Tag: HIV

  • Niger CSOs fight HIV in kids

    With more than 50,000 children born with HIV/AIDS in Nigeria annually, and the country also posting about 60 per cent of new HIV infections in Western and Central Africa, health practitioners and stakeholders are justifiably alarmed.

    That was why Civil Society Organisations (CSOs) in Niger State have set up a platform to reduce and eliminate the virus among children.

    The coalition, Society for the Elimination of HIV Among Children (SEHAC) seeks to eliminate the new HIV infection among children and work towards keeping their mothers alive with minimal stigmatisation.

    At the Inaugural meeting of the coalition in Minna, the Zonal Coordinator of SEHAC, Dr. Ismailia Garba said that 32 percent of all cases of mother to child transmission of HIV in the world occurs in Nigeria adding that if there is enough sensitisation, which is one of the main objectives of the coalition, infected mothers would know how to protect their unborn babies from the virus.

    He said that there is need for more hands to be on deck if Nigeria will attain its targets in eliminating the disease, adding that by ensuring children are not born with the virus will enable the next generation effectively manage the HIV virus.

    The Niger state Coordinator of SEHAC, Mrs. Mary Jalingo said that Nigeria is said to be the largest burden of mother to child transmission of HIV in the world lamenting that the number of pregnant women visiting health facilities across the state remains low.

    She stated that the number of facilities providing prevention of mother to child transmission of HIV across the state is also low stressing the need to encourage women to come forward to prevent their babies from being born with HIV.

    “With an estimated 260,000 children from 0 to 14 hard living with HIV, only 12 per cent have access to antiretroviral drugs. This is what thisnCoalition Seeks to address.”

    Jalingo added that the Coalition will embark on advocacy for the availability of drugs and sensitise the community and mothers with HIV on how to reduce mother to child transmission stating that there is a general believe that children everywhere can be born free of HIV with their mothers remaining alive.

    “We intend sensitising leaders, providing leadership and innovation programme delivery, strengthening the capacity of women living with HIV, men and couples with HIV, prevention treatment programmes for mothers and children.”

    Jalingo emphasised the need to ensure continuous care of infants and young children of HIV positive parents.

     

  • UCH trains doctors, nurses, others on pain management

    UCH trains doctors, nurses, others on pain management

    The University College Hospital (UCH), Ibadan, is training some doctors, nurses and other staffers on pain management to equip them to assess the condition and provide high-quality first line treatment.

    Dr. Adefemi Afolabi, Staff Champion Coordinator of the Pain-Free Hospital Initiative (PFHI), made the disclosure to the News Agency of Nigeria (NAN) on Wednesday in Ibadan.

    Afolabi, an endocrine surgeon, said the programme was being conducted in collaboration with the Federal Ministry of Health and the American Cancer Society.

    According to him, the goal of PFHI is to equip staff to assess pain, provide high-quality first line treatment to improve on the overall access to essential pain medication in Nigeria.

    He said that to effectively implement pain management in a healthcare system required more than just access to medicines.

    “It requires an understanding of when and how to give pain medication and prioritisation of pain management as an essential part of care.

    “Over the course of one year, PFHI is to train physicians, nurses, pharmacists and other healthcare providers on how to assess pain levels and dispense medication.

    “The programme is to stress the importance of pain management for patients, specifically those suffering from pain-related to cancer and HIV,” he said.

    Afolabi said that the PFHI was being piloted at four hospitals throughout Nigeria, including University of Ilorin Teaching Hospital, UCH, Ibadan, University of Nigeria Teaching Hospital, Enugu, and National Hospital, Abuja.

    He also said it was envisioned that the one-year pilot project would further refine the design of the project model for effective replication in other federal tertiary health facilities in Nigeria.

    He added that the primary goal was to actively raise the quality of life for every Nigerian through dedicated service delivery.

    According to him, the PFHI is a pilot programme to strengthen the skills of health workers and equip them to provide high-quality pain treatment to their patients in line with International Treatment Guidelines.

    “The project will ensure adequate supply of pain medicines at affordable rate in hospitals and will be used appropriately.

    “In 2012, about 180,000 people were estimated to have died from moderate or severe pain from HIV or cancer in Nigeria.

    “In the same year, the utilisation of narcotic medication like morphine which has been designated as an essential pain relief medication by the World Health Organisation (WHO) was enough to treat only 266 people out of the above number.

    “This represents only 0.2 per cent coverage of pain treatment needed,” he told NAN.

