Monday, August 17, 2009

NEWS: Typhoid kills 20 in Bukwo

Typhoid kills 20 in Bukwo

from MONITOR online August 17, 2009

BukwoDespite efforts by the government to combat typhoid in Bukwo District, fresh reports indicate that the disease is still spreading in the district and that at least 20 people have succumbed to it.The Ministry of Health Field Epidemiologist, Dr Luswa Lukwago, who has been on research and surveillance in the district, confirmed to Daily Monitor the new development on the epidemic.He said: “Over 20 people have been reported dead and on average every family has about four cases.” “Although we have treated the disease, recent research and surveillance indicates that the disease is still in Suam, Kapkorosoy, Kapkuripson and Kabei sub-counties,” he added.Dr Lukwago said this after making a presentation of the disease status report to the district team on Wednesday.He said many cases never receive adequate treatment and others who fled to Kenya came back.“We have been treating patients using chlorampheonical and ceftraxone but the two drugs ran out of stock, forcing many to seek traditional means,” he said.Dr Lukwago said the poor latrine distribution in the district and the free movement across the border points between Uganda and Kenya is responsible for the disease spread in the wake of shortage of drugs.Bukwo has 57 per cent latrine coverage in the district and most of them are open structures that leave the human waste exposed.Also about 400 cases are believed to have fled to Kenya after the disease broke out in the villages surrounding River Bukwo and are now returning.He revealed that because many people died without getting medical attention, they have lost faith in the local health system and have now turned to Kenya where they believe they will receive better medical services.The World Health Organisation Public Health Specialist, Dr Mary Amongin, confirmed the disease is still spreading in Bukwo, claiming about 22 people and leaving about 32 bed-ridden in Bukwo Health Centre.

N EWS: NDA bans use of Metakeflin to treat Malaria

NDA bans use of Metakeflin to treat Malaria

from MONITOR online 8/17/09



National Drug Authority (NDA) Executive Secretary, Apollo Muhairwe with the banned Metakelfin at NDA offices. Muhairwe urged patients not to buy Metakelfin for any therapeutic purposes. Photo by Nelson Wesonga

The National Drug Authority (NDA), the national drug regulator, has banned the use of Metakeflin tablets which are used to treat malaria.Addressing a press conference today morning at the NDA offices in Kampala, the regulator’s Chief Executive Officer, Apollo Muhairwe said this follows a change in the Malaria Treatment Policy by the Ministry of Health in which Artemisinin based Combination Therapies (ACTs) were adopted as first line treatment for uncomplicated malaria.“Thus, all antimalarials that do not contain ACTs were phased out in that regard, in order to curb the emerging resistance amongst the available ant malarial drugs,” Mr Muhairwe said.Mr Muhairwe told journalists that NDA stopped the importation of Metakelfin (sulphurmethoxypyrazin/pyrimethamine) in May last year. Mr Muhairwe also showed journalists some of the tablets that were seized after they discovered they found their way into the country through unscrupulous means. Out of every 15 batches, 10 of them were counterfeit.All drug stores have been asked to surrender all the stocks of Metakelfin to the drugs authority.

Friday, August 7, 2009

NEWS: Jinja man dies after taking expired drugs

Jinja man dies after taking expired drugs

August 7, 2009 from MONITOR online

JinjaOne man has died and another is in critical condition after taking suspected expired drugs in Jinja. Bonny Ojede, a resident of Jinja Town, died on Tuesday at Jinja Hospital after almost all the skin had peeled off his body in spite of all efforts by the medical staff to save his life.The Nursing Officer in charge of Ward Four, Ms Mebra Namaganda, told Daily Monitor on Wednesday that Ojede was admitted at the hospital two weeks ago after he had undergone self medication against malaria with unknown drugs that he had bought from a local drug shop yet to be established. Ojede was buried yesterday at Ayeri Sub-county in Apac District.Another patient is in critical condition from a similar cause. Mr Samuel Mukisa of Ibulanku Sub-county in Iganga District, is still undergoing treatment at the same hospital but Ms Namaganda said his condition is still critical. He is also suspected to have taken expired drugs from a local drug store. According to Jinja Hospital staff, Mr Mukisa’s condition has continued to be worrying because his skin continues to peel off despite all the medication that has been administered to him. Ms Namaganda said although the cause has not yet been established, poisoning arising from the consumption of expired drugs cannot at the moment be completely ruled out.Mr Mukisa’s wife, Esther Namaganda, a teacher at Nakalama Muslim Primary School, said since she does not stay with her husband, a teacher at Nakivumbi Nursery and Primary School, she was not there when he took the drugs but found some in the house the next day.“When I was called the next day, I found Herpex, Coartem and Panadol tablets in the house,” she said. She said her husband told her that he had bought the drugs from a local drug shop after developing a cold and used them as per the prescription given by the person who sold them to him.She tearfully narrated that just after one day, her husband had developed blisters all over the body and he could not see properly. “We first went to Iganga Hospital from where we were referred here (Jinja Hospital) where he has undergone treatment for the past two weeks,” she said.

