Category: Health

  • SOJ admonishes women on cervical cancer, emotional wellness

    SOJ admonishes women on cervical cancer, emotional wellness

    The Sisters of Jannah (SOJ), a Muslim women humanitarian non-governmental organisation (NGO), has advised Nigerian women to give top priorities to their health – no matter busy they are in their homes and places of work –  so  that they can be healthy and remain alive to play their roles in the family and society at large. This was one of the highpoints of series of admonitions the NGO gave to members when it embarked on cervical cancer, mental health awareness and general wellness campaign in Lagos recently.

    This year’s event, which featured yoga session, medical check-ups and talks on domestic violence, took place at Odi-Ojuwoye Local Council Development Area, Ilupeju, Lagos. While explaining that cancer is one of the leading causes of deaths worldwide, a nurse who advised women to pay attention to every part of their body, stressed that any form of cancer is easier to cure if detected early. Listing cervical cancer and breast cancer as the major forms of cancer afflicting women globally, she maintained that regular medical check-ups can assist in the early detection of any ailment.

    Read Also; Fred Amata, Daddy Showkey to walk against prostate cancer

    Stressing that having any form of cancer is not a death sentence, she said cervical cancer can be prevented by having regular screenings with Pap tests and HPV tests to find any pre-cancers and treat them. It can also be prevented by receiving the HPV vaccine. As for breast cancer, she urged women to always look out for lumps or any strange developments around their breast, saying early detection helps treatment.

    During the campaign, Kudirat Okanlawon, who spoke on mental health and emotional wellness, enjoined women to always speak up and cultivate relationships and networks that can add value to their lives and make them live happily; while Mrs Shakirat Adedeji, who spoke on the benefits of having health insurance, urged all women to embrace the new way of healthcare financing because it democratises access to quality healthcare. There were also lectures on domestic violence and marriage counselling anchored by Mrs Silifat Giwa. She advised women to reject all forms of physical and emotional abuse in the their marriage, adding that it often gets worse when victims tolerate such abuses and refuse to speak up.

  • World Diabetes Day: Rainbow Hospital begins free screening

    World Diabetes Day: Rainbow Hospital begins free screening

    As part of activities to mark this year’s World Diabetes Day (WDD), Rainbow Specialist Medical Centre, a Lagos-based private hospital with focus on the management of diabetes and other endocrine and metabolism conditions, has commenced free diabetes screening and education for members of the public. In a statement signed by the Medical Director of the hospital, Dr. Afoke Isiavwe, the free diabetes screening, which kicked off on Monday November 14, will last till Wednesday November 30 between 9am to 4pm weekdays; Mondays to Fridays at the hospital premises in Lekki phase 1.

    The World Diabetes Day is marked worldwide by the International Diabetes Federation (IDF) and the World Health Organisation (WHO) on November 14, every year to raise awareness about a disease medical professionals have tagged as mankind’s ‘silent killer.’ The theme for diabetes awareness month and World Diabetes Day 2022 is “Education to protect tomorrow,” which the hospital says remains its core activity in its efforts to provide quality care for Nigerians living with diabetes; while also creating awareness on its growing increase in the country.

    Read Also: Lagos trains health workers on breast, cervical cancer screening

    “We are, therefore, encouraging everyone, including people living with diabetes and their family members to seize the opportunity of this exercise to know their status and how to care for people living with the condition. It is also an opportunity for people to know their status, especially in view of findings that 1 out of every 2 persons living with diabetes do not know they have it. Yet, early detection of diabetes remains crucial in the prevention of deadly complications. Persons with uncontrolled diabetes will develop a wide range of complications linked with the disease, some of which could lead to lengthy hospital stays, blindness, foot amputation or death.

    “As we mark this year’s World Diabetes Day, we want persons living with diabetes to know that it can be controlled and should not be allowed to result in the numerous complications associated with it. The exercise will also serve as an avenue for them to have their feet checked to prevent the growing problem of diabetes foot. Not only that, it will provide access to basic information on how to live with the condition and stay healthy all year round,” Dr. Isiavwe said.

  • NNPC E&P, NOSL fete 87 ‘Spud babies,’ promote health awareness

    NNPC E&P, NOSL fete 87 ‘Spud babies,’ promote health awareness

    The Nigerian National Petroleum Corporation Exploration and Production (NNPC E&P) and Natural Oilfield Services Limited (NOSL) have recently honoured the ‘Spud babies’ through their joint healthcare awareness initiative. To spread awareness about the healthcare best practices, reduce infant mortality rate and enhance the health of the mother and child, NNPC E&P and NOSL have taken the initiative to felicitate the ‘Spud babies.’ Spud babies are the children born on the same day when the company starts spudding oil well; so it becomes a moment to cherish for all 87 Spud babies from the Local Government Areas of Eastern Ebolo and Onna, Akwa Ibom State, who felicitated at the ceremony organised by the two companies to honour them.

