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March 2016

Monthly Archives

Yellow fever Alert: What to know to protect yourself

Yellow Fever

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Kenya is on high Yellow Fever alert, following the death of a 31 year old Kenyan man who was being treated for the virus.

Health Cabinet Secretary Dr. Cleophas Mailu said that the country had increased surveillance at all points of entry leading to 2,718 passengers being screened for the disease at the Jomo Kenyatta International Airport (JKIA) alone, since March 11. The surveillance also saw six travelers denied entry because they did not have valid Yellow Fever certificates.

Yellow fever is a serious viral disease transmitted primarily by mosquitoes and leads to serious illness and even death. In severe infections, the victim’s skin turns yellow (jaundice) hence its name. It’s common in Africa and South America.

Key facts about yellow fever

Yellow Fever Virus is transmitted through the bite of an infected mosquito. Once contacted, it incubates in the body for three to six days followed by illness whose symptoms include fever, muscle pain with prominent backache, shivers, loss of appetite and nausea or vomiting. In severe cases, patients develop jaundice and bleeding.

  • It is an acute viral disease transmitted by mosquito bites
  • Up to half of the severely infected persons will die if not treated.
  • Globally, 84 000 to 170 000 people get infected and up to 60 000 deaths due to yellow fever per year.
  • The virus is common in tropical areas of Africa and Latin America, with a combined population of over 900 million people.
  • The number of yellow fever cases has been decreasing over the past 10 years since the launch of Yellow Fever Initiative in 2006.
  • There is no specific treatment for yellow fever. Treatment is symptomatic, aimed at reducing the symptoms for the comfort of the patient.
  • Vaccination is the most important preventive measure against yellow fever.

Signs and symptoms

Following infection, the virus stays in the body for 3 to 6 days, before symptoms develop. The first phase usually causes fever, muscle pain with prominent backache, headache, shivers, loss of appetite, and nausea or vomiting. Most patients improve and their symptoms disappear after 3 to 4 days.

However, about 15% of the infected progress to more toxic phase within 24 hours of the initial remission. High fever returns with Rapid development of jaundice (yellow coloration of eyes, skin ). Abdominal pain with vomiting.  Bleeding can occur from the mouth, nose, eyes or stomach with blood appearance in the vomit and stool. Kidney function deteriorates. Note Half of the patients who enter the toxic phase die within 10 to 14 days, the rest recover without significant organ damage.

Diagnosis Yellow fever is difficult to diagnose, especially during the early stages. It can be confused with severe malaria or viral hepatitis. Blood tests can detect yellow fever antibodies produced in response to the infection.

There is no specific treatment for yellow fever, only supportive care to manage dehydration, respiratory failure, and fever. Associated bacterial infections can be treated with antibiotics. Supportive care may improve outcomes for seriously ill patients.

Prevention of Yellow Fever

a) Get Vaccinated if Recommended Includes those traveling to affected areas, since non-native people tend to suffer more severe illness when infected. Protection begins by the 10th day after vaccine administration in 95% of people, and lasts for at least 10 years. About 81% of people are still immune after 30 years.

b) Avoid Mosquito Bites by use of treated mosquito nets and insect repellents. Also wear proper clothing to reduce mosquito bites.

Dr. Mailu added that the Ministry was working towards ensuring that the virus was contained urging County governments to ensure set up isolation units.

“We wish to request all Kenyans to remain vigilant and to report any suspect cases to the nearest health facility for immediate verification and investigation. For more information or inquiries, please call the Disease Surveillance Unit on 0729 471414 or 0732 353535,” he said.

This message is circulated courtesy of Resolution insurance.

Gertrude’s employees now to use M-Tiba “Gerties wallet”

Bob Collymore (Safaricom CEO), Millicent Olulo (Country Director, Pharm Kenya)

Bob Collymore (Safaricom CEO), Millicent Olulo (Country Director, Pharm Kenya)

Gertrude’s Children’s Hospital (Gertrude’s) has partnered with CarePay and Safaricom to provide their employees with a mobile outpatient fund management solution. This makes Gertrude’s one of the first large employers in Kenya to move its employee outpatient scheme onto a mobile health wallet. And this is giving the hospital and its staff benefits in efficiency and cost control.

The scheme will be run over the M-Tiba platform, which CarePay has developed in partnership with Safaricom and PharmAccess Foundation.

The scheme has been branded “Gerties wallet” and it means that all staff now receive an M-Tiba wallet on their mobile phone, allowing them to pay for their outpatient care, with funds pre-loaded by their employer.

Gertrude’s employees and their dependants are registered in the M-Tiba system and are able to access the credited amounts only on health-related expenses at one of the Gertrude’s outlets.  Employees can view their wallet balance and keep financial records of their medical claims. They receive regular SMS notifications on their credit levels.

