Uganda

Although health indicators are improving in certain regions of Uganda, many deaths are due to preventable diseases such as malaria and HIV/AIDS.  The World Health Organization reports that nationwide, HIV/AIDS has an average prevalence of infection of 5.4% and is the leading cause of death in adults followed by tuberculosis and malaria. According to the UNAID Uganda has an orphan population of more than two million, nearly half as a result of HIV/AIDS.   Additionally, Uganda is one of the US President's Emergency Plan Emergence Plan for AIDS Relief (PEPFAR) 15 focus countries receiving support comprehensive HIV/AIDS prevention, treatment and care programs. (read 2008 Uganda profile)

Currently the Johns Hopkins Division of Infectious Diseases, CCGHE, has bi-weekly live HIV case discussions with physicians in Ethiopia that are recorded and archived for later viewing.  Our future plans include distance education courses to meet the specific needs of clinicians in Uganda.

Global ID Grand Rounds a Success  
In June 2009 , The Johns Hopkins, CCGHE, and the Infectious Disease Institute (IDI) at Makerere University, in Kampala, successfully launched the first international clinical Case Discussion in Uganda.  The Uganda Clinical Case Discussion, linked HIV experts, medical fellows at Johns Hopkins School of Medicine, with approximately 30 practicing physicians in Uganda. The cases presented that day are archived here for your convenience.

Again, in November 2009, a second global ID Grand Rounds program took place and included JHU (U.S.), IDI (Uganda), and St. James Hospital/Trinity College (Ireland).  During this event, each group presented a case.  Below (case #4) was presented by Uganda.  Due to the success and value of this experience, quarterly sessions are planned.

Click below to view cases:

Case # 1:
17 yo female presents w/difficulty speaking & swallowing, S.O.B, tired eyes, weakness in extremities eventually respiratory failure.

Case # 2:
23 y/o HIV+ female hx of Kaposis Sarcoma WHO stage IV presents w/chest pain, dry cough, intermittent fever, and night sweats.

Case #3: 
5 y/o boy presents w/mouth sores, anorexia, cachexias & unable to walk; history of illness since infancy; dx w/HIV @ age 3.

Case #4:
31 yo presents w/chief complaint of abdominal pain, vomiting, and cough