DERMATOLOGICAL CARE FOR ALL “A BASIC HUMAN RIGHT”
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ABOUT US

THE DEPARTMENT OF MEDICINE OF MIGRATION AT SAN GALLICANO HOSPITAL, ROME

Since 1st January 1985 a Department of Preventive Medicine for Migration has been opened at “Istituto San Gallicano”. For years the Department has represented the only public referral point not only for assistance and treatment but also for medical-epidemiologic, social, anthropologic research concerning immigrant, nomadic and homeless populations. Besides offering free daily service, the Department represents a valid observatory centre for studying and monitoring health conditions of these particular groups and the health hazards they are subjected to.

The service of the Dept. is open to all citizens, Italians and foreigners present in Italy.

The services of the Dept. are particularly addressed to regular, illegal and clandestine immigrants, homeless, nomads and those having health problems but without a health insurance card.
The Dept. is also open to agents of tourism, missionaries, travellers from and to tropical countries, providing specialised tests, visits and updated information on the prevention of the most common diseases in tropical regions. The Dept. is open Monday to Friday. Patients are registered 8.30-12.30. Visiting hours 9.00-14.00. Tuesday and Thursday also 15.00-18.00; visiting hours 15-19.30.

According to the present legislation, all Italian citizens and also regular immigrants, may have free access to the services provided by the National Health Service, whatever their economic condition. A contribution to expenses may be asked for certain services and drugs. Illegal or clandestine immigrants may go to a NHS centre for medical assistance, provided that they are identified and certified as STP (“Straniero Temporaneamente Presente” - “Temporarily Present Foreigner”).

According to the regulation a foreigner, if without an identification card, needs only to certify his/her name, date of birth and nationality to receive an STP number and fiscal code. The STP document allows free access to services and essential drugs, by attending a public hospital for assistance. The STP document must be renewed every six months.

Medical examination and advice can be requested on the following specialities: dermatology, allergology, oncology, plastic surgery, internal diseases, infectious diseases, neurology, tropical diseases, sexology, sexually transmitted diseases, AIDS. Moreover laboratory tests can be performed such as microbiological, mycological, histo-pathologic tests, x-rays, electronic microscopy and experimental tests on skin pathologies.

Also in the Department is a medical-anthropological Counselling Service, specially aimed at detecting and taking care of cultural disadvantage as a risk of onset of diseases. The Service avails itself of the help of anthropologists from Università ‘La Sapienza’, Rome.

Every year, in collaboration with Regione Lazio Government and Rome City Council, the Dept. organises an International Course of Transcultural Medicine, addressed to socio-medical operators, public administrators, teachers, volunteers, with the aim of promoting interest, understanding and exchange of experiences about the complex reality of health care.

Since 1996 the Dept. has been assisted by linguistic-cultural mediators, who provide welcoming reception and translating facilities to foreign patients in their own language. They also facilitate cultural and interpretative understanding for diagnostic and therapeutic purpose. The main languages spoken are: French, English, Spanish, Portuguese, Arabic, Kurd, Lingala, Swahili, Tigrigna, Amharic, Filipino (Tagalong), Tamil, Bangladeshi, Serbo-Croatian, Bulgarian, Polish, Russian, Rumanian and Albanian.

Medical case studies of the Dept. of Preventive Medicine for Migration at “Istituto San Gallicano” (IRCSS)

Between 1 January 1985 and 31 December 2005, 82,348 legal, illegal and clandestine immigrants made their first visit to the Department: of these 36,766 (44.6%) were females and 45,582 (55.4%) were males.




At present 13% of immigrants are from Africa (in 1985-91, 73%, in 1992-98, 39%); 22.3% are from North and South America (in 1985-91, 7%, in 1992-98, 20%); 8.3% are from Asia (in 1985-91, 12%, in 1992-98, 19.5%); 50.2% are from Eastern Europe (in 1985-91, 8% and in 1992-98, 21.5%).




3.9% immigrants are between 0-12 years and 57.1% between 13-34 years. Altogether 75.6% of the observed immigrants are under 40 years. It is interesting to notice the slow increase of elderly immigrants over 60 who in our case exceed 1.7%. As regards migrants' levels of education, 10.4% have elementary schooling, 24% junior secondary education, 50.8% advanced secondary education, 9.8% university level, while 14.8%are university graduates.


In addition to these foreign patients, the percentage of Italian patients attending the Department has increased from 5% in 1985, to 22% at the beginning of 2005. This group is composed mainly of homeless (90%) and elderly people (10%). This phenomenon may in part be explained by the increase of the percentage of Italians (13.1%) who are under the poverty threshold.

They have difficult access to the NHS and to the social and health care network, where complete coverage of their needs by the NHS is not fully available to them. These people come to the Department for all kinds of help, especially social and also for simple practices, such as intramuscular injections of drugs.


Overview of the Italian Dermatological Hospital (IDH) of Mekele, Tigray (Ethiopia)

The IDH is a free hospital that treats patients affected by various dermatological problems. The local hospital staff—two nurses, one of whom has ten years of experience, and a health assistant—cares for admitted patients. Before admission, a doctor completes a medical card for each patient and updates this card every day that the person is in hospital, Saturday and Sunday included.

A member of the hospital staff notes each patient’s vital signs (temperature, blood pressure, breathing rate) along with any problems that may arise, in the nurse’s card. Night reports are recorded in a separate book. Upon admission, the patient is taught proper hospital etiquette and is provided with soap, a towel, and a clean set of pyjamas and is then instructed to bathe. The patients are also provided three free meals a day (prepared in the hospital’s kitchen) as well as fresh bread.

