Tag: malaria

  • A united front to combat malaria

    Growing up in Angola, I witnessed the cruel and devastating impact of malaria, as well as experienced this horrific disease firsthand. Later, as a mother, I was grateful to have access to preventive therapies while pregnant so that I could protect myself and my two sons could be born healthy. Now, as a physician, I am committed to protecting the most vulnerable members of our community from this disease.

    Thankfully, over the past decade, renewed investments and partnerships have driven remarkable progress against malaria. Since 2000, more than 3.3 million lives have been saved and global deaths have decreased by 45 percent. And right here in Africa, the number is closer to 50 percent, with eight countries that are on track to meet the WHO 2015 goal of reducing their malaria case incidence rates by 75 percent.

    Despite this progress, malaria continues to kill more than 627,000 people each year, the majority of whom are children under the age of five. The disease also has broad repercussions for health and economic development, harming pregnant women and their infants, preventing children from attending and participating in school, and limiting adults’ economic potential and ability to invest in their families.

    Today, being World Malaria Day, partners who have joined the fight against malaria will take stock of progress made and reflect on the many challenges and opportunities that lie ahead. While we should celebrate the gains we have made, we cannot become complacent. Our success is as fragile as it is remarkable and it must be sustained.

    To continue progress against malaria, the global community must now, more than ever, reaffirm its commitment to ensuring that the tools to combat this disease reach each person in need.

    Unfortunately, there is no “silver bullet” capable of eradicating malaria singlehandedly. We’ve seen again and again that combating this disease requires a comprehensive approach that tackles the disease from different angles and with different approaches. We must deploy bed nets and other prevention tools, diagnostic tests, effective treatments and educational campaigns to combat malaria on the ground, while looking for long term solutions like improved drugs and vaccines.

    Implementing an effort of this grand a scale requires ongoing collaboration and cooperation across the board to effectively leverage the expertise and resources of each partner. Perhaps one of the greatest opportunities we have is to fully engage the private sector.

    As a physician for ExxonMobil in Angola, I have been inspired by the integrated approach the company takes to address malaria. Having seen the way malaria impacts workers, their families and communities in sub-Saharan Africa, ExxonMobil introduced a workforce malaria program and support for community malaria control efforts more than a decade ago. Our focus on the four ABCDs – Awareness, Bite prevention, Chemoprophylaxis and Diagnosis and early effective treatment– has been paramount to the effective control of malaria in ExxonMobil workplaces, the execution of our community outreach programs, and our ongoing support for malaria research and development.

    In the past decade, this approach has helped avert an estimated 1,800 malaria cases among non-immune workers and, since 2007, no ExxonMobil workers have died from malaria. Similarly, our partnerships with leading malaria organizations are encouraging innovative and effective programs that address malaria from all sides. For example, in Chad and Cameroon, ExxonMobil supports a national multimedia malaria prevention campaign through Malaria No More and trains health workers to provide malaria prevention and treatment services—particularly for pregnant women—with Jhpiego.

    ExxonMobil is not alone in our commitment to fight malaria. We are part of a larger effort of businesses partnering with the public sector to drive a comprehensive response to the parasite.

    In sub-Saharan Africa, this joint support has made a powerful impact, and it is emblematic of how corporations can be agents of change across a spectrum of control efforts. ExxonMobil’s partnerships alone have helped distribute more than 13 million bed nets, provide close to two million malaria treatment doses, and train 355,000 health workers. When combined with other companies’ initiatives, these efforts translate into expanded impact where it is most needed.

    As a community, we can build on these successes. Going forward, the global malaria community must remain steadfast in its commitment to leverage the resources of its partners and foster greater collaboration to expand the reach of these interventions. Together, we can reduce the burden of malaria – and build a more prosperous and healthy future across the continent.

    • Dr. Setas-Ferreira is Regional Advisor for Community and Public Health at the ExxonMobil Corporation

  • Love in the tropics of malaria

    Love in the tropics of malaria

    There was something of the tropics about Fredrick John Dealtry Lugard. Despite his ice-cool exterior and glacial temperament, there was an underlying fire, a capacity for fury and vengefulness which was quite tropical in nature. Lugard also had a capacity for torrid, equatorial passion in the amatorial sense which would be considered in the west as a sign of the emotional incontinence that Africans are particularly prone. Despite being a British warlord, Lugard was in every sense of the word Othello’s compatriot.

