Tag: health

  • Nutrition: Impact of food on health

    Introduction

    Wash fruits and food thoroughly before eating. This removes the chemicals and the germs that may be attached to the fruits.

    1. j) Some fruits and vegetables only require gentle cooking in order to preserve the vitamins and proteins.

    How do you know what is polluted?

    1. a) Read the labels on the food that you buy from the stores.
    2. b) Read or ask for the source of the food and preservatives on the food if possible.
    3. c) If unsure, stick with natural products. The truth is, you may not be able to avoid pollution totally but you can reduce its consumption. You don’t need the chemicals.

    Note: Even where, the food had not passed through voluntary chemical process, the environmental pollution such as biological products (bacteria, virus etc), fumes and industrial wastes being released into the environment may contaminate the food.

    For children, the World Health Organisation says and we think this is true, that, when parents and adult lead a healthy life, it rubs on the children. Children and ill- individuals need guidance from doctors or parents and may require supplements for their food. In newborn, the breast milk remains the ultimate best food, shall we say the ultimate “fast food”. Breast milk is able to sustain such new children even up to 6 months in absence of other food if breast milk is dutifully given by the mother. Of course, this depends on the circumstances. In some, there is a need for healthy supplements. But the sooner children are introduced into healthy living, the better.

    The rule of thumb is very simple. Consider what I say under Common sense of what to eat”.

    Culture: In spite of our cultural differences across the world, the basic contents of all human foods are the same. The differences occur because of weather conditions which make some of the fruits in Asia or Africa look different from the ones Europe or America. The second point is that, the method of preparation of our food is culturally different. In the end, we are all eating the same fat, protein, water, carbohydrates and vitamins: after all we are human beings!

    Dealing with Obesity: Ideal Body Weight.

    No two individuals are completely the same. One may be short and thin, the other may be tall and fat or vice versa. Scientists and healthcare workers have been battling with the problem of ideal weight for ages. So far, we have been able to come up with a simple mathematical guide which is generally known as Body-Mass Index or BMI for short.

    BMI measures your body weight and height as follows:

    BMI = Your Weight (in Kg)

    (Your Height in Meters)2

    Scientists have measures many people and found out that many “normal” people will be between a range of 18 to 24.9

    Example: A woman of 80kg with a height of 1.6 meters will have a BMI of: 60/(1.6)2 The BMI comes to 21.48

    Using the same formula, a man of 86kg with a height of 1.9m will have a BMI of 23.82

    You can now calculate your own BMI from time to time as a guide to your ideal weight.

    Centre for Disease Control says that BMI is used as a screening tool to identify possible weight problems for adults. However, BMI is not a diagnostic tool. However, to determine if excess weight is a health risk, a healthcare provider would need to perform further assessments. These assessments might include skinfold thickness measurements, evaluations of diet, physical activity, family history, and other appropriate health screenings.

    Now, if your BMI falls between 18.5-24.9, your weight is ideal for your height. It did not say that you are thin, lean or fat but ideal for your specific height.

    Anything below 18.5, you are likely to be ill or too thin for your height.

    If your BMI is above 25 to say 29.9, you are certainly overweight.

    If your BMI is above 30, you are obese.

    The problem with obesity include the risk of heart attack, high blood pressure, some cancers (endometrial, breast, and colon), diabetes type 2, osteoarthritis, difficulty in breathing (sleepapnoea), stroke, and if necessary, difficult surgical operation.

    Here is a guide you might wish to take note of:

    Weight Status

    BMI

    Below 18.5 Underweight

    18.5 – 24.9 Normal

    25.0 – 29.9 Overweight

    30.0 and Above Obese

    Please take note that the above BMI discussion is related to adult. Please visit your doctor if you are concerned about BMI in children.

    How to lose weight;

    1. You eat minimally, as little as possible
    2. Eat as less frequently as possible (1-2times/day)
    3. Exercise as much as possible
    4. To remain reasonably healthy, eat moderate amount of fruit, vegetables and fish with the support of multivitamins and folic acid preparations. Please note that at a 70kg weight, you need an average of 2000Calories of energy per day for a woman and a man needs about 2400Calories to keep going. Depending on your size and energy requirements, you may need more or less calories. Your doctor can help with the calculations or consult a nutritionist/dietician.

