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Medical Education and Training

Michael D. McDonald's picture

The mission of this working group is to improve medical education and training in Haiti.

Working Group email address:

medical_education_training@mphise.net

Reporting on Public Health Progress in Haiti

 

Division of Epidemiology, Laboratory and Research (Direction d’Epidémiologie, de Laboratoire et de Recherches or DELR)

cdcfoundation.org - by Terri Heyns - March 28, 2014

Just over a year ago, I traveled to Haiti with the CDC Foundation to commemorate the completion of two new public health buildings supported through donations to the CDC Foundation, the central office of the Ministry of Public Health and Population (MSPP) and the headquarters of the Division of Epidemiology, Laboratory and Research (DELR). Both buildings marked a milestone in the country’s recovery and reconstruction since the earthquake.

Since that visit, Haiti’s health minister has moved into her new office and phase one of the new ministry compound, with space for roughly 250 employees, is operational.

(READ COMPLETE ARTICLE)

Radiology Experts Travel to Haiti to Educate Local Radiologists and Pediatricians

American College of Radiology (ACR)
acr.org

Radiology Education Days Part of Ongoing ACR Effort to Help Rebuild Haitian Medical Infrastructure

March 19, 2013

Expert radiologists and representatives from the American College of Radiology (ACR); the World Federation of Pediatric Imaging; the Society for Pediatric Radiology; the Society of Radiologists in Ultrasound; and the Society of Diagnostic Medical Sonographers will gather in Port-au-Prince, Haiti, March 25-26, to provide a series of didactic lectures and hands-on ultrasound training at “Radiology Education Days.”

ASTMH 61st Annual Meeting - Session: 145

submitted by Henry Frank Carey

abstractsonline.com

Combating urgent infectious disease problems in poor countries often entails a range of interventions, from disease detection, diagnosis, and treatment to other measures, such as environmental measures or vaccines. The mix of interventions chosen may depend on the local feasibility and effectiveness of the interventions, as well as on resources available. This symposium will use cholera as an example of balancing these various issues, using examples from two countries, as well as plans for future emergency situations.

(VIEW COMPLETE SESSION INFORMATION AND ABSTRACT)


ASTMH 61st Annual Meeting - Session: 134

submitted by Henry Frank Carey

abstractsonline.com

The 2008 WHO/UNICEF best estimates of coverage with three-dose diphtheria-tetanus-pertussis vaccine (DTP3) in Haiti was 53%, indicating a longstanding need for strengthening the immunization system in the country. The devastating earthquake that struck Haiti in January 2010 challenged the nation’s public health system and undoubtedly had a further negative impact on the Expanded Program on Immunization (EPI) routine childhood vaccination coverage for DTP3, tuberculosis (BCG), measles and polio vaccines. A catch-up campaign to rapidly expand coverage for measles, rubella and polio vaccines among Haitian children under nine years of age was launched in April 2012.

(VIEW COMPLETE SESSION INFORMATION AND ABSTRACT)

ASTMH 61st Annual Meeting - Session: Poster Session B Presentations and Light Lunch

submitted by Henry Frank Carey

abstractsonline.com

An evaluation of Catholic Relief Service’s (CRS) post-earthquake cholera education programming in Haiti was conducted in June 2011 to evaluate the efficacy of their social marketing efforts for cholera prevention. A Knowledge, Attitude, and Practice (KAP) survey implemented throughout Haiti provided cholera incidence data as well as social and behavioral data that indicate sources of disease transmission and water contamination. Evaluation results indicate that there remain gaps in practices such as hand washing and open defecation.

(VIEW COMPLETE SESSION INFORMATION AND ABSTRACT)

Haiti Takes on Dreaded Disease Elephantiasis One Mouth at a Time

submitted by Ted Kaplan

      

“Mass drug administration” is easy if your target is elementary school students. It’s harder when you want to reach nearly everyone else in a country of 10 million people.

That is the goal Haiti set this year in its campaign against a parasitic infection called lymphatic filariasis that is present in 80 percent of the country.

(READ COMPLETE ARTICLE)

Cholera Depends on the Blood Group - X-ray Chemist Solves Cholera Mystery

                 

X-RAY VISION: Professor Ute Krengel and PhD Candidate Julie Heggelund use a small x-ray machine at the Department of Chemistry to find the molecular structure of the cholera toxin. Photo: Yngve Vogt

University of Oslo - by Yngve Vogt- August 27, 2012

The likelihood of becoming seriously ill from cholera depends on your blood group. It is possible to find a new remedy for the feared illness by studying the molecular structure in the toxin in the cholera bacteria.

'Patients with blood group O are most at risk of becoming seriously ill. Those with blood groups A, B or AB are more protected against cholera', says Ute Krengel.

(READ COMPLETE ARTICLE)

2012-2013 Bio Med Course in Haiti

submitted by Andrew MacCalla

There is going to be a bio-medical technician training course taking place in the fall in Pignon. There will be 4 separate sessions and students are required to attend all 4 of them. While you will be responsible for the travel to Pignon for your participants, the Rotarians are paying for food and lodging and course fees. This is the second course that is being held in Haiti.

