Noncommunicable Diseases in Kenya: A New Kid in the Block? A Surgeon`S Perspective

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Noncommunicable Diseases in Kenya: A New Kid in the Block? A Surgeon`S Perspective

Premanand Ponoth*
Professor and Chief, Department of Cardiac Sciences, the Karen Hospital, Nairobi, Kenya

*Correspondence to: Premanand Ponoth, Prof & Chief, Department of Cardiac Sciences, the Karen Hospital, Nairobi, Kenya, Email: pponoth@gmail.com
Received: March 07, 2020; Accepted: March 20, 2020; Published: March 27, 2020
Copyright: ©2020 Ponoth P. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Citation: Ponoth P. Noncommunicable Diseases in Kenya: A New Kid in the Block? A Surgeon`S Perspective. J Clin Pulmonol. 2020; 1(1):003

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Abstract

As per the World Health ranking in 2014 Kenya stands 149th in the world in census of coronary artery diseases. 2.74% of the total death. The main causes of death in communicable disease are: influenza, HIV/AIDS, diarrhea, malnutrition etc. The age adjusted death rate being 53.61/100,000 population. Kenya is experiencing epidemiological transition in disease burden from infection to non-communicable condition (NCD), which is a major health concern with significant social and economic implication. The increasing coronary artery disease (CAD) may be due to adoption of unhealthy lifestyle (lack of exercise, increase in take of fast food) etc. The major risk factors are: diabetes mellitus, hypertension, smoking, excessive alcohol intake, stress etc. Cardiovascular disease amount to most of the NCD deaths around the world (17.5 Million annually). NCD in Kenya amount to 27% of the total death, more than 50% of total hospital admission in Kenya. The major NCD being cardiovascular conditions, cancer, diabetes, chronic obstructive pulmonary disease (COPD) and their sequel. A comprehensive study was therefore needed to examine the prevalence and the magnitude of common risk factors for NCDs in Kenya which is useful to the Ministry of Health, different government sectors and county governments to establish interventions that are based on local risk factor burden.

Article Details

Materials and Methods

The cardio Thoracic Programmed became active from May 2017, with regular cases and till today more than 250 cardiac surgical case Especially 50 coronary Artery bypass surgeries on Off Pump Beating Heart (OPCABG) were done; in addition to complex procedures Viz. Bentall`s Procedures, Double valve Replacement with Tricuspid valve Repairs, Aneurysm surgeries, Thoracic Endovascular Aneurysm Repair, Pediatric procedures Like PDA Ligation, ASD and VSD closures, etc. are done regularly.

Result and Conclusion

National Health Insurance Federation (NHIF) is changing lives especially for the middle and lower income group. In 2017, it was funding 100% of open heart surgeries as it was celebrating its 50thAnniversary. From the beginning of 2018, the funding has reduced to Ksh 500,000 for any patient who requires open heart surgery. It also pays Ksh 130,000 for patients who require angiograms, Ksh 500,000 for those who require PCI. In spite of the difficulty for disposables and other essentials for the smooth running of the department, we were able to reinvent and reengineer our working ethics to achieve the goal. Our results were at par with accepted international norms. CABG with 2% mortality, Complex Cardiac cases with 5-7% mortality. Cardio-thoracic surgery will change, grow and thrive, as long as we persist and maintain our capacity to adapt and innovate.