Category: Health

  • Fed Govt launches delivery guidelines on HIV, STIs for key populations

    Fed Govt launches delivery guidelines on HIV, STIs for key populations

    In its efforts to ensure that Key Affected Populations (KPs) have unhindered access to HIV and STI prevention, care and treatment services, the Federal Government has launched the Consolidated Service Delivery Guideline on HIV and STIs for key populations in Nigeria.

    The document, which was developed with financial support from the Global Fund and technical support from Henry Jackson Foundation and Medical Research International (HJFMRI), will define the implementation of programmes and services for key populations and the children of key populations in Nigeria. It will provide guidance packages of HIV and STI services and performance indicators for monitoring and evaluation of these services across the country.

    Speaking on Tuesday in Abuja during the national launch of the guideline, the Director-General of the National Agency for the Control of HIV/AIDS (NACA), Dr. Gambo Aliyu, said the intiative became necessary because key populations have become constant victims of discriminations. “The 2020 Integrated Biological and Behavioural Sentinel Survey (IBBSS) shows HIV prevalence among KPs as follows: female sex workers – 15.5 per cent; men who have sex with men (MSM) – 25 per cent, PWID – 10.9 per cent, and transgender – 28.8 per cent. It has become evident that the key populations are frequent victims of discrimination and abuse, according to the 2020 World AIDS report.

    Read Also: Ogun to stem spread of HIV/AIDS at grassroots

     

    “In recognition of the very high burden of HIV and other STIs among the various key affected population typologies, the Nigerian government provides HIV and STI prevention, care and treatment services for the KPs using numerous implementation models and packages of intervention to address the dynamics of HIV and STI transmission. These guidelines are intended to redefine the existing approaches and serve as reference for the delivery of all facility-based and community-based HIV and STI prevention, care and treatment services in the country.”

    Eddie Bloom, the Director of Administration and Operation, HJFMRI, pledged continuous support to the government’s drive to reduce the prevalence of HIV in the country. In developing the document, a national technical working team led by NACA made up of subject matter experts and stakeholders was established.

    The team was chaired by NACA and comprised representatives from the Federal Ministry of Health/HIV AIDS division, Nigerian Correctional Service (NCS), Nigerian Police Force (NPF), National Drug Law Enforcement Agency (NDLEA), national ministry of justice, Human Rights Commission, academia, programme-implementers, and key population networks and organisations.

    This team jointly implemented state and site level learning activities, reviewed, and validated the final content of the national guidelines. Ultimately, this document will be an important tool in the delivery of health services, support efforts towards strengthening HIV and AIDS prevention, care and treatment programmes; and address cross-cutting issues such as stigma, violence, and mental health as critical enablers of service delivery.

  • Ten daily habits that damage the brain

    Ten daily habits that damage the brain

    By Fasanmi Abiola

     

    The human brain is the most important organ of our body and we all fail to think it also requires exercise or training and nutrition to function well. Thus, forming good habits and avoiding the following bad habits will prevent brain damage and keep it healthy.

    Here are 10 brain-damaging activities that you must stop doing for better functioning of the brain:

    1. Skipping breakfast

    Our brain needs appropriate nutrients at the appropriate time to function at its best. Due to a fast paced lifestyle, most of us avoid or end up skipping breakfast to save some time. This leads to low sugar supply and poor nutrient supply to the brain. The brain needs pure glucose to function. Poor nutrition can have long term harmful effects on the brain like degeneration of the brain cells.

    2. Lack of sleep

    Sleep deprivation hinders the brain’s ability to perform normally. If you have ever lost your way home or forgotten your keys somewhere and cannot recollect where, then lack of sleep has probably been behind this temporary memory loss. Sleep deprivation leads to cognitive issues. Without enough sleep, certain brain cells die and it then becomes harder for you to remember things. Psychological issues can also crop up due to bad sleep or sleep disturbances. So make sure you get your daily dose of 7 hours of beauty, as well brain-friendly sleep.

    3. Over-eating

    It’s said that, “too much of anything is bad”. The same applies to our brain too. We tend to overeat, if the brain is not functioning normally and vice versa, over-eating leads to brain damage. Over-eating leads to deposition of cholesterol plaques and thickening of blood vessels of the brain causing reduced blood supply to brain cells. This can cause serious damage to the normal functioning of the brain. It is found that overeating leads to Alzheimer’s disease. Over-eating leads to obesity which in turn damages our self-image and self-confidence and can lead to depression and other psychological problems.

    Read Also: How to totally eliminate rats in our homes

    4. Eating sugary foods

    Knowingly or sometimes unknowingly, we all consume sugar in most of our food and beverages. High consumption of refined sugar is known to destroy the ability of the brain and body to absorb proteins and nutrients. Poor nutrition will lead to malnourishment and brain disorders like poor memory, learning disorders, hyperactivity and depression. So, the next time you add a large coke to your happy meal, think again because it’s loaded with nearly 20 spoonfuls of sugar!

