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CURRENT NEWSLETTER: DECEMBER 2003 in this issue:

Note from the Executive Director
           We can look at the world in one of two ways. The first perspective is that the world is hopeless, with death and corruption everywhere we look. The second is through the eyes of those who live a different standard: one of hope, action and involvement. My observation is one who sits and complains on a daily basis, only looking for fault and blame, will live among the hopeless. The second will live with great hope and many uplifting experiences of the human spirit to share. CAMO is so blessed to be surrounded by individuals who thrive on action and involvement.  Every year we grow to know more and more good people:  the volunteers here in the States who work weekly at the warehouse, the daily Honduran volunteers who are determined to support us in their own country. The expertise that is being offered is not just short-term, it is a commitment to aid in lasting development of the specialty areas. There is so much hope, the human heart has so very much to give, and it is our attitude that can prevent us from our full potential of experiencing hope.


October Teams
Women's Health --Dr. John Weeman and Dr. Roy Miller both worked in OB/GYN, defining areas of need.
          The last morning in Honduras Dr. Weeman shared with trembling in his voice,"We lost four babies this week."
          I am taken back to December 25, 1980. I was the only professional nurse in the Hospital in Honduras, and as I entered the Hospital at 6:30 AM I was summoned to the delivery room where a beautiful baby boy had been born. He had taken fluid into his little lungs, and we did not have a single suction machine. With my mouth I tried desperately to aspirate, then with a tube and suction bulbs. We revived him. All day I checked on him. I watched him closely, marveling at how perfect he was and what a blessing it was, on Christmas day, to be able to save this little one. All day a sense of joy was with me. Then, at 6PM, this baby boy suddenly died. With him, a part of my faith died. It has taken me many years to understand the effect of this unnamed child on my life. But this year we can trace medical services and treatment due to CAMOis programs to more than 60,000 people. The neonatal unit equipped by CAMO and nurses educated by CAMO have a census of 15-30 babies. This year alone they have saved more than 80 newborn lives. We cannot dwell on the lives lost. We must look at the lives saved and how many more lives we can save. I have a renewed faith and great hope for what is yet to be.
 
Infant in CAMO equipped
neo-natal unit
Dr. John Weeman with counterparts 
Dr. Fausto Cruz and Dr. German Barcenas

          Here is an insert from the report of Dr. John Weeman: "In a service area of 600,000 people with high rates of cervical cancer, this lack of available colposcopies service needs to be addressed. With appropriate equipment, one physician and one nurse should be able to do a minimum of 15 colposcopies per morning. CAMO may be able to help this problem by purchasing more equipment. This equipment will be difficult to obtain through donations because physician practices typically use these expensive biopsy devices for 20- 40 years."
          Another insert from doctor Weeman's report: "We believe the fastest and greatest impact on perinatal mortality can be made by implementing protocols for  testing fetal well-being. This will affect perinatal mortality by making better decisions about when to deliver babies at any gestation. Some decrease in mortality will occur by not delivering a premature baby unless it absolutely needs delivering: some decrease in mortality will occur because a baby is delivered that is in distress but not premature. The three-pronged integration of clinical history, ultrasound, and antenatal fetal monitoring must be used in this patient population with little or no prenatal care to make good delivery decision. We would expect the largest reduction of perinatal mortality from fetal monitoring to occur because of fewer still births and fewer premature babies in the nursery." Following are three pieces of equipment needed for this program:

  1. Colposcope & instruments (Used machines range from $1,500 - 2,500)
  2. Fetal Monitors (Used machines $1,000 - 2,000)
  3. Diagnostic Ultrasound machines. (Used machine range from $12,000 - 16,000)
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Organizational Groups
            Twenty-two individuals represented eight different areas of service. CAMO is in its eleventh year, and the last two years have seen rapid growth. For this reason we needed to take the time for organizational chores. Nanette Sprunger and Wava Kornhaus, Registered Nurses who volunteer weekly in the State side warehouse, joined us in Honduras to learn about the appropriate type of medical supplies and packing of them. They visited the public health clinics and the public Hospital and also went with the Honduras medical teams to a poor village area to witness and experience the needs of this population. Titus Yoder of Wooster joined us with his knowledge as a Respiratory Therapist and a business owner  of home medical supplies. Titus's knowledge and network will be of great help for CAMO to acquire the appropriate supplies needed to save lives. Orthopedic physician Dr. Dona Alvarez joined us with her assistant, Cindy Harsh. The amount of plates, pins and screws that are needed to fix our bones is overwhelming. Thanks to the efforts of 
 
