Every video is summarised in the text beside it. For captions, use the CC button in the video player where available.

Aga Khan University · Department of Paediatrics & Child Health aku.edu/mcpk/paeds

NewsletterApril to June 2026

3 years of pain come to an end in newsletterland

One of our Chair's goals was to make the department newsletter more regular in 2023. The research dissemination and strategic engagement communications team struggled with figuring out how to do it in Outlook emails, on Google Sites, on AKU SharePoint and in Mailchimp, and nothing was compatible with the in-house software systems. However, finally, after much hair-pulling and many a glitch, AI's advent has made it possible.

We share it here because sharing is caring, not gatekeeping. When we moved our newsletter to Sway, we were delighted that many departments followed suit. But here is an even cooler way: turbo-charge your newsletter with Claude. This one was built in Claude: pictures were uploaded to SharePoint, their URLs and iframe embed codes were fed back to Claude, and this is the result. We really hope it makes life easier for other communicators.

Fig. 1 · Department growth chart, Q2 2026. Centiles not to clinical scale.
Coming up The 8th Annual Paediatrics Research Week 2026 9 & 10 October 2026
Service · Clinics, nursing, care

On the wards

Care is the part of our work families see first. This quarter it came with Eidi, a lot of laughter and a blue ICU.

Eid ul Azha

Eidi for every child on the ward

This Eid ul Azha, our nursing team brought the spirit of Eid to the paediatric wards by distributing Eidi to children staying with us.

Laughter is the best medicine

The strangest questions parents have asked us

Every paediatrician has a story to tell, and some are simply unforgettable. In a light-hearted video, our faculty shared the most unexpected, amusing and memorable questions they have been asked by patients and parents over the years.

 
Paediatric intensive care

Turning the ICU blue

Every second counts in the PICU.

The team highlighted the importance of specialised care, continuous monitoring and timely, life-saving treatment for critically ill children. The day also recognised the intensive care teams who support children and their families through some of the hardest moments of their healthcare journey.

Staff well-being

Caring for the caregivers

Healthcare professionals spend their days caring for others, which makes their own well-being just as important. “Caring for the Caregivers: Your Mental Well-being Matters” explored resilience, emotional intelligence and mental well-being in demanding clinical environments.

Participants were encouraged to prioritise self-care and to build a supportive workplace culture, because caring for caregivers is part of delivering compassionate, high-quality patient care.

Academics · Teaching, training, talks

In the classroom, the sim lab and on air

Workshops, boot camps, exams and a brand-new podcast. A busy term for everyone who teaches and everyone who learns.

New

We launched a podcast

Our department now has its own podcast. Watch the trailer and tell a colleague.

 
PGME induction cycle 2027

Four fellowship programmes are open

The Postgraduate Medical Education induction cycle for 2027 includes four fellowships in paediatrics:

  1. Neonatal Paediatrics
  2. Paediatric Cardiology
  3. Paediatric Infectious Diseases
  4. Paediatric Endocrinology
Facebook live · Dr Ali Faisal Saleem

Chickenpox or mpox? Look at the lesions

The two can look alike but are clinically distinct. Chickenpox lesions usually clear within 10 days and appear in several stages of healing at once. Mpox lesions, like those seen in a recent infant case in Khairpur, are larger, thicker and all the same age. That calls for an immediate PCR test.

 

Illustration only, drawn from the description in the session. Not a diagnostic reference.

 

Keep breastfeeding

Mothers of infants with mpox are advised to continue breastfeeding. The mother was exposed before the diagnosis; with contact precautions such as gowns, feeding stays safe and avoids the risks of malnutrition and weakened immunity.

When N95s are mandatory

Droplet masks, gowns and gloves cover routine contact and isolation. Staff switch to N95 masks for aerosol-generating procedures such as suctioning or giving oxygen.

Support, then ring vaccination

With no widely available antiviral, care focuses on pain relief, skin moisturisation, oxygen and treating secondary infections. Ring vaccination and local quarantine protect the wider community and high-risk health workers.

Polio campaign · Karachi

A painless polio boost

During the vaccination campaign in Karachi, Dr Ali Faisal Saleem stressed vaccinating children up to 10 years of age with the oral polio vaccine (OPV) alongside the fractional-dose inactivated polio vaccine (fIPV). At the AKU vaccination camp, children received fIPV through a needle-free intradermal device: safe, painless and effective.

