Category HEALTH

Gay oral sex can give you worms: Museveni


With all due respect to His Excellency, I think he was terribly wrong about the role of the mouth – that gadget has as many uses as a computer. It simply shows how he is living in another century and how many things have changed since he gained power. In reality, if M7 kissed Janet in public, Besigye and Amana would be history because he could get an unprecedented number of votes! Not with the many people who believe that his marriage is sexless and dysfunctional.

I use the mouth for the following:
– PowerPoint Presentations – most of my income now is tied strongly to my ability to speak
– Expression of disdain – in a situation where I cannot voice my disdain, I use the mouth and eyes to send a strong message of ‘don’t mess with me’
– I use my mouth and vocal cords to send a tirade of words or to jeer at those who malign me
– I use the mouth to make faces and entertain my little boys
– U can use the mouth to point
– I often whistle to myself when happy or bored or when there is a tune in my brain

A mouth is also used for expression, convincing, castigating, entertainment, fighting, smocking, smuggling, inciting, advising, consultancy, education, vomitting.

If only people worried about oral infections/cancers & were just as concerned about more serious & burdensome diarrhea related illnesses & deaths whereby efforts such as boreholes in constituencies held by so called MPs would help. Worrying about attributable death risk of oral cancers etc is searching for a straw man… Something politicians have been successful in drawing an easily diverted & uninformed population to…I’m amazed how many people become excited about relative non-issues while they meekly head towards some more serious impending health & environmental disasters.

H.O

In Uganda, the Uganda police is the only effective ambulance service!


University Hospital in Uganda

University Hospital in Uganda


There is a lot of wastage of life due to these bogus health systems, and leaders who are selfish. The irony is that while it is the peasants who suffer most our leaders are also not immune to the stupid health systems they’ve set up – as in the case of Bingu wa Mutharika – a man who one time worked for the World Bank.

What makes African leaders so myopic and selfish when they assume power? The funny thing is that ‘individualism’ (the highest form of capitalism nurtured by the likes of Margaret Thatcher) results in creation of an elitist middle class that has too much money they do not know what to use it for – and one of their indulgences is chronic over-nutrition, sedentariness, money related stress and obesity – all these are a good recipe for a heart attack! But can our health systems handle the increasing burden of Non-communicable diseases, when even Panadol is a luxury in Primary Health Care facilities?

A “peasant” in the UK will get a heart attack, and he or she will have a mandatory trained paramedic crew get to him within the govt targeted 8 min on board with a defribrillator. He will also have an ECG telemetry monitor that will relay the ECG to a cardiologist to the designated coronary care Unit by bluetooth technology.So if there is need for intervention its in minutes or an hour at least.Compare this to our system, and you will understand why Abbey Semuwemba, George Okello, and others in the UK don’t want to move their families permanently back in Uganda.

Compared to UK, In Uganda, the Uganda police is the only effective ambulance service because at least they try their best to rush injured persons to hospitals – albeit on the back of a pick-up, their necks twisted, bleeding, with no first aid measures. All those at the brink of death end up dying anyway. I wish our leaders would focus on building a system, rather than the reactionary measures.

In 2012, Uganda hosted the IPU. The theme was on maternal and perinatal mortality. Alas! You can all see what the bald and wig heads discussed. Went off topic.

In Uganda its to be better to be a teagirl than to be a medic or teacher. KCCA reviewed its salary structure. Mbu, the lowest paid person, a tea-girl, gets 1.2 Million per month. However, there was only one exception – Health workers and teachers will not be entitled to this salary structure – mbu ‘it will destabilize the economy’. How can we have such a mindset! Is the input of a health worker and a teacher that much less important than that of a tea-girl. Is the government serious about social services? I think we have parasites, prostitutes and irritants instead of leaders. How many macro-economic mishaps have been bred through mismanagement, corruption, poor planning etc, all the while telling the teachers and health workers to be patient.