In Ethiopia’s public hospitals, each person is charged a fee of 10 Ethiopian Birr (ETB) (about the equivalent of one Euro) per day for the use of a bed. The patient is billed separately for the use of medicine, syringes, and anything else used for his care. One euro plus the cost of medicine may not seem like much money, but when considered in the context of a typical Ethiopian wage, one sees how this fee can be prohibitive—a labourer, for example, earns 200 ETB (about 20 euros) a month. However, basic health care is assured to poorest people.

IDH, on the other hand, guarantees medical care to all patients, regardless of ability to pay. Anyone under the care of IDH who requires x-rays or laboratory examinations, for example, is provided transportation (and, when necessary, is accompanied) to the local public hospital or, should the public hospital’s facilities not be operational, to a private clinic. These services are all provided at the expense of IISMAS.

IDH also provides outpatient care from Monday to Friday. Access to this service is free and does not require an appointment. (Seeing patients by appointment can be quite difficult as many travel from rural areas, sometimes hundreds of kilometres away from Mekele, to get to IDH.) IDH sees an average of 40 outpatients a day.











 


The Italian Dermatological Hospital of Mekele during its first year of activity

From the hospital’s official opening on January 20, 2005, through December 31, 2005, IDH treated a total of 9,206outpatients. Most of the hospital’s patients were male, and the most represented age group was 18-34. The most common diseases were of an inflammatory nature, particularly eczematous dermatitis and lichen; of an infective nature, mainly bacterial and fungal infections; or of a parasitic nature, like scabies or lice. Photodermatitic diseases were also prevalent. (See figure 1)

In this time period, 189 males and 101 females were admitted to IDH. The average age of these patients was 21.3 years (the oldest admitted person was 77 years old) and 49.3% were children (ranging from two months to 16 years of age).

Infections are the most prevalent diseases treated at IDH—bacterial, fungal, and viral infections represent 41, 35, and 18 percent of cases, respectively. Lice and scabies make up 6% of cases, and eczema another 54%. Acneic dermatitis (12%) melasma and photodermatitis (11% of cases), pityriasis alba (10%), prurigo (7%) and lichen planus (6%), are also common.

Over 30% of patients tested positive for HIV/AIDS. Since the skin is often the first organ targeted by the disease, a doctor can diagnose systemic diseases through a simple dermatological consultation and blood tests. Dermatological examinations can therefore help in diagnosing HIV/AIDS, which can in turn help curb the spread of the disease (at little or no cost to the government).

The hospital pharmacy gives free medicines to those patients who have demonstrated the greatest financial need. These medicines are obtained locally: in Mekele, there are three large suppliers of medicines, of which two are private and one public. (The public supplier is the least expensive of the three, but it also has the worst selection of dermatological creams and ointments.) In order to purchase medicines from one of these distributors, one must obtain a special permit from the Tigray Health Bureau. Only a doctor or pharmacist can obtain such a permit, and only after providing a stamped letter (from the local organization with which the doctor is affiliated) justifying the request and with a list of the medicines that the doctor wishes to purchase. A separate permit is required for each store from which the doctor intends to purchase medicines—one permit will not suffice for all three, even if the medicines in question are all needed to care for a single patient.

IDH was also able to obtain permission to use Dapsone, Clofazimine, and Streptomycin for the treatment of dermatological diseases, such as Durhing disease, actinomycetoma, lupus erythematosus (when the disease is severe or diffused), and vasculitis, according to international protocol. In Ethiopia, the use of these medicines is normally limited to the treatment of leprosy and tuberculosis. The medicines are normally provided free of charge by health posts only for patients whose diagnoses for the aforementioned diseases have been confirmed by laboratory examination (microscopic examination, for example). IDH was able to obtain the aforementioned consent by written request, which included bibliographic support and abstracts of scientific articles that reported the use of these medicines for the treatment of specific dermatological diseases. IDH obtains these medicines from the local health post.

A standard series patch test using 20 types of allergens is performed on contact allergic dermatitis patients. In its first year of activity, IDH performed 150 patch tests, 98 on female patients and 52 on male patients.

In its first year, IDH also performed 257 biopsies for patients who needed istopathological evaluation. The samples were analyzed by either Servizio di Anatomia Patologica e Istopatologia dell’Istituto Dermatologico San Gallicano or by OspedaleDermatologico S. Lazzaro, S.C.D.U. Dermosifilopatica 3 di Torino.

Medical Activity in the Civil Hospital of Mekele

Three mornings a week, an IISMAS dermatologist also provides outpatient care at the civil hospital of Mekele, where the doctor is given a room in which to care for patients. Upon request, the doctor can also see admitted patients after the morning session. The IDH dermatologist cares for an average of 30 patients per morning session at the civil hospital and, as usual, does so at no charge to the patient.

Medical activity at Mother Teresa’s Sisters

IDH dermatologist has carried out ambulatory activities at Mother Teresa’Sisters.

Three times a week, providing outpatient care to both temporary and permanent residents of this establishment. Patients receive treatment and medicines and, if necessary, blood or other examinations, all free of charge—the costs are all covered by IISMAS. The dermatologist can see up to 15 patients a day here, and, in some cases, patients are admitted to IDH for more adequate diagnosis and treatment.