    Ms. Atim Asuquo Ulo, Director of Physical Health Centre (PHC), Eastern Obolo, who talked about the immunisation regime of a child, said, ‘The women and staff of PHC, Eastern Obolo owe their gratitude to the management and staff of NNPC E&P and NOSL for the human gesture and magnanimity shown to our mothers and their babies.’

    Read Also; Kogi declares war against health sector quacks

    Although childbirth is a natural process and incorporating good antenatal care for the well-being of the mother and the child is extremely crucial, antenatal care helps prevent many diseases like HIV transmission from mother to child, and malaria. It also strengthens a mother’s mental health as she stays informed about the well-being of her child throughout the process. According to Ulo, the birth of a baby can trigger a mixture of powerful emotions, from excitement and joy to attachment, anxiety, and protectiveness from parents. “The first cry of her child makes her the happiest woman, relieving all her pain after a child is born. The bonding between a mother and her child is beyond words to describe. The connection is natural, and the feeling is joyful.”

    This is the second edition of ‘Spud baby’ event and during the occasion, retired Group Captain Etete Ekpo, Base Manager, said: “The NNPC E&P and NOSL have taken the responsibility to economically support the child’s postnatal care through its healthcare programmes. Good postnatal care can protect the child from various diseases through on-time vaccination and regular breastfeeding. Healthy children are the hallmark of a developed society. NNPC E&P and NOSL have strived towards increased health awareness and have achieved excellence in creating a disease-free and healthy community.”

  • Lagos begins sensitisation on rotavirus vaccination to protect children

    Lagos begins sensitisation on rotavirus vaccination to protect children

    As part of efforts to protect children against diarrhoea diseases caused by rotavirus, the Lagos State Primary Health Care Board (LSPHCB), in collaboration with the National Primary Health Care Development Agency, has begun a state-wide campaign to sensitise the general public on rotavirus vaccination. The vaccination campaign against rotavirus will start from Friday 25 to Wednesday 20 of November.

    According to Dr Ibrahim Mustafa, Permanent Secretary, LSPHCB, the vaccine will be given “free of charge to all infants at the age of 6 weeks, 10 weeks and 14 weeks, along with other vaccines under the routine immunisation programme available at the private hospitals and all primary health centres across all the local government areas of the state. In addition to this, adults 18 years and above will also have the opportunity for COVID-19 vaccination during the exercise.”

    Rotavirus is a very contagious virus that causes diarrhoea. Severe diarrhoea can lead to dehydration, particularly in young children. Left untreated, dehydration can become a life-threatening condition regardless of its cause. It is a disease that is most common in infants and young children. However, experts said older children and adults can also get sick from rotavirus. Adults who get rotavirus disease tend to have milder symptoms. People who are infected with rotavirus shed the virus in their stool (poop). This is how the virus gets into the environment and can infect other people. People shed rotavirus the most, and are more likely to infect others, both when they have symptoms and during the first three days after they recover. People with rotavirus can also infect others before they have symptoms.

    Read Also; Lagos sensitises residents on hygienic practises

    Before the development of a vaccine, most children had been infected with the virus at least once by age 5. A rotavirus infection usually starts within two days of exposure to the virus. Early symptoms are a fever and vomiting, followed by three to seven days of watery diarrhea. The infection can cause abdominal pain as well. In healthy adults, a rotavirus infection may cause only mild signs and symptoms or none at all.

    Rotavirus is present in an infected person’s stool two days before symptoms appear and for up to 10 days after symptoms lessen. The virus spreads easily through hand-to-mouth contact throughout this time — even if the infected person doesn’t have symptoms. If you have rotavirus and you don’t wash your hands after using the toilet — or your child has rotavirus and you don’t wash your hands after changing your child’s diaper or helping your child use the toilet — the virus can spread to anything you touch, including food, toys and utensils. If another person touches your unwashed hands or a contaminated object and then touches his or her mouth, an infection may follow. The virus can remain infectious on surfaces that haven’t been disinfected for weeks or months. Good hygiene, such as washing your hands regularly, is important. But, according to medical experts, vaccination is the best way to prevent rotavirus infection.

  • Seven reasons you should always sleep naked

    Seven reasons you should always sleep naked

    It’s no doubt sleep plays a pivotal role in the optimal functionality of every human being.

    Though sleeping naked might not be the first thing you think about when it comes to improving your health, there are some benefits that might be too good to ignore.

    According to experts, sleeping naked has been proven to be one of the best ways to maintain good health.

    Here are seven reasons why you may want to consider getting in your birthday suit before you sleep:

    *It improves blood circulation

    When you sleep, your blood circulation increases regardless but sleeping naked stops any clothing like socks or tight pyjamas from restricting blood flow. Remember that good blood circulation is crucial for your heart and muscles.

    * It enhances beauty

    Sleeping naked helps your body release anti-aging hormones. Wearing too many layers restricts the proper release of hormones like growth hormones, etc. If these hormones are not released properly, your hair and skin will not be reconditioned.