    Fredrick was a child of the tropics. He was born in the tropics, in Madras, India. He was the son of a British clergyman and his third wife. But he was raised in Britain and eventually enrolled at the Sandhurst Royal Military Academy. After commissioning, he was posted to the East Norfolk Regiment and from there to the second battalion in India. The tropics had reclaimed its own. It was from the orient that Lugard was to first contract the malaria that plagued him for the rest of his life and which became worse as Africa added its own vicious variety.

    The fateful conjoining with the tropics and its colonial history was to alter the fundamental trajectory and course of Lugard’s life. But in retrospect, it did not affect his substantial destiny. This is the way fate sometimes plays poker with human destiny. In any case, there is malaria and there is malaria. There is also emotional malaria, which sends the afflicted to the pitch of fevered delirium.

    In India, the young officer fell hopelessly and fecklessly in love with a married woman. It was the height of indiscretion. The ensuing furor was to destroy what was a promising military career. Normally high-strung, it was believed that it was at this point that Lugard suffered an emotional and nervous breakdown. In a feat of self-obliteration partly to redress the shame of an aborted career and partly to satisfy his love of high-risk adventure on behalf of the crown, the future ruler of Nigeria journeyed to East Africa to join the battle against predominantly Arab slave raiders.

    The year following his arrival in Africa, Lugard was severely wounded while leading a charge against the stockade of a slave raider very close to Lake Nyasa. For days, Lugard hovered between life and death. It was probably at that point that he experienced a radical epiphany. He found his life’s purpose. He was not going to be a regular British officer periodically called out to defend the interests of empire. But he was going to spend the rest of his life fighting for and securing the interests of the royal majesty in Africa and the Far East.

    It was actually on his second tour of what was to become Nigeria that Lugard was named High Commissioner for the Protectorate of Northern Nigeria. Even by then, the Madras-born soldier had become something of a legend in colonial military history. In several campaigns, he had distinguished himself for exceptional valour and his fabled contempt for personal safety. Often hopelessly outnumbered by the swarming natives, Lugard’s military maxim seemed to have been never to spare a maxim or show mercy when you needed to be merciless.

    The African campaigns—or punitive expeditions properly speaking—were marked by such savagery and brutality that they marked Lugard in turn for the rest of his life. Apart from having been severely wounded in Zanzibar, Lugard also had a poisoned arrow stuck on his forehead from northern Nigeria. Nobody is sure of how this impacted on Lugard’s mental and psychological state. But gone forever was the callow officer of the Indian Second Batallion, or the youthful inexperienced lover.

    Margery Perhams description of Lugard is incredibly graphic and unforgettable: “Africa has marked him as her own: Tall, gaunt, angular, dark as a Spaniard, Lugard has the yellow skin, the hollowed cheeks, the sunken eyes, the indented temples which mark the man who has struggled for life with the fever-fiend.”

    Perhams could as well have been describing a classic Byronic hero. There were also the dark Spanish looks and a hint of the ancient conquistador and his menacing machismo. But Lugard was not your typical garden variety Don Juan. Any hint of sensual frivolity had been savagely repressed, particularly after the Indian fiasco. Enveloped in a forbidding aura of testy reserve, Lugard never gave anything away.

    Yet it was at this point in time that the invisible hand of fate summoned Lugard to what was perhaps his greatest campaign. Militarily and politically, he was already approaching the summit of his power and glory. But emotionally, he remained an Arctic tundra of frigid and frozen impulses. The conqueror of the lower and upper tribes of the Niger was ripe for conquest by love, by affection and by lifelong devotion and faithful collaboration. Romance beckoned…… in the tropics of fever.

    Fiona Louise Shaw was born in 1852, six full years before Fredrick John Dealtry Lugard. She was the daughter of a British general of Irish extraction and a French mother. She was as beautiful as she was proud, imperious, fiercely independent and intellectually self-assured. In the history of British journalism, she was the first woman to have reached its stratospheric summit.

