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Bugando receives gear from Aga Khan, AFD

The Aga Khan Foundation (AKF) in collaboration with the French Development Agency (AFD) last week handed over a breast cancer screening machine to Bugando Medical Centre (BMC) in Tanzania. The machine was procured under a four-year Tanzania Comprehensive Cancer project which is under the two development agencies, according to the project manager, Dr Harrison Chuwa. “The machine will help in cancer diagnosis to reduce cancer morbidity and mortality in target regions where community health workers will be equipped with education on cancer treatment, develop treatment and conduct cancer research in the country,” said Dr Chuwa.

Making a Difference in Cancer Care

The Covid-19 pandemic has caused significant disruptions to cancer services and exacerbated existing health inequities, with a high risk of seeing an increase in cancers diagnosed at a later stage which can lead to cancer-related deaths. “Understanding and addressing the social determinants of health and their impact on cancer can considerably improve outcomes for at-risk populations, particularly for cancers that can be more easily detected and treated such as cervical, breast, colorectal and childhood cancers,” says Dr Miriam Mutebi, Member of the Board, Union for International Cancer Control (UICC) and Consultant Breast Surgical Oncologist, Clinical epidemiologist and health systems researcher, Aga Khan University Hospital, Kenya. This year the UICC launched a new three-year campaign for World Cancer Day to bring together individuals, organisations and governments around the world in an effort to create awareness and help close the gap in cancer care.

Sindh Govt and AKU will form group to cater to health needs

An interdisciplinary team led by the Aga Khan University (AKU) and the Government of Sindh will address the province's complicated public health issues. Dr Azra Pechuho, the Sindh Minister of Health and Population Welfare, and Sulaiman Shahabuddin, President, AKU, met to agree the terms of the partnership. "The working group will expand the existing relationship between the Sindh Government and AKU on education, research, and public health initiatives," Shahabuddin said. At the meeting, Shahabuddin explained that the university's revenue is reinvested in education and research as well as the Aga Khan University Hospital's efforts to boost healthcare for its patients. 

Prevalence of stroke at alarming level

Experts at an international seminar held at the University of Karachi have expressed serious concerns over rising incidents of stroke in Pakistan, and Low and Middle-Income Countries (LMICs). They noted that stroke was the leading cause of chronic disability and a leading cause of mortality worldwide. Dr. Mohammad Wasay, Professor at the Aga Khan's Section of Neurology, Department of Medicine said, "increased stroke incidents are largely associated with aging and urbanisation and propelled by the increasing prevalence of key risk factors, especially in LMICs, including, inactivity, obesity, dietary factors, diabetes, smoking, hyperlipidemia, and hypertension. He said that screening for stroke risk factors provided an excellent opportunity to identify and educate those at high risk.

Tanzania: Aga Khan Hospital performs first electronic ear implant surgery

The Aga Khan Hospital Dar es Salaam (AKH,D) performed its first Cochlear Implant Surgery on Monday 24 January. Young Danial, a three year old boy has not heard sound all his life, making this a life-changing opportunity for the young boy and his parents. “We are very excited to begin performing this procedure here at AKH,D. The availability of this procedure locally means that patients will not have to travel abroad for this service,” said Mr. Sisawo Konteh, Chief Executive Officer of the Hospital. In addition to this procedure, the Aga Khan Hospital has also been piloting a newborn hearing screening programme since 2018. This involves the use of a quick and simple test to screen babies for hearing loss, usually performed very shortly after birth.

AKU develops simulator for teaching cardiac procedures

A senior cardiac and thoracic surgeon and his team at the Aga Khan University (AKU) have invented a heart simulator which may go a long way in teaching resident doctors open-heart surgery and other related operations in much better conditions. Dr Saulat Fatmi said that the simulators currently in the market were artificial hearts or hearts which used pneumatic pumps to simulate beating. None could mimic the true heart mechanism and there was no fluid inside the heart to mimic blood. However, after years of failed and tiring attempts, “we are able to invent a beating heart system with magnetic pumps, fluid reservoir and timing device to produce systole and diastole in a cow’s heart”. Dr Fatmi said it had been patented in the United States and the AKU were now ready to modify this to market it on a commercial basis.

N95, surgical or cloth: Is one face mask better than the other for optimum protection against Omicron?

According to health officials, there are two important factors to consider when wearing a face mask for protection against Covid-19. The first is that it should cover the wearer’s mouth, and second it should fit snugly so there aren’t any gaps on the sides of the face. Dr Faisal Mahmood, head of infectious diseases at the Aga Khan University Hospital, says that a simple surgical mask is sufficient. "However, it is important that the mask is worn properly covering the mouth and nose. Also, the mask should be on when speaking, coughing, sneezing and in the company of other people," he emphasised. For added protection, some experts also suggest wearing two masks or pairing them with a mask fitter to ensure they do not leave any gaps.

Small device that might render stethoscope obsolete

A new device is being used at the Aga Khan University Hospital in Nairobi, which may render the stethoscope obsolete. The gadget is the point-of-care ultrasound (Pocus) device. “It has been used by radiologists and obstetricians for a long time,” Dr Benjamin Wachira, an emergency care physician explains. But advancements have compressed the technology to such a degree that handheld, pocket-sized versions are now readily available in Kenya. For low resource environments, the World Health Organisation now recommends portable ultrasound devices as a primary diagnostic tool. The device uses sound waves to produce pictures of the inside of the body. It is safe, non-invasive, and does not use radiation. “Every emergency department in any facility should have this,” Dr Wachira says.

In Tanzania, France and the Aga Khan Foundation join forces against cancer

Although infectious diseases remain dominant in developing countries like Tanzania, rates of cancer are also on the rise due to longer life expectancies and changing lifestyles. The number of new cases recorded every year – around 40,000 – is probably much lower than the actual figure. “It’s becoming a bigger public health issue,” assures Dr Zeenat Sulaiman, (then) Director-General of the Aga Khan Health Services (AKHS) in East Africa. Subsidiary of the development empire of His Highness the Aga Khan, the AKHS has partnered with the French Development Agency (AFD) in the ambitious “Projet global de lutte contre le cancer en Tanzanie (TCCP)” (Global Project to Fight Against Cancer in Tanzania). The four-year project was launched in 2020 with a grant of 10 million EUR from AFD and 3.3 million EUR from the Aga Khan Foundation. “It’s a great opportunity,” notes Stéphanie Mouen, AFD Tanzania Country Director. “They ensured that the programme was not limited to the Aga Khan Hospital, but also included public hospitals, and public awareness and improved diagnostics.” Heartened by preliminary results, the Aga Khan Foundation is considering expanding the TCCP to other countries in East Africa.

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