Tanzania

Country

Political status: Peaceful republic Birth rate: 3.3%
President: John Magufuli Life expectancy: 61 years
Surface: 945.087 km² Infant mortality: 51/1000 births
Language: English and Swahili Doctor/patient ratio: 1:26.000
Population: 51 million HIV prevalence: 5.1%

Itinerary

  1. Kilimanjaro International Airport (JRO)
  2. Arusha
  3. Tarangire NP
  4. Magugu
  5. Karatu
  6. Ngorongoro Conservation Area
  7. Karatu
  8. Lake Eyasi
  9. Karatu
  10. Arusha
  11. Zanzibar
  12. Dar es Salaam International Airport (DAR)

Participants travel on tarmac- (500 km) and maram roads (400 km) in a bus and comfortable 4 x 4 Land-Cruisers (extended version) with experienced English-speaking drivers. The section Arusha – Zanzibar (500 km) and Zanzibar – Dar es Salaam (80 km) is by air.

Curriculum

Schistosomiasis, lymphatic filariasis, malaria, African trypanosomiasis, amoebiasis, typhoid fever, shigellosis, cholera, brucellosis, leprosy, HIV/AIDS and related opportunistic infections, dengue fever and new emerging arboviruses, occupational medicine in the tropics, DD of fever and diarrhoea in the tropics, WHO-vaccination guidelines for travelers, altitude sickness, traditional medicine, medical botany, laboratory diagnosis for tropical infectious diseases.

Teaching CME Hours
Ward rounds and case presentations 20
Field excursions 15
Laboratory manuals 10
Lectures and round-table discussions 15
Total CME Hours 60

Program sequence (click every single day)

