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Paediatric radiology seen from Africa. Part I: providing diagnostic imaging to a young population

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Abstract

Paediatric radiology requires dedicated equipment, specific precautions related to ionising radiation, and specialist knowledge. Developing countries face difficulties in providing adequate imaging services for children. In many African countries, children represent an increasing proportion of the population, and additional challenges follow from extreme living conditions, poverty, lack of parental care, and exposure to tuberculosis, HIV, pneumonia, diarrhoea and violent trauma. Imaging plays a critical role in the treatment of these children, but is expensive and difficult to provide. The World Health Organisation initiatives, of which the World Health Imaging System for Radiography (WHIS-RAD) unit is one result, needs to expand into other areas such as the provision of maintenance servicing. New initiatives by groups such as Rotary and the World Health Imaging Alliance to install WHIS-RAD units in developing countries and provide digital solutions, need support. Paediatric radiologists are needed to offer their services for reporting, consultation and quality assurance for free by way of teleradiology. Societies for paediatric radiology are needed to focus on providing a volunteer teleradiology reporting group, information on child safety for basic imaging, guidelines for investigations specific to the disease spectrum, and solutions for optimising imaging in children.

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References

  1. Chen S, Ravallion M. The developing world is poorer than we thought, but no less successful in the fight against poverty, Policy Research Working Paper 4703, World Bank, August 2008. http://econ.worldbank.org/external/default/main?pagePK=64165259&piPK=64165421&theSitePK=469372&menuPK=64216926&entityID=000158349_20100121133109. Accessed 5 October 2010

  2. 2007 Human Development Report (HDR), United Nations Development Program, November 27, 2007 / 2008, p.25. http://hdr.undp.org/en/media/HDR_20072008_EN_Complete.pdf. Accessed 5 October 2010

  3. State of the World’s Children, 2005, UNICEF. http://www.unicef.org/sowc05/english/sowc05.pdf. Accessed 5 October 2010

  4. Patton GC, Coffey C, Sawyer SM, Viner RM, Haller DM, Bose K, Vos T, Ferguson J, Mathers CD (2009) Global patterns of mortality in young people: a systematic analysis of population health data. Lancet 374:881–892

    Article  PubMed  Google Scholar 

  5. The World Factbook. https://www.cia.gov/library/publications/the-world-factbook/geos/mz.html. Accessed 5 October 2010

  6. World Health Organisation. http://www.who.int/countries/. Accessed 5 October 2010

  7. Zanoni B (2005) Epidemiology of HIV in Southern Africa. Pediatr Radiol 39:538–540

    Article  Google Scholar 

  8. Bryce J, Boschi-Pinto C, Shibuya K, Black R (2005) WHO Child Health Epidemiology Reference Group. Lancet 365:1147–1152

    Article  PubMed  Google Scholar 

  9. Zar HJ (2006) Global paediatric pulmonology: out of Africa. Paediatr Respir Rev 7:S226–S228

    Article  PubMed  Google Scholar 

  10. WHO AIDS epidemic update UNAIDS/09.36E / JC1700E (English original, November 2009). http://data.unaids.org/pub/Report/2009/JC1700_Epi_Update_2009_en.pdf. Accessed 5 October 2010

  11. Women and Children in South Africa. http://www.unicef.org/southafrica/children.html. Accessed 5 October 2010

  12. Adams LV (2004) Childhood tuberculosis in the developing world. Pediatr Ann 33:685–690

    PubMed  Google Scholar 

  13. WHO Report. Global tuberculosis control. http://www.who.int/tb/publications/global_report/2009/pdf/report_without_annexes.pdf. Accessed 5 October 2010

  14. Ng’ambi TM, Borgstein ES (2005) Epidemiology of paediatric trauma admission at Queen Elizabeth Cebtral Hospital, Blantyre. Malawi Med J 17:5–6

