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A New Approach in Eliminating Avoidable Blindness. | Dennis Nkanga | TEDxCalabar


[Music]

[Music] so I came round

so I came round

so I came round [Music]

I had expected I would talk to you for

I had expected I would talk to you for 20 minutes and if we had 20 minutes I

20 minutes and if we had 20 minutes I

20 minutes and if we had 20 minutes I have less than that noun by the end of a

have less than that noun by the end of a

have less than that noun by the end of a 20 minute talk 1220 people will be blind

20 minute talk 1220 people will be blind

20 minute talk 1220 people will be blind in our world because as you may know

in our world because as you may know

in our world because as you may know every second somebody goes blind every

every second somebody goes blind every

every second somebody goes blind every minute a child goes blind of the over

minute a child goes blind of the over

minute a child goes blind of the over five hundred and twelve thousand

five hundred and twelve thousand

five hundred and twelve thousand children who will go blind in 2016

children who will go blind in 2016

children who will go blind in 2016 half of them will not live to see their

half of them will not live to see their

half of them will not live to see their next birthday some will be killed by the

next birthday some will be killed by the

next birthday some will be killed by the same condition that caused the a

same condition that caused the a

same condition that caused the a blindness others will be killed because

blindness others will be killed because

blindness others will be killed because we don’t have an inclusive society our

we don’t have an inclusive society our

we don’t have an inclusive society our people don’t know how to take care of

people don’t know how to take care of

people don’t know how to take care of the blind for those who survive their

the blind for those who survive their

the blind for those who survive their blindness especially in developing

blindness especially in developing

blindness especially in developing countries like Nigeria when nine out of

countries like Nigeria when nine out of

countries like Nigeria when nine out of every ten blind person lives life can be

every ten blind person lives life can be

every ten blind person lives life can be held if an adult goes blind a child

held if an adult goes blind a child

held if an adult goes blind a child drops out of school to lead the blind

drops out of school to lead the blind

drops out of school to lead the blind adult to learn to bathe every day this

adult to learn to bathe every day this

adult to learn to bathe every day this child struggle with hopelessness many of

child struggle with hopelessness many of

child struggle with hopelessness many of them have lost their youth you will see

them have lost their youth you will see

them have lost their youth you will see Sylvia leading the father on the next

Sylvia leading the father on the next

Sylvia leading the father on the next slide let’s point to Sylvia you will see

slide let’s point to Sylvia you will see

slide let’s point to Sylvia you will see the swelling on her face that swelling

the swelling on her face that swelling

the swelling on her face that swelling on her face is not the Mac of the beast

on her face is not the Mac of the beast

on her face is not the Mac of the beast it is the beginning of the next

it is the beginning of the next

it is the beginning of the next generation of blindness that is an audio

generation of blindness that is an audio

generation of blindness that is an audio caused by the microfilaria warm on

caused by the microfilaria warm on

caused by the microfilaria warm on Kousaka volvulus river blindness and

Kousaka volvulus river blindness and

Kousaka volvulus river blindness and that has caused the blindness of many

that has caused the blindness of many

that has caused the blindness of many people Cross River State is an endemic

people Cross River State is an endemic

people Cross River State is an endemic community for river blindness

community for river blindness

community for river blindness but the good news I want to share with

but the good news I want to share with

but the good news I want to share with you is that fortunately little Silvia

you is that fortunately little Silvia

you is that fortunately little Silvia will not have to live with blindness the

will not have to live with blindness the

will not have to live with blindness the pharmaceutical giant makes sharp and

pharmaceutical giant makes sharp and

pharmaceutical giant makes sharp and dome as corporate social responsibility

dome as corporate social responsibility

dome as corporate social responsibility donated medicine freely for the world so

donated medicine freely for the world so

donated medicine freely for the world so that we can prevent blindness from river

