Tag: health

  • Shell launches health crusade

    The Shell Nigeria Exploration and Production Company (SNEPCo) has launched its first medical outreach at Gidan Mangoro community of Karu in Abuja.

    Over 4,000 people got medical supplies in five primary schools. This is the latest phase of Shell’s Health-in-Motion programme which was rolled out in the Niger Delta in 2005.

    At the opening  of the two-day event in Abuja, SNEPCo Managing Director Bayo Ojulari said the programme aimed at taking free promotive, preventive and curative health services to the hard-to-reach communities.

    He said: “we hope to be able to support the efforts of government at all levels in providing accessible healthcare to the people.”

    Ojulari, represented by Shell’s Regional Community Health Manager, Dr. Akinwumi Fajola, advised against ignoring early signs of health challenge, which could make it difficult for prompt and effective management by medical officers.

    The Minister of Health, represented by Dr.  Adebimpe Adebiyi, praised the initiative, adding that the Federal Government was willing to collaborate with SNEPCo to take the programme to other communities.

    One of the beneficiaries, Mrs. Iyke Judith, a widow, said: “My heart is full of joy to know that all the services – eyes screening and glasses; drugs; laboratory tests; everything is free.  I am so happy; may God Almighty bless the company. I believe it is because of me that the company came here because I have been sick for some time now especially after my spinal surgery and had no money to visit the hospital.  This programme has just solved my health issues.”

    About 4,224 persons from the community benefited from various health services including include eye, dental, mass deworming, cardiovascular screenings, HIV & malaria testing and breast and cervical cancer screenings services. Three women were treated with cryotherapy.

    On the spot for early stages of cancer of the cervix while 17 women with breast lumps had free mammograms done. 600 people with impaired vision received reading glasses while those requiring further management were referred to the General Hospital Karu.

    The medical outreach was held in collaboration with the Abuja Municipal Area Council (AMAC) and had in attendance representative of the FCT Minister, Dr. Mathew Ashikeni; the traditional ruler of Karu, His Royal Highness, Emmanuel Kyauta Yewp; and Chairman of AMAC, Mr. Abdullahi Adamu Candido.

  • The Senate meeting’s health interlude

    The Senate meeting’s health interlude

    At the University of Jos (UNIJOS)) on  May 11, in the middle of a Senate meeting, the Vice-Chancellor, Professor S. S. Maimako, took the imaginative step of interrupting the usual proceedings to make way for a special lecture given by the University’s Director of Medical Services, Dr B. Mairiga.  For the next 30 minutes, our minds were concentrated not on such issues as student discipline or arrangements for PhD vivas, but on practical matters to do with health.

    The able speaker’s chief concern was with non-communicable diseases and their avoidance. He first quoted statistics to show that around the world the incidence of communicable diseases such as HIV/AIDS is on the decline, but that of non-communicable diseases is on the increase.  More and more people in all parts of the world are suffering from coronary heart disease, diabetes, and cancer, and are dying of cardiac arrest, stroke, and kidney failure.  The likelihood of succumbing to such a disease or of thus dying is heightened by such factors as high blood pressure, high cholesterol, a diet too rich in fats, excessive sugar and salt, a sedentary existence, obesity, and stress.  It is clear that some of these factors are related to one another.  Thus too much consumption of salt (and of red meat) can raise blood pressure; a sedentary existence can lead to an increase of obesity; stress and high blood pressure are connected.

    The great recommendation of the talk, naturally, was that to avoid these risks we should adopt a healthy lifestyle.  This requires reducing the amount of fat, sugar and salt in our diet and increasing the amount of fruit and fresh vegetables; drinking plenty of water (the speaker said that some experts recommend at least two litres per day); ensuring that we get adequate exercise (the speaker suggested thirty minutes of vigorous exercise at least three times per week); and reducing stress (although some listeners no doubt thought that certain occupations, such as university administration and teaching, are inherently stress-inducing).

    The Senate chamber soon buzzed with comments and personal testimonies.  One lady Senator confessed that she had a weakness for chocolate, even though she knew it was bad for her.  Many of those present, especially those above fifty years of age, must have been thinking:  “It is time to do something.  It’s time to discipline myself”.  Some may have said to themselves: “I am already an early-morning jogger”.  Some may have thought, somewhat contumaciously: “We came here for the usual Senate business, but here we are discussing exercise and dieting.”  But surely the thought was followed promptly by another: “After all, this is important.  We are not going to be able to function properly in any occupation in life if we are not healthy.  These things need to be said again and again.”

    Readers of this newspaper, as well as my fellow-UNIJOS Senators, will almost certainly have heard or read such admonitions many times before.  Hardly a day goes by without a newspaper offering advice on health.  It is a topic about which something new can always be said – especially since the advice offered by the experts (pace Dr Mairiga) keeps changing.  Thus the Daily Telegraph of London of May 12, the day after our meeting, carried a report which darkly warns that to get the full benefit of jogging, women need to do it for thirty minutes and men for forty minutes, not three but five times per week.

