International Health Collective
14 Feb 2015
February 2015
Clinic Report
International Health Collective
14 Feb 2015
MISSION
International Health Collective at the University of California, San Diego exists to collaborate
with the communities of Tijuana and San Diego, to provide accessible, quality health for the
underserved. Students, health professionals, patients and community members learn from one
another to increase collaborative solutions to our world’s pressing health and community
problems. International Health Collective will provide free doctor consultations, medical care,
medicine, and health education to families, who do not have access to medical treatment. Our
ultimate goal is to treat immediate medical symptoms and illnesses by providing humanitarian
support through the highest quality of personalized care.
DEMOGRAPHICS
The International Health Collective at the University of California, San Diego provided medical
services and health education outreach to the Vinedos Casa Blanca community on Feb 14th, 2014
from 10:00am to 3:00pm.
Our clinic site is situated in a Villafontana, a community located in the region of Vinedos Casa
Blanca. The map illustrates the hospitals (letters A-J), while the smaller dots represent small
pharmacies. The red box covers the potential area International Health Collective hopes to
impact through more free medical clinics and health education seminars. The red box represents
sixteen square miles of the eastern region of Tijuana where both socioeconomic and health care
disparities are visually evident.
International Health Collective
14 Feb 2015
HEALTH PROVIDERS
Physicians
Dr. Weena Joshi, MD [Pediatrician]
Dr. Vanessa Scott, MD [Pediatrics Resident]
Dr. Shirin Alonzo, MD [Internal Medicine & Pediatrics]
Dr. Jane Reldan, MD [Family Medicine]
Pharmacists
Dr. Alex Engelmann, PharmD
Dr. Neda Lin, PharmD
PATIENT DISTRIBUTION
Number of Patients: 40
Sex Distribution:
Male: 55% (22 Patients)
Female: 45% (18 Patients)
Age Distribution:
0-1: 0% (0 Patients)
2-12: 33% (13 Patients)
13-19: 5% (2 Patients)
20-40: 20% (8 Patients)
41-64: 35% (14 Patients)
65+: 7% (3 Patients)
CHIEF COMPLAINTS
Acute Pharyngitis, Sinusitis, Asthma, Bronchitis/cough, URI: 6.9%
Dermatitis/Skin: 3.4%
Diabetes, Hypertension, Hyperlipidemia, Hypercholesterolemia: 22.4%
Ear: 0%
Eye: 0%
Female Reproductive Care: 0%
Gastritis/GERD/Stomach, Abdominal, Bowel Pain: 13.8%
Infection: 8.6%
MSK/Joint Pain/Tendonitis/Osteoarthritis: 25.9%
Neuropathic Pain/Depression/Insomnia/Anxiety/Headaches: 10.3%
Nutrition: 8.6%
Other: 0%
Urinary Tract: 1.7%
MEDICATIONS DISPENSED
Total Number of Non-Expired Pills/Tablets Prescribed: 2,234
International Health Collective
14 Feb 2015
Drug
(# of pills/tablets)
Acetaminophen 500mg
260
Adult Multi-Vitamins
51
Albuterol Inhaler 0.1mg
1 inhaler
Amitriptyline 10mg
90
Amoxicillin 250mg
30
Aspirin 81mg
63
Azithromycin 250mg
11
Children's Multi-Vitamins
150
Clotrimazole 1%
1 tube
Diclofenac 50mg
120
Diphenhydramine 25mg
10
Docusate Sodium 100mg
90
Ferrous Sulfate 325mg
21
Fluconazole 150mg
1
Fluoxetine 20mg
21
Gabapentin 100mg
60
Hydrocortisone
1 tube
Ibuprofen 200mg
737
Lisinopril 10mg
81
Loratidine 10mg
40
Metformin HCl
129
Miralax
2 bottles
Omeprazole 20mg
20
Oxymetazoline Nasal Spray
1 bottle
Ranitidine 150mg
60
Robitussin DM
1 bottle
Simvastatin 20mg
129
Sulfamethoxazole 800mg/ Trimethoprin 160mg
20
Telmisartan 40mg
35
Telmisartan 80mg
4
CLINIC IMPROVEMENTS
RECEPTION
1) More S.O.A.P. forms to be printed for physicians to write assessments on
2) More patient assessment surveys to be printed for March clinic
3) Highlighters need to be purchased for next clinic
TRIAGE
1) More glucometer strips (OneTouch Brand) and sterile urine cups (only 9 left) needed
2) Batteries need to be replaced in 2 of the temporal thermometers that were reading low
temperatures (ex. 64°F for patient's temperatures)
DOCTOR CONSULTATION
International Health Collective
14 Feb 2015
1) More tongue depressors need to be purchased for pediatricians to use
2) EKG would be beneficial to patients that require it (i.e. chest pain/difficulty breathing)
3) Need to purchase suture kit
RELAY
1) Filing system needs to be organized by every volunteer at relay
2) Every Triage volunteer passing patient records to relay should know where to place folder incase relay volunteer is unable to store them or is busy.
3.) Every Doctor Consult volunteer needs to focus on picking up folders in correct order to call
patient’s name.
4.) Highlighters need to be purchased for next clinic
PHARMACY
1) Expired medications disposed of at local pharmacy
2) Correction of Spanish translation of how to correctly take azithromycin on translation form
3) Spanish translation of "fungus" and "insomnia" added to translation form
4) Removed albuterol tablets from formulary as per recommendation from our Medical Director
5) Purchase of mortar & pestle recommended in crushing tablets to powder form
6) Medications to purchase for next clinic include metformin 500mg, atenolol 50mg, prednisone
10mg, losartan 50mg, simvastatin 20mg, amitryptiline 25mg, and ibuprofen 200mg.
