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All for Life
Kidney Stones may cause severe health issues by Dr Balbir Verma, Senior Consultant Minimally Invasive Urology and Kidney Transplant

The most common surgical disease affecting the kidneys in Mauritius is “stone disease” (Urolithiasis). Other diseases include cancers, infections, congenital anomalies (especially blocks), trauma and renal cystic diseases. Among the medical kidney diseases, the most common is diabetic nephropathy followed by nephritic and nephrotic disorders.”

What are the causes and risk factors of kidney stones?

“Most of the kidney stones are multifactorial in origin, wherein there is no one specific cause. A combination of dietary, environmental, familial/ genetic factors play a role. A very small percentage of stones have specific causes like hyperparathyroidism, medullary sponge kidney, renal tubular acidosis and gout.  These specific causes account for about 5% of all stones,” explains Dr Verma.

When one is affected by kidney stones, the most common symptoms, utters the doctor, is pain. “But stones can be present with bleeding in urine (hematuria), infections, renal failure and even cancer in long neglected cases,” he adds. He explains that the pain can strongly affect one’s wellness. “Pain which happens recurrently can lead to loss of work days and may require hospitalisations. Stones can have severe health issues if neglected, like severe and life-threatening infections, renal failures requiring dialysis and kidney transplant and cancers, which may be fatal.”

As from what age group can someone suffer from kidney stones?

“Though no age is immune to urinary stone disease, it mostly affects young adults and middle-aged persons. Yes, stones can affect young children, too,” he says.

Types of Kidney Stones

The most common types of stones, explains Dr Verma, are “Oxalate and Phosphate stones. Among the other types, there are Uric acid stones and cysteine stones. Practically speaking, pure stones are rare. Most of the stones are mixed stones with one or other predominant component.” When it comes to treatments available in Mauritius for treatment of kidney stones, Dr Verma states that there are various ones.

“In Mauritius, all possible modalities of stone treatment are available. Though the open surgery in the management of stones is not obsolete but currently, it’s used very rarely. Minimally invasive procedures are the order of the day. Among the minimally invasive procedures, we have Key Hole surgeries like PCNL (PerCutaneous Nephro Lithtotomy), which has been further miniaturized into Mini Perc (Mini PCNL) and Ultra Mini Perc (Ultra Mini PCNL), wherein the keyhole is further reduced to 4-5 mm which does not even require a suture. With the acquisition of Holmium LASER now, even the key holes surgeries are replaced by knife-less procedures in most of small to moderate size stones. The best part of the minimally invasive

procedures is almost no pain and discharge from hospital is within 12 hours of procedure.”

How to prevent kidney stones?

Dr Verma utters that there is no magic remedy to prevent all stones. “Those with recurrent stones should undergo a thorough metabolic workup to identify any correctable causes. In general, there are some global precautions that include plenty of liquids, avoiding red meat and shell-making sea foods.”

Kidney Infection

Kidney infection, also known as renal infection, is also a common type of infection. Dr Verma, however, underlines that kidney infections are fortunately not so common. “Most of the urinary tract infections are limited to lower urinary tract (urinary bladder, prostate and urethra). Kidney infections happen in diabetics and those having some structural (like blocks or vesicle-ureteric reflux) or functional problems (like neurogenic bladders).”

What are the symptoms of kidney infection?

“Pain, fever and frequent urination with burning sensation. Severe infections can lead to bleeding in urine and even life threatening septicaemia.” Regarding treatments available for kidney infection, Dr Verma states that the treatment of urinary infections is in two parts. “First of all, treat the existing infection with appropriate antibiotics (most scientific way is to give antibiotic according to sensitivity provided by laboratory after urine and/or blood culture) and secondly, investigate to find the cause of infection and treat it to prevent recurrent infections.” Dr Verma explains that the best ways to prevent kidney infection are “good hydration, good personal hygiene, safe sexual practices and correction of any structural or functional problem in the urinary system. Good control of diabetes.” The Senior Consultant Minimally Invasive Urology and Kidney Transplant advises Mauritians to keep a healthy kidney by being “more vegetarian, whereas non-vegetarians should avoid frequent red meats, and be well-hydrated at all times. Strict round the clock control of blood sugars is recommended for diabetics. Good personal hygiene as well safe sexual practices need to be implemented. Seek early specialist opinion at first symptom.”