    One of the slides presented by the speaker to drive home the message was captioned ‘Remember thy Creator’, and it displayed some holy books.  That was interesting, because a great amount of the advice offered on health matters originates in the Western world, and most of it does not mention the crucial importance, for a healthy lifestyle, of remembering one’s Creator and praying to Him and meditating on what He has communicated to humankind.  How does one explain this extraordinary omission?  It is because the public profession of religious belief has become desperately unfashionable in the Western world, so that to assert in the media that one may actually live a healthier life and live longer through professing faith and acting on it (as confirmed by readily available statistics) is to invite ridicule and contempt.  It may be that the failure of Western health experts to emphasize it helps to explain why the incidence of certain non-communicable diseases is increasing in the Western world, as elsewhere.

    It so happened that, early on the day of the Senate meeting, I jotted down in my diary a list of five points, based on my own experience, that I considered as contributing decisively to health.  They are: a proper prayer life; eating the right kind and quantity of food; drinking plenty of water; vigorous daily bodily exercise; and listening attentively to good music.   Probably many of us have made similar lists.

    With all the essentials being included in some form or other, such advice indeed needs to be stated again and again. Writing this article has served to share with a wider public the fresh restatement of it  made during the interlude at the UNIJOS Senate meeting. Thanks are due to Prof. Maimako for making that interlude possible.

    On a final note: a former UNIJOS Vice-Chancellor also wanted to encourage staff to be more serious about their health.  He once announced that soon he was going to start early-morning jogging at the University stadium, and invited his colleagues to join him.  “Should we come along with our certificates of fitness?” one of them asked.

    God bless Nigerians for their ever-ready sense of humour.  Perhaps the ability to laugh should be added to our lists.

    • Jowitt is a Professor of English at the University of Jos.
  • Experts seek NOA’s  assistance on mental health

    Experts seek NOA’s assistance on mental health

    Experts have called for better synergy between the health sector and the National Orientation Agency (NOA) to increase awareness for mental health.

    Speaking at the 14th Annual Scientific Conference on mental health held at the Faculty of Clinical Sciences, College of Medicine, University of Lagos, the experts pointed out that many people were still ignorant of mental health and that the situation had been compounded by the recession in the country.

    The conference, which had as its theme ’’Mental health in a recessed economy’’, was attended by experts from all walks of life.

    Faculty Conference Committee chairperson, Prof Adeola Onakoya, said everyone has a role to play in mental health promotion because, “we all have mental health needs even in the absence of diagnosis of mental illness. The concept of mental health promotion is a potent tool for guiding policy makers, public officials, civil society, and employers of labour and medical professionals in the behavioral health needs of the society. Nigeria can do better in mental health”.

    A Professor of Psychiatry, University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu,  Jude Ohaeri, who underscored the need for the NOA to be more involved, maintained that paying more attention to mental health was one way of arresting the sickness.

    She said: “Encouragement of mental health does not have to involve multi-million naira projects. Taking a cue from the World Health Organisation (WHO) that says mental health is not merely an absence of metal disorders.

    ”Everything we learnt in the medical school is about the disease part of it whereas people who have mental health disease are not really the problem of this country, the problem of this country is not that we have psychiatric patients aspiring to be a senator, it is that people who are deficient in aspect of humanity seized this power and they rule us at whatever level, whether they are class teacher or whatever, that is the problem, so we are not able to ‘catch’ them. Those are the people who are deficient in humanity and are in charge of our daily lives.

    She continued: “Mental health promotion is not only aimed at preventing the condition or depression, but to make up for  deficiency in peoples’ character, emotion, those things that make for the fact that while we are not depressed we are not optimistic, we don’t love our neighbours  as ourselves. Those are things affecting our mental health.

    “In this situation of a severely depressed national economy, promotion of mental health is a cost-effective strategy for national development, spanning many facets of societal functioning that has the potential to engender citizens’ resilience, optimism and the other positive emotions and character traits that build the human foundation for the flourishing society.”

    Ohaeri said the NOA should collaborate with experts in the field, “to articulate a mental health promotion campaign, what will engender internal locus of control, positive emotions and traits, as a means to heal our national divisions by fostering right human relations and bring peace to our nation’’.

    Nordical Fertility Centre Madical Director, Dr Ajayi who bagged Icon of Health Promotion Award from the Faculty, said infertile people too face stresses which lead to depression, a mental health issue.

    “People who don’t have children feel something is missing,’’he said, advising such people to seek medical attention and counselling because there are medical answers for it, including IVF (In vitro Fertilisation).”

    Ajayi said the award was a wakeup call for him to do more in promoting mental health, especially infertility.

