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2025/26 : In Paris, Pediatric Respiratory Health Research Project

In France, every year, more than 11,000 children under the age of 3 are hospitalized for emergency respiratory distress with wheezing, and 28,000 children under the age of 2 for bronchiolitis. It is also well established that the prevalence of childhood asthma increases with age. Two main theories attempt to explain these issues: - the "viral" theory : severe respiratory infections during the first year of life are thought to damage the airways, leading to recurrent episodes. - the "constitutional" theory : some children are born with specific characteristics that make them more vulnerable to both viral infections and respiratory distress. The lockdown period during the COVID-19 pandemic created an unprecedented situation in which the circulation of respiratory viruses was significantly reduced. This situation presents an exceptional opportunity to test these theories. This research will compare three groups of children born in the spring (March–May): before the pandemic (2015–2016), during lockdown (2020), and after lockdown (2021). The study will analyze the age at which these children were first hospitalized for a wheezing respiratory episode. If children born during lockdown develop fewer respiratory episodes between the ages of 1 and 3, it would support the "viral" theory. This would reinforce the importance of preventive strategies against infant viral infections, such as preventive treatments for Respiratory Syncytial Virus (RSV), the primary cause of bronchiolitis. La Fondation La Petite Etoile is participating in this project, which aims to calculate the impact of reduced respiratory virus circulation during the COVID-19 pandemic on wheezing exacerbations in preschool children. Location : within the HeKA unit, a joint project-team composed of researchers, clinical academics, and professors from Inria, Inserm (U1346), Université Paris Cité (located at PariSanté Campus, Issy-les-Moulineaux), and the AP-HP (Paris Public Hospital System), in collaboration with departments from the Georges Pompidou European Hospital, Necker Hospital, and the Imagine Institute. Total Budget : € 48,235 Co-participants : Fondation La Petite Etoile, Fondation du Souffle (The Breath Foundation), SPLF (French-Language Respiratory Society) Funding provided by Fondation La Petite Etoile : € 6,000

In France, every year, more than 11,000 children under the age of 3 are hospitalized for emergency respiratory distress with wheezing, and 28,000 children under the age of 2 for bronchiolitis. It is also well established that the prevalence of childhood asthma increases with age. Two main theories attempt to explain these issues: - the "viral" theory : severe respiratory infections during the first year of life are thought to damage the airways, leading to recurrent episodes. - the "constitutional" theory : some children are born with specific characteristics that make them more vulnerable to both viral infections and respiratory distress. The lockdown period during the COVID-19 pandemic created an unprecedented situation in which the circulation of respiratory viruses was significantly reduced. This situation presents an exceptional opportunity to test these theories. This research will compare three groups of children born in the spring (March–May): before the pandemic (2015–2016), during lockdown (2020), and after lockdown (2021). The study will analyze the age at which these children were first hospitalized for a wheezing respiratory episode. If children born during lockdown develop fewer respiratory episodes between the ages of 1 and 3, it would support the "viral" theory. This would reinforce the importance of preventive strategies against infant viral infections, such as preventive treatments for Respiratory Syncytial Virus (RSV), the primary cause of bronchiolitis. La Fondation La Petite Etoile is participating in this project, which aims to calculate the impact of reduced respiratory virus circulation during the COVID-19 pandemic on wheezing exacerbations in preschool children. Location : within the HeKA unit, a joint project-team composed of researchers, clinical academics, and professors from Inria, Inserm (U1346), Université Paris Cité (located at PariSanté Campus, Issy-les-Moulineaux), and the AP-HP (Paris Public Hospital System), in collaboration with departments from the Georges Pompidou European Hospital, Necker Hospital, and the Imagine Institute. Total Budget : € 48,235 Co-participants : Fondation La Petite Etoile, Fondation du Souffle (The Breath Foundation), SPLF (French-Language Respiratory Society) Funding provided by Fondation La Petite Etoile : € 6,000

2025/26 : In Burkina Faso, Nutritional Care and Education for Hospitalized Children and their mothers

Project Objective : to provide nutritional care and education for children and their mothers at the Yalgado University Hospital (CHU) in Ouagadougou, Burkina Faso. Project Background : the project was initiated by the GFAOP (French-African Pediatric Oncology Group), which promotes pediatric oncology and research in collaboration with the SFCE (French Society for Children's and Adolescents' Cancers and Leukemias) and the SIOP (International Society of Pediatric Oncology). About GFAOP : It includes 18 member countries (Maghreb and Sub-Saharan Africa), 24 Pediatric Oncology Units (POUs), 1,600 children treated in 2024, and 11,000 hours of specialized training. GFAOP organizes collective research and training programs to develop local skills and improve the quality of care, with the ultimate goal of increasing recovery rates. La Fondation La Petite Etoile is a partner in this project, which aims to provide children suffering from cancer or malnutrition at the CHU with adequate food intake. This intake is designed to meet their specific needs for essential nutrients (high-quality carbohydrates, lipids, and proteins, as well as vitamins and minerals). These nutritional resources will help strengthen their immune systems and support their medical treatments. The project also includes a nutritional education initiative for parents. Culinary demonstrations will be prioritized for the caregivers of sick children to ensure they can continue dietary diversification once they return home. Emphasis will be placed on local food products that are available and accessible throughout Burkina Faso. Location : Yalgado University Hospital (CHU), Ouagadougou, Burkina Faso Total Budget : € 11,400 Co-participants : Fondation La Petite Etoile, GFAOP Funding provided by Fondation La Petite Etoile : € 6,000

Project Objective : to provide nutritional care and education for children and their mothers at the Yalgado University Hospital (CHU) in Ouagadougou, Burkina Faso. Project Background : the project was initiated by the GFAOP (French-African Pediatric Oncology Group), which promotes pediatric oncology and research in collaboration with the SFCE (French Society for Children's and Adolescents' Cancers and Leukemias) and the SIOP (International Society of Pediatric Oncology). About GFAOP : It includes 18 member countries (Maghreb and Sub-Saharan Africa), 24 Pediatric Oncology Units (POUs), 1,600 children treated in 2024, and 11,000 hours of specialized training. GFAOP organizes collective research and training programs to develop local skills and improve the quality of care, with the ultimate goal of increasing recovery rates. La Fondation La Petite Etoile is a partner in this project, which aims to provide children suffering from cancer or malnutrition at the CHU with adequate food intake. This intake is designed to meet their specific needs for essential nutrients (high-quality carbohydrates, lipids, and proteins, as well as vitamins and minerals). These nutritional resources will help strengthen their immune systems and support their medical treatments. The project also includes a nutritional education initiative for parents. Culinary demonstrations will be prioritized for the caregivers of sick children to ensure they can continue dietary diversification once they return home. Emphasis will be placed on local food products that are available and accessible throughout Burkina Faso. Location : Yalgado University Hospital (CHU), Ouagadougou, Burkina Faso Total Budget : € 11,400 Co-participants : Fondation La Petite Etoile, GFAOP Funding provided by Fondation La Petite Etoile : € 6,000

2025/26 : In Lyon (France), Therapeutic Music Concerts for Vulnerable Youth

Children in medico-educational institutes (IMEs), pediatric hospitals, shelters, and refugee reception centers often face emotional, social, or medical challenges. Through regular concerts, this program aims to create spaces for sharing and cognitive stimulation while encouraging socialization and emotional expression, particularly for young people with severe illnesses or disabilities. Every month, through its musical interventions, the Résonansemble association creates enriching experiences that promote comfort and well-being. This approach aims to build deep and meaningful intergenerational bonds through music, thereby improving the quality of life for individuals facing health or life challenges. These sessions help build supportive communities where music and musicians act as a bridge between patients, their families, and healthcare staff, fostering a better quality of life and lasting mutual support. La Fondation La Petite Etoile is a partner in this project, which aims to organize concerts that reduce anxiety and pain by creating regular moments of well-being for vulnerable youth and their caregivers. The goal is to transform care environments into spaces of human connection and sharing through the power of music. Locations : IME Jean Bourjade in Villeurbanne (children and adolescents with intellectual disabilities), Institute of Pediatric Hematology and Oncology (IHOPe) in Lyon, Maison du Répit (Respite Home) in Tassin-la-Demi-Lune, and Forum Réfugiés in Lyon. Total Budget : € 20,000 Co-participants : Fondation La Petite Etoile, Résonansemble Association, Music teachers, City of Lyon, Emergences Foundation. Funding provided by Fondation La Petite Etoile : € 5,000

Children in medico-educational institutes (IMEs), pediatric hospitals, shelters, and refugee reception centers often face emotional, social, or medical challenges. Through regular concerts, this program aims to create spaces for sharing and cognitive stimulation while encouraging socialization and emotional expression, particularly for young people with severe illnesses or disabilities. Every month, through its musical interventions, the Résonansemble association creates enriching experiences that promote comfort and well-being. This approach aims to build deep and meaningful intergenerational bonds through music, thereby improving the quality of life for individuals facing health or life challenges. These sessions help build supportive communities where music and musicians act as a bridge between patients, their families, and healthcare staff, fostering a better quality of life and lasting mutual support. La Fondation La Petite Etoile is a partner in this project, which aims to organize concerts that reduce anxiety and pain by creating regular moments of well-being for vulnerable youth and their caregivers. The goal is to transform care environments into spaces of human connection and sharing through the power of music. Locations : IME Jean Bourjade in Villeurbanne (children and adolescents with intellectual disabilities), Institute of Pediatric Hematology and Oncology (IHOPe) in Lyon, Maison du Répit (Respite Home) in Tassin-la-Demi-Lune, and Forum Réfugiés in Lyon. Total Budget : € 20,000 Co-participants : Fondation La Petite Etoile, Résonansemble Association, Music teachers, City of Lyon, Emergences Foundation. Funding provided by Fondation La Petite Etoile : € 5,000