In almost all government hospitals, every Medical Officer has had to do a caesarean section using the light from a Nokia telephone – because there was no fuel in the generator. Dr. Obote constructed these hospitals in the late 60s and early 70s. He might have been another bogus leader, but at least these structures are there. All are is a pathetic state of disrepair, while billions are spent on reactionary programs that have no results. None of these hospitals have a reliable water supply, yet at the time they were constructed, they each had a water supply unit – the water pumps have broken down, and nobody is interested in their repair. The only thing they keep blubbering is that the Basawo are stealing drugs – are drugs the only ingredient to a health system, stupid.There are no drugs to steal. No anti-Kochs and no ARVs. Have they been stolen by health workers? Its a gimmick to cover up the lack of delivery.

There’s an extortionist team from state house traversing the country arresting petty drug thieves. Everything leans towards political gain but the reality is different. The real drug thieves are white collared and the president knows them from way back,they prop his government. They arrest doctors if they think you support FDC or Besigye.

Most hospitals under Obote and Amin had a hospital tailor. All doctors needed was to buy a roll of cloth and he would make the theater linen. Now these tailors have been replaced by contractors, who deliver more bogus items at 10 times the cost. The same contractors who constructed bogus theaters in Health Centre IVs. If I had the means, I would slap the Prime Minister, Amama Mbabazi. But the last time a man went over his fence to slap him, the man ended up 6 feet under, and Nina Mbabazi defended this action on UAH using all her brain parts before she left the forum.

I onetime saw on TV Police rescue at an accident scene at the crested towers round about, a poor woman with a broken leg was lifted like a hip of ” kasasiro” meaning Police can not even afford a stretcher on their patrol cars!!!!! Ambulances making noise around town without a paramedic or even the lightest first aid equipment!! Then you hear leaders moving around telling the world that it is the west that is keeping Africans backward! Our leaders are worse than the colonialists! that the reason I despise the Pan African movement which destroys what is African ( kingdoms) and puts in place nothing apart from rhetoric,chest thumping, wolokoso

Until Ugandans recognize and acknowledge that a good health system is the key to economic prosperity, then the rest is down the toilet. Pay the health workers what the rest of WHO does, good governance, respect the law of the land ,and cut down on those bureaucrats. Oh! Sorry I was just dreaming.

It seems to me all African leaders except a few are actually extra-terrestial,coz what they are doing shows as if one day they wil run off with all their loot to another planet where they came from!and they call themselves pan Africans,SHAME ON THEM!

R.JABENDO
USA

The tragedy of my own sister made me hate NRA/M Forever!


By George O.Pacu-Otto via the UAH forum

My friends,

On changing or reforming the healthcare system in Uganda, I have total loss of confidence in the NRA doing it. I am not going to talk about the corruption and shenanigans that go on everyday that say they can change, or even those who are supporters of the NRA.What I will do is to repeat the tragedy of my own sister, who died of AIDS in 1986. It was her fault that she got HIV, she was only 19 years old. But throughout the time she battled with the disease, the healthcare system was not there to support her. The family quite often had to buy drugs, some totally useless. Towards the end of her life, she was not even admitted to Mulago Hospital because they wrote her
off, so she spent the last weeks of her life in my brothers home in Nakulabye, being fed on a drip by a sister in law who is a nurse. Eventually it was my brother who pulled the drip off and said let her go, she has suffered enough.

I had lost another sister before who was murdered by NRA soldiers in Dokolo, but she is not the one I focus on.

My burning and continuing anger against the NRA regime is why my young sister, who I loved, would be turned away from Mulago hospital, denied medical help and die at home, with just a nurse caring for her, without any medication of any kind.

So I look at these issues politically:

What was the purpose of NRA coming into power if they can not provide even the very basic care for a young girl who was dying? Why would a national referral hospital turn away a critically ill patient? Why should my sister have died at home rather than in the care of the medical services?

Thats why I have so much contempt and indeed hatred for this NRA regime. May be other people have better examples , but permanently my hatred of the NRA became cemented that day when I rushed from London and saw her in her coffin, serene and beautiful and as lovely as we used to play around together as children , but she was dead.

We need to have a national democratic revolution in Uganda. We should never again have millions of people going through the trauma that I have gone through.

