Google Cloud Speech-to-Text API (Chirp) + Gemini 2.5 Flash Non-Thinking. Treat it as a searchable index of what was broadcast, not a quotation record.
00:00:00ladies
00:00:04100 smart hours to win with to your friend Jamil after he left our
00:00:06Apart from this, we can be supervised within
00:00:17well before going to the school Gifts from and gentlemen, good morning, thank you for joining us for the headlines of people to rotate
00:00:21A responsibility from
00:00:22wondering if I should invite him for the news. power and
00:00:23so it's the The President of the Republic, Abdelmaun, granted a periodic interview
00:00:26to representatives of the national press. We will hear from him in a few moments.
00:00:32to Venus, goddess of beauty and Indeed, prayer has been decreed upon
00:00:35The professional training center of Chelchal, its
00:00:39branches with a specialty
00:00:42this because you were fired from dedicated to regulation and industrial
00:00:44oh God. automation. reminding them of the importance of I'm an orphan,
00:00:51that the child is with us at In Morocco, housing demolitions continue. Several families found themselves
00:00:56the preservation of hygiene and Classified as a UNESCO World Ministry of with you. The President of you don't let the people out on the street overnight.
00:00:57Education because we also have meetings I mean, there's something strange about it. Why would she the Republic reaffirmed the state's The Marcen is once again singled out.
00:01:21Okay, goodbye. and friendship with President of the Republic, Abdul Majid Ubun, granted a periodic interview to
00:01:25So you came up with this water from representatives of the national press. On this occasion, the Head of State answered several
00:01:28national, international, and regional questions of public interest.
00:01:34home? Julia arrived at I don't want to. May God not
00:01:39is on the occasion of
00:01:40Hamza went to
00:01:46Come to
00:01:46O Allah, show us the wonders of Your power in you let the wheat leave The President of the Republic affirmed that,
00:01:49we need to talk at home. Goodbye.
00:01:50Lord of the Worlds. O Allah, show us a sign in according to preliminary investigations, the majority of farmers are
00:01:55work. You tell him not responsible for the rise in prices
00:01:56Come to of certain products and that the state will confront this criminal act and...
00:02:04preliminary investigations show that most
00:02:09a patient. Don't farmers
00:02:10present, whether it is diabetes, are not responsible for the prices.
00:02:15honors us. This A farmer who sells tomatoes for 20 dinars
00:02:19workshops or three workshops. One workshop and finds them for 140 dinars in
00:02:23Come to any alternative following widespread interview. Okay, the market. The person who did this is a criminal.
00:02:26A crime against the people, and we will confront them. This is not
00:02:32from today,
00:02:37baby Come to salvation. but with
00:02:39require the When there is a consensus, we join the government and the ministers of trade and whoever brought it upon themselves, they have to deal with it.
00:02:41major producers of We must preserve the purchasing power
00:02:42oil or of the citizen, awaiting
00:02:45the end of 2027 and so on, to
00:02:48raise it more
00:02:52Jamil. Goodbye. what is happening in time to and more. of
00:02:54I came out of
00:02:56tooth infection salaries
00:02:56of the neighborhood? of the republic. that the year 2027.
00:03:03back requires having a
00:03:06the western and eastern interior. important is that knowing
00:03:10of course. They continued their
00:03:10Welcome, welcome to the effendi's
00:03:13fatigue, uh also
00:03:15a country seeking possible abroad.
00:03:20are actually used the
00:03:24She's not answering. It's all because of this
00:03:25Okay, states in
00:03:28If circumstances allow.
00:03:28perhaps many
00:03:37her. Did she take anything from the meet the growing demand in
00:03:39development of go. Okay, goodbye,
00:03:41a call from someone. Please forgive me, I called my friend and she
00:03:43I repeat that stability in
00:03:48Look at the fires. Many of the fires are deliberately set. Officially,
00:03:52believe me? Don't we even discovered recently that these alarms
00:03:55send you from
00:03:59aversion even to 500 meters, 600 meters, to
00:04:02start a fire in it.
00:04:05at the school It has brother. This is things that were prepared.
00:04:08You saw what, candles? And this and this involves pure
00:04:11criminal matters. We today,
00:04:19him. Classified as a UNESCO World They left, but may God not of course, helping them with the thing that we will compensate what a beautiful horse, this with. We will compensate have confidence in with about 1,000,
00:04:23you will enter this and participate in 1,200 billion, approximately.
00:04:26It's a huge, huge thing.
00:04:28But I promised to
00:04:31Are you averse to these take care of the victims. We will take care
00:04:34of Algerians.
00:04:37growth and development of Djémila is a remarkable example of He relieved all the people's hearts from and we are working. IV and she went back Regarding the housing aspect, the Head of
00:04:38They say the nail doesn't come out of State indicated that 2.1
00:04:42million housing units were distributed according to the established program.
00:04:46I set two million
00:04:50to adapt physical activity instead of residents I'll check if she's asleep. No, no, during my term. We have reached
00:04:54what has been
00:04:56of the schoolbag, there is also the child's distributed since the beginning of the term, Goodbye.
00:04:59reach, in these what was started before. Until the end
00:05:02finally, what I went through was of the term, approximately two million
00:05:05residents and more, 2
00:05:10The urbanism of the million. There is no
00:05:14we did not specify. That is, housing is not according to
00:05:17the possibilities of construction and according to financial possibilities as well.
00:05:21But I will not stop. I will not stop. I
00:05:24took a decision for myself
00:05:27that Algeria
00:05:29of 5 million
00:05:32martyrs, I will not accept for it to be a shantytown.
00:05:36Today, everything that goes into housing, into
00:05:40housing production, is Algerian.
00:05:44Algerian iron, Algerian cement, Algerian
00:05:48construction, and these outlets are Algerian,
00:05:51and the home appliances will all be
00:05:53about money. You'll do everything to get
00:06:08it. institutions that have no meaning,
00:06:15130 billion or
00:06:19the Ministry of Foreign Trade is obliged to
00:06:22provide the needs of the
00:06:25people, but one must know what
00:06:28they are importing, because
00:06:31it is not a matter of hard currency, it is a matter of
00:06:34independence.
00:06:37If you are accustomed to draining
00:06:39my
00:06:42foreign exchange reserves, I will not let you, because
00:06:46foreign exchange reserves are linked
00:06:49to the country's freedom, the independence of
00:06:52decision-making, the pride of Algerians, and so on.
00:06:56It's not just your factory, and especially
00:06:59if you don't have
00:07:02convincing power, I'm not convinced
00:07:06in a way
00:07:07that contains
00:07:12should be between 4.1 and 4.2%,
00:07:16stressing that efforts are continuing to maintain stable annual income
00:07:20in foreign currency. 50 billion.
00:07:23I see that the growth rate will exceed
00:07:273.8, which they announced. We
00:07:30have a growth rate, according to
00:07:33our own
00:07:36studies, that could be
00:07:40around 4.4%. In terms of development, but it is
00:07:45strong development. We are working today to
00:07:48have a stable income that
00:07:52does not change, and is not
00:07:55less than 50 billion dollars annually, at
00:07:59least. This means that even by 2031,
00:08:03those who are singing about going into debt, there will be no
00:08:06debt.
00:08:09The Republic Abdul Majid affirmed
00:08:22an excellent project.
00:08:25We returned to the single window, which is the main idea
00:08:28for about
00:08:30a year and a half. I think that
00:08:34in a week or two, we will have
00:08:37signed the decree that organizes the single window permanently.
00:08:40So the single window, I know
00:08:44what investment requires, where to find land,
00:08:48so that we can create balance in the country. Today,
00:08:51there is activity, there are nearly
00:08:55300 foreign investment projects
00:08:58as well. If we reach
00:09:02that, then the volume
00:09:05of production will be strengthened,
00:09:07and
00:09:10everyone will benefit from the workforce. From the share of work
00:09:13from this. But as long as there is this
00:09:16activity, it means that the Algerian economy
00:09:20has started to recover its health
00:09:23and has started to become
00:09:26that people
00:09:30the Algerian economy, and this is what
00:09:33we have gained. The Head of State also mentioned
00:09:37several strategic projects, including the integrated
00:09:40phosphate complex, the railway line project.
00:09:51We laid the cornerstone for the factory that will allow
00:09:55the integration of phosphate, the concentration
00:09:58of phosphate,
00:10:01the integration of phosphate into urea
00:10:03and ammonia, and other materials that
00:10:07will transform it from mere phosphate
00:10:10into something more. The railway
00:10:14will be completed. It was supposed
00:10:18to be completed by the end of
00:10:22the year, at most, and perhaps in a month or two.
