E
ach generation of modern medical
professionals has been confronted with a certain set of
challenges that defined their time, and each generation has
overcome them with perseverance and ingenuity. It may be
Fleming’s discovery of penicillin in the 1920s overcoming the
menace of bacterial infections, tissue cultures going mainstream
in the 40s and 50s, the discovery of hitherto unknown
antipsychotics and the double-helix DNA in the 50s to unveil the
genetic mysteries, the oral rehydration therapy of the 60s and
70s as the most life-saving advance of 20th century, and more
recently, the fight against challenge posed by AIDS. Our
challenges have become increasingly complex, but each generation
of scientists and doctors has been better equipped than their
predecessors. We have the tools, the means, and the intent to
tackle the ever-growing challenges facing us as a species. If
history has taught us anything, it’s that no matter the problems
thrown at it, mankind prevails.
During 2020, the generation-defining fight
has been the ongoing COVID-19 Pandemic. It has disrupted lives
on a global scale [1], and people, more than ever, are looking
at their doctors for guidance and aid. Our job, our
responsibility, and our privilege as pediatricians, is to
handhold our patients and their parents through this time. The
wellbeing of the next generation of mankind is quite literally
in our hands.
Children in India have been through something
that none of us have, and it will require empathy and patience
to understand what they need, to go through the transition back
to things as they were. They’ve missed a big chunk of school,
because of which they have rarely met friends or socialized. The
natural build-up of immunity is at its lowest, and the related
stress factor at its highest. Hospital visits are down, which
means there may be a tremendous backlog of diagnosis and
management of chronic illnesses, which would’ve been caught if
not for the pandemic. Routine immunization has also suffered
[2]. The economic impact has been hard, which will travel
through parents’ pockets to the nutritional health of children,
especially in the disadvantaged sections of our society. We, as
a community of doctors, must be aware of these problems if we
are to come up with policy and protocols to address them. It is
by no means an easy task.
Yet, good news is around the corner.
Vaccinations against covid-19 have already begun in certain
parts of the world [3], and India will soon follow. Mankind will
pick itself back up, as it has done countless of times. It may
take a while, since we don’t know how long it’ll take for herd
immunity to kick in, or how fast the virus may adapt to the
vaccines.
The Indian Academy of Pediatrics (IAP), in
turn, must adapt. We must recognize that we aren’t out of the
woods yet, even though we’re firmly on the right path.
Precautions must be taken, and as doctors, we have to lead by
example.
A starting point will be the annual Central
Pedicon 2021. Since a large physical congregation of members is
not possible because of the prevailing situation, we have
planned to have a mix of limited physical gathering coupled with
a large virtual participation to create a unique hybrid event,
the Central IAP Pedicon 2021. The physical leg of this hybrid
conference will be held at Mumbai from 4-7 February, 2021 and
will include the annual IAP events such as the Shantilal C Sheth
Oration, UG and PG quiz, award papers and also hold meetings of
Office Bearers, Executive Board, and the General body. We look
forward to host all our IAP members on a virtual platform in
this conference. In keeping with the focus of IAP next year on
early childhood development [4], the theme of this conference
will be "Nurturing Care for Early Childhood Development", to
reflect the commitment of IAP to empower all parents and
pediatricians to achieve an optimal and holistic development for
children of India.
I am delighted to apprise the members of a
partnership and collaboration forged between the IAP, World
Health Organization (WHO), and the Unicef to work together for
the cause of early childhood development in the year 2021. The
beginning of the year will be marked by IAP-WHO-Unicef
Collaborative plenary sessions and a consultative meet during
this hybrid conference. IAP-WHO-Unicef collaboration will also
bring out a supplement of Indian Pediatrics devoted to
ECD during 2021.
Digital education has been on the forefront
of IAP activities in 2020. We hope to carry forward this
momentum by establishing a digital center of excellence (DCOE)
under the umbrella of Indian College of Pediatrics (ICP). This
long cherished academic wing of IAP will finally start
functioning in its earnest this year and will strive to achieve
quality in all academic courses and fellowship being awarded by
IAP and its subspecialty chapters.
In January, 2020, we conceived developing a
set of Guidelines for parental education on various facets of
children’s day-to-day life both in health and disease. This was
a long felt need of the parents in India. American Academy of
Pediatrics has a devoted website on parental guidelines [5], but
it was a felt demand to have India-centric parental guidelines.
I am delighted to inform you that the final set of 101 Parental
Guidelines prepared by more than 500 experts from all over India
and abroad are almost ready to be launched. Starting first week
of January, look out for release of these guidelines to all
IAPians. The first set is prepared in English. Later, the plan
is to translate all the guidelines in 15 Indian languages and
disseminate across the length and breadth of the country to all
parents who wish to read them.
There’s strength in numbers. And there’s
strength in hope. If the 30,000 plus strong body of the IAP is
set upon a hopeful future, I have belief that the challenges of
the present can be dealt with effectively. Father of the Nation
Mohandas Karamchand Gandhi put it in the simplest terms, ‘The
future depends on what we do in the present.’ That’s as true
now as it was when he said it.
Children are the future. And the future
depends on our actions today. I quote from Jeffrey Fry
"Sometimes life seems a dark
tunnel with no light at the end, but if you just keep moving
forward, you will end up in a better place."
Looking forward to work together and moving in the right
direction.
Funding: None; Competing interests:
None stated.
REFERENCES
1. Morens DM, Daszak P, Markel H,
TaubenbergerJK. Pandemic COVID-19 joins history’s pandemic
legion. mBio. 2020;11:e00812-20.
2. Spencer N, Nathawad R, Arpin E, Johnson S.
Pandemics, epidemics and inequities in routine childhood
vaccination coverage: A rapid review. BMJ Paediatr Open. 2020;
4:e000842.
3. The New York Times. As U.K. begins
vaccinations, a glimpse of life after covid. Accessed 29
December, 2020. Available from:
https://www.nytimes.com/2020/12/08/world/europe/uk-vaccination-covid-virus.html
4. Daelmans B, Darmstadt GL, Lombardi J, et
al; Lancet Early Childhood Development Series Steering
Committee. Early childhood development: The foundation of
sustainable development. Lancet. 2017;389:9-11.
5. Healthy Children.org. AAP Parenting Website. Accessed 29
December, 2020. Available from: https://healthychildren.
org/English/Pages/default.aspx