Vol 52 No 1 2011 

Vol 52 No 1 2011 

XXVIII International Congress of the International Academy of Pathology (IAP) Sao Paulo, Brazil 

Annual Meeting of the East African Division of the IAP Kampala, Uganda, September 13 to 17, 2010 

Pathology Museums Being Re-instated as Teaching Aids for the 21st Century : at Charing Cross Hospital, London, England

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AP WEBSITE http://www.iaphomepage.org PRESIDENT Kristin Henry Imperial College London at Charing Cross Hospital Fulham Palace Road, London W6 8RF UK Email: k.henry@imperial.ac.uk SECRETARY David F. Hardwick University of British Columbia Faculty of Medicine E-mail: iap.secretary@ubc.ca TREASURER Jack P. Strong Boyd Professor Louisiana State University Medical Center New Orleans, USA E-mail: jstron@lsubc.edu EDITOR Robin A. Cooke Mayne Medical School, University of Queensland and Pathology Queensland Brisbane, Australia E-mail: cooker@ozemail.com.au DESIGN Luke Perkins Graphics Brisbane, Australia Email: l.perkins@bigpond.com Post-Congress Information and Comments The Congress was held at the Transamérica Conference Center, São Paulo city, from October 10 to 15, 2010. The Congress was an event organized by the Brazilian Division of the IAP in conjunction with the Brazilian Society of Pathology. The gold sponsor of the Congress was Roche. The other sponsors, were: Dako, Aperio, JanssenCilag Transplant, Genzyme, Wolters Kluwer, Lippincott Williams & Wilkins and BioImagene (innovation digital pathology). The Congress attracted a very significant number of participants (2347), consisting of 1826 pathologists, 419 exhibitors and 102 accompanying persons. From Latin America, the total number of pathologists was 541. There were also pathologists from many other parts of the world. The Education Committee of IAP was very generous distributing 67 bursaries to young pathologists mainly from developing countries. The total number of speakers was 442 including Vol 52 No 1 2011 world leading surgical pathologists covering the 26 subspecialties of pathology. The scientific activities included 100 seminars with the following distribution: 30 Symposia, 4 Satellite Symposia, 26 Slides Seminars, 20 Short Courses, 1 Long Course, 6 Workshops, 4 Key-Note Lectures and 4 Plenary lectures. 736 Posters There were 32 exhibitors. The organizing agency was SOMA EVENTOS. The scientific committee included pathologists from the States of São Paulo, Bahia, Rio de Janeiro and Pernambuco in Brazil, and from Argentina. The secretary of the Congress was Dr. Sueli Maeda, who worked very hard to make it a success. The social activities included the opening cer XXVIII International Congress of the International Academy of Pathology (IAP) Sao Paulo, Brazil

emony at Sala São Paulo, the main concert hall in town, with the participation of the TUCCA orchestra which in a very didactic and symphonic way told the audience the history of Brazilian music, with the Portuguese, European and African influences. A special emphasis was given to the music by Villa-Lobos, our leading symphonic composer. At the closing ceremony, there was a show by Toquinho, a legendary musician from the period of Bossa Nova, with the participation of some members of a Carnival School of Dance. The excellence of the scientific sessions and the good facilities of the convention center helped to create a very stimulating environment in which to meet people, to plan future research projects and to increase the interchange between pathologists from all over the world. Altogether the Brazilian pathology fraternity demonstrated its capacity to organize a very successful event. We showed that we are practising world class diagnostic pathology, and trying to introduce into our scientific projects the technologic advances that were emphasized in all sessions of the Congress under the main theme: “Looking to the Future”. Finally on behalf of the organizing committee I would like to express our great gratitude to the presence of all participants, the speakers, the sponsors, the conveners, the IAP directory and to all who helped to make a Congress which was socially very pleasant and scientifically very stimulating