attached mail follows:
Olikoye Ransome-Kuti died from complications of Deep
Vein Thombosis
--------------------------------------------------
Datelinehealth-Africa News service
June 6, 2003
Staff Reporter
Lagos, Nigeria. It has now been authoritatively
confirmed that Olikoye Ransome Kuti, Nigeria’s well
regarded paediatrician, and apostle of primary
healthcare and prevention died from complications of
deep vein thrombosis.
Dr. Beko Ransome-Kuti, brother of the paediatrician, a
medical doctor and human rights activist made this
fact known in a press briefing monitored on Channels
Television in Lagos last night.
Beko disclosed that autopsy conducted by British
coroners confirmed that Olikoye died from
complications of deep vein thrombosis.
It will be recalled that Olikoye died in his sleep at
the Academy Hotel in central London on Sunday night
June 1, 2003. He arrived London by air for a meeting
of the World Health Organisation
Acccording to Beko, Olikoye would be buried in Lagos
on Friday, June 20 after a funeral service. A wake
would also be held in his honour at his Lekki
residence on Thursday evening.
What is deep vein thrombosis?
-----------------------------
Deep vein thrombosis, commonly referred to as DVT, is
a disease of the circulation. It occurs most often in
people who have not been able to exercise normally.
Air travelers in economy class are now increasingly
being recognized as a particularly vulnerable group. A
French study has shown that journeys more than five
hours long by car, plane or train increase the risk of
DVT fourfold.
There is particular risk with air travel because of
the combination of inactivity and dehydration, which
makes the blood stickier.
A recent study in The Lancet showed that as many as
one in ten passengers could suffer DVT unless they
wore the special compression stockings.
Blood passing through the deepest veins in the calf or
thigh flows relatively slowly; when a DVT occurs it
moves so slowly that it forms a solid clot, which
becomes wedged in the vein. This clot may dislodge
from the veins of the leg into the circulation and
lodge into the vessels of the lungs and other vital
organs.
What are the symptoms?
---------------------
Quite often there are no symptoms at all. Where they
do exist, there may be pain or tenderness in the leg
and raised skin temperature around the area. Sudden
swelling in one leg may be the first sign.
Occasionally some of the surface veins are more
visible through the skin. There may also be pain on
flexing the foot upwards.
How dangerous is it?
-------------------
DVTs themselves are not life-threatening but they are
associated with complications which can be fatal.
The most common serious complication is a pulmonary
embolism, which occurs in between one in three and one
in four cases of DVT. A piece of the clot lodged in
the leg vein breaks off and travels through the body
to the lung, where it becomes lodged again causing
severe breathing difficulties.
Untreated, up to one in ten people who suffer a
pulmonary embolism die as a result.
Can DVT be prevented?
---------------------
People who have already had a DVT are more at risk of
going on to develop another one.
Taking drug-thinning drugs such as aspirin is one way
to cut the risk of developing a clot. Taking a low
dose of aspirin before a long flight, for example, may
reduce risk as does walking around in the cabin.
Foot exercises while sitting down - rotating the
ankles and wiggling the toes - prevents the blood
pooling in the feet and then struggling to climb up
through the veins.
Wearing compression stockings is also be advised for
those at risk of developing a DVT.
Special foot cushions have been developed so
passengers can exercise while sitting at their seats.
More general DVT resources are available at:
* American Public Health Association:
http://www.apha.org/news/press/2003/dvt.htm
* BBC News Medical Notes:
http://news.bbc.co.uk/1/hi/health/medical_notes/c-d/986364.stm
*BUPA Fact sheet on DVT:
http://hcd2.bupa.co.uk/fact_sheets/mosby_factsheets/Deep_Vein_Thrombosis.html
* Medline Plus Health Information:
http://www.nlm.nih.gov/medlineplus/thrombophlebitis.html
* Yahoo Health:
http://health.yahoo.com/health/centers/vital_signs/104.html
-----
Copyright © 2003. Datelinehealth-Africa Inc. All
rights reserved. Permission is herewith given to
re-use or re-distribute for non-commercial purposes
with due credit given as to source.
=====
A. Odutola
Centre for Health Policy & Strategic Studies
34 Town Planning Way, Ilupeju
P.O. Box 7597, Ikeja, Lagos, Nigeria
Tel. +234-1-470 1255
Fax. +234-1-263 5285
Email: chpss_abo2@yahoo.com
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