    Monitoring

    1. Check your weight weekly using weighing scale (you could get a cheap one in your local store)
    2. Determine your BMI weekly. Keep a diary
    3. Have a target of ideal weight you want to reach. Aim at that figure.

    Medical intervention

    There are medications that may help you lose weight. For ethical reasons, we will not be prescribing any here. You may need to see your doctor for this.

    Dietician/Nutritionist

    These professionals may work with your medical or surgical team to help bring your weight down by recommending the appropriate food contents and amount that is suitable for you.

    They may in fact be your first point of call in the pyramid of weight loss project.

    Surgical intervention

    If the self-help method fails, then you might need the help of surgeons. Likely operations are gastric banding in which the size of your stomach is reduced to a minimum. Other form of surgery may be the removal of the area of your gut that absorbs food. The whole idea is to limit the amount of food that gets into you. Psychological intervention.

    Before you begin excessive weight loss or if the above methods do not work for you, you may need to see a psychologist or psychiatrist to assess your view on body image. Remember that weight loss is a matter of determination and sometimes there may be a distortion in the way a person sees herself or himself.

  • Residents seek  health facilities

    Residents seek health facilities

    The residents of Adadu community in Kwali Area Council have urged the council administration to provide a clinic for them to resolve their health challenges.

    Speaking in an interview, the chief of the community, Habila Joshua stated that the residents especially the women and children need a health facility, adding that expectant mothers usually deliver at their homes because the nearest hospital to them is very far.

    Speaking further, he said that when there are complications, taking the women in labour to the hospital is always an uphill task.

    “Our roads are very bad. So in order not to complicate the situation, the woman who is in labour is carried on someone’s back. Normally, we use motorcycles for transportation but carrying a woman on a bike and on the bumpy road  is a difficult task,” he said.

    Habila also stated that the bad road in the community has cut it off from other communities as the people find it hard to transport themselves from the community to another due to the bad road and called on the council to help them in solving their problems.

    He expressed gratitude to the government for providing potable water to the community adding that the availability of the water has help the people a great deal in their quest for clean drinking water.

    “We are grateful that we were remembered. We need more things like a clinic. We have to go to far places to receive health care. Because the roads are bad, it takes us hours to get to access a clinic. We are happy that we have a primary school. We remember we always remember we have a government with the school,” the community chief said.

    he residents of Adadu community in Kwali Area Council have urged the council administration to provide a clinic for them to resolve their health challenges.

    Speaking in an interview, the chief of the community, Habila Joshua stated that the residents especially the women and children need a health facility, adding that expectant mothers usually deliver at their homes because the nearest hospital to them is very far.

    Speaking further, he said that when there are complications, taking the women in labour to the hospital is always an uphill task.

    “Our roads are very bad. So in order not to complicate the situation, the woman who is in labour is carried on someone’s back. Normally, we use motorcycles for transportation but carrying a woman on a bike and on the bumpy road  is a difficult task,” he said.

    Habila also stated that the bad road in the community has cut it off from other communities as the people find it hard to transport themselves from the community to another due to the bad road and called on the council to help them in solving their problems.

    He expressed gratitude to the government for providing potable water to the community adding that the availability of the water has help the people a great deal in their quest for clean drinking water.

    “We are grateful that we were remembered. We need more things like a clinic. We have to go to far places to receive health care. Because the roads are bad, it takes us hours to get to access a clinic. We are happy that we have a primary school. We remember we always remember we have a government with the school,” the community chief said.

     

  • Nutrition: Impact of food on health

    Introduction

    Illnesses including obesity (see below for more on obesity): Because a person fails to take the right thing that is found in food or if the food gets polluted, it will harm the body. The person may therefore fall ill. Example, a person who failed to take enough protein, will be predisposed to malnutrition and vulnerable to a lot of preventable diseases. Also, if our food is lacking in some vitamins, the person may even become unwell physically (say scurvy) or mentally.