00:10:26In October, they will have finished it
00:10:29with testing. The expansion
00:10:31of the Annaba port
00:10:33will be completed.
00:10:35And
00:10:37today we are gaining time. The expansion
00:10:40is underway. And the Chinese
00:10:43company to
00:10:45install
00:10:48the equipment and machines that will allow export and allow
00:10:51this. This is what we will launch.
00:11:25border to
00:11:27the other side.
00:11:30This seawater desalination line, each region will get
00:11:34its share, center, east, west, and so
00:11:37on.
00:11:40Our goal is that when
00:11:42the program, we will have harnessed
00:11:4662% of potable
00:11:49desalination. This allows me
00:11:52to use dam water
00:11:56for agriculture,
00:11:58and it also allows
00:12:01us to reach
00:12:05a level where
00:12:07we will be one of the few countries. We will be, perhaps,
00:12:10the first or second country after Saudi Arabia, God willing.
00:12:26The railway has reached Laghouat.
00:12:29Djelfa to Laghouat, we have finished that. There remains
00:12:32Laghouat, Ghardaia, Ghardaia, El Meniaa, El Meniaa, Ain
00:12:35Salah. They have started it. They have
00:12:38started it, and we will start with two
00:12:44will start from Arrast,
00:12:46and one workshop will start
00:12:50from this Laghouat, El Meniaa, and so on.
00:12:53A workshop will start from
00:13:12the basic element in
00:13:15scientific research and in confronting economic
00:13:18problems globally.
00:13:21Their origin is Algerian. That is, we have a stronger claim
00:13:25to them. They have a strong desire to participate in the development
00:13:28of their country. And all of them are graduates of Algerian
00:13:31universities,
00:13:35studies abroad and reached the highest levels
00:13:39Today, they themselves are willing to
00:13:43give back to the country and return.
00:13:46The time has come, and Algeria today has entered
00:13:50a stage of
00:13:52development.
00:13:54Additions from abroad are needed. These additions can only come from
00:13:58Algerians.
00:14:03at the level of the basic cell of society, namely the commune,
00:14:06calling on young people to participate in elections and decision-making.
00:14:10Management must
00:14:13be in the basic cell of society, which is
00:14:17the municipality. Management starts from there,
00:14:20and I see that there is a kind of
00:14:24candidacy. It's a shame. We told
00:14:27the youth of this country that the youth must
00:14:30take matters into their own hands. Now,
00:14:33the majority will start with the municipality, and from the municipality, God
00:14:37willing, I hope that you will become a member
00:14:40or president of a provincial people's council,
00:14:42or you will enter the National People's Council, or
00:14:48political decision-making and participate in economic decision-making. You will go through
00:14:51various schools until you reach the top.
00:14:56matters?
00:14:59Are you afraid of management or afraid to take
00:15:02responsibility? In every generation,
00:15:06there was
00:15:09responsibility. the principle of alternation of power,
00:15:13emphasizing that there was no longer any question of returning to old practices that
00:15:17hindered the development process.
00:15:20First, his plan is to
00:15:24remaining years, a point of no
00:15:27return, even if there are
00:15:30attempts to return or backtrack, it is
00:15:33impossible. First, second.
00:15:37This is confidence in the citizen
00:15:40and confidence in Algeria in general.
00:15:44They planted, and we ate, and we will plant, and they will eat, God
00:15:47willing, and that's it. This is the state. The state allows
00:15:53decision-making. But the construction is
00:15:56one, and you start your construction where
00:15:59the one before you finished.
00:16:03If we go back to the old traditions that
00:16:05destroyed the country and destroyed everything, wherever a new
00:16:09official comes, he fires all the employees
00:16:12who were before him. Wherever a new official comes,
00:16:16he reverses everything that the one before him did.
00:16:18No. With this approach, the country
00:16:21will not progress. It doesn't mean that you accept everything that
00:16:25was done before you. Perhaps if there were bad things, correct.
00:16:29I agree
00:16:33commitment to protecting citizens against all forms of crime.
00:17:07drugs
00:17:10and in incredible
00:17:12quantities. The recent operation in
00:17:15Oran by the police,
00:17:1910 million pills. We have made
00:17:23laws. We have done
00:17:24this.
00:17:27In other countries, for
00:17:31drugs, there is
00:17:33the death penalty. We
00:17:35also have
00:17:38for some other crimes, kidnapping children,
00:17:42and they go to Tangiers.
00:17:46The President of the Republic also affirmed that Algeria is
00:17:50a responsible
00:17:50state
00:17:54that cannot be accused of any recklessness in the oil market, and that when
00:17:58a consensus emerges,
00:17:59Algeria
00:18:03is a
00:18:03responsible country.
00:18:07No recklessness regarding the oil market.
00:18:12the consensus. I said that we are not
00:18:19gas. We are the second or third
00:18:22largest producer. But despite this,
00:18:25our Saudi brothers respect our decision.
00:18:28The Kuwaitis respect the decision. The Qataris are the same.
00:18:31Russia as well. So we
00:18:35try to mitigate the impact
00:18:38of the events that
00:18:40caused the
00:18:43hydrocarbon sector to fluctuate. Algeria,
00:18:46as it is currently described,
00:18:49is truly
00:18:53stability in general and a real
00:18:57actor among
00:19:01stability and peace. And this is what made
00:19:06great powers
00:19:21the Sahel comes through development, not
00:19:23through military action.
00:19:25We agreed with our brothers in Niger that this
00:19:29is the principle we start with. And we have entered
00:19:32clear development
00:19:35programs. To build another power generation
00:19:39plant, which also has training. Also a hospital.
00:19:43Also a high school.
00:19:47Even a mosque. Allahu Akbar. In addition to,
00:19:52military training, including sending military
00:19:55aircraft, sending aircraft, because people are not ashamed.
00:19:57The more we advance,
00:20:00imagine, the Prime Minister was
00:20:03here, Mr. Zain.
00:20:50This is reason. Reason must prevail, not
00:20:53weapons.
00:20:56support these terrorist groups that exist in Mali or
00:21:00Niger wholeheartedly to fight
00:21:04these remnants
00:21:06of terrorism that are fueled by other parties, not
00:21:10us. And we help Mali if they ask us,
00:21:14just as we help Niger, who asked us, and they asked
00:21:17us, and we are
00:21:46wrong or a Chinese company comes.
00:21:50Prospecting or our trade relations with China.
00:21:53No one can hold me accountable. We are adults
00:21:56and we know what's best for us, and the best thing is what Algeria is doing today.
00:22:00That's what made Algeria's credibility
00:22:04we protect it
00:22:07with love, affection,
00:22:09everyone. And whoever wants to grow, let them rely on their own
00:22:13efforts and rely on their people. That's
00:22:15the truth.
00:22:19'
00:23:20Al-Ihsan asked. Now even their oil
00:23:23company, we created it.
00:23:26You come today wanting to dominate me with your tyranny,
00:23:30so that no.
00:23:33This Algeria, this Algeria has 5 million and
00:23:37630 thousand martyrs on this pure
00:23:39land. I don't have the right to sell it to you, neither to you nor
00:23:43to anyone else. And after these announcements, another
00:23:46appointment, that of professional training. So the official
00:23:50kick-off was given today from
00:23:53Tipaza. The October 2026 session is
00:23:57marked by the introduction of 23 new specialties,
00:24:00an opportunity for us to take you to Chelchell in a training
00:24:03center that is expanding its fields with a brand new
00:24:07specialty, industrial regulation and automation. This is what
00:24:11Anyjar tells us in this report.
00:24:14Industrial regulation and automation is the new
00:24:18specialty introduced by the Saliha Ben Hamdine professional training
00:24:22center in Cherchelle to
00:24:25this area. It involves training learners to
00:24:28pilot, control, automate, and monitor
00:24:32industrial machines and processes. It complements
00:24:35several technical fields already offered, including industrial
00:24:38maintenance, mechatronics, energy efficiency,
00:24:42and building electricity. We opted
00:24:45for the automation and regulation
00:24:49and industrial automation specialty. It is a
00:24:52specialty for trainees who have a high school
00:24:55diploma level, with an entrance exam. During the 30 months, the
00:24:59trainee learns the basics of
00:25:01electronics, technical aspects, maintenance, and
00:25:05industrial aspects. To meet the different profiles and backgrounds,
00:25:08the establishment offers two modes of learning: We have
00:25:12two modes of training: the apprenticeship mode and the
00:25:15in-person mode. In the apprenticeship mode, the trainee
00:25:18and the training
00:25:20are in alternation at the institute and
00:25:24in companies. Compared to the in-person
00:25:26mode, the training will be entirely at
00:25:29the institute. Learners are increasingly
00:25:33choosing specialties with broad professional opportunities and
00:25:36therefore better prospects for integration into the
00:25:40labor market. Industrial maintenance really
00:25:43appealed to me, so I chose to continue in this
00:25:47specialty, and I hope, God willing, to be able
00:25:51to find a job in this field. I chose this specialty because it
00:25:55particularly interested me. The administrative teams were also
00:25:58there to support us and explain the different steps.
