Seven Sins of Humanitarian Medicine
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The need for humanitarian assistance throughout the world is almost unlimited. Surgeons who go on humanitarian missions are definitely engaged in a noble cause. However, not infrequently, despite the best of intentions, errors are made in attempting to help others. The following are seven areas of concern: 1. Leaving a mess behind. 2. Failing to match technology to local needs and abilities. 3. Failing of non-governmental organizations (NGO’s) to cooperate and help each other, and and accept help from military organizations. 4. Failing to have a follow-up plan. 5. Allowing politics, training, or other distracting goals to trump service, while representing the mission as “service”. 6. Going where we are not wanted, or needed and/or being poor guests. 7. Doing the right thing for the wrong reason. The goal of this report is to discuss these potential problems, with ideas presented about how we might do humanitarian missions more effectively.
KeywordsCuban Laparoscopic Adrenalectomy Wrong Reason Military Organization Local Surgeon
The authors wish to acknowledge the teaching, mentorship, and example of Drs. David C. Wherry, J. Leonel Villavicencio, Stanley L. Minken, and Arthur L. Trask, who helped in the formation of the ideas presented in this report.
- 1.http://en.wikipedia.org/wiki/Seven_deadly_sins. Accessed 26 Mar 2009
- 3.Minken SL, Colgan R, Barish RA, Doyle J, Brown PR, Welling DR (2008) Waging peace: a medical military mission to Bosnia-Herzegovina. Surg Rounds 31:128–135Google Scholar
- 5.Lumley JSP, Ryan JM, Baxter PJ, Kirby N (1996) Handbook of the medical care of catastrophes. Royal Society of Medicine Press Limited, London, p 37Google Scholar
- 6.http://www.southcom.mil/AppsSC/factfiles.php?id=6. Accessed 20 April 2009
- 8.http://www.flacso.org/hemisferio/al-eeuu/boletines/02/86/rel_07.pdf. Accessed 20 April 2009
- 9.Wilson S (2009) Obama closes summit, vows broader engagement with Latin America. Washington Post, April 20:A6Google Scholar
- 11.http://www.medicc.org/ns/index.php?s=46&p=12. Accessed 20 May 2009
- 12.http://www.southcom.mil/appssc/factfiles.php?id=103. Accessed 20 April 2009
- 13.Eliot TS (1964) Murder in the cathedral. In: Brooks C, Purser JT, Warren RF (eds) An approach to literature, 4th edn. Appleton-Century-Crofts, New York, p 816Google Scholar