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THE KAP COVID-19 COURSE; EQUIPPING EVERY KENYAN DOCTOR ON WHAT THEY NEED TO KNOW ABOUT COVID-19 - Shared screen with speaker view
Heart and Life Medical Education
26:57
Dear All,
Heart and Life Medical Education
27:59
Good morning and welcome to the KAP COVID-19 Course. We shall begin shortly. Stay tuned in
Charles Nyabuto
52:17
good morning.. the connection from my ends is quite poor
Josphat biwott
53:10
morning everyone
KAP - 02
53:57
Good morning. Welcome everyone. Please do not share screen, or unmute unless prompted
Elizabeth Irungu
54:08
Good morning everyone
Mohamed Jeilan
54:16
Charles. The Connection from my end is excellent. Please check your internet signal
Juzar Hooker
54:58
Are we on time, or are we delayed?
Charles Nyabuto
55:05
thanks it keeps breaking
Catherine Mwende
56:10
good morning and thank you.
Azamathullah Baig Mirza
57:24
Hi,Good morning to all
Irene Njeri
58:21
Morning!
James Muyundo
01:02:45
on behalf of paka health welcome to all and thanks for this opportunity
Oscar Dunga
01:03:51
morning
Elijah Karanja Kinyua
01:05:24
Volume please
Samuel Nyakamba
01:08:04
Hi there is no sound on my end. Assist
margaret wairimu
01:09:31
Loud and clear
James Muyundo
01:12:21
very loud here in Nyandarua. please check your personal situation
Wilson Juma
01:13:02
There is no sound.
Jane Mburu
01:13:15
Very loud and clear
Zippy Shee
01:13:52
Kindly join with audio when joining the meeting
Zippy Shee
01:14:25
For those using the mobile devices join with internet audio
Crispus Nyongesa
01:18:35
My question to Dr Chakaya. The Kenyan prediction appears to have been on point for deaths but way off the mark on infections. Could it be a diagnostic capacity issue? Kenya never did mass testing to the scale of what was seen being done in western and Asian countries
Erick njenga
01:25:46
kindly post your questions
M Patel
01:26:22
Good Morning to all !
solomon kinyua
01:26:55
Is there any role of Azithromycin in Covid management?
James Muyundo
01:28:55
should we check troponin in in patients with new diagnosis of COVID?
James Muyundo
01:37:16
please show full slide
James Muyundo
01:38:10
thanks
Nyadeng Deng
01:39:01
What is the role of Tocilizumab in the treatment of COVID-19 as mentioned by the previous presenter ????
Samwel Bwire
01:41:32
What is special or distinct about SARSCOV2 from SARSCOV1? Cov1 was easily confined in China during the outbreak but Cov2 went global.
Heart and Life Medical Education
01:44:53
Please post your questions we are about to start the QnA session
Kimani Gicheru
01:47:00
for dr wachira,
James Muyundo
01:52:02
is there a new symptom complex and ways of presentation for the any of the newer strains?
GAUDENSIA MUTUA
01:55:25
How much sequencing are we doing in Kenya? What proportion of samples are sequenced?
faridah nafula ahmed
01:58:38
does the Astrazeneca vaccine capture the strain s found in Kenya ?
Liz ...
02:00:26
for purposes of clarity, please comment on AZ vaccine efficacy with the indian and SA strain? esp bcoz of the limited vaccine, how does this compare for those who have received 1st dose vis a vis 2nd dose.
solomon kinyua
02:00:33
Based on this indian variant B1.167 high community transmission rate, what is being done in Kenya to trace contacts of the patients who were identified with that variant?
Stephen Ndegwa
02:00:45
Does the use of vaccine lead to new strains of covid?
Oimeke Mariita
02:01:07
what is the burden of covid-19 among children?
Moturi Morara
02:01:23
Dr Riungu, where do we place a possible DNA based vaccine machanistically?
solomon kinyua
02:03:13
There are those people who received the 1st dose of AstraZeneca vaccine and thereafter the vaccine was out of stock. What happens to them now that the Govt is ordering the one for Johnson n Johnson?
Charles Nyabuto
02:04:55
Now that the vaccine came in, why or what happens when one is given the complete doses and again tests positive? how can you convince a common mwanainchi
Adan Hussein
02:07:19
Dr Wachira, kindly comment on the modifications of RSI in COVID
Georgina Magoma
02:08:03
for Dr. Riunga: is there local capacity to carry out sequencing for detection of variants of the virus? if yes, has this been ongoing prior to the detection of the Indian variant?
Brian Maugo
02:10:53
should we be concerned about black fungus and use of dexamethasone ?