Wednesday, July 15, 2009

NEWS: Drought bites northern Uganda

Drought bites northern Uganda

from MONITOR ONLINE

GuluFollowing a lull in war in northern Uganda in the last three years, Mr Nicholas Obita returned to his village in Bwobo, Manun Parish, Alero Sub-county in Amuru District. A place he considers a safe haven because of its fertile soils.Like many farmers, Mr Obita embarked on agriculture both for consumption and commercial purposes with hope of getting a good harvest.However, the peaceful sanctuary has turned into the scene of catastrophe as he watches his crops waste away due to drought.“Three months ago, I hired a tractor and opened up over 15 acres for different crops. I planted maize in an eight- acre piece of land and I was expecting to get over 200 bags but the rain has let me down. I am headed for a total loss,” Mr Obita says.He says the wet season that usually lasts between March and June disappeared too soon and the rain was too little to sustain the crops. Mr Obita is one of the farmers in northern Uganda who were determined to forget about squalid living conditions they experienced in camps and concentrate on farming.Their dreams of having a good harvest are fading away as the drought continues to bite hard. Mr Albert Okwera, a lead farmer in Pawel Parish in Gulu District, said the dry spell has destroyed 120 acres of crops. He says last year he earned Shs6 million from the sale of sweet potatoes but that might not be possible this year. “I decided to increase the acres and planted more crops this year. I was hoping to get a good harvest and earn more money. The rice that I planted three months ago has failed to grow,” he explained. Gulu Resident District Commissioner Walter Ochora, who is a commercial farmer in Amuru District, is also feeling the pinch of the dry spell. He says the sun has destroyed his 100 acres of maize crop.Mr Ochora says it is important that farmers resort to planting perennial crops like cow peas, which are drought resistant to minimise vulnerability in case of a crisis like the current one which is causing distress in many parts of the country.Ms Christine Aber, who belongs to a farmers’ group in Kitgum District, says at the beginning of the year the group planted over 10 acres of groundnuts but the crops have succumbed to the scorching sun. “My children are starving, I sell charcoal to buy food, if people don’t buy the charcoal I don’t get money for food,” she says. This nightmare scenario is the reality for farmers of northern Uganda.Climate change is bringing huge challenges. In a bid to address the challenge the Agriculture and Fisheries State Minister, Mr Fred Mukisa, says the government has allocated Shs5 billion for the development of irrigation schemes in selected parts of the country.Mr Mukisa explains that the project, which comes at a time when many parts of the country are experiencing drought because of climatic changes, is expected to benefit farmers in rural areas across the country.

NEWS: Food shortage hits 52 districts

Food shortage hits 52 districts
Wednesday, 15th July, 2009



SEVENTEEN districts in the north and northeastern Uganda are experiencing famine, the Prime Minister, Prof. Apolo Nsibambi, told Parliament yesterday. He said 52 districts countrywide were faced with food insecurity. Nsibambi categorised the food crisis in three levels; famine, acute food shortage and moderate food shortage. He was contributing to the debate on the recent State of the Nation address by President Museveni. Famine, he said, was being experienced in Amuria, Katakwi, Kaberamaido, Bukedea, Kumi, Soroti, Bukwo, Adjumani, Arua, Koboko, Moyo, Yumbe, Moroto, Kotido, Kaabong, Nakapiripirit and Abim. The Prime Minister told the House presided over by the deputy Speaker, Rebecca Kadaga, that acute food shortage was being experienced in 31 districts, while four districts faced moderate food shortage. He named persistent poor agricultural performance in Karamoja, the continued stay of people in internally displaced person’s camps in Acholi and Adjumani, the impact of the 2007 floods in Teso and dry conditions along the cattle corridor as the major causes. Nsibambi said the Government released sh10b in June and another sh10b for food relief. He added that the department of relief and disaster preparedness and refugees needed an additional sh30b to alleviate the situation. Nsibambi pointed out that the National Agricultural Advisory Services was distributing free maize, sorghum seeds, cassava cuttings and farming implements, including hand hoes and fertilisers, to the affected households. He noted the need to shift from reliance on rain-fed agriculture to irrigation and tapping gravitational water from Sipi falls off Mt. Elgon for irrigation in Teso and Karamoja. He announced that sh5b had been allocated for irrigation systems and that $100m (about sh200b) was being secured from the Islamic Bank to support the scheme. Nsibambi said the Cabinet, chaired by President Museveni, had on Wednesday deliberated on the food security issues. “I have requested the Minister of Local Government to use Section 95 of the Local Government Act to direct districts to make ordinances (bye-laws) which will compel homesteads to maintain granaries for food storage,” he stated. He said climate change, increasing occurrences of extreme weather and climate variability like droughts, floods, hailstorms, heat waves were caused by an accumulation of greenhouse gases in the atmosphere. Seasons, he said, had become erratic and difficult to predict. “While advancement in technology had made it possible to predict climate six months in advance, it is still difficult to predict the distribution of rainfall over seasons,” he said. In Uganda, the rainy season had not performed according to the forecasts, Nsibambi added. He noted that security situation in the north and north eastern Uganda had normalised.

