 | The New Emergency Health Kit 10.000 (WHO) |
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Chapter 3: Composition of the new emergency health kit
The New Emergency Health Kit consists of ten basic units and one supplementary unit.
10 basic units (for basic health workers), each unit for a population of 1000 persons for 3 months. Each unit contains drugs, renewable supplies and basic equipment, and is packed in one carton.
1 supplementary unit (for physicians and senior health workers, for a population of 10,000 people for 3 months). One supplementary unit contains:
· drugs (approximately 130 kg)
· essential infusions (approximately 180 kg)
· renewable supplies (approximately 60 kg)
· equipment (approximately 40 kg)
NB: The supplementary unit does not contain any drugs and medical supplies from the basic unit. To be operational, the supplementary unit should be used together with ten basic units.
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1,000 |
1,000 |
1,000 |
1,000 |
1,000 |
10 x 1 basic unit 10 x (45 kg/0,20
m3) | |
|
1,000 |
1,000 |
1,000 |
1,000 |
1,000 |
1 emergency health kit for 10,000 persons for 3 months approx.
860 kg, 4 m3 | |
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10,000 |
1 supplementary unit: approx. 410 kg - 2
m3 | |||||
Basic unit (for 1,000 persons 3 months)
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Drugs | ||
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Acetylsalicylic acid, tab 300 mg |
tab |
3000 |
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Aluminium hydroxyde, tab 500 mg |
tab |
1000 |
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(1) Benzyl benzoate, lotion 25% |
bottle 1 litre | |
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(2) Chlorhexidine (5%) |
bottle 1 litre |
1 |
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Chloroquine, tab 150 mg base |
tab |
2000 |
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Ferrous sulfate + folic acid, tab 200 + 0.25 mg |
tab |
2000 |
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Gentian violet, powder |
25 g |
4 |
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Mebendazole, tab 100 mg |
tab |
500 |
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ORS (oral rehydration salts) |
sachet for 1 litre |
200 |
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Paracetamol, tab 100 mg |
tab |
1000 |
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Sulfamethoxazole + trimethoprim, tab 400 + 80 mg
(cotrimoxazole) |
tab |
2000 |
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Tetracycline eye ointment 1% |
tube 5 g |
50 |
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Renewable supplies | ||
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Absorbent cotton wool |
kg |
1 |
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Adhesive tape 2.5 cm x 5 m |
roll |
30 |
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Bar of soap (100-200 g) |
bar |
10 |
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Elastic bandage (crepe) 7.5 cm x 10 m |
unit |
20 |
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Gauze bandage 7.5 cm x 10 m |
roll |
100 |
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Gauze compresses 10 x 10 cm, 12 ply, nonsterile |
unit |
500 |
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Ballpen, blue or black |
unit |
10 |
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Exercise book A4, hard cover |
unit |
4 |
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(3) Health card + plastic cover |
unit |
500 |
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Small plastic bag for drugs |
unit |
2000 |
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Notepad A6 |
unit |
10 |
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Thermometer Celsius / Fahrenheit |
unit |
6 |
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Protective glove, nonsterile, disposable |
unit |
100 |
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(4) Treatment guidelines for basic
list |
unit |
2 |
1) According to WHO recommendations benzyl benzoate solution 25% concentration is bring supplied. The use of 90% concentration is not recommended
2) Chlorhexidine 205/0 needs distilled water for dilution, otherwise precipitation may occur. 5% solution is WHO standard Alternatives include the combination of chlorhexidine 1.5% and cetrimide 15%.
3) For a sample health card see Annex 5.
4) For sample treatment guidelines. see Annexes 1.2 and 3.