and instructive. Marcello Franco Congress-President Above left: The Executive of IAP 10-10-10. Front L to R: Martin Hale, (South Africa), Marcello Franco (Brazil, Congress President and chief organizer), David Hardwick (Canada, Sec of IAP), Antonio Llombard Bosch (Spain), Kristin Henry (UK, Pres elect and Chair, Education Committee). Back L to R: Charles Ramey (Canada, Exec sec to David Hardwick), Victor Reuter (USA), HK Ng (Hong Kong), Alan Tucker (USA, Chairman of Finance Committee), Bob Eckstein (Aust ), Robert Osamura (Japan), Sylvia Asa (Canada), Above right. Front L to R: Konrad Muller (Aust, Past Pres), Florabel Mullick (USA, Pres IAP), Anita Borges (India), George Kontogeorgos, (Greece), Kerry Crockett (USCAP). Back L to R: Gunter Kloppel (Germany), Claude Cuvelier (Belgium, UK Division), Eduardo Santini-Araujo (Argentina), Jim Crimmins (USA, Business manager of IAP), Robin Cooke, (Aust, Editor News Bulletin of IAP). Below: Adonis Carvalho with his daughter, Maria and granddaughter, Paula. (Three generations of pathologists). Adonis has been a significant leader of pathology in Brazil, and has fostered collaboration between the Pathology societies in South American countries. He has represented Brazil to the rest of the world and is a Past President of the IAP. At the Opening Ceremony and Concert during the IAP Congress in Sao Paulo, Paula accepted on his behalf a presentation from the Congress President, Marcello Franco to commemorate his very considerable contributions. Left: Antonio LlombardBosch presenting Florabel Mullick with the gold medal of the IAP. The gold medal is presented to members of the IAP who have made outstanding contributions to the Academy. Dr. Mullick was Secretary 1995 - 2006. President elect 2006 – 2008, and President 2008 - 2010. Congratulations, Florabel and thank you for your contribution to the IAP over the past 16 years. Below: One of the accompanying persons from the UK to the Congress, Sakeenat Dijani with the Vai Vai dancers from the School of Samba. 

Iberapuera Park Above: Francisco Couto (left ) and Jim Crimmins (right) with young delegates funded to attend the Congress Left: New Concepts in Surgical Pathology Scientific Session: Markku Miettinen (USA), Teri Longacre (USA), John Chan (HK), Cheuk Wah (HK). Right: Delegates from Brazil: Marcos Rossi, Paulo Saldiva, Cesar Peres, Venancio Alves. Below left: An historic meeting that re-established contacts made over 100 years previously. Yoshinao Oda, Prof of Pathology, Kyushu Uni, Japan; and Annette Schmitt Graaf, Prof of Pathology, Freiberg Uni, Germany. Yoshinao holds the Chair of Pathology that was once held by Sunao Tawara ‘the Chair of Tawara’. Tawara spent the years 1903 – 1906 working with the famous German pathologist, Ludwig Aschoff. While he was there he discovered the atrioventricular node and the conduction mechanism of the heart. In some countries the AV node is called the ‘node of Tawara’. At that time Aschoff was in Marburg, but soon after he moved to Freiberg as the first Professor of Pathology at that University. Annette is the current holder of the ‘Chair of Aschoff’ in Freiberg and President of the German Division. Left: Silvio Valle and Fernando Vaz from Rio de Janiero with Chris Fletcher Brigham and Women’s Hospital, Boston USA. Chris delivered a highly entertaining and insightful Keynote lecture ‘How should Surgical Pathology Evolve?’ Below: Russian delegates at the Roche stand. Roche was a Gold sponsor for the Congress and they supported some of the delegates from Russia. Front L-R Prof. George Frank (Moscow), Prof. L.Zavalishina, Prof. O. Mishnev. Back L-R Dr G. Raskin, Dr N. Danilova, Prof. S. Sazonov, Prof. Semyon Petrov (Kazan), Dr. S. Gladko, Prof. A. Matsionis, Prof. J. Andreeva Dr L.Moskvina, Dr. D. Konovalov, E. Mr. E. Korolyova, Dr. I. Vinogradov Above: The Brazilian Society of Pathology stand Left: Marcello Franco presenting Dr. Mirian Sotto with a plate for Prof. Thales de Brito, Sao Paulo University Department of Pathology, to mark his very significant contribution to the development of pathology in Brazil. Thales is now 84 and still works in the Department. He was unable to attend in person because his sister