Day 1: Sunday
Arrival at Kilimanjaro International Airport (JRO)
Transfer to the Karama Lodge, Arusha (50 km)
23.00 Briefing of the medical program (Dr. Schaefer). Meeting point: Reception of the Karama Lodge, Arusha
Day 2: Monday
Drive to St. Elizabeth Hospital, Arusha, (10 km)
09.00 – 10.00 Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of HIV/AIDS (Dr. Mushi)
10.15 – 12.15 Rounds in St. Elizabeth hospital focusing on HIV/AIDS patients with opportunistic infections (Dr. Mushi)
13.00 – 15.00 Laboratory manuals: Diagnosis of HIV and opportunistic infections (Dr. Kisanga)
16:00 – 17:00 Field excursion: Occupational Health in the Burka Coffee Estate, Arusha (Dr. Edwin)
Drive to the Karama Lodge (10 km)
Day 3: Tuesday
Drive to the Old Selian hospital, Arusha (15 km)
8.00 – 10.00 Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of malaria (Dr. Schaefer)
11.15 – 13.15 Rounds in the Old Selian hospital focusing on malaria patients (Dr. Swanson)
15.00 – 18.00 Field excursion to the Flying Medical Service – Medical care in rural areas of Tanzania (Dr. Father Pat Patten)
Drive to the Karama Lodge (15 km)
19.00 – 20.00 Lecture: Global warming: the spread of malaria and Dengue fever to temperate climate zones (Dr. Schaefer)
Day 4: Wednesday
08.30 – 10.30 Lecture: Update on Ebola and Dengue fever (Dr. Schaefer)
Drive to the Meserani Snake Park, Meserani (20 km)
14.00 – 15.00 Field excursion in the Meserani Snake Park (Dr. Bale)
15.30 – 16.30 Lecture: Epidemiology, clinical manifestations and treatment of poisonous African snake bites (Dr. Bale)
16.30 – 17:30 Rounds in the Meserani Snake Park Clinic focusing on patients with snake bites (Medical officer Dr. Rarin)
Drive to the Karama Lodge (20 km)
Day 5: Thursday
08.00 – 09.00 Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of African trypanosomiasis (Dr. Schaefer)
Drive to Tarangire (150 km)
11.00 – 13.00 Field excursion in Tarangire National Park: Habitat of the Tsetse fly (vector) and antelopes (reservoir) of Trypanosomiasis rhodesiense. Prevention and control of sleeping sickness (Dr. Mofulu)
Drive to Magugu (80 km)
14.30 – 16.30 Rounds in Magugu hospital focusing on patients with African trypanosomiasis (Dr. Abasi)
16.30 – 17.30 Laboratory manuals: Diagnosis of African trypanosomiasis (Dr. Abasi)
Drive to Karatu (130 km)
Day 6: Friday
Drive to Endulen hospital in Ngorongoro Conservation area (80 km)
08.00 – 10.00 Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of brucellosis (Dr. Schaefer)
10.30 – 13.30 Rounds in Endulen hospital focusing on Maasai patients with brucellosis (Dr. Mameso, Dr. Nector)
14.30 – 16.30 Laboratory manuals: Diagnosis of brucellosis (Dr. Mameso)
Drive via Ngorongoro crater to Karatu (130 km)
Day 7: Saturday
08.00-10.00 Rounds in the Fame hospital: Mobile clinics in remote areas (Dr. Artress)
10.15 – 13.15 Laboratory manuals: Learn the thin and thick blood film technique for the diagnosis of malaria, African trypanosomiasis and lymphatic filariasis in the Fame hospital laboratory (Dr. Anthony)
Drive to Lake Eyasi (50 km)
15.30 – 17.30 Field excursion to the Hadzabe, the bushmen tribe around Lake Eyasi. Traditional medicine (Dr. Tom)
Drive to Karatu (50 km)
After dinner: Participants can (optional) present for about 15 minutes their work-, research- oversea-experience to the doctor group (lecture on USB memory stick)
Day 8: Sunday
Drive to Arusha (150 km)
Economy flight from Arusha to Zanzibar (500 km)
Day 9: Monday
9.30 – 10.30 Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of cholera (Dr. Schaefer)
11.00 – 12.00 Lecture: DD of diarrhoea in travellers returning from the tropics (Dr. Schaefer)
Drive to Makunduchi (30 km)
14.00 – 17.00 Rounds in Makunduchi hospital focusing on patients with diarrhoea (Dr. Daud and Dr. Lizzy)
Day 10: Tuesday
09.00 – 10.00 Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of schistosomiasis (Dr. Schaefer, 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 prevention & control center, Zanzibar (Mr. Hajji)
Day 11: Wednesday
08.00 – 09.00 Lecture: Epidemiology, clinical manifestations, diagnosis, treatment and control of leprosy (Dr. Schaefer)
09.15 – 10.15 Lecture: Epidemiology, clinical manifestations, diagnosis, treatment and control of lymphatic filariasis in Zanzibar (Dr. Schaefer)
Drive to Kizimkazi/Dimbani (45 km)
12.00 – 14.00 Rounds in Kizimkazi/Dambani Health Center: patients with lymphatic filariasis and leprosy (Dr. Fatma)
Drive to Jambiani (10 km)
15.00 – 17.00 Field excursion: Malaria control project in Jambiani on the East Coast of Zanzibar (Dr. Khatib)
Drive to Stone Town (50 km)
Day 12: Thursday
Drive to Kivunge hospital (60 km)
11.00 – 14.00 Rounds in Kivunge hospital. Participants take the history and examine patients with tropical infectious diseases. Thereafter diagnosis and treatment is discussed with the doctors in charge (Dr. Schaefer)
Drive to Stone Town (60 km)
Day 13: Friday
08.00 – 09.00 Lecture: WHO-vaccination guidelines for travellers (Dr. Schaefer)
Drive to the Jozani Forest Reserve (30 km) (Dr. Kisembo)
10.00 – 12.00 Field excursion: Guided visit to the Jozani Forest Reserve: Medical Botany (Mr. Shabaan)
Drive to Stone Town (30 km) followed by flight (20 minutes) to Dar es Salaam International Airport
CHANGES MAY OCCUR WITHOUT PRIOR NOTICE

Accommodation

Travel preparation

Immigration

Your passport must be valid for at least 6 months. Keep copies of the relevant pages of your passport separately. A tourist visa (single entry, 1 month duration) is obtained for US$ 50 – 100,- (depending on your nationality) at Kilimanjaro International Airport (JRO), Tanzania.