Dr. Dona Alvarez with  Honduran
O.R. Nurse Mima Pineda
Titus Yoder and Wava Kornhous with
Translators in Distributions Plant

Dr. Alvarez, Cindy and their many contacts of orthopedic supplies, we have a stable program that can meet the basic needs of the population we serve.


Coronary Pulmonary Resuscitation (CPR) Training
Darcy Cicconetti ofWooster, Craig Proper of Millersburg and Katie Simmons of North Canton joined us as CPR instructors in the effort to certify Honduran medical personnel in basic CPR. Judy Mathys of Wooster helped with the translation. During their one-week stay, more than 153 nurse received the training, with 70% passing. There are about 25 nurses who have strong potential to become future CPR instructors. The relationships that were developed with the Honduran High School students who helped Judy translate were fun to watch. They bonded with a closeness that can only be produced between individuals of kindred spirits. There were lots of tears and hugs Sunday morning when these four had to leave their newfound young friends behind.


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Audiometry
 

Gloria Tabora being presented her
Certificate from Richard Nodar, PhD
         For the last eight years we have been training Gloria Tabora in the testing of hearing and related information. Richard Nodar PHD, brought a new level to the program with training that has taken more than one year to become a reality.  Mary Porath first explored this possibility, which lead us to Dr. Nodar. Gloria had her final evaluation and now has her certificate as an Audiometric Technician from the American Neurotology Society. This has truly been a team effort by Dr. Nodar, his contacts and Mary Porath. Upon receipt of the certificate, Gloria stated that this had been a dream, that many times she had  thought about this formal training and recognition. Tears filled her eyes as she said, " I will continue to dream and this is only the beginning."
          This year, as of Oct 31, Gloria had seen more than 1,481 patients. 164 patients needed hearing aids. All the children between 5-7 years old have been screened for hearing problems. School ends in November in Honduras, and it will start again in Feb. The screening program in the schools will continue; this is a great need being met. Children are being treated before profound hearing loss affects their chance for success in the Honduras Public School system.young adults. 
          Mary Nodar, Richardiswife, always joins us, helping with the Bilingual School and giving us reports on the needs of the school. Mary has been able to build a great rapport with the teachers and the founder of this school.


Computer System
          We cannot live without them anymore, but we sure would like to throw them across the room when they do not work! Thanks to Dave Moser from Manassas, VA, we have a good system and now are able to speak to the office in Honduras verbally over the Internet. Because we are fortunate to have our Internet services donated here in the States and in Honduras, it is a local call. This will be a much more cost-effective method of communication. Also, Helen Smith, the office manager of the CAMO office USA, helped train staff and other Hospital personnel on the use of several programs while Dave networked all 6 offices together. After one week of being with us, Dave just couldn't say goodbye; he extended his stay for 3 more days! Thanks, Dave; your help is of great value for all the behind-the-scenes activities.
Dave Moser setting up the 
Computer Training Center.

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Electrical Evaluation
      The public health center Vicente Fernandez is a disaster site. They see anywhere from 150-200 people per day. At 7AM the gates are opened, and it is much like the line at an amusement park on a weekend or a holiday 6 long and slow. The difference here is the eyes of the people, poor, sick, tried or just scared that they will not receive the help they have come for. They huddle close so no one can push in front of them; they wait in fear that they will not be seen. Vicente Fernandez is the largest public health center in the western part of Honduras. Michael and Harold McClintock did an electrical evaluation of this center. The roof is leaking, and the electrical wiring is, in the words of Micheal McClintock, owner of McClintock Electric, "deadly". The Director of the clinic states, "We have children with asthma and the breaker keeps going out during their treatments. The lighting is inadequate to examine the patients. The laboratory equipment needs constant repair due to the tack of appropriate wiring creating voltage problems. 
 

