02.01.2008 - Source: Zentralstelle für Informationsvermittlung zur Rückkehrförderung

Availability and costs of drugs for treatment of epilepsy (lamotrigin) ("Individualanfrage zur medizinischen Versorgung: ZC 1") [ID 22535]

Document(s): Open document

28.12.2007 - Source: ReliefWeb

Cholera is dwindling in Guinea ("West Africa: Humanitarian situation report 28 Dec 2007"), Autor: United Nations Office for the Coordination of Humanitarian Affairs (OCHA) [ID 22190]

"Guinea – Cholera seems to be dwindling in Guinea. A number of 67 new cholera cases and 2 deaths were recorded for the week of 19 to 25 November 2007. The number of people who contracted the disease decreased in all the 11 affected areas, except Dubreka where 41 new cases were reported. The town of Guéckédou that has not recorded any new case for the past seven weeks was certified “nonendemic locality” by the National Disease Control Commission. At the end of November, 8, 289 cholera cases were reported in Guinea and about 294 people died of the disease. With the decrease in the number of cholera cases, the two centers for cholera treatment in the suburb of Conakry have been closed and new cases are now treated at the Donka Hospital."

Document(s): Open document

13.12.2007 - Source: Médecins Sans Frontières

Inadequate treatment available for malaria and tuberculosis (TB) ("International Activity Report 2006/7") [ID 22183]

"Tuberculosis is one of the most common and lethal opportunistic infections for people living with HIV/AIDS. MSF has improved the diagnosis and treatment of TB in the capital by training medical staff, improving case detection and treatment, and providing drugs. MSF activities now exclusively address HIV/TB co-infection. These patients are treated through outpatient consultations.

Malaria is endemic in Guinea, and responsible for 35 percent of medical consultations in the country. Despite the government agreeing to introduce the far more effective malaria drug ACT (artemisinin combination therapy) over two years ago, this drug is rarely available to the average Guinean. MSF is lobbying the authorities to rectify this whilst simultaneously providing ACT treatment in Dabola province from the hospital and surrounding health structures. In 2006 more than 13,000 patients were treated with ACT in this area."

Document(s): Open document

21.05.2007 - Source: Zentralstelle für Informationsvermittlung zur Rückkehrförderung

Availability of drugs and therapy for treatment of mental disorders ("Individualanfrage zur medizinischen Versorgung; ZC 122") [ID 22536]

Document(s): Open document

23.01.2006 - Source: ReliefWeb

UNICEF actions and achievements in health sector in 2005 ("UNICEF Humanitarian Action Report 2006 (UNICEF)") [#50381],  [ID 22198]

"In close collaboration with the Guinean Government and its partners, UN agencies, civil society and benefi ciaries, UNICEF has provided assistance to counter the cholera epidemic affecting more than 2,500 people (with 85 deaths) and for yellow fever campaigns (achieving 96 per cent coverage) targeting 600,000 children, including all refugees and host communities in Forest Guinea, which also benefited from two tetanus campaigns. A communication strategy helped immunize 2,257,963 under-five children during the third round of national polio eradication campaigns.

UNICEF also provided essential drugs to 69 health centres in Forest Guinea and country programme areas of convergence, insecticide to impregnate 175,000 mosquito nets, 200,000 doses of measles vaccine to protect 160,000 Liberian children before their repatriation, therapeutic milk to five therapeutic centres in Forest Guinea, along with training of the centres’ staffs. High-energy biscuits were given, through UNHCR, to all children repatriated in 2005."

Document(s): Open document

09.09.2005 - Source: Schweizerische Flüchtlingshilfe

Information on treatment of diabetes (type 1) and psychiatric care in Conakry ("Guinea: Behandlung von Diabetes (Typ 1), psychiatrische Versorgung in Conakry") [#37748],  [ID 22174]

Document(s): Open document

07.09.2005 - Source: UN Committee on the Elimination of Discrimination Against Women

Sleeping sickness no longer poses a public health problem ("Consideration of reports submitted by States Parties under article 18 of the Convention on the Elimination of All Forms of Discrimination against Women; Combined fourth, fifth and sixth periodic reports of States parties; Guinea [CEDAW/C/GIN/4-6]") [ID 22201]

"Sleeping sickness

This disease no longer poses a public health problem in Guinea. Efforts will focus on entomological and epidemiological surveillance and on prevention through the distribution of ivermectin at health centres and through community channels."

