Download RRP in Developing Countries

RRP in Developing
Countries
Arturo Avila Chávez MD
Director
Voice Center México
Incidence
???????


NOT KNOWN
Between 1500 – 2500 cases around
the country
Main Problem
CULTURAL
MEDICAL
ECONOMICAL
Voice as an Issue

Voice is NOT a Health Issue



People IGNORE the problem exists
Dysphonia
=
Alarm
People receive medical care only
when they are completely dysphonic
or with respiratory distress
Health Services

Public Hospitals (subsidized by
government)
• ISSSTE
• IMSS
• SSA

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Most of the general population
Not all are free
Different levels of medical attention
• 1st – 3d level

Very few centers for high specialized medical
attention in all the country
Health Services

80 to 120 consultations per day

10 surgeries a day

6 -8 moth waiting for surgery

Some patients even have to wait to be
operated until they have respiratory
distress
Health Services

Public Hospitals

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Big gap between first consultation and day
of surgery
Bureaucratic paper work
Time consuming
Centralized country
Private Practice
• The least amount of patients with RRP
• Need an Insurance

Otherwise…..Very expensive!
Medical Issues


RRP is a third level attention
problem! (Highly Specialized)
Some residency programs don't
have a good laryngological training,
which reflects a wrong Dx and Tx.
• WHY?
Medical Issues

Larynx is ENT´s the most hidden
structure
Medical Issues

Equipment
• Diagnosis
Medical Issues
Medical Issues
Medical Issues
Medical Issues

Surgery
• Equipment
Medical Issues
Medical Issues

Surgical techniques
• MICROSURGERY
Medical Issues

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Antivirals
Interferon
Vaccines
Phytosorb DIM
I3C
PDT
Retinoids
Mytomicin
Drugs Availability

Meds
• Very expensive $$$


Interferon
Cidovofir
• Non Available

No International Sale Representatives
RRP Information

Pt is not informed about RRP
• Cause
• Symptoms
• Treatment Options
• No societies or foundations to support
RRP
• Patients are all by themselves
Main Problems

Cultural



The RRP manifestations are almost certainly underdescribed and non existent for general population
Lack of Information (educational programs)
Health care system
• Centralized
• Better training residency programs

Subspecilized Doctors
• DX tools and TX equipment
• Drug Availability
Solutions

Take advantage of RRP IRS´s
infrastructure as a plataform
• Inform People


Most of the affected people only know
Spanish and don't have access to internet
Language barrier
Solutions
• Expand activities


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Create a supportive community network in
Developing Countries.
Creat groups of people, committed people,
specially patients and Doctors to approach
RRP IRS as a backup for multipurpose
Interaction with Meds suppliers for easier
access and cheaper prices
Thank You!