You can read more about it in the attached documents and respond directly to the task force email below with a filled out application if you are interested in participating. I’m just trying to spread the word on behalf of the instructor.

The deadline for the application is August 10th, not July 15th as the document states.

ROTAH TASK FORCE - rotahtaskforce@gmail.com

Houston Haiti Recovery Initiative (HHRI)

HHRI is an early-stage group of interested community members and Texas Medical Center(TMC) professionals, organizations and institutions who want to contribute to Haiti’s ongoing recovery. HHRI and Haiti’s Medical Society President, Dr. Claude Surena, are working together to create a common healthcare vision with common goals in at least some common spaces for the different healthcare partners in Houston and beyond.

Our initial focus is on healthcare related initiatives that would bring the resources of the TMC and the Houston community together to support and advance the National Reconstruction Plan for Haiti. This initiative will be in cooperation and coordination with the Minister of Health(MOH) and the Government of Haiti(GOH).

HHRI is a 501(c) 3 formed after the 2010 earthquake to help coordinate local assets toward Haitian relief.  It has long term goals to find a specific Haitian center to support and develop for upgrading the medical care for the Haitian population.  It has focused initially on two areas, medical teams and biomedical repair and training.  The latter is spearheaded by a group of Rotarians.   The medical teams are organized by physicians and non-physicians with a large cumulative experience in Haiti and in mission work.

(GRAHN) - "Haiti-Santé 2012" - October 1 - 6 ("Haiti-Health 2012")

submitted by Stuart Leiderman

(GOOGLE TRANSLATION TO ENGLISH - PROVIDED BELOW)

Lancement de Haïti-Santé’ 2012

à

Port-au-Prince, Haïti

Le Groupe de Réflexion et d'Action pour une Haïti Nouvelle (GRAHN), la Croix-Rouge Canadienne (CRC) et la Croix-Rouge Haïtienne (CRH) se sont mis ensemble pour organiser, avec le Ministère de la Santé Publique et de la Population (MSPP), l'évènement Haiti-Sante'2012 qui se déroulera en Haïti du 1er au 6 octobre 2012.

Après le lancement de cet événement qui a eu lieu à Montréal le jeudi 14 juin dernier, c’est au tour d’Haïti de procéder au lancement de ce grand évènement, le jeudi 26 juillet de 10h à 11h, à la salle de conférence du Ministère de la santé publique et de la population (MSPP) sis à la rue Saint-Honoré, à Port-au-Prince.

http://www.haiti-grahn.net/public/

-------------------------------------------------------

(PER GOOGLE TRANSLATION TO ENGLISH)

CDC - Study - Chloroquine-Resistant Malaria in Travelers Returning from Haiti after 2010 Earthquake

Volume 18, Number 8—August 2012

Abstract

We investigated chloroquine sensitivity to Plasmodium falciparum in travelers returning to France and Canada from Haiti during a 23-year period. Two of 19 isolates obtained after the 2010 earthquake showed mixed pfcrt 76K+T genotype and high 50% inhibitory concentration. Physicians treating malaria acquired in Haiti should be aware of possible chloroquine resistance.

 

Study - Chloroquine-Resistant Malaria in Travelers Returning from Haiti after 2010 Earthquake
http://wwwnc.cdc.gov/eid/article/18/8/11-1779_article.htm

Cholera Superbug Found

CDC - Emerging Infectious Diseases -August 2012
Volume 18, Number 8

Abstract - Study - Conclusions

Third-Generation Cephalosporin–Resistant Vibrio cholerae, India

Cholera Superbug Found

In a major cause for concern, a new strain of cholera bacterium resistant to third generation antibiotics has been found to be circulating in India.

This cholera bacterial strain contains two super bug genes, including the notorious New Delhi Metallo beta-lactamase-1 (blaNDM-1). The other super bug gene is plasmid-mediated beta-lactamase-1 (blaDHA-1).

Thanks to these two super bug genes, the new cholera bacterial strain (O1 El Tor Ogawa) has developed resistance to a majority of known antibiotics.

(READ COMPLETE ARTICLE)

Third-Generation Cephalosporin–Resistant Vibrio cholerae, India
http://wwwnc.cdc.gov/eid/article/18/8/11-1686_article.htm

LOMA LINDA: University Begins New Program in Haiti

Two of Loma Linda Universitys new Haitian students (left) participate on their second day of school in a communication-building exercise with LLU students visiting from the home campus. 

pe.com - July 27, 2012

Loma Linda University has launched a program in Haiti dealing with one of the country’s most glaring needs — rehabilitation treatment for the disabled. The program is one of the first of its kind in the country.

Sixteen Haitians are now studying for a certificate that will allow them to serve as rehab technicians. After they graduate in February 2013, they will help their neighbors regain physical functionality that was lost in the 2010 earthquake or through other circumstances.

(READ COMPLETE ARTICLE)

Loma Linda University responds to the earthquake in Haiti
http://www.llu.edu/news/haiti/index.page?

