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Kaywanga F, Alimohamed MZ, David AB, Maeda D, Mbarak S, Mavura T, Nkya S, Ishengoma DS. Rare diseases in Tanzania: a National Call for Action to address policy and urgent needs of individuals with rare diseases. Orphanet J Rare Dis 2022; 17:343. [PMID: 36064429 PMCID: PMC9446714 DOI: 10.1186/s13023-022-02498-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Accepted: 08/18/2022] [Indexed: 11/30/2022] Open
Abstract
A rare disease is generally defined as a condition which affects about 1 among 2000 people and currently, there are approximately 5000–8000 rare diseases (RDs) affecting over 400 million people world-wide. Although RDs may arise from different causes such as infections and environmental factors, about 80% are caused by genetic abnormalities. In Tanzania, there are no reports of the types of RDs, their incidence, distribution and numbers of individuals affected. In addition, there have been no strategies to map RDs in the country and develop a definition that fits the local context. Public awareness and understanding of RDs are very limited, and these lead to poor management and stigmatisation of patients. To address the ongoing problems, Tanzania joined other countries world-wide and global partners to commemorate the rare diseases day (RDD) for the first time in 2016 and subsequently every year. Unlike previous years where the RDD was organised by Ali Kimara Rare Diseases Foundation (AKRDF) with few partners, in 2020, a bigger event was co-hosted by Ali AKRDF and Tanzania Human Genetics Organization together with government representatives and other multiple partners. The organisers, government representatives and participants proposed a national “Call for Action” with the overall goal of improving the lives of patients/individuals with RDs. The call focuses and aims to address 17 strategic issues that are broadly categorised into four areas. These include generating demographic data of individuals with RDs; advocating for policies and guidelines for diagnosis, care, treatment and health financing; developing policies supporting public education, awareness and advocacy; and strengthening research, innovation and public–private partnerships. If adopted and implemented, the potential impacts of these recommendations will include improved access to adequate and high-quality health and education services, and policies and guidelines to address the current and future challenges facing individuals with RDs and their families.
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Affiliation(s)
- Frida Kaywanga
- Department of Haematology and Blood Transfusion, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.,Tanzania Human Genetics Organization, Dar es Salaam, Tanzania
| | - Mohamed Zahir Alimohamed
- Department of Haematology and Blood Transfusion, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.,Tanzania Human Genetics Organization, Dar es Salaam, Tanzania.,Shree Hindu Mandal Hospital, Dar es Salaam, Tanzania.,Department of Genetics, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands
| | - Aneth Bella David
- Tanzania Human Genetics Organization, Dar es Salaam, Tanzania.,Department of Molecular Biology and Biotechnology, University of Dar Es Salaam, Dar es Salaam, Tanzania.,Plant Protection Department, Swedish University of Agricultural Sciences, Alnarp, Sweden
| | - Daniel Maeda
- Tanzania Human Genetics Organization, Dar es Salaam, Tanzania.,Department of Molecular Biology and Biotechnology, University of Dar Es Salaam, Dar es Salaam, Tanzania
| | - Sharifa Mbarak
- Ali Kimara Rare Diseases Foundation, Dar es Salaam, Tanzania
| | - Togolani Mavura
- Ali Kimara Rare Diseases Foundation, Dar es Salaam, Tanzania.,Jakaya Mrisho Kikwete Foundation, Dar es Salaam, Tanzania
| | - Siana Nkya
- Department of Haematology and Blood Transfusion, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.,Tanzania Human Genetics Organization, Dar es Salaam, Tanzania.,Dar es Salaam University College of Education, University of Dar es Salaam, Dar es Salaam, Tanzania
| | - Deus S Ishengoma
- Tanzania Human Genetics Organization, Dar es Salaam, Tanzania. .,National Institute for Medical Research, 3 Baraka Obama Drive, P. O Box 9653, 11101, Dar es Salaam, Tanzania. .,Faculty of Pharmaceutical Sciences, Monash University, Melbourne, Australia. .,Harvard T.H Chan School of Public Health, Boston, MA, USA.
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