Background: Analysis of skin diseases in the pediatric population and its trends reflects the health and nutritional status of a community. This study aimed to evaluate the prevalence and pattern of skin diseases in children registered at the Dermatology OPD department of Hemawati Nandan Bahuguna Teaching Base Hospital, Srikot over a period of 1 year.Methods: A prospective cross-sectional descriptive analysis was conducted at the Dermatology OPD department of HNB teaching hospital to determine the pattern of dermatoses in children aged 0 days to 17 years, between 1 April 2017 and 31 March 2018. Cases with incomplete data, non-compliant to treatment and patients whose primary lesions are altered by the application of topical medication, not related to the existing disease were excluded from the study. The results were entered and tabulated in MS-excel sheet and descriptive analysis was done.Results: Out of 23,359 outpatients 6,274 (26.85%) were of a pediatric age with a male to female ratio of 1.2:1. The majority of the children belonged to young teens and teenagers (2377;37. 88%). Majority of pediatric dermatoses belonged to Infectious group (1373;21.88%) followed by Disorders of skin appendages (1087;17.33%) and Infestations (722;11.5%). The three most common diagnoses were Scabies (694;11.06%) followed by Fungal infections (568;10.43%) and Acne vulgaris (398;6. 34%).Conclusions: This study showed the current pattern of pediatric dermatoses in Garhwal region of Uttrakhand with a high frequency of infection and infestations with young teen and teenagers as the identified focus group for the need of intervention.

Background: Institutional childhood morbidity, mortality analysis and their trends reflect the local disease occurrence, changes in treatment modalities and quality of treatment available. This study was aimed to evaluate the magnitude of post neonatal mortality and its seasonal pattern at Hemawati Nandan Bahuguna Teaching Base Hospital, Srikot over a period of 10 years.Methods: A retrospective cross-sectional descriptive analysis was done on post neonatal mortality data by Pediatric Department of the Hemawati Nandan Bahuguna Teaching Base Hospital, Srikot from April 2008 to March 2018. Neonates admitted to PICU, referral and LAMA patients were excluded from the study. Data was analyzed using SPSS 16.0.Results: Overall post neonatal mortality of 1.83% was found in the study. Mortality amongst the boys was 119 (54.34 %) and the girls were 100 (45.66 %). Three most common causes of mortality were septicemia (27.40 %) followed by encephalitis (11.41 %) and protein energy malnutrition/underweight (9.58 %). Among the 219 children who died, the number of deaths were recorded in 29days to 1-year age group (n=102, 46. 57%). Mortality of the girls was higher than boys in 10-14year age group. Maximum mortality was seen in the month of June (29, 13.24%) followed by May (23, 10.5%), August (22, 10.04%) and January (20, 9. 13%). The occurrence of mortality with respect to month was found to be significant (p=0.01).Conclusions: This study showed infectious diseases and protein energy malnutrition/ underweight together constituted two-third of mortality in the institution. Strengthening vaccination program, facilities at tertiary care centers and healthy dietary practices in the community can reduce the post neonatal deaths.