 

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Wellkin Hospital is now proudly part of C-Care! - YouTube
Wellkin Hospital is now proudly part of C-Care!

Formerly known as The Medical and Surgical Centre Limited (MSCL) and part of the CIEL group, C-Care is the new healthcare network of the company, comprising of Wellkin Hospital, Clinique Darné, C-Lab and C-Clinic. With 75 years of shared expertise, dedication, teamwork and advanced technology combined with passionate care, the C-Care Family works towards attaining excellence in the healthcare sector across Mauritius.

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Le premier Groupe de Santé Privé à Maurice dévoile ses ambitions et sa nouvelle identité sous la marque C-Care

Jeudi 11 avril, Hennessy Park Hotel – Une nouvelle identité qui ouvre un nouveau chapitre pour The Medical & Surgical Centre Ltd (MSCL). Cette filiale de CIEL Healthcare et société holding de l’hôpital Wellkin et de la Clinique Darné, opère désormais sous le nom de  ‘C-Care’. C’est lors d’une soirée de révélation que les ambitions de la nouvelle marque ont été présentées devant ses partenaires stratégiques et le corps médical des deux principaux établissements de santé privés.

Assurant la gestion directe de ses établissements de santé depuis 3 mois, C-Care a pour objectif de devenir la référence en termes de soins de santé dans la région. Si la Clinique Darné et l’hôpital Wellkin continueront d’opérer de manière indépendante, l’équipe de direction de C-Care aura à cœur de travailler en étroite collaboration avec toutes les parties prenantes pour améliorer l’expérience et la prise en charge des patients tout en rehaussant le niveau de qualité des soins et services proposés. C-Care renforcera également l’accessibilité à ses services grâce à C-Care Clinic, située à Grand Baie, et autrefois connu comme Clinique Darné Nord, et C-Lab, son offre d’analyses de laboratoire. Sous cette nouvelle marque ombrelle, le groupe entend se projeter dans l’avenir et s’assurer d’une meilleure accessibilité dans la région Océan Indien et Afrique.

Commentant cette nouvelle dynamique, le CEO de C-Care, Olivier Schmitt, a déclaré : « Au-delà de cette nouvelle identité qui fédère l’ensemble de nos 1 400 employés et médecins-partenaires autour d’une vision et de valeurs communes, il s’agit également d’un engagement fort visant à l’amélioration continue de l’expérience patient. Nous adoptons une approche holistique du soin avec la notion ‘patient-centric’. Il s’agit de compléter la partie technique médicale avec celle de soins complémentaires ‘soft’. Il est de notre responsabilité d’assurer un service de qualité pour répondre aux attentes légitimes de nos patients et partenaires qui nous font confiance. Plusieurs initiatives sont d’ores et déjà en cours et nous allons poursuivre nos efforts en ce sens. »

Intervenant lors de la présentation de la nouvelle identité, Hélène Echevin, Présidente de   C-Care, a pour sa part souligné le rôle clé des médecins et partenaires. En plus d’avoir deux plateaux techniques parmi les meilleurs de la région, nous agissons aussi comme coordonnateur car nous regroupons au sein de nos établissements les acteurs clés de la santé, à commencer par les médecins, et devons faciliter le travail des uns et des autres, pour garantir un niveau de service et de qualité pour nos patients. Nous misons pour ce faire sur l’expertise mais surtout, sur une collaboration étroite avec le corps médical et paramédical, et avec nos partenaires assureurs pour ensemble améliorer l’accessibilité et la qualité de l’offre de soins disponibles à Maurice.»

C-Care reflète un engagement à long-terme en adoptant une logique d’innovation et d’amélioration continue basée sur une stratégie durable. La direction prévoit notamment des investissements significatifs au cours des trois prochaines années de l’ordre de MUR 180 millions par an. Un nouveau système informatique est en cours d’implémentation pour assurer un meilleur suivi médical et une meilleure expérience patient. Une attention particulière sera également donnée au renforcement du corps infirmier grâce à un programme de formation plus étoffé et des partenariats pour répondre aux besoins grandissants en termes d’infirmier(e)s dans le pays.