was ill. Below left: Marcello Franco with some of his trainees who exhibited posters at the Congress. Veronica Torres, Leonardo Cardili, Marcello, Sueli Maeda (who was also Sec of the Congress), Cindy (a resident at Sao Paulo Uni which is separate from Marcello’s Uni), Mariangela Barata. Bottom left: The Morumbi dancers bid the Congress farewell. The dancers are children from the Favellas, the shanty towns in the cities of Brazil. The Director of the orchestra for this group is training about 2000 of them, many of whom are being rehabilitated from drugs. Mestre Sala and Porta Bandeira Dancers at the dinner 4 Above: Delegates and lecturers at the Breast pathology workshop, Kampala, Uganda. Front row Left - Ian Ellis, UK, (black jacket), Centre - Sarah Pinder UK, (black trouser suit), Dawn Riedy, USA (brown dress), Right - Andrew Field, Aust, (black jacket). Below: Prof. Peter Ojwang congratulating Prof. Erasmus Rajiv on the founding of COPECSA. In the background are members of the council. Bottom: Alex Howat with Ahmed Kalebi and Shaheen Sayed celebrating the founding of COPECSA. Delegates at the Cocktail Party and Gala Dinner celebrating the founding of COPECSA. Day 1 Sebastian Lucas from London, UK gave a lecture on ‘Developing effective laboratory services in a developing country.’ Day 2 concentrated on HIV and Malaria. Day 3 had a mixture of chemical pathology, clinical pathology and telepathology. The latter session was conducted by Ann Marie Nelson from the AFIP, USA. In 2009 the Division conducted an East Africa Pathology Safari which took pathology lecturers to a number of different centres. This was led by Alex Howat, UK. There was a second Safari in April 2010. This was led by Josephine Heim-Hall from San Antonio, USA. Mike Wells’s trip from UK was cancelled due to volcanic ash clouds in Europe in April. During the meeting, a steering committee led by Dr Ahmed Kalebi, Prof Peter Ojwang & Dr Shahin Sayed was able to announce the formation of a College of Pathologists of East, Central and Southern Africa (COPECSA). This was established through the Report on the Annual Meeting of the East African Division of the IAP Kampala, Uganda, September 13 to 17, 2010 This meeting was preceded by an Anatomical Pathology workshop on all aspects of Breast pathology – diagnosis (cytology and histopathology) and Quality Assurance of all aspects of diagnosis. The workshop was the second such educational activity of the East African British School of Pathology. It followed the first very successful workshop that was conducted in 2009. The faculty for the second East African British School of Pathology was Andrew Field (Sydney, Australia) cytology, Dawn Riedy (Rochester, USA) cytology, Sarah Pinder (London, UK) all aspects, Ian Ellis (Nottingham, UK) all aspects. Other workshops on Autopsy pathology and Haematology were conducted as well. The main meeting was attended by pathologists from all disciplines. Over 150 delegates attended the pre-conference & the main conference sessions. continued back page 5 The Conference was a collaborative event with the Friends of Africa-USCAP initiative. The Theme was “Issues in Forensic Pathology”. It was attended by sixty three (63) pathologists and pathology trainees from Nigeria and Ivory Coast. Morning Session on Monday, August 23 This began with an opening ceremony at the National Postgraduate Medical College, Ijanikin, Lagos. The visiting faculty consisted of 7 International speakers and the Guest lecturer Professor Sebastian Lucas, Professor of Histopathology, King’s College, Guy’s and St Thomas’ Hospital, London, England. The visiting faculty members were received prior to the commencement of the opening ceremony by the Deputy Registrar of the National Postgraduate Medical College. Also present were the representatives of the Lagos State Government and the Chief Medical Examiner for Lagos State, Professor Dapo Obafunwa. Keynote Address by Professor Sebastian Lucas He addressed the all important subject of “The challenges of developing effective laboratory services in a developing country; lessons from the experience of the developed world.” He noted that “sub-Saharan Africa has 3% of the world’s health