Immunisation health workforce capacity building in Southeast Asia: reflections from training programme implementation in Cambodia and Lao PDR.

The Immunization Agenda 2030 emphasises the need for a motivated, skilled and knowledgeable workforce equipped to plan, manage, implement and monitor immunisation programmes at all levels. The rapid introduction of COVID-19 vaccines during the pandemic highlighted the adaptability of the health workforce but also exposed gaps in professional development and learning.This practice paper describes the implementation of an immunisation training programme in the Kingdom of Cambodia and the Lao People's Democratic Republic.

Excessive daytime sleepiness in a trainee military pilot.

A 21-yr-old army trainee pilot was noted by his colleagues to be frequently falling asleep in his class and was reported to medical authorities. Despite a number of investigations and review by two sleep specialists, a formal diagnosis could not be made. During his medical review board three questions were posed: does the trainee have excessive daytime sleepiness (EDS), or is his sleepiness a variation of normal; if he is excessively sleepy, what is the most likely diagnosis; and should the trainee be allowed to continue to undertake pilot training based on most likely diagnosis and/or his history.