    “In response to this problem, the Federal Ministry of Health began working with the American Cancer Society’s “Treat the Pain” programme to implement a broad pain management system and imported 19.2kg of pulverised morphine.

    “The Roll-Out of Pain Free Hospital Initiative became the next step of the collaboration process.

    “The pain treatment is an international programme within the American Cancer Society to improve access to pain medicines.

    “The programme provides technical support to improve patient access to Opioid Analgesics with a focus on low and middle-income countries with high unmet need for pain relief.”

    Afolabi said that the focus of the project was to increase the consumption of opioid (pain analgesics) to 50 per cent at the end of the year.

    He said that the training of doctors, nurses and other allied-health workers would increase their awareness of pain, types of pains, how to evaluate pains and pain treatment.

    According to the endocrine surgeon, six to seven out of 10 patients come to hospitals because of pain, and therefore, training of these health professionals will go a long way in achieving set goals.

    “Because of this, we have made pain evaluation the fifth vital signs chart in UCH as our major aim to reduce pains of patients to the barest minimum or to zero level.

    “The training of staff on pain types, identification, evaluation and treatment will go a long way in helping the PFHI project through the charts.

    “Any patient who comes in can begin to use the charts to score their pains which in turn will assist doctors to gauge and apply appropriate dose of analgesics on them.

    “The project will be launched at a yet-to-be announced date after training has been completed,” he said.

  • HIV: FG introduces new guidelines to curtail spread

    HIV: FG introduces new guidelines to curtail spread

    The Federal Government on Tuesday said it was set to implement new guidelines for  HIV prevention, treatment and care to consolidate previous efforts in tackling the scourge.

    The Minister of Health, Prof. Isaac Adewole, stated this at the opening of a two-day North-West Zonal Dissemination of 2016 National Guidelines for HIV prevention, Treatment and Care in Kaduna.

    Represented by Mr Segilola Araoye, his Special Adviser, Adewole said the guideline would ensure that those affected by HIV receive free health service at all levels in both public and private health institutions.

    “From this day hence, everyone who tests positive to HIV is automatically eligible for treatment and this applies to everyone with equal emphasis, child, man and women, pregnant or not.

    “From today onward we are duty bound to offer antiretroviral drugs as prevention to all persons who are at high risk of contracting HIV infection.

    “From today forward all persons on treatment are entitled to at least one viral load test per year.

    “From today hence, we will place greater emphasis on differentiated systems of care that are adjustable to the individual needs of the patient,’’ the minister said.

    Adewole noted that the recommendations in the 2016 guidelines by current standard were audacious, unambiguous and unapologetically pro-patient.

    The minister, however, appealed to state governments and other stakeholders to efficiently implement the recommendations of the guidelines to the later in an effort to tackle the menace.

    “For this to happen, we must change course a bit and find the courage to depart from the strategies that have not worked well.

    “The guidelines could not have come at a less opportune moment, as they will serve as the necessary catalyst for attainment of the UNAIDS 90-90-90 initiative.

    “And today, we hopefully bring to end the argument over deeply divisive option B and option B+ saga if our guidelines have been careful, to avoid the terms perhaps, it is time we stopped using them all together,“ the minister said.

    The News Agency of Nigeria (NAN) quotes available statistics showing that no fewer than 3.4 million people are currently affected by the HIV and AIDS scourge.

    However, the health minister said, with the 2016 guidelines things would be better, as there were already 860,000 patients on Anti-retro-viral treatment (ART) in some 1000 comprehensive HIV treatment centres.

    According to him, that has led to the decline morbity and mortality associated with HIV and AIDS in the country.

    “I simply cannot accept that our collective hard work against HIV and AIDS in Nigeria is wasted effort.

    “I accept that things can be done better but even at that we have achieved tremendous success in our battle against HIV.

    “And I am strengthened in this belief by the change in public perception from the fear, panic hysteria and horror of 2000 to the calm (Please be careful HIV is still out there) attitude that is the prevailing public sentiment about HIV and AIDS today,’’ he said.

    Adewole said these guidelines would work because they were acceptable to the vast majority of stakeholders.

    “They are acceptable because they are the product of huge and representative stakeholders consensus, with over 170 people contributed to the development of this document.’’

    He commended the various stakeholders for contributing to the development of the document and advised non-governmental organisations supporting the health sector and HIV interventions to work closely with the ministry.