Mohamed Mohamud
02:20:00
kindly i cannot here the sounds
Joan Kagema
02:20:56
No sound please
Patrick Olang
02:21:52
No sound
Mohamed Mohamud
02:22:14
yeah i wanna here
Mohamed Mohamud
02:22:31
i wanna to hear
Dr Jane Karioki
02:22:31
There is a 20min coffee break
Dr Jane Karioki
02:23:17
May be the facilitator should have a running commentary....we are at break...back soon😅
Mohamed Mohamud
02:24:45
thank you
KHADIJA M. Said
02:29:37
Should Azithro be given in all pts? I missed that part
Nyokabi Kibuka
02:32:31
Good morning. I've just joined the session. What are the break out sessions about?
ABDULKARIM Botan
02:35:51
Hello! I can't hear please.
Helen Nguchu
02:36:12
hi. there is no audio?
Catherine Kibathi
02:36:32
no audio
JANE GITAHI
02:38:04
Are we still on a break?
Nancy Nthiga
02:39:49
no audio
Stephanie Wakaba
02:41:41
unfortunately, I think we're listening in to somebody's movie
JANE GITAHI
02:41:55
Moses Gicheru
Stephanie Wakaba
02:42:11
no audio of the conference
Mohamed Mohamud
02:52:48
kindly no audio of the conference
Nyadeng Deng
02:54:49
Please try to mute you 🎙
Dr Jane Karioki
02:55:19
Facilitator please mute all other attendees
Dr Guto Wycliff
02:55:39
Mute your mics kindly. The. Oderator can mute all and disallow self unmuting
Juzar Hooker
03:04:55
Home care is not new, I agree. General practitioners have been providing this service since formal medical practice began in Kenya. Their role has been grossly under-appreciated.
Heart and Life Medical Education
03:05:30
We're having Q&A for home-based care after this presentation. Kindly type your questions in the chat box.
Gebregiorgis Tesfaledet
03:09:40
There is a lot of background noise.
Jane Mburu
03:09:52
Can we all mute there is background noise
Juzar Hooker
03:12:18
Formal hospitals have a Middle Eastern and African origin, with some of the first hospitals in Baghdad and what is now Cairo (bimaristan of al-Mansur Qalawun in Cairo, c. 1284 ce) and also in what is now North and West Africa.
Juzar Hooker
03:12:58
I think everyone should be muted centrally!
THEOPHILUS WANGATA
03:14:46
Homecare is a game changer in the management of patients. I fully agree with Dr. Miriam Gatehi. It is a very important aspect of management of covid patients
THEOPHILUS WANGATA
03:16:17
We also provide Homecare services and work together with medical proffesionals in different cadres
Elizabeth Irungu
03:16:30
Hello, great initiative about HBC, BRAVO TEAM ;)
Michelle Wangui
03:17:56
Very well done Dr. Miriam and team!
James Nduati Ngoyo
03:18:21
A great initiative Dr. Miriam this should go along with NCDs as well.
Fatuma Some
03:19:47
Congrats Dr. Miriam and Team, Way to go for all ailments.. people are getting away from hospital based care unless absolutely necessary
Elizabeth Irungu
03:19:56
Perhaps the issue in the ICU approach is the huge discrepancy among the different SES strata…..making the e initiative appear like ‘rich medicine for rich patients’ and vv…..just to give a different lens to it; many thanks DR Miriam Gatehi and team :)
Catherine Mwende
03:20:05
Excellent Dr. Miriam.
Serah G
03:20:13
Great presentation Dr Gatehi and well done. Is comprehensive psychosocial support included in the home-based care package?
Ruth Nduati
03:20:40
Congratulations for the innovation
Hassan Ahmed
03:20:53
kindly mute your mics. there are background noises
MUHINDI WANJUGU
03:21:03
Excellent and innovate ,well done. MUHINDI W
Juzar Hooker
03:21:22
Please centrally MUTE everybody as there is significant intermittent background noise.
Liz ...
03:21:49
congratulations Dr Miriam and your team for identifying a gap and bridging it
Imran Abdishakur
03:21:58
so much noise, kindly mute your mic.
Esther Muinga
03:22:03
Home care is great for the patient and families as it gives the opportunity to stay in a familiar environment. Thanks Dr. Miriam. The palliative care units and Hospices around the countries need more support to continue holistic follow up of patients with various chronic illnesses and life threatening issues at home/in the community. (team approach is key)
Juzar Hooker
03:23:33
There are also some community initiatives run informally by some community associations with home based care including oxygen, with very useful outcomes
David ekuwam
03:25:29
Yes,I am.
Juzar Hooker
03:25:43
Please centrally MUTE everybody as there is significant intermittent background noise.
