RESUMO
The first case of yaws diagnosed in Barbados is documented. The clinicopathological appearance is described, and the Caribbean experience is briefly reviewed. Although the disease is almost completely eradicated, there still has to be continuing vigilance on the part of medical personnel so that the condition is not overlooked. The surgical pathologist can aid in the diagnosis (AU)
Assuntos
Humanos , Adulto , Bouba/epidemiologia , Bouba/diagnóstico , BarbadosAssuntos
Humanos , Recém-Nascido , Lactente , Pré-Escolar , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Masculino , Feminino , Medicina de Família e Comunidade , Barbados , Prática Privada/estatística & dados numéricosRESUMO
From September 1977, 11 general practitioners took part in a survey of 12 months' duration in which they recorded morbidity at every doctor-patient encounter. 35,143 patients made 53,094 encounters and a total of 62,932 problems were identified. The most common reason for going to the doctor was for examination with no disease detected. Acute upper respiratory tract infections, hypertension and pregnancy were the 3 most common specific problems with which the doctors dealt. The results demonstrated some features of general practice such as the abundance of the common diseases, the need to be alert to the infrequent occurrence of wide range major disease, pre-symptomatic screening of the healthy "at risk" patient and the problems of the ill-defined conditions. Comparisons with other surveys show some similarities in general practice morbidity, but also important differences that can be related to prevailing local conditions (AU)