Rhys Evans did his undergraduate training at Trinity Hall College, Cambridge and University College and Royal Free Hospital, London. After foundation and core medical training in London and Melbourne, Australia, he started Renal and General Medicine registrar training on the North Thames rotation, part of the London Deanery. After 3 years in London, in September 2014, he moved to Blantyre, to take up a position as clinical lecturer at the College of Medicine, Malawi. As well as teaching and general medical commitments, he runs a renal service, which provides tertiary nephrology care for the entire southern region of Malawi.
As part of the East African Diploma of Tropical Medicine and Hygiene (EADTMH), we are currently part of a group investigating the burden of non-communicable diseases (NCDs) in the Muheza District of northeastern Tanzania, and looking into the health system’s preparedness for their management.
A study undertaken during 2015 at Queen Elizabeth Central Hospital (QECH), Blantyre, Malawi demonstrated that 20% of general medical admissions over a three-month period had evidence of kidney disease. Outcome (hospital mortality) in these patients was significantly worse than those with normal renal function.
At the end of March this year, following on from the World Congress of Nephrology (WCN) in Cape Town, we held an Acute Kidney Injury (AKI) symposium in Blantyre, Malawi. This was attended by 100 delegates (nurses, clinical officers and doctors) who work in hospitals and health centers around the Central and Southern region of Malawi.
In July 2014, a new hemodialysis unit opened in Blantyre, Malawi. Blantyre is in southern Malawi, not far from the border with Mozambique. With a population of over 600,000 it is the country’s second biggest city behind the capital Lilongwe, and is a major financial centre. Queen Elizabeth Central Hospital (QECH) is a tertiary referral centre for the entire Southern region in Malawi with over 1000 inpatient beds. There are around 30 medical admissions per day with over 200 general medical inpatients. The burden of kidney disease in both medical and non-medical patients is large.
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