важные шаги по возобновлению работы школ
L’année 2024 a été particulièrement éprouvante pour les enfants. Face à l’intensification des conflits violents, des chocs climatiques et de la pauvreté, leurs besoins n’ont en effet cessé de croître tandis que les ressources disponibles pour y répondre ont continué de diminuer.
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Comme le montre notre Rapport annuel, l’UNICEF a néanmoins été présent dans plus de 190 pays et territoires, sauvant et améliorant la vie de millions d’enfants, y compris dans les endroits les plus difficiles d’accès. Avec l’aide de nos partenaires, nous avons œuvré à fournir de l’eau salubre et des installations d’assainissement, ainsi que des services de protection, de soutien psychosocial, de santé, de nutrition, de vaccination, d’éducation et de développement des compétences.
Alors que 2025 s’ouvre dans un contexte d'instabilité persistante, de bouleversements politiques, d'incertitude économique et de multiplication des crises humanitaires, l’organisation doit plus que jamais donner le meilleur d’elle-même. Or, les coupes annoncées et attendues dans les financements de l’aide internationale limitent notre capacité à venir en aide aux millions d’enfants les plus vulnérables.
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El año 2024 fue especialmente difícil para la infancia. Los conflictos cada vez más violentos, las conmociones climáticas y la pobreza provocaron un aumento drástico de las necesidades de los niños y niñas, justo cuando los recursos necesarios para atenderlas se reducían de forma constante. ...
Pese a todo, tal como muestra este Informe anual, UNICEF mantuvo su presencia en más de 190 países y territorios, donde protegió y salvó la vida a millones de niños y niñas incluso en los lugares más remotos. En colaboración con nuestros aliados, suministramos agua salubre e instalaciones de saneamiento, brindamos protección y apoyo psicosocial y prestamos servicios de salud, nutrición, inmunización, educación y capacitación.
En 2025, el panorama mundial sigue estando presidido por cambios políticos importantes, volatilidad, incertidumbre económica y crisis humanitarias cada vez más graves. Si queremos rendir frutos, UNICEF debe dar lo mejor de sí.
Pero los recortes en la financiación –los que ya se han anunciado y los que hay previstos– están limitando la capacidad de UNICEF para llegar a millones de niños y niñas en situación de extrema necesidad. Estos nuevos recortes están generando una crisis mundial de financiación que pondrá en peligro la vida de millones de niños y niñas más.
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Diagnosing asthma in children represents an important clinical challenge. There is no single gold-standard test to confirm the diagnosis. Consequently, over- and under-diagnosis of asthma is frequent in children. A task force supported by the European Respiratory Society has developed these evidence...-based clinical practice guidelines for the diagnosis of asthma in children aged 5–16 years using nine Population, Intervention, Comparator and Outcome (PICO) questions. The task force conducted systematic literature searches for all PICO questions and screened the outputs from these, including relevant full-text articles. All task force members approved the final decision for inclusion of research papers. The task force assessed the quality of the evidence using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach.
The task force then developed a diagnostic algorithm based on the critical appraisal of the PICO questions, preferences expressed by lay members and test availability. Proposed cut-offs were determined based on the best available evidence. The task force formulated recommendations using the GRADE Evidence to Decision framework.
Based on the critical appraisal of the evidence and the Evidence to Decision framework, the task force recommends spirometry, bronchodilator reversibility testing and exhaled nitric oxide fraction as first-line diagnostic tests in children under investigation for asthma. The task force recommends against diagnosing asthma in children based on clinical history alone or following a single abnormal objective test. Finally, this guideline also proposes a set of research priorities to improve asthma diagnosis in children in the future.
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Although asthma is very common, affecting 5–10% of the population, the diagnosis of asthma in adults remains a challenge in the real world, which results in both over- and under-diagnosis. A taskforce was set up by the European Respiratory Society to systematically review the literature on the dia...gnostic accuracy of tests used to diagnose asthma in adult patients and provide recommendations for clinical practice.
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Asthma is the most common chronic illness of childhood. The prevalence is rising and the mortality and morbidity from asthma are unacceptably high in South Africa. This article emphasizes the importance to make a correct diagnosis based, most importantly, on the clinical history and supported by inv...estigations. Further, the appropriate drug and device must be chosen to achieve good asthma control. It explains that patients must be followed up regularly and their asthma control must be assessed so that the treatment can then be adjusted according to the level of control. Additionally, Asthma education and adherence are important components of management of the condition.
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Coronavirus disease 2019 has a mild disease course in children and adolescents. Chronic respiratory conditions, including asthma, have been suggested as risk factors; however, asthma in children is highly variable in both triggers and severity.
During the pandemic, pediatric asthma services limite...d consultations and established virtual clinics. However, respondents perceived their patients’ asthma control to be retained or even improved, while treatment adherence was considered increased. Children with asthma were not disproportionately affected by coronavirus disease 2019.
