 Sii safari bado sigiafika, mwishio lakini, roguya safari mimi fika, kama ni kwa siiwezi tembea, lakini na uza kutoka apampa kapale na tembea, mwishkuru mu. We all have come together to address certain issues which are in today's world they are very prominent in our society and a lot of people are suffering and one of them is cancer. HGCCK cancer center is there from last 13 years in the country and trying to bring the best available technologies in terms of machine and manpower for the well-being of our community here. So I welcome all of you and today we have got Madam Fatuma. She is mother to our legendary artist, Colonel Mustafa and today she has come to us as a patient and as we will discuss we will unfold that why she is here and the other things we will discuss about it. And then we have our chairman Dr. Anu Adam Ali. He is the chairman and the founder of HGCCK cancer care Kenya. He founded in 2009. Yes that's right. We started off. We started off. So it's almost a journey of 14 years. So I welcome him also today here. And then we have Dr. Adarsh who is our resident oncologist, radiation oncologist. And we will be discussing today and he will be answering the questions if you have any. Thank you very much. So I give it to the chairman sir and then we'll take it to Colonel Mustafa and then we'll give it an open forum for you to ask the questions you have. Sir please. Thank you. As you are told that we were the first group of doctors and individuals who set up a very dedicated cancer center in the East and Central Africa region. Because we were originally involved in setting up radiology centers and then at one point the Agakhan Hospital decided to buy off our eight diagnostic centers. So then our group of doctors and investors saw the need to do something about cancer because there was only one cancer center at that time. We were at the Kenyatta National Hospital and there was an increased number of cancer patients that were being diagnosed. So there was need for somebody to start dedicated cancer center and we approached the MPSHA hospital. So they gave us a piece of land up here and that's where we set up. It took us about two and a half years to build this place and equip it. And initially it was a big struggle because we did not have the right number of cancer specialists in the country. At that time there were only four oncologists in the country and they were all working at the Kenyatta National Hospital. Once we set this thing up then we encouraged more people to take up this specialty. And I think I'm very proud to say that now in Kenya we have got more than 40 oncology specialists in the field of radiation, in field of chemotherapy and also in the surgical skills as well. So by starting this thing we did wake up the country and we are pleased that within 14 years from one cancer center now in Kenya there as many as 10 to 12 cancer centers that have come up. The government has also put as many as about six of these and the rest of them are with the private sector. And the journey through the cancer is very difficult because all the three forms of treatment whether it's surgery, it's chemotherapy or radiotherapy is very expensive and also needs expertise in this thing. So but we had to start somewhere and we started and as I said that now we have got as many as 12 cancer centers and also over 40 specialists. So and we are very pleased that we were able to initial stages when there was a lack of local men power. We were able to get somebody from India and about 80 years ago we were also very fortunate to tie up with the HCG group of India's cancer center. In India the healthcare global is the biggest private medical facility. They have got as many as 24 cancer hospitals in India and we are fortunate that they have partnered with us and now they are part of us here in East Africa. So we were very fortunate that we had a solid group of Indian facility that has joined us in fighting cancer in this part of the world. I think Dr. Aadash is one of the senior cancer specialists and we recruited him about 8 years ago, 8 years from India and over the period of time now he has grown up with us and he is one of the top most cancer specialists with us up here. I will introduce you, I will put you to Dr. Aadash to say a few words. So I am Dr. Aadash, clinical oncologist here. So I have around 10 years of experience in handling cancers, both chemotherapy and radiation. So I am here since last 2016. So I deal with all solid and as well as lymphomas malignancies. I deal both chemotherapy and radiation. My special area of interest is advanced radiation techniques like IGRT and now SBIRT also. So maybe Mr. Fahil will take you. Thank you Dr. Aadash. So now I think we have just given you the brief of what HCG, CCK cancer kiakinia is and there must be some questions in your mind that you know today why we all are here and there is something we just want to tell and I think instead of me saying anything anymore I would like as Dr. Aadash has mentioned would like to hand it over to Colonel Mustafa. Yeah, yeah, yeah. First of all I want to thank you, HCG, CCK because a center for the love and support and for being with us. Yeah. And to, you have agreed to tell my mother to treat my mother, to cater for my mother. It's a miracle. I said it before the other day. It's a miracle what you're doing to me, my mother and all of East Africa. You're in my heart. I love you so much. It has been a long journey. We've been suffering a lot, we've been crying a lot but finally we've come through. It started like in 2021 the lymphoma cancer, she has