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Equipment | ||
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Nail brush, plastic, autoclavable |
unit |
2 |
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Bucket, plastic, approx. 20 litres |
unit |
1 |
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Gallipot, stainless steel, 100 ml |
unit |
1 |
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Kidney dish, stainless steel, approx. 26 x 14 cm |
unit |
1 |
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(1)Dressing set (3 instruments + box) |
unit |
2 |
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Dressing tray, stainless steel, approx. 30 x 15 x 3 cm |
unit |
1 |
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Drum for compresses, approx. 15 cm H. diem. 14 cm |
unit |
2 |
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Foldable jerrycan, 20 litres |
unit |
1 |
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Forceps Kocher, no teeth, 12-14 cm |
unit |
2 |
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Plastic bottle, 1 litre |
unit |
3 |
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Syringe Luer, disposable, 10 ml |
unit |
1 |
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Plastic bottle, 125 ml |
unit |
1 |
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Scissors straight/blunt, 12-14 cm |
unit |
2 |
1) Dressing set (3 instruments + box):
· 1 stainless steel box approx. 17x 7x 3 cm
· 1 pair surgical scissors, sharp/blunt, 12-14 cm
· 1 Kocher forceps, no teeth, straight, 12-14 cm
· 1 dissecting forceps, no teeth, 12-14 an
Supplementary unit (for 10,000 persons for 3 months)
Drugs
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Anaesthesics | ||
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Ketamine, inj. 50 mg/ml |
10 ml/vial |
25 |
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(1)Lidocaine, inj. 1% |
20 ml/vial |
50 |
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Analgesics | ||
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(2) Pentazocine, inj. 30 mg/ml |
1 ml/ampoule |
50 |
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(3) Probenecid, tab 500 mg |
tab |
500 |
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Recall from basic unit: | ||
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Acetylsalicylic acid, 300 mg/tab |
(10 x 3,000) 30,000 | |
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Paracetamol, 100 mg/tab |
(10 x 1,000)10,000 | |
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Anti-allergics | ||
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Dexamethasone, inj. 4 mg/ml |
1 ml/ampoule |
50 |
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Prednisolone, tab 5 mg |
tab |
100 |
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Epinephrine (adrenaline), see "respiratory tract" | ||
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Anti-epileptics | ||
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Diazepam, inj. 5 mg/ml |
2 ml/ampoule |
200 |
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Phenobarbital, 50 mg |
tab |
1000 |
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Anti infective drugs | ||
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(4) Ampicillin, tab 250 mg |
tab |
2000 |
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(4) Ampicillin, inj. 500 mg/vial |
vial |
200 |
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Benzathine benzylpenicillin, inj. 2,4 MIU/vial. |
vial |
50 |
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Chloramphenicol, caps 250 mg |
caps |
2000 |
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Chloramphenicol, inj. 1 g/vial |
vial |
500 |
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Metronidazole, tab 250 mg |
tab |
2000 |
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(5) Nystatin, non-coated tablet |
100,000 IU/tab |
2000 |
1) 20 ml vials are preferred, although 50 ml vials may be used as an alternative
2) Because of narcotic drugs regulation, pentazocine has been chosen as an alternative to morphine or pethidine
3) To be used with penicillin in the treatment of gonorrhea
4) Ampicillin tablets and injections to be used only in neonates and pregnant women
5) For the treatment of oral candidiasis
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Phenoxymethylpenicillin, tab 250 mg |
tab |
4000 |
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(1) Procaine benzylpenicillin, inj. 3-4
MU/vial |
vial |
1000 |
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(2) Quinine, inj. 300 mg/ml |
2 ml/ampoule |
100 |
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Quinine sulfate, tab 300 mg |
tab |
3000 |
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(3)Sulfadoxine + pyrimethamine, tab 500 mg + 25
mg |
tab |
300 |
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(4)Tetracycline, caps or tab 250 mg |
caps or tab |
2000 |
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Recall from basic unit: | ||
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Mebendazole, tab 100 mg |
(10 x 500) 5,000 | |
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Corrimoxazole, tab 400 + 80 mg |
(10 X 2,000) 20,000 | |
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Chloroquine, tab 150 mg base |
(10 x 2,000) 20,000 | |
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Blood, drugs affecting the | ||
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Folic acid, tab 1 mg |
5000 | |
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Recall from basic unit: | ||
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Ferrous sulfate + folic acid, tab 200 + 0.25 mg |
(10 x 2000) 20,000 | |
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Cardiovascular drugs | ||
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(5) Methyldopa, 250 mg |
tab |
500 |
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Hydralazine, inj. 20 mg/ml |
1 ml/ampoule |
20 |
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Dermatological | ||
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(6) Polyvidone iodine 10%, sol, 500 ml |
bottle |
4 |
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Zinc oxyde 10% ointment |
kg |
2 |
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Benzoic acid 6% + salicylic acid 3% ointment |
kg |
1 |
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Recall from basic unit: | ||
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Tetracyline eye ointment, 1% |
(10 x 50) 500 | |
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Gentian violet, powder 25 g |
(10 x 4) 40 | |
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Benzyl benzoate, lotion 25%, litre |
(10 X 1)10 |
1) The combination of procaine benzylpenicillin 3 MU and beneylpcnicillin 1 MU (procaine penicillin fortified), is used in many countries and may be included as an alternative.