    1. c) Very Serious illnesses, like cancers, hypertension, Parkinson’s, dementia and mental illness may develop because of what we failed to eat or what we actually eat.
    2. d) Common natural foods contains majority of what we require for our needs. Clean and well prepared, (not necessarily processed in factory) fruits, vegetable, meat (not red meat which should be avoided), fish and water in the right proportion will most certainly sustain us on daily basis. This is a common sense in fact.
    3. e) We don’t need factory food, fast food or processed food to survive. This is important as these foods contain a lot of chemicals and amount of substances that we don’t need. They contain preservatives and salt that is too much for our body.
    4. f) Too much food: if we eat too much food, it means, we have taken too much energy in and of course, “excess of the earth” more that we require. The energy need to be spent in exercise, otherwise, the excess weight will ultimately drag us “down to earth”, via many diseases (obesity, diabetes mellitus, high blood pressure and stroke).

    Where is the scientific evidence? Here they are.

    The evidence in support of what we have mentioned above is staggering. Here they are.

    1.Soft drink: In a large studies (88 different studies), the association between soft drink consumption and nutrition and health outcomes were examined. It was found, a clear association of soft drink intake with increased energy intake and body weight. Soft drink intake also was associated with lower intakes of milk, calcium, and other nutrients and with an increased risk of several medical problems (for example, diabetes).

     

    Before and after birth:

    children

     The children of women who have low pre-pregnant (before becoming pregnant) weight, poor diet, low level of replacement of the home diet by the supplement, low physical activity during pregnancy and good health status will show larger increase in birth weight when their food and calories is increased. Finally, nutritional interventions during pregnancy as opposed to earlier in the life of the mother should have the higher impact on birth weight. In consequence, interventions as of pregnancy are recommended.

     

    Child survival

    From the data reviewed in research reports, it is clear that nutrition of mothers is intimately intertwined with infant health and survival. Thus, the problem of maternal malnutrition during pregnancy and during breast feeding presents a potentially and very serious obstacle to social development.

     

     Adult: Prevention of diseases later in life/Physical health

    Good evidence exists that early nutrition affects key risk factors for chronic degenerative diseases of middle and later life, such as osteoporosis and cardiovascular disease. The influence of nutrition (good food) on health status and disease supports primary, secondary, and tertiary prevention of disease and intervention strategies at each point in the process. The objective of such a preventionoriented model is to enable people to live well for longer, while minimizing chronic disability. Starting down the right path with appropriate nutrition and staying on it by eating well are important components of healthy aging.

     

     General prevention of cancer

    Good nutrition can prevent cancer. As illustrated by the evidence presented in a research review, there are numerous reasons (biological, psychological, and social), opportunities (school and community, health care, and family settings), and approaches (non-intervention and intervention) to understand and impact behaviour change in children’s diet and nutrition and weight and physical activity. It is clear that more attention should be paid to early life and early developmental phases in cancer prevention.

     

    Brain health/Mental health

    Brain development in humans is remarkably resistant to permanent damage from protein-energy malnutrition. However, specific nutrients have crucial roles in brain development. Iodine deficiency is the most important and widespread nutrient deficiency; it causes endemic cretinism, associated with deaf- mutism and cerebral palsy. Iodine deficiency during pregnancy causes both maternal and fetal hypothyroxinemia, resulting in irreversible impairment of brain development at a critical stage.

    In conclusion: Considering is said above and the evidence, a person is basically what he/she eats and what he says (word).

     

    Common sense of what to eat

     Except in the case of children or the infirm individuals and in cases of outright ignorance, you hardly need a lesson from specialist doctor to tell you what is reasonable to eat. But here is a guide.

    1. a) Avoid industrially processed food as much as possible. They contain high salt, sugar and undesirable chemicals that may be toxic to our bodies and mind.
    2. b) Avoid food that has passed through dangerous insecticides, if possible.
    3. c) Avoid “fast foods” if you can. They help you to pile the weight on
    4. d) Indulge yourself in lots fruits and vegetables. If you are vegetarian, take folic acid and multivitamin supplements especially one containing vitamin B12.
    5. e) Give yourself a pleasure in non-complex meat such as fish and chicken.
    6. f) Blood and blood-looking meat (red meat) is bad for your health. Such meat increases cancer of the colon.
    7. g) Drink water in moderation of average 1.5Liters in a day: Could be more in hot climate/weather.
    8. h) Use food supplements if required. Examples are vitamin B-Complex. But be very careful with Vitamins A, C and D. They require moderation. Ask your doctor.
    • To be continued
  • Okorocha’s deputy hails health workers

    Okorocha’s deputy hails health workers

    Imo State Deputy Governor Eze Madumere has praised health workers on the continent for their heroic role in ending the deadly Ebola scourge.