  • Herbal Pro partners Smooth FM to promote good health

    Herbal Pro partners Smooth FM to promote good health

    •Sponsors ‘Get it Show’ 

    Herbal Pro Limited has partnered Smooth 98.1 FM to air a health and wellness show called ‘Get fit with Lepacious Bose’.

    Lepacious Bose is the ambassador for EZ slim weight loss pill, manufactured by Herbal Pro.  The debut of the programme has been aired.

    The firm’s Managing Director, Kishore T. Uttamchandani, said the show is aimed at informing, educating, and providing an interactive platform where issues centred on health and wellness can be discussed.

    “Herbal Pro is passionate about healthy weight loss and general wellness using herbal solutions, such as EZ Slim and others we are planning to introduce. We are excited to partner Smooth 98.1FM as part of our other avenues for educating people on the best health and weight loss practices.

    ‘’Our brand ambassador Bose has a lot to share when it comes to healthy living and weight loss and we are glad we have this avenue for her to share it, Uttamchandani said.

    Kishore also announced that the  show would be aired every evening of Tuesday and Thursday.

    During the maiden edition, EZ Slim, Bose  announced that Herbal Pro would soon be unveiling more herbal drugs to improve the health as well as combating stress, fatigue and ensuring a better quality of life.

    Bose also said free packs of EZ Slim would be given to select listeners who call into the programme.

    Herbal Pro would also give out free packs of EZ Slim on their Instagram page @EZSlimNG to promote healthy weight loss as well as give back to loyal customers, she added.

  • ‘Your toe nails can save your health’

    ‘Your toe nails can save your health’

    Aside cutting your over-grown toe nails and washing with soap what other care do you give your nails? If the answer is nil, it is a high time to get professional care for same.

    According to a podiatrist, Dr Bodunrin Oluwa it is about time Nigerians start paying more attention to their feet, he said Nigerians are not always in the habit of taking care of their feet, and for a few that do, they do not get professionals to do same.

    “Worrisome is calling on some street boys to do nail cutting and cleaning which can be demeaning and can even infect one. And for those that get unprofessional treatments from salons more damage is done. A podiatrist is the best person for the job. That is the trained foot care specialist.

    “For example, non professional won’t know why your nail is lifting from the nail bed but a Podiatrist will identify it as a case of Onycholysis. People who wear their nails very long or wear fake fingernails are more likely to have onycholysis, a painless separation of the nail from the nail bed. Also known as nail lifting, it can be a sign of the skin disease psoriasis or a fungal infection,” said Dr Oluwa.

    He said a Podiatrist; also called Chiropodist is a doctor of podiatric medicine (DPM), also known as a podiatric physician or surgeon.”Podiatrists diagnose and treat conditions of the foot, ankle, and related structures of the leg. Podiatrists care for people of all ages, treating any foot problem.

    The common disorders include bunions, heel pain / spurs, hammer toes, neuromas, ingrown toe nails, warts, corns and callous. Bone and joint disorders such as arthritis, soft-tissue and muscular pathologies as well as neurological and circulatory diseases are other conditions that can be treated. As well as assessing the foot function and correcting abnormal function with orthotics or footwear modifications,” he explained.

    Dr Oluwa said the saying that ‘prevention is the best cure’ is certainly applicable when visiting the Podiatrist regularly as those who make regular check-up appointments can avoid many potential problems as Podiatrists are specialised in recognising problems before they have occurred.

    “Diabetics in particular should visit a Podiatrist. A Chiropodist is a primary health care provider educated exclusively in the assessment, treatment and prevention of foot disorders. Diabetics, for instance, should visit a chiropodist as regularly as once a month due to their susceptibility to develop ulcers and lessened ability to heal quickly. The majority of ulcers caused by diabetes occur on the lower leg and foot and if they are not looked at by a professional in the early stages of development, infection can occur and even lead to amputation.

    Dr Oluwa said there are basically nine common foot problems:

     

    Diabetes

    Poorly controlled diabetes can affect the supply of blood and nerves to the feet. Nerve damage reduces the feeling in the feet and poor circulation may result in injuries and infection taking longer to heal. Regular examination of foot pulses, testing of reflexes, vibration and pressure sensitivity by your podiatrist will help detect any changes early.

     

    Fungus infection

    Tinea refers to a group of fungal infections affecting the skin or nails which thrives on warm / moist environments (such as the feet). In the skin it can have the appearance of peeling/blistered skin and the nails may become discoloured yellow or white.

     

    Bunions

    Certain foot types can make your feet more prone to bunion formation. Bunions are a progressive disorder which begins with the leaning of the big toe towards the second toe, which creates the characteristic bump on the side of the foot. Orthotics and footwear advice can reduce the production of a bunion and relieve the pain.

