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CURRICULUM |  |
| General
information Kenya 2011 Tanzania 2011 & 2012 Uganda 2012 |
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General information |  |
Prior to the expedition it is highly recommended to buy the latest edition of the Oxford Hand-Book of Tropical Medicine by, Michael Eddlestone & Stephen Pierini, Oxford University Press, ISBN 0-19-262772-4.
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Ward rounds Ward rounds with individual on-site bedside teaching and visits to out-patient clinics are organized in various teaching hospitals and health centers. Participants get hands-on-experience on patients with tropical infectious diseases and discuss the history, signs and symptoms, diagnosis and treatment with experienced physicians from East Africa and Germany. Patients seen by the participants have normally full access to diagnostic microbiology and parasitology, so that diagnosis in most cases is confirmed and not merely presumptive.. |
 See photo gallery for more pictures |
 See photo gallery for more pictures |
Field
excursions Field excursions are carried out to rural areas and research projects, where the entomology, epidemiology, prevention and control of the most important tropical infectious diseases are covered (see itinerary). During ethno-botanical bush walks (e.g. cultivation of Artemisia annua for malaria therapy) and visits to national parks (e.g.antelopes are a reservoir for African trypanosomiasis) the participants can explore the rich flora and fauna of East Africa. |
Laboratory
manuals Didactic presentation of diagnostic helminthology, protozoology and bacteriology followed by hands-on microscopy of blood (e.g. malaria, lymphatic filariasis, African trypanos- omiasis), stool (e.g. schistosomiasis mansoni, amoebiasis, giardia), urine (e.g. schistosomiasis haematobium) and skin (e.g. onchocerciasis, leprosy). |
 See photo gallery for more pictures |
 See photo gallery for more pictures |
Lectures Powerpoint-presentations in English are given prior to ward rounds, out-patient clinics and laboratory manuals (a CD with all lectures in English is given at the end of the course). |
Participants presentation
On one evening participants can present (optional) for about 10 minutes their work-, research-, oversea-experience to other participants (Please come with USB stick).
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Kenya 2011 | |
Medical program
Malaria, Visceral Leishmaniasis, Lymphatic Filariasis, Schistosomiasis, Dengue fever and new emerging arboviral infections, HIV/AIDS and related opportunistic infections, ophtalmology in the tropics, DD of fever and diarrhoea in the tropics, WHO-vaccination guidelines for travelers, dive medicine, medical botany. At the end of the course the participants visit the “Flying Doctors” (AMREF) headquarters in Nairobi.
Timetable
| 23rd Jan. 2011
Sunday |
Transfer from Jomo Kenyatta International Airport to Fairview Hotel, Nairobi (20 km) | |
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19.00 |
Introduction
to the medical program Meeting point: Reception of the Fairview Hotel (Dr. Schaefer) |
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| 24th Jan. 2011
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08.00-09.00 |
Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of HIV/AIDS and related opportunistic infections in East Africa (Dr. Schaefer) |
| Drive to Kikuyu Hospital (30 km) | ||
| 10.15-12.15 | Ward rounds: Presentation of AIDS patients with related opportunistic infectons at Kikuyu Hospital, Nairobi (Dr. Stephen) | |
| 12.30-14.30 | Laboratory manuals: Diagnosis of HIV/AIDS and related opportunistic infections at Kikuyu Hospital, Nairobi (Mr. Anthony) | |
| 15.00-17.00 |
Ward rounds in the Kikuyu Eye Unit. Ophtalmology in the tropics (Dr. Walia) | |
| Drive to Lake Baringo via Nakuru (270 km) | ||
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| 25th Jan. 2011
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09.30-11.30 | Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of Visceral Leishmaniasis (Dr. Schaefer) |
| 14.00-16.00 |
Field excursion: Patients with Visceral Leishmaniasis in a rural area in Baringo District (Mr. Chirchir) | |
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| 26th Jan. 2011
Wednesday |
09.00-10.00 |
Lecture: Differential diagnosis of Diarrhoea in the tropics (Dr. Schaefer) |
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Drive to Marigat Sub-District Hospital (20 km) | |
| 11.00-14.00 | Ward rounds: Presentation of patients with Diarrhoea at Marigat Sub-District Hospital (Dr. Rahab) | |
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15.00-17.00 |
Laboratory manuals: Diagnosis of Diarrhoeal infections in Marigat Subdivision Hospital (Mr. Rotich) |
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Drive to Lake Baringo (20 km) | |
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| 27th Jan. 2011
