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Last week during a
2-day event, the Mezezo Health Center provided free trachoma surgery to the
Mezezo community and the surrounding rural areas. It was a wonderful opportunity for community
members suffering from trachoma. The surgery reversed the trachoma before it caused
serious visual impairment and blindness.
What is trachoma?
Trachoma is a disease that is transmitted by
flies, dirty hands or dirty cloths that have bacteria and that come into
contact with someone’s eyes. The signs
and symptoms include inflammation and over time, scarring of the inner eyelid,
due to the eyelashes turning inward and scratching the cornea. Eventually it can lead to visual impairment
and blindness. Prevention of trachoma
includes antibiotics, washing your face with soap and water, and keeping your
environment clean, therefore minimizing the amount of flies. Surgery is also a way of preventing trachoma
from progressing to eventual visual impairment and blindness.
The day prior to the
event, we decorated the Health Center with banners and flags, made posters, and
set up a stereo system. In addition, massive amounts of food were prepared
(injera and lentils), rooms were cleaned, tools were sterilized, and the
surgery rooms were prepared.
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Patients rest for a few minutes after surgery before making their way to the resting room. |
On Friday morning when
the patients arrived at the Health Center (most from very rural areas
surrounding Mezezo), they first went through a screening process to see if they
qualified for the surgery. If the trachoma if severe enough that the patients’
eyelashes have turned inward, they qualify for surgery). Then they proceed to
the surgery area, where my job was to pass out numbers based on who arrived
first and then guide them to the surgery room as the surgeons were ready.
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Community members waited for the screening process. |
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The surgery room. |
Five people received
surgery at one time, since five surgeons that came for this 2-day event. Each surgery took approximately 10-20 minutes,
and the patients did not feel any pain during the surgery because of the use of
local anesthesia. At the end of the surgery, the patients were given medicine
to take home, and all the medicine and services were free of charge.
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A woman comforts her friend during the trachoma surgery. |
This was my first time
seeing trachoma patients as well as trachoma surgery. The surgery was utterly amazing to watch (and
at first very hard to watch/graphic!). After a local anesthetic was given
through a shot, the eyelid is flipped upward and sliced with a sharp blade,
pried open with scissors, and then the eyelid was stitched to the newly cut
part of the eyelid. The final step is to
squeeze medicine in the eye before closing it and putting on a gauze bandage. I helped with this step a few times, and then
explained to the patients how and when to take the medicine.
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Trachoma surgery in action. |
Most of the patients
(90%) only had surgery on one of their eyes, but some had surgery on both of
their eyes. One older gentlemen had both
of his eyes done, and after his surgery, with bandages over both of his eyes, I
supported him with my arms and guided him down a rocky path to the resting
room. I can’t imagine how scary that
must have been; for 24 hours he had both eyes bandaged shut, and only in the
morning he was able to see if he had his sight (which he did, and he recovered
very well!)!
After the surgery, the
patients rested on mattresses in a resting room at the Health Center, and then
were fed lunch and coffee. They stayed there through the night, then in the
morning they had their bandages taken of and were able to return to their
homes.
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After surgery, the patients enjoyed injera and lentils for lunch. |
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A staff member assist a patient to the resting room after she had surgery. |
This 2-day event was
one of my favorite health outreach programs in Mezezo so far. I learned a great
deal during those 2 days, and was inspired both by the surgeons and the courage
of the patients, but also was inspired to further educate the community
regarding personal and environmental sanitation to hopefully decreases the
incidence of trachoma in the Mezezo community!
And an update on the
public latrine: so much progress has been made! These men sure are quick and
very skilled workers and have quite an efficient system!
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Great progress on the public latrine! |
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The workers carefully balanced as they build a concrete and rock wall/base for the latrine! |