    5. Smoking

    This is probably one of the most harmful habits that we indulge in, as smoking not only causes lung diseases or heart diseases, it also leads to shrinkage of multiple cells in the brain and can lead to problems like dementia, Alzheimer’s and maybe even death. Excessive smoking indirectly causes neuro-inflammation which can cause an autoimmune disorder called Multiple Sclerosis (MS).

    6. Covering the head while sleeping

    Sleeping with the head covered leads to increase in concentration of carbon dioxide and it further reduces the oxygen concentration in the blood. If the oxygen supply is poor, the brain functioning capacity reduces. You may feel suffocated and sleep deprived leading to fatigue and drowsiness.

    7. No exercise

    Exercise makes you more flexible and increases mobility. Without enough exercise the mobility and brain’s power of movement reduces, and decreases stability and motor skills. Studies have shown exercise help to keep us younger by releasing happy hormones called endorphins. Not just the brain, but exercise strengthens your heart and lungs too. Do you need more reason to exercise?

    8. Consuming alcohol

    The greater the percentage of alcohol, higher is the number of cells that die in the brain. Alcohol leads to chemical imbalances when continued for longer durations and large quantities. Brain volume decreases due to chronic alcohol intake. Anything more than 2 units/ day for men and 1 unit/ day for women is excess alcohol.

    9. Playing loud music with earphones or headphones

    Listening to music at a very high volume with your earphones or headphones might damage your hearing abilities permanently. It can result in some brain problems such as loss of memory and damage to your brain tissue in the coming future. This is because brain is the one, which takes efforts to comprehend what is being said around you. If you apply excess pressure on your brain, it’s sure to get damaged.

    10. Premature stress

    Stress is part of everyone’s life. Certain amount of stress related to work or family is a part and parcel of life. Stress of completing work on time or winning a competition is a healthy expression of stress. But when stress goes beyond your capacity to cope, it hinders the normal functioning of the brain and makes you feel low, depressed, angry, irritable, and sleepless. If you feel one or more of these emotions too often, it is time to seek help with a counselor or move away from things that are causing stress.

  • Study ranks Nigeria 14th of African countries with poor health system

    Study ranks Nigeria 14th of African countries with poor health system

    By Adekunle Yusuf

    A new study has ranked Nigeria low among 18 African countries with the worst health system. In a first-of-its-kind Health System Sustainability index report released this week, Nigeria ranked 14th with a total of 41 scores out of 18 African countries surveyed.

    In the report, South Africa, with a total of 63 scores, ranked first; while Tunisia came second with 58 scores, followed by Morocco, which got 55 scores. The Democratic Republic of Congo came last with 33 scores. The Africa Sustainability Index, which was launched by the FutureProofing Healthcare initiative at the 2021 Africa Health Agenda International Conference (AHAIC), also revealed that Nigeria ranked last in maternal mortality, infant vaccination, and in neonatal mortality. The country also came 17th on births attended by skilled health staff and access to effective treatment for tuberculosis.

    Nigeria, however, ranked first in laboratory quality. The Index report designed to enable data-driven decision-making for health and revealed correlations between economic strength and health system sustainability showed that countries with good access to services do not always have similar scores for the quality of the health services provided. The findings suggest that holistic policies that prioritise access and quality are needed to meaningfully impact universal health coverage (UHC) goals. Specifically, the report noted that like Angola, Nigeria performed well in responding to emerging health threats, leading the continent in its COVID-19 response stringency and also in testing cases of tuberculosis for multiple drug resistance.

    “Nigerians are also the most likely in Africa to describe accessing medical services as ‘easy,’ which reflects a few barriers to treatment. Despite this, there is considerable room for improvement with respect to the health status of the Nigerian population; mortality rates from communicable diseases including water-borne illness and diarrhoea disease are high, and there is a high incidence of viral hepatitis and malaria,” the report said.

    The report recommended that health outcomes could also be improved by prioritising neonatal care, as Nigeria faces low rates of infant vaccination and high rates of maternal and neonatal mortality. It also noted that there were considerable deficits in the availability of healthcare personnel combined with allied factors such as poor access to clean water, political instability and adult gender literacy gaps which accentuate the problems in the ecosystem.

    Led by a panel of 10 independent African healthcare experts, the first-of-its-kind, data-driven policy tool measures the current status of health systems in 18 countries across Africa and provides valuable context as countries across the continent determine how to accelerate universal health coverage (UHC) goals and progress on the United Nations Sustainable Development Goals (SDGs) in the face of the COVID-19 pandemic.

    The FutureProofing Healthcare Africa Sustainability Index presents an objective view of how health systems are currently performing and is intended to inform policies that promote sustainability and resiliency for the future. Through publicly available data, the Index examines 76 different measures split across six categories called Vital Signs. These Vital Signs – Access, Financing, Innovation, Quality, Health Status and Wider Factors of Health – provide a holistic view of the fundamental drivers of sustainable healthcare systems. The Index also compares approaches between countries, identifies elements that lead to more sustainable care and promotes best practices through a future-focused analysis of real-world solutions. Supported by Roche, experts from organisations including Amref, the World Bank, United Nations Development Programme /(UNDP), the African Society for Laboratory Medicine and the Africa Centres for Disease Control and Prevention collaborated to develop the FutureProofing Healthcare Africa Sustainability Index.

