Transcript Kat Leccese (Honduras)

Honduras
Kathryn Leccese R2
http://www.carolinahondurashealth.org/
http://www.honduranmissions.com/
General Health Info
• Life expectancy:
– Men:68
– Women: 73
• Mortality Rate: 5/1000
• IMR: 29.65/1000 live birth
– respiratory infection & bacterial sepsis 19.3%
– Diarrhoea & GI illness 6.3%
– Congenital Malformations 4.15%
Common Diseases
• Prone to infectious disease: population
density, swiftly varying temperatures/levels of
humidity
• Medical attention sought:
– # 1 reason Respiratory infections
– # 2 Diarrhoea
• Parasitic infections: malaria, dengue most
prevalent. Also amoebiasis, leishmaniasis
• Next most common morbidity is cancer
– Women: uterine
– Men: GI tract
Health Admnistration
• 9 health regions operate independently
• Immunisation program: diptheria, tetanus,
pertussis, hepatitis B, pneumonia and
meningitis, polio, BCG, measles, rubella and
parotitis
• Eastern area much less populated
– Less developed; no skilled medical workers
(prefer ressource rich cities)
– Unequeal distribution of health facilities
– Polical sectarianism
Limon Clinic
• 3 exam rooms, a treatment room , pharmacy
and laboratory.
• The Lab is run by a local woman (Gloria):can
run malaria smears, CBCs, urine analysis
• Pharmacy run by the team
• One room has a pediatric scale. One room is
set up for gynecological exams.
• File room organized by town/region of origin.
• Must bring your own stethescope, BP cuff,
opthalmoscope (and any other tricks you
have)
Limon Clinic
• The clinic is a walk in service and patients are
usually waiting by 7 in the morning.
• Work from 7:45 to 12:30; then 13h to 18 - 19
untill there are no more patients.
• There are 3-4 physicians working at a time
and each will see 30-40 per day
• Most patients will be speaking Spanish
(doctors are provided with a local translator)
• There is an ambulance service but is
unreliable. The closest hospital is about a 2
hour drive.
Pediatric Complaints
seen in only 10 days…
• Well care, to diabetes, dermatological
problems, respiratory infections, long
standing fevers, head lice, taenia, impetigo,
scabies anemia, malaria, malnutrition &
sequlae, amoebiasis, dengue, sepsis,
leishmaniasis and asthma.
• Severe dehydration secondary to GI illness
• Dental issues (a dentist accompanies the
team)
• All patients are offered vitamins and
mebendazole for worms.
• There is an orphanage with 50 kids in town
that is served as well.
Honduras
Kathryn Leccese R2
http://www.carolinahondurashealth.org/
http://www.honduranmissions.com/