George O.Pacu-Otto

SIMPLE STEPS TO AVOID KIDNEY PROBLEMS IN UGANDA


Ugandans are suffering from kidneys and yes we need to treat them, but we need to question ourselves why they suffer from kidneys that highly. It is the food we have been brought up eating, we need to change our diet or we will continue to poison ourselves. I have gone after The Matooke diet for it is mainly water, but Matooke is so high on potassium which goes after kidneys. Now look carefully at what has so much potassium, Matooke, Gonja {or plantain} Amenvu, so all those classes of bananas. All yams including Amayuuni, kyetumula Lumonde Irish potatoes, all that you are sucking into your body is massive potassium, and these are the foods we eat day in and day out. To eat health food you need not more than a single banana a day, but my God a Ugandan to eat a meal he eats 5tons of Matooke in a single sitting, just how much do you poison your kidneys? So all the foods I have listed have to be taken with very small amounts when we in Uganda use them as daily main course, you must end up with high numbers of kidney problems.

Another thing we need to cut very low is beans, they have just too much iron that no intelligent person can eat them that much yet we also eat them.

Lastly let me go on medication, many Ugandans especially women use Advil for pain relief, and to tell you the truth Advil works miracles, women that get cramps with period use Advil, and in every house drawer there is a bottle of Advil. You need to realize that it is a bad medication for it must be processed by your kidney to go into your body, stop to use Advil if you need to put a break on your kidneys. What you can use that is safer to your kidneys is Tylenol for it is not processed through your kidney.

There are many steps we can chose to follow that are accessible in our means to cut down the numbers of kidney problem, but changing a Uganda diet must be a priority out there, for our combination of foods we eat is a cocktail of poison.

EDWARD MULINDWA VIA THE UAH FORUM
CANADA

A DIALYSIS MACHINE IS IMPOSSIBLE TO MAINTAIN IN M7’S UGANDA


Members the profit on medical machines of this capacity is usually recovered by the seller through maintenance and supply of materials needed to efficiently run them.Mulago hospital has many equipment which are either not working efficiently because they are not maintained or calibrated on schedule or are run by technicians or physicians who are not well equipped through training or have never had enough experience to run them.

You just don’t plug a person on a dialysis machine and clean up their blood like you just vacuum dirt from a carpet. The care of a patient on dialysis evolves a team of nurses and physicians, involves several lab draws and monitoring, many hours on machines and you can kill a person on a dialysis machine faster than their failed kidney.

So setting up a dialysis unit needs more preparation than many envision, however it is crucial that the government comes up with a viable plan because this is desperately needed. Lets also remember that many clients that go on dialysis have hope of getting Kidney transplants so those who plan for this kind of center are better of having a transition plan along these lines otherwise it means a life long life on dialysis. So depending on how many patients can be hooked on a machine per day and it takes hours to go through the cycle depending on your markers in blood and probably three or four times a week you figure out how many machines might be needed, obviously not one.

If I take an educated guess it might cost about $4 dollars per treatment in maintenance of the machine, minus cost of the doctors , nurses and other members of the team and cost of labs. If I pick a number out of the blue all those cost included not forgetting electricity cost you might be looking at $15 dollars per treatment (day) in Uganda.

Sometimes you can easily get a car that is cheaper than the cost of its yearly maintenance,insurance and gasoline but usually that’s an old car. But then a new car in combination with a bad or drunk driver or someone who has no licence to drive can easily lose its value as soon as it hits the highway. So I hope who ever does the math factors in all this.

Almost everyone who is trying to address the issue of Uganda’s health care asks the wrong questions. I said before about three years ago on this forum and I repeat my self I would not put a dollar more in this system as it is. Without rebuilding the whole foundation of our Health system all the money you pour in goes to an endless pit and you will never have anything to show.

I keep away from health care discussions that don’t discuss the real solutions, buying a Kidney dialysis machine now is no different from buying a plane when you don’t have enough runway to fly it off unless you have the capacity to modify it.

The roots, how deep they go, how much water they receive will determine the size of the trunk, which will determine the number of branches, which would determine the number of leaves, which would determine how many fruits a tree will have and also determine how many people can enjoy the supply it provides.
Build a strong foundation, and all these machines you are talking about will no longer be fantasies. For those who cant figure where to begin, get all your kids registered for identification cards.