Training and Didactic Activities

In January 2005, IDH organized a day of theoretical and practical dermatology lessons for the doctors of the civil hospital of Mekele. These doctors were shown photographs taken during clinical activities and were asked to discuss difficult-to-diagnose cases. In the following months, IDH gave similar training, this time at IDH, to some local doctors who often provide services and consultation for IDH.

From May to June 2005, IDH conducted some lessons for Health Officers in-training. These instructional sessions lasted a week and covered the following subjects:
. Anatomy and physiology of the skin and cutaneous appendages
. Bacterial infections
. Viral infections
. Parasitic infestations
. Deep and superficial fungal infections
. Eczema and dermatitis.

At the end of each two-hour lesson, students participated in a discussion about the day’s lesson. IDH again used the photographs taken during clinical activity for training purposes, and each student also received a workbook reviewing all the topics covered and slides presented in the week’s session. At the end of the course, each student took a ten-question multiple-choice test.

From June to October, 2005, IDH provided pediatric dermatology training for Health Officers at Mekele civil hospital and also gave a lesson in pediatric dermatological theory to the physiotherapist of the Ortho-physiotherapeutic centre of Mekele as part of a project financed by the Italian Ministry of Foreign Affairs.

Photographic Archive and Telemedicine

IDH maintains an electronic database of all its clinical photographs, which is daily updated. All photographs are taken with the consent of the patients in both the civil hospital of Mekele and at IDH. After being archived, the photographs are then used for staff training and for patient follow-ups. Furthermore, thanks to the ability to send photographs electronically, IDH has begun to provide tele-consultation services.

IDH is an integral part of the Alleanza degli Ospedali Italiani nel Mondo (Alliance of Italian Hospitals in the World) and has started a tele-consultation service in concert with many Italian and International medical centres with the aim of promoting the international exchange of information and scientific data. The goal of the Alleanza is to improve, through the use of medical tele-consultations and distance-training, the quality of health services provided by Italian health centres for needy populations throughout the world. Joining the project are Italian world health centres (located in 22 countries) and 33 National specialistic health centres (see figure 2). The latter are represented by IRCCS (Istituti di Ricovero e Cura a Carattere Scientifico) and other significant public and private hospitals. The project sets the following operational objectives:

- The reduction, mainly through the use of tele-consultation services, of the clinical-diagnostic and techno-organizational problems that often exist in health centres abroad;
- The improvement, through an e-learning service, of the professional skills of the healthcare staff at the Italian health centres worldwide;
- The establishment of a collaboration betweenthe Italian hospitals abroad and the National specialistic health centres, which can serve for the best interest of both organizations: for example, they can exchange expertise and experiment jointly innovative solutions;
- The understanding of population health needs in order to support the formulation of effective health care policies carried out by local and national governments.

San Gallicano Institute, in this frame, is among the centres coordinating the activities of the Italian health centres in Africa. It also provides scientific expertise on dermatology via telematic consultation and training to all associated health centres, included the IISMAS in Mekele - Ethiopia. In 2005, 17 difficult counsellings were provided through teleconsultation.

 

ALLEANZA DEGLI OSPEDALI ITALIANI NEL MONDO


Italian Health Centres In the World
- 16 in Africa
- 12 in the Americas
- 6 in the Middle East and Asia
- 2 in Other Regions of the World

In Italy
- 33 specialistic centres

Clinical, scientific and teaching activities in India


During the last five years we started a scientific and teaching activity in India, namely in Mysore in collaboration with Shukrodaya Animation Society.

Shukrodaya Animation Society is a registered Charity NGO actively involved in promoting social awareness education, holistic health education, leadership formation and community development programmes. As a part of the voluntary sector in India and in appreciation of its commitment to the progress of the poor and the underprivileged, Shukrodaya has been recognised as a charitable and educational institution both by the Government of India and the Government of Karnataka since 1985. Shukrodaya Movement was launched in 1985 by a group of dedicated persons, experienced in the field of holistic education and committed to the cause of human development.

The particulars of our collaboration in this activity are as follows:

1. Support Project for Children of Tsunami

The members of Shukrodaya Animation Society have been taking care of street children and children from broken homes along with children from poor families of different background since 1995 under a project known as “Shukrodaya’s Premanivas” (Shelter of Love) located at Shukrodaya Vidyalaya in a campus of five hectares of land at Varuna, T.N.Pur Road, Mysore- 10.





It was launched by Pére J.Jaunet, MEP, a Christian Pastor and long-time friend of Shukrodaya, who passed away in 2000, with the support of his pension savings. The project aims at integration of children of varied background with a holistic approach. We have decided to look after twenty children – ten boys and ten girls of tsunami background who have lost both the parents and are in the middle of nowhere. The list will be screened through both Government and NGO agencies lest we should have any complication in the future. Ten boys will be located at Shukrodaya’s Premanivas and ten girls will be under the care of another NGO or a Religious Congregation any time from now. Because of budget constraints, we have restricted the number to twenty. A few more children could be added to our project depending on the kind of response we get to this appeal. Attending to their basic needs such as shelter, food, clothing, health and education will be our priority. They will be part of the project until they are able to be independent and self-reliant. Vocational education along with formal education and periodic counselling, yoga and meditation will be part of our educational efforts.

