Day 2 :
Cardiac Eye International Foundation, USA
Keynote: Cardiac surgery for communities in need - meeting the continuous challenges for delivering new models of global humanitarian health programs
Time : 09:00-09:40
Maqsood Elahi is the Founder and Chairman of the Humanitarian Organization Cardiac Eye International Foundation (CEIF). He is a Cardiothoracic Surgeon by profession and also a Clinician Scientist with basic, translational and clinical research experience. He has over 200 peer-reviewed publications in scientific journals of repute and has authored four books in oxidative stress, mostly due to external environmental stress factors including high fat diets. He is also a Distinguished Professor of the Cardiovascular Sciences in the University of Health Sciences, Pakistan. His area of expertise and skill are in general adult cardiac surgery, thoracic surgery, complex congenital/pediatric cardiac surgery, surgery for aortic diseases, CCRT placements, MICS aortic and mitral valve, off-pump CABGs, mechanical circulatory support (LVADs, RVADs, ECMO) heart and lung transplant.
According to the World Health Organization (WHO), out of a thousand surviving neonates at least eight presents congenital heart diseases. The National Health Organization states annually that between 6000-7000 patients undergo surgical intervention in order to correct acquired and congenital cardiac defects each year, yet only a tiny fraction of patients without health insurance are fortunate enough to be operated in hospitals associated to health insurance companies each year in third world countries. With the primary aim of participating in philanthropic activities that focused on addressing health needs for children on long waiting lists for surgical intervention, we put together a multi-disciplinary team through an umbrella organization called Cardiac Eye International Foundation (CEIF). Initially, we sought to provide free diagnostic and surgical operational assistance to non-affording patients with congenital and acquired cardiovascular disease. Very soon it became clear that CEIF would achieve tangible solutions if we could focus our efforts on improving access to quality pediatric and adult cardiac care by helping to develop from the ground cardiac programs in areas of need as sustainable centers of excellence. We then worked in collaboration with many other dedicated medical volunteers from around the world (Australia, Chile, United Kingdom, Kenya, United States and Pakistan), as well as other organizations to provide free complex heart surgeries, training, mentoring, capacity building, opportunities that are designed to meet the inimitable needs of our partner sites.
Nagasaki University, Japan
Keynote: Children’s health condition in the southern rural Lao PDR: A three-year longitudinal study in seven villages
Time : 09:40-10:20
Junko Okumura has experiences as a Clinical Pharmacist in Japan and experiences in some developing countries motivated her to study public health. She was awarded MPH from University of Michigan in 1995. Later, she received her PhD from Tokyo University. She has further worked as Faculty Staff in The University of Tokyo and at Kanazawa University
Background & Aims: Health and Demographic Surveillance System (HDSS) initiated by Moji group revealed that infant mortality rate in Xepon area was 65/1000 live births in 2012. This was much higher than the national average in Lao PDR. To promote child health where people’s access to health care services was poor, i.e., Xepon district, we have been conducting a longitudinal study since 2013.
Methods: We collected data on illness episode of under five-year children in seven villages. After baseline data collection, village health volunteers (VHV) visited the target household every two weeks. VHVs and data collector asked a series of questions on illness related issues. Newborn children were added to the cohort. In addition, anthropometric data have been collected in collaboration with the local MCH office.
Results: We successfully followed 349 children from June 2014 through July 2017. The mean age of children was 3.3 years (SD: ±1.8 years). The observed total sick days during the period were 2,838 days and 267 children (76.5%) had at least one illness episode and the mean duration was 8.1 days. Major symptom was fever, cough and diarrhea. According to health center and hospital records in the catchment area, significantly more malaria cases were reported in 2014 than other years. Stunting was another background problem which may influence on children’s health in the area and vice versa. Median of z-score of height for age in each village never showed positive score, i.e., the range was -3.67 z-score and -1.36 z-score.
Conclusion: The factors associated to child health will be discussed such as nutrition, health seeking behavior, access to health care services, climate change and so on.