    “Sustainable healthcare is a key element on the journey towards UHC and will impact millions of lives in Africa,” said Githinji Gitahi, CEO of Amref and Africa Sustainability Index panellist. “The Sustainability Index is a useful tool in guiding stakeholders in the healthcare ecosystem on where to focus efforts, make improvements and identify best practices from other countries. On behalf of my fellow panel members, it is our intention that this tool will spark conversation about actions that are needed today to create more resilient, sustainable health systems in the future.”

    The findings of the Africa Sustainability Index indicate that economic strength and political stability are key drivers behind overall performance in healthcare sustainability, with most of the countries that perform well in the Financing Vital Sign also doing well in the Index overall. These countries include South Africa, Rwanda, Algeria and Ghana. The index also reveals that all countries analysed have numerous areas of opportunity for improvement, with strong variations throughout the continent related to the Access and Quality Vital Signs, suggesting that targeted policies in these areas will make an impact in achieving UHC goals. Driving disparities in Access are the number of doctors and specialised healthcare professionals per capita as well as the level of access to preventative health services. South Africa is the highest ranking country in the Access Vital Sign, followed at some distance by Libya, Zambia, and Tunisia.

    Another area of focus for improvement is within the Innovation Vital Sign, which has the lowest mean score of the six Vital Signs. Innovation was defined by the panel as ‘advancement, access and application of novel technology.’ South Africa is the top performing African nation in this Vital Sign, followed at some distance by Rwanda, Ethiopia, and Tanzania. Still, many best practices exist at the country-level, such as creating a future-looking policy and legal environments and adopting new technologies.

    As health systems across Africa currently face acute pressure from the COVID-19 pandemic, the Africa Sustainability Index aims to identify key drivers that affect the capacity of health systems to cope with system-level strain. Data from the Index can be used to inform policies that help health systems continue to manage and ultimately recover from the crisis as well as be used as the foundation for policies that enable more resilient health systems that are prepared to address both health crises and ongoing population health needs. The results of the Financing Vital Sign suggest that there is little difference between some countries’ healthcare financing models. However, this similar approach does not yield similar results across all Vital Signs. While there is a clear positive correlation between economic strength, political stability and the sustainability of a healthcare system, there are strong variations in Access and Quality Vital which suggests that, beyond financial reforms, targeted policies in these areas could go a long way in achieving UHC.

    Countries included in the Index are Algeria, Angola, Cameroon, Côte d’Ivoire, Democratic Republic of the Congo, Ethiopia, Ghana, Kenya, Libya, Morocco, Mozambique, Nigeria, Rwanda, South Africa, Sudan, Tanzania, Tunisia and Zambia. “Unless we analyse the consequences of the COVID crisis, it has the potential to increase healthcare inequity, costs and inefficiency. Yet, if harnessed, it can mean better healthcare for all in more sustainable and resilient health systems. There are actions that every country can take to start on this journey today. We must work together immediately to rebuild better and give African people the care that they deserve,” said Prof. Glenda Gray, President and CEO, South African Medical Research Council, and member of the expert panel.

  • CSOs decry women’s lack of access to family planning, immunisation

    CSOs decry women’s lack of access to family planning, immunisation

    By Moses Emorinken, Abuja

    The women leaders of Civil Society Organisations (CSOs) in the PACFaH@Scale project have decried women’s inadequate access to essential health services, particularly to immunisation and family planning services across the country.

    While recalling that in July last year, the Minister of Health, Dr Osagie Ehanire, disclosed that immunisation rates, skilled birth attendance, RMNCH+N (reproductive, maternal, newborn, and child health and nutrition (RMNCH+N) had declined, the group noted that COVID-19 pandemic has negatively impacted Nigerians, especially women who bear the burden of child and family health. Stressing that disruption to services means disaster for the woman who must care for her family, it therefore called on the government to keep its promise of giving adequate and priority attention to essential health services, while also addressing the COVID-19 emergency.

    The President and Project Director of the Medical Women’s Association of Nigeria (MWAN)-PACFaH@Scale Project, Dr Minnie Oseji, made these known in Abuja, to commemorate this year’s International Women’s Day, with the theme: ‘Choose to Challenge.’ “We, the women leaders of civil society organisations in the PACFaH@Scale project are happy to celebrate all the great achievements of Nigerian women this 2021 International Women’s Day. As women leaders, however, we must address the numerous challenges and hardships faced by the women of this country on a daily basis.

    “We are meeting here today to celebrate International Women’s Day in the middle of the global pandemic, COVID-19, which has impacted negatively on all Nigerians (men, women and children) but on women in particular who bear the burden of child and family health. In a press statement of July2, 2020, the Federal Minister of Health signaled the threat COVID-19 poses to child and family health of the nation and to the mothers, grandmothers, aunties and sisters who are traditionally responsible for the health of children and the household. In the statement, the Honourable Minister of Health, Dr. Osagie Ehanire said ‘Immuniswation rates, skilled birth attendance, RMNCH+N have declined’.