2 Establishing Shukrodaya Centre for Holistic Health Education in collaboration with San Gallicano Hospital, Roma, Italy;

Shukrodaya Centre for Holistic Health Education is a unique venture taken up in collaboration with San Gallicano Hospital, Roma, Italy. Dr. Aldo Morrone of San Gallicano and Dr.A.S.Dasan of Shukrodaya are the initiators of this project. This project aims at responding to the aspirations and wishes of people from different parts of the world searching for ways of learning the art of holistic living. Holistic health embraces and involves several aesthetics, disciplines, techniques and therapies. It accommodates and integrates transnational and multicultural therapies in order to usher in a holistic living. This Centre is designed with facilities for single stay, family stay, group stay and community satsangh (fellowship) experiences. It has space for a mini swimming pool with facilities for body massage, yoga exercises and steam bath. It also has a compact dining hall.

3 Expanding the Leadership Training Centre with residential facilities for seminar participants;

Expanding the Leadership Training Centre for seminar participants is another pending project. The present Centre can accommodate about 20 participants. We need accommodation for 30 to 40 more people. Participants coming from outside Mysore, other parts of India and outside India need to have basic residential accommodation. The duration of the seminar varies from three days to five days. The expansion will be done on the first floor of Shukrodaya's Premanivas.

4 Starting a Pre-University Education Centre for Rural-Urban Youth interactions and integration.

Starting a Pre-University Education Centre for Rural-Urban Youth Integration is a venture that has to be taken up for the benefit of the youth of Varuna and surrounding villages. There is no Pre-University Education Centre anywhere within a radius of eight KMs. Government agencies concentrate on primary and higher primary education only. Youngsters passing out of high school are compelled to travel to Mysore city for further education. Starting this Centre at Shukrodaya's Campus at Varuna would be a great service to the poor youth of the area. Nominal fees collected from students and local donations may take care of the monthly remuneration of the teaching faculty.


Study and health care intervention on skin diseases in the Peruvian Amazon


Coordinators:
Prof. Aldo Morrone (IISMAS President)
Patrizia Marie Webster (PEM President)
Dr. Javier Villanes Arias (Medical Director and PEM Vice President)
Claudio Colangelo (PEM Italy’s coordinator for PEM)

The Proyecto de Expediciones Medicales (PEM), active since more than 12 years under several denominations, in cooperation with US NGO’s (actually Amazon Promise www.amazonpromise.org ), has as main task the free supply of basic medical help to the local indigenous population.

Objectives
Two geographic areas have been identified where we intend to perform the skin diseases study within the local population:

- The Belen District
- Some villages of the Peruvian Amazon down the Tahuayo river.

The District of Belen is situated in the city of Iquitos, on the left bank of the river Itaya, in the Maynas Province of the Loreto Department, in the region called Oriente Amazzonico Peruano.

The area has a tropical climate, where temperatures range from 32 to 42 degrees Centigrade. There live approximately 250.000 inhabitants in very poor conditions. 30% of the population is dedicated to hunting, fishing and agriculture for pure survival purposes; another 30% do the same activities with commercial purposes, while the remaining 40% does not perform any activity. Within the unemployed we find alcoholics, drug addicts, prostitutes, thieves, homeless, etc.Belen is better known as “the port of Belen”, because in its port take action most of the trades for the market of Iquitos originating from the Amazon jungle of the Loreto Region. The sanitary and hygienic situation among the Belen population is the worst you can imagine.All garbage is thrown into the river, defecation is done in the same river whence drinking water is supplied.The daily market in Belen is kept along the darkish river canals or in the dirty streets, with goods standing near live and dead animals and excrements without any minimal hygienic precaution. In this District there is a public health dispensary absolutely inadequate to respond to the needs of the overwhelming population. Out of some endemic diseases (such as malaria, leishmaniosis, etc.) the Peruvian public health service does not provide free medicine.The poverty, the unacceptable hygienic conditions and the periodic river flooding make the skin affections of any kind very easy.
We can list several pathologies such as: scabies, mycotic dermatitis, allergic dermatitis, eczemas, leishmaniosis, vitiligo, psoriasis, actinomycosis, fungus, warts, melanomas, skin complications arising from HIV and diseases more difficult to diagnose without proper analysis.

The small villages along the banks of the Tahuajo river, are in the same Loreto Department.The Peruvian Amazon population counts 63 different tribes. All of them do hunting, fishing and agriculture for pure survival purposes. Along the banks of the Tahuajo river we can find pure indigenous as well as half-caste people.All those villages, very seldom receive any help from the Peruvian central administration. Schools are almost abandoned, no health care centres are in place and the only reference for this subject is the “Promotore de Salud”, a local inhabitant with less than basic training. Due to the geographic configuration of the area, those villages are only accessible by river, with a long journey by motor boat. Needless to say, even there the hygienic situation is unbearable.Worth mentioning is the lack of any kind of support for deliveries, performed in the jungle with the woman in labour all on her own. We can easily imagine the environmental and hygienic risks for mothers and babies. The types of skin diseases we can find here, are comparable to those found in Belen.

Expedition objectives
With this expedition PEM intends to assist patients with skin diseases, collecting at the same time some statistical data. The expedition will be done in cooperation with the ’IstitutoInternazionale di ScienzeMediche,Antropologiche e Sociali (www.IISMAS.it ) an Italian NGO represented by Prof. Aldo Morrone, Director of an important Italian Hospital Department, specialized in tropical diseases (Department of Preventive Medicine for Migration, Tourism and Tropical Dermatology, Hospital S.ta Maria and San Gallicano of Rome).

