i

NEW WHERE THERE IS

NO DOCTOR:
ADVANCE CHAPTERS

Contents
Wellness and Illness
1. Wellness in Our Bodies, Our Families, Our Communities and Our World
2. Illness: When Promotion and Prevention Fail

When There Is Illness or Injury

3. First Aid
4. Examining a Sick Person
5. Common Things People Feel When They Are Sick
6. Care for Sick People
7. Medicines, Tests, and Treatments

Illnesses That Happen in Parts of the Body

8. Head and Brain Problems
9. Eye Problems
10. Ear Problems
11. Problems with the Teeth, Mouth and Throat
12. Problems with Breathing and Coughing
13. Skin, Nail, and Hair Problems
14. Heart Problems
15. Belly Pain, Diarrhea, and Worms
16. Difficulties with Urinating
17. Genital Problems and Infections
18. Aches, Pains, and Paralysis: Muscle and Bone Problems

Other Serious Illnesses

19. HIV and AIDs
20. Cancer
21. Diabetes
22. Illnesses from Mosquitoes
23. Other Serious Illnesses
 NEW WHERE THERE IS NO DOCTOR: ADVANCE CHAPTERS
ii CONTENTS

Reproductive Health
24. Women’s Menstrual Cycles
25. Family Planning
26. Pregnancy and Birth

Life Stages
27. Newborn Babies and Breastfeeding
28. Caring for Children
29. Caring for the Elderly

Keeping Our Communities Healthy

30. Vaccines
31. Good Food Makes Good Health
32. Water and Sanitation: Keys to Staying Healthy
33. Garbage, Medical Waste, and Pollution
34. Work and Environmentally Related Illness
35. Mental Health
36. Drugs, Alcohol, and Tobacco
37. Violence
38. Disasters and Displacement

Medicines
39. Essential Medicines
40. Index of Medicines
41. Medical Kit

Other Materials
42. Forms and Records
43. Vocabulary: Words about Health
44. Where to Get More Information
45. Index
46. Vital Signs
 iii

Credits
These advance chapters of the New Where There Is No Doctor necessarily contain elements
from many Hesperian materials, especially Where There Is No Doctor and A Community Guide
to Environmental Health; we are indebted to the many Hesperian authors, illustrators and staff
members whose efforts are reflected here.

New writing: Felix Thomson, Zena Herman, Knezevich, June Mehra, Gabriela Nuñez,
David Spero, Paula Worby Kate Peatman, Petra Rohr-Rovendaal, Lucy
Editing: Todd Jailer, Zena Herman, Paula Sargeant, Chengyu Song, Ryan Sweere,
Worby Kathleen Tandy, Felix Thomson, Sarah
Wallace, Lihua Wang, David Werner, Mary
Editorial oversight: Sarah Shannon
Ann Zapalac, Victor Zubeldía
Project and field-testing management:
Project support: Anastasia Gordon, Alix
Zena Herman and Paula Worby
Pora, Briana Robertori, Dayna Stimson,
Design and production: Jacob Goolkasian, Sarah Branoff, Ingrid Rosenthal
Rosemary Jason, Kathleen Tandy
Spanish language translation and editing:
Artists: Joey B’Shalom, Sarah Boore, Heidi Pablo Acevedo/MigrantWord, Lori
Broner, Carin Cain, Barbara Carter, Regina Berenson, Nayelli Castro, Roberto Chavez,
Doyle, Jacob Goolkasian, Shu Ping Guan, Todd Jailer, Miriam Lara-Meloy, Bertha
Susie Gunn, Jesse Hamm, Haris Ichwan, Sarmina, Kathleen Vickery
Rosemary Jason, Anna Kallis, Joyce

Thanks:
All Hesperian materials are the result of a broad level of cooperation from the most dedicated
health workers in the world. But these chapters would not have been possible without the
generous help of a few people upon whom we leaned particularly heavily. Curt Wands-
Bourdoiseau was instrumental in developing a new structure for the overall book; Kate
Feibusch provided extensive, invaluable and patiently delivered medical advice; Lynne Coen,
Syema Muzzafar, Michael Terry, and Linda Spangler have provided incredibly helpful and
detailed feedback about medicines and drug doses; Julie Cliff and Aruna Uprety were our
first “Hesperian Fellows,” contributing several intensive weeks of work in Berkeley, and con-
tinuing to advise us on the approach to and content of many of these chapters.
Our work on everything from the Table of Contents to final decisions about medicines was
informed by insightful critiques and comments received from:
Bill Affolter • Julia Albright • Peg Cumberland • Sharena Giske • Jason Goldman • Ted
Julie Aldrich • Nadeem Al-Duaij • Curley • Gopal Dabade • Rajat Greiner • Rachel Grinstein • Arun
Casimir Alfred • Abhay Bang • Das • Della Dash • Junice Gupta • May Haddad • Mona
Rani Bang • Francoise Barten • Demeterio-Melgar • Murray Haidar • Larry Heifetz • Pegi
Stephen Bartlett • Alessandra Dickson • Gerri Dickson • Brian Henderson • Ann Hirschman •
Bazzano • Roger Benham • Dominick • Mary Dunbar • Christopher Holmgren
John Bergez • Shilpa Bhatte • Monica Dyer • Patience Ekeocha • Tim Holtz • Khamseng