    Margery Perhams description of this Amazon of the pen is equally gripping: “She looks what she is, a woman to go anywhere and do anything; the woman to write three columns of good copy for a newspaper on the back of a portmanteau in a desert.” Fiona Shaw was an original in every sense of the word. Like her husband to be, she did not take hostages or suffer fools gladly.

    They first met in 1893 when they were both approaching midlife. Nothing came out of that encounter. But it was obvious that they shared a passion for the new British colonies of Africa, Nigeria in particular. It was Fiona Shaw who coined the new name for the British protectorates, although it can be argued that the name had been in private circulation among the Lagos coastal elite for some time. It is an irony of history that the same elite group would view the subsequent amalgamation of the protectorates with considerable dismay.

    Fiona Shaw was at this time romantically involved with Sir George Goldie, the legendary helmsman of the Royal Niger Company. It was a doomed relationship. Goldie was a notorious womaniser and feckless rake. His brutal indiscretions led to Fiona’s emotional breakdown. It was at this point that Lugard stepped in like a shinning knight in armour. Even then, Fiona Shaw turned him down and only accepted his proposal the second time.

    They married in Madeira in 1902 while Lugard was on a leave of absence from the Northern protectorate. Shaw fully supported Lugard’s proposals about the need for an amalgamation of the protectorates. The basic argument was that there was no need sending the surplus extracted from the South through taxation on liquor, railway and natural produce to Whitehall when the north remained virtually bankrupt.

    The union seemed to have liberated Lugard’s political genius. This was Lugard at the summit of his political and administrative ingenuity: brilliantly gaming against Whitehall and frustrating its attempt to rein him in militarily; propping up belligerent subordinates like Abadie, the Colonial Resident of Zaria, against wiser and more restrained counsel from his more experienced lieutenants. An exasperated Whitehall mandarin actually whispered the word “coup” to describe Lugard’s adroit manoeuvres. The amalgamation was actually Nigeria’s first coup.

    A vengeful Lugard was bent on putting the old north, particularly the emirate of Kano and the Sultanate, to sword: The emir of Kano for joyously welcoming the thuggish band that put Moloney to death in Keffi and the sultanate for the contumely of Sultan Abdu who had questioned his authority in a moment of frustration.

    Military historians have suggested that the Emir of Kano was actually on his way to Sokoto with numerous supporters to commiserate with the new Sultan, Attahiru, over the death of his predecessor and to urge him to get the Fulani to flee en masse from the protectorate to escape the mighty wrath of the Raj. This strange movement provided Lugard with a casus belli. Lugard moved with swift and merciless precision. The Fulani hegemons were put to death. Men are killed not because horses are stolen, but so that horses will not be stolen. The sultanate had been pacified.

    But nothing lasts for long in the tropics. Tropical fever set in. Fiona suffered an irreversible breakdown. She left never to come back, but remained in ceaseless correspondence with her beloved husband. It is a curious irony that Lugard who was to singlehandedly establish the University of Hong Kong and who also championed the cause of the sophisticated Chinese islanders would be so riled by the sophisticated and western-educated elite of Lagos. In correspondence with his wife, he noted of them:” I am not in sympathy with him. His loud and arrogant conceit are distasteful to me.”

    The vengeful African tropics had left their indelible marks on the greatest colonial administrator of the last century. But when we hurt others, we also hurt ourselves. Unlike the Chinese who had five thousand years of fairly stable history behind them and who did not have to adopt a new culture and language, early educated African elite came a long way overcoming the colonial mindset about Africa and other entrenched prejudices. They could not but be loud, arrogant and conceited, unlike the self-assured Chinese who had nothing but sublime contempt for Western culture and civilisation.

    The pity of it all. Britain would have found a powerful ally in a powerful, prosperous, democratic and liberal-minded contemporary Nigeria. Equatorial distemper is no respecter of humanity. Lugard was human after all, and a gallant and chivalrous lover to the bargain. Let good old Freddie now rest in peace while we get on with it.

