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Taking Back the Lives That Tobacco Use Cuts Short: One Story from a Physician in Senegal

Posted on by Dr. Oumar Ba, Oncologist, Hôpital General Grand Yoff, Dakar
Dr. Oumar Ba, an Oncologist at the Hôpital Pricipal de Dakar, Senegal
Dr. Oumar Ba, an Oncologist at the Hôpital Pricipal de Dakar, Senegal

I went into medicine because I am passionate about helping others. I became an oncologist, a doctor who cares for people with cancer, because it gives me the opportunity to save lives and improve a patient’s health care every day. I practice in Senegal, my beautiful country of origin in West Africa. As a young practitioner, I heard all around me, “he has cancer—it is over for him—he will die,” because everyone knew that there was no available treatment. The number of oncologists in Senegal was very low; the discipline did not attract students. Oh, how many times have I heard a family say, “The doctors tell us to take our patient home, because they cannot do anything for him anymore.”

The more I practiced oncology, the more I realized the main cause of cancers such as lung, mouth, aero-digestive tract, or other cancer types was tobacco use, which is harmful in all forms and damages all body organs. I realized we needed to promote tobacco control and prevent tobacco use in order to prevent cancer.
I remember when I first started as a practitioner; one of the very first patients I cared for was a relatively young man, about 52 years old. He also was a financial supporter of his family and a highly respected member of the community. He had a beautiful family that included a wife and five children, along with three adorable grandbabies. This man smoked a lot and started smoking at a very young age. He had finally decided to see a doctor after several months of hard coughing and weight loss. The cough did not worry him at first because he blamed it on chronic bronchitis from being a smoker. Then he experienced persistent back pain and soon after he began to have more and more pain while walking, so he adapted by using a cane and taking medications. He did not go to the hospital until 6 months later when he started spitting up blood. The doctor thought he might have tuberculosis, but the tests were negative and this man was referred to me because his very first X-ray showed disturbing shadows in his lungs. Unfortunately, the tests we did revealed that he had lung cancer with metastases to the bones and spine.

I was the doctor who had to tell this patient and his family that he had lung cancer. It was my job to give him his diagnosis. I had to tell him that the lung cancer had spread to his whole body. I will always remember that the first thing he said was that he would stop smoking right away. I felt so sad that he had ever started. I explained to him that chemotherapy was possible, but the outcome was uncertain.
Since I saw this man years ago, I have unfortunately seen many other patients like him. Remarkable and strong men and women whose lives are completely cut short from tobacco use. The loss of these lives is not only a loss for these patients, but also for their families, friends, and communities. This has particularly disastrous economic consequences for my country because tobacco use kills young, economically productive and active people.

Dr. Oumar Ba and colleagues from Cameroon and Senegal discuss how tobacco use data can be used to help develop tobacco control strategies in their countries, including graphic health warnings on cigarette packaging.
Dr. Oumar Ba and colleagues from Cameroon and Senegal discuss how tobacco use data can be used to help develop tobacco control strategies in their countries, including graphic health warnings on cigarette packaging.

Over the last 10 years, I’ve worked hard to make drugs and palliative care accessible. I’ve used the tobacco control data collected as part of our 2015 Global Adult Tobacco Survey and multiple Global Youth Tobacco Surveys (2013, 2007, and 2002) to teach Senegalese policy makers about how to use tobacco control measures in our country to prevent tobacco use and improve our population’s overall health. I also have worked to help other members of the Ministry of Health use our evidence to develop programs to prevent tobacco use and save lives. I worked with all departments and the public to improve our cigarette warning labels, hoping to warn others of the fate of my patients. I also have begun to document oncology clinical outcomes that includes people who smoke in our country, to help my fellow physicians treat all patients optimally. I hope that these results will help to motivate my Senegalese compatriots to avoid smoking so they don’t become a lung cancer patient.

The 52-year-old man I saw in those early days did not live very long. Although we started chemotherapy, the disease progressed rapidly and he died within 3 months of his diagnosis. As a father myself, I know that he had worried during his last few days about his wife, children, and grandchildren being left destitute. He managed a garage that closed during his illness for lack of succession. I know he wanted to live and see his grandchildren grow up.

Tobacco continues to steal the lives of my patients and compatriots. We must work together using all the data, knowledge, and skills needed to better care for one another and save lives in Senegal and around the world by using our national tobacco control programs and by implementing the Framework Convention on Tobacco Control.