    Adewole while thanking the states governments for their active role the fight against HIV and AIDS, appealed to People PLHIVs to come on board as stakeholders in the effort to eradicate the scourge.

    NAN reports that officials from eight states of Kaduna, Kano, Katsina, Sokoto, Kebbi, Niger, Kwara Zamfara and Jigawa are attending the two-day event.

    The event, being organised by the Institute of Human Virology Nigeria (IHVN) and the Management Sciences for Health, is also being attended by and other HIV control implementing partners.

  • Nigeria’s envoy pays condolence visit to Osotimehin’s family

    Nigeria’s envoy pays condolence visit to Osotimehin’s family

    Prof. Tijjani Muhammad-Bande, Nigeria’s Ambassador/Permanent Representative to the UN, paid a condolence visit to the family of the late Executive Director of UN Population Fund (UNFPA), Prof. Babatunde Osotimehin.

    The Correspondent of the News Agency of Nigeria (NAN) reports that Muhammad-Bande was received by Dr Babajide Osotimehin, the deceased son, on behalf of the family on Monday evening.

    Nigeria’s envoy expressed the condolences of the Permanent Mission of Nigeria to the UN, to the family.

    He described the late Osotimehin as an accomplished and distinguished professional who made Nigeria proud during the period he served at the UN.

    According to him, Osotimehin’s death is an irreparable loss not only to Nigeria but to the UN and the entire global community.

    The Nigerian ambassador later signed the Condolence Register opened at the residence of the late UNFPA chief.

    Muhammad-Bande was accompanied on the condolence visit by the Head of Chancery of the Permanent Mission, Dr Cyprian Heen.

    Osotimehin died in his home in New York Sunday night at the age of 68 years.

    A physician and public health expert, he became UNFPA’s fourth Executive Director on Jan. 1, 2011, with the rank of United Nations Under-Secretary-General.

    Before this appointment, the late UNFPA chief was Nigeria’s Minister of Health.

    Prior to that, he was Director-General of the National Agency for the Control of AIDS (NACA), which coordinated HIV and AIDS work in Nigeria.

    Osotimehin qualified as a doctor from the University of Ibadan, Nigeria, in 1972, and went to the University of Birmingham, England, where he got a doctorate in medicine in 1979.

    He was appointed Professor at the University of Ibadan in 1980 and headed the Department of Clinical Pathology before being elected Provost of the College of Medicine in 1990.

    Osotimehin received the Nigerian national honour of Officer of the Order of the Niger in December 2005.

    He led several councils, including the World Economic Forum.

    Osotimehin was married, had five children and several grandchildren.

  • Lagosians advised to have regular HIV screening

    Lagosians advised to have regular HIV screening

    Residents of Lagos and its environ should avail themselves of the free HIV counselling and testing every six months, if they tested negative during screening, Lagos State AIDS Control Agency(LSACA) Chief Executive Officer (CEO) Dr Oluseyi Temowo has said.

    He stated this at this year’s Workers’Day, which coincided with the Golden Jubilee of the state in Agege Stadium.

    Temowo said an HIV-positive person could be symptom-free for about 10 years and infect others, if unchecked and untreated. “Being an HIV-positive person does not translate to death with appropriate medication. That is why knowing one’s status is very important,” he explained.

    He said access to HIV Counselling and Testing (HCT) services would avail an individual the opportunity to take steps to stop the progression to AIDS through  lifestyle modifications and change in health-seeking behaviour.

    The celebration had as theme- Labour relations in an Economic recession: An appraisal.

    Th agency brougt to the venue  its mobile HIV counselling and testing truck, where over 257 received free HIV counselling and testing.

    Temowo implored residents of the state to visit the General Hospital close to them to get free HIV counselling and testing and that its mobile trucks could be moved to reach some difficult areas of the state for that purpose, if invited.

    He said all should remember that abstinence was the best option.

    “Be faithful to your partner, use condom correctly and consistently. Together, we will achieve an HIV/AIDS-free generation and HIV-free Lagos State to celebrate and continue the golden jubilee of the state with the theme- Enhance the heritage advance the future.

    “And together we all can achieve the eradication of the virus by 2030 through 90-90-90 initiative, which means  90 percent of the people living with HIV know their status, 90 percent of people who know their status are accessing anti-retroviral treatment and 90 percent of people on anti-retroviral have suppressed viral load,” he said.

