World

Health Student Organiza3on

Helping Students Help the World

www.waynewhso.org

2013-2014 Execu3ve Board

President Vice President of Internal Affairs Vice President of External Affairs Treasurer Secretary Drug & Supplies Co-Chair Drug & Supplies Co-Chair Fundraising Sustainability Co-Chair Sustainability Co-Chair Local Co-Chair: Freedom House Local Co-Chair: World Medical Relief Research Webmaster Haiti M1Trip Leader Haiti M2 Trip Leader Panama Trip Leader Peru Trip Leader Ecuador M1Trip Leader Ecuador M2 Trip Leader Faculty Advisor Michael Oom Kennen Less Danny Orabi Dan Malach Malati Vadapali Dave Springstead Jeff Lankowsky Jennie Meier Amy Li Jessica Campf Daniel Wei Zach Steffes Craig Tschautscher Meera Gebrael Terrie Ahn Priyanka Singh Jennifer Brady Phil Jackson Alex Borchert Sarah Stern Dr. Chih Chuang

www.waynewhso.org

WHSO Mission
Provide opportunities to our fellow students to gain medical and cultural experience outside our communities Provide free medical care to under-served populations in developing countries Serve citizens of Detroit by organizing community outreach projects and mentoring the youth Educate our fellow students on global health issues

WHSO Details

Largest organization on campus

Push

the limits of the schools resources

Last Year
Sent

over 90 students out of the country Treated 3000 patients Brought over 5000 lbs of drugs and supplies Trips raised about $30,000 collectively

Growth
Research Partnerships Clinic

Planned Trips
M1 Trips Haiti Panama Peru Ecuador M2 Trips

Haiti Ecuador

Trip Overview
~20 students per trip Each trip will have 2 physicians and 2 M4 students, in addition to nurses and translators. Sustainable Relief project on each trip A great mix of clinical experience, adventure and fun!!!

Clinics

Some with already established clinic

Some makeshift through local connections

Sustainability

Installed Water Filters

Local Connections Physical Therapy Education Hygiene Education Health Education Greenhouse Project

What you are waiting to hear about

Ecuador 2014!
M2: Saturday, March 15th - Sunday, March 23rd M1: Wednesday, May 14th - Saturday, May 24th

Where in the World?

WHSO
This year the M1 Summer trip to Ecuador will be planned by Alex

Borchert and the M2 Spring trip to Ecuador will be planned by Sarah Stern.Both trips will be coordinated with Jorge Vargas and the local community in the coastal villages of Agua Blanca and Rio Blanca near the beach town of Puerto Lopez. health care along villages on the coast where it is difficult for residents to visit far away Ecuadorian health clinics.

Students will have the opportunity to set-up and provide local

Students will stay in hostels, eat at local eateries, and have the

opportunity to visit local beaches. There will also bedays set aside at the end of the trip to go sightseeing and experience Guayaquil and the Galapagos Islands.

Quick Details
Potential Itinerary
1st Day: Travel
Fly into Guayaquil, Ecuador 3-4 hr bus ride to hostel in Puerto Lopez

Days 2 - 5: Clinic
Short bus ride from Puerto Lopez to Agua Blanca for clinic everyday Drive to Guayaquil to stay overnight in hostel

Days 6 9/10: Galapagos Islands

Fly to Galapagos (Santa Cruz) from Guayaquil Boat ride to Isabella Island Boat back to Santa Cruz

11th Day: Travel Home

Fly back to Guayaquil and then to US

Destinations

Agua Blanca

Puerto Lopez

Guayaquil

Details about Ecuador

Large majority speak Spanish! Dont worry if you dont know

Spanish because there are Amigos Medicos language sessions here at school and there will be translators at the clinic in Ecuador Ecuador straddles the equator. How cool is that? Guayaquil is the largest city in Ecuador (where we will be flying in) Population ~15 million Since 2000, they use the US dollar and Ecuadorian centavo coins (same value as US coins). They commonly use the US $1 coins. Majority of Ecuadorians are Roman Catholic In the coastal regions they eat a lot of seafood (fish, shrimp and ceviche), plantain- and peanut-based dishes

