GHO Medical Mission Metrics - Kamkaniba, Burkina Faso July 31- August 5, 2009
Type of clinic Patients Seen
Dental 161 ( the majority had dental extractions)
Adult 444 (the majority had musculoskeletal dx)
Child 393 (the majority had malaria dx)
Total 995
Some patients were seen in both dental and medical clinics for different reasons.
Some patients had more than one diagnosis.
Diagnosis Number of Patients
Adult malaria 75
Child (infant to 17 y.o.) 249
Total 324 (diagnosis made with lab test)
63% of children seen in child clinics tested positive for malaria
17% of adults seen in adult clinic tested positive for malaria
Pneumonia 17
Bronchitis 12
Gastritis 45
Diarrhea 14
Enteritis 6
Musculoskeletal 139
Eye irritation 31
Cataracts 19
Conjunctivitis 6
Impetigo 24
Scabies/nonsp. Dermatitis 25
Fungal skin 15
TB skin 3 (many chronic ulcers also appear to be
mycobacterium related but were counted in
Wounds)
Otitis Media 18
Otitis Externa 8
Mastitis 1
Headache 43 (this dx was made in non malarious patients )
Pregnant 3
Worms 24 (made by description of worms in stool)
Seizure 5
URI, viral 7
Pharyngitis 2
STD 7 (dx made by presumptive sxs)
HIV 1 (dx made by lab test)
Malaise/anorexia 3
Goiter 5
UTI 39 (dx made by presumptive symptoms)
Abscess/ulcer/wound 38
Well patient/normal exam 39
Interesting observations:
249 positive tests for malaria in children
90% of positive malaria tests were done because parent reported fever in last 5 days.
.08% of positive malaria tests were done because of only triage temp>100.4
10% of positive tests were done because of worrisome physical exam by physician (with neg fever in last 5 days and neg temp in triage)
No malaria or bacterial illness was found in the 2 children with triage fever and no reported fever in last five days
20 children had bacterial diagnoses with negative malaria tests after parent reported fever in last 5 days
Conclusion:
Based upon these findings it is safe to directly triage children with reported fever in the last 5 days to malaria testing and physician evaluation without obtaining a temperature. Obtaining a temperature is process slowing and adds nothing to making good diagnostic decisions.
100% of medical patients (837) received de-worming medication and vitamins.
All pregnant women received Folic Acid supplements.
The 837 number is less than the total of 995 patients because dental patients were counted in the total patients seen but they did not receive vitamins or de-wormers. Many of the dental patients were also seen in medical clinic and received these medications there.
Medications Prescribed
Children’s liquid Adult tablet
Antibiotic 93 patients 160 patients
Pain /fever med 111 patients 252 patients
Malaria 233 patients 91 patients
(includes 16 children
who took chews or adult tabs)
Eye drops for 6 patients 46 patients
infex or irritation
Ear drops for infex 8 patients 3 patients
Oral antihistamine 8 patients 8 patients
Topical fungal medication 10 patients 7 patients
Cheryl Durstein-Decker MD FACEP
August 27, 2009
Monday, August 31, 2009
Sunday, August 30, 2009
Thursday, August 27, 2009
Wind Turbine Approval in Burkina Faso, West Africa
Many of you have asked me about the approval letter from the Burkina Faso government allowing HEsentme.org to provide electricity to villages in West Africa so I thought I would post a copy of the letter on my blob.
Wind Turbine site in Diebougou, West Africa
Shattering Darkness Headquarters in Deibougou, Burkina Faso, West Africa is the location of our first wind turbine installation in Africa.
Saturday, August 22, 2009
Want to get to know one of the children in Kamkaniba?
Amy Liao (one of our dentists on the Burkina Faso trip) interviewed one of the children in the village of Kamkaniba. Please take a few minutes to get to know this special little girl.
Tuesday, August 18, 2009
Where is God in America?
I woke up this morning at 4AM missing God. I couldn't help remembering how close He was while we were in Africa. I thought about the time it takes for God to answer my prayers here in America and how EVERY prayer was answered instantly in Africa. We had no one to help us so we turned to Him for everything. Was that the answer? Think about it.... When we need advice about something, we call a friend. When we need work, we call a business associate. When we are bored, we turn on the television. When we were in Africa, we turned to God. No waiting! We needed help, we prayed, God answered, PERIOD! Everyday, all day long, all night long. We prayed for rain and it rained. We prayed for a cop on the street corner in Ougadougou to take back the ticket he wrote Lynn Kennedy and he did. We prayed for a rabies vaccine and He led us to the only one available in Burkina Faso. We prayed for safe passage for our truck on a washed out "road" during the pouring African rain (at night) and we made it back to Kamkaniba with no delays. I know that the same God is with me here in America and He will provide for my every need... If I just spend time with Him.