  • Lagos gets N3.8b to tackle HIV

    Lagos gets N3.8b to tackle HIV

    The Lagos State government yesterday said it got N3.8 billion ($9.6 million) from Global Fund to help tackle HIV/AIDS in the state.
    Commissioner for Economic Planning and Budget, Mr Akinyemi Ashade, broke the news when he addressed reporters at Alausa in Ikeja, the state capital.
    The commissioner said the fund would be used for the implementation of comprehensive HIV Prevention, Treatment, Care and Support programme at 70 health facilities in Epe, Ikorodu and Oshodi-Isolo local government areas.
    Ashade said about 10,337 people were living with HIV, adding that 3,876 of them were children.
    He said Governor Akinwunmi Ambode visited Global Fund in New York, the United States of America (U.S.A), last June, to reassure the management of his administration’s commitment to the judicious use of the grant, to reduce new HIV infections and improve the quality of life of the infected and affected persons.
    The commissioner said the grant would assist 289,344 persons to know their HIV status, 17,049 people living with HIV (PLHIV) to be placed on treatment, 54,140 expectant mothers to be tested for HIV and 2,131 HIV-positive expectant mothers to get treatment for the prevention of mother-to-child transmission.
    He said: “Achieving these targets will not only contribute to the improvement in their quality of life but will also reduce the HIV prevalence.

    Ashade said the government projected N50 billion monthly Internally Generated Revenue (IGR) for 2018 and a budget of N1 trillion.
    He said the government was able to manage the economy of the state through prudent and stringent management of available resources so as to realise the N30bn monthly IGR projected for 2017.
    The commissioner explained that the state Bureau Of Statistics place the population of the state at 23 million, adding that currently only 5 million of the population are paying tax in the state.
    He said it is expected that by next year additional 5 million people would have been drag into the tax net so as to realise the objective.

  • Court remands doctor in prison for raping patient

    An Upper Area Court sitting at Pankshin in Plateau on Friday remanded a medical doctor, Philemon Brazil, in prison for allegedly raping his patient.

    Brazil, however, pleaded not guilty to the offence.

    The Judge, Mr Joseph Chollom ordered the remand of Brazil in custody and adjourned the case to May 22 for further mention.

    The Prosecutor, Sgt. Singbon Hosea, told court that the defendant committed the offence on April 25 at the home of his victim.

    Hosea explained that the rape victim had a history of miscarriages and had been a patient of the doctor before the incident.

    “But my lord, on that fateful day, April 25, when he visited the patient as usual, he went too far by forcing himself on her and ended up raping her.

    “By that action, the accused has committed offences of rape and act of gross indecency, contrary to and punishable under Section 283 and 285 of the Penal Code.’’

    He said that after the arrest of the doctor, the police conducted HIV test on him and that the result was negative.

    Hosea also told court that after the rape, woman suffered yet another miscarriage.

    The prosecutor asked court to remand the accused in prison, pending completion of investigation on the matter.

  • ‘Boko Haram infected me with HIV/AIDS, VVF, during marathon sex in Sambisa’

    ‘Boko Haram infected me with HIV/AIDS, VVF, during marathon sex in Sambisa’

    • ‘I don’t know if I got it from the marathon sex or from the three husbands I married’
    • Fifteen-year-old reveals terrifying details about her life as an insurgent bride

    Fatima Kabir, a 15-year-old ex-wife of the factional leader of Boko Haram, Maman Nur, said she was infected with HIV/AIDS after she was forced to have marathon sex with many sect members at the group’s Sigil Huda camp, Sambisa Forest.

    Kabir and her 14-year-old accomplice, Amina Shua’ibu were arrested by officers of the Nigeria Security and Civil Defence Corps (NSCDC), Borno State command on Friday night. At the time of her arrest, she was also discovered to be two months pregnant for a sect member.

    Kabir told The Nation in an interview in Maiduguri, Borno capital, that she was an ex-wife wife to Nur and that she was introduced to the group by her brother, Ibrahim Fadagana, in 2013.

    “My brother took us from Maiduguri to Sambisa forest where he introduced us to Abubakar Shekau. Things did not go well at the camp as most of the people did not like Shekau’s brutal treatment of abductees and sect members in the camp. There was a lot of death in the camp. Children died of dehydration and malnutrition.

    “So, there was a lot of disagreement between Shekau and Mamman Nur and Nur refused to accept Shekau’s policies. So they broke up. My brother (Fadagana) was a close friend to Mamman Nur, so he stood as my father and got me married to him (Mamman Nur). I was married to him in 2013. I was 12 years old at the period,” she said.