    Madumere spoke while addressing members of the West African College of Physicians during their 39th Annual General and Scientific Meeting held in Owerri, the Imo State capital.

    He particularly commended the efforts of the West African College of Physicians for their effort in solving the puzzle surrounding Ebola virus disease in Africa.

    The deputy governor described those who fought to contain the scourge with all they had including their lives as heroes.

    He said, “Let me use this forum to thank you and to salute the family members of these heroes especially Dr. Stella Adadevoh who first diagnosed Ebola-infected Sawyer and raised the alarm before her heroic death from the same disease”.

    He further challenged the College members to go the extra mile to ensure that Nigerian Doctors and their counterparts in other West African countries measure up with others in the developed nations.

    In his words; “It will be in our best interest to build a strong competitive health sector in Nigeria and at the region at large. A situation where our Doctors here do not respond rapidly to the health challenges in the country and rise up to the occasion even above their western counterparts when they travel out shows we can be the best. While I commend you for having distinguished yourselves, it is imperative that you carry others along so as to make our region a haven of health care solution.

    He further assured the College of the readiness of the  Imo State Government to partner with them, which he said has been kick started by the State Governor, Rochas  Okorocha with the  allocation of a parcel of land for development of the College facilities in Owerri.

    However the Deputy Governor advised the Health workers against embarking on incessant industrial actions at every little challenge with the governments.

    He therefore urged them “to embrace dialogue and to ensure every rules and principle procedures of industrial engagements and negotiations are exhausted before thinking about removing the toga of nobility”.

     

  • Health centre gets borehole, generating set

    Health centre gets borehole, generating set

    Members of staff of Oyo State branch of the Central Bank of Nigeria (CBN) have donated borehole and generating centre to Ojoo Health Centre in Akinyele Local Government area of Oyo State.

    The branch controller of the bank, Mr. Musbau Olatinwo said the donation informed by the plight of the less-privileged persons in the society, adding that the project was financed through members’ monthly savings.

    Olatinwo said similar donations had been made to support host communities, saying “we owe Ibadan a lot and so many intervention programmes all over the country are being carried out to make the bank’s impact felt in all facets of human endeavour.

    “Over the years, we have been spending billions of Naira on our host communities to sponsor identifiable area of needs such as building classrooms and provision of potable water, among others. And this is financed by members of staff of the bank. “Today is my happiest moment in the one year I have spent in this branch. It is a continuous thing and we will be glad to be back here to do more,” Olatinwo said.

    Olatinwo further assured all residents of Ibadan that the CBN would continue to give priority to the needs of the people across the communities to make life meaningful for all people of diverse backgrounds in the society.

    Speaking at the event, the head of local government ýadministration in Akinyele Local Government Area, Mr. Akin Akinpelu praised the members of staff for the gesture, pointing out that the donation was coming at a time when it was most needed due to excruciating economic crisis which was hampering government’s efforts at meeting all the yearnings of the people.

    The Chief Matron of the centre, Alhaja B. A. Shittu described the borehole project as timely, saying “he, who gives water, gives life”.

     

  • Kids talk health, safety on KSTD show

    As the sixth episode of the Etisalat-sponsored children show, ‘Kids Say the Darndest Things’ airs today by 7pm on AIT, Nigerian children will be conversing and sharing insightful and witty opinions on health and safety.

    The show is expected to feature the children paying a visit to one of the Fire Service Stations in Lagos in order to get a glimpse into the day-to-day activities of a fire fighter!

    Organisers say Episode 6 promises to keep viewers glued to their television screens, with the children displaying immense curiosity on a trip that gives them a brisk education in health and safety at the Fire Station.  Viewers will also see a mischievous side to the children as one of them avoids answering a question until the show’s host, Tony Okungbowa offered an incentive.