  • Nigeria to fight malaria with e-tech

    Nigeria to fight malaria with e-tech

    “IT takes Nigerians to find solutions to our internal problems on whatever level it faces us,” were the opening remark of Mr. Chris Uwaje, Chairman, Mobile Software Solutions Limited, and President, Institute of Software Practitioners of Nigeria (ISPON), pioneer, ICT Policy for Nigeria.

    Speaking on why Nigeria has to nail malaria into extinction, Uwaje, said it was one “battle that had confronted us so much even in the days of the Colonial masters when they came to grant Nigeria independence as a nation, they were unable to grant us ‘freedom’ from malaria.

    Malaria has killed hundreds of thousands of Nigerians for many years.

    Current data on malaria in Africa, shows that one of the 300-500 million cases of malaria result in death. Also annually, Nigeria accounts for over 300,000 thousand deaths. As such, medical experts noted that Nigeria’s health profile is in grave danger.

    On the economic slate, malaria costs Africa an estimated N12billion in loss of productivity on an annual basis. The situation is so weighty that according to the Health Minister, Professor Onyebuchi Chukwu, a child dies of malaria every second across Africa.

    “When you see these figures, one is forced to react. That is why in our company, we have been on a research for quite a long time. Our major concern is to save future generations of Nigerians. Our response to the eradication of mosquitoes and by extension, the destruction of the epidemic in our continent informed the creation of the game. “Permit me to say that our initial drive is not for profit. We have mostly around us today children and younger ones who are quite technology savvy. They like to play games and so, we came up with a game called Malaria Destroyer Game (MDG) which has the endorsement of the United Nations Educational, Scientific and Cultural Organisation. It is in line with the World Health Organisation’s (WHO) Millennium Development Goals (MDGs).

    “Of the estimated over 100millions cases, which result in about 300thousand deaths annually, the urgency to do something novel cannot be over-emphasised. Coupled with the picture of urgency being painted in the twin evil of 215,000 deaths yearly in Nigeria arising from the Human Immunodeficiency Virus (HIV) and its gradual descent into the dreaded Acquired Immune Deficiency Syndrome (AIDS).

    “So what we are talking about, every little children, and not only adults, need to understand everything about malaria. This game would familiarise every Nigerian with the knowledge needed so that when parents are not close-by to help the children, the kids would amazingly help themselves to an extent. By playing the game, everyone would learn everything about how it could affect them to factors that could predispose them to it, what they can do to prevent themselves, and even help several others.”

    In the MDG game, Nigeria is depicted as a country at war against malaria as her number one enemy. The example was portrayed after Syria, a country that had been at war for quite long. It is done so in the believe Syria does not fight more battles than Nigeria does for the fact that both countries have been battling to extinct their perceived foes for several years.

    Uwaje said, “We then decided that the fresh twist is to make Nigeria fight her war against malaria with high e-tech since technology is what drives our world now and it is a device the malaria parasites cannot decode. We all know that Syria, for about two years has been fighting war, which it has lost over 200 thousand people. Nigeria, with all arms battle, has had to combat malaria and lost over 600 people in the same two years. So, what are we talking about?

    “This is one of the beauties of the software environment which is made up of many facets with the most important aspect being research and development in the mobile-device driven world.

    Nigeria has about 120million mobile phones. And this is the first singular opportunity to showcase its creativity and tell its story. “So we designed the MDG mobile solution game focused on ensuring that at least about half of those who would have died in future would be equipped with all the knowledge needed to save their lives. And to ensure that mosquito is more dangerous than a gun in our lives because gun does not kill as much as the many people that mosquitoes kill, and we want to make sure that the mindset of Nigerians are changed. We want to get also our elderly ones who may not be in the educated class to join the e-battle against malaria. If everyone could use the WHO mosquito repellent soaked nets, everyone can play this game to send malaria off our soil.”

