Malawi Blog 14 januari 2016

Thursday 14-1-2015


We started the day with college about resistance. We used a college which was made by the government. The college was especially made for people without any medical knowledge. We told them very strictly what the risks or resistance are (that human can die and that it is already a big problem in the world). We also told them that you should never use an antibiotic when there is no bacterial infection because you will only kill the good bacteria in an animal, which they need to stay healthy. After the college we asked the participants what they remembered and what they could tell us now about resistance and the use of antibiotic. The message that you should never use it in a viral infection was clear, but some of the participants still thought that you can use it as a painkiller. We will pay a lot of attention to this in the following lessons to make sure that they all know what an antibiotic drug does.

We discussed the drug Procilline (Peniciline, antibiotic). We told them that this is a narrow-spectrum antibiotic and that it is the first choice in the indications which are mentioned because it won’t kill too many good bacteria. It is also long-acting and will work for 5 days, but if you see no improvement after 3 days you need to give it again because you have to make sure that the level will be high enough. One of the participants asked if he could also use this drug in himself. We told him that he can not do this, because in the text ‘useful for’ is no human written. We also told them that if they have ever these kinds of questions when we are gone, they can always ask their veterinary assistant. We calculated the doses for a cow from 500 kg. We made a list about what to tell the owner when giving a treatment:

  • Useful for what kind of disease (why do you want to give this drug to an animal), which animal
  • Withdrawal period: for how long should the owner not eat or drink the meat or milk
  • Next visit: when do you want to check the animal again
  • Call if getting worse.


Case about a cow with diarrhea. The participants asked the questions about the patient history. They know the game now which makes it a lot of fun and very teachable. The cow in this case, was dehydrated and had worms. We also discussed the treatment (ivermectin or levamsole) and how to make ORS and the advice to the owner.


We started with a college about injection methods. The presentation was the same as what the participants had been taught before in a previous course, so they did know already a lot. After the presentation, we went up to the DIO farm to practice the injection techniques. Masida had chosen the animals which needed Ivermectin subcutaneous, so this was a nice change for the participants the practice. We started with the cows. This was again a bit difficult because they were hard to fixate.


We treated the goats in groups of two. So everybody had done something. The treatment of the goats went much better.