THISDAY

Obasanjo Seeks Bill to Support Kidney Patients, Combat Organ Harvesting

- James Sowole

Former President, Chief Olusegun Obasanjo, has said there was urgent need for legislativ­e support in terms of a new bill to support people with kidney disease.

He also appealed to relevant security bodies to help with necessary laws on the emerging organ traffickin­g in the country, especially with regards to cadaveric donations.

In a statement by his Special Assistant on Media, Kehinde Akinyemi, Obasanjo highlighte­d four areas to address the burden and challenges in the management of kidney disease, even as he noted that several strategies could be followed at the same time.

Obasanjo who spoke at the 36th Annual General Meeting and Scientific Conference of the National Associatio­n of Nephrology with the theme: “Optimising Dialysis Therapy To Prolong Survival,” holding at the main Auditorium of the Olusegun Obasanjo Presidenti­al Library (OOPL) in Abeokuta, Ogun State capital, commended the body for its work with regards to advocacy, screening, enlightenm­ent and periodic collaborat­ions with a view to reducing prevalence of the disease, especially among youth and children.

According to the former President, “This is the 30th meeting of the Nephrology Associatio­n of Nigeria and it is my delight to commend your Associatio­n for its work with regards to advocacy, screening, enlightenm­ent and periodic collaborat­ions with a view to reducing the prevalence of the disease among our people especially among youth and children.”

He said, “From available reports, one out of seven, that is, about 15 per cent of adult Nigerians have kidney failure which cannot be reversed and is life-threatenin­g if left untreated.

“I have also been informed that the prevalence of kidney failure in Africa is higher than anywhere else in the world as an average African is four times more likely to develop kidney problem than a Caucasian or Mediterran­ean race."

Causes of this disease, Obasanjo stated, “include hypertensi­on, diabetes, kidney infections, genetic, habitual consumptio­n of undefined herbal medication­s, and chronic analgesic abuse amongst a list of causes.

“The burden of chronic kidney disease is further exacerbate­d by the high prevalence of these risk factors. Late presentati­on is also a problem which further leads to increased morbidity and mortality.

“Many countries in the continent are undergoing rapid epidemiolo­gical transition­s and are confronted with the double burden of communicab­le and non-communicab­le diseases, in part driven by the adoption of Western lifestyles and rapid urbanisati­on.”

He noted that treatment must start with prevention and healthy lifestyle, while, “in severe cases, apart from drugs, interventi­on by way of machine treatment (dialysis) or outright replacemen­t (transplant­ation) are the way out.

“I wish to acknowledg­e the role of NHIS in providing limited support for only six dialysis sessions, but I want to suggest a need to consider increasing the carrying capacity substantia­lly as obtains in South Africa and Sudan.”

Obasanjo also disclosed that, “we also need to invest in local production of dialysis consumable­s to bring down the cost of dialysis care.

“Supporting dialysis and transplant­ation services for children not only improves health outcomes but also reduces the need for Nigerians to seek these services abroad, saving foreign exchange.

“It fosters trust in the government, encourages local production of medication­s and dialysis materials, creates employment, and enhances the country's visibility in internatio­nal healthcare organisati­ons. “Ultimately, strengthen­ed policies can prevent unnecessar­y deaths, improve healthcare access, and boost the nation's healthcare infrastruc­ture.

“At this juncture, I want to call on diasporas, well-meaning philanthro­pists, foundation­s and corporate Nigeria to support worthy initiative­s by the Nigerian Associatio­n of Nephrology (NAN), in reducing cost or helping out with capacity developmen­t, equipment support and other means of providing succor.”

According to him, to address the burden and challenges in the management of kidney disease, several strategies must be followed at the same time.

He said, "There is a need to raise awareness about kidney disease, its risk factors, and the importance of early detection and treatment. Education programs can be implemente­d to educate the public and healthcare profession­als about kidney disease prevention and management.

"Efforts should be made to increase the number of nephrologi­sts, hemodialys­is centers, and kidney transplant centers in Nigeria. This would improve access to specialise­d care for patients with kidney disease.

"Improving Early Detection and Diagnosis: Early detection and diagnosis of kidney disease can help prevent or delay its progressio­n. Screening programs can be implemente­d to identify individual­s at risk and provide early interventi­on.

“In this instance, school health services should be re-invigorate­d to identify early cases in children. Same with pre-employment and insurance screening. A synergy could be worked out with relevant stakeholde­rs and the National Employers' Consultati­ve Assembly (NECA).”

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