    *It improves genital health

    One of the most compelling reasons to sleep naked is its benefits to the genitals.

    According to Dr Hall, sleeping naked can help increase men’s fertility. A recent study of 656 men found that tighter underwear could be linked to a reduced sperm count.

    Sleeping naked will keep testicles cool and at the ideal temperature to optimise sperm health.

    Note: Airing out your private areas is particularly important for women.

    Sleeping without clothes lowers the chances women will get infections due to uncomfy underwears.

    It can promote vaginal health and helps to avoid yeast infections which tend to grow in warm and moist places; giving your vagina a chance to air overnight.

    Read Also: Five benefits of having enough sleep

    *It helps you fall asleep faster/ improves overall sleep

    According to experts, stripping to your birthday suit can lower down your temperature and send you off to snooze because it sends cooling down signals to your body that it’s time to go to sleep.

    The body’s temperature naturally lowers when we sleep. However, it doesn’t happen when you wear pyjamas.

    People who don’t get high-quality sleep each night feel and look unhealthy, which can make them live a shorter life.

    *It strengthens bonds between partners

    ‘Skin-on-skin contact with your partner can boost your oxytocin levels, which can help combat feelings of sadness in winter according to an expert. The boost of oxytocin can also help to build attachment between partners or strengthening their existing bond.

    *It boosts self-esteem

    Sleeping naked is also a great way to get in touch with your body and boost your self-esteem.

    One study found that spending time naked helped boost self-esteem and overall body image, which is definitely a win when it comes to embracing self-love.

    *It reduces stress and anxiety

    Another reason sleeping naked might be a good change is that it could help reduce your overall stress and anxiety. It’s no secret that poor sleep has a major impact on your stress levels. Studies suggest that poor sleep is linked to depression and even increased suicide risk.

    While stress and anxiety can both cause insomnia, it’s important to remember that improving your sleep quality and getting enough sleep may just be what you need to combat stress and anxiety.

  • ‘Addressing technological challenges of nursing students vital’

    ‘Addressing technological challenges of nursing students vital’

    It is imperative to address the technological challenges of nurses and nursing in Nigeria to provide insights into the digitalisation pathway of nurses, especially in academics and practice.

    CEO of MyCare Assistant Ltd, Mrs. Abiola Ayilara, stated this while announcing activities lined up for its annual summit tagged: “Nurse digital transformation 2.0” with the theme: “From awareness to action.”

    The summit is billed for Wednesday, November 16 in Lagos.

    Ayilara stated that Nurse Digital Transformation(NDT) is a platform that promotes nursing development in education and practice. She added that it was borne out of the need to create awareness and address technological challenges of nurses and nursing in the country.

    “Nursing education, practice and development are continuously evolving. The need to meet up with the world standard of care is based on the premise that nursing education, practice and development is at the forefront of all healthcare-related improvement works.

    “The NDT has partnered with educational technology companies to offer free training on data incubation, accelerator programs and global opportunities for nursing seeking nursing informatics education.

    Read Also: Flooding: Nursing the wounds of climate crises

    “Interestingly, In developed countries such as the United Kingdom, Asia or the United States, nursing informatics is actively gaining recognition with nurses holding positions of Chief Nursing officers, digital champions in clinical settings, decision-makers in patient outcomes based on technological solutions of the patient problems,” she said.

    Ayilara said feedback from the previous NDT 1.0 Virtual Bootcamp which had over 200 nurses in attendance revealed that 69 percent of the participants lack awareness of opportunities existing in nursing technological advancement.

    She said 21 percent of participants are aware but due to a lack of resources and knowledge of the use of computer systems for data management, there is still a need to intentionally provide opportunities for nurses to harness digitalisation in their study.

    Ayilara, however, said 10 percent of the participants got scholarships to study healthcare technological-related courses in the UK and the USA.

    “The opportunities that healthcare professionals can tap into include, e-health rostering, software management, remote patient care support services, data analytics and many more,” she said.

  • Chekkit appoints APPMAN President non-executive director

    Chekkit appoints APPMAN President non-executive director

    Chekkit’s Executive Board has appointed Hon. Afolabi Nurudeen Adekambi as a Non-Executive Director from November 1, 2022 to further the company’s vision of securing the sanitizing pharmaceutical industries across Africa.

    Adekanbi is the National President of the Association of Pharmaceutical Products Marketers of Nigeria (APPMAN).

    He started his career in Pharmaceutical Products Marketing as Medical Sales Representative with Bond Chemical Industries and rose through the ranks to become Regional Manager, Sales Manager, and finally National Sales Manager.

    He also served as Regional Sales Manager in Morrison Industries Plc, Grace Healthcare, and Sood and Gins as well as National Sales Manager at Leksville Health Solutions, all based in Lagos. He has over 20-year of experience in Pharmaceutical Products sales and marketing.