Health

You should be in good health and reasonably fit. You should be vaccinated against yellow fever. Custom officials check upon arrival your yellow vaccination booklet. It is highly recommended to be vaccinated againt polio, diphtheria, tetanus, typhoid and hepatitis A and to take malaria prophylaxis (malarone or doxycycline). Check wwwnc.cdc.gov/travel/destinations/traveler/none/tanzania . Carry essential medicine with you, and if you like, bring antibiotics, syringes, gloves etc., which are always in need in hospitals! If asked at the customs on arrival, explain that the medicines are for “private use“.

Luggage
light trousers hand sanitizer
jeans USB-stick (8 GB)
shorts/skirt mosquito repellent
shirts sun cream
t-shirts flashlight
light sweater alarm clock
light impermeable wind jacket universal travel adapter
comfortable sport shoes with proper soles light rucksack
slippers bathing suit
sunglasses small umbrella
hat  

Should be packed in a soft, lockable travel bag (not bulky suitcase). Maximum luggage weight is 15 kg per person. You don’t need a mosquito net, white coat or stethoscope.

Medical literature

Oxford Handbook of Tropical Medicine, Andrew Brent et al., Oxford University Press, 4th Edition (2014) ISBN-10: 0199692564, ISBN-13: 978-0199692569.

Amazon

Travel guide

Tanzania Country Guide, Mary Fitzpatrick and Stuart Butler, Lonely Planet Publishers, 6th edition, June 2015, ISBN 9781742207797, www.lonelyplanet.com

Laundry

Service is provided in all hotels.

Money

It is recommended to carry approximately US$ 400,- cash (bills dated after 2010) for meals, drinks, tips and personal expenses. You can withdraw Tanzania Shillings cash with your VISA-credit card (don’t forget your pin number!) from ATM machines in Tanzania. Other credit cards are less popular.

Insurance

You should have your own comprehensive travel insurance (health, accident, baggage, cancellation etc.) www.worldnomads.com.

Internet, Mobile phone

Wireless is offered in some hotels. Mobile phones (Vodafone) work here as well.

Airlines to Tanzania

The excursion starts at Kilimanjaro International Airport (JRO) and ends at Dar es Salaam International Airport (DAR). If you come from Europe/USA/Canada book the KLM open jaw flight via Amsterdam as follows (www.klm.com):

  • 05 February 2017: Dep: 10:15 (AMS) Arrival: 20:40 (JRO)
    (KL 0567)
  • 17 February 2017: Dep: 23:55 (DAR) Arrival: 07:15 (AMS) (18.02.)
    (KL 0567)

If you come from Europe/Asia/Australia/NZ book the Qatar Airways open jaw flight via Doha (DOH) as follows (www.qatarairways.com):

  • 05 February 2017: Dep: 08:50 (DOH) Arrival: 16:40 (JRO)
    (QR 1357)
  • 17 February 2017: Dep: 18:25 (DAR) Arrival: 23:59 (DOH)
    (QR 1348)

Ethiopian Airlines (www.flyethiopian.com) fly from USA, Europe and Asia via Addis Abeba to JRO and out of DAR. However they are less reliable and more time consuming (Personal experience).

Airport transfer

A free airport shuttle is provided from JRO to Karama Lodge www.karama-lodge.com in Arusha (50 km). The bus driver from Sunny Adventure Safaris will wait for you in the arrival hall of the airport building holding a blackboard with your name. The transfer takes about 45 minutes, depending on the traffic.

Please inform contact@tropmedex.com 1 month prior to the start of the excursion about the airline, date and time of arrival at JRO as well as the date and departure from DAR.

Leisure program before or after the excursion

You can visit Arusha National Park (NP), Lake Manyara NP, Serengeti NP, Selous NP, drive into the Ngorongoro Crater or climb Kilimanjaro or Mount Meru. Contact contact@tropmedex.com for further information.