Details about Ecuador

Ecuador has the Pacific Coast on the west side of the country,

the Andes Mountains running through the middle and the Amazon rainforest, taking up just under half of the country, in the east. The Galapagos are 620 miles west of mainland Mount Chimborazo (6,310 m = 20,702 ft = 3.9 miles above sea level) is considered the most distant point from the center of the earth (given the ovoid shape of the planet). The pacific coast has a tropical climate: in March it is usually 75-88F. Because it is on the equator, the sunrise and sunset are at constant times (6:20am sunrise and 6:20pm sunset). It is mostly cloudy throughout March. There is a good chance of light to moderate rainfall during some portion of the day (relatively humid).

Health in Ecuador
They have a public health-care system that allows people

to be seen in public general hospitals at no cost for services in areas such as pediatrics, gynecology, clinical medicine and surgery. However, these hospitals are mainly in the large cities and are hard for people from surrounding rural communities to get to. In rural communities they have access to community health care centers. Life expectancy = 75 years 23% of children under 5 are chronically malnourished

Patient Demographics in Agua Blanca

Potential Patients: In the past, the group was able to

see and treat about 400-700 patients, working from approximately eight in the morning to five in the afternoon.

Demographic of Patients: Historically, most of the

patients seen in the clinic are rural farm workers. Allergic rhinitis, upper respiratory tract infections, joint and muscle pain, arthritis, gastroenteritis, GERD, dermatologic fungal infections, diabetes, and many others have been noted to be the most frequent and common diagnoses

Who?
M1s 2 Physicians 2 M4s M2s 2 Physicians 2 Residents

Guayaquil

and the Galapagos Islands!

Approximate Costs *
Flight to Ecuador: $900-$1000 Room and Board on Mainland: $600 Lunch (not included): $60 Galapagos Flight/Tour/Trip: $1260 Flight: ~$450 Tour: $700 Galapagos Entrance Tax: $100 Ingala Fee for Galapagos National Institute: $10 Extra-curricular: $100-$200 Total: ~$2800-$3000

*Based on current proposed budgets/itinerary

Questions?
Any Questions?
Alex Borchert-M1 Trip Leader aborcher@med.wayne.edu Sarah Stern-M2 Trip Leader sstern@med.wayne.edu

Facts about Hai3

Na3onal Languages: French
and Hai3an Creole 9,893,394 1,234,800

Countrys Popula3on Port-au-Prince Popula3on Hai3 Physician Density:

3 per 100,000 3 per 1,000

U.S. Physician Density:

Hai3 Healthcare
80% of the popula3on lives below the poverty
line

LiTle to no healthcare access Highest incident of HIV/AIDs outside of Africa Ranks last in Western Hemisphere in terms of
healthcare spending

Highly suscep3ble to preventable diseases

Haiti was named the most water impoverished nation by the WHO

Children have to resort to drinking polluted water

Pa3ent Demographics

Hypertension Diabetes Malnutri3on and Dehydra3on Gesta3onal Care Gastroesophageal Reux Disease (GERD) Vaginal Infec3ons/STIs/HIV Parasites/Worms/Tropical Fungi Tinea Corporis Diarrhea Cholera

Clinic Set-up
Triage Waiting Patient Waiting

Doctor

Doctor

Doctor

Triage

Doctor

Pharmacy

History Waiting

Pharmacy Waiting Patient History

M2 Hai3 Trip Details

Trip Coordinator: Priyanka Singh, M2 When: Dec 27, 2013 Jan 4, 2014 Host Organiza8on: Rays of Hope for Hai3 Physicans:
Diane Levine, MD, Internal Medicine; Vice-Chair Educa3on Jimmy BeloTe, MD, Obstetrics & Gynecology

Students:
WSU Pharmacy Students University Notre Dame DHai4 Medical Students WSU M4s Karam Asmaro and Lauren Kroll

Clinical experience: Over 600+ pa8ents served in four clinic days!!!