Expedition participants:

Prof. Aldo Morrone IISMAS President and Director of the Department of Preventive Medicine for Migration, Tourism and Tropical Dermatology - Hospital S.ta Maria and San Gallicano

Dott. Luigi Toma IISMAS member and Manager of the Department of Preventive Medicine for Migration, Tourism and Tropical Dermatology - Hospital S.ta Maria and San Gallicano

Patricia Marie Webster PEM President
Dr. Javier Villanes Arias PEM Doctor Manager
Claudio Colangelo PEM Coordinator for Italy
Medical and paramedical volunteers

Duration of expedition:
2 weeks, of which one in the Belen area and one in the Tahuajo river area.

Expedition activity:
we expect to attend and give treatment to at least 200 patients with skin diseases who will be duly booked through PEM representatives three months in advance of the expedition.One of the expedition purposes is also the free distribution of medicines, both for skin diseases and for other pathological conditions.

Cooperation Agreement
On October 25, 2005 an important Cooperation Agreement was signed in Rome by:

1.Dermato Venereology Department, Faculty of Medicine, Addis Ababa University (AAU)represented by the Head of Department Dr. Dagnachew Shibeshi
2.San Gallicano Institute IRCSS represented by Prof. Aldo Morrone
3. Faculty of Medicine, Addis Ababa University represented by the Associate Dean for Undergraduate Dr. Damte Shimelis, on behalf of the Dean of Faculty of Medicine

The subject of the agreement is the scientific cooperation between the above mentioned parties through the:
- exchange of professors, scientific and technical staff for short and medium time periods;
- exchange of post-graduate students;
- joint research activities and curriculum developments in the field of cooperation;
- joint organisation of conferences, seminars, symposia, workshops, etc;
- exchange of publications, atlas, guidelines, text books and other scientific materials.

The goal of the collaboration is to strengthen and expand graduate training and research among the collaborating partners, in the hope that it will contribute to the improvement of health and human development at national level in Ethiopia and will enhance the knowledge by the European partners on tropical medicine.

IISMAS International Institute of Medical, Anthropological and Social Sciences

Agroup of friends, many of whom gather around the activities of the Department of Tropical Dermatology and Preventive Medicine for Migration at San Gallicano Institute, Rome, share a certain vision of the world and decide to found an association in order “to put into practice” some of the ideas that link them.

As a result we have in 2002 the onset of activities of the International Institute of Medical Anthropological and Social Sciences (I.I.M.A.S.S.), an active Onlus in the field of the medical research and anthropological and social sciences.

In collaboration with the association “Camminare Insieme” of Turin, the Institute is till today involved in numerous plans for the poor populations of Africa, Latin America and South-East Asia, and it promotes in Italy the prevention, diagnosis and treatment of the diseases that affect some social groups, particularly weak, of the population with particular regard to immigrants, gipsies, prostitutes, victims of torture, asylum seekers and low-income elderly persons, often also non self-sufficient.

The Association has collaborated with the NGO Hansenians' Ethiopian and Eritrean Welfare Organisation H.E.W.O.) in Ethiopia for the realization of social-health services, provided free of charge for the persons suffering from Hansen's disease, dermatological diseases, TB, AIDS.

Currently, with the sponsorship of the Ministry of Health of Tigray (Tigray's Health Bureau) and the San Gallicano Institute of Rome, the Association supports the clinical and didactic activity of prevention and scientific research in the Civilian Hospital of Mekele in Ethiopia. In this field, it has organized and conducted the first three editions of the International Congress on Dermatology and Infectious Diseases, at Mekele, Quihà and Axum, respectively. A Study Centre of tropical dermatological pathologies and other transmissible tropical pathologies is already in operation. At the moment, the Association is already in a condition to supply to the international medical class an updated and original photographic database of tropical pathologies.

Moreover, it collaborates with NGO Shukrodaya Animation Centre in India for a plan about the health promotion for persons of the poorest groups of the population in the city of Mysore, and it supports the training of health activities in a perspective of comparison with holistic tradition of the Indian medicine.

It collaborates with the University of Buenos Aires in a programme of formative exchange for the doctors who work in the field of international dermatology.

In collaboration with “Proyecto de Expediciones Medicales”, in Perù, the Institute promotes a research and medical activity project aimed at fighting against the dermatological pathologies affecting the native populations in Peruvian Amazonia.

The Institute is open to the collaboration of any person willing to contribute ideas, projects and experiences.

It is possible to send donations through the Banca Intesa ABI 3069 CAB 5081 c/c n°082742190197 (BBAN n°IT 40G0006905081082742190197 ) or through Postal account n. 60541257 or to sponsor the events organized by the International Institute of Medical Anthropological and Social Sciences. A tax deduction of 19% up to a maximun of 2065,83 euro wil be allowed.



