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8/2/2019 Dental HCP Packet
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Dental Health ProfessionalInformation Packet
Updated November 2011
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Outline
I. Introduction3
II. How to join and help..4Join a Dental Brigade
How to Help: Gather Medication/Supplies
How to Help: Donations
III. How to prepare for the Brigade6Basic Travel Needs
Accommodations and Daily Needs: Room, Board, Attire
Suggested Tools to Bring
IV. What to expect on Brigade..9Typical Brigade Format
Student, Dental Student, and Dental Hygienist Involvement
Brigade Location and Setup
Pediatrics Program
Restorative Care
Instrument disinfecting protocol
Data Informatics
Patient Referral Program
Community Health Care Workers
Testimonial from Dr. Jim
V. Appendix...20Supplies Needed for Brigades & Wish List
Contact Information
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Dear Dental Health Care Professionals:
It is our honor and privilege to welcome you to Global Brigades the nations
largest international student movement.
With your time, knowledge, and efforts, you will be changing the world, one
brigade at a time. The change you will make in peoples lives is real. The people
you will meet will thrive because of your leadership and dedication. The most
important step now is the first step to get involved and to make a difference.
Global Brigades incorporates hands-on global health initiatives while respecting
local culture. This is a unique opportunity to apply your education, intellect andcreativity to help the Honduran, Panamanian, and Ghanaian people realize their
dream of escaping poverty and experiencing true development. We encourage
students, volunteers, and health care professionals to use this time to build skills,
networks, friendships, understanding, resumes and a stronger connection to our
global community.
Thank you for your interest and leadership in Global Brigades. As a student-led
movement, this experience and club is exactly what you make it. Ask for more.
Share new ideas. Keep the momentum alive. Wherever this experience takes you
and your team, were here supporting you, every step of the way!
Welcome to the GB family,
ARCHITECTURE.BUSINESS.DENTAL.ENVIRONMENTAL .LAW.MEDICAL.MICROFINANCE.PUBLIC HEALTH.WATER
w w w . g l o b a l b r i g a d e s . o r g
Dr.ShitalChauhanChiefProgramOfficer
CEO&Co-founder
GlobalBrigades
Dr.JennyNajeraMedicalDirector
GlobalBri ades-Honduras
DanielTruongDentalBrigadesProgramLead
GlobalBrigades-Honduras
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How to Join and Help
Join a Dental Brigade
Every dental brigade consists of dedicated student volunteers, medical and dentalprofessionals, pharmacists, and auxiliary staff providing primary health care to
rural communities. The group functions as a mobile medical and dental unit,
setting up small clinics to diagnose and treat patients at no cost. If you have any
interest in joining one of our university chapters on a brigade, we will connect
you with the nearest group whose brigade will coincide with your
schedule. Dental professionals return from the trip having not only served
underprivileged communities, but also having empowered the next generation of
professionals to strive for global access to healthcare. We will provide you with all
necessary information to help prepare you for a successful brigade in an
environment unique to many existing programs.
If you are interested in joining a Dental Brigade, please contact the Dental
Brigade Program Advisors, at [email protected].
Once you have joined a brigade, Global Brigades will need to verify that you are a
licensed practitioner. In order to do so, you must send us copies of your diploma,
valid license and updated passport. For 3rd and 4th year dental students who wish
to participate, please see the Dental Student Involvement section on this packet
for more information. Please scan all documents and submit them [email protected] later than one month before your
departure date. Without these documents, health professionals will not be
allowed to practice in Honduras.
Please note that the local law requires an in-country dentist to accompany all
dental brigades, and that this in-country dentist will assume all medical liability
for treatment received on brigades. We will provide an in-country dentist to join
your brigade; it is not your responsibility to recruit them.
Help to Gather Medications/Supplies
If you cannot attend the dental brigade itself, you can still contribute to our
efforts and make a tangible difference by equipping students with the right tools
for their brigade. In order for this trip to be a success, we ask for the support of
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dental professionals in all fields; it is essential that we have enough medications,
anesthesia, and supplies in order to effectively treat as many people as possible.