    Another child on the program makes an effort to narrate God’s process of creation, and expresses that ‘God used circumference for eyes’, but being too smart already, he does not need a ruler to measure our legs. Viewers of past episodes would again experience the children at their wittiest.

    Commenting on the visit to the Fire Station, Manager, Sponsorships, Etisalat Nigeria, Orah Egwu said that Etisalat is a company that consistently supports opportunities and initiatives that celebrate family values and children’s development. Egwu added that, ”At Etisalat, we will continue to show thought-leadership through programs that drive family fun time and enhance work life balance.”

    Making comments on the children’s visit to the fire station, the Executive Producer, Chichi Nwoko said, “The children were extremely excited about the visit to the Fire Station and it gave them a huge sense of belonging and responsibility to the community.  One of our key objectives of the show is to deliver a top-quality family entertainment television show.”

    ‘Kids Say the Darndest Things’, is an all-family show and the Nigerian adaptation of the American version which is fast becoming one of the most entertaining Family shows on television. It is powered by Cliqlite from Etisalat Nigeria and airs every Sunday, 7pm on AIT and DSTV Channel 253.

    The show currently enjoys wide viewership in many countries including, Australia, Singapore, India and Italy and the Nigerian adaptation, with the theme: “Your Kids are the Stars”, was launched in the first half of 2015.

  • Nutrition: Impact of food on health

    Human beings and animals derive their entire make up (constituents of their body) from one source: all of our tissues, muscles, organs and so on, are derived from the earth. That is to say, what is found in us is also found on the earth that you stand on. The make-up of the earth is also our make-up. Your table salt (sodium chloride), zinc, water (H2O), sulphur, ammonia, protein fat, vitamins, nitrogen, oxygen and so forth that make up our tissues and body are all from the earth. This is why when a person dies, he or she simply split up into these different chemicals and return to the earth from where those chemicals came from originally. The cycle of earth replenishment continues and fertility of earth to feed earth inhabitants goes on as a result.

    This is the reason that if the earth is polluted, our food, air and water gets polluted then our body get polluted and then we fall ill as a result. We then fall ill because we may have eaten the food that our body needs that is now polluted for us. If the air gets polluted, the air thatwe breathe in is polluted and our tissues and organs get “polluted” and we fall ill. The same thing goes for water which is crucial for our survival.

     

    The problem of pollution

     

    There are various ways by which our food and water may be polluted.

    1. a) Chemical pollution. This can be via insecticides such as organophosphates that farmers use to control pests.
    2. b) It may also be industrial discharge from the factories and manufacturing houses that got discharged into the water ways, seas, lands and air.
    3. c) Chemical pollution may also come from transport such as air planes that discharge fuel and combustion products into the air. It may also be oil pollution into the sea by ships that sank or even the product of combustion in the course of ordinary transport. We should not forget the very common ones that pollute us by the day and nights: cars.
    4. Biological pollution: This may come from industrial activities, laboratories such as was the case in foot and mouth disease and avian flu.
    5. Pollution may also come from radiations from energy and industrial activities or even human negligence such was the case of Chernobyl nuclear accident.

    Food and water pollution may arise due to direct human additives such as attempts to legally preserve food by means of different chemicals and biological agents that the governments have approved.

    On the other hand, if the food that we eat does not contain appropriate nutrients that we need, though it comes from the earth, we will become unwell and remain unwell until those chemicals are replaced in our body.

     

    The problem with food

     

    There are four areas in which our food may be a problem for us:

    1. If we eat too small an amount at a given time or over time. Too little is not good enough.
    2. If we eat too great an amount at a given time or over time. Excess is bad.
    3. Failure to eat the right thing or right components that we need: such as vitamins or even water: those things that come from the earth.
    4. If our food does not contain the right amount of what we need: As we know in elementary school, our food must contain the right balance that is appropriate for the individual. Right amount of protein, right vitamins, water, carbohydrate, trace elements like zinc, magnesium, iodine, calcium, salt, fat and so on. Our body system requires all these to function properly and to generate the right amount of energy.

     

    The issue of fast food

     

    Fast foods are simply to be avoided as much as possible. They are what they are called: fast food that will help you to accumulate fat in perhaps, the fastest way.

