Where There Is No Doctor - Boekje Pienter

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USE PICTURES TO GET PEOPLE TALKING AND THINKING TOGETHERShow a group of people a picture similar to this and ask them to discuss it. Askquestions that get people talking about what they know and can do. Here are somesample questions:• Who are the people in the picture and how do they live?• What was this land like before the people came?• In what ways have they changed their surroundings?• How do these changes affect their health and well-being?• What other changes could these people make? What else could they learn to do?What is stopping them? How could they learn more?• How did they learn to farm? Who taught them?• If a doctor or a lawyer moved onto this land with no more money or tools thanthese people, could he farm it as well? Why or why not?• In what ways are these people like ourselves?w26
This kind of group discussion helps build people’s confidence in themselves andin their ability to change things. It can also make them feel more involved in theircommunity.At first you may find that people are slow to speak out and say what they think.But after a while they will usually begin to talk more freely and ask importantquestions themselves. Encourage everyone to say what he or she feels and tospeak up without fear. Ask those who talk most to give a chance to those who areslower to speak up.You can think of many other drawings and questions to start discussions that canhelp people look more clearly at problems, their causes, and possible solutions.•What questions can you ask to get people thinking about the different things thatlead to the condition of the child in the following picture?Try to think of questions that lead to others and get people asking for themselves.How many of the causes underlying death from diarrhea (see p. w7) will yourpeople think of when they discuss a picture like this?w27
Page 2: How to Use This BookWhen you get th
Page 5 and 6: Thanks to the work and dedication o
Page 7 and 8: ContentsA list of what is discussed
Page 9 and 10: Chapter 10FIRST AID . . . . . . . .
Page 11 and 12: Chapter 16THE EYES . . . . . . . .
Page 13 and 14: Chapter 22HEALTH AND SICKNESSES OF
Page 15 and 16: The first English edition was the r
Page 17: If you have suggestions for improvi
Page 20 and 21: Dear Village Health Worker,This boo
Page 22 and 23: 4. KNOW YOUR OWN LIMITS.No matter h
Page 24 and 25: 8. LOOK AHEAD—AND HELP OTHERS TO
Page 26 and 27: TAKE A GOOD LOOK AT YOUR COMMUNITYB
Page 28 and 29: Sample Lists Of QuestionsTo Help De
Page 30 and 31: USING LOCAL RESOURCES TO MEET NEEDS
Page 32 and 33: MORE WAYS TO WORK TOWARD BETTER NUT
Page 34 and 35: WORKING TOWARD A BALANCE BETWEENPEO
Page 36 and 37: SENSIBLE AND LIMITED USE OF MEDICIN
Page 38 and 39: FINDING OUT WHAT PROGRESS HAS BEEN
Page 40 and 41: Tools for TeachingFlannel-graphs ar
Page 42 and 43: Working and Learning Together for t
Page 46 and 47: MAKING THE BEST USE OF THIS BOOKAny
Page 51: NOTICEThis book is to help people m
Page 54 and 55: Old Ways and NewSome modern ways of
Page 56 and 57: BELIEFS THAT CAN MAKE PEOPLE SICKTh
Page 58 and 59: QUESTIONS AND ANSWERS ON SOME FOLK
Page 60 and 61: Is it a good idea tobathe a sick pe
Page 62 and 63: 10WAYS TO TELL WHETHER A HOME REMED
Page 64 and 65: 12MEDICINAL PLANTSMany plants have
Page 66 and 67: 14HOMEMADE CASTS—FOR KEEPING BROK
Page 68 and 69: 16Purges and laxatives that are oft
Page 70 and 71: 18DIFFERENT KINDS OF SICKNESSES AND
Page 72 and 73: 20SICKNESSES THAT ARE HARD TO TELL
Page 74 and 75: 22EXAMPLES OF LOCAL NAMES FOR SICKN
Page 76 and 77: 24Spanish Name: SUSTO (HYSTERIA, FR
Page 78 and 79: 26CONFUSION BETWEEN DIFFERENT ILLNE
Page 81 and 82: 29How To Examinea Sick PersonCHAPTE
Page 83 and 84: How to Use a ThermometerEvery famil
Page 85 and 86: The pulse gets much faster with exe
Page 87 and 88: THE BELLY (ABDOMEN)35If a person ha
Page 89 and 90: MUSCLES AND NERVES37If a person com
Page 91 and 92: 39How to Take Careof a Sick PersonC
Page 93 and 94: 2. FoodIf the person is too sick to
Page 95 and 96:
WHEN AND HOW TO LOOK FOR MEDICAL HE
Page 97 and 98:
45Healing WithoutMedicinesCHAPTER5F
Page 99 and 100:
Times When the Right Use of WaterMa
Page 101 and 102:
49Right And Wrong Usesof Modern Med
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516. Anti-diarrhea medicines with h
Page 105 and 106:
5313. CalciumInjecting calcium into
Page 107 and 108:
Antibiotics: What They Areand How t
Page 109 and 110:
577. As a general rule, use strepto
Page 111 and 112:
59How to Measureand Give MedicineCH
Page 113 and 114:
61MEDICINE IN LIQUID FORMSyrups, su
Page 115 and 116:
63HOW TO TAKE MEDICINESIt is import
Page 117 and 118:
65Instructions and Precautionsfor I
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67WHEN NOT TO INJECT:Never give inj
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69This child was injected with a ne
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How to Avoid Serious Reactionsto a
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WHERE TO GIVE AN INJECTION73Before
