Transport to Outer Islands: Our PIMA eye team is preparing to fly to the next small, isolated island of Teraina the Central Pacific . There are no doctors on the outer islands. Patients found to be needing eye surgery will be sent by boat to Christmas Island for surgery at the small hospital there. Surgeries will be performed by our eye surgery team, led by Drs. Paul Jorizzo and Paul Imperia from Medford, Oregon.

Diabetes Attack Team Plans Twice Yearly Expeditions

Plans are now nearing completion for a comprehensive campaign to fight diabetes in the Line Islands of Kiribati, where adult onset rates are among the highest in the world… more than 30 per cent of adults suffer with Type 2 adult onset diabetes, according to results of our recent Pacific Islands Medical Aid studies.

Our PIMA team plans to spend two weeks on Christmas Island (Kiritimati), Tabuaeran and Teraina this August and return to the islands twice each year for follow-up and training.

“We are very proud to announce the formation of a top-notch team to help address this critical need, invited by and working alongside Kiribati Ministry of Health personnel in the islands,” said Carlton Smith, president of Pacific Islands Medical Aid.

“Leading the team is Dr. Elizabeth Beale, diabetologist and professor at the University of Southern California, who has been to Christmas Island previously to study the effects of this terrible disease on the local population and begin planning a comprehensive program to help alleviate the suffering,” Carlton said.

Joining Dr. Beale is Dr. Julie Chatigny DPM, podiatric specialist with Central Coast Foot and Ankle Specialists in California and Dr. Michael Goran, PHD, Professor of Preventive Medicine, Childhood Obesity Specialist. University of Southern California.

Diabetes Team Planning: In one of several planning meetings to prepare for upcoming Diabetes Team expedition to the Line Islands in Kiribati this August are (from left) Dr.Lydia Lam, trauma and critical care professor at Keck School of Medicine, University of Southern California; Dr. Julie Chatigny, podiatric specialist, Central Coast Foot and Ankle Specialists; and Dr. Elizabeth Beale, endocrinologist and professor at University of Southern California.

Diabetes Team Planning: In one of several planning meetings to prepare for upcoming Diabetes Team expedition to the Line Islands in Kiribati this August are (from left) Dr.Lydia Lam, trauma and critical care professor at Keck School of Medicine, University of Southern California; Dr. Julie Chatigny, podiatric specialist, Central Coast Foot and Ankle Specialists; and Dr. Elizabeth Beale, endocrinologist and professor at University of Southern California.

Helping put together this great team is our Pacific Islands Medical Aid Director of Medical Service, Dr. Lydia Lam, MD, FACS, professor of Clinical Surgery and Emergency Medicine at Los Angeles County-University of Southern California Medical Center. She is also associate program director of the Trauma/Critical Care Fellowship at the Keck School of Medicine, University of Southern California.

Dr. Beale said the mission approach will include a clinical program for adults and research-based prevention program in children and adolescents.

In the clinical program, Drs. Beale and Chatigny will visit Kiritimati and outer islands for two weeks and conduct one-day clinic and educational sessions at the various villages. They will focus on consolidating work initiated in foot care in 2017, identifying patients at risk for diabetes related foot problems and how to reduce the risk of foot injury and amputations.

Dr. Beale will also evaluate management of diabetes in pregnancy and both will conduct an initial assessment of diabetes on the outer islands of Tabuaeran and Teraina.

Dr. Beale said that Dr. Goran visited Christmas Island in March of 2017 and assessed nearly 400 school children where a high prevalence of pre-diabetes was identified.

This year, she said, children will be re-evaluated with A1C testing and those with diabetes will be referred for medical care.

Additionally, she said, annual visits under the direction of Dr. Goran will conducted to maintain a data base to track diabetes development in the school children and effects of interventions.