Category: Health

  • Firm petitions NAFDAC, seeks clarification over reports of falsified product

    Firm petitions NAFDAC, seeks clarification over reports of falsified product

    A firm, Bullion Go-Neat Global Limited has again challenged the National Agency for Food and Drug Administration and Control (NAFDAC) to expose those responsible for counterfeiting its product known as “Coco Samba Milk and Chocolate Flavored With Herbal Extract.”

    The firm said that clarifications became necessary after NAFDAC released a statement alerting the public to falsified Coco Samba that was allegedly intercepted in Germany.

    A statement by the firm noted that NAFDAC also needs to show transparency and credibility by doing everything necessary to back up its report on falsified Coco Samba products.

    According to NAFDAC, the investigation revealed that the product with “A4-9149” is falsified and different from that obtained from the NAFDAC database “A8-4418L” for the genuine product.

    The firm and its CEO, Amb. Olufemi Ajadi had earlier clarified that the company has stopped producing the product with registration “A8-4418L”

    “It is imperative to clarify that prior to the registration of Coco Samba Milk and Chocolate Flavored with Herbal Extract, our company produced Cocosamba Bitters Alcoholic drinks with NAFDAC No A8-4418L. However, due to low market demand, the production of Coco Samba Bitters Alcoholic Drink was discontinued, and it has not been in production since the expiry date of the licence,” the CEO of Bullion Go-neat Global Limited stated.

    Ajadi also confirmed that the genuine registration number for Coco Samba Milk and Chocolate Flavored with Herbal Extract is A8-9149 and not A8-4418L as reported by NAFDAC.

    He urged NAFDAC to do its job well by informing the public properly. He noted that it was unacceptable that the agency that registered and certified Coco Samba Milk and Chocolate Flavored with Herbal Extract could not provide proper information to the public.

    Ajadi also added that he was surprised when he read that falsified CocoSamba was intercepted in Germany.

    He further expressed frustration that to date NAFDAC has yet to reach out to Bullion Go-Neat or submit any laboratory report to back up the circulated report.

    According to him, “Nobody served us any letter or notice concerning the alleged interception of our product in Germany. We approached several departments in NAFDAC and we were told there were no such complaints about our product anywhere. So, how did the report get to their website, some media houses also began to report it without reaching out to us.

    “We believe good journalism requires hearing from all sides before publication, but we were not consulted and our opinion wasn’t sought.

    “As a company paying taxes to the government and providing employment to Nigerians, we deserve a say in whatever is going on, or that will affect our company.

    “We expect that by now, NAFDAC should bring evidence or samples of the said product that they reported was not safe for human consumption. No complaints from our consumers in Nigeria about our product and no sample from NAFDAC as well. So, I am calling on NAFDAC to produce evidence from Germany where they claimed it happened.

    Read Also: NAFDAC, PCH stop medicine supplies to Kano market 

    “I am still in shock over all this. At one point, I began to feel maybe some criminals within NAFDAC are being paid to tarnish our image. NAFDAC really need to sanitise itself by conducting a thorough internal investigation.”

    Ajadi issued strong warnings to those seeking to bring down Coco Samba and Bullion Go-Neat Global Limited. He confirmed that the company has written to security agencies over the matter.

    He also urged media houses to verify before publishing reports. He noted that Bullion Go-Neat Global Limited will not fold its hands and allow anyone to use the media to destroy years of good service to the public.

  • Stakeholders urges Tinubu to halt appointment of new MDCN Registrar

    Stakeholders urges Tinubu to halt appointment of new MDCN Registrar

    Concerned stakeholders in health sector have urged President Bola Ahmed Tinubu, Minister for Health, Muhammad Pate and Minister of State for Health, Dr. Tunji Alausa to reconsider their stance on the appointment of New Registar for Medical and Dental Council of Nigeria (MDCN).

    They said appointment of the Registrar by the President is at variance with the provisions of the Medical and Dental Practitioners Act Cap M8 LFN 2004.

    Tinubu recently approved the appointment and reappointment of the following Board Chairpersons and Chief Executive Officers under the Federal Ministry of Health and Social Welfare.

    A statement by Kolade Ogunbiyi said: “Our attention has been drawn to the President’s approval for leadership appointments in the Health Sector including the Medical and Dental Council of Nigeria.

    “While applauding the appointment of a Chairman for the Council, an appointment that had been due since November 2022, we wish to point out that the appointment of the Registrar by the President is at variance with the provisions of the Medical and Dental Practitioners Act Cap M8 LFN 2004. Section 6(1) of the Act vests the authority to appoint a Registrar for the Medical and Dental Council of Nigeria in the Council.

    “That provision is in consonance with sections 5(1) and 171(1d) of the Constitution of the Federal Republic of Nigeria 1999 as amended.

    Read Also: ‘Governors not complementing Tinubu’s efforts’

    “The penchant of Ministers to violate the provisions section 4 and usurp the statutory veneer of independence of the Council to appoint Registrars is against the regulatory independence of the medical and dental professions.

    “We call on the President and Commander -in-Chief  of the Federal Republic of Nigeria to halt this violation of the Laws of the Federation of Nigeria.”

  • Medical Laboratory Scientists kick over Salako’s appointment as MLSCN boss, seek Tinubu’s intervention

    Medical Laboratory Scientists kick over Salako’s appointment as MLSCN boss, seek Tinubu’s intervention

    Medical Laboratory Scientists in the country have urged President Bola Tinubu to reverse his recent appointment of Babajide Salako as the chairman of the Board of the Medical Laboratory Science Council of Nigeria (MLSCN).

    The Medical Laboratory Scientists said the appointment breached the establishment law of MLSCN because Salako was neither a Fellow of the body nor a certified practitioner of medical laboratory science.

    Under the aegis of the Association of Medical Laboratory Scientists of Nigeria (AMLSN), the practitioners faulted the process that led to the appointment and requested President Tinubu to investigate the circumstances that led to the violation of the law and apply appropriate sanctions against those responsible for embarrassing the Presidency and the government.

