Karachi: A public awareness seminar on “Health Problems of Sindh” was organized by Sindh Institute of Urology and Transplantation (SIUT) at SIUT Chhablani Medical Centre Sukkur.
Explaining evolution of surgical services in Sindh, Prof Ali Muhammad Ansari said health care problems should be identified corrected. He said health infrastructure should be improved and prevention of diseases should be the main goal.
He said examples of community based programs of Vietnam, Iran and China should be studied and lessons should be learned. He said Lady Health Visitors (LHV) living in the community could be appointed.
Director SIUT Prof Adib Rizvi while describing genesis of this centre at Sukkur he said a large number of poor and indignant patients visiting SIUT were from upper Sindh, lower Punjab and Baluchistan who could not afford expenses of travelling.
SIUT took the initiative and with Government-Community partnership and the doctors acting as catalysts with the focus of all three being the patient, this institution is providing state of the art and quality health care facilities to these needy and poor patients which will be extended and sustained.
Prof MA Almani described the history of medical services in Sindh. He said in 1947 the population of Sindh was only 4 million and there were only two medical colleges in Pakistan. Now population has risen to 50 million and there are 21 medical colleges. Common problems of Sindh are multi drug resistant (MDR) malaria and T.B, Typhoid, Hepatitis, Diabetes, Hypertension, Asthma diarrhoea etc. These should be addressed in a systematic way.
Renowned Paediatrician Prof Zeenat Issani said that one fourth of population is below age of 12 years. Health care facilities are not sufficient to address problems of child health. She said mobility and mortality in perinatal should be addressed carefully. Good antenatal care should be provided. Maternal anaemia is more common in our population. She said well trained mid wives can take care of these problems is community.
Prof Mashoor Alam said diabetes is common cause of end stage renal disease, heart diseases, blindness and gangrene resulting in amputation of the limbs. He said people should know the complications of this disease and they should be educated about preventive measures.
He said healthy life style includes 30 minutes daily walk and (if overweight) then weight reduction upto 7 percent may reduce chance of diabetes up to 58 percent.
Prof Ejaz Ahmed said early identification of chronic kidney diseases by screening high risk population like diabetes and hypertension at community level is possible and cheap. Tight control of blood pressure and diabetes mellitus can prevent chronic kidney disease.
Prof Manzoor Hussain said Sindh has the highest prevalence of stone diseases in the sub continent. About 50-60 percent of Urological work load is of stone disease. Of these, 9.6 present with renal failure. He said preventive measures include providing potable drinking water and increasing fluid intake, improving nutrition of children and reducing meat and salt intake.
Dr Mujahid Hassan said that the prevalence of Hepatitis B and C is quite high in this region. One in every 13 persons is suffering from either hepatitis B or C. In Sindh, the prevalence of hepatitis B is 2.5 percent and anti-HCV is 5 percent. Lack of health facilities in Pakistan may lead to chronic hepatitis, Cirrhosis and liver cancers.
He said SIUT is focusing its efforts on liver transplantation and extending efforts towards prevention through public awareness programs.
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