    Google Scholar 

  15. Osinaike B, Amanor-Boadu S. Paediatric trauma admissions in a Nigerian ICU. Internet Journal of Emergency and Intensive Care Medicine. http://www.ispub.com/ostia/index.php?xmlPrinter=true&xmlFilePath=journals/ijeicm/vol9n2/icu.xml. Accessed 5 October 2010

  16. Stuckler D, King L, Robinson H, McKee M (2008) WHO's budgetary allocations and burden of disease: a comparative analysis. Lancet 372:1563–1569

    Article  PubMed  Google Scholar 

  17. Dept. of Int. devt.(2001) Access to water in developing countries. http://www.parliament.uk/documents/post/pn178.pdf. Accessed 19 December 2009

  18. Mozambique.http://www.citizen.org/cmep/Water/cmep_Water/reports/safrica/. Accessed 19 December 2009

  19. Palmer PES (1985) The WHO basic radiological system. Radiography 53:170–178

    Google Scholar 

  20. Krupinski EA (1996) Clinical Assessment of dry laser-processed film versus traditional wet-processed film with computer tomography, magnetic resonance imaging, and ultrasound. Acad Radiol 3:855–858

    Article  PubMed  CAS  Google Scholar 

  21. Kozilainin, H (2001) Rehabilitation of hospital infrastructure in a developing country. World Hospital Health Serv 37:28–8,34,36

    Google Scholar 

  22. US Army medical department centre and school. X-ray film processing.http://milmed.pmk.ac.th/MD0954%20X-RAY%20FILM%20PROCESSING.pdf. Accessed 3 January 2010

  23. Korolev A I (1990) Equipment for fast radiography with diffusion-transfer photographic materials. (translated from Russian) Meditsinskaya Tekhnika1:25–27

  24. McHugh K (2002) Essential imaging facilities. In: Southall DP, Coulter B, Ronald C, Nicholson S, Parke S (eds) International child health care: a practical manual for hospitals worldwide. Child Advocacy International. BMJ Books, London

    Google Scholar 

  25. Advice on Donating Equipment Overseas. http://idcsig.org/page6.html. Accessed 22 December 2009

  26. Malkin AA (2007) Design of healthcare technologies for the developing world. Annu Rev Biomed Eng 9:567–587

    Article  PubMed  CAS  Google Scholar 

  27. Kitonyi JM (1993) The basic radiological system experience in Kenya. East Afr Med J 70:793–796

    PubMed  CAS  Google Scholar 

  28. The World Health Imaging System for Radiography—WHIS-RAD: simply perfect. World health Organisation, Geneva, 2004

  29. What Is The Climate, Average Temperature/ Weather In Mozambique? http://www.climatetemp.info/mozambique/.Aceesed 21 December 2009

  30. Brederhofs J, Raceveneau (1982) Radiological services throughout the world. Diagn Imaging 51:121–133

    Google Scholar 

  31. Health care in South Africa http://www.southafrica.info/about/health/health.htm Accessed: 3 January 2010

  32. Urinary tract infection in children: diagnosis, treatment and long-term management. NICE clinical guideline 54. http://www.nice.org.uk/nicemedia/pdf/CG54NICEguideline. Accessed 5 October 2010

  33. Frost and Sullivan (2008) Strategic Analysis of the Medical Imaging Market in Kenya. http://www.pharmaceutical-market-research.com/publications/medical_devices/strategic_analysis_medical_imaging_market_kenya.html. Accessed 5 October 2010

  34. Kawooya M (2008) Role Extension for the Radiographer in the New Millennium. http://www.isrrt.org/images/isrrt/09H50%20DR%20M%20KAWOOYA%20RM%201A%20SESSION%201%20FRIDAY.pdf. Accessed 5 October 2010

  35. www.medpages.co.za. Accessed 5 October 2010

  36. Strachan M (2009) Imbalance between public and private radiological services in the Western Cape Of South Africa. Dissertation University of Stellenbosch, South Africa