workforce caring for 10% of the world’s population with 24% of global burden of disease and 1% of the world’s economy, BMJ 2008, 337:958-960”. He indicated that an understanding of these facts is helpful in putting the challenges of pathology practice in this region in proper perspective. He summarized the disease pathologies into the following categories: • Infectious diseases including - HIV, malaria, TB • Premature loss of life with high infant mortality, • Trauma and Cancer. The challenges in addressing the laboratory diagnosis of these diseases are numerous. They include: • lack of quality assured pathology provision in many regions, • lack of coherent training in some regions, • shortage of medical pathologists & laboratory staff, • inadequate funding and poor equipment, Fifth Annual Conference of the Anglophone West African Division of the IAP (AWADIAP) Lagos, Nigeria August 23 – 27, 2010. • as well as poorly developed infrastructures such as erratic power and consumables supplies, • communication services such as internet access, • lack of educational materials such as books, journals • and above all, lack of strong leadership. Unless pathology is seen as essential and is resourced, recruitment of pathologists and scientific staff will not be sustained successfully. He then asked the question “Can pathology be made more available without huge expense ?” The answer, he said is Yes and No. He then went on to proffer many solutions to the various challenges. Afternoon Session on Monday, August 23 This comprised a seminar on the state of the coroner system in Lagos state, Nigeria. It was attended by representatives of the state government and the law enforcement agencies represented by the Deputy Commissioner of Police. Day 2 Onwards The rest of the meeting took place at the conference hall of the Whispering Palms Resort and included lectures on various aspects of Forensic pathology (Figure III) such as the investigation of sudden death in adults and children, mass disasters, application of toxicology in forensic practice, small blue cell tumors outside and within the central nervous system, cardiomyopathies and coronary malformations, neuropathology of trauma and forensic odontology. Social Activities Visits were made by participants and the faculty to historic sites with the slave trade artefacts and the slave trade museum in Badagry. The faculty was hosted to a luncheon by Dr Wole Kukoyi of the Medicare clinic / Hospital, Ota, Ogun State with a visit to the Medicare Hospital (Figure V) and to the beautiful campus of the Covenant University, Ota. Another highlight of the conference was a gala and appreciation night for the award of plaques to the visiting faculty (Figure VI). Overall, this was a successful educational conference /meeting, the impact of which can only be appreciated from the accolades and comments expressing the heartfelt appreciation of the participants. Adekunle M. Adesina, Professor of Pathology and Immunology, Texas Children’s Hospital, Baylor College of Medicine, Houston, USA. Left: Some of the participants and visiting faculty. Sebastian Lucas (front row centre), Adekunle Adesina (front row first left). Above: Some attendees at the conference.. Above: Dr Jackie Lee, Deputy Chief Medical Examiner, Tampa, Florida receiving a plaque of appreciation from the President elect of the newly formed West African Division of IAP, Dr Yawale Iliyasu, ABUTH, Zaria, Kaduna State, Nigeria. Below: Faculty visited the Medicare Hospital / Clinic , Ota, Ogun State. I t is interesting to see that pathology museums all over the world are again being valued as aids for teaching medical students and other health science students. It is to be hoped that this indicates that medical educators are prepared to accept that pathology is an important part of an education in medicine. The Museums at Charing Cross Hospital, London, England and at the University of Queensland, Brisbane, Australia are featured in this continuing record of museums that are being rehabilitated. Museum at Charing Cross Hospital, London, England The pathology museum at the Charing Cross Hospital Campus of Imperial College London was in grave danger of being