    The association also urged the National Assembly and the Minister of Justice and Attorney General of the Federation (AGF) to wade into the issue and offer appropriate advice to the President on the necessity of reversing the appointment and replacing him with recourse to the law.

    The (AMLSN) asserted that the dispensation of quality service in public and private medical laboratory facilities in the country can no longer be guaranteed if their plea was not heeded.

    During a press conference on Monday, February 19, at the National headquarters of MLSCN in Abuja, the National President of AMSLN, Casmir Ifeanyi, emphasized that while outlining the ultimatum to the President, the leadership of the association is committed to fostering industrial harmony.

    Read Also: Stop inciting Nigerians against Tinubu, Famuyibo cautions northern leaders

    He further stated that their appeals are based on upholding the rule of law and preventing division in the governance and regulatory responsibilities of the MLSCN, adding, “However, if this untoward situation is not redressed now, AMLSN will be unable to guarantee the availability of quality medical laboratory testing in Nigeria, both in private and public. We call on all our members to remain calm but on the alert for the next line of action”.

    Quoting Section 3 (1)(a) of MLSCN establishment law, Act CAP (M25) LFN 2004 (Act 11 of 2003), Ifeanyi said, “3—(1) There is established for the Council a Governing Board (in this Act referred to as “the Board”) consisting of — (a) a chairman who shall be a qualified Fellow of the Medical Laboratory Science Council of Nigeria with 5 years post qualification experience and shall be appointed by the President on the recommendation of the Minister from a list of names of the Fellows submitted by the Association of Medical Laboratory Scientist of Nigeria (in this Act referred to as “the Association”).

  • Naturopathic Medicine College graduates nine at 7th convocation

    Naturopathic Medicine College graduates nine at 7th convocation

    The Open International College of Naturopathic Medicine recently graduated nine students at its 7th Convocation ceremony held in Lagos.

    At the ceremony, stakeholders in the field raised concerns over the lack of regulation in the natural medicine industry which has given room for quacks.

    In their separate remarks, they lamented that quackery in the industry is being fueled by a lack of regulation, extensive poverty, and cultural beliefs.

    The institution’s provost in his remarks, Dr. Qazeem Olawale disclosed that the graduates have fulfilled all requirements after taking several courses in the field of natural medicine.

    In his remarks, the president of the college, Abdulazeez Ahmad stressed the importance of stringent regulation of the natural medicine industry.

    Calling for more collaboration and integration with the conventional medicine system, Ahmad noted that it would be beneficial for both patients and practitioners.

    Ahmad called on the National Assembly to fast-track the passage of the Traditional, Complementary, and Alternative Medicine Council Bill.

    He said: “Passing the TCAM bill into law, regulating the practice, establishing and also supporting schools, those are the major things that can help to eradicate quackery.

    “The first thing is to have a good regulatory body. Orthodox medicine is being regulated. But you cannot use that same association to regulate naturopathic medicine; they are different. What they learned in school or college is different.

    “So, we also need a regulatory body solely for this. They are the ones who will tackle the quackery. And secondly, when you don’t want people to go into quackery, you give them knowledge. So that’s why they have to also establish schools.”

    Also speaking, health consultant and guest lecturer at the convocation, Dr. Yusuf Isa stressed the need for stronger regulation of the natural medicine industry, as well as more education for the public about how to spot quackery.

    He said: “Quackery can lead to delayed diagnosis of problems leading to prolonged suffering. In some cases, it can lead to death.

    Read Also: Danjuma donates $1.36m to UI College of Medicine

    “The lack of regulation means that there is no way to verify the credentials or qualifications of natural medicine practitioners. Anyone can set themselves up as a natural medicine practitioner, regardless of their training or qualifications

    “In Nigeria, not much about naturopathic medicine has been recognised, unlike conventional medicine, so it has to be popularly recognised. People have to be organised into corporate societies.

    “Let them know the importance of natural medicine and how to practice it. And anybody claiming anything, if possible, let them tell you how it can be explained to people.

    “Every institution or every hospital needs a department where they will be treating natural medicine because by integrating natural medicine with orthodox medicine, people will get healed faster.”

  • Take-away food box: ‘Riddance to rubbish’(1)

    Take-away food box: ‘Riddance to rubbish’(1)

    As we say in the back streets of anything which endangers human health, the ban of styrofoam takeaway food boxes by Lagos State Government is…”GOOD RIDDANCE TO BAD RUBBISH”

    Generally speaking, all plastics are potential killers, while the ones which come in contact with food are even more dangerous to health. Their origin is crude petroleum. In whichever form, they bear deep within them petroleum residues. These residues are released whenever plastics are heated. Petroleum chemicals in heated plastics migrate into foods, juices and medicines, even food supplements stored in them. These chemicals enter the human body from the edibles and may cause such problems as brain and vision damage, dental and gum problem, throat, stomach and intestine questions, reproductive system issues and many types of cancer.

    You may now understand why some producers of food supplements package their products in glass bottles and not  in plastic containers. Three classical examples I can easily recall now are Tahitian Noni, UDO’s health products such as UDO’s oil and Maria swedish Bitters. You may now, also, understand why these products and similar ones are more expensive. Their glass ware packaging protects your health better than competing products package in plastics. Now, “consider ogogoro” sold in plastic bottle. This is a spirit which has the capacity to extract anything into itself and permanently hold it. You can imagine what you gobble when you drink a tort of ogogoro!

