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Pediatricians say Sarah Sanders misunderstood it because of the deaths of migrant children



And they want to help her understand what the government could do better to stop children from dying.

When asked about the recent deaths of two migrant children in US custody on Friday, Sanders told reporters it was "an absolutely tragic situation" and "we do everything in our power to ensure that people when they come, do that. " We will take care of these types of instances. "

But the doctors say there are steps the government must take before Sanders can truly say that officials" do everything in our capacity to ensure that children do not die. "

" In their mind may they think they are doing anything but we can tell you that you are not doing everything, "said Dr. Colleen Kraft, president of the American Academy of Pediatrics." Look at the facts. The record shows us that more needs to be done. "

Dr Buddy Creech, specialist in pediatric infectious diseases, said the authorities needed to thoroughly review the children's deaths before declaring that everything possible would be done to help others

"When somebody in hospitals has a tragic event, a near miss or a drug failure, we do not do" we do everything we can ". It's ideal with "We open ourselves to self-criticism" to make sure we look after the people who are asking for our help, "said Creech, a professor of pediatrics at Vanderbilt University Medical Center. [1

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Internal Child Death Checks Are Conducted Within the US Department of Homeland Security

Three Things the Doctors Say the Government Can Do Better:

Triage Kids More Effectively

In recent years, the United States has seen a large influx of children across the border.

About 90% of migrants arrested at the border were adult males by about 2013. In the previous month, 59% of arrested migrants were families or unaccompanied Minors, according to the Department of Homeland Security.

  7-year-old Guatemalan girl who died in Border Patrol prison is identified.

. This means about 1,400 to 1,500 unaccompanied minors or family members are caught every day, according to the agency.

"This has put a tremendous burden on our resources as we deal with a large number of children," said Andrew Meehan, Deputy Public Affairs Officer of US Customs and Border Guard.

There was also a number of arrested migrants increasing, Homeland Security said at a press conference last week. They said border officials transport dozens of arrested migrants to hospitals every day.

Looking after children – especially those with so many children – requires special training and expertise, said Kraft, chairman of the pediatrician group.

"Children are not just little adults, they have their own physiology," Kraft said.

For example, she points out that children, much more than adults, can look good, but are actually quite sick.

"A child can run and play while his small systems collapse," she said. "If they put these children to flight and they do not have pediatric understanding and knowledge, they will miss children who do not look like they are sick if they really are real."

  Why the family of Border Patrol's deceased boy decided to send him north

Kraft was pleased about Wednesday Customs and Border Guard Commissioner Kevin McAleenan spoke to her to ask if the American Academy of Pediatrics could be involved in the guidance for caring for children. Details of this participation were not worked out.

In January and again in March, Kraft wrote to Minister of Homeland Security, Kirstjen Nielsen, to offer assistance from the pediatrician group. She said she had not received a reply to a letter.

After the death of the children, the Department of Homeland Security has made several changes.

Children will receive a "more thorough assessment" as soon as possible after "16 US National Police have been assigned to conduct medical check-ups."

The United States Centers for Disease Control and Prevention are investigating the causes of The CDC is also sending two small field teams to submit proposals for monitoring respiratory diseases in customs and border shelters in certain areas, on the basis of which the CDC will establish the viability of using antivirals

Detoxification of feverish children arrested

On Christmas Eve, the eight-year-old Guatemalan migrant Felipe Gómez Alonzo died in custody of customs and border guards.

Deputy this afternoon A local hospital found that he had a fever of 103 degrees according to an agency reported on his care. Not two hours later, he was released from the hospital and he was returned to the detention center.
  The last days of Felipe Alonzo-Gomez, the eight-year-old migrants who died in the US

Noting that schools and day-care centers usually only allow children to be without a fever for 24 hours, doctors CNN raised the question of why Felipe would be sent back to a facility so quickly that he might have other inmates and staff could infect.

Asked at the press conference on the return of the child with fever to the facility, an official of the Homeland Security Department refused the statement and said: "There is an internal investigation of the decisions and other factors that have entered into this situation."

Creech The infectious disease specialist added that it takes some thought to figure out where to house a migrant child who is discharged from the hospital with a fever. This is especially true if customs and border guards are not suitable for properly isolating a sick child.

"I accept the fact that there is no obvious answer to this problem, but that does not diminish how important it is," he said.

Advocate for children in state custody

On December 24, a border guardsman noted that Felipe had "possible signs of influenza", the agency reports on his illness. He was taken to a hospital in New Mexico, where he was diagnosed with a cold and discharged.

He died seven hours later.

  Guatemalan boy who died in US jail had the flu, says medical examiner

An autopsy showed that hunch the agent was right for the flu, which usually kills dozens of US children every year.

The agency's report on caring for the child indicates that it has not been tested for influenza in the hospital.

Asked at the press conference whether customs and border guard agents questioned certain aspects of Felipe's care in the hospital, a State Security official responded that "it was not the intention or location of the border patrol agents with the child and the child. " Father at the hospital to guess the care of medical care providers.

Although the doctors interviewed for this story did not say that the agents should consider the doctors, they noted that the Customs and Border Guard, which employs medical professionals, could have asked questions about its treatment, as did parents William Schaffner, Professor of Preventive Medicine in Vanderbilt, said it would have been reasonable to inquire about a flu test because it was a flu season and an agent had observed that the Boy may have had flu symptoms.

"There are two reasons to ask," Are you sure he has no flu? "One is for the boy's own health. On the other hand, you want to know: "Do I bring a child with flu into this facility, where he could pass it on to others?" "he said.

" He was in custody of the customs and border patrol. They were in place of mom-in-loco parentis, "added Schaffner, using the legal name for someone who serves in lieu of a parent." I do not expect border guards to be medical professionals, but this whole process leaves many questions unanswered.

Dr. Irwin Redlener, a pediatrician and professor of health policy and management at Columbia University's Mailman School of Public Health, agreed.

"If I led the training for agents, I would say that you were and act as a parental representative, as if this were your own child, "said Redlener, who wrote a statement to CNN on child mortality.

" The government has taken custody of these children and they must shoulder this responsibility take over. You can not take custody without responsibility, "he added.


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