Thursday |
09.00-10.00 | Lecture:
Differential diagnosis of fever in the tropics (Dr. Schaefer)
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| Drive to Kakamega (230 km) | ||
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14.00-16.00 |
Field excursion: Bush-walk through Kakamega rainforest: Fever and the use of traditional medicine in the indigenous population (Mr. Georg) | |
| 16.15-19.15 | Ward rounds: Presentation of patients with fever at Mukono Hospital (Dr. Barasa) | |
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| 28th Jan. 2011 Friday |
10.00-11.00 |
Lecture: Epidemiology, clinical manifestations, diagnosis and treament of Schistosomiasis (Dr. Schaefer) |
| Drive to Kisumu (60 km) | ||
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14.00-16.00 | Field excursion to the shoreline of Lake Victoria. Schistosomiasis: prevention and control strategies in a fishing village and inspection of the habitat of fresh water snails (Dr. Schaefer) |
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Drive to Kakamega (60 km) | |
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| 29th Jan. 2011 Saturday |
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Drive to Lake Naivasha (280 km) |
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07.30-09.30 |
Field excursion: Expanded Program for Immunization (EPI) in small children in a rural area near Nakuru (Dr. Schaefer) | |
| Game drive in Lake Nakuru National Park | ||
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| 30th Jan. 2011 Sunday |
Drive to Nairobi (70 km). Flight to Mombasa (600 km) followed by transfer to Diani Beach, South Coast (40 km) | |
| After dinner participants can (optionally) present for about 10 minutes their work- and/or research-experience to the other participants (Carried on USB stick) | ||
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| 31st Jan. 2011 Monday |
09.00-10.00 | Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of Lymphatic Filariasis (Dr. Schaefer) |
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Drive to Msambweni (30 km) |
| 11.00-14.00 | Ward rounds: Presentation of patients with Lymphatic Filariasis at Msambweni Hospital (Dr. Mwaura) | |
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14.00-16.00 | Laboratory manuals: Diagnosis of Lymphatic Filariasis (Dr. Mwaura) |
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Drive to Diani Beach (30 km) | |
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| 1st Feb. 2011 Tuesday |
08.00-10.00 |
Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of Malaria (Dr. Schaefer) |
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Drive to Kwale (30 km) | |
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11.00-13.00 |
Ward rounds: Presentation of patients with Malaria at Kwale Sub-District Hospital (Dr. Makoyo) |
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14.00-16.00 |
Laboratory manuals: Diagnosis of Malaria at Kwale Sub-District Hospital (Dr. Makoyo) | |
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Drive to Diani Beach (30 km) | |
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| 2nd Feb. 2011
Wednesday |
08.00-09.00 | Lecture: WHO vaccination guidelinesfor travelers (Dr. Schaefer) |
| 09.30-12.30 | Ward rounds: Presentation of patients with travel related illnesses at Diani Beach Hospital (Dr. Sindhab) | |
| 13.00-16.00 | Field excursion to different Travel Medicine health units in the hinterland of Ukunda. (Dr. Schaefer) | |
| 16.30-17.30 | Lecture: Epidemiology, clinical manifestations, diagnosis, treatment and control of Dengue Fever (Dr. Schaefer) | |
| 18.00-19.00 | Lecture: Epidemiology, clinical manifestations, diagnosis, treatment and control of Ebola-, Marburg-, Chikungunya-, and Rift-Valley Fever (Dr. Schaefer) | |
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| 3rd Feb. 2011 Thursday |
08.00-10.00 | Lecture: Dive Medicine (Dr. Sollacher) |
| 10.30-12.30 | Field excursion to different dive centers in Diani Beach: Experience of First Aid procedures after diving accidents (Dr. Schaefer) | |
| 14.00-15.00 | Lecture: Global Warming: The spread of Malaria and Dengue Fever to temperate climates (Dr. Schaefer) | |
| 16.00-18.00 | Field excursion: Visit to the Colobus Trust in Diani Beach: The threat of Global Warming to the flora and fauna in Kenya (Dr. Schaefer) | |
| Drive to Mombasa (60 km) | ||
| Flight to Nairobi (600 km) | ||
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| 4th Feb. 2011 Friday |
08.30-10.30 | Ward rounds: Emergency medicine in the "Flying Doctors" headquarter of the African Medical and Research Foundation (AMREF) in Nairobi (Dr. Vadera) |
| 11.00-13.00 | Laboratory manuals at AMREF headquarter, Nairobi: Hands-on microscopy of parasites in the blood, stool and urine (Dr. Carter) | |
| Transfer from Fairview Hotel to Jomo Kenyatta International Airport (20 km) | ||
Changes may occur without prior notice!