M1 Hai3 Trip Details

Trip Coordinator: Terrie Ahn, M2 When: Feb 22 Mar 2, 2014 (tenta3ve) Host Organiza8on: Rays of Hope for Hai3 Physicans:
Pamela Williams, MD, Family Medicine Zubin Mukadam, MD, Internal Medicine

Students:
University Notre Dame DHai4 Medical Students WSU M4s (TBD)

Clinical experience: Over 1000+ pa8ents served in six clinic days!!!

Even as M1s, you can

Prac3ce taking focused pa3ent histories great for Clinical Medicine OSCE prac3ce Take vitals (weight, temperature, BP, pulse, O2 Sat.) Present cases to physicians Prac3ce neuro exam Pelvic exams; pregnancy exams Give vaccines, run IVs Point-of-care tes3ng Pregnancy tests; glucometers;
urinalysis; etc.

Run the pharmacy Great way to learn drugs!

Sustainability Projects
Permanent Water Filtration Systems Aquapaks

Permanent Clinic
Collaborative effort between WSU and UNDH Serving patients in Cite Soleil

Accommoda3ons
The Eucalyptus Guest House, Port-au-Prince Ameni3es include:

Electricity WI-FI Clean Drinking Water 3 Bathrooms with warm water! All meals included Your own maTress, sheets SWIMMING POOL A Home Away From Home

Your Well-Deserved Beach Day

Where: Club Indigo Buet Lunch Swimming Pool, Volleyball, Souvenirs and Street Ar3sts Beach and Ocean views!

We work and play hard!

 Flights - $650-700

Approximate Costs

Daily Fees (Housing, Food) - $450 Transporta3on (Bus, Driver, Gas) - $150 Translators - $140 Rays of Hope Fee - $50 Security - $100 Miscellaneous - $200 TOTAL TRIP COST - $1600-1800

Ques3ons or More Info?

M1 Hai8 Trip Coordinator: Terrie Ahn tah@med.wayne.edu

M2 Hai8 Trip Coordinator: Priyanka Singh psingh@med.wayne.edu

Panama, a young republic with a growing economy and a democratic social organization Last four decades experienced gradual changes in its health determinants that have made it possible to overcome many communicable diseases Overlap of communicable and non communicable diseases in all sectors of the population Access to health care is main difficulty, despite universal healthcare Location of 2014 trip: Darin Province

Despite universal health care, many Panamanians have lack of access to health care The province's population is small, dispersed and heterogeneous, located in small towns linked to waterways. ~50,000 people

Mission- Empower volunteers to facilitate sustainable solutions in under resourced communities while fostering local cultures. Vision -Improve equality of life by igniting the largest student-led social responsibility movement.

Trip Goers:
20 M1s 2 doctors 2 M4s

Meet your doctors: Dr. Chuang

Housing and food:

Summer-camp style bunk room All meals provided on clinic days

Internal med/Pediatrics Director of Global Health and Education Faculty Advisor for WHSO

Dr. Connor: Ob/GYN

Trip Dates (could vary by 1 day) Day 1: Depart Detroit and arrive in Darien (Feb 22, 2014) Day 2: Overview and clinic preparation Day 3: Clinic Day 4: Clinic Day 5: Clinic Day 6: Clinic /Cultural Sustainability Day Day 7: Vacation (up to the group) Day 8:Vacation Day 9: Vacation Day 10: Travel Home (March 2)