Scientific Committee

 NAME TITLE INSTITUTE POSITION
Torello Lotti MD International Society of Dermatology Secretary - General
Henning Grossmann MD International Society of Dermatology Board Director
Coleman Jacobson MD International Society of Dermatology Communication Committee
Terence Ryan MD International Society of Dermatology Honorary President
Mohammed Amer MD African Association of Dermatology President
Uwe Wollina MD International Society of Dermatology Board Director
Dagnachew Shibeshi MD University of Medicine - Addis Ababa  
Mengistu Hiletework MD Alert Hospital - Addis Ababa Consultant Dermatovenereologist
Solomon Beyene MD University of Medicine - Addis Ababa  

Organizing Committee


NAME TITLE INSTITUTE POSITION
Aldo Morrone Prof. Institute of San Gallicano - Rome Director of Department of Preventive Medicine of Migration, Tourism and Tropical Dermatology
Ugo Fornari MD Institute of San Gallicano - Rome Health Consultant
Gennaro Franco MD Institute of San Gallicano - Rome Dermatologist
Luigi Toma MD Institute of San Gallicano - Rome Unit of Preventive Medicine of Tourism
Ottavio Latini MD Institute of San Gallicano - Rome Scientific Planning
Lorenzo Nosotti MD Institute of San Gallicano - Rome Unit of Preventive Medicine of Migration
Silvana Trincone MD Institute of San Gallicano - Rome Research Consultant
Valeska Padovese MD Institute of San Gallicano - Rome Research Consultant
Margherita Elisa Terranova MD Institute of San Gallicano - Rome Research Consultant
Mariacarla Valenzano MD Institute of San Gallicano - Rome Research Consultant
Roberta Calcaterra MD Institute of San Gallicano - Rome Research Consultant
Raffaella Fazio MD Institute of San Gallicano - Rome Research Consultant
Beppe Fontanarosa   IISMAS International Institute of Medical, Anthropological and Social Sciences - Rome General Director

SCIENTIFIC PROGRAMME

SPECIAL SESSION
1. Migration and health
2. Migration and infectious diseases
3. Migration and dermatology
4. Health and human rights

HIV/AIDS AND OTHER STIs
1. Worldwide look at HIV/AIDS and other STIs
2. STIs and AIDS
3. HIV Infection and Kaposi’s sarcoma
4. Vulvar pathologies non STs
5. Clinical quiz and discussion

COMMUNITY DERMATOLOGY
1. Public health in dermatology
2. Community dermatology
3. Globalization and dermatology

ECZEMA/DERMATITIS
1. Parasites and eczema
2. Intertrigo

LEPROSY
1. Transmission of leprosy
2. Clinical aspects of leprosy
3. Prevention of disabilities and rehabilitation in leprosy

SKIN AND APPENDICES
1. Bullous diseases
2. Pemphigus foliaceus
3. Disorders of hair growth in black skin
4. Pathogenetic aspects of systemic scleroderma

INFECTIONS AND INFESTATIONS
1. Bacteria and viral infections
2. Cutaneous leishmaniosis
3. Adverse cutaneous drug reactions in virus infected persons

 
 

SOCIAL PROGRAMME


The social programme foresees:

November 1 – Addis Ababa
Welcoming Dinner at the Italian Embassy


 
 
BEFORE CONGRESS TOUR
ADDIS ABABA / LALIBELA ETHIOPIA 4 DAYS / 4 NIGHTS


1st Day October 28 - ADDIS ABABA

Visit of two of the most interesting museums: National Archaeological Museum and Ethnographic Museum. Visit to the Trinity Church. In the afternoon visit to the mountain Entoto where you can admire a wonderful view. Dinner and overnight stay in hotel.

2nd Day October 29 - ADDIS ABABA / LALIBELA
Full board. Departure for Lalibela. and over flight of the green Ethiopian valleys. It’s hard to describe the beauty and atmosphere. Eleven churches dug in the rock. It’s possible to admire through small galleries their wonderful architecture. The most important churches are St. George whit typical cross layout encircled with columns, and the church of Holy of the world. Dinner and overnight stay in hotel.

3rd Day October 30 - LALIBELA
Full board. Completion of the visit to the eleven churches by coach. Visit of a typical Ethiopian village. Dinner and overnight stay in hotel.

4th Day 31 October - LALIBELA/ ADDIS ABABA
Full Board. Departure with line flight to Addis Ababa, arrival and transfer in hotel. City tour of the Ethiopian Capital. Dinner and overnight stay in hotel.

BEFORE CONGRESS TOUR - SPECIAL OFFER IF BOOKING BEFORE SEPTEMBER 15, 2006


DOUBLE ROOM EXTENTION NORTH € 555.00
EXTRA CHARGE FOR SINGLE ROOM € 96,00

If booking after September 15, extra charge of € 100,00 will be applied


Fees include:
Line Flight with Ethiopian Airlines Addis – Lalibela – Addis - transfer to/from airport in Ethiopia + Hotel 3* ROHA LALIBELA, 5* HILTON in ADDIS ABABA , full board during the tour, private coach for excursion, Visit entrance fee, tax and service. Welcome kit .

Fees do not include:
International flight, Entrance visas, Italian and English Guide, airport tax, tips, and all personal expenses.

ATTENDEES HAVE THE POSSIBILITY TO BOOK CUSTOMIZED TOURS BEFORE AND AFTER THE CONGRESS.

Antichi Splendori viaggi - di Maria Pia Valcasara
Via Vanchiglia, 22/A - 10124 Torino Tel. 011/81.26.715 - 88.40.61 r.a. - Fax 011/81.23.542 www.antichisplendori.it
 
 
 
AFTER CONGRESS TOUR
ETHIOPIA 6 DAYS / 5 NIGHTS


1st Day November 4 - MEKELE

Breakfast in hotel. Transfer with private coach to conference revenue. Lunch. In late afternoon transfer to hotel, dinner and overnight stay.


