Friday, May 1, 2015

A Future for Disaster Victims and Amputees

Photo from: http://www.ibtimes.com/nepal-
earthquake-2015-what-regions-us-are-
risk-major-earthquake-1898706
On April 25, 2015, a devastating earthquake with a magnitude of 7.8 ripped through the capital of Nepal, Katmandu. In the wake of the twelve aftershocks that soon followed, one even reaching a magnitude of 6.6, it was reported by the BBC News that the disaster has killed over 6,204 people and injured 13,932, with thousands still trapped in remote areas that rescuers have not been able to reach yet. Donations have been coming in from all over the world, reaching about $5.8 million, but the United Nations reports that this is only 1.4% of the money that Nepal will need to rebuild itself. There are shortages of food, clean drinking water, sanitation, and health services, and medical professionals are scrambling to care for as many injured victims as possible.
When the Haitian earthquake of 2010 struck, it left 250,000 injured, with as many as 100,000 of those individuals having to undergo amputations from injuries sustained from falling rubble, collapsed buildings, and unsafe infrastructure and roads. Though nowhere near these same numbers, the disaster in Nepal will undoubtedly force doctors across the country to perform emergency amputations on hundreds, even thousands of earthquake victims.
It is unfortunate that it takes a natural disaster like an earthquake to remind the world that there is an overwhelming lack of healthcare services in many developing countries. For many diseases and injuries, treatment is not provided early enough, doctors are unable to save limbs, and the only way is to amputate. After the surgery, it is up to the amputee to figure out how he or she is going to still work or take care of him or herself. Even if prosthetics are available, they are often crude, expensive, and limited.
Photo from: http://3dprint.com/22126/learnable-3d-printed-hand/

However, for researchers at the University of Illinois, working with amputees in developing nations is the motivation behind some of the most advanced research with prosthetic and artificial limbs.

Aadeel Akhtar is at the forefront of creating prosthetics using 3-D printing methods and common parts that can be mass-produced that have decreased costs down from $25,000-$100,000 to about $250. In his paper, “Tact: Design and Performance of an Open-Source, Affordable Myoelectric Prosthetic Hand”, Akhtar and his team compared their design with several others and found that theirs tended to be more lightweight, which allows for better adjustment for the amputee, and provided as much (and even more in some comparisons) dexterity and range of motion as other prosthetic hands on the market, but for significantly less money.
Though still expensive for many amputees in developing nations, especially for those still rebuilding Haita, an already impoverished country, and those in Nepal still taking estimates of the damage and death toll, it is a crucial step towards a future where people across socioeconomic divides and cultures can find rehabilitation with new prosthetic limbs.

Written by Faye Domokos, a double major in Biology and Psychology at Loyola University Chicago. 

References
Padgett, T. (2010, February 17). Haiti: What to do with a nation of amputees. Time. Retrieved from http://content.time.com/time/world/article/0,8599,1964441,00.html 

Slade, P., Akhtar, A., Nguyen, M., & Bretl, T. (2015). Tact: Design and performance of an open-sourced, affordable, myoelectric prosthetic hand. The International Conference on Robotics and Automation, Seattle, WA.

(2015, May 1). Nepal quake: Towns near epicenter ‘devastated’ – Red Cross. BBC News. Retrieved from http://www.bbc.com/news/world-asia-32543518


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