Report on a Recent P2P Team Trip to Ethiopia

Enawgaw Mehari, M.D.

Founder and President

People to People, Inc.

Mathiwos Wondu Ye-Ethiopia Cancer Society, Ministry of Health , Black Lion Hospital faculty of Medicine and People to People  celebrated World  Cancer Day on February 4 th,2019 at Intercontinental Hotel. Cancer is a leading cause of death around the world. It has been noted that more people die in the world in cancer than HIV/AIDS, Tuberculosis and malaria combined. Studies show the greatest impact of cancer is in low income countries, like Ethiopia. The Charter of Paris designated February 4 each year as World cancer day. The goal is to increase awareness of cancer and provide unbiased information to the people how to prevent, detect and treat. Risk modification is part of the preventive measures of cancer. It is cheap and more effective than actual cancer treatment. Most patients show up to the doctor for the first time at stage IV, which is already metastasized. The truth is most types of cancers are curable if detected early and managed properly. The primary goal of the World Cancer day is to significantly reduce illness and death caused by cancer. In Ethiopia there is massive misconception, stigma, misconception and lack of infrastructure to diagnose and treat cancer. The country does not have comprehensive cancer care center.

People to people, Mathiwos Wondu and BLH team up together to help establish state of the art cancer center at Black Lion Hospital with man power training in the form of fellowship. It is a hospital historically established by the contribution of the Ethiopian people. We believe this generation can do the same and find our own indigenous solution instead of waiting for others to come and do it. It is a symbol of pride when Ethiopians get their treatment there at home, families at their side by doctors who understands their language and culture. People to People delegates comprised 10 experts led by Dr. Kebede Begna from Mayo Clinic, a world class expert in hematology- oncology and Dr. Anteneh Habte from Virginia top expert in Palliative Care. Dr. Electron Kebebew a distinguished professor from Stanford university was the keynote speaker on various topics of the cancer including research and diagnosis. Dr.Dimitri gave a grand round lecture at Black Lion Faculty of Medicine about imaging and mammogram. Whether mammogram is needed in Ethiopia generated a heated debate among the participants and experts in the field. Dr. Enawgaw Mehari, besides participating at the World Cancer day also visited Bahir Dar University and Debre Markos University (DMU). He gave a lecture about Ethiopian Medical History at DMU. He argues the medical history of the country needs to be incorporated in the medical education curriculum. A manual has been published by p2p and distributed to many universities in the country including Ministry of health. 

Second Annual Symposium on Cancer and Cancer Care in Ethiopia, Feb 2-8, 2019 – Addis Ababa, Ethiopia

Hosts:  People to People (P2P) Tikur Anbessa Hospital, Mathiwos Wondu Yethiopia Cancer Society (MWECS)    

                                                                    

Date: February 2-6, 2019                      

Target Audience: physicians, allied health professionals, trainees (students/residents/fellows), policy makers/advocates            

Date/Time Topic/Occasion/Speakers Venue
Feb 2/2019 (Saturday)

18:00-22:00

Gala Dinner to honor 2018 P2P Award Recipients and support the Comprehensive Cancer Care Center (CCCC) Initiative MC/Moderators: Anteneh Habte, MD, Tewodros Gessesse, Keith Parnell, JD Intercontinental Hotel
Feb 3/2019

(Sunday)

7:00 AM-

12:00 NOON

Walk for Life: 5K walk/run to support the CCCC

Organizer: MWECS

14:00-15:00 Oncology Roundtable; Panel discussion on Cancer and Cancer Care (to be broadcast on ART-TV)

Moderator: Anteneh Habte, MD

Panelists:

  • Electron Kebebew, MD
  • Kebede Begna, MD
  • Dimitri Misalidis, MD
  • Dawit Wondemagegn, MD
Intercontinental Hotel
19:00-22:00 Cancer Care Professionals Networking Dinner

MC/Moderator: Kebede Hussein, MD; Nuhamin Tekle, MD

Panorama Hotel
Feb 4/2019

Monday 8:00-1:00 PM

               

Cancer and Cancer Care in Ethiopia; Progress to date and Way Forward

(please see separate full agenda)

Intercontinental   

        Hotel

2:30-4:00 PM Workshop in Grant Writing and Identifying Funding Agencies and Collaborating Institutions