a lymphoma cancer so since that time she has not feeling well. So she has been suffering a lot. She has gone through a lot of pain. She was crying, she could not walk. That night she was crying. It was bad. So thank God for the love and support from HCG, CCK, Kaza Center. It's the best, it's the best for the cancer in South Africa. They have the best machine so the patient don't have to travel upward for the treatment, Kaza treatment. We have the best doctors here, best machines so we can be treated here. Thank you very much. I have some questions. Anything you want to ask? We started somewhere else. Then we came here after we spent all the money and the treatment and we came here and we came here and we came here and we came here and we came here and we came here because we spent all the money and the other thing came so we didn't have anywhere to go. So we got a call from here so we came we told them what we had been going through and then decided to help us. That's all. I have some questions back. I think Adriana needs to be with you but she also asked you whether you were running on maybe seeking medical attention from outside the country and of course here we have I would say expectation of you and my question to Mr. Chairman first of all of course this has been a mission effort what would you tell me because in most cases you find that anytime you hear about pills I guess many people are thinking of seeking medical attention I would want you to answer this. Thanks a lot. So the reason being I think the one of the major reason is not the cost I would say yes we are here when we came to know that Khalil Mustafa mom needs a medical attention and of course there are some other reasons so we were there for him we got in touch with him and we said right we will come and we will help you and we will be there with you for rest of the journey. Now when it comes to people travelling out of the country so I think this is a very important thing which you have mentioned it's an important question you have picked reason being today the treatment which we are going to start with mom is right now only available at CGCK at this place the type of radiation we are talking because the machine which we have recently got installed last year we are the only one right now even if you talk of Kenya East Africa Central Africa or West Africa this is the only machine and this is the only place where this technology is available and the type of radiation we call it image guided radiotherapy IGRT that is what we are going to do beyond that now when you have mentioned it let me just put some more light on it is with this machine we have now we will in a position where we can do IGRT we can do VMAT we can do SRS we can do SBRT now these are the surgeries and I know these are few medical terms but those people who comes and who works in the field of oncology or in medical field the doctors they are well aware of these type of treatment and these treatments are available today as I am talking in Nairobi at CGCK Cancer Center before that like six months before when we started anybody who needs to go for these treatments has to go out of country wherever they go overseas to any other outside Africa in Africa I can say it is only available in South Africa and in Egypt we have been to that room and I have a question because you stated that it is only the machine in the express available in this post virtual in Kenya, East Africa, Central Africa has it been over when maybe you are getting a lot of questions coming in because maybe it is not available somewhere else and maybe because of traveling out of the country so much so yes it has started the way as you have mentioned because we have also the machine has reached up to it is not its capacity we have a capacity where we can treat more than 120 to 130 patients in a day so machine is not yet up to its capacity but when we talk of capability we are at the highest capability of the machine where we can use the high end technology today if somebody needs to go to get a treatment somewhere in globally maybe in any part of the other side of the west so those technology surgeries treatment are available with this machine this is our 2 questions can you explain in simple words the type of cancer that mom stop ahead and can you confirm to ask maybe for the people watching is she new completely she can continue with her daily life from now on so okay I would like to give this question to Dr. Adarsh mom had a type of cancer called lymphoma so it's one of the hematological tumors which affects multiple sides the treatment mainly involves chemotherapy which she did already around 8 cycles it was a quite big tumor as which was in a critical area location in abdomen which affected the movements daily activities as well as as told it's walking and everything so now she has responded well to chemo and there is around 3 cm of the tumor which is left which we are addressing with the radiation so now she has finished chemo as per now so whatever the tumor left is we are addressing with the radiation we call it as consolidation radiotherapy we are addressing that tumor the left over tumor with the radiation so we are using a technique called IGART because of the location of the tumor so it is just next to the kidney kidneys and below the liver so where we have a lot of vital structures so it's important to use a very good technique so we are using a technique called IGART which is image guided radiotherapy so which is very focused and we can avoid radiation to the surrounding structures like kidneys the advantage is good