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RRP in Developing Countries

RRP in Developing Countries. Arturo Avila Chávez MD Director Voice Center México. Incidence. ??????? NOT KNOWN Between 1500 – 2500 cases around the country . Main Problem. CULTURAL. MEDICAL. ECONOMICAL. Voice as an Issue. Voice is NOT a Health Issue

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RRP in Developing Countries

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  1. RRP in Developing Countries Arturo Avila Chávez MD Director Voice Center México

  2. Incidence ??????? • NOT KNOWN • Between 1500 – 2500 cases around the country

  3. Main Problem CULTURAL MEDICAL ECONOMICAL

  4. Voice as an Issue • Voice is NOT a Health Issue • People IGNORE the problem exists • Dysphonia = Alarm • People receive medical care only when they are completely dysphonic or with respiratory distress

  5. Health Services • Public Hospitals (subsidized by government) • ISSSTE • IMSS • SSA • Most of the general population • Not all are free • Different levels of medical attention • 1st – 3d level • Very few centers for high specialized medical attention in all the country

  6. Health Services • 80 to 120 consultations per day • 10 surgeries a day • 6 -8 moth waiting for surgery • Some patients even have to wait to be operated until they have respiratory distress

  7. Health Services • Public Hospitals • Big gap between first consultation and day of surgery • Bureaucratic paper work • Time consuming • Centralized country • Private Practice • The least amount of patients with RRP • Need an Insurance • Otherwise…..Very expensive!

  8. Medical Issues • RRP is a third level attention problem! (Highly Specialized) • Some residency programs don't have a good laryngological training, which reflects a wrong Dx and Tx. • WHY?

  9. Medical Issues • Larynx is ENT´s the most hidden structure

  10. Medical Issues • Equipment • Diagnosis

  11. Medical Issues

  12. Medical Issues

  13. Medical Issues

  14. Medical Issues • Surgery • Equipment

  15. Medical Issues

  16. Medical Issues • Surgical techniques • MICROSURGERY

  17. Antivirals Interferon Vaccines Phytosorb DIM I3C PDT Retinoids Mytomicin Medical Issues

  18. Drugs Availability • Meds • Very expensive $$$ • Interferon • Cidovofir • Non Available • No International Sale Representatives

  19. RRP Information • Pt is not informed about RRP • Cause • Symptoms • Treatment Options • No societies or foundations to support RRP • Patients are all by themselves

  20. Main Problems • Cultural • The RRP manifestations are almost certainly under-described and non existent for general population • Lack of Information (educational programs) • Health care system • Centralized • Better training residency programs • Subspecilized Doctors • DX tools and TX equipment • Drug Availability

  21. Solutions • Take advantage of RRP IRS´s infrastructure as a plataform • Inform People • Most of the affected people only know Spanish and don't have access to internet • Language barrier

  22. Solutions • Expand activities • Create a supportive community network in Developing Countries. • Creat groups of people, committed people, specially patients and Doctors to approach RRP IRS as a backup for multipurpose • Interaction with Meds suppliers for easier access and cheaper prices

  23. Thank You!

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