Faculty: Electron Kebebew, MD

              Kebede Begna, MD

Intercontinental Hotel
Feb 5/2019

Tuesday

Second Annual CME : Cancer and Cancer Care in Ethiopia (in resource mal-aligned countries)

Moderator: Dr. Mathios

Tikur Anbessa Hospital  (TAH)
7:30-8:00 Registration
8:00-8:15 The continuing case for a comprehensive cancer care center at TAH

Speaker: Dawit Wondemagegn, MD

TAH
8:15-9:00 Primary and Secondary Prevention for Selected Cancers: the low hanging fruit

Speaker: Tikur Anbessa Hospital Oncology

TAH
9:00-9:45 Mammography: Diagnosis and Interpretation

Speaker: Dimitri Misalidis, MD

TAH
9:45-10:30 From community to individualized/targeted therapy: an achievable goal in resource mal-aligned countries?

Speaker: Kebede Begna, MD

TAH
10:33-11:00 Coffee Break TAH
11:00-12:00 Panel Discussion: All Speakers TAH
12:30-1:30 Lunch Break (Working)

Controversies over screening mammography: appropriate use in resource limited countries.

Cons:  Dr. Edom Seifu

Pros:  Dr. Kebede Begna

TAH
1:30-2:00 PM Panel discussion
2:00-2:30 PM Cardiac Toxicity and Cancer Treatment; First Do No Harm

Speaker: Micheas Zemedkun, MD

TAH
2:30-2:45 Adjourn TAH
3:00-5:00 PM Strategy Session on the proposed Comprehensive Cancer Care Center (CCCC); Where do we go from here?

All stakeholders including TAH, P2P, MoH and MWECS

TAH
Feb 6/2019

Wednesday

9:00-11:30

Bedside Teaching Rounds by Visiting Faculty in collaboration with TAH faculty TAH
12:00-13:00 Grand Rounds: Primer in Oncology: Individualized and Targeted Therapy  

Speaker: Kebede Begna, MD

World Cancer Day Commemoration Organized by the Federal Ministry of Health in collaboration with People to People & Mathiwos Wondu-YeEthiopia Cancer Society. Program & Agenda.

4 Monday February ,2019

Intercontinental Addis Hotel

Time Activity Facilitator/Presenter Moderator
8:30-9:00AM Registration MWECS Professor Abreham Haileamlak
9:00-9:05AM Welcoming speech W/o Hiwot,Director,Diseases Prevention & Control Directorate
9:05-9:10AM Welcoming address Dr. Dawit Wondimagegn, Chief Executive Director, Health Sciences College, AAU
9:10-9:15AM Welcoming address. Dr. Enawgaw Mehari,MD;Founder and President of p2p
9:15-9:25AM Official Opening Dr. Amir Aman, Minister of Health
9:25-9:35AM Official Opening H.E.Mrs Roman Tesfaye, former First Lady of Ethiopia & Chairperson of National Cancer Committee.
9:40-9:55AM Key findings of the National NCDI Commission. Dr Wubaye Walelgne-NCDI Ethiopia Commission Secretary.
9:55-10:10AM Update on proclamation on tobacco, alcohol etc. Ato Dereje Moges

Legal Advisor,FMHACA

10:10-10:30AM World Cancer Day Commemoration, Progress being made to develop & implement NCCP & NCCCP Dr. Kunuz Abdella, Technical Advisor –Prevention and Control of Cancer, FMoH
10:30-11:00AM Discussion Professor Abreham Haileamlak
11:00-11:15AM Tea Break
11:15-11:35AM Video of selected voices of cancer patients FMoH Dr. Yirgu Geberehiwot;Medical Director,Tikur Anbessa Hospital
11:35-11:50AM Integrating cancer care with research: how to proceed. Dr.Electron Kebebew,MD
11:50-12:00PM Cancer treatment for all & selection of champions Wondu Bekele

Executive Director,MWECS

12:00-12:15AM Comprehensive cancer center Dr. Kebede Begna
12:15-12:45PM Discussion. Dr. Yirgu Geberehiwot
12:45-12:50PM Closing remark Dr.Lia Tadesse, State Minister of Health
12:50-2:00                                                   Lunch

Dr. Enawgaw gave a lecture at Debremarkos University on the history of medicine in Ethiopia.

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