00:26:02And at the end of their training, the support continues. Graduates
00:26:08the institute to realize their ideas, move from project to
00:26:12action, and eventually create their own
00:26:14business.
00:26:19In the dynamic of efforts made to secure borders and combat
00:26:23smuggling and organized crime, combined
00:26:26detachments of the National People's Army in the 3rd
00:26:29Military Region at... Ch thwarted,
00:26:33during a search and sweep operation on October 1st and
00:26:372nd, 2026, two attempts to transport a
00:26:40significant quantity of drugs to national territory. This
00:26:44operation led to the elimination of a drug trafficker, the seizure of
00:26:471660 kg of processed kif and three pairs of daytime
00:26:51binoculars. These large quantities of seized drugs highlight
00:26:55the determination of the National People's Army units throughout
00:26:59the national territory to thwart and defeat
00:27:03any attempt to flood our country
00:27:06with these toxic substances.
00:28:01are our brothers in Israel. We should welcome
00:28:04them with flowers,
00:28:07like Moroccans in European
00:28:09countries.
00:28:14In Morocco, the distress of hundreds of families expelled from their homes and
00:28:18dispossessed of their property, Moroccans who find themselves on the street
00:28:22arbitrarily and without
00:28:25demolition operations carried out by the Makhzen for new
00:28:28projects with the partner.
00:28:30The Makhzen continues the
00:28:35demolition operations, officially presented as a stage of
00:28:39reorganization and rehabilitation of cities, but the
00:28:42images reveal another reality: families
00:28:45expelled from their homes, businesses reduced to nothing, and
00:28:49residents facing the risk of being homeless and
00:28:53without assistance.
00:28:57the hospital with nothing. I just had cancer surgery,
00:29:00and you tell me to close it.
00:29:32against citizens already exhausted by life's difficulties
00:29:36and by an implacable
00:29:37injustice.
00:29:40They forced us out. Where will I go now? All our belongings are in the
00:29:44street.
00:29:49Behind the excavators and rubble, entire families see their
00:29:53daily lives turned upside down. Homes disappear,
00:29:56businesses are reduced to nothing, while the Makhzen remains deaf to the cries
00:30:00of distress of Moroccans.
00:30:02Faced with their loss and uncertain
01:17:37Munia and I are delighted to meet you again in 'D'ici et d'ailleurs' (From Here and Elsewhere), a show
01:17:40that opens a beautiful window on the news of our society,
01:17:44our journeys, our talents and our
01:17:46initiatives.
01:17:51Our new show aims to create a bridge
01:17:54between the... Algerians established abroad, a little bit everywhere in the four corners of the
01:17:57world, and their country. A thread of Ariadne or simply the echo
01:18:01of the heart, 'D'ici et d'ailleurs' is also a nostalgic moment, we will share
01:18:05together stories and...
02:03:16Ladies and gentlemen, good evening and welcome to Diagnostic.
02:03:20I am delighted to be with you for this new season of your weekly health
02:03:23appointment. A new season that promises
02:03:27to be rich in topics, discussions, and discoveries about
02:03:30your health. And this time, I won't be alone. I will be accompanied
02:03:34by my colleague Sara. Good evening. Good evening, Wided. Welcome
02:03:38to everyone. We will be two to host this
02:03:42show. So, to question our specialists,
02:03:46decipher preconceived ideas, and especially to answer
02:03:49with answers that will make a difference for you
02:03:53and for your children. And to start this show for
02:03:56this back-to-school season, we have chosen a theme that concerns
02:04:00all of us: the health of our children and their return to school. Absolutely.
02:04:04So, we chose this theme because going back to
02:04:08school is not just about preparing school bags and
02:04:11supplies. It's also about making sure that your child is in
02:04:14good health and ready to go to school under the best
02:04:18conditions. So, what are the essential health tips for this
02:04:22back-to-school season? To talk about it, we are pleased to welcome today
02:04:26Professor Soufiane, member of the national committee of school health experts,
02:04:29and who practices at Bnimsous University Hospital in
02:04:33Professor Gassem's department.
02:04:36Absolutely. Good evening. Good evening to all
02:04:39listeners and viewers. Good evening, ladies. Yes,
02:04:43indeed, I am a pediatrician in the... Pediatrics
02:04:46B department directed by Professor Gassem. Yes, and I am a member of the
02:04:50national committee of school health experts. Thank you for accepting
02:04:54our invitation. You're welcome. So,
02:04:57and our specialist and
02:05:00coordinator in school health, Dr. Benidir. Exactly.
02:05:03Absolutely. It's Dr. Benidir Farida, coordinator in
02:05:07school health, and also Sabrina Mokrane,
02:05:10our clinical psychologist. Good evening.
02:05:13Good evening. Thank you for the invitation again.
02:05:17Thank you and welcome to all our
02:05:20guests today who will be here to answer all
02:05:24questions regarding children's health and back-to-school. We will also,
02:05:27at the end of our show, as usual, answer
02:05:31some questions that you have left us via Canal
02:05:34Algérie's social networks. But before deciphering all that, we invite
02:05:38you to watch this report directed by Frial
02:05:40Hamdi.
02:05:43The period preceding the start of the school year is a key moment to
02:05:47ensure the good health and well-being of children.
02:05:51The pre-back-to-school medical check-up allows you to approach
02:05:54the year calmly and anticipate any potential
02:05:57care needs.
02:06:01And to approach the year with a smile, a visit to the dentist
02:06:05is a must.
02:06:10Every 6 months, the dentist must see their
02:06:13patient. They must have a
02:06:16check on all teeth,
02:06:20to prevent cavities,
02:06:22to treat if they have cavities for example at their beginning, because if
02:06:26it hurts, generally it's too late, even for temporary teeth.
02:06:30So they are very important, even though we are going to change them, it's true,
02:06:34but they really influence the health of the permanent teeth that will
02:06:38come, on the aesthetics of the smile, on the shape of the
02:06:42jaws.
02:06:45Regular visits to the dentist are
02:06:47indispensable for children from an early age, they
02:06:51not only prevent the appearance of cavities and
02:06:55monitor the healthy growth of baby teeth, then
02:06:59permanent teeth, but also to establish good
02:07:02oral hygiene habits that will last a
02:07:06lifetime.
02:07:09The 6-year molar, which is a permanent tooth, is the first
02:07:13permanent or definitive tooth that comes into
02:07:16the mouth. Often, we neglect it and ignore it.
02:07:20Parents don't even know it's a permanent tooth. Even if they come
02:07:24to the office, they say it's a baby tooth,
02:07:27when that's not true, and... they insist, they say no, it hasn't
02:07:31changed, it's the first time it arrives, he will change it, but
02:07:35no, it comes behind the
02:07:37molars, so it extends the arch.
02:07:41There is no baby tooth that falls out to replace it. That's why we
02:07:45neglect it.
02:07:48These preventive consultations also help
02:07:51the child get used to the dental
02:07:53office.
02:07:59We must do all these... examinations, so that children can start a good
02:08:02school year. If a child is used to the
02:08:06dentist, it will be, on the contrary, a good visit, so he
02:08:09will not have any problems, and I ask parents not to scare
02:08:13them with the
02:08:14dentist anymore.
02:08:18A final check-up before the back-to-school bell and the
02:08:22parents' relief, the school year can begin under the
02:08:25sign of health and
02:08:27smiles.
02:08:33This was a report by Ferial Hamdi, who visited
02:08:36a doctor's office or a dental
02:08:39surgeon who reminded us of the importance of dental care for
02:08:43children, especially all the time, but particularly
02:08:46during this back-to-school period, and precisely,
02:08:50let's get to the heart of the matter, professor, the back-to-school
02:08:53period and just before, when you receive children for
02:08:57consultation, what do you start with, and above all, what
02:09:00are the medical elements on which you focus
02:09:03the most? It should be known that a child is a growing
02:09:07being, and each time we receive a
02:09:10child, they undergo a clinical examination that must be
02:09:13complete, complete and particularly focused on
02:09:17certain specific elements, whether
02:09:20it's blood pressure measurement, but even more important than
02:09:24that, the child's somatic growth, so weight and height
02:09:27measurements.
