ODs:

1.Retinoscope
2. Opthalmoscope
3. BIO
4. Hand held trial lenses
5. Desk charger for handles

Team Supplies:

1.Auto-refractor if handheld—Welsh Allen or Retinomax—charge all batteries prior to trip—take extra batteries1. salt pans (get salt on location) or hot air frame heating units
2. tonometer—need to check batteries—may need new ones that have full charge
3. lensometer—need to check batteries
4. extension cords (5)
5. large lamps w/clamps to hold to table
6. occluders (4-5)
7. bed pan for “salt pan” for sterno stove
8. foldable sterno stove/sterno (may not be able to travel w/ sterno due to new regulations of airline—check with them)
9. retinoscopy bars (6)
10. tonopen-usually brought by a Dr.
11. tonopen covers
12. alcohol wipes for hands, tonopen tip
13. small bottles of eyeglass cleaner (2-3)
14. dispensary kits (2)—screwdrivers, pliers, files, etc.
15. bag of misc items (fluorescein strips, Bengal strips, medical supplies, rubber gloves, sticky notes, baby powder for salt pan, eye patches, etc)
16. stapler, staples
17. tools and extra paper for A/R (screwdrivers, ect.)
18. handtowels for staff and dispensary (do not use softener when washing them)
19. pens, pencils
20. 3 x 5 cards for registration or exam forms
21. duct tape, nylon tape, string or thin rope
22. black plastic trash bags for trash and covering windows
23. different colored dots for coding registration cards for pathology, cataracts, glaucoma, other surgeries needed, etc.
24. eye charts (both tumbling “E” and Snellen for distance, reading cards with pictures–or can use newsprint of their country if patient is literate) –10-12 distance charts (need for dispensary, all Drs. lanes, vision screening area)
25. foam “tumbling E’s” to use for demonstration and for visual acuity screenings
26. utility knives (can’t carry on board plane)
27. trial lenses/frames if room in suitcase—if not, strap two together and use as carryon (usually take 6 sets)
28. laser pointers for visual acuity charts

Examining Equipment:

1. Readers (in all ranges)
2. Glasses (usually 12-13 boxes=4800 to 5200 for 5-6 examining)
3. Medications (include 1-2 bottles of mydriatic, 1-2 cycloplegic, 1-2 bottles
of anesthetic)
4. Sunglasses
5. Artificial Tears
5. Optional:
a. shirts for volunteers
b. gifts for local volunteers and hosts
c. phoropter and portable stand
d. computer, printer, paper and notebook listing the eyeglass inventory

Updated COVID-19 and VOSH Humanitarian Clinics Advice

VOSH/International recently consulted its US and International Chapters about the feasibility and timing to restart our humanitarian clinics. While the vaccination process continues with different levels of success depending on availability and acceptance, it is evident that vaccine inequity and the availability and reliability of data in several countries are issues we need to consider.

Even if already vaccinated, our chapters are still concerned about the wellbeing of our volunteers and patients.  Some chapters, are organizing clinics locally where they are better able to comply with the existing safety requirements and respective state/country regulations.

The COVID-19 pandemic is being experienced quite differently depending on state, region, country, vaccine availability, vaccine acceptance, and the spread of SARS-COV-2 variants. Most VOSH chapters are not holding clinics or traveling internationally in 2021.

Thus, VOSH/International is slightly moderating its overall guidance against clinics and travel issued in late March 2020 and renewed in January 2021. This will be reviewed and communicated on a quarterly basis.

If a VOSH Chapter choses to hold a clinic or travel internationally, we highly recommend that the chapter performs due diligence to comply fully with the requirements established by the visited country, ensures all VOSH volunteers are aware of and follow strict safety guidelines and all existing protocols and regulations of the country, and keeps the principle of “do no harm” embedded in all its decision making. As always, the wellbeing and safety for VOSH volunteers and our patients is of utmost importance and central to any decision-making process. We have published our updated clinic guidelines with best practices to be observed in this new context. VOSH chapters in specific countries are using protocols that need to be considered as well. You can download VOSH/International clinic guidelines here.

*VOSH/International is formed by autonomous US and international chapters that are fully and only responsible for their activities, fundraising and decision-making.  VOSH/International can only provide recommendations based on our best knowledge and information at the time.

Also please keep checking the following sites with official and most recent updates:

World Health Organisation: https://www.who.int/emergencies/diseases/novel-coronavirus-2019

US CDC: https://www.cdc.gov/coronavirus/2019-ncov/travelers/when-to-delay-travel.html

US Government Travel Advise: https://travel.state.gov/content/travel/en/traveladvisories/COVID-19-Country-Specific-Information.html

Thank you for your hard work and dedication to improving vision and eye health throughout the world.

John Daniel Twelker, OD, PhD, FAAO, FVI

President, VOSH/International

July 2021