practical course, and an advisory or information service. The manual can be purchased from the Red Cross at a reduced price of $12.95.
Australia↗
Caring for people at home.
This series presents advice and interesting tips on caring for sick, elderly and disabled people in their homes. Although it is written mainly for people who care for others at home the advice is useful knowledge for the attending medical practitioner: The topics are reproduced from the Australian Red Cross Society "Caring For People At Home" manual. The Red Cross programme has three components--the manual, a practical course, and an advisory or information service. The manual can be purchased from the Red Cross at a reduced price of $12.95.
Australia↗
Sex difference in mortality rates of Leghorn-Red reciprocal crosses.
Mortality rates among White Leghorn-Rhode Island Red pure-line and reciprocal cross adult female progeny were recorded for 8 years. The mortality rate among progeny of White Leghorn males exceeded that of the progeny of Rhode Island Red males in both pure-line and crossbreds. White Leghorn X Rhode Island Red crossbred progeny had the highest mortality rate. In a second phase of the study, a comparison was made between mortality rates of male and female progeny of White Leghorn-Rhode Island Red reciprocal crosses. Rate of loss was significantly lower in males than in females but did not differ between crosses. These results support a conclusion that sex linkage is a major factor in differential mortality rates between progeny of White Longhorn-heavy breed reciprocal crosses.
Animals↗
Treatment of Kawasaki disease using locally product intravenous immunoglobulin.
BACKGROUND: Kawasaki disease (KD) is an acute febrile illness of unknown origin. Several kinds of IVIG have been shown to be effective in the decrease of the incidence of coronary artery abnormalities (CAA) which is the most serious complication. Nowadays, the National Blood Centre, Thai Red Cross Society can manufacture IVIG from the plasma of Thai blood donors which is much cheaper than the imported intravenous immunoglobulin (IVIG's). The effectiveness of this Thai Red-Cross IVIG in Kawasaki disease has never been documented. OBJECTIVE: To determine the initial treatment response and prevalence of CAA in KD treated with a high dose (2 g/kg) of Thai Red-Cross IVIG. PATIENTS AND METHOD: All patients with a diagnosis of KD who had initial treatment with 2 g/kg of Thai Red-Cross IVIG at Queen Sirikit National Institute of Child Health from December 2001 to February 2003 were reviewed retrospectively. RESULTS: All 22 cases (100%) had good response to a single treatment with a high dose of IVIG. The only patient who did not complete the IVIG treatment had a severe reaction following the administration of the drug and needed discontinuation and intervention. During the convalescent phase, there were only 2 cases (9.09%) with CAA in the first month and 1 case (4.55%) at the 3-month follow-up. This only case with CAA at 3 months had multiple aneurysms at the left main and left anterior descending coronary arteries. No giant aneurysms were found in the present study. CONCLUSION: The efficacy of a high dose (2 g/kg) of Thai Red-Cross IVIG in Kawasaki disease is excellent. However, the severe reaction in one patient needs further surveillance.
Child, Preschool↗
Spinal cord injury rehabilitation in Armenia.
The International Federation of Red Cross and Red Crescent Societies has once again provided a new beginning for the victims of natural disaster and has initiated a change in cultural attitudes toward people with disabilities. My work in Armenia has also helped me to grow and experience a "world view" of my own.
Armenia↗
Cracking the code: the genesis, use and future of the Code of Conduct.
This paper reflects on the genesis of the Code of Conduct for the International Red Cross and Red Crescent Movement and Non-Governmental Organizations (NGOs) in Disaster Relief, on the tenth anniversary of its adoption. The origins, usage and future of the code are examined with respect to three debates, current at the time of its inception, namely: the debate about the core content of humanitarianism; the debate about coherence and the consensual nature of the humanitarian community; and the debate about the need for, and the ability to demonstrate, accountability. The paper concludes that although the Code of Conduct was very much a product of its time, its content remains relevant today. However, its future application hinges on the capacity of those who purport to follow it to realise true accountability, and on proving that the code, written essentially for natural disasters, is relevant to contemporary complex emergencies.
Altruism↗
Dead letter or living document? Ten years of the Code of Conduct for disaster relief.
This paper examines the present value of the Code of Conduct for the International Red Cross and Red Crescent Movement and Non-Governmental Organizations (NGOs) in Disaster Relief, in view of discussions on neutrality and the Western bias of the humanitarian aid system, and assesses how it can retain its relevance in future. The Code of Conduct was launched just after the Rwanda genocide of April 1994. A decade later, the crises in Afghanistan and Iraq have sparked renewed interest in humanitarian principles and in whether the code can serve as an instrument to define humanitarianism and guide humanitarian decision-making and coordination. More than 300 organisations have now subscribed to it. This paper is based on the findings of a survey of code signatories and the outcomes of a conference on the value and future of the code, held in The Hague, Netherlands, in September 2004 to mark its tenth anniversary.
Altruism↗
How much blood for the world?
Based on data from 96, and estimates from 32 countries with populations of over 1 million, it was calculated that the total amount of whole blood collected annually in the world in the early 1980s was about 75 million units. Of this, one-third was collected by Red Cross and Red Crescent blood programmes. The index of donations per 1,000 population was on average 50.2 in industrial market countries, 9.5 in middle-income countries and 1.1 in low-income countries. For planning purposes donation rates in relation to health services are better than the population index. It seems that roughly 10 annual donations per acute hospital bed, or 0.40 donation per patient admission to these hospitals would be sufficient to provide adequate quantities of blood and blood products for modern haemotherapy.
Blood Donors↗