 
PICU Week

Ending a week of critical care with a CPR relay race

PICU Week covered renal support and CRRT, pain, agitation and delirium, and patient liberation. Through expert-led discussion and simulation, participants sharpened their skills and explored safer, more compassionate care for critically ill children.

The week closed with an Emergency Response Competition and a CPR Relay Race that put teamwork, quick thinking and life-saving skills into action.

Paediatric critical care course

EPICCC 2026: two days, one boot camp

Day 1 focused on sharing knowledge, building practical skills and learning from experienced faculty. Day 2 moved to simulation, point-of-care ultrasound (POCUS), and neurological and metabolic emergencies, renal support therapies and other critical care topics. The high-fidelity boot camp let participants apply what they learned in realistic clinical situations.

Course director Dr Sidra Ishaque · Co-director Dr Humaira Mustafa
Special thanks to Waqar Asghar and Asif Ali for coordinating

RENEW programme

Master trainers for flood-affected Sindh

Dr Shabina Ariff led a Master Trainer Training to strengthen care for mothers and newborns in flood-affected areas of Sindh. Climate champions learned essential newborn care, Kangaroo Mother Care, infection prevention, care in high-risk pregnancies and outbreak management.

Dr Shabina also stressed the urgent need to find and care for small and vulnerable newborns early, especially in communities facing climate change and disasters.

Small and vulnerable newborns

Why the smallest babies are so fragile

Dr Shabina Ariff explains how to identify small and vulnerable newborns, and why they are physiologically fragile.

With Emergency Medicine

E.Q.U.I.P. high-fidelity paediatric emergency training

We worked with the Department of Emergency Medicine to run the E.Q.U.I.P. workshop, led by workshop directors Dr Afia Tariq and Dr Noorul Ain, with Dr Ali Faisal Saleem as lead and mentor.

Rotavirus III Project

Basic Life Support for a partner medical college

Faculty and staff of Shaheed Mohtarma Benazir Bhutto Medical College received hands-on BLS training, led by Dr Tahir Yousafzai and delivered by the Pakistan Lifesaver Program at AKU's Centre of Excellence for Trauma and Emergencies (CETE). Three sessions in June let more people take part around their routine duties.

MIRNA

Designing maternal immunisation with the people who deliver it

We hosted the Provincial User-Centred Design Workshop on Maternal Immunisation under the Maternal Immunisation Readiness Network in Africa and Asia (MIRNA). Health departments, immunisation and maternal health programmes, technical partners, frontline health workers, professional bodies and community representatives worked together on practical solutions for Sindh.

Assessment

Third combined Paediatrics & OBGYN question review retreat

Faculty from both specialties reviewed examination questions together, refining them to be clear, relevant and aligned with learning objectives.

 
Exams

Neonatal TOACS 2026

Fellows and experienced faculty came together for the annual examination, coordinated by Fellowship Director Dr Waqar Khawaja. Examiners from AKU and other leading institutions took part.

Examiners: Dr Sohail Salat, Dr Shabina Ariff, Dr Adnan Mirza, Dr Ali Hussain, Dr Fayaz Ahmed, Dr Sidra Asif (Neonatal Paediatrics) · Dr Khadija Humayun (Paediatric Endocrinology) · Dr Hussain Shah (Hyderabad) · Dr Saroop Chand (NFT) · Dr Muzaffar Saleem (Indus Hospital)

Hyderabad

Mpox readiness at the DHO office

A seminar on mpox and infection prevention brought together medical superintendents, health facility in-charges and IPC focal persons in Hyderabad.

Feat. Dr Fatima Mir and Dr Heeramani Lohana

Kharadar CME

Neonatal emergencies, simplified

Aga Khan Hospital for Women & Children, Kharadar ran a hands-on CME on newborn resuscitation, breathing difficulties and low blood sugar for paediatricians, residents, medical officers, nurses and students.

Led by Dr Suneeta Namdave, Dr Siddiqa Ghani, Ms Fozia Sarfaraz and Dr Afrinah Ahmed

PhD training · Cincinnati

Two weeks in a pregnancy genomics lab

PhD candidate Mohammad Mohsin Mannan spent 27 April to 8 May 2026 at the Pregnancy Genomics Lab, Center for Prevention of Preterm Birth, Cincinnati Children's Hospital Medical Center. With our collaborators there he built pipelines for low-pass whole genome sequencing, GWAS and Mendelian randomisation to find modifiable metabolic drivers of gestational length and preterm birth. He presented the work at the MOMI Consortium convening on 18 June 2026.