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75First AidCHAPTER10BASIC CLEANLINE
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77SHOCKShock is a life threatening
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WHEN SOMETHING GETS STUCK IN THE TH
Page 133 and 134:
81EMERGENCIES CAUSED BY HEATHeat Cr
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HOW TO STOP NOSEBLEEDS831. Sit quie
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LARGE CUTS: HOW TO CLOSE THEM85A re
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BANDAGES87Bandages are used to help
Page 141 and 142:
89WOUNDS THAT ARE LIKELY TO BECOMED
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When the wound is serious, raise th
Page 145 and 146:
93MEDICINE FOR A WOUND THAT GOES IN
Page 147 and 148:
95Signs of appendicitis:• The mai
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Special Precautions for Very Seriou
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99BROKEN THIGH OR HIP BONEA broken
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DISLOCATIONS(BONES THAT HAVE COME O
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103POISONINGMany children die from
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105Treatment for poisonous snakebit
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107Nutrition:What To Eat To Be Heal
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WHY IT IS IMPORTANT TO EAT RIGHT109
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111EATING RIGHT TO STAY HEALTHYThe
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113WET MALNUTRITION—OR KWASHIORKO
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WAYS OF EATING BETTER WHEN YOUDO NO
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1174. Beans, peas, lentils, and oth
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119THINGS TO AVOID IN OUR DIETA lot
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121FROM 6 MONTHS TO 1 YEAR OF AGE:1
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HARMFUL IDEAS ABOUT DIET1231. The d
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RICKETSChildren whose skin is almos
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127DIABETESPersons with diabetes ha
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129♦ Drink a lot of water. Try to
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131Prevention: How toAvoid Many Sic
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133Many kinds of infections, as wel
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135CLEANLINESS IN EATING AND DRINKI
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137PUBLIC CLEANLINESS (SANITATION)1
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To make the closed latrine, the sla
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141Prevention:Use latrines, wash ha
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TapewormIn the intestines tapeworms
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Typical amebic dysentery consists o
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VACCINATIONS (IMMUNIZATIONS)—SIMP
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How many fathers have spent their l
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151Some Very Common SicknessesDEHYD
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DIARRHEA AND DYSENTERY153When a per
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155Treatment of diarrhea:For most c
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157Special treatment in different c
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Care of Babies with DiarrheaDiarrhe
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VOMITING161Many people, especially
Page 215 and 216:
COLDS AND THE FLU163Colds and the f
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165SINUS TROUBLE (SINUSITIS)Sinusit
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ASTHMAA person with asthma has fits
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2. For all kinds of cough, especial
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171PNEUMONIAPneumonia is an acute i
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ARTHRITIS (PAINFUL, INFLAMED JOINTS
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175VARICOSE VEINSVaricose veins are
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177HERNIA (RUPTURE)A hernia is an o
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179Serious Illnesses That NeedSpeci
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RABIES181Rabies comes from the bite
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183Signs of tetanus:• An infected
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185MENINGITISThis is a very serious
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187HOW TO AVOID MALARIA (AND DENGUE
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189Signs of typhoid:First week:•
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191LEPROSY (HANSEN’S DISEASE)This