Gertrude’s has full control of the spending on outpatient health benefits for their staff. And through their online portal they get real-time visibility of the status of individual and group funding, as well as staff utilization of different healthcare facilities.

The M-Tiba mobile health platform recently launched in Kenya and has already contracted over 2,000 healthcare facilities across Kenya. As well as the management of formal outpatient schemes for corporates and insurers, donors are also using M-Tiba to disburse funds to needy and at-risk Kenyans. This year, Safaricom will further roll out its M-Tiba mobile health wallet to all its customers.

Steve Chege, Corporate Affairs Director, Safaricom, said that M-Tiba platform offers a scalable solution for healthcare stakeholders to innovate around services and payments – based on M-PESA. “We’ve seen M-PESA achieve significant gains in financial inclusion for Kenyans and we think M-Tiba will achieve the same in terms of healthcare inclusion”, he added.

Gordon Otieno, CEO at Gertrude’s said, “we are excited that we can continue to offer outpatient care to our current and future employees.” “We are able to demonstrate to our Board that the costs of our outpatient scheme are sustainable and we have a robust system that promotes full transparency and accountability”, he concluded.

 

2016 Kenya Photography Awards entries open till April 30th

KPA Call for entries Poster (2)
Photographers Association of Kenya (PAK) and PAWA 254 launched the 2016 Kenya Photography Awards on Thursday, March 24, 2016.
Now in its third year, the awards will see photographers submit their photos on the Kenya Photography Awards website between March 24th, 2016 to April 30th, 2016 under 8 different categories.
The awards seek to recognize skill, talent and hard work among professionals and rising photographers in the country. Categories are: News, Sports, Nature, Daily Life, Creative, Portraiture, Most Promising Young Photographer and People’s Choice.  
“The awards will go a long way to ensure that we not only appreciate photography as an art but also support and motivate young and upcoming photographers to pursue excellence in this trade,” noted Stephen Nderitu, Chairperson, Photographer’s Association of Kenya.
Gary Knight, the awards chief judge said that last year, they got some really impressive shots.  “We will be looking for much more. We encourage all photographers – young and old to participate in this contest and let us see more and more amazing photos this year”, he added.
Below are the timelines for this year’s awards:
Submissions: March 24th, 2016 – April 30th, 2016
Judging: May 2016
Announcement of Nominees: May 30th, 2016
Winner’s announcement: June 2016

GILADLIVE Concert, April 2nd, Support youth development

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Sema, mpenzi how’ve you been? Unaendelea aje? Ama Niaje?

Unajua- Gilead.

Most of us are familiar with his hit song Unajua featuring Wendy Kimani. Originally from Israel, GILAD made his musical debut in Kenya, which he has called home for over 10 years, releasing ‘Unajua’ his first single in April 2015. ‘GILADLIVE’ will be his first public concert since entering the Kenyan music industry. This live concert to be held at the Water front lawn, Race Course, is a charity event from which all proceeds will go to support Israel For Africa’s Youth Empowerment Program in Kenya.

Israel For Africa (IFA) is a non-profit NGO determined to combine Africa’s potential with Israel’s ingenuity while following the ideal: –Tikkun Olam (in Hebrew “Repairing the World”) and Tzdaka (“charity”) to a developing part of the world that often only lacks the tools and the knowledge needed to solve many of its problems.

With an international scope of activities ranging throughout Africa, Israel for Africa was registered in Kenya on 11th March, 2010 and has its headquarters in Jerusalem, Israel and Nairobi, Kenya. The organization’s many different projects are funded by mobilizing resources from Israel to support the approach of using Israeli technology and know-how to take action and work with leaders and people of Africa to realize their potential.

IFA uses the knowledge and technological advances achieved in Israel in the fields like AGRICULTURE – green house and drip irrigation systems, medicine, education, development, water, sanitation and more to improve the lives of under privileged groups such as: Youth groups, Women’s groups, People living with HIV

The concert will feature guest artists who will perform for free as their contribution towards this initiative. Tickets are available here.

For every 50,000ksh raised, IFA supports a youth group with a drip irrigation kit that comes with everything required for a season of growing and training. Multiple IFA project funding connects Israeli and young Kenyan youth, arrange startups, exchange programs and knowledge transfer programs.

Gilad is a promoter of sustainable agriculture, an amazing artist that cuts across all age groups and has already spearheaded many life transforming projects through IFA.

Following the success of ‘Unajua’ In August 2015, the former Israeli Diplomat, GILAD released a second single ‘Sema Milele’. The song has since turned into Kenya’s ‘unofficial wedding song’.

Corporate lady profile: Dr. Kizzie Shako, 1st Kenyan female Police Surgeon.