Dr. Edward Kayondo, MD via the UAH forum
USA

Cancer:A Very touching Story from Engineer David Basobokwe on UAH Facebook group!


Atom with her mother in the UK

Atom with her mother in the UK

I’m disappointed that Ugandans do not see doctors frequently for checkups. Some of these cancers are containable when discovered in time.My daughter Atom had unknown illness in 1987, we lived in Mulago for two years until doctors told us, that there was nothing they could do for her but to let her rest in peace. I wrapped her properly, put her on an aircraft to UK.

On reaching Gatwick airport, I requested for an ambulance, which took her straight to Crawley hospital. All tests were repeated and within three days, all results came back showing Leukaemia – cancer of the blood. I spent one year in St George’s Hospital in tooting and another three years as an out patient. I lost everything I had in Kampala, but I saved her. She is now 27 years and in remission for 24 years. You friends, please be vigilant. Never rely on Uganda Govt. They never care. You must fight and alone. You don’t need a visa to get a patient to the UK. All you need is to board an aircraft at Entebbe. Half way the journey, tell the crew, that you have a patient. Ambulances do not go through Immigration.

Hospitals here have apartments attached for careers accommodation and free food. On discharge, one is handed over to Social Services which arranges long term accommodation including hotel by the way. Charities here crisscross each other with help.My daughter got a plane without a ticket or passport. No one asked me for those things at EBB. By the way, three years ago, my auntie came here ill. She was officially admitted, her hospital bill was over 1000.00 for three days. The social worker for my dota applied to a charity on my dota behalf. The charity cleared the bill with the hospital.

I did not have money but having worked in aviation, I knew the loopholes. Reason I gave them to you. I did not stop there. In 2000 we were given 24 hours to leave UK. We went to Court with Immigration claiming we had entered illegally . The judge dismissed the case that until Immigration satisfied the Court that Uganda had capacity to treat Atom in case of the disease re-occurs,Since, I have never met Immigration again.”

Engineer David Basobokwe
United Kingdom

PRIVATIZE Uganda Health Care and Medical System – for Optimal Operation


MULAGO2
To get the best medical services, Uganda has to privatize its health system. Uganda should sell Mulago and other worthless medical facilities around the country and take the money squandered in maintaining the worthless hospital system and turn it into a National Health Insurance for those who don’t have insurance. Believe you me, you will see the magic of capitalism transforming the poor health system into an exemplary international standard health system.

Wandugu, let me disclose something. I , like many young people who grew up in the 70’s, was a staunch socialist. i believed in marxist ideology purified by Nkrumahism which was called scientific socialism. I believed a government could solve human problems and provide for its masses. But as the saying goes, if you are young and never been a socialist, you have no heart and if you are grown and old and still a socialist, you have no brain.

I finally grew out of my socialistic utopia and came to realize the importance of individual initiative. After independence, Uganda embarked on socialistic approach and built parastatal bodies like Uganda Airline, Uganda Hotels, Commercial banks etc , all of which were littered with corruption and did not produce a single profit.

Fast forward to late 1980’s when everything were privatized. Transportation was a problem especially with poorly run UTC, but private transporters like bodabodas and matatus solved the problem. Postal services and phone services were inefficient but competition from private companies improved services. Even more, competition among service providers like Celltel, Mango, etc resulted in lower fees to the benefit of consumers.

If the medical entity in Uganda is privatized, competition between medical health providers will improve the delivery and quality of medical care. Someone asked what about the poor people who can’t afford the medical facilities. My answer is that the government should invest its health budget into a universal health insurance to cover those who are not covered because they don’t have a job that provides health insurance or if they are disabled. These patient will choose a clinic/ hospital of their choice and produce a government insurance card which will pay for the services. Then you will see the” Miracle Of Capitalism”.