2025/26 : In Laos, Enhancing Pediatric Healthcare Services

The Lao People's Democratic Republic is a small Southeast Asian nation of approximately 7 million people and remains one of the poorest countries in the world. With a median age of 22 and two-thirds of the population under 15, it is a young nation. However, child health is precarious, characterized by very high maternal and infant mortality rates. This fragility is visible daily in healthcare facilities that lack essential resources, a shortage of permanent staff (relying heavily on volunteers who often hold second jobs), and frequent shortages of basic medicines. In Pakbeng, a remote town nestled in a mountainous area along the Mekong River, the local hospital receives many critically ill children arriving in life-threatening emergencies (maternal-fetal infections, meningitis, severe dehydration, road accidents, etc.). La Fondation La Petite Etoile is a partner in this project, which aims to : - strengthen the skills of the hospital’s 30 healthcare workers (nurses, midwives, and doctors) through mentoring and both theoretical and practical training. French and Lao doctors are co-developing clinical algorithms and treatment protocols, compiled into a pediatric handbook. - improve the care environment by providing child-appropriate equipment (including an ultrasound machine for medical imaging), co-drafting specific care procedures, and improving hygiene (providing a WATA device to produce chlorinated water from salt and water). - provide health education to families present at the hospital. The Implementation of clinical procedures (including systematic screening for bacterial infections) has led to more comprehensive clinical examinations, a reduction in antibiotic prescriptions, and the rapid identification of critically ill children in emergency situations. This project is made possible by French-Lao interpreters who facilitate all exchanges. These interpreters are practicing physicians from hospitals in Vientiane. As Lao nationals, they possess a deep understanding of medical challenges as well as the cultural traditions that influence child health. They ensure that training sessions are collaborative exchanges rather than top-down instruction and are highly respected by their peers. Their presence is vital, as the hospital staff speaks neither English nor French. This program is conducted under a Memorandum of Understanding (MoU) signed between the Lao Ministry of Health (represented by the Oudomxay Provincial Health Department) and the "Médecins de Chinguetti-Pakbeng" association. Total Budget : € 15,000 (covering 5 two-week missions at €3,000 each, excluding medical equipment). Missions are carried out by two pediatricians and one pediatric nurse. On a daily basis, these teams support hospital staff in clinical activities: bedside rounds, consultations, emergencies, and maternity care. Location : Pakbeng Hospital, Oudomxay Province, Laos. Co-participants : Fondation La Petite Etoile, Gratitude Foundation, Masalina Foundation, Pédiatres du Monde, Médecins de Chinguetti-Pakbeng Association. Funding provided by Fondation La Petite Etoile : € 5,000

The Lao People's Democratic Republic is a small Southeast Asian nation of approximately 7 million people and remains one of the poorest countries in the world. With a median age of 22 and two-thirds of the population under 15, it is a young nation. However, child health is precarious, characterized by very high maternal and infant mortality rates. This fragility is visible daily in healthcare facilities that lack essential resources, a shortage of permanent staff (relying heavily on volunteers who often hold second jobs), and frequent shortages of basic medicines. In Pakbeng, a remote town nestled in a mountainous area along the Mekong River, the local hospital receives many critically ill children arriving in life-threatening emergencies (maternal-fetal infections, meningitis, severe dehydration, road accidents, etc.). La Fondation La Petite Etoile is a partner in this project, which aims to : - strengthen the skills of the hospital’s 30 healthcare workers (nurses, midwives, and doctors) through mentoring and both theoretical and practical training. French and Lao doctors are co-developing clinical algorithms and treatment protocols, compiled into a pediatric handbook. - improve the care environment by providing child-appropriate equipment (including an ultrasound machine for medical imaging), co-drafting specific care procedures, and improving hygiene (providing a WATA device to produce chlorinated water from salt and water). - provide health education to families present at the hospital. The Implementation of clinical procedures (including systematic screening for bacterial infections) has led to more comprehensive clinical examinations, a reduction in antibiotic prescriptions, and the rapid identification of critically ill children in emergency situations. This project is made possible by French-Lao interpreters who facilitate all exchanges. These interpreters are practicing physicians from hospitals in Vientiane. As Lao nationals, they possess a deep understanding of medical challenges as well as the cultural traditions that influence child health. They ensure that training sessions are collaborative exchanges rather than top-down instruction and are highly respected by their peers. Their presence is vital, as the hospital staff speaks neither English nor French. This program is conducted under a Memorandum of Understanding (MoU) signed between the Lao Ministry of Health (represented by the Oudomxay Provincial Health Department) and the "Médecins de Chinguetti-Pakbeng" association. Total Budget : € 15,000 (covering 5 two-week missions at €3,000 each, excluding medical equipment). Missions are carried out by two pediatricians and one pediatric nurse. On a daily basis, these teams support hospital staff in clinical activities: bedside rounds, consultations, emergencies, and maternity care. Location : Pakbeng Hospital, Oudomxay Province, Laos. Co-participants : Fondation La Petite Etoile, Gratitude Foundation, Masalina Foundation, Pédiatres du Monde, Médecins de Chinguetti-Pakbeng Association. Funding provided by Fondation La Petite Etoile : € 5,000

2025/26 : In Sri Lanka, Building Homes for Families Living Below the Poverty Threshold

In the village of Kappalthurai, Sri Lanka (as in many other villages), government intervention is significantly insufficient. During the civil war, residents were frequently displaced and unable to settle in a permanent location to develop stable economic activities, which further worsened their financial situation. The five beneficiary families of this project currently live in substandard, severely degraded, and cramped housing. Their homes are made of salvaged materials that offer little resistance to bad weather, are highly flammable, unsanitary, and often hazardous to health, particularly for children. These families lack sanitation systems that meet World Health Organization (WHO) standards. When work is available, the women perform domestic tasks for a daily wage of 300 rupees (equivalent to € 1.50), while the husbands work as day laborers for 10 to 15 days a month in nearby livestock farms or as brickmakers in construction, earning a daily wage that does not exceed 700 rupees (€ 3.50). Particular attention was given to young couples to help them get a sustainable start in life. A balance was also maintained in terms of community (3 Tamil families and 2 Sinhalese families) and religious background (2 Buddhist families with 3 children, 1 Muslim family with 2 children, and 2 Hindu families with 3 children) in a country where intercultural and interreligious relations often remain highly strained. La Fondation La Petite Etoile is a partner in this project, which aims to: - construct 5 permanent houses (40 m² each), consisting of a living area, a kitchen, and two bedrooms. - add a sanitation block to each home to ensure dignified living conditions and basic hygiene, in compliance with WHO recommendations. Adults from the beneficiary families participate in the construction work as unskilled labor. Location : Village of Kappalthurai, Trincomalee District, Eastern Province, Sri Lanka. Total Budget : € 24,000 (benefitting 8 children). Co-participants : Fondation La Petite Etoile, Masalina Foundation, ADES France Association, Une Goutte d'Eau Endowment Fund, C.I.E.LO (internal funds), and the Sri Lankan association RECDO. Funding provided by Fondation La Petite Etoile : € 6,000.

In the village of Kappalthurai, Sri Lanka (as in many other villages), government intervention is significantly insufficient. During the civil war, residents were frequently displaced and unable to settle in a permanent location to develop stable economic activities, which further worsened their financial situation. The five beneficiary families of this project currently live in substandard, severely degraded, and cramped housing. Their homes are made of salvaged materials that offer little resistance to bad weather, are highly flammable, unsanitary, and often hazardous to health, particularly for children. These families lack sanitation systems that meet World Health Organization (WHO) standards. When work is available, the women perform domestic tasks for a daily wage of 300 rupees (equivalent to € 1.50), while the husbands work as day laborers for 10 to 15 days a month in nearby livestock farms or as brickmakers in construction, earning a daily wage that does not exceed 700 rupees (€ 3.50). Particular attention was given to young couples to help them get a sustainable start in life. A balance was also maintained in terms of community (3 Tamil families and 2 Sinhalese families) and religious background (2 Buddhist families with 3 children, 1 Muslim family with 2 children, and 2 Hindu families with 3 children) in a country where intercultural and interreligious relations often remain highly strained. La Fondation La Petite Etoile is a partner in this project, which aims to: - construct 5 permanent houses (40 m² each), consisting of a living area, a kitchen, and two bedrooms. - add a sanitation block to each home to ensure dignified living conditions and basic hygiene, in compliance with WHO recommendations. Adults from the beneficiary families participate in the construction work as unskilled labor. Location : Village of Kappalthurai, Trincomalee District, Eastern Province, Sri Lanka. Total Budget : € 24,000 (benefitting 8 children). Co-participants : Fondation La Petite Etoile, Masalina Foundation, ADES France Association, Une Goutte d'Eau Endowment Fund, C.I.E.LO (internal funds), and the Sri Lankan association RECDO. Funding provided by Fondation La Petite Etoile : € 6,000.

