Category: Health

  • East Africans’ immunity to Zika still unknown

    East Africans’ immunity to Zika still unknown

    {AS the Zika virus continues to wreak havoc in the Americas, scientists in the country are saying that it is too early to say if East Africans are immune or not to the virus.}

    A PhD research scientist from the Ifakara Health Institute, Mr Dickson Lwetoijera, told the ‘Daily News On Saturday’ in an exclusive interview that the fact that “the virus was discovered in Africa is enough to assume that we might be immune to it from multiple exposure’’.

    Mr Lwetoijera, however, said that it is nearly seven decades from its discovery, a period, which has been accompanied by so much change, including climate change and human development, which might have led to evolution in the virus ability to infect humans (virulence).

    He added that at the moment it was not known and still remains subject to research as what kind of virus variants/strains is driving the recent outbreak – as it could be different from the one that was originally discovered in 1947.

    “It should be noted that this might be the same case as the avian flu virus, in which some of the strains are not virulent at all while others are so virulent,’’ Mr Lwetoijera explained.

    In an article published recently in ‘Newsweek’, the virus has been linked to a massive outbreak of Brazil microcephaly — a condition where children are born with underdeveloped brains and small heads. Between October 2015 and January 2016, more than 4,000 cases of microcephaly were recorded in Brazil, compared to just 147 cases in 2014.

    The potential link between Zika and microcephaly has been declared by the World Health Organisation (WHO) as a Public Health Emergency of International Concern (PHEIC), meaning it poses a global threat that requires an international response.

    But parts of the population in East Africa, including Uganda and Kenya, could already be immune to the virus, according to a medical expert and WHO official.

    The virus was first identified in rhesus monkeys in Uganda’s Zika forest in 1947, before being found in humans in Uganda and Tanzania in 1952. While there is a dearth of research on Zika in Africa, outbreaks of the virus on the continent have previously been recorded, according to the WHO.

    Mr Lwetoijera said that if at all we are immune to zika virus currently causing the outbreak, it will be great news as our new born babies will be safe from microcephaly and brain damage.

    Scientifically, this means that the original virus strain and its current virulent variant share recognition sites (antigens), which can be recognised by our immune system (antibodies). “The only sure thing is that we are not falling ill of the disease because the transmission isn’t here yet.

    The student-researcher said that all necessary precautionary measures as indicated by WHO and CDC should be taken into account. These include personal protection against mosquito bites by using repellents, nets, wearing long clothes that protect most of the body parts against bites.

    Other measures include destroying all stagnant water bodies and clear vegetation around homes where mosquitoes prefer to lay eggs and hide,” he noted.

    Concurring with the thoughts of Mr Lwetoijera, a PhD student of molecular epidemiology at the University of Antwerp, Mr Vito Baraka, said that the question of immunity is yet to be unravelled while researchers are currently working to find the evidence.

    Mr Baraka said that the evidence might also guide vaccine development strategies against the infection. However, as of now, no systematic studies have been conducted to address the question, making it remain speculative.

    He added that there can be several hypotheses that can be put forward in the current scenario like the virus in Latin America might have evolved into a more virulent form compared to the virus strains isolated in Africa (comparative genetic studies of the virus strains are needed to address the question).

    “It is still unclear whether Zika related microcephaly is a silent problem in African settings. Again, we lack evidence as no studies have looked into that yet to establish the causal-effect association,” Mr Baraka pointed out. He advocated the need for better vector control, urban planning, water supply, health education and resource mobilisation to generate evidence to address these questions, particularly in our African settings.

    “It is in the continent where the burden of infectious diseases is still high (malaria, HIV, TB). Potential ZIKV outbreak in our settings will undoubtedly prove too unbearable to the existing health system,’’ the researcher noted.

    According to the Centre for Disease Control and Prevention website, sexual transmission of Zika virus is possible, which is of particular concern during pregnancy.

    Current information about possible sexual transmission of Zika is based on reports of a number of cases. The first was probable sexual transmission of Zika virus from a man to a woman, in which sexual contact occurred a few days before the man’s symptom onset.

    The second is a case of sexual transmission currently under investigation (unpublished data, 2016, Dallas County Health and Human Services).

    The third is a single report of replication-competent Zika virus isolated from semen at least two weeks and possibly up to 10 weeks after illness onset; reverse transcriptase-polymerase chain reaction testing of blood plasma specimens collected at the same time as the semen specimens did not detect Zika virus.

    In all three cases, the men developed symptomatic illness. Whether infected men who never develop symptoms can transmit Zika virus to their sex partners is still unknown.