     

    Corns and calluses

    These are the most common foot problem. As we stand / walk / run, our feet carry up to three times our body weight (during running). Pressure placed on the foot can become unbalanced which results in friction on certain areas, such as the balls of the feet and heels. The body may respond to pressure by producing thickenings in the surface layer of the skin called calluses. If the pressure gets concentrated in a small area, a ‘hard corn’ may develop. ‘Soft’ corns form between toes where the skin is moist as a result of friction &/or inadequate drying. Ill fitting footwear is a common cause of corns and calluses. Your podiatrist is able to gently remove the calluses and corns.

     

    Heel Pain

    Heel pain has many causes but it is usually the result of faulty biomechanics (i.e. the way we walk). Two common causes of heel pain are Heel spurs and plantar fasciitis. Heel spurs result from strain on the muscles of the foot resulting on a bony growth under the heel. Plantar fasciitis is an inflammation of the long band of tissue that connects the heel and the ball of the foot. Heel pain may be aggravated by shoes that lack support, excessive rolling in of the feet, jumping and running on hard surfaces.

     

    Biomechanics / Orthotics

    To treat chronic foot pain your podiatrist will assess the anatomy and function of the foot and lower limb. The treatment may include specific exercises and the prescription of orthotics to correct / improve the functioning of the feet. Orthoses are inserts to reduce foot pathology. There are many types of orthoses – ranging from off the shelf generic devices through to custom devices where a plaster cast and prescription based on a biomechanical assessment are made.

     

    Pronation

    Pronation (rolling-in) describes the movement of the foot when it comes in contact with the ground to absorb the shock from the ground. Excessive pronation is where the foot pronates beyond the limits. This can cause increased stress on the muscles, tendons, ligaments of the foot and lower leg. Pronations commonly affect the knees, hips and lower back. Over pronation can be corrected via the use of orthotics which helps improve the gait function.

     

    Ingrown Toe Nails

    Ingrown toe nails can occur due to incorrect cutting, poorly fitting socks / shoes, trauma, picking nails or nails that grow deep into the sides of the toe. Surgery is required when the ingrown nail repeatedly gets painful with or without infection. A nail wedge resection is performed under a local anaesthetic to remove the offending piece of nail and the area is treated with a chemical to inhibit nail growth in that area.

     

    Warts

    It is commonly known as plantar warts or verrucea pedis on the foot due to their location.They are a viral infection that commonly affects children’s feet. Warts are extremely contagious and easily spread in moist areas such as swimming pools, gym change rooms / showers. Warts can become painful due to their weight bearing location. It is recommended to seek treatment early as they can easily spread and become a chronic problem.

    Dr Oluwa advised on a general foot care for all: “Wash feet daily and dry thoroughly. Don’t share footwear. Wear cotton socks and shoes made of leather or natural materials – not synthetics, sandals are good. Change shoes daily to allow them to dry out – it takes up to 24 hours for footwear to dry out. See your podiatrist if symptoms don’t resolve.

  • Your ear lobe is mirroring your health

    Since sometime last month, I have not stopped pulling myself by the ear lobe. I learned from Chinese medicine about 32years ago that the ear lobe is one of the body’s early warning systems if a stroke is brewing. Naturally, the ear lobe is robust and fluffy when there is no problem in sight. But when the feathers are about to start flying, the ear lobe begins to dry up and to curl inwards. That is because enough blood is not getting into the lobe and, perhaps, other parts of the body, including the brain.

    One has to be something not man not to shiver inwardly somewhat after story flew around last month of some of the people I know who were recently smitten by stroke. Some of the cases are too close for comfort to be described here. One of them shocked me beyond words. It was a gentleman who, beside the loss of the use of the limbs on one side of his body, lost the capacity to swallow and, so, has to be fed through tubes which run from his nostrils through the throat to his stomach. If ours is a country of Philanthropists, only about 1,000 of us, each paying N500 every month into a special Fund would provide his financially-drained family N500,000 every month for his medication and upkeep.

    I learned about the ear lobe diagnosis for an on-coming stroke about 1985 from a Chinese medical journal. I learned afterwards that the idea of ear lobe prediction of a stroke risk originated in 1973 from an American doctor named Dr. Sanders T. Frank who, today, has the honour of the creased ear lobe named after him… Frank’s sign.

    Dr. Sanders thought at that time that it may be a prediction for futuristic heart problems. Long after his suggestion, other researchers studied the relationship between Frank’s sign and Ischemic stroke. This is a situation in which a blockage prevents blood circulation from reaching some parts of the brain. Their finding was startling…in more than 75 percent of stroke patients, creased ear lobe presented. In Israel, for example, 241 hospitalised patients with acute stroke were examined for Frank’s sign. Surprisingly, 190 of the patients or 78.8 percent had diagonal crease in their ear lobes. From this time on, doctors began to look out for this sign as part of their diagnostic tools. The American Journal of Medicine published the Israeli finding.