Research · Policy · Partnerships

Evidence from Pakistan, on the world's agenda

From Geneva to Kuala Lumpur, our researchers carried Pakistani evidence into global guidelines, trials and policy. At home, they built systems that will keep producing it.

Passport, Q2 2026

Where our evidence travelled this quarter

Different countries, different conversations, one shared goal: better health for mothers and children. Professor Fyezah Jehan, Professor Shabina Ariff, Dr Imran Nisar, Farzana Chandio, Sidra Afzal and Furqan Kabir represented the department in Geneva, Zurich, Nairobi and Kuala Lumpur, on maternal immunisation, vaccine safety, early childhood development and wastewater surveillance.

GenevaWHO · GDG

Mass azithromycin for child survival

Dr Sajid Soofi, Dr Shabina Ariff and team presented systematic review findings on child morbidity, growth and antimicrobial resistance to the WHO Guideline Development Group updating guidance on mass azithromycin for children under five.

ZurichSwitzerland

One of four cities

Part of the quarter's run of international meetings on maternal immunisation, vaccine safety and child development.

NairobiIHD conference

Early childhood development

The GSED team at the Institute for Human Development conference: an oral presentation by Sidra Afzal and a poster by Farzana Begum on community-level child development.

Kuala LumpurMalaysia

Wastewater and newborn sepsis

Dr Furqan Kabir presented Pakistan's multi-pathogen wastewater surveillance at ADWANCE-Asia. Dr Shabina Ariff joined investigators from nine countries at the NeoSep1 trial meeting in Malaysia.

CopenhagenISPPD · 20 May

Pneumococcus after PCV13

Dr Naveed Iqbal presented carriage and serotype findings from Matiari, Sindh, supported by a Gates Foundation Early Career Travel Award.

CincinnatiCCHMC · Apr–May

Genomics of preterm birth

Mohammad Mohsin Mannan's research visit to the Pregnancy Genomics Lab, presented at MOMI on 18 June.

IslamabadNIH · Ministry

Wastewater and RSV policy

The national wastewater strategy launch at NIH, and Dr Imran Nisar's case for maternal RSV vaccine at the RMNCH Technical Working Group.

Faculty spotlight

Prof. Fyezah Jehan

Her work this season ran from the first days of life to national policy: WHO guidance on azithromycin for child survival, the infections behind stillbirths and newborn deaths, and where nutrition, gender and adolescent health fit into Pakistan's social systems.

  1. May 2026 · LUMS, Lahore · PanellistHealth and gender. Gender and the Economy Conference, CNM Department of Economics.
  2. June 2026 · WHO HQ, Geneva · Expert delegateMass azithromycin for child survival. Second Guideline Development Group meeting updating WHO guidance for children under five.
  3. June 2026 · WHO HQ, Geneva · Expert adviserMaternal, newborn, child and adolescent health and nutrition. WHO's Strategic and Technical Advisory Group of Experts (STAGE), with Dr Shabina Ariff.
  4. June 2026 · UK · Expert panellistInfections behind stillbirths and newborn deaths. CHAMPS network panel on attributing deaths to Group B Streptococcus and Klebsiella pneumoniae.
  5. July 2026 · AKU · Co-chairAdolescent sexual and reproductive health. Panel on unmet SRHR needs at the national symposium on evidence-informed policymaking, Department of Community Health Sciences.
  6. July 2026 · AKU SONAM · PanellistResearch strategy. Grant success and high-impact publishing, at the School of Nursing and Midwifery research retreat.
  7. September 2026 · Islamabad · PanellistNutrition and social protection. International ACT For Nutrition Conference. Dawn reportSummitWatch the panel
Honours, 2026
  • Co-led the first AKU Manual of Paediatrics: 88 evidence-based clinical practice guidelines. AKU News
  • Honoured by HEC for the Stanford/Elsevier list of the world's top 2% scientists. See Achievements
Faculty spotlight

Dr Shabina Ariff

Her work this season centred on the smallest and sickest newborns: a new trial for neonatal sepsis, community Kangaroo Mother Care, newborn care in climate disasters, and evidence for WHO guidance on child survival.