    The truth and reality is that this message may not be received by all. On some occasions such as family outings, or in case when we are in dire need of food and we could not reach our favourite kitchen, we may indulge in fast food. The critical thing however is that it should not be a habit or a frequent replacement of our natural meals.

     

    Body food processing

     

    Now, the human body acts like a perfect machine. In a machine, if you put in a raw material, it gets processed by the machine and you get a product. Your product may turn out as energy.

    There may be some waste product too. We as humans, behave in the same way, as living beings. Our food is the raw material that our body needs. The ultimate product that we want is the energy to function. The one we don’t want is our sweat and the one that goes through the toilet/bathroom: the waste products.

     

    The foundation

     

    Further, we get our body make-up from our parents. Therefore, what we are and our future is determined by what our parents have eaten (including illegal drugs and alcohol) or what the parents failed to eat. Our future is already decided even before we are born.

    As a child and an adult, the way we behave, what we look like, our shape and health all depends on the food we take or the food that we did not take as mentioned above.

    The consequences of unreasonable nutrition or poor meal intake:

    1. a) Low energy: if we fail to eat the right amount that our body needs, we may not have enough energy to see us through our daily needs. Average male adult weighing 70kg, requires about 2500 Calories per day. Average adult women requires about 2000 Calories. Children and elderly require much less. If we fail to take the right amount of food, the body will start “eating” up itself and the person may lose a lot of weight and then die. On this account, we need qualified medical doctor, nurses and nutritionists to help us determine the amount of food and energy that we need.

    •To be continued

  • Health workers suspend strike

    Health workers suspend strike

    Striking workers of the Federal Medical Centre (FMC), Ebute Meta, Lagos have suspended their six-week action.

    Branch chairman of the Medical and Health Workers’ Union (MHWU) Comrade Julius Achonwa told The Nation that the workers have reported at their duty post.

    The strike was suspended following a “return to work order” by the association’s parent body, MHWU Federal Area Council, Lagos.

    MHWU chairman for Federal Area Council, Lagos Comrade Stephen Ibe had on Monday said there was no basis for the strike which started on June 22 over unpaid promotion arrears for 2013 and last year.

    Ibe said investigation by the union showed that the Federal Government had not paid the money to the hospital. As such, the strike is illegal and uncalled for, he said, adding: “I personally with my executive went to the Budget Office of the Federal Ministry of Health to verify the matter, but the result we got was that the money is still being processed.”

    He said the workers alleged that the hospital management had collected N250 million, adding: “How is this possible? Nobody can give what it does not have.”

    FMC Medical Director, Dr Yewande Jinadu, said the call duty allowance of the striking workers would be paid as soon as they go back to work.

    She continued: “Fifty percent will be paid immediately they resume and the other half with their salary. This was the agreement we reached with them.”

    She explained that the delay in receiving the promotion arrears for 2013 and last year was cause by the wrong titling of the fund by the Budget Office.

    “The phrase CONMASS was used as title.  This means consolidated medical salary structure and it is for the doctors and not health workers who are grouped under Consolidated Health Salary Structure (CONHESS),” Jinadu said.

    However, the Chairman of the National Union of Allied Health Professionals and JOHESU of FMC, Ebute Meta Mr Adekunle Shehu said there is no going back on the strike until the management accedes to the demands of the workers.

    He said the unions carried their parent bodies along before going on strike.

    Shehu said the hospital had yet to pay workers, despite receiving the money for call duty allowance from the health ministry.

    Other federal institutions, especially Lagos University Teaching Hospital (LUTH), have paid their workers, he said.

    The workers, he said, would not resume if any of them is suspended or threatened as “an injury to one is an injury to all.”

    Shehu alleged that the file for the promotion arrears could not be found at the Budget Office.

    The hospital, the management and state MHWU are being economical with the truth, he claimed

    Achonwa said said though the state MHWU maintained that the budget office has not paid the call duty allowance, FMC MD stated that management has received it.

    This, he said, made the workers to insist that the budget office should write to tell them that the promotion money has not been released.

    “It is difficult to tell the workers to go back to work when they discovered that something is fishy,” Achonwa said.