    Kabir lamented her experience as Mamman Nur’s wife: “On the wedding night, Mamman Nur forced himself into me and destroyed my vagina. He infected me with Vesico Vaginal Fistulae (VVF). I was sick for a while, but I became better.

    “In that same year, 2013, he left me to participate in an arms and military training program in Libya. I couldn’t wait for him, so I immediately got married to Habib, a member from Bauchi State.

    “Habib later ran away because he was marked for execution. He was suspected to be an informant for the Nigerian government. So he deserted me and absconded from the camp.

    “I later got married again to one Ali Bama. He was not a Commanding Officer. He was just an ordinary member like the others.

    Shu’aibu

    Until her arrest in Maiduguri, Bama took good care of her. “He has protected me and provided food for me at our Sagil Huda camp in Sambisa Forest. I am presently carrying his two months pregnancy,” she revealed.

    Life in Sagil Huda was very difficult “especially for us (women),” stressed Kabir. “The men always sleep in the afternoon and do marathon sex with all the girls for the whole night. Only those that are married are safe.

    “At a point I became sick, so a French doctor came to check on me. He gave me some drugs and said I must be taking it from time to time.

    “I learnt that I was infected with HIV/AIDS. I don’t know if I got it from the marathon sex or from the three husbands I married. My current husband, Bama, was also taking his own drugs just like me before I left our base. We are both infected,” she said.

    Kabir said she fled Sagil Huda in the wake of the Nigerian Military Joint Task Force (JTF)’s military assault on their base in Sambisa Forest.

    “We ran away from Sagil Huda because the army came and stormed our camp and killed many of our members. Right now, my mission is to go and meet my brother Fadagana, he is at Kangarwa with Mamman Nur. I have Mamman Nur’s phone number, I have been communicating with him. My plan is to go and meet him,” she said.

    Kabir and Shu’aibu were arrested at the motor park in Maiduguri after Shu’aibu’s husband abandoned them there on the pretext of getting an accommodation for them in the state capital.

    Ibrahim Abdullahi, the NSCDC Commandant, Borno State Command, stated that Kabir’s case is a clear indication that HIV/AIDS has hit Boko Haram’s camp. He bemoaned Kabir’s predicament, stressing that she was very hostile at her arrest. She reportedly called NSCDC operatives at the state command “infidels waiting to die and go to hell.”

    “She will be handed over to the military for proper investigation,” he said.

  • Court dissolves marriage over wife’s HIV status

    A Jikwoyi Customary Court, Abuja, on Friday dissolved the marriage between Joseph Danjuma, a farmer, and his HIV positive wife.

    The Presiding Judge, Everyman Eleanya, who ordered the dissolution of the marriage, said that the court had done everything possible to reconcile the parties.
    “ The court did everything possible to reconcile the couple but all efforts failed.’’

    Eleanya dissolved the marriage and ordered that the bride price be returned to the husband.
    Earlier, Danjuma had told the court that he still loved his wife even with the HIV.

    “My wife got pregnant and put to bed in 2012; the child got terribly ill and died.

    “Due to the ailment and death of the child, I insisted that my wife be tested of HIV, which the doctor did and she tested positive.
    “Because I still loved my wife, we used condom as a means of protection during sexual intercourse.
    “But as time went on, she refused me using condom on her, and insisted on intercourse without condom,” he narrated.

    The respondent, who admitted being HIV positive, consented to the dissolution of the marriage, adding that she was tired of the marriage. (NAN)

  • Aflatoxins in Nigerian foods, cancer, HIV…antidotes

    Despite the searing heat, Nigeria farmers are back to the land, preparing their farms for the cultivation of this season’s crops. As I suggested in this column last Thursday, under the title AGRO-DOLLAR RAIN ABOUT TO FALL IN NIGERIA, more rice and maize, in particular, should be produced on the farms this year. This assumption is based on the fact that hundreds of thousands, if not millions, of more farmers will swell the population of farmers as more land is released for farming upcountry and, this time, land clearance, crop cultivation and harvesting will be mechanised. These are all features of the Anchor Borrowers Project mentioned last week.

     

    Aflatoxin

    But as we jubilate that there should be more food on the dining-table at cheaper prices, so should we worry about the risk of eating poisons with these foods, a risk many governments and food researchers in Nigeria have downplayed over the years or deliberately not sufficiently informed Nigerians about. This risk is the AFLATOXIN risk. If we do not care about what we eat or drink here, other people elsewhere in the world do. And that was why, a few years ago, the European Union (EU) banned importation of foods from Nigeria after it was discovered that their aflatoxin and mycotoxin load was too high for the safety of the health of Europeans.

