Yellow Fever

May/June 2008   ISSN-1059-6518   Volume 21 Number 3

By Frank Hubbell, DO

Yellow fever is an acute hemorrhagic viral illness caused by the yellow fever arbovirus of the genus Flavivirus, family Flaviviridae. It occurs in many African, Central and South American countries, and several Caribbean Islands. There is an effective vaccine. The World Health Organization (WHO) estimates that there are about 200,000 cases per year with about 30,000 deaths, with the highest proportion in sub-Saharan Africa. The name refers to the yellow color of the conjunctiva and skin that occurs from the liver jaundice that affects many patients.

Read more

Fever

May/June 2008 ISSN-1059-6518 Volume 21 Number 3

Temperature’s Rising: FEVER

You are five days into the wilderness on a 14-day trek across the Kamchatka Peninsula in eastern Russia. Early that morning, one of your fellow trekkers comes over to your tent to let you know that she felt feverish most of the previous night. Throughout the night, she felt hot, sweaty, and at times, she had chills.

Read more

Treating Fever

May/June 2008   ISSN-1059-6518   Volume 21 Number 3

Read more

Teaching WFR in Africa

May/June 2008 ISSN-1059-6518  Volume 21 Number 3

Disclaimer: The content of the Wilderness Medicine Newsletter is not a substitute for Read more

Fractured Pelvis

May/June 2008  ISSN-1059-6518  Volume 21 Number 3

If the pelvis shifts during an exam,  with a sensation like closing a Read more

NAVIGATION−exploring the mysteries of going from Point A to Point B

Each summer as I sail the Maine coast, I monitor channel 16 on the VHF radio. For those of you who are not boating enthusiasts, 16 is the emergency channel. Mariners are expected to monitor channel 16 at all times while underway for news of navigational hazards and other vessels in distress. If a distress call comes from a position near your own position, you are expected  to join the radio call and offer assistance if you can safely do so.

While monitoring the radio, I am amazed by the number of people who radio the Coast Guard asking for assistance but who are unable to tell the Coast Guard where they are.

 

ISSN-1059-6518

Read more