that we can prevent blindness from river

that we can prevent blindness from river blindness but that’s not how Sylvia’s

blindness but that’s not how Sylvia’s

blindness but that’s not how Sylvia’s blindness will be presented Silvia will

blindness will be presented Silvia will

blindness will be presented Silvia will not go blind because there is a

not go blind because there is a

not go blind because there is a volunteer in a village free of charge

volunteer in a village free of charge

volunteer in a village free of charge who make sure everybody infected with

who make sure everybody infected with

who make sure everybody infected with river blindness gets their annual dose

river blindness gets their annual dose

river blindness gets their annual dose of the medicine there is an association

of the medicine there is an association

of the medicine there is an association between blindness and poverty in a

between blindness and poverty in a

between blindness and poverty in a high-tech economy where precise vision

high-tech economy where precise vision

high-tech economy where precise vision is needed to develop the software the

is needed to develop the software the

is needed to develop the software the blind the visually impaired excluded and

blind the visually impaired excluded and

blind the visually impaired excluded and there is a vicious cycle where poverty

there is a vicious cycle where poverty

there is a vicious cycle where poverty causes blindness and poverty becomes a

causes blindness and poverty becomes a

causes blindness and poverty becomes a consequence of blindness so it’s either

consequence of blindness so it’s either

consequence of blindness so it’s either your blindness is caused by poverty or

your blindness is caused by poverty or

your blindness is caused by poverty or your blindness will make you poor in

your blindness will make you poor in

your blindness will make you poor in Nigeria the national prevalence study

Nigeria the national prevalence study

Nigeria the national prevalence study for blindness gear was the prevalence of

for blindness gear was the prevalence of

for blindness gear was the prevalence of blindness of 1.5 million people flying

blindness of 1.5 million people flying

blindness of 1.5 million people flying in Nigeria that’s just a little below

in Nigeria that’s just a little below

in Nigeria that’s just a little below the population of BIOS estate so we can

the population of BIOS estate so we can

the population of BIOS estate so we can create a whole state of blind people for

create a whole state of blind people for

create a whole state of blind people for every one person that is blind there are

