XIII Course Tropical and Travel Medicine 2020 (HCTTM 13) Havana, March 2-4, 2020

Organizer: Instituto de Medicina Tropical «Pedro Kouri» (IPK),Havana in collaboration with Medical Services for the Tropics (MST), Maastricht, The Netherlands.

Physicians (especially those working in general practice, occupational medicine, aviation, tropical medicine and and public health), pharmacists, microbiologists, nurses, and other health scientists. Instituto de Medicina Tropical Pedro Kouri (IPK) was founded by Dr Lectures by leading specialists (Cuban and others) and visit Pedro Kouri in 1937. When his son Dr.Gustavo Kourí took over as to hospitals, research laboratories, and community health centers. Director, this institute became a Center of Excellence in the field of Laboratory training available on request in bacteriology and tropical medicine and infectious disease. The late Professor parasitology and an extra module in public health. Gustavo Kouri was instrumental in putting the Havana Course in

Official language: English. Medical education credits from Travel and Tropical Medicine on the International map. The present Royal Dutch Society of Physicians (GAIA ABAN):18 hours & Director IPK Jorge Perez Avila and his staff have fortunately applied for EACCME ( European ) and Cuban authorities continued Professor Kouri’s legacy.

Photo Havana Malecon 2001 P.de Beer MST

Course Coordinator and Faculty: Peter de Beer ,MST Maastricht; Prof . dr T.Illnail IPK, Havana ,Cuba International Faculty: Prof.Martin Grobusch , UVA-AMC, Amsterdam, NL) ;Dr Jacques Meis ,CWZ Hospital Nijmegen, NL ; Dr Eric Caumes, St Pitiere Hospital Paris,Fr; For further administration and registration: Secretariat PO Box 1660; 6201BR Maastricht, The Netherlands Email :[email protected]

PROGRAM HCTTM-13 HAVANA COURSE IN TRAVEL AND TROPICAL MEDICINE MARCH 2-4 -2020 Day/time Topic Professor Monday 2 March 09:30am-10:00am Cuban Health System and Tropical Medicine Institute “Pedro Kourí”. An Prof. Manuel Romero overview Prof. Jorge Fraga 10:00am-10:30am Cuban AIDS program. HIV diagnosis and therapy. Prof. Jorge Pérez 10:30am-10:45am Discussion and questions 10:45am-11:30am Dengue, Zika, Chikungunya. Current and future challenges Prof. Eric Martínez Prof. Maria G. Guzmán 11:30am-11:50am Hemorrhagic viral diseases: Yellow fever, Marburg. Prof. Nereyda Cantelar 11:50am-01:00am Hemorrhagic viral diseases: Hanta virus. Ebola, Prof. Martin Grobusch

01:00pm-2:00pm Sequelae of Travellers’ Diarrhoea: presentation and discussion Dr Brad Connor ( USA) 02:00pm-02:30pm Viral Hepatitis Prof. Licel Rodríguez 02:30pm-03:30pm Visit to IPK Hospital. Bedside teaching Prof. Juan C. Millán

Tuesday 3 March 09:00am-11:30am Visit & teaching in Family Physician Clinic “T Tomay“ (or similar) Prof. María T. Illnait Prof. Beatriz Cantelar Prof. M. Fernández 11:30am-11:45am Discussion and questions 11:45pm-12:45pm Tropical Dermatology Prof. Eric Caumes (Fra) 12:45pm-01:15pm Import pathology Prof. Martin Grobusch (NL) 01:15 pm-1:35 pm Impending world wide problem of resistant fungal infections 01:30pm-01:50pm Some Travel Medicine and Global Health issues Peter de Beer, Md,DTM&H; 01:50pm-02:30pm Travel and fungal infections Jacques Meis , MD,PhD,NL 02:30pm-03:00pm Cryptococcosis, Histoplasmosis and travels. Potential risks Prof. María T. Illnait

Wednesday 4 March 09:30am-10:30am Amebiasis, Schistosomiasis ,cholera;Typoid Fever Prof. Luis E Jerez ; 10:30am-11:00am Chagas and Leishmania Prof. Ana M. Montalvo 11:00am-12:00pm Tb eradication program. Cuban experience Prof. Edilberto González 12:00pm-12:30pm Meningitis Prof. Félix Dickinson 12:30am-13:00am Malaria General Prof. Martin Grobusch 13:00am-13:30am Diagnostic and Therapeutic news about Malaria Prof Martin Grobusch 13:30am- 2:00pm Update on global malaria epidemiology and control Prof Martin Grobusch 02:00pm-03:30pm Evaluation and closure Prof. Marta Castro Prof. Beatriz Cantela Peter de Beer 03:30pm Lunch

Optional Laboratory Training (Extra) INTESTINAL PARASITES 3 hours Prof Nuñez Optional: 3 hour home visiting with Cuban physician serving population in Contact: Peter de Beer E-mail: [email protected] Homepage: www.maastrichttravelclinic.nl

See below report from second Edition of HCTTM 2004 below

SOURCE: Travel Medicine NewsShare ISTM 2004 by physicians Karl Neumann ( MY) and Lynn Black ( Boston) 2004 January/February