    Nena Uche, now of blessed memory, was a young reporter in the 1980s when, as her Editor  at The Guardian newspaper, I asked her to investigate correlation between a growing market  of plastic products  in Nigeria and a seeming epidemic of cancer, notably breast cancer. Although her efforts did not yield a copy for publication, I did not lose interest in the subject. I remembered her during World  Plastic Day some years ago as I did again last week when I heard the news that more than 500,000 Africans died of cancer last year. More harrowing was the news as well that more children today are coming down with cancer than did the children of my generation. Even more heart breaking was the news that Nigeria’s hospital system is incompetent in treating cancer. A medical doctor named Amaka whose first name I lost, said in a radio programme that Nigeria needed a minimum of 200 radiotherapy machines but had only 14, one of them for the entire North Eastern region. She said, also, that phototherapy could cause anything from N800,000 to N1.4 millio. This is not to mention chemotherapy and surgery where radiotherapy fails or is inadequate.

    I still wonder about the role every day use of plastics may be playing  in the health down-turn of this cancer-stricken generation. Can the cause be plastics? To this question, I will also like to wonder if plastics are behind the rapid growth  of uterine fibroid cases in Nigeria. For almost every other woman is challenged by this reproductive system malaise. If you examine the natural medicines many women take to mitigate uterine fibroid so that they avoid surgery, you may discover that many of them, powder or liquid, are packaged in plastic! I also wonder if cervical cancer against which vaccination is now encouraged is not caused by the use of condoms, soft plastic which should easily yield their toxic residues into secret places of women. For the heat in this places can easily impact a soft plastic. It is not lost on me that Human Papilo Virus (HPV) which is the target of the vaccination may be a culprit in cervical cancer because, nowadays, the cervix has become the receptacle for not only varied sperm deposit but also for frequent deposit by the same spouse or man. This idea is worth investigating by the health authorities. It stems from the the notion that the woman’s secret place is naturally acidic for self protection against germs and infections while sperm is alkaline. The thinking goes that it doesn’t matter if a woman is chaste and sticks to only one partner. Her body is equipped with antibody against “foreigners”, including sperm cells. The semen protect the sperm cells  with anti-bodies- antibodies. Being alkaline, the semen neutralises virginal activities. If it does so on an almost a daily basis, the virgina and the  cervix may lose their natural acid-base immunity, incline towards alkalinity and favour HPV colonisation and cancer.

    My siblings and I have not ceased to see our maternal grandmother as an unusual woman. She yielded way in 1980 at 71 to cancer of the right breast. I was 30. A few years before then, she fished out of her wardrobe a basket in which she had kept a number of baby things. She wished to show my children my baby clothes, talcum powder,  empty can of Oster Milk, the reigning infant formula of the 1950s and, of course, my feeding bottle. It was the first time I saw a glass feeding bottle with teat at both ends. This story is to show that today’s babies are  exposed too early  to plastic poisoning. Baby food is served hot in plastic feeding bottles and kept in plastic containers, which are in turn kept in plastic warmers to keep it hot  for as long as possible. Petroleum residues leak into these foods and begin the battle of the infant body with neurological and other health challenges. A study group of medical researchers and doctors in the United States has been campaigning for years for the abolition of plastics in any form in baby food formulas and their feeding paraphernalia. It is a battle that may be difficult to win as other plastics battles. Do babies not eat the teeth of their feeding bottles? Do mothers still not push rubber suckers into the mouths of crying babies? My children were served their meals in plastic plates, ceramic plates and bowls. They took plastic spoons for lunch and took water along in plastic bottles. Hands up all parents who are not trapped with their children in this plastic tradition?

    For years, I launched a one-man campaign against the exposure of “Pure water” bags to the sun at Ilupeju Model Market in Lagos where I had an office. Many people still do not know that exposure to heat causes petroleum residues in the sachets of this brand of water to leak into the liquid content. The principal among these leeches is xenoestrogens. Xeno came from the Greek word for “foreign.” Thus, xenoestrogen is foreign estrogen.  These are artificial estrongens . Estrogen, a hormone, makes the woman a woman. Testosterone, the male hormone, makes the man a man. The men have some estrogen in their bodies. However, too much estrogen than they require to be men may make them to begin to develop female characteristics. These may include subnormal sperm cells in many ramifications, including low sperm count, de-energised sperm,  agglutinating  sperm, short-lived sperm,  physically damaged sperm and even azospermia (absence of sperm). Too much estrogen in relation to progesterone, another female hormone which must be a special ratio with estrogen, may cause in women, ovulation problems, uterine fibroids, disruption of the menstrual calendar, period pains, ovarian challenges, premenstrual syndrome (PMS) or Tension (PMT), bloated, tense and sore breasts and even breast cancer. A person with too much estrogen in his or her body is said to be estrogenated. The human body produces its own estrogen. Foreign estrogen may come from estrognated poultry chicken, turkey, eggs, cow milk and flesh, and some estrogenated agricultural products. Although estrogenation challenges may be confronted with and inhibited by such good supplements as Zinc, Vitex, Evening primerose oil, Don quai, Black coshosh, Ashoka, Ashwahgandah, Peruvian mecca, Broccoli, Marigold flower extract etc,  the culprit, petroleum residues are better avoided. Avoiding xenoestrogens may be a lot of work, though, because the modern agricultural system puts them in foods? How many persons do not, like me, eat poultry birds and their eggs?  I gave them up about 30 years ago when I realised that  poultry chicken and turkey, like fish  from  a pond, were sick animals which could give only  MESO health and not RADIANT or VIBRANT health. For health is, at the day’s end, no more than the RADIATION or VIBRATION capacity of the human blood!

    Back to “pure water” sachets and our health. Watch the vehicles in which they are distributed in town. Bags and bags of them are exposed to sunlight. They are not protected, also, by the women who buy them. Some women are even nauseating during the maize season when the weather is cold, and many persons are tea hungry. Some women drop a few sachets of water in the basin in which maize is boiled. The heat makes the water suitable for warm or hot tea!