[Photo/Elvis Ogina/Standard]

[Photo/Elvis Ogina/The Standard]

Today we feature Dr. Kizzie Shako, 34, Senior Forensic Medical Officer, mother of one and blogger. She made it to the Business Daily‘s 2015 Top 40 Under 40 women. Dr. Shako is currently the only female police surgeon in Kenya.

Dr. Shako works at the Police Surgery Unit at the Traffic police Headquarters in Nairobi. She helps in filling P3 forms among other duties. She is currently pursuing a Masters in Forensic medicine. Her work entails some aspects of Forensic Pathology- Dead body management and disaster victim identification- she however clarifies that she is not a Forensic Pathologist.

She has been in the profession since January 2010. For three years, she worked at the City Mortuary, conducting autopsies, under the supervision of Pathologists. “I have never feared cadavers”, she says. “My ultimate goal is to be part of homicide investigations”, Dr. Shako reveals.

Here is our interview with the doctor.

  1. How long does it take to be a qualified forensic doctor?

It depends on the area of specialization. But generally one needs a medical degree, which varies between 6 years or more (depends on the country) and 3 to 4 years to specialize.

There are years in between like one-year internship, and working in the field prior to specialization. It varies according to your specialization. Forensic Pathology can take 5-6 years. Clinical Forensic medicine between 3 to 5 years. There are several arms in Forensic medicine and time spent studying for each may vary widely.

2. Which course did you take in University?

I acquired a Bachelor in Medicine and Surgery. Then I went on to study various courses in Forensics. These are Forensic Anthropology, Disaster Victim Identification and Clinical Forensic medicine which I am yet to complete.

3. How many (if there are) institutions in Kenya offer related courses?

I am not aware of authorized accredited universities or colleges teaching forensic studies. I urge anyone out there enrolling in these courses to do their research first on the credibility if these institutions.

Find out who will hire you after you are through with your course. Rushing into pursuing a course without prior research, has left many in debt and jobless. (She is on distance learning program, at an Australian University.)

4. Would you happen to know the number of forensic pathologists in Kenya and how many are women? 

We have  about 15 forensic pathologists. There is only one female among the 15.

5. How many cases do you handle a day/ week? 

Oh my, very many! At the Police surgery, numbers vary with school sessions. The rate is much higher when schools are closed. However, on average, I can see about 10 Domestic violence cases though this can go up to 20. An average of 5-6 defilement cases daily, and about 40 other cases in a day. (She also attends court cases to testify as an expert witness.)

6. Do they always come to a conclusion/ Resolution or perpetrators brought to book?

Unfortunately, it is very difficult to follow up on these cases as successful prosecution requires a multidisciplinary approach.

7. How do you avoid burnout?

I blog, I train, I spend time with my loved ones and self-analyze. Ideally professionals in this field, such as police, doctors, prosecution, judges, require regular debriefing but this is not always possible. So, I have found other coping mechanisms.

I also read a lot about issues in this field, and keep busy. My favorite pass time is spending quality time with my son, family and close friends and getting alone time whenever possible.

8. How long have you been blogging and what motivated you to start the blog? 

I started in October 2015, after working with hundreds of victims. I realized that a lot of these cases were avoidable and happened because of ignorance.

I am pained listening to some of these stories and always want to ask “what were you thinking?”. I realized, these victims or some parents of victims didn’t know better. I also noticed that this ignorance cut across all socioeconomic groups.

Writing is not easy and can be quite tiring especially when multitasking, but once it is done, it is very rewarding.

11. Your mother seems to be your number one supporter, especially in blogging. Could you tell us a bit about how she has contributed in making you who you are today? 

My mother. What would I do without her? She is by far the most wonderful kind-hearted human being I have ever met. She believed in me regardless of what was going on around us or how bad the odds against me were. She speaks highly of me and made me believe in myself. If it wasn’t for her, I wouldn’t even have considered pursuing medicine, or learning to play the piano, drums and clarinet among others, or done half the things I have done with my life!

My mother is deeply involved in her children’s affairs and is always happy and ready to help us wherever and whenever she can. She is a prayer warrior, my Prayer warrior. We don’t do anything without speaking to Him (God) first! Her role in my blog is editing. I write, she proof reads and edits.

12. What advice can you give to young women trying to find their career path?

Follow your heart, follow your dream, learn to be decisive and not swayed by others. Listen to your gut feeling, that intuition is there to guide you. I have regretted many things because I didn’t listen to my inner voice. This applies in all areas of your life because one area of your life affects the others.

Remain focused on the prize. Don’t give up. Keep trying, and if you fall, get up and try again. You don’t have to take no for an answer, though there are times you need the wisdom to know when to invest effort elsewhere.

