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Aims: To evaluate the management of acute sickle cell crises in children attending .ILondon Hospital in line with the available hospital guideline.'.Methods: An Audit of the care provided was done by retrospective data collection lee',case notes or 43 Children aged 0- Ioyrs, presenting with acute sickle cell crises to tl.cLondon Hospital over 5years period (between April 96 to April 200] ). Tnere were ':::.:males (5~%) and 1~ females (42.1)1 and sicl.i :chest syndrome in 8 (M'-;»). Hb on pI escntation \V213within nO!"~lIJ! range' t(~r tnc m1ll'·-t«1 gm drop) in 102 (85%) cases and low in 1r,;( I J" i .Biood transfusion was requi!'_Jonly in 12 (10%) of admitted children.The overall management of children with acute sl~'k< cc'l :T!~V, mcscming It :.>London Hospital had been good, but some aspect: ,,,I" "-'''lla~'CmC'lllh~;',t imDr')'Cmc;,There was delay in initiating management when c/l;Ur:n :::''''',dc.! 'J ; '\',h crisc.,The majority of children were receiving prophylactic pl'J:i(i,:" anu t]1\:1",' VI", iow ra:eof severe infections. Though many had had pneumococca: ,;~"cir.-' hut lh~'"', was n·)organized programme to immunize all.Management of sickle cell disease in children in Africa and other developing countriesneeds to be revisited. More epidemiological studies and research are needed, besidesimplementation of structured management protocols to reduce morbidity and mortalityin these children.Medical and Psychosocial Aspects of Children in ReformatoriesSanaa Kalid MukhtarThis study is a descriptive, prospective institutional based study, comprised of 120detained children in Kober and Elgeraif reformatories. The study was conducted fromJuly 2003 to January 2004. The Objectives of this study were to detect the common