02:09:30must be carried out during each pediatric
02:09:34consultation, and this growth profile
02:09:37(stature-weight) is extremely
02:09:40valuable for the pediatrician because it
02:09:43often allows, long before the onset
02:09:47of other symptoms, to detect certain
02:09:50pathologies. I'll give you an example: in Algeria, we
02:09:53are unfortunately affected by an epidemic of obesity and
02:09:57overweight, so overweight is the stage that... precedes
02:10:00obesity. By taking the weight and height
02:10:03of a child annually and therefore these two
02:10:07anthropometric data allow
02:10:10us to extract another index that
02:10:14we all know, the Body Mass Index or BMI, the Body
02:10:18Mass Index, plotted on the appropriate BMI
02:10:22curves, well, we will detect
02:10:25a child who presents an overweight
02:10:29condition even before they
02:10:32present with obesity. And when
02:10:35one is at the stage of overweight, well, that's when we can
02:10:39act with simple measures, rebalancing and... nutritional
02:10:43advice, so by reminding them of the rules of
02:10:46healthy eating, having a healthy, balanced, varied diet,
02:10:50by reminding them of the importance of fighting against
02:10:53sedentarism, by
02:10:56physical activity, at that moment we will be able
02:11:00to reverse the BMI curve and thus
02:11:03restore a perfectly correct anthropometric
02:11:07status for this child. So you see that ultimately this consultation is
02:11:11essential, so
02:11:13important, it allows for the detection of many
02:11:17health problems that can be an early
02:11:20diagnosis that can be made, and this is not just the work of the
02:11:23pediatrician, it is also the work of the school health
02:11:27doctor, absolutely, the school doctor's primary
02:11:31mission is screening, early
02:11:34screening, and it is this school doctor who, thanks to
02:11:38simple measures, will be able to arrive at a...
02:11:42simple diagnosis made in the end, and which
02:11:46will allow for benefits certainly in terms of management, so
02:11:49you have highlighted it well, professor, as
02:11:53a pediatrician, you play an essential role in the monitoring and
02:11:56surveillance of child health, and once they are at school, they
02:12:00have another actor who also plays a very
02:12:04very important role in this surveillance and follow-up, and precisely,
02:12:07Dr. Benidir, once the child is at school,
02:12:11what is the role of the school doctor and what problems
02:12:14can they detect exactly in terms of health? Well, the role of the school
02:12:18doctor is health in the school environment. Yes, the school doctor is
02:12:22there to prevent certain pathologies, he is there to
02:12:25vaccinate, he is there to educate,
02:12:28guide, and provide care. So the role of the
02:12:32school health doctor already begins with the
02:12:35screening, early screening. We have
02:12:39target classes, first we start with preschool, which is
02:12:42very important. Screening concerns the
02:12:45doctor and the dental surgeon, yes, the dental
02:12:49surgeon also does oral health.
02:12:52So we screen first year preschool, first year primary,
02:12:564th year primary, first year middle school, 4th year middle school, first year
02:12:59secondary, 3rd year middle school, and we also have the inter-grades of course,
02:13:03because these inter-grades already have their files, we
02:13:06continue to follow them,
02:13:09uh, if there is pathology or other. Absolutely, we also
02:13:13conduct health education. We very often
02:13:16hold awareness days, we raise awareness about diet,
02:13:20yes, about addictions nowadays, we have
02:13:23a big problem, you do them in schools, in schools, in the
02:13:27UDS, we have care and follow-up units,
02:13:30uh, in which we can receive children and give them
02:13:34awareness sessions, awareness, absolutely, we have
02:13:38many themes, personal hygiene at the moment, we have
02:13:42discussed this theme during this back-to-school period,
02:13:45hand hygiene, it's very important, because in fact all
02:13:48pathologies, certain communicable diseases are transmitted by hands,
02:13:52everything is hand-borne, so before entering the canteen,
02:13:56school health doctors are there to check if the children have washed
02:13:59their hands or not, yes uh, we also have the
02:14:03problem of addictions, addictions to screens, to drugs nowadays,
02:14:07yes, that raises a crucial
02:14:11very important problem. We
02:14:14also have nutrition, yes, we
02:14:16teach them what to eat. Uh, very often
02:14:20children bring snacks with them, these are snacks that
02:14:23are only made of sugar, uh,
02:14:27biscuits, chocolate, sugary
02:14:29drinks, everything that is not good for the child, yes. So we
02:14:33have been fighting for a year or two to ban
02:14:37these unhealthy snacks from
02:14:41schools. We don't want children to bring snacks anymore, a bottle
02:14:44of water is enough, especially in primary school. In primary school, we have canteens, most
02:14:48primary schools have canteens, these meals are
02:14:52very balanced, they have their meat, they have their
02:14:55vegetables or starches, they have their fruit or dairy product, yes. And when
02:14:59they bring their snack, they go to the canteen, eat almost nothing, so the
02:15:03snack is useless. At 11:30 they have their meal,
02:15:07so the snack is useless. So, in summary, the school
02:15:11health doctor is very very important in the school environment,
02:15:13exactly. So it's about prevention
02:15:17much more, it's about prevention. If you allow me, I'll just remind
02:15:20you that as a member of the committee, one of the experts
02:15:24in school health, uh, and after
02:15:27having listened many times to my colleagues,
02:15:30the school doctors, I must emphasize
02:15:33that they do a tremendous job, yes,
02:15:36uh, which is often, uh, unrecognized by
02:15:39parents and even by other categories of the
02:15:43population in general, and their work in reality is
02:15:47essential, they have a mission of
02:15:49screening, certainly, they have a
02:15:53mission of vaccination. They also have a, they ensure
02:15:57these two missions which are already extremely
02:16:00arduous, but they also carry out
02:16:04health education sessions, as Dr.
02:16:07Benidir reminded us, which will be focused on chosen themes at
02:16:11the ministerial level and which will therefore be uniform
02:16:14throughout the country, and they
02:16:18assurent une mission d'hygiène et
02:16:21sanitation in schools, yes, and that is essential.
02:16:31Uh, we have discussed this many times, but school must now be integrated into a concept called health-promoting school, meaning that
02:16:34it is a safe
02:16:37place where our children are there certainly
02:16:41to acquire
02:16:43knowledge, yes, but not
02:16:45only to acquire also healthy
02:16:48behaviors, healthy behaviors that
02:16:52will then be transmitted within their family
02:16:56environment, yes, so in reality, we
02:16:59try to, you are absolutely right, it is a collective
02:17:02education, we try to have an impact on
02:17:05our entire society, not only by
02:17:08guaranteeing the health status of our
02:17:11children, but by making sure that they
02:17:15are the spokespeople in
02:17:17society for all these new behaviors, well, not new
02:17:21ones, but for these behavioral knowledge.
02:17:25Well, so we plant a seed and let it disperse, we let
02:17:29it germinate, yes, absolutely Sabrina. So we come back, so it's a part
02:17:32where the back-to-school period, there's another part that we really need
02:17:36to try to understand with our children, it's their
02:17:39behavior, and it's a good period to, uh,
02:17:42in a way, snoop around. So tell us what changes in
02:17:46behavior or in school results can be
02:17:49particularly uh for the parent, they should
02:17:53attract the parents' attention, the behaviors that change or others,
02:17:57try to explain all this to us, it's your domain. So, if
02:18:01we speak generally, that means at what point can we
02:18:04say that this is an alert? That
02:18:07a parent must be able to know their
02:18:11child, meaning they take the
02:18:13observe them, to know their preferences, their habits,
02:18:17their attitudes, their reactions, their coping
02:18:21strategies, so how they deal with, for example,
02:18:25stressful situations. So what is
02:18:28the child involves the bond that the parent must
02:18:32imperatively establish with their child because
02:18:36what we see unfortunately today is that we don't know the child
02:18:39well enough, but we know very well what is said on social
02:18:43media, on all the screens that we
02:18:47all watch, and it is enough
02:18:50that we see a little behavior and we will
02:18:53pathologize it. So if I have a first, a first
02:18:56indication, it is to say that parents, learn to know
02:19:00your children. Now any sudden
02:19:03change in behavior should
02:19:06alert us. For example, a child who is
02:19:09playful, who is very, well, very
02:19:12present, joyful, and suddenly we see that they are
02:19:16withdrawn, and for a day, 2 days, 3 days, a
02:19:20week, then we start to ask questions. A child, for example, who
02:19:23has a good appetite who... usually and suddenly no longer
02:19:27eats. So when there is a break in a
02:19:31behavior, that's when we need to question it. It doesn't mean that
02:19:34it's automatically something serious, but it's what will
02:19:37allow us to observe at least variations,
02:19:40things that are there, and
02:19:43to question the child, because everything is a
02:19:47matter of context. We need to know, perhaps for example, we are in a transition
02:19:50phase, uh, 4 months of vacation, we are
02:19:54resuming.