As our programs expand, the focus and scope of brigades may begin to differ, and
thus certain brigades may require different supplies. These may be sought from
hospitals, pharmacies, supply houses, pharmaceutical companies, and
individuals. Donations of any kind or questions may be directed to the student
group you are sponsoring. If you are able to donate any medication or supplies,
please ensure that they are non-expired.
For a complete list of needed medication and supply donations, please see the
Appendix.
Donate
Whether or not you are able to accompany us, we appreciate donations. Without
donations from members of the medical community, our brigades would not be
possible. Global Brigades is a non-profit organization, and as such, all donations
are tax deductible.
Be a sponsoro Global Brigades has recently launched a new online fundraising
platform, Empowered.org, where donations can be made to
individuals or groups.
Step 1: Enter the name of the group or individual into the
search bar
Step 2: Select the appropriate brigade you wish to donate
towards and click DONATE
Step 3:After making a donation, you will automatically be
emailed a receipt.
Donate or assist in gathering health-related dental supplies (see appendixbelow)
Assist in pre-trip education, motivational talks at the nearest chapteruniversity
Please see the Appendix for an additional donation wish list.
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How to prepare for the Brigade
Throughout the preparation process, please feel free to contact the Dental
Brigade Advising Team with any questions.
Basic Travel Needs
General list of necessities prior to traveling:
Valid Passport which must not expire within 6 months of departure fromthe US
For brigades to Ghana, all volunteers are required to have a Ghanaian visa.Please visit the Ghanaian embassy website for visa application instructions
and fees:
http://www.ghanaembassy.org/index.php?page=visas
Required vaccination Ghana: For brigades to Ghana, proof the yellowfever vaccine is required.
Recommended vaccinations Central America: Hepatitis A, typhoidfever, up-to-date standard vaccinations (e.g. Hepatitis B and tetanus), and
Yellow fever (Panama only Recommended zone). Please visit the CDC
website for current information on vaccinations:
http://wwwnc.cdc.gov/travel/destinations/honduras.htm#vaccines
Malaria prophylaxis to be taken 1-2 weeks prior to departure and asdirected by your local travel clinic. Travel clinicians will recommend thetype of prophylaxis best suited for your personal and travel needs.
Any prescription medication currently taken $38.00 exit fee to depart Honduras and about $50-$100 for souvenirs A cell phone is not necessary. Please contact your cell phone provider for
details for international service.
Emergency contact information: Upon your arrival to Honduras, Panama,or Ghana, Global Brigades will send an email to your emergency contact,
notifying them that you have arrived safely. This information will be
collected via your club president before your departure.
Accommodations and Daily Needs: Arrival, Room, Board, Attire
Welcome to Global Brigades! Upon your arrival you will be met by a Brigade
Coordinator at the airport who will guide you to your bus, organize your luggage,
help you to exchange money and get you on your way to our accommodations.
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Our accommodations are about one to three hour away from the airport
depending on your brigade country. Once you arrive, you will participate in an
afternoon activity. After dinner, we will begin an introduction to the country your
program is in and address any questions you may have at that point.
We will always try to provide health care professionals with quarters that are
separate from students, however during busy brigade seasons this may not
always be possible and therefore we ask that you be flexible. When possible,
health care professionals will be placed with other health care professionals. A
twin bed including sheets and a pillow will be provided along with a towel. If you
require any additional items, please bring them with you. Running water is
available in all accommodation sites, but it is often cold and has low pressure.
Bottled water for drinking will be provided. Breakfast and dinner will be
communal and served buffet style at the compound where you will be staying.Packed lunches will be provided in the community at the brigade site. If you have
any special dietary needs or restrictions, please inform your group leader in order
for our in-country staff to plan accordingly.
