Why is GI illness important in poor countries

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Why is GI illness important inpoor countries?

• PIH-PFP
• Global Health Forum
• May 15, 2009

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• Physicians for Peace
• PFP experience in Haiti
• Helicobacter pylori poor hygiene
• Endoscopy

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Building peace and international friendships
through medical education in over 50 countries
since 1984

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PFP Countries and the Human Development Index

Physicians For Peace
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What Sets Us Apart?

• Training FIRST priority
• Sustainable
• Replicable
• Medical Rigor -MOC
• Multi-Disciplinary
• Low-Cost, High Touch
• Continued Support
• Nation Building

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Physicians For Peace
Give a man a fish and he will eat for a day
teach a man to fish and he will eat for a
lifetime.

• PFP Philosophy
• Work side by side with local physicians
• Teach at bedside
• Operate together
• Use local facilities
• Share ideas

A teacher affects eternity he never knows
where his influence stops.
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PFP Projects in Haiti

• GI program Hôpital Sainte Croix
• EVMS Student / Resident projects at HSC
• EVMS/CHKD pediatric project with Medical School
  of the State University
• Silesian Sisters Health Care System
• National medical conferences by HSC
• Hôpital Albert Schweitzer GI program
• Partners in Health endoscopy program

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Primary GI problems in Haiti

• Stomach cancer
• Esophageal cancer
• Peptic ulcer disease
• GE reflux disease
• Functional UGI disease
• Intestinal parasites

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QUID?
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H. PyloriEpidemiologie
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H. pylori seroprevalence in Haiti Community
Cross-Sectional Data, Convenience Sample
SERO-POSITIVE FOR IgG
AGE IN YEARS
TABARRE N45/69 (65) POSITIVE
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Trouvailles endoscopiques pour H. pylori
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Clinical outcomes of Hp infection

• mucosal attachment - antrum and body
• chronic superficial gastritis
• asymptomatic before 5 yrs after 5 yrs
  epithelial proliferation
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• carrier chronic pangastritis localized
  gastritis MALT lymphoma
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• gastric atrophy peptic
  ulcer/non ulcer dyspepsia
• intestinal metaplasia
• adenocarcinoma

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Endoscopy Diagnostic Centers(differential
diagnosis)

• Hôpital Ste. Croix
• Hôpital Albert Schweitzer
• Partners in Health / MOH centers
• St. Marc
• Mirebalais

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Endoscopy equipment, third trip
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HSC Endoscopy suite, 1990
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2nd Endoscopy suite, 1995Hôpital Sainte Croix
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HAS Endoscopy
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MOH Hospital, St. Marc
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MOH-PIH diagnostic facilitySt. Marc
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FIN Questions?