    Sexual transmission of Zika virus from infected women to their sex partners has not been reported. Sexual transmission of many infections, including those caused by other viruses, is normally reduced by consistent and correct use of latex condoms.

    Source:Daily News:[East Africans’ immunity to Zika still unknown->http://www.dailynews.co.tz/index.php/home-news/47155-east-africans-immunity-to-zika-still-unknown]

  • This is what giving birth after the age of 40 can do to a woman

    This is what giving birth after the age of 40 can do to a woman

    {The number of women giving birth after 40 is on the rise due to more women concentrating on their career and starting families later. But is this modern trend really advisable?}

    A study conducted at the University of Minnesota found that women who delay starting a family are more likely to have a stroke or heart attack later in life.

    The researchers who looked at data from 72,221 women who were tracked for 12 years found that women who give birth after the age of 40 are two-thirds more likely to die of cardiovascular disease when compared to those who become mothers earlier.

    According to a Daily Mail report, Lead researcher Professor Adnan Qureshi said:

    “We already knew older women were more likely than younger women to experience health problems during their pregnancy.

    “Now we know the consequences of that later pregnancy stretch years into the future.”

    The researchers also noted that most of the increased risk was because older women are more likely to have high blood pressure, diabetes or high cholesterol when they become pregnant which increases the risk of problems down the line.

    Women are encouraged to start families earlier as the risk of complications during pregnancy increases with later motherhood and babies born to older women have a higher chance of birth defects.

    The research was presented at the American Stroke Association Meeting in Los Angeles.

  • Eating this fruit could save your life

    Eating this fruit could save your life

    {If you love your life and want a good health, eating this fruit is all you need to know today.
    }
    According to a study published in the Journal of Clinical Lipidology, swapping solid fats for avocado boosts your health.

    According to scientists from the Hass Avocado Board in California who analysed 229 people, eating avocado reduces a person’s risk of heart disease.

    The researchers also found that consuming one to one-and-a-half avocados daily significantly reduces your total cholesterol.

    Having high levels of bad cholesterol according to the researchers, is known to be a major risk factor for heart diseases and consuming avocados limited the ‘bad’ low-density lipoprotein cholesterol and triglycerides.

    Cardiovascular disease is responsible for one out of every four deaths. Heart disease is also one of the leading causes of disability.

    So why don’t you add avocado to your diet today?

  • Kenya:Medical quality control lab hasn’t received samples for testing for three years

    Kenya:Medical quality control lab hasn’t received samples for testing for three years

    {Patients and people seeking to avoid contracting HIV may be at risk of infections because the medical supplies they use have not been tested for quality for three years now.}

    A machine for testing quality of syringes, needles and surgical gloves among others has been lying idle at the National Quality Control Laboratory, the director Hezekiah Chepkwony said in Mombasa on Wednesday.

    The same is the case with the condom tester machine — used to check quality of condoms, which many rely on to avoid contracting HIV through sex.

    Dr Chepkwony spoke at an ongoing meeting in Mombasa for the heads of various parastatals in the Ministry of Health.

    “Our machine for testing quality of condoms is underutilised yet the products are bought and are in use,” he said.

    REFORMS NEEDED

    He noted that the facility has not been receiving samples of products for testing from parastatals that regulate medical supplies and devices.

    And even though the lab has capacity to test quality of medical products, its staff do not go out to collect samples but expect products to be taken to them for testing, he added.

    “These samples are supposed to be brought to us through regulatory bodies. We should work hand in hand with Kenya Bureau of Standards as well as hospitals who use these devices ” he pointed out.

    Earlier in his presentation, Dr Chepkwony said that the Kenya Medical Supplies Authority (Kemsa) and Pharmacists and Poisons Board (PPB) are some of key clients for the laboratory.

    Health Principal Secretary Nicholas Muraguri said the ministry and regulatory boards are working on reforms to ensure de-registered medical practitioners do not practise elsewhere.

    Dr Muraguri said the reforms follow discoveries that some de-registered medics have opened clinics or practising outside the country.

    “ Some quack medical staff have been going within the East African region or other countries. Our new reforms will ensure they do not practise anywhere else,” said Dr Muraguri.

    The PS said plans were underway for establishment of a new body to regulate use of cosmetics, supplements and other products that are in market yet pose dangers to the public.

    Source:Daily Nation:[Medical quality control lab hasn’t received samples for testing for three years->http://www.nation.co.ke/news/Untested-medical-supplies-pose-grave-danger-to-Kenyans/-/1056/3081832/-/9x3lt5/-/index.html]

  • Medical insurance now compulsory

    Medical insurance now compulsory

    {The Official Gazette n° 04 of 25 January, 2016 came out with the law granting the status, usage and management of medical insurance in Rwanda.}

    The 3rd article of this law indicates that it is an obligation to have a medical insurance. It also reads that everyone living in Rwandan including foreigners, is obliged to have medical insurance.

