Case Definition

Clinical assessment

  • Vague, generalized, non-disabling discomfort in joints and muscle, minimal physical findingsA,C, E
  • “Olivia’s syndrome”: headache, shoulder, chest, arm, neck and back painR
  • Headache, cough, abdominal pain, back pain, rash, due to multifactorial causes (stress, sleeping on ground, smoke exposure, heavy lifting, soccer collision, body mechanics, stooping over)E, G, S , leaning over pila to wash clothesN
  • Dull localized leg pain due to dehydration, walking long distances, malnutrition, osteoarthritisI, N : increase liquids, vitamin supplements, calcium supplementsN

Red Flags

  • Signs of infection, recent fall or accident, if SOB, muscle weaknes, inability to moveC
  • Headache: If severe pain, recent head trauma, fever, stiff neck, nasal congestion, cough, visual changesC
  • Back pain: Recent injury, MVA, fall, symptoms of acute nerve dysfunction, loss of bowel or bladder control C

Management

General recommendations

  • ACE wraps (for knee supports) F,, stretching activities and analgesic creams, consider physio referralG, T
  • Massage neck daily, improve postural mechanics, roll towel and put in the small of the back when sittingF,R
  • Headache: consider dental caries, vision problemE
  • Oral rehydration salts, reading glassesG.
  • Alcohol withdrawal: hydration 1-2L/dayH

Pharmacologic management

  • NSAIDs or acetaminophenA,C,E, M
  • Back pain: Fever, dysuria and pyuria: UTI treatment with cipro 500mg bid 3 days or Bactrim DS BID 7 daysC
Access this guideline on our app
Organization A

Locations: Nicaragua
Trips per year: 4
Format of trips: Mobile medical clinics and standing clinics
Setting: Rural
Type of Organization: Secular

Organization B

Locations: Guatemala
Trips per year: Variable
Format of trips: Clinics
Setting: Rural
Type of Organization: Secular

Organization C

Locations: Haiti
Trips per year: Variable
Format of trips: Clinic
Setting: Urban
Type of Organization: Faith-based

Organization D

Locations: Dominican Republic
Trips per year: 3
Format of trips: Clinic
Setting: Rural
Type of Organization: Secular

Organization E

Locations: Haiti
Trips per year: 7
Format of trips: Not mentioned
Setting: Rural
Type of Organization: Secular

Organization F

Locations: Honduras, Ecuador, Belize, Guyana, Guatemala
Trips per year: 5
Format of trips: Mobile brigades
Setting: Rural and Urban
Type of Organization: Faith-based

Organization G

Locations: Ecuador, Guatemala, Dominican Republic
Trips per year: 100 (spread over 6 sites)
Format of trips: Mobile brigades
Setting: Rural and Urban
Type of Organization: Secular

Organization H

Locations: Ecuador
Trips per year: 3
Format of trips: Mobile brigades in schools/Clinics in health centers
Setting: Rural
Type of Organization: Secular

Organization I

Locations: Honduras
Trips per year: 1
Format of trips: Mobile brigades in 20 villages
Setting: Rural
Type of Organization: Faith-based

Organization J

Locations: Jamaica, Haiti
Trips per year: 4
Format of trips: Mobile brigades, Permanent clinics/hospital medicine
Setting: Rural and urban
Type of Organization: Secular

Organization K

Locations: Haiti
Trips per year: 4
Format of trips: Clinic
Setting: Rural
Type of Organization: Secular

Organization L

Locations: Guatemala, Nicaragua
Trips per year: 3
Format of trips: Mobile clinics
Setting: Rural
Type of Organization: Faith-based

Organization M

Locations: Nicaragua, Honduras
Trips per year: 51
Format of trips: Mobile brigades, Hospital-based
Setting: Rural
Type of Organization: Faith-based

Organization N

Locations: Guatemala
Trips per year: 12
Format of trips: Hospital
Setting: Rural
Type of Organization: Secular

Organization O

Locations: Honduras
Trips per year: Up to 50
Format of trips: Mobile brigades in school and churches
Setting: Rural
Type of Organization: Faith-based

Organization P

Locations: Haiti
Trips per year: Variable
Format of trips: Mobile brigades and clinics
Setting: Rural and urban
Type of Organization: Secular

Organization Q

Locations: Dominican Republic, Haiti
Trips per year: 12 to 15
Format of trips: Mobile brigades
Setting: Rural
Type of Organization: Secular

Organization R

Locations: Honduras, Nicaragua, Panama
Trips per year: Hundreds
Format of trips: Mobile brigades in community centre or school
Setting: Rural
Type of Organization: Secular

Organization S

Locations: Honduras
Trips per year: 4
Format of trips: Mobile brigades, Specialty hospital services
Setting: Rural
Type of Organization: Secular

Organization T

Locations: Haiti
Trips per year: Approximately 40
Format of trips: Mobile clinics in 14 villages and Standing clinic
Setting: Rural
Type of Organization: Faith-based