    “The Honourable Minister’s statement has been backed up by words of caution by UNICEF, the WHO and by the research findings of health professional associations in the PACFaH@Scale project such as the National Association of Public Health Practitioners of Nigeria. Not only has routine immunisation been affected as Primary Health Care Centres all over the country are unable to provide full immunisation services, but women have been finding it harder to access  family planning services and trainings scheduled by so many state governments,new treatment protocols for childhood killer diseases have been put on hold due to COVID-19. There is no doubt that there has been a disruption of Essential Health Services throughout Nigeria as a result of COVID-19.

    “The Nigeria National Strategic Health Development Plan II lists Reproductive, maternal, newborn, child and adolescent health, plus nutrition (RMNCH +N) first in the definition of essential health services care package. Disruption to services means disaster for the woman who must care for her family. We commend the Nigerian government for developing the National Action Plan for Health Security 2018-2022. This plan seeks to protect Essential Health Services such as RMNCH and incorporates these routine services into emergency health responses for COVID-19. While we appreciate the government’s foresight for developing this Plan, as CSO leaders of the PACFaH@Scale project, we have done the research and known the reality on the ground is one where adequate funding is not made available for essential health services.”

    She added: “We also know that even when funding is allocated, it is seldom released in a timely manner. Moreover, while there are clear and dedicated budget lines for COVID-19 related expenditure, budget lines for Essential Health Services such as Routine Immunisation are not separated. Rather funds for routine services are merged together in bundled up and opaque lines labelled in some states as ‘counterpart funds’.

    “Some of us here today are women civil society leaders, who are also clinicians in Medical Women Association of Nigeria trying to provide family planning services for women in the face of commodity stock outs. Since 2020 we have been asking, and please bear with us as we ask again today – where is the 75 percent cut to the 2019 family planning budget, which was reallocated in the 2021 budget and why has it not been released?

    “Why are these funds still stuck in the Service Wide Vote? Should the Service Wide Vote not serve the needs of the women of the nation? Since the Nigeria National Strategic Health Development Plan II prioritises reproductive health as a primary and strategies component of Essential Health Services, is it not essential and strategic to fund the family planning needs of the women of Nigeria?”

  • USAID to empower two million adolescent Nigerians

    USAID to empower two million adolescent Nigerians

    By Adekunle Yusuf

     

    The United States Agency for International Development (USAID) has launched a new activity designed to empower no fewer than two million young Nigerians with life skills and resources to realise their future dreams.

    The five-year $15 million Youth-powered Ecosystem to Advance Urban Adolescent Health Project (Adolescent Health) will help teenagers to have access to reproductive health services within a holistic context of youth empowerment. The project , which be implemented in Nigeria’s two largest cities, Lagos and Kano, will reflect a deeper understanding of the challenges that adolescents face, said USAID Health Office Director Paul McDermott at a virtual ceremony to launch the project.

    “By investing in youths, USAID is helping prepare the next generation to lead Nigeria to a more healthy and prosperous society. Young people can make a strong contribution to a more productive and prosperous Nigeria if they are healthy and informed,” McDermott, who was joined by the Minister of Health Dr. Osagie Ehanire at the ceremony, said.

    Nigeria’s burgeoning urban youth population includes a marginalised segment of individuals who are out-of-school, unmarried, or poor. They are also vulnerable to sexually transmitted diseases and unplanned pregnancies and face barriers to accessing reliable health information. Thus far, traditional programmes have struggled to meet these needs, leaving a huge gap.

    Adolescent Health will build a network of Youth Hubs to provide age-appropriate access to a host of services, and teach life skills, leadership, and work readiness. Through partnerships with the private sector, the activity will connect adolescents to internships and employment opportunities.

    The hubs will provide safe spaces for adolescents to receive information and support to uptake reproductive health and improved behaviors through regular interventions, club meetings, youth-led events, groups, camps, and other community outreach and events.

    They will also improve access to counseling and referrals, youth-friendly health providers, gender-based violence services, substance abuse, and mental health programs. In addition, an associated Youth Advisory Council, composed of 60 per cent girls, will provide insights and inputs to the hubs, thereby developing their leadership and decision-making skills.

    “We must devise ways and mechanisms to continually improve the general health, skill acquisition and overall development of the Nigerian youth. I implore every Nigerian to get involved,” said Tobi Bakre, 25-year-old reality star and youth ambassador for the new activity. The activity will be implemented by Development Alternatives Incorporated in partnership with Grassroot Soccer, Women Friendly Initiative, Yellow Brick Road and the Youth Empowerment and Development Initiative.

  • Evercare to redefine healthcare

    Evercare to redefine healthcare

    By Adekunle Yusuf

     

    A private multispecialty tertiary care facility, Evercare Hospital has opened in Lekki, Lagos, with a vow to transform the healthcare delivery system.

    The purpose-built 165-bed tertiary care hospital is part of Evercare Group, a leading impact-driven healthcare group of hospitals, clinics, and diagnostic facilities across Africa and South Asia.

    The new hospital brings Evercare Group’s expertise in operating and developing quality healthcare facilities to West Africa and is positioned to be at the forefront of advanced treatment in major clinical specialties in Nigeria. The state-of-the-art facility promises to offer premium patient care and services across core medical areas.