    Adekanbi is the Chief Executive Officer, Crystall Ball International Services Limited Nigeria.

    Read Also: Lagos to host innovation week

    CEO Chekkit Dare Odumade said: “We are richly blessed to have Hon. Afolabi joins the team to lend his support to the good work we are doing at Chekkit by using technology to build the necessary product serialisation and traceability digital infrastructure, Africa needs to reduce the rate of medicine counterfeiting that has been taking lives for decades and unlock intelligence on supply chain transparency and patient insights.’’

    He said with Afolabi on board, he will accelerate Chekkit’s effort to further help secure the pharmaceutical industry in Nigeria and ensure patients have access to original and safe drugs.

    Chekkit was founded in 2018 by Dare Odumade, Oluwatosin Adelowo and Samuel Ukhueleigbe. Chekkit Technologies provides blockchain secured anti-fake, serialisation, consumer engagement & intelligence solution with end-to-end supply chain tracking services to leading pharmaceutical & CPG brands like Merck, Chi Pharma, Flourmills of Nigeria PLC, Indomie, etc.

  • Nigerian rice brings health, foreign rice brings death (1)

    Nigerian rice brings health, foreign rice brings death (1)

    FORTY-EIGHT years ago, I had my first food culture shock. That was at the University of Nigeria, Nsukka (UNN). I was a fresh student and a Jonny Just Come (JJC) in Iboland. I could not eat well for about three months. The melon (egusi) soup got stuck in my throat, as did the okra soup, and the aroma of Abakaliki rice almost made me throw up. Back home in the West, we did not eat stock fish the way it was cooked in melon or okra soup in the East. Stock fish was cut and cooked in morsel sizes, which was the size of beef for the adult person or slightly bigger. So, in the West, we ate stock fish as we ate beef. At the UNN Margarette Ekpo Cafeteria, stockfish  was chopped into chips of the block, so that every morsel of “garri” (eba) or fufu or whatever picked something like a magnet pulling up a piece of metal. The melon soup and its broken pieces of stockfish would soon teach me all over to chew my food, and not swallow it, as table manners educators had misinstructed us in High School. At school, we learned from table etiquette that the person who sat beside you at table should not hear the sounds of the movement of your mouth while you ate. It will take dietary life at UNN and nutrition education decades after to take all of that stuff out of my brain. What are teeth in the mouth for? I teach people today they are to use their teeth to micronise food for easy digestion in the stomach and in the intestine. They are also to allow saliva to mix well with complex carbohydrate in the mouth so that ptyalin, an enzyme in saliva, will reduce the complexe carbohydrate or polysaccharides to simpler ones called disaccharides. By this time, the taste of the food should have changed, signalling end of the first stage of digestion, and only then should it be swallowed.  In doing this, how will my neighbour not hear the sound the teeth, the tongue and the saliva are producing in my mouth?

    And the okra at UNN? Back home, it was micronised to the size of the white pods of the okra or smaller with the kitchen knife or the electric blender. Today, a kitchen grater does the job well as well. But in those  days at the UNN, I was faced by an okra soup in which the okra had been cut to about four or fewer bits! As for Abakaliki rice, I traded my meal tickets for some other meal and went to town for a meal at a Yoruba food carteen beside the motor park. What a great discovery it was the day I discovered it was owned by the wife of one of my uncles who had left the village for Onitsha about 29 years before I came to Nsukka. Back home in the village, I always heard about an uncle nicknamed Millionaire Pikin. My grandma told me he went to the East and did not return home until during the 1967-70 Biafra war when he suddenly landed with about 18 children from three wives. After the war in 1970, he returned to the East. No one knew where he went. He was out of town in 1974 when I began to frequent this canteen, the owner unknown to me . When he returned and discovered I was a new regular customer, and asked where I came from and narrowed it to his village and compound, he put his hands on his head in lamentation that we should never throw a stone into a market crowd for it may land on the head of one of our relations. That was a great Yoruba proverb against evil doing. Soon, his children began to do my laundry and to bring me home cooking in my hostel room. Not only did his canteen become a dietary safe haven for me, it became as well a hiding place whenever the students union embarked on its Kodlinye Must Go rallies which may end in riots. Professor Kodlinye, the vice chancellor, was a UK-cultured man who, at the end of every budget year, returned unused funds to the government purse from which it had come, rather than hand them to his colleagues to butcher.

