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Armenian EyeCare Project's 38th Medical Mission And International Co

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  • Armenian EyeCare Project's 38th Medical Mission And International Co

    ARMENIAN EYECARE PROJECT'S 38TH MEDICAL MISSION AND INTERNATIONAL CONFERENCE

    asbarez
    Monday, August 1st, 2011

    Dr. Thomas Lee examines a premie

    'One Year Later-36 Infants Saved from a Lifetime of Blindness'

    Since its founding it 1992, the Project has undertaken medical
    missions to Armenia twice a year. The 37th Medical Mission in June
    2010, launched the Project's Infant Blindness Initiative-"Prevention
    of Retinopathy of Prematurity in Armenia." The purpose of the
    mission was to train Armenian physicians in the care of premature
    babies-specifically, to identify and treat Retinopathy of Prematurity
    (ROP). All babies born prematurely are susceptible to this disease.

    "One Year Later" -36 infants saved from a lifetime of blindness. The
    EyeCare Project's July 2011 Conference, as part of the Medical Mission,
    reported on the exciting progress, accomplishments and the future
    programs of the Infant Blindness Initiative, "National Program of
    Retinopathy of Prematurity." The sponsors of the conference included
    the EyeCare Project, its partner in the Initiative, the Vision Center
    of Los Angeles Children's Hospital, the Armenian Ministry of Health
    and USAID.

    More than100 Armenian ophthalmologists and neonatologists attended
    the International Conference, held on July 15 -16 in Yerevan,
    to learn about the results of year one and the programs planned
    for 2011, and beyond. Led by Dr. Thomas Lee, Director of the
    Retina Institute at the Vision Center of Los Angeles Children's
    Hospital and Dr. Elisabeth Raab, Deputy Medical Director at the
    Children's Hospital of Philadelphia, they summarized the results
    of the first year of the ROP screening and treatment program and
    outlined future plans. Dr. Ruzanna Harutyunyan-AECP Fellow trained
    in the United States-a pediatric ophthalmologist and coordinator of
    the ROP program in Armenia also participated along with some of her
    Armenian colleagues.

    The most exciting news of the conference was the announcement that
    over 400 Armenian infants have been screened since the program was
    launched last year and 36 infants received laser surgery, at no cost
    to their families, saving them from a lifetime of blindness. The
    project was able to accomplish this because of the equipment donated
    by extraordinarily generous benefactors over the last year. Dr.
    Ohanesian was also proud to announce to the conference that the ROP
    national program in Armenia has been so successful that it has the
    potential to become a model for other developing countries.

    Following the lecture sessions of the conference the participants
    moved to the hospitals where Dr. Thomas Lee examined infants with
    his Armenian colleagues. He demonstrated advanced techniques in eye
    screening and treatment and all cases were analyzed. An extensive
    debriefing meeting concluded the second day of the Conference.

    Prevention. During the conference a special emphasis was made
    on the importance of cooperation between ophthalmologists and
    neonatologists in oxygen supply regulation and control as a major
    factor in the prevention of ROP. The AECP plans to support the
    Armenian neonatologists in two major capacity building directions:
    import and installation of necessary oxygen control equipment and
    advanced training of Armenian specialists.

    Dr. Elisabeth Raab met with the neonatal staff at several NICUs in
    Yerevan. She was quite impressed by the capacity of the Armenian
    doctors who manage to provide quality care to infants with minimal
    resources. She said that with more advanced equipment they will be
    able to significantly improve neonatal care, which will be a major
    factor in the prevention of ROP in Armenia.

    What is Retinopathy of Prematurity (ROP)? Retinopathy of Prematurity
    (ROP) is a devastating disease that affects infants born prematurely
    and leads to blindness in a matter of weeks. The enormous economic
    and social burden of lifelong blindness makes it absolutely critical
    to treat this disease.

    Up to 60 percent of infants born at less than seven to eight months
    (30 weeks) develop some form of the disease and 10 percent will
    progress to the advanced form. If left untreated, the advanced form of
    ROP causes rapid and irreversible blindness due to retinal scarring
    and detachment. However, timely and repeated examinations of at-risk
    infants and the application of laser treatments will lead to a complete
    regression in the disease in up to 90 percent of these tiny patients.

    Developing nations like Armenia have only recently developed neonatal
    intensive care units (NICUs) to provide the necessary inpatient
    medical care to infants born prematurely. Over the past 10 years,
    Armenia has established seven NICUs in Yerevan and a handful in remote
    rural areas. These units now treat approximately 1,600 premature
    infants per year and this number is expected to grow. Because ROP is
    a disease affecting premature infants, Armenia now faces a sudden and
    dramatic rise in the number of children going blind. Unfortunately,
    over the past 10 years none of the babies at risk for ROP have been
    screened for the disease, because Armenian ophthalmologists have had
    no experience with ROP. Consequently, an estimated 100-200 infants in
    Armenia are going blind each year - the result of a treatable cause
    of blindness. As a cautionary tale, the United States experienced a
    similar trend in the 1940s and '50s just after the advent of NICUs
    resulted in 7,000 American children with blindness.

