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Smithers, Charles

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Smithers

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Charles

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Smithers, Charles
Author's Publications: search.filters.isAuthorOfPublication.a186ce70-735b-48f2-9cd4-ca18b8a61cb4

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    The Impact of Natural Disaster on Pediatric Surgical Delivery: A Review of Haiti Six Months Before and After the 2010 Earthquake
    (Johns Hopkins University Press, 2012) Hughes, Christopher; Nash, Katherine; Alkire, Blake; McClain, Craig; Hagander, Lars; Smithers, Charles; Raymonville, Maxi; Sullivan, Stephen R.; Riviello, Robert; Rogers, Selwyn O.; Meara, John
    Little is known about pediatric surgical disease in resource-poor countries. This study documents the surgical care of children in central Haiti and demonstrates the influence of the 2010 earthquake on pediatric surgical delivery. Methods. We conducted a retrospective review of operations performed at Partners in Health/Zanmi Lasante hospitals in central Haiti. Results. Of 2,057 operations performed prior to the earthquake, 423 were pediatric (20.6%). Congenital anomalies were the most common operative indication (159/423 opera- tions; 33.5%). Pediatric surgical volume increased signi cantly a er the earthquake, with524 Pediatric surgical care in Haiti 670 operations performed (23.0% post-earthquake v. 20.6% pre-earthquake, p5.03). Trauma and burns became the most common surgical diagnoses a er the disaster, and operations for non-traumatic conditions decreased signi cantly (p,.01). Conclusion. Congenital anomalies represent a signi cant proportion of baseline surgical need in Haiti. A natural disaster can change the nature of pediatric surgical practice by signi cantly increasing demand for operative trauma care for months afterward.