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193Skin ProblemsCHAPTER15Some skin
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195RULE #3If the skin areas affecte
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197A Guide to IdentificationIF THE
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199SCABIES (SEVEN YEAR ITCH)Scabies
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201TICKS AND CHIGGERSSome dangerous
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ITCHING RASH, WELTS, OR HIVES(ALLER
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FUNGUS INFECTIONS (RINGWORM, TINEA)
Page 259 and 260:
Vitiligo (White Areas of the Skin)2
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209Beforeeating wellAftereating wel
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PIMPLES AND BLACKHEADS (ACNE)211You
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GANGRENE (GAS GANGRENE)213This is a
Page 267 and 268:
215SKIN PROBLEMS OF BABIESDiaper Ra
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217The EyesCHAPTER16tear glandpupil
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CHEMICAL BURNS OF THE EYE219Battery
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INFECTED EYES IN NEWBORN BABIES(NEO
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223INFECTION OF THE TEAR SAC (DACRY
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BLEEDING IN THE WHITE OF THE EYE225
Page 279 and 280:
♦ If the condition is already fai
Page 281 and 282:
229The Teeth,Gums, and MouthCHAPTER
Page 283 and 284:
231TOOTHACHES AND ABSCESSESTo calm
Page 285 and 286:
233The Urinary Systemand the Genita
Page 287 and 288:
Many women suffer from urinary infe
Page 289 and 290:
In a man, the first signs begin 2 t
Page 291 and 292:
239HOW TO PREVENT SPREADING SEXUALL
Page 293 and 294:
241PROBLEMS OF WOMENVaginal Dischar
Page 295 and 296:
Pain or Discomfortin the Lower Cent
Page 297 and 298:
245Information for Mothersand Midwi
Page 299 and 300:
247PREGNANCYSigns of pregnancy:All
Page 301 and 302:
Danger Signs in Pregnancy2491. Blee
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2513. Minor problemsAsk the mother
Page 305 and 306:
RECORD OF PRENATAL CARE1MONTH DATEO
Page 307 and 308:
Additional Suppliesfor the Well-Pre
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257Checking if the Baby Is in a Goo
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THE STAGES OF LABOR259Labor has 3 p
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261Normally the baby is born head f
Page 315 and 316:
Care of the Cut Cord263Keep the cor
Page 317 and 318:
To help prevent or control heavy bl
Page 319 and 320:
DIFFICULT BIRTHS267It is important
Page 321 and 322:
2696. TWINS. Giving birth to twins
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Feeding(Also see “The Best Diet f
Page 325 and 326:
2. Either low temperature (below 35
Page 327 and 328:
If the baby’s eyes roll back or f
Page 329 and 330:
BREAST FEEDING—AND CARE OF THE BR
Page 331 and 332:
279Breast CancerMost women have som
Page 333 and 334:
MISCARRIAGE (SPONTANEOUS ABORTION)2
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283Family Planning—Having the Num
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285FAMILY PLANNINGMETHODProtectionf
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Side effects:Some women get a littl
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Precautions Women Should Take when
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291THE COUNTING DAYS METHODThis met
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293INJECTIONS. In this family plann
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295Health and Sicknessesof Children
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297CHILDREN’S GROWTH—AND THE
Page 351 and 352:
WATCH THE DIRECTIONOF THE LINE SHOW
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301FOURTH, follow theline that goes
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303A malnourished, sickly child may
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REVIEW OF CHILDREN’S HEALTH PROBL
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307Fits (Convulsions) (see p. 178)C
Page 361 and 362:
309HEALTH PROBLEMS OF CHILDRENNOT D
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311INFECTIOUS DISEASES OF CHILDHOOD
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Whooping CoughWhooping cough begins
Page 367 and 368:
315A child who has been paralyzed b
Page 369 and 370:
Umbilical Hernia (Belly Button that
Page 371 and 372:
319If your child is born with a bir
Page 373 and 374:
Retardation in the First Months of
Page 375 and 376:
323Health and Sicknessesof Older Pe
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OTHER IMPORTANT ILLNESSES OF OLD AG
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Stroke (Apoplexy, Cerebro-Vascular
Page 381 and 382:
Gallbladder ProblemsThe gallbladder
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331The Medicine KitCHAPTER23Every f
