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{
    "id": 1020228,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1020228/?format=api",
    "text_counter": 300,
    "type": "speech",
    "speaker_name": "Endebess, JP",
    "speaker_title": "Hon. (Dr.) Robert Pukose",
    "speaker": {
        "id": 1458,
        "legal_name": "Robert Pukose",
        "slug": "robert-pukose"
    },
    "content": "pathologist to make the diagnosis so that the oncologist can treat. The biggest challenge that we have in this country is wrong diagnosis. Many people go to hospital and the diagnosis they get is not clear, so they receive poor treatment. By the time the patient gets proper diagnosis, the cancer is at an advanced stage. You are talking about stage 3 or, if better, stage 2. So it is important that every county has a pathologist with equipment. I hope that Hon. Wanga will consider that. In the health Bill by Hon. Mishra, which we passed on Tuesday, we talked about the CS introducing policies that will actualise referral locations. For this case, we want the CS to introduce policies on standards. The role of the CS and the Ministry Headquarters is to develop standards so that we can have uniform standards within the country. This is so that the Cabinet Secretary (CS) should be able to introduce policies that will guide the training of pathologists, oncologists, nuclear physicists and all that is brought in. However, we have to actualize it through the policy so that after the training, each county must have the various cadres. This is so that these cadres are bonded so that if somebody comes from the county, you are bonded for a certain period, taken for training and after you are trained, then you can go back to give the services. Hon. Temporary Deputy Speaker, when you look at the issues of cancers you are talking about - for what is recorded, that is in the records, for both Moi Teaching and Referral Hospital (MTRH) and also in Nairobi - we are talking of an incidence’s rise of 28,000 per year. Those are only reported cases and in it you are talking of a mortality rate of around 22,000 per year, which translates to around 78.5% of those who are dying. This is even a higher percentage compared to those dying from COVID-19 because with those dying from COVID-19, you are talking about 95% healing. Moreover, those going into intensive care and whatever are about 5%. Therefore, in this case you are talking of an even higher percentage of cases that once they get cancer, you have about 78.5% mortality rates for those infected. Therefore, I think it is important that this is given a priority. In addition, with the issue of now bringing in on telemedicine, we should look at how we actualize it through the policy and it should be well guided because even if somebody is in the rural areas, that is fine. However, who is going to take the specimen for you to send it to various places and that proper interpretation to be done? I think the issue of accessibility is a very important one. Otherwise, I want to support. This is a very noble Bill. Thank you Hon. Temporary Deputy Speaker."
}