    Google Scholar 

  37. Hanson GP (1988) Essential X-ray services: the basic radiological system (BRS). Trop Geogr Med 40(4):s576–s578

    Google Scholar 

  38. Health systems http://www.who.int/topics/health_systems/en/.Accessed 5 January 2010

  39. Simpson PD (1998) A study of chest radiography with mobile units. Br J Radiol 71:640–645

    PubMed  CAS  Google Scholar 

  40. Wootton R (2001) Telemedicine and developing countries—successful implementation will require a shared approach. J Telemed Telecare S1:1–6

    Article  Google Scholar 

  41. http://www.swinfencharitabletrust.org/. Accessed 5 October 2010

  42. http://www.healthnet.org/. Accessed 5 October 2010

  43. Pyke J, Hart M, Popov V et al (2007) A tele-ultrasound system for real-time medical imaging in resource limited settings. In: Conference Proceedings of the IEEE 2007:3094–3097

  44. http://www.teleradiologie-sans-frontieres.org/. Accessed 7 October 2010

  45. Szot A, Jacobson FL, Munn S, Jazayeri D, Nardell E, Harrison D, Drosten R, Ohno-Machado L, Smeaton LM, Fraser HS (2004) Diagnostic accuracy of chest X-rays acquired using a digital camera for low-cost teleradiology. Int J Med Inform 73:65–73

    Google Scholar 

  46. Corr P, Couper I, Beningfield SJ, Mars M (2000) A simple telemedicine system using a digital camera. J Telemed Telecare 6:233–236

    Article  PubMed  CAS  Google Scholar 

  47. http://www.nighthawkradiology.net/. Accessed 5 October 2010

  48. http://www.doctorswithoutborders.org/news/article.cfm?id=4157. Accessed 5 October 2010

  49. Baylor College of Medicine. International Paediatric AIDS Initiative. http://www.Bayloraids.org/programs/Swaziland/outreach.php. Accessed 5 October 2010

  50. Rotarians assess need for WHIS-RAD imaging system in Zimbabwe. http://www.auntminnie.com/index.asp?Sec=nws&sub=rad&pag=dis&ItemId=53004Accessed 3 January 2010

  51. Rudd PD (2003) The development of radiographer reporting 1965–1999. Radiography 9:7–12

    Article  Google Scholar 

  52. Brandt A, Andronikou S, Wieselthaler N, Louw B, Kilborn T, Dekker G, Bertelsman J, Dreyer C (2007) Accuracy of radiographer reporting of paediatric brain CT. Pediatr Radiol 37:291–296

    Article  PubMed  Google Scholar 

  53. Cowan I, Smith T, Nakabea P, Ajibulu O, Hennessy O (2007) WHO/RANZCR/ISRRT. Developing the image interpretation skills of South Pacific radiographers: a joint WHO/RANZCR/ISRRT project. Australas Radiol 51:527–531

    Article  PubMed  CAS  Google Scholar 

  54. Andronikou S, Vanhoenacker FM, De Backer AI (2009) Advances in imaging chest tuberculosis: blurring of differences between children and adults. Clin Chest Med 30:717–744, viii

    Article  PubMed  Google Scholar 

  55. Williams JR (2000) Ethics and human rights in South African medicine. CMAJ 162:1167–1170

    PubMed  CAS  Google Scholar 

  56. Sullivan P (1999) Canada a prime destination as MDs flee South Africa. CMAJ 160:1615–1616

    Google Scholar 

  57. Truth and Reconciliation Commission of South Africa Report. Cape Town: TRC/Juta; 1998. vol IV, chapt V. p. 120. www.polity.org.za/govdocs/commissions/1998/trc/index.htm. Accessed August 2010

  58. Price M (1986) Health care as an instrument of apartheid policy in South Africa. Health Policy Plan 1:158–170

    Article  Google Scholar 

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Correspondence to Savvas Andronikou.

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Andronikou, S., McHugh, K., Abdurahman, N. et al. Paediatric radiology seen from Africa. Part I: providing diagnostic imaging to a young population. Pediatr Radiol 41, 811–825 (2011). https://doi.org/10.1007/s00247-011-2081-8

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