Tag: Medical

How China is redefining medical science and services

Posted on By Sino Uganda Research Centre

By Ernest Jovan Talwana

China prides as one of the most ancient medical civilisations with astonishing accomplishments in traditional herbal remedies. It is also now home to the sharpest cutting-edge biomedical research industry. China’s regular advancements in medical science discoveries are a great promise for the improvement of global health.

Chinese scientists at universities and health agencies tirelessly research the causes of illnesses, prevention measures and cures. They have even discovered efficient treatments for tropical illnesses like malaria while using traditional Chinese medicine.

Several conditions make China a conducive country for wide scientific research and innovation. Being a densely populated country, China has the opportunity of having a diversity of demographic spread across diverse terrains. This implies that its medical evolutions have to cater for a multitude of residents from several geographical spreads. As such, when they make a discovery, it can more easily correspond to the medical needs of other countries due to the inherent breadth of tests and applications (such as different disease patterns, diets and lifestyles) such medicine would have undergone before being approved.

The strides the country has made in public health have seen it nearly double its people’s life expectancy in less than fifty years, with their life expectancy now standing above 78 years. One of the major determinants of life expectancy is lower infant mortality. By 2023, China’s infant mortality rate had dropped to 4.5 per 1,000, meaning out of 1,000 children born in China, less than five are likely to die. Additionally, the mortality rate among children under five years was 6.2 per 1,000. On the other hand, the maternal mortality rate decreased to 15.1 per 100,000, meaning only 15 out of 100,000 women are likely to die while giving birth in China. In contrast, about 16 women die in Uganda per day while giving birth!

In recent years, China has produced peerless achievements in medical science and technology. This has contributed not only to the expansion of the frontiers of global scientific research but has also improved social conditions for humanity.

China has invested substantially in expanding health infrastructure. It has nearly implemented universal health insurance coverage for its huge population. The country has also promoted equal access to public health services by establishing a national essential medicine system. This has fundamentally improved the accessibility of health services.

One of the most inspiring aspects of China’s healthcare system is how it has achieved better health outcomes with less input. Few countries in the world have been able to do this, such as Cuba in South America and in Africa, only Rwanda.

However, with the Chinese population over the age of 65 at about 140 million, China has started to experience the challenges of other higher-income countries. With higher economic growth, fast changes in consumption patterns of its citizens have led to lifestyle diseases, hence demanding an increased expenditure on health care. However, regardless of these emerging needs, it cannot be forgotten that it took rich countries twice the length of time it took China to achieve the same gains in public health care.

In redefining medical science and services, China promoted a people-centred integration of care (PCIC) to ensure that the health system places more emphasis on people’s needs. It has been deliberate about its capital investment decisions by reinforcing and strengthening primary health care (PHC) so that the population can obtain access to affordable health anywhere and at anytime.

China’s health sector is one of the fastest growing globally. Chinese corporations such as Huawei are setting higher standards in digital health innovation. For instance, one of Huawei’s latest innovations is the HUAWEI TruSense System, which promises to bring accurate health tracking that has the potential to improve the health of many people across the world. It has exported over 150 million wearable devices, with over 520 million users of its Health app.

It is beyond doubt that medical science is among the highest achievements of the human race. By contributing to its advancement, China is advancing not just the treatment of disease but raising the measure of what humankind is capable of. From mastering rapid genome sequencing which saw Chinese scientists release the genetic sequence of the coronavirus in as fast as 10 days, to inventing neurosurgery robots that can fluently perform minor invasive surgeries; from building Cloud-based hospitals to ease setting appointments; obtaining referrals; and getting treatment for citizens, to performing safe surgeries using 5G-operated medical machinery, China is redefining what we think is possible in medical science and expanding the means of providing medical services. We should not just look by as Africa, but learn and catch up!

The author is a research fellow at the Development Watch Center.

 

 

 

How China is redefining medical science and services

Posted on By Sino Uganda Research Centre

By Ernest Jovan Talwana

China prides as one of the most ancient medical civilisations with astonishing accomplishments in traditional herbal remedies. It is also now home to the sharpest cutting-edge biomedical research industry. China’s regular advancements in medical science discoveries are a great promise for the improvement of global health.

Chinese scientists at universities and health agencies tirelessly research the causes of illnesses, prevention measures and cures. They have even discovered efficient treatments for tropical illnesses like malaria while using traditional Chinese medicine.