Elizabeth Irungu
03:25:52
Hello, please mute background noises
Jane Mburu
03:25:59
Kindly all to mute please, too much noise in the background
Imran Abdishakur
03:26:14
can we mute off everyone that isn't a speaker
Joseph Aluoch
03:26:33
too much interference control
Liz ...
03:26:43
Host should mute everyone and retsrict ability to unmute
Elizabeth Irungu
03:27:30
Hey Doc, can have a central comms team manned bv. Skilled nurses, we work with a lot of empowerment of skilled nurses and midwives
Gebregiorgis Tesfaledet
03:27:44
During the height of the HIV epidemic, there was a well developed HBC industry throughout Africa. What happened to the knowledge and experience acquired from that time?
Serah G
03:27:53
totally agree with Dr Wachira
Elizabeth Irungu
03:28:55
I agree with Dr Gerregiorgis, this is actually the Ethiopian systems approach and I think its really the much needed paradigm shift going forward
Elizabeth Irungu
03:32:15
Hello , can I please make a remark from a sustainability reporting lens?
THEOPHILUS WANGATA
03:32:21
Majority of covid patients do not need to be in hospital. Homebased care is therefore a real game changer. My experience is that, at the end of the day, Homebased care is even more affordable than hospital based care
Elizabeth Irungu
03:35:08
Hello, if you have a flatter rate you enrolled a high cohort as opposed to the current lens. Alof of middle class would like to be seen at home and with the advent of double jeopardy of ID and NCDS by charging 15K you lose aloe of potential clientele…… and this is where the an innovator can take you baby so to speak and half the price and have a very sustainable 10 YEAR business…..
Elizabeth Irungu
03:36:00
The middle class where most of us lie have no true comfortable cocoon in our current practice hence a big gap from a SR lens
THEOPHILUS WANGATA
03:36:03
Home based care is a convenient, accessible and affordable alternative to the traditional hospital based treatment.Homebased treatments include doctors home visits, laboratory testing including Covid 19 PCR tests, 24 hour nursing care or regular home visits by the nurse, provision of supplemental oxygen, physiotherapy, nutritionist services, counseling, pharmacy services, portable ultrasound, ECG and portable cardiac echo among other services.
Fatuma Some
03:36:51
Please reconsider the fees you charge.. It is a bit on the higher side for a disease that has a protracted recovery phase
Elizabeth Irungu
03:38:17
Perhaps the team could benefit from having a purely oriented non medic in the planning way, this is the thinking of many Asians in generational businesses that excel beyond one generation ; thus the gist of SR as a multi sectorial discipline globally ….
Dr Jane Karioki
03:40:23
Mambo mbotela
Elizabeth Irungu
03:41:02
Can check “anchoring sustainability reporting to value creation “ by Bini Laura et al
Smita Devani
03:54:10
Very nice lecture
MDN
03:54:52
Question to the Cardiologist.kindly comment on the recent theory suggesting that the RNA/Vector carrier material used in the vaccines is directly linked to the blood clots.
Z N
03:54:52
Wonderful presentations so far.
Elizabeth Irungu
03:57:25
Small example; a colleagues parents in Eastern had covid, with Kamba social-cultural cultural consideration family opted for HBC. A very patient friendly CO earned 200K for 7 days follow up , DOTs, RBS and BP monitoring and now fam are considering retaining his services and its a 5 mins drive from the HF to the rural home, its a huge gap as all we all want is for our elderly relatives to experience patient centred care ;) please think about it, social sciences have achieved a lot ahead of us ..hence role of medical anthropology in developed countries…..
Dominic Munene
03:57:40
any role of ivavradine in physiological tachycardia or extreme tachycardia in setting of covid 19 in the critical care setting 🤔
THEOPHILUS WANGATA
04:00:28
Very important topic in covid management
Nyadeng Deng
04:01:11
Very interesting topic and presentation dr thanks for it
Shreedharkumar Samani
04:02:55
very informative sessions. thank you all sincerely for putting up this workshop.
MWANACHA SEIF
04:03:33
intresting Thank you all..
Jane Mburu
04:06:23
Dr Otieno, since PCR results take a while to be ready and an MI (STEMI) is an emergency, would you recommend use Covid-19 antigen test for screening such a patient before taking them to Cath lab?
MUHINDI WANJUGU
04:06:48
Excellent and engaging ;good teaching Dr Otieno.
GAUDENSIA MUTUA
04:07:50
Fantastic presentation Dr Otieno
Situma Innocent Wafula
04:09:31
informative
Chris Owino
04:11:42
Thank you Dr. Harun for the very informative presentation plus the free art classes as well. I have 2 questions:1. What would you advise a patient with history of DVT/PE not on anticoags currently on getting the vaccine?2. In a patient with Kidney injury and Covid myocarditis as we recently had in our hospital, what would be the threshold for attributing raised troponins to Covid vs reduced clearance by the kidney?
