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What is the predominant presentation in Juba's ENT clinic?

Presenting Author: Usama Kamel

Published online by Cambridge University Press:  03 June 2016

Usama Kamel*
Affiliation:
Milton Keynes University Hospital
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Abstract

Type
Abstracts
Copyright
Copyright © JLO (1984) Limited 2016 

Learning Objectives:

Introduction: A medical mission was set up in Juba. Juba has the only teaching hospital in South Sudan; it provides medical service to 9.8 m. Their Healthcare heavily depends on foreign aids and medical missions. South Sudan is a 4 year old country since they had independence.

Methodology: Registration and agreement with South Sudan Ministry of Health were pursued. Earlier communication to establish resources was sought. No previous ENT missionary Clinics were set up in the hospital, therefore this clinic had publicity through the ministry of health public announcement and TV adverts. Daily theatre sessions were allocated for the surgeries. One ENT doctor ran the clinics, surgeries and on call for the week's mission. Database was setup for the clinic registry and patient management. The clinic was run for a morning and afternoon session. Theatre was run in the evening after clinics. Limited theatre resources made it difficult to perform microscopic and endoscopic surgeries.

Results: 129 cases seen in a week. 32% were allergic rhinitis, 15% otitis externa, 7% acute otitis media, 6% chronic suppurative otitis media and 6% recurrent tonsillitis. Fifteen cases (12%) had operations. Training sessions were also run to medical doctors to help them develop their ENT skills.

Conclusion: South Sudan ENT clinic presentations showed that third of cases were allergic rhinitis and a sixth were otitis externa. There is a great need for ENT service in South Sudan to help combat infections and common ENT conditions. Aid is needed to build ENT service in the capital.