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IFMSA – Egypt SCOPH Exchange

IFMSA - Egypt Standing Committee on Public Health - SCOPH


By: Mahmoud Saad IFMSA – Egypt SCOPH Exchange National Coordinator

For 30 days, IFMSA - Egypt Standing Committee on Public Health is inviting the motivated students who are pursuing a career in medicine in the field of epidemic diseases to attend training about Hepatitis Control and Prevention in 3 different cities in Egypt The course lasts for 60 hours and the last week will be only for the social and cultural activities. Hepatitis B virus (HBV) infection is a global health problem. About 2 billion people have been infected worldwide; of these 350- 400 million suffer from chronic HBV infection. It was reported that, 15-40% of HBV infected patients would develop cirrhosis, liver failure, or HCC). It is estimated that, 1 million of these will die each year from HBV-associated liver disease. The prevalence of chronic HBV infection varies geographically, from high (>8%), intermediate (2-7%) to low (<2%) prevalence Chronic hepatitis B is an important medical problem in Egypt. The prevalence of HBsAg in Egypt is intermediate (2%-7%) Approximately 170 million people are affected with HCV worldwide, comprising ~3% of the global population, most of whom reside in developing nations and many of whom may be co-infected with HIV and/or HBV and have very limited access to treatment. Even if only 10% of such individuals advanced to cirrhosis, the global burden of this infection is staggering. Egypt has the highest prevalence of HCV infection all over the world, averaging 15%-25% in rural communities. Both infections can lead to an acute or silent course of liver disease, progressing from liver impairment to cirrhosis and decompensated liver failure or hepatocellular carcinoma (HCC) in a 20-30 year period. In addition, hepatitis B and C infection rates differ in different settings, and prognosis may be worse in conjunction with schistosomiasis in Egypt Unlike hepatitis B virus (HBV), for which the prospects for controlling the spread of infection by vaccination are promising, prospects for development of an effective vaccine against hepatitis C virus (HCV) are limited. As well as screening of blood for transfusion and using sterile needles for injection, preventive measures should be undertaken to reduce the risk of contact (often described as community-acquired infection). Until more is known about the unidentified routes of transmission in tropical and subtropical settings it will be difficult to be specific about the kind of measures which may be effective. Success may largely depend on changing habits within the population. Prevention should be the main goal of current efforts until low-cost, effective therapies become available. Here in IFMSA Egypt we aim to set priorities in how to prevent and control spreading of infection around the world by delivering a course to medical students who are interested in such cases After finishing the course students must be able to obtain from the patient an accurate medical history and perform in a highly skilled manner both general and abdominal examination (Accurate history in case of jaundice to differentiate between hepatitis and other causes of jaundice. Searching for manifestation of acute and chronic hepatitis, manifestations of liver cirrhosis, hepatocellular failure and portal hypertension, Signs of hepatic precoma, signs of Hepatoma) Also , They must be able to communicate effectively with patients and their families through verbal, written, or other means regarding patient's health and well-being and find a way how to set awareness campaigns in their countries that help increasing the knowledge of public about the disease .


Omar Abdel Karim IFMSA- Egypt National Public Health Officer 2010 - 2011 Email: npo@ifmsa-egypt.org Mobile: +20111381718

Mahmoud Saad IFMSA-Egypt SCOPH Exchange National Coordinator Email: mahmoudsaad_assa@yahoo.com mahmoudsaad.assa@gmail.com Mobile: +20113172553 / +20104165260

Randa Hamdy IFMSA-Egypt SCOPH Exchange Scientific Program National Coordinator Email: randa.hamdy@hotmail.com Mobile: +20107187915

Mustafa M.El Badry IFMSA â&#x20AC;&#x201C; Egypt SCOPH Exchange Social Program National Coordinator Email: assiut_leo@yahoo.com Email: +20102826100

Ahmed Badawy IFMSA-Egypt SCOPH Exchange Publisher and Editor Email: ahmed.badawi@med.menofia.edu.eg Mobile: +201521377721

Sally Khallaf Alexandria Students' Scientific Association Local Public Health Officer Email: sally.khallaf.202@live.com Mobile: +20163098424

Hussein El Said Tanta Students' Scientific Association Local Public Health Officer Email: se7s575@yahoo.com Mobile: +20126604783

Mahmoud Saad Asyut Students' Scientific Association Local Public Health Officer Email: mahmoudsaad_assa@yahoo.com Mobile: +20113172553 / +20104165260


About IFMSA-Egypt: IFMSA -Egypt is a full member of the International Federation of Medical Students’ Associations (IFMSA).

