How white pipo discovered river blindness

I read with interest the introduction paper “Dem Ergründer der Flussblindheit in Afrika auf der Spur” of Raimund Balmes to the book “Dr. Jean Hissette’s Research Expeditions to Elucidate River Blindness” which I have just bought. Must be interesting to read. It tells us about 1930s in Congo with specific interest in discovering the association of “River Blindness” with microfilarial disease – onchocerciasis.
Interestingly, it is stated, that Dr. Hissette (belgian expeditor) is considered to be the first one to ascribe the river blindness to worms parasitosis. At the same time, it is stated, that local people had showed him explicitly, that the tubercles, that many of blind people had had on the skin and the blindness which they had are related to the flies, that cause this. So basically it was all known long time before the white discoverers had even though of going to Congo. However, he came, he saw, he discovered this for the humanity 🙂

It reminds me of “discovering” the Falls which had to be named “Victoria”. Also for the humanity probably. (“Mosi-oa-Tunya”, the native name of the Falls had been known since much longer time ago).

P.S. I never knew that scientists became Nobel Prize in 2015 for Ivermectin (Mectizan). Definitely deserved one.

P.P.S. I never knew as well, that there had never been onchocerciacis in Latin America until it was brought there with Slave Traders in earlier centuries.

When to start anti-TB treatment by presumed ocular tuberculosis?

The Collaborative Ocular Tuberculosis Study Calculator is an efficient, low-cost, evidence and experience-based clinical tool to guide antitubercular therapy initiation. While it holds substantial promise in improving standard-of-care for ocular-TB patients, future validation studies can help to as certain its clinical utility and reliability.


Can be accessed here 👇🏽

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A little bit to understanding of the Eye in a general community

At our Lewanika Hospital we (or actually more our nurses than me) used to teach student nurses. I’ve just discovered in my archive these funny pictures. They document the pre-course knowledge of eye anatomy of student nurses. Ishh… These lashes must be painful! Sorry Mutinta, Faith Mundia and Nalishuwa 🙂 I hope, to this time you know the eye at least a little bit better.

SLT snd Glaucoma in Africa

At this moment it has become very clear, that laser treatment of glaucoma in Africa as a primary treatment (as opposed to eye drops) is an emerging standard of care in Tropics. SLT as substitution for eyedrops, Cyclophotocoagulation as a substitution for primary trabeculectomy… We are arriving at the new era.