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Tanzania 2011 & 2012 | |
The medical program and timetable for 2012 is the same as for 2011.
Medical program
Malaria, African Trypanosomiasis, Lymphatic Filariasis, Schistosomiasis, Brucellosis, Cholera, HIV/AIDS and related opportunistic infection, Dengue Fever and new emerging arboviral infections Dermatology in the tropics, DD of Fever and Diarrhoea in the tropics, WHO-vaccination guidelines for travellers, Altitude Sickness, Venomous Snakes, Medical Botany, Traditional Medicine. At the beginning of the course participants visit the Flying Medical Service (Flying Doctors) in Arusha.
Timetable
| 20th Feb. 2011 Sunday |
Transfer from Kilimanjaro International Airport (KIA) to the Arusha Coffee Lodge (40 km) | |
| 23.00 | Introduction to the medical program Meeting point: Reception of the Arusha Coffee Lodge (Dr. Schaefer) |
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| 21st Feb. 2011 Monday |
10.00-11.00 | Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of HIV/AIDS in Africa (Dr. Schaefer) |
| 12.00-15.00 | Ward rounds on the Paediatric, Female and Male ward of St. Elisabeth Hospital. Emphesis on HIV/AIDS and opportunistic infections (Dr.Michael) | |
| 15.30-17.30 | Laboratory manuals: Diagnosis of HIV/AIDS and opportunistic infections (Dr. Michael) | |
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| 22nd Feb. 2011 Tuesday |
09.30-11.00 | Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of Malaria (Dr. Schaefer) |
| 11.15.-13.15 | Ward rounds on the Paediatric, Female and Male ward of Selian Hospital. Emphesis on Malaria (Dr. Jacobson) | |
| 15.00-17.00 | Field excursion to the A to Z Textile Medical Center in Arusha. Prevention and control of Malaria. Production of Olyset®, a unique long-lasting mosquito bednet containing permethrin (Mr. Ramanandi) | |
| 19.00-20.00 | Lecture: Global Warming: The spread of Malaria and Dengue Fever to temperate climates (Dr. Schaefer) | |
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| 23rd Feb. 2011 Wednesday |
09.15-10.15 | Lecture: Mountain sickness during the ascent of Kilimanjaro and Mt. Meru (Dr. Ole-Nguyaine) |
| 10.30-11.30 | Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of Dengue Fever (Dr. Schaefer) | |
| Drive to the Flying Medical Service (20 km) | ||
| 15.00-17.00 | Field excursion: Flying Medical Service - Medical care in rural areas of Tanzania (Dr. Father Pat Patten) | |
| Drive to the Arusha Coffee Lodge (20 km) | ||
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| 24th Feb. 2011 Thursday |
08.00-09.00 | Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of Thursday African Trypanosomiasis (Dr. Schaefer) |
| 09.15-10.15 | Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of poisonous African snake bites (Dr. Schaefer) | |
| 10.30-12.30 | Field excursion: to the Meserani Snake Park in Arusha: Poisonous snakes in Africa (Mr. BJ) | |
| Drive to Magugu (100 km) | ||
| 14.30-16.30 | Ward rounds in the Magugu Hospital. African Trypanosomiasis and other tropical diseases causing fever (Dr. Abasi) | |
| 16.30-17.30 | Laboratory manuals: Diagnosis of African Trypanosomiasis (Dr. Abasi) | |
| Drive to Karatu (70 km) | ||
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| 25th Feb. 2011 Friday |
Drive to the Endulen Hospital in the Ngorongoro Conservation Area (80 km) | |
| 09.00-10.00 | Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of Brucellosis (Dr. Schaefer) | |
| 10.30-13.30 | Ward rounds in the Endulen Hospital. Brucellosis in the Maasai Community (Dr. Roggeveen) | |
| 14:30-17:30 | Laboratory manuals: Diagnosis of Malaria and Brucellosis (Dr. Nicholas) | |