    The MDG, he said, will teach every Nigerian including children from about four years up, the knowledge hunt, just as when a person wants to kill malaria, they know that they have to go to the shop, buy ‘tools’ such as flits, nets, etc, then return home to battle malaria. The game is made with the mindset that after the older generation passes on, the younger would have the opportunity to live happier, healthier malaria-free lives. Similarly, in the game, you go to the shop buy the tools, but more importantly is the fact that you gain better knowledge of how malaria is birth through being bitten by a parasite carrying mosquito, the medical terminologies, preventive methods and better still, what it takes in the real life, to fight malaria as well as how to avert being knocked down by sickness due to malaria. The MDG in interactive and educative as there are questions that would be asked as the game is being.

  • Companies to fight malaria with e-tech

    Companies to fight malaria with e-tech

    It takes Nigerians to find solutions to our internal problems on whatever level if faces us,” were the opening words of Mr. Chris Uwaje, Chairman, Mobile Software Solutions Limited, and President, Institute of Software Practitioners of Nigeria (ISPON), pioneer, ICT Policy for Nigeria.

    Speaking on why Nigeria has to nail malaria into extinction, Uwaje, said it was one battle that had confronted us so much that even in the days of the Colonial masters when they came to grant Nigeria independence as a nation, they were unable to grant us ‘freedom’ from malaria.

    In its wake, malaria has killed hundreds of thousands of Nigerians for many years.

    In the current data on malaria in Africa, yearly, one of the 300-500 million cases of malaria result in death. Also annually, Nigeria accounts for over 300,000 thousand deaths. As such, medical experts noted that Nigeria’s health profile is in grave danger.

    On the economic slate, malaria costs Africa an estimated N12billion in loss of productivity on an annual basis. The situation is so weighty that according to the Health Minister, Professor Onyebuchi Chukwu, a child dies of malaria every second across Africa.

    “When you see these figures, one is forced to react. That is why in our company here, we have been on a research for quite a long time. Our major concern is to save future generations of Nigerians. Our response to the eradication of mosquitoes and by extension, the destruction of the epidemic in our continent informed the creation of the game. Permit me to say that our initial drive is not for profit. We have mostly around us today children and younger ones who are quite technology savvy. They like to play games and so, we came up with a game called Malaria Destroyer Game (MDG) which has the endorsement of the United Nations Educational, Scientific and Cultural Organisation. It is in line with the World Health Organisation’s (WHO) Millennium Development Goals (MDGs).

    “Of the estimated over 100millions cases which result in about 300thousand deaths annually, the urgency to do something novel cannot be over-emphasised.”

  • Mosquito nets are not for fishing

    Mosquito nets are not for fishing

    Researchers now state that local efforts to eradicate malaria could be seriously compromised due to medication-resistant parasites. Prevention is the key but lack of funding, education and follow through is undermining even the simplest of interventions.

    Malaria is an infectious disease that is commonly transmitted by the Anopheles mosquito. When a mosquito bites an infected person, the mosquito becomes the carrier of microscopic malaria parasites. When the mosquito bites again, these parasites mix with the mosquito’s saliva and are injected into the new person.

    According to the World Health Organization (WHO), half of the population is at risk of being infected – especially pregnant women and young children.

    Unknown to most, malaria can also be transmitted during pregnancy before and/or during childbirth. Malaria contracted at this time is called congenital malaria and is a major cause of infant death.

    Malaria co-infection is another major concern and occurs when two or more diseases are present at the same time. Pregnant women who have co-infection of HIV and malaria often suffer from anaemia, pre-term birth and low-birth weight babies.

    Although less common, blood transfusions, contaminated needles and syringes can also serve as mechanisms of malaria parasite transmission.

    WHO’s most recent estimates, released in December 2013, states “there were about 207 million cases of malaria in 2012 and an estimated 627 000 deaths. Malaria mortality rates have fallen by 45 per cent globally since 2000 and by 49 per cent in the African region.”

    Malaria often causes flu-like symptoms and, in severe forms, death. Despite scientific proof, some people still do not believe malaria exists and attributes the symptoms to witchcraft.

    As a basic guideline for protection against malaria, United Against Malaria recommends the distribution of two long-lasting insecticide-treated nets (LLINs) per person.