02:20:03for both adults and children, so in a
02:20:06way there will be some disruption. We're already starting
02:20:09to see children who don't sleep well. My own this morning woke up,
02:20:13they were all, and yet we can say that they are adults at
02:20:1718, 16, but the transition is
02:20:20there, what we call social jet lag. So it doesn't mean
02:20:24we should worry immediately and go looking, but we
02:20:28must observe, and any disruption should
02:20:32alert us, and it's a way to go
02:20:35see, it's better to be proactive,
02:20:37to prevent than to let things, well,
02:20:40get worse, then work in an emergency, that's
02:20:44not good, yes, so there is a, we could say it's very important
02:20:47to observe a child's behavior, but also
02:20:51also, we could say, observe any manifestation
02:20:54or clinical symptom. A new clinical symptom should be carefully observed
02:20:58because there can be health problems on a physical level, and
02:21:02precisely with you, professor, I
02:21:04wanted to talk about a very specific entity, which is
02:21:08absences, which are a form of epilepsy. We can say
02:21:11that these are generally children who are at school during the session
02:21:15of, well, during the class, they zone out for a few
02:21:18seconds, or they are children who seem to be daydreaming, uh, they don't
02:21:22follow the class, so is that a form, can that be
02:21:26a form of absence? So what you are
02:21:30citing there are absence seizures, meaning there is a
02:21:33suspension, a suspension, pardon, of the state of wakefulness that
02:21:36can... last a few seconds, even though the child
02:21:40is in class and therefore should be at that moment attentive
02:21:43to the teaching provided, yes. It's true, these are
02:21:47situations that we can encounter and which are part of epileptic
02:21:51syndromes. It's not only, we don't encounter
02:21:54only this kind of situation, Madam
02:21:57Benidir can testify that we encounter a whole diversity,
02:22:00huh, of clinical signs. Often these
02:22:03children are already known, yes, followed.
02:22:08Like diabetics, for example, diabetic children are also an
02:22:11excellent example, and, uh, well, precisely, it
02:22:17the management, huh, of these, of these
02:22:20chronic diseases, that henceforth,
02:22:23a novelty for this school year, parents
02:22:26will have to fill out a form that will be distributed within
02:22:30schools, yes, and within which we will therefore be able to
02:22:33see a certain number of chronic pathologies or
02:22:37known pathologies for which the child is followed, with the name of the
02:22:41doctor, the doctor who follows them, and their contact details, but all the
02:22:45pathologies that can be
02:22:48asthma, extremely frequent pathology, uh, neurological
02:22:52disorders, food allergies or
02:22:55others, and therefore this new
02:22:58form, this new health questionnaire filled out by parents
02:23:02will allow precisely from the start
02:23:05of the school year to identify
02:23:07and patients, excuse me the term, but or students, if you
02:23:11prefer, who suffer from a certain number of pathologies and who will
02:23:16attention of school doctors, yes, a diabetic child in a school
02:23:20environment, for example, is often stigmatized, yes,
02:23:22uh, in February, we will address
02:23:26Ramadan and the month of Ramadan, and so at that moment,
02:23:29it's quite difficult for children to isolate
02:23:32themselves, yes, to inject their
02:23:35insulin, or unfortunately
02:23:39uh, to hide to be able to have their
02:23:42lunch, yes, also because unfortunately they cannot
02:23:46fast, and therefore these situations, these
02:23:49students, if we identify them in advance, well,
02:23:53it will be excellent for them because we can plan certain
02:23:57specific provisions for them, and then
02:24:00also help teaching staff or, in general,
02:24:03medical-administrative staff within the school
02:24:07to acquire emergency
02:24:11skills, yes, precisely, is this done for
02:24:15teachers, first
02:24:17aid, hypoglycemia, here
02:24:21the parents are taking care of an asthma attack,
02:24:24taking care of hypoglycemia, that must be done
02:24:28without delay, absolutely, yes, taking care of a child,
02:24:32uh,
02:24:34well, a hemophiliac child who falls in the...
02:24:50be immediate, absolutely, yes, so these actions must be acquired, they must not be only the responsibility of the school doctor, yes, it should not be simply the
02:24:54responsibility of the teaching staff, anyone can save a
02:24:57life, and so it is important now to be able to
02:25:01establish and acquire this knowledge and know-how
02:25:04of first aid, exactly, yes.
02:25:07It's much broader than first aid in reality, it's knowledge
02:25:11if we were to go back to the
02:25:15children during their schooling, different from primary to
02:25:19middle school, to high school, so the three
02:25:21exactly, what are the elements that concern height, weight,
02:25:25vision, and also hearing that must be checked
02:25:29during school? Everything you're mentioning
02:25:32falls within the scope of screening, yes. When we screen a
02:25:35child, we measure them. We measure them, we already have a medical
02:25:39file, okay, with a growth curve
02:25:43and and weight, we call it a stature-weight curve,
02:25:47so the school doctor measures the child, takes their weight, and
02:25:51calculates their BMI, that is, calculates their BMI,
02:25:54and he puts all that on his file. As soon as he
02:25:57has, uh, as soon as it goes off the curve, as soon as he has a problem,
02:26:01at that point, either we take care of it when it's a small deviation
02:26:05at our level because we have received
02:26:08training from our professors, otherwise we refer
02:26:12them to more specialized consultations, okay.
02:26:15And that's done, uh, for the different
02:26:19stages, yeah. That's it, that falls within screening, that's it, we also
02:26:23have visual acuity and hearing. And for hearing, it
02:26:26is done systematically for hearing, it's mainly through
02:26:29questioning, otherwise it's the questionnaire that
02:26:31guides us, very good. Either it's through
02:26:35questioning, or it's the teacher who guides us, very
02:26:39good. He tells us that the child either doesn't hear
02:26:42well, or works very poorly, or doesn't answer the
02:26:45questions, so that's where we get alerted and that's where we
02:26:48refer him to an ENT for an audiometry, very good. You
02:26:52know that there is collaboration between the teaching staff and the school
02:26:55doctors, yes, the teaching staff
02:26:59often and themselves
02:27:02are themselves raising the alarm,
02:27:05yes, if a child whose writing
02:27:09changes, that can indicate a vision
02:27:12disorder, so refractive errors in general, myopia or
02:27:15other, and so it's extremely important. It's often the
02:27:19teaching staff, as you also very well reminded, Madam Benidir, regarding
02:27:23hearing, and that is fabulous, this
02:27:26collaboration that we must have and
02:27:29promote between teachers and healthcare staff,
02:27:33yes, you also talked about medical records, and it must be said that
02:27:36Algeria is making great strides towards digitization,
02:27:40and so this year, another novelty, apart from the questionnaire for the medical
02:27:43record, well, there's a new medical record,
02:27:47very good. on paper for now, but
02:27:50which is simplified and will eventually allow
02:27:53for digitization that will allow for the creation of
02:27:57truly personal, personalized, well-developed,
02:28:01well-structured files that
02:28:04will allow for follow-up at all levels for our children, all
02:28:07year after year, without loss of information because paper,
02:28:11unfortunately, we found that sometimes there were losses of files or
02:28:15other, it's not very active, it will make the task
02:28:18easier. digitization, so he will have
02:28:21access to medical records, to information and then the
02:28:25health of these children will be much more taken care of,
02:28:27exactly. Absolutely. So Doctor Benidir, you
02:28:31talked about height and weight, so you will detect
02:28:35growth retardation if there is a child who, let's say, is
02:28:38delayed. So
02:28:41screening begins in preschool,
02:28:44yes, absolutely. So we measure them and we
02:28:47follow up. If there is a break in the curve, at that
02:28:50point we refer them to one, and then besides
02:28:54this growth retardation, there are other symptoms that I would like to draw
02:28:58parents' attention to, it is precisely unusual
02:29:03unusual academic difficulties with this growth
02:29:06retardation can precisely lead us to one of the diseases, which is
02:29:10hypothyroidism, so it's a thyroid problem. Just report
02:29:14these symptoms to your pediatrician or school doctor and then
02:29:17screening will be done easily, uh we will
02:29:20come back to you Sabrina regarding everything that is
02:29:23the psychological aspect of this back to school,
02:29:27the child when he is at school he will be under pressure, the pressure
02:29:31of grades, school requirements, parental
02:29:34expectations, so when does this pressure already become
02:29:37excessive for the child and how should parents
02:29:40react? So it's true that it's a phenomenon,
02:29:44we shouldn't show ourselves, in recent years, there has been
02:29:48a real phenomenon of parents who...