    Evercare’s facility is equipped and designed with modern infrastructure and diagnostic services, with specialties, including mother and child services, cardiac sciences, neurosciences, orthopedics, critical care and emergency medicine. The team is comprised of highly skilled local and international full-time and visiting consultants, setting a benchmark that would enhance the long-term sustainability of the country’s healthcare sector.

    “Quality is at the core of Evercare Hospital Lekki’s healthcare mission. At Evercare, we will constantly innovate to ensure delivery of best-in-class standards of patient safety, clinical excellence, and outstanding clinical outcomes. Our dynamic and passionate team of caregivers will ensure an unparalleled patient experience as we have a philosophy of ‘patient first’ and are always available to cater to healthcare needs. We look forward to embarking on our journey to transforming healthcare,” said Rajeev Bhandari, Chief Executive Officer (CEO) of Evercare Hospital Lekki.

    According to CEO of Evercare Group, Massimiliano Colella, the goal of establishing in Nigeria is to create a long-term blueprint for the country’s healthcare sector and support the advancement of medical care across Nigeria.

    “Evercare Hospital Lekki brings first-class healthcare services to the people of Nigeria and will reduce the need for Nigerians to travel abroad in search of quality medical care. We are making specialty and sub-specialties available and will elevate the standards of service delivery. Our aim to build a sustainable future to provide world-class healthcare facilities in emerging markets and one of our key missions is to invest in local resources to help them expand their reach to help communities in need.”

    The new hospital is part of the Evercare Group, owned by the Evercare Health Fund, a United States $1billion emerging markets healthcare fund managed by TPG. The construction and opening of Evercare Hospital Lekki exemplifies the ways in which Evercare benefits from the healthcare investing experience of TPG’s global team and the impact investing expertise of The Rise Fund.

    The Rise Fund’s investment in Evercare, alongside other leading impact investors and global development finance institutions, is playing a critical role in addressing systemic underinvestment in Nigeria’s healthcare infrastructure while remaining committed to delivering measurable, long-term impact.

    “It is an exciting time for us to work collectively to offer Nigerians superior healthcare options that meet local needs and build the country’s response in tackling diseases,” commented Jide Olanrewaju, Partner at TPG Growth, Africa.

    “Evercare Hospital Lekki, and its best-in-class facilities, are a great example of how impact investment can address crucial funding needs in the march to bolster Nigeria’s medical ecosystem and its economy. We are deeply proud of the hard work that has culminated in the opening of Evercare Hospital Lekki and we wish our colleagues continued success as we work together to improve healthcare in Nigeria.”

  • ‘Let your food be your medicine’

    ‘Let your food be your medicine’

    By Adekunle Yusuf

     

    The Rector of Redeemed College of Management and Technology, Dr Stella Awoh Mofunanaya, has advised Nigerians to consume more local food because they are active and medicinal.

    Let your food become your medicines, she urged Nigerians.

    She said gave the advice during  second induction of complementary and alternative health technicians, therapists and technologists by the Lagos College of Health Technology, Yaba, Lagos.

    “Natural medicines are active, harmless and safer than orthodox medicine which is a chemical formulation. For this reason, Nigerians should eat our local food because it is medicinal.

    “From statistics, an average of 20,000 Nigerians travelled to India and other countries for medical treatments. Until we start to see our food as medicine, we’ll not stop travelling abroad. Until we start to see our local food as medicine that is when will stop running after Western food. It is so sad that in Nigeria, the moment we hear about natural medicine, our mind will tell us it is ritual but it is not.

    “Today, almost all our food have been capsulated by the Chinese, including corchorus olitorius (Ewedu), locust beans, bitter leaf and even pepper. And they’ve been able to brainwash us that until we buy the orthodox drugs, we will not be fine.”

    She urged Nigerians to reverse the trend by stocking their home plants and herbs. The food we eat should be our medicine and our kitchen should serve as a pharmacy.

    The Provost, Lagos College of Health Technology, Dr Moyo Kasim, advised Nigerians to have a rethink about traditional medicine, adding that not African product is inferior.

    He emphasised that traditional medicine is interwoven with culture all over the world.

    “Even some of the most countries like China, and India have both traditional medicine and orthodox medicine in any of their hospitals because they are there to complement each other.

    “While growing up, when something happens, usually our grandmother before you go to the hospital they come out with some kind of traditional medicine to relieve the patient before heading to the hospital. So, it has always been there.”

    The provost said the mission of the institue alignes with that of the Lagos State government to build a centre of excellence for the teaching of natural, Traditional and Complementary Alternative Medicine, not only in Nigeria, but also in Africa, which will serve as the cradle of professionalism and the best in professional practice and to inculcate standards of integrity, honesty and good conscience in Nigerians’ professional practice.

    “I think what Lagos State Government is trying to do is to make traditional medical access to all citizens in the country.

    ‘’Over 60 per cent of our women give birth at the facilities of traditional birth attendant (TBAs). For this reason, the Lagos State Government is trying to bring together the Traditional Medicines Board, Primary Healthcare Board and the College in a form of partnership.

