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Mobbing amongst students represent a worrying public health issue. The role of doctors, whether in the hospital or in the office, is decisive in the early detection of suffering related to a context of violence at school. The CAN Team offers support to professionals confronted with these situations in order to improve the collaboration of adults, professionals or parents, who accompany these young people. Since 2015, the canton of Vaud has been deploying a comprehensive system in schools to prevent and deal with mobbing amongst students. A communication procedure between the CAN Team and the schools has been set up in order to offer a coherent care for all children and adolescents in the canton.Les phénomènes de harcèlement-intimidation entre élèves représentent un problème de santé publique préoccupant. Le rôle des médecins, que ce soit à l’hôpital ou au cabinet, est déterminant dans la détection précoce d’une souffrance en lien avec un contexte de violences à l’école. Le CAN Team (Child Abuse and Neglect Team) offre un soutien aux professionnel-le-s confron­té-e-s à ces situations afin d’améliorer la collaboration des adultes, professionnel-le-s ou parents, qui accompagnent ces jeunes. Le canton de Vaud déploie depuis 2015 dans les écoles un dispositif complet afin de prévenir et prendre en charge les phénomènes de harcèlement-intimidation entre élèves. Une procédure de communication entre le CAN Team et les écoles a été mise sur pied en vue d’offrir une prise en charge cohérente pour l’ensemble des enfants et des adolescent-e-s du canton.

During the semi-confinement period linked to the COVID-19 pandemic, the CHUV's Child Abuse and Neglect Team observed a decrease in cases of child abuse. Has confinement made it easier for families to avoid violence or, on the contrary, to hide it? Within the framework of this second hypothesis, we propose that the relaxation of the measures be an opportunity for professionals to explore in families the possible occurrence of domestic abuse.Au CHUV, durant la période de semi-confinement liée à la pandémie

Every pediatrician will be confronted with newborns oryoung infants with skin lesions in proximity of the vertebral column. It is important not to miss a spinal dysraphism because of the risk of meningeal infection or of the possible presence of a tethered cord. A practical algorithm is presented. Non-accidental injury in young infants and toddlers is not rare but difficult to detect. Bruises and fractures are highly suspicious for non-accidental injury and should trigger specific investigations. Emergency departments and hospitals are switching from hypotonic to isotonic solutions as maintenance infusions of children. They reduce the risk of hyponatremia without increasing that of hypernatremia, and they should be used preferentially in the majority of pediatric clinical settings.

Summary Objective: To assess social, economic and medical data concerning children without a resident permit taken into care by the Children’s Hospital of Lausanne (HEL) in order to evaluate their specific needs. Methods: Prospective exploratory study by a questionnaire including the socio-demographic, medical and education data of 103 children without a resident permit, who consulted the HEL for the first time between August 2003 and March 2006. These children were then recalled for a second check-up one year later in order to allow a regular monitoring. Results: Eighty-seven percent of the children were native of Latin America, 36% being less than two years old. This population of children lived in precarious conditions with a family income lower than the poverty level (89% of the families with less than 3100 CHF/month). Forty-five percent of the children had a health insurance. The main reasons for consultation were infectious diseases, a checkup requested by the school or a check-up concerning newborn children. Most of them were in good health and the others were affected by illnesses similar to those found in other children of the same age. At least 13% of the children were obese and 27% were overweight. All children who were of educational age went to school during the year after the first check-up and 48% were affiliated to a health insurance. Conclusions: The majority of the children from Latin America lived in very precarious conditions. Their general health status was good and most of them could benefit from regular check-ups. Prevention, focused on a healthier life style, was particularly important among this population characterised by a high incidence of overweight and obesity.