Posted on by Dr. Oumar Ba, Oncologist, Hôpital General Grand Yoff, DakarLeave a comment

Confronting the Silent Killer in Nepal

May Measurement Month volunteers screen local resident outside of a temple in Pokhara, Nepal. Photo credit: Kiran Adhikari

“We are measuring the blood pressure of many people who’ve never had their blood pressure measured before,” explains Dr. Dinesh Neupane, the country coordinator for May Measurement Month in Nepal. “When we approach people about being screened, we often hear that they don’t need their blood pressure checked because they feel healthy.” But Dr. Neupane Read More >

Posted on by Bethany HallLeave a commentTags , , , ,

Tracking Lassa Fever Across Three Countries

Tracking Lassa Fever Across Three Countries

  When a Beninese migrant worker fell ill in Nigeria in December 2017, he decided to return to his parents’ home in Togo for care. His condition deteriorated during his trip through Benin. On his trip he stopped at Tandou Health Center in Tchaourou, Benin, was attended to by two healthcare workers, and continued his Read More >

Posted on by By Lesley Chace, MPH CDC FETP Lead - Francophone West AfricaTags , , , , , ,

From Mangoes to Meningitis: A Tale of One Laboratory Scientist in Burkina Faso

Rasmata Ouédraogo Traoré

Rasmata Ouédraogo-Traoré PhD is the Chief of the Medical Analysis Laboratory of the Charles De Gaulle Pediatric Hospital, which houses the National Reference Laboratory for meningitis in Burkina Faso, and a professor of bacteriology-virology, medical sciences and pharmacy at the University of Ouagadougou. A concerned mother in Burkina Faso says to me, “I think that Read More >

Posted on by Professor Rasmata Ouédraogo-Traoré, PhDTags , , ,

Overcoming Refusals to Polio Vaccination in Uttar Pradesh, India

In 2014, WHO South-East Asia Region (SEAR) became the fourth region, among WHO’s six regions, to be certified as having interrupted all wild polio virus (WPV) circulation. India was the last country to eliminate polio in SEAR, proving that polio could be eradicated in the most challenging settings. Multiple international partners collaborated with Government of Read More >

Posted on by Alford (A.J.) Williams, Public Health Advisor, Global Immunization Division

I have seen Ebola. Now you have a vaccine.

Debut of preventive use of Ebola Virus Disease (EVD) vaccine for health care and frontline workers in Uganda before an outbreak For the first time, an unlicensed Ebola vaccine tested in clinical trials during the West African outbreak was offered to health care workers (HCWs) and other front line workers (FLWs) working in facilities bordering Read More >

Posted on by Rosalind Carter-Epidemiologist, Global Immunization Division

Readying the World for Maternal RSV Vaccine

Updated from the original posting on Vaccines Work on February 18, 2019 By getting vaccinated in pregnancy, mothers can safeguard themselves and their infants in the first few vulnerable months of life against certain diseases. This strategy is a powerful approach for reaching two stages of life often underserved by current immunization programs—pregnancy and early Read More >

Posted on by By Dr. Bruce Innis, Global Head, Respiratory Infections & Maternal Immunization, PATH Center for Vaccine Access and Immunization, and AMI Strategic Leadership and Dr. Sadaf Khan, PATH Senior Program Officer and AMI Maternal & Newborn Health Technical AdvisorTags , , ,

Promoting access to and use of clean and safe water to stop hepatitis E

GoersWindhoek

My name is Dr. Matthew Goers, an Epidemic Intelligence Service (or EIS) officer with CDC’s Division of Global Health Protection. Our division works with other countries and international organizations to respond to international disasters, disease outbreaks, and humanitarian crises. In September of 2017, Namibia began reporting sporadic cases of acute jaundice, abdominal pain, and fatigue. Read More >

Posted on by Dr. Matthew GoersTags , , ,

Thirty years of a Unique Partnership to End Polio-GPEI

chad-polio-vaccination-innovation-outbreak

In 1988, CDC joined three other partners (World Health Organization (WHO), United Nation International Children Fund (UNICF) and Rotary International to launch the ambitious Global Polio Eradication Initiative (GPEI). The world was a dangerous place with respect to polio. A case of polio occurred every 90 seconds, meaning 350,000 children had paralytic polio every year. Read More >

Posted on by Dr. John F. Vertefeuille - Incident Manager for the CDC Polio Response and Branch Chief of the Polio Eradication Branch, Global Immunization Division, Center for Global Health, Centers for Disease Control and PreventionTags , , ,

Getting to the Heart of the Matter in Latin America and the Caribbean

A blood pressure screening in Barbados raises awareness of hypertension and cardiovascular disease.

“I don’t get migraines, I don’t get dizzy spells any longer,” explains Ms. Williams, a patient at a polyclinic on the Caribbean island nation of Barbados. “It is working for me where I have no problems now with high blood pressure. Yes, I’m hypertensive, but I’m controlled.” Ms. Williams was enrolled as a patient in Read More >

Posted on by Bethany Hall, Scientific Health Communications FellowTags
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