outcome with very less side effects thank you for the question this facility is already accredited by national health insurance fund so we are treating patients under NHIR with the current technologies we have just mentioned we have already submitted our documents and we are in a process of getting these prizes to be incorporated in our existing agreement hopefully we are expecting as per the communication this month so from way forward from this month we will be in a position where we can we will be treating all the kidneys and that is what our motto is bringing the world class technology at the door steps IGART it's covered IGART is already covered we are getting the support and SRS and SPRT is what we are waiting for so as we have mentioned earlier also whatever treatment she is getting here we are not charging anything it's completely free other than that what you just experienced was like there are some things that once people is no more IG and cancer that may be for lack of information that may be explain for your work history and how you are going to be taking in the view of the person will you explain the information that may be for lack of information for the journal masses and in talking in layman language I can only say is that we are we are not a journal hospital multi speciality hospital we are only single speciality hospital we only cancer we do the treatment we not only diagnose but we also do the treatment and the aim is to cure the patient we are pioneer as we have already mentioned in treating in bringing the technology manpower machines through the center and my single message would be to all our fellow Kenians would be is we are here for cancer so anybody any time you know if you have any doubt in your mind whether it is a diagnosis or it is a diagnosed case please come to us we are here to help you we are here to help the patient our pain is we don't want to pain our pain is kizunguzungu, kizunguzungu kimi Asia na Sita Piki na Kula Kidogo na weza ta kutembea, tuwanda edita, tuwanda shkulu, sada nili kwa, tata kukasi weze. Kusali? Tata kusali kwenyewe nili kwa nasali nimelala, siwezu kuka. Akini sasaivi na uza kukaivi kwenyewe. Kiti ataka onye nasa mawili. Na zaman yata sekundi moja ni kwa siwezu kusubutu kukaivi. Na shkulu mongu sa. Safari mianza, tu miko tu kiongeya for almost one month evi, kutiti kwa tumikutu, time tu kwa menefi kia kukuja, kusikutu nanguja timo therapy ama ishe. Mungu tu kukuja tuwanze. Tu me shafa nia. Treatment tu nanze leo, radiotherapy, ambaita tiku wa muda piya. Tu miko tu ki kukuja. Na tuku tu ki kukuja apaya for therapy. muna mawa tuna itaji piya, sotu tapata piya kutoka apa sotu mekotiki kuja, one month, tu mekotiki kuja, bentu kanzaku kuja, for the past two weeks tu mekotiki kuja zahidi. Mi. I would love to know maybe the cost of the machine. Okay. The cost of the machine, I will tell you in maybe in dollars because the exchange rate keeps on fluctuating. So it is approximately 3.5 to 4 million yen. 3.5 to. It is approximately between 3.5 to 4 million US dollar. And it's not only the cost of the machine, what matters is the man behind the machine and then to keep the technology updated. So there are so many other operational costs associated with it. So overall if you see, yeah. But the focus is we are not looking into that cost of it. Majorally we just want to fill the gap. And the aim is not to take, the patient should be treated right at their home, at their doorstep, and not be any need of people travelling outside the country. And the most important thing is not only the oncologist that is involved in the management of this patient. It's a whole team of people who are nurses, they are physicists, they are treatment planners. So it's a huge team of people who are involved in giving the treatment that she is getting. So far they are working here. And we say that he is one of the colleges who have been here for the past 8 years. And we are wondering, you have said that there are 10 to 12 stations cancer care in Kenya. Is there something that should be done maybe to add more colleges or how is this, how is the cancer surgery right now? Is there a shortage of oncologists or is the number okay right now? And the fact that right now we have 10 to 12 cancer centers. From what we know there are a number of Kenyans being trained overseas in Egypt and I think a couple of them in India as well. But the good thing is the University of Nairobi has also started a postgraduate program in training cancer specialists. They started this about 4-5 years ago. So very soon now we'll see local training of cancer specialists in the country. We get others from other countries or we suggest to it for that vision for people to be trained and then you need to be concerned about them. Again it's very important others not to let people get other people from other patients from all countries. I think others probably would be able to answer that. Do you need more people as oncologists in the country? Yeah, the need may be there. So we will be requiring compared to the patients among the incidents and everything the number of oncologists is less here. My question is very much touched in your family as doctors or patients who come to the facility and are aware they have cancer but these patients also have a family in Nairobi. What message would you like to tell the Kenyan family what should they do to support their cancer patients? So my thoughts are quite clear. The thing is awareness about the cancer and its treatment options, facilities and there is a myth that cancer is a death sentence because we have