  1. April–June 2026 · Malaysia and Karachi · Principal InvestigatorNewborn sepsis. NeoSep1 investigator meeting with nine countries, then the site initiation visit that activated AKU as a trial site. Read more
  2. 2026 · Research Townhall · PresenterKangaroo Mother Care at home. Findings from the community KMC trial in Dadu: fewer newborn deaths and less sepsis, with high rates of exclusive breastfeeding. Read more
  3. June 2026 · WHO HQ, Geneva · Evidence-synthesis teamMass azithromycin for child survival. Systematic review findings presented to the WHO Guideline Development Group, with Dr Sajid Soofi. Read more
  4. June 2026 · WHO HQ, Geneva · MemberMaternal, newborn, child and adolescent health and nutrition. 13th meeting of WHO's Strategic and Technical Advisory Group of Experts (STAGE). Read more
  5. RENEW programme · Sindh · Lead trainerNewborn care in climate disasters. Master Trainer Training for climate champions in flood-affected areas of Sindh. Read more
  6. International KMC Day · Karimabad · Workshop leadSmall and vulnerable newborns. Teaching mothers skin-to-skin care, and explaining why small newborns are physiologically fragile. Read more
Launched · National Institutes of Health

Pakistan's first National Wastewater Surveillance Strategy

NIH launched Pakistan's first National Wastewater Environmental Surveillance (WES) Strategy and National WES Dashboard, with AKU as a lead scientific partner alongside Duke-NUS Medical School, Singapore and the Asia Pathogen Genomics Initiative.

Wastewater surveillance reads community sewage to see which pathogens are circulating, often before patients reach a clinic. The Karachi arm is led from within our department, through the Infectious Diseases Research Laboratory. In a year the team took it from concept to a working system: a sentinel site in each district, a customised testing panel, and a lab pipeline that pairs targeted testing with metagenomic sequencing.

7
districts of Karachi, one sentinel site each
~9.4M
residents in the catchments
95
pathogen targets on the panel
Live
results streaming to the national dashboard
CentralEastKeamariKorangiMalirSouthWest

The launch ran across Islamabad and Karachi: an opening address by NIH CEO Dr Muhammad Salman, a global view from Dr Vincent Pang (Duke-NUS), milestones from Dr Afreenish Amir (NIH) and Dr Imran Nisar (AKU), the dashboard unveiling, lab training, open-drain sampling demonstrations and coverage by Channel NewsAsia.

CHAMPS update

Why are Karachi's children dying?

For three years, the CHAMPS team has worked to find the real causes of child and newborn deaths in three Karachi communities: Ali Akbar Shah, Bhains Colony and Ibrahim Hyderi. In Pakistan the cause of many deaths is never established. Dr Momin Kazi's team is producing evidence that rarely exists here. Tap through the steps to see how.

 
1,130investigations between August 2023 and June 2026. Each square is one child death or stillbirth the team looked into.
220When a death is reported, a field team goes out in a mobile MITS van. With the family's consent they take small needle samples of blood, cerebrospinal fluid and tissue for TaqMan Array Card pathogen testing and histopathology.
910When families decline, the work continues through the non-MITS pathway: the team abstracts clinical records and conducts a verbal autopsy.
1 panelAn independent Determination of Cause of Death (DeCoDe) panel reviews all clinical, laboratory and pathology evidence and assigns a standardised cause of death. The result is evidence on which child deaths in Karachi are preventable.
1 of 4
MITS investigationNon-MITS (records + verbal autopsy)
WHO Guideline Development Group · Geneva

Shaping WHO guidance on mass azithromycin

Dr Sajid Soofi, Dr Shabina Ariff and their team presented the systematic review behind new WHO guidance on mass drug administration (MDA) of azithromycin to children under five. AKU researchers sat on the evidence-synthesis team, reviewing child morbidity, growth and antimicrobial resistance. Prof. Fyezah Jehan attended the meeting as an invited expert delegate.

The group weighed the safety and effectiveness of MDA, the adequacy of the evidence, and the trial and operational steps needed before implementation, bringing together evidence, feasibility, equity and values to make recommendations that are rigorous and practical.

