February 14, 2025

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Breaking the Myths: Rubavu’s Progress in Combating Podoconiosis

Once shrouded in mystery and misconception, podoconiosis—a debilitating but preventable disease—has been demystified in Rwanda. In Rubavu District, authorities are making significant strides in combating this condition, thanks to advancements in treatment and a growing number of successful recoveries.

A dedicated treatment center in Nyundo Sector now provides care to 171 patients, offering renewed hope to those once stigmatized by the disease.

Théophile NIYITEGEKA, Director of Nyundo Health Center, highlighted the progress made in addressing misconceptions surrounding the disease.

“Previously, there was widespread misinformation about podoconiosis. Many believed it was caused by poisons or even supernatural forces. However, with ongoing treatment and patient recovery, these myths have been dispelled,” Niyitegeka stated.

He urged the community to stop stigmatizing individuals affected by podoconiosis, emphasizing that the disease is not contagious.

“Podoconiosis is caused by prolonged contact with iron-rich soil, not by infection. Therefore, there is no justification for discrimination or segregation of patients,” he insisted.

Patients See Significant Improvement

Beatrice NYIRANZAYINO, a patient undergoing treatment at the Nyundo Health Center, shared her journey toward recovery. She noted a significant improvement in her condition since starting treatment two years ago.

“I have suffered from podoconiosis for 20 years, but since receiving treatment here, my condition has improved remarkably. My legs were once severely swollen, and I couldn’t wear shoes, but today, I am able to wear them again,” she said joyfully.

She added that as her condition has improved, social stigma has also diminished.

“People who once distanced themselves from me have now changed their attitude. With this gradual healing, I no longer experience the same level of discrimination,” she noted.

National Efforts to Combat Podoconiosis

Currently, Rwanda has recorded 6,000 cases of podoconiosis, with significant strides being made in treatment. The government has established 13 specialized treatment centers nationwide, and of the 6,000 affected individuals, 1,300 have already been treated and cured.

Nathan Hitiyaremye, an official from the Neglected Tropical Diseases (NTDs) Program at the Rwanda Biomedical Centre (RBC), emphasized the importance of hygiene in preventing podoconiosis.

“We strongly encourage people to adopt proper hygiene practices, as they play a crucial role in preventing many diseases, including podoconiosis. Specifically, avoiding direct contact between bare feet and the ground by wearing shoes is an effective preventive measure,” he said.

The RBC has expressed optimism that podoconiosis could be completely eradicated in Rwanda by 2030.

Podoconiosis is a chronic condition that causes progressive leg swelling (lymphoedema), affecting an estimated 4 million people across 32 countries. Unlike diseases caused by bacteria, viruses, or parasites, podoconiosis is a non-infectious condition that occurs in genetically predisposed individuals exposed to irritant soils in tropical highland regions.

Similar to many Neglected Tropical Diseases recognized by the World Health Organization (WHO), podoconiosis disproportionately affects impoverished communities, trapping them in a cycle of poverty. The disease is often mistaken for Lymphatic Filariasis (LF), another major cause of lymphoedema in tropical areas.

Preventive measures for podoconiosis include proper foot hygiene, the use of emollients, skin care, bandaging, and consistently wearing socks and shoes. Notably, it is considered one of the few non-communicable diseases that could be entirely eliminated in the near future.

With continued awareness, medical interventions, and community cooperation, Rwanda is on a promising path toward eradicating podoconiosis and improving the quality of life for those affected.

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