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In 1991, Vivian Pellas founded APROQUEN after her and her husband suffered devastating burns during a plane crash in Honduras. Today, APROQUEN serves as the leading burn care and prevention unit in Central America. Since its inception, APROQUEN has provided over 300,000 complimentary health services – including: patient visits, reconstructive surgery, rehabilitation and ICU - to the burned children of Nicaragua, and greater Central America. APROQUEN’s mission is to provide a specialized model of prevention and comprehensive care that is complimentary to children suffering from burns, the consequent results - such as congenital and acquired malformations - and cleft lip and palette. APROQUEN’s burn care is a wholly approach, where each child receives every aspect of treatment necessary for their post-incident recovery.


Burns are the forgotten – but solvable - global health crisis. More school-aged children die of fires each year than of tuberculosis or malaria, and a staggering 95% of severe burns happen in developing countries where open fires for cooking, heating and lighting are commonplace.  Without immediate access to adequate burn care, injuries are left to heal by themselves, creating a permanent tightening, or contracture, of the skin. This can severely limit mobility and function, as well as disfigure the child in ways unimaginable in developed nations.  For example, a burned foot may attach to the shin as the wound "heals" and the skin contracts, consequently eliminating the ability to walk.  Untreated burns leave children egregiously debilitated. Investing in burn care in the developing world not only dramatically changes the lives of burn survivors, but it also has an enormous economic impact.  Worldwide, severe burns cause disabilities that cost $80.2 billion a year in lost productivity (wages and skills) alone; medical expenses would add millions more to these already struggling economies.