Seek a mentor to guide you through your journey in your field of interest. Be confident. Confidence makes a huge difference.

She recently featured in Citizen TV’s Strength of a Woman segment. Here is the video.

Here is the link to her blog. Dr. Shako can be reached via email, on kizzie@vunjakimya.com, her facebook page, Dr Kizzie Shako, or twitter @VunjaKimya.

16 Things to have for that Roadtrip

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Holidays are ideal for road-trips, that enable you to get away from the hustle and bustle of the fast paced daily life. To make your experience memorable, you need to be prepared. Why not get a group of friends and carpool for that road-trip?

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There are things that are essential for every successful road-trip. We give you a few suggestions here.

1. Books- You need to break the monotony of stories, games and music with some good reads. That book you have been reading and want to finish could be a good companion on this trip.
2. Water- It is advisable to keep yourself hydrated enough for optimal body cells function. You can buy bottled water for ease of consumption.
3. Snacks- You need to keep your body fueled. Pack snacks that are easy to eat on the go.
5. Tissue paper and wet wipes- You need to ensure hygiene as you travel.
6. Hand Sanitizers- You don’t need to waste water on a road-trip. a hand sanitizer would make sure you kill germs.
7. Games- These depend on your preferences. Apart from the person driving, the other people need to keep themselves busy. You can bring board games, cards, or just think of creating different bonding games that can be played while sited.
8. Blanket- You need to keep warm during the night as you drive. Ensure you pack some light blankets for your road-trip.
9. Change of clothing- Depending on how many days your road trip is going to last for, you should pack your change of clothing accordingly. Make sure you consider the weather. During hot weather, pack appropriate clothes that would ensure your comfort.
10. Good Music- There’s nothing as boring as driving in silence. Even the most talkative of people ran out of stories. So, to make sure the driver is alert, some good music is a necessity for times like these.
11. Power Banks- You are on the road and would love to stay connected to the world. Your phones may run out of power. Your cameras also may run out of charge. Which is why it is important to pack fully charged power banks.
12. Cameras- The essence of any field trip is to capture the sights and probably the sounds. You need a good camera for this very important task.
13. Extra drivers- Long distance driving can be a daunting task. You need to have at least two to three people who know how to drive, for you to swap and let each other rest.
14. Enough cash- You need to have enough money for the fuel, food or any unforeseen eventualities that might occur.
15. Trash bags- We all want to keep the environment clean. To achieve this, make sure you pack enough disposal bags for your litter. These can be then thrown at the different stopovers you make.
16. First Aid Kit- Always be prepared for the worst case scenario. Have a basic first aid kit with you to take care of any injuries.

That is our list. We would like to hear from you. What do you consider essential for a road-trip?

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A Malindi court judgement vs Kenyan Law on Defilement

Photo credit: BBC

Photo credit: BBC

I do not belong to the law profession, but posts like these make me dive to that unfamiliar territory. There’s this case that was ruled at a Malindi court on 10th March, 2016.

The Kenyan Sexual offenses act Section 8 (4) states: A person who commits an offence of defilement with a child between the age of sixteen and eighteen years is liable upon conviction to imprisonment for a term of not less than fifteen years.

8 (1): A person who commits an act which causes penetration with a child is guilty of an offence termed defilement.

Section 8 (5) states: It is a defense to a charge under this section if—
(a) it is proved that such child, deceived the accused person into believing that he or she was over the age of eighteen years at the time of the alleged commission of the offence; and
(b) the accused reasonably believed that the child was over the age of eighteen years.

The judge ruled that the accused should be let free because the minor, acted like an adult. “Having had sex from 2009- February 2011, the victim behaved like an adult and not a child who was being lured or seduced for the first time. She enjoyed the relationship and the pregnancy accidentally brought the relationship to an abrupt end.”

Now let’s put this case on context. Malindi, on the Kenyan coast is famous for its sex tourism and child pornography. As this article by the BBC states: Kenya’s coastal town of Malindi may look like a tropical paradise but is host to a hidden child sex trade. Children as young as 12 say they are being lured into prostitution and pornography by tourists willing to pay handsomely for sex in secret locations.

Yet another article by Parselelo Kantai in the Africa Report says that a culture of early marriages in the community morphed, driven by tourism, into a child sex trafficking industry.

It is cases like these that informs the work of organizations like Art and Abolition. They rescue girls who have been driven to sexual slavery due to poverty.

Back to the case. Even though children nowadays grow very fast. How can one mistake a 13 year old for an adult? In the children’s Act, a “child” means any human being under the age of eighteen years. In counseling, Children who are sexually active are referred to as mature minors. But all the same, they are still minors. I hope the case will be prosecuted accordingly.

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