2024/25 : In Burkina Faso, Care for Children Suffering from Noma and Maxillofacial Pathologies

In sub-Saharan Africa, noma (facial pathology and malformation) has a mortality rate of 90%. Added to the lack of knowledge of these pathologies is the weight of superstitions. Sick children are very often stigmatized, socially excluded, sometimes rejected from their families and dropped out of school. La Fondation La Petite Etoile is participating in this project whose aim is to : - detect, treat and operate on children suffering from facial pathologies and malformations while training local medical teams. - raise awareness among populations in targeted areas and among traditional and religious leaders on means of prevention, causes and detection of noma. This is a continuation of our action carried out in 2023-24 in Burkina Faso. Co-participants : Fondation La Petite Etoile, Agence Française du Développement, Ministère de la Santé du Burkina-Faso, Fondation Sentinelle , La Voix du Paysan community radio, Bilaadga Association, Ensemble pour Eux Association, Paspanga Association. Place of intervention : Bogodogo University Hospital in Ouagadougou, capital of Burkina-Faso. Mission budget : € 65,000 The children are between 2 and 6 years old, suffer from noma (disfigurement) and malnutrition with very weakened immune systems and live in extreme poverty. Number of children concerned : 39 (21 boys and 8 girls of whom only 4 go to school), then an additional twenty. Funding provided by Fondation La Petite Etoile : € 5,000

In sub-Saharan Africa, noma (facial pathology and malformation) has a mortality rate of 90%. Added to the lack of knowledge of these pathologies is the weight of superstitions. Sick children are very often stigmatized, socially excluded, sometimes rejected from their families and dropped out of school. La Fondation La Petite Etoile is participating in this project whose aim is to : - detect, treat and operate on children suffering from facial pathologies and malformations while training local medical teams. - raise awareness among populations in targeted areas and among traditional and religious leaders on means of prevention, causes and detection of noma. This is a continuation of our action carried out in 2023-24 in Burkina Faso. Co-participants : Fondation La Petite Etoile, Agence Française du Développement, Ministère de la Santé du Burkina-Faso, Fondation Sentinelle , La Voix du Paysan community radio, Bilaadga Association, Ensemble pour Eux Association, Paspanga Association. Place of intervention : Bogodogo University Hospital in Ouagadougou, capital of Burkina-Faso. Mission budget : € 65,000 The children are between 2 and 6 years old, suffer from noma (disfigurement) and malnutrition with very weakened immune systems and live in extreme poverty. Number of children concerned : 39 (21 boys and 8 girls of whom only 4 go to school), then an additional twenty. Funding provided by Fondation La Petite Etoile : € 5,000

2024/25 : In Benin, Improving Pediatric Care Environment and Strengthening Skills of Caregivers

The Republic of Benin (formerly Dahomey) is one of the poorest countries in the world: in 2020, according to the UN, Benin ranked 166th out of 191 countries, in terms of human development. Young people - who constitute half of the population - are the most affected by inequalities. In Djakotomey, in the South-West, the few pediatricians present work in the private sector. A few kilometers away, at the Aplahoué hospital (prefecture), the doctor in the pediatrics department is a simple general practitioner. Children are often seen there by nurses or simple helpers, without supervision by a doctor. There is no pediatrician in the maternity ward. Here, 160 children die from infectious diseases every year. In neonatology and general pediatrics, the need for training of local health workers (doctors, nurses, midwives, assistants) is therefore important. Pédiatres du Monde has decided to intervene in the pediatrics, neonatology and maternity departments of Aplahoué hospital as well as in health centers in neighboring communities. For this project, PDM brings together pediatricians, nurses, midwives, all volunteers from France. La Fondation La Petite Etoile is participating in this project, the aim of which is to provide training on the most frequent and serious pediatric pathologies (pulmonary infections, diarrhea, dermatological pathologies) as well as the resuscitation of newborns in the labor room (workshop on mannequins). But in these territories, the absence of essential medical equipment is blatant. La Fondation La Petite Etoile also contributes to the material equipment of the Aplahoué hospital (e.g.: a resuscitation table in the neonatology department) as well as helping to finance costs related to on-site training. Co-participants : Fondation La Petite Etoile, Beninese Association La Rescousse, Pédiatres du Monde (4 one-week missions). Mission budget : € 8,000 (all pediatricians are volunteers and cover their transport from France to the mission location, their accommodation, their catering). Locations of intervention : Djakotomey and Aplahoué (Republic of Benin). Funding provided by Fondation La Petite Etoile : € 5,000

The Republic of Benin (formerly Dahomey) is one of the poorest countries in the world: in 2020, according to the UN, Benin ranked 166th out of 191 countries, in terms of human development. Young people - who constitute half of the population - are the most affected by inequalities. In Djakotomey, in the South-West, the few pediatricians present work in the private sector. A few kilometers away, at the Aplahoué hospital (prefecture), the doctor in the pediatrics department is a simple general practitioner. Children are often seen there by nurses or simple helpers, without supervision by a doctor. There is no pediatrician in the maternity ward. Here, 160 children die from infectious diseases every year. In neonatology and general pediatrics, the need for training of local health workers (doctors, nurses, midwives, assistants) is therefore important. Pédiatres du Monde has decided to intervene in the pediatrics, neonatology and maternity departments of Aplahoué hospital as well as in health centers in neighboring communities. For this project, PDM brings together pediatricians, nurses, midwives, all volunteers from France. La Fondation La Petite Etoile is participating in this project, the aim of which is to provide training on the most frequent and serious pediatric pathologies (pulmonary infections, diarrhea, dermatological pathologies) as well as the resuscitation of newborns in the labor room (workshop on mannequins). But in these territories, the absence of essential medical equipment is blatant. La Fondation La Petite Etoile also contributes to the material equipment of the Aplahoué hospital (e.g.: a resuscitation table in the neonatology department) as well as helping to finance costs related to on-site training. Co-participants : Fondation La Petite Etoile, Beninese Association La Rescousse, Pédiatres du Monde (4 one-week missions). Mission budget : € 8,000 (all pediatricians are volunteers and cover their transport from France to the mission location, their accommodation, their catering). Locations of intervention : Djakotomey and Aplahoué (Republic of Benin). Funding provided by Fondation La Petite Etoile : € 5,000

2024/25 : In Paris, Research on the Immunity of Children with Norse Fires Syndrome

Norse Fires syndrome is a severe form of epilepsy in children for which neither the cause nor the treatments are currently known. Every year, it brutally strikes children who were previously perfectly healthy. They then fall into an epileptic coma lasting several weeks or months. A third of children never wake up, the others suffer serious irreversible damage to their brain functions. This is a medical emergency requiring intensive care. The mortality rate is 12% on average among children. The mechanisms that trigger this syndrome remain unknown but research is progressing to propose new therapeutic strategies. Because only research can develop treatments to reduce the neurological after-effects suffered by children during the acute phase of the disease. The Paratonnerre Association has already launched 2 programs : one at the Imagine/Necker Institute with the teams of Professor Rima Nabbout, and the other at the ICM Institut du Cerveau with the teams of Professor Vincent Navarro. These programs were initiated and co-financed by private funds : Ipsen, Bouygues, Banque Postale, Tikéhau. Paratonnerre is also studying a new pathway: intracerebral cholesterol metabolism. It has been demonstrated that status epilepticus is accompanied, in humans and animals, by excess synthesis of cholesterol, promoting its accumulation in the brain. The accumulation of cholesterol in neurons has been shown to be toxic, responsible for neuronal death and the emergence of epileptic seizures. These results prompted the use of simvastatin, a safe drug approved in France in 2004 for the treatment of hypercholesterolemia. Daily treatment with simvastatin was observed to reduce the consequences of status epilepticus in an animal model. We now wish to study its neuroprotective effect in humans. La Fondation La Petite Etoile is participating in this project, the aim of which is to acquire better knowledge of status epilepticus in order to : - prevent the appearance of brain damage - study the impact of treatment on children (autonomy, cognitive after-effects) and on the development of sequelae epilepsy. Places of intervention : Pitié-Salpêtrière Hospital (epilepsy unit), Bichat Hospital, Sainte Anne Hospital, Rothschild Foundation. Total budget : € 276,000 Co-participants : Fondation La Petite Etoile, Institut du Cerveau, Doctor Navarro Laboratory, Paratonnerre Association Funding provided by Fondation La Petite Etoile : € 5,000

Norse Fires syndrome is a severe form of epilepsy in children for which neither the cause nor the treatments are currently known. Every year, it brutally strikes children who were previously perfectly healthy. They then fall into an epileptic coma lasting several weeks or months. A third of children never wake up, the others suffer serious irreversible damage to their brain functions. This is a medical emergency requiring intensive care. The mortality rate is 12% on average among children. The mechanisms that trigger this syndrome remain unknown but research is progressing to propose new therapeutic strategies. Because only research can develop treatments to reduce the neurological after-effects suffered by children during the acute phase of the disease. The Paratonnerre Association has already launched 2 programs : one at the Imagine/Necker Institute with the teams of Professor Rima Nabbout, and the other at the ICM Institut du Cerveau with the teams of Professor Vincent Navarro. These programs were initiated and co-financed by private funds : Ipsen, Bouygues, Banque Postale, Tikéhau. Paratonnerre is also studying a new pathway: intracerebral cholesterol metabolism. It has been demonstrated that status epilepticus is accompanied, in humans and animals, by excess synthesis of cholesterol, promoting its accumulation in the brain. The accumulation of cholesterol in neurons has been shown to be toxic, responsible for neuronal death and the emergence of epileptic seizures. These results prompted the use of simvastatin, a safe drug approved in France in 2004 for the treatment of hypercholesterolemia. Daily treatment with simvastatin was observed to reduce the consequences of status epilepticus in an animal model. We now wish to study its neuroprotective effect in humans. La Fondation La Petite Etoile is participating in this project, the aim of which is to acquire better knowledge of status epilepticus in order to : - prevent the appearance of brain damage - study the impact of treatment on children (autonomy, cognitive after-effects) and on the development of sequelae epilepsy. Places of intervention : Pitié-Salpêtrière Hospital (epilepsy unit), Bichat Hospital, Sainte Anne Hospital, Rothschild Foundation. Total budget : € 276,000 Co-participants : Fondation La Petite Etoile, Institut du Cerveau, Doctor Navarro Laboratory, Paratonnerre Association Funding provided by Fondation La Petite Etoile : € 5,000