    As I said in an earlier article years ago, we now live in a world of poisons and may be unable to do away with plastics. We have the capacity, though, always to detoxify  our bodies of their poisons. For years to come, babies will still be fed from plastic bottles. My children fed from plastic plates and drank their water and tea from plastic cups so they would not break China ware and mugs. Back in high school in the 1960s, did we not take our hot meals in plastic bowls?  If we flee from “pure water” today and go for bottled water, there is something we may not know about this brand of drinking water.  I do not intend here to talk about whether they are acidic or alkaline on the PH scale. Many of them manage to hit 7.0 on that 0-14 scale in which values below SEVEN are ACIDIC and not good for health. That is why many of them do not carry labels which show their mineral content or their pH quality. The Standards  Organisation of Nigeria (SON) and, perhaps, the National Agency for Food and Drug Administration and Control (NAFDAC), deserve blame for this and more. Many people do not know that, under international good manufacturing practices, these bottles are to bear certain standard numbers at the bottom. Some numbers indicate certain bottle types are not meant to be used for food storage. Some are picked from the refuse dump, washed and recycled for packaging edibles such as drinks, palm oil, peanuts, palm wine etc. If we believe we can avoid these or escape from them, what about the following:

    •Plastic pipes bring water into our kitchens from sun-heated overhead plastic tanks. Boiling the water does not inactivate the chemical seepage from plastics. It may even make them concentrated.

    •When we buy roast corn or boiled corn or roast yam in the street, is it not kept in cellophane bag?

    • When women grind pepper in the open market, do they not bring it home in plastic containers or bags?

    •Do we not eat popcorn and peanut in cellophane wraps? What of biscuits and sweets or chewing gum, all of which may have been sun-heated?

     • To worsen matters nowadays, agidi and moin moin are no longer cooked in leaves but in cellophane wraps! So, we now find fufu no longer in leaf wraps but in “cellophane” covers!

    • Watch commuters hurrying home from work in the evenings. To avoid late cooking, they buy from road-side food sellers all sorts of sizzling hot foods which are dispensed into shopping bags! Some of them who can afford “take-away” food boxes prefer it. They and their families enjoy presumably sumptuous meals drowned in or embalmed with monosodium glutamate( MSG) which is not the subject of this column.

    Read Also: Facebook launches U.S. food order, delivery service

    THE DANGER

    I am not looking at the environmental impact of these non degradables, which is one of the major reasons the government of Lagos State had banned their use in the food sector. I am more concerned about how they may disparage human health. I cannot support the argument for more time to sell off existing stock or that abrupt disuse of take-away plastics would erase jobs. We are told many jobs would be lost and businesses would lose money. Don’t people’s lives mean something to us anymore? Every day, petroleum chemicals from plastics may weaken susceptible organs, damage them or even cause cancer. The industry keeps defending itself world-wide.

    No part of the body may be safe from plastic poisoning. The summary below says it all.

     THE BRAIN

    Psychiatric hospitals are overflowing with patients. However, it is not all cases that are the outcome of psycho-active drug activities. Some brains are filled with heavy metals such as Mercury, Lead and Cadmium which may be discharged from plastics. Unless the brain is detoxified with the mixing of the herbs: Chorella or Chelated Minerals or Chelated Zinc, for example, heavy metals may poison brain cells or cause them to be unable to uptake glucose as food. As glucose is the food of the brain, this may cause what researchers call “Diabetes of the Brain”. Hungry brain cells wilt or die. Is this why many children suffer from Attention Deficit Hyperactivity DisorderIS (ADHD) for which they are labelled “SCATTER BRAINS”? Many adults also suffer from this syndrcaterome. This has nothing to do with psycho-active drugs and “rehabilitation” is not the answer, but detoxification and healing of the distorted or damaged cells. In some persons, it is expressed as Dementia, Alzheimer’s or Parkinson’s disease, all of which are now being related to Glaucoma and said to be treated with Coconut oil as a food supplement. Coconut oil provides the brain with Ketones, an alternative to glucose. Candida toxins may be other culprits behind brain malfunction and irrational behaviour. Candida belongs to the yeast or mold family. Dark-field microscopy exams have now shown candida presence in blood samples, something thought impossible before now. The tongue offers an early warning signal for Oral Thrush, which is often ignored, but is actually a mirror of overpopulation of Candida in the intestine. Candida grows on sugar as fuel and encouraged by a weakened immune system induced by toxic and acidic internal environment. There is another level of chemical toxicity present beyond the intellectual grasp of doctors. Intellectual here does not refer to academic or professional erudition but to the mindset, that is, comprehension of the brain or the intellect that only what can be observed by material senses and physical, scientific tools which assist them really exist in the Universe.  Hence, these “REALlSTS” are limited in scope and experience. The condition is mistaken for lunacy or insanity in which brain cells are actually damaged or lost. In possession, the brain of a healthy person is taken over partly or wholly by a disembodied earthbound soul who takes it over and may crowd out the owner’s soul from the entire body. In the struggle of both souls to control the brain and the body, the original owner exhibits a SPLIT PERSONALITY or BI-POLAR syndrome, often described as lunancy. The origin is a polluted blood composition or low blood vibration (voltage) which enables the invading soul gain access. The simple treatment of this condition is dietary and attitudinal changes which bounce off radiation of the invader by making it not homogenous with the host environment. This is not a subject for today. It is merely to show the role that plastic poisoning may play in this condition, as the professional study groups are saying in the United States.

    THE EYES

    They, too, suffer from free radical  activities, especially in the absence of anti-oxidants.  Millions of Nigerians today, many of them young person, suffer from vision challenges encountered in old age some decades ago. With the increasing linkage of the eyes to the brain as outward forms of it, eyes profit from the treatment of the brain. Contact Lenses are, therefore, not encouraged. We learn of their potential danger from how our bath tub plastic buckets can get slimy with fungi. Would we like fungi to invade the eyes in the name of fashion? What if “TAKEAWAY” chemicals find their way into the eyes? The brain and the eyes may profit from Chlorella, Ginkogo Biloba, Bilberry, Marigold flower extract (Lutein, Zeazanthin and Asthazantin), Magnesium, Lecithin etc. I recall a health cure too close for comfort to elaborate upon here. It is about the wife of a prominent Nigerian pronounced “brain dead” in  Nigeria and in the United States. Back home in Nigeria, she received “miraculous” healing through  traditional Medicine. She returned to the University and took a Doctoral Degree!

