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In Kwale County, Lymphatic Filariasis causes untold suffering, but doctors like Dr Jasper Mwahanje and Dr Paul Gathuma, are at the forefront of transforming the lives of those affected.
Kwale, known for its stunning beaches and warm weather, harbours a serious health challenge: Lymphatic Filariasis, which leads to painful swelling, particularly in men. Lymphatic Filariasis, or elephantiasis, is a mosquito-borne disease caused by parasitic worms that damage the lymphatic system, leading to severe swelling, pain, and disability.
Many endure the condition in silence due to fear, poverty, and myths surrounding the disease. Amref Health Africa estimates over 1,000 people in the county are affected.
Treatment costs $120 per patient, a sum beyond the reach of many. Fortunately, partnerships with the Ministry of Health and other organizations help cover some of the costs, but more support is urgently needed.
For years, men with hydrocele, a major symptom of Lymphatic Filariasis, have suffered physical and emotional pain, often avoiding surgery. However, thanks to the efforts of Dr Mwahanje and Dr Gathuma, these men are finally receiving life-changing surgical interventions. Together, they’ve performed over 580 surgeries and remain committed to eliminating the disease by 2025.
Their work goes beyond surgery; it is also about shifting the community’s mindset regarding the disease, breaking down the stigma, and encouraging treatment.
During a community outreach in Samburu Sub-County, Dr. Mwahanje encountered Zuma Peku Saidi, a man whose hydrocele had been growing for decades. Zuma recalled, “I first noticed the swelling in 1985. By 2010, I couldn’t walk far, farm, or be around people.” Dr Mwahanje vividly remembers Zuma’s determination, saying, “He came ready for surgery, determined to reclaim his life.”
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After the operation, Zuma said, “I can now farm, walk confidently, and greet women without shame. There’s no swelling anymore!” His transformation shows how accessible healthcare can restore dignity and change lives.
Dr Gathuma is also tackling the disease by addressing deep-rooted cultural beliefs. He recalls meeting Hamisi Hussein Vunga, a 62-year-old farmer who avoided surgery for years due to fear. “I thought it was a joke,” Hamisi admitted.
“I wore big shirts to hide the swelling. I even stopped being intimate with my wife.” After finally undergoing surgery, Heimisi experienced immediate relief
“Now, I work, raise my children, and socialize. I tell my friends not to fear the operation.” For Dr Gathuma overcoming fear is key. “Fear is our biggest challenge,” he says. The emotional toll of Lymphatic Filariasis can be as debilitating as its physical effects. Mwambeyu Zuma, a father from Mwakunde village, struggled with the disease for years, believing he was cursed.
“People told me going to the hospital would make it worse,” he shared. When he finally sought medical help, Dr Mwahanje was ready to perform his surgery. “His courage to seek treatment will inspire others,” Dr Mwahanje remarked.
Kwale’s tropical climate and high prevalence of mosquito-borne diseases make Lymphatic Filariasis a significant health concern. However, the region’s reliance on traditional medicine and cultural beliefs often perpetuates misinformation.
Awareness creation
Partnerships with organisations like Amref Health Africa are helping to spread awareness and shift attitudes. With their support, more men are now seeking treatment, realising that the condition is curable.
Mahsud Mkulu Vunga, a 74-year-old elder, underwent a successful hydrocelectomy and regained his vitality, becoming a testament to the transformative power of accessible healthcare.
“Before, I avoided women and hid my shame,” Mahsud said.
“Now, I can farm, climb trees, and feel young again.” Although his brother still suffers, Mahsud encourages him to seek treatment. “The operation is simple. There’s nothing to fear.”
Through their surgeries and education efforts, Dr Mwahanje and Dr Gathuma are transforming lives. “We’re not just treating patients,” says Dr Gathuma. “We’re dismantling myths and restoring dignity.”
Dr Mwahanje adds, “Every healed patient is a step closer to eliminating Lymphatic Filariasis in Kwale and beyond.”
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