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{
    "id": 971366,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/971366/?format=api",
    "text_counter": 111,
    "type": "speech",
    "speaker_name": "Sen. (Prof.) Ongeri",
    "speaker_title": "",
    "speaker": {
        "id": 124,
        "legal_name": "Samson Kegeo Ongeri",
        "slug": "samson-ongeri"
    },
    "content": "programmes like Mwea Tabere Irrigation Scheme and Kano Plains Irrigation Scheme. Largely, these are preventable conditions. This means that if we take precautions, we can prevent the end stage renal failure. Thirdly, Malaria is a treatable condition. One of the conditions associated with kidney failure is Malaria. If we effectively eradicate Malaria, be able to take care of Malaria at the early stage, we can reduce the intensity and the progression of renal disease. If we do so and we spend 15 per cent of our national budget on health as indicated in the Abuja Declaration--- I was part of it in Abuja when the ministers of health met in Abuja, we set the bar of 15 per cent. We need to spend more money on preventive and promotive healthcare. With that expenditure, you reduce the intensity and the level of the development of kidney diseases leading to kidney failure. Mr. Speaker, Sir, when that is done, we will not need these elaborate dialysis machines. However, should that not happen, on occasional cases, and looking at the Managed Equipment Scheme(MES), one of the things that I noted as a professional is that they are fairly equipped, but you must also have hands that are properly trained since it is a very delicate operation. You cannot just walk in and out thinking that you can do dialysis efficiently. We need trained hands and proper diagnosis. Mr. Speaker, Sir, one of the times, when we wanted to know what was ailing the kidney tissue, we used to do blind biopsy. You go with a needle, locate it at the back of the patient, estimate what it is and then do a blind renal biopsy. Sometimes, it was attended with some complications. However, later on, we refined that method. I did so many of them. When I was doing the renal biopsy, we did it under what we call imagining intensifier. This is a method where you give a dye that goes through the kidney, when fluorescing and looking at it at an x-ray level, you are able to pinpoint an exact point where you want to take your tissue and be able to get the proper tissue then subject it to microscopy, either the normal microscopy or electron microscopy. If you want to be more sophisticated, tag with chromium 51 which is a fluorescing radioactive material that helps you to understand what the cells are up to. Therefore, they get the deposits. I do not want to be too technical---"
}