    ‘’So, the government is trying to bring our TBAs to the forefront. We plan to train our TBAs when they come to the college and after the training, they would transmit the TBA into community birth attendants (CBAs).”

    Kasim implored the graduates to use their knowledge to the service of humanity and their profession. The new certified professionals studied acupuncture, chiropractic, homoeopathy, osteopathy and naturopathy in the health college.

    “Practise what they taught and follow the standing order. Do not go beyond the training that has been impacted you. If you come across what the training did not cover, you should refer the patient to the hospital.”

  • Ogun to stem spread of HIV/AIDS at grassroots

    Ogun to stem spread of HIV/AIDS at grassroots

    By Adekunle Yusuf

     

    The Ogun State Agency for the Control of AIDS (OGSACA) will continue to assist the Local Action Committee on AIDS (LACA) in  the planning and implementation of programmes as well as removing bottlenecks in HIV/AIDS activities.

    Its Community Mobilisation Officer, Mrs. Bola Durosomo, made the promise during monitoring tours to LACA offices in Abeokuta North, Abeokuta South, and Ewekoro Local Government Areas (LGAs).

    She pledged its support to  stem the tides of the HIV/AIDS, particularly at the grassroots.

    She commended the medical officers of health in the LGAs in tackling the menace, seeking adequate documentation of data regarding HIV/AIDS at the health facilities, emphasising the need to complement federal and state governments’ support.

    The Medical Officer of Health, Abeokuta North LGA, Dr. Atinuke Duse, applauded the team for the visit, saying dedication to duty would help achieve the government’s goal.

    The Chairman, LACA Managers in the state, Olori Oyekan Ogundeji, who is also the LACA Manager, Abeokuta South Local Government, lauded the government for the supply of consumable kits to health facilities across the state, promising that they would not relent in their efforts to track and provide treatments for people living with HIV.

  • Resident doctors to support a million on telehealth

    Resident doctors to support a million on telehealth

    By Adeola Ogunlade

    The National Association of Resident Doctors (NARD) has set telehealth solution Initiatives to cater for one million vulnerable Nigerians.

    NARD President, Uyilawa Okhuaihesuyi and chairman, NARD Telehealth Committee, Dr Kenneth Uwajeh, disclosed this in a statement in Lagos.

    NARD said the initiative is targeted at increasing COVID-19 awareness from screening for symptoms, prevention and management to mainly targeting the grassroots via digital means (Telemedicine).

    The doctors said: “The goal of the Telehealth solutions is to reduce the morbidity and mortality due to COVID-19 among the poor, vulnerable and underserved members of the population at the primary care level.

    “We recognise the challenges of providing services at this level which includes the disproportionate lack of qualified health practitioners and the unsupervised service providers, despite task shifting strategies”.

    They added telehealth solutions have been successfully implemented globally and within the continent, staying “we believe a similar approach would be successful within the primary care system in Nigeria.

    “We have an army of at least 15,000 doctors in our association. Many of whom are willing to provide these services for free in the battle to defeat COVID-19 and protect the vulnerable masses.

    “This is our chance to write history as COVID-19 is the greatest challenge ever faced in modern times. In the process we not only save our nation but save the continent and the world.”

  • From heat and itch to cold and dust

    From heat and itch to cold and dust

    By Femi Kusa

     

    The weather changed dramatically in Lagos last week before anyone could say Jack Robinson. Prior to light rain on three consecutive days in my neighborhood and elsewhere, the weather had been so hot that many people were pulling off top clothes at home, profusely sweating, itching all over, getting constipated or complaining of headaches and sleep disorders. Then, dramatically, the weather changed after the rain blitz and became very cold in the morning, so cold that many people were still curling up in bed when they should have been at work.  For the first time in a long while, I began to have hot water baths. It was better than skipping baths or having “half-body” baths. The half-body bath was what we did in high school on cold days, brushing only the head, face and neck, arms and legs with wet towels. I doffed my hat for women on the hot days, jokingly daring them to pull off their tops like us men if they could. Of course, women don’t have the Lion’s heart on this playing field.

    The hot days of February 2021 reminded me of Priscilla Adebayo, the six-year-old girl whose heart-touching death on February 19 last year was a subject of this column. She was almost everything to almost everyone who knew her: parents, relations, neighbours, friends…name it. She was a great mixer, behaved beyond her age and was a darling wherever she was. It was possible her parents underrated the scorching hot weather. Priscillia suddenly became listness, lost appetite for about two days, ran high temperature, vomitted, couldn’t sleep and died on the way to hospital on the third day. I remembered her this year, about two weeks before her death anniversary, when some of my acquaintances began to report symptoms which resembled those of heat stroke. Suddenly, I remembered that another hot season was upon us.

