Transcript RRP in Developing Countries

RRP in Developing
Countries
Arturo Avila Chávez MD
Director
Voice Center México
Incidence
???????
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NOT KNOWN
Between 1500 – 2500 cases around
the country
Main Problem
CULTURAL
MEDICAL
ECONOMICAL
Voice as an Issue
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Voice is NOT a Health Issue
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People IGNORE the problem exists
Dysphonia
=
Alarm
People receive medical care only
when they are completely dysphonic
or with respiratory distress
Health Services
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Public Hospitals (subsidized by
government)
• ISSSTE
• IMSS
• SSA
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Most of the general population
Not all are free
Different levels of medical attention
• 1st – 3d level
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Very few centers for high specialized medical
attention in all the country
Health Services
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80 to 120 consultations per day
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10 surgeries a day
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6 -8 moth waiting for surgery
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Some patients even have to wait to be
operated until they have respiratory
distress
Health Services
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Public Hospitals
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Big gap between first consultation and day
of surgery
Bureaucratic paper work
Time consuming
Centralized country
Private Practice
• The least amount of patients with RRP
• Need an Insurance
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Otherwise…..Very expensive!
Medical Issues
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RRP is a third level attention
problem! (Highly Specialized)
Some residency programs don't
have a good laryngological training,
which reflects a wrong Dx and Tx.
• WHY?
Medical Issues
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Larynx is ENT´s the most hidden
structure
Medical Issues
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Equipment
• Diagnosis
Medical Issues
Medical Issues
Medical Issues
Medical Issues
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Surgery
• Equipment
Medical Issues
Medical Issues
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Surgical techniques
• MICROSURGERY
Medical Issues
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Antivirals
Interferon
Vaccines
Phytosorb DIM
I3C
PDT
Retinoids
Mytomicin
Drugs Availability
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Meds
• Very expensive $$$
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Interferon
Cidovofir
• Non Available
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No International Sale Representatives
RRP Information
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Pt is not informed about RRP
• Cause
• Symptoms
• Treatment Options
• No societies or foundations to support
RRP
• Patients are all by themselves
Main Problems
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Cultural
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The RRP manifestations are almost certainly underdescribed and non existent for general population
Lack of Information (educational programs)
Health care system
• Centralized
• Better training residency programs
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Subspecilized Doctors
• DX tools and TX equipment
• Drug Availability
Solutions
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Take advantage of RRP IRS´s
infrastructure as a plataform
• Inform People
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Most of the affected people only know
Spanish and don't have access to internet
Language barrier
Solutions
• Expand activities
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Create a supportive community network in
Developing Countries.
Creat groups of people, committed people,
specially patients and Doctors to approach
RRP IRS as a backup for multipurpose
Interaction with Meds suppliers for easier
access and cheaper prices
Thank You!