A Consultant Neurologist at the Lagos University Teaching Hospital Dr. Agabi Osigwe, has called for more awareness and training on symptoms of Parkinson’s disease, to ensure early and accurate diagnosis to enhance treatment.
He made the call on Tuesday in commemoration of the ‘World Parkinson’s Day’ celebrated annually on April 11, and meant to draw attention to the medical condition.
Parkinson’s disease is a brain disorder that causes unintended or uncontrollable movements, such as shaking, stiffness, and difficulty with balance and coordination.
Dr. Osigwe noted that people with Parkinson’s experience stigma in places where there are ignorance, myths and misconceptions about the disease and its cause.
“I have been involved with managing Parkinson’s actively for about 30 years. The challenge has been that many patients move from one place to another before finally getting a correct diagnosis.
“This can be corrected by improving awareness and training so that the symptoms are recognised earlier and patients referred early to a neurologist,” he said.
The consultant Neurologist said access to medications has also been a challenge, noting that the drugs are relatively expensive and unaffordable for the majority of patients with the condition.
“We have been particularly privileged at the LUTH Movement Disorders Clinic to have a philanthropic organisation, the Farah Foundation, which provides the main drug for treatment for our patients who can’t afford them,” he said.
Dr. Osigwe said that getting around or participating in a society where the infrastructure does not accommodate their disability was a challenge to the patients.
“Parkinson’s is a misunderstood disease and lack of awareness makes people with Parkinson’s vulnerable and discriminated against.
“People with Parkinson’s earn less money. They have difficulty obtaining and retaining employment despite qualifications and ability. They often have to retire early.
“Due to the symptoms of the disease, many are often mistaken for being intoxicated, and in some countries, they are thought to be cursed by witches.
“Parkinson’s can mean living in constant pain. They often lose their voice, confidence, the luxury of sleep and the ability to control their automatic functions, limbs and their future,” he said.
To address the challenges of Parkinson’s disease, Osigwe said that a special clinic for Parkinson’s disease and other Movement Disorders was established at LUTH over 10 years ago.
He said through the clinic, they have been able to provide specialist services diagnosing and treatment to hundreds of patients with Parkinson’s disease.
Dr. Osigwe said through the clinic, doctors, nurses, and physiotherapists have been trained on special requirements for managing Parkinson’s.
“We have facilitated access to donated medications from our philanthropic partners and we are the leading institution for Parkinson’s research in the country and in West Africa,” he added.
He noted that due to its visibility and commitment to Parkinson’s disease, LUTH was participating in several collaborative research studies to contribute to the global effort to find a cure for the disease.
“We are part of a global effort known as the GP2 (Global Parkinson’s Project) leading the search to understand the genetic basis of Parkinson’s disease.
“We have nearly 40 neurologists from across Nigeria within our network known as the Nigeria Parkinson’s disease research network, and are hopefully going to help discover clues that will lead to better treatments for Parkinson’s,” he said.
Dr. Osigwe said the institution was also part of the Parkinson Progression Markers Initiative project, funded by the Michael J Fox Foundation for Parkinson’s research in the U.S.
He said that the PPMI study was a huge effort that brought together researchers and participants from about 50 clinical sites across the world.
According to him, “Parkinson’s is a progressive disorder and the main focus of the PPMI is to identify signals in people with Parkinson’s (what we call biomarkers) that determine how the disease progresses, as a major step to the developing treatments to slow or even stop the progression.
“We are involved in this study as the only African site and are open to welcoming people with early Parkinson’s to be a part of the study.”
He further explained that the institution was starting the ‘Transforming Parkinson’s Care in Africa’ study that would involve researchers from seven African countries in collaboration with Newcastle University, United Kingdom.
He said that the research was funded by the UK National Institute for Health and Care Research under its Global Health Research Unite initiative.
“We will be conducting prevalence studies to properly document the frequency of Parkinson’s in the community; study the risk factors for Parkinson’s in Africa, and other aspects such as understanding the lived experiences of people with Parkinson’s in Africa to help support them better,” Dr. Osigwe said.
The consultant neurologist appealed to policymakers to acknowledge the social, economic and cultural impact of Parkinson’s disease and develop policies to reduce the negative impact on patients.
He said, “As we celebrate ‘World Parkinson’s Day’, we urge policymakers to improve access to essential medicines for Parkinson’s care.
“They should also improve access to health care professionals by expanding training, employment and retention of such health workers,” he said.
Dr. Osigwe further appealed to individuals, the media and social media enthusiasts to learn about the medical condition so as to assist in creating awareness about it.
(NAN)