Your brigade will travel to the brigade sites each morning and return before
nightfall. All traveling is done as a group in buses or trucks. Global Brigades
ensures that each compound is safely secured by providing armed security
around the clock.
Honduran and Panamanian climate is characterized by two distinct seasons - dry
and rainy. The dry season lasts from November through April and the rainy
season from May through October. Suggested attire is light, airy clothing that can
be worn in layers, as the temperature can vary greatly depending on
altitude. Some rain gear is also suggested.
Most health care professionals also bring hospital scrubs to wear during the
brigade. Bring attire that you will be comfortable wearing in warm
weather. Laundry services are also available daily at no additional cost.
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Suggested Extractions Tools To Bring
Dentists are required to bring their own tools on brigades. Here is a list of suggested
tools that are typically used. Dentists are free to bring any other tools they find more
comfortable using. Also, please label your tool set with a colored label to distinguish from
other dentists tool sets.
Upper
Straight elevators 150, 150S central, laterals, canines and premolars 18R, 18L, 88R, 88L for molars 10H for impacted teeth (third molars if completely erupted) 10AS upper molars and wisdom teeth 65 for roots #1 forceps for incisors and canines 99c incisors, canines, and pre-molars
Lowers
Flags and Curved elevators 151, 151S, 137 central, laterals, canines and premolars 16, 17, 23 for molars
Others
Absorbable sutures, Hemostats, and Surgical scissors Osteotomo Curette Bone file Disposable plastic syringes & saline solution Bite block if needed 3-4 syringe of sealant material & portable light cure
Restorative Care (currently only offered in Honduras)
Burs (cylindrical cutters, round and conical of different sizes) Phosphoric acid and bonding with applicators Matrix bonds Vitre bonds for base Composite & Temporary fillings Surgical burs Amalgam capsule Amalgamator or amalgam tablets
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What to expect on Brigade
Typical Brigade Format
Dental Brigades has treated thousands of patients in hundreds of different
communities in Honduras, Panama, and Ghana. Since most of the people we
treat do not have access to clean water, toothbrushes, toothpaste, or regular visits
with dentist, the services we provide are priceless.
In an effort to become more invested in the long-term health of our communities,
we have teamed up with the Medical Brigades program to provide a more holistic
approach to our communities. In order to be able to provide a larger range of
services and more focused on education, we visit the same community three or
four days in a row for each brigade. Because we will be visiting each community
multiple times rather than seeing all of the patients in a single day, each patient
will spend more time during his or her consultation with a physician and more
time for dental procedures and education as well. With your help, the community
members now will have access to more dental services, including fillings to help
restore teeth that otherwise would be extracted. Also, dentists are able to provide
patients with referrals to nearby clinics. Community nurses will follow-up on the
care for these patients. Please see Community Health Workers for more
information.
Also within our program, patients will receive education in basic hygiene and
other specific topics, as the smaller volume of patients will allow for more time to
conduct presentations and small educational activities.
As part of the brigade, we input patient information into Open MRS, the patient
management program that we use in our Data Informatics System (DI System).
This information will not only enable us to provide follow-up care, but can also be
used as an assessment tool for analyzing the health of communities as a whole
and for measuring our impact in a given community over time. Patients typically
arrive at a brigade in families. Many of these patients will want to come see adentist for a variety of reason.
The primary complaint is pain, which is typically the result of severe dental caries
and periodontal disease. The majority of these patients want to receive an
extraction; however, we want to offer them fillings for teeth that can be restored.
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Restorative care is one of our initiatives for improving the dental status in our
communities overtime.
For patients, primarily children, who may not need or want to see a dentist, we
offer fluoride treatments along with a dental education program prepared by
brigade volunteers.
Student Involvement
It is important to remember that our highest priorities are the health of the
community and the experience of our students. It is important that students not
only enjoy their in-country experience, but also gain knowledge in the process. In
addition to providing care to our patients, you will act as a teacher to our
students. If you have questions or are unsure how to prepare for this role, we willbe more than happy to offer guidance. As a professional participant, you will
have an amazing opportunity to interact with students and guide young aspiring
professionals.