every one person that is blind there are

every one person that is blind there are six to seven other people living with

six to seven other people living with

six to seven other people living with severe visual impairment and that number

severe visual impairment and that number

severe visual impairment and that number for Nigeria stands at about 19 million

for Nigeria stands at about 19 million

for Nigeria stands at about 19 million think about it that’s the population of

think about it that’s the population of

think about it that’s the population of some African or European countries what

some African or European countries what

some African or European countries what makes Nigeria’s blindness completely

makes Nigeria’s blindness completely

makes Nigeria’s blindness completely unacceptable and even obscene is that 85

unacceptable and even obscene is that 85

unacceptable and even obscene is that 85 of the people living with blindness in

of the people living with blindness in

of the people living with blindness in Nigeria avoidable blind this blindness

Nigeria avoidable blind this blindness

Nigeria avoidable blind this blindness that we could have prevented or

that we could have prevented or

that we could have prevented or blindness that we have the know-how and

blindness that we have the know-how and

blindness that we have the know-how and technology to change that’s what makes

technology to change that’s what makes

technology to change that’s what makes essa the WH o International

essa the WH o International

essa the WH o International classification of diseases defines

classification of diseases defines

classification of diseases defines blindness as inability to see at a

blindness as inability to see at a

blindness as inability to see at a discount fingers at a distance of three

discount fingers at a distance of three

discount fingers at a distance of three meters without the best in the better

meters without the best in the better

meters without the best in the better eye with the best optical correction the

eye with the best optical correction the

eye with the best optical correction the makers of that definition made one

makers of that definition made one

makers of that definition made one assumption that everybody who is

assumption that everybody who is

assumption that everybody who is visually impaired will have the optical

visually impaired will have the optical

visually impaired will have the optical correction glasses just a pair of

correction glasses just a pair of

correction glasses just a pair of glasses can prevent blindness in Cross

glasses can prevent blindness in Cross

glasses can prevent blindness in Cross River State the leading cause of

River State the leading cause of

River State the leading cause of blindness is error of refraction a pair

blindness is error of refraction a pair

blindness is error of refraction a pair of glasses can change everything in

of glasses can change everything in

of glasses can change everything in Algeria error of refraction is

Algeria error of refraction is

Algeria error of refraction is responsible for 57 percent of a visual

responsible for 57 percent of a visual

responsible for 57 percent of a visual impairment as a country as a country the

impairment as a country as a country the

impairment as a country as a country the leading cause of blindness is cataract

cataract cataracts which can be reversed

cataract cataracts which can be reversed just by surgery this white thing that

just by surgery this white thing that

just by surgery this white thing that you see in the eye you will not see it

you see in the eye you will not see it

you see in the eye you will not see it in other advanced countries because now

in other advanced countries because now

in other advanced countries because now cataract surgery is not done to reverse

cataract surgery is not done to reverse

cataract surgery is not done to reverse blindness as we do it here it is done to

blindness as we do it here it is done to

blindness as we do it here it is done to prevent visual impairment next to

prevent visual impairment next to

prevent visual impairment next to cataract in our environment is glaucoma

cataract in our environment is glaucoma

cataract in our environment is glaucoma after glaucoma in Nigeria is trachoma

after glaucoma in Nigeria is trachoma

after glaucoma in Nigeria is trachoma responsible for 15% of Nigeria’s

responsible for 15% of Nigeria’s

responsible for 15% of Nigeria’s blindness staggering figure when you

blindness staggering figure when you

blindness staggering figure when you consider that trachoma was eliminated

consider that trachoma was eliminated

consider that trachoma was eliminated from Europe in the 19th century

from Europe in the 19th century

from Europe in the 19th century trachoma is a disease that is associated

trachoma is a disease that is associated

trachoma is a disease that is associated with the lack of potable water and a

with the lack of potable water and a

with the lack of potable water and a poor environment

poor environment

poor environment in town sanitation it’s not something

in town sanitation it’s not something

in town sanitation it’s not something that should be mentioned in Nigeria but

that should be mentioned in Nigeria but

that should be mentioned in Nigeria but today it is the third leading cause of

today it is the third leading cause of

today it is the third leading cause of blindness in our country the imaging

blindness in our country the imaging

blindness in our country the imaging blindness caused which will take us by

blindness caused which will take us by

blindness caused which will take us by storm it’s diabetes diabetes mellitus

storm it’s diabetes diabetes mellitus

storm it’s diabetes diabetes mellitus epidemic is upon us it’s expected that

epidemic is upon us it’s expected that

epidemic is upon us it’s expected that in the next decade the percentage of

in the next decade the percentage of

in the next decade the percentage of people with diabetes will increase by

people with diabetes will increase by

people with diabetes will increase by 109 percent by 2025 there will be over

109 percent by 2025 there will be over

109 percent by 2025 there will be over 500 million people living – in Europe in

500 million people living – in Europe in

500 million people living – in Europe in in the Middle East is this a status

in the Middle East is this a status

in the Middle East is this a status symbol if you are not a diabetic you

symbol if you are not a diabetic you

symbol if you are not a diabetic you haven’t made it but it comes with

haven’t made it but it comes with

haven’t made it but it comes with blindness is going to be the leading

blindness is going to be the leading

blindness is going to be the leading cause of blindness in them working age

cause of blindness in them working age

cause of blindness in them working age group with profound socio-economic

group with profound socio-economic

group with profound socio-economic significance as socio-economical it

significance as socio-economical it

significance as socio-economical it marginalized population at particular

marginalized population at particular

marginalized population at particular risk we have the tools to eliminate

risk we have the tools to eliminate

risk we have the tools to eliminate avoidable blindness but it it persists

avoidable blindness but it it persists

avoidable blindness but it it persists because of inequity in access to I K it

because of inequity in access to I K it

because of inequity in access to I K it persists because we have not released

persists because we have not released

persists because we have not released the human compassion that is necessary

the human compassion that is necessary

the human compassion that is necessary to make a difference in 1996 I turned

to make a difference in 1996 I turned

to make a difference in 1996 I turned down several jobs outside the country to

down several jobs outside the country to

down several jobs outside the country to accept a job in the university of

accept a job in the university of

accept a job in the university of caliban University of caliber Teaching

caliban University of caliber Teaching

caliban University of caliber Teaching Hospital had a salary less than 200% of

Hospital had a salary less than 200% of

Hospital had a salary less than 200% of the office I had when I arrived the

the office I had when I arrived the

the office I had when I arrived the hospital there was it a blind beggar as

hospital there was it a blind beggar as

hospital there was it a blind beggar as a permanent fixture at the hospital gate

a permanent fixture at the hospital gate

a permanent fixture at the hospital gate for two years I walked past this man but