NeoSep1 trial

A newborn sepsis trial goes live at AKU

Dr Shabina Ariff, Principal Investigator at AKU, joined investigators from nine countries in Malaysia to prepare for NeoSep1, a trial of better treatment options for newborns with sepsis. Research Specialists Saleema Khowaja and Neyama represented AKU with her.

Back in Karachi she welcomed GARDP, the MRC Clinical Trials Unit at UCL and St George's, University of London for the site initiation visit. The team toured the NICU, microbiology lab, pharmacy and Clinical Trials Unit, reviewed documents and ran practice drills. After the visit, the AKU site was activated.

Research Townhall 2026

Kangaroo Mother Care, at home, in Dadu

Dr Shabina Ariff shared findings from a community-based KMC trial in Dadu. The low-cost approach was practised at home with support from Lady Health Workers and families, fathers included. The trial saw fewer newborn deaths and fewer cases of sepsis, with high rates of exclusive breastfeeding.

Next step: bringing KMC into the health system at scale.

 
International KMC Day · Karimabad

Skin-to-skin can save a premature baby's life

At Aga Khan Hospital for Women, Karimabad, mothers learned how to practise KMC: a simple method that helps premature and low-birth-weight babies stay warm, breastfeed better, gain weight and bond with their mothers. At the KMC Day session, Dr Shabina Ariff also spoke about how poverty, infections and gaps in maternal care raise the risks for vulnerable newborns.

Led by Dr Warda Khalid, Dr Hafsa Zaheer, Dr Nazia Shameem and Dr Shabina Ariff

Maternal RSV vaccine

From a district pilot to the national table

Jamshoro: AKU signed an MoU with the Sindh Department of Health, SICHN and PPHI Sindh to introduce maternal RSV vaccination through routine antenatal care in District Jamshoro. Led by Dr Imran Nisar, the initiative aims to cut severe RSV illness in young infants and build the local evidence Pakistan's immunisation programmes need.

Islamabad: At the RMNCH Technical Working Group at the Ministry of National Health Services, Dr Muhammad Imran Nisar presented the case for introducing the maternal RSV vaccine nationally, to protect infants in their most vulnerable first months.

In conversation

Scalable ways to save more children

In a conversation with Leith Greenslade, Founder & CEO of Just Actions and Coordinator of Every Breath Counts, Dr Muhammad Imran Nisar shared practical and scalable ways to improve child survival in low- and middle-income countries.

Traditional birth attendants

Dais should work with hospitals

Thousands of babies are born at home in Karachi each year, delivered by traditional birth attendants with decades of experience. Their knowledge has rarely been documented. Dr Fyezah Jehan and her team invited dais to map and share their own practices, so community knowledge and research can meet.

 
ESHG 2026 · Dr Salman Kirmani

Finding answers in the DNA

Finding the cause of a rare disease sometimes means looking deeper into the genome. Dr Kirmani showed how long-read sequencing (LRS) detects mobile element insertions and other complex variants that short-read sequencing can miss, solving cases where only one pathogenic variant had been found.

A second presentation compared the two approaches. LRS gave a modest but meaningful gain in diagnostic yield. The data support moving LRS earlier in the diagnostic pathway as costs fall.

Extra diagnoses from long-read sequencing

Approximate added diagnostic yield of long-read over short-read sequencing, as reported at ESHG 2026. Short-read is the baseline.

TRIPP · Dr Tahir Yousafzai

Shaping typhoid prevention with communities

Co-creation sessions in Karachi, Matiari and Hyderabad brought government officials, health providers, religious leaders, food vendors, pharmacists and residents together to unpack the social, behavioural and environmental drivers of XDR typhoid. Their input will shape clear, culturally relevant and locally trusted prevention messages.

Dean's visit

Inside the IDRL

Dean Dr Karim Damji visited the Infectious Disease Research Laboratory to see its work in microbiology, molecular diagnostics, genomics and high-throughput sequencing.

Research Tuesday · Furqan Kabir

Detecting disease at the molecular level

A tour of molecular diagnostics: detecting DNA, RNA, mutations, biomarkers and pathogens, with examples from IDRL's work on RSV, wastewater surveillance and pathogen detection.