    Joy, 19, reported skin itching all over worsened by headaches.  I always like not to ignore constipation as a possible cause of headache. For it may have produced toxins which may have been absorbed into the blood stream, and toxin -dense blood may be irritating brain nerves and tissue, causing inflammation, spasms and pain. Joy, indeed, had moved her bowels only once in past seven days. Her urine was deep yellow, signalling dehydration and urea concentration, not very good news for the kidneys and a possible cause for her skin itch. Human dehydration is a serious challenge for health. Similar to what happens in the radiator of a motor vehicle, the radiator contains water which cools a running, hot engine. If water runs below normal level in the radiator, the engine will become hotter, the gasket may burn, the engine may knock, that is, become damaged and unable to run. The human body is about 70 per cent water, most of which is stored inside the cells, in spaces around the cells and a blood vessel. The cells may heat up, shrink, unable to function properly and even be damaged or die if they lose too much water. If water is lost in the blood vessels, they may shrink to prevent an air lock which is when air feels the space vacated by water, since nature abhors a vacuum and this may cause hypertension or death in extreme cases.

    All other things being equal, “yellow” or “dark” urine caused by dehydration should clear up if the dehydrated person takes a glass of warm water every half hour or hour for six or eight hours. Scientists estimate that an average person may lose between three and four litres or up to 10 litres of water per day to sweating, depending, of course, on the metabolic rate. Joy’s temperature was high and she was weak. So, we added Oral Rehydration therapy (ORT) salts to her water. Once in a while, we gave her a mixture of Orange Juice and Lime Juice. This was to put some potassium into her system. During excessive sweating, not only sodium is lost. Potassium, too, is lost. Many people drink lots of only plain water when they are excessively thirsty or feel dehydrated. Some people worsened their dehydration by rehydrating with sugared drinks which thickened the blood with naked sugar and makes the body require more water to properly run. It is better to add a pinch of natural salt to the sixth glass of plain water or so and take fruit juice if ORT salts are not available, for the kidneys may simply run out of plain water. We need sodium to hold water in the body, but not too much of it. For an excess can flush out potassium, the salt inside the cell, and predispose us to rumpled cells and nerve problems such as cramping and, also, all sorts of growths, including dangerous tumors.

    In about two or three days, Joy was back on her feet. Even her foaming urine was gone. She did not have to experiment it with pure cleanse capsules or organic coffee enema to move her bowels. Her mother was advised to blend Jute Mallow(Ewedu in Yoruba) or Corchorus Olitorius the botanical name, slightly boil it and give her half a glass twice a day on empty stomach and then administer about a glassful as enema. She voided several times in one day, and the constipation was gone! Excited, Joy’s mother, Mrs Mary Innocent, of 81 Oladoje Street, Old Oko Oba, Agege, Lagos, has begun to place her younger children on Jute Mallow enema to free their bowels.

    In that hot weather, the mosquito swarmed many homes. I hate chemical mosquito sprays and coils. So, to keep them at bay, I tried two old measures. I massaged my body with Neem oil and sprayed the bed linen with it. Neem leaf chemicals kill the mosquito plasmodium falciparum in the blood and, not surprisingly, the oil keeps the mosquito itself at bay. Plasmodium Falciparium is believed to be the most dangerous parasite in humans. Injected into the skin by the blood-sucking female Anopheles mosquito, and classified as Group 2A carcinogen, Plasmodium Falciparium is implicated not only in about 50 per cent of malaria cases but in cancer of the blood as well. Skin itch may be signalling Plasmodium Falciparium activity in the skin! This is why it may be necessary to treat malaria when the skin itches excessively and all over. For such a situation, Chanka Piedra, Papaya leaf powder, Karela powder and brim stone are never lacking in my herbal medicine chest. We take one or the other as tea or added to meals to prevent malaria fever.

    The orange peel was the second measure I adopted against swarming mosquitoes. I have eight iron incense basket burners at home just for the mosquito. All around the house, including the flower beds, are plants such as pawpaw, banana and plantain around which they mill and from where they accompany passers’ by into the house, hanging out on dresses or the hair. So, for about one hour in the evenings, we burn dry orange peel around these plants and keep one basket each upstairs and downstairs. On the days we faithfully do this, everyone enjoys mosquito-free sleep. The orange peel has not ended its job by killing mosquitoes. Sometimes, we eat it raw or at times parboil it and add to meals such as rice, beans, pap porridge, yam porridge, and which other meal catches our fancy. Not only is it a good cough remedy and an anti-inflamatory which, with its anti-histamine properties, may subdue asthma, the orange peel aids digestion, kills germs, helps the hair and nails to grow healthy. It also clears skin blemishes and stops skin itch.

     

    Skin itch

     

    Many cases of skin itch may not be easy to resolve like Joy’s. For some are caused by underlying diseases such as diabetes, shingles, anaemia, thyroid disorders, kidney and liver disorders, multiple scelerosis, pinch nerves and multiple myeloma. This is the terrain of the specialist doctor. There are many causes of this condition. Sometimes, the liver is insufficient and cannot efficiently break down toxins. The insufficiency may have roots in such conditions as hepatitis, gall stones, fatty liver, warm infestations and a host of others.