IHC FORMULARY
[Azor] Amlodipine and Olmestran Medoxomil (5 mg/20 mg)
[Azor] Amlodipine and Olmestran Medoxomil (5 mg/40 mg)
[Bactrim] Sulfamethoxazole 800 mg/Trimethoprin 160 mg
[Benadryl] Diphenhydramine HCl (25 mg)
[Benicar] Olmesartan Medoxomil and Hydrochlorothiazide (40 mg/25 mg)
[Benicar] Olmesartan Medoxomil and Hydrochlorothiazide (40 mg/12.5mg)
[Bystolic] Nebivolol (10 mg)
[Bystolic] Nebivolol (20 mg)
[Claritin] Loratidine (10 mg)
[Crestor] Rosuvastatin Calcium (10 mg)
[Crestor] Rosuvastatin Calcium (20 mg)
[Diflucan] Fluconazole (150 mg)
[Flexeril] Cyclobenzaprine (10mg)
[Glucotrol] Glipizide (5 mg)
[Lasix] Furosemide (40 mg)
[Micardis] Telmisartan (40 mg)
[Micardis] Telmisartan (80 mg)
[Prilosec] Omeprazole (20mg)
[QVar] Beclomethasone Oral Inhaler 200 doses (0.1mg)
[Tums] Calcium Carbonate (500 mg)
[Zantac] Ranitidine (150mg)
[Zocor] Simvastatin (20 mg)
[Zyrtec] Cetirizine (10mg)
91 tablets
21 tablets
480 tablets
1,015 caplets
70 tablets
14 tablets
380 tablets
120 tablets
30 tablets
14 tablets
133 tablets
95 tablets
940 tablets
963 tablets
970 tablets
14 tablets
7 tablets
800 tablets
5 Inhalers
320 tablets
852 tablets
101 tablets
291 tablets
International Health Collective
Acetaminophen - Chewable (80 mg)
Acetaminophen (325 mg)
Acetaminophen (500mg)
Acetaminophen Children’s Tylenol 160 mg/5mL (2 fl oz bottle)
Acetaminophen Children’s Tylenol 160 mg/5mL (5 fl oz bottle)
Acetaminophen Children's Tylenol 160mg/5mL (4 fl oz bottle)
Albuterol Inhalers (0.1mg)
Amitriptyline (10 mg)
Amitriptyline (25 mg)
Amoxicillin (125 mg/ 5mL) (100 mL bottle)
Amoxicillin (125 mg/ 5mL)
Amoxicillin (250 mg) - Chewable Tablets
Amoxicillin (250 mg)
Amoxicillin (250 mg/ 5mL) (100 mL bottle)
Aspirin (325 mg)
Aspirin (81 mg)
Azithromycin (250 mg)
Betamethazone 0.1% (15 gram/0.5 oz tube)
Bismuth Subsalicylate
Cephalexin (250 mg)
Chlorpheniramine Maleate (4 mg)
Ciprofloxacin (250 mg)
Clindamycin (150mg)
Clotrimazole 1% Antifungal cream (20 gram tube)
Diclofenac Sodium (50 mg)
Docusate Sodium (100 mg)
DocuSol Mini Enemas w/ Benzocaine
Duloxetine (30 mg)
Ferrous Sulfate (325 mg)
Fluoxetine (20 mg)
Gabapentin (100 mg) [60 tablets]
Gabapentin (300 mg)
Hydrocortisone 1% 28 gram tube
Ibuprofen (200 mg)
Ibuprofen 100 mg/5 mL (4 fl oz bottle)
Lisinopril (10 mg)
Lisinopril (40 mg)
Loperamide (2 mg)
Lubricant Eye Drops 0.02 fl.oz
Mebendazole (100mg)
Meclizine (25 mg)
Metformin HCl (500 mg)
Metronidazole (250 mg)
Multivitamins - Adult
Multivitamins - Prenatal
Multivitamins- Children
14 Feb 2015
852 tablets
588 tablets
620 tablets
9 bottles
1 bottle
2 bottles
3 Inhalers
384 tablets
10 tablets
2 bottles
200 tablets
892 tablets
96 capsules
3 bottles
3,570 tablets
667 tablets
208 tablets
2 tubes
1 bottle
460 capsules
895 tablets
68 tablets
100 tablets
10 tubes
416 tablets
642 tablets
10 tubes
14 tablets
739 tablets
299 tablets
40 tablets
100 tablets
5 tubes
150 tablets
3 bottles
959 tablets
470 tablets
248 caplets
32 solutions
1,000 tablets
32 tablets
0 tablets
910 tablets
8844 tablets
455 tablets
1,290 tablets
International Health Collective
NEILMED Sinus Rinses
Nystatin Ointment (28 gram/1 oz tube)
Oflaxin 0.3% Opthalmic 5 mL drops
Oxymetazoline Nasal Spray (15 mL)
Prednisone (10 mg)
Q-Tussin (120mL)
Robitussin DM (4 fl oz bottle)
PARTNERSHIPS
All Nations Church
American Academy of Pediatrics
Blessings International
Kingsway Charities
Project C.U.R.E.
SIRUM
Taking Control of Your Diabetes (TCOYD)
The Zavaro Cardiovascular Institute
University of California, San Diego School of Medicine
Walgreens
14 Feb 2015
3 bottles
2 tubes
6 solutions
3 sprays
16 tablets
10 bottles
0 bottles