Trip costs per person Program fee: $820 includes food, housing, insurance, in country transportation, etc. Flight: $700-$900 depending on current costs Fourth year program fee contribution: $90 Translators + medication donation for Global Brigades: $55 Vacation: ~$300 depending on what you guys choose to do Panama city, nice islands miscellaneous: ~$200 to bring with you for extra food and souvenirs Total: ~2,400 including EVERYTHING also consider cost of any vaccinations you need to get: Thyphoid, Hep A, Hep B, Malaria prophylaxis

PERU
WSU School of Medicine WHSO M1 Peru Trip Trip Leader: Philip Jackson

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Demographics
Capital city of Lima, Peru Language: Spanish or Quechua 30% below poverty line 60% below poverty line in the Ollantaytambo District

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Ollantaytambo
Rural district outside of Cuzco, Peru Over 9000 ft above sea level Due to geographic isolation, limited

health care
Limited electricity, running water, road

access
Most villagers make living through

farming and raising livestock

Last inhabited city of the Incan Empire

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Sacred Valley Health

Our vision is:
- rural inhabitants of Peru's Sacred Valley have access to quality health care services - partnerships with government and NGOs maximize access to resources; every community has at least one trained promotora de salud (community health worker) - each promotora serves as an agent of change and health advocate for his or her community.

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Itinerary: Feb. 22- March 2

Feb 22-Arrive in Cusco, stay night in hostel Feb 23-Transfer to Ollantaytambo, explore village, set up for clinic Feb 24-Macchu Picchu Feb 25-Sustainability project (most likely will be patient education) Feb 26-28- Clinic! March 1-Transfer to Cusco, explore city March 2-Transfer to airport, leave Peru %

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3 Day Clinic
Location: Ollantaytambo and surrounding villages Expect to see over 5oo pts

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Sustainability

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Machu Picchu
Day trip to Incan ruins and optional Waynapicchu climb

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$$$
Program Fee- $250 (includes donation and translators) Lodging- $180 (includes 6 nights at homestays with 3 meals/day and 2 nights at a hostel with breakfast) Transportation- $80 Flights- $1300-$1700 Machu Picchu- $160- $200 (depends on Waynapicchu) TOTAL: $2000-$2600 Highly dependent on ights!

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Questions, Comments, Concerns

Visit waynewhso.org Email pjackson@med.wayne.edu

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Why does it cost so much?

DRUGS Setting up clinics from scratch Supplies Transportation Guides/Host Site Translators Security

Fundraising

Expect each trip as a group to raise $3000 through fundraisers

Not

that difficult Money toward drugs and supplies

Additional for sustainability

Depending

on Location

Guidance from our Fundraising Chair

Membership

$35 for New Members

$25

for Returning Members

WHSO T-Shirt WSUSOM Flip Flops Just about the only way to volunteer at Freedom House

Trip Requirements

4 total for M2s ; 5 total for M1s

Telefund

(required) Ethnic Fair Amigos Medicos Language Sessions () Freedom House WMR Clinic (Covenant or S.A.Y.)

Must be a member to go on a trip

Local
There is a place where the persecuted can heal

Temporary home for survivors of persecution around the world seeking legal asylum in the US. Offer monthly 2 hour health presentations to educate residents and monitor basic health.

http://www.freedomhousedetroit.org/

Local

Facilitate the distribution of surplus medical resources where they are needed Offer our time to help sort medical supplies every Saturday morning

http://www.worldmedicalrelief.com/

Impact Global

In many of the locations volunteer medical teams are the only care they ever receive
Some

only 1 per year

Saved Lives Lasting Impact

Sustainability

Projects Were dreaming big

Research
Repeating

trips to same locations Measure and track progress

Impact Personal
Perspective Cultural Immersion Some of the best clinical experiences you can get, especially in 1st year What you make of it Connections

Doctors Fellow Local

students

What to do now?
Apply for a Trip at waynewhso.org th M1 Applications due Sept 15 M2 Applications due Sept 1st Volunteer and get involved with WHSO Contact us with ideas!

Thank You!

Questions?