Fort de cette vision et de ces investissements, C-Care compte bien se positionner sur le marché de la santé régional. Jean-Pierre Dalais, Group Chief Executive de CIEL, principal actionnaire de C-Care, confirme cette ambition : « Les besoins en matière de santé ne cessent de grandir et nous sommes convaincus du rôle important que nous pouvons jouer à Maurice et dans la région. Au niveau des activités santé du Groupe, nous sommes également présents en Ouganda et au Nigéria, et pouvons compter sur des partenaires de confiance tels que l’International Finance Corporation, PROPARCO, IFHA-II et Kibo Fund II. Nous avons ainsi tous les atouts pour faire de Maurice un hub régional et grandir dans la région ».

C-Care en chiffres

2 établissements de santé privés

40 spécialités médicales

35 000 admissions chaque année

1 clinique de jour

1400 employés médicaux, paramédicaux et non-médicaux

263 lits

2 laboratoires

50 000 urgences chaque année

9 blocs opératoires

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All for Life
April 2, 2019: Wellkin Hospital sensitizes general public on World Autism Day

Tuesday, April 2, 2019, International Awareness Day on Autism was an opportunity to break down prejudices, increase awareness about this disease in our society. Autism affects about 1% of the world’s population and Mauritius has about 10,000 to 12,000 cases. Founded on November 26, 2009, Autisme Maurice aims to improve the quality of life of children with autism and their families and offer an educational solution for children with autism. This year we are celebrating the 10th edition of World Autism Day.

On this occasion, Wellkin Hospital participated in this international action by illuminating its building in blue, also known as “Light It Up Blue” during the night of 1st  and 2nd April.

This symbolic lighting is a sign of the institution’s commitment to the national awareness and solidarity towards the families concerned. Wellkin Hospital also provides free consultation rooms to Autism Mauritius and its members for free consultations and advice from experts in the field.

“Nearly one in 150 children is diagnosed with autism. There is no cure for autism. Nevertheless, understanding and lifelong support can help people with this disease to develop their full potential. Integrating children and adults with autism into our society is the highest priority that each of us can and must participate in.

“I thank Fondation CIEL Nouveau Regard and Wellkin Hospital for their support since the beginning of this project”, said Géraldine Aliphon, Director and Founder of Autisme Maurice.

Mauritius is the second country in the Indian Ocean after Reunion to have a diagnostic service for people with autism. SEDAM (Service d’Évaluation et de Diagnostique de l’Autisme à Maurice) is a project initiated by the association Autisme Maurice and funded by the Fondation CIEL Nouveau Regard of the CIEL Group. Wellkin Hospital also supports this project by providing free consultation rooms twice a week, allowing better management of this disability.

“Wellkin Hospital wants to provide support to people affected by autism spectrum disorders by facilitating diagnosis and management of the disease” said Olivier Schmitt, COO of Wellkin Hospital.

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Vertigo and the inner ear by Dr Yashir Peerbaccus (ENT surgeon)
Vertigo Clinic

Vertigo is a broad term encompassing a number of symptoms felt by patients. Very often the symptoms of vertigo can persist for a while before being diagnosed. During that time, the patient may have been suffering unnecessarily. Vertigo of inner ear origin is quite common among patients and the earlier the diagnosis, the better.

The inner ear has two main functions: firstly, it is by which we are able to hear and communicate with others.

The second function is as a balance organ. Each inner ear contains sensors that detect movements in all directions when we move our heads. They are very important to maintain our overall equilibrium and to enable us to walk without the fear of falling. Together with input from the eyes and the musculoskeletal system, the integration of the different sources of information is processed and used by the brain.

BPPV :

benign paroxysmal positional vertigo is a type of vertigo where patients feel a spinning sensation which can be accompanied with the feeling of falling. It can happen spontaneously or at times after a head trauma. It is caused by the displacement of crystals in the inner ear leading to vertigo symptoms. The symptoms usually do not last very long. Although medications can be used to calm down the symptoms, a specific maneuver to restore the displaced crystals in the inner ear is usually performed. Cure can be immediate when done correctly.

