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Cancer and available treatment options, equipment in Nigeria

Thompson Nsisongabasi

Feb 03, 2020

Some cancer patients will have only one treatment, while others will have a combination of treatments, such as surgery with chemotherapy and/or radiation therapy, a procedure in which a surgeon removes the cancer from the body.

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The different treatment options are Radiation Therapy, which involves the use of high doses of radiation to kill cancer cells and shrink tumours, while chemotherapy is treatment that uses drugs to kill cancer cells.

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Immunotherapy is another type of cancer treatment that helps the immune system to fight cancer, while targeted therapy focuses on changes in cancer cells that help them to grow, divide, and spread.

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Hormone therapy is another treatment option that slows or stops the growth of breast and prostate cancers that use hormones to grow, while stem cell transplant is a procedure that restores blood-forming stem cells in cancer patients who have had theirs destroyed by very high doses of chemotherapy or radiation therapy.

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However, there is also precision medicine which helps doctors to select treatments that are most likely to help patients based on genetic understanding of the disease, including how genetic changes in a person's cancer are identified and used to select treatment option.

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Even though there are different treatment options, the issue of decaying, obsolete, unserviceable and in some cases the lack of equipment and drugs in hospitals and clinics across the country, as well as the cost force many patients to seek for help from other sources or remain helpless.

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The issue of availability, accessibility and cost of treatment are essential for the functioning of any health facility offering cancer treatment toward providing quality healthcare for patients

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This is because to attend to any patient, a doctor requires basic equipment to diagnose the ailment before prescribing medication, or treatment option.

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Dr Abdulrazzaq Oyesegun, an Oncologist and Clinical Consultant, Oncology, National Hospital, Abuja (NHA) told News Agency of Nigeria (NAN) said NHA has up-to-date equipment for cancer treatment and management, and advised anyone who noticed any unusual growth or lump to go to hospital for early detection and prompt treatment.

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He explained that all cancer equipment in the hospital were functioning, noting that the availability made it possible for many people not to travel abroad for treatment.

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He said that the only challenge was the lack of manpower, as many doctors leave the country in search of better opportunities elsewhere.

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Some patients at Enugu State University Teaching Hospital (ESUTH) Park Lane have urged the management of the hospital to provide essential healthcare facilities for proper healthcare delivery services.

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They expressed worry that a teaching hospital such as ESUTH has no functional modern health equipment.

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Mrs Josephine Ozor, a patient, said that the mammogram machine in the hospital had stopped functioning for a long time.

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Ozor added that her mother was not able to go through breast examination when she came for breast cancer screening, explaining that "when my mother was referred to come for breast cancer screening from my town, we were surprised that a teaching hospital like ESUTH did not have a functional machine for breast cancer patients.ÔÇØ

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Another patient, Mr Okwy Ibeafor, said that the increased number of patients that visited the hospital on daily basis was enough to provide all the doctors and other health workers needed to save lives.

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"Patients in this ESUTH are always referred to private hospitals for medical examinations which ought not to be.

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"It should be a referral health facility, which should be from private to teaching hospital because teaching hospital itself is a tertiary health facility,ÔÇØ he said.

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A Radiologist and a staff of ESUTH, who pleaded anonymity confirmed that the mammogram machine was not functional, adding that the management was planning to put it into use as soon as possible.

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Meanwhile, the Chairman Nigeria Medical Association, Enugu State chapter, Dr Ike Okwesiri, said that poorly equipped hospitals were common in the country not just in Enugu, and urged government to assist.

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Okwesiri said that most individuals did not get job satisfaction in poorly equipped hospitals.

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He said that the high price of some health equipment was one of the major challenges that caused many hospitals not to have essential and functional tools.

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Other challenges, the chairman listed, were difficulty in accessing bank loan in the country and epileptic power supply.

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On his part, the Health Manager, Enugu State Hospitals Management Board, Dr Okechukwu Ossai, told NAN that the state government had completed plans to create cancer screening centres in the three senatorial zones of the state.

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Ossai explained that the centres would be equipped with MRI machines, mammographic machines and other health facilities that would help in proper healthcare delivery services in the state.

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In Anambra, Dr Vincent Okpala, Anambra State Commissioner for Health says Gov Willie Obiano-led administration is doing everything possible to reposition health facilities in the state.

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He told NAN in Awka that government had done so much to upgrade the facilities at the Chukwuemeka Odumegwu Ojukwu University Teaching Hospital (COOUTH), Amaku Awka.

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Dr Basil Nwankwo, Chief Medical Director of COOUTH said a number of equipment like the 64 slide CT scan machine, Mammography machine for testing breast, digital x-ray machine were being installed at COOUTH as well as a Mother and Child Centre.

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In Onitsha, NAN investigation reveals that the General Hospital had been locked while nurses who were working there, had been dispersed to other wards since June 2019 and the hospital lacked Mammography machine.

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In Abia, the Medical Director, Federal Medical Centre, Umuahia, Dr Azubuike Onyebuchi, said the second Sovereign Wealth Laboratory in Nigeria, being put up at the hospital, "would transform the hospital to one of the most sophisticated diagnostic centres in the world.ÔÇØ

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Onyebuchi said that the project had reached 95 per cent completion and would likely be inaugurated before the end of January or first week of February, 2020.

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The medical director said that the installation and test run of the equipment as well as training of personnel to man the facility were at their final stages.

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In Ebonyi, Dr Emeka Ogah, Chief Medical Director of the Alex Ekwueme Federal University Teaching Hospital (AE-FUTHA) said that services in the hospital had improved to compete with best hospitals in the world.

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— Thompson Nsisongabasi

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