Angela Nderi
04:28:24
Hello KAP
David ekuwam
04:28:26
Excellent Presentations. Thanks
Siraja Ibrahim
04:33:05
Well done, thank you.
GAUDENSIA MUTUA
04:33:32
Please share the recording- some presentations are too fast to keep up. Thanks
THEOPHILUS WANGATA
04:38:11
Thank you Dr. Acharya, excellent presentation
Elizabeth Irungu
04:40:12
Great presentation Dr Acharya, you always diabetes so enjoyable ;))
Nyadeng Deng
04:41:35
Thank you for the excellent presentation dr Acharya , really did enjoy it 🤗
Smita Devani
04:59:27
KAP and heads in authority - can we stop this inane practise of having temperatures taken everywhere we go.
Heart and Life Medical Education
05:27:00
Keep the questions coming
Salim Habib
05:28:33
When is the right time to do coronary angiography in Covid 19 despite knowing they have myocarditis….is there a role..
THEOPHILUS WANGATA
05:29:13
Dr. Andrew please tell us more about the role of pirfenidone in prevention and/or treatment of lung fibrosis in covid patients
THEOPHILUS WANGATA
05:30:16
Dr. Harun Otieno, please tell us more about your criteria on use of either antiplatelet meds or anticoagulants or both..
Suleiman Dino
05:30:16
How soon after recovery from Covid 19 would you recommend getting the vaccine?
THEOPHILUS WANGATA
05:31:30
And Dr. Harun please elaborate on the role of aspirin. How do u decide when to use 75mg and when to use 300mg
THEOPHILUS WANGATA
05:33:18
In patients with mild to moderate increase in use and creatinine, do u recommend start of IV fluids early? whats your recommended fluid therapy in AKI in covid patients with mild to moderate disease?
THEOPHILUS WANGATA
05:33:29
*Urea
Suleiman Dino
05:34:12
How long should we continue Anticoagulation Rx for covid related VTE upon discharge?
Lucy Mbogo
05:37:08
Great presentations.At what SpO2 on room air do you advice to stop oxygen therapy for patients on HBC. Patient discharged on oxygen
Cosmas Kimama
05:37:37
patients with covid have alot of anxiety and fears. are there some anxioltics that are better.is there a role of anti depressants which classes are better?
Edwin Wanjohi
05:39:31
Thank you for the great presentations. Is there a role for orexogenic agents in hospital or at discharge?
James Mugo
05:40:44
Thanks for the great insights. Dr Kwasa, kindly comment on the incidence of covid encephalitis in our setup as well as it's management.
Sairabanu Sokwala
05:41:38
dr. kwasa, excellent presentation. how commonly do you see demyelination post severe COVID-19 infection?
Dr. Njeri Kamere
05:48:41
Are there any studies mixing and matching Astra and JnJ vaccines?
Siraja Ibrahim
05:51:12
diagnostic errors with the emerging strains?
Kimani Gicheru
05:51:39
Are there contraindications to covid 19 immunizations ?
Siraja Ibrahim
05:56:12
covid 19 vaccine causing myocarditis, pericarditis,management of pericarditis .
VALENTINE KEI-MURIITHI
05:56:49
Thanks for the informative presentations.Vaccine timing for asymptomatic patients picked via surveillance.
Florence keli
06:01:41
Wow it is important to note that we risk further resistance to antibiotics due to irrational use for management of COVID 19.
Chris Owino
06:02:41
Insightful session. Thanks to the speakers and moderators.
Jacob Kipchilis
06:03:12
Great presentations
Mohamed Mohamud
06:04:10
plz make zoon the vedios in order to see welll
Jane Mburu
06:04:18
Audio too low
Gebregiorgis Tesfaledet
06:04:26
pls increase volume
Denis Anyoli
06:04:27
volume
Mohamed Mohamud
06:04:49
hellow cordinator
Mohamed Mohamud
06:05:30
plz its unreadable
Mohamed Mohamud
06:05:36
zoom it
Mohamed Mohamud
06:05:42
the slice
Mohamed Mohamud
06:05:45
plz
Jane Mburu
06:09:24
No audio?
Judith Taboi
06:09:31
no audio .. kindly
Heart and Life Medical Education
06:15:31
it was a temporary glitch, audio now back
Heart and Life Medical Education
06:28:44
For those who are just joining us, welcome.
Heart and Life Medical Education
06:31:49
After this presentation we shall move into the breakout rooms. Please visit the breakout rooms
Heart and Life Medical Education
06:43:32
Kindly link on the breakout room tab that pops on your screen