Vestibular neuritis:

it is a condition where there is sudden loss of function of usually part of the inner ear. It tends to happen usually in the 30-70 yrs. age group. The patient can feel very sick with severe nausea and vomiting, lasting for a while. Usually, they have difficulty walking and see the world spinning around them. Following baseline tests and further investigations, the management is usually bed rest with medications. Vestibular reeducation is proposed for the patients to improve and usually after a period of transition they tend to get back to a normal life. If not managed properly, symptoms can persist for longer, hence it is important to make the right diagnosis for optimal outcome.

Meniere’s disease:

the disease presents with episodes of dizziness together with nausea, vomiting, ear fullness and tinnitus. The symptoms are attributed to inner ear hydro’s, where there is built up of pressure in the inner ear. The symptoms can appear after long remission periods. The diagnosis is usually confirmed over a history of recurrent documented vertigo symptoms. There may be a number of triggers with stress being a common one. The management consists mainly of medications.

Vestibular migraine:

Patients usually present with symptoms of vertigo, which can be associated with nausea and vomiting. The episodes can be of sudden onset. Headache, and with intolerance to light and sound can also be present. It is not uncommon for patients to have another form of vertigo associated. For example, a concomitant positional vertigo can also be present, in which case treatment can alleviate some of the symptoms.

Other types of imbalance disorders:

There is another group which I would classify as general vestibulopathy : these are a category of patients who do not fit in the above group and complain of vertigo symptoms. Other than vestibulopathy, causes could include medication, old age, perilymph fistula, cervicalgia to name a few examples. Patients can experience one or more symptoms such as lightheadedness, feeling of walking to one side, unexplained headache with neck pain, unexplained tiredness during the day ( after exclusion of common causes), fear of walking in open space, feeling of unsteadiness, inability to wear high heels ( for ladies), avoidance of crowded areas. Symptoms can be so severe that normal life/ professional life can be disrupted. It is important to do a thorough otoneurological assessment in order to diagnose the patient. Experience in otoneurology is essential to make the diagnosis of patients as often patients get misdiagnosed and given the wrong treatment.

Having worked in the otoneurology clinic in Brussels, I have decided to offer my expertise in this field to patients attending Wellkin hospital by creating the vertigo clinic so as to ensure that they get the same level of care that one would expect to get abroad.

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All for Life
“Pregnancy & Pets. What to expect?”
Q1)How can pet animals be dangerous in pregnancy?

A) Many people consider pets as members of their families. But pets can carry diseases that can be dangerous during pregnancy. They bring diseases that can be dangerous to Mother and the fetus.

Q2)What types of pet animals can prove to be dangerous to the mother and the baby?

A). CATS – cat feces can carry a parasite that cause toxoplasmosis, an infection that can spread to human. In pregnancy it crosses the placenta and can harm  the unborn baby.

RODENTS  like hamsters, guinea pigs, mice can bring a virus called Lymphocytic  choriomeningitis virus (LCMV) that leads to an infection that can cause severe birth defects and miscarriages.

-Snakes, Turtles, Lizards and other exotic pets can sometimes carry germs called Salmonella.

– Dogs – overall don’t pose much of a health risk. But safety should be maintained.

Q3)what are health related problems that can arise when mother is in contact with pet animals?

A) Toxoplasmosis–  This is an infection often carried by cats that’s caused by a parasite Toxoplasma Gondii. Cats pass this parasite in their feces and you can get it by cleaning cat litters or touching dirt like garden soil where cats may have been. You can also get toxoplasmosis from eating undercooked meat , especially pork, lamb, or deer meat.

Symptoms may be–      Fever, swollen lymph nodes especially in the neck, headache, muscle aches and pain, sore throat If Fetus is infected, symptoms can be mild or serious. Most newborns with congenital toxoplasmosis may appear normal at birth but can develop sign and symptoms as they age. It is particularly important to check for involvement in their brain and eyes. Manifestations, if present may be prematurity, jaundice, intrauterine growth restriction, hepatospleenomegaly, myocarditis, pneumonitis, rash, chorio retinitis ,hydrocephalus,intracranial calcifications, seizures, microcephaly.