2024/25 : In France, Exceptional Vacation Stays for Children with Serious Illnesses

Louise left us in August 2021, she was 14 years old. She battled leukemia for 11 years. For Louise's family, as for the families of the 2,300 French children diagnosed with cancer each year, living with the disease on a daily basis required constant mobilization: they had to adapt to the constraints of treatment, at the rate of hospitalizations, take care of siblings and continue to work. Because a child’s illness impacts the entire family and strains the bonds. It causes physical and moral fatigue and in this long fight made up of hopes and hard blows, we forget ourselves, we curl up, we run out of steam. So Louise's mother, an architect, decided to create the Cahutes de Louise, to offer exceptional stays to children suffering from serious illnesses, a break for a few days when the illness is forgotten, in the exceptional setting of a remarkable site usually inaccessible. With the help of the Architectes des Bâtiments de France, the association then built mobile cabins in France, ecological (wood, cork, aluminum), autonomous (solar panel, batteries, dry toilets), but with the possibility of connecting them according to the children's pathologies. These cabins are moved by volunteers to prestigious reception sites. They stay there for a month and a half. In 2024, 62 sick children and their parents were able to benefit from 81 nights. La Fondation La Petite Etoile is participating in this project, the aim of which is to offer a breath of fresh air, a break in a caring setting, an easy solution close to home and the hospital in order to allow a few days of respite and escape with family. Locations of intervention : Châteaux of Fontainebleau, Chenonceaux, L'Islette, Amboise, Chambord, Candé Total budget (with construction of cabins): € 290,000 Co-participants : Fondation La Petite Etoile, Fondation Enfance malheureuse, City of Tours, Clocheville Hospital in Tours, Lions Club of Chambord, Rotary Club of Blois, etc... Funding provided by La Fondation La Petite Etoile : € 5,000

Louise left us in August 2021, she was 14 years old. She battled leukemia for 11 years. For Louise's family, as for the families of the 2,300 French children diagnosed with cancer each year, living with the disease on a daily basis required constant mobilization: they had to adapt to the constraints of treatment, at the rate of hospitalizations, take care of siblings and continue to work. Because a child’s illness impacts the entire family and strains the bonds. It causes physical and moral fatigue and in this long fight made up of hopes and hard blows, we forget ourselves, we curl up, we run out of steam. So Louise's mother, an architect, decided to create the Cahutes de Louise, to offer exceptional stays to children suffering from serious illnesses, a break for a few days when the illness is forgotten, in the exceptional setting of a remarkable site usually inaccessible. With the help of the Architectes des Bâtiments de France, the association then built mobile cabins in France, ecological (wood, cork, aluminum), autonomous (solar panel, batteries, dry toilets), but with the possibility of connecting them according to the children's pathologies. These cabins are moved by volunteers to prestigious reception sites. They stay there for a month and a half. In 2024, 62 sick children and their parents were able to benefit from 81 nights. La Fondation La Petite Etoile is participating in this project, the aim of which is to offer a breath of fresh air, a break in a caring setting, an easy solution close to home and the hospital in order to allow a few days of respite and escape with family. Locations of intervention : Châteaux of Fontainebleau, Chenonceaux, L'Islette, Amboise, Chambord, Candé Total budget (with construction of cabins): € 290,000 Co-participants : Fondation La Petite Etoile, Fondation Enfance malheureuse, City of Tours, Clocheville Hospital in Tours, Lions Club of Chambord, Rotary Club of Blois, etc... Funding provided by La Fondation La Petite Etoile : € 5,000

2023/24 : In Kinshasa, Parents' House for Children with Cancer

The pediatric oncology unit of the University Clinics of Kinshasa (Congo DRC) treats children with cancer but unfortunately cannot accommodate them between treatments. This situation could cause children whose families live hundreds of kilometers from Kinshasa to abandon treatment if there were not near the Clinics a Parents' Center intended to accommodate the sick child and the parent who accompanies them. Charitable funding made it possible to purchase this house located near the Clinics (at 17 avenue Tuema Q/Masangabila C/Mont N'Gafula) but also the electrical equipment for the house (photovoltaic panels and a generator) as well as the creation of a borehole in the alluvial aquifer of the Congo River. The project helps finance the operation of this Parents’ House in 2024. In 2023, the House welcomed 12 children accompanied for several months. They were housed in safety and benefited from abundant and healthy food (drinking water from the borehole and farm products) essential to support them during chemotherapy treatment. They were also able to take courses in the House to maintain their academic level. Total budget : € 50,000 Co-participants : AB CFAO, Les Jeannots France Kongo, Rotary Club, CFAO Solidarités (Kinshasa), Saint Etienne Metropole, Maison des Parents de Clocheville (Tours) La Fondation La Petite Etoile acts as support for the reception and monitoring of donations as well as the issuance of tax receipts (through the Fondation de France). It should be noted that no management fees are charged to these donations. All donations (100%) received in this context are allocated to the Maison des Parents de Kinshasa. End of project : December 2024

The pediatric oncology unit of the University Clinics of Kinshasa (Congo DRC) treats children with cancer but unfortunately cannot accommodate them between treatments. This situation could cause children whose families live hundreds of kilometers from Kinshasa to abandon treatment if there were not near the Clinics a Parents' Center intended to accommodate the sick child and the parent who accompanies them. Charitable funding made it possible to purchase this house located near the Clinics (at 17 avenue Tuema Q/Masangabila C/Mont N'Gafula) but also the electrical equipment for the house (photovoltaic panels and a generator) as well as the creation of a borehole in the alluvial aquifer of the Congo River. The project helps finance the operation of this Parents’ House in 2024. In 2023, the House welcomed 12 children accompanied for several months. They were housed in safety and benefited from abundant and healthy food (drinking water from the borehole and farm products) essential to support them during chemotherapy treatment. They were also able to take courses in the House to maintain their academic level. Total budget : € 50,000 Co-participants : AB CFAO, Les Jeannots France Kongo, Rotary Club, CFAO Solidarités (Kinshasa), Saint Etienne Metropole, Maison des Parents de Clocheville (Tours) La Fondation La Petite Etoile acts as support for the reception and monitoring of donations as well as the issuance of tax receipts (through the Fondation de France). It should be noted that no management fees are charged to these donations. All donations (100%) received in this context are allocated to the Maison des Parents de Kinshasa. End of project : December 2024

2023/24 : In Burkina Faso, Prevention and Care of Children Suffering from Noma

Noma is a disease with devastating consequences. It is a devastating gangrenous infection that attacks the mouth and face of children by ravaging the tissues and bones. Noma has been declared a public health problem by the WHO and a priority disease for Africa. It is one of the pathologies classified by the WHO as the 4th global scourge after malaria, AIDS and cardiovascular diseases. Noma (the term comes from Greek and means “to devour”) begins with a lesion inside the mouth. This lesion spreads quickly, destroys tissue, attacks bone and eventually makes a hole, exposing teeth and bones and gangrenous the entire face. Anorexia, apathy and death from septicemia or severe dehydration then occur. Noma mainly affects children aged 2 to 6 years suffering from malnutrition, immunocompromised, living in extreme poverty with poor living conditions and poor oral hygiene. Noma is often called “the face of poverty”. In the absence of rapid treatment, the vital prognosis begins in 3 or 4 days and 90% of children die in less than 2 weeks. The rare surviving children have painful after-effects, facial mutilations, difficulty speaking and eating and are faced with real social stigma. In all cases, the child is disfigured. However, when detected early, the disease can be quickly stopped, either by simple hygiene measures or by antibiotics. This early detection followed by rapid treatment is decisive for the affected child and can save their life. Noma can be avoided thanks to simple actions, accessible to everyone! Today noma is mainly present in sub-Saharan Africa (140,000 new cases estimated/year) and more particularly in Burkina Faso. The causative agent of noma remains unknown. La Fondation La Petite Etoile is participating in this project, the aim of which is to provide a medical response to children suffering from noma. But also to ensure, through volunteer doctors, the strengthening of the skills of local doctors. The difficulty is also to fight against misconceptions that are particularly widespread in the bush: noma is not a contagious disease, it is not due to witchcraft or a curse against parents. Place of intervention : Bogodogo University Hospital in Ouagadougou, capital of Burkina-Faso. Budget : € 64,600 Co-participants : Fondation La Petite Etoile, La Chaîne de l’Espoir, Fondation Sentinelle, Bilaadga Association, La Voix du Paysan community radio. Funding provided by Fondation La Petite Etoile : € 6,000