Trigger avoidance and treatment adherence can rapidly improve asthma control in children, even under lockdown pressure. Children/adolescents with asthma do not appear to need additional prophylactic measures from coronavirus disease 2019 when asthma is well-treated. This article analyses the effect of COVID-19 on Asthma in children, providing information for management guidelines.
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The article discusses the education strategy of the International Primary Care Respiratory Group (IPCRG) for 2014–2020, focusing on building capacity to improve respiratory care globally. It highlights the significant burden of respiratory diseases and the role of primary care in addressing this i...ssue. The IPCRG aims to enhance educational efforts, support healthcare professionals, and foster knowledge-sharing among its member countries. The strategy includes developing teaching programs, promoting leadership, and using innovative educational methods, such as distance learning and "teach the teacher" programs. The overall goal is to improve clinical practice and outcomes in managing respiratory conditions through targeted education and collaboration.
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Asthma is a heterogeneous condition characterised by chronic inflammation and variable expiratory airflow limitation, with airway reversibility. Management of chronic inflammation with anti-asthma medication improves asthma control and quality of life. The aim of this journal is to provide an eviden...ce-based approach for chronic asthma management in young children and adolescents and provide guidance on the use of new asthma drugs in children.
For that, the South African Childhood Asthma Working Group (SACAWG) convened in January 2017. The asthma treatment task group reviewed the available scientific literature and international asthma treatment guidelines. The evidence was then graded according to the Grades of Recommendation Assessment, Development and Evaluation (GRADE) system and recommendations were made based on scientific evidence and local context. Asthma management recommendations were made for children ˂6 years of age and older children and adolescents, as well as for stepping up and stepping down of therapy. This review does not include biologics or novel asthma drugs, which are covered in another CME article in this edition of SAMJ.
The final conclusions are that it is important to ensure good response, treatment and adherence, type of medication, device and checking of technique are all critical. Stepping up of therapy should be done only after ensuring good adherence and technique. Once therapeutic response is achieved, medication administration has to be stepped down to improve ease of use and avoid unnecessary side-effects.
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Asthma is a common breathing condition. Chances are that at least one in every fifth person will have it. People with asthma might have a cough, or wheeze and a feeling of tightness in their chests. A group of researchers from the United Kingdom teamed up with seven African countries to learn about ...the challenges that children living with asthma in Africa face. One part of their research focuses on air pollution specifically. This research indicates ways to deal with asthma triggers and help more people understand asthma and enjoy a normal active life.
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Asthma is a heterogeneous condition characterised by chronic inflammation and variable expiratory airflow limitation, as well as airway reversibility. The diagnosis of asthma in young children is limited by the inability to perform objective lung function testing in this group of patients and the wi...de variety of conditions that can phenotypically present with asthma-like symptoms.
This article provides an evidence-based approach for clinicians to accurately diagnose asthma in young children and to assess the level of control to guide therapeutic decisions.
The South African Childhood Asthma Working Group (SACAWG) convened in January 2017 with task groups, each headed by a section leader, constituting the editorial committee on assessment of asthma epidemiology, diagnosis, control, treatments, novel treatments and self-management plans. The asthma diagnosis and control task groups reviewed the available scientific literature and assigned evidence according to the Grades of Recommendation Assessment, Development and Evaluation (GRADE) system, providing recommendations based on current evidence.
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The increasing prevalence of childhood asthma in the developed world is a cause for concern. A so-called Western lifestyle has been the factor most commonly cited to explain this worrying increase in asthma prevalence. Early studies in a limited number of African countries showed a very low rural pr...evalence of childhood asthma, especially where children lived according to a traditional lifestyle. These same studies showed that asthma was not uncommon in urbanized African children. There has been an
increasing tendency over the past 20 years for those in rural communities to move to the large urban centers. This article analyses the urban-rural differences and factors that influence the development of asthma in susceptible children.
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Malar J . 2025 Jan 5;24:1. doi: 10.1186/s12936-024-05235-z
This review examines the role of routine malaria vaccination in Africa as a key strategy toward malaria elimination, explores challenges and solutions for widespread vaccine implementation, and discusses future directions in the ongoing fi...ght to eliminate malaria on the continent.
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This video highlights the significant risks that malaria poses to pregnant and breastfeeding women in malaria-endemic regions. It follows the stories of Angavu from Kenya, Moyinoluwa from Nigeria and Lamai from Thailand. It emphasises the severe consequences that malaria can have during pregnancy, i...ncluding miscarriage, stillbirth, low birth weight and maternal death. Due to safety concerns, pregnant women are often excluded from antimalarial drug trials, which causes long delays in effective medicines becoming available for this vulnerable group. To address this issue, the Medicines for Malaria Venture (MMV) launched the Malaria in Mothers and Babies (MiMBa) initiative, which aims to accelerate the discovery, development, and delivery of safe antimalarial treatments for pregnant and breastfeeding women. The initiative aims to close critical gaps in research, drug development, and access, ensuring that these women and their babies are better protected against malaria. The video calls for continued efforts to address the needs of underserved populations most affected by malaria.
