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Curriculum Courses are designed to give an overview of select issues in tropical medicine. Specific tropical diseases and case studies stressing diagnosis will be highlighted. Emphasis will be on the control and prevention of tropical diseases and basic pathogenic mechanisms of selected infectious diseases that continue to be of major public health importance. Students will be introduced to both clinical and environmental aspects of public health and disease control, and will acquire a working knowledge of the biology of these diseases, including prospects for effective management and control at both the personal and public health level. Courses include laboratory sessions and practical lab experience, and will help prepare students working with current and emerging health problems in developing countries. Specific areas of focus for each course are listed below. Module I: HIV, Tuberculosis, and Other Chronic Infections in the Tropics (223.685) Module II: Vector Borne Diseases in the Tropics (223.684) Module III: Intestinal Infections in the Tropics (223.688) Module IV: Child and Public Health In the Tropics (223.686) Module I: HIV, Tuberculosis, and Other Chronic Infections in the Tropics June 18 - June 22, 2012 8:30 a.m. - 5:00 p.m. Robert Gilman, MD, DTMH and Carlton Evans, FRCP, PhD, DTMH 4 Academic Credits Course will cover the history, clinical presentation, epidemiological factors, new diagnostic techniques, treatment, and control of tuberculosis. Addresses pathophysiology, clinical presentation, ecology, and effects of HIV/AIDS on developing countries, their populations, and resource utilization. Additional topics include other chronic infections that have global public health importance. There will be an emphasis on integrating policies addressing TB, HIV/AIDS, other infections and poverty in resource-poor settings and how these interactions influence control strategies. Class participation, midterm exam and final exam. By the end of the course, students should able to: 1) describe the epidemiology, pathogenesis, diagnosis and treatment of TB, HIV and the major chronic tropical infections; 2) characterize preventive and control policies for these diseases in the tropics; 3) understand how integrating public health and development policies can strengthen control of these chronic infections in resource-poor settings. Return to top >> Module II: Vector-Borne Diseases in the Tropics June 25 - June 29, 2012 8:30 a.m. - 5:00 p.m. David Sullivan, MD and Robert Gilman, MD, DTMH 4 Academic Credits Focuses on vector-borne diseases prominent in tropical infections. Areas of emphasis are global epidemiology, diagnosis, clinical presentations, pathophysiology, and treatment of microorganisms as well as characterization and control of vectors. Laboratory sessions integrate clinical cases and pathology. Principal diseases covered include malaria, African and American trypansomiasis, leishmaniasis, filariasis, yellow fever, dengue, hemorrhagic fevers, Bartonella, Lyme, Rickettsial, plague and toxoplasmosis. Class participation, midterm exam and final exam. Upon completion of this course, students should be able to: Understand the biology, global distribution and impact, infectious source, transmission, diagnosis, mechanism of pathology in relationship to infectious agent or host immune response, treatment and control of vector borne diseases relevant to the tropics; Characterize vectors and methods of control relevant to disease control. Return to top >> Module III: Intestinal Infections in the Tropics July 2 - July 6, 2012 8:30 am - 5:00 pm Robert Gilman, MD, DTMH 4 Academic Credits Provides an overview of the epidemiology, presentation, and effects of microbial, protozoan, and viral intestinal infections, including Salmonella, Shigella, cholera, typhoid, rotavirus, amebiasis, dysentery, H. pylori, Campylobacter, Cryptopsoridium, Cyclospora, and Giardia. Clinical presentation, life cycle, distribution, prevention, and treatment of intestinal helminthes, including Ascaris, Trichuris, Strongyloides, and hookworm are addressed. Interactions between parasites, diarrhea, and malnutrition, are addressed, along with treatment, prevention and control strategies, and oral rehydration therapy. Cysticercosis and hydatid disease are also be covered. Includes laboratory sessions and practical lab experience. Class participation, midterm exam and final exam. At the end of the course, students should be able to: 1) understand the epidemiology, pathogenesis, diagnosis and treatment of several major tropical intestinal diseases; 2) list public health preventive and control measures for the major intestinal diseases in the tropics; 3) recognize important protozoal and worm pathogens as presented in laboratory specimens. Return to top >> Module IV: Child and Public Health In the Tropics July 9 - July 13, 2012 8:30 a.m. - 5:00 p.m. William Moss, MD, MPH and Robert Gilman, MD, DTMH 4 Academic Credits Introduces students to the major global causes of child mortality and the strategies and interventions to reduce child mortality. Specific topics include malaria, HIV, measles, pneumonia, diarrhea, neonatal disorders and nutritional deficiencies. Additional topics may include maternal mortality, eye diseases, demography and anthropometry. A specific focus, and a theme emphasized through the different lectures, is the tension and balance between horizontal approaches to child survival, such as Integrated Management of Childhood Illness (IMCI), and vertical programs such as disease eradication programs. Students discuss several papers published as part of the Lancet Child Survival and Lancet Neonatal Survival series, and gain hands-on experience applying different child survival strategies using the Lives Saved Tool (LiST). Class participation, midterm exam and final exam.At the end of the course, students should be able to: 1) list the major global causes of child mortality; 2) describe interventions to reduce mortality from each of the major causes; 3) explain the role of undernutrition and micronutrient deficiencies in child morbidity and mortality; 4) describe advantages and disadvantages of horizontal and vertical child survival programs; and 5) list major challenges to reducing global child mortality. 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