  • Critical issues shaping cancer care in Nigeria, by expert

    Critical issues shaping cancer care in Nigeria, by expert

    An accomplished medical professional and seasoned administrator, Dr. Lilian Ekpo, Director of the NSIA-LUTH Cancer Centre (NLCC) in Lagos, boasts a wealth of expertise and experience in the healthcare sector. Before her tenure at NLCC, Dr Ekpo served as the medical director of a prominent private healthcare institution in Lagos, overseeing various healthcare facilities such as dialysis centres and implant clinics for numerous companies nationwide. In this interview, she offers insights into the prevailing landscape of cancer care, underscoring the significance of breast cancer awareness and confronting the hurdles in cancer treatment across Nigeria. She spoke with Associate Editor ADEKUNLE YUSUF

    The perception of cancer in Nigeria, I think is slowly increasing and I emphasised the word slowly and that’s because a lot of people out there still see cancer as a death sentence. And that’s one of the core things that we’re trying to do at the centre through our constant awareness on different platforms – the media and social media handles – trying to educate the public that cancer is not a death sentence, knowing that options are available.

    Early detection is crucial as it helps save lives. So, the message is slowly getting out there. You have to keep educating the people. Last year, we partnered with the Lagos State Government in raising awareness concerning cancer education among secondary school students. We’re changing the tide for the next generation. All through the quarter of last year, we educated students on breast cancer, different forms of cancer and how they can understand what the symptoms are so that they can detect it early and can present it early.

    Generally, all over the world, there’s a rising incidence of cancer, but it’s worse in low and middle-income countries such as Nigeria. Mortality is high here and there is the likelihood that one may die from the disease because of the quality of health care that one receives and because of late presentation in the country.

    The incidence of cancer is rising, the lifestyle is changing; the health trends are moving away from communicable diseases. Sixty to 100 years ago, what was killing people were cholera malaria and other diseases. But now, we’ve successfully overcome those barriers. Unfortunately, our healthcare systems and capacity have not evolved to deal with non-communicable diseases so much so that we are now struggling to catch up so that we can cope with the surge.

    What we see in the NSIA-LUTH Cancer Centre mirrors what is seen in the country. So, you would have breast cancer, prostate cancer, cervical cancer, and colon cancer; those would be the top four. In this centre, we also see a lot of head and neck cancers. I must confess, we do have very good outcomes in treating head and neck cancers.

    Treatment and management of cancer

    Currently, NLCC has deployed state-of-the-art treatments and equipment in the management of cancer. We have the kind of technologies that you will see in cancer centres in developed countries and the benefits of having those technologies in place and having clinicians, medical physicists and radiotherapists who are skilled in the deployment of these technologies. It means that you can give more targeted treatment to the cancer itself, sparing the other healthy tissue, because that previously has been the challenge with cancer treatment and that’s the reason, for example, someone with cancer will take medication and the hair falls off. It falls off because the treatment that the patient is taking is killing the cancer and also killing normal cells. But radiotherapy machines, enable us to focus directly on the tumour and spare all the surrounding cells.

    Challenges faced by cancer patients in Nigeria

     The greatest challenge cancer patients experience is finance. Healthcare everywhere in the world is expensive. In developed countries where you have a very strong healthcare insurance system, the significant care in any service that is rendered to the patient is the government. In Nigeria, the government is trying, especially with cancer care, as they’re making some significant investments.

    This centre was set up by the NSIA, which manages Nigeria’s Sovereign Wealth Funds. It is an investment for every Nigerian. For that reason, the costs are affordable and reasonable because the service has been subsidised to some extent. However, given the present economic situation, it is still expensive for the Nigerian on the street. A cancer patient might come during stage two, but when they tell them the price and they are struggling to go and get the money, by the time they speak with community members, church, or family, it will take them several months.

    By the time they come back, the cancer has moved from stage two to stage three; so that’s a significant challenge. Another challenge would be all the other ancillary things that come with it are disruption to life, including your family life, lifestyle, and even work. Going to the hospital every week to take his or her treatments can cause a lot of fatigue. If you are self-employed, how do you cope?  If you are working with an employer who is uninformed and unsympathetic, then you begin to ask, why is he taking too much time off to go and get radiotherapy?

    If the government or an NGO can come together and fund free transportation, it will ease the stress of cancer patients. But that doesn’t happen currently in this country.

    How the government can ensure equitable access to cancer care   

     The government should keep up the work that they’re doing. The government has made significant investments in the past five years in cancer care in terms of procurement of equipment. They’ve set up the same centre in Maiduguri with a lot of good equipment. However, the equipment is not the ones that will treat the people; it’s the doctors, the radiotherapists, and the medical physicists that will treat the people and we need people who are skilled. With the japa syndrome in the healthcare sector, we are almost sitting on a time-bomb. We need to make significant investments in retaining human capital by stemming the tide of human capital flight, invest in doctors, get them trained, pay them well because not everybody wants to leave the country.

    The oncology nurses, the oncology pharmacists that help to compound those medicines, medical physicists, the ones that plan where the radiation goes, the radiation therapists that ensure the radiation is delivered to the right place and positioned the patient properly when they lie in the linear accelerator, biomedical engineers that will manage the equipment need to be trained.

    What is the trend right now is targeted therapy otherwise referred to as personalised treatment. And the core of that is realising that treatment can be specific. There is a specific gene on cancer cells that you can target and you would destroy that cancer cell rather than just giving general chemotherapy. With targeted chemotherapy, it looks for genes, proteins, or particular enzymes and targets those things. So, there are tests that need to be done to determine what kind of medication the patient gets and the likelihood of successful outcomes are higher with targeted therapy.