  • Hepatitis still public health problem

    Hepatitis still public health problem

    Hepatitis, an inflammation of the liver, has been described as a major public health problem in Nigera.

    The disease, according to the Chief Executive Officer, Bolar Pharmaceuticals Limited, Mr Bolade Soremekun, is more prevalent in Nigeria than other developing countries.

    He spoke at the World Hepatitis Day in Lagos.

    He said: “More than two billion people are infected with HBV world-wide while some 300-350 million are chronic carriers, harboring the virus in their liver.  About two million of these carriers die each year as a result of cirrhosis or primary liver cell cancer induced by the virus.  This virus is responsible for 80 per cent of all cases of primary liver cancer, which is one of the leading causes of death in Asia and Africa.”

    Hepatitis, Soremekun said, can be viral, or non-infectious, adding that the latter is very common in Nigeria and sub-Saharan Africa.

    He said the former is a virus which infects the liver, stressing that it is present in the blood and body fluids of infected people.

    Hepatitis A, B, C, D and E viruses are responsible for the disease.

    Soremekun said five to 10 per cent of infected adults become chronic carriers.

    Besides, doctors called the inflammation that lasts less than six months acute hepatitis while the one that lasts longer than six months is regarded as chronic hepatitis.

    “When the acute syndrome has not completely resolved or subsided on its own after a 6 month period, the patient is generally considered to have chronic hepatitis,” he said.he continued: “About a quarter of chronic carriers will die from hepatic complications of chronic infection, some remain lifelong carriers while others will clear the infection after varying intervals.

    “Sub-Saharan Africa is considered to be a region which is highly endemic with an average carrier rate of 10 to 20 per cent in the population. This is quite high.

    “In West Africa, it has been estimated that 40 per cent of children will be infected by age two years and above 90 per cent by 10 if not vaccinated. A chronic carrier rate above seven per cent in a population is classified as hyper-endemic.  This is the case with Nigeria.

    Adults who are infected, he said, may have no symptoms or they may become ill. Some of the symptoms are fever, abdominal pain, dark urine, nausea and jaundice (yellow skin and eyes), he added.

    “After infection, most adults recover and become immune to the virus. Some people do not clear the virus, which make them become carriers and, as such, infect others,” he said.

    The pharmacist said chronic hepatitis B infection can cause progressive, degenerative inflammation of the liver, resulting in cirrhosis of the liver or cancer of the liver.

    “Unfortunately, many of the most common prescription medications used to treat the disease are known to cause drug resistance. Newer generations of drugs are still being studied. There may be some help with natural products, or products modified from natural sources. One of these is Hepantivir,” he said.

    On mode of transmission, he said Hepatitis B virus is transmitted through contact with the blood or other body fluids of an infected person, adding: “Two billion people worldwide have been infected with the virus and about 600 000 people die yearly due to the consequences of the disease.”

    It’s virus, he said, is 50 to 100 times more infectious than HIV. Hepatitis B and C kill more people than HIV/AIDS.”

    Quoting from the February edition of Annals of Internal Medicine, he said Hepatitis B and C are responsible for more deaths than AIDS/HIV.

    “Hepatitis B is an important occupational hazard for health workers, despite that it is preventable with safe and effective vaccine. The national childhood vaccination programme, however, only started in 2003. This leaves the majority of adults unvaccinated. Where vaccination has been widely used in some countries, it has been very successful.”

  • Excess belly fat and health risk

    Excess belly fat and health risk

    Excess fat, being overweight or obese can present health risks but this is especially so when it comes to excess belly fat, according to health experts.

    They point out that fat around the waistline is a strong risk factor for heart disease, type 2 diabetes, and even some types of cancers such as colorectal cancer.

    “Excess fat in the stomach area or ‘pot belly’ in local parlance, comes with a lot of health risks,” noted Dr Matthew Ogwa, a medical practitioner. He pointed out that those with very large waistlines are susceptible to many problems especially ‘insulin resistance syndrome or metabolic syndrome.’ “The thing is, those with insulin resistance often develop type 2 diabetes. They also tend to have high blood pressure and too much bad cholesterol, which is a recipe for heart disease,” he added.