Several conditions make China a conducive country for wide scientific research and innovation. Being a densely populated country, China has the opportunity of having a diversity of demographic spread across diverse terrains. This implies that its medical evolutions have to cater for a multitude of residents from several geographical spreads. As such, when they make a discovery, it can more easily correspond to the medical needs of other countries due to the inherent breadth of tests and applications (such as different disease patterns, diets and lifestyles) such medicine would have undergone before being approved.

The strides the country has made in public health have seen it nearly double its people’s life expectancy in less than fifty years, with their life expectancy now standing above 78 years. One of the major determinants of life expectancy is lower infant mortality. By 2023, China’s infant mortality rate had dropped to 4.5 per 1,000, meaning out of 1,000 children born in China, less than five are likely to die. Additionally, the mortality rate among children under five years was 6.2 per 1,000. On the other hand, the maternal mortality rate decreased to 15.1 per 100,000, meaning only 15 out of 100,000 women are likely to die while giving birth in China. In contrast, about 16 women die in Uganda per day while giving birth!

In recent years, China has produced peerless achievements in medical science and technology. This has contributed not only to the expansion of the frontiers of global scientific research but has also improved social conditions for humanity.

China has invested substantially in expanding health infrastructure. It has nearly implemented universal health insurance coverage for its huge population. The country has also promoted equal access to public health services by establishing a national essential medicine system. This has fundamentally improved the accessibility of health services.

One of the most inspiring aspects of China’s healthcare system is how it has achieved better health outcomes with less input. Few countries in the world have been able to do this, such as Cuba in South America and in Africa, only Rwanda.

However, with the Chinese population over the age of 65 at about 140 million, China has started to experience the challenges of other higher-income countries. With higher economic growth, fast changes in consumption patterns of its citizens have led to lifestyle diseases, hence demanding an increased expenditure on health care. However, regardless of these emerging needs, it cannot be forgotten that it took rich countries twice the length of time it took China to achieve the same gains in public health care.

In redefining medical science and services, China promoted a people-centred integration of care (PCIC) to ensure that the health system places more emphasis on people’s needs. It has been deliberate about its capital investment decisions by reinforcing and strengthening primary health care (PHC) so that the population can obtain access to affordable health anywhere and at anytime.

China’s health sector is one of the fastest growing globally. Chinese corporations such as Huawei are setting higher standards in digital health innovation. For instance, one of Huawei’s latest innovations is the HUAWEI TruSense System, which promises to bring accurate health tracking that has the potential to improve the health of many people across the world. It has exported over 150 million wearable devices, with over 520 million users of its Health app.

It is beyond doubt that medical science is among the highest achievements of the human race. By contributing to its advancement, China is advancing not just the treatment of disease but raising the measure of what humankind is capable of. From mastering rapid genome sequencing which saw Chinese scientists release the genetic sequence of the coronavirus in as fast as 10 days, to inventing neurosurgery robots that can fluently perform minor invasive surgeries; from building Cloud-based hospitals to ease setting appointments; obtaining referrals; and getting treatment for citizens, to performing safe surgeries using 5G-operated medical machinery, China is redefining what we think is possible in medical science and expanding the means of providing medical services. We should not just look by as Africa, but learn and catch up!

The author is a research fellow at the Development Watch Center.

 

 

 

Revolutionizing Cancer Diagnostics with Urine and Blood: China’s Story

Posted on By Sino Uganda Research Centre

By Dr. Ham Wasswa M.

The world of cancer diagnosis has witnessed a paradigm shift in the way cancer is detected and diagnosed. Traditional methods such as biopsy of tissue and costly imaging have dominated the medical world for a longtime.

However, the emergence of innovative techniques and the integration of cutting-edge technology have redefined the field. One such game changer is Targene Biotech Company in Huangpu district, Guangzhou, China which I and a team of the Development Watch Centre researchers visited during a seminar on Chinese Modernization and China-Africa Joint Development which was organized by China-Africa Institute (CAI). Targene Biotech, a pioneering and budding Chinese company is at the forefront of cancer diagnosis using urine and blood.

Cancer is a global health concern ravaging millions of lives every year especially in Africa. According to the World Health Organization (WHO), cancer is the second leading cause of death globally killing nearly 1 in 6 persons and approximately 70% of these deaths are from low- and middle-income countries.  The early detection therefore is very vital for successful treatment and outcome of the affected. The approach used by Targene is poised to transform the landscape of cancer diagnosis to make it more accessible, non-invasive and economical. Targene’s work holds a promise for the future where early cancer diagnosis is within reach for all. The incredible work at Targene Biotech is in tandem with WHO’s two components of early detection that is; early diagnosis and screening.