    The website https//en.wikipedia.org/wiki/Aflatoxin says of aflatoxins:

    “Aflatoxins are poisonous and cancer-causing chemicals that are produced by certain molds (Aspergillus flavus and Aspergillus parasiticus) which grow in soil, decaying vegetation, hay and greens. They are regularly found in improperly stored staple commodities such as cassava, chili peppers, corn, cotton seed, millet, peanuts, rice, sesame seeds, sorghum, sunflower seeds, tree nuts, wheat, and a variety of spices. When contaminated food is processed, aflatoxins enter the general food supply where they have been found in both pet and human food as well as in feedstocks for agricultural animals. Animals fed with contaminated food can pass aflatoxin transformation products into eggs, milk products and meat. For example, contaminated poultry feed is suspected in the findings of high percentages of samples of aflatoxin-contaminated chicken meat and eggs in Pakistan. Children are particularly affected by aflatoxin exposure, which leads to stunted growth, delayed development, liver damaged and liver cancer. Adults have a higher tolerance to exposure but are also at risk. No animal specie is immune. Aflatoxins are among the most carcinogenic substances known. After entering the body, aflatoxins may be metabolised by the liver to a reactive epoxide intermediate or hydroxylated to become the less harmful aflatoxin M1.

    “Aflatoxins are most commonly ingested, but the most toxic form of Aflatoxin B1 can permeate through the skin.

    “The United States Food and Drug Administration (FDA) action level for aflatoxin present in food or feed is 20-300ppb. The FDA has had occasion to declare both human and pet food recalls as a precautionary measure to prevent exposure.

    “The term “Aflatoxin” is derived from the names of one of the molds that produce it, Aspergillus flavus. It was coined around 1960 after its discovery as the source of “Turkey X disease”. Aflatoxins form one of the major groupings of mycotoxins.

     

    Nigeria’s Problems

    Nigeria produces bumper harvests in the farms, but loses a quantum of them during storage or transportation. Yam and potatoes, for example, are thereby fungi-infected and loaded with aflatoxins in the cooking pot and dining table. In many road-side eating places, soups and stews are made from rotten pepper which the Yorubas call ata esa. Many people buy and eat “injured” or “wounded” banana, unknown to them that the rot areas on the banana are the handiwork of a fungus or fungi. Fungi denature oils. For this reason, care should be taken in consuming oil-rich foods. Groundnuts (peanuts) are oil-rich. In a region of the United States (US)celebrated as the biggest peanut grower in that country, cancer of the pancreas is reported to be a common occurrence. So, when peanut is off colour or off-taste, I do not touch it. I have learned to also avoid peanut butter for this reason. Melon is another stuff to be careful about. To make a delicious pot of melon soup, our mothers peeled melon from the shell, roasted it and then ground it. In other words, the soup was made with fresh melon just removed from its protective shell. These days, melon is sold to the lazy woman already ground and wrapped in cellophane. Not only would the acids in melon have reacted with the cellophane, picking petroleum residue for the pot of soup it is intended for, the melon may have over time become oxidised by oxygen, thereby stocking free radicals for the soup, and, additionally, bring along aflatoxins, being a ready prey for fungi attack.

    Even maize is not free from fungi infection because of its oil and high moisture content. Vegetables are worse. They get rotten easily. I have learned, too, that onions and limes are not safe from fungi infection. If you watch a pack of ripening limes carefully, you may notice some that are becoming rotten. The market woman does not wish to lose money by throwing them away. So, she developed the idea of squeezing such limes in a bottle and selling them off to her careless or unsuspecting customer as lime juice. Back home in the kitchen, the lime is used to cure snails, fish, wash vegetables et.c. Unknown to the chef, aflatoxins have been introduced into a delicious meal. When I notice that onions are getting rotten,  I do not remove the affected peels and use the remainder. I throw away the bulb. During the mango season many people eat mangoes with spots on the skin.

    Dr J.H. Williams of the University of Georgia, United States, carried out a study of local African markets and reported that about 40 per cent of the commodities found the “exceeded permissible aflatoxin levels (in excess of the international standards of 10-20ppb) and that an estimated 4.5billion people in developing countries are at risk of uncontrolled or poorly controlled exposure to aflatoxins, and up to 40 percent of commodities in local African markets exceed allowable levels of aflatoxins in foods.”

