UH Infectious Disease Specialist Brings Care to Sierra Leone
Growing up in war-torn Sierra Leone, infectious diseases were so prevalent that George Yendewa, MD, did not realize that people died of causes beyond malaria, tuberculosis and HIV.
Cancer? Heart disease? It seemed no one lived long enough to succumb to these maladies that beset people in wealthier nations. Life expectancy is only 55 years in this African country. In 1980, it was 40.
“The health care infrastructure is very, very fragile on the back of a poor economy,” said George Yendewa, MD, MPH & TM, FACP, attending physician, Division of Infectious Diseases at UH Cleveland Medical Center. “I remember being fascinated by infectious diseases. I wanted to study these diseases to help the most vulnerable populations – children, pregnant women, fishermen, the homeless or incarcerated.”
To further his work, the UH Roe Green Center for Travel Medicine & Global Health has awarded Dr. Yendewa multiple $30,000 grants over several years as a Roe Green Global Health Scholar.
A Key Mentor
The Sierra Leone native attended medical school in Prague and came to the United States for a Master of Public Health degree from Tulane University in New Orleans. While working on his internal medicine residency in New York, he became familiar with the ground-breaking work of Robert Salata, MD, Chair, Department of Medicine; Program Director, UH Roe Green Center for Travel Medicine & Global Health; STERIS Chair of Excellence in Medicine. In 2015, he was drawn to the Infectious Diseases fellowship at UH, which was known for a strong focus on global health, and the opportunities at Case Western Reserve University, including working in West Africa.
“I was really attracted to the chance to be mentored by Dr. Salata, and to the work this Midwestern university had been doing in Uganda for over 30 years,” Dr. Yendewa said. “When I came on board it was such a natural fit. It became very clear that this is the field I wanted to work in.”
Drs. Yendewa and Salata traveled to Uganda and Sierra Leone in 2016. The country had been hit hard by the Ebola virus, and Dr. Yendewa planned to study post-Ebola syndrome. But while there, he saw the extent of the HIV epidemic. Working with the University of Sierra Leone, which has the only medical school in the country, Dr. Yendewa and his team began researching the scope of HIV, its resistance to drugs, and its connection with Hepatitis B.
“George is very bright, hardworking and passionate about global health,” Dr. Salata said. “He is truly a rising star. His work is critically important and he is very dedicated to his country of birth.”
Looking to the Future
For the past three years, Dr. Yendewa has received funding to further his work on the epidemiology of HIV and Hepatitis B in Sierra Leone. He is intent on understanding the extent of these infectious diseases in his home country, how they present, how patients find care, and how to improve outcomes in a country recovering from civil war and an insufficient health infrastructure.
“I’m working on establishing the scientific evidence to support the care these patients need,” said Dr. Yendewa, who went to Sierra Leone most recently in December 2021 and plans a return trip after the birth of his first child. “I want to see how these diseases are causing non-infectious complications in the body.”
Dr. Yendewa is also the director of Roe Green Global Health Track in the Internal Medicine residency program, where he trains the fellows in Infectious Disease. His goals include implementing a Center of Excellence for HIV and Hepatitis B in Sierra Leone, with a post-graduate program in Infectious Disease in a country sorely in need of this expertise. Currently, there is only one infectious diseases expert in the entire country.
UH Roe Green Center for Travel Medicine & Global Health
Originally The Traveler’s Clinic, the first of its kind in the country, was established in 1975 at UH in collaboration with the Division of Geographic Medicine at Case Western Reserve University School of Medicine. The clinic was re-named the UH Roe Green Center for Travel Medicine & Global Health in recognition of philanthropist Roe Green, whose enthusiasm for exploring the world inspired her to give generous gifts in 2014 and 2019 to expand and endow UH's travel medicine program. In addition to the scholar program, travel medicine specialists provide a wide range of travel medicine and infectious disease services for travelers before and after short- or long-term domestic or international travel.
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