MALARIA - LOCATION & ELEVATION

After consultation with our NWM team and meetings with IMC doctors and aircrew over the past two days, it seems reasonable to conclude that Malaria efforts should be focused in the South East sector of Nias and especially in low lying coastal villages.

IMC are finding very low levels of Malaria in the inland villages they are servicing in NW Nias and the population is sparce. We have seen up to 75% of patients test positive in coastal SE Nias and up to 22% in mountain villages in the same area. Given that the population of the areas we have supported exceeds 100,000 it would seem prudent to try to convince WHO to direct more medical capacity to these areas.



Our North West Medical team report follows:

April 30th, 2005

Site: Lawa-Lawa-Luo-Gomo
Agency: NWMTI
Providers: 2 docs, 2 RNs
Total Patients: 94

Condition: <5>5 yo

URI / Viral Inf. 6, 3
Pruritis / Eczema 3, 4
LRTI / Pneum / Bron 4, 7
GERD / PUD -, 4
Back Pain -, 1
Scabies -, 2
PTSD / Sleep dis -, 8
Scalp inf 1 , 1
Cephalgia -, 5
OB/Gyn -, 4
HTN -, 4
Thyr'/G'tr/Neck Mass -, 2
Diarrhea / Colitis 2, 2
Arthritis / MS pain -, 5
Otitis / ear 2, 1
Ophthamic -, 1
Acute Febrile illness 3, -
Helminth inf 3, 1
Impetigo 1, 1
Asthma -, 1
Dehydration / weak -, 1
Malaria - 6 (2(-) for Falcip')
Lac. repair / F/U -, 2
UTI -, 1
Burn wounds / F/U -, 1
CVA (New & old) -, 1

May 1 & 2, 2005

Site: Sifalago Susua, Gomo
Agency: NWMTI
Providers: 3 docs, 2 RNs
Total Patients: 392

Condition: <5,>5 yo

URI / Viral Inf. 22, 17
Pruritis / Eczema 3, 9
LRTI / Pneum / Bron 10, 24
GERD / PUD 1, 55
Back Pain -, 16
Scabies 2, 4
PTSD / Sleep dis -, 16
Scalp inf 1, -
Cephalgia -, 21
OB/Gyn -, 1
HTN -, 4
Thyr'/G'tr/Neck Mass -, 2
Diarrhea / Colitis 1, 6
Arthritis / MS pain -, 30
Otitis / ear 21, 13
Ophthamic -, 3
Acute Febrile illness 2, 1
Helminth inf 1, 4
Impetigo 3, 4
Asthma 1, 8
Dehydration / weak 5, 29
Malaria 2, 29 (16(-) for Falcip')
I&D/Lac. repair / F/U -, 2
UTI -, 5
Burn wounds / F/U -, 3
CVA (New & old) -, 3
Fungal inf -, 7
Cancer -, 2


Teti has a rare genic condition. Both eyes are fully functional. She is suffering from fever and severe respiritory infection in common with a high percentage of children in the area.

May 3, 2005

Site: SiForo Asi Gomo & OraHili Gomo
Agency: NWMTI
Providers: 2 docs, 2 RNs
Total Patients: 73

Condition: <5,>5 yo

URI / Viral Inf. 3, 2
Pruritis / Eczema -, 1
LRTI / Pneum / Bron -, 3
GERD / PUD -, 7
Back Pain -, 4
Scabies 2, 1
PTSD / Sleep dis -, 1
Scalp inf 1, -
Cephalgia -, 2
OB/Gyn -, 1
HTN -, 2
Thyr'/G'tr/Neck Mass -, -
Diarrhea / Colitis 2, -
Arthritis / MS pain -, 7
Otitis / ear -, 1
Ophtham/conjuc'itis -, 2
Acute Febrile illness 3, -
Helminth inf 2, 5
Impetigo 1, -
Asthma -, -
Dehydration / weak -, -
Malaria -, 13 (3(-) for Falcip')
I&D/Lac. repair / F/U-, 1
UTI / nephrolithiasis -, 4
Burn wounds / F/U -, 2
CVA (New & old) -, 3
Fungal inf -, 7
Cancer -, 2
Diabetes -, 1

May 4, 2005

Site: Hilizalootano and Hilinawalomazino, Telukdalam
Agency: NWMTI
Providers: 2 docs, 2 RNs
Total Patients: 109

Condition: <5,>=5 yo

URI / Viral Inf. 1, 4
Pruritis / Eczema - -
LRTI / Pneum / Bron 2, 8
GERD / PUD -, 6
Back Pain -, 6
Scabies 5, 6
PTSD / Sleep dis -, -
Scalp inf -, -
Cephalgia -, -
OB/Gyn -, -
HTN -, 2
Thyr'/G'tr/Neck Mass -, -
Diarrhea / Colitis 2, -
Arthritis / MS pain -, -
Otitis / ear -, 1
Ophtham/conjuc'itis 1, 8
Acute Febrile illness -, 1
Helminth inf 6, 9
Impetigo 5, 3
Asthma -, -
Dehydration / weak -, -
Malaria -, 23 (4(-) for Falcip')
I&D/Lac. repair / F/U 1, 2
UTI / nephrolithiasis -, 2
Burn wounds / F/U -, 4
CVA (New & old) -, 3
Fungal inf -, -
Cancer -, -
Diabetes -, -
Herpes Zoster -, 1