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Manhood transplants to become a reality in Kenya

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For the first time, the government has proposed laws to regulate the donation and transplantation of the male reproductive organ.

Submissions by the Ministry of Health to the Kenya National Blood Transfusion Services Bill 2020 made last month, detail how Kenyans can legally get a penis transplant.

Though these proposals have been opposed by the Parliamentary Health Committee, the ministry says it will still push for an organ transplant law because it is a requirement of the Health Act 2017.

Despite the setback, the submissions indicate how an organ transplant law in Kenya will look like while addressing penis transplant for the first time.

The issue comes at a time medical experts are concerned over the growing threat to manhood due to increasing cancers, botched circumcisions, violence, and road accidents.

For example, while in the 1990s just about two cases of penile cancer were being recorded at Kenyatta National Hospital (KNH) annually, this has jumped to about 50 cases nationally.

Last year, the World Health Organisation (WHO) in its Globocan report estimated the prevalence of penile cancer in Kenya at 53 cases annually with about 18 deaths.

The report indicated penile cancer, mainly linked to the Human Papilloma Virus, which also causes cervical cancer in women, is still low in Kenya but on the rise.

An earlier study by Education Cabinet Secretary George Magoha had estimated about two cases of penile cancer annually at KNH between 1970 and1999.

Prof Magoha, a urologist, had with Prof Zipporah Ngumi reported 55 cases of penile cancer during the 30-year study period. On average the patients were aged 48 with most cases reported in the late stages.

“The majority of patients had penectomy and local excision followed by radiotherapy,” says the study published in the East African Medical Journal. Penectomy is the surgical removal of all or part of the penis.

Magoha said some of the patients had declined to have their penis removed or undergo radiotherapy. It is such patients the ministry hopes could benefit from transplantation; a relatively new procedure.

The first penis transplant was carried out in 2006 in China. It was however unsuccessful due to body rejection. The man’s wife also reportedly rejected it.

The first successful penis transplant was performed in South Africa in 2014, involving a 21-year-old recipient who lost his penis due to a botched circumcision.

After this procedure, other transplants were performed, one in the US in 2016 and another in South Africa in 2017.

The latest and most extensive was carried out in 2018 on a US war veteran who is reported to have regained almost 100 per cent penile functionality.

Reattaching a severed penis

Last year, a team of 15 medical specialists, led by Prof Stanley Khainga, made history when they reattached a completely chopped off penis to a 16-year-old boy at KNH.

The boy from Embu County had been attacked by unknown assailants at their home. Assaults, violence, as well as road accidents, have also been cited as a major cause of penile injuries, especially among younger men.

“There is a change in the pattern of the cause of penile conditions at this hospital, from infections to injuries,” says Pius Musau, a consultant urologist at Moi Referral and Teaching Hospital, Eldoret.

Similar observations have also been reported at KNH and recently at St Mary’s Mission Hospital, Nairobi.

“Trauma was the leading cause of urethral problems in patients treated at KNH,” reported Willy Otele, Sammy Miima, Francis Owilla, and Simeon Monda.

The cause of the trauma, they said, was mainly from traffic accidents, assaults, falls, and straddle injury among motorcyclists.

Also, the mass male circumcision project being promoted for HIV prevention has been blamed for an increase in injuries to the male organ.

A 2018 report by US agencies and the Ministry of Health indicated more than 36 boys and infants have lost their manhood in 15 African countries participating in the project, including Kenya.

Consequently, the ministry proposes the establishment of a donor organ sharing scheme. The scheme will be responsible for the equitable allocation of organs from a national registry.

To avoid favouritism and corruption, the Bill says allocation will be done automatically through modern algorithms.

The proposals make it clear that no body organ, tissue, or blood will be exchanged for money. “A person shall not buy, sell, or otherwise deal with any body organ or tissue for financial gain.”

A person breaking this law may be fined Sh10 million or go to jail for 10 years or both. A person who receives illegally acquired body tissues will face a similar punishment while a facility that contravenes the law will be fined Sh20 million and lose operating licence for three years.

But sources within the Parliamentary Committee on Health say the human organ proposals do not fit in the blood Bill which is headed for the second reading.

“The organ regulations do not fit in with the blood products Bill and we have told the ministry to develop an organs law to go on its own,” said a committee member.

Bu the ministry insists it is a recommendation of WHO to regulate blood and other human body organs within the same legal statutes. While the stalemate holds, Parliament currently has the upper hand.

by Standardmedia.co.ke


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Health

Shock as man ‘resurrects’ in a Kericho mortuary

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There was drama at Kapkatet sub-county hospital in Kericho on Tuesday night when a 32-year-old man who had been presumed dead and taken to the mortuary regained consciousness close to three hours later.

Mortuary attendants were getting ready to embalm Peter Kigen’s body when they noticed some movements.

Kigen, a resident of Kibwastuiyo village in Bureti Constituency, is said to have collapsed while at home before his family took him to hospital.