2nd Day November 5 - MEKELE/DEBREDAMO/YEHA/ADWA/AXUM
Full board. Departure for Axum. Stop off to admire the monastery of Debredamo, located among rocks and deep canyon. Continuation to Yeha, to visit the remnants of sabean age, like the impressive temple of the typical south Arabic architecture. Continuation to Adwa where 100 years ago, during the periods of colonial conquest, a bloody battle took place between african and Italian force, the African force won.. Arrival at Axum ,accommodation in hotel, dinner and overnight stay.

3rd Day November 6 - AXUM/ LALIBELA

Full Board. In the morning visit of the holy city of Axum, rich of legends and wonderful monuments. The city was the capital of e regime till 19th century. that exercised its own influence on the adjacent country, the region of Nilo, northern Ethiopian and on the Red Sea. shore . Here lived the Queen of Sheba , and her son Menelik I, who was born from a relation with King Salomone. Visit to the remnants of Sheban age, the beautiful steleae are engraved with ornaments representing south Arabic building. At the basement slabs of stone can be found, with sacrifices ara. The biggest Steles lies broken on the pavement while others look at the blue sky. Departure to Lalibela and over flight of the green Ethiopian valleys. Is hard to describe the beauty and atmosphere. Eleven churches dug on the rock. It’s possible, across small galleries, to visit their wonderful architecture. The most important churches are St. George whit typical cross layout, encircled with columns, and the church of Holly of the world. Dinner and overnight stay in hotel at Lalibela.

4th Day November 7 - LALIBELA
Full board. Completion of the visit to the eleven churches, by coach. Visit of a typical Ethiopian village. Dinner and overnight stay in hotel.

5th Day November 8 - LALIBELA / ADDIS ABABA

Full Board. Departure with line flight to Addis Ababa, arrival and transfer in hotel. City Tour of the Ethiopian Capital. Typical dinner with music and dance. Overnight stay in hotel.

6th Day November 9 - ADDIS ABABA / ROMA (or other destination)
Breakfast in hotel, in the morning free time. Private coach transfer to Airport in late morning, take off for Rome or other destinations.

BEFORE CONGRESS TOUR - SPECIAL OFFER IF BOOKING BEFORE SEPTEMBER 15, 2006


DOUBLE ROOM EXTENTION NORTH € 522.00
EXTRA CHARGE FOR SINGLE ROOM € 68,00

If booking after September 15, extra charge of € 100,00 will be applied


Fees include:
Line Flight with Ethiopian Airlines Axum – Lalibela – Addis - transfer to/from airport in Ethiopia - Hotel 3* ROHA LALIBELA, full board during the tour, private coach for excursion, Italian or English Guide, visit entrance fee, tax and service, health and baggage insurance . Welcome Kit.

Fees do not include:
International flight, Entrance visas, Italian and Ethiopian Airport tax, tips, Drinks, and all personal expenses.

ATTENDEES HAVE THE POSSIBILITY TO BOOK CUSTOMIZED TOURS BEFORE AND AFTER THE CONGRESS.


Antichi Splendori viaggi - di Maria Pia Valcasara
Via Vanchiglia, 22/A - 10124 Torino Tel. 011/81.26.715 - 88.40.61 r.a. - Fax 011/81.23.542 www.antichisplendori.it
 
 
 
WHY ETHIOPIA - TIGRAY?






Ethiopia is one of the poorest countries in the world (Gross National Product/residents about 100 $/year) but rich in history, culture and breathtaking landscapes. The skeleton of Lucy, one of the earliest human ancestors 3.2 million years old was discovered in the Afar valley of Ethiopia and is now exhibited in the National Museum of Addis Ababa. Today, in the small town of Axum, one can still see remnants of the temples, fortresses and palaces that illustrate the power of Axum Obelisks and of the wealth of the ancient Axumite people.The health situation in Tigray, at the end of 2004, was the following:

Surface 54.572 km2
Total population in the region 4.113.000
Number of working hospital 12 (1: 342.750 people)
Number of doctors 70 (1: 58.757 people)
Life expectation at birth 46 years
Mortality index under 5 years 90/1000
Mothers mortality index 551/100.000
Under weight children under 5 66,6%
Tuberculosis prevalence 188,4/100.000
Malaria incidence 23.072/100.00
Pregnant women HIV pos 13%
Poeople aged 40-44 years HIV pos 24,7%
 
 
 

CONGRESS REVENUE


November 1, Addis Ababa - Italian Institute of Culture
November 2 – 4, Mekele Congress Centre of Mekele

 
 

ACCOMMODATION AND CONGRESS GENERAL PROGRAMME

ADDIS ABABA / MEKELE, NOVEMBER 1- 4 2006.

It's advisable to make flight booking with the Ethiopian Airlines in order to make possible also domestic flights booking (Addis Ababa / Mekele / Addis Ababa).
If booking with a different line flight it’s advisable do it three months ahead.
The Tour Operator Antichi Splendori is available should you need any assistance: Email congress@antichisplendori.it


ETHIOPIA 5 DAYS / 4 NIGHTS

1st day 1 November - ADDIS ABABA

Arrival in the morning, transfer and accommodation in hotel, and few hours for relax. Transfer in private coach to conference revenue . Congress Opening Session. Late afternoon return to hotel. In the evening transfer to Italian Embassy for dinner. Transfer in hotel. Overnight stay


2nd day 2 November - ADDIS ABABA / MEKELE
Full Board. Transfer to Airport and departure to Mekele with line flight over the Ethiopian green valleys. Arrival, transfer and accommodation in hotel. Lunch in restaurant. Transfer in private coach to conference revenue. In late afternoon return to hotel, dinner and overnight stay.

