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

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) 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, Chikungunya Fever, West Nile Virus, Corona Virus, Ebola (lecture only), occupational medicine in the tropics, DD of fever and diarrhoea in the tropics, WHO-vaccination guidelines for travelers, poisonous snakes, 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: Wednesday
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
Day 2: Thursday
Drive to St. Elizabeth Hospital, Arusha (10 km)
08.00 – 09.00 Lecture: DD of diarrhoea in the tropics (Dr. Schaefer)
09.15 – 10.15 Lecture: Update on HIV/AIDS in Africa (Dr. Mushi & Dr. Schaefer)
10.15 – 12.15 Rounds in St. Elizabeth hospital: Focus on diarrhoea and on HIV/AIDS (Dr. Kweka & Dr. Masawe)
13.00 – 15:00 Laboratory manuals: Diagnosis of diarrhoeal infections (Dr. Kisanga)
16.00 – 17.00 Field excursion: Occupational Health in the Burka Coffee Estate, Arusha (Edwin Moses)
Drive to the Karama Lodge, Arusha (10 km)
Day 3: Friday
Drive to the Old Selian hospital, Arusha (15 km)
09.00 – 10.00 Lecture: DD of fever in the tropics (Dr. Schaefer)
10.15 – 11.15 Lecture: Update on malaria (Dr. Schaefer & Dr. Amon)
11.15 – 14.15 Rounds on the paediatric ward in the Old Selian hospital focusing on patients with fever (Prof. Steve Swanson)
15.00 – 18.00 Field excursion to the Flying Medical Service: Medical care in rural areas of Tanzania (Dr. Pat Patten)
Drive to the Karama Lodge, Arusha (15 km)
Day 4: Saturday
07.00 – 08.00 Lecture: Clinical manifestations, diagnosis and treatment of African trypanosomiasis (Dr. Schaefer)
Drive to Magugu (150 km)
11.00 – 13.00 Rounds in Magugu hospital focusing on patients with African trypanosomiasis (Dr. Abasi & Dr. Costa)
13.30 – 14.30 Laboratory manuals: Diagnosis of African trypanosomiasis (Dr. Abasi)
Drive to Tarangire National Park (40 km)
15.30 – 17.30 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 Octagon Lodge, Karatu (80 km)
Day 5: Sunday
Drive to Endulen hospital in Ngorongoro Conservation area (80 km)
09.45 – 10.45 Lecture: WHO-vaccination guidelines (Dr. Schaefer)
11.00 – 12.00 Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of brucellosis (Dr. Schaefer)
12.30 – 14.30 Rounds in Endulen hospital focusing on Maasai patients with brucellosis, malaria and TB (Dr. Nector & Dr. John)
14.30 – 15.30 Laboratory manuals: Diagnosis of brucellosis (Dr. Mameso)
Drive to Octagon Lodge, Karatu (80 km)
Day 6: Monday
08.00 – 10.00 Rounds in the Fame hospital: Focus on patients with sepsis (Dr. Artress)
10.15 – 14.15 Laboratory manuals: Thin and thick blood film for the diagnosis of malaria, African trypanosomiasis and lymphatic filariasis, Fame hospital (Dr. Anthony)
Drive to Lake Eyasi (50 km)
15.30 – 17.30 Field excursion to the Hadza tribe. Traditional medicine among the bushmen tribe around Lake Eyasi (Ruth Health & David Barjeda)
Drive to Octagon Lodge, Karatu (50 km)
20.00 – 21.00 Lecture:  Clinical manifestations and treatment of poisonous African snake bites (Dr. Schaefer)
Day 7: Tuesday
Drive to the Meserani Snake Park, Meserani (130 km)
10.00 – 11.00 Field excursion in Meserani Snake Park (Rashid)
11.00 – 13.00 Rounds in the Meserani Snake Park Clinic focusing on patients with snake bites (Jenny)
Drive to Arusha airport (20 km)
Economy flight from Arusha to Zanzibar (500 km)
Drive to Blue Oyster Hotel, Jambiani Beach, Zanzibar (50 km)
18.00 – 20.00 Lectures: Update on Ebola, Dengue Fever, Chikungunya and West Nile Virus in Africa (Dr. Schaefer)
Day 8: Wednesday
08.00 – 09.00 Lecture: Update on leprosy (Dr. Schaefer)
09.15 – 10.15 Lecture: Update on lymphatic filariasis (Dr. Schaefer)
Drive to Kizimkazi/Dimbani (20 km)
12.00 – 14.00 Rounds in Kizimkazi Health Center: Patients with lymphatic filariasis and leprosy (Dr. Fatma & Dr. Saada)
15.00 – 17.00 Field excursion: Malaria control project in Jambiani (Dr. Yako & Yussuf)
Overnight in Blue Oyster Hotel, Jambiani Beach, Zanzibar (20 km)
Day 9: Thursday
09.00 – 10.00 Lecture: Update on schistosomiasis (Dr. Schaefer)
10.00 – 11.00 Lecture: Prevention and control of schistosomiasis in Zanzibar (Dr. Muhsin)
Drive to Kinyasini (60 km)
13.00 – 15.00 Field excursion: to schistosomiasis transmission sites and a school in Kinyasini (Dr. Mushin and Dr. Ali)
Drive to Stone Town (50 km)
16.00 – 18.00 Laboratory manuals: Diagnosis of schistosomiasis in the schistosomiasis prevention and control center, Stone Town (Dr. Ali)
Drive to Protea Hotel Zanzibar Mbweni Ruins, Stone Town (10 km)
Day 10: Friday
08.00 – 13.00 Rounds in Nnazi Moja hospital, Stonetown. Participants take the history and examine patients with tropical infectious diseases. Diagnosis and treatment is discussed with the doctor in charge (Dr. Ali Salin)
Day 11: Saturday
08.00 – 09.00 Lecture: Update on cholera in Africa (Dr. Schaefer)
Drive to the Jozani Forest Reserve (30 km)
10.00 – 12.00 Field excursion: Guided visit to the Jozani Forest Reserve: Medical Botany (Mr. Shabaan)
Drive via Protea Hotel Zanzibar to the airport in Stone Town (30 km)

Accommodation

Travel preparation

Tourist Visa
Your passport must be valid for at least 6 months. Keep copies of the relevant pages of your passport separately. Two months before departure I will send you information where and how to apply for the tourist visa (Single entry). Until then you don’t do anything.
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
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 Safari Guide, Philipp Briggs and Chris McIntyre,     Bradt Travel Guides, 8th revised edition, August 2017, ISBN 978-1-78477-038-9, www.bradtguides.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 Zanzibar International Airport (ZNZ). Many airlines fly to JRO and ZNZ. Book your open jaw flight in order to arrive and depart in time:

  • 17th March 2021, Wednesday: excursion starts at 23.00 pm
  • 27th March 2021, Saturday:  excursion finishes at 12.00 am

Inform contact@tropmedex.com 1 month before departure (not before or later) about the airline, date and time of arrival at JRO. You will be picked up from the airport. The free of charge taxi transfer (see airport transfer below) from JRO to Karama Lodge (approx. 50 km) takes about 45-60 minutes.

The flight from Arusha to Zanzibar is included in the tuition fee.

Airport transfer
A free airport shuttle is provided from Kilimanjaro International Airport (JRO) to Karama Lodge www.karama-lodge.com in Arusha (50 km). The taxi driver will wait for you in the arrival hall of the airport building holding a blackboard with your name. The transfer takes about 45-60 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 Zanzibar.