Tanzania
Country
| Political status: | Republic | Fertility rate: | 5 children born/woman |
| President: | Samia Suluhu Hassan | Life expectancy: | 66 years |
| Surface: | 945.087 km² | Infant mortality: | 36/1000 births |
| Language: | English and Swahili | Doctor/patient ratio: | 1:20.000 |
| Population: | 62 million | HIV prevalence: | 4.8% (15-49 years) |
Itinerary
- Kilimanjaro International Airport (JRO)
- Arusha
- Tarangire NP
- Magugu
- Karatu
- Ngorongoro Conservation Area
- Karatu
- Lake Eyasi
- Karatu
- Arusha
- Zanzibar
Participants travel on tarmac- (500 km) and maram roads (400 km) in a bus and comfortable 4 x 4 Land-Cruisers (extended version) with experienced English-speaking drivers. The section Arusha – Zanzibar (500 km) is by air.
Curriculum
Schistosomiasis, lymphatic filariasis, malaria, amoebiasis, typhoid fever, shigellosis, cholera, brucellosis, leprosy, HIV/AIDS and related opportunistic infections, Dengue Fever, Chikungunya Fever, West Nile Virus, Ebola, occupational medicine in the tropics, DD of fever and diarrhoea in the tropics, poisonous snakes, traditional medicine, medical botany, laboratory diagnosis for tropical infectious diseases.
| Teaching | CME Hours |
|---|---|
| Ward rounds and case presentations | 20 |
| Field excursions | 15 |
| Laboratory manuals | 10 |
| Lectures and round-table discussions | 15 |
| Total CME Hours | 60 |
Program sequence (click every single day)
Day 1: Sunday
| Arrival at Kilimanjaro International Airport Transfer zur Elewana Arusha Coffee Lodge, Arusha (60 km) |
|
| 23.00 | Briefing on the TROPMEDEX excursion (Dr. Schaefer) Meeting point: Reception of the Arusha Coffee Lodge |
Day 2: Monday
| Drive to St. Elizabeth Hospital, Arusha (10 km) | |
| 08.00-09.00 | Lecture: DD of diarrhoea in the tropics (Dr. Rohela) |
| 09.15-10.15 | Lecture: Update on HIV/AIDS in Africa (Dr. Mushi & Dr. Schaefer) |
| 10.15-12.15 | Rounds in St. Elizabeth hospital: Focus on diarrhoea, AIDS and related opportunistic infections (Dr. Christina) |
| 13.00-15.00 | Laboratory manuals: at St. Elizabeth Hospital: Diagnosis of infections in the blood and stool (Dr. Prayod) |
| Drive to the Arusha Coffee Lodge (10 km) |
|
| 16.00-17.00 | Field excursion: Occupational Health in the Arusha Coffee Plantation (Mr. Nassor) |
Day 3: Tuesday
| Drive to the Old Selian hospital, Arusha (20 km) | |
| 09.00-10.00 | Lecture: DD of fever in the tropics (Dr. Amon) |
| 10.15-11.15 | Lecture: Update on malaria (Dr. Schaefer) |
| 11.15-14.15 | Rounds on the paediatric ward in the Old Selian hospital. Focus on children with malaria and other febrile ilnesses (Prof. Steve Swanson) |
| Drive to the Flying Medical Service (FMS) headquarters (5 km) |
|
| 15.00-18.00 | Field excursion to the Flying Medical Service: Medical care from the air in the Maasai areas (Dr. Pat Patten) |
| Drive to Arusha Coffee Lodge, Arusha (25 km) |
Day 4: Wednesday
| 07.00-08.00 | Lecture: Update on poisonous African snakes (Dr. Schaefer) |
| Drive to Meserani Snake Park (30 km) | |
| 09.30-10.30 | Field excursion in Meserani Snake Park: African snakes and reptiles (Dr. Rashid) |
| 11.00-13.00 | Rounds in Meserani Snake Park Clinic: Treatment and care of patients with snake bites (Dr. Jenny) |
| Drive to Tarangire National Park (50 km) | |
| 15.30-17.30 | Field excursion in Tarangire National Park: Prevention and control of sleeping sickness. Observation of the habitat of Tsetse flies (vector) and antelopes (Dr. Mofulu) |
| Drive to Octagon Lodge, Karatu (80 km) |
Day 5: Thursday
| 07.00-08.00 | Lecture: Update on Ebola (Dr. Schaefer) |
| 08.00-10.00 | Rounds in the Fame hospital, Karatu: Focus on patients with sepsis and ckle cell anaemia (Dr. Artress) |
| 10.15-14.15 | Laboratory manuals in Fame hospital: Diagnosis of malaria, African trypanosomiasis and lymphatic filariasis, Fame hospital (Dr. Anthony) |
| Drive to Lake Eyasi (50 km) |
|
| 15.30-17.30 | Field excursion to the Hadza tribe. Traditional medicine among the bushmen tribe around Lake Eyasi (Dr. Barjeda) |
| Drive to Octagon Lodge, Karatu (50 km) |
Day 6: Friday
| Drive to Endulen hospital in Ngorongoro Conservation area (80 km) |
|
| 08.30-09.30 | Lecture: Update on Dengue Fever (Dr. Schaefer) |
| 09.45-10.45 | Lecture: Update on brucellosis (Dr. Schaefer) |
| 11.00-15.00 | Rounds in Endulen hospital: focus on Maasai patients with brucellosis, malaria, TB and typhoid fever (Dr. Magdalen & Dr. Ben |
| 15.30-17.30 | Laboratory manuals: Diagnosis of brucellosis, TB and typhoid fever (Dr. Mameso) |
| Drive to Octagon Lodge, Karatu (80 km) |
Day 7: Saturday
| Drive to Arusha Airport (150 km) | |
| Economy flight from Arusha to Zanzibar (500 km) | |
| Drive to Mangrove Lodge, Mwambini Beach (30 km) | |