disposed of when the space it occupied on the 4th floor of the pathology block was required for other purposes. Professor Kristin Henry, President of the IAP who is based at Charing Cross Hospital, together with the Museum Curator Mr Vin Chauhan and a number of other influential pathologists, medical personnel and medical students managed to persuade the University authorities to ‘spare it’. Thus in March 2010 the specimens were transferred to a newly refurbished room on the 11th Floor of the building. The new room is smaller than the previous museum but it has a small tutorial room fitted with modern data projector and computer facilities. In between the specimen display stands there are tables where students can study specimens and the various printed notes that are also available. Fifth Annual Conference of AWADIAP A Special Decision Taken at this Meeting I t was decided that the Anglophone West African Division of the IAP and the French Speaking West African countries would unite to form the West African Division of the IAP. This decision was approved by the Council of the IAP at its meeting in Sao Paulo in October, 2010. The 15 West African member countries of WADIAP will be Benin, Bukina, Cameroon, Cote d’ Ivoire, Gambia, Ghana, Guinea, Liberia, Mali, Mauritania, Niger, Nigeria, Senegal, Sierra Leone, and Togo. Background to this Decision The AWADIAP was only inaugurated in 2005. It was initially started as the Anglophone West African Division comprising only the English speaking West African countries of Ghana, Liberia, Sierra Leone, Gambia and Nigeria. It has received enormous and continuous intellectual and financial support from the United States and Canadian Academy of Pathology in its few years of existence. It has held an annual scientific conference since its inception, and it has always had visiting faculty from the USA, Canada and the UK in attendance. Some pathologists of Francophone West African countries have opted to attend the meetings of AWADIAP, and they have recently suggested that it would be beneficial if all the West African pathologists combined to form one Division. This suggestion was confirmed at the current meeting in Lagos. The President of the new Division is Prof John Olufemi Ogunbiyi, Professor of Pathology and Head, Department of Pathology, University College Hospital, Ibadan, Nigeria. email: f_ogunbiyi @yahoo.com The President Elect is Dr Yawale Iliyasu, Consultant Pathologist, Ahmadu Bello University Teaching Hospital (ABUTH), Zaria, Nigeria. email: yawaleiliyasu@ yahoo.com The Secretary General is Dr.Clement Abu Okolo Consultant Pathologist, University College Hospital Ibadan, Nigeria. email: clemabuokolo@yahoo.ca Continuing Support from the USCAP Prof Adekunle Adesina of Friends of Africa Initiative of USCAP announced the generous donation of one hundred thousand US Dollars ($100,000) by the United States and Canadian Academy of Pathology for the specific sponsorship of African Pathologists to attend the 2012 Congress in South Africa at the rate of one thousand Dollars ($1000) per pathologist. Only African Pathologists who submit an abstract to the conference planning committee will be eligible for that sponsorship. Young Pathologists and residents are strongly encouraged to take advantage of this opportunity. Clement Okolo Pathology Museums Being Re-instated as Teaching Aids for the 21st Century support from the BDIAP, the IAP Education Committee, the Royal College of Pathologists UK and sister colleges in South and West Africa. A gala dinner to celebrate the formation of COPECSA hosted by Dr Robert Lukande was held on Thursday (DAY 2). Prof Michael Odida of Uganda was elected the new President for the EADIAP, taking over from Prof Ephata Kaaya. Dr Ahmed Kalebi MBChB, MMed (Path) FCPath (SA) Hon. Secretary - East African Division of the IAP Email: secretary@eadiap.org; ahmed.kalebi@lancet. co.ke and Dr Robert Lukande Lecturer in the Department of Pathology and Head of the Autopsy Service, Makerere University, College of Health Sciences. Assistant Secretary General of COPECSA (College of Pathologists of East Central and Southern Africa) 


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