Prelude to Kick Off Kidney Transplantation at FMC Umuahia

PRELUDE TO KICK OFF KIDNEY TRANSPLANTATION AT FMC, UMUAHIA, TOUR OF FACILITIES AND LECTURE BY VISITING ASSISTANT PROFESSOR OF UROLOGY/ RENAL TRANSPLANT SURGEON, OBI EKWENNA MD 15/09/2017.

Kidney TransplantationGeared towards providing a sustainable health solution to patients suffering from end stage kidney ailment , the Federal Medical Centre has embark on series of medical activities and steps towards kidney transplantation.

These events which among others include the visit of the Renal transplant Surgeon ,Obi Ekwenna MD from the College of Medicine, University of Toledo,Ohio,United State of America, to tour the facility, and also had him deliver a lecture titled “Living Donation in Renal Transplantation: Brief Overview”.. with emphasis on who can donate, the age and mental health requirements ,and care of the donor who the transplant world consider as life savers.

The visiting assistant Professor of Urology, Obi Ekwenna MD, during a brief meeting with the Federal Medical Centre, Umuahia Transplantation Team, expressed optimism that the kidney transplantation program would be a sustainable success.

Issues that border on, identifying the kidney recipients, legal obligations, and post surgery patient care were discussed. in his words:

“I am pleased to be here. It has been a long process to see how we can help patients suffering from kidney diseases, in this part of the country,

I thank the Medical Director, Dr.Chuku for his perseverance and leadership ,am impressed with the team and that suggest commitment because it takes a team to do a successful transplant,

It is encouraging to note that this is a well managed community and is a privilege for me to be here,

I am happy that that this opportunity is here for us to do this ,we must do this well and it must work and everyone must be involved, we must give our best, let us make it work”.

The Federal Medical Centre, Umuahia’s decision to take up this burden to commence kidney transplant this year is aimed to reduce medical tourism abroad by rendering the procedure here in Umuahia, Abia State, SouthEast region.

BURDEN OF CHRONIC KIDNEY DISEASE(CKD)/END-STAGE RENAL DISEASE (ESRD)

Kidney TransplantationThe prevalence of Chronic Kidney Disease among residents in Umuahia (a South-Eastern Nigerian community in Abia State), has been shown to be 7.3% (Okwuonu, 2015); while ESRD (dialysis-dependent) has been shown to account for 8% of all admissions in South-eastern Nigerian hospitals (Ulasi, et al., of 2013). Among children, the incidence of ESRD has been estimated at 4-6 per million persons (Asinobi, 2014)

Furthermore, from experiences in FMC Umuahia, dialysis centre, an average of 4 new patients per week are added to the list of dialysis-dependent kidney disease cases.

In Nigeria today, the cost of dialysis amounts to 75,000 Naira per week. This cost excludes the occasional blood transfusions, medicines,etc. Very few people can afford this cost. Thus a lot of these patients die before the end of the first year of commencing dialysis.

Although it is known that performance of renal transplantation on ESRD patients is cheaper than maintaining such patients on renal dialysis for life (Rosselli, 2015), transplant facilities are scarce. Of the 10 renal transplant units in Nigeria, none is located in the South-Eastern Nigeria (Bamgboye, 2015).

In his passionate appeal, the Medical Director,Dr Abali Chuku, has called on well meaning individuals to extend the lives of those with end stage kidney failure, in his words:

“….well meaning individuals, should ‘adopt’ a few dialysis sessions or part of their pre and post transplant care, to add days and years to the lives of these patients…”

Seventy five thousand Naira is required on a weekly basis to keep a kidney failure patient on dialysis alive and 3 million Naira a year on post transplant medications …

He emphasized that the 5 year survival rate of patients post transplant is better than that of patients on dialysis. The 5 year survival rate of patients on dialysis sadly equates even worse than many cancers”.

Meanwhile, some patients are already on the waiting list.

Breast Feeding Week Held at Federal Medical Centre, Umuahia, 7th August, 2017

Breast Feeding Week_0531The Federal Medical Centre, Umuahia, today, celebrated the breast feeding week with a call on mothers to continue to sustain the trend.

An event that was held at the ante natal /Gynecology Clinic witnessed a large turnout of nursing mothers and pregnant women who were taught by health experts on the health benefits of breast feeding as well as implications of non adherence to breast feeding for both mother and child.

According to the Director of Post Graduate Studies. Federal Medical Centre, Umuahia,Dr.Godwin Okafor, the programme is part of series of events to mark this year’s World Health Organization (WHO) breast feeding week.

He hinted that the week is set aside to encourage mothers to breast feed their children and remind them of the immense benefits.

Breast Feeding Week_0558“The Government through the Federal Ministry of Health and in partnership with all stakeholders, continue to encourage and educate mothers on the healthy benefits of breast feeding”

A consultant Obstetrician and Gynecologist Dr. Enyinnaya Nduka, who also addressed the mothers at the event gave further insight on the benefits of breast feeding.
” Breast feeding is very important, and anytime we mark world breast feeding week, its reminds us of the need to continue breast feeding our babies because breast milk is the first and the most important gift that a mother gives to the child, which save the baby from a lot of diseases. The issue of maternal bonding cannot be over emphasized, many children are problem to our society, because that bonding is not there, breast feeding is good for the mother and the child”.

Some materials that include pampers, amongst others were distributed to mothers to mark the week.

Meanwhile the breast feeding week is also being replicated at all of the Federal Medical Centre’s outreach at the rural areas.

View the photos gallery for the event here.

Health Minister Visits FMC Umuahia

During  an official visit  of  Hon. Minister for Health  Professor Isaac  Adewole to the Federal Medical Centre, Umuahia , Abia State on 25th January , 2017.

The Hon. Minister for Health  Professor  Isaac  Adewole had appreciated the MD Dr. Abali Chuku  for his outstanding leadership and quest for excellence which has led to the massive transformation of the institution in area of training,capacity building and state of the art medical facilities.

Describing him as one of the best MD in Nigeria, the Hon. Minister for Health  Professor Isaac  Adewole commended his imagination, innovativeness and quest for excellence. “All the things you are doing, all the training and capacity building are the things you find in Teaching Hospitals, affiliated to a University. But here you are. It shows you have a lot to offer and you can go places”.

Prof. Adewole while auditing the surgeries carried out under Mr. President’s Rapid Result Initiative, thanked Dr. Ezeonwumelu who he described as a  star surgeon for an outstanding work.

According to Prof. Isaac Adewole, Dr. Ezeonwumelu and the entire  team has done very well by queuing to the vision of the President with respect to caring for the poor, the less endowed and less privileged in the society through the Rapid Result  Initiative (RRI).

The Health Minister urged the star surgeon to reach out to other junior doctors, impart knowledge to them and ensure they are trained, as shared knowledge is mortal knowledge and that is the way to protect the generation.

A total of 120 surgeries and 20 refractions and glasses were carried out by the Federal medical Centre Umuahia free to indigent patients under the RRI.