    The law indicates that foreigners coming to Rwanda have time delimitation in which they must get medical insurance.

    The law reads that whoever comes to Rwanda without other medical insurance must have got the insurance not later than 30 days in an insurance company of his choice.

    Article 4 of the law indicates that every employer; government, civil society and private—is obliged to play a role in the payment of medical insurance of his employees in an accepted insurance company. Every employer must provide evidence of payment for the medical insurance for his employees.

    This medical insurance is divided into categories including nonprofit medical insurance and medical insurance provided by profit motivated companies.

    Categories of non-profit insurance include medical insurance provided by government institutions, Mituelle de Santé and insurance provided by cooperatives of health insurance.

    Rwanda Social Security Board (RSSB) as an institution which oversees management of contributions of Mituelle de Santé says that the new law will boost accessing medical insurance services for the working and retired Rwandans.

    Today, Rwanda has 14 insurance institutions with one, Mituelle de santé, reserved for only Rwandans.

  • Pregnant women who do this are more likely to have a fat child

    Pregnant women who do this are more likely to have a fat child

    {If you don’t want an obese child, then you should take this research really serious.}

    According to researchers from the University of Crete in Greece, children are more likely to be obese if their mother ate a lot of fish while she was pregnant.

    According to the researchers, high consumption of fish during pregnancy raised the chance of a child being overweight by 22 per cent.

    The researchers believe this is because fish has low levels of pollutants especially mercury which may alter the hormones of mother and child.

    The researchers made this amazing discovery after compiling data from 26,000 pregnant women in Europe and the US, tracking their children until the age of six.

    According to the researchers, women who ate fish more than three times a week were 14 percent more likely to have an overweight child at the age of four and 22 percent more likely at the age of six.

    “Contamination by environmental pollutants in fish could provide an explanation for the observed association between high fish intake in pregnancy and increased childhood adiposity,” study author, Dr Leda Chatzi said.

    The effect of fish consumption during pregnancy resulting in obese children was greater among girls than in boys.

    The study was published in the journal JAMA Paediatrics.

  • Ministry of Health warns on taking drugs without consulting medics

    Ministry of Health warns on taking drugs without consulting medics

    {The Ministry of Health advised members of the public to take only those drugs prescribed by doctors to avoid dire medical complications that may arise from such practices. }

    In an interview with IGIHE, Dr. Théophile Dushime, Director General of Clinical Services in the Ministry of Health said it is better to go for medical care at health centers or hospitals in case one falls sick, than rushing to buy drugs any diagnosis.

    “It is better to always take drugs prescribed by the doctor since he is the only person to provide dos and don’ts, helping to address consequences that may arise,” he said.
    He said that medicines mismatching with the disease puts to risk the health of the consumer.

    Research conducted by Agence Européene du Medicament indicates that overdose of Ibuprofène causes destruction of the vessels that transport blood to the upper parts of the body, including the head.

    “If the nurse recommended you to consume a medicine type three times or twice per day, it is better to respect such conditions. It helps the doctor to make more medical tests when previous drugs do not work,” he said.

    He however said that some medicaments can be taken without necessarily consulting the doctor. These include Paracetamol and Aspirin, pain killers, drugs of influenza and others that reduce vomiting.

    Dr. Théophile Dushime, Director General of Clinical Services in the Ministry of Health
  • Nyaruguru residents demand Nyamirama health center upgrade

    Nyaruguru residents demand Nyamirama health center upgrade

    {Patents that access health care at Nyamirama health center, Ngera sector in Nyaruguru district have expressed frustrations over the part time delivery of services since it’s closed during nights and over the weekends and have requested for concerned parties to intervene.}

    This health center receives patients from Gisagara district in Kigembe and Nyanza sectors as well as Mukura sector in Nyanza district.

    They requested ministry of health to recruit an adequate number of nurses so that medical services can be accessed 24 hours a day, seven days a week. “When a person falls sick during the night, we have nowhere to go for treatment since nurses do not work night shifts. We have to wait until morning,” said Mukamana, a resident of Nyamirama sector.

    “We wish at least one or two nurses would take nigh duties at the health center. This can help in case an expecting mother gets labour pains during night or other patients. We’re calling upon authorities to enable us access health care services all the time,” said Uwera.