| Drive via the Olduvai Gorge (cradle of mankind) and the Ngorongoro Conservation Area to Karatu (130 km) | ||
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| 26th Feb. 2011 Saturday |
09.00-11.00 | Ward rounds in Fame Hospital: Mobile clinics serving remote areas (Dr. Artress) |
| Drive to Lake Eyasi (50 km) | ||
| 14.00-16.00 | Field excursion to the Hadzabe, the last bushmen in Tanzania - Traditional medicine (Mr. Gabriel) | |
| Drive to Karatu (30 km) | ||
| After dinner participants can (optionally) present for about 10 minutes their work- and/or research-experience to the other participants (Carried on USB stick) | ||
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| 27th Feb. 2011 Sunday |
Drive to Arusha (150 km) | |
| Game drive in the Lake Manyara Nationa Park (Habitat of Tsetse flies – vector of African Trypanosomiasis) | ||
| Economy flight from Arusha to Zanzibar (500 km) | ||
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| 28th Feb. 2011 Monday |
09.30-10.30 | Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of Cholera (Dr. Schaefer) |
| 11.00-12.00 | Lecture: Differential diagnosis of Diarrhoea and Fever in travelers returning from the tropics (Dr. Schaefer) | |
| 14.00-17.00 | Ward rounds on the Male and Female wards in the Mnazi Mmoja Hospital, Stone Town with emphesis on patients with Cholera and other infections causing Diarrhoea (Dr. Abdulrahman) | |
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| 1st Mar. 2011 Tuesday |
09.00-10.00 | Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of Schistosmiasis (Dr. Schaefer and Dr. Simba) |
| Drive to Kinyasini (30 km) | ||
| 11.00-13.00 | Field excursion: Prevention and control of Schistosomiasis in a primary school near Kinyasini (Dr. Simba) | |
| Drive to Stone Town (30 km) | ||
| 16.00-18.00 | Laboratory manuals: Diagnosis of Schistosomiasis in the Bilharzia/Elephantiasis Control Center, Zanzibar (Dr. Simba) | |
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| 2nd Mar. 2011 Wednesday |
10.00-13.00 | Ward rounds: Dermatological manifestations in the Mnazi Mmoja Hospital (Dr. John) |
| 13.00-15.00 | Lecture: Epidemiology, clinical manifestations, diagnosis, treatment and control of Ebola-, Marburg-, Chikungunya- and Rift Valley Fever (Dr. Schaefer) | |
| 16.30-17.30 | Lecture: Epidemiology, clinical manifestations, diagnosis, treatment and control of Lymphatic Filariasis in Zanzibar (Dr. Schaefer and Dr. Simba) | |
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| 3rd Mar. 2011 Thursday |
08.00-10.00 | Laboratory manuals: Diagnosis of Lymphatic Filariasis in the Bilharzia/Elephantiasis Control Center, Zanzibar (Dr. Hajji) |
| Drive to Kizimkazi/Dimbani (45 km) | ||
| 11.00-13.00 | Ward rounds in the Kizimkazi/Dimbani Health Center: Patients with Lymphatic Filariasis (Sister Fatima) | |
| Drive to Jambiani (10 km) | ||
| 15.00-17.00 | Field excursion: Malaria control project in Jambiani on the East Coast of Zanzibar (Mr. Yussuf) | |
| Drive to Stone Town (30 km) | ||
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| 4th Mar. 2011 Friday |
08.00-09.00 | Lecture: WHO-vaccination guidelines for travellers (Dr. Schaefer) |
| Drive to the Jozani Forest Reserve (15 km) | ||
| 10.00-12.00 | Field excursion: Guided visit to the Jozani Forest Reserve: Medical Botany (Mr. Shabaan) | |
| Drive to Stone Town (30 km) | ||
| Economy flight (20 minutes) in the evening from Zanzibar to the International Airport of Dar es Salaam | ||
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| 5th Mar. 2011 Saturday |
00.45 | Departure from Dar es Salaam to Amsterdam |
Changes may occur without prior notice!