    This standard typically provides two to five years of protection for a family, depending upon the size of the family, the type of net, the number of washings and the degree of care given. The average purchase cost is USD 5 per net.

    However, simply having access to a net does not appear to have a major impact on their actual use. Surveys indicate that within households possessing at least one insecticide-treated net, only 55 per cent of children under the age of five were found to have slept under a net the previous night.

    This has been attributed to poverty and disregard in high-risk communities. Some people have openly admitted to selling their anti-malaria mosquito nets or converted them into fishing nets instead of using them.

    In combination with nets, indoor residual spraying (IRS) is another effective malaria prevention technique. IRS is safe for humans but lethal to mosquitoes that land on walls within a structure. It has shown to significantly decrease mosquito and larvae populations, especially in communities where stagnant water is present, such as those near mines, farms or brick-making operations.

    Currently, there is no antimalarial medication or vaccine that gives complete protection. The best line of defence is prevention and reducing the risk of mosquito bites.

    Take the following steps to reduce the risk of malaria:

     

    •           Avoid going out between dusk and dawn when mosquitos are most active;

    •           Wear long-sleeved clothing and long trousers;

    •           Use insecticide-treated nets in bedrooms at night;

    •           Apply insect repellent on any exposed skin and use indoor residual sprays in the home.

    Couillard is an international health columnist that works in collaboration with the World Health Organization’s goals of disease prevention and control. You can reach him via:

    Email: drcorycouillard@gmail.com

    Facebook: Dr Cory Couillard

    Twitter: DrCoryCouillard

     

  • Why malaria must be stopped, by VC, others

    Why malaria must be stopped, by VC, others

    A2013 Batch “A” member of the National Youth Service Corps (NYSC), Agu Reuben, has organised a healthcare seminar as part of his Community Development Services (CDS) at the University of Calabar (UNICAL).

    He said he was motivated to embark on the project because malaria still accounted for 60 per cent of outpatient visits to health facilities and killing young children and women during child birth.

    The ailment, he noted, prevented many children from being present in school, thereby leading to poor academic performance.

    He thanked members of the community for turning out en masse for the seminar.

    Highlights of the programme included free malaria screening and donation of free drugs and medical materials to some participants.

    The Vice-Chancellor of UNICAL, Prof James Epoke, who was represented by Prof James Utsalo, thanked the Corps member for organising the event, saying it would impact positively on people in the community.

    He said the institution would always support programmes by Corps members serving in the area.

    The NYSC Cross River State Coordinator, Nkereke Ibangha, said malaria was a major problem which must be stopped.

    The event was attended by President of UNICAL Women Association, Lady Gladys Epoke, who was represented by the Headmistress of the University Staff School, Mrs Florence Eleng and other principal officers of the institution.

     

  • ‘Environmental sanitation’ll ward-off malaria’

    Nigerians have been advised to keep their surroundings clean to prevent breeding ground for mosquitoes – a disease that kills a child every 45 minutes.

    A malariologist at the Nigerian Institute of Medical Research (NIMR), Yaba, Dr Bamgboye Afolabi said the disease can be eradicated, especially through environmental cleaniless.

    According to him, the disease has been in the country since the 50’s, i.e, during the colonial era.

    Afolabi said: “The colonial masters discovered that they were losing their warriors to mosquitoes than to war, so they started sharing bed nets, doing fumigation and environmental sanitation and inspections, among others.”

    He said in the 50’s, there was a global malaria eradication programme, but that it didn’t work in Africa because of the poor standard of living of the people.

    “The standard of living has to be improved first for malaria to be eradicated,” he added.

    On malaria burden, he said there is no statistics at the moment on the disease in the country.

  • ‘Environmental sanitation’ll ward-off malaria’

    Nigerians have been advised to keep their surroundings clean to prevent breeding ground for mosquitoes – a disease that kills a child every 45 minutes.

    A malariologist at the Nigerian Institute of Medical Research (NIMR), Yaba, Dr Bamgboye Afolabi said the disease can be eradicated, especially through environmental cleaniless.

    According to him, the disease has been in the country since the 50’s, i.e, during the colonial era.