During brigades, unlicensed volunteers cannot perform any procedures or unload
syringes but will have a chance to observe and learn from licensed dentists. These
precautions ensure that neither the volunteers nor the patients will be at risk.
Dental Students Involvement
1st and 2nd year dental students are able to provide fluoride treatments, cleanings
and education for the children within the community. This pediatric element is
an important and sustainable aspect of our program. Student volunteers also may
assist in this process.
3rd and 4th year students may only partake in providing extractions, fillings,
scaling, and applying sealants if they submit a letter from the professor or dean of
their dental school stating that he or she has passed the course involvingextraction and fillings. Please scan this document and send it along with the
dental students passport to [email protected] later than a
month before your brigade.
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Dental Hygienist Involvement
Dental Hygienist will be able to work side by side with the dentist and help assist
them in the procedure they are performing. The can also help with scaling for
those patients who dont need fillings or extraction, provide fluoride treatments,
and most importantly, dental education for the children.
Brigade Location and Setup
The physical site of the dental brigade and details of setup will vary depending on
the community and available resources. Most often, the site will be a school or
church in the community. Spatial areas or different rooms will be designated for
distinct functions, includes the Dental Brigade and the other Medical Brigade
stations. Below is the patient flow chart of a typical brigade format:
For Dental Brigades, a room will be designated where we will create a makeshiftdental clinic using the materials in the schools, our restorative unit, and our other
supplies. Within the room, there will be specific areas where extraction tools,
supplies for fillings, and solution for cleaning instruments will be arranged.
The rest of the brigade operates similarly to a traditional hospital. Patients will
transition from intake to triage to medical consultation to a dental consultation
(if necessary) and ultimately the pharmacy. While waiting for their prescriptions
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to be filled in the pharmacy, adult patients will attend a public health education
workshop while pediatric patients will partake in a dental education program.
During this, children will receive a fluoride treatment along with materials and
demonstrations for proper teeth brushing and dental hygiene. After receiving
their medication, all patients will turn in their patient sheet to students entering
the information into the database.
Dental Brigades is currently working to create and encourage a more sustainable
level of care for our communities. Before being treated, each patient is given a
form that records demographic information, vital signs, complaints, diagnoses,
and prescription information.
Intake: The first station passed through is intake. Volunteers from the
community will be responsible for operating this station and filling out the basic
information in the section of the patient intake sheet shown below:
*Please note that the patient sheet travels with the patient until after they have received their
medication.
Triage:After intake, patients pass to triage, where they relay their symptoms/
ailments to volunteers who:
Take blood pressure for all patients Weigh children under 12 Take temperature of children under 12 and those who complain of a fever Gather information about medication and current health conditions
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Consultation: This station is comprised of health care professionals, and
interpreters when necessary. Health care professionals consult, diagnose, and
then prescribe medication best suited for each individual patient. Please note that
local law requires an in-country doctor to accompany all medical brigades, and
that thisIn-country doctor will assume all medical liability for
treatment received on brigades.We will provide an in-country doctor to
join your brigade; it is not your responsibility to recruit them.
Dental Room: This station is comprised of dental health care professionals who
attend to patients who wish to receive dental services. The dentist will perform a
routine consultation to determine which procedure the patient should receive:
extraction(s), filling(s), scaling, and/or sealant. Working alongside volunteeringdentist will be a local dentist. The local law requires a local dentist to accompany
all dental brigades;this in-country dentist will assume all medical and
dental liability for treatments received on brigades.
Each dentist will also have 2-3 volunteers assisting with instrument cleaning and
handling as needed. Volunteering dentists have the amazing opportunity to share
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their knowledge and educate both patients and students throughout the whole
process.