Noma is a disease with devastating consequences. It is a devastating gangrenous infection that attacks the mouth and face of children by ravaging the tissues and bones. Noma has been declared a public health problem by the WHO and a priority disease for Africa. It is one of the pathologies classified by the WHO as the 4th global scourge after malaria, AIDS and cardiovascular diseases. Noma (the term comes from Greek and means “to devour”) begins with a lesion inside the mouth. This lesion spreads quickly, destroys tissue, attacks bone and eventually makes a hole, exposing teeth and bones and gangrenous the entire face. Anorexia, apathy and death from septicemia or severe dehydration then occur. Noma mainly affects children aged 2 to 6 years suffering from malnutrition, immunocompromised, living in extreme poverty with poor living conditions and poor oral hygiene. Noma is often called “the face of poverty”. In the absence of rapid treatment, the vital prognosis begins in 3 or 4 days and 90% of children die in less than 2 weeks. The rare surviving children have painful after-effects, facial mutilations, difficulty speaking and eating and are faced with real social stigma. In all cases, the child is disfigured. However, when detected early, the disease can be quickly stopped, either by simple hygiene measures or by antibiotics. This early detection followed by rapid treatment is decisive for the affected child and can save their life. Noma can be avoided thanks to simple actions, accessible to everyone! Today noma is mainly present in sub-Saharan Africa (140,000 new cases estimated/year) and more particularly in Burkina Faso. The causative agent of noma remains unknown. La Fondation La Petite Etoile is participating in this project, the aim of which is to provide a medical response to children suffering from noma. But also to ensure, through volunteer doctors, the strengthening of the skills of local doctors. The difficulty is also to fight against misconceptions that are particularly widespread in the bush: noma is not a contagious disease, it is not due to witchcraft or a curse against parents. Place of intervention : Bogodogo University Hospital in Ouagadougou, capital of Burkina-Faso. Budget : € 64,600 Co-participants : Fondation La Petite Etoile, La Chaîne de l’Espoir, Fondation Sentinelle, Bilaadga Association, La Voix du Paysan community radio. Funding provided by Fondation La Petite Etoile : € 6,000

2023/24 : In Poland, Psycho-social Support for Ukrainian Refugee Children

On average, every day, more than 5 children are killed or injured in Ukraine, 1,500 since the start of the war (UN). Behind every death lies an immeasurable human tragedy. However, the consequences of war are far from stopping at physical injuries. War also has a devastating impact on the mental health of children who constantly live under the specter of violence, which leads to depression and anxiety. 75% of Ukrainian schoolchildren suffer from stress and 26% of Ukrainian adolescents have post-traumatic stress disorder (UNESCO). And 45% of Ukrainian parents say their biggest fear is their children's deteriorating mental health (UNICEF). Children in Ukraine also suffer from a lack of social connections. Because millions of Ukrainians had to flee to save their lives. And since April 24, 2022, nearly 600,000 Ukrainian children have been refugees in Poland. The uncertainty these children face has serious repercussions on their physical and mental health. In addition, they have been or are deprived of education. However, education plays a vital role in giving them back a feeling of normality, hope and stability. Their lives have been destroyed and their mental health and education must be prioritized to avoid sacrificing an entire generation. Faced with the shock caused by these population movements, many children therefore need psychological support to overcome what they are experiencing and help them recover from the trauma and emotional distress induced by the war. La Fondation La Petite Etoile is participating in this project, the objective of which is to provide reinforced psychosocial support to refugee children but also to promote their social integration. The project involves 250 Ukrainian children, aged between 0 and 15 years old, refugees in Poland. Place of intervention : Krakow and Wielizcka in Poland Budget: €116,350 Co-participants: Fondation La Petite Etoile, Enfants Réseau Monde, Interactions & Solidarity, Fondation de France, Humacoop-Amel, Fundacja Wolno Nam Funding provided by Fondation La Petite Etoile : € 6,000

On average, every day, more than 5 children are killed or injured in Ukraine, 1,500 since the start of the war (UN). Behind every death lies an immeasurable human tragedy. However, the consequences of war are far from stopping at physical injuries. War also has a devastating impact on the mental health of children who constantly live under the specter of violence, which leads to depression and anxiety. 75% of Ukrainian schoolchildren suffer from stress and 26% of Ukrainian adolescents have post-traumatic stress disorder (UNESCO). And 45% of Ukrainian parents say their biggest fear is their children's deteriorating mental health (UNICEF). Children in Ukraine also suffer from a lack of social connections. Because millions of Ukrainians had to flee to save their lives. And since April 24, 2022, nearly 600,000 Ukrainian children have been refugees in Poland. The uncertainty these children face has serious repercussions on their physical and mental health. In addition, they have been or are deprived of education. However, education plays a vital role in giving them back a feeling of normality, hope and stability. Their lives have been destroyed and their mental health and education must be prioritized to avoid sacrificing an entire generation. Faced with the shock caused by these population movements, many children therefore need psychological support to overcome what they are experiencing and help them recover from the trauma and emotional distress induced by the war. La Fondation La Petite Etoile is participating in this project, the objective of which is to provide reinforced psychosocial support to refugee children but also to promote their social integration. The project involves 250 Ukrainian children, aged between 0 and 15 years old, refugees in Poland. Place of intervention : Krakow and Wielizcka in Poland Budget: €116,350 Co-participants: Fondation La Petite Etoile, Enfants Réseau Monde, Interactions & Solidarity, Fondation de France, Humacoop-Amel, Fundacja Wolno Nam Funding provided by Fondation La Petite Etoile : € 6,000

2023/24 : In Togo, Building and Classrooms Equipment

According to the latest UN report, Togo is one of the 25 poorest countries in the world. In the small bush village of Amegnona-Kondji, connected to the prefectural capital Tabligbo by a poor 8 km track (impractical in the rainy season), the parents of the students rolled up their sleeves and created a college from scratch. In 2019, they built a straw hut (apatam in local language) to serve as a 6th grade class, then in 2020, 2 additional straw huts (5th and 4th grade classes), then in 2021, a final straw hut (3rd grade class). The dynamism and pugnacity of these parents allowed the college to receive, in 2021, official approval from the supervisory ministry. Unfortunately, the students study in very difficult conditions : the huts are made of dirt, absorb water in the rainy season and remain flammable in the dry season. Blackboards are damaged or missing. The 2-seat desks are insufficient, forcing students to squeeze into groups of 3 or 4 on the same bench. Teachers have no desks or chairs. Educational materials are non-existent. There is no access to drinking water and the classrooms are lit by a single bulb that the director plugged into a nearby photovoltaic panel on his own. This allows students to come to school to do their homework at night since they do not have electricity at home. La Fondation La Petite Etoile is participating in this project which consists of building 2 new classrooms in durable materials with an area of ​​65 m2 each to accommodate 4th and 3rd grade students. Each classroom will be equipped with 20 double desks (made on site) that can accommodate 40 students, 2 blackboards and a desk with chair for the teacher. Place of intervention : village of Amegnona-Kondji in Togo Budget : € 34,000 Co-Participants : Fondation La Petite Etoile, Fondation Stéphane Hessel, Fondation Syndex, UEFA Foundation for Children, Fondation Bardon, Fondation Geotec, Timshel Endowment Fund, Cooperation for Local Organizations (CIELO), Association for the Promotion of the Rural World and Disadvantaged People (APMRPD). Funding provided by Fondation La Petite Etoile : € 5,000

According to the latest UN report, Togo is one of the 25 poorest countries in the world. In the small bush village of Amegnona-Kondji, connected to the prefectural capital Tabligbo by a poor 8 km track (impractical in the rainy season), the parents of the students rolled up their sleeves and created a college from scratch. In 2019, they built a straw hut (apatam in local language) to serve as a 6th grade class, then in 2020, 2 additional straw huts (5th and 4th grade classes), then in 2021, a final straw hut (3rd grade class). The dynamism and pugnacity of these parents allowed the college to receive, in 2021, official approval from the supervisory ministry. Unfortunately, the students study in very difficult conditions : the huts are made of dirt, absorb water in the rainy season and remain flammable in the dry season. Blackboards are damaged or missing. The 2-seat desks are insufficient, forcing students to squeeze into groups of 3 or 4 on the same bench. Teachers have no desks or chairs. Educational materials are non-existent. There is no access to drinking water and the classrooms are lit by a single bulb that the director plugged into a nearby photovoltaic panel on his own. This allows students to come to school to do their homework at night since they do not have electricity at home. La Fondation La Petite Etoile is participating in this project which consists of building 2 new classrooms in durable materials with an area of ​​65 m2 each to accommodate 4th and 3rd grade students. Each classroom will be equipped with 20 double desks (made on site) that can accommodate 40 students, 2 blackboards and a desk with chair for the teacher. Place of intervention : village of Amegnona-Kondji in Togo Budget : € 34,000 Co-Participants : Fondation La Petite Etoile, Fondation Stéphane Hessel, Fondation Syndex, UEFA Foundation for Children, Fondation Bardon, Fondation Geotec, Timshel Endowment Fund, Cooperation for Local Organizations (CIELO), Association for the Promotion of the Rural World and Disadvantaged People (APMRPD). Funding provided by Fondation La Petite Etoile : € 5,000

2023/24 : At Necker Hospital, research and treatment trials for amputees children suffering from phantom pain

Every year in France, 9,000 children undergo limb amputation. These children experience the triple punishment: they have cancer, they have had a limb amputated and the amputated limb continues to cause them pain. Thanks to fundamental research, 2 medical teams from Necker hospital in Paris discovered a molecule capable of preventing phantom pain and carried out a pilot study with child amputees. The results of this study are significant: in 60 children, the pain almost disappeared without any side effects. The average pain of these children went from 6/10 before starting treatment to 0.8/10 in one month. It is essential to launch a randomized placebo-controlled study to confirm the researchers' hypothesis and the use of topical treatment with Amitriptyline (AMT). This molecule is usually used orally in the treatment of depression.  Here the tests will be carried out with AMT in the form of a cream and will concern a larger sample within the Necker Hospital. La Fondation La Petite Etoile is participating in this clinical research project whose goal is to understand the mechanisms of phantom pain in children with cancer who have undergone limb amputation. Place of intervention : Hôpital Necker Enfants Malades Budget : € 60,000/year over 3 years Co-participants : Fondation La Petite Etoile, Fondation AnBer, Fondation Lifento, Private donors, Imagine Institute, Hôpital Necker. Funding provided by Fondation La Petite Etoile : € 6,000