    If the EyeCare Project fails to intervene in Armenia, the resulting
    epidemic of blindness will have profound social and economic
    repercussions and have a devastating impact on families and children.

    Sustainability of the ROP Initiative is based on three primary
    factors. First, teaching Armenian physicians to diagnose and manage
    babies with ROP independently. Second, to provide Armenia with the
    equipment required to manage ROP including Ret-Cams and lasers.

    Third, to ensure sustainability last June the AECP submitted a formal
    proposal to the Armenian parliament and the Ministry of Health for
    long-term funding of ROP care. The Ministry of Health responded with
    a directive that regular eye screenings will be held at all Neonatal
    Intensive Care Units (NICU) in Yerevan. Infants requiring surgery
    will receive them locally, at the NICU premises by a laser surgeon
    trained in that technique. They also have committed to paying for
    the screening costs and the salaries of personnel involved in ROP
    Care after the program becomes mature.

    Participation in the Third International Medical Congress of Armenia
    Announcement of AECP's Eye Vulnerability Index Dr. Roger Ohanesian,
    founder and president of the Armenian EyeCare Project, opened
    the ophthalmological session of the third International Medical
    Congress. The International Medical Congress fosters relationships
    and collaboration among Armenian medical professionals throughout the
    world to improve the quality of medical care in Armenia and Artsakh.

    Nearly 600 specialists from Europe, Asia, USA, Canada, Germany,
    Australia, Russia and other countries participated in the Medical
    Congress. A total of 179 scientific reports were released during 40
    sessions of the Congress, July 7 through July 9.

    Dr. Ohanesian's talk was titled "AECP initiatives: Eye Disease
    Prevalence and the ROP Program in Armenia." Dr. Ohanesian presented
    an overview of the activities of the AECP, provided an update on
    the first year accomplishments of the Project's Infant Blindness
    Initiative-36 infants saved from a lifetime of blindness-and announced
    the development of an Eye Vulnerability Index, which provides data
    on the prevalence of eye diseases in Armenia.

    For the first time in the history of Independent Armenia, the
    AECP gathered, processed and analyzed information from over 96,000
    questionnaires, introduced the concept of an Eye Vulnerability Index,
    and calculated the prevalence of eye disease for the country as a
    whole and each of the regions.

    According to AECP data, cataract is the most widespread eye disease
    in Armenia (8.4%) followed by fundus diseases (7.9%). The AECP data
    also revealed that 0.7% of population in the country is blind and
    another 4.1% has low vision. Eye disease is more prevalent among
    the 50+ population and eye diseases causing blindness among the 50+
    population is 2.8 times higher than those under 50.

    First Large Corporate Donation to the AECP from an Armenia-based
    Private Company Shirak to Receive EyeCare

    Announced during the Project's annual mission at a joint press
    conference held on July 13, Orange Armenia, one of Armenia's largest
    telecommunications companies, is the first large corporate donor to the
    AECP from an Armenia-based private company. The company's foundation
    has provided a significant donation to underwrite free eye care for
    all residents of the Shirak Marz during August and September.

    Bruno Duthoit, Orange Armenia CEO and Chairman of the Orange Armenia
    Foundation board, said: "We join the EyeCare Project with great joy
    because it really changes peoples' lives. People with eye disease are
    at the center of Orange Foundation's attention not only in Armenia, but
    also in other countries where the Foundation works. The first mission
    of our company is to ease communication between people and sight is
    a vital component of human communication. Today, a partnership is
    beginning which will allow people of all ages to see the light again,
    and a larger number of people will get medical support to prevent
    such diseases in the future"

    Dr. Roger Ohanesian, Founder and President of the Armenian EyeCare
    Project said, "During the two last decades the Armenian Eye Care
    Project has been supported primarily by the Armenian Diaspora. We
    are now very pleased to have Orange Armenia as a corporate partner
    in Armenia. With their major contribution the Orange Foundation
    will support the EyeCare Project and the people of Shirak who will
    receive eye care services. We are happy to see such a good example
    of corporate philanthropy in Armenia."

    The first project of the AECP-Orange partnership includes free eye
    screenings for all residents of Shirak marz during August-September,
    as well as treatment, including surgeries for socially vulnerable
    people. Beginning August 16, groups of ophthalmologists will visit
    two cities and 44 villages in the Shirak Marz, in the regions of Ani,
    Artik, Akhurian, Ashotsq and Amasia. The AECP Mobile Eye Hospital will
    be stationed in three regional centers: Maralik, Artik and Akhurian,
    where people who are identified during the screening process as
    requiring further care will receive detailed examinations and necessary
    treatment, including surgeries and laser procedures.

    The EyeCare Project estimates that 3,000 adults and 1,200 children
    will be screened in Shirak; 250 surgeries and laser procedures will
    be performed; and 1,200 eye glasses will be provided. As part of the
    project, public education sessions on eyecare will be conducted in
    nine schools of the Shirak region. AECP has also planned to involve
    local ophthalmologists in the screenings, who will assist in finding
    people who need treatment or glasses.

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