Deborah Bickel • Carolyn • Susan Emrich • John Emrich • Homdouangxay • Pascal

Blayney • Ned Breslin • August
Burns • Mae Hazel Calimbas
• Pascal Cassan • Alejandro
Ceron • Loretta Charles •
Samir Chaudhuri • Zafrullah
Chowdhury • Emily Churchman •
Jeff Conant • Matthew Craven •
Pam Fadem • Abdul Muhsen Abu
Fannouneh • Ann Farbman •
Peter Fasan • Caly Fernandez •
Paul Freeman • Edith Freidman •
Tom Gabriel • Fe Garcia •
Connie Gates • Bette Gebrian •
Domenica Giovannini • Anna
Ilegems • Andrea Irvin • Zahra
Ismail • Ellen Israel • Ghassan
Issa • Carol Jabari • Kathy
Jobe • Prem John • Hari John •
Katherine Jones • Ariana Jostad-
Laswell • Uma Kandalaeva •
Jenn Kasper • Grace Keller •
 NEW WHERE THERE IS NO DOCTOR: ADVANCE CHAPTERS
iv THANKS

Nathan Kemalyan • George
Kent • Sasha Kramer • Carolyn
Kruger • Miriam Lara-Meloy •
Cale Layton • David LeCount •
Howard Lee• David Levinson •
Brian Linde • Josh Litwin •
Michelle Loya-Talamantes •
Erica Mackey • Duncan Mara •
Gwewasang Martin • Jane
Maxwell • Susan McCallister •
Marianne McLaughlin •
Claudia Morrissey • Baijayanta
Mukhopadhyay • Dan Murphy •
Sherry Nadworny • Julia Nakad
• Esther Nakkazi • David Narita •
Korshie Nazzar • Meira Neggaz
• Shailes Neupane • Cliff
O’Callahan • Davide Olchini •
Aaron Pardini • Henry Perry •
Hien Phimmachanh • Georgina
Phillips • Lesley Phillips • Scott
Pike • Gita Ramaswamy •
Ken Rankin • John Roark •
Betsy Rodriquez • Hamidullah
Saljuqi • Lysa Samuel • Mary
Sandasi • Rebekkah Schear •
Tod Schimelpfenig • Angela
Schramm • Amanda Schultz •
Mohammad Shahbazi • Zahra
Shahbazi • Sarah Shannon •
Kathy Shapiro • Bishwa Sharma •
Maya Shaw • Donna Sillan •
Janeen Simon • Melissa Smith •
Christine Smith • Brad Snyder •
Alex Sobel • Linda Spangler •
Jonathan Spector • Kiriyo
Spooner • Judith Standley •
Elisabeth Sterken • Diane
Switzer • Shershah Syed • Susan
Sykes • Aliaa Tayea • Dorothy
Tegeler • Assefaw Tekeste
Ghebrekidan • Andrea Thach •
Laura Turiano • Prakash Tyagi •
Constanza Vallenas • Christina
Vernon • Kathleen Vickery •
Eugenio Villar • Felicity Wales •
Lily Walkover • Zoe Williams •
Laura Worby • John Yudkin •
Hassan Zeneddin •

Digital Commons collaborators:

Rabia Aslam, Jean Box, Reina Dale, Jesse Fineman, Saq Imtiaz, Eduard Meleshinsky, Maggie
Brigette Carney, Veronica Rosemary Jason, Isaac Kreisman, Palmer, Melody Segura, Julie
Churchill, S M Colowick, Deanne Matthew Litwin, Tawnia Litwin, Wright, Victor Zubeldía

Field test groups: •  entro de Servicios Educativos

C •  rassroots Alliance for
G
•  sociación Civil de Comadronas
A en Salud y Medio Ambiente Community Education
Tradicionales (ACOTCHI), (CESESMA), Nicaragua (G.R.A.C.E), Kenya
Guatemala •  limate and Development
C • Hillside Health Care

• Adele Reproductive Health Initiatives, Uganda International, Belize

Foundation, Cameroon
•  sociación de Servicios
A Project, Jamkhed, India
Comunitarios de Salud
(ASECSA), Guatemala
• Association for Social and
Health Advancement (ASHA),
India
•  enter for Health Education,
C (EAPSEC), Mexico
Training and Nutrition
(CHETNA), India
• Centre for Community Medicine
and Community Medicine.
Nmandi Azikiwe University
Teaching Hospital, Nigeria
•  omprehensive Rural Health
C •
• Dejen Health Center, Ethiopia
•  uk Lost Boys Clinic, South
D Jerusalem
Sudan
• E l Equipo de Apoyo en Salud
y Educación Comunitaria
• ESTAMOS, Mozambique
•  hana Community Partnership
G
for Health and Development,
Ghana
•  onoshasthaya Kendra,
G
Bangladesh
International Relief
Development (IRD), Iraq
• Patient’s Friends Society,
• L a Asociación de Mujeres
Defensoras de La Vida (AMDV),
Honduras
• LIKHAAN, Philippines
•  ennonite Central Committee
M
(MCC), Laos
• Migrant Health Promotion, USA
• Socios en Salud, Peru

We also thank the following foundations for financially supporting this project:
Arntz Family Foundation; Bill and Melinda Gates Foundation; Cogan Family Foundation; Conservation,
Food and Health Foundation; Flora Family Foundation; Genentech; International Foundation; The Kadoorie
Charitable Foundation; Lakeshore Foundation; The Marty Tomberg Charitable Fund; Medtronic Foundation;
Partnership Foundation; Peace Development Fund; Peradam Foundation; Rockefeller Foundation; United
Methodist Women; West Foundation.