B). LCMV- You can get this virus from bites of infected rodent animals. By touching an infected animal’s urine, blood, saliva, droppings or nesting materials. By breathing in dust or droplets when sweeping up droppings or cleaning out a cage. Signs and symptoms- fever, headache, fatigue,muscle aches, nausea and vomiting, not being hungry.

C)Salmonellosis – Reptiles may carry germs salmonella . Most salmonella infection comes from food sources such as poultry, meat and eggs. But they are also linked to reptiles. Sign and symptoms – cramps in stomach, bloody stool, diarrhea, vomitting, headache, chills

Q4) What are the precautions to be taken?

A) Cats 

⁃       Ask a family member who is not pregnant to clean out the litter box every day

⁃       Keep your cat inside

⁃       Stay away from stray cats

⁃       Wash your hands thoroughly with soap and water after touching cat feces or after gardening.

⁃       Don’t feed your cat undercooked meat

B) Dogs

– don’t let your dog jump up on your belly

-if your dog has habits like biting or jumping, train him to stop doing these things before delivery.

⁃       Make sure your dog is upto date with vaccinations. Do this before delivery  ⁃       If your dog is close to you , make sure it spends more time with other family member or your partner to prepare him for changes to come once the baby is born.

C) LCMV  

– keep pet rodents in s separate part of your house

⁃       wash your hands with soap and weather after touching pet rodents          ⁃       Ask other family members to clean their cage

⁃       Keep pet rodents away from the face

⁃       Avoid contact with wild rodents .

Q5)what precautions to be taken after  delivery?

A) Keep baby and pets apart for most of the time especially when the baby is sleeping. Never let them share the bed of the baby.

⁃       Always introduce your pets slowly to the baby. Dogs are often jealous of a new born baby. Try to give it enough attention so that it feels that you still care. ⁃       Cats usually do not get jealous but they are attached to the warmth of a baby’s cot. If a child is teasing or hurting them they might scratch or bite.         ⁃       If you have gardens, keep pet area separate and use  a pooper scooper before letting your baby play in the garden.

Q6  ) How to make most of the pregnancy while still taking care of the pets?

A) Take all precautions to avoid infection. Take steps to prepare the pets for the arrival of the baby.

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Endometriosis
What is Endometriosis? 

Endometriosis is a condition where tissue which is normally located only in the womb is found elsewhere in the body, commonly the pelvis. This gives rise to bleeding at these sites at the time of menstruation causing period pain, pelvic pain, pain during sex and difficulty falling pregnant.

Symptoms of Endometriosis

• painful periods

• painful ovulation

• pain during or after sexual intercourse

• heavy or irregular bleeding

• chronic pelvic pain

• fatigue

• diarrhea or constipation (in connection with menstruation)

• abdominal bloating (in connection with menstruation)

• infertility (estimated 30-40% of women with endometriosis are subfertile)

Causes of Endometriosis :

 The cause of endometriosis remains unknown but may be due to a combination of the following factors:

• Oestrogen

• Menstrual tissue flows backwards through the fallopian tubes (called “retrograde flow”)

• Genetic disposition/Hereditary

• Environmental Influences

Diagnosis Symptoms are wide-ranging which may contribute to misdiagnosis and/or 7 to 10 years to be diagnosed.

• At present, reliable diagnosis is by performing a laparoscopy. Other tests that may be performed:

• Ultrasound

• MRI scans

• Gynaecological examinations Based on symptoms and/or the clinical signs on examination, a doctor may diagnose endometriosis

Treatments

• No known cure Treatments to relieve the symptoms:

• Hormonal Treatment (e.g. oral contraceptive pill) . 

• Surgery to remove endometriosis lesions and scar tissue.What to do? Track all symptoms that you experience during your periods on a calendar or on your phone.

• If you have any two of the previously listed symptoms, you will need to talk to a gynaecologist for a diagnosis.