WHO STAGE

Protecting progress for mothers and newborns

Prof. Fyezah Jehan and Dr Shabina Ariff took part in the 13th meeting of WHO's Strategic and Technical Advisory Group of Experts. Discussions covered protecting gains in maternal and newborn health amid geopolitical, financial and organisational pressures, and set priorities for maternal, newborn, child and adolescent health and nutrition.

Published

Benazir Nashonuma Programme cohort protocol

Shah Muhammad, Assistant Professor, published in BMJ Paediatrics Open: the protocol for a prospective cohort study of the programme's impact on maternal and child health and nutrition.

GSED

Early childhood development findings, here and abroad

  • On 11 April, Farzana Begum presented the poster “Psychosocial Adversities in Children Under Three Years in a Peri-Urban Community of Karachi” at AKU's Family Medicine Conference.
  • At Dow University's Annual Research Week 2026, Sidra Afzal presented two posters, on parent-child interaction (“Play, Talk, and Bond”) and on mothers' knowledge of child development (KIDI). Both reached the top poster categories, and the Top 10 poster won Best Presentation.
  • At the Institute for Human Development conference and workshop in Nairobi, 8 to 10 June, Sidra Afzal gave an oral presentation and Farzana Begum presented a poster. The team met Prof. Amina Abubakar, Dr Fortidas Bakuza, Dr Anjum Halai, Dr Salim Virani, Dr Jai Das, Dr Jeff Adina, Dr Aisha Yousafzai and Dr Anil Khamis.
ISPPD · Copenhagen

Pneumococcus in Matiari after PCV13

On 20 May 2026, Dr Naveed Iqbal presented findings on pneumococcal carriage and serotype distribution among children in Matiari, Sindh, after PCV13 introduction, at the 14th International Symposium on Pneumococci and Pneumococcal Diseases. His trip was supported by a Gates Foundation Early Career Travel Award.

Child Development & Rehabilitation Centre

What families get told, and what's true

For Autism Awareness, our therapists, psychologists and neurologists took on the things parents hear most often. Tap a card to turn it over.

Myth

“He's just a picky eater.”

Senior Therapist Fariha Farooqui

It may be ARFID

Severe food avoidance in autistic children is rarely about body image. It is often Avoidant Restrictive Food Intake Disorder, driven by sensory sensitivity, oral-motor weakness or a past choking scare. Force-feeding or screens at mealtimes can disrupt sensory processing and fullness cues. Gradual, stress-free exposure to new foods works better.

Myth

“Stop her repeating phrases.”

Speech Therapist Aafia Ahmed

Echolalia is doing a job

Many autistic children are gestalt language processors: they learn language in whole chunks. Repeating phrases helps them regulate emotions and communicate. Model short, meaningful phrases during play to grow their vocabulary.

Myth

“Her sister is fine. She's so mature.”

Dr Tarab Zehra & psychologist Sunila Ali

Watch for the “mini-parent” trap

Siblings of autistic children often grow deeply empathetic, but can quietly carry anxiety, resentment and isolation when pushed into caregiving. Give them fixed one-on-one time, age-appropriate explanations of autism, and room for their own friends and interests.

Myth

“Stimming is bad behaviour.” “His brother does it too, so he's autistic.”

Dr Shahnaz Ibrahim & Dr Sidra Kaleem

Coping, not misbehaving

Stimming and verbal repetition are adaptive ways of coping with an overwhelming world. And siblings should never be diagnosed informally because they mirror behaviour: any concern needs a formal clinical evaluation.

Myth

“Autism and ADHD appeared after COVID.”

CDRC

They were always here

Many children simply went undiagnosed, or were diagnosed later in life. Genetics, lifestyle changes and greater awareness all shape how we understand these conditions today.

Myth

“Daulay Shah ke choohay are made, not born.”

Dr Ambrin Fatima

It's genetic

Primary microcephaly, long mislabelled “Daulay Shah ke choohay”, is a genetic disorder. Children's heads are not restricted by physical constraints. See the numbers below.

CDRC · Autism Awareness

Autism and ADHD did not appear after COVID

They have always been present, though many children went undiagnosed or were diagnosed later in life. Genetics, lifestyle changes and growing awareness all shape how we understand these conditions today.

 
Genetics · Dr Ambrin Fatima

How common is primary microcephaly?

Globally, primary microcephaly affects between 1 in 100,000 and 1 in 1,000,000 people. In Pakistan the figure is about 1 in 10,000, driven by genetic factors and a lack of timely prevention within families. Dr Fatima showed how deeply these mutations run in family lineages. Without medical intervention, the cycle continues across generations.