    Support services and resources available  to cancer patients

    The greatest misconception is that cancer is a death sentence or the moment you get a diagnosis of cancer, you’re going to die. This one of the things we trying to do through our social media channels to share the stories of survivors and show the work that have been done at the center and let them know that that cancer is not a death sentence, it doesn’t mean the end of your life.

    Read Also: Cancer centres in Nigeria

    The other misconception is what causes cancer. Cancer is not a form of witchcraft, not a punishment from God, it’s not because you’ve done something bad, you’ve lived sinful or promiscuity. These are some misconception that people have and it’s important to dispel those misconceptions and myths. NLCC continues to strengthen its bouquet of services that are available within palliative care for the patient. We have psychopharmacology clinics that every patient that pays for radiotherapy treatment gets two complimentary psycho-oncology consultations, where you sit with a psychologist. As you come in, the first thing you do for all the patients is to make them fill what is called the distress diameter to measure the extent of psychological trauma; are you struggling to sleep? Are you having palpitations because you are afraid? Are you worried about your finances? Are you struggling with your spouse or your children? Some of the results of that form the two complimentary psycho oncology visits, a psychologist who is trained in understanding cancer patients and struggles will sit with you and counsel you. They get the service before they start treatment and during the course of treatment so that we can compare how the treatments and the counseling services is impacting their life.

    We also have nutrition services because that’s one of the things that people struggle with in cancer. It is even one of their first concerns as many patients feel what they ate that cause cancer. Now that I have cancer, what should I be eating? What should I not be eating? So we have nutritionist and dietitian who will sit with patient to help them with their meal plan. One of the side effects that they can have with chemotherapies is metallic taste or loss of appetite. The nutritionist tells you, rather than three large meals, maybe eat in smaller portions, make smoothies to keep their nutrition up to enable them go through the treatment successfully and improve your outcomes. As LUTH is also strengthening its palliative care department, we’re working very closely with them to see how we can continue to expand the bouquet of services that we have within the center for patients. We have a medical social worker as well that works with the patients counseling, support, dealing with their loved ones and helping them cope with the diagnosis.

     Early detection helps cancer care

     Early detection saves lives and it is absolutely crucial. My advice to the public is be informed, be educated. A lot of people are waiting on a doctor, waiting on the informed healthcare person to tell them what to do about their health. You know your body, don’t ever ignore symptoms. Cancer actually takes a long time to grow. It’s not like malaria where people will tell you, ‘I was fine last week and then all of a sudden my head started aching.’ No, cancer doesn’t work that way. Its slow growing and you find out that a lot of times people are ignoring the symptoms. They ignore stomach pain, sudden weight loss, blood vagina was ignored or the felt a lump in your breast and you thought it would go. For example, the signs and the symptoms of ovarian cancer are very vague. That sort of thing you would probably pick when you do your routine medical examination. So, do not ignore signs but get those tests done. Also, make sure you follow after the results if there’s anything abnormal. It’s better to get it checked out. Nigerians like to bring religion into every issue of life; they want to cover everything with religion. I’m not negating prayer. You can get those results and still pray because doctors don’t know everything. The truth is not every cancer can be cured even in the developed world. Steve Jobs died of cancer and if there’s anybody that had money, he had money. He was living in the US that has access to the best of technologies but he still died. So, prayer is still relevant if that is the path you want to choose, but do it and still get the doctor’s check.

  • Japa syndrome: Tinubu moves against fleeing health workers 

    Japa syndrome: Tinubu moves against fleeing health workers 

    Over the past three years, more than 42,000 nurses and midwives have migrated abroad for better opportunities, despite the country offering a minimum monthly salary of N135,000 for nurses.

    Faruk Abubakar, the Registrar of the Nursing and Midwifery Council of Nigeria (NMCN), disclosed that within the same period, 15,000 nurses left, with an additional 15,000 departing just last year. 

    Despite this trend, Salma Anas-Ibrahim, the Special Adviser to the President on Health Matters, has reassured the public that the federal government, through the Federal Ministry of Health and Social Welfare, is actively working to reverse this trend and retain healthcare professionals. 

    This initiative aligns with the government’s commitment to ensuring the successful implementation of programs and policies for Universal Health Coverage (UHC).

    Anas-Ibrahim, who spoke during the presentation of an award of Excellence to her by the Association of Nigerian Health Journalists (ANHeJ) at the State House, Abuja on Tuesday said President Bola Tinubu consistently prioritized healthcare delivery from the outset that has led to significant strides towards revitalizing the nation’s health sector 

    According to her, the government is aware of the negative effect a depleted and unmotivated healthcare workforce could have on its Universal Health Coverage goal, which was the reason behind the setting up of a high-powered committee by the President to holistically address the issues mitigating against retention of medical officers in the country, including their welfare, equipment and conducive working environment.

    Read Also: 15,000 nurses exited Nigeria last year, says Nursing Council Registrar

    She said: “Nurses are the faces of the health facilities, because when you enter a healthcare facility, it is the nurse or midwife that does so much for you, and they spend more time with our patients than any other person. 

    “So, they are very important to us and very critical in terms of nursing care and the delivery of health care, even when there are no doctors. We do recognise their contributions to healthcare development in Nigeria. 

    “A lot of issues are coming in from different disciplines of the hospitals, not only in the nursing profession but across the board. 

    “We are committed in this administration and it is part of the priorities under the human resources issues. One area we want to address in creating an enabling environment is to also address the issue of rivalry. 

    “We are working assiduously to address all the conflict issues and all the areas that will motivate our nurses and midwives, and all other health workers at the same time. 

    “We are on top of the game and we are going to resolve all the issues and ensure that we retain the nurses and midwives,”

    Faruk, while appearing on a morning national television magazine programme monitored by our correspondent on Tuesday, lamented that the number of migrating nurses is increasing year by year.