02:29:50who are in brackets, almost they fixate
02:29:53on only the grade and the child's
02:29:57school results, and have completely forgotten
02:30:01that school is not just
02:30:03for knowledge, school is
02:30:07the school of life, the child goes to school to learn
02:30:10social skills, well, he learns
02:30:13to be a social being, to
02:30:17have interactions and unfortunately what... what we see is that
02:30:21today most parents who place
02:30:24enormous expectations on the child, it's what we call a
02:30:27narcissistic extension, it's as if the
02:30:31parent is trying to unconsciously repair themselves with the
02:30:35child's success, I've heard stories where for
02:30:38example, I don't know, the little girl who wants to be
02:30:42a veterinarian and the mother who is just
02:30:466 years old, the little one is not
02:30:49yet... 18 years old to choose and she says but it's
02:30:52impossible, okay, but let her live
02:30:56her dream, maybe it will mature, she will change
02:30:59her mind, but because maybe for her she needs to be... I don't
02:31:02know, I'm just saying anything, but an engineer, and if we
02:31:05dig into the mother's history, we will of course find
02:31:09meaning, what I want to say to parents is that the more
02:31:13pressure you put and the more unrealistic
02:31:16expectations you place on a child, maybe he has
02:31:20artistic abilities and wants to do something else,
02:31:24the more you will break, in any
02:31:26case, his potential, that's for sure,
02:31:30and we will unfortunately have adults. 30 years old, 40
02:31:33years old next to himself, so be careful, that's when we
02:31:37talk about projections, but we must not forget that during this
02:31:40schooling, we are receiving more and more
02:31:43children with anxiety disorders today, yes
02:31:47and since covid, frankly
02:31:50a lot of requests for support, children
02:31:53who have trouble sleeping, who say, they have
02:31:56an adult vocabulary, at
02:31:595, 6 years old, she will say I'm stressed. I have
02:32:03a lump in my stomach, it seems like she can even make
02:32:06a diagnosis herself, so yes, parents need to pay attention
02:32:10to what is called emotional contagion, everything that the
02:32:14parent experiences and which is not metabolized at an
02:32:17adult level with a well-connected
02:32:20brain, a 4- 5-year-old child with a brain that is
02:32:24not yet 100% connected will not be able to
02:32:27metabolize it and that starts with awareness, parents must
02:32:31understand that the children of 5-6 years old do not yet have the
02:32:34capacity to respond to this
02:32:37narcissistic project that he wants to have so
02:32:41after this pressure so
02:32:44we're going to move on to something more concrete especially regarding
02:32:47school, it's something that really gives lows especially
02:32:51regarding its weight, we are going to talk about the schoolbag and
02:32:54professor the weight of the schoolbag how are we going to manage
02:32:58all this the weight of the schoolbag will be a problem for the back?
02:33:02for posture, how and when should we raise the alarm
02:33:06regarding the weight? So you have, the question is
02:33:09extremely interesting and you are right to address it, the weight of the
02:33:13schoolbag is a concern that comes up year after year from parents,
02:33:17you should know that our children's schoolbags are considered
02:33:20heavy when they exceed 10%
02:33:23of the child's body weight, meaning
02:33:27a child who for example weighs 36 kg should
02:33:30not carry a schoolbag that exceeds 4
02:33:33kg if I say it
02:33:37approximately, unfortunately what we observe is that
02:33:41often the weight of the schoolbag well it largely exceeds this
02:33:44norm, that's 20 to 30% of our children's weight and
02:33:48that generates posture disorders, pain,
02:33:51fatigue when it's totally
02:33:54useless, he has what we should ask
02:33:57parents is certainly to buy first schoolbags that are...
02:34:01adequate to distribute the weight of the schoolbag on the child's
02:34:06schoolbag that has wide straps already, yes,
02:34:09okay, first
02:34:12thing, check in the evening that
02:34:15the books and notebooks that are
02:34:19carried
02:34:22next day and useful, often our children
02:34:25are a bit lazy, they don't put away their schoolbags, they leave them, the
02:34:28daily schedule normally, that's what you really need to
02:34:33uh it's perhaps still too early but I think it will be done
02:34:36in the future, try to replace some books with
02:34:40digital tablets, even if I'm not a big fan of that, oh yes, screens,
02:34:44exactly, yes, yes, yes, but tablets that don't connect,
02:34:47that don't have other applications than
02:34:51books, uh, maybe also look for other
02:34:55tricks, that is, have books that can
02:34:58be separated, in the form of chapters, that is, the child
02:35:01would only carry... the chapter he needs to study the next day, that's also one of
02:35:05the solutions we can adopt, so you see that first make sure that
02:35:09you only carry the books, notebooks
02:35:12and things that are really needed the next day,
02:35:16have an adequate schoolbag,
02:35:19sorry, I think that we have also proposed to the
02:35:22competent authorities, which are the national education
02:35:25department, that there should be lockers or
02:35:29storage boxes, we have asked for this to be available so that...
02:35:32it has started in some schools, so children instead of
02:35:36bringing all their things from the whole day, they just take
02:35:39a part of it and leave the other part in the locker or
02:35:43in the teacher's cupboard, this happens in primary school,
02:35:47we have asked for this, yes, yes, to already
02:35:49fix this problem of weight that
02:35:53causes scoliosis in children, precisely, so speaking of the weight
02:35:58weight, precisely, so you talked earlier about food.
02:36:05of the little one, well, it's not breakfast, it's a snack that he will bring with him, so he needs
02:36:08healthy eating habits, but also besides that, he should
02:36:12have a sports activity or physical activity.
02:36:16And Sarah, while preparing the show, we talked about the medical
02:36:19certificate. So the medical certificate, let's be
02:36:22honest, who among us has not received a call from a loved one asking them to
02:36:26issue a certificate of good health because
02:36:29their child was going to do a physical activity, and here we are not
02:36:33doing parents a favor by issuing a medical certificate of good
02:36:36health for a child who is going to do a regular physical
02:36:39activity without an adequate examination, an
02:36:42ECG.
02:36:45So we agree on that, that we are not doing a favor
02:36:48to a loved one by putting their child in danger.
02:36:51So we must avoid this certificate of convenience, not of
02:36:55good health. So I I would like to remind you just
02:36:59two things, two extremely important points, the
02:37:02health questionnaire that I mentioned earlier
02:37:06and which is filled out by parents is
02:37:09extremely precious because precisely a certain number
02:37:13of functional and
02:37:16clinical signs are listed in this questionnaire and which can
02:37:19precisely, when they are present, prompt
02:37:23us to request other examinations, you mentioned an
02:37:27ECG or we can go much further
02:37:30the establishment of a certificate of aptitude or not
02:37:34for physical activity, exactly, so this questionnaire
02:37:37once again, I call on parents to fill it out seriously, to
02:37:41read it, to ask the family doctor. or
02:37:45the child's pediatricians to explain
02:37:48it to them, it's true that maybe some topics will
02:37:51not be fully understood or initially understood, so
02:37:55we can get help from a doctor, yes, to fill it out, absolutely,
02:37:59the questionnaire is important, second reflection
02:38:02concerns just it concerns physical activity at school, you know that
02:38:06since 2023 uh there are physical
02:38:09educators in schools, yes that allows for
02:38:13a great physical education
02:38:16and thereby to fight against the phenomena of overweight and
02:38:19obesity, that also allows to identify children who
02:38:23may be called upon to carry out competitive sports
02:38:26activities, yes, and it is in this
02:38:29sense that the medical certificate becomes
02:38:31interesting,
02:38:34from an international point of view, before 12 years old, the practice of a
02:38:38sport, so-called non-competitive
02:38:40sport, a regular sport does not require any
02:38:44certificate at all. We don't need a certificate of good health or not,
02:38:48after 12 years old, we need
02:38:51a medical examination when we
02:38:55consider practicing a competitive sports activity,
02:38:58yes, okay, it's extremely important to understand, we
02:39:02must differentiate that, yes, so basically, this
02:39:05medical certificate, internationally,
02:39:08is no longer a certificate of good
02:39:11health,
02:39:14but it is now called a certificate
02:39:17of non-exemption from physical
02:39:20activity, there is an important nuance to
02:39:23understand, that is, all children are able to perform physical
02:39:27activity, except that we must pay a little more
02:39:31particular attention to children who are considering a competitive
02:39:35sports activity, yes, so exactly, you rightly emphasized the
02:39:39term non-exemption, there is the certificate of
02:39:42exemption from sports activity. sometimes it is
02:39:45done systematically without there being a health problem in the child, even though
02:39:49sport or physical activity is very important in the psychomotor
02:39:54the child, so except in a few situations, this
02:39:58exemption becomes important, what are these situations Professor?
