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Scabies in internationally adopted children By : Alla Gordina, MD, FAAP “I have heard that my son’s orphanage has a problem with scabies and that he is more than likely going to have them. What is the best way to be proactive about this? Should we treat him and us as soon as we meet (if he has them)? We may be traveling with our older daughter (4.5yrs) so we are worried that she would catch them.” ” My daughter came home from Russia last month with them, and after a delay in diagnosis I did the Nix treatment with her. It seemed to work well and the sores disappeared, but now it's two weeks later and new ones are appearing. A friend told me she'd heard there was a different strain of scabies in Europe that our usual medications might not treat." Indication of HIV Infection in the child's records By : George Rogu M.D. of Adoptiondoctors.com We are in the referral stage of an adorable 15 month old baby girl. Her medical reports state that she has had perinatal contact with HIV. The baby has since been tested Negative twice for HIV. What should we know before we proceed? Salmonella infection in the Internationally adopted child By : James Reilly M.D.of Adoptiondoctors.com I would like to know about Salmonella in a institutionalized child. Our child had acquired it twice....first at 4 mos....then again was hospitalized for it at 8 months. Is there a deficiency that we should be aware of that keeps him from not contracting this? Also, should we be aware of serious long term effects of Salmonella? Worries about HIV in orphans By : James Reilly M.D.of Adoptiondoctors.com I would like to know if anyone should adopt a child that is HIV- (tested at birth and at 10 mos both neg) but born to a mom with HIV. What worries should we have if we accept this referral? Giardia Infection By : George Rogu M.D. of Adoptiondoctors.com On the post-adoption medical examination, my son who was adopted from Russia had something called Giardia in the school. Why did he get this disease and how serious is it? What are the ramifications of Tuberculosis in Developing Countries? By : Alla Gordina, MD, FAAP I will try to clarify here mysteries regarding tuberculosis in general, its testing and treatment with the help of the so called RED BOOK 2003, the report of the Committee on Infectious Diseases (American Academy of Pediatrics, 26th edition) and the MMWR (Morbidity and Mortality Weekly Report) by the CDC, published on 02.08.2002 Pre-adoption Vaccinations By : Alla Gordina, MD, FAAP The following vaccinations are strongly recommended for any person traveling to developing or Eastern European countries, including the Republics of the Former Soviet Union. Family members who do not travel to the above-mentioned countries may still need the same vaccinations because of the potential risk of the newly adopted children transmitting diseases to their families. Post-adoption Vaccinations By : Alla Gordina, MD, FAAP "We returned with our daughter in late July and our pediatrician has told us to get all her immunization and shots redone because he doesn't trust the Russian records. I guess it's the safe thing to do, although that means 2 needles for the next month for five months. Has anyone else encountered this?" Should an Internationally adopted child be screened for H. Pylori even if he/she seem asymptomatic? By : George Rogu M.D. of Adoptiondoctors.com The incidence of H. Pylori is very low in children of industrialized countries. The incidence increases by a small amount every year and it dramatically increases after the age of 20 years. Syphilis at birth in the Internationally adopted child By : George Rogu M.D. of Adoptiondoctors.com "My referral's medical info states that the child tested positive for syphilis at birth? What further questions should I ask - can I still consider this referral?"

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Center for cognitive-developmental assessment and remediation of internationally adopted children

An INDEX of
selected resources that can help you find answers to your adoption related questions

With its rich language and intricate plot
Monster, Oil on Canvas reads like a classic novel.

In the ultimate Russian-American culture merge,
it’s the product of
a Russian mind woven in the English Language.

It features both moving and grotesque characters,
a wild intrigue and, while not a prevalent motif, an international adoption subplot vital
for the storyline.