    In the website www.ncbi.nlm.nih.gov/pubmed/705839, he reports:

    “It is known that high aflatoxin levels in the bloodstream depresses the immune system, thereby facilitating cancer, HIV, and stunting the growth of children. A cross-sectional study conducted in Ghana and cited by Dr. Williams shows that immune systems of recently HIV-infected people are significantly modified even they have above median levels of natural exposure to aflatoxin.

    Referring to another study, Dr. Williams notes:

    “People with a high aflatoxin biomarker status in The Gambia and Ghana were more likely to have active malaria.”

    The website quotes Dr Oladele Dokun, a veterinary doctor at Nigeria’s Animal Care Laboratory as saying:

    “Research has shown aflatoxin causes infertility, abortions and delayed onset of egg production in birds as well as sudden losses in egg production in actively laying birds. Furthermore, loss of appetite, skin discoloration or even yellowish pigmentation on skin can be observed in fish.”

     

    The Euro ban

    A few years ago the EU banned the importation of Nigerian cocoa after a high Gamalin-20 (a pesticide) was found in chocolates and ovaltine. Later, another import ban covered beans, sesame seeds, melon seeds, dried fish and meat, peanut chips and palm oil. If you wonder what palm oil is doing on the list, as we say here, I would share my experience. I was told I could obtain fresh and pure palm kernel oil from a particular region of the country. So, I paid for 20 liters of palm oil which I hope to enjoy for months. But I was shocked one day to find a white film over the oil right inside the plastic keg. It was fungi! So, I threw the keg and, its contents away and proceeded with the detoxification of my system. This sort of thing can make one ill, and an inexperienced doctor would merely provide drugs to suppress symptoms he observes and not uproot the cause(s). If you shrug your shoulders in disbelief, saying our grandparents ate this things and live to ripe, old age, you may not have looked at the other side of the equation. That other side was their diet. Did they consume sugar the way we do today? Did they eat junk foods? Were they stressed up the way we are? Did they not sleep longer and more restfuly than we do? Their bodies were not as weaken as ours, and probably didn’t collapse as easily as our do under aflatoxin bombardment.

    The European Food Safety Authority said the Nigerian food crops were banned because their pesticide levels were too high. The pesticide level of the banned Nigeria beans was between 0.03mg per kg to 4.6mg per kg of Dichlorvos pesticide against an acceptable residue limit 0.01mg/kg.

    Director-General Paul Orhyi, of the National Agency for Food and Drug Administration and Control (NAFDAC) blamed the ban on the “failure” of exporters to comply with regulatory requirements. I wondered them if it would not have been better to admit that NAFDAC’s hands were too full and that it required more men and funds to enforce compliance, as Nigerians were beginning to show interest in food exports as a way of diversifying their country’s revenue base. Or, if NAFDAC had enough policing capacity, did its officers look the other way while the food cargoes were loaded in ships? It is embarrassing, to say the least, to find ship loads of exported foodstuff returned to the country. Fearsome is the thought that we all at home may be consuming poisons whenever we eat beans in any form, fish and peanuts. To be fair to NAFDAC, it has embarked on a national campaign to enlighten the public about the contamination of Nigerian foods. But many Nigerians are not paying enough attention.

    In the website www.ncbi.nlm.nih.gov we are advised:

    “Aflatoxin, one of the most widespread of the known carcinogens, is present at a high level in most common foods stored poorly for long periods in Nigeria. It may work synergistically with other carcinogens to produce the high incidence of primary liver cancer seen in young men at the age of 40. In the northern Nigeria Savannah areas, cereals, especially sorghum and millet, as well as groundnut products are the high risk foods. In the Southern forest areas, dried fish, groundnut and all palm products often carry unwholesome quantities of aflatoxin.”

     

    Symptoms

    Aflatoxic poisoning is also known as aflatoxicosis. It may present as nausea, vomiting, abdominal pain, convulsion, collection of fluid in the lungs (pulmonary edema), collection of fluid in the brain (cerebral edema), abnormalities of the blood, including blood cancer even in children, bleeding, liver damage and cancer,  kidney and heart damage and even death.

    Consumption of a large dosage of aflatoxin may produce the symptoms described above. Accumulations over a long period of time may not hurt severely immediately, but may ultimately result in, say liver damage or cancer. Lung cancer may come from the inhalation of mold dust, especially in the cases of people who inhale mold dust from affected crops.

