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September report 2009
125 patients were treated besides the clinic attendees, and one satellite community was visited.
This was a significant camp clinic, we are in the flooding season and there is also a measles epidemic. Although there has been no significant mortality, we had a death 2 weeks ago, and this was because the parents did not seek help on time,but decided to see the native healer.
All the children presented with typical features , fever, conjunctivitis weakness and with associated respiratory infections. During the history taking,the mother told us she did not see any reason in giving the measles vaccine to her children but she has now , unsurprisingly, reconsidered. One of the children lies on the floor as a result of severe weakness and fever. With the solar fridge operational we have a constant supply of vaccines and we continue to educate to ensure take up edges toward eradication in this area. 
Following the story of the TB patient in the July report it was learnt that she had defaulted in her treatment with the goverment centre because her husband had refused to give her transport fare to get to bomadi central hospital to get her drugs. TB requires long-term treatment and this is not an unusual case.
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A female Health Care Worker again reiterates the need for good compliance with medication and the husband was encouraged to support his wife. The Doctor meanwhile examines her and treats an intercurrent chest infection. There is no shortcut to change health behaviour but to be consistent in patient education. |
Pneumonia and bronchitis were common presentations this camp. The more clinically minded may see the rib recession in the child's chest on the photo below, a sign of constriction of the lungs and common in severe asthma and some infective episodes.
The outreach satellite camp was held at Olota community where 80 patients were seen.
A young boy who had been vomiting and stooling was waiting for the team to arrive. Collapsed he was treated with IV hydration and later was up and about and able to continue with rehydration salts orally. Olota is a remote community and these cases usually end tragically when simple measures can be so effective.
He was placed on antibiotics and antimalarials after his recovery. Without laboratory services treatment has to remain empirical, though the early steps toward stool microscopy will enable us to undertake testing on camp in the future.
Lawrence, Patience and new baby, Joseph and Oscar (all the lads looking a tad serious!)
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