2) For the treatment of cerebral ant resistant malaria cases. Intravenous injection of quinine must always be diluted in 500 ml glucose 5%.
3) For the treatment of resistant malaria strains (check national protocols).
4) For the treatment of cholera and chlamydia infections.
5) For the treatment of hypertension in pregnancy.
6) Polyvidone iodine has been chosen because the use of iodine tincture in hot climates may result in toxic concentrations of iodine by partial evaporation of the alcohol.
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Diuretics | ||
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Furosemide, inj. 10 mg/ml |
2 ml/ampoule |
20 |
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Furosemide, tab 40 mg |
tab |
200 |
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Gastro intestinal drugs | ||
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Promethazine, tab 25 mg |
tab |
500 |
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Promethazine, inj. 25 mg/ml |
2 ml/ampoule |
50 |
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Atropine, inj. 1 mg/ml |
1 ml/ampoule |
50 |
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Recall from basic unit: | ||
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Aluminium hydroxide, tab 500 mg |
(10 x 1000) 10,000 | |
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Oxytoxics | ||
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Ergometrine maleate, inj. 0.2 mg/ml |
1 ml/ampoule |
200 |
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Psychotherapeutic drugs | ||
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Chlorpromazine, inj. 25 mg/ml |
2 ml/ampoule |
20 |
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Respiratory tract, drugs acting on | ||
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Aminophylline, tab 100 mg |
tab |
1000 |
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Aminophylline, inj. 25 mg/ml |
10 ml/ampoule |
50 |
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Epinephrine (adrenaline), inj. 1 mg/ml |
1 ml/ampoule |
50 |
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Solutions correcting water, electrolyte and acid-base
disturbances (1) | ||
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Compound solution of sodium lactate (Ringer's Lactate), inj. sol.,
with giving set and needle |
500 ml/bag |
200 |
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(2) Glucose, inj. sol. 5%, with giving set and
needle |
500 ml/bag |
200 |
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Glucose, inj. sol 50% |
50 ml/vial |
20 |
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Water for injection |
10 ml/plastic vial |
2000 |
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Recall from basic unit: | ||
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Oral rehydration salts |
(10 x 200) 2,000 |
1) Because of the weight, the quantity of infusions included in the kit is minimal. Look for local supply, once in the field.
2) Glucose 5%, bag 500 ml, for dilution of quinine/injection.