I’m speaking from experience. I work in medical field in the USA. This is the model that US is trying to perfect with recent Obama’s initiative of Affordable Care Act or Obamacare. This is the system the world is envies, much better than Canada or Britain. The only thing was missing was the coverage of the unemployed people which Obamacare now addresses.A privatized healthcare system has existed for a long in the US. The elderly and the disabled have always been covered under Medicaid coverage. Obamacare comes in to cover the rest who fall between the cracks. Those young ones who may not have a job are now covered by Obamacare.

‘Sam Musoke’ via Ugandans at Heart (UAH) Community

UAH’s Dr.Ogwal offers to take care of Jude Busima


To the family of Jude Busima and ANTHONY WESAKA:

I learnt about your son thru a Ugandan newspaper referenced below.
This is to inform you that I will take care of your son, Busima, if you can do the following:
1. Get your son a US visa to travel to the US asap.
2. Get him a return air ticket.
3. A member of his family may reach me via my email, mogwal444@hotmail.com or by phone at 001-217-615-8735.

My concerns:
1. Mr. Busima does not need a liver surgery to remove his gall bladder and gallstones from his gall bladder. Gallstones, like kidney stones can be be safely dissolved and flushed out and spare his gall bladder which he needs to continue to drain his liver and enable him to digest fat.
2. There are at least 26 different causes of yellow eyes (Jaundice) and palm.
3. Dr. Byarugaba and his friend, the Kenyan Doctor, should be asked to delay their December scheduled surgery until Busima has returned home. 4. There are safer, non-evasive and effective alternative methods available to deal with problems such as these in the US.
5. Most liver patients who undergo surgery rarely survive the side effects. His case is complicated by the fact that he has sickle cell anemia. But this too, we can also get him some help, once he is in the US.

Can anyone please, who is reading this message pass this info to the family of Busima and let them contact me asap.

Thanks

Dr. Ogwal
001-217-615-8735
USA
………………………………

Kampala. Jude Busima completed his Senior Four examinations last week but his excitement was short-lived after he received bad news from his doctor about his need for liver surgery.
Busima, 17, a former student of Seeta High School in Mukono District, is also a carrier of sickle cell anaemia.
Dr J.S Byarugaba, a consultant pediatrician notified Busima that his abdominal ultra sound report from Kampala Imaging Centre had revealed that he has gallstones and needed an urgent laparoscopic surgery on his liver.
Laparoscopic gallbladder surgery removes the gallbladder and gallstones through several small cuts in the abdomen.
Dr Byarugaba said it’s because of the gallstones that Busima’s eyes and palms have turned yellow.
Speaking to Daily Monitor on phone yesterday from Namulanda, Wakiso District where he is spending his vacation, Busima the last born in a family of six, said he is in urgent need of Shs7 million to undergo surgery that is to be carried out by a visiting doctor from Nairobi, Kenya.
The doctor is scheduled for the second week of December but Busima does not have the money for the surgery.
He is therefore appealing to well-wishers for any financial contribution towards this cause.
Any financial contribution can be channeled through account numbers ; 21456705010109 Orient Bank in the names of Muyama Juliet, Mbale Branch or 5220012096, Centenary Bank, Ibanda Branch in the names of Ainomugisha Eunice. Alternatively, you can send mobile money on 0774978941.

Traffic Noise is Dangerous for Your Health


Traffic noise is the second biggest environmental problem in the EU, according to WHO. After air pollution, noise is affecting health the most.Most of us are not aware that cars today produce as much noise on the outside as they did 40 years ago. However, heavy vehicles have become somewhat quieter. The number of people exposed to noise pollution in our cities remains high. Traffic noise is today linked to stress-related health problems such as stroke and heart disease.

Excessive noise damages thousands of cells in the ear leading to an immediate loss of hearing, which happens in explosions and wars. Constant exposure to noise may lead to a gradual damage of the cells and a gradual loss of hearing. Deafness may even result from a bullet fired or an explosion.Records on workers in Sweden indicate that many are exposed to loud machinery noise daily. About 5,000 people suffered hearing loss in 1973 and the figure rose to 16,000 in 1977. An official report of the Environment Affairs Council in US issued in 1970 indicated that about 16 million industrial workers faced the risk of losing their jobs due to the weakness in their hearing abilities.

