Abstract
patients seen since 2010 were included in this study. The burden of disease, measured as the ratio of unique diagnoses per total patient encounters, was determined. Prevalence of intestinal helminthiasis, representing the greatest burden to the total patient population, was compared between 25 communities using bivariate and multivariate analysis. Results (Scientific Abstract)/Collaborative Partners (Programmatic Abstract): FD patient records over the past 2 years indicate that intestinal helminthiasis represents the greatest perceived health burden in all 21 Ngobe communities visited, with 32% (95% CI, 5.99) of patients seeking treatment for worms, while non-indigenous patients present with worms in only 10% (95% CI, 4.53) of 421 consultations. Integrating the data from each community into geographic information systems (GIS) has allowed for meaningful graphic data presentation. Summary/Conclusion: The overwhelming burden of helminthiasis is well known to FD clinicians and quantifying this burden in each community has provided both FD and the local Ministry of Health with an improved understanding of 1) geographic distribution of helminth burden, 2) the effectiveness of individual anthelmintic programs, and 3) regions that may require novel anthelmintic approaches. As a consequence of this research and the partnership between Floating Doctors, US medical schools, and local Ministry of Health, a group of first-year medical students from Stony Brook University will be conducting a fecal sample study in the indigenous town of Norteno this summer. In addition to identifying the types of helminths burdening the community they will coordinate with the school’s principal, teachers, and Peace Corps volunteer to implement a helminth education curriculum. This winter MD and MPH students will also be applying for a grant to install a Pan-American Health Organization (PAHO) chlorine filtration system for Norteno’s largest aqueduct.
Highlights
Osteoporotic fractures lead to significant morbidity and mortality worldwide
In China, breast cancer (BC) survival is improving as screening, diagnosis and treatment programs expand, the long-term impact of BC therapy on fracture risk among Chinese women remains unknown and no guidelines exist to prevent BC treatment-induced bone loss
We designed a pilot study to evaluate the scope of this problem among BC survivors at a large cancer referral hospital in Beijing
Summary
Osteoporotic fractures lead to significant morbidity and mortality worldwide. Women with breast cancer (BC) are at high risk for fracture due to the deleterious impact of BC therapies on bone density. As a consequence of this research and the partnership between Floating Doctors, US medical schools, and local Ministry of Health, a group of first-year medical students from Stony Brook University will be conducting a fecal sample study in the indigenous town of Norteno this summer. Risk and prevalence of vertebral fractures among breast cancer survivors in China
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