Once a proper history is taken, the dentist may begin necessary procedures and
prescribe medication as they feel necessary. Please note: ONLY dentists are
allowed to mark on this part of the sheet:
Public Health Education Workshop (Charla):We realize that education isabsolutely essential in order to truly change the health of any community. To this
end, we have begun to develop a number of presentations on such things as basic
hygiene, dental hygiene, first aid, and nutrition. The patients will be seated in
front of the presenter to facilitate an educational discussion, while their
prescriptions are being filled in the pharmacy. Hygiene packs will also be passed
out at this station (bags of soap, toothbrushes, floss, etc.)
Many of the topics covered in the charla are adult orientated. Because many
patients are children, students will have the opportunity to prepare and present
dental educational skits, activities, and games for children. During the charla,
each child will learn how to properly brush his or her teeth and will receive a
fluoride treatment.
Pharmacy: In this station, prescriptions are filled with the medicine students
have collected for their brigade. A pharmacist oversees this station and answers
any questions that students or patients might have.
Pediatrics Program
As you know, the dental status of a community is really based on many different
kinds of preventative measures from the availability of a toothbrush to education.
Many of the communities we serve are stuck in the same cycle of unhealthy diets
as children, continual spreading of dental caries, which then leads to the need of
teeth extractions as when they are adults. What we attempt to do with this
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program is break this cycle and provide preventative service and education for
the future generation.
Step 1: Sealants
Generally are applied before fluoridation. The process is simple. We first dry
the tooth, and then apply the phosphoric acid for 15 seconds. We then apply
the sealant, and dry with the light cure. On a normal brigade, we will recruit
patients that need or want sealants and apply the solution to newly erupted
back molars that currently have no decay. Sealant materials are on the list of
supplies Dental Health Care Professionals should bring. If you can help
provide these materials, please notify the chapter presidents.
Step 2: Dental Education and Activities
Volunteers will put on a group activity that will allow the community kids to
be involved, engaged, and interested in various dental hygiene topics.
Step 3: Teeth Cleanings
After education, volunteers will continually interact with the children and
teach them how to properly brush and floss their teeth. Volunteers can make
this fun and engaging for the participants
Step 4: Fluoridation
Once the childs teeth have all been cleaned, the child will then dry his or her
teeth and fluoride will be applied via fluoride trays to make his or her teeth
stronger and more protected. Generally, the Reyes Irena girls will provide this
treatment. Students are able to do this under the supervision of a licensed
dentist.
Step 5: Data Informatics Input
To follow the current dental status of the communities we serve, we will be
utilizing the DI system which will help us keep track of our pediatrics patients
and analyzing the trends over time.
Restorative Care
It is important to focus on the long-term goals of sustainable dental health
through restoration and dental education. Fillings are important to community
members because it allows them to maintain their teeth rather than extracting
them. Patients who come to a brigade for fillings know that maintaining and
taking care of their teeth is important to their health. While extractions may
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alleviate acute pain that they have had to endure since they last saw a dentist, this
cycle continues as dental caries spread to the patients other teeth. This will
eventually lead to severe tooth decay and the toothache will reoccur. To break
this cycle, we must begin to encourage restoration and maintenance of healthy
teeth so that eventually we will see a decline in extractions and an increase in
both restoration and routine cleanings.
In an effort to bring about these changes, we hope to offer the restorative
portable unit to all groups on at least one day every brigade.Note that this
service is only available to groups going to Honduras.We are currently
still collecting donations to purchase units in Panama and Ghana. If you are
interested in making a donation to help support this project, please contact the
Dental Brigades Program Lead, Daniel Truong
([email protected]). Below are the specificities of the unit in
Honduras:
DHD-130 Deluxe Portable Dental Unit
4-hole/2-hold instrument hose 2pc
3-way syringe 1 pc Low volume evacuation 1 set Self contained water supply 1 set Self contained oil-less Compressor (580 watts) 1 set 110 Volt or 220 Volt 7 L tank capacity High Speed Hand-piece
Light Cure
Patient Dental Chair
Generator for communities with no power and also in an event of a blackout
NOTE: Suction works on the majority of units but can overheat the unit when
using the high-speed piece at the same time. Therefore, the use of suction is
possible, but may be compromised during brigades.
