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Sunday, November 30, 2014

The Difference Between Manhattan and Northern Ghana

Buying donated clothes at the market.



Contrast in shopping between Northern Ghana and Manhattan.

Photo of tetanus child.



This five year old presented with tetanus, spasms of his jaw and neck from toxin produced by the bacteria clostridia tetanus. With excellent care, tetanus has a ten percent mortality rate, but due to the lack of resources has a sixty percent mortality rate here. This child was vaccinated, but breaks in the cold chain may have rendered the vaccine impotent. Tetanus spores commonly enter the body from a deep contaminated wound. This child has an ear infection in which he may have introduced the tetanus bacteria by rubbing with his dirty soil contaminated fingers.



Rope injury to neck of six year-old boy.

This boy was a passenger riding on a motorcycle when a rope across the road caught him in the neck. It caused a partial laceration of his trachea. This super guy allowed me to pass an endoscope without anesthesia through his nose down to examine his injured voice box. With conservative management he did well. Upon discharge, his mother thanked us for saving her son’s life. Better pay one cannot receive.

Follow up on the thirteen month old child who swallowed the clothesline clip necessitating a tracheostomy.Now fine.

1 comment:

Anonymous said...

Thanks for the update and interesting photos.