~100 children

in a population of one million. Each block is 10,000 people; a lit dot is one affected child.

Watch Dr Ambrin Fatima
Haya's diagnosis

A frightening ICU admission led to an unexpected diagnosis of spinal muscular atrophy, and a hard journey for Haya's family.

Living with SMA

Mark's story

Dr Salman Kirmani shared the story of Mark, who lives with spinal muscular atrophy.

SICHN Children's Hospital, Korangi 5

Bringing genetics from the lab to the patient

Residents, physicians and students explored how genetic information can guide real-world patient care.

Feat. Prof. Syed Jamal Raza, Dr Salman Kirmani, Dr Bushra Afroze, Anara Shiraz, Zohra Hasan, Mahrukh Nasir, Fizza Akbar and Dr Lajwanti

Child Health Conference 2026 · LUMHS

Teaching pedigrees in Hyderabad

Dr Bushra Afroze, Associate Professor and clinical biochemical geneticist, led the 2nd pre-conference workshop on Genetic Risk Assessment and Pedigree Drawing for the Child Health Conference 2026, organised by the Department of Paediatrics at LUMHS Jamshoro.

Participants learned to identify the key elements of genetic risk assessment, work out inheritance patterns and recurrence risks, and draw and interpret family pedigrees for clinical practice. The organisers honoured Dr Afroze with a shield and a Sindhi ajrak.

Moderator Dr Shamaeel · Indus Hotel, Hyderabad · 12 September 2026

 
Achievements

Applause, please

One recipient across Pakistan

Rabab Vadivala, 2026 Early Career Nursing & Midwifery Excellence Award

On International Nurses and Midwifery Day, AKU presented Clinical Nurse Rabab Vadivala with the 2026 Early Career Nursing and Midwifery Excellence Award. It goes to just one recipient in Pakistan each year, for outstanding contributions to clinical practice, research, education and community service.

Honoured by HEC

Seven of the world's most cited scientists

The Higher Education Commission honoured seven members of our department named in the Stanford/Elsevier list of the top 2% most cited scientists worldwide.

Dr Zulfiqar A. BhuttaDr Fyezah JehanDr Syed Asad AliDr Farah Naz QamarDr Jai Kumar DasDr Imran NisarDr Sajid Soofi
Promotions & appointments

New titles, new desks

  • Prof. Zulfiqar A. BhuttaAppointed Chairperson, Board of Governors, National Institute of Health (NIH), Islamabad
  • Dr Rozina IqbalNow Senior Instructor, Research
  • Dr Fayaz AhmedJoined as Senior Instructor, Section of Neonatology
  • Waqar AsgharPromoted to Manager, Executive & Research Coordination
  • Shahzaib SalimNow Assistant Manager
Media coverage

We're spreading the word

Our faculty in the national and international press, in English and Urdu.

With UNICEF Pakistan

On screen time

How much screen time is too much for young children? Our experts weighed in with UNICEF Pakistan.

 
BBC Eye

A BBC documentary on HIV and unsafe injections

A BBC Eye investigation drew attention to unsafe injection practices in Pakistan and the risks they carry. For Prof. Fatima Mir this is not a new conversation: for years her research, clinical work and advocacy have focused on cutting unnecessary injections and making care safer.

 
Paediatric public health & policy

Q2 2026 at a glance

The national picture our work sits in: a measles outbreak, a nutrition emergency and a hidden toxin, met by mass campaigns and some quiet successes.

9,950
measles cases reported, January to May
83
measles deaths in the same period
2.7M
children under five facing acute malnutrition
4 in 10
toddlers in high-risk areas of seven cities with toxic blood lead
Timeline

Three months, month by month

  1. January–MayOutbreak

    Measles spreads nationwide

    9,950 cases and 83 deaths, with Sindh recording the most deaths. Health monitors named Pakistan's more than one million “zero-dose” children as the main driver and urged a shift from emergency campaigns to steady primary care.

  2. AprilNutrition

    2.7 million children acutely malnourished

    A Save the Children assessment warned that over 2.7 million children under five face acute malnutrition, worsened by damaged farming, climate shocks and the cost of food.

