| April 2007 | Year to Date | Total | |
| Outpatient | 7,839 |
29,154 |
430,158 |
| Inpatient | 269 |
1,114 |
19,822 |
| Intensive Care Unit | 60 |
231 |
2,716 |
| Low Acuity Unit | 66 |
273 |
6,314 |
| Emergency | 1,068 |
4,780 |
78,448 |
| Surgery | 109 |
464 |
7,157 |
| Home Care | 210 |
942 |
8,515 |
| Dental Care | 1,445 |
8,296 |
70,511 |
| Eye Care | 241 |
1,020 |
8,089 |
| ARV Treatment | 364 |
1,427 |
n/a |
| Lab Tests | 4,263 |
17,743 |
218,255 |

As the rainy season in Cambodia begins, so does the appearance
of Dengue Fever. It is an infectious disease transmitted by the Aedes mosquito,
known in Cambodia as the Tiger mosquito because of its stripes. (A different
type of mosquito causes malaria) The young are most at risk for Dengue Fever
because they have not built up an immunity to the disease. There is no vaccine
against Dengue Fever and no specific drug which treats the disease. When the
disease is severe treatment includes IV fluids and blood transfusions. Dengue
Fever epidemics seem to occur every few years. As we have already seen several
cases early in the season, we anticipate facing more than the usual number
of cases this year.

Oral surgeon, Dr. Mitch Stark returned to AHC this month to once again assist our local surgical team in performing cleft lip and palette repairs. 13 children were operated on in April. In 2006, with the help of Dr. Stark as well as other visiting surgical specialists, nearly 100 Cambodian children with cleft lips were operated on at AHC.
Volunteers have always played an integral role in the ongoing development of AHC. From the inception of the hospital, Health Volunteers Overseas (HVO) an American based volunteer agency has been a wonderful partner. Congratulations and thank you to the two volunteers who donated their time to AHC and have been selected as recipients for HVO’s Golden Apple Award: Dr. Marvin Godner and Suzanne Brown.
Congratulations to Dr. Seng Heng Heng, who this month was named Deputy Chairman of the newly formed Cambodia Hemophilia Association. The association has been formed to develop national treatment guidelines as well as to increase the awareness of hemophilia among Cambodia’s health workers and in the community.
Congratulations to Dr. Seitaboth and Kazumi Akao whose research paper (co-authored with staff from Medicines sans Frontiers) has been accepted for publication. The article, “Effectiveness of Highly Active Antiretroviral Therapy in HIV-positive children: evaluation at 12 months in a routine program in Cambodia”, will appear in a future edition of the online journal Pediatrics Electronic Pages. http://pediatrics.aappublications.org
This month a new Minor Procedures Room opened at AHC made possible with the
generous support of Mr. Hartmut Giesecke. The new space allows for our doctors
and nurses to better treat children with minor conditions such as small lacerations
and abscesses. Having the new room lessons the burden on our Emergency Room
and decreases the waiting time for families. Since opening this month, more
than 350 small surgical procedures have been performed in the new room.

There were two new welcome additions for AHC staff this month: On April 7, Mrs. Visal “Mom” Maray (Administrative Secretary) delivered here first baby. The baby boy, Ros Manit (left), weighed in at 2.9Kg. On April 26 Mr. Im Uom (Sugery Nurse) and his wife Mrs. Khy Nearyroth (Home Care Nurse) also delivered their first baby, a 3.1kg boy named Ouern Vithyea (right).