Document(s): State report
Concluding observations of 10 August 2007 [CEDAW/C/GIN/CO/6]

2005 - Source: World Health Organization

Report on mental health policies, programmes, financing, legislation, services, professionals, treatment, medicines and related organisations ("Mental Health Atlas 2005") [ID 22171]

Document(s): Open document

28.10.2004 - Source: German Institute for Medical Mission

Availability of treatment of tuberculosis, PTSD and chronic pain syndrom ("Stellungnahme 28.10.2004 an VG Hamburg - 5 K 4670/01 -") [#35992],  [ID 22539]

"Behandlungsmöglichkeiten einer Lymphknoten- und Pleuratuberkulose in Guinea:

Prinzipiell kann in Guinea eine Tuberkulose behandelt werden. Da es sich bei Herrn X um eine Tuberkulose Im Sinne einer opportunistischen Infektion bei der vorliegenden HIV Infektion handelt, haben wir Bedenken, dass eine Behandlung zeitgerecht erfolgen wird. Zwar gibt es in vielen wirtschaftlich armen Ländern bereits Gesundheitsprogramme, die sich dem Problem der kombinierten Behandlung von HIV und Tuberkulose widmen. Allerdings ist uns nicht bekannt, dass in Guinea ein solches Programm aktiv ist. Bei Herrn X muss nach Stabilisierung der Tuberkulose dringend eine antiretrovirale Behandlung eingeleitet werden (siehe oben).

Behandlungsmöglichkeiten eines chronischen Schmerzsyndroms in Guinea:

Die in dem Gutachten von Dr. Y, Arzt für spezielle Schmerz- und Psychotherapie, vom 16.06.2003 von Herrn X einzunehmenden Medikamente können höchstwahrscheinlich auch in Guinea über größere, internationale Apotheken bestellt werden. Mit einem landesüblichen Gehalt dürfte die Finanzierung dieser wahrscheinlich lebenslang notwendigen Schmerztherapie zusätzlich zu den oben genannten Behandlungen unmöglich sein.

Behandlungsmöglichkeiten einer posttraumatischen Belastungsstörung (PTB) in Guinea:

[...]

Nach unserer Kenntnis kann zum momentanen Zeitpunkt in Guinea eine psychotraumatologisch orientierte Psychotherapie fachgerecht nicht durchgeführt werden. In Fachabteilungen und durch Fachärzte für Psychiatrie in so genannten Ressourcen-Armen Ländern wie Guinea beinhaltet diese Behandlung unserer Kenntnis nach Methoden, wie sie auch in Deutschland vor ca. 2 Jahrzehnten dafür eingesetzt wurden. Eine psychotraumatologische Regelversorgung ist in Deutschland für Patienten/innen mit PTB erst seit ca. 10 - 15 Jahren eingeführt.

Daneben sollte beachtet werden, dass Behandlungskosten inklusive der Medikamentenkosten in der Regel ganz oder teilweise von den Patienten/innen getragen werden muss. Im Kontext Guineas kommen die Reise- und Unterhaltskosten einer Begleitperson oder bei ambulanter Behandlung diese Kosten des Patienten plus einer Begleitperson zu den Behandlungskosten dazu. Dies zwingt die Patienten in der Regel zu einem Abbruch der Therapie."

Document(s): Open document

2004 - Source: World Health Organization

Treatment of epilepsy in Guinea ("Epilepsy in the WHO African Region: Bridging the Gap") [ID 22172]

"GUINEA

Area: 245 860 km2. Population: 8.1 million (mn). Projected Population by 2030: 12 mn. Rural Population: 69% of total. Low-income country. Public Health Exp: 3.5% of GDP. Life Expectancy at Birth: 47 yrs. Under-5 mortality: 184 per 1000 children. Access to sanitation: 24% of rural pop. Access to sanitation: 58% of urban pop. Access to water: 48% of urban pop. Prevalence of HIV: 1.54% of adults. Female Youth Illiteracy: 78%, Male Youth Illiteracy: 50%.
There are 3 Neurologists, 2 Neurosurgeons and 8 Psychiatrists. An association BIVEP (Bien vivre avec l’épilepsie) founded in 2000 and training trainers in order to inform schools about the facts of epilepsy exists. There is 1 EEG machine and no CT scanner or MRI. Major causes of seizures are perinatal factors, head injury, infections, tumours and neuro-malaria. The available antiepileptic drugs are: Phenobarbital (300 francs G/unit), Carbamazepine (340 FG/unit)."

Document(s): Open document

15.09.2003 - Source: Institut für Afrika-Kunde

Health system "totally inadequate"; issue of financing of treatment is unsettled for most people; treatment of osteomyelitis and PTSD therefore likely to be impossible in case of return ("Stellungnahme vom 15.9.2003 an VG Potsdam - 4 K 756/02.A -") [#22960],  [ID 22540]

Document(s): Open document

22.03.2002 - Source: Federal Foreign Office (Germany)

Treatment of polyarthritis possible but not cost free ("Stellungnahme v. 22.3.2002 an VGH Ba-Wü - A 13 S 1266/97") [#8318],  [ID 22541]

Document(s): Open document