title: Pediatric otolaryngology in a field hospital in the Philippines.
abstract: BACKGROUND
  Major natural disasters adversely affect local medical services and resources. We sought to characterize pediatric patients presenting with otolaryngology-head and neck surgery (OTO-HNS)-related diseases/injuries to a field hospital over 11 days of operation, which was deployed to assist the healthcare facilities in Bogo, the Philippines, in the aftermath of typhoon Haiyan (Yolanda).
  
  
  METHODS
  We reviewed charts of pediatric patients aged 0-18 years visiting our field hospital, who presented with OTO-HNS-related diseases/injuries. We also describe the structure of the field hospital, equipment, facilities and capabilities of our service, discuss medical and ethical concerns, and propose several recommendations for future similar missions.
  
  
  RESULTS
  Of the 863 pediatric visits, 91 (11%) presented with OTO-HNS-related diseases/injuries, 3 of them were of recurring patients. Of the 88 included individual patients, 47 (53%) were boys, with an average age of 6.9±4.9 years. Ear-related diseases, mostly acute otitis media (AOM), and neck-related diseases were the most common pathologies (49% and 16% of the patients, respectively). Antibiotic therapy was administered to 36 (41%) patients, mostly to children with AOM. Despite limited resources, we were able to perform surgical interventions on 8 (9%) patients, which included laceration suturing, abscess drainage and neck surgery.
  
  
  CONCLUSIONS
  Otolaryngologists have an important role in the treatment of children affected in a disaster area, at a time of an increased demand for healthcare. Unlike 'acute phase' missions, where traumatic injuries are the focus for treatment, 'subacute' phase missions provide more routine medical and surgical care.
authors.affiliation: Israel Defense Forces Medical Corps, Tel Hashomer, Israel; Department of Otolaryngology - Head & Neck Surgery, Edith Wolfson Medical Center, Tel Aviv University Sackler School of Medicine, Holon, Israel. Electronic address: maromtal@orange.net.il.
authors.forename: Tal
authors.initials: T
authors.lastname: Marom
authors.affiliation: Israel Defense Forces Medical Corps, Tel Hashomer, Israel.
authors.forename: David
authors.initials: D
authors.lastname: Dagan
authors.affiliation: Israel Defense Forces Medical Corps, Tel Hashomer, Israel; Department of Pediatrics, Shaare Zedek Medical Center, Jerusalem, Israel.
authors.forename: Giora
authors.initials: G
authors.lastname: Weiser
authors.affiliation: Israel Defense Forces Medical Corps, Tel Hashomer, Israel; Ministry of Health, Jerusalem, Israel.
authors.forename: Joseph
authors.initials: J
authors.lastname: Mendlovic
authors.affiliation: Israel Defense Forces Medical Corps, Tel Hashomer, Israel; Department of Imaging, Sourasky Medical Center, Tel Aviv University Sackler School of Medicine, Tel Aviv, Israel.
authors.forename: Gad
authors.initials: G
authors.lastname: Levy
authors.affiliation: Israel Defense Forces Medical Corps, Tel Hashomer, Israel.
authors.forename: Manor
authors.initials: M
authors.lastname: Shpriz
authors.affiliation: Israel Defense Forces Medical Corps, Tel Hashomer, Israel; Ministry of Health, Jerusalem, Israel.
authors.forename: Dov
authors.initials: D
authors.lastname: Albukrek
mesh_terms: D000293:Adolescent; D017677:Age Distribution; D002648:Child; D002669:Child Welfare; D002675:Child, Preschool; D016208:Databases, Factual; D004190:Disasters / Q000706:statistics & numerical data*; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008507:Medically Underserved Area; D008952:Mobile Health Units / Q000458:organization & administration*; D010036:Otolaryngology / Q000458:organization & administration*; D010038:Otorhinolaryngologic Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D010679:Philippines; D018570:Risk Assessment; D017678:Sex Distribution; D016896:Treatment Outcome
keywords: Ambulatory setting; Disaster; Operative; Surgical procedures; The Philippines; Typhoon