    Besides causing these serious ailments, experts also point to the danger excess belly fat pose to the internal organs such as the kidneys and liver. “This type of fat, known as visceral fat is extremely dangerous as it gathers round the internal organs like the heart and kidneys, causing health problems,” warned Ogwa. He added that people with big stomachs have higher risks of dying from cardiovascular diseases and even stroke, than those with slimmer waistlines. “If you know your belly is too big and it’s affecting your overall health and wellbeing, it’s advisable to slim it down to avoid these health risks which can be dangerous,” he cautioned.

     

    Losing the bulge

    Someone whose excess weight including a very big belly was giving her serious health problems was Madam Dina (surname withheld). Narrating her story to the Nation, she said: “I’ve always been big but three years ago in 2012, my weight ballooned to over 150kg. I was having some emotional problems then relating to my marriage and family and I took solace in food. The more I ate, the bigger I got. At a point, my old clothes could no longer fit and I needed a new wardrobe especially loose outfits like boubous and caftans. Those were the only kinds of clothes I could wear as I was so shapeless. I looked a mess and seriously out of shape with my stomach so large, I looked like a nine months pregnant woman. Worse, my health was being affected. Any time, I walked a short distance, I will start panting like someone who just ran a 100 metres race. I developed sores on my thighs as they used to rub together when I walked. I knew I was not fit but I did not know how bad it was until I went to the hospital one day for treatment for fever. The doctor took one look at my blood pressure and promptly admitted me. She told me I was on the verge of having a stroke as my blood pressure was so high. My heart froze when I heard that word, stroke. It was the last thing I wanted as my children were still so young; who would look after them if I was ill, I told myself?”

    Upon discharge from the hospital, Dina decided to do something about her weight. “The doctor advised me to watch my diet especially the intake of fatty foods and to exercise regularly. I bought some exercise equipment and I have been using them regularly. I also jog nearly every morning. My weight has gone down, I’ve lost nearly 30kg and I hope to lose more before the year ends. With the change in diet and exercise, I feel like a whole new person. I feel fitter, stronger, healthier and I don’t get as tired and out of breath as I used to. Best of all, my BP has gone down.”

     

    Healthy lifestyle

    To beat belly fat and lose excess weight, health experts including nutritionists advocate a wholistic approach. This include combining a healthy diet with regular exercise. “Losing your excess belly fat is not a one day thing; it’s something that takes time, commitment and effort,” stated Mercy Ok, a nutritionist and lifestyle coach.

    To her, what you eat plays a major role in getting a large belly. “Some big bellies are due to genetics, for those who are predisposed to be fat due to their genetic make-up. Others are caused by childbirth particularly women who have had many children. For many, however, food is the major culprit. Too much fatty, sugary and calorie filled foods and snacks coupled with a lack of exercise can cause excess weight especially around the waistline. As the body ages, metabolism slows down, thereby burning less calories. The excess calories are stored in the body as fat particularly in the waistline. This is why ‘pot belly’ is more common among the middle aged and elderly people than in the young whose metabolism is still high,” she said.

    She advised a diet plan that includes less fat and sugar and more protein. As she stated: “Those who want to reduce their big belly should eat more plant-based foods such as fruits like pawpaw, watermelon and vegetables like legumes and pumpkin leaf. These are rich in protein, vitamins and minerals which are good for the health. For meat, avoid fatty meats like organ meat, go for white meat like fish and poultry. Eat without the skin and grill to reduce fat from frying. Avoid sugar especially sugary snacks and beverages which are calorie filled but with little essentials nutrients.

    “Exercise is also important. Aerobic exercise- walking, running, swimming, jogging- has been shown to cause reduction in belly fat especially when done regularly. No matter what weight you are, try to keep fit with regular exercise to live a long, healthy and disease free life.

    Regularly detox the system by sipping lemon or lime juice in hot water daily. These both invigorate the liver and help to liquefy fat, which aids in flushing it from your system more quickly.”

    She also advised drinking enough water to flush out toxins, aid digestion and prevent dehydration as mild dehydration can cause the kidneys to call on the liver for help. This can  reduce the liver’s ability to burn fat, thus leading to fat deposits often in the belly, she noted.