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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.
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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.
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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.
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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
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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.
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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 |
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| Mengistu
Hiletework |
MD |
Alert Hospital
- Addis Ababa |
Consultant Dermatovenereologist |
| Solomon
Beyene |
MD |
University of
Medicine - Addis Ababa |
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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 |
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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
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SOCIAL PROGRAMME The
social programme foresees:
November 1 – Addis Ababa
Welcoming Dinner at the Italian Embassy
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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
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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
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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
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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
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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% |
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CONGRESS REVENUE
November 1, Addis Ababa - Italian Institute of Culture
November 2 – 4, Mekele Congress Centre of Mekele
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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
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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
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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
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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
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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
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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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