IFMSA-Egypt’s history dates back to 1968 and was known as the Egyptian Medical Students’ Associations (EMSA – Egypt) till 2007. IFMSA-Egypt is run for and by medical students on a non-profit and voluntary basis. We represent all Egyptian Medical students, through 15 Local Committees (LCs) all over Egypt. IFMSA-Egypt is a unique structure, composed of 6 Standing Committees and the Training Support Division, allows all medical students to simply contribute, innovate and have an influence on Global Health.

In IFMSA-Egypt, medical students gather to design and implement various health-related activities and projects. This is made possible through open channels of communication, online forums and partnerships with different governmental bodies, UN agencies, NGOs and other youth groups, both in Egypt and internationally. Our activities aim to address global health concerns and to improve public health in Egypt.

About SCOPH: SCOPH is a forum for active discussion for medical students who work together to improve the public's awareness, encourage them to take on healthy life styles and get rid of wrong health beliefs, which are the major factors in most health issues that we face in our country In Egypt, we deeply believe in the vital role that should be played by the Public Health sector and are compelled to and concerned with all issues that affect Public Health. The SCOPH team gathers medical students from many universities all over Egypt. Together we work hand in hand for the good of the public’s health and to promote public awareness.

Our mission is to offer Egypt’s future physicians a comprehensive introduction to public health issues, who will in turn improve public health awareness. We are dedicated to try to influence the public health status in Egypt.

Through SCOPH, medical students work together to improve our public health status. We are equipped with the basic health awareness information that will help us to be productive in our communities and strive to implement seeds for “prevention is better than cure” lifestyle amongst various strata in our community. Egypt’s SCOPH team is determined to establish and implement strategies for different public health related barriers in Egypt


Summary fact sheet Project title

IFMSA – Egypt SCOPH Exchange 2012

Scientific program

Prevention and Control of Viral Hepatitis

Applicant Hosting LCs

International Federation of Medical Students' Associations – Egypt Standing Committee on Public Health - SCOPH Alexandria, Tanta and Asyut

Period

July 1st – 30th 2012

Number of Students

There's a limited number of 15-20 students

Fees

300 euros which include : - Scientific program - Lodging in University dorms - Half Board, breakfast and lunch - Social Program ( Accommodation in 3 stars hotels, transportation throughout the whole trip except for the trip to Abu Simble Temple) N.B. fees don't include transportation within or outside the country (except for the social program), visa expenses (if found) or health insurance

Registration

-

Contact info

Application Form Curriculum Vitae Motivation Letter Copy of the passport Scanned personal photo Overview of viral hepatitis in your country or the status of any other epidemic disease that your NMO wants to share experience about To be sent to the NC before April, 1st 2012

Omar Abdel Karim IFMSA – Egypt National Public Health Officer 2010 – 2011 email: npo@ifmsa-egypt.org, omar_smsa@yahoo.com mobile: +2 0111 381 718 ------------------------------------------------------------------------------------------------------------------------Mahmoud Saad IFMSA – Egypt SCOPH Exchange National Coordinator email: mahmoudsaad_assa@yahoo.com mobile: +2 0113 172 553, +2 0104 165 260 http://www.facebook.com/IFMSA.Egypt.SCOPH.Exchange


The second largest city in Egypt, Alexandria, known as "The Pearl of the Mediterranean", has an atmosphere that is more Mediterranean than Middle Eastern; its ambience and cultural heritage distance it from the rest of the country although it is actually only 225 km. from Cairo. Alexandria is a city to explore at random. It's as important to enjoy the atmosphere as it is to see the sights. The Corniche is dotted with Casinos built on stilts and rows of beach huts. The avenue here did not always exist, for until the 20th century, the areas remained fortified by a five mile long wall with towers which had protected the city since the 13th Century. In the early 1900s, a strip of land with a width of about 100 years was reclaimed from the sea, and the area became popular with beach goers. That is no longer the case, but it remains a lively area of Alexandria. Library is being constructed is the "Shatby Tombs" which are said to be the oldest in Alexandria. Nearer the San Stefano area across the tram tracks is also the "Royal Jewelry Museum." Muntaza Gardens: (Translated: "The Park") is a neighborhood in Alexandria, Egypt. It is distinguished by its beautiful gardens and royal palaces. It is often visited due to the beautiful sceneries that can be seen there and is considered one of the most beautiful places in Alexandria. Bibliotheca Alexandrina: The Bibliotheca Alexandrina is a major library and cultural center located on the shore of the Mediterranean Sea in the Egyptian city of Alexandria. It is both a commemoration of the Library of Alexandria that was lost in antiquity and an attempt to rekindle something of the brilliance that this earlier center of study and erudition represented.


