Pediatric & Adult Cardiac Program Development
Macapá, Amapa, Northern Brazil
April 17- 29, 2016
Mission Location: Macapa, Brazil
Number of Surgeries: 19
Number of Patients Served in Outreach: 240
Number of Volunteers: 22
Accomplishments: Initiated 3rd pediatric cardiac program in the North/Northeast of Brazil; Provided education for over 500 students, and dozens of local village members, provided outreach screening and health services to 240 people, and installed 7 water filters in the school and home of a jungle village nearby the center of Mazagão.
On April 17, 2016, a team of 22 CardioStart volunteers including 4 outreach personnel began a partnership with the main Hospital São Camilo to begin the 3rd program for complex pediatric heart surgery in the entire North and Northeast area of Brazil, The situation for pediatric cardiac care in Brazil is dire, with limited centers, and patient waiting lists in Fortaleza for children who need critical heart surgery reaching over 200 names.
Hospital São Camilo, a tertiary care facility in the city of of Macapá, Brazil, already provides free cardiac care to impoverished adult patients in the region of Amapá State. The adult cardiac surgical program has been in place since 2004 but research based quality improvement standards were needed to preserve outcome results. The local team can currently manage routine adult cardiovascular diseases and a few adult congenital cardiac defects. This cardiac team has served the local population for ten years within the state. At the request of Dr. Antônio Furlan, Cardiac Surgeon, and the local program leader, our team worked to assist in developing their cardiac program with special emphasis on pediatric cardiac surgical care which was their major need. A comprehensive implementation of protocol and procedural standard upgrades was also requested.
Through daily lectures, hands-on demonstrations and protocol provisions the CardioStart team was able to assist program development towards international benchmark standards. A total of 547 students and professionals received formal education. The CardioStart team worked each day with the local team to establish a pediatric cardiovascular center and assist them be able to provide all of the sophisticated diagnostic services and the full range of treatments, interventions, and surgeries needed to produce high-quality outcomes in all pediatric patients with congenital and acquired heart diseases The local team leaders were provided recommendations and procedures/protocols for ongoing program development sustainment.
As part of the education program a total of 11 pediatric and 8 adult patients ranging from 5months old to 72 years received surgical corrective care during the two-week mission with CardioStart’s support.