Symposium of the Sektion DOG-Internationale Ophthalmologie
Migration is one of the key issues of our time. Tropical eye diseases who are likely to appear in our daily clinical routine due to migration are but one of the many aspects of migration related to the field of ophthalmology. With presentations on the challenges of treating traumatized refugees, successful cooperations as an example of local development assistance and migration aspects in international ophthalmology, the symposium will give insights on this important issue of our time.
|Saal 2||08:30 - 09:45||28.09.2019|
|Migration and Ophthalmology Symposium der Sektion DOG-Internationale Ophthalmologie|
Tourism and migration are reasons for increasing numbers of patients with imported tropical or subtropical diseases seen in eye clinics and hospitals in Germany. Ocular disease may represent eye infections like Trachoma or Acute haemorrhagic conjunctivitis or be a complication of systemic parasitic disease like Onchocerciasis, Loiasis, Leishmaniasis, Malaria, Dengue fever and others. History, clinical picture and treatment will be discussed.
In the recent years more than a million refugees from war regions have arrived and stayed within the European Union and especially in Germany. A small, but significant number of those have gone through stressful and/or traumatizing experiences and express as a consequence a variety of different posttraumatic syndroms and stress related symptoms. The related clinical pictures are highly relevant for psychiatry but also for all other disciplines of medicine since interactions between physicians and patients are influenced and often dominated by hypervigilance, lack of trust, impulsivity and high levels of arousal and anxiety to name just a few symptoms. Against this background, the presentations will give a brief overview on relevant mental health disorders within this group and possible interventions. Prof. Bajbouj, member of the Leopoldina Task Group Traumatised Refugees, will give insights on this issue important also for ophthalmologists.
Ophthalmologists are in short supply in most resource poor situations. High quality solutions need to be found to address the ophthalmological needs of the population including improved high quality ophthalmology training, and the use of eye teams. Economic difficulties and political instability also lead to migration of health workers. The Competency based framework of WHO AFRO and curriculum changes in DRC are examples leading to improved training and performance with some uniformity across Africa.
Though the topic has not yet been extensively researched, the available evidence to date suggests that migration of ophthalmic personnel, particularly from least developed to advanced countries, is real and remains a matter of concern. Among the many reasons why people wish to migrate to greener pastures, professional development and satisfaction, as well as better personal income and hence, greater opportunities for childrens growth and development, are those that are often cited. Migration of ophthalmic personnel is not a fatality, and can be addressed or even reversed, through a mix of well designed local and international collaboration and partnerships, aimed at progressively building capacity not just of the local ophthalmologists, but of the entire local eye care team, by offering to the entire eye care team, a modern infrastructure and a pleasant work environment, wherein everything learned can be immediately put into practice, and where its fun to work. This is precisely what the recently established Magrabi ICO Cameroon Eye Institute in Yaounde, Cameroon, is trying to do. The author believes that more of such models and initiatives are urgently needed across sub-Saharan Africa, to ensure that the vast majority of African eye workers trained in Africa, remain and work happily in Africa.
Bearing in mind the principle of "teaching one to fish is better than giving him fish", HESH (He Eye Specialist Hospital) has devoted into cooperating with developing and underdeveloped countries to improve their eye health ability many years. HESH aims to help these countries to build an innovative model in eye care with each own characteristics by providing constant teamed training, combining with AI system and portable devices. Cooperation agreements have been reached with Nigeria and other 11 countries with expectations of Win-Win results.