Tanta is Egypt's 5th largest city, with about 429,000 inhabitants, moreover it's the capital of governorate one of the biggest governorates in Egypt. Tanta is located in the northern Egypt in the delta, (59 miles) north of Cairo(the capital city) and (81miles) south-east of Alexandria (the 2nd biggest city in Egypt), it's also considered to be the main railroad hub of the Nile Delta. Land Marks o The Mosque and Tomb of El-Sayyed Ahmed El-Badawy: Badawy was the founder of one of Egypt's largest Sufi orders called Badawiya he was the representative of the order from Iraq. His tomb was destroyed in the nineteenth century but another was built. o Tanta Museum: It contains collections from the present day back to Paranoiac times and it's the largest museum in the Delta o Delta City Mall: The biggest mall and the tallest structure in the Delta

Famous for Tanta is known for its sweets, eaten during the M U L I D f e s t i v a l -this festival celebrates the birth of El Sayed el-Badawy and the celebrations are held around the famous Badawy mosque and About two million people from around the Delta and other parts of the Arab world come for the Mulid of Sayed Ahmed El-Badawy, which is an eight day celebration, during the festival many sugar-coated nuts called 'Hubb el Azziz' ('seeds of the Beloved Prophet') are eaten. Tanta is the center for the cotton-ginning industry Tanta has cotton industries, and is also a university town. This city comes to life in late October at the end of the cotton harvest


The city that lies on the Nile banks and considered the geographical center of Egypt. It is known as the “Bride of the Nile valley” or “The gate of Upper Egypt. It's located at the center of Egypt and considered to be one of the most beautiful cities of Upper Egypt. There, you'll enjoy the magnificent river Nile and you'll recognize the old traditions of the ancient Egyptian society. Meer Monuments, It’s 65 km far from the city of Asyut. It contains a group of tombs dug in the mountain to be the graveyard of the capital of the old county. The God of Meer was called “Hatthour” and the Village itself was called “Qees” in the ancient times, but later-in the Romanian era- was called “Qusay” The tombs of Meer are famous for its paintings which were very similar to the original subjects. Also, the drawings of the ordinary life of the Egyptian worker were accurately recorded on the walls of the tombs. El Muharraq Monastery, It was a very unique event when the Holy family came to Egypt, and it represents reasonable evident that Egypt is the land of Peace and security. When the Holy Family ran away to Egypt because of the non-human and humiliating treatment of Romans about 2002 years ago, Asyut was one of 26 sites that Jesus’ family stayed in for a long time. The tree that overshadowed the Virgin Mary in Dayrut is still present in Anpa Srapamon monastery. Then, the Blessed family walked to the village Meer where they stayed at the foot of the mountain Qusqam for a whole 6 months, and that’s where the Muharraq monastery is located till this moment. The Virgin Mary monastery in Doronka is located on Western Asyut Mountain 100 meters high, and 10km from Asyut city. It has a very ancient cave which was found since 2500 B.C. and from which the Holy Family started their journey back to Palestine, and later on the monastery was made beside it.


I-This Scientific program will include the following topics:  Acute viral hepatitis  Chronic hepatitis  Complication of post hepatic cirrhosis  Combined infection with viral hepatitis & schistosomiasis.