    Happily, today, I now eat my melon soup the way UNN taught me to eat it. I also cannot eat okra soup without “something “in it. That “something “is not clumps of okra, though. From youth service among the Efiks in calabar, I learned to eat it with periwinkle. And, not too long ago, I enjoy it with what my Akwa Ibom friends call nkoriko. This is a specie of snail which does not grow beyond the young ones of other species before it dies. We found many of its carcases in the backyard garden and began to farm it in cages. You cannot crack the periwinkle with your teeth. A knife would have done that  to let you suck out the tenant in the shell from the other end. But you can crack or crush nkoriko‘s bottom with your teeth and chew the shell for calcium, if you like. Both periwinkle and nkoriko make good dietary sense in okra soup cooked with ogbono (apon in yoruba) these days that Titus fish and beef are too expensive. My only concern is that the intestine of periwinkle and of nkoriko may be eaten along with their meat. I am unhappy anytime I test their poop in my mouth. For I know the faeces of all animals is a waste material which contains bacterial, fungi, etc. My friends from Akwa Ibom and Calabar do not appear to share my concern.

    Abakaliki rice

    Excuse me, I am not a chef. Blessing Effiong, from Ikot Ekwere Itam in Akwa Ibom State set the stage for this column. She came to spend about two weeks with my household in Lagos. And one of her gifts  for us was Abakaliki  rice. The aroma fills the kitchen and the entire house. We are interchanging Abakaliki rice with local rice we bought from Mr. Sanni Eremosele who brings it to Lagos from Irua, near Auchi. Blessing also brought palm oil. We interchange also with palm oil from Irua. We are educated anew that we eat adulterated food in Lagos. Since the home grown rice revolution began under President Mohammadu Buhari, one of the silent achievements of his administration I dare say, my household has not eaten foreign rice. We are not only patriotic Nigerians, we care for our health as well. As you will find in the following article, white rice, which foreign rice is all about, destroys the lives of many people in Asia, particularly Japan, a little under 200 years ago. Many Africans, especially Nigerians, did not know about this, and, thus, go on instalmentally damaging their health and shortening their lives, whereas the rice grown on their own soil and untempered with can rebuild their health and prolong thier lives.

    Acording to Anne Ewbank, writing in Google on February 22, 2018:

    In 1877, Japan’s Meiji Emperor watched his aunt, the Princess Kazu, die of a common malady: kakke. If her condition was typical, her legs would have swollen, and her speech slowed. Numbness and paralysis might have come next, along with twitching and vomiting. Death often resulted from heart failure.

    The emperor had suffered from this same ailment, on-and-off, his whole life. In response, he poured money into research on the illness. It was a matter of survival: for the emperor, his family, and Japan’s ruling class. While most diseases ravage the poor and vulnerable, kakke afflicted the wealthy and powerful, especially city dwellers. This curious fact gave kakke its other name: Edo wazurai, the affliction of Edo (Edo being the old name for Tokyo). But for centuries, the culprit of kakke went unnoticed: fine, polished, white rice.

    Gleaming white rice was a status symbol—it was expensive and laborious to husk, hull, polish, and wash. In Japan, the poor ate brown rice, or other carbohydrates such as sweet potatoes or barley. The rich ate polished white rice, often to the exclusion of other foods.

    This was a problem. Removing the outer layers of a grain of rice also removes one vital nutrient: thiamine, or vitamin B-1. Without thiamine, animals and humans develop kakke, now known in English as beriberi. But for too long, the cause of the condition remained unknown.

    In his book Beriberi in Modern Japan: The making of a National Disease, Alexander R. Bay describes the efforts of Edo-era doctors to figure out the disease. A common suspect was dampness and damp ground. One doctor administered herbal medicines and a fasting regimen to a samurai, who died within months. Other doctors burned dried mugwort on patients’ bodies to stimulate qi and blood flow.

    Some remedies did work—even if they didn’t come from a true understanding of the disease. Katsuki Gyuzan, an early, 18th-century doctor, believed Edo itself was the issue. Samurai, he wrote, would come to Edo and get kakke from the water and soil. Only samurai who went back to their provincial homes—going over the Hakone Pass—would be cured. Those who were seriously ill had to move quickly, “for the worst cases always result in death,” Katsuki cautioned. Since heavily processed white rice was less available outside Edo and in the countryside, this likely was a cure. Similarly, a number of physicians prescribed barley and red beans, which both contain thiamine.

    According to Anne Ewbank, writing in Google on February 22 2018:

    By 1877, Japan’s beriberi problem was getting really serious. When the princess Kazu died of kakke at 31, it was only a decade after her former husband, Japan’s shogun, had died, almost certainly from the mysterious disease. Machine-milling made polished rice available to the masses, and as the government invested in an army and navy, it fed soldiers with white rice. (White rice, as it happened, was less bulky and lasted longer than brown rice, which could go rancid in warm weather.) Inevitably, soldiers and sailors got beriberi.

    No longer was this just a problem for the upper class, or even Japan. In his article British India and the “Beriberi Problem,” 1798–1942, David Arnold writes that by the time the emperor was funding research, beriberi was ravaging South and East Asia, especially “soldiers, sailors, plantation labourers, prisoners, and asylum inmates.”