02:40:02Well, in fact, I wouldn't talk about exemption but
02:40:05about particular precautions in certain
02:40:09pathologies, I'll come back once again to the diabetic child, he
02:40:13precisely needs certain
02:40:15uh precautions before physical activity and there the physical
02:40:19educator must be trained for that
02:40:21uh perform a capillary blood glucose before
02:40:25physical activity, consider re-sugaring or a snack
02:40:29before physical activity in a diabetic child, monitor this
02:40:33child after physical activity also to see if signs of hypoglycemia
02:40:37do not appear a little later, these are things
02:40:40that one learns when one is diabetic and these are things that one should
02:40:45are things we need to know, precautions to teach. perhaps take acquired by the physical
02:40:47educator or any other person from the school staff, yes, these
02:40:53precautions, there is not necessarily an exemption for a
02:40:57child once again for all physical
02:41:00activity, absolutely, yes, so it's better
02:41:05stopping it completely, it's a well-being for the child, exactly,
02:41:09he will flourish as Sabarena said, he needs it, it will be a
02:41:13community, he will do an activity.
02:41:15he will be in a community with the need to play, the need to
02:41:19run, to discover, that's right, to discover,
02:41:22that's it, it's socialization,
02:41:26once again, I... school health promoter, it's a
02:41:29we create a village within which the child learns
02:41:33social behaviors, yes, exactly, and in
02:41:36parallel also it's a period where the child is stressed and
02:41:40anxious, but sometimes anxiety is
02:41:45gate, there's a little scenario that all families
02:41:48know,
02:41:50the alarm rings, we're already
02:41:54late, we have to get ready, brush
02:41:57our teeth, eat, have breakfast, you're late, so already
02:42:00the child at some point, a few minutes after waking up,
02:42:04the whole family is already under pressure, and the most
02:42:08problematic thing is that this race against time can become
02:42:12a scenario that repeats itself every morning, it's
02:42:15chronic and tell us Sabrena please, how
02:42:19this very active morning
02:42:22can affect a child from the outset and especially how to help
02:42:26parents better manage this very important part of the
02:42:30day so that the child can live it more serenely.
02:42:33So the first and most important thing is awareness,
02:42:37there's no change without awareness, the majority of
02:42:40parents before going back to school say, "Oh my god, it's going to start again, the
02:42:44traffic jams, the stress." Okay, we
02:42:47know that, it's a fact that's there, the
02:42:51question to ask is, what can I do at my
02:42:54level so that I can change things?
02:42:57I hear, for example, "uh, I'm tired, I don't want to wake
02:43:01them up." Well no, I prefer to wake a child
02:43:04earlier and take the time to
02:43:08have breakfast and that he
02:43:11sees at least a calm parent, okay, and
02:43:14that we can leave uh calmly,
02:43:18in serenity as much as possible, because of course there will be
02:43:21episodes where children don't want to leave, the little ones at daycare and
02:43:25all that, but not to act and undergo this
02:43:29scenario 200 mornings a year, the
02:43:32loop becomes chronic, that means every
02:43:35morning and the brain actually from the moment
02:43:39it repeats, it will engrain that and so the child
02:43:43will already associate school with
02:43:46separation and the morning crisis and then we wonder
02:43:49why the child doesn't want to go to school, but of course, because anyway it
02:43:53starts very badly in the morning, for example what I would advise...
02:43:57already wake up early, not everyone at the same
02:44:01time, and again these are personal differences,
02:44:04that's it, if I need to drink this coffee because I
02:44:08feel that if I don't drink my coffee, I am not
02:44:11operational, which many parents unfortunately say and which is not
02:44:15necessarily true, but anyway, it's a belief that is there, so I wake
02:44:18up earlier, I get ready earlier,
02:44:22and I estimate the time it takes a child, and even if one
02:44:26is faster than the
02:44:28other, adjust, that's it, be aware, put
02:44:32actions in place and sometimes learn to
02:44:36voluntarily degrade certain things, that means
02:44:39I will, I will take from sleep time,
02:44:42but I will gain in quality of
02:44:46breakfast, exchanges, in the car,
02:44:49there's fighting, try to create a game or
02:44:53in any case the parent can always be
02:44:56innovative. from the moment he is in emotional
02:45:00security, so that's where and
02:45:03always, the adults always have power
02:45:07over the children, except when they are in emotional
02:45:10overactivation, we all become children, exactly, so
02:45:14this back to school goes through this
02:45:16readjustment in the daily routine and
02:45:20it's the parents who must precisely establish this routine to have a
02:45:24let's say a comfort for them and for their children, but also... the back to school,
02:45:28a good start to the school year also requires daily
02:45:31preventive measures, which are hygiene gestures, Doctor
02:45:35Benidir, what are the main hygiene gestures that you actually
02:45:39talked about earlier, that you do during
02:45:42awareness meetings, that's right,
02:45:46hand hygiene is very important, washing hands before
02:45:49eating and after eating, it's very important because everything is carried by hands,
02:45:53personal hygiene of course, taking a bath at least twice a
02:45:56week is... very important, washing
02:46:00washing the clothes, washing the blouse, not coming with a
02:46:03dirty blouse, it's it's it's
02:46:07unsanitary, that's right, especially us, especially on
02:46:10personal hygiene and hand hygiene, it's very important, so
02:46:14everything that is nails and all that, so it's very important,
02:46:17of course, these are simple gestures that are beneficial,
02:46:21exactly what we also do, unfortunately school health doctors
02:46:25also do screening for lice and scabies, yes,
02:46:28so there you go, during screening too, we look for these
02:46:32little creatures in the hair and
02:46:35on the body, hence the need to wash
02:46:39and be clean and wash your clothes, Sara also mentioned
02:46:43lice, yes, that's right, pediculosis, lice and
02:46:46nits, that's right, there are there are moments of
02:46:50epidemic, it's during winter, during
02:46:53winter, children bring their coats and when there are no coat
02:46:56hooks, they put their coats on top of each other, it's enough for there
02:47:00to be a small creature in the coat for it to
02:47:04spread throughout the class, that's why we asked the
02:47:08school principals to put coat hooks everywhere in the classrooms,
02:47:12so that there is a coat hook for each individual
02:47:15student, so that they don't pile up their coats,
02:47:18that's it, that's it, there's also the
02:47:22individual tables for young children, it's very important, because
02:47:26if there's a small creature crawling on one head, it won't
02:47:29jump to another because the other is a little further away, yes, we
02:47:33do that in accordance with the
02:47:37with. So these are simple gestures but they are
02:47:41beneficial for the community, that's right,
02:47:43but it's old, so there are for the old people who know
02:47:48the fingernails before entering school, there was
02:47:51always the obligation to have a handkerchief, we check the little
02:47:55hands to know, and there because at school we don't just learn
02:47:59to read and write, we learn everything that is
02:48:02life, that's it, that's it, and hygiene is the first
02:48:06thing, exactly, yes, and another thing, you are right, we
02:48:09learn that school is not just a place where academic
02:48:13knowledge is dispensed, it is
02:48:16also knowledge, a place where we learn to live
02:48:20certainly, it is a place where we learn to interact
02:48:23together, and it is in this sense that school is very
02:48:27interesting, acquiring correct hygiene
02:48:30behaviors, learning to
02:48:33behave correctly with one's little
02:48:37comrades and with one's teachers.
