A. BAJRAKTAREVIC, B. KRDZALIC, R. MERDZANIC, L. KUMASIN, A. SELIMOVIC, D. ABDUZAIMOVIC, A. ABDUZAIMOVIC, D. GRANOV ROKOLJ, I. SULJEVIC, H. CUBRO, F. KRUPIC Public Health Institution of Health Center Sarajevo, Pediatrics Department, Sarajevo, Bosnia and Herzegovina, Pediatrics Clinik Jezero, Pulmonology Departement, Sarajevo, Bosnia and Herzegovina, Private laboratory Jelah, Biochemistery Department, Tesanj, Bosnia and Herzegovina, Clinical Medical Center Sarajevo, Biochemistry and Microbiology Laboratory, Sarajevo, Bosnia and Herzegovina, and Institute of Clinical SciencesSahlgrenska AcademyUniversity of Gothenburg, Department of Orthopaedics, Gothenburg, Sweden

A. BAJRAKTAREVIC, B. KRDZALIC, R. MERDZANIC, L. KUMASIN, A. SELIMOVIC, D. ABDUZAIMOVIC, A. ABDUZAIMOVIC, D. GRANOV ROKOLJ, I. SULJEVIC, H. CUBRO, F. KRUPIC Public Health Institution of Health Center Sarajevo, Pediatrics Department, Sarajevo, Bosnia and Herzegovina, Pediatrics Clinik Jezero, Pulmonology Departement, Sarajevo, Bosnia and Herzegovina, Private laboratory Jelah, Biochemistery Department, Tesanj, Bosnia and Herzegovina, Clinical Medical Center Sarajevo, Biochemistry and Microbiology Laboratory, Sarajevo, Bosnia and Herzegovina, and Institute of Clinical SciencesSahlgrenska AcademyUniversity of Gothenburg, Department of Orthopaedics, Gothenburg, Sweden

Introduction Migration refers to the movement of persons or children from an origin place to a destination place across some pre-defined, political boundary. Since the 1995s after war, Bosnia and Herzegovina has continued being a country of mass children immigration from Sandjak, Kosovo, Serbia, Monte Negro and sporadic immigration from China. Methods The presence of tuberculosis disease in the Immigrants children or foreign-born child should prompt the pediatricians to collect appropriate specimens to recover an organism. We conducted a secondary data analysis focusing on immigrants children sampled in the 1995 through 2010 versions of the National Bosnian Children Health Records Survey. Results The increase in tuberculosis among Gypsy children in Sarajevo coincided with similar increases in immigration into Bosnia and Herzegovina. Medical records were available for review to assess adequately potential missed opportunities to prevent tuberculosis in children from Sandjak in only 1.5% of cases and Gypsies in 33% cases. Most children with drug-resistant tuberculosis were Gypsy (18.1%) or Chinese Asian (11.2%), and 16.4% of children or their parents were from a Bosnia and Herzegovina regions in which tuberculosis is highly endemic as Sarajevo Canton mountain area. Conclusions Pediatricians should be aware of the special health problems as tuberculosis for which immigrant children are at risk. Immigration poses unique stresses on children and families. There were no significance difference between incidence of tuberculosis and resistence on therapy between children from Sandjak and Bosnia but that differences were higher in case of Gypsies children.

Background The most common illness caused by parvovirus B19 infection is ‘fifth disease’, a mild rash illness that occurs most often in children. The infection often results in no obvious illness. It commonly infects children and typically causes a mild rash that may resemble a “slapped-cheek”. Other symptoms that can occur include joint pain (arthralgia), fever and general flu-like symptoms. Methods Children who are at risk of severe parvovirus complications might benefit from blood tests that can help determine if they’re immune to parvovirus or if they’ve recently become infected. Most cases of slapped cheek syndrome diagnosed by making a visual examination of the distinctive rash. No further testing was usually required in children during three years period 2009–2011 in capital town of Bosnia, Sarajevo. Results Parvovirus infection in children with anemia may stop the production of red blood cells and cause an anemia crisis. Children with severe anemia may need to be hospitalized and receive blood transfusions. Percentage of hospitalized of parvivirus infections in children with anaemia is 19% in Bosnian preschool children, what is only less 1% of complications in this disease. Conclusions Fifth disease can cause fetal anemia, which if undetected can have severe consequences. Several days after the appearance of early symptoms, a distinctive bright red facial rash may appear usually on both cheeks. In most children, parvovirus infection is mild and requires little treatment. Slapped cheek is actually the Parvovirus B19 that only affects humans, especially younger children.