NEWS: Arua in plague outbreak alert

Arua in plague outbreak alert

from MONITOR ONLINE

The community in Arua District has been put on high alert over an outbreak of a deadly bubonic plague disease that killed 17 people last year. In this regard, the Ministry of Health in collaboration with the Arua health team launched a campaign on Friday to sensitise the community on causes, signs and symptoms and prevention of the deadly disease. The District Health Officer, Dr Patrick Anguzu, said the campaign is a precautionary measure in case of any outbreak. “Our community must keep their environment clean especially the houses because the rats that transmit the disease thrive in unclean environment.” In bubonic plague, the most common form, bacteria infects the lymph system and becomes inflamed. The lymph or lymphatic system is a major component of the body’s immune system. Dr Anguzu told Daily Monitor that no new case of the disease has yet been reported in the district this year. Last years’ statistics from Arua health office indicate that 73 cases of human infections and 17 deaths were reported, the highest figure in two years. Dr Anguzu added that 29 cases have since been confirmed to be of bubonic strain. “This is the season that we highly suspect the outbreak of the disease. So we need to keep the community on alert,” he added. Within three to seven days of exposure to the plague bacteria, a person develops flu-like symptoms such as fever, headache, chills, weakness, and swollen, tender lymph glands. The community sensitisation campaign is being carried out in the disease prone areas of Vurra and Logiri. But even then, the surrounding area of Kango Sub-county in Nebbi, which borders Logiri, must not be left out. Historically, the bubonic plague is reported to have originated from the Democratic Republic of Congo especially from Aru and Ariwara. The campaign, Dr Anguzu said, is aimed at educating residents who keep pets like cats, which are also susceptible to plague. In this case, infected cats become sick and may directly transmit plague to people who handle or care for them.

NEWS: Uganda Heart Institute becomes independent

Uganda Heart Institute becomes independent

from MONITOR ONLINE

A 40-bed in-patient heart institute, to engage in preventive, curative, educational, rehabilitation and research activities on cardiac diseases has been opened in Mulago Hospital.
The Uganda Heart Institute, which boosts a 12- bed intensive care unit, has been curved out of the hospital.

According to Dr John Omagino, the director of the institute, important aspects like specific training to become a cardiac surgeon and promotional benefits which were ignored while still under Mulago, are to be considered. The institute will offer diagnostic services, surgery and training of staff from different institutions like Makerere University, Kampala International and Nsambya hospitals among others.

On average, it receives 100 patients a day. Though the institute had always been carrying out different types of surgeries, it received public recognition in 2007 after a successful open heart surgery that saw the President Museveni visit it. Last month, the institute carried out the successful heart operation of 102-year-old Ssebowa.

An open heart surgery is between $500-700 (about Shs1 million – Shs 1.5 million) while a closed one is $1,500 (about Shs3 million). Though it has become a separate entity, Dr Omagino assures of its continued relationship with Mulago Hospital.

