Eine Million Algerier lernen im 20. Jahrhundert zu leben. Umsiedlungslager und Zwangsmodernisierung im Algerienkrieg 1954–1962

Als eines der erstaunlichsten Merkmale des algerisch-französischen Unabhängigkeitskriegs 1954-1962 darf die Kombination von militärischer Aufstandsbekämpfung und zivilen Reformprojekten gelten. Diese Verschränkung lässt sich an keinem Aspekt dieses Krieges so deutlich beobachten wie an der französischen Umsiedlungspolitik. Bis zu drei Millionen Menschen wurden während des Krieges von der französischen Armee gewaltsam aus ihren Dörfern vertreiben und in eigens angelegte Sammellager, die «camps de regroupement», umgesiedelt. Was als rein militärische Maßnahme begann, entwickelte sich schnell zu einem gewaltigen ländlichen Entwicklungsprogramm. Durch das Versprechen einer umfassenden Modernisierung aller Lebensbereiche im Schnellverfahren sollten die Insassen der Lager zu loyalen Anhängern des Projekts eines französischen Algeriens gemacht werden. Die «camps de regroupement» lassen sich als Modernisierungslaboratorien beschreiben, in denen sich scheinbar widersprüchliche Elemente wie Entwicklungshilfe mit äußerst rigider Bevölkerungskontrolle und totalitär anmutenden Maßnahmen des social engineering zu einem einzigartigen Ensemble verbanden. [ABSTRACT FROM AUTHOR]

[A million football fans in a city of 120,000 inhabitants--a nightmare for emergency medicine and disaster management? Euro 2008 and the "Orange wonder of Berne"]

The 2008 European Football Championship 2008 (Euro 08) is the largest sporting event ever organized in Switzerland. One million visitors came to the city of Berne during the event and the local airport in Bern/Belp registered 261 extra flights. For each football game there were 33,000 fans in the stadium and 100,000 fans in the public viewing zones.The ambulance corps and the Department of Emergency Medicine (ED) at Inselspital, University Hospital Berne, were responsible for basic medical care and emergency medical management. Injuries and illnesses were analyzed by a standardized score (NACA score). The preparation strategy as well as costs and patient numbers are presented in detail.A total of 30 additional ambulance vehicles were used, 4,723 additional working days (one-third medical professionals) were accumulated, 662 ambulance calls were registered and 240 persons needed medical care (62% Swiss, 28% Dutch and 10% other nationalities). Among those needing treatment 51 were treated in 1 of the 4 city hospitals. No injuries with NACA grades VI and VII occurred (NACA I: 4, NACA II: 17, NACA III: 16, NACA IV: 10 and NACA V: 4 patients). The city of Berne compensated the Inselspital Bern with a total of 112,603 Euros for extra medical care costs. The largest amount was spent on security measures (50,300 Euros) and medical staff (medical doctors 22,600 Euros, nurses 29,000 Euros). Because of the poor weather and the exemplary behavior of the fans, the course of events was rather peaceful.

Floppy Baby mit makrozytärer Anämie und veganischer Mutter

We report the case of a 7 month-old girl that presented with acute anemia, generalized muscular hypotonia and failure to thrive. Laboratory evaluation revealed cobalamin deficiency, due to a vegan diet of the mother. The clinical triad of an acquired floppy baby syndrome with megaloblastic anemia and failure to thrive is pathognomic for infantile cobalamin deficiency. Neurological abnormalities are often irreversible and may be associated with delayed myelinization in the MRI. A normal cobalamin level in maternal serum and absence of anemia do not exclude subclinical deficiency. If cobalamin deficiency is suspected, e.g. in pregnant women on vegan diet, urinary methylmalonic acid excretion and plasma homocysteine levels should be determined and cobalamin substitution should be started at an early stage to avoid potentially irreversible damage of the fetus.

Molecular identification and epidemiological tracing of Pasteurella multocida meningitis in a baby

We report a case of Pasteurella multocida meningitis in a 1-month-old baby exposed to close contact with two dogs and a cat but without any known history of injury by these animals. 16S rRNA gene sequencing of the isolate from the baby allowed identification at the subspecies level and pointed to the cat as a possible source of infection. Molecular typing of Pasteurella isolates from the animals, from the baby, and from unrelated animals clearly confirmed that the cat harbored the same P. multocida subsp. septica strain on its tonsils as the one isolated from the cerebrospinal fluid of the baby. This case stresses the necessity of informing susceptible hosts at risk of contracting zoonotic agents about some basic hygiene rules when keeping pets. In addition, this study illustrates the usefulness of molecular methods for identification and epidemiological tracing of Pasteurella isolates.