• Early diagnosis and treatment help relieve symptoms and is the key to improving quality of life.

For more support, contact Living with Endometriosis
Association (LWE)

Mrs Vanessa Vencatachellum
President

lwemauritius@gmail.com

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Dengue fever

What is dengue fever?

Dengue fever is a disease caused by a family of viruses that are transmitted by mosquitoes. It is an acute illness of sudden onset that usually follows a benign course with headache, fever, exhaustion, severe joint and muscle pain, swollen glands , and rash. The presence (the ‘dengue triad’) of fever, rash, and headache (and other pains) is particularly characteristic of dengue.

Victims of dengue may have contortions due to the intense joint and muscle pain, hence the name breakbone fever.

Cause
Dengue fever can be caused by any one of four types of dengue virus: DEN-1, DEN-2, DEN-3, and DEN-4.

How is dengue contracted?

The virus is contracted from the bite of a striped Aedes aegypti orAedes albopictus mosquito that has previously bitten an infected person. The mosquito flourishes during rainy seasons but can breed in water-filled flower pots, plastic bags, and cans year-round. One mosquito bite can inflict the disease.

The virus is not contagious and cannot be spread directly from person to person. There must be a person-to-mosquito-to-another-person pathway.

What are the signs and symptoms of dengue?

After being bitten by a mosquito carrying the virus, the incubation period ranges from 3 to fifteen (usually five to eight) days before the signs and symptoms of dengue appear.

Symptoms of typical uncomplicated (classic) dengue usually start with fever within 4 to 7 days after you have been bitten by an infected mosquito and include:

High fever, up to 40ºC with chills

Severe headache

Retro-orbital (behind the eye) pain. The eyes also become reddened

Severe joint and muscle pain

Nausea and vomiting

A flushing or pale pink rash comes over the face and then disappears.

The glands (lymph nodes) in the neck and groin are often swollen.

The rash may appear over most of your body 3 to 4 days after the fever begins, and then subsides after 1 to 2 days. You may get a second rash a few days later.

Fever and other signs of dengue last for two to four days, followed by rapid drop in temperature with profuse sweating. This precedes a period with normal temperature and a sense of well-being that lasts about a day. A second rapid rise in temperature follows. A characteristic rash appears along with the fever and spreads from the extremities to cover the entire body except the face. The palms and soles may be bright red and swollen.

How is dengue fever treated?

Because dengue is caused by a virus, there is no specific medicine or antibiotic to treat it. For typical dengue, the treatment is purely concerned with relief of the symptoms (symptomatic). Rest and fluid intake for adequate hydration is important. Aspirin and nonsteroidal anti-inflammatory drugs should be avoided.

What is the outcome with typical dengue?

Typical dengue does not result in death. It is fatal in less than 1% of cases. The acute phase of the illness with fever and myalgias lasts about one to two weeks. Convalescence is accompanied by a feeling of weakness (asthenia), and full recovery often takes several weeks.

What is dengue hemorrhagic fever?

Dengue hemorrhagic fever (DHF) is a specific syndrome that tends to affect children under 10. It causes abdominal pain, hemorrhage (bleeding), and circulatory collapse (shock).

DHF starts abruptly with high continuous fever and headache. There are respiratory and intestinal symptoms with sore throat, cough, nausea, vomiting, and abdominal pain. Shock occurs two to six days after the start of symptoms with sudden collapse, cool, clammy extremities (the trunk is often warm), weak pulse, and blueness around the mouth (circumoral cyanosis).

In DHF, there is bleeding with easy bruising, blood spots in the skin (petechiae), spitting up blood (hematemesis), blood in the stool (melena), bleeding gums, and nosebleeds (epistaxis). Pneumonia is common, and inflammation of the heart (myocarditis) may be present.

Patients with DHF must be monitored closely for the first few days since shock may occur or recur precipitously. Cyanotic (bluish) patients are given oxygen. Vascular collapse (shock) requires immediate fluid replacement. Blood transfusions may be needed to control bleeding.

The mortality, or death rate, with DHF is significant. It ranges from 6%-30%. Most deaths occur in children. Infants under a year of age are especially at risk of dying from DHF.

