Tinea Day Eleven: Final Bits

Claire Fuller gave us our final topic session of the week, based on many years of experience in both the UK and East Africa.

The WHO is working with the Gates Foundation to run a Global Burden of Disease statistics measuring. 600 million cases of scabies worldwide. In the developing world, skin disease is the second commonest reason for attending primary care – but people are still far less likely to attend if they have a rash compared to other types of pathology.

African culture Day Ten: More Women’s Health

Mary Hopper talked to us again, this time looking at the impact of not understanding culture on care…

There has been lots of awareness throughout the course about the impact of culture. Most of the speakers through the last two weeks have mentioned the shocks and surprises of moving between the developed and developing world.

Pregnant patient in theeatre Day Nine: Women’s Health

Birth complications means many women end up with fistulas that leak urine and faeces continuously. Women are socially ostracised.

We watched the story of a lady called Mastula, and her experience of her life being turned upside down by a fistula. Lifetime risk of dying from childbirth and pregnancy. In the west it is 1 in 4300. In Afghanistan, it is 1 in 11.

Day Eight: Trauma & Orthopaedics

Our first talk came from Chris Lavy, husband of Vicky Lavy, who runs the course. He explained that the reason for his haggard experience was her being away for a week, leaving him alone with the children.

The USA have nearly 1% of the population having an operation each year, whereas in Guyana that figure is 0.002%. There are 1700 surgeons per 100,000 population in the UK, whereas in Ethiopa that figure is around 1 per 100,000.

Intra abdominal surgery Day Seven: Surgery

John Rennie and Colin Binks shared the next talks about surgical matters. They both apologised for the dwindling capacities of their ageing neurones, but assured us that with enough prompting they would be able to recall the more important arteries, etc.

“You must take your bible, your toothbrush, your anti-malarials and the Textbook of Primary Surgery. It’s brilliant, full of pictures, and perfect for those of you who are far more comfortable cutting sausages than cranial burr holes”.

Joyce Banda Malawi President Day Six: Aspects of mission work

Mary Hopper has lived and worked in Rhodesia/Zimbabwe and South Africa for many years, and also runs a counselling and trauma workshop for those working in resource poor settings.

Elijah was afraid and ran for his life. When he came to Beersheba in Judah, he left his servant there, while he himself went a day’s journey into the wilderness.

A severely wasted child Day Five: Paediatrics

The first step today was a presentation from the energetic Ian Spillman, with piles of horrific statistics. Sadly, as he said, behind the statistics are real children…

We live in a world of difference. For many families, feeding is a case of “have the rains come?”. 40% of under five deaths are neonatal. If you improve sanitation, you see ~25% improved in under 5 mortality. The most common causes of death are diarrhoea, birth asphyxiation, diarrhoea and malnutrition.