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يحتوي الموجز من المنشور الرئيسي لمنظمة الأغذية والزراعة، حالة الأمن الغذائي والتغذية في العالم 2022، على الرسائل الرئيسية والنقاط لأساسية من المنشور ويستهدف وسائل ا...لإعلام وواضعي السياسات وعامة الجمهور.
يرها من المواد المتصلة بنشر الرئيسي وتتوفر أيضا :
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What does the future hold for the world’s children?
In many ways, the future is now. Today’s actions and decisions will determine the future children inherit.
Unfortunately, today's children live in a world fraught with crises, poverty and discrimination. Where far too many are deprived of... opportunities to meet their full potential.
We can and must do better.
The future of childhood hangs in the balance.
This year’s State of the World’s Children Report examines the forces and trends shaping our world today and reflects on how they might shape the future.
The report explores three megatrends that will profoundly impact children’s lives between now and 2050: demographics shifts, the climate and environmental crises and frontier technologies.
It also presents three future scenarios – possible outcomes, not predictions – for how children could experience the world of 2050.
As we consider what we can do today, our responsibility is clear: now is the time to shape a better future for every child.
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Les tendances démographiques d’aujourd’hui façonneront la répartition des populations de demain. Il en va de même pour le carbone que nous rejetons dans l’atmosphère aujourd’hui, qui déterminera le climat de demain ou pour les technologies que nous développons et gouvernons, qui influ...enceront non seulement la manière dont les futures générations apprendront, travailleront et communiqueront, mais aussi le bien-être des enfants au cours des années à venir.
Alors que le premier quart du XXIe siècle touche à sa fin, le rapport La Situation des enfants dans le monde 2024 nous projette en 2050 et tente de répondre à la question suivante : Quelle est la meilleure voie à suivre pour assurer un avenir dans lequel chaque enfant jouit de ses droits, et bâtir un monde dans lequel tous les enfants survivent, s’épanouissent et réalisent leur plein potentiel?
Pour ce faire, ce rapport examine trois grandes tendances, à savoir trois forces puissantes qui s’inscrivent dans la durée à l’échelle mondiale et qui auront de profondes répercussions sur la vie des enfants entre aujourd’hui et 2050 : les changements démographiques, la crise climatique et environnementale et les technologies d’avant-garde. Comprendre ces tendances et leurs implications pour les enfants semble en effet essentiel pour mieux appréhender les défis et les possibilités qui
nous attendent
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ستشكل الاتجاهات الديموغرافية اليوم أنماط السكان في المستقبل. وسيحدد الكربون الذي نسكبه اليوم بغزارة في الغلاف الجوي معالم مناخ الغد. وستؤثر التقانات التي نطورها ون...تحكم بها اليوم على طرق تعلم الأجيال المقبلة وعملها وتواصلها وأيضاً على عافية الأطفال لسنوات طويلة.
مع اقترابنا من نهاية الربع الأول من القرن الحادي والعشرين، يتطلع تقرير حالة أطفال العالم لعام 2024 إلى عام 2050. ويسأل: كيف يمكننا تأمين مستقبل تتحقق فيه حقوق جميع الأطفال — عالم يحيا فيه جميع الأطفال ويزدهرون ويحققون إمكاناتهم بالكامل؟
يتناول هذا التقرير ثلاث قوى عالمية قوية وطويلة الأمد (أو اتجاهات كبرى) ستترك أثراً عميقاً على حياة الأطفال من الآن حتى عام 2050، وهي: التحولات الديموغرافية، وأزمات المناخ والبيئة، والتقانات الرائدة. وبفهم هذه الاتجاهات وتداعياتها على الأطفال، يمكننا أن ندرك بشكل أفضل التحديات والفرص التي تنتظرنا.
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Las tendencias demográficas actuales determinarán las futuras características de la población. El carbono expulsado hoy a la atmósfera definirá el clima del mañana. Las tecnologías que hoy desarrollamos y controlamos no solo influirán en la forma de aprender, trabajar y comunicar de las fut...uras generaciones, sino también en el bienestar de la infancia durante las próximas décadas.
Conforme el primer cuarto del siglo XXI llega a su fin, el Estado Mundial de la Infancia 2024 ha decidido mirar hacia adelante y situarse en el año 2050. Y plantea la siguiente pregunta: ¿cuál es la mejor manera de lograr un futuro donde todos los niños y niñas disfruten de sus derechos? ¿Cómo podemos construir un mundo donde todos puedan sobrevivir, prosperar y desarrollar plenamente su potencial?
El informe examina tres megatendencias o grandes fenómenos mundiales y a largo plazo que tendrán importantes efectos sobre las vidas de los niños y niñas de aquí a 2050: los cambios demográficos, las crisis climáticas y medioambientales y las tecnologías de vanguardia. Si entendemos estas tendenciasy lo que implican para la infancia, comprenderemos mejor los retos y las oportunidades que se nos pueden presentar.
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This two-site randomised trial compared the effectiveness of a voluntary sector-led, community-based diabetes prevention programme to a waiting-list control group at 6 months, and included an observational follow-up of the intervention arm to 12 months.