     

    Oxidative damage

     

    The skin has fat layers. These are prone to oxidative stress and damage when there is not enough antioxidants specific to the skin to protect them and other tissue. Such activities may produce effects experienced as skin itch. Vitamin A and Vitamin E are well known fat-soluble antioxidants which protect and nourish the skin. So does sunlight under the influence of which the skin can make Vitamin D3 now known for its immune and other functions. Yellow skin fruits and leafy vegetables have pro-vitamin A substances. So does palm fruit from which palm oil is derived. This fruit contains a wide variety of Vitamin E as well, yielding d-alpha tocopherols and d-alpha tocotrienols in this regard. It makes sense, in my view, as I sometimes do, to eat boiled palm fruit over a meal. Many animals eat raw palm fruits. As children, we ate raw palm fruits. To the skin antioxidants list we may add mineral antioxidants such as Selenium and Zinc and the water soluble Vitamin C with bioflavanoids. A wonderful fluid and fat media antioxidants I always do not fail to remember is Alpha Lipoic Acid(ALA). It has been wonderful with Grape Seed Extra(GSE), especially in conditions where the skin had been defaced with black or white spots indicative of free radicals damaging activities within or on the surface.

     Sun burn

     

    Many of us take for granted exposure of the skin to sunlight, especially when the sun is directly overhead. Watch animals at this time of the day, they hide themselves in all sorts of shades, but humans move freely about. Women in particular expose their hands, and legs, wearing short sleeved blouses, knickers and short skirts. Burns by ultraviolet (UV) rays vary in intensity and affect different skin types differently. In some cases, topical symptoms may not be evident but the burn areas may severely itch. In some cases, blistening or redness may occur. The skin may even peel. Some people may not associate these symptoms with UV rays. Thus, it is common to confront them with a change of the bathroom soap and towel. Sometimes, the bathroom water is assumed to be contaminated with micro forms. There is no doubt that this sometimes happens. In this case, the water may be treated with Epsom Salt, Cider Vinegar or Lime Juice. Any of these treatments almost, if not completely, rid the skin of soap remnants after a bath.

    The best treatment for sun burn is to prevent it by protecting the skin in various ways. That is why desert Arabs wear robes which cover their bodies from head to toe and mound clothing on the head. Thick, kinky African hair is probably meant to protect the scalp. But fashion these days describe “skin cuts”. I hate to use shampoos when my scalp itches. Recently, I ran out of Onion, Lime and Cider Vinegar at home. I itched in the scalp for about one week, scratching with even ball points pens and tooth picks before I remembeed an old, costless remedy. Early one morning, I caught my first urine in a glass cup and thoroughly massaged my scalp with it. That was the “end of story” Aloe Vera jelly may also be used in the scalp as on the skin to stop the itch  and to moisturize. So can Orange Peel powder be added to hair creams and body creams. The body cream clears even acne, blackheads, freckles and other blemishes, including some old scars. On the scalp, the cream makes the hair to grow long and thick and prevents breakages.

    Care of the skin is important in skin eruptions in some cases, sun burn may cause fevers and chills, nausea and vomiting, low blood pressure, weakness, and fainting.

     

    Worms

     

    One of the several reasons skin itch should not be treated with kid’s gloves is that it may be caused by worms, especially filaria, or other parasites which live in the skin, eating it and discharging into it their poisonous metabolic watses.

    The skin itch may, therefore, be an early warning alarm that something dangerous may be going on under the skin. Filaria worms, for example, maybe overpopulate and fill up, if not block, the lymphathic system, thereby imparing arculation of the plasma and killing the cells. In extreme circumstances, they may cause calabar swellings or elephantiasis.

     

    Dusty season

     

    Arguably, this is one of the busiest seasons for all women in the home. Dust is everywhere, from the floor to the settee and from the dining table to the beds. It is also on the walls and anywhere you can imagine. It settles on foods and drinks. Clothes are not immune to them, women mop and clean almost every minute of the day.

    Dust comes with its own health challenges, such as asthma, Hay fever, irritation of the eyes, coughing and sneezing. Dust comes with particulate pollutants, visible or not. These pollutants include pollen, plant materials, dander(dead skin cells shed by animals) and tiny organisms.

    Some pollutants are trapped in the nose and mouth while tinier ones escape into the lungs and blood stream. This is a season Nebulizers help a great deal, to irrigate the nasal cavities and kill off germ particles. It is also the season of Stinging Nettle against Hay Fever.

    The most well-talked about of these microscopic organism is the house mite which may live for between one month (male) and 90 days (female). They feed on shed dead skin. Everyday, an average person may shed about 1.5grams of dead skin, which is enough food for about one million dust mites. They burrow into mattresses and pillows and may be hard to eliminate.

    Dust mites cause sneezing, coughing, stuffed and runny nose, post-nasal drip, itchy and watery eyes and itchy throat. The dust mite can be eliminated in diverse ways. One of them is the use of cider vinegar sprays. Another is pest grade diamtom (Diatomaceus Earth) sprays, Allergen proof bed and pillow covers and, when they invade the nostrils, Nebulizers to deliver antagonistic materials which destroy them. The last few weeks have been health challenging. We have moved from the hot weather days to the cold weather of the harmattan days, which may be short lived and give way to another spell of hot weather before the rain season re-appers.