     

    Natural aflatoxin remedies

    Since mold and aflatoxins are known to cause all sorts of cancer, the first line of defence against them would seem to be (1) immune boosting (2) detoxification (3) anti-cancer foods and herbs (4) oxygenation (5) anti-inflammatories (6) anti-fungal herbs. Some of the well known anti-mold herbs are (a) Garlic, (b) Pau d’Arco (c) Thyme and (d) Cloves. To this group belongs, also, Golden Seal Root.

    When it comes to immune boosting, attention has to be paid to the liver. It breaks down poisons into simpler, non-poisonous ones or into less toxic toxins. Where the liver is healthy and functioning optimally, no cancer can erupt in any part of the body, as science is now discovering through autopsy reports which implicate liver weakness in the evolution and development of cancers.

    To prevent the liver itself from becoming cancerous, not only is it necessary to equip it to detoxify all toxins which the bloodstream brings to it to pulverise, it is important as well to prevent it from being overloaded with more poisons than it can get rid of and to protect it against them. Accordingly, liver-clearance herbs such as Carqueja are important as decongestants while herbs such as Milk thistle, Jerusalem artichoke and False Daisy (eclipta alba) are hepaprotectives. An hepaprotective is a liver protecting agent. Hepaprotectives obtain their recognition as such from their protection of the liver against carbontetrachloride. This is a chemical which easily damages and destroys the liver. When animals were fed carbontetrachloride, they died of liver damage. Only a few of them died when they ate Milk thistle, for example, simultaneously with the poison. Hardly did any die when fed Milk thistle a few days before ingestions of Carbontetrachloride. Protecting the liver enables it produce enough bile salts to mop toxins for excretion. One teaspoonful of Tumeric powder enables the gall bladder to empty half of its bile contents at once. But such a dosage is contraindicated in people with gall bladder stones or kidney stones, as a gall bladder stone blockage of the bile ducts may block bile passage and cause congestion in the bladder and liver, and, in the kidneys of susceptible people, the oxalic acid in Tumeric may combine with free or excess calcium salts to form calcium-oxalate stones.

    Liver health boosts immunity. We can boost immunity further by consuming herbs, which help to lower bacterial, viral and fungi load so that the immune system, freed of a heavy load of combatants against it, can act with more vigour. Echinacea, which sometimes is sold along with Golden Seal Root, is an immune booster. A product named Echinacea Supreme combines Echinacea, Golden Seal Root and Grape Seed Extract, another great name in the immune supporting therapy. Here is one secret I will share later: pawpaw leaf juice.

    If the brain has been affected, because some molds cause cerebral allergy and nervous system damage, brain-health herbs are called for. Ginkgo biloba is well known. It promotes blood circulation to, and in the brain, enhances memory and cognition. Lion’s mane mushroom repairs damaged nerves and supports their regeneration. Omega-3 fatty acids prevents inflammation of brain cells and is a mood enhancer and anti-depressant. Some sources of Omega-3 oil are flax seed oil and evening primerose oil. But fish oil is the best. Noni juice is also good. If behaviour and mood are disturbed, a proprietary product named BEHAVIOUR BALANCE or MOOD SUPPORT are suggested.

    For general well-being in a state of aflatoxin overload, orange peel powder can be terrific. It is anti-toxin, anti-inflammatory, a lung decongestant and blood purifier.

    Adaptogenics, too, are indispensable. From low gear or high gear, they bring the body to normal gear. One of the most well-known among their ranks is Siberian Ginseng. We should not forget about greens…Wheatgrass, Chlorella, Kale, Spirulina and Liquid Chlorophyll taken alone or together. They detoxify the blood and lymph. They also recompose and oxygenate the blood. We should not relegate Stinging Nettle as well.

    The new farmers are pouring into the farms in hundreds of thousands, if not millions nationwide to ignite Nigeria’s real green revolution. IITA (international institute for tropical Agriculture) and NAFDAC are helping out with aflasafe on the farms and in storages. But they may not capture all the mold and aflatoxin in the net. So, when we eat, we should be reminded that aflatoxins may be present in the food. Therefore, our meals should not be without protection. You may have been reading in this column that I sometimes eat groundnuts and banana with pawpaw leaves (papaya). This leaf is an antioxidant and offers digestive protection. So are Bitter leaf and Basil leaf (Efinrin in Yoruba). Ditto garlic and tumeric.