    But some doctors believe Frank’s sign should not be swallowed line, hook and sinker in stroke diagnosis because, according to a second opinion, it is a possible marker of other ailments in the aging process. Dr. Yaqoob Bhat, a clinical director for stroke medicine at the Aneurin Bevan University Health Board in South Wales, England, speaks for this school of thought when he lists aging process ailments associated with Frank’s sign to include “diabetes, hypertension, ischemic heart diseases and peripheral heart disease.”

    Careful or cautious as doctors may be on this subject to avoid being definitive, I believe they are speaking the same language because diabetes, hypertension, ischemic heart diseases, peripheral heart diseases are all related in one way or the other and increase the risk of heart disease, heart attack and stroke. Diabetes thickens the blood and slows its flow. This causes scanty oxygen delivery to the cells and delayed evacuation of wastes. In the brain, waste accumulation slowly poisons the cells and oxygen deficiency makes them sick or dead. Diabetes may also cause clotting of the blood. Blood clots are known to obstruct blood flow anywhere, whether to the heart, causing heart muscles to die gradually, or to the brain where increased pressure at the barricaded point may cause a blood vessel to burst. The burst would spill blood on the surrounding tissue of cells, and cells disturbed by the spill would lose their capacity to function optimally. As brain nerve cells are the origins of the nervous system, areas of the body controlled by impaired or disturbed nerve cells are also affected. Thus, a stroke would be minor or major, depending on the severity of the disturbance of the nerve cell in a stroke (brain attack).

    Apart from Frank’s sign, there are many other early warning signals of an on-coming or impending stroke. Many people complain of sudden numbness or weakness in the face, hands or legs, often on one side of the body. But it is not always that such a sign may be stroke related.

    Sometimes, vision may be lost abruptly. Energy may also drop suddenly.  One may lose coordination. Speech may slur or be lost. Cognitive problems may also develop and worsen overtime.

    For some other people, a sudden loss of balance or coordination may be a sign to take with more than a passing interest. Some people experience swallowing difficulty. If the root cause is not in infection, inflammation, a lump or a sore, it should be viewed with seriousness.

    Headaches which cannot be easily traced to any other cause have traditionally made doctors suspicious of an impending stroke especially if the challenged person has been hypertensive. Hypertension means what the word says…a state of abnormal tension. This may arise if the soft muscles of the blood vessels have been calcified, that is infiltrated by calcium. This may happen if the dietary calcium source is cheap calcium, which many people like because it is cheap. This type of calcium is not easily absorbed by the body and, so, settles in soft muscles throughout the body. In the knees, it would cause arthritis. In the shoulder, it would cause a frozen shoulder. In the lens of the eye, it may cause cataract. When calcium infiltrates the soft muscles of the blood vessels, a condition called arterosclerosis, it hardens the blood vessels. Rigid blood vessels cannot easily dilate to make blood flow freely. Thus, the cells offer resistance that is abnormal to blood flow. This is hypertension. This situation may be corrected by introducing an easily absorbable calcium source to the diet and by increasing the amount of Magnesium consumed. Magnesium is a natural antagonist of Calcium. In the body’s biochemistry, they combine at about the ratio of two Calcium units to one of Magnesium. Too much free calcium in the bloodstream which can be a cause of calcification can sometimes be traced to not enough Magnesium to couple with them. On a lighter note, this may be likened to too many women and too few men which may result in many single women of marriageable age.

    Orthodox medicine employs Calcium blocker drugs to solve this problem in Calcium/Magnesium relationship. In Alternative Medicine, the preferred option is the consumption of more Magnesium in the diet if the problem is traced to Magnesium deficiency. Magnesium is plentiful in nuts and greens. In greens herbs and vegetables, it is the central binding atom for the constituents of chlorophyll…Carbon, Hydrogen, Nitrogen and Oxygen.

    Three other conditions inside the blood vessels may also dispose any-one to hypertension, also called elevated blood pressure. The first is Homocysteine build-up. Homocysteine is a greasy substance produced when the body uses an amino acid called Methionine. The grease not only blocks the blood vessel and prevents effective and efficient blood flow, but damages the inner lining of these vessels as well. Happily, although not many people pay enough attention to it in Nigeria, the Homocysteine grease can be easily dissolved if one takes in the diet generous amounts of Vitamin B6, Vitamin B12 and Folic Acid. That is why many therapists prescribe mega doses of the B-complex vitamin…say B-50 or B-75, which means each of the major B vitamins in the complex comes at, say, 50mg or 75mg instead of the 5mg often available at a regular pharmacy. Some Alternative Medicine proprietary blends come with only B6, B12 and Folic acid. All the greens have an abundance of them. And that is why herbs such as Spirulina, Kale, Spinach,  Beet root, Wheatgrass, Chlorella and Liquid chlorophyll are always suggested in this column.