Diagnosis

Dengue fever can be diagnosed by doing two blood tests, 2 to 3 weeks apart. The tests can show whether a sample of your blood contains antibodies to the virus. Dengue fever can also be diagnosed by its typical signs and symptoms.

How can dengue fever be prevented?

The transmission of the virus to mosquitoes must be interrupted to prevent the illness.

The prevention of dengue requires control or eradication of the mosquitoes carrying the virus that causes dengue.

People should empty stagnant water from the roof, old tires, trash cans, jars, metal drums, cisterns used for water storage, as well as discarded plastic food containers, flower pots and other items that collect rainwater for example natural habitats such as tree holes, and leaves that gather to form ‘cups’ and catch water etc.

Wear long pants and long sleeves.

For personal protection, use mosquito repellant sprays when visiting places where dengue is endemic.

Limit exposure to mosquitoes.

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Nous addressons toutes nos reconnaissances et gratitudes à l’encontre de toute  l’équipe de L’hôpital.

Tout s’est bien passé depuis la prise en charge de contact de Madagascar jusqu’à notre sortie.

Particulièrement, nous addressons toutes nos remerciement et sympathie à l’encontre de Mrs. Sooreeta pour son acceuil et son aimable attention à notre égart, nous sommes aussi reconnaissant au Dr. Isaac Daureeawo pour son professionalisme et son aimable compassion.

Nous vous souhaitons à tous le bonheur du monde surtout la santé a la prochaine pour le suivis.

Famille ANDRIATIANA

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All for Life
Kidney health for everyone everywhere by Consultant Nephrology Dr Zaher Gendoo

1.What is the situation of kidney diseases in Mauritius?
The incidence of kidney disease in Mauritius is increasing at alarming rate. At present some 10,000 people are affected with some sort of kidney disease which can lead
to kidney failure. At present 1400 patients are undergoing chronic dialysis in Mauritius.

2.What is chronic kidney disease?
Chronic kidney disease is a progressive disease, the function of the kidney deteriorate over some years to end stage failure.

3.What is end stage renal disease?
Kidney disease is characterized in 5 stages, according to extent of the damage. The 5th stage is the last where the kidney function less than 15% of the normal .This is the end stage kidney failure when replacement therapy and imminent

4.What are the common causes of kidney disease?
Most common causes of kidney disease –

Diabetes, hypertension, cardiac disease, urine infections, kidney stones etc.

5.Who are the people who are more vulnerable to the disease?
A family history of diabetes, hypertension and if there is already kidney failure in the family. Nowadays old age has become a serious problem, these has been a significant increase of kidney disease in people above 65 years of age. Obesity is also considered an important cause of kidney disease.

6.What are the different types of dialysis treatments for kidney disease?
Hemodialysis, peritoneal dialysis majority of kidney failure patient are on hemodialysis. Continuous ambulatory peritoneal dialysis is also an acceptable mode of dialysis for ageing patients.

7.Kidney disease is most often caused by diabetes or high blood pressure. How far true?
True diabetes and hypertension are the most common causes of ICD. It is estimated that 30 – 40 % of patient on dialysis are diabetic  with associated hypertension

8.What are the symptoms of kidney disease?
In early stages, there are minimal symptoms. As the disease progresses, symptoms like, general tiredness, lethargy, difficult sleep, shortness of breath, swelling of limps, decreased appetite become prominent. At end stage of the disease, patients will have difficulty doing simple daily chores.

9.What are complications of kidney disease?
Most common complications : anemia, heart disease, bone disease, gastric problem, infections etc.

10.How should people protect their kidney?
Protect your kidney by being aware of the importance of the kidney in the body. Take care of general health including proper balanced diet, less salt intake, drink enough water and avoid too much soft drinks. Regular exercises, avoid obesity. To have regular checkup, early detection & treatment is for better

11.Common myth people believe for kidney diseases?
Common myth: All kidney disease are incurable, once kidney function is affected, there is nothing that can be done. The progression of kidney disease can be slowed or arrested for certain types. Patients can remain healthy for long term if kidney disease is properly followed. Dialysis makes people more sick with is not true

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