for two years I walked past this man but

for two years I walked past this man but I never saw him I saw his plate

I never saw him I saw his plate

I never saw him I saw his plate occasionally I stopped by and dropped a

occasionally I stopped by and dropped a

occasionally I stopped by and dropped a coin but I never saw the man one

coin but I never saw the man one

coin but I never saw the man one afternoon my wife didn’t come to pick me

afternoon my wife didn’t come to pick me

afternoon my wife didn’t come to pick me up on time so I stopped by the gate and

up on time so I stopped by the gate and

up on time so I stopped by the gate and had a chat with the man I would just

had a chat with the man I would just

had a chat with the man I would just wanted to know his name usually he had

wanted to know his name usually he had

wanted to know his name usually he had a lot of sauce so you deal want to stay

a lot of sauce so you deal want to stay

a lot of sauce so you deal want to stay there for too long but I stopped and

there for too long but I stopped and

there for too long but I stopped and asked his name and I was impressed by

asked his name and I was impressed by

asked his name and I was impressed by this diction his English was impeccable

this diction his English was impeccable

this diction his English was impeccable I suddenly realized that this man hadn’t

I suddenly realized that this man hadn’t

I suddenly realized that this man hadn’t always been poor

always been poor

always been poor he had dabba teas he developed cat rot

he had dabba teas he developed cat rot

he had dabba teas he developed cat rot he lost his job and when he lost his job

he lost his job and when he lost his job

he lost his job and when he lost his job his wife left him and his world came

his wife left him and his world came

his wife left him and his world came crumbling apart he moved to the hospital

crumbling apart he moved to the hospital

crumbling apart he moved to the hospital get he begged for food to eat and bed

get he begged for food to eat and bed

get he begged for food to eat and bed for medicines it wasn’t long many of the

for medicines it wasn’t long many of the

for medicines it wasn’t long many of the doctors knew him many of the doctors

doctors knew him many of the doctors

doctors knew him many of the doctors knew Big Joe so he could get free

knew Big Joe so he could get free

knew Big Joe so he could get free consultation on top of it so I invited

consultation on top of it so I invited

consultation on top of it so I invited big to the hospital and big cataract

big to the hospital and big cataract

big to the hospital and big cataract surgery on him free of charge

surgery on him free of charge

surgery on him free of charge Big Joe came for only one post-op visit

Big Joe came for only one post-op visit

Big Joe came for only one post-op visit and disappeared six months later the

and disappeared six months later the

and disappeared six months later the young man that walked into my office to

young man that walked into my office to

young man that walked into my office to say thank you to me I did not recognize

say thank you to me I did not recognize

say thank you to me I did not recognize him he said doctor you don’t recognize

him he said doctor you don’t recognize

him he said doctor you don’t recognize me I said no way have we met it’s a

me I said no way have we met it’s a

me I said no way have we met it’s a doctor I am Big Joe I brought my wife

doctor I am Big Joe I brought my wife

doctor I am Big Joe I brought my wife I brought my child to come and say thank

I brought my child to come and say thank

I brought my child to come and say thank you to you one act of kindness that cost

you to you one act of kindness that cost

you to you one act of kindness that cost me nothing reunited a family change the

me nothing reunited a family change the

me nothing reunited a family change the economic circumstance of this man and

economic circumstance of this man and

economic circumstance of this man and let impact in his community in 1993 I

let impact in his community in 1993 I

let impact in his community in 1993 I led the team that conducted the new

led the team that conducted the new

led the team that conducted the new boosted survey of blindness and visual

boosted survey of blindness and visual

boosted survey of blindness and visual impairment on the last day of that trip

impairment on the last day of that trip

impairment on the last day of that trip I was involved in a road traffic

I was involved in a road traffic

I was involved in a road traffic accident

that day I was the only person who came

that day I was the only person who came out of the wreckage the people who

out of the wreckage the people who

out of the wreckage the people who rescued my body from the wreckage forgot

rescued my body from the wreckage forgot

rescued my body from the wreckage forgot my left here that day I lost many things