  3. Late AprilResponse

    Punjab targets its cities

    For World Immunization Week, Punjab set coverage targets of 40% in Lahore, Gujranwala, Faisalabad and Multan, and 70% in Rawalpindi.

  4. 1 MayHidden threat

    Lead in toddlers' blood

    UNICEF reported that 4 in 10 children aged 12 to 36 months in high-risk areas of seven major cities have toxic levels of lead in their blood: a serious, little-monitored threat to brain development.

  5. MayResponse

    House-to-house, and 90 million more

    The government, WHO, Gavi and Rotary International ran intensive house-to-house polio campaigns focused on Sindh and high-risk catchments. Health ministries began planning a drive to vaccinate over 90 million children against measles and rubella.

  6. April–JuneBright spot

    Sindh screens 1.5 million children

    PPHI Sindh's nutrition programme screened over 1.5 million children under five in 28 districts. More than 52,000 children with severe acute malnutrition were treated, with cure rates of 97% in outpatient care and 91% in stabilisation centres. Nearly 30 rural health facilities, including Basic Health Units in Jacobabad, Hyderabad and Larkana, were upgraded.

  7. October 2026Looking ahead

    Clean water and handwashing in schools

    Reckitt Pakistan and the Aga Khan Foundation launched Saaf Sehatmand Pakistan, bringing safe drinking water, repaired toilets, handwashing stations and hygiene lessons into schools to tackle the root causes of repeat childhood infections.

The provinces

Measles deaths to April 2026, and how each province responded

  • Sindh40 deaths · 1,183 cases

    The country's mortality epicentre. The provincial EPI added measles catch-up to polio drives, reaching 40,000 to 50,000 zero-dose children per campaign, and secured funding for more vaccinators.

  • Khyber Pakhtunkhwa12 deaths · 1,712 cases

    The most confirmed cases in the country. KP also launched Beyond the Plate, a malnutrition strategy that looks past food handouts to gaps in health and sanitation.

  • Punjab12 deaths · 1,198 cases

    Used World Immunization Week to push high coverage targets in its biggest cities.

  • Balochistan4 deaths · 197 cases

    Health teams continue to face vaccine hesitancy and long distances in hard-to-reach districts.

Bar length shows deaths. Provincial measles figures to April 2026, as reported by Dawn; other figures as reported by the organisations named.

How the local press framed it

Dawn, Geo, ARY, Express and SAMAA

The Covid backlog

Outlets consistently linked the outbreaks to a large cohort of children who missed routine vaccines when the pandemic disrupted schedules.

Make vaccines at home

Dawn led coverage of experts calling for domestic vaccine manufacturing, to cut reliance on imports and secure supplies for routine campaigns.

Campaigns are not a system

Editorials criticised reliance on emergency drives, such as adding measles catch-up to polio campaigns, and called for lasting investment in primary healthcare.

Transitions

Farewells and remembrance

Akber Madhwani

We bid a warm farewell to Akber Madhwani, Manager, Executive Support to Dr Fyezah Jehan, who has moved to Canada.

“I am still a part of this department and I am a phone call away.”

Dr A. Majid Molla

Our founding chair and a pioneer in global child health. At ICDDR,B in Dhaka he helped show that rice-based oral rehydration solution works for children with severe diarrhoea: a simple approach usable even in communities without hospitals, intravenous fluids or pharmacies.

In memoriam · died 22 May 2026

Dr Naseem Salahuddin

A pioneering infectious diseases specialist dedicated to patients with rabies, HIV, tuberculosis, antimicrobial resistance and other infectious diseases. Professor Emeritus at the Indus Hospital & Health Network, she led the Rabies Free Pakistan initiative and served on WHO's Expert Advisory Panel on Rabies and its advisory group on neglected tropical diseases. She mentored generations of physicians and health workers.

“Greatness lies not only in knowledge, but in the humility, generosity and kindness with which it is shared.”

From the WHO tribute

Who made this

This newsletter was prepared by Kokab Mirza, Obair Khan and Mahim Maher, with supervision by Dr Sana Saeed. It was made possible by the untiring video and photography documentation and social media management of Mariam Desai and Saad Memon.

If you got left out by any chance, just tell Mahim and we'll fix it right away.

Department of Paediatrics & Child Health · Aga Khan University, Karachi Newsletter, April – June 2026 aku.edu/mcpk/paeds
​