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BUYING SUPPLIES FOR THE MEDICINE KI
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335MEDICINESMedicine Local brand Pr
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337Use Medicine Local Brand Price A
Page 391 and 392:
339The Green PagesTHE USES, DOSAGE,
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341List Of Medicines In The Green P
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343For River Blindness(Onchocercias
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345Index Of Medicines In The Green
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347LLamprene (clofazimine).........
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349UUlcers, medicines for..........
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351Information On MedicinesANTIBIOT
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353Long-acting penicillin: Benzathi
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355Usually, it is cheaper, as well
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357Doxycycline is an expensive form
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359WARNING: Women in the last 3 mon
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361MEDICINES FOR TUBERCULOSISIn tre
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363StreptomycinName:_______________
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365Side effects: Causes the skin to
Page 419 and 420:
367If vomiting is a problem when gi
Page 421 and 422:
369Metronidazole (familiar brand na
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371Povidone iodine (Betadine)Price:
Page 425 and 426:
373Gentian violet-for yeast infecti
Page 427 and 428:
375Dosage of albendazole—using 20
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377FOR SCHISTOSOMIASIS(BLOOD FLUKES
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379These eye ointments can be used
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381Use lidocaine with epinephrine f
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383FOR HARD STOOLS(CONSTIPATION): L
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385FOR ASTHMATo help prevent and ma
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387—using intramuscular (IM) inje
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389Antitoxins for tetanusTetanus Im
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391WARNING:1. Too much diazepam can
Page 445 and 446:
393Iron sulfate (ferrous sulfate)
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395For a woman who has very heavy m
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397to have regular monthly bleeding
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399New Information — Blue PagesIn
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401There is no need for people with
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403Signs:• One or more very small
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SPECIAL CARE FOR SMALL, EARLY, ANDU
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Signs:• A painful swelling develo
Page 461 and 462:
Dangerously Low Body Temperature in
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1. Take the first reading the momen
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Laws are needed to prohibit the mos
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415Some women with problems followi
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People usually start taking drugsto
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420Artery A vessel carrying blood f
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422Diaper rash Reddish, irritated p
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424Intestines The guts or tube-like
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426Phlegm Mucus with pus that forms
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428Taboo Something that is avoided,
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430DEMOTECH - Designs for Self-Reli
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432Voluntary Health Association of
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DOSAGE BLANKS—for giving medicine
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PATIENT REPORTTO USE WHEN SENDING F
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PATIENT REPORTTO USE WHEN SENDING F
Page 498 and 499:
Other books from HesperianA Health
Page 500 and 501:
INFORMATION ON VITAL SIGNSTEMPERATU
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433IndexThings in this book are lis
Page 504 and 505:
435Broad-spectrum antibiotics, 56,
Page 506 and 507:
437Drowning, 79, 422Drug abuse, 399
Page 508 and 509:
439High blood pressure, 125, 249, 3
Page 510 and 511:
441limited use of medicines, w18-w1
Page 512 and 513:
443RRabies, 181Rash on the skin, 21
Page 514 and 515:
445TTaboo, 23, 428T.A.L.C., 297, 42
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Where There Is No Doctor - Boekje Pienter

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