Instrument Disinfecting Protocol
In the dental station, it is important to disinfect all instruments that are used
after procedures. Unfortunately, we do not have the supplies to auto-clave the
tools used; instead, we use a set of solution for disinfecting instruments.
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Instruments are submerged in Sporox (7.5% hydrogen peroxide solution without
glutaraldehyde), bleach, and water for 5-7 minutes in each solution, respectively.
It is recommended that each dentist bring his or her preferred tools to increase
instrument availability.
Data Informatics
December 2011 marks the beginning of a new chapter for Dental Brigades. Our
electronic medical record system, which has been implemented on all medical
brigades since December 2010, is now fully functional for Dental Brigades and
will be incorporated on each from here on out. The benefits of Data Informatics
are numerous - not only will we be able to analyze health trends within our
communities, but we will have the ability to track patients over time, to follow-up
on previous conditions and offer better, more personalized dental care.
We have adapted the OpenMRS system, designed by Partners in Health, to
function with our brigade model. Currently, we are using student computers to
collect information primarily in the exam room with the students working along-
side providers as data-entry clerks. Your role as a provider will be to work with
the patient as well as the student to make sure that information is entered as
accurately as possible. Paper forms will still be used for the time being as a back
up in case of system glitches and are still the only records used in the pharmacy
(OpenMRS does not yet have a pharmacy module that is compatible with our
brigade model). If you have any questions about the Data Informatics System orwould like more information, please contact the Data Informatics Program Lead,
Kimberly Hanson ([email protected]).
Patient Referral System
A commonly asked question of many Dental brigaders is in regards to the process
of follow-up care after a patient leaves the brigade. Global Brigades Patient
Referral System helps to ensure that patients who require additional medicalattention are cared for after a brigade.
While on a brigade, an in-country physician identifies a patient who needs some
kind of follow-up care and writes a referral for that patient to visit their nearby
health center or hospital. With this referral sheet, the patient is guaranteed to be
seen and is advised to go seek the medical attention within a couple weeks after
the brigade. A full-time staff member is dedicated to facilitating the referral
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system process, and checking in with patients after their initial visits to the health
centers. All referrals are entered into the data informatics system providing us
with the ability to track and monitor the patient. In addition, accompanying each
medical and dental brigade is a staff member responsible for responding to
emergency cases. If there is an emergency case on a brigade, the patient is
transported from the brigade site to the appropriate location to receive the
necessary care.
Funding for the Patient Referral System is provided by the Community
Investment Fund (CIF), which is included in each volunteers program donation.
However, many costs exceed the current funds allocated by the CIF. We actively
seek student involvement to fundraise and solicit donations for these patients to
bring them the care they need. The additional care provided by the referral
system promotes a more sustainable health care system for our patients.
The referral process will be discussed further with health care professionals upon
arrival in country. Note: the in-country doctor and dentist is the only professional
who can write a referral. If you have specific questions, ideas, or concerns, about
the referral program please contact Referral Program Lead: Jennifer Grasso
Community Health Workers Program
Global Brigades also sponsors the Community Health Workers (CHW) Program,
known as Guaridanes de Salud. The CHW Program currently partners with
communities in Honduras to provide intensive health worker training to elected
community leaders. The program was created to empower local leaders to
perpetuate a consistent level of health care and improve access to medical and
dental services inside rural communities. The program also provides CHWs with
the knowledge to provide adequate follow-up care between medical brigades and
prevent potential health complications.