Tuesday, August 11, 2009
West Africa August 2009 Summary
I had planned on writing a summary of our trip to Burkina Faso but Lynn Kennedy wrote it so well I just "cut and pasted" hers into my blog.
Beloved and Coveted Pray-ers,
The last month has been a whirlwind with a total of 38 folks from the US. A team of 14 stayed here at my place and ministered in the villages of Navielgan and Kpakpara. They are the 2 closest villages to us but it had been many years with no med team, so it was good. More than 1000 were treated. The VBS team presented the gospel to more than 300 children. I estimate somewhere between 10-30 made first time prefessions of faith.
A team of 24 camped out in the village of Kamkaniba. We slept on cots in the former church building and some of us (me included) slept in tents. This team encountered incredible attacks the entire week...no let up at all! This includes one of the women in the church being bitten by a bat and us searching for the vaccine and HRIG (Rabies immuno globulin) for 2 solid days traveling from Kamkani to Diebougou to Gaoua and finally Ouaga! We had a man speak a curse as he walked around the church building, much opposition and distraction at the morning evangelistic meetings, a cell phone taken, lots and lots of sickness with team members....unbelivable storms and the final morning winds so strong our tents were lifted out of the ground as it was pouring down rain!
I asked Patrice if in his memory he could remember another team under such attack as this one and neither of us can recall another! Thank you for praying. Many were treated and many were saved. And many are already talking of returning! Please be praying for Holly DOtson, she was bitten by a bat. Please pray for Amanda and Jim, they both had the bat land on them. All are in process of following the rabies vaccinations.
The meeting concerning the wind turbine with Jim Dotson went extremely well and we received official permission to proceed while Jim was here. So he traveled stateside with a copy of official government approval in hand!
Mado had her baby with no complications! Celine is ready for her delivery! Maturins wife had her baby, no complications.
The joint team of 14 took an offering to send one of our children to the children's hospital in Ouaga for a consult to see what can be done for his ear/eye. John Mark and Sandrive are doing well and in the process of building a larger home.
The dediction of the new church in Kamkani was celebrated our last evening there and culminated by our celebrating the Lord's Supper together!
Please be praying for the next 3 teams: 2 in October: leadership formation; construction and evangelism; November with Jim Dotson for further work on the wind turbine.
Please pray for our health, I currently have laryngitis and bronchitis, Patrice has a bad cold as well. We spent a lot of time wet and cold in Kamkani..along with all the other team members. My ole body just does not withstand things like before. ( Nope...I ain't gonna tell my age!) I am in my 13th year here...and some things are taking its toll! But our Lord is my Strength and Healer and Hope!
All is well. Thank you for praying.
We head to Ouaga next week. Patrice will be working on leader training in Sept. I will be working on radio programs and new book " A FIERY PASSION".
Much love in Christ as I remain Hidden in Him,
Lynn
PS 91
Beloved and Coveted Pray-ers,
The last month has been a whirlwind with a total of 38 folks from the US. A team of 14 stayed here at my place and ministered in the villages of Navielgan and Kpakpara. They are the 2 closest villages to us but it had been many years with no med team, so it was good. More than 1000 were treated. The VBS team presented the gospel to more than 300 children. I estimate somewhere between 10-30 made first time prefessions of faith.
A team of 24 camped out in the village of Kamkaniba. We slept on cots in the former church building and some of us (me included) slept in tents. This team encountered incredible attacks the entire week...no let up at all! This includes one of the women in the church being bitten by a bat and us searching for the vaccine and HRIG (Rabies immuno globulin) for 2 solid days traveling from Kamkani to Diebougou to Gaoua and finally Ouaga! We had a man speak a curse as he walked around the church building, much opposition and distraction at the morning evangelistic meetings, a cell phone taken, lots and lots of sickness with team members....unbelivable storms and the final morning winds so strong our tents were lifted out of the ground as it was pouring down rain!
I asked Patrice if in his memory he could remember another team under such attack as this one and neither of us can recall another! Thank you for praying. Many were treated and many were saved. And many are already talking of returning! Please be praying for Holly DOtson, she was bitten by a bat. Please pray for Amanda and Jim, they both had the bat land on them. All are in process of following the rabies vaccinations.
The meeting concerning the wind turbine with Jim Dotson went extremely well and we received official permission to proceed while Jim was here. So he traveled stateside with a copy of official government approval in hand!
Mado had her baby with no complications! Celine is ready for her delivery! Maturins wife had her baby, no complications.