my left here that day I lost many things

my left here that day I lost many things I lost friends for my friends perished

I lost friends for my friends perished

I lost friends for my friends perished in that accident with the driver of the

in that accident with the driver of the

in that accident with the driver of the vehicle I lost many things but I found

vehicle I lost many things but I found

vehicle I lost many things but I found something I found human compassion there

something I found human compassion there

something I found human compassion there were strangers on the roadside who were

were strangers on the roadside who were

were strangers on the roadside who were willing to do everything me alive they

willing to do everything me alive they

willing to do everything me alive they carried my body they did everything took

carried my body they did everything took

carried my body they did everything took me to the hospital where I had treatment

me to the hospital where I had treatment

me to the hospital where I had treatment I have had several treatments I have had

I have had several treatments I have had

I have had several treatments I have had a lot of reconstructive surgeries in the

a lot of reconstructive surgeries in the

a lot of reconstructive surgeries in the accident my jaw was crushed and mangled

accident my jaw was crushed and mangled

accident my jaw was crushed and mangled so my just stands today as a tribute to

so my just stands today as a tribute to

so my just stands today as a tribute to an outstanding maxillofacial surgeon

an outstanding maxillofacial surgeon

an outstanding maxillofacial surgeon I’ve had many reconstructions I was a

I’ve had many reconstructions I was a

I’ve had many reconstructions I was a senior registrar in ophthalmology that

senior registrar in ophthalmology that

senior registrar in ophthalmology that means the rank just below consultant but

means the rank just below consultant but

means the rank just below consultant but when I was released from hospital if I

when I was released from hospital if I

when I was released from hospital if I had to work to pay for my bill he would

had to work to pay for my bill he would

had to work to pay for my bill he would have taken me 15 years of saving all my

have taken me 15 years of saving all my

have taken me 15 years of saving all my income to pay for my hospital bill

income to pay for my hospital bill

income to pay for my hospital bill because like 99.2% of the Nigerian

because like 99.2% of the Nigerian

because like 99.2% of the Nigerian population who are not covered in the

population who are not covered in the

population who are not covered in the National Health Insurance Scheme I had

National Health Insurance Scheme I had

National Health Insurance Scheme I had no insurance I could not pay when I went

no insurance I could not pay when I went

no insurance I could not pay when I went to the medical director of the hospital

to the medical director of the hospital

to the medical director of the hospital to negotiate how I will work for him to

to negotiate how I will work for him to

to negotiate how I will work for him to settle my bill he looked at me and said

settle my bill he looked at me and said

settle my bill he looked at me and said dr. Khanna I’m talking about doctor this

dr. Khanna I’m talking about doctor this

dr. Khanna I’m talking about doctor this Jochen quad of blessed memory he looked

Jochen quad of blessed memory he looked

Jochen quad of blessed memory he looked at me

at me

at me dr. Khanna we are happy you are life I

dr. Khanna we are happy you are life I

dr. Khanna we are happy you are life I will settle the bill

will settle the bill

will settle the bill a man’s kindness the kindness that we

a man’s kindness the kindness that we

a man’s kindness the kindness that we have in our society wrote of my bill he

have in our society wrote of my bill he

have in our society wrote of my bill he gave me back my life when I was released

gave me back my life when I was released

gave me back my life when I was released from the hospital I determined that I

from the hospital I determined that I

from the hospital I determined that I will make my life count we have human

will make my life count we have human

will make my life count we have human compassion it is from this sea of human

compassion it is from this sea of human

compassion it is from this sea of human compassion that I hope we can work

compassion that I hope we can work

compassion that I hope we can work together to prevent and eliminate

together to prevent and eliminate

together to prevent and eliminate avoidable blindness the World Health

avoidable blindness the World Health

avoidable blindness the World Health Organization has a program drawn up

Organization has a program drawn up

Organization has a program drawn up elimination of avoidable blindness based

elimination of avoidable blindness based

elimination of avoidable blindness based on a strategic try part of human

on a strategic try part of human

on a strategic try part of human resource development infrastructure and