The CHWs are trained through a 3-month course featuring a health promoters
curriculum based on the well-known training books, Where There Is No Doctor,
and Helping Health Workers Learn. Supplemental information for these
trainings is taken from the Honduran Ministry of Health. Topics of the course
include first aid, tropical diseases, STDs, family planning and nutrition. The
CHWs learn how to track the health status of community members and to teach
them about preventive health measures. Each member is taught how to give basic
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treatment for acute diseases, to manage medication for chronic illnesses, and to
refer complicated cases to the next level of care. This program has shown the
capacity and importance of having trained CHWs in the communities. This
program is currently looking to implement a dental aspect within the curriculum
and is currently developing this initiative.
The CHW Program is a way to bring more sustainability to the communities in
which we work through educating community members on how to maintain a
consistent level of health care. It helps to ensure the good we are doing during
Medical Brigades is being perpetuated after we leave by promoting the
prevention of future health complications and for the follow-up care of chronic
patients. For more information about the Community Health Workers Program
please contact the Program Coordinator, Jennifer Grasso
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Appendix
Testimonial from Dr. Bruce Chan
My trip to Honduras
I just got back from a mission to Honduras with the Global Brigades--the largest
student run health organization in the world.
If you want to do something that makes you feel good about the future of the
planet, the young people and yourself, you may want to support or participate in
this organization--check out their website.
Several months ago, by daughter who is at USC, asked if I wanted to go as part ofthe team and I immediately said yes. The team evolved into 50 students, one
internist, one ENT doctor, and me. The students had funded themselves
individually, and amassed a huge supply of medical goods and clothing and
toys. We flew into Honduras the day after New Years and were taken by bus to a
compound with dorms and meeting areas, along with separate quarters for the
docs. An orphanage of around 150 children was adjacent, and the students went
over with toys and were immediately surrounded by children starving for
attention--clinging to legs and throwing themselves into the arms of the students.
Most of the orphans lived in groups of 12 with one nanny and were unlikely to
ever be adopted.
The next day, after a hearty breakfast of eggs and beans and juice, we were taken
by armed caravan to a mountain village, where another brigade of engineer,
architecture and public health students designated a home to have a
concrete floor placed, to help control parasitic disease. The students set about
leveling the floor, mixing concrete and pouring. At the end of the day, the three-
room house was done, and the exhausted students were taken back for a dinner
of fried chicken. In the evenings, the students would pack and organize
medications and all the donated goods, and then socialize. We three docs retiredto our porch and relaxed. All in all, the conditions were clean and comfortable
and basic. And very secure with government soldiers surrounding the camp. The
weather was very mild and very little bugs.
The next four days, we went by caravan to a small village school. On arrival, we
were greeted by long lines of patients, some of who had been walking with their
children for over 4 hours to get here. We divided into teams for triage, medicine,
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dentistry and finally pharmacy--the final stop where medications and clothing
and toys were distributed, according to need. We also had two Honduran
physicians and one Honduran dentist.
We set up chairs and tables as best we could, and set out our donated
instruments and supplies and went to work with the brigade students
helping. We had long lines that seemed never ending and began limiting the care
to one extraction per patient, generally the one causing them pain. Those that
needed more would sometimes walk home for hours and return the next day. The
patients were very appreciative and very stoic.
We were amazed at how the children would come in on their own, point to the
tooth they wanted out and sit quietly while we numbed them, and they did the
work. We thought they were very mature for their age and had a very tough
existence.
I generally only had time for a 20-minute lunch, as we were trying to get as many
people seen as possible. The Honduran dentist was remarkable, very committed,
very fast and very modern. The Brigade hired him and one of the physicians. The
other physician was doing his mandatory year of community service.
This went on for three more days, and we became more and more efficient as the
brigade caught on. The docs were pretty sore at the end of each day and really
enjoyed the porch after dinner.
These fellow docs were great guys. We were all about the same age and instantly
connected. On one night, a folkloric was presented and we were taken to another
compound. I was astounded by the amount of students gathered here--from five
universities across the United States. After the cultural event in this huge tent,
they bought out the dance music and lights and the kids partied with much
dancing and school chants.