7 a.m. lines at the Health Clinic Harold McClintock fixing washers

          Last year the government only allowed us $1,000 for these repairs. Due to the overwhelming needs, the politicians made the decision to apply the money to a smaller clinic that could be repaired with this small sum of money." To improve the basic structure, i.e. stop leaks in the roof and rewire, this forty-room clinic will require a grant or donation of $115,317.00. This facility is vital to the health care of the public. It offers dental care, laboratory, pharmacy, x-ray, and prenatal ultrasound and houses their vaccination registry. We are seeking large, one-time donations for this project. Please contact us if you know of a group, foundation, or if you yourself would be interested it funding this project.
          Harold and Michael also helped with repair and installation of an industrial size washer for the laundry at the public hospital that launders more than 800 pounds of linen per day.



Board of Directors Visit
          We welcome Jack Wright back to CAMO's Board of Directors after a two-year leave. All of our board members are expected to visit our programs in Honduras. Jack stayed with us for 3 days and in his words, "The change in two years has been remarkable; the programs are working well, the staff is well organized, needs are being met. When you are watching something everyday you cannot see the growth, but leaving for two years and coming back I have seen developments that are serving thousands."
          Jack's niece Nichole Van Alstine joined her uncle as his translator.


Contract Signed with Secretary of Health
The wall comes tumbling down. With this fall's visit, the signing of the contract between CAMO and the public health system came to fruition. We are now able to have patients served by social workers, and if they cannot afford care it is still provided to them. However, if they are wealthly and driving 2003 vehicles, they will be assessed on their ability to pay, thus preventing exploitation of the services and the taking of limited resources from those in true need. The funds that are recuperated will be placed back into the programs to purchase supplies and repair or replace equipment. This is a very exciting development, because it allows us to look at sustainability and will give us a way to make each program stronger to serve more of the population in need.

Dental Program
          We are so glad to have Dr. Nydia Alcaron back in a leadership role in the dental program. We have been able to strengthen this program with pre-visit studies being done to the school then with follow-up studies afterwards to provide some measurement of this program. Nydia is traveling to small schools one day a week, and she sees about 60 children per visit. She has been able to encourage other dentists to join her as she visits the poorest rural schools. We look forward to keeping you informed about the progress of this program.


Day Care Center
          Thanks to the generous donation of the Jack DeLoss Talyor Charitable Trust, we have renovated the feeding area of the day care center in Santa Rosa de Copan. This day care is for children of poor, single, working parents. There are presently 68 children in this day care, ranging from 1 month old to 7 years old. With the donation a kitchen was built, bathroom improved, early stimulation area painted, floor replaced, leaking roof replaced and developmental toys and tools donated. This project was started in June and completed by the end of October.



Municipal Gym
          Remember the newsletter of August 20037 We shared with you the need for an enclosed gym and the completion of this facility. In the last newsletter we stated that in Santa Rosa we have approximately 17,000 young people who need this facility. It is estimated that there are 500 street children! All the schools would utilize this facility! The problem is, the need is so great that the demand on the building will be overwhelming. Many of the schools and other volunteers are using the gym and developing programs that can be implemented in the gym. We can provide many activities that will build character and team-working concepts that will be vital in the lives of these children and young adults. Well, someone was listening, and thanks to the Noble Foundation of Wboster, Ohio, we have about 50 percent of the funds needed to complete this
facility. During our visit, the team enjoyed a fun evening of volleyball with our Honduran counterparts. There is still much more that needs to be done. We believe another $35,000 could complete this facility. Please consider how useful this facility will be. It is the only enclosed gym for a population of 1 million people, and it will be a powerful ministry to the many children on the streets of Santa Rosa.
 