02:48:41ensures that later one will become a
02:48:44good quality citizen, exactly, useful to society, so Doctor
02:48:48Benidir, another question about vaccination, so the
02:48:51back to school is a good opportunity to check if there is a
02:48:55delay or not and check the vaccination schedule, tell
02:48:59us more, a little more, during the first quarter, we catch up all the children who
02:49:03do not have an up-to-date vaccination schedule,
02:49:06so first the first quarter is focused on
02:49:10catching up on vaccination delays, there are students who have not
02:49:14been vaccinated during the previous year, either they were sick, or they
02:49:17were absent, or there was an impediment, there are also the
02:49:21children who enter the first school year, they
02:49:25have their appropriate
02:49:286-year-old vaccine, but the catch-up is done in the first
02:49:32quarter, we try to catch up all the
02:49:35stages in the first quarter, yes, we catch up the children,
02:49:39then... we vaccinate, we vaccinate, we start with the first
02:49:42primary years and later the first middle school year, then the first because these
02:49:46are boosters, we call them boosters, first middle school year and first
02:49:49high school year, absolutely, so it's very important so
02:49:53all the work you are doing at your level as a
02:49:57school doctor, so Sabrina, we wanted to talk about a
02:50:00problem that is very common, we've been talking about it in recent years, which is
02:50:04school bullying, so this is an opportunity to raise parents' awareness to
02:50:08recognize this... at the same time that leads to it,
02:50:11so bullying, it's true that it's a real public health issue because
02:50:15the impact on the child's structure, on their
02:50:19personality and on the future of this
02:50:22being can be really uh very, very important,
02:50:26tragic, tragic, exactly, so it's important, so earlier
02:50:30you talked about the change in behavior, a child who is
02:50:33bullied will not necessarily come and say
02:50:37it because don't forget that there are family systems where the child wants to
02:50:41protect the parents, there are parentification syndromes where the child will
02:50:45experience the thing alone because they are ashamed because for whatever
02:50:48reason, so it's not very easy to identify and that's
02:50:52why I always say the
02:50:55relationship before the solution, parents work on the relationship so that
02:50:58if anything happens at school,
02:51:00the child must be uh also
02:51:03secure to come back into the family space and say this is what I
02:51:07am experiencing, yes. And so there will be
02:51:10the bullied and there will be the bullies, and so I think the
02:51:14responsibility is shared, we must raise awareness and
02:51:16we must talk, we can always do things when they are young
02:51:20children, it's what we call the third-person narrative,
02:51:24telling stories of
02:51:27stories about rabbits, turtles,
02:51:30and depicting what harassment is, because
02:51:34sometimes we experience it but we don't know we're being harassed. How many
02:51:37stories? I mean, at 40, the person... on the couch, they say, "Oh yes,
02:51:42school bullying," whereas for her, no, because she moved
02:51:46because it was the daughter of... So let's already
02:51:49inform ourselves. It would be good if parents could read,
02:51:53document themselves, tell these stories to your children, when they are very
02:51:57young, as I said, we can tell through stories,
02:52:00and work on the relationship so that the child can
02:52:04come back and say,
02:52:07confide once, twice, because generally, bullying
02:52:10lasts a long time, exactly, there you go, so when he has a problem, he
02:52:14has several tools that you use nowadays, so
02:52:17I know he has a tool that you use often, it's neurofeedback, tell us more about
02:52:21that, yes it's a tool. In fact it's a gem, it's a technological gem, it's a
02:52:25tool that is 50 years old, but for Algeria it has been used for about ten years,
02:52:28it is a tool that I particularly like because it is a 100%
02:52:32natural tool and it is brain exercise and so children,
02:52:36adults do not need a diagnosis, so it is
02:52:39really training, giving information to the brain so
02:52:43that it can recover, adapt and
02:52:46simply redo its neuroplasticity in
02:52:50its own way, so it has no constraints. It doesn't have
02:52:53standards but that's all I can say is that it's a tool
02:52:57that can be tested, it's a wellness tool but it gives
02:53:00results on the daily aches and pains, it will never
02:53:04replace treatments, but it's really
02:53:07a tool, there you go, it's a good crutch
02:53:11for, well, the little complicated crossings,
02:53:14exactly, maybe one day we'll do a whole show on their
02:53:18feedback, pleasure, so now we come
02:53:22to the part of the questions from viewers, you left us some
02:53:26questions on the social networks of Canal Algérie and the first question
02:53:29is for you Professor Bookhil, it's about
02:53:33dental health, let's say the prevention of
02:53:37dental health, uh so she says, the viewer, we often
02:53:41hear that cavities or dental infections can have consequences on
02:53:44the heart, is that true? So,
02:53:47uh first of all, oral health is essential,
02:53:51yes, so... school environment, at the level of the
02:53:55Ministry of Health, he has many dental
02:53:59surgeons equipped with modern
02:54:02equipment who precisely examine our
02:54:06children regularly to prevent the onset
02:54:09of dental caries, yes, to detect them rather,
02:54:13as for prevention, there are awareness days as Mrs.
02:54:17Bénidir said, and which can be focused on brushing
02:54:20teeth. with a very specific
02:54:24method, it is the method that allows you to brush teeth
02:54:28from red to white, that is to say from the
02:54:31gum to the tooth and by dedicating 2
02:54:35minutes to each of the dental surfaces,
02:54:38so these are really the missions that are
02:54:42dedicated to dental surgeons, then as for the relationship
02:54:46between
02:54:48or dental caries and cardio-
02:54:52vascular problems, you are reminding us here of the problem that we all
02:54:56learned when we were young students, acute
02:54:59rheumatic fever, which fortunately, thanks to the efforts
02:55:02deployed in schools and in society in general,
02:55:06it has practically died out, it is no longer
02:55:10a problem that is current in
02:55:13our country, it certainly was when
02:55:16we were much younger, when I was a student it's true it
02:55:20still existed but to... be honest, it's been almost two
02:55:23decades since I've seen it, fortunately
02:55:27today it doesn't exist, thank you Professor, yes, the second question
02:55:30is addressed to you, Dr. Bénidir
02:55:34so she says: my child has a chronic illness, how should I
02:55:38communicate with the school so that his care is
02:55:41safe, that depends on the chronic illness, yes but she hasn't
02:55:45specified, but we'll talk about, I'll
02:55:48repeat, the role of school health is above all
02:55:51preventive. We don't manage chronic illnesses
02:55:57level, school health is mainly early
02:56:00detection, prevention, education, management
02:56:04or referral to a specialist, we do manage, of course, when we
02:56:08detect a pathology we take care of it, anemia we take care
02:56:11of it, overweight we take care of it, but when it's
02:56:14a chronic illness such as diabetes or epilepsy, we don't take care of them,
02:56:18we can perhaps advise, orient,
02:56:22do a little follow-up, of course, in the medical file,
02:56:26the pathology, but we don't take care of it, that's not the purpose of school health, precisely the purpose of
02:56:30school health is not to fall into chronicity, we want
02:56:34to avoid that, the purpose of school health is to have zero cavities,
02:56:37by the way there was a time there was a slogan "stop care" at the level of
02:56:41schools, school health is the it's especially especially especially
02:56:44prevention, that's our role to have tomorrow a
02:56:47healthy citizen without pathology and well and well in
02:56:51his skin, thank you. It's perfectly clear, so being in
02:56:54prevention, we are in prevention, moreover we do many sessions of
02:56:58prevention, hence the interest of early
02:57:01detection, as soon as we detect and find a
02:57:03pathology. uh at its beginning we can remedy it,
02:57:07but when it enters chronicity, it's a failure for
02:57:11school health, exactly, so the last question with you Sabrina,
02:57:15my child has good grades, but he puts a lot of pressure on himself
02:57:19and cries when he makes a mistake, how can I help him? So well, you have
02:57:22to simply if he's very scared and when he makes
02:57:26mistakes, it means that the parents have emphasized why he didn't get
02:57:30an A, so you have to start by themselves
02:57:33de- dramatizing and making mistakes in front of
02:57:37the child, yes, you have to allow failure, if we don't
02:57:40allow failure, then we will create a perfect being and he will put
02:57:44pressure on himself throughout his life, thank you, thank you for
02:57:47all your participation today with us in
02:57:51the show, so finally this back to school reminds us that the care
02:57:55and good health of a child is global, right? So it's
02:57:59the lightened backpack, a good sleep, good
02:58:02food, a good environment.
02:58:07for the start and especially being attentive to your
02:58:11child and being really vigilant to any
02:58:14change or unusual attitude because you are the best
02:58:18placed to know your child exactly Sarah so precisely
02:58:22observe listen prevent is to take care of
02:58:25your child especially take care of his health comes to the end of
02:58:29our show we give you an appointment next week take care of
02:58:32your health and see you soon see you soon
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