With the increasing number of citizens suffering from
cancer, Nigeria only has seven radiotherapy machines, five of which are
currently faulty, health officials have said.
Following complains by cancer patients across the country in
accessing treatment, there is the need to ascertain the availability and
functionality of radiation machines at some designated hospitals in the
country, as the machines, used in treating sufferers, are said to be
working either at half capacity or have packed up.
About half of all cancer patients receive some type of radiation
therapy during the course of their treatment, whereby high-energy
radiation is used to shrink tumours and kill cancer cells through
X-rays, gamma rays and charged particles.
The radiation may be delivered by a machine outside the body
(external-beam radiation therapy), or it may come from radioactive
material placed in the body near cancer cells (internal radiation
therapy, also called brachytherapy).
Systemic radiation therapy uses radioactive substances, such as
radioactive iodine that travel in the blood to kill cancer cells.
While speaking on cancer treatment, Mohammed Habeebu, a Consultant
Oncologist and Radiotherapist at the Lagos University Teaching Hospital
(LUTH), Idi- Araba, Lagos, said the radiotherapy machine at the hospital
broke down as a result of overuse.
Mr. Habeebu, who was reacting to the allegation that the radiotherapy
machine at the teaching hospital was faulty, confirmed to the News
Agency of Nigeria in Lagos that “as I speak to you now, the machine is
faulty, but our machine is not the only one faulty, others in the
country are also faulty and only two are functional out of the about
seven we have in the country.”
“We have six government-owned and one privately-owned designated
hospitals with radiation machines . The private one is operational and
one other in the government hospital is functioning.
“In LUTH’s case, we are trying to repair the machine. But the clinic
is on, where we treat patients every day. There are many modalities to
the treatment of cancer. Cancer treatment is not just about
radiotherapy; there are other forms of treatment too.”
The consultant oncologist also said that radiotherapy machine was
highly technical and required specialised handling, adding that “the
machine can breakdown if the workload is too much. However, in most
cases outside the country, they provide back-up in case the one being
used is faulty; they don’t rely on one machine.
“Here in the country, we have only one per centre because of the cost
of the machine, and that one is being over stretched. We need to have
more than one of such machine in every centre. The workload is huge on
the machine; we need a back-up to support it.”
Mr. Habeebu, who, however, reiterated the commitment of the hospital
to provide quality treatment to cancer patients, advised people to
always present themselves early and stop attributing spiritual
attachment to it, stressing that “LUTH will always be in the forefront
of cancer treatment even though most patients come to the hospital when
it is late due to many reasons.
“One reason is the culture, where people attribute it to spiritual
attacks; people believe cancer is a spiritual disease and because of
that, they go for spiritual solution and secondly is that most Nigerians
are not financially buoyant and cancer treatment is expensive and
people may not be able to afford it.
“We really need awareness on this issue to educate our spiritualists
to send cancer patients to hospital as there is no any approved
traditional medicine for the treatment of cancer known to the medical
world.’’
On her part, Abia Nzelu, the Executive Secretary, Community
Encouraging Corporate Philanthropy (CECP-Nigeria) said Nigeria needed to
have comprehensive data and mobile cancer treatment centres.
Ms. Nzelu, also an oncologist, said “the country cannot only rely on
limited number of radiotherapy machines; we have about six machines in
the country and most of them are not working. At a given time, we only
have only one functioning.
“When one of my patients was referred to LUTH for radiotherapy and
was told that the machine was down, I felt bad. That is what we are
going through in Nigeria. LUTH as a teaching hospital is not the kind of
place where you can just put only one machine. Putting only one there
would make the machine over-worked.
She said “all types of cancer cases such as breast, cervical,
prostate, colon and others are accessing only one machine and that calls
for great concern. To solve this, we need mobile cancer centres.
“Also, there are more high-tech machines that can facilitate the
treatment of cancer better than the radiography machine. The new one
takes care of both cancer cells and normal cells.”
.
Meanwhile, some patients at LUTH expressed worry over their inability to
access the machine and urged relevant authorities to expedite action in
repairing it.
Gift Augustine, an indigene of Imo, who brought her mother to LUTH,
said only the X-ray machine was functioning and that they had not been
able to access the radiotherapy machine.
She said “my mother has cancer and the doctors are trying their best but the machine is not functioning.
Another helper who brought a cancer patient, Layeni Bodunde, said
“even the X-ray machine is only working manually not automatic.’’
The story is the same at the University College Hospital (UCH)
Ibadan, but Temitope Alonge, the Chief Medical Director, told NAN that
the hospital had bought a radiation machine for the treatment of cancer
“and the Cobalt 60 radiation machine, which costs N10 million, will be
delivered to the hospital before the end of November.
He explained that the machine was purchased from Panacea Biotec
Company of India, and would be ferried to Nigeria within the next few
weeks.
He added that “panacea is one of the three largest biotech companies
in India involved in research, manufacturing and marketing of
pharmaceutical formations, vaccines and natural products.”
“The company is responsible for installation of the machine, and
radiotherapy technicians, maintenance engineers and mould room
technicians who would all be trained in the management of this
equipment.
