INTRODUCTION: In 2005, a team of U.S. physicians, nurse practitioners, nurses, pharmacists, emergency medical technicians and lay support personnel provided health services in an isolated town in rural Haiti. METHODS: During one week, the team saw 788 patients. They recorded age, sex, vital signs, diagnoses, and treatments in an electronic database. A descriptive analysis is presented. RESULTS: Intestinal parasitosis was the third most common diagnosis overall, and the most common diagnosis for children. For adults aged 50 years or older, 52% of women and 37% of men had elevated blood pressures, significantly more than adults aged 15-49 years. DISCUSSION: This paper focuses on intestinal parasitosis and hypertension. Periodic anti-helminthic treatment and community sanitation are discussed as ways to reduce the burden of parasites and secondary malnutrition. Challenges to implementing a sustainable antihypertensive program are discussed, including patient education, medication availability and prioritization, and adequate follow-up in a very austere rural setting.
INTRODUCTION: In 2005, a team of U.S. physicians, nurse practitioners, nurses, pharmacists, emergency medical technicians and lay support personnel provided health services in an isolated town in rural Haiti. METHODS: During one week, the team saw 788 patients. They recorded age, sex, vital signs, diagnoses, and treatments in an electronic database. A descriptive analysis is presented. RESULTS:Intestinal parasitosis was the third most common diagnosis overall, and the most common diagnosis for children. For adults aged 50 years or older, 52% of women and 37% of men had elevated blood pressures, significantly more than adults aged 15-49 years. DISCUSSION: This paper focuses on intestinal parasitosis and hypertension. Periodic anti-helminthic treatment and community sanitation are discussed as ways to reduce the burden of parasites and secondary malnutrition. Challenges to implementing a sustainable antihypertensive program are discussed, including patient education, medication availability and prioritization, and adequate follow-up in a very austere rural setting.
Authors: Olga Tymejczyk; Margaret L McNairy; Jacky S Petion; Vanessa R Rivera; Audrey Dorélien; Mireille Peck; Grace Seo; Kathleen F Walsh; Daniel W Fitzgerald; Robert N Peck; Ashish Joshi; Jean W Pape; Denis Nash Journal: J Hypertens Date: 2019-04 Impact factor: 4.844
Authors: Maria Teresinha Gomes Casavechia; Maria Valdrinez Campana Lonardoni; Eneide Aparecida Sabaini Venazzi; Paula Aline Zanetti Campanerut-Sá; Hugo Rafael da Costa Benalia; Matheus Felipe Mattiello; Pedro Victor Lazaretti Menechini; Carlos Aparecido Dos Santos; Jorge Juarez Vieira Teixeira Journal: Parasitol Res Date: 2016-03-18 Impact factor: 2.289
Authors: Kathleen F Walsh; Myung Hee Lee; Shoria Martelly; Marie Melissa Pierre; Junon Joseph; Myrlene Gustin; Robert N Peck; Daniel W Fitzgerald; Jean William Pape; Margaret McNairy Journal: J Clin Hypertens (Greenwich) Date: 2018-09-26 Impact factor: 3.738