Collaboration With Traditional Healers in the Provision Of Skin Care For All In Africa

Delegates in the garden of the Osler McGovern Centre, Oxford

Workshop at the Osler McGovern Centre, 13 Norham Gardens, Oxford, 30th-31st October 2010

Conference Organisers: Prof Terence Ryan, Emeritus Professor of Dermatology, University of Oxford and trustee, Global Initiative for Traditional Systems(GIFTS) of Health

Dr Hans-Martin Hirt, Chair and Founder of ANAMED

Dr Merlin Willcox, Department of Primary Health Care, University of Oxford and trustee, GIFTS of Health

This workshop is organised on behalf of the Task force for Skin Care for ALL: Community Dermatology which is a leading project of the International Society of Dermatology. Dr Ousmane Faye is sponsored by the St Francis Leprosy Guild. Dr Babara Turay is sponsored by the International Society of Dermatology. Throughout the meeting there will be an Exhibition of Traditional Health and documents such as the WHO Global Atlas Of Traditional Complementary And Alternative Medicine, The WHO Wounds And Lymphoedema guidelines, Publications from UNAIDS, GIFTS, and ANAMED.

Day 1 (30th Oct):

Benefits and Capacity of collaboration between modern and traditional medical systems to improve skin care: policy implications

Session 1: Introductions and Objectives

9.30Introductions of participants Facilitated by Dr Simon Challand, Anamed

10.00 – 10.30 Opening Keynote lecture: Objectives of Workshop. Prof Terence Ryan, Emeritus Professor of Dermatology, University of Oxford To describe objectives of the workshop: – Description of Task force for Skin Care for all – Publication of Guidelines for the Carer of the skin’s collaboration with Traditional Healers, – Updating the publications of ANAMED – To collate known benefits of collaboration with Traditional Healers. This will be modelled on already published documentation of collaboration with traditional Healers in response to HIV/AIDS in a UNAIDS Best Practice Collection.

10.30 – 10.45:Questions and discussion

10.45 – 11.00:Coffee break

Session 2: Benefits of working with traditional healers

11.00 – 11.30 Missing patients: the need to work with traditional healers Dr Ousmane Faye,MD PhD,CNAM ex Institut Marchoux ,Bamako, Mali

11.30 – 12.00 Models of collaboration: successes and lessons. Prof Gerry Bodeker, Chairman, Global Initiative for Traditional Systems of Health

12.00 – 12.30 Collaboration between dermatology and herbal medicine: Experience and audit at Whipps’ Cross Hospital, London Dr Anthony Bewley, Consultant dermatologist, Whipps Cross Hospital, London Alex Laird, Medical Herbalist, Whipps Cross Hospital, London

12.30 – 13.00: Plenary Discussion: collating the benefits of working with traditional healers Facilitated by Prof Gerry Bodeker

13.00 – 14.00: Lunch

Session 3: How to work with traditional healers?

14.00 – 14.30: How to work with Traditional Healers Dr Barbara Turay, Ethnobotanist, Chief Pharmacist and Advisor, Traditional Healers’ Associations of Sierra Leone

14.30 – 15.00: Training traditional healers as skin care workers Prof Henning Grossmann, Regional Dermatology Training Centre,KCMC, Tanzania

15.00 – 15.30: Experience of teaching natural medicine to Traditional Healers and Health Workers. Dr Hans-Martin Hirt, Chairman and Founder, ANAMED

15.30 – 15.45: Tea break

15.45 – 16.00: Documentation of Maasai traditional remedies Gemma Burford, Aang Serian and GIFTS of Health

16.00 – 16.15: Working with traditional healers in the management of snake bites Dr Alexander Kumar,Royal Sussex County Hospital, Brighton, UK

16.15 – 17.15: Workshop: to develop guidelines for collaboration between skin carers and traditional healers, culminating in a Conclusion and Mission Statement Facilitated by Dr Merlin Willcox Including discussion about conservation of medicinal plants: Professor Jeff Burley, Dept of Plant Sciences, Oxford University

Day 2 (October 31st):

Developing integrated clinical guidelines for care of skin diseases

Objective: To improve practical clinical guidelines for the management of common skin complaints, integrating modern and traditional / natural approaches. One purpose at the request of Anamed is to suggest some principles to be added to their “Natural Medicine in the Tropics” series.