“We opted for the Co-60 because it is now used medically for
radiation therapy as implants and as external source of radiation
exposure in cancer patients.’’
Also, Theresa Elumelu-Kupoliyi, a Consultant Radiation Oncologist and
Head of Department of Radiotherapy, UCH, said when the machine is
eventually delivered, more cancer patients would be successfully
treated.
She then urged the Federal Government to provide the machine in more
hospitals in order to cater for the increasing cases of cancer among
Nigerians.
A female nurse who spoke under anonymity said the department had not
given radiotherapy treatment to any cancer patient since January 2015.
She said patients stopped coming when the machine “packed up” and
they had to seek help from other hospitals that had the facility,
noting, however, that with the UCH arrangement to buy a new one, there
was hope for cancer patients who attend the hospital.
Elsewhere at the University of Benin Teaching Hospital, UBTH, the
CMD, Michael Ibadin, said the faulty cancer treatment machine would be
fixed before the end of 2015.
He said in Benin that the cancer treatment machine, which was
acquired five years ago at the cost of N2 billion, broke down recently
and patients were being referred to the National Hospital in Abuja to
enable them to access treatment.
He added that “the control board in the machine is faulty and it is
not easily available in the country. We wanted to repair it, but we were
told that the machine is old and needs a replacement.’’
However, Malami Gandi, a Consultant Oncologist at Usmanu Danfodiyo
University Teaching Hospital, Sokoto, said that the machine was still in
good shape but the burden was high.
Mr. Gandi, who is the Head of Oncology and Radiotherapy Department of
the hospital, told NAN that with increased prevalence of cancer cases
across the nation, there was the need to have more of such machines in
more hospitals to take care of patients.
He listed some of the cancer types mostly presented to the hospital
to include breast cancer, cervical cancer, prostate, colorectal, brain,
lung, as well as that of head and neck.
He added that between January this year to date, the hospital
recorded 150 breast cancer and 110 cervical cancer cases, which were the
commonest.
While maintaining that there was no immediate known cause of cancer,
the consultant oncologist, who was trained in South Africa, enumerated
some of the predisposing factors of cancer in Nigeria to include the
Human Papiloma Virus, HPV.
He said “the pandemic is also precipitated by seeming lack of
personal and environmental hygiene. In the same vein, cancer cases are
increasingly caused by the suppression of immunity in some of the
patients.
“This could be due to multiple sexual partners, as the HPV is
harboured by men, but HPV infects women, leaving the men as mere
carriers,” he lamented.
The consultant noted that apart from the radiotherapy machine, the
hospital also has a functional computer tumography stimulator machine
and has no fewer than 24 cancer specialists, among others.
The specialists, he added, include mould room technicians, oncology
nurses, clinical oncologists and medical physicists, among others.
On the cost of cancer treatment, Gandi said 95 per cent of the
patients are indigent, while only five per cent can go out of Nigeria,
with four per cent using public funds for treatment.
“The treatment of cancer is capital intensive and we can treat
between 45 to 50 patients daily with the linear machine for radiation.
We are trying to upgrade it to be able to treat 100 patients per day,
when the latest technology from Electa, UK is acquired.
“The bracetheraphy machine which complements treatment of cervical
cancer patients is non-existent in Nigeria,” he lamented and urged the
Federal Government to establish additional centres for treatment across
the country.
“NHIS should also include oncology services in its activities to
alleviate the sufferings of cancer patients who are largely indigent,
while its treatment is expensive.”
The CMD of the hospital, Yakubu Ahmed, disclosed that all
arrangements had been concluded to start the use of nuclear medicine,
with the training of three specialist doctors abroad.
“Patients from across Nigeria are accessing treatment here and our
efforts will be sustained, with priority on training and re-training,’’
hepromised.
“We are also discussing with NHIS that gave the machine, while JNCI
Ltd, a company based in Lagos will provide funds to balance what is
needed to buy the new machine.
“We will, however, continue to provide highly subsidised services to the people, to alleviate the sufferings of patients.’’
Odutola Omowunmi, the mother of a three-year-old cancer patient, said
her daughter was afflicted with retinoblastoma since 2014, an infection
which had debilitated her left eye.
“I came from Lagos down to UDUTH Sokoto for the treatment of my
daughter and the radiotherapy treatment is working steadily for her.
“The Federal Government should provide more machines, while there should be more awareness.’’
At the Ahmadu Bello University Teaching Hospital, ABUTH, where the
cancer machine was also functional, the CMD, Lawal Khalid, however,
complained that it was installed in 2005 and now old and obsolete, as
many places no longer use it because the factory that produced it are
already folding-up.
He suggested a replacement with the latest cancer treatment machine
which he said was faster and convenient and its parts easily available.
Also, Adamu Abdullahi of Clinical and Radiation Oncology, ABUTH,
advocated a Public Private Partnership to procure the linear
accelerators and position them in each of the six geopolitical zones of
the country with a view to assisting the cancer patients.
He also appealed to multinational corporations to assist in procuring
the machine as part of their corporate social responsibility.
(NAN)
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