    For people who may not have Homocysteine challenge, elevated Cholesterol level can cause havoc. Cholesterol is a fatty substance. Turn away as we may from fat consumption, we cannot avoid cholesterol. It is a component of our brains, genital organs and even our cell membranes or coverings. We speak largely of the three major divisions or fractions of Cholesterol … (1) High Density Lipoprotein (HDL), the good one (2) Low Density Lipoprotein (LDL), the dangerous one, and Lipoprotein a (Lipo a). Total cholesterol count must not exceed a limit. Limits are set also for the cholesterol fractions. One fraction takes cholesterol to the cells. They take whatever they need and return the remainder to the bloodstream for another fraction of cholesterol to bring the excess back to the liver. The job of the liver is to convert this dangerous excess to bile salts which are used for the digestion of fats and to export, through faeces, excess cholesterol and fat-soluble poisons out of the body which could damage the cells if left in the body. To convert excess cholesterol to bile, the liver requires Vitamins and Minerals along with other food factors. But, in the diets of many people, these are often not readily available. Alternative Medicine employs many methods to help the liver perform this task and to prevent the absorption of cholesterol in the intestine. For, in many cases, even after the liver would have done a fine job packaging the excess and dangerous cholesterol for “export”, the absence of dietary fiber in the diet may lead to the re-absorption of these cholesterol “waste” into the bloodstream.

    Diabetes, too, throws up its own spanners into the works. We often blame carbohydrates for diabetes. Some researchers are now saying we shouldn’t. Would Mother Nature have given us carbohydrates if they are dangerous to our health? The carbohydrate crisis for many people has now been linked to human tinkering with carbohydrate foods, and to the manner in which we consume them. Carbohydrate foods come, for example, with Chromium, a substance which is a friend to the cells and to insulin, a substance produced in the body to drive sugars from carbohydrates into the cells. The pancreas, which lies behind the liver in the right upper section of the abdomen, below the rib cage, produces insulin. When we eat carbohydrate foods, it produces insulin to sweep the resultant sugar into the cell. The cell understands this process and accepts it. But when large amounts of carbohydrates are eaten at a meal, especially over a long period of time, insulin irritates the cells and they begin to shut their “doors” against it in what doctors call “insulin resistance”. If insulin cannot sweep sugar into the cell, the sugar will remain in the bloodstream. We should ask: where is chromium? The answer is that, during modern food processing, almost all the chromium that mother nature put into carbohydrate foods as part of this sugar-burning equation in the cells has been removed, leaving these foods chromium depleted. For example, parboiled rice or white rice has lost about 98 percent of its chromium. Excess sugar and insulin in the bloodstream in the absence of Chromium is a dangerous scenario. For the excess insulin acts as fertilizer upon the soft muscles of the internal lining of these vessels, causing them to overgrow. When they overgrow, the internal blood-flow space is reduced or narrowed, so the heart has to pump the blood through the narrowed space with extra force. This increase the tension in the system. The bad news for people in whose blood vessels the soft muscles have overgrown is that these vessels may have become “muscle bound”, a condition which is difficult to reverse. Thus, such people may have to manage their hypertension to prevent a stroke.

    A few years ago, I gave chromium and other food supplements to a woman in Abuja, Nigeria, whose blood sugar and cholesterol levels were terribly high. Her doctor, who had been in practice for 35 years then, said he hadn’t heard of chromium but was, nevertheless, humble enough to admit that he hadn’t seen both conditions crash the way they rapidly did without the use of pharmaceutical drugs. Avid readers of this column know that we have progressed beyond Chromium to such simple herbs as Pawpaw (papaya) leaf extract and Orange peel powder, for example, not to mention Fenugreek, Diatom, even Bilberry (better known for good vision), Kyolic Garlic etc.

    When we have a carbohydrate meal, the serving or portion should be small and eaten with lots of vegetables which should be spiced with onion or garlic. We shouldn’t eat like a man I saw at a restaurant a few years ago. I couldn’t eat more than half of my plate of eba. He finished two servings and called for “extra”. He loosened his belt and trouser bottons. After he’d been done with the meal, he asked for a big bottle of Stout beer. He was breathing rapidly and not deeply, sweating, obviously in agony.

    Such a dietary habit will, no doubt, congest our systems. This man, like many of us, may not have a healthy digestive system. He may excrete only a small fraction of what he has eaten. He may be happy if he defecates once a day, unknown to him that this is mild constipation, that a person who eats three meals a day should void two or three times a day. In the end, the body will begin to turn unexcreted waste to crystals and hid them in the circulatory spaces of the vital organs to save the blood from disaster. As these crystals are hidden in these organs, the organs become no longer supple but hard, and, thus, make it difficult for blood to flow through them. Their resistance to blood flow makes the heart pump harder to overcome the resistance. The heart begins to enlarge and weaken. It sends blood to the lungs and to the legs and may be unable to bring the blood back to itself. The lungs are irritated. Coughing begins as a means for the lungs to expel the unwanted irritant. The leg is filled with fluid. The doctor orders diuretics to get the kidneys to help the heart so it does not collapse. Meanwhile, poor blood circulation may be causing sedimentation and clotting which may affect the heart in a heart attack or the brain in a stroke (brain attack).