 Available hepatitis vaccine in Egypt

II-Overall Aims of This Scientific Course: Intended Learning Outcomes of Course (ILOs):

1- Knowledge & Understanding Students must understand the followings about acute viral hepatitis:

 Definition and causes of acute viral hepatitis  Methods of transmission  Clinical presentation  Methods of diagnosis  Differential diagnosis and prognosis  Prevention and treatment  Comparison between enteric and parenteral viral hepatitis Students must understand the followings about chronic viral hepatitis:  Definition  Pathology  Etiology  Clinical manifestations  Investigations  Comparison between Chronic HBV and HCV


Students must briefly know common complications of post hepatitis cirrhosis:  Hepatic encephalopathy( Hepatic precoma and coma )  Bleeding Esophageal varices  Primary hepatocellular carcinoma (Hepatoma)  Portal vein thrombosis  Spontaneous bacterial peritonitis  Hepatorenal syndrome Students must know that mixed infection between viral hepatitis & schistosomiasis is common in Egypt. Students must know the indication of hepatitis A and hepatitis B vaccine.

2- Practical skills Students must be able to obtain from the patient an accurate medical history and perform in a highly skilled manner both general and abdominal examination (Accurate history in case of jaundice to differentiate between hepatitis and other causes of jaundice. Searching for manifestation of acute and chronic hepatitis, manifestations of liver cirrhosis, hepatocellular failure and portal hypertension, Signs of hepatic precoma, signs of Hepatoma ) 3- Intellectual skills Students must be able to interpret properly information from laboratory studies and abdominal Ultrasonography that related to the patient's condition They must be able to outline management and prevention of viral hepatitis. They must understand the indications and effectiveness for hepatitis A and B vaccine.

4- Transferrable skills They must be able to communicate effectively with patients and their families through verbal, written, or other means regarding patient's health and well-being.


III- Time schedule for lectures and trainings: -

The student's will start their 1st week in Alexandria then go to Tanta and the last week will be in Asyut after which they will enjoy the south major trip

-

In Alexandria :  We offer you a SCIENTIFIC PART in which you will be training in Alexandria Main Hospital (Meery Hospital) which is the biggest hospital in Alexandria.

Your training includes:

-

Lectures in tropical medicine and infectious diseases

Clinical training

Outpatient clinic attendance

Clinical rounds that give you opportunity to examine clinical cases that are rare in Europe

Training is under supervision of a senior doctor and a staff member

Working hours are from Saturday to Wednesday from 9a.m. till 12p

In Tanta :

DAY

-Time-

1st day

Introduction about Hepatology & liver diseases specially in Egypt

2nd day

Bilharziasis in Egypt ( epidemiology , incidence , predominance , true magnitude of its problem)

3rd day

Viral hepatitis: (the problem in Egypt, epidemiology, risk factors, complications, preventive measures)

4th day

Liver cell failure: (signs & symptoms)

5th day

Hepatocellular carcinoma

6th day

GIT endoscopy , ultra sound , intervention radiology of liver diseases


o The participating students will receive training in: 

Communication Skills

Project Management

o The trainees will get to share the local SCOPHians in an awareness campaign about Hepatitis in the university hospital; targeting health care workers including Doctors and Nurses -

In Asyut : Training place:

Assiut Medical Education Development Center 

Structure: -

AUCEST “Assiut University Center for Endoscopic Surgery Training”

-

CPR training unit.

-

First aid training unit.

-

Community service unit

-

QAU “Quality Assurance Unit”

Role of Community Service unit: -

It's mainly considered with providing services and increasing awareness for public health, epidemics & reproductive health

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Four workshops have been conducted in cooperation with Johns Hopkins University (US) and the department of Community medicine (Faculty of medicine, Assiut University) to medical staff and health insurance staff.

-

It trains and qualifies medical from all departments (including Tropical Medicine department) to deliver the health message in a clear & simple way.

-

A workshop was conducted on Active Communication skills to medical students, by certified trainers of IFMSA-Egypt (represented by Gaber Monazea; ASSA-Assiut expresident & IFMSA-Egypt ex-training director)


DAY

9- 11 am

11: 30 am- 1.00 pm

1st day

Lecture

Clinical sessions on patients in fever section

2nd day

Lecture

Clinical sessions on patients in men or women section according to the availability of needed cases

3rd day

Lecture

Supervised visit To Ultrasonography Unit (to see cases of chronic hepatitis, liver cirrhosis, Ascites, Primary liver cancer, Periportal fibrosis and splenomegaly in Chronic hepatosplenic shistosomiasis)

4th day

Supervised visit To Endoscopy Unit (To see complications of liver cirrhosis as esophageal varices and gastropathy )

Supervised visit To Ultrasonography Unit

Supervised visit to Endoscopy Unit

Supervised visit to Hepatitis virus clinic and vaccination unit or infection control unit.

