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Society Moves To Streamline Asthma Treatment

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The Nigerian Thoracic Society (NTS), says that there is the need to streamline the various treatment options in the management and Asthma in Nigeria to meet international standards and practices worldwide.
To attain the standard, the society has initiated the “Guideline for Asthma Management in Nigeria’’, launched penultimate Tuesday in Lagos.
The National President, National Thoracic Society, Prof. Etete Peters, told newsmen in Lagos that the management of asthma in Nigeria over the decades had involved diverse therapeutic approaches.
“The challenges of managing asthma are still enormous because of the diverse approaches to it by many patients some of whom still adopt unorthodox methods of treatment.
“This gave room for the need to put together a concise method of treatment which was initiated in Uyo in November 2015,’’ he said.
Prof. Gregory Erhabor, Chairman, National Asthma Committee, said that asthma was an inflammatory disease that affects the lungs, causing repeated episodes of wheezing, breathlessness, chest tightness and nighttime or early morning coughing.
Erhabor, a Consultant Pulmonologist and professor of Medicine, Obafemi Awolowo University Teaching Hospital, Ile-Ife, said that asthma had to do with genetic pre-dispositions.
“If the family had asthma history or allergies, one becomes predisposed to acquiring the disease.
“Asthma is a great killer in the world; annually, about a quarter of a million people die globally from asthma.
“Although we do not have written statistics here, we know that a lot of people equally die from asthma in Nigeria.
“They die because their conditions are poorly diagnosed, under-treated and they do not have the right guidelines for treating their conditions.
“Globally, guidelines are set but they have to be adapted to the local images and peculiarities.
“So, with the Nigeria Asthma Guidelines, what we are trying to get is local peculiarities toward  helping the physician, healthcare providers, pharmacies and even the patient, on the proper way to manage asthma,’’ he said.
According to Erhabor, who is also the President of Asthma and Chest Care Foundation, this will help to reduce the burden of the disease.
On the significance of the guidelines, he said: “Almost every nation of the world has a guideline, but there is a global guideline which we call the Global Initiative for Management of Asthma (GIMA).
“However, we are creating a Nigerian guideline which will be useful to Nigeria and the West African sub-region as there is no other guideline in West Africa; South Africa has one.
“Again, not everything that is done globally for the management of asthma can be applicable to Nigeria because some of the drugs are not affordable and may not even be available.
“Also, some of the drugs have their way of working due to genetic predispositions; so, every year, we will look at what is new and upgrade the guidelines.
“This guideline will be distributed to hospitals, medical centres, medical schools and teaching hospitals; people will now have a way of managing asthma.
“We hope to distribute as many copies as possible, to make it accessible online and also include it in medical journals,’’ he said.
Erhabor said that asthma could be triggered by genetic predisposition and environmental conditions, including house dust, stressful situations, exercise and allergies.
“Some drugs, some occupation, laboratory and climatic conditions can also trigger attack in asthmatics.
“Attacks are common in early mornings and late at nights; if one does not have attacks in the night, then it may not be asthma
“Some symptoms of asthma include cough, restlessness and allergies,’’ Erhabor said.
Also, Dr Emmanuel Alabi, Past Membership Director and Administrative Secretary, NTS, said: “This guideline is one of its kind in Africa, especially in the Sub-Saharan Africa.
“Most countries like U.S. and U.K. have their guidelines to direct institutions and asthma caregivers on how to manage the disease; this is a written document which is revised from time to time.
“For Nigeria to have one, it is a good and laudable development and I urge all practitioners and caregivers in the management of asthma to adhere to the guidelines,’’ Alabi said.

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RSG Plans Fresh Training For TBAs

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Plans are in the works by the authorities in the Rivers State Ministry of Health to conduct training for Traditional Birth Attendants(TBAs) in the State.
State Commissioner for Health, Dr. Adaeze Oreh gave the hint while chatting with newsmen recently in Port Harcourt.
She said the training has become crucial to school the TBAs on methods and measures to complement in maternal health care.
In her words,”  We are aware of of their roles, but we need to be confident that they can still play that role, especially the skills set needed to complement what government is doing.’’
Dr. Oreh explained that maternal and child care has evolved, hence, the TBAs need to be schooled,” we want them to scale up their skills, especially on high risk pregnancies.”
She continued, “ We want to make sure that our system mops up those high risk pregnancies, because we know that many of them carry out clandestine activities they are not helping us.”
Assuring of improved manpower in the State health sector, Dr. Oreh said the Governor Siminalayi Fubara administration has embarked on fresh recruitment exercise for health workers to meet current challenges.
She assured that once the recruitment exercise is completed, the various health centres and hospitals will be staffed with qualified manpower to provide efficient health services in the State.

Kevin Nengia

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Viral Hepatitis Claims 3,500 Lives Daily -WHO

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The World Health Organisation (WHO) has raised an alarm on viral hepatitis infection that claims 3,500 lives each day.
According to the World Health Organisation (WHO) 2024 Global Hepatitis Report, the number of lives lost due to the viral hepatitis is increasing