Targene Biotech Ltd., is the brainchild of Mr. Shao Jian Yong who is the current President and Chief Scientist of the company. He recognized the need for less invasive methods and cost-effective means of diagnosing cancer. He therefore set out with a team of researchers to explore the power of liquid biopsy especially urine and blood to detect cancer in its early stages. The concept of this biotech company is ingenious: cancer cells shed DNA fragments into bodily fluids carrying with them genetic information about the tumor. By analyzing these DNA fragments, scientists at Targene are able to identify specific cancer mutations and alterations associated with different cancer types including urinary bladder cancer, colorectal, cervical, liver, prostate and esophageal cancers. All that is needed is circa forty milliliters of urine sample to detect one of these cancers.

The advantages of targene’s approach includes but not limited to; First, non-invasive; traditionally, biopsies have been done and they are very painful. For example, the bone marrow biopsy. Targene’s method being entirely non-invasive, patient is free of pain requiring only a blood and or a urine sample. This without doubt, reduces patient discomfort and associated complications.

Secondly, early detection; targene’s tech is highly sensitive, capable of detecting cancer at its earliest stage when treatment can be most effective and survival rates higher. A 95% survival rate has been reported if detection is done early among the cancers mentioned.

Thirdly, by identifying specific genetic alterations, this allows for treatment to be tailored individually to their unique cancer profile; and the fifth is that the method being used by Targene is cost effective compared to the costly traditional imaging and invasive biopsy picking.

The clinical impact of Targene’s approach cannot be underestimated as the ability to diagnose cancer at an early stage is crucial since this often times leads to better treatment outcomes and for the most part, complete remission of the cancer. This minimally invasive approach makes it easily acceptable and accessible to a larger population. Early diagnosis is relevant in all settings and in its absence, patients are diagnosed late when curative options may not hold much water.

Targene’s technology has showed significant promise in detecting a wide range of cancers including breast cancer, cervical cancer, esophageal cancer, prostate cancer and liver cancer which are very common in our Motherland-Uganda. Cervical cancer is the leading cause of cancer in the African region accounting for 22% of all female cancers and 12% of all newly diagnosed cancers. This method is especially suitable for such cancers that are notorious and often asymptomatic in their early stages.

It goes without saying that Targene’s future is a bright one as well as other partners that will get on board to explore this game changer in the field of cancer diagnosis. Despite this, there are some hurdles that Targene has to jump to be able to achieve successful outcomes. As with any emerging technology, standardization and validation are crucial ensuring that the method is consistent and delivers accurate results. Technology must undergo rigorous regulatory approval processes in areas where it will be embraced and considered. Collaboration with health authorities comes in handy in this case. Affordability and accessibility for a wide range of patients remains a valid concern especially in Africa where economies are just developing. Achieving the highest level of sensitivity and specificity is essential to minimize false positives and false negatives. Amazingly, the chief researcher at Targene, Mr. Binjie Xu, reported that the sensitivity of this cancer diagnosis method is at 95% while the specificity at 89%. Despite these challenges, the future prospects are promising with potential for early diagnosis to become a standard of care in our oncological practice so as to have better outcomes. Since 2012, China set up policies on early cancer diagnosis and the goal was to reach about 60% early screening rate amongst its population. This was only slowed down by the COVID-19 pandemic. However, there is no turning back and Targene reports show that there is steady progress to achieve this target by 2035.

The clinical impact of Targene’s cutting edge technology is very vital for cancers like liver cancer, bladder cancer that are often diagnosed late and hence poorer outcomes. However, the field of cancer detection using non-invasive methods faces challenges as mentioned above. Nonetheless, Targene’s future is bright and will even be brighter if African nations partnered with her so as to have better clinical outcomes for its people. For Uganda, the journey could start with the Uganda Cancer Institute benchmarking at Targene Biotech in China so that together, we continue efforts of building a community of shared prosperity for future of mankind in the new era of cancer diagnostics.

Dr. Ham Wasswa M. is a medical doctor and a Research Fellow at the Development Watch Centre.

Email: hammatovu@hotmail.com

 

Building A Prosperous Society of People Free From Toil And Want: Lessons From China

Posted on By Sino Uganda Research Centre

The government of the People’s Republic of China began to work for a moderately prosperous society, one they called xiaokang in 1980. This was a fight against poverty with aim of achieving decent life and improvement of human rights in the country. The major aim wasn’t necessarily being rich but so that the people are free from want and toil. The Chinese Communist Party of China (CPC) and the government basically wanted the people to have peace, stability and happiness.  They pushed for growth in all aspects of economic development whilst leaving no individual element like social, economic, cultural etc lacking.