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Vitamins | ||
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Retinol (Vitamin A), caps 200,000 IU |
caps |
4000 |
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Ascorbic acid, tab 250 mg |
tab |
4000 |
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Renewable supplies | ||
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Scalp vein infusion set, disposable, 25G (diem. 0.5
mm) |
unit |
300 |
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Scalp vein infusion set, disposable, 21G (diem. 0.8
mm) |
unit |
100 |
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IV placement canula, disposable, 18G (diem. 1.7 mm) |
unit |
15 |
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IV placement canula, disposable, 22G (diem. 0.9 mm) |
unit |
15 |
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Needle Luer IV, disposable, l9G (diem. 1.1 mm x 38 mm) |
unit |
1,000 |
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Needle Luer IM, disposable, 21G (diem. 0.8 mm x 40 mm) |
unit |
2.000 |
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Needle Luer SC, disposable, 25G (diem. 0.5 mm x 16 mm) |
unit |
100 |
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Spinal needle, disposable, 20G (64 mm - diam. 0.9 mm) |
unit |
30 |
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Spinal needle, disposable, 23G (64 mm - diam. 0.7 mm) |
unit |
30 |
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Syringe Luer resterilisable, nylon, 2 ml |
unit |
20 |
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Syringe Luer resterilisable, nylon, 5 ml |
unit |
100 |
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Syringe Luer resterilisable, nylon, 10 ml |
unit |
40 |
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Syringe Luer, disposable, 2 ml |
unit |
400 |
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Syringe Luer, disposable, 5 ml |
unit |
500 |
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Syringe Luer, disposable, 10 ml |
unit |
200 |
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Syringe conic connector (for feeding), 60 ml |
unit |
20 |
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Feeding tube, CH5 (premature baby), disposable |
unit |
20 |
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Feeding tube, CH8, disposable |
unit |
50 |
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Feeding tube, CH16, disposable |
unit |
10 |
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Urinary catheter (Foley), n°12, disposable |
unit |
10 |
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Urinary catheter (Foley), n°14, disposable |
unit |
5 |
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Urinary catheter (Foley), n°18, disposable |
unit |
5 |
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Surgical gloves sterile and resterilisable n°6.5 |
pair |
50 |
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Surgical gloves sterile and resterilisable n°7.5 |
pair |
150 |
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Surgical gloves sterile and resterilisable n°8.5 |
pair |
50 |
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Recall from basic unit: | ||
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Protective glove, non-sterile disposable |
(100 units x 10) 1,000 | |
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Sterilization test tape (for autoclave) |
roll |
2 |
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Chloramine, tabs or powder |
kg |
2.5 |
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Thermometer (oral/rectal) dual Celsius/Fahrenheit |
unit |
10 |
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Spare bulb for otoscope |
unit |
2 |
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Batteries R6 alkaline M size (for otoscope) |
unit |
6 |
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Recall from basic unit: | ||
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Thermometer (oral/rectal) Celsius/Fahrenheit |
(6 units x 10) 60 | |
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Ballpens |
(10 units x 10)100 | |
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Hardcover exercise book |
(4 units x 10) 40 | |
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Health card + plastic cover |
(500 units x 10) 5,000 | |
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Plastic bag for drugs |
(2,000 units x 10) 20,000 | |
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Small notepads (A6) |
(10 units x 10)100 | |
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Urine collecting bag with valve, 2000 ml |
unit |
10 |
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Finger stall 2 fingers, disposable |
unit |
300 |
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Suture, synthetic absorbable, braided, size DEC.2 (000) with
cutting needle curved 3/8, 20 mm triangular |
unit |
24 |
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Suture, synthetic absorbable, braided, size DEC.3 (000) with
cutting needle curved 3/8, 30 mm triangular |
unit |
36 |
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Surgical blade (surgical knives) n°22 for handle
n°4 |
unit |
50 |
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Razor blade |
unit |
100 |
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Tongue depressor (wooden, disposable) |
unit |
100 |
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Gauze roll 90 m x 0.90 m |
roll |
3 |
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Gauze compresses, 10 x 10 cm, 12 ply, sterile |
unit |
1000 |
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Recall from basic unit: | ||