resource development infrastructure and

resource development infrastructure and technology and the development of

technology and the development of

technology and the development of specific targeted disease action but

specific targeted disease action but

specific targeted disease action but what is lacking is human passion and

what is lacking is human passion and

what is lacking is human passion and compassion to drive this program that

compassion to drive this program that

compassion to drive this program that was done by a committee of experts

was done by a committee of experts

was done by a committee of experts Nigeria had signed on to this November

Nigeria had signed on to this November

Nigeria had signed on to this November 2007 but since then health sector

2007 but since then health sector

2007 but since then health sector allocation has continued to dwindle

allocation has continued to dwindle

allocation has continued to dwindle unless we rise together and shout from

unless we rise together and shout from

unless we rise together and shout from the rooftop we will continue to have

the rooftop we will continue to have

the rooftop we will continue to have these appalling blindness indices we

these appalling blindness indices we

these appalling blindness indices we have what it takes but we need passion

have what it takes but we need passion

have what it takes but we need passion dangerous a country does not have a

dangerous a country does not have a

dangerous a country does not have a diabetic retinopathy screening and

diabetic retinopathy screening and

diabetic retinopathy screening and treatment program but we have one in

treatment program but we have one in

treatment program but we have one in Cross River State we have one in the

Cross River State we have one in the

Cross River State we have one in the teaching hospital we screen people for

teaching hospital we screen people for

teaching hospital we screen people for free we expect that with a prevalence of

free we expect that with a prevalence of

free we expect that with a prevalence of 6.5 percent of diabetes in a city in

6.5 percent of diabetes in a city in

6.5 percent of diabetes in a city in Caliban we have 10,000 people living

Caliban we have 10,000 people living

Caliban we have 10,000 people living with diabetes we have 2,500 people

with diabetes we have 2,500 people

with diabetes we have 2,500 people registered in our registry last year

registered in our registry last year

registered in our registry last year only 534 came out for free screening

only 534 came out for free screening

only 534 came out for free screening if you here can join us tell a hundred

if you here can join us tell a hundred

if you here can join us tell a hundred people in a month who have diabetes to

people in a month who have diabetes to

people in a month who have diabetes to come and screen their eyes you will be

come and screen their eyes you will be

come and screen their eyes you will be the real champion how many people what I

the real champion how many people what I

the real champion how many people what I discovered after my accident which I

discovered after my accident which I

discovered after my accident which I must mentioned before I sit down is that

must mentioned before I sit down is that

must mentioned before I sit down is that a driver had visual impairment and was

a driver had visual impairment and was

a driver had visual impairment and was not wearing his glasses a driver also

not wearing his glasses a driver also

not wearing his glasses a driver also had diabetes it’s possible that a pair

had diabetes it’s possible that a pair

had diabetes it’s possible that a pair of glasses would have saved his life how

of glasses would have saved his life how

of glasses would have saved his life how many people when you enter a cup ask

many people when you enter a cup ask

many people when you enter a cup ask your driver whether he does wear glasses

your driver whether he does wear glasses

your driver whether he does wear glasses how many people remember how many

how many people remember how many

how many people remember how many Nigerian drivers if you go to Madame

Nigerian drivers if you go to Madame

Nigerian drivers if you go to Madame Park will wear their glasses we can make

Park will wear their glasses we can make

Park will wear their glasses we can make a difference join me when you meet

a difference join me when you meet

a difference join me when you meet people ask them have you had your annual

people ask them have you had your annual

people ask them have you had your annual I check have you had your annual

I check have you had your annual

I check have you had your annual diabetic screening everybody should do

diabetic screening everybody should do

diabetic screening everybody should do it once in a year and everybody that has

it once in a year and everybody that has

it once in a year and everybody that has diabetes you can help invite them

diabetes you can help invite them

diabetes you can help invite them let us make our lives count

”

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