ARI: prevention and management 
11 January 2024

 

The subject of acute respiratory infections was addressed by Public TV. Meri Marandyan, a pediatrician from the Reception and Emergency Department at the “Arabkir” medical center, provided answers to inquiries.
 

Listen attentively, stay informed and learn to effectively manage such situations with the appropriate steps.



“Arabkir” Medical Center is currently experiencing a significant surge of visitors. The high activity in admissions is attributed to acute respiratory infections typical of the season.

 

Pediatrician Mary Mardanyan explains, “Most children are admitted already desaturated, exhibiting a bronchiolitis pattern, which is considered as 100% indication for admission to the hospital. This influx is due to the fact that a large percentage of cases involve babies who are oxygen-dependent and require intensive monitoring in hospital conditions.”

 


The medical center receives almost 120-125 patients daily, with influenza types A and B being prevalent among children.

 

The doctor advises, “I recommend that all children exhibiting symptoms characteristic of the virus, their parents should, first of all, contact the local pediatrician. The pediatrician will assess the child's condition and, if necessary, provide a referral for the hospital treatment. This approach will reduce both hospital referrals and the primary care/hospital stay of those children who really need us.”


While October to May is considered the season for acute respiratory infections in Armenia, there has been a noticeable increase in morbidity in recent days.
Romella Abovyan, head of the Department of Epidemiology of Infectious and Non-Infectious Diseases at the National Center of Disease Control of the Ministry of Health of the Republic of Armenia, states, “We are observing cases of influenza A with all its subtypes, circulating influenza B, and other respiratory viral infections such as parainfluenza, adenovirus, respiratory-syncytial (RS) virus, rhinovirus. Additionally, there are recorded cases of co-infections, where a person has multiple viruses simultaneously, like adenovirus with rhinovirus. This naturally complicates the clinical course further. As of the 8th January, we have recorded 1,547 cases in primary care, with 1,105 cases among 0-18-year-olds, constituting 71% of the total cases”.

 

In other words, compared to the previous day, the number of admissions increased by 1.8 times, compared to the same day last year, it rose by 4.9 times. Daily analysis revealed an increase in both emergency calls and hospitalizations.

 

Mrs. Abovyan reports, “There were 216 calls, of which 61 were among 0-18-year-olds, constituting 36% of total cases. Additionally, 24 emergency calls for pneumonia were registered, with 3 among 0-18-year-olds.”

 

As of January 8, 749 patients were hospitalized, marking an increase of 170 from the previous day. Abovyan attributes the sharp increase to people not seeking medical care during weekends.

 

Romella Abovyan emphasizes, “The Ministry of Health urges people to get vaccinated against the flu. This helps to make the disease easier to bear even if infected, and it’s important to avoid crowded places.”

 

In case of symptoms, avoid sending children to school and preschool, and consider wearing masks.

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Years of Tireless Work Recognized by the WHO
Years of Tireless Work Recognized by the WHO   The World Health Organization (WHO) has officially designated Arabkir Medical Center-Institute of Child and Adolescent Health (Arabkir MC-ICAH) as a “WHO Collaborating Centre” in the field of child and adolescent health. This recognition places Armenia among an elite group of nine countries in the WHO European Region, including Great Britain, France, Switzerland, Germany, Italy, Ireland, Norway, and Russia.     An event was held today at "Arabkir" BH-ICAH to celebrate this milestone. Distinguished attendees included Minister of Health Anahit Avanesyan, Deputy Minister Armen Gasparyan, Head of the WHO Armenia Office Siddhartha Datta, UN Resident Coordinator Françoise Jacquet, and representatives from UNICEF, UNFPA, the UN World Food Program, and other local and international organizations.     Professor Ara Babloyan, Scientific Director of Arabkir MC-ICAH, welcomed guests, expressing gratitude for their presence on this significant occasion. Reflecting on the institute’s journey since its establishment in 2003, he noted initial skepticism about its purpose. However, the institute's accomplishments have had a profound impact not only in Armenia but also internationally. These efforts, focused on child development, adolescent health, school health, and pediatric care quality, have earned the trust and recognition of the WHO. Arabkir MC-ICAH continues to lead transformative programs in alignment with Armenia's Ministry of Health strategies, contributing to improved health outcomes for children and adolescents.     Sergey Sargsyan, Head of the Institute of Child and Adolescent Health, presented the Institute's activities across various domains, ranging from educational, research, and informational programs to practical medicine. Special emphasis was placed on rehabilitation, newborn screening, rapid response initiatives, and training for nurses and allied health professionals. Notably, one of the most recent achievements is that just a few days ago, the European Council of Pediatrics granted the Arabkir MC-ICAH the status of a pediatric allergology training center meeting European standards.     The attendees were also greeted and congratulated via videoconference by Martin Weber, Head of the Child and Adolescent Health Program at the WHO European Office, who is responsible for quality assurance in medical care.     Siddhartha Datta, Head of the WHO Armenia Office, expressed high appreciation for the work of Arabkir MC-ICAH over the years. He remarked on numerous occasions where he was deeply impressed by the center’s exceptional contributions, which have consistently demonstrated a level of excellence. This outstanding work, he noted, served as the basis for the WHO granting such a prestigious status at the regional level. In his speech, Dr. Datta emphasized the center’s extensive expertise in child and adolescent health, disease prevention, and treatment, as well as its data-driven, research-oriented approaches. He added that such centers of excellence, with their significant achievements and accumulated experience, have the potential to receive recognition as WHO Collaborating Centers, which opens doors for broader collaboration and even greater success.     Minister Anahit Avanesyan, in her speech, described the occasion as historic and of great public and state significance. She stated: "We are proud that this center is the first in Armenia to receive the status of a WHO Collaborating Center. Despite limited resources, our country continuously expands programs aimed at preserving, restoring, and improving the health of children and adolescents. This policy remains a priority."     Upon receiving the document confirming the WHO Collaborating Center status, Ara Babloyan expressed his gratitude, stating: "We are happy to not only learn from the world’s leading health organizations but also share our knowledge and experience with other countries. This is the formula for humanity's progress."