5th day

(to see endoscopic sclerotherapy) or to critical care unit (to see cases with complications of liver cirrhosis)

(Interventional unit)

Notes : -

Training will include clinical and theoretical aspects.

-

Clinical cases will be observed in university hospitals under supervision of doctors

-

Students will participate in preventive campaigns


Photos of Training Places:


The residence will be in university students' dorms in Asyut and Tanta: - Each room contains 2 beds, a private bathroom, television set and a refrigerator.

Other facilities: - Internet: Supplied within the hostel, in internet halls or nearby it - Laundry: Dry cleaners are all around the university, for the charge of about 3 L.E for every piece of clothes. - Transportation: Within the hosting LCS, itâ&#x20AC;&#x2122;s handled mainly by our members within the LCs mostly for free.

Boarding: (Full board) Lunch, which is the main meal Supper and breakfast are wrapped in a packet.


The residence will be in Al Fouad Hotel in Alexandria: - Rooms are double with Wireless internet, internal bathroom from a walking distance from the city center where all training and social life and everything you might need you will find there - Boarding: half board, including lunch and breakfast. - Photos are not available as it's forbidden to capture photos there but it's higher in quality than the university students' dorms.


Social Program IFMSA-Egypt has been always well known for its outstanding social program for exchange students

Every night we provide a thrilling local social program. LAST but not least the Major Trip

The Major Trip (Luxor, Aswan & Hurghada)  An awesome 7 day trip to Luxor, Aswan & Hurghada.  The trip starts in Aswan (2 days), Luxor (2 days) & then Hurghada (3days).  The trip costs include:  Accommodation in 3 stars hotels in the 3 cities.  Transportation fees (except for the trip to Abu Simble Temple).


Enjoy our Social Outings In Alexandria: Bibliotheca Alexandrina El-Montazah Palace Alexandria National Museum Roman and Greek Museums Qaitbayâ&#x20AC;&#x2122;s Citadel

Tanta: Our program will give you a unique opportunity to visit the dazzling spots of Egypt The Mosque and Tomb of El-Sayyed Ahmed El-Badawy: Badawy was the founder of one of Egypt's largest Sufi orders called Badawiya he was the representative of the order from Iraq. His tomb was destroyed in the nineteenth century but another was built. Tanta Museum: It contains collections from the present day back to Paranoiac times and it's the largest museum in the Delta Delta City Mall: The biggest mall and the tallest structure in the Delta We provide you an opportunity to visit Cairo. In Cairo we'll visit different important touristic places such as The Egyptian Museum, The Pyramids, The Citadel,Khan El Khalily and enjoying a nice Arabian nights adventure and Nile cruise

Asyut: Monastery of Virgin Mary El- Moharrak monastery Nile cruise Restaurants, clubs and Cafes Sports day Swimming pool Surprising birthday parties Visiting bazaars Wedding parties Visiting the country side

ENJOY MORE PHOTOS AT: https://www.facebook.com/IFMSA.Egypt.SCOPH.Exchange


Christina Goudelli Greece-2009 Egypt is a very unique place. People are very friendly and welcome you in any way!. There are a lot of wonderful and unforgettable monuments of nature and of history to visit. It's the ideal country of discovering new areas of civilization and of natural beauty. As far as Medicine concerns, our co-students are very helpful and always try their best so as to see the way their university and hospital work...It's a whole new and great experience for everyone that is looking for something different â&#x20AC;ź

Estrella Lopez Gordo Spain-2010

Egypt is a place where you will never feel lonely, where if you need something you will always find a hand to help you, where you can live experiences that will remain in your heart forever and the most important thing, where you will learn how to live in real life, cause as somebody said when I was there:" life is beauty, and beauty is Egypt, so Egypt is life.

Milos Simov Serbia-2009 I spent a wonderful time in Egypt, and I have never encountered such hospitality and pure friendship. It was some incredibly good time with learning about things I could only dream about. Just go to Egypt!! Great people, history, and something more.


IFMSA-Egypt SCOPH Exchange Proposal