NEWS: Amuru grapples with doctor shortage

Amuru grapples with doctor shortage

from MONITOR ONLINE

All through the peak of insurgency in northern Uganda, Esther Achen, 54, spent two decades in Amuru District, the epicentre of armed conflict, serving as a midwife at Anaka Hospital. Ms Achen, who comes from the neighbouring Lango sub-region in Apac District, persevered and did not quit her job, risking possible abduction by the Lord’s Resistance Army rebels. Her motivation was to serve fellow displaced persons, the poor and helpless, who did not have any other specialised medical worker to attend to them, or had difficulty accessing a doctor while in the camps.Unfortunately, she suffered a severe stroke in 2001 while at the hospital attending to patients. The stroke paralysed both her limbs, leaving her physically impaired.Knowing she would not even get much help at her home in Apac, due to poor health services, Ms Achen preferred to stay at Anaka Hospital where she is well known and could access some medical help. “My mother is too old to take care of me, and my sisters have all died. I prefer here because my husband has been supportive,” she says.To keep alive, the retired midwife needs the attention and support of a specialist in physiotherapy. However, Amuru District Health Officer (DHO) is worried that doctors to attend to patients like Ms Achen are lacking in the district.Other than people who suffer strokes, the over two decades armed conflict in the region has created unprecedented levels of trauma, but like in the case of Ms Achen, these people need more doctors and physiotherapists.The officer in charge of physiotherapy department at Anaka Hospital, Mr Paul Otit, said last week during the hand over of orthopedic equipment worth Shs25 million that more patients are reporting to the hospital. “We have been receiving 20-30 patients on a monthly basis,” he said.Mr Otit observed that more women in the district were suffering physical impairment compared to men because of the heavy domestic work women are subjected to. “Heavy workload without enough rest, has made many women become victims of impairment,” he explained.Amuru DHO, Dr Patrick Odong Olwedo said:“Medical personnel remains a challenge in the hospital, we urge the Ministry of Health for support.” He said Amuru has only one psychotherapist instead of four, and one doctor instead of six.

NEWS: Cholera kills two in Busia

Cholera kills two in Busia

from MONITOR ONLINE

Two people in Busia have died of cholera. Four others are undergoing treatment at Busia Red Cross Health Unit IV, Daily Monitor has learnt.One of the deceased was identified as Ibrahim Ojuku, who died on July 10. The other who was not be identified by press time reportedly died at Majengo Private Clinic in Busia. Officials at the clinic denied the death claims but eye witnesses confirmed it to Daily Monitor.The District Health Officer, Dr Oundo Bwire, confirmed the outbreak of the disease over the weekend. Dr Bwire said specimen have been taken to Mbale Regional Referral Hospital for examination.The officer- in-charge of the Red Cross Health Centre IV, Mr Wabwire Omolo named those undergoing treatment as Thabe Nambozo, a student of Manafa Secondary School in Manafwa District and Joyce Phiant, a student of St. John Secondary School in Busia. Others are Florence Akumu, Wycliffe Lubezi and one called Kafiri. Mr Omolo said the affected areas are Arubaine, Nangwe, Custom, villages,all in Busia Town Council. Mr Wabwire said although the conditions of the patients have improved, they cannot be discharged for fear that they will spread the disease.Residents accused town council authorities of failure to collect garbage, leading to the spread of the disease. However, the mayor, Mr Michael Mugeni, denied the accusations, saying he had improved hygiene in the town, which according to him was in a poor state when he came to office.

NEWS: Teso leaders ask government for more food relief

Teso leaders ask government for more food relief


Leaders in Teso sub-region, which is currently experiencing famine, have appealed for more food aid as hunger stalks more people.

During celebrations to mark the World Population Day over the weekend in Katakwi, one of the districts worst-hit by the famine, the district chairperson, Mr Robert Ekongot, said the situation was not getting any better. “What we need at this material point in time is more emergency food relief to save the population from hunger,” he said.

According to Mr Ekongot, the food insecurity in the region has largely been a result of external factors and not laziness as has been indicated by some leaders.

Although the government has responded by allocating Shs20 billion to buy relief food, it says it will need up to Shs170 billion to feed the most vulnerable people.

Mr Ekongot said the government should instead invest in long term solutions to address the situation including setting up irrigation schemes that will improve agricultural production even in times of drought.

The World Population Day was marked under the theme, “Empowering Communities to Overcome the Challenges of Poverty.’’ The acting Director of the Population Secretariat, Mr Charles Zirarema, said the celebrations were taken to Katakwi District to raise awareness about poverty that is rife in Teso region.

On Monday, Amuria District chairperson Julius Ochen told Daily Monitor that the situation was still grim as food aid that was delivered has not reached all sub-counties. As a result, he said, most families had resorted to eating wild leaves which are also posing a health threat.

“We visited Ajel village in Acowa Sub-county where we found some families had developed running stomachs after eating some wild leaves,” Mr Ochen said. He said children and women are particularly more vulnerable to the famine which has so far claimed 12 lives in the region since May.

According to Mr Ochen, the 200 bags of maize grain given to each sub-county is not enough to meet the food needs of the people. “This food aid can only last a few days before it gets finished. The government needs to come up with a way of increasing the food ration given to the residents,” he said.