Medical relief operation in rural northern Ethiopia: addressing an ongoing disaster.
BACKGROUND
Following the recent drought in Ethiopia, the Jewish Agency, aided by the Israel Ministry of Foreign Affairs, launched a medical relief mission to a rural district in Ethiopia in May-August 2000.


OBJECTIVE
To present the current medical needs and deficiencies in this representative region of Central Africa, to describe the mission's mode of operation, and to propose alternative operative modes.


METHODS
We critically evaluate the current local needs and existing medical system, retrospectively analyze the mission's work and the patients' characteristics, and summarize a panel discussion of all participants and organizers regarding potential alternative operative modes.


RESULTS
An ongoing medical disaster exists in Ethiopia, resulting from the burden of morbidity, an inadequate health budget, and insufficient medical personnel, facilities and supplies. The mission operated a mobile outreach clinic for 3 months, providing primary care to 2,500 patients at an estimated cost of $48 per patient. Frequent clinical diagnoses included gastrointestinal and respiratory tract infections, skin and ocular diseases (particularly trachoma), sexually transmitted diseases, AIDS, tuberculosis, intestinal parasitosis, malnutrition and malaria.


CONCLUSIONS
This type of operation is feasible but its overall impact is marginal and temporary. Potential alternative models of providing medical support under such circumstances are outlined.
Kasis
I
I
Department of Clinical Microbiology, Rambam Medical Center, Haifa, Israel.
Lak
L
L
Adler
J
J
Choni
R
R
Shazberg
G
G
Fekede
T D
TD
Shoshani
E
E
Miller
D
D
Heyman
S
S
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D002648:Child; D002675:Child, Preschool; D003141:Communicable Diseases / Q000453:epidemiology / Q000628:therapy; D004190:Disasters; D005002:Ethiopia / Q000453:epidemiology; D005260:Female; D006266:Health Education; D006801:Humans; D007223:Infant; D008297:Male; D008489:Medical Indigency; D008875:Middle Aged; D008952:Mobile Health Units / Q000191:economics*; D012066:Relief Work / Q000191:economics* / Q000458:organization & administration; D012424:Rural Population