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. 2012 Jan;86(1):11-5.
doi: 10.4269/ajtmh.2012.11-0426.

Infectious diseases seen in a primary care clinic in Leogane, Haiti

Ami Neuberger  1 , Shiri Tenenboim, Miri Golos, Racheli Pex, Yonah Krakowsky, Marnina Urman, Spencer Vernet, Eli Schwartz
Affiliations

Infectious diseases seen in a primary care clinic in Leogane, Haiti

Ami Neuberger et al. Am J Trop Med Hyg. 2012 Jan.

Abstract

All diseases diagnosed in a primary healthcare clinic situated in Leogane, Haiti, were recorded prospectively during a 7-month period. Among the patients in this cohort, 2,821 of 6,631 (42.6%) presented with an infectious disease. The three most common syndromes among the patients presenting with infections were respiratory tract infections (33.5%), suspected sexually transmitted diseases--mostly among females with recurrent disease (18.1%)--and skin and soft tissue infections, including multiple cases of tinea capitis (12.8%). Of the 255 patients presenting with undifferentiated fever, 76 (29.8%) were diagnosed with falciparum malaria. Other vector-borne diseases included 13 cases of filariasis and 6 cases of dengue fever. Human immunodeficiency virus infection was diagnosed in 19 patients. Four cases of mumps were detected among unimmunized children. A large proportion of these infections are preventable. Concerted efforts should be made to create large-scale preventive medicine programs for various infectious diseases.

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Figures

Figure 1.
Figure 1.
Frequency of all consultations according to months (N = 6,631) from November of 2010 to May of 2011. *The clinic was shut down for a few days in November of 2010 because of a hurricane and December of 2010 because of political unrest. An admission fee was introduced in February of 2011.
Figure 2.
Figure 2.
Infectious diseases of 2,821 patients by categories in the primary healthcare clinic, Leogane, Haiti. HEENT = head, eyes, ears, nose, and throat infections; Resp = respiratory; SSTI = skin and soft tissue infections.
Figure 3.
Figure 3.
Number of patients with malaria and undifferentiated fever in Leogane, Haiti from November of 2010 to May of 2011.
See this image and copyright information in PMC

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