WHO india
more wedding stuff every day. this is good exposure on how to plan what you want in a wedding. what to leave out. what to include. a house full of women. b dressed up in her wedding stuff yesterday. grooms fam comes in tomorrow. pick ups and drop offs and drama and kids running all over. this is a topsy-turvy household if there ever was one:)
here is something that steph actually read and though it might bore you faithful one or two readers i thought id post it. To the WHO rep in INDIA.
Dear Sir or Madam,
My name is __ I am a United States based physician who had the opportunity to travel to South India and work at the the Tibetan refugee colony in Bylakupee, Karnataka. During nearly four weeks in April/May, 2005 I lived and worked on site at Tsepal Tobkyed Hospital in Bylakupee, fourth camp. The hospital aims to serve over 3000 monks and 600 nuns of camp four and lay persons in the surrounding community. While I was there, however, there was no doctor on site and no doctor had been present for quite some time.
During my stay at the Tibetan colony, I was able to meet with Dr. Gopinath, the government doctor located at first camp, in charge of overseeing India’s Revised National Tuberculosis Control Programme (RNTCP) in that area. I was deeply impressed that high quality, first line medications were being distributed for no cost. While the treatment and objectives of the program were strong, there were no health workers present to diagnose tuberculosis and no oversight and regulation of TB drug administration. No one in that area was trained in recognizing harbingers of tuberculosis and recommending sputum Acid fast bacilli tests.
During my short month at the colony, one monk was in St Johns hospital for spinal TB and two others were undergoing treatment. A preliminary assessment of the community, especially the adolescent monks, revealed numerous previously undiagnosed and untreated cases of tuberculosis. The ones who were being treated did not have adequate oversight and follow up to ensure that a complete course of medications was administered.
As you are aware, Multi Drug Resistant Tuberculosis in the Tibetan community is documented in the medical literature. The very high quality of the drugs being used mandate that treatment be more regulated than currently standards in order to not cause an even greater increase in the number of MDRTB cases.
Many cases remain altogether, undiagnosed. In a population where many of the monks in the colony I worked in were sleeping 14 to a room, and often 75-100 per classroom tuberculosis is present in epidemic proportions. In my opinion it is necessary to:
To place a government health worker at Camp 4 to stay on permanently. Isolation of sputum positive patients must be stressed.
Formal train a few Tibetan monks and nuns to recognize the symptoms of TB in order to increase the amount of sputum AFB's being done. The need is present and the trained monks and nuns will be on sight, long term in continuous direct contact with the patient population.
An experienced government lab scientist deployed to train Camp 4 Lab technicians would help ensure accurate diagnosis of contagious sputum positive TB patients.
A periodic evaluation is necessary to determine There is currently no way of evaluating the incidence of patients with TB or the success of the RNTCP with such little oversight of Camp 4.
here is something that steph actually read and though it might bore you faithful one or two readers i thought id post it. To the WHO rep in INDIA.
Dear Sir or Madam,
My name is __ I am a United States based physician who had the opportunity to travel to South India and work at the the Tibetan refugee colony in Bylakupee, Karnataka. During nearly four weeks in April/May, 2005 I lived and worked on site at Tsepal Tobkyed Hospital in Bylakupee, fourth camp. The hospital aims to serve over 3000 monks and 600 nuns of camp four and lay persons in the surrounding community. While I was there, however, there was no doctor on site and no doctor had been present for quite some time.
During my stay at the Tibetan colony, I was able to meet with Dr. Gopinath, the government doctor located at first camp, in charge of overseeing India’s Revised National Tuberculosis Control Programme (RNTCP) in that area. I was deeply impressed that high quality, first line medications were being distributed for no cost. While the treatment and objectives of the program were strong, there were no health workers present to diagnose tuberculosis and no oversight and regulation of TB drug administration. No one in that area was trained in recognizing harbingers of tuberculosis and recommending sputum Acid fast bacilli tests.
During my short month at the colony, one monk was in St Johns hospital for spinal TB and two others were undergoing treatment. A preliminary assessment of the community, especially the adolescent monks, revealed numerous previously undiagnosed and untreated cases of tuberculosis. The ones who were being treated did not have adequate oversight and follow up to ensure that a complete course of medications was administered.
As you are aware, Multi Drug Resistant Tuberculosis in the Tibetan community is documented in the medical literature. The very high quality of the drugs being used mandate that treatment be more regulated than currently standards in order to not cause an even greater increase in the number of MDRTB cases.
Many cases remain altogether, undiagnosed. In a population where many of the monks in the colony I worked in were sleeping 14 to a room, and often 75-100 per classroom tuberculosis is present in epidemic proportions. In my opinion it is necessary to:
To place a government health worker at Camp 4 to stay on permanently. Isolation of sputum positive patients must be stressed.
Formal train a few Tibetan monks and nuns to recognize the symptoms of TB in order to increase the amount of sputum AFB's being done. The need is present and the trained monks and nuns will be on sight, long term in continuous direct contact with the patient population.
An experienced government lab scientist deployed to train Camp 4 Lab technicians would help ensure accurate diagnosis of contagious sputum positive TB patients.
A periodic evaluation is necessary to determine There is currently no way of evaluating the incidence of patients with TB or the success of the RNTCP with such little oversight of Camp 4.
posted by srijeeva at 9:43 PM
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