    While responding to the issues behind the protests of nurses and midwives over the working conditions and the new certificate verification on Monday, the Registrar emphasised that the Council is not responsible for the remuneration of the nurses but to regulate the profession among other roles. 

    “Our responsibility is to ensure that nurses are regulated to better education and practice for Nigerians. Those who are responsible are doing their best to ensure that the welfare is attended to.

    “It is not the Council’s responsibility to determine the remuneration of any nurse, it is the responsibility of the Honourable Minister of the Ministry of Health, the remuneration is also determined by the National Salaries, Incomes and Wages Commission, which is the body responsible for determining that nationwide and nurses inclusive.

    “The issue of remuneration is not within the NMCN, I want to make this clear to you, a few weeks ago, NANNM paid a courtesy visit to the honourable Minister, and he has constituted a Committee where all issues raised by the national association (will be addressed), including the welfare that you are talking about.

    “An average nurse that is engaged receives not less than N135,000, it depends on where they are working. Some of them receive up to N200,000. It depends on where they are working, whether at the national, state, or local government. I think this is the brief I can tell you”, he said.

    Saying that the government is not folding its arms about the flight of the health workers from the country, Abubakar assured that Ministers of Health and Social Welfare are working hard to ensure a conducive working environment, with the provision of state-of-art equipment, and instruments, that will help them provide quality care for Nigerians.

    “I have to say that the FMoH is doing a lot and a committee is now being put by the FMoH to look at all the cases raised by the association on behalf of the entire nurses all over the country. I believe that will address the issue of welfare and the issue of remuneration they are talking about.

    “And I want to assure (you) that within a couple of months, a lot has been integrated and provided in 2024 that will improve the welfare of the nurses that we are talking about. When talking about the salary they are talking about, I think it’s a general phenomenon, and I believe it’s a general thing.

    “There is a lot of progress that is going on to review the salary and nurses are also included in that policy. I think it’s a general phenomenon, all other sectors are also complaining, and the government is doing a lot,” he added.

  • Alcohol in big bottles not banned, says NAFDAC

    Alcohol in big bottles not banned, says NAFDAC

    The National Agency for Food and Drug Administration and Control (NAFDAC) has refuted allegations of banning alcohol in the country.

    The agency in a statement by its Resident Media Consultant, Sayo Akintola, reaffirmed that it did not ban alcohol production in bigger bottles, saying that what it banned was the products packaged in sachets and small bottles of less than 200mls.

    It also restated that the decision to ban alcoholic drinks in sachets and PET bottles was not unilateral but borne out of an industry-wide consultation.

    The statement reads: “The Agency only banned alcohol in containers or packing that a child can easily conceal, i.e sachet or PET bottles less than 200ml the alcoholic content in a sachet or PET bottles less than 200ml is 30%. Beer has 4-8% alcohol.

    Read Also: Ban on alcoholic beverages in sachets, a collective decision – NAFDAC

    “The Association of Food, Beverage & Tobacco Employers (AFBTE) and Distillers and Blenders Association of Nigeria (DIBAN) signed an agreement with MOH and NAFDAC and FCCPC in 2018 December that they will phase out production of alcohol in sachet and PET bottles less than 200 ml by January 31, 2024. The agreement document is available. 

    “A five-year phase-out notice should be sufficient Nigeria was one of the 193 Member States of WHO that reached a historical consensus on a global strategy to reduce the harmful use of alcohol by adopting resolution WHA63.13 at the Sixty-third session of the World Health Assembly, held in Geneva in 2010. 

    “This was seven years before my time, an agreement signed by Nigeria with other nations that we will protect youth by making alcohol not easily reachable and accessible.”

  • Infertility: Ajayi advises couples of regular, unprotected s3x

    Infertility: Ajayi advises couples of regular, unprotected s3x

    The managing director of Nordica Fertility Centre, Abayomi Ajayi, has advised couples experiencing difficulties conceiving naturally to engage in regular, unprotected intercourse, saying it remains the primary natural method for conception.

    Speaking to journalists about practical strategies for couples to conceive in the New Year, Ajayi emphasized the importance of frequent intercourse, recommending at least three times a week for women seeking to conceive.

    He said: “For couples who want to conceive naturally, I want them to be aware of three things. These are the need to have regular, unprotected intercourse, the age of the woman, and her ovulation potential.”

    Ajayi stressed that regular and unprotected intercourse facilitates the entry of sperm into a woman’s vagina, allowing it to reach the fallopian tube connecting the ovary to the uterus and fertilize an egg.

    According to him, if the fertilized egg successfully travels down the fallopian tube and implants in the uterus, adding that embryo development would begin.

    Ajayi, who recently inaugurated the High-Intensity Focused Ultrasound (HIFU) Centre in Abuja, also noted that a woman’s age is a significant factor to consider for those planning to conceive naturally.

    He added: “If a woman is under 30 years, her chances of becoming naturally pregnant are between 20 to 25 percent. A woman has less than 5 percent chance at age 40.

    “We consider the fact that a woman can wait a year if she is under 35 before seeing a specialist, and can wait no longer than six months if she is over 35.

    Ajayi posited that the knowledge and understanding of ovulation is another factor.

    Read Also: S3x addiction led to the end of my relationship, says Cassper Nyovest

    He stated: “Married couples must be aware of ovulation and should understand when and how ovulation occurs.  It is important because ovulation is the period when an egg is released.

    “If an egg is not released, it cannot be fertilised, so, it is important for women to understand this ovulation period and be able to detect if they are ovulating or not.

     “For people who do not live together, it becomes even more important. If you are going to start timing intercourse, you need to have an idea of the fertile period.  When we say regular intercourse, we mean that intercourse should occur two to three times a week.

     “Ovulation is important because that is the fertile period. Unfortunately, we cannot detect the exact time with 100 percent certainty. Most of the tests that we have, either detect it just before or just after.

    “But you need to know that your ovulation occurs 13 days before your next menses and that your fertile period is about five days before your ovulation until the day of your ovulation. So it is important that if anyone is going to time intercourse, they need to get the ovulation period correctly.”