     Britannica.com

    According to the Editors of encylopedia Britannica.com in an article last updated on October 10, 2022 and introduced as Beriberi, nutritional disorder caused by a deficiency of thiamin (vitamin b1) and characterised by impairment of the nerves and heart or Thiamine defficiency, vitamin B1 defficiency as alternative headline, it is reported:

    “General symptoms include loss of appetite and overall lassitude, digestive irregularities, and a feeling of numbness and weakness in the limbs and extremities. (The term beriberi is derived from the Sinhalese word meaning “extreme weakness.”) In the form known as dry beriberi, there is a gradual degeneration of the long nerves, first of the legs and then of the arms, with associated atrophy of muscle and loss of reflexes. In wet beriberi, a more acute form, there is edema (overabundance of fluid in the tissues) resulting largely from cardiac failure and poor circulation. In infants breast-fed by mothers who are deficient in thiamin, beriberi may lead to rapidly progressive heart failure.

    “The cardiac symptoms, in both infants and adults, generally respond promptly and dramatically to the administration of thiamin. When neurological involvement is present, the response to thiamin is much more gradual; in severe cases, the structural lesions of the nerve cells may be irreversible”.

    “Thiamin normally plays an essential role as a coenzyme in the metabolism of carbohydrates; in its absence, pyruvic acid and lactic acid (products of carbohydrate digestion) accumulate in the tissues, where they are believed to be responsible for most of the neurological and cardiac manifestations.

    Thiamin occurs widely in food but may be lost in the course of processing, particularly in the milling of grains. In East Asian countries, where polished white rice is a dietary staple, beriberi has been a long-standing problem. The history of the recognition, the cause, and the cure of beriberi is dramatic and is well documented in medical literature. In the 1880s the Japanese navy reported that beriberi had been eradicated among its sailors as a result of adding extra meat, fish, and vegetables to their regular diet. Before that time, almost half of the sailors were likely to develop beriberi, and many died of it. In 1897 Christiaan Eijkman, working in the Dutch East Indies (now Indonesia), found that a beriberi-like disease could be produced in chickens by feeding them a diet of polished rice. British researchers William Fletcher, Henry Fraser, and A.T. Stanton later confirmed that beriberi in humans was also related to the consumption of polished white rice. In 1912, Casimir Funk demonstrated that beriberi-like symptoms induced in pigeons could be cured by feeding them with white rice that was supplemented with a concentrate made from rice polishings. Following this discovery he proposed that this, as well as several other conditions, were due to diets that were deficient in specific factors that he called “vitamines,” later called vitamins.

    The prevention of beriberi is accomplished by eating a well-balanced diet, since thiamin is present in most raw and untreated foods. The incidence of beriberi in Asia has markedly decreased because an improved standard of living has allowed a more varied diet and partly because of the gradual popular acceptance of partially dehusked, parboiled, and enriched rice—forms that contain higher concentrations of thiamin. In Western countries, thiamin deficiency is encountered almost solely in cases of chronic alcoholism”.

    Port of Maha Chai

    According to  Pawinee Doung-ngem, ( Ministry of Public health Thailand), S Kesomsukhom, J Kanlayanaphotpom,  S Wanadurongwan, Sriwatana Songchitsomboon (Mahidol University), writing in the Southeast  Asian Journal of Tropical Medicine and Public Health:

    “In April 2005, The Tahi Bureau of Epidemiology investigated a reported outbreak of beriberi among commercial fishermen in Maha Chai, a port city in the Gulf of Thailand. The objective of this study was to verify the diagnosis of beriberi in affected individuals, describe the possible outbreak, ascertain risk factors, and provide prevention and control measures. We interviewed ill persons and treating doctors, and reviewed medical records to conduct a descriptive study. A probable case was defined as a crewmember of Ship A with one of the following: leg edema scrotal edema or ascites, dyspnea, chest discomfort, chest pain, extremity numbness, or extremity weakness. Confirmed cases were those with clinical criteria and laboratory findings consistent with thiamine deficiency. The outbreak started in early March, 2005 and continued until March 31, 2005. Ship A had 28 crewmembers (four Thai, 24 Myanmar). Overall, there were 15 probable cases (attack rate 53.6%, with three confirmed and 12 probable cases). Only three were tested for Vitamin B1 deficiency. All cases were male, with a median age of 28 years (range 20-45). Fourteen of the 15 cases were Myanmar and one Thai. Due to limited resources, the crew ate only seafood and polished rice for almost two months prior to symptoms. Symptoms included edema (60%), chest discomfort (54%), and dyspnea (27%). Two persons died while on board the ship (case fatality 13%). The total time at sea for Ship A was 18 months, including a five-month delay in docking due to licensing problems”.

    Thailand

    Thailand must be a wicked country. It knows about the dangers of eating white rice, yet it kept pumping white rice into Nigeria irrespective of the ban on foreign rice. Nigerians must be an ignorance or a stupid people to prefer Thai’s white rice to their own nutrious rice thereby enriching  Thailand, creating jobs in Thailand impoverishing their country, depending on another country to feed them, creating no jobs in their own country and  cursing and fighting their government from trying to save them from food colonisation by another country.

