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Last Aid courses (LAC) were introduced in 2015 in three countries (Norway, Germany and Denmark) to teach the public about palliative care. The main aims of LAC are to stimulate the public discussion about death, dying and palliative care and to enable people to participate in end-of-life care in the community. At present the International Last Aid working group includes members from 18 countries from Europe, Brazil and Australia. Usually LACs are held in a classroom setting with 6-20 participants and two facilitators. Initially the 2nd International Last aid Conference was planned in October 2020 in Maribor, Slovenia. When the pandemic struck this became impossible. To cope with the demanding challenges and the fact that physical group meetings and conferences became impossible in 2020 Last Aid International had to find ways of continuing the work. A taskforce on Online Last Aid Courses was established in Germany and LACs were held Online via different web based platforms. The 2nd International Last Aid Conference took place online with 174 delegates from 18 countries. The implications and effects of COVID-19 on the development of Last Aid International will be presented and discussed in detail.References: 1. Bollig G, Meyer S, Knopf B, Schmidt S, Bauer EH. First Experiences with Online Last Aid Courses for Public Palliative Care Education during the COVID-19 Pandemic. Healthcare (Basel). 2021 Feb 5;9(2):172. doi: 10.3390/healthcare9020172. https://www.mdpi.com/2227-9032/9/2/172 2. Zelko E, Bollig G. Report from the 2. International LAST AID Conference Online—The social impact of palliative care, October 30 2020, Maribor, Slovenia. AIMS Medical Science 2021, Volume 8, Issue 1: 42-45. doi: 10.3934/medsci.2021005 https://www.aimspress.com/article/doi/10.3934/medsci.2021005

Epidemier rammer altid hårdest blandt de fattige, kort uddannede og minoriteter. COVID-19 pandemien er ingen undtagelse. Overalt i verden har man, som man også så det med pest, kolera, gul feber, HIV, tuberkulose og influenzapandemierne, set socialt udsatte overrepræsenterede i smitte, sygdom og død af COVID-19. En meget uheldig triade af frontlinie serviceerhverv, crowdede hushold i dårlige boliger samt sprogbarrierer har verden over skabt et højrisiko miljø for migranter i lavindkomstjobs. Flygtninge kan komme fra lande, hvor onlineaktiviteter overvåges nøje af politiet, og foretrækker derfor udelukkende ansigt til ansigt kommunikation, når man beskæftiger sig med private forhold. Globalt har man, igen, måttet konstatere at myndighederne svigter på centrale parametre som troværdighed, tillid og tilpasset information når det kommer til etniske minoriteter. Dét har, selv nu over et år efter pandemien nåede til Danmark, konsekvenser for smittespredning, sygdomsrisiko og dødelighed blandt minoriteter.

Background: Approximately 4.1% of Danish children experience child abuse (CA) and clinical experience suggests that the number of cases of physical abuse of children are on the rise during the COVID-19 lockdown. In Denmark, the Nordic Barnahus model is implemented to support cross-sectional collaboration in cases of suspected child abuse and the Danish National Centre for Psychotraumatology (NCP) has supported the development and implementation of the Danish version of the Nordic Barnahus model (DCC) since 2013. Aim: To describe and discuss the collaboration between a national multidisciplinary clinical practice, the DCCs, and research at the NCP to simultaneously qualify research and practice in child psychotraumatology. Development and method description: The DCCs and the NCP originally collaborated to develop a valid assessment battery to support the DCC’s task of screening for trauma-related symptoms and -disorders following exposure to physical or sexual CA. This formed the basis for a continued collaboration including the foundation of a database on psychological outcomes following child abuse as well as initiatives in education and supervision. Results: Currently, data has been collected for 2000+ children and provides opportunities for validating updated developmentally sensitive measures and examining characteristics of children exposed to CA from a national sample. Conclusion and perspectives: The collaboration and integration of research into clinical practice improves both fields. The DCC work with updated evidence-based assessment of vulnerable children, and the NCP gains access to a unique and large cohort of children to generate knowledge on physical, sexual, and psychological CA.