Health Care Professionals/Medical Meeting/Love of Travel © 2004 ISTM Newsletter of the International Society of Travel Medicine Havana, Cuba. For most of us in travel medicine meeting located far from home, es pecially in a country that we have never visited, is generally more satisfy- ing than one within driving distance. Even better if that country is controversial (but stable), constantly in the news, on most travelers’ wish list to visit, and has a unique health care system that we know little about but would like to get to know more. Still better if the meeting has no more than 20 participants and is hosted by warm, enthusiastic and knowledgeable faculty who present useful information (using Powerpoint!), and where we meet colleagues, local and international, with whom we form ongoing relationships for friendship and networking. In fact, each issue of this newsletter has numerous listings of such meetings and courses, held in all parts of the world, with one tailor-made for you, fitting your pro- fessional and personal needs and desires, your level of adventure, and your time frame and budget. Please see the calen- dar and the educational course section. This issue, for example, contains infor- mation about meetings in Peru, Tanzania, Alaska, and, of course, our upcoming major ISTM-sponsored congresses in South Africa in February and in Portugal in May 2005. Our listings keep growing, with meetings and courses in ever more countries, as travel medicine continues to expand. The recent 5-day International Travel and Tropical Medicine Course at the Tropical Medicine Institute Pedro Kouri (IPK) in Havana is a typical selection from our menu. IPK, founded in 1937, is located on a large campus on the outskirts of Ha- vana. It has been through all the trials and tribulations of recent Cuban history, and faced some difficult times but has survived, recovered and is now thriving, if not yet prospering. Today IPK, with a professional staff of over 700, is a World Health Organization/Pan American Health Organization Collaborating Center for the study of numerous diseases including tuberculosis, dengue, and leptospirosis. IPK offers dozens of programs to train students and researchers from all parts of the world, operates a large infectious disease hospital, and has played a sig- nificant role in the development of nu- merous vaccines, including ones against hepatitis B, meningococcal meningitis serotype B, and leptospirosis, with some of these vaccines already in use, and oth- ers in the advanced phases of testing. IPK is also the Cuban national reference laboratory for AIDS and helps train thou- sands of Cuban physicians to serve in medical needy areas of Central and South America and Africa. The Institute main- tains close ties with medical institutions in Europe, Latin America and the United States. The recent 5-day travel and tropical medi- cine course, the second annual one, at- tracted participants from half a dozen countries. The 20 hours of lecture were in English, given mostly by local faculty who had a good command of the language. Among topics discussed were dengue fever, malaria, hanta virus hemorrhagic diseases, ebola virus, and immunizations for travelers, to mention just a few. There were also discussions of the local health care system, a system that struggles un- der difficult economic conditions, and deals with constant shortages. In addi- tion, there were optional hands-on learn- ing opportunities in laboratory bacteriol- ogy and parasitology, and opportunities to visits other laboratories, local hospi- tals, and other health care facilities. Lynn Black, MD and Karl Neumann, MD Well-planned travel medicine courses, especially ones in remote locations, should provide a wide lens view into the local health care system. This in turn re- quires some understanding of the coun- tries economic and social system and re- alities. In Cuba, the health care sector is clearly one of the few jewels in the country’s otherwise difficult economy. (The education system may be the other bright spot.) In part due to the work at IPK, “tropical diseases” no longer exist in Cuba. The incidence of hepatitis A is closer to the rate in developed countries than in the third world, and typhoid fever is a rarity. The infant mortality rate is un- der 7, on par with North America and Western Europe. All children are vacci- nated against the more common child- hood diseases. The life expectancy is a healthy 76 years. Though the meeting was held on the out- skirts of Havana, participants lived in hotels or with families in private homes/ apartments in the center of the city, with the residence selected entirely dependent on participants’ preferences and wallet. Top hotels were quite good, virtually on a par with similar establishments else- where, and almost as expensive. Accom- modations with local families, called “guest houses,” were sparse but ad- equate, and provided visitors the oppor- tunity to experience a Cuban home and local cooking. Such accommodations are licensed by the Cuban government. One such facility was across the street from the Hotel Nationale, the best hotel in Cuba, with a delightful family in a rela- tively small apartment. Guests had their own rooms and bathroom ($30/night in- cluding breakfast), with other meals ex- tra. A Spanish/English dictionary came in handy for guests who spoke picito espanol. A van picked up participants from their residences and transported them to the meetings, about a 25-minute ride from downtown. The ride back and forth “Committee Reports,” cont. from p. 7 turned out to be very interesting, a regu- lar sightseeing tour, offering a view of the city and suburbs. Living downtown allowed participants to explore Havana, absolutely and positively guaranteed to be a never-to-be forgotten experience. A must are walks through Vieja Habana, the huge old section of the city, and along the waterfront. Here are hundreds upon hundreds of architectur- ally majestic and beautiful houses, each one different from the next, but virtually all in terrible states of neglect and disre- pair. In isolated cases only the walls re- main, held up by leaning timbers. Others appear to be occupied but have broken windows and boarded up doors, with people living inside. Here and there you see a house being restored, allowing your imagination to picture the entire area as it used to be. But even amid these ruins, one cannot fail to sense the grandeur that once was Havana. Especially memorable is walking the streets at night, when you see the facades of the houses lit by streetlights without seeing the disrepair that they are in. And as you walk along you almost always hear the exiting beat of Cuban music coming from small cafes or open windows. Also not to be forgotten are the cars on the streets, most of them Soviet built or thou- sands of over-sized America models, mostly from the 1950s, amazingly still run- ning, and many of them in fairly good condition. An informative travel and tropical con- ference plus the spirit of Havana is a mes- merizing blend. The warmth and friendli- ness of the Cuban people, the energy of the narrow, colorful streets of Old Havana, learning to salsa, seeing the Museum of the Revolution, drinking a mojito in Hemingway’s hangout... Is there a better way to experience the world than to be involved in travel medicine? Lynn is an internist with experience in emergency medicine and medical care in developing countries. She lives in Con- cord, Massachusetts. Karl is a pediatrician and the editor of NewsShare. He lives in New York City. Editor: Karl Neumann, USA Assistant Editor: Eric Walker, UK Assistant Editor: Peter Leggat, Australia E-mail: [email protected] © 2004 ISTM. All rights reserved. May not be reproduced without permission.