| 18.00-20.00 | Lectures: Update on Chikungunya- and West Nile Fever (Dr. Schaefer) |
Day 8: Sunday
| 08.00-09.00 | Lecture: Update on leprosy (Dr. Schaefer) |
| 09.15-10.15 | Lecture: Update on lymphatic filariasis (Dr. Schaefer) |
| Drive to Kizimkazi/Dimbani (50 km) | |
| 12.00-14.00 | Rounds in Kizimkazi Health Center: Patients with lymphatic filariasis and leprosy (Dr. Fatma & Dr. Saada) |
| Drive to Jambiani Beach (15 km) |
|
| 15.00-16.00 | Field excursion: bed-net study. Control of malaria in Jambiani district. (Dr. Yako) |
| Drive to Mangrove Lodge, Mwambini Beach (60 km) |
Day 9: Monday
| 09.00-10.00 | Lecture: Update on schistosomiasis (Dr. Schaefer) |
| 10.15-11.15 | Lecture: Prevention and control of schistosomiasis in Zanzibar (Dr. Simba) |
| Drive to Kinyasini (40 km) | |
| 13.00-15.00 | Field excursion: Schistosomiasis transmission site and visit to a school in Kinyasini (Dr. Simba and Dr. Ali) |
| Drive to Stone Town (50 km) | |
| 16.00-18.00 | Laboratory manuals: Diagnosis of schistosomiasis in the prevention and control center, Stone Town (Dr. Ali) |
| Drive to Mangrove Lodge (10 km) |
Day 10: Tuesday
| 08.00-09.00 | Lecture: Update on cholera in Africa (Dr. Schaefer) |
| Drive to Global Health Hospital, Stone Town (10 km) | |
| 10.00-15.00 | Rounds on the paediatric ward in Global Health Hospital. Participants take the history and examine children with tropical infectious diseases. Diagnosis and treatment is discussed with the doctor in charge (Dr. Sanga) |
| Drive to Mangrove Lodge (10 km) |
Day 11: Wednesday
| Drive to the Jozani Forest Reserve (60 km) | |
| 09.00-12.00 | Field excursion: Medical botany in the Jozani Reserve (Mr. Shabaan) |
| Drive to Zanzibar International airport (60 km) | |
| Changes may occur without prior notice! |
Accommodation
Night 1-3: Elewana Arusha Coffee Lodge, Arusha
Night 4-6: Octagon Lodge, Karatu
Night 7-10: Mangrove Lodge, Zanzibar
Travel preparation
Health
You should be in good health and fit.
COVID-19: You have to be vaccinated several times with an efficient vaccine in order to participate at the excursion (TROPMEDEX condition). You need to carry the written proof of your vaccination throughout the excursion in order to visit health facilities in the country. Prevention and control measures for COVID-19 are implemented throughout the excursion. TROPMEDEX will inform you about 2 months before departure about the policy of Corona testing in your home country and in Africa.
Other vaccinations: You need to be vaccinated against yellow fever. Custom officials check upon arrival your yellow vaccination booklet. It is highly recommended to be vaccinated againt polio, diphtheria, tetanus, typhoid and hepatitis A and to take malaria prophylaxis (malarone or doxycycline). Check wwwnc.cdc.gov/travel/destinations/traveler/none/tanzania.
Carry essential medicine with you, and if you like, bring masks, syringes, gloves etc., which are always in need in hospitals! If asked at the customs on arrival, explain that the medicines are for “private use“.
Tourist Visa
Luggage
| light trousers | hand sanitizer |
| jeans | mouth-nose-mask |
| shorts/skirt | mosquito repellent |
| shirts | sun cream |
| t-shirts | flashlight |
| light sweater | alarm clock |
| light impermeable wind jacket | universal travel adapter |
| comfortable sport shoes with proper soles | light rucksack |
| slippers | bathing suit |
| sunglasses | small umbrella |
| hat |
Should be packed in a soft, lockable travel bag (not bulky suitcase). Maximum luggage weight is 15 kg per person. You don’t need a mosquito net, white coat or stethoscope.
Medical literature
Oxford Handbook of Tropical Medicine, Robert Davidson et al., Oxford University Press, 5th Edition, December 2021, ISBN: 0198810857
Travel guide
Laundry
Money
Insurance
Internet, Mobile phone
Airlines to Tanzania
Book the open yaw flight as follows: arrive at the latest 3 hours before the start of the excursion at Kilimanjaro International Airport (JRO) and depart not sooner than 3 hours after the end of the excursion from Zanzibar International Airport (ZNZ).
- 12th March 2023, Sunday: excursion starts at 23.00 pm
- 22nd March 2023, Wednesday: excursion finishes at 12.00 am
Many airlines (KLM, Turkish, Emirates, Qatar, Ethiopian etc.) fly to JRO and ZNZ.
The flight from Arusha to Zanzibar is included in the tuition fee.
Airport transfer
A free airport shuttle is provided from Kilimanjaro International Airport (JRO) to Elewana Arusha Coffee Lodge in Arusha (60 km). The taxi driver will wait for you in the arrival hall of the airport building holding a blackboard with your name. The transfer takes about 45-60 minutes, depending on the traffic.