It didn’t come with their hands folded, they had to input a lot which can be as well be emulated by developing countries like Uganda. Interestingly, 770 million people below China’s poverty line have been raised from poverty. Indeed, in February this year, Chinese president, Xi Jinping announced that the country had eradicated extreme poverty one of its main objectives in the last twenty years and stressed that “complete victory” that would “go down in history” had been realized. “According to the current criteria, all 98.99 million poor rural population have been taken out of poverty, and 832 poverty-stricken counties as well as 128,000 villages have been removed from the poverty list,” noted president Xi.

All the above happened 10 years ahead of the projected time of 2030 by the UN. For anyone interested in learning, the first lesson would be the possibility of this seemingly impossible venture with China as the evidence to its feasibility. Most of the problems China had then are the ones many developing countries like Uganda face now. Its therefore more logical for us to implement solutions that have been tested and trusted to work elsewhere other than going about experimenting as this would waste resources and time without guaranteeing outcome.

Foremost, the government has put advancing its people’s rights above everything else. All the people enjoy their human rights, with equal opportunities and the rules affect all the people equally. The people are not favoured nor marginalised on grounds of ethnicity, gender, race, color etc. Also, Beijing fronted rewarding merit (meritocracy) other than kakistocracy. As a result of this, government’s programs are realised as set and the people are unified, patriotic and are willing to work together for the better of the whole country. This is a step several developing African countries can look at and incorporate it into their systems.

According to this month’s official document issued by China’s State Council Information Office entitled; “Moderate Prosperity in All Respects: Another Milestone Achieved in China’s Human Rights,” the government of China offered free compulsory education for its citizens. All primary and secondary schools can access the internet, financial aid has been offered to over 150 million students. There is also a system where those who drop out of school are identified and helped back into school. in developing countries like Uganda, very few and lucky people can afford to pay higher institutions tuition with easiness which has increased on number of those dropping out of higher institutions before completion. Such challenges can be addressed by government waiving tuition or and or textbook fees to reduce burden parents and students face.

China also put-up special teaching posts in villages to ensure that university graduates got to teach in the rural areas. Though such arrangements are in place her – hard to reach areas, strengthening them will see developing countries like Uganda ensuring  that the students in rural areas also acquire a good quality education. Remarkably, China has over 3,000 public libraries where scholars can access reading materials that may not be in their school libraries. Uganda has only of which very few are well stocked.

China has put up places where people can go and do exercises, encouraged the people to do them and has also educated the mases on good nutrition. They have also promoted preventive services like cardiovascular screening and cancer screening. China’s rural areas have access to basic medical insurance. This ensures that the people don’t sell their belongings or die as a result of failing to access medical care. China has also made rehabilitation services generally available for the disabled and mentally ill. During this pandemic, they have pulled numerous resources to build 1000 and 14000 bed health facilities in 10 and 12 days respectively. They have made efforts to vaccinate all the people and on top of offering free treatment for COVID-19 patients. China’s commitment to the health of their citizens has had their life expectancy increasing while most of the world especially in developing countries is decreasing. If Uganda could borrow the whole tree (apparently a leaf might not be enough), we would have reduced mortalities and the unending challenges like strikes of health workers would be history.

China built an agrotechnology system that has greatly improved their productivity. Uganda being an agriculture-based country could benefit umpteen times from such a system. In China, the right to be free from hunger is guaranteed by the nutrition improvement program for children in poor areas and people having access to food through poverty alleviation. China has also ensured safe housing for the poor and put-up programs such as renovation of rural homes. If replicated here, Uganda would as well greatly benefit.

To address the problem of un employment, China has put up 45,800 employment agencies. Though Uganda is trying with programs like skilling youth, extra efforts will help make a big difference.

China has also strengthened the legal protection of human rights and increased the public awareness of the constitution and the law. Consequently, many people understand laws governing them and as they enjoy their much-protected human rights, they also understand what is required of them and hence, many are patriotic and always work to defend interests of their country which is key for development to take place.  Most Ugandans don’t even know their rights or even the constitution. China has as well put-up internet-based government services, the public supreme court has publicized judicial protection of private enterprises. All these have in a way led to the achievement of the desired goals and arguably, all Chinese have peace, stability and happiness which is key for a holistic prosperous society. Perhaps, developing countries like Uganda should embrace such, we shall be on wheels swiftly moving towards a xiaokang too.

Dr. Joseph Nyero is a Ugandan medical doctor and a research fellow at Sino-Uganda Relations Research Centre.