TANZANIA March 2016 Arrival at Kilimanjaro International Airport (JRO) 1. Day: Sunday Transfer to the Karama Lodge, Arusha (30 km)

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1 TANZANIA March 2016 Arrival at Kilimanjaro International Airport (JRO) 1. Day: Sunday Transfer to the Karama Lodge, Arusha (30 km) Briefing of the medical program (Dr. Schaefer) Meeting point: Reception at the Karama Lodge, Arusha 14 March Lecture: Epidemiology, clinical manifestations, diagnosis 2. Day: Monday and treatment of HIV/AIDS (Dr. Mbonike, Dr. Mushi) Rounds on the Paediatric, Female and Male ward of St. Elizabeth hospital. Emphasis on HIV/AIDS and opportunistic infections (Dr. Mushi) Laboratory manuals: Diagnosis of HIV and opportunistic infections (Dr. Kisanga) Field excursion: Occupational Health in the Burka Coffee Estate, Arusha (Mr. Edwin) 15 March Lecture: Epidemiology, clinical manifestations, diagnosis 3. Day: Tuesday and treatment of malaria (Dr. Schaefer) Drive to the Old Selian hospital (15 km) Rounds: in the Old Selian hospital. Emphasis on malaria (Dr. Swanson) Field excursion to the Flying Medical Service Medical care in rural areas of Tanzania (Dr. Father Pat Patten) Lecture: Global warming causing the spread of malaria and Dengue Fever to temperate climate zones (Dr. Schaefer) 16 March Lecture: Update on Ebola (Dr. Schaefer) 4. Day Wednesday Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of Dengue Fever (Dr. Schaefer)

2 Drive to Meserani Snake Park Clinic (20 km) Field excursion in the Meserani Snake Park (Dr. Bale) Lecture: Epidemiology, clinical manifestations and treatment of poisonous African snake bites (Dr. Bale) Rounds in the Meserani Snake Park Clinic (Dr. Rarin) 17 March Lecture: Epidemiology, clinical manifestations, diagnosis 5. Day: Thursday and treatment of African Trypanosomiasis (Dr. Schaefer) Field excursion in Tarangire National Park: Habitat of the Tsetse fly (vector) and antelopes (reservoir) of Trypanosomiasis rhodesiense. Prevention and control of sleeping sickness (Mr. Mofulu) Drive to Magugu (80 km) Rounds in Magugu hospital. African Trypanosomiasis and other tropical infectious diseases causing fever (Dr. Abasi) Laboratory manuals: Diagnosis of African trypanosomiasis (Dr. Abasi) Drive to Karatu (130 km) 18 March 2016 Drive to Endulen in Ngorongoro Crater area (80 km) 6. Day: Friday Lecture: Epidemiology, clinical manifestations, diagnosis and treatment of Brucellosis (Dr. Schaefer) Rounds in Endulen hospital. Brucellosis in the Maasai Community (Dr. Mameso, Dr. Nector) Laboratory manuals: Diagnosis of brucellosis (Dr. Mameso) Drive through Ngorongoro Conservation Area to Karatu (130 km)

3 19 March Rounds in the Fame hospital: Mobile clinics in remote 7. Day: Saturday areas (Dr. Artress) Laboratory manuals: Learn the thin and thick blood film technique followed by microscopy session on the diagnosis of malaria, African trypanosomiasis, lymphatic filariasis, schistosomiasis ecc. in Fame hospital (Dr. Anthony) Drive to Lake Eyasi (50 km) Field excursion to the Hadzabe, the last bushmen in Tanzania-Traditional medicine (Dr. Tom) Drive to Karatu (50 km) 20 March 2016 Drive to Arusha (150 km) 8. Day: Sunday Participants can present for about 15 minutes their work (Lecture carried on flash) Economy flight from Arusha to Zanzibar (500 km) 21 March Lecture: Epidemiology, clinical manifestations, diagnosis 9. Day: Monday and treatment of cholera (Dr. Schaefer) Lecture: DD of diarrhoea and fever in travellers returning from the tropics (Dr. Schaefer) Drive to Makunduchi (30 km) Rounds in Makunduchi hospital with emphasis on patients with cholera and other diarrhoeal infections (Dr. Daud and Dr. Lizzy) 22 March Lecture: Epidemiology, clinical manifestations, diagnosis 10. Day: Tuesday and treatment of schistosomiasis (Dr. Schaefer, Dr. Simba) Drive to Kinyasini (30 km) Field excursion: Prevention and control of Schistosomiasis in a Primary school near Kinyasini (Dr. Simba) Drive to Stone Town (30 km)

4 Laboratory manuals: Diagnosis of schistosomiasis in the bilharzia prevention & control center, Zanzibar (Mr. Hajji) 23 March Lecture: Epidemiology, clinical manifestations, 11. Day: Wednesday diagnosis, treatment and control of leprosy (Dr. Schaefer) Lecture: Epidemiology, clinical manifestations, diagnosis, treatment and control of lymphatic filariasis in Zanzibar (Dr. Schaefer) Drive to Kizimkazi/Dimbani (45 km) Rounds in Kizimkazi/Dambani Health Center: patients with lymphatic filariasis and leprosy (Dr. Fatma) Drive to Jambiani (10 km) Field excursion: Malaria control project in Jambiani on the East Coast of Zanzibar (Dr. Khatib) Drive to Stone Town (50 km) 24 March 2016 Drive to Kivunge hospital (60 km) 12. Day: Thursday Rounds in Kivunge hospital. Participants take the history and examine patients with tropical infectious diseases. Thereafter diagnosis and treatment is discussed with the doctors in charge (Dr. Schaefer) Drive to Stone Town (60 km) 25 March Lecture: WHO-vaccination guidelines for travellers 13. Day: Friday (Dr. Schaefer) Drive to the Jozani Forest Reserve (30 km) Field excursion: Guided visit to the Jozani Forest Reserve: Medical Botany (Mr. Shabaan) Drive to Stone Town (30 km) followed by flight (20 minutes) to Dar es Salaam International Airport CHANGES MAY OCCUR WITHOUT PRIOR NOTICE

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