ROMANIA 2026
Our team of three US physicians, one Romanian physician, two US nurses, one US pre-med student, and one spouse assistant held clinics in chapels, schools, and private homes throughout rural Tulcea County. We were supported by Mihai of Sprijin Fara Frontiere, who provided student interpreters, clinic coordination, lodging, and expert navigation through the sometimes narrow and shallow canals of the Danube Delta.
During our first three days we traveled by boat to the villages of Letea, Periprava, and Chilia Veche. Notably, just weeks before our arrival, a Russian drone shot down by Ukraine had exploded into the Danube at Chilia Veche. Residents reported that rattling windows from explosions across the river are not uncommon, though the community appeared remarkably calm.
Letea and Periprava have no resident healthcare providers. It was gratifying to hold our clinic in Letea's newly constructed clinic building, completed since our visit last year. The population of these villages — which declined sharply after the fall of communism — continues to age and shrink. Residents were warmly grateful for medical consultations, diabetes and hypertension screening, and generously opened their homes to us for lodging, many of which lack indoor plumbing. As in prior years, Valentin, a local teacher, served as our invaluable coordinator, guide, and driver.
Returning to our base in Tulcea City, we traveled by van to the villages of Mihai Bravu, Nicolae Bălescu, and Peceneaga.
As in previous missions to Romania and elsewhere, we encountered numerous cases of undiagnosed diabetes and hypertension, as well as many patients with known but poorly controlled conditions. This year we noted a higher-than-usual number of villagers presenting with critically elevated blood pressure and glucose levels. We strongly urged these individuals to seek immediate local follow-up care, as our team's capacity to intervene with medications and other treatments in the field is limited.
Our OTC medication supply allowed us to assist many patients with musculoskeletal pain, allergies, and dermatitis. We continued our emphasis on patient education regarding healthy diet and lifestyle modification.
As always, we encountered cases with suspected cardiovascular disease, possible malignancy, and other conditions requiring further evaluation. For each of these patients we outlined recommended next steps and stressed the importance of pursuing local follow-up care.
We are deeply grateful to our donors and supporters who make these missions possible. It is our sincere hope that through early detection, education, and compassionate care we are helping prevent premature death and disability in these underserved communities.
PHILIPPINES 2026
Kenya 2025
Kenya 2024
We held two medical camps at two locations for a total of five busy days. Our first camp was at Giathieko, where we utilized the Holy Family Catholic Church grounds after a sudden countywide decree prevented us from using the primary school grounds as planned. Our gracious hosts provided us with a building and set up chairs and tents. We were entertained by school children singing health-themed songs. Local officials from the Department of Health, the pastor, and the mayor participated in the opening ceremonies ¹.
Over two days, we accommodated approximately 830 patients, providing screenings for hypertension, diabetes, and general medical consultations. A dentist and ophthalmologist attended to other patients, while ancillary staff provided vaccinations, deworming, testing, and counseling for HIV and TB, as well as medication distribution.
September 19 though 21 we had medical camp at ACK St Andrews church in Kangoya.
Local volunteers really stepped up to the plate for patient registration, screening tests, counseling, health and wellness education. Eye and dental services were again provided and a county mobile clinic van performed cervical cancer and HPV screening, breast exams and women’s health consultations.
On our second day we were notified the nearby Kiambu level 5 hospital nurses were on strike( due to no pay from the government for three months) and we saw an influx of patients. Happily we were assisted all three days by physicians, clinical officers and nurses otherwise we would not have been able to accommodate all of the patients( @ 1000 over the three days). Many thanks to our US team of 3 doctors, 3 nurses, 2 ancillary staff.
At the end of the last day we had a closing ceremony where each of the many volunteers were presented with a certificate of appreciation.
Romania 2024
Philippines 2024
We held very successful medical clinics in Estancia seeing 600 patients overv4 days. Our fantastic US crew partnered with local public health nurses, teachers, friends and family, and on one day a pediatrician. The support we received was amazing. We identified new cases of hypertension, diabetes, suspected angina and lots of other issues. Some patients are non compliant with medications due to financial hardship while others needed education on the importance of taking medications and adhering to a diet.
Kenya 2023
We had a successful trip despite a few beurocratic issues. Our planned 1st clinic day at Kamuchege was cancelled at the last minute by the county governor. So went to Kamahia primary school and pitched in painting classrooms with paint and supplies we previously purchased. This is one of the schools we paid to have latrines refurbished earlier this year
Romania 2022
We had another successful trip to Tulcea visiting some of the same villages as last year as well as adding some new ones. Once again, we partnered with Sprijin Fara Frontiere who not only continue their work helping poor Romanian communities but now are also assisting Ukrainian refugees and are assisting other groups getting supplies into Ukraine.
Our first day was a clinic at Chilie Viche, a remote, multi-hour journey on unpaved roads just across the Danube from Ukraine where we saw 65 patients. The people were so grateful! We identified many undiagnosed diabetics and gave advice to patients with poorly controlled Diabetes Mellitus and hypertension as well as a variety of other conditions. Our partners will be assisting them with getting medications and follow-up going forward. We then had a day in Tulcia proper where we saw Ukrainian refugees being assisted by Sprinjin Fàrà Frontiere and subsequent days had pop-up clinics in Nicolae Balcescu, Sinoe, and Nifon which are villages we had visited last year.
We had amazing help from a third-year Romanian medical student, a recent Romanian medical school graduate, a recent Romanian Biomedical engineer graduate and a 3rd year neurosurgery resident from Moldova as well as other non-medical volunteers.
The last days included a clinic in Peceneaga, at a private home we used last year. The wonderful owners not only allowed us use of their home but gave us a feast afterwards! Finally, we saw just a few patients using a home we had not visited before, at Dunavatu de Sus, close to a bay connecting to the Black Sea.
Our plan is to return to Romania in April 2023.
Romania 2021
We had 5 medical clinics in 4 days in the villages of Pecenaega, Nicolae Balcescu, Nifon, and Sinoe of eastern Romania. We also visited 8 homebound patients! Our patients presented with numerous cases of uncontrolled or undiagnosed diabetes and hypertension, a variety of acute and subacute injuries, skin, ear and eye problems. The majority of the villagers were not vaccinated for Covid 19, by choice rather than an issue of access. As we have done in Kenya, we also provided reading eyeglasses to all in need.
Our gracious hosts, Mihai and Magda Pungila of Sprijin Fara Frontiere, made sure to follow up, purchasing and delivering medications to selected patients the day following our clinics. They also provided us with a wonderful group of assistants/translators including two excellent, new medical school graduates. We look forward to working with this group in the future.
Zanzibar
In 2016 we made a connection with CHaRA, a faith based charitable organization, doing humanitarian work on the semi-autonomous island Zanzibar. They had hoped we could do medical clinics similar to those we do in Kenya. Through CHaRA we connected with ZANA, Zanzibar Nurses Association, and had medical clinics at three remote villages in 2018 and 2019. We also held didactic sessions with student nurses at ZANAs office and supplied them with medical textbooks, notepads, glucometers, and blood pressure cuffs.

