Fiji Report - Lautoka
FEBRUARY 2006


OUR TEAM
Dr Stuart Myers
Dr Argus Kadir
Dr Richard Connelly

Mrs Emilie Myers
Sister Jenny Barrie
Sister Sarah Armstrong


BACKGROUND
Lautoka is sited in the western side of Viti Levu, the largest island in Fiji. It is 25km north of Nadi International Airport. The city is surrounded with the Pacific Ocean on the western side and sugar cane and pine trees on the other sides. The city has a population of 60,000. The Hospital services half of the Fiji Island population. Lautoka is the Sugar City. Sugar cane is the major industry of Fiji. The Lautoka Sugar Mill employs about 1300 people and majority of them are residents of Lautoka. There are also a number of other industries such as timber, pine chips, garment, distillery, brewery, steel and fishing. Lautoka city once had 120km of sealed roads. Now they are very moth eaten and poorly lit at night. Traffic travels at excessive speeds to what the tarmac can hold. The town does have proper drains, well planned subdivisions and buildings constructed to the local building standards.

HOSPITAL
Lautoka Hospital is a four storey building built under British Government Aid in the 1950’s. Normal hours of operation are 8.00am to 4.30pm daily and emergency services are open twenty four hours. There is an Ambulance service. Medical care facilities available include surgical, dental, outpatient and inpatient services. The Hospital has 375 beds. The city also has a large semi public clinic (Bayly Clinic) and twelve private medical practitioners. There are five pharmacies in town.

HOSPITAL FACILITIES
2 x OPERATING THEATRES: There is limited antiseptic for scrubbing
1 x SMALL PROCEDURES THEATRE

ICU HAS 3 x BEDS: There are X-ray facilities, but no CT, MRI, Bone Scan or nerve conduction investigations. Patients requiring these are waitlisted and travel four hours to Suva.
SPECIALISTS AT THE HOSPITAL: Orthopaedics, Ophthalmology, Obstetrics and Gynaecology and General Medicine.
2 x ORTHOPAEDIC CONSULTANTS: Dr Joeli Mareko, Dr Jemesa Tudravu
3 x RESIDENT REGISTRARS: Dr Pauliasi Bauleka, Dr Pita, Dr Mark
PHYSIOTHERAPY DEPARTMENT: There is a 10 strong team led by Caroline Taylor, with a well equipped Gym and hydrotherapy pool. There are no Occupational or Speech Therapy services.
4 x ORTHPAEDIC WARDS: One male, one female, one paying/private, and one paediatric. There are plans to have a combined Trauma ward in 2006, mixing male and female for the first time, and creating a separate male and female diabetic ward.



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