  • How we’re preparing for emerging biological threats, by LASG

    How we’re preparing for emerging biological threats, by LASG

    The increasing threats from biological agents arising from emerging and re-emerging infectious diseases have become a global concern. This has required every continent to develop an effective method of controlling any outbreaks in their regions. This, perhaps, was what informed the Lagos State Government’s decision to formulate a multi-institutional approach to protect the lives of Lagosians from any future biological insecurity.

     This was disclosed at a conference organised by the state government, in partnership with Global Emerging Pathogens Treatment Consortium. The event, which was the fourth in a series of conferences by the state in partnership with GET, was part of efforts to ensure that the African Continent braces up for the challenges posed by emerging infectious diseases and biosecurity threats. The theme of the conference was, “Strengthening Health Security and Mitigating Biological Threats in Africa.”

     During his presentation titled, ‘Critical imperatives to protect Lagos State from the next infectious diseases outbreak,’ Governor Babajide Sanwo-Olu said his administration has put structures in place to curtain future infectious diseases outbreaks. The governor, represented by the Commissioner for Health, Prof Akin Abayomi, said his elaborate plans to protect the state from an infectious disease outbreak rest on three major pillars, which will be driven by a policy, including health systems strengthening, genomic sequencing and infectious diseases research.

     “We have continuously invested in the capacity of the Lagos State Biobank to sequence variants of infectious diseases. We believe that genomic sequencing will determine the future pace of healthcare, continuing to improve conditions for health workers and implementing a robust research agenda for the state as we are building the Lagos State Infectious Diseases Research Institute.

     “After the COVID-19 outbreak, we put together a research team, which comprised several leading professors from the medical and scientific fraternities and the outcome of the research was we quickly learnt and understood that COVID-19 in Lagos was different from the ones in London, New York or Brazil. We were able to define in-house COVID-19 response to our indigenous population and that enables us to define our treatment strategies and policies and save resources instead of squandering money on things that we didn’t need. We are able to divert our resources to manage our COVID effects on the indigenous population of Lagos State.

     “As a result of that, we are able to define, very clearly the natural history of COVID in Lagos and Nigeria. Ultimately, all these led to the development of Lagos State bio-risk, framework and roadmap, which is a continuous process. So, now that we are in a peace period, we’ve come out of our fifth wave and there are some speculations that we might go through subsequence waves and a return of people from Europe and America for Christmas but we are getting ready for the sixth wave.”

    Preparing for future crises, which might arise as a result of pathogens of high consequence, Sanwo-Olu noted that the pandemic can be triggered by anything and could erupt in our environment as a significant consequence, economically and security-wise. “We, as a government, know that we need to take this situation very seriously because they can collapse the economy. So, I am re-assuring that Lagos is not resting; we are in peacetime at the moment and it is this time we do most of the work in preparation for a future pandemic.”

     Sanwo-Olu submitted that repetitive or continuous communication is key to prevent, detect and respond and recover from any disease outbreaks, saying that his team will stay proactive with the residents of Lagos regularly to disseminate information and be honest with any situation reports.

     Delivering his keynote speech on the topic, ‘Climate change and its Biosecurity implications for Africa,’ Abayomi described biosecurity as the implementation of measures that reduce the risk of damaging the biosphere that we depend on for survival.  It requires the adoption of a set of attitudes and behaviours by people to reduce risk and disruption of our ecosystems either intentionally or unintentionally, he said.

     He pointed out that as the African population quadruples in the next 50 years, and will be a continent of Mega Cities with major health, toxicity and biosecurity threats: “We have a situation where the population of the continent of Africa is increasing exponentially and the modeller says that in another 50 years, the population of Africa will double and treble. We have about a 1.2 billion at the moment and in another 50 years, we might probably have close to about a 2.5billion people and escalating. The problem with that is that most of the population in the continent will be residing in the cities and therefore the cities will be crowded and congested and we’ll have a situation where the footprint of humanity is creating ecological destruction.

     “So, Lagos is a city that won’t stop growing because it attracts a lot of people on a daily basis. Therefore, we as a government have to cater for this influx of people; we have to prepare for the footprint that is large numbers of people are going to exact on the ecosystem of this great city. The population of people in Lagos is approaching 30 million and that is not entirely due to fertility but predominantly due to inbound migration. We have a commercial activity that drives the city and it’s got a lot of people moving around hustling and bustling and so we have a situation where as a government we have to make sure that we protect from biological sharks because any contagion whether it is airborne or waterborne contact one is going to spread very quickly and we saw this happen during COVID-19.”

