There were still exist some political trouble caused by the salary was one year late in Central African Republique. However, it was very lucky to have done the surveys for examination and treatment of our activities in the same villages with the advices, arrangements and considerations of Dr. Yaya as our counterpart and the Ministry of Public Health of New Government of Central African Republique without any problems and any accidents, in spite of Japanese Embassy in Bangui was closed. Dr. Yaya has reserved a rent-a-car because all official car of Ministry of Public Health had been destroyed during past inner war, and the arrangement of one military soldier (sanitary noncommissioned officer) had joined and companied with us for the guard from guerilla during our surveys in rural areas. By the explanation of Mr. Tikango who is the Secretary General of Ministry of Health, very few European and Asian peoples such as French, Portuguese, Korean staying in this country at the moment, and three Japanese (only our mission member) stay in the whole country of Central African Republique as foreigner. It was possible to do the surveys of examination and treatment have been done at the Kella・Sergent Village in Bouar Area of Savanna Zone and M'Banza in M'Baiki Area of Jungle Zone. A total of 127 inhabitants at Kella・Sergent Village and total of 60 inhabitants at M'Banza Villege were examined, and total were 187 cases.
On the examination results, positive rate and the number of species per persons of inhabitants of the total of the persons who were received all examinations were not so decreased recentry, such as 91.5% in 2003, 93.4% in 2002, 88.1% in 2001, 93.0% in 2000, 89.5% in 1999, and 94.5% in 1995, 100% in 1985 in Kella・Sergent Village. The average number of parasites species per person was also summarized. There were 2.93 species in 2003, 2.84 species in 2002, 2.81 species in 2001, 2.98 species in 2000 and 3.00 species in 1999 in Kella・Sergent Village.
From our analysis, the new individuals numbers who were received parasitological and medical consultation by our surveys were increased in each year except this year. It seems to be that the increased reasons may succeed and spread to have the knowledge and interesting on the health problems from our activities such as health education to individuals, and the neighbor villagers were also visit to our consultation and increased every years gradually. The reason of number of species in the new cases of this year was little higher than the persons who were received our past consultant, many new cases of inhabitants may come from urban area such as Bangui to this village as evacuation by the political trouble of civil war, and it suggest that these persons have been received the good medical care when they lived in urban areas compare with this village. On the contrary, from the past surveys in M'Banza Village, the average number of parasites species were not so decreased. The reasons of non decreases on both of positive rate and the numbers of species in M'Banza Village, there are seems to be the exist of vectors present by the situation in Jungle areas and many visitors visit in this village because this villege is not so far from the capitol city.
Finally, it is sure that the Health Note system and health education are very useful and efficient for the health problems of inhabitants in Central African Republique. And Dr. Nally Nestor who is Minister of Public Health and other Directors of Ministry explained to thanks for the continuous and cooperative surveys of the SASAKAWA MEDICAL MISSION. And also all villagers waiting for our mission. All the Doctors and members of Hospital and Dispensary done the activities on health problems by following our instructions during our absent term. It may continue to the surveys and support with mission in Central African Republique as possible as approvable.
At the WHO meeting in Geneva, all members were very happy to receive our report and they wait for our active data because the report from Central African Republique to WHO is only our report at the moment. The meeting was discussed about the control of parasitic diseases, and WHO have a some plan about donation of some drugs for soil-transmitted helminthiasis to African countries.
Microscope, Examination Materials and Drugs sent by separate luggage and other drugs by purchase at France and Bangui were donated to the Ministry of Public Health after the examinations finished in this year as usual.
1. Microscope (Olympus) 1 Set
2. Potable Ophthalmological Microscope (Inami) 1 Set
3. Combantrin 600 Tablets
4. Examination Materials (7 articles) 300 Persons
5. Drugs including purchase at locals (8 articles) 30,000 Persons
Combantrin was brought by hand carry, and other articles and materials sent by separate luggage from Japan, malaria drugs such as Malarone and Lariam buy in France and several other drugs including Chloroquine purchase in Africa, and all drugs were donated to Bouar Hospital, Dispensary of M'Banza and the Minister of Public Health of Central African Republique after finished Mission surveys.
All the apparatus and materials which were donated until last year were used effective and useful with carefully even they had the big political trouble by inner war, and all of medical relatives were explained to thanks for the continuous donations from the Sasakawa Memorial Health Foundation.
Three weeks after our Mission were left, the Rebellion was start by rebel army of anti-government on November of 2002, and continued until August 2003.
In the first, we had planned to go to Central African Republique on August, however political situation was not so good. After contact with Dr. Yaya by telephone once or twice per each month, we had decided to visit for surveys on December of rainy season, because of becoming the quiet condition in the country. When our departure, all the relatives of Central African demand to continue the survey of our Mission and transmit the message of waiting for the next time again from them. If the circumstances about political situations become better, we want go to surveys for the relative local inhabitants one more time.
Express to sincere thanks to the Minister Dr. Nally Nestor, Secretary General Mr. Tikango, Director Dr. Boua of the Ministry of Public Health, Central African Republique for their arrangements, and especially Dr. Yaya who is counterpart of our Mission for his perfect arrangement of our traffic problem, Hotel reservation and helpful assistances during our sunveys, and Dr. Kobangue for his aid of our surveys, too. And also thanks to Dr. Endoh, Dr. Chitsulo, Dr. Berquist of WHO for their kind consideration to us.
We respects and thanks Secretaries Mr. Sumimoto. Mr. Tominaga. Ms. Ito of Japanese Embassy in Brussels and Secretary Mr. Mizumoto of Japanese Embassy in Yaounde, in addition to Mr. Takabe who is former Ambassador (Ambassador of Japanese Embassy in Kinshasa) for their kind advices before our visit to Central African Republique. And also thanks Mr. Kakuda and Mr. Ono who are the Secretary of African First Division in Ministry of Foreign Affairs for their information and advices.
Finally, we hearty thanks to President Dr. Hinohara. Chairman of Board Dr. Kiikuni, Managing Director Dr. Yuasa, Head Official Mr. Suzuki and other official staffs of Sasakawa Memorial Health Foundation for their kind arrangement always to the success of the Mission.