    Noting the importance of a healthy lifestyle for good fertility, he remarked: “We are what we eat. Fertility depends on the kind of food that you put into your mouth. It depends on your weight, your BMI, your fitness level and general habits.

    “An unhealthy s3xual lifestyle is a negative attribute because of the risk of STIs. Weight affects egg production and increases the problem of DNA fragmentation.

    “Try to indulge in a diet that is rich in antioxidants such as folate, zinc, veggies, and walnuts; avoid trans fats like butter, hydrogenated vegetable oil, refined carbohydrates, soft drinks, etc. Put in more fibre, and substitute animal protein with plant protein.”

    He urged that caffeine should be avoided or limited to not more than one or two cups. 

    “If you want to have a baby naturally, beware of recreational drugs and avoid smoking completely. Smoking ages the ovaries prematurely by at least 10 years hinders ovulation and is hazardous to sperm count.

  • Experts lament dearth of medical rehabilitation facilities, infrastructure in Nigeria

    Experts lament dearth of medical rehabilitation facilities, infrastructure in Nigeria

    Medical rehabilitation therapy experts and stakeholders in Nigeria have expressed deep concern over the dismal state of the profession, as well as the inadequate facilities and infrastructure in the country.

    Presently, of the 170 Universities in Nigeria, only 36 offer training Physiotherapists in Nigeria while only five of the universities also offer advanced degrees including Masters, and or Doctorate degrees. 

    Of the lot, only three Universities are offering Occupational Therapy, while two offer programmes in Speech Therapy and Audiology
    Nigeria has only one Postgraduate Physiotherapy College that offers speciality training for Physiotherapists in Nigeria. 

    As for the personnel in the medical rehabilitation field, according to the Medical Rehabilitation Therapists (Registration) Board of Nigeria (MRTRBN), for a country of over 200 million people, the total number of registered Physiotherapists is 6,100, Occupational Therapists are only 163, 103 Speech Therapists and Audiologist and 200 Prosthetists and Orthotists. 

    Despite the apparent thin workforce, the experts lamented that many of the professionals have left the country seeking greener pastures abroad.  

    The stakeholders in the field, in a Communique released during the weekend and signed by the Registrar and Chief Executive Officer (CEO) of MRTRBN, Prof. Rufai Yusuf Ahmad described the situation as unacceptable.

    The communique that emanated from the November 2023 stakeholders meeting held in Abuja to deliberate on the implementation of Rehabilitation 2030 in Nigeria from the perspective of training, practice, and regulation, urged the Federal government to prioritize medical rehabilitation as a matter of urgent public importance.

    According to the experts medical rehabilitation is critical to achieving success in the government’s Four Point Agenda for revitalizing the nation’s health sector and in overall support of the government’s Renewed Hope Agenda.

    They said government urgent intervention becomes imperative because, despite the Basic Health Care Provision Fund (BHCPF) identifying medical rehabilitation as part of the healthcare services covered by the funds, there are no rehabilitation services in primary health centres throughout the country.

    The stakeholders lamented that currently, rehabilitation is completely missing as an essential healthcare service in the implementation of the BHCPF at the Primary healthcare level by the three available gateways; National Primary Health Care Development Agency (NPHCDA), National Health Insurance Authority (NHIA) and Emergency Medical Treatment (EMT). 

    This has hindered accessibility to rehabilitation services at the primary and community levels of care. 

    The stakeholders also regretted that the Federal Ministry of Health and Social Welfare which superintends over health matters in the country presently has no direct presence of Rehabilitation services and personnel in the Ministry. 

    With no National Policy on Rehabilitation which means that there is no policy or institutional framework for the coordination and implementation of rehabilitation initiatives and programmes in Nigeria, the stakeholders regretted that a vacuum has been created that could have a telling effect on the Universal Health Coverage (UHC) efforts of the Federal government.

    The stakeholders noted the lack of strong leadership especially the availability of a coordinating unit for Rehabilitation citing the absence of leadership as the reason for a lack of consistency in policy and political support for Rehabilitation at sub-national and national levels. 

    The stakeholders observed that a lot of fundamentals are outright lacking or grossly inadequate because funding for rehabilitation is scarce 

    “It was observed that the National Health Insurance Authority package for Rehabilitation is not adequate while rehabilitation equipment are not readily available and where available, they are very expensive 

    “Many Medical Rehabilitation professions do not have opportunities for specialization and acquisition of competence at higher levels of proficiency 
     

    “There are no Rehabilitation Centers that can serve as transition points for people that have been managed for acute diseases and injuries before moving back to the community 

    “Even as reliable and valid data are tools for national development and social transformation, data on Rehabilitation is not readily available in Nigeria”.
     

    On the way forward, among other steps, the stakeholders recommended that “The government should explore alternative funding such as a public-private partnership. 

    “A National Technical Working Group on rehabilitation should be constituted and domiciled within the Federal Ministry of Health and Social Welfare to be saddled with the responsibility of coordinating Rehabilitation policy development and implementation.

    “Since it was observed that funding for rehabilitation is scarce, the government should explore alternative funding such as a public-private partnership. 

    Read Also: Tinubu committed to road infrastructure revolution, safety – Umahi

    “There should be a National Policy on Rehabilitation to be facilitated by the Federal Ministry of Health and Social Welfare.
    “There is the need for review of National Health Financial policies to develop strategies to fund rehabilitation in order to reduce out-of-pocket spending and increased access to Universal Health Coverage.

    “Federal and State Ministries of Education, National Assembly, Tertiary Education Trust Fund (TETFUND), National Universities Commission (NUC), NBTE (National Board for Technical Education, Medical Rehabilitation Therapists Board (MRTB) and other relevant regulatory bodies to ensure establishment and regulation of Medical Rehabilitation programmes in institutions in the country through the provision of funds and other necessary mechanisms”.