    Afolabi said: “The colonial masters discovered that they were losing their warriors to mosquitoes than to war, so they started sharing bed nets, doing fumigation and environmental sanitation and inspections, among others.”

    He said in the 50’s, there was a global malaria eradication programme, but that it didn’t work in Africa because of the poor standard of living of the people.

    “The standard of living has to be improved first for malaria to be eradicated,” he added.

    On malaria burden, he said there is no statistics at the moment on the disease in the country.

    adding: “The south of Nigeria is endemic and many children die. Malariaologists have discovered that children below six months also suffer from the disease and may die if there is no adequate treatment.”

    He further said: “Most doctors are not aware of this and sometimes don’t see whooping cough and diarrhoea as a sign of malaria instead they treat these children for diarrhoea and whooping cough, not knowing they are suffering from malaria. This way wrong diagnosis will eventually make them die.”

    He said about 26 per cent of children born in the country die before six months, adding: “1.6 per cent of children above six months die of malaria, while 11 per cent of expectant mothers are lost to malaria, especially those who are in their first trimester.”

    He said Nigerians generally lose N80 billion yearly to malaria, stressing that as long as there is malaria, people will continue to remain in perpetual poverty.

    He said government policies to an extent have been effective, stressing that the government has resolved to end the disease. “During the Obasanjo’s era in 2000, there was a malaria submit, which was held in Abuja. Bed nets were shared to people.

    “There is also the National Malaria Eradication Programme, the Annual Health Submit on Malaria, Indoor Residence Spraying(IRS) and Intermittent Prevention Treatment of Malaria for expectant mothers (IPT) with this, the government is ensuring that malaria is no longer a public health problem.

    “There is also the general health policy on malaria. This policy should be reviewed every three to five years,” said the malariologist.

    Nigeria, he said, is at the verge of eradicating polio, so it would eradicate malaria too.

    Dr Afolabi said the government can eradicate malaria by putting together malariologists who will go to the south where malaria is endemic and conduct research there. Also they can educate them on how to control malaria and keep their environment clean and safe with mosquito nets.

    “Doctors can go to these villages and test the children there. In the past malaria was the main reason why patients come to the hospital for treatments. Malaria is endemic in the south. Epidemic in the north and between endemic and epidemic in the middle belt of the country,” Afolabi added.

     

  • NNPC/Chevron roll-back malaria programme for Delta communities

    NNPC/Chevron roll-back malaria programme for Delta communities

    The effort of the NNPC/Chevron Joint Venture to eradicate malaria through the Roll Back Malaria programme has been applauded by stakeholders in Delta State.

    The commendation for the JV commitment to health development in Nigeria through its Roll Back Malaria programme in various parts of the country; especially in communities around its operations in the Niger Delta region, was described as a worthy cause.

    The company recently organised similar programme in Ogbe-Ijoh, Warri South-West Local Government Area and Koko, Warri North Local Government Area of Delta State on November 7 and 8, 2013 in partnership with Africare.

    The programme, which involved enlightenment campaign on malaria prevention, malaria testing/treatment, distribution of insecticide-treated nets and sensitisation on the use of the nets as well as indoor residual spray in different houses in the communities, aimed at providing support for malaria prevention; including health promotion activities that would significantly reduce the prevalence of the disease and benefit the population.

    The Chairman of Warri South West Local Government Area who was represented by Hon. Kingsley Esimaje, the Supervisory Councillor for Education, thanked the NNPC/Chevron Joint Venture and its partners for deploying the programme in Ogbe-Ijoh, stressing the need to eradicate malarial scourge from the society because of its devastating effects on the people; especially in the riverside areas.

    He pledged the support of the local government in ensuring the smooth implementation of the programme, even as he called on the traditional rulers and the people to support facilitators of the programme in order to achieve their objectives.

    In his remarks at the event in Koko, the chairman, Warri North Local Government Area, Evangelist David Edun, who was represented by Mr. Nelson Egbe, the Supervisory Councillor for Environment, commended the programme, stating that malaria was the most common disease in Nigeria and in Delta State.

    Edun said: “Chevron is a good company that loves and cares for the well-being of the people. We implore you to keep up the good work in Delta State and in the society in general.”