These were great kids I met, unbelievably bright, passionate and committed. I
got to know many of them and was impressed at the kind of young people thiscountry is putting out there.
On the flight home, I sat next to a executive from a local news channel, and I told
him that every day of every week their are thousands of young people trying to
make the world a better place, and this was the untold story. He agreed, but said
that sort of news did not sell.
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I think it might. Good start to a good year.
Brian Chung D.M.D.
Oral and Maxillary Surgeon
USC January 2011 Brigade
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Supplies Needed for Dental Brigades
Below is a list of supplies that are needed in order to run a successful brigade.
Dental professionals are encouraged to help student volunteers obtain these
supplies, especially the ones that require a dental professional to obtain.
Supplies (* need dentist to obtain)
Amount for threebrigade days withone local dentist
Per additionaldentist
Lidocaine 2% or Septocaine 4%* 6 boxes 1 box
Non-epinephrine injection 3%* 3 boxes 1 box
Short dental infiltration needles (30G)* 300
Long dental infiltration needles (27G)* 300
Prophy paste or large tubes oftoothpaste
6 tubes
Topical analgesic with cotton-tipped
applicators*
2 bottles
Fluoride gel/foam 1.23%* 6 bottles
Fluoride trays (size XS, S, M) 600 (~200 each size)
Absorbable sutures* 1 box of 10
Disposable scalpels* 10
Sealant Material* 2-3 syringes
Hydrogen peroxide 1 bottle
Alcohol swabs or alcohol with cottonballs
1 box
Sharps container 1 big or 2 little
Gauze sleeve (2x2 non-sterile) 10-12 sleevesSurgical masks (ear-loops preferable) 1 box of 50
Dental bibs 400
Sterilizing spray or wipes (Cavi wipes,Lysol, etc.)
2 tubes
Toothbrushes 900
Tubes of toothpaste (small) 900
Dental floss 900
Goggles 6 pairs
Large surgical drapes 6 2 additional
Ziplocs prepackaged with 4 gauze pads 300
Dental puppet/mouth to demonstrate 1Box of tissues 2 boxes
Duct tape 2 rolls
Hand sanitizer 3 bottles
Small gloves 3 boxes
Medium gloves 3 boxes
Nitrile gloves 3 boxes
Large gloves 3 boxes
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Heavy duty gloves (dishwashing) 3 pairs
Scrub brush (dishwashing scrubber) 3 brushes
Extraction tools, including hemostatsand scissors
As available
BP cuff and stethoscope 1 set
Extra Donations and Wish List
Dental Brigades is continually trying to expand the program in many ways, and if
you have some items that you wish to donate, or know someone or a company
that may be of help please let us know! Below is a list of things we are
consistently trying to gather.
Composite Phosphoric acid Bonding Amalgamators Amalgam Portable Curing lights Portable x-ray panoramic Pressure pots for sterilization Sterilizing liquids Extraction tools Syringes Burs (especially diamond) Goggles (or other eye protection) Headlamps or overhead lamps Extension cords Power strips Portable dental chairs Portable units & compressors Suction pumps Larger mirrors (for looking at restorations) Spanish educational posters/pamphlets/videos
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Contact Information
Honduras
Program Lead
Daniel Truong [email protected]
In-country Lead Dentist
Dr. Fernando Estrada [email protected]
Program Adviser
Nicole Coalson [email protected]
Brianna Clarke [email protected]
Erin Rudegeair [email protected]
Kathleen Schmitt [email protected]
Brigades Coordinator
Karla Platzer [email protected]
Elizabeth Sophy [email protected]
Data Informatics Program Lead
Kimberly Hanson [email protected]
Patient Referral Program Lead
Jennifer Grasso [email protected]
Community Healthcare Worker Program Lead
Dr. Bruce Flores
Jennifer Grasso [email protected]
Panama
Program Lead
Oscar Valencia [email protected]
Program Adviser
Jeff Thompson [email protected]
Ghana
Program Adviser
Solomiya Teterichko [email protected]