3rd day 3 November - MEKELE

Full board. Transfer in private coach to conference revenue. Lunch in congress revenue. In late afternoon return to hotel, dinner and overnight stay.

4th day 4 November - MEKELE / ADDIS ABABA
Full board. Transfer with private coach to conference revenue, closing session. Lunch. In the afternoon transfer with private coach to airport with line flight to Addis Ababa. Arrival and transfer in hotel. Typical Dinner with local music and dance, overnight stay.

5th day 5 November - ADDIS ABABA / ROMA
Breakfast in hotel, in the morning free time. Transfer with private coach to Airport in late morning. Take off for Rome or other destination.

FULL BOARD FROM NOVEMBER 1ST TO NOVEMBER 5TH, 2006 ETHIOPIA (ADDIS ABABA / MEKELE) 5 DAYS/4 NIGHTS INDIVIDUAL PRICE

DOUBLE ROOM HOTEL HILTON 5* € 480,00
EXTRA CHARGE FOR SINGLE ROOM HOTEL HILTON 5* € 165,00
EXTRA CHARGE FOR VISAS ON PLACE € 20,00
PRICE FOR FLIGHT FROM ROME – NO TAX EXTRACHARGE FOR EHIOPIAN AIRLINES FLIGHT ROMA/ADDIS ABABA/MEKELE / ADDIS ABABA/ROMA € 836,00 + TAX
EXTRA CHARGE FOR DEPARTURE FROM OTHER ITALIAN CITY BY AIR ONE € 165,00
EXTRA CHARGE AIRPORT TAX AND FUEL SURCHARGE + ETHIOPIAN TAX about € 140,00


The fees include: Transfer to/from airport in Ethiopia + Transfer with private coach to conference revenue.
Hotel 5* HILTON in garden wing room , Hotel 4* AXUM MEKELLE , Italian or English Guide, Visit entrance fee, tax and service, Health and baggage Insurance . Welcome kit.

The fees do not include:
International and domestic flight, Entrance visas, Italian and Ethiopian airport tax, tips, Drink, and all personal expenses.

Entrance Visas: A valid passport for six months after departure with a minimum of two empty pages is required , this information for UE Citizens.
The visas is issued at the airport.
The fees ware calculated on the actual flight cost, service on land. Change 1€ = 1,25 USD Any variation could cause modification of fares.


Antichi Splendori viaggi - di Maria Pia Valcasara
Via Vanchiglia, 22/A - 10124 Torino Tel. 011/81.26.715 - 88.40.61 r.a. - Fax 011/81.23.542 www.antichisplendori.it
 

 
 

REGISTRATION


Payment before, September 15, 2006 € 100,00
Payment after, September 15, 2006 € 200,00


To register please go to home page and click on Reservation Form

 
 

ABSTRACT SUBMISSION

Participants are invited to submit abstracts under any of the categories listed below. Abstracts will be selected by the Scientific Committee.

Abstract details
1. abstract should be no longer than 250 words
2. clearly indicate the category on the title of the abstract
3. author first name and last name should be explicit
4. abstract should be sent via email to: s.gallicano-desk@libero.it
5. deadline for submission: August 31st, 2006


Categories
1. Acne
2. Advances in the Management of HIV
3. Adverse Drug Reactions – How to Avoid, How to Diagnose and How to Treat
4. Atopic Dermatitis in Adults
5. Atopic Dermatitis in Children
6. Cosmetics in Dermatology
7. Dermatology and Culture-Bound Syndrome
8. Dermatology in Ethiopia 9. Dermatology in Ethnic Skin
10. Dermatoses of the Genital Area
11. Dermatovenereological Problems of Puberty
12. Diagnosis and Management of Autoimmune Bullous Diseases
13. Diseases of Oral Mucosa
14. Disorders of the Hair Follicles and Scalp
15. Evidence Based Dermatology
16. Facial Dermatoses
17. Human Papillomaviruses
18. Hyperpigmentary Disorders
19. Imported Dermatoses
20. Infectious Dermatoses
21. Lupus Erythematosus
22. Management of Cutaneous Lymphoma
23. Nail Diseases
24. Neoplasms of the Skin
25. Non – infectious Dermatoses
26. Psoriasis
27. Scleroderma
28. Skin signs of autoimmune Diseases
29. Skin signs of Internal Diseases
30. Skin, Culture and Psyche

31. Teledermatology
32. The Ageing Skin – Structural and Functional Changes
33. The Management of Hyperhidrosis
34. Treatment of Skin Disorders in Pregnancy
35. Update on the Management of Melanoma
36. Vitiligo and Hypopigmentation
37. Miscellaneous

 
 

International Society of Dermatology Award


Application for Grant

The International Society of Dermatology, Official Sponsor of the Congress, will offer a Travel Award to two young dermatologists, coming from outside Italy, the organizing Country of the Congress.

To receive additional information and the application form, please send a request to:

Organizing Secretariat
Loredana Bonazzoli
email s.gallicano-desk@libero.it


 
 

CONTACT US

Organizing Secretariat

Ms. Loredana Bonazzoli
Istituto San Gallicano
Struttura Complessa di Medicina Preventiva delle Migrazioni, del Turismo e di Dermatologia Tropicale
Via di San Gallicano 25/a
Roma 00153 – Italy
Tel. +39-06-58543714 Fax +39-06-58543782
Email s.gallicano-desk@libero.it
 
   
 
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