STUDY - Tuberculosis Treatment, Three-Drug Combination, Passes First-Stage Test

There haven't been new drugs to treat TB in four decades. ALAMY

(SEE LINKS TO STUDY AT THE BOTTOM OF THIS POST)

huffingtonpost.ca - by Lauran Neergaard - Associated Press
July 23, 2012 - The Canadian Press

WASHINGTON - Scientists are hot on the trail of a new tuberculosis treatment that a small study suggests might one day offer an alternative to battle this deadly lung disease, even if it's resistant to today's two main drugs.

There haven't been new medications to treat TB in four decades. But the experimental three-drug combination, revealed Monday at the International AIDS Conference, is one of a list of promising compounds under intense testing around the world.

(READ COMPLETE ARTICLE)

14-day bactericidal activity of PA-824, bedaquiline, pyrazinamide, and moxifloxacin combinations: a randomised trial
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2812%2961080-0/abstract

GIDEON - Infectious Diseases of Haiti

 

Global Infectious Diseases and Epidemiology Network (GIDEON)

When the humanitarian disaster in Haiti began to unfold, we accelerated development of a comprehensive book on the diseases of that country. This will be one in a series of ebooks which present the status of all infectious diseases…in all individual countries. This ebook, Infectious Diseases of Haiti, 2010 edition, will be offered free of charge to all health professionals concerned with the current disaster.

Supercourse - Epidemiology, the Internet and Global Health

submitted by Stuart Leiderman

Supercourse is a repository of lectures on global health and prevention designed to improve the teaching of prevention. Supercourse has a network of over 56000 scientists in 174 countries who are sharing for free a library of 5264 lectures in 31 languages. The Supercourse has been produced at the WHO Collaborating Center University of Pittsburgh, with core developers Ronald LaPorte, Ph.D., Faina Linkov, Ph.D., Mita Lovalekar, M.D., Ph.D., and Eugene Shubnikov M.D. Please contact us at super1@pitt.edu .

(SUPERCOURSE HOME PAGE)

(SUPERCOURSE - TOPIC INDEX)

Video - Laurent Lamothe Meets the American Red Cross to Engage Pledged Moneys in Benefiting the Haitian People Now

See video

"There are two objectives for meeting the Red Cross.  The first objective is to thank the Red Cross for all the efforts deployed in Haiti during the earthquake.  The second objective is that the Red Cross collected more than 1.13 billion dollars for Haiti and there are still several hundred million left.  So we came here with our team to discuss our priorities and where we would like the Red Cross to allocate these funds that they have for Haiti according to the priorities of the Haitian government and the Haitian people.  We came to talk to them, work alongside with them according to the priorities of the Haitian people."

youtube - June 13, 2012

http://www.youtube.com/watch?v=Z59O_6WYfkg

Orthopedic surgeon sends equipment from closed Middletown and Goshen hospitals to Haiti

www.recordonline.com - by Nathan Brown - June 5, 2012

GOSHEN — Some of the old equipment from Horton and Arden Hill hospitals is going to be used to rebuild orthopedic surgery in an earthquake-devastated country with a desperate need for it. 

A barge full of equipment and supplies — enough for a fully equipped orthopedic suite at l’Hopital de l’Université d’Etat d’Haïti in Port-au-Prince — is in Haiti now, and will go to the hospital after it clears customs, said Dr. Ron Israelski, a local orthopedic surgeon who has been heavily involved with helping the people of Haiti since the 2010 quake and who got the shipment together. HUEH is the country’s largest hospital, and the center of medical education in the country.

(READ COMPLETE ARTICLE)

Howard University Hospital & U.S.-Based Haitians Responding to Haiti’s Continuing Struggle

               

(Courtesy Image/www.Howard.edu)

afro.com - by AFRO Staff - June 2, 2012

Doctors, Health Care Resources Still Scarce Two Years After Earthquake

Haiti, still struggling two years after a devastating earthquake, is getting needed health care assistance from Howard University and U.S.-based Haitian immigrants, the university medical school announced June 1.

A team of 25 physicians, dentists and medical students and 75 non-physician volunteers are heading to the island nation to provide medical care and clinical training later this month, according to a news release from school.

The effort is being organized by Howard University Hospital (HUH), the New York chapter of the National Organization for the Advancement of Haitians (NOAH) and the Haitian Healthcare Alliance, Howard officials announced.

(READ COMPLETE ARTICLE)

50-Year Cholera Mystery Solved by Scientists at The University of Texas at Austin

utexas.edu - May 29, 2012

AUSTIN, Texas — For 50 years scientists have been unsure how the bacteria that gives humans cholera manages to resist one of our basic innate immune responses. That mystery has now been solved, thanks to research from biologists at The University of Texas at Austin.

The answers may help clear the way for a new class of antibiotics that don’t directly shut down pathogenic bacteria such as V. cholerae, but instead disable their defenses so that our own immune systems can do the killing.

Every year cholera afflicts millions of people and kills hundreds of thousands, predominantly in the developing world. The infection causes profuse diarrhea and vomiting. Death comes from severe dehydration.

“If you understand the mechanism, the bacterial target, you’re more likely to be able to design an effective antibiotic,” says Stephen Trent, associate professor of molecular genetics and microbiology and lead researcher on the study.

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