Angkor Hospital for Children, Siem Reap, Cambodia
Angkor Hospital for Children (AHC) is a 103 bed charity pediatric hospital serving children affected by poverty and disease. Founded in 1999, the hospital has grown to include a 12 bed intensive care unit, a surgery program including open heart surgery cases assisted by visiting teams, the beginnings of a cancer care program, a neonatal ward and a newly renovated and expanded outpatient department. More information can be found at www.angkorhospital.org.
AHC’s two radiology modalities are X-ray and ultrasound (no CT scanner or MRI Machine. CT scans are occasionally obtained at other facilities in Siem Reap on an as needed basis.) The good quality images are done with a very simple mobile machine. A phosphor plate system is in place, thus X-Rays and descriptions can be reached from the ward. ACH uses SONIX SP (ultrasonix) ultrasound machine with three probes: C7-3/50 , L14-5/38 and PA4-2/20. Since its repair in early March 2014, the machine has ceased to function with Pulsed and Power Doppler. There are 15-20 ultrasound examinations/day, mainly severe soft tissue masses and eye injuries. There is no small convex probe. Generally speaking there are no normal finding, just severe pathologies. AGH has one radiologist and plans to add an additional physician to train as a pediatric radiologist. To date, AGH refers I case per week to WFPI.
Site coordinator: Dr. Seng Hap. WFPI coordinators: Drs. Veronica Donoghue and Eva Kis. Project identified by Dr. Catherine Owens/Royal College of Radiologists, UK
© Cambodia images: George Taylor
Other imaging interventions at Angkor Hospital for Children
WFPI is far from the only organization to offer assistance to this facility. AHC pediatric staff members are trained by ultrasound faculty at UMass Memorial Medical Center through onsite lectures and hands on training. UMass physicians travel to Siem Reap about 3-4 times per year for onsite education. Pediatric radiologist Dr. Joe Makris has been among them. See here for more.
Central and Eastern Europe
WFPI is looking to expand its pediatric imaging support to Central and Eastern Europe. Future projects are likely to draw on health facilities forming part of the CEEPUS network (Central Europe Exchange Programme for University Studies) which links up facilities with each other and partner facilities in Western Europe. Map left: the CEEPUS network. Click here for more project information (slow file to open)
Tele-reading sites in the pipeline:
The department of Pediatrics, University Hospital Saint George, Plovdiv, Bulgaria. 86 pediatric beds,16 General Radiologists, 1 Pediatric Radiologist, 2 MRI specialists (not pediatric MRI). Major constraint: little experience with pediatric MRI. More news soon as this project develops.
University Hospital Saint George, Plovdiv, Bulgaria
Bustamante Children's Hospital, Kingston, Jamaica
Bustamante Children's Hospital offers 283 beds, including 5 in the ICU. The hospital is usually overcrowded and has long waiting times for diagnostic and medical interventions as well as outpatient consultations. The Accident and Emergency department operates on a 24/7 basis and sees approximately 77,000 patients per year.
The imaging department serves an overwhelming number of about 4000 patients for examinations per month from all over the Island (the vast majority is outpatient). CT scans and MRIs are done on about 80 and 20 pediatric patients respectively per month.
Site coordinator: Dr. Marcia Lawrence. WFPI coordinator: Dr. Ramon Sanchez. Project identified by Dr. Ramon Sanchez and PAHO/WHO.
Click here for more information
Wendy Fitzgerald Paediatric Hospital, Trinidad
This pediatric hospital, managed by a regional health authority, is part of the national health system. It is the only pediatric facility for 2 regions (out of 5) and offers 275 beds. There are 7 general radiologists on its staff. A new national children's hospital is under construction and will eventually offer all pediatric imaging services. The 9 year old 16 slice CT is in working order. Pediatric CTs and sonography are performed in a separate building in the nearby campus of the Eric Williams Medical Sciences Complex. There is a plain radiology unit in the emergency department of the Wendy Fitzwilliam Paediatric Hospital.
Site coordinator: Dr. Paramanand Maharaj, WFPI coordinator: Dr. Ramon Sanchez. Project identified by Dr. Ramon Sanchez and PAHO/WHO.
Click here for more details
Hospital Regional de Iquitos, Peru
Iquitos is encircled by rivers and rainforest and is the world’s largest city with no roads connecting it to the outside world. The Regional Hospital is a public facility serving over 1 million
people. It offers 93 pediatric beds including PICU-NICU. Patients transferred from here to Lima if required. There are 2 general radiologists. Equipment (non-digital) includes 2 X-ray machines, 2 U/S machines and 1 CT.
Site coordinator: Dr. Raul Seminario, WFPI coordinator: Dr. Ramon Sanchez. Project identified by Dr. Ramon Sanchez.
See here for more striking images of Iquitos Regional Hospital
Centro de Salud Santa Clotilde(CSSC), Napo River, Peru.
This 30-bed hospital includes a general medical area, a labour and delivery room, an operating room, a clinic and a laboratory. The CSSC is the head of a network of 12 health facilities along 400km of the Napo River and serves 100+ villages and a population of over 20,000. In 2010 there were 15,000 outpatient visits and 903 admissions to the hospital with 62 deliveries and 71 surgeries. Patients unable to be treated at the CSSC are stabilized and transferred to Iquitos via a one day boat trip and if needed flown to Lima. The Centre offers 1 U/S machine and no X-ray machine (work in progress).
Site coordinator: Dr. Brian Medernach, WFPI coordinator: Dr. Ramon Sanchez. Project identified by Dr. Ramon Sanchez
More images here
Hospital de Cobán, Alta Varapaz, Guatemala
This hospital is the only third level hospital in the region. It offers 180 beds, 1 general radiologist, 1 U/S, an X-ray room, 1 portable X-ray. The site is non-digital. CT belongs to a large private group and cases are sent and read outside (external PACS).
Site coordinator: Dr. José Pineda, WFPI coordinator: Ramon Sanchez. Project identified by Dr. Ramon Sanchez.
More details available here
Following Dr. Aadil Ahmed's visit to Gaza in June 2013 (see here), WFPI is now providing tele-opinion support to Nasser Children's Hospital with extension to Rantissi Hospital planned. The team from SIDRA Medical and Research Centre, Doha Qatar, plan to join this tele-reading team; there are hopes for later onsite training.
CT, Rantissi Hospital, Gaza
Site coordinator: Dr. Hossam Ahmed ELNajili, WFPI coordinator: Dr. Aadil Ahmed. Project identified by Dr. Aadil Ahmed.