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Uganda 2012 | |
Medical program
Malaria, African Trypanosomiasis, Lymphatic Filariasis, Onchocerciasis, Schistosomiasis, Leprosy, HIV/AIDS and related opportunistic infections, Dengue Fever and new emerging arboviral infections, Dermatology in the tropics, Ophtalmology in the tropics, Occupational medicine in the tropics, Ultrasound diagnosis in Tropical Medicine, DD of Fever and Diarrhoea in the tropics, WHO-vaccination guidelines for travellers, medical botany. At the beginning of the course participants visit the Joint Clinical Research Center (JCRC) in Kampala, where new HIV-vaccine trials are carried out.
Timetable
| 29th Jan. 2012
Sunday |
Transfer from Entebbe International Airport to Cassia Lodge in Kampala (40 km) | |
| 19.00 | Introduction
to the medical program Meeting point: Reception of the Cassia Lodge (Dr. Schaefer) |
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| 30th Jan. 2012
Monday |
09.00-10.00 | Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of HIV/AIDS in Africa (Dr. Tamale) |
| 10.15-13.15 | Ward rounds: AIDS patients at the Joint Clinical Research Center (JCRC) in Kampala (Dr. Tamale) | |
| 13.45-16.45 | Laboratory manuals: Diagnosis of HIV/AIDS and related opportunistic infections at JCRC (Mr. Lubwama) | |
| Drive to Mabira (40 km) | ||
| 18.00-19.00 | Field excursion: Medical botany in Mabira Rain Forest (Mr. Kungujje) | |
| Drive to Jinja (40 km) | ||
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| 31st Jan. 2012
Tuesday |
Drive to St. Francis Hospital – Buluba (40 km) | |
| 09.00-10.00 | Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of Leprosy (Dr. Godfrey) | |
| 10.15-13.15 | Ward rounds: Patients with Leprosy and other skin conditions, St. Francis Hospital - Buluba (Dr. Godfrey) | |
| 14.00-16.00 | Laboratory manuals: Diagnosis of leprosy and other skin conditions, St. Francis Hospital - Buluba (Dr. Godfrey) | |
| Drive to Jinja (40 km) | ||
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| 1st Feb. 2012
Wednesday |
08.00-09.00 | Lecture: Differential diagnosis of Fever in the tropics (Dr. Schaefer) |
| 09.00-10.00 | Lecture: Epidemiology, clinical manifestations, diagnosis, treatment and control of African Trypanosomiasis (Dr. Schaefer) | |
| Drive to Buikwe (20 km) | ||
| 11.00-14.00 | Ward rounds: Patients with African Trypanosomiasis, Buikwe Subdivision Hospital (Dr. Jozeph) | |
| 14.30-16.30 | Laboratory manuals: Diagnosis of African Trypanosomiasis, Buikwe Health Center (Dr. Patrick) | |
| 17.00-19.00 | Field excursion: Prevention and control strategies (trapping of Tse-Tse flies) of African Trypanosomiasis in a rural area in Buikwe (Dr. Patrick) | |
| Drive to Jinja (20 km) | ||
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| 2nd Feb. 2012 Thursday |
Drive to Kakira (40 km) | |
| 09.00-10.00 | Lecture: Occupational medicine in the Kakira Sugar Cane Factory (Dr. Kirya) | |
| 10.30-12.30 | Ward rounds: Patients with work related accidents and infections at Kakira Hospital (Dr. Kirya) | |
| Drive to Mbarara via Kampala (320 km) | ||
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| 3rd Feb. 2012 Friday |
09.00-10.00 | Lecture: Differential diagnosis of Diarrhoea in the tropics (Dr. Schaefer) |
| 10.15-12.15 | Ward rounds: Patients with Diarrhoeal infections at the University Hospital, Mbarara (Prof. Seetamu) | |
| 13.30-15.30 | Ward rounds: Tropical Dermatology at the Skin Clinic, University Hospital Mbarara (Dr. John) | |
