Dr. James Nyikal

All parliamentary appearances

Entries 931 to 940 of 3161.

• 13 Mar 2019 in National Assembly: Thank you, Hon. Temporary Deputy Speaker for giving me this opportunity. I support this Motion although it urges the Government. We, in the health community, will keep on bringing these issues to the ministry, as we have always done, so that what is discussed here is implemented. May I also start by appreciating the research that was done by the Mover. I was impressed by the three types of diabetes that she mentioned. view
• 13 Mar 2019 in National Assembly: There is the fourth type that Hon. (Dr.) Gogo mentioned, neonatal diabetes; but it should not worry us. It is transient as it occurs soon after birth. The only problem we have with it is that it may be an indicator that it is in the family, and that later on diabetes may appear in that same person. So, it is probably the earliest screening but it is not in itself a public health problem. view
• 13 Mar 2019 in National Assembly: Hon. Temporary Deputy Speaker, diabetes, together with other non-communicable diseases are a major public health problem in this country. That is diabetes itself, high blood pressure, heart diseases, obesity and the associated problem of kidney failure. These are conditions which become very expensive to treat at a later stage as they require expensive equipment like dialysis machines. view
• 13 Mar 2019 in National Assembly: Unfortunately, these diseases have caught up with us in Kenya and other developing countries even before we got rid of infectious diseases or put them under control. So, such countries have what we call “double burden” of disease. We have infectious diseases like HIV and AIDS and malaria while at the same time we take up the non-communicable diseases, which are lifestyle diseases. Unfortunately, the non-communicable diseases affect fairly influential members of the society. So, unless we are careful, all the money will shift in the direction of high-level technical treatment, which is expensive – dialysis machines, heart treatment and ... view
• 13 Mar 2019 in National Assembly: Therefore, I support this Motion because it is talking about health promotion, and screening and early detection of such diseases. That is exactly what we should do. The Motion is The electronic version of the Official Hansard Report is for information purposes only. Acertified version of this Report can be obtained from the Hansard Editor. view
• 13 Mar 2019 in National Assembly: talking about the work place and the community-level but that ends up at the community. The work place is also part of the community. This is in line with the principle and policy of primary healthcare. This is the most effective way we can go. view
• 13 Mar 2019 in National Assembly: What is the best way to approach it? It is to have a national programme to take care of non-communicable diseases like cancers, diabetes, obesity and heart disease. For diabetes in particular, the programme must look at lifestyle starting with food. The worst foods are sugars and fats that are readily available. The best foods to eat are vegetables and fruits. I am also impressed by the research that has been done by my colleagues on the apple cider vinegar. Yes, they are not off the mark. The main content in apple cider vinegar is acetate acid which is known ... view
• 13 Mar 2019 in National Assembly: Cancer of the cervix screening can be done in health centers and dispensaries. My colleagues here should know that we have facilities and they should screen early for cancer of the prostrate, because it is helpful. I think this is a very important Motion. Finally, we wrote the community strategy in 2004/2005 with Prof. Miriam Were and Prof. Kaseje with support from the WHO, but it has been lying idle. However, I am happy that people are taking it up and using it. It is the only way. We are talking of UHC, but we do not have enough money ... view
• 13 Mar 2019 in National Assembly: If we use screening, promotion of physical activity and advice on food, we will be well. The best way to make people aware of this is at the community level. So then, we should use the community strategy and pay the community health workers. I am happy that some counties are trying and Ethiopia is doing it. We started with Ethiopia and they have gone a long way in reducing all these issues. So, let us have a national programme based on community strategy which will reduce our cost and make UHC a reality and affordable. I support. view
• 12 Mar 2019 in National Assembly: Thank you, Hon. Speaker. I rise to support this Report. It underlines a very important function in our country, that is, the function of regulation of professionals and regulations of the premises of professionals. The case in question, of Dr. Soni, is relatively straightforward. Dr. Soni applied for registration as an ophthalmologist, a specialist, which was rejected in the first instance. The second application was also rejected, but then was allowed in the third application. What was interesting is that it brought issues, when the third one was accepted. The last application was closely linked to an application for a ... view