In a recent symposium organized to commemorate World Kidney Day this year by the Renal Dialysis Center (DRC), it was revealed that the global burden of Chronic Kidney Disease is increasing and is projected to become the fifth most common cause of death worldwide the world by 2040, if it is not properly verified. Omolara Akintoye reports
“November 15, 2015 will remain the darkest day of my life forever. It was the day that my life changed unilaterally forever. It was a day when I inevitably had to face the truth about myself, which I didn't know or was too stubborn to admit. I was a sick person who was at that moment knocking on death's door. All I remember from that day was that I took a shower and went to my room. I don't remember sitting or lying down, but the next thing I remembered was lying in the hospital bed, with a group of Asian and African doctors hovering over me. I kept going in and out of consciousness repeatedly, for God knows how long. Fast forward to a week later, when I recovered some appearance of stability and recovery, I was struck by overwhelming news: I was in the final stage of kidney failure. As a medical student, I understood instantly what I was told and knew the implication: long-term dialysis or kidney transplantation. Eventually, I had to leave the university to manage my condition. "
That was the story of Muyiwa, a college student who currently suffers from chronic kidney disease. He has managed the disease since 2015, but not at a small cost, he said.
This year's World Kidney Day therefore continued to serve as a starting point to raise awareness of the growing burden of kidney disease worldwide and to seek kidney health for everyone, everywhere.
Specifically, the 2020 campaign highlights the importance of preventive interventions to prevent the onset and progression of kidney disease. Tagged: Kidney health for everyone everywhere – “From prevention to detection and equitable access to care”, the burden of kidney disease cannot be overemphasized. It is a non-communicable disease (NCD) that currently affects around 850 million people worldwide. One in ten adults is said to have chronic kidney disease (CKD).
According to the director general of the Nigeria Medical Research Institute (NIMR) and the board of the Renal Dialysis Center, Professor Babatunde Salako, “we are aware of the challenges that patients face, especially people with reversible renal failure who could not dialysis because of the fund. It is necessary to create awareness among people. Although kidney disease is not a death sentence, those who have it need to be religious about taking their medication.
For his part, the consultant physician / nephrologist and professor at the Faculty of Medicine of the University of Nigeria, on the Enugu campus, Professor Ifeoma Ulase, stressed that the disease is what we live with every day, “hence the need to help our patients. Access to treatment is still a major problem, it is still arrogant and we need to examine universal health coverage. Patients need to be under some form of insurance for proper care. 20 million Nigerians have chronic illnesses. In the past three months, a peculiar thing about the disease is that kidney disease occurs at less than 20 to 50 years of age. Most of those affected are economically affected and the sad thing is that they are presented late. If they are chosen in advance, they can be managed properly. Renal replacement therapy is very expensive; many patients do not survive. We are in a deplorable state in Nigeria and most patients cannot afford it. "
Professor Ulase, however, asked the National Health Insurance Scheme (NHIS) for the need to support sessions for dialysis patients. “This requires the implementation of the kidney care policy by the government, which will subsidize the care for all kidney patients. Prevention is the key. Good prenatal care will reduce the number of babies born with inadequate kidney care. In countries around the world, kidney transplantation is free (Sudan, Egypt), the government can also do the same. "
To contain the influx of uncontrolled and unregulated proliferation of Renal Centers that offer inefficient services, Ulase asked the Association of Nephrologists in Nigeria to start cracking down on these centers.
Children also suffer from chronic kidney disease. In the words of Professor Rosamund Akuse, consultant and professor of Pediatrics (Nephrologist) at the University Hospital Ahmadu Bello, Zaria, “Many people are unaware that when a child does not pass urine and feces for 2 days, there must be a concern. It can also happen as a result of other illnesses, but most of the time it is a result of kidney disease. At the moment, we don't have enough education about kidney disease, "she said.
In the meantime, plans have been completed by the federal government to help patients living with chronic kidney disease to subsidize their
cost of dialysis and cost of kidney transplantation. This was revealed by the Minister of State for Health, Dr. Olorunnimbe Mamora, who was represented by the Chief Medical Director of the University Hospital of the State University of Lagos (LASUTH), Prof. Adetokunboh Fabanwo.
“The good news is that dialysis and kidney transplant facilities are available at government hospitals. All we need to do is take advantage of universal health coverage and the basic health fund that the federal government would allocate below the line for each state to help patients with chronic kidney disease, ”he said.
"Kidney disease", according to the President of the Nigeria Nephrology Association / President of the Nigeria Transplant Association, Professor Fatiu Arogundade, "if not properly verified, it will be the fifth common cause of death in 2040".
“From the figure in our recent data collection over the past three months, a peculiar thing about kidney disease is that it now affects people under the age of 20 to 50, the economically active age. And the sad thing is that they are presented late. Early detection is essential for reduction. ”Arogundade said.
Over the years, the World Kidney Day Program, according to the executive director of the Renal Dialysis Center (DRC), Dr. John Okoh, has been carried out in several ways, such as: Stroll through Health, Free Community Health Services . "We also provide subsidized dialysis and free dialysis for our kidney patients," said Okoh
Renal Dialysis Center, Nigeria's leading dialysis network with a strong commitment to quality care, founded on October 1, 2012, is a growing independent ambulatory hemodialysis center in Ikeja, Lagos, Nigeria.
The DRC currently operates in Lagos and Ibadan with an expansion unit to increase its coverage and spread to more locations in Lagos and other states in Nigeria. This expansion plan is to provide accessibility to quality care for patients with kidney disease.