    WHEN a stroke has happened, its management and the prevention of a recurrence is the next line of action. Some doctors do not rush into thinning down the blood if a burst vessel is suspected to have caused the havoc. They would rather first get the burst pipe to heal so that new spills do not compound issues. The brain meanwhile may resorb the spill. As this is going on, the disturbed or impaired nerves may begin to regain their balance. At this point, they may be aided with Lion’s Mane mushroom (see www.olufemikusa.com) in sub lingual tincture form and, later, in caplet form. It helps the brain to produce Nerve Growth Factor (NGF) with which it repairs damaged or impaired nerve cells. Tissue or cell salts are also helpful at this stage and beyond it. A physiotherapist should be at work. So should a Reflex Zone Therapist (RZT). Reflex zone therapy is founded on the knowledge that all parts of the body are reflected in certain areas of the hand and foot. In the late 1980s, I attended a training co-sponsored by The Guardian newspaper of Nigeria and Duro Soleye Hospitals, Lagos. It made sense to me when I felt pains in the bladder area and the trainer/therapists said I had crystals forming there. A lactating mother who couldn’t make enough milk suddenly felt her nipples were running like taps. A woman yanked her foot from the hands of the therapist with a scream. The therapist was applying gentle pressure on the appendix region. Her patient had her appendix surgically removed about five years before then. Apparently, the surgery hadn’t completely healed unknown to her, and a signal that her healing process was weak and slow, probably on account of her diet. Blood thinners and brain antioxidants have their own places.

    We need herbs such as Ginkgo biloba to send more blood to the brain. We need oxygen tablets for more oxygen in the brain. We need more choline and inositol (Lecithin) in the brain. We need more Dimethylglycine (DMG) for electron transfers and energy in the brain. Add to that Ubiquinol variant of CoQ10 at 300mg per caplet with Vitamin E to thin the blood and black pepper to also drive the blood. Cayenne has a good role here. What about Alpha Lipoic Acid (ALA), one of those rare antioxidants which function in both fluid and fat media? What about Grape Seed Extract that antioxidant and antimicrobial which easily crosses the Blood Brain Barrier (BBB)?

    Pull yourself by your ear lobes everyday, to rule out the occurence of Frank’s sign. I am still doing so. You have to be something not man if your neighbours are tripping and falling and you are not wondering what is going on and making sure that you, too, do not trip and fall.

  • Nigeria increases funding commitments for Family Planning

    Nigeria increases funding commitments for Family Planning

    Nigeria has increased its funding to commitments for expanding access to family planning for millions of women and girls worldwide to four million dollars.

    The Health Minister, Professor Isaac Adewole made this declaration at the Family Planning  Summit in London, United Kingdom, where more than 60 governments and partners pledged commitments of at least $2.5 billion.

    Professor Adewole said Nigeria’s commitment will go a long way in reaching thousands of women and girls with critical reproductive health information.

    Nigeria has over 3.8 million married and sexually active adolescents (ages 15-19) of whom 19 percent have an unmet need for contraception. If Nigeria is to increase its focus on adolescents, enabling an additional 584,000 adolescent girls to use modern contraception by 2020, the country would see a 14 percent reduction in its adolescent birth rate.

    He said there will be a distribution of $6m to states through loans to the success of introduction of family Planning as part of basic health in the health sector. This is to complement ante natal services, and immunisation routine.

    Prof Adewole said barriers will also be removed, and policies implemented with new vigour by partnering with the private sector-Patient medicine/drug vendors to ensure commodities get to the targeted end users.

    “Barriers to the success of family planning will be identified and brought down, just as the Berlin wall was brought down in those days. Serious focus is to break down the barriers hindering females, especially women and youths from accessing commodities and services. This will bring us to speed with modern day use of contraceptives. The ministry will be collaborating with its partners and the private sector to achieve a modern contraceptive rate of 27 percent among all women by 2020.

    “There is a huge disparity between usage in the northern part and southern part of the country. We will also remove the roadmap for the realisation of demographic dividends. With a population of over a 400 million population, Nigeria can soon emerge the largest country in West Africa region that will be demographic disaster.”

    The Minister said: “Nigeria will use its Minimal Initial Service Package for sexual reproductive health to provide family planning supplies within its national crisis preparedness and response. We will remove regulatory barriers and scale up access to new contraceptive methods such as sub-cutaneous Depo Medroxyprogesterone Acetate injections (Sayana Press).