Inside of City Gym CAMO Volleyball Team Honduran Counter-part Team



Crayons bringing the Imagination to life
          Were you wondering where all those crayons and used school supplies were going? Your children in several schools in Wayne and Holmes counties have done Bible school and year-end collections of school supplies, and we are excited to share with you several of the things that we have been able to do with these donations.
          More than eighty schools participated in the drawing contest, with 849 contestants. The children all placed the donated crayons to an empty page and worked hard at winning the contest. All 849 contestants won a bag of school supplies. All the children were from very poor schools and families so the top three won financial prizes for their family. First prize ($50.00) was given to Nahun Sibian, second ($35.00) was given to Brigithe Garda and third prize ($25.00) was given to Heydi Carvajal. The drawing illustrated is by Nahun Sibian, the first-prize winner. He is eight years old and lives in Aldea Siora, Florida Copan. We will continue this project every year. Each child that is seen by the dental program receives a package of school goodies. A gift table is created and they are able to choose what gift they would like after receiving dental care.
Nahun Sibian 1st Place, 
Titled "In my house everyone works"



February-March Teams
          More than 25 specialties will be represented in the upcoming year. There are 80 individuals from around the world who will be joining this diverse team as we train and integrate medical equipment and continuing education in the public health care iystem. The teams will be in Honduras from February 21, 2004 till March 14, 2004.
          The teams are a small part of what we do; the incredible tools of equipment, supplies, and most of all, education, stay long after the teams have gone. We have been able to serve more than 50,000 people this year. The concept is sound, and the results are simply amazing. Education vith the appropriate medical equipment and supplies will save lives and serve thousands. This is in a place were 70 percent of the population is under or unemployed. If you do not have money, a simple antibiotic is out of reach. It is a place vhere death is at your door daily. There is so nuch more to do. CAMO operates programs that are fiscally responsible, and we are able to show you the results. We still turn every $1 donated nto $6 of service. We are so very worthy of your support; please remember us in your annual giving.


In Summary
          We have many programs that have not been mentioned. The Gastric Cancer Research program is making a great deal of progress due o the efforts of Dr. Douglas Morgan and Dr. Richardo Dominquez. The Mobile Medical Equipment Repair Vehicle (MMERV) is in its first year of operation and has repaired medical equipment that is valued ten times more than the cost of the program. All the surgical programs and educational programs are productive. The prosthetic lab is becoming recognized as one of the best in Honduras. The partnerships with the vheelchair programs are successful with many people being served. Last but not least, the Honduran medical doctors continue to visit their poor communities on a monthly basis. They have alien in love with service and bringing hope to their own people. It has been a very good year,
and I want to thank each one of you for making it possible. Together, we are making a difference.



Endowment Camo Fund
All the programs discussed in this newsletter are established programs. The CAMO funds with the Greater Wayne County Foundation (GWCF) will help to secure the future of all these programs. To make donations to the Fund, make checks payable to the Greater Wayne County Foundation, please note in the memo area of your check "Benefit of CAMO Fund". Please mail your checks to Greater Wayne County Foundation, P.O. Box 201, 133 S Market Street, Wooster OH 44691. For questions about this fund, feel free to call Diane Gordon at the GWCF: 330-262-3877 or Kathy Tschiegg at the CAMO office.

 
TOGETHER WE CAN MAKE A DIFFERENCE
Please continue to support us with your prayers and gifts. Please don't forget us.
This newsletter is only being sent to supporters of Central American Medical Outreach. If you know of someone who would he interested in our projects please share this newsletter.

If you are interested in speaking for CAMO, please let us know. We have a Power Point program computerized with music. The song was composed and sung by local talent Becca Rossiter. If you need a program for your group or club, call the office at 330-683-5956.



Calendar of events:

December 1 -- Special Accomplishment Award Presented to Kathy Tscheigg by the Stark County Medical Association
December 15 -- Loading of the 48 foot container for teams
December 31 -- Close Door of container
January 15 -- Mail year-end letter/report and receipts of donation to donators
January 15 -- Dispatch container to Honduras
February 5 -- May 2 -- Director in Honduras
February 21-29 -- Team I Honduras
February 29 - March 7 -- Team II Honduras
March 7 - 14 -- Team III Honduras
 
 

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