    The executive secretary of Ngera sector, Simon Ndayiragije says that they have been receiving citizens’ complaints for long. However, he said, operations of health centers, as per guidelines from the Ministry of Health, indicate that such centers work under the similar conditions as Nyamirama. He promised to do more advocacy to the concerned parties.

    “Really, the health center needs to be upgraded since it receives many patients,” he said. Residents also decry poor services at the health center which they say are too slow provided by only two nurses.

  • RNP anti-Malaria campaign goes to Ngoma, Ngororero

    RNP anti-Malaria campaign goes to Ngoma, Ngororero

    {In line with Rwanda National Police (RNP) human security activities, the force has taken its anti-malaria campaign to residents of Ngoma and Ngororero districts reaching out to over 2000 people and educating them how to prevent themselves from the disease.}

    The separate campaigns held concurrently on February 10, comes after RNP added the anti-malaria campaign on its package of series of different anti-crime awareness campaigns and human security programmes it conducts frequently in communities

    In Ngoma, the District Community Liaison Officer, Inspector of Police (IP) Jean Pierre Ndayisaba urged about 500 residents of Sake Sector to sleep in treated mosquito nets as means to prevent the infectious mosquitoes.

    “There are cases of people who use mosquito nets as bedcovers thinking that the mosquitoes won’t get anywhere closer to them but his is wrong, this is not how a mosquito net is used. It should be hanged over the bed and tagged on all corners of the bed for appropriate cover,” IP Ndayisaba told the residents.

    There are also reports of people who use the mosquito nets as door and window curtains to prevent mosquitoes from entering the house, an imaginary and wrong tendency he advised them to do away with.

    The DCLO took time to demonstrate to residents how a mosquito net is used and also urged them to always use those that are treated.

    “Besides using mosquito nets, you should as well ensure that there are no stagnant water pools in your neighbourhoods and also cut bushes around your homes. You can as well spray your houses with insecticide.”

    IP Ndayisaba went on to inform residents that there can never be effective development when people are affected with diseases like malaria, urging them to always rush for medical check-up whenever they develop fever.

    “Our mandate as Rwanda National Police is to ensure public safety which include their health – an unhealthy population is an insecure one that’s why, in our quest for safety we address such issues,” said Ndayisaba.

    In Ngororero, the DCLO Inspector of Police (IP) Alexandre Minani echoed the same message to about 1600 residents of Muhororo Sector.

    IP Minani was joined by local and opinion leaders including the Executive Secretary of Muhororo, Adrien Harerimana, who thanked RNP for the initiative and asked residents to put more attention on sanitation as part of avoiding malaria.

  • Crisis hits Gahini Hospital as Rw400 million debt settlement fails

    Crisis hits Gahini Hospital as Rw400 million debt settlement fails

    {Mituelle de Sante program’s failure to pay a staggering Rwf 400 million to Gahini Hospital, is throttling its operations and the capacity of delivering medical services to members of the public. By extension, families of medical workers at the hospital are feeling the pinch since there’s lack of adequate finances for timely payment of their salaries. At times the hospital fails to meet water and energy bills. And at times the hospital runs out drugs. }

    Despite the fact that the matter has been taken to various levels of Kayonza district authority, all has been in vain.

    The director of Gahini Hospital, Dr Muvunyi Alphonse, says that the debt accumulated is having serious negative repercussions to the hospital and the public.

    “In the past thirteen months, we have received payments for only 4 months. We are incapacitated. We need to pay employees, pay water and electricity bills among other operations. The debt we are referring to was accumulated before Rwanda Social Security Board took its management, “he says.

    “The problems we have are beyond our capacity. Despite the inadequate number of nurses at the hospital, there is also a problem of retaining them on the job. This is a big challenge. Specialists hired from abroad do not last long live since the hospital cannot maintain them,” Dr Muvunyi explains.

    “We only nurses with one to three years of experience working at the hospital. These nurses are young graduates who don’t stay for long at this hospital since it is in rural location, so they opt to look for other jobs in cities and towns with better salaries or leave for further studies,” he belabors.

    “We have 10 permanent nurses but they are not enough compared to the number of patients coming to this hospital. Only one instead of three nurses stays overnight,” adds Dr Muvunyi.

    During the handing over ceremony of the management of mituelle de santé to RSSB, the permanent secretary in MINISANTE, Dr Solange Hakiba promised that they were to seek solution and find a way of paying off the debt.

    “We are seeking all ways of getting funds to settle the debt of Rwf 13 billion. We don’t wish to inherit debts to RSSB,” she said. The research conducted by the Ministry of Local Government across the country indicated that mituelle de santé owes over Rwf13 billion to hospitals.