@

@Report of Medical Examination for the children at Matumaini Children's
Home and so called "Street Children" in Mbagathi District
-----Workshop of Ishinkai International Voluntary Movement 1998----

Isao Mori, M.D., *1Shigeto Maeda, M.D., *2Sougyoku Jo, M.T., Sumiko Yoshida, R.N., Naoko Yokoo, R.N., *3Lucille Pamba, M.D.
(*1 Hyogo Medical College *2 SRL, Co.Ltd. *3 University of Nairobi)

Method:
Workshop members : Medical staffs listed above and other volunteers Medical examination : Medical history, Physical examination, Urinalysis, Blood chemistry, HIV test were done for all candidates, except some children refusing the blood tests. Urinalysis was checked by Uro-LabstixR SG-L, Bayer-Sankyo Co.Ltd. Blood chemistry was examined by Fuji Drychem 3030,@Fuji@Medical SystemACo.Ltd. ( 6 items : total protein, AST, LDH, ALP, T-Cholesterol, BUN) HIV test was done by Simpified HIV detectable kit, Dynabott, Co.Ltd.

Results :
Findings of physical examination :
Fig. 1

MATUMAINI GROUP @@@@@@@@@@ AGE HEIGHT(cm) WEIGHT(kg) MALE FEMALE MALE FEMALE ` 10 113.3 137.1 17.5 30 number 2 2 ` 15 152.6 147.7 39.8 39.8 number 8 11 15 ` 169.0 162.8 64.5 60.7 number 10 5 Total 20 18 / 38

STREET GROUP male only @@@@@@@@@@ AGE HEIGHT(cm) WEIGHT(kg) `10 120.5 24.6 number 12 `15 136.2 28.2 number 15 15` 162.9 50.6 number 10 Total 37

Fi. 2

	Lymph-		HIV
	Nutrition	adenopathy	Struma	(Positive)
Matumaini	N	small	4 / 38	1 / 38
Group		solitary
Street	P	bigger	0 / 37	1 / 37
Group		multiple
( N : normal P : poor-emaciated , poor muscularity, anemic conjunctivae)

Details of the results of laboratory tests are listed in Fig. 4. Because of the limitation of schedule, the members of SRL were obliged to leave before the examination of Street group. This is why the results were only for Matumaini group.

The body measurements showed street children were somwhat smaller than those of home's children. Multiple lymph nodes swelling were seen in street group suggesting more frequent exposure to upper respiratory infections. I could not find any good reason for struma seen in home's children, although all of them have few chances to take the foods containing iodine, like seaweed.

Fig. 3@‚S.are listed in other sheets.
Discussion :
Nutrition : As showed in Fig.2 & 3, nutrition of Matumaini group is well preserved as compared to Street group. Although their meals were mainly maze, beans and other vegetables, three times meals were more than enough from the view point of nutrition. The voluntary movement, like a charity pot, is essential to the street children.

HIV infection :
Since the number of children is not enough to evaluate the morbidity of HIV infection, we cannot make the conclusion. Informally says, one positive case per approximate forty persons is seen.

Conclusion :
The medical workshop in 1998 is thought to be a preliminary attempt. From 1999, more complete plan should be prepared in cooperation with the members of Faculty of Medicine, University of Nairobi. We would like to expess our thanks to Professor H.O. Pamba and Professor Bwibo for the acknowledgement of our work shop. Also we appreciate the Dynabott Co.Ltd, Fuji Medical System Co.Ltd, and all of the volunteers for their kind cooperation.