Every year in France, 9,000 children undergo limb amputation. These children experience the triple punishment: they have cancer, they have had a limb amputated and the amputated limb continues to cause them pain. Thanks to fundamental research, 2 medical teams from Necker hospital in Paris discovered a molecule capable of preventing phantom pain and carried out a pilot study with child amputees. The results of this study are significant: in 60 children, the pain almost disappeared without any side effects. The average pain of these children went from 6/10 before starting treatment to 0.8/10 in one month. It is essential to launch a randomized placebo-controlled study to confirm the researchers' hypothesis and the use of topical treatment with Amitriptyline (AMT). This molecule is usually used orally in the treatment of depression.  Here the tests will be carried out with AMT in the form of a cream and will concern a larger sample within the Necker Hospital. La Fondation La Petite Etoile is participating in this clinical research project whose goal is to understand the mechanisms of phantom pain in children with cancer who have undergone limb amputation. Place of intervention : Hôpital Necker Enfants Malades Budget : € 60,000/year over 3 years Co-participants : Fondation La Petite Etoile, Fondation AnBer, Fondation Lifento, Private donors, Imagine Institute, Hôpital Necker. Funding provided by Fondation La Petite Etoile : € 6,000

2022/23 : At Necker Hospital, art therapy for hospitalized children awaiting a bone marrow transplant

In France, each year, 250 children with cancer benefit from a bone marrow transplant. Bone marrow transplant is used in cases of serious blood diseases (bone marrow failure, myeloma, lymphoma, leukemia) or hereditary diseases (sickle cell disease, thalassemia). For both parents and children (very sensitive to parental stress), the announcement of the transplant is a moment of anxiety.  Because the risks are never trivial. Because the child's life prognosis is sometimes at stake. Because health conditions require the child to be completely isolated. For the child, it is a radical change of environment. He is in a sterile room from which he cannot leave. Visits are limited (prohibited to brothers and sisters) and subject to strict rules. The appearance of relatives disappears under the gown, hat, mask and sometimes gloves. For the transplant, he goes into a room under laminar flow, even better protected.  After the operation, he stays a few days in an intensive care unit, then he returns to the sterile room where he stays at least 3 months for rehabilitation. During this period, the child is under continuous medical surveillance in a stressful context (frequent entry and exit of caregivers, alarm beeps, noise from the monitoring, the respirator, the infusion pump, etc.). For some children confined to their beds, this physical immobility leads to psychological immobility and an inability to think. They can no longer plan ahead, to have short or long-term plans. For others, this immobility disrupts their daily life benchmarks. It leads to an effervescence of thought with ideas that go round and round and generate worry or even anticipatory anxiety. In this context, specific support for the child is recommended.  The project consists of supporting the transplanted child with art therapy. Art therapy is a care practice recognized by the WHO. Through a creative process (painting, collage, doodling, modeling, photography, writing, stories, etc.) the sick child is provided with energy, vitality and the opportunity to express what he has deep inside him.  By stimulating his inner energy and personal resources, the effect of treatments is maximized. By allowing him to maintain his curiosity and imagination, he is helped to better manage his emotions. He continues to grow and build himself despite (or with) the disease. This reduces the child's anxiety. It is a reconnection with the richness of his life. A happy break in his treatment days.  Les Médecins de l'Imaginaire (this NGO exists since 2003) offers art therapy sessions following intervention protocols adapted to the specific problems of hospitalization. For a better flow of support, qualified art therapists regularly discuss the child's situation with psychologists and nurses (fatigue? pain? presence of parents? etc.). They thus build a therapeutic alliance with the child, but also with the parents, a fundamental prerequisite for the child to be able to get involved.  La Fondation La Petite Etoile participates in this project by financing the interventions of art therapists. Art therapists follow the child for at least 3 months, but it is not uncommon to follow a child for 5 to 6 months (especially when there are complications related to the risk of rejection). Sometimes the support continues in the intensive care unit and/or until the last moments of life.  Place of intervention: NECKER Hospital Immuno-Hematology and Rheumatology Unit (UIHR)  Total budget : € 17,225 (30 children)  Co-participants : Fondation La Petite Etoile, Médecins de l'Imaginaire  Funding provided by La Fondation La Petite Etoile: € 6,000  End of the project : July 2023        

In France, each year, 250 children with cancer benefit from a bone marrow transplant. Bone marrow transplant is used in cases of serious blood diseases (bone marrow failure, myeloma, lymphoma, leukemia) or hereditary diseases (sickle cell disease, thalassemia). For both parents and children (very sensitive to parental stress), the announcement of the transplant is a moment of anxiety.  Because the risks are never trivial. Because the child's life prognosis is sometimes at stake. Because health conditions require the child to be completely isolated. For the child, it is a radical change of environment. He is in a sterile room from which he cannot leave. Visits are limited (prohibited to brothers and sisters) and subject to strict rules. The appearance of relatives disappears under the gown, hat, mask and sometimes gloves. For the transplant, he goes into a room under laminar flow, even better protected.  After the operation, he stays a few days in an intensive care unit, then he returns to the sterile room where he stays at least 3 months for rehabilitation. During this period, the child is under continuous medical surveillance in a stressful context (frequent entry and exit of caregivers, alarm beeps, noise from the monitoring, the respirator, the infusion pump, etc.). For some children confined to their beds, this physical immobility leads to psychological immobility and an inability to think. They can no longer plan ahead, to have short or long-term plans. For others, this immobility disrupts their daily life benchmarks. It leads to an effervescence of thought with ideas that go round and round and generate worry or even anticipatory anxiety. In this context, specific support for the child is recommended.  The project consists of supporting the transplanted child with art therapy. Art therapy is a care practice recognized by the WHO. Through a creative process (painting, collage, doodling, modeling, photography, writing, stories, etc.) the sick child is provided with energy, vitality and the opportunity to express what he has deep inside him.  By stimulating his inner energy and personal resources, the effect of treatments is maximized. By allowing him to maintain his curiosity and imagination, he is helped to better manage his emotions. He continues to grow and build himself despite (or with) the disease. This reduces the child's anxiety. It is a reconnection with the richness of his life. A happy break in his treatment days.  Les Médecins de l'Imaginaire (this NGO exists since 2003) offers art therapy sessions following intervention protocols adapted to the specific problems of hospitalization. For a better flow of support, qualified art therapists regularly discuss the child's situation with psychologists and nurses (fatigue? pain? presence of parents? etc.). They thus build a therapeutic alliance with the child, but also with the parents, a fundamental prerequisite for the child to be able to get involved.  La Fondation La Petite Etoile participates in this project by financing the interventions of art therapists. Art therapists follow the child for at least 3 months, but it is not uncommon to follow a child for 5 to 6 months (especially when there are complications related to the risk of rejection). Sometimes the support continues in the intensive care unit and/or until the last moments of life.  Place of intervention: NECKER Hospital Immuno-Hematology and Rheumatology Unit (UIHR)  Total budget : € 17,225 (30 children)  Co-participants : Fondation La Petite Etoile, Médecins de l'Imaginaire  Funding provided by La Fondation La Petite Etoile: € 6,000  End of the project : July 2023        

2022/23 : In Morocco, care for diabetic children

In Morocco, 30,000 children suffer from type 1 diabetes (insulin-dependent diabetes) and each year, 3,600 new cases are recorded. This diabetes is a chronic, serious and incurable disease. The project aims to help diabetic children and their families who cannot afford insulin and measuring strips. Explanation: the pancreas secretes insulin which promotes the storage of sugar in the muscles and liver. Since diabetic children have a deficit of insulin, glucose accumulates in the blood and can no longer be used to produce the energy needed to function vital organs. The body then replaces it with another fuel, fatty acids (lipids), which leads to the production of harmful acidic substances. The symptoms are known: fatigue, dehydration, nausea, vomiting, difficulty breathing, confusion, coma. Complications can be serious: heart attack, stroke, blindness, kidney problems that can lead to permanent dialysis, etc.  In children, diabetes is often diagnosed during an episode of hyperglycemia that can be fatal. Hospitalization must be systematic to perform a complete assessment and decide on an appropriate treatment to maintain a correct blood sugar level (glycemia). A therapeutic education process then begins (child, parents and relatives). Because the diabetic child is the first actor in his health. The more he knows about his disease, the better he will be able to monitor his blood sugar and inject the necessary doses of insulin while adopting a balanced diet and regular physical activity. This self-monitoring is carried out by taking a drop of blood from the fingertip which, placed on a strip and read by a suitable device, can indicate the blood sugar level. The project is located in Errachidia (Draa region, Tafilalet), a few kilometers north of the Sahara. The NGO Pédiatres du Monde works on site with the Moroccan association CHIFAA, which brings together the parents of 91 children with diabetes. PDM volunteers provide therapeutic education to these children and their families. This blood sugar measurement must be done 4 times a day, noting all the results in order to optimize insulin doses. The importance of this constraint is not always perceived and must be the subject of repeated education. Among these 91 children, 64 children only benefit from the Moroccan minimum health coverage (RAMED), which does not cover the purchase of consumables (strips) necessary to balance their diabetes. However, a strip costs €0.25 x 4 / day, or €360 / year / child. Some poor families cannot afford this expense. P La Fondation La Petite Etoile is participating in this project by funding the test strips to monitor children's blood sugar levels  Total budget : € 23,000  Co-participants : Fondation La Petite Etoile, Fondation Lama , Pediatres du Monde, Moroccan Association CHIFAA  Funding provided by Fondation La Petite Etoile : € 6,000 (i.e. the care of 16 children for 1 year).