His younger brother, Kevin Kipkurui, said he was present when Kigen collapsed. With the help of their cousin, they took Kigen to the hospital at 5.30 pm.

“When we arrived at the casualty department, we met a doctor who asked us to register the details of the patient at the reception while he attended to him,” Kipkurui, who was still in shock, told The Standard.

After registering the patient, Kipkurui said he was again asked to the National Hospital Insurance Fund desk for further documentation of his brother.

Kigen reportedly suffers from a chronic illness.

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“When I went back to the casualty department at around 7.45 pm, I learnt my brother was dead. A nurse told me that he died long before we arrived at the hospital,” Kipkurui said.

He added: “The nurse later handed me a document to take to the mortuary attendant before my brother’s body was moved to the morgue.”

However, at 10.30 pm, Kipkuriu said, as they were waiting for embalming of Kigen’s body, they were informed that in fact, he was not dead.

Mortuary attendants who mummified the body told them that Kigen had regained consciousness.

“The mortician called me into the morgue and we saw him make movements. We were shocked. We could not understand how they could move a person who is still alive into the mortuary,” Kipkurui said.

Kigen, who spoke from his hospital bed yesterday, said he was shocked to learn that he was thought to have died and even taken to the mortuary.

“I cannot believe what just happened. How did they establish that I was dead?” he said.

Kirui, who donned his light-blue hospital uniform, was nevertheless happy to be alive and vowed to dedicate his life to evangelism once he’s discharged from hospital.

“I did not even know where I was when I regained consciousness, but I thank God for sparing my life. I will serve him for the rest of my life,” he said.

The hospital’s medical superintendent Gilbert Cheruiyot said Kigen was in critical condition when he was brought in.

Dr Cheruiyot said: “His relatives presumed he was dead and did not even wait for certification of death. They moved him to the mortuary, on their own.”

He said the clinical officers at the casualty were busy attending to other critically ill patients when Kigen was brought in, including an epileptic and a diabetic patient.

“They asked Kigen’s relatives to give them some time but they accused the clinicians of taking too much time and decided to take him to the mortuary. It was while the mortician was getting ready to embalm his body that she noticed some signs of life,” said Cheruiyot. He said the mortician informed the team at the casualty department which took Kigen back and begun resuscitating him. The process took three hours before the patient was stabilised.

“The patient was later taken to the ward and is responding well to treatment. We hope to discharge him in a few days,” Dr Cheruiyot said yesterday.

He added: “I advise those bringing their loved ones to the hospital to follow the laid down regulations. Before a body is moved the mortuary, it has to be certified by a clinician. In Kigen’s case, we can only say he was lucky, especially because of our qualified mortician who checked him before making any move,” said Cheruiyot.

The bizarre incident saw local MCAs, led by the Majority Leader Hezron Kipngeno, storm the hospital. This is after Chelanget MCA Hezborn Tonui demanded a statement from the heath committee over the incident that shocked the county.


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Health

Janet Mbugua shares her Covid-19 scare

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Media personality Janet Mbugua has shared the tale of the time she faced a scare as thought she had contracted Covid-19 last month.

In a video she shared on Instagram, the former Citizen tv news anchor said she experienced Covid-19 symptoms which escalated quite quickly.

The video shows her being taken through the nasal swab test for Covid-19, which is known to very uncomfortable.

Luckily, the result for the mother of two came back negative.

Janet Mbugua said that her scary experience motivated her to fight the fear and stigma related to Coronavirus, and will use her platform to advocate for a vaccine.

This comes as Covid-19 cases continue to rise sharply in Kenya amid a rush by various pharmaceutical companies globally to come up with an effective vaccine.

By NN


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Comedian Flaqo opens up on rare condition he has been battling

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Popular Kenyan comedian, Flaqo born Erastus Ayieko Otieno has for the first time spoken about a rare condition that he has been struggling with for some time.

Turns out that despite the funny man the Kenyan audience and beyond has grown to know as Flaqo Raz, he has his fair share of battles behind the cameras.

Flaqo opens up

The Internet sensation shared a photo showing red, itchy welts like a form of skin reaction on certain parts of his body.

Depending on the reactions, the welts appear and fade repeatedly and vary in size.

The YouTuber shared his condition with fans in the hope that maybe one or two can relate to what he has been going through and maybe work out a solution on the same.

“Anyone with this condition, how do you go about it?” he posed.

Comedian Flaqo rare skin condition

“Sometimes I have to postpone my shoots because they are unbearable. Zangu zilipotea for 6 months straight. Now they are back…” he replied to a fan who shared a similar experience.

Funny enough, soon as he had put up the post, he got so much feedback, with so many individuals able to relate to his skin condition, to his amazement.

“So far: try staying in the sun for a bit, bathe with warm water after taking antihistamines. To understand your condition better, make a point of seeing a dermatologist,” Flaqo shared with fans battling a similar condition, after gathering responses from his fan base.

Wrapping up urging fellow victims to take plenty of water, work out more often and avoid proteins since hives get triggered by things like particular foods, medication and stress.

By Ghafla.com


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