| 17.00-18.00 | Lecture: Dengue Fever and new emerging arboviral infections (Dr. Schaefer) | |
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| 4th Feb. 2012 Saturday |
Drive to Queen Elisabeth National Park (170 km) | |
| After dinner participants can (optionally) present for about 10 minutes their work- and/or research-experience to the other participants (Carried on USB stick) | ||
| Movie: "The last King of Scotland" is a remarkable film on the rise and fall of the Ugandan dictator Idi Amin Dada seen through the eyes of his personal Scottish physician (Oscar 2006) | ||
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| 5th Feb. 2012
Sunday |
Boat-trip on Kazinga Channel between Lake George and Lake Edward | |
| Game drives | ||
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| 6th Feb. 2012 Monday |
09.00-10.00 | Lecture: Clinical manifestations, diagnosis, treatment, prevention and control of Malaria (Dr. Schaefer) |
| 12.00-13.00 | Lecture: Clinical manifestations, diagnosis, treatment, prevention and control of Lymphatic Filariasis (Dr. Schaefer) | |
| Drive to Fort Portal via Kasese (150 km) | ||
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| 7th Feb. 2012 Tuesday |
09.00-12.00 | Ward rounds: Patients with Malaria and Lymphatic Filariasis, Virika Hospital, Fort Portal (Dr. Okello) |
| 12.30-14.30 | Laboratory manuals: Diagnosis of Malaria, Virika Hospital, Fort Portal (Dr. Moses) | |
| 15.00-16.00 | Lecture: Clinical manifestations, diagnosis, treatment, prevention and control of Schistosomiasis (Dr. Schaefer) | |
| Drive to the Bunyaruguru Crater Lakes (40 km) | ||
| 17.00-19.00 | Field excursion: Prevention and control strategies of Schistosomiasis in the Bunyaruguru Crater Lakes (Mr. Tukesiga) | |
| Drive to Fort Portal (40 km) | ||
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| 8th Feb. 2012 Wednesday |
09.00-10.00 | Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of Onchocerciasis and other ophtalmological infections in Uganda (Dr. Bamuhiga) |
| 11.00-13.30 | Field excursion: After visit to the Onchocerciasis headquarter in Fort Portal, field trip to an endemic area of Onchocerciasis in Kamwenge District, where prevention and control strategies are carried out (Mr. Tukesiga) | |
| 15.00-17.00 | Ward rounds: Patients with Onchocerciasis and other ophtalmological disorders in the Eye Clinic, Fort Portal Hospital (Dr. Bamuhiga) | |
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| 9th Feb. 2012 Thursday |
08.30-09.30 | Lecture: WHO-vaccination guidelines for Travelers (Dr. Schaefer) |
| 09.45-12.45 | Field excursion: Guided visit to the Tooro Botanical Gardens, where Artemisia Annua (for Malaria) and other herbal plants are grown for the treatment of Tropical Infectious Diseases (Mr. Lawrence) | |
| Drive to Kyenjojo (50 km) | ||
| 13.30-17.30 | Field excursion: Prevention and control strategies of Malaria: Bednet studies in Kyenjojo District (Dr. Paul) | |
| Drive to Kampala via Mubende (270 km) | ||
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| 10th Feb. 2012 Friday |
09.00-12.00 | Laboratory manuals at the Joint Cinical Reserach Center, Kampala: Hands-on microscopy of parasites in the blood, stool and urine (Dr. Lubwama) |
| 12.30-13.30 | Lecture: Ultrasound images and x-rays of patients with Tropical Infectious Diseases in Mengo Hospital (Prof. Kawooya) | |
| Transfer to Entebbe International Airport (40 km) | ||
Changes may occur without prior notice!
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