Session 1: Diagnosis of common skin diseases

09.00 – 09.30: Diagnostic Biomedical algorithms for common skin diseases as used in Mexico, Ethiopia and Mali. Prof Terence Ryan

09.30 – 09.45: Diagnostic processes used by Traditional Healers for management of skin diseases Speaker to be confirmed

09.45 – 10.15: Workshop: How to integrate modern and traditional approaches to diagnosis, to enable correct management? Facilitator: Dr Simon Challand with discussion by Dr Rod Hay. Output: simple diagnostic guidelines / algorithms which can be used by modern, traditional and natural practitioners.

10.15 – 10.45: The problem of skin lightening Facilitated by Dr Ousmane Faye MD PhD CNAM ex Institut Marchoux, Bamako, Mali To include discussion of the role of traditional healers in the campaign against harmful skin lightening creams

10.45 – 11.00:Coffee Break

Session 2: Wound healing

11.00 – 11.15: Basic principles of Wound Healing, and WHO / WAWLC guidelines Prof Terence Ryan

11.15 – 11.30: Anamed guidelines on wound healing Dr Hans-Martin Hirt, Anamed

11.30 – 11.45: Research Techniques in the Laboratory used in the assessment of herbal wound-healing agents Dr Margaret Hughes, Oxford International Wound Healing Foundation.

11.45 – 12.45: Discussion: how to integrate / improve WHO/WAWLC / Anamed guidelines on wound healing so that they can be used by all health care practitioners (traditional and modern)? Facilitator: Dr Merlin Willcox

12.45 – 13.45 Lunch

Session 3: Management of infectious skin diseases: Scabies, fungal, bacterial and AIDS-related skin disorders

13.45 – 14.30: Biomedical guidelines for management of scabies,fungal, bacterial and HIV/AIDS-related skin infections must be a consequence of assessment of needs. Prospect for elimination scabies Dr Roderick Hay, Chairman, International Foundation for Dermatology

14.30 – 15.10: Anamed recommendations for use of herbal medicines for management of fungal, bacterial and HIV/AIDS-related skin infections Dr Hans-Martin Hirt, Anamed

15.10 – 16.00:Discussion: Developing Anamed’s integrated guidelines for management of skin infections (scabies, fungal, bacterial, and AIDS-related) Facilitator: Dr Simon Challand

16.00 – 16.15: Tea break

Session 4: Management of important non-infectious skin diseases in developing countries: dermatitis, cancers, snake bites

16.15 – 16.30: Case of need and Guidelines for management of non-infectious skin diseases in developing countries. Henning Grossmann, Immediate past Director, Regional Dermatology Training Centre, Kilimanjaro Christian Medical Centre, Moshi, Tanzania.

16.30 – 16.40: What can herbal medicine offer for non-infectious skin diseases? Alex Laird, Medical Herbalist, Dept of Dermatology, Whipps Cross Hospital

16.40 – 16.50: Traditional management of snake bites Dr Hans-Martin Hirt, Anamed 16.50 – 17.15:Developing integrated guidelines for management of non-infectious skin diseases Facilitator: Dr Carsten Flohr, NIHR/DH Clinician Scientist, Senior Lecturer & Honorary Consultant Dermatologist, St John’s Institute of Dermatology, London

Session 5: Closing session

17.15 – 17.30: Discussion: Recommendations from this workshop. Facilitators: Dr Hans-Martin Hirt, Anamed, and Prof Terence Ryan, Chairman, Taskforce for Skin Care for All. MeetingProg4-1registration