    Earlier in her opening remarks, the Country Director, Africare, Dr. Orode Doherty thanked NNPC/Chevron Joint Venture for giving the organisation the privilege to facilitate the programme in Delta State.

    She explained that Africa’s malaria projects cover the entire Niger Delta with a combined catchment population of over 21 million, adding that their activities include supporting the primary health centres with supplies to ensure prompt adequate malaria diagnosis and treatment.

    In his remarks at the events, Mr. Deji Haastrup, the General Manager, Policy Government and Public Affairs (PGPA) represented by Messrs. Trust Inimgba (PGPA Superintendent Warri) and Kunle Okegbemiro (Coordinator National Programmes) in Ogbe-Ijoh and Koko respectively, stated that the company was partnering with the Delta State government and others for the roll back malaria as part of its corporate social responsibility commitments towards supporting healthcare development in Nigeria.

    He noted that malaria was a major killer disease in Nigeria which severely affects children mostly under five years of age and pregnant women. He added that malaria was currently endemic in 99 countries, causing an estimated 219 million cases and 660,000 deaths per year; according to World Health organisation (WHO).

    He reiterated that malaria was preventable and could be eradicated, adding that Chevron has been partnering with other stakeholders since 2009 to deploy the roll-back malaria programme in various parts of the country.

  • Rains and the upsurge in malaria cases

    SIR: One of the many disadvantages of the rainy season is the upsurge in Malaria cases. It is like a time of the year when dead mosquitoes arise to take revenge on the humans that killed them.

    Malaria in Nigeria, according to the Nigerian Ministry of Health (MoH), is responsible for 60 percent of out-patient visits to health facilities; 30 percent of childhood deaths; 25 percent of deaths in children under one year; and 11 percent of maternal deaths. The disease is directly contributing to poverty, low productivity, and reduced school attendance in Nigeria.

    For a country with a population of about 120 million, results show that Nigeria loses about N880,801 million per annum representing about 12 percent of our Gross Domestic Product. Hence, malaria burden in Nigeria is enormous and has a devastating impact on economic growth.

    Methods used to prevent malaria include medications, mosquito elimination and the prevention of bites.

    Here’s where mosquito nets come to play. Mosquito nets create a protective barrier against malaria-carrying mosquitoes that bite at night, they help keep mosquitoes away from people and significantly reduce infection rates and transmission of malaria. Nets are often treated with an insecticide designed to kill the mosquito before it has time to find a way past the net. Insecticide-treated nets are estimated to be twice as effective as untreated nets and offer greater than 70% protection compared with no net but when purchasing a mosquito net, you should still ask for the treated one as some are not treated.

    Anti-malaria drugs have been known to work effectively in malaria prevention, so go to the doctor for medications even if you are well and feeling healthy, complete your dosage so as not to give malaria a chance. When temporarily visiting malaria-endemic areas, it is adviced to begin taking anti-malaria medication prescribed by your doctor one to two weeks before arriving.

    Before you to go to sleep, apply insecticides in your home, do not be in the room when the insecticide is still strong and close your doors and windows early in the evening to prevent mosquitoes from coming in. Remember to fumigate your house at least once in a year. In the home, cover areas of stagnant, still water, such as water tanks that are ideal breeding grounds for the parasite and mosquito.

    Every pregnant woman should take the prevention of malaria seriously as it is the major cause of stillbirths so when feeling any sign of malaria, go to the doctor immediately for treatment and avoid areas where malaria and mosquitoes are present if you are at higher risk; and remember, flu and malaria have almost the same symptoms so don’t confuse the symptoms with the flu and neglect the doctor’s visitation.

    The prevention of diseases should be a major focus of any country seeking development. A friend in the United Kingdom was diagnosed with malaria and had to be quarantined for a week, she was in a confined space and visitors had to wear masks before coming in to see her, which goes to highlight how important the disease is been treated in the UK.

    The rainy season is good but we all have to work around the disadvantages it brings with it like malaria.

     

    • Adetola Ojo

    National Emergency Management Agency, Abuja.