1. AN INTERNSHIP REPORT CARRIED OUT IN SAINT MARIA SOLEDAD CATHOLIC HEALTH CENTRE- ALAKUMA,BAMENDA FROM THE 23 RD OF APRIL TO THE 18 TH OF MAY 2012 PRESENTED BY: YINKFU PILATE NDZIBOBI EMIL ABIA NASALA FON NELSON NJEMNYUY SUPERVISED BY: Mr. CHO FREDERCK NCHANG B.M.L.S(Hons) /B.Sc, BIOCHEMISTRY & Mr. NGWANUE WILFRED B.M.L.S (Hons)

2. SUMMARY  INTRODUCTION  HOSPITAL SETTING  SPECIMENS FLOW CHART AND ANALYTICAL RUNS IN THE LABORATORY  PREVALENT DISEASES WITH HIGHEST DIAGNOSIS  DISCUSSION RECOMMENDATION AND CONCLUSION

3. CHAPTER ONE INTRODUCTION  DEFINTION  OBJECTIVES GENERAL  Develop our working skills  Acquire skills on CD4 count and ELISA techniques PERSONAL OBJECTIVES  Develop and acquire new skills  Create acquaintance with most laboratory equipments  Learn laboratory communication and socialization

4. CHAPTER ONE  GEOGRAPHICAL LOCATION  BACKGROUND HISTORY  DESCRIPTION OF THE HEALTH AREA  ORGANIGRAM OF THE HEALTH CENTRE

5. CHAPTER TWO LABORATORY STRUCTURE AND ANALYTICAL RUNS IN THE LABORATORY  LABORATORY STRUCTURE

6.  SPECIMEN FLOW CHART  LABORATORY STAFF STRENGHT Four Laboratory Workers:  Three Laboratory Technicians  One Laboratory Assistant

7. REAGENTS ARRANGEMENT AND ANALYTICAL RUNS IN THE LABORATORY  REAGENT ARRANGEMENT  ANALYTICAL RUNS CARRIED IN THE LABORATORY  COLLECTION BENCH:  venous/capillary blood collection, HVS/VS, skin scrapping  HAEMATOLOGY BENCH:  Malaria smear, WBC differential count

8. ANALYTICAL RUNS CARRIED IN THE LABORATORY  BIOCHEMISTRY BENCH:  Creatinine, urea, uric acid, PSA, TSH, Toxoplasma gondii, lipid profile, electrolytes.  FACS Count System  PARASITOLOGY BENCH:  Urine analysis, stool analysis

9. ANALYTICAL RUNS CARRIED IN THE LABORATORY  SEROLOGY BENCH:  Rheumatoid Factor And ASLO  HBsAg, HIV, HCV, VDRL, H. pylori, PT  WIDAL  Blood Grouping

10. MEDICAL DIAGNOSIS OF THE PREVALENT DISEASES FOR THE PAST THREE YEARS GASTRITIS TYPHOID YearPositive cases Negative cases Total number cases % positive 200932419251662.8 201042012054077.8 201135310245577.6 YearPositiveNegative cases Total number cases % positive 200931629260852 201047417865072.9 201130920451360.2

11. PREVALENCE CONTINUES Malaria AVERAGES (%) H. Pylori = 72.73 WIDAL = 61.7 MALARIA PARASITE = 47.9 YearPositiveNegative cases Total number cases % positive 2009278877761056426.4 201060232929895267.3 2011632463011262550.1

12. CHAPTER THREE DISCUSION, RECOMMENDATION AND CONCLUSION DISCUSION Work begins every day at 7:00am Work starts by dusting of the benches Work closes at 2:pm with disinfection of working areas RECOMMENDATION  A laboratory worker should be placed on calls

13. RECOMMENDATION CONTINUES  Nurses should bring specimens to the laboratory  Culture reintroduced to aid diagnoses  Stool concentration should be done  Disposable specula should be use  Proper organization of the laboratory  Morning devotion should be for every workers

14. ACKNOWLEDGEMENT  We are great full to the general staff of CSHS especially the laboratory staff  Great thanks goes to the staff of St. Maria Soledad Health centre laboratory for the love and knowledge they gave us  Finally to our parents, friends and class mates

15. DEDICATIONS THIS WORK IS DEDICATED TO THE ALMIGHTY FOR THE STRENGHT AND PROTECTION GIVEN TO US THROUGH OUT THIS INTERNSHIP PERIOD

16. OPTIMISM IS THE FAITH THAT LEADS TO ACHIEVEMENT. NOTHING CAN BE DONE WITHOUT HOPE AND CONFIDENCE. THANKS FOR LISTENING