In Morocco, 30,000 children suffer from type 1 diabetes (insulin-dependent diabetes) and each year, 3,600 new cases are recorded. This diabetes is a chronic, serious and incurable disease. The project aims to help diabetic children and their families who cannot afford insulin and measuring strips. Explanation: the pancreas secretes insulin which promotes the storage of sugar in the muscles and liver. Since diabetic children have a deficit of insulin, glucose accumulates in the blood and can no longer be used to produce the energy needed to function vital organs. The body then replaces it with another fuel, fatty acids (lipids), which leads to the production of harmful acidic substances. The symptoms are known: fatigue, dehydration, nausea, vomiting, difficulty breathing, confusion, coma. Complications can be serious: heart attack, stroke, blindness, kidney problems that can lead to permanent dialysis, etc.  In children, diabetes is often diagnosed during an episode of hyperglycemia that can be fatal. Hospitalization must be systematic to perform a complete assessment and decide on an appropriate treatment to maintain a correct blood sugar level (glycemia). A therapeutic education process then begins (child, parents and relatives). Because the diabetic child is the first actor in his health. The more he knows about his disease, the better he will be able to monitor his blood sugar and inject the necessary doses of insulin while adopting a balanced diet and regular physical activity. This self-monitoring is carried out by taking a drop of blood from the fingertip which, placed on a strip and read by a suitable device, can indicate the blood sugar level. The project is located in Errachidia (Draa region, Tafilalet), a few kilometers north of the Sahara. The NGO Pédiatres du Monde works on site with the Moroccan association CHIFAA, which brings together the parents of 91 children with diabetes. PDM volunteers provide therapeutic education to these children and their families. This blood sugar measurement must be done 4 times a day, noting all the results in order to optimize insulin doses. The importance of this constraint is not always perceived and must be the subject of repeated education. Among these 91 children, 64 children only benefit from the Moroccan minimum health coverage (RAMED), which does not cover the purchase of consumables (strips) necessary to balance their diabetes. However, a strip costs €0.25 x 4 / day, or €360 / year / child. Some poor families cannot afford this expense. P La Fondation La Petite Etoile is participating in this project by funding the test strips to monitor children's blood sugar levels  Total budget : € 23,000  Co-participants : Fondation La Petite Etoile, Fondation Lama , Pediatres du Monde, Moroccan Association CHIFAA  Funding provided by Fondation La Petite Etoile : € 6,000 (i.e. the care of 16 children for 1 year).

2022/23 : In Romania, emergency kits and medical care for Ukrainian refugee children

Every minute, nearly 10 Ukrainian children are torn from their homes. Since February 24, 2022, the war has forced more than 4 million children to flee their homes (source UNICEF). Many parents then decide to send their children to safety abroad. But martial law requires all men aged 18 to 60 to stay in the country to fight. The children therefore leave Ukraine either alone or accompanied by the women of the family. To escape the imminent danger, most leave in a hurry. In the emergency, they leave behind all their material possessions. Added to the distress of their exodus is the despair of the abandonment and destruction (looting, bombing) of their homes. 2 million Ukrainian children then took refuge in Poland, Moldova, Hungary, Romania, Slovakia, the Czech Republic and also Western Europe. These children need EVERYTHING ! The project consists of providing emergency medical care, food support, hygiene kits, warm clothes, blankets, psychological support, safe resting places, help in finding family members, connecting with their loved ones... In this context, the NGO Hope & Homes for Children is investing in the "Blue Dots". These Blue Dots are safe spaces created by UNICEF with the UNHCR (the United Nations Refugee Agency) and the United Nations Children's Fund. They manage the continuous flow of thousands of refugee children (reception, identification, registration). In 2023, La Fondation La Petite Etoile is involved with its partner Hope & Homes for Children and provides emergency kits, medical check-ups, necessary care, medicines, etc. to Ukrainian refugee children in 4 regions of Romania: Brasov, Sibiu, Cluj and Maramures.  Total budget : € 220,000  Co-participants : Fondation La Petite Etoile, Hope and Homes for Children, Unicef  Funding provided by Fondation La Petite Etoile : € 6,000  End of project : June 2024

Every minute, nearly 10 Ukrainian children are torn from their homes. Since February 24, 2022, the war has forced more than 4 million children to flee their homes (source UNICEF). Many parents then decide to send their children to safety abroad. But martial law requires all men aged 18 to 60 to stay in the country to fight. The children therefore leave Ukraine either alone or accompanied by the women of the family. To escape the imminent danger, most leave in a hurry. In the emergency, they leave behind all their material possessions. Added to the distress of their exodus is the despair of the abandonment and destruction (looting, bombing) of their homes. 2 million Ukrainian children then took refuge in Poland, Moldova, Hungary, Romania, Slovakia, the Czech Republic and also Western Europe. These children need EVERYTHING ! The project consists of providing emergency medical care, food support, hygiene kits, warm clothes, blankets, psychological support, safe resting places, help in finding family members, connecting with their loved ones... In this context, the NGO Hope & Homes for Children is investing in the "Blue Dots". These Blue Dots are safe spaces created by UNICEF with the UNHCR (the United Nations Refugee Agency) and the United Nations Children's Fund. They manage the continuous flow of thousands of refugee children (reception, identification, registration). In 2023, La Fondation La Petite Etoile is involved with its partner Hope & Homes for Children and provides emergency kits, medical check-ups, necessary care, medicines, etc. to Ukrainian refugee children in 4 regions of Romania: Brasov, Sibiu, Cluj and Maramures.  Total budget : € 220,000  Co-participants : Fondation La Petite Etoile, Hope and Homes for Children, Unicef  Funding provided by Fondation La Petite Etoile : € 6,000  End of project : June 2024

2021/22 : In Democratic Republic of Congo, Parents' House for children with cancer

The pediatric oncology unit of the University Clinics of Kinshasa (Congo DRC) welcomes children with cancer. The project consists of increasing the chances of recovery of these children thanks to the presence of parents throughout the duration of care. Charitable funding enabled the purchase of a house in Kinshasa (commune of Mont-Ngafula). This house was renovated by a local association, which had to solve 2 major problems :  - In Kinshasa, power cuts are frequent (several times a day and especially in the evening). The rooms are plunged into darkness and the care of the children is impacted. The association then purchased and installed photovoltaic panels and a generator.  - At the end of 2021, the commune of Mont-Ngafula was cut off from the drinking water network. Thanks to a 2nd charitable funding, a borehole in the water table of the Congo River was created. Drinking water is now available again. Today, the Maison des Parents welcomes families during the duration of treatments and sometimes also the children themselves between two cures. Total budget : € 20,000  Co-participants : Fondation La Petite Etoile, Rotary Club, Fondation AB CFAO  Funding provided by Fondation La Petite Etoile : € 6,000  End of the project : December 2022  

The pediatric oncology unit of the University Clinics of Kinshasa (Congo DRC) welcomes children with cancer. The project consists of increasing the chances of recovery of these children thanks to the presence of parents throughout the duration of care. Charitable funding enabled the purchase of a house in Kinshasa (commune of Mont-Ngafula). This house was renovated by a local association, which had to solve 2 major problems :  - In Kinshasa, power cuts are frequent (several times a day and especially in the evening). The rooms are plunged into darkness and the care of the children is impacted. The association then purchased and installed photovoltaic panels and a generator.  - At the end of 2021, the commune of Mont-Ngafula was cut off from the drinking water network. Thanks to a 2nd charitable funding, a borehole in the water table of the Congo River was created. Drinking water is now available again. Today, the Maison des Parents welcomes families during the duration of treatments and sometimes also the children themselves between two cures. Total budget : € 20,000  Co-participants : Fondation La Petite Etoile, Rotary Club, Fondation AB CFAO  Funding provided by Fondation La Petite Etoile : € 6,000  End of the project : December 2022  

2021/22 : In Togo, construction of a school canteen and a market garden

In Togo, one of the 25 poorest countries on the planet, a quarter of students drop out of school before the end of primary school. Children go there on foot (sometimes more than 10 kilometers) and often suffer from malnutrition, which has a negative impact on their attention span. The project consists of creating a canteen and a market garden within the school to supply it with fresh vegetables in order to offer breakfast and lunch to the 152 students aged 6 to 13 from the village of Gbagban-Kondji (1,430 inhabitants) 1h30 from the capital Lomé. The planned school canteen was made up of 3 buildings: a store for food products and crops, a kitchen for the preparation of meals by the 5 volunteer cooks and a shed for the distribution of the two daily meals. The planned market garden was installed on a 200 m² plot given free of charge by the village authorities and supplied with free water by the Togolese state. Maintenance of the garden is carried out by around ten women volunteers from the village. The purchase of products needed for cooking (oil, salt, etc.) is renewed thanks to a financial contribution requested from parents of students set at 10 CFA francs (one and a half euro cents) per student for the 2 meals. By comparison, a lollipop costs 25 CFA francs in Togo. This amount was determined to remain accessible to all and taking into account the cost price of meals which amounts to 125 CFA francs (i.e. €0.19) per day (50 francs for breakfast and 75 francs for lunch), knowing that the vast majority of the 152 students currently enrolled in the school will benefit from meals (i.e. 1,500 CFA francs of estimated revenue). At the end of 2022, the entire 1,200 square meter area of ​​the school market garden was cultivated and now produces corn and vegetables, part of the harvest of which is sold, which brings additional financial income to the school canteen.  In addition, the canteen has just obtained approval from the Togolese Ministry of Grassroots Development, Youth and Youth Employment to be one of the canteens receiving a state subsidy, calculated according to the number of meals served. The presence of the garden, school latrines and a quality building such as the one built with the help of La Fondation La Petite Etoile were determining factors at the time of the ministry's decision. Total Budget : €18,000  Co-participants : Fondation La Petite Etoile, International Cooperation for Local Balances (CIELO), Togolese Association for the Promotion of the Rural World and Disinherited People (APMRPD)  Funding provided by Fondation La Petite Etoile : € 6,000  End of the project: July 2022.        

