Little things matter: The impact of toxins on child health
The impact of toxic chemicals is usually subtle for an individual child, but it can be substantial at the population level. Low-level exposures to toxic chemicals – such as lead, tobacco, pesticides and flame retardants – are implicated in the development of intellectual deficits, behavioural problems and low birthweight. Yet, too little has been done to protect children from these ubiquitous but insidious chemicals. This session will provide an overview of the population impact of toxins on children’s health.
Faculty: Bruce Lanphear, MD
CanMEDS: Medical expert
Topics: Environmental health, General paediatrics
1. Head injury and return to play: A moving target
The science and practice of managing concussions in children is rapidly evolving, but a lot is still unknown. This presentation share the most up-to-date information on pharmacological and non-pharmacological management of head injuries in children, and practical tips on how and when to return to study and play.
2. HPV9: For boys and girls
The revised CPS position statement on human papillomavirus is discussed, and the expanded coverage safety and efficacy data for HPV9 vaccine are reviewed.
3. IUDs in the adolescent: A good fit?
Indications for IUD use in the adolescent population are discussed, with emphasis on acceptability in this population, possible side effects and complications. Practical tips for placing an IUD in this age group are also covered.
4. Congenital CMV: Consensus and controversies
The results of the major clinical trials of treatment of infants with congenital cytomegalovirus (CMV) infection with IV ganciclovir and oral valganciclovir will be reviewed and be used to discuss current recommendations and controversies related to screening of congenital CMV infection and its treatment.
5. Lyme disease: An emerging infectious disease in Canada
Lyme disease is a zoonosis transmitted by Ixodes ticks, and the most common tick-borne disease in North America. In 1981 the causative bacteria, Borrelia species, was identified. Lyme disease has since become endemic in certain parts of Canada, and may spread to new geographic regions.
6. Guiding the way to better paediatric donation after circulatory determination of death: Development of Canadian specific guidelines
Paediatric donation after circulatory determination of death (pDCD) has been slower to develop in Canada than in other countries. This presentation will highlight issues discussed in the newly developed national guidelines jointly authored by Canadian Blood Services and the Canadian Paediatric Society.
Question-and-answer period, evaluations and closing remarks
1200-1215 Closing Ceremonies
Faculty: Joanne Embree, MD, Ran Goldman, MD, Joanne Langley, MD, Debra Millar, MD, Marina Salvadori, MD and Matthew Weiss, MD
CanMEDS: Medical expert
Topics: Adolescent health, Allergy and immunology, General paediatrics