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{
    "id": 234633,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/234633/?format=api",
    "text_counter": 24,
    "type": "speech",
    "speaker_name": "Dr. Kibunguchy",
    "speaker_title": "The Assistant Minister for Health",
    "speaker": {
        "id": 294,
        "legal_name": "Enoch Wamalwa Kibunguchy",
        "slug": "enoch-kibunguchy"
    },
    "content": " Mr Speaker, Sir, I beg to reply. (a) I am not aware that cancer of the oesophagus is the leading cause of deaths in Marsabit District. However, some of the major causes of inpatient mortality in the district include pulmonary tuberculosis, malaria, gastro enteritis, immuno-deficiencies, anaemia, neonatal sepsis and brucellosis. Based on the data from the district, suspected causes of cancer of the oral cavity and digestive system have been on the decrease and cancer of the oesophagus is classified under this category. Records show that in 2004, there were 12 suspected cases. In 2005, there were eight suspected cases. In 2006, so far there are 8 suspected cases. Due to lack of capacity for diagnosis and appropriate management of cancer in most provincial and district hospitals, some of the patients are referred to tertiary hospitals for investigation and proper diagnosis. (b) The definitive cause of cancer is unknown. It is a multifaceted disease with an array of external and internal risk factors attributed to its etiology either singly or in combination. These factors trigger or promote the development of cancer after varying periods of time for the different cancers. It can be through external factors, for example, inherited, genetic, mutation, hormonal imbalance, et cetera . (c) My Ministry has put in place the following measures to curb the spread of cancer of the oesophagus in Marsabit District:- (i) A resident surgeon has now been deployed to Marsabit District Hospital since early this year. (ii) The Ministry continues to train, update and deploy staff to the district to promote early detection and appropriate management. (iii) My Ministry established a National Cancer Prevention and Control Committee in 2005 and its mandate is to advise on the issue concerning cancer prevention and control."
}