The joint team of 14 took an offering to send one of our children to the children's hospital in Ouaga for a consult to see what can be done for his ear/eye. John Mark and Sandrive are doing well and in the process of building a larger home.
The dediction of the new church in Kamkani was celebrated our last evening there and culminated by our celebrating the Lord's Supper together!
Please be praying for the next 3 teams: 2 in October: leadership formation; construction and evangelism; November with Jim Dotson for further work on the wind turbine.
Please pray for our health, I currently have laryngitis and bronchitis, Patrice has a bad cold as well. We spent a lot of time wet and cold in Kamkani..along with all the other team members. My ole body just does not withstand things like before. ( Nope...I ain't gonna tell my age!) I am in my 13th year here...and some things are taking its toll! But our Lord is my Strength and Healer and Hope!
All is well. Thank you for praying.
We head to Ouaga next week. Patrice will be working on leader training in Sept. I will be working on radio programs and new book " A FIERY PASSION".
Much love in Christ as I remain Hidden in Him,
Lynn
PS 91
"God's Skin"
Lynn Kennedy and I were talking about the Dagara people the first evening we were in the village of Kamkaniba. She commented that they have no books in the village so there is no word for The Bible. After hearing some of the stories in The Bible and learning about Jesus, the villagers decided to call the book "God's Skin". What an impact this story had on me. These people understand God's word better than we do. Calling it The Bible just isn't enough for me anymore, it's no longer a book to me. It will always be "God's Skin".
Friday, August 7, 2009
Casablanca
This small fern followed us back to our hotel room but its owner finally showed up and took it home.
Editor note: OK, I apologize for taking liberties with the blurb but this picture needed some serious help to liven it up a bit.
Heading for New York
We just landed in Casablanca (aka Dar-el-Beida) and will be on our way to New York in 3 hours. No one had a bad reaction to the rabies shots!
Thursday, August 6, 2009
The Journey Home
We're heading for the airport at 11PM and we will be back in Casablanca in the morning. We are very anxious to see everyone!
Mission House
We made it to the mission house and everyone has showered and we are waiting for pizza, yum!
Our Visit Was Appreciated
The final numbers are not in yet but we think we treated over 1000 people this week!
Battling the Elements Again
There was a powerful storm this morning but we still managed to leave the village on time. We're on our way to Ougadougou.
Wednesday, August 5, 2009
"Control Group" Testing Completed
Lynn, Cheryl & Amanda finished their medical test group in a remote village. We will be returning to Kamkaniba in a bit to pack.
Returning Home
Tomorrow we will be in Ougadougou to take a shower, eat & shop before we start our long journey home.
Thank You
Thank you all for your love, support & prayers while on this great adventure. We are already looking forward to returning in November.
Wind Turbine Approved
Meeting went very well. We have wind turbine approved to install in Diebougou!
Transformation and the Desire for Healing
To say this trip has changed my life is an understatement. We will never forget the beautiful 15 year-old girl in the final stage of AIDS that rode for miles on the back of a bicycle only to be told that we cannot help her. I hope to see her in heaven.
Editor's note: God doesn't promise to keep us safe from physical harm on earth. However, He does guarantee the safety of our souls and that we will find comfort and everlasting happiness with Him in Heaven.
Editor's note: God doesn't promise to keep us safe from physical harm on earth. However, He does guarantee the safety of our souls and that we will find comfort and everlasting happiness with Him in Heaven.
More Medical Assistance
We treated over 200 people yesterday. One was a very sick pregnant woman. Please pray for her!
Tearful Goodbyes
Today is our last day in the village of Kamkaniba. It will be so hard to leave our new friends. There will be many tears.
Tuesday, August 4, 2009
Meetings and Visits
Tomorrow I will be meeting with government officials and visiting a small remote village.
Thanks For Your Support
There are too many answered prayers to list in this message. We love you and miss you!
Catastrophe Averted
We found the vaccine in Ougaudougou. We don't have to go home. Everyone is great!
Please Pray
After the worship service, we treated 100 people. One child had to have his toe amputated. There is lots of warfare, please pray.
Rabies And Other Hazards
The entire team is being treated for rabies as a precaution. 200 treated today. Lots of infection!
Holly
Holly was bitten by a bat last night and requires shots. Your prayers are greatly appreciated!
Poured concrete for the church
Poured concrete for the church floor today. Not sure how the medical team did yet.
Sunday, August 2, 2009
Treated 60 after rain stopped.
The team treated 60 people after the rain stopped, half of them (30) had malaria. Health for the team is good. We miss you all.
Saturday, August 1, 2009
Construction Today
Poured concrete for the church floor today. Not sure how the medical team did yet.
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