The Kunde Hospital is the only one in the high Everest isolated region of Nepal. Originally the hospital was run by foreign doctors but the clinic is now staffed and run by the local Sherpa population.

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Dr Tsering: 'It's actually very important to have this hospital because, if you look back at the history - this hospital was built in 1966 - and before that, the health system here was absolutely bad. There was a lot of problems with birth control, immunization, people had a lot of very bad infections, the hygiene was really bad. They had a lot of problems with iodine deficiencies causing cretinism and lots of cases of tuberculosis causing a lot of deaths.'

Dr Tsering says thanks to injections provided by the hospital, problems due to iodine deficiency have been virtually wiped out. The hospital has also improved hygiene in the region and provided family planning services. Dr Tsering says the introduction of Sherpa staff at Kunde Hospital has meant the clinic is able to function more smoothly and no longer needs to rely on translators. He says, because of the hospital, many young people from this impoverished region of Nepal are now looking towards a career in medicine.

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is mainly funded by foreign donations
most of the money for the hospital comes from people outside Nepal

Sherpa
Himalayan person who is a skilled mountain climber and who is often employed as a guide by visiting climbers

was provided with a grant
was given some money (here, from the Sir Edmund Hilary foundation) for a special purpose (here, studying)

birth control
different methods or types of equipment that allow people to have sex without having children

the hygiene was really bad
people weren't washing enough to keep clean and so be free of disease

iodine deficiencies causing cretinism
not having a special element (iodine) found in sea water and which is used to prevent infection. This lack of iodine causes problems (both physical and mental) in the way that people grow

tuberculosis
(often shortened to TB) a serious disease which is infectious and can attack many parts of a person's body, especially their lungs

virtually wiped out
when a disease is virtually wiped out, it is almost completely eradicated or it almost no longer exists

family planning services
offering people methods of contraception (ways of preventing a woman becoming pregnant) to control how many children you have and when you have them

no longer needs to rely on translators
don't need to have people who can speak the same languages as the patients and the doctors, and who can tell both the patients and doctors what the other ones are saying

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