The fetus floats on fluids that protect it from jerking movements, but barely from noise. It can hear internal sounds (the mother’s heart beat, the movement of the intestines, and the air in her lungs) as well as external sounds (the mother’s voice and any surrounding sounds or voices). Studies indicate that the fetus experiences muscular spasms if the mother is exposed to excessive noise.

There is a systematic degradation of the public service institutions in Uganda


There is a systematic degradation of the public service institutions so that they are replaced with ones that the current leadership control and are accountable to only to a few people and not to all Ugandans through sound structures.

In case you are not aware check this out.

1. Health service delivery was starved of funds for several years. Now that the health services were not good, the Health Service delivery and Medicines Monitoring Unit was created under State House or President’s Office to improve health service delivery in the country. It remains to be seen whether health service delivery in the country improved for the five or so years this unit has been in existence. Remember these people are very well paid and they account to no one (except the President) for the funds they use.

2. The former Kampala City Council was starved of funds for several years to make whoever cared believe that the institution was inappropriate. It was replaced by an Authority that does not account to Ugandans nor Parliament but to one person (the President). When the Lord Mayor tried tried to fight for the institution to be accountable to other institutions in the country you saw how they succeeded in silencing him using all institutions at the disposal of government (police, judiciary e.t.c) They one time even wanted to use the IGG to get their objectives. Now KCCA only accounts to the Head of State through the Minister for Kampala and not Ugandans through the Council and the Uganda Parliament. So much money is being pumped into the Authority. The question remains. Where does the money they don’t use? Isn’t KCCA being used as a conduit for something else? Your guess is as good as mine. At least for Kampalans have something to smile about. The city looks more beautiful than want it was five years ago. But this comes at a price. Other sectors of government are being starved of funds. What is the use of seeing some semblance of beauty when the Authority is being used as a conduit for something does not readily meet one’s eyes?

3. Agriculture was the first to be systematically degraded over the years and NAADS was created as a parallel institution. When NAADS did not meet the objectives for which it was created then you can see or read what is happening. NAADS is going to be given or has already been given to the military which again reports to only the President. There is therefore a clear trend of things: to kill the traditional institutions and create new ones that only report to one person.

All other sectors are affected in a similar fashion. The evidence is there for you to see if you took time to explore. It is this trend of things that is killing service delivery every where in the country.

When we ask why is there no service delivery, answers will always be there. “It is people on the ground who are not working or are negligent of their duties”. And to the not so keen eye, this answer makes a lot of sense. Unfortunately, that is far from the truth. That answer which readily catches one’s eye is just a small fraction of a bigger problem; a problem that is systematic and intended to be that way. With the current orientation of things towards the centre of power (with no checks and balances) service delivery can not improve. Sectors that have sound checks and balance are starved of funds. Funds are only channeled through sectors that have parallel institutions and those sectors whose expenditure plans are categorized as classified and therefore not subject to Parliament scrutiny.

In my view Public Service delivery collapsed the day the current leadership started tinkering with its organization. To resuscitate it one needs to make a U-turn on the mushrooming parallel institutions and hand back the accountability where it belongs. Otherwise public service delivery will go on to die and be buried.

What you saw as bats in the health centre is just a tip of an iceberg. Not that the workers don’t see them. Not that the workers don’t know what to do about them. Not that the lack of funds is the problem. Nooooo! Funds are either not released to do work or when released they are released late so that they can go back to the centre. There is a financial regulation that funds not utilized by a certain date are supposed to be sent back to the centre. Don’t you think the funds that are never released in the first instance and those that find their way back to the top are the very funds that support our troops in SS or do all sorts of politicking? I have not even tackled the issue of public servants not being paid for several months or their demoralizing pathetic salaries. We know for sure that the country has the money. How then can we sustain our troops in SS if we did not have the money? The government has the money but the good will to focus on what benefits the common man is what is lacking. It is only a few people who are benefitting from the current state of affairs that want the trend to continue. As long as they are benefitting the others can starve and continue begging untill the end of time.

I hope you can find some of the answers to your question(s) in my submission.

Kind regards,

Dr.Ibrah Ssendagire

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