In Togo, one of the 25 poorest countries on the planet, a quarter of students drop out of school before the end of primary school. Children go there on foot (sometimes more than 10 kilometers) and often suffer from malnutrition, which has a negative impact on their attention span. The project consists of creating a canteen and a market garden within the school to supply it with fresh vegetables in order to offer breakfast and lunch to the 152 students aged 6 to 13 from the village of Gbagban-Kondji (1,430 inhabitants) 1h30 from the capital Lomé. The planned school canteen was made up of 3 buildings: a store for food products and crops, a kitchen for the preparation of meals by the 5 volunteer cooks and a shed for the distribution of the two daily meals. The planned market garden was installed on a 200 m² plot given free of charge by the village authorities and supplied with free water by the Togolese state. Maintenance of the garden is carried out by around ten women volunteers from the village. The purchase of products needed for cooking (oil, salt, etc.) is renewed thanks to a financial contribution requested from parents of students set at 10 CFA francs (one and a half euro cents) per student for the 2 meals. By comparison, a lollipop costs 25 CFA francs in Togo. This amount was determined to remain accessible to all and taking into account the cost price of meals which amounts to 125 CFA francs (i.e. €0.19) per day (50 francs for breakfast and 75 francs for lunch), knowing that the vast majority of the 152 students currently enrolled in the school will benefit from meals (i.e. 1,500 CFA francs of estimated revenue). At the end of 2022, the entire 1,200 square meter area of ​​the school market garden was cultivated and now produces corn and vegetables, part of the harvest of which is sold, which brings additional financial income to the school canteen.  In addition, the canteen has just obtained approval from the Togolese Ministry of Grassroots Development, Youth and Youth Employment to be one of the canteens receiving a state subsidy, calculated according to the number of meals served. The presence of the garden, school latrines and a quality building such as the one built with the help of La Fondation La Petite Etoile were determining factors at the time of the ministry's decision. Total Budget : €18,000  Co-participants : Fondation La Petite Etoile, International Cooperation for Local Balances (CIELO), Togolese Association for the Promotion of the Rural World and Disinherited People (APMRPD)  Funding provided by Fondation La Petite Etoile : € 6,000  End of the project: July 2022.        

2021/22 : At Bordeaux University Hospital and Nantes University Hospital, Activities for Children with Heart Defects

In France, 1 in 100 children are born with a heart defect.  20 children per day !  A child's heart beats approximately 200,000 times in 24 hours. But sometimes, this formidable mechanism is hampered by a congenital heart disease. This type of anomaly that occurs during intrauterine life requires rapid hospital treatment. Most of these heart diseases are operated on before the age of 4 or 5. Some from birth. The treatment of these malformations is surgical. But to be able to operate inside the heart, it must be emptied of its blood and its beating stopped. Surgeons then use an artificial heart-lung machine that establishes extracorporeal circulation. For the child, hospitalization means a change of environment, the appearance of unfamiliar faces, unusual care (blood tests, X-rays, ECGs, etc.), and the perception of parental worry. This means a lot of destabilization and anxiety. The project consists of combating the child's fear, pain and boredom.  Fear : in the hospital environment the rules are different, events are unpredictable and the instruments used for care are often impressive. The child must manage his fear of the unknown, the lack of information and predictability, a feeling of insecurity, which are distressing elements.  Pain : care (injections, transfusions, punctures, etc.) causes pain and generates apprehension.  Boredom : the child finds himself in a bed, immobile, without recreational activity, without distraction, no or few visits. Hence a strongly felt boredom. However, between 4 and 12 years old, the child is in full social, cognitive and emotional development (start of school, new activities, learning to live in a group, etc.). However, children can escape it through games, activities or visits. Avoiding boredom in the hospital is a way of positively affecting the experience of pain.  To combat fear, boredom and pain (but also sadness and loneliness), Fondation La Petite Etoile offers children in the Pediatric Cardiology department of Bordeaux University Hospital little moments of joy, laughter and carefreeness. Every Monday, the Clowns Stethoscopes offer personalized interventions adapted to each child. They work closely with the care teams to design and adjust the games offered to the children according to their situation. Although they are neither caregivers nor therapists, their work is recognized in the medical community and contributes to the well-being of the hospitalized child.  Co-participants : Fondation La Petite Etoile, Association Petit Cœur De Beurre, Association Les Clowns Stéthoscopes  Funding provided by Fondation La Petite Etoile: € 5,000  End of project: December 2021    In the same context and in addition to medical treatments, Fondation La Petite Etoile is participating in the creation of sophrology and socio-aesthetic workshops aimed at improving the quality of life of children or young adults during their hospitalization, both physically, psychologically and morally. The benefits of these workshops are numerous: sophrology allows in particular better management of physical pain and stress. It provides the necessary tools to better live through the difficult moments of the illness. Socio-aesthetics, for its part, offers patients aesthetic care and a real moment of relaxation so that they can take care of themselves. This approach aims to improve and enhance their self-esteem, which can sometimes be at its lowest.  These workshops were set up at Nantes University Hospital.  Co-participants : Fondation La Petite Etoile, Association Petit Cœur De Beurre  Budget provided by Fondation La Petite Etoile: €1,000  End of the project: June 2022  

In France, 1 in 100 children are born with a heart defect.  20 children per day !  A child's heart beats approximately 200,000 times in 24 hours. But sometimes, this formidable mechanism is hampered by a congenital heart disease. This type of anomaly that occurs during intrauterine life requires rapid hospital treatment. Most of these heart diseases are operated on before the age of 4 or 5. Some from birth. The treatment of these malformations is surgical. But to be able to operate inside the heart, it must be emptied of its blood and its beating stopped. Surgeons then use an artificial heart-lung machine that establishes extracorporeal circulation. For the child, hospitalization means a change of environment, the appearance of unfamiliar faces, unusual care (blood tests, X-rays, ECGs, etc.), and the perception of parental worry. This means a lot of destabilization and anxiety. The project consists of combating the child's fear, pain and boredom.  Fear : in the hospital environment the rules are different, events are unpredictable and the instruments used for care are often impressive. The child must manage his fear of the unknown, the lack of information and predictability, a feeling of insecurity, which are distressing elements.  Pain : care (injections, transfusions, punctures, etc.) causes pain and generates apprehension.  Boredom : the child finds himself in a bed, immobile, without recreational activity, without distraction, no or few visits. Hence a strongly felt boredom. However, between 4 and 12 years old, the child is in full social, cognitive and emotional development (start of school, new activities, learning to live in a group, etc.). However, children can escape it through games, activities or visits. Avoiding boredom in the hospital is a way of positively affecting the experience of pain.  To combat fear, boredom and pain (but also sadness and loneliness), Fondation La Petite Etoile offers children in the Pediatric Cardiology department of Bordeaux University Hospital little moments of joy, laughter and carefreeness. Every Monday, the Clowns Stethoscopes offer personalized interventions adapted to each child. They work closely with the care teams to design and adjust the games offered to the children according to their situation. Although they are neither caregivers nor therapists, their work is recognized in the medical community and contributes to the well-being of the hospitalized child.  Co-participants : Fondation La Petite Etoile, Association Petit Cœur De Beurre, Association Les Clowns Stéthoscopes  Funding provided by Fondation La Petite Etoile: € 5,000  End of project: December 2021    In the same context and in addition to medical treatments, Fondation La Petite Etoile is participating in the creation of sophrology and socio-aesthetic workshops aimed at improving the quality of life of children or young adults during their hospitalization, both physically, psychologically and morally. The benefits of these workshops are numerous: sophrology allows in particular better management of physical pain and stress. It provides the necessary tools to better live through the difficult moments of the illness. Socio-aesthetics, for its part, offers patients aesthetic care and a real moment of relaxation so that they can take care of themselves. This approach aims to improve and enhance their self-esteem, which can sometimes be at its lowest.  These workshops were set up at Nantes University Hospital.  Co-participants : Fondation La Petite Etoile, Association Petit Cœur De Beurre  Budget provided by Fondation La Petite Etoile: €1,000  End of the project: June 2022  

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1st semester 2021

Sending of calls for projects for the current year  Receipt of funding application files  Meeting of the first executive committee  Review of files, arbitrations and final choices  Decision to participate in 3 projects :  1/ financing of activities at hospital (Nantes and Bordeaux hospitals) for children born with congenital heart disease (in partnership with the Petit Cœur De Beurre association)  2/ co-financing of the construction of a canteen and a vegetable garden for children at the Gbagban-Kondji elementary school in Togo (in partnership with the CIELO Coopération Internationale pour les Equilibres Locaux association)  3/ co-financing of the operating costs of a Parents' House for families of children with cancer in Kinshasa, Congo DRC (in partnership with the GFAOP - Institut Gustave Roussy association and ROTARY CLUB)  Release of the first step of funding for the 3 projects.  

Sending of calls for projects for the current year  Receipt of funding application files  Meeting of the first executive committee  Review of files, arbitrations and final choices  Decision to participate in 3 projects :  1/ financing of activities at hospital (Nantes and Bordeaux hospitals) for children born with congenital heart disease (in partnership with the Petit Cœur De Beurre association)  2/ co-financing of the construction of a canteen and a vegetable garden for children at the Gbagban-Kondji elementary school in Togo (in partnership with the CIELO Coopération Internationale pour les Equilibres Locaux association)  3/ co-financing of the operating costs of a Parents' House for families of children with cancer in Kinshasa, Congo DRC (in partnership with the GFAOP - Institut Gustave Roussy association and ROTARY CLUB)  Release of the first step of funding for the 3 projects.