     On how can Lagos cope with its spiralling population, the commissioner said each country has the moral responsibility to protect its people within the social contract from biological crises threats and protect the integrity of its ecosystem it depends on. “Governor Sanwo-Olu administrator has put together the Lagos State Bioeconomy Governance Council. It’s made up of very eminent academics. We have members of the legal fraternity, biosecurity experts, and members of the community and it is anchored by the Ministry of Health and Governance Council to ensure that Lagos State is constantly preparing for biological shocks and doing what it needs to do to drive its bioeconomy. It is our responsibility as a government to pre-empt and prevent biosecurity threats, predict, mitigate and adapt, find and clearly identify a threat when it emerges, stop it promptly, restore calm and civil disruption and avoid economic collapse, require operational systems, policies and regulations and Legislation to deter threats as well as trained workforce.”

     According to the Intergovernmental Panel on Climate Change (IPCC), the estimated remaining carbon budget from 2020 onwards to limit the global average temperature increase to 1·5°C above pre-industrial levels with a probability of 67 per cent is about 400 Gt carbon dioxide or 1150 Gt carbon dioxide for limiting this global heating to 2°C.

     While speaking on climate change and its implications for Biosecurity, Abayomi expressed that climate change leads to changes in the suitability of environmental conditions that affect existing threats, saying that changes to the climate could allow new threats to emerge as conditions become more suitable for some hostile pathogens to flourish.

     On his part, the Chief Operating Officer of GET, Ayodotun Bobadoye said a team of modellers shared their estimates that there is a 47-57 per cent chance of another global pandemic as deadly as COVID-19 occurring in the next 25 years. According to him, they estimate that the probability of a future zoonotic spill-over event resulting in a pandemic of COVID-19 magnitude or larger is between 2.5-3.3% annually and there is a 2.2-28% chance that another outbreak on the magnitude of COVID-19 will occur within the next 10 years and a 47-57% that it will occur within the next 25 years.

     Bobadoye revealed that every three days, an acute public health event is reported to WHO in the African Region and 80 per cent of these are of zoonotic origin. He listed factors enhancing biosecurity threats as environmental destruction, emerging biotechnologies, improper handling and storage of biological specimens as well as increased terrorist activities.

  • Duchess Hospital restates commitment to affordable world-class healthcare

    Duchess Hospital restates commitment to affordable world-class healthcare

    Duchess International Hospital, Ikeja, Lagos, has marked its first anniversary with the Chief Executive Officer of the hospital, Dr Adetokunbo Shitta-Bey, reiterating the hospital’s commitment to impacting the lives of all Nigerians through access to affordable world-class healthcare.

    At a well-attended ceremony at the hospital’s main auditorium, Dr. Shitta-Bey emphasised the hospital’s priorities to include building trust in the healthcare system, providing high-quality, affordable services to Nigerians and reversing the trend of medical tourism abroad. He  reaffirmed the affordability of the hospital’s services and further confirmed  that “to register as a patient at the Duchess International Hospital is N5,000, and to have a consultation with a specialist family physician is also N5,000.”

    Reflecting on the landmark achievements of the past year, the Duchess  Hospital CEO remarked that the hospital is proud to have successfully conducted a wide variety of routine and complex specialist interventions across a range of specialties and sub-specialty clinical services. These procedures have been conducted in specialties such as interventional cardiology, cardiothoracic surgery, neurosurgery, paediatrics, obstetrics and gynaecology, orthopaedic surgery, gastroenterology and reconstructive plastic surgery, including a complex 12-hour breast reconstruction operation following successful surgical treatment for breast cancer, performed within the first few weeks of commencing services at the Duchess International Hospital last year.

    “It has been our privilege, in the past year to bring joy and satisfaction to the lives of ordinary Nigerians, and to restore hope, often in quite difficult circumstances, through life-saving treatment delivered right here at the Duchess International Hospital,” Dr. Shitta-Bey stated.

    According to him, Duchess Hospital is an affordable hospital for all Nigerians and a “one-stop shop” for primary, secondary and tertiary care services, positioned to save Nigerians millions of naira in medical tourism for treatment of health conditions, which would otherwise have required medical interventions abroad.”

    This assertion was supported by patients’ testimonials delivered at the occasion, including one from Otunba Alaba Shonibare, who successfully underwent knee replacement surgery at the hospital a few months ago. He spoke passionately about the quality of care he received while on admission at the hospital and the reasons for his decision to have his knee replacement surgery performed at the Duchess Hospital in particular.

    The Lagos State Commissioner for Health, Prof Akin Abayomi, who represented Governor Babajide Sanwo-Olu at the event, stated that the Lagos State government will continue to provide the right policy environment and infrastructural support for businesses and healthcare facilities to ensure that Lagos becomes a major destination and hub for healthcare delivery  across  sub-Saharan Africa.

    He further noted that Lagos State has a strategic initiative to reverse medical tourism and bring back highly skilled and experienced medical professionals currently in the diaspora, back to Nigeria. Prof Abayomi commended the management and staff of the Duchess International Hospital for their remarkable achievements in the last one year and for the hospital’s immense contribution to delivering access to affordable quality healthcare to Lagosians.