Copyright Notice This presentation is copyrighted by the Dalhousie Department of Diagnostic Radiology and/or the authors of the material. All rights reserved. This material may not be published, broadcast, rewritten or redistributed in whole or part without the express written permission from the department and/or the authors. For more information, contact the department directly, at 902-473-5452. Georgetown, Guyana Matthias Schmidt December 1-15, 2018 By Addicted04 - Own work with Natural Earth Data, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid= 20190963 Guyana – vital statistics • Population ca. 780,000 • Official language: English • Vernacular: Guyanese Creole • Area 214,970 km2 • Rainforest covers 80% • Land of many waters – Essequibo (1,010 km) – Courentyne (724 km) – Berbice (595 km) – Demerara (346 km) By Giorgiogp2 - Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.p hp?curid=8998409 Guyana – biodiversity • Iwokrama Forest (3710 km2) – one of four remaining pristine rainforests in the world • Konashen Community Owned Conservation Area managed by the Wai Wai (4000 km2) • More than 1000 species of vertebrates, e.g. giant otters, giant ant eaters, caimans, capybaras, jaguars • More than 1,000 species of trees • World’s rarest orchids Golden rocket frog (Anomaloglossus bebeei) in giant bromeliad (Brocchinia micrantha) Guyana – history • Indiginous tribes – Lokono – Kalina – Wai Wai – Macushi – Patamona – Wapishana – Pemon – Akawaio – Warao Guyana – history • Christopher Columbus 1498 • Sir Walter Raleigh 1596 • Dutch establish colonies – Essequibo 1616 – Berbice 1627 – Demerara 1752 • British make inroads 1796 • Dutch cede colonies 1814 • “British Guyana” 1831 Guyana – history • Independence from UK May 26, 1966 • “Co-operative Republic of Guyana” on Feb 23, 1970 • First “Free and Fair” elections overseen by former US President Jimmy Carter in 1992 • Current ethnic composition – 39.8% East Indian – 29.3% African – 19.9% Mixed – 10.5% Indigenous – 0.5% Chinese, European Guyana - Religions • Pentecostal 23% • Roman Catholic 7% • Anglican 5% • Seventh-day Adventist 5% • Methodist 1% • Other Christians 21% • Hindu 25% • Muslim 7% • Other religions 3% • Irreligious 3% Guyana – economy • GDP per capita 2017 – USD 4578* • Agriculture – sugar, rice • Mining – bauxite, gold • Fishery – shrimp • Forestry – timber • Deep water oil discovery 2015 – production expected to begin 2020* *IMF Country Report 18/220 July 2018 Number of reported traffic fatalities in 2016 – 128; WHO estimate – 24.6 per 100,000* *WHO Global Status Report on Road Safety (2018) Estimated prevalence of diabetes – 6.2% of persons aged > 30 years* Estimated prevalence of hypertension – 18% of persons aged > 30 years* *Guyana Country Co-operation Strategy 2016 – 2020 Guyana – Health • Life expectancy in 2016* – Men 64 years – Women 69 years • Leading causes of premature death in 2017** – Ischemic heart disease – Neonatal disorders – Stroke – Diabetes – HIV/AIDS – Suicide – Pneumonia – Murder – Road accidents – Cirrhosis *https://www.who.int/countries/guy/en/ **Institute for Health Metrics and Evaluation - 2018 Guyana - Health New cases of HIV in 2015 – 789* Estimated number of people living with HIV in 2017 – 8,200 (7,600-9,200)** Estimated prevalence of HIV in persons aged 15-49 in 2017 – 1.7% (1.6-1.8%)** *Guyana Country Co-operation Strategy 2016 – 2020 **WHO Global Health Observatory – 2018 Guyana - Health • Leading causes of disability in 2017* – Diabetes – Headache – Depression – Low back pain – Iron deficiency – Anxiety – Neonatal disorders – Other MSK disorders – Age-related hearing loss – Lymphatic filariasis *Institute for Health Metrics and Evaluation - 2018 • Incidence rate of tuberculosis – 72 per 100,000 in 2014* • 545 reported cases of new or relapsed tuberculosis* • 2% under age 15 years* *Guyana Country Co-operation Strategy 2016 – 2020 Physicians per 10,000 people in 2010 – 2.14* *WHO Global Health Observatory – 2018 Murder rate per 100,000 in 2016 – 18.8* Suicide rate per 100,000 in 2016 – 29.2* *WHO Global Health Observatory – 2018 Challenges • Workflow • Access to information • Focused training • Consistent mentorship • Infrastructure • Support for infrastructure • Supplies for IR • Standardized procedures for IR Thank you! Dr. Gillian Battino RAD-AID International.