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Title: [Sudan, through the back door]. Author: Veeken H. Journal: Ned Tijdschr Geneeskd; 1998 Aug 01; 142(31):1781-5. PubMed ID: 9856145. Abstract: South Sudan has five million inhabitants and has been fighting a war of independence with North Sudan since 1959. The hostilities have totally disrupted society and the country is the most inaccessible of Africa. International non-government organizations co-operate in relief activities in the 'Operation Life Line'. Semi-nomadic pastoral tribes populate South Sudan. Doctors Without Borders assisted in fighting a major epidemic of kala azar in the late eighties which cost some 200,000 lives; the organization still provides medical aid in the country. South Sudan has 5 million inhabitants and has been fighting a war of independence with North Sudan since 1959. The hostilities have totally disrupted the society and its government. In this region, international nongovernmental organizations (NGOs) are cooperating in relief activities in Operation Life Line, providing assistance to semi-nomadic pastoral tribes such as the Nuers and the Dinkas. The NGO Doctors Without Borders assisted in fighting a major epidemic of kala azar in the late 1980s; it cost some 200,000 lives, half of the Nuers' total population. The report of these doctors flying to different spots in the South of the country recounted how medical consultations were carried out under trees where possible. Kala azar was treated with ampules of Pentostam, and brucellosis patients were picked from the waiting group. Tuberculosis, whose indications are heavy coughing and expectoration, was also rampant. The abscess of a woman caused by a human bite was treated under local anesthesia with ketamine. The team had examined 70 patients by midday. In Duar, a site where Doctors Without Borders has treated 20,000 kala azar patients, basic health care and vaccinations were performed. In a marshy region, the Dinkas allow their livestock to graze, and there is a small but acceptable clinic in this location to which 3 patients with cerebral malaria were admitted by noon. There were also many TB patients. The doctors prescribed routine medications before conducting further examinations.[Abstract] [Full Text] [Related] [New Search]