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Requirements

The clinic should be well visible and easily accessible to all patients, including those with amputations and other disabilities. There should be a large enough waiting room to handle the above mentioned volume of potential patients.

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Clinic Set Up

I propose to establish a wound care center in Port-au-Prince to start with, followed by subsequent satellite clinics at larger cities throughout the country.A well established program must be up and going in PAP prior to expansion.

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Plan of Action

The approximate population of Haiti is 8 million people; and the WHO estimates the incidence of diabetes in Haiti to be 2-8% of the population. This number is probably more towards 8% due to the fact that 99% of the Haitian population is black,

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Background Information

There are approximately 16 million diabetics in the US according to the NID, with 15% of those patients developing a diabetic foot ulcer. The amputation rate of those with ulcers is 12-24%, which accounts for > 50% of the non-traumatic LEAs in the US.

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Diabetes is a world health dilemma that results in multiple systemic complications and can be life, limb, eye and renal threatening. One of the prominent complications of diabetes is the diabetic foot ulcer. The diabetic foot ulcer is often the precursor to lower extremity amputation (LEA), and often with further progression to loss of life. The World Health Organization (WHO) and the United States National Institute for Diabetes (NID) have projected the rate of diabetes to increase from its current levels worldwide.