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Maria L. Tupas, MD On Wednesday afternoon July 6, 2005, the AAP California Chapter 4 welcomed Congresswoman Loretta Sanchez and her staff to the chapter office in Garden Grove. Ms. Sanchez represents the 47th District of the U.S. which covers the cities of Santa Ana, Garden Grove, Fullerton, and Anaheim. One of her staff members, Khoi Ta, made contact with Dr. Quynh Kieu, past chapter president, and a practicing pediatrician in Fountain Valley, to arrange the meeting. Rep. Sanchez, a staunch supporter of issues dealing with minorities, wanted to learn more about Project Vietnam, a project of the International Child Health Committee of Chapter 4. Garden Grove in Orange County is home to the highest number of ethnic Vietnamese outside of Vietnam. Project Vietnam, began in 1996 under the auspices of the local AAP chapter, when a group of dedicated Vietnamese-American pediatricians recognized the dire need to improve the healthcare of children in poor rural communities in Vietnam. Since then, the medical mission trips held twice a year have provided reconstructive and ophthalmologic services, comprehensive medical examinations at villages and rural schools, and training for local health personnel. The credibility of the group allowed Project Vietnam to set up a series of pilot programs across the country. An important example was the Vitamin K Program for Newborns. Recognizing the prevalence of brain hemorrhages in newborns because of vitamin K deficiency, a condition which has disappeared in the US after the AAP recommendations for vitamin K injection after birth, Dr. Kieu urged a Vietnam study in 2000. It demonstrated an annual incidence of 12, 500 infants hospitalized for severe brain hemorrhages, with a mortality rate of 17.5%, and neurological damages in 40% of the babies. To overcome the reluctance of the government towards the administration of the vitamin K injection, Project Vietnam and the National Institute of Pediatrics-Hanoi, set up a pilot program in 2001, at the province of Ha Tay which had the highest number of affected babies. About 85, 000 newborn were protected with no occurrence of significant adverse effects. The practice of neonatal injections of Vitamin K was adopted as a national policy in 2003. Proj, for example, motrin for kids.

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