THE CANCER RED FLAG
It was indeed a dark month of July 2019 for Kenya. In a span of 4 weeks, the country had lost four influential people. The three deaths were preceded by the untimely demise of former Safaricom PLC C.E.O Robert Bob Collymore which took Kenyans by surprise on the morning of July 1st.
Later in the month, a Kenyan football icon, said to be the greatest offensive midfielder to ever exist in the country also died. Mr. Joe Kadenge had his name implanted onto the minds of Kenyans especially those with solid background in soccer.
However, Kenyans did not get any reprieve as further sorrow followed. The emotional tale of Kibra MP Ken Okoth’s battle for his life and his assisted suicidal end was heartbreaking to say the least. Less than 5 days later, the governor of Bomet county Joyce Cherono Laboso also succumbed and was promoted to the heavenly glory at the Nairobi hospital.
Following those successive deaths, there was a great deal of discourse about one subject: Cancer. Cancer claimed the lives of Bob Collymore, Ken Okoth and Joyce Laboso who succumbed to blood, and colo-rectal cancer respectively. The debate raged on social media, where Kenyans took to twitter to question the current status of Kenyan cancer mitigation measures. The prevalent stalemate had become a great deal of concern. The government should put at the forefront measures to combat the scourge, the concerned Kenyans put across.
After doing a quick simple search on cancer prevalence in Kenya, one finds out that esophagus/throat cancer alone climes the lives of approximately 4000 Kenyans annually. The stalemate was found out by NCI to be the leading life claimant in Kisumu, Nyeri, Nakuru, Bomet and Eldoret County. These finding include both males and females in the aforementioned counties. Approximately 48,000 Kenyans are diagnosed of cancer annually while around 32,000 succumb to it yearly. Many people have confessed their fright of the disease, considering that it takes out even the wealthy. Apparently, there is nowhere to run once you get caught by this monster, therefore, revealing to someone that they have cancer is like a death condemnation.
It is widely known that cancer is caused by abnormal cell growth in any organ. The worst thing about cancer is its silent killing ability. It claws into the life rapidly with its victim totally oblivious. Upon discovery it is mostly at stage 4, which is dreaded by many. It is the time to go, and many victims are left with no choice but accept their fate of disappearing from the face of the world. The treatment process is a costly affair and delivers great suffering to the patients. Talking of chemotherapy is bad news to the family and patient. The chemo drugs are said to be brutal to some patients, with painful side effects like aching muscles, joints as well as stinging pains on the limbs.
Another treatment approach is radiation therapy which involves external beam ionizing radiation. Despite a high success rate of about 93%, patients may face side effects like itching and peeling of the skin among other vicious side effects.
As a country, we are staring at an extremely dangerous situation as far as cancer mitigation is concerned. The cancer fight is highly crippled in this country. One would expect that the devolution of health services could be of assistance. The perfect picture of a devolved health function would be a cancer patient getting treatment from wherever they are in Kenya, from a county facility. To the disillusionment of many, patients are dying in hospitals currently as a result of pay stand-offs between professionals and the authorities.
Cancer treatment is very expensive in the country because of poor policy and majorly lack of commitment. Treatment of cancer domestically can cost 250,000 to 4.5 million or more. There was some reprieve when the National Health Insurance Fund (NHIF) introduced the NHIF cancer fund. However, some treatments exceeds this cover, because it can only settle drugs at a Ksh. 150,000 approved rate. Under the cancer fund, not all patients get the full allocation, and the criteria used in disbursing is indefinite. As a result patients in abject poverty have minimal or zero survival chances.
The specialists who can administer treatment are in acute shortage. To date there is zero oncologists training institution in Kenya. Plans to establish one with India’s partnership have not yet materialized.
The cancer equipment in this country is extremely deficient. Cancer radiotherapy equipment, for instance, is only available at the Kenyatta hospital and a few private institutions in the Capital. Only one hospital outside Nairobi has a radiotherapy machine, the Eldoret hospital in western Kenya. The radiotherapy machines are concentrated in one area, on a 5 kilometer radius, yet they are expected to serve the whole of Kenya. The outrageous fact is that, only 12 such machines exist in the country. It is therefore, No surprise that approximately half of the patients flocking Indian cancer centers abroad are Kenyans.
Since the government had been accustomed to knee-jack reactions in times of crisis, it had to act immediately. Considering that the people who succumbed to cancer were from the highest strata of politicians and corporates, the president was under pressure to declare cancer a national disaster with immediate effect.
The battle against cancer cannot be won by scampering and fumbling in pretense. The government has to address the issue starting with the healthy individuals. Proper sensitization especially in lifestyle; diet and exercise should be given priority, even before the cancer screening centers are radiotherapy machines. The waits of up to 2 years for radiotherapy services at the Kenyatta hospital are not encouraging either.
The Kenyan people are now conscious of the biggest threat they face at this time of the century. Unlike corruption, cancer is brutal at the individual level with a high likelihood of putting life to an abrupt halt. With the all attention and funds in place, this threat will be neutralized. Create awareness, take care of yourselves, and beat cancer.