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Absorbent cotton wool |
(I kg x 10)10 | |
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Adhesive tape 2.5 cm x 5 m |
(30 rolls x 10) 300 | |
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Bar of soap (200 g/bar) |
(10 bars x 10) 100 | |
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Elastic bandage (crepe) 7.5 cm x 10 m |
(20 units x 10)200 | |
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Gauze bandage 7.5 cm x 10 m |
(100 rolls x 10) 1000 | |
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Gauze compress 10 X 10 cm, 12 ply, nonsterile |
(500 units x 10) 5000 | |
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Equipment | ||
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Clinical stethoscope, dual cup |
unit |
2 |
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Obstetrical stethoscope (metal) |
unit |
1 |
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Sphygmomanometer (adult) |
unit |
2 |
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Razor non disposable |
unit |
2 |
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Scale for adult |
unit |
1 |
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Scale hanging 25 kg x 100 g (Salter type) + trousers |
unit |
3 |
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Tape measure |
unit |
5 |
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Drum for compresses, H: 15 cm, diem. 14 cm |
unit |
2 |
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Recall from basic unit: | ||
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Drum for compresses, H: 15 cm, diam. 14 cm |
(2 units x 10) 20 | |
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Otoscope + set of pediatric speculums |
unit |
1 |
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Tourniquet |
unit |
2 |
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Dressing tray, stainless steel, approx. 30 x 15 x 3 cm |
unit |
1 |
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Kidney dish, stainless steel, approx. 26 x 14 cm |
unit |
1 |
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Scissors straight/blunt, 12114 cm |
unit |
2 |
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Forceps Kocher no teeth, 12/14 cm |
unit |
2 |
|
Recall from basic unit: | ||
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Kidney dish, stainless steel, approx. 26 x 14
cm |
(I unit x 10)10 | |
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Gallipot stainless, 100 ml |
(I unit x 10) 10 | |
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Dressing tray, stainless steel, approx. 30 x 15 x 3
cm |
(I unit x 10) 10 | |
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Scissors straight/blunt, 12-14 cm |
(2 units x 10) 20 | |
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Forceps Kocher no teeth, 12-14 cm |
(2 units x 10) 20 | |
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(1) Abscess/suture set (7 instruments +
box) |
unit |
2 |
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(2) Dressing set (3 instruments + box) |
unit |
5 |
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Recall from basic unit: | ||
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Dressing set (3 instruments + box) |
(2 units x 10) 20 | |
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Pressure sterilizer, 7.5 litres (type: Prestige 7506, double rack,
ref. UNIPAC 01.571.00) |
unit |
1 |
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Additional rack Public Health Care 2ml/5ml, ref. Prestige
7531 |
unit |
2 |
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Pressure sterilizer, 2040 litres with basket (type UNIPAC
01.560.00) |
unit |
1 |
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Kerosene stove, single burner (type UNIPAC 01.700.00) |
unit |
2 |
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Water filter with candles, 10/20 litres (type UNIPAC
56.199.02) |
unit |
3 |
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Nail brush, plastic, autoclavable |
unit |
2 |
1) Abscess/suture se' (7 instruments + box):
· 1 stainless steel box approx. 20 x 10 x 5 cm
· 1 dissecting forceps with teeth, 12-14 cm
· 1 Kocher forceps with teeth, straight, 12-14 an
· 1 Pean forceps straight, 12-14 cm
· 1 pair surgical scissors sharp/blunt, 12-14 cm
· 1 probe, 12-14 cm
· 1 Mayo-Hegar needle holder, 18 an
· 1 handle scalpel, N°4
2) Dressing set (3 instruments + box)
· 1 stainless steel box approx. 17 x 7 x 3 an
· 1 pair surgical scissors sharp/blunt, 12-14 cm
· 1 Kocher forceps, no teeth, straight, 12-14 cm
· 1 dissecting forceps, no teeth, 12-14 an
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Recall from basic unit: | ||
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Plastic bottle, I litre |
(3 units x 10) 30 | |
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Syringe Luer, disposable, 10 ml |
(I unit x 10) 10 | |
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Plastic bottle, 125 ml |
(I unit x 10) 10 | |
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Brush plastic (nail brush) autoclavable |
(2 units x 10) 20 | |
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Bucket plastic, 20 litres |
(I unit x 10)10 | |
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Foldable jerrycan, 20 litres |
(I unit x 10)10 | |
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Portable weight/height chart (UNIPAC 01.455.70) |
unit |
1 |
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(1)Clinical guidelines (diagnostic and treatment
manual) |
2 |
1) "Clinical Guidelines - Diagnostic and Treatment Manual" is
available at cost price in
English, French and Spanish from
Médecins sans
Frontières.
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