Tag: global health



The Good in Good Work

In my previous column, I touched on the American role in the Syrian civil war by pointing out that, at the time, we were lending financial assistance to rebel forces opposed to the Assad regime. State-sponsored violence including the targeted eradication of women and children served as strong justification for the call to oust President Bashar al-Assad from power. Indeed, the figure that was most quoted in the press was 70,000 lives claimed in less than two …

N’ap Kenbe / We’re Holding On

Something had happened. The hospital lies on the main stretch of road before the town of Borgne, right across from the high school, so there is always a lot of activity going on: cars going in and out of the hospital, motorbikes dropping off and picking up students, vendors selling food and cell phone credit. But this was different. The cries were not those typical of school-aged children. Plus, it was already 8 p.m., way …

Women Hold Up Half the Sky

Many are accustomed to hearing the phrase “Behind every great man there’s a great woman.” Yet, if this is the case, why are many women of the world being tormented physically, mentally and emotionally every day? And how does medicine take a role in this dilemma? Fistulas are an abnormal connection or passageway between an organ, vessel or intestinal structure. In the Western world, obstetric fistulas are commonly due to obstructed labor or lack of …

Silent Casualties: Medical Students for Syria

On March 25, the satirical news organization The Onion published an op-ed written by the president of Syria: “Hello. My name is Bashar al-Assad. I am the president of Syria, and in the last two years, you–the citizens of the world and their governments–have allowed me to kill 70,000 people … Because I’m able to continue doing this, I can only conclude that killing nearly 100,000 people must be an acceptable thing.” Seventy thousand is the …

Haiti Reloaded

So as I wrap up a great weekend with some old friends, I finally have a minute to reflect on my first few days in Haiti, looking at the past and possibilities for the future. Being back in Haiti is always a shock to the senses. The second you leave the airport your senses are put on overdrive: the cacophony of cars and people; the hot, wet air; the smell of dust, trash and cane; …

Investing in Medicine Abroad

Let’s face it: practicing medicine overseas is pretty sexy. Whether it’s images of Angelina Jolie and Clive Owen in Cambodia, young French physicians working with Doctors Without Borders, or Paul Farmer in Russian prisons that make you think of international medicine, it all seems pretty cool. Oh yeah, we all have an altruistic motive in trying to help solve the perennial ills of tropical disease, unnecessary trauma and emergency cesarean sections, but there is something …

Chikungunya Virus 2012: A Global Public Health Challenge

A 28-year-old woman with acute joint pains attends a clinic in Switzerland after returning from Mauritius. A 66-year-old man develops severe myalgias in Hong Kong after returning from Africa. These clinical cases summarize one disease:   Chikungunya. Chikungunya–linked neither to chickens nor to the deadly avian flu–means in the Tanzanian dialect Makonde ‘that which bends up,’ referring to the stooped posture of afflicted patients. This nonfatal viral illness transmitted by the Aedes mosquito, which started as an urban phenomenon, …

Experiencing Rural Medicine in First Nations Communities in Northern Canada

Since that fateful day when I read the words ‘Congratulations, you have been accepted…’, I consider my medical education to be my ticket into the world of international development. With the tools I obtain through my medical degree, I dream of setting up medical clinics in remote jungles and responding to need following natural disasters. Prior to medical school, I served at a rural Salvation Army medical clinic in Ghana, where I was the lone …

Sixteen Days

“I dream of being back in Huancavelica. In my dream, I was already there. Somehow I skipped all the flying and bus travelling. I was among the Andean mountains, hiking up to the highest peak, and looking down the gorgeous valley. From the horizon, the first blood-red ray of sunlight — untainted of any poison, undeterred of Spaniard conquistadors — rose behind the rugged mountains, painted a mural of warrior figures, llamas heads, potato fields, and …

Eating Soup With a Fork: My Sign-Out from Rural Tanzania

22 June  Jambo! Leaving today. A bit apprehensive considering how busy I have been and how unprepared I feel.   13 July: Day 1 I’d be lying if I told you I imagined my first day to be anything like this. Everything leading up to today made me think that this externship was an opportunity to see some very interesting cases, while conducting my hypertension research in a modern, Swiss training facility in rural Tanzania. …

John Purakal John Purakal (1 Posts)

Contributing Writer Emeritus

Wayne State University School of Medicine


John is a Class of 2014 medical student. He is actively involved and spearheaded projects within groups focused on international medicine and public health. He hopes to continue conducting research and implementing population-specific interventions to educate and remove barriers to self-efficacy in his professional career.