    “To transform its last-mile distribution of health and family planning commodities, as a country we will use a push-model system, and collaborate with the private sector to optimally transport, store and track commodities using an electronic logistics management system. A new tracking and accountability system will report annually and real-time, expenditures for family planning at national and state levels. “

    He added that the government will increase the number of health facilities providing family planning services in each of its states and federal territory to 20,000 and leverage its 10,000 functional primary health care facilities to raise awareness about family planning.

    The government will partner with stakeholders and gatekeepers to reduce socio-cultural barriers for family planning services, including by collaborating with line ministries to ensure the provision of age-appropriate sexual and reproductive health information to youth through the Family Life Health Education Curriculum and youth-friendly services in health facilities and other outlets.

    “Nigeria committed increasing its annual allocation for contraceptives to $4 million USD and to ensure total disbursement of $56 million to the states through its participating in the Global Financing Facility and via international development assistance loans so Nigeria can expand the implementation of its task-shifting policy to include patent medicine vendors and community volunteers to improve access to family planning services in difficult-to-reach areas and among disadvantaged populations,  ” the Minister stated.

  • FG suspends NHIS Executive Secretary

    The Minister of Health, Prof Isaac Adewole has directed the Chief Executive Officer of National Health Insurance Scheme (NHIS), Prof Usman Yusuf, to proceed on three months suspension with immediate effect.

    This was made known in a statement by Boade Akinola, Director, Media and Public Relations, Federal Ministry of Health, on Friday in Abuja.

    Akino last said the suspension was a result of various allegations and petitions against him.

    The Minister also directed the setting up of an investigative committee to look in the various allegations in accordance with the Public Service Rules.

    Akinola said the suspension was also to allow for an uninterrupted investigation.

    He said that Yusuf was directed to handover to the next most senior General Manager in the agency.

    He advised staff of the agency a to be law abiding, vigilant and safeguard all government properties including valuable documents. (NAN)

  • Senate seeks suspension of new health centres

    •Fed Govt told to present details of funding

    Senate has ordered the suspension of Federal Government’s plan to build new primary health centres in each of the wards across the country.

    The upper chamber asked relevant agencies involved in the building plan to furnish it with details offunding of the project.

    The Senate Committee on Primary Health and Communicable Diseases, which handed the suspension, said it was obvious that the project was not viable now due to paucity of fund.

    The committee chairman,Mao Ohuabunwa, at a meeting with officials of the agency, said funding of such policy would be a problem now.

    The committee noted that the said multi-billion naira project was not captured in the 2017 budget.

    The committee said the N3 million provided for each of the existing primary health centres in the 2016 budget barely paid the salaries of the health personnel in some local governments.

    The National Health Care Development Agency told the committee that it has commenced training of 20 women in each ward of the Federation to handle the proposed health centres under its Community Health Programme initiative.

    Its Executive Secretary, Dr. FaizaShuaibu, said the new programme was in addition to the National Midwifery Scheme for which they may spend over N800 million this year for its implementation.

    The committee asked the agency to forget such policy for now because it would amount to waste of public funds to create new health centres when many of such centres have been abandoned due to lack of fund.

    Ohuabunwa said the committee would rather want the agency to consider building such centres in the 774 local government areas as a pilot scheme to observe how they can work first.

  • Health reporters mourn Osotimehin

    Health reporters mourn Osotimehin

    The Network of Reproductive Health Journalists of Nigeria (NRHJN) has expressed shock over the death of the Executive Director, United Nations Populations Fund (UNFPA), Prof Babatunde Osotimehin.

    In a statement signed by its President, Roland Ogbonnaya, and Secretary Yinka Shokunbi, the group said until his death, Osotimehin was a pillar of support for the body, which he advised its members to be forthright in their reporting.

    “We recall with nostalgia his unequivocal response to the reproductive health care and needs of the first 21 abducted Chibok girls who were released in October 2015 during a meeting with our members in October 2015.

    ‘’It was Osotimehin who first broke the news to the media through the network that some of the girls were pregnant and pleaded that the rights and dignity of the young school girls should be protected, especially with regards to their choices on what to do with the pregnancy,” they stated.

    The group said through Osotimehin’s office as the Executive Director, UNFPA, customised packs were provided for women and girls in all the Internally Displaced Persons (IDPs) camps across the country.

    It said Osotimehin’s contributions to promoting the rights of youths remained unrivalled globally, especially as a champion of getting family planning materials to end- users.

    At home, the late Osotimehin was instrumental to the launch of the Save One Million Lives (SOMIL) Initiative by the Goodluck Jonathan administration in October 2012 and ensured that the Federal Government  spent $11.5million to buy essential 13 specific life-saving materials for women and children.

    “We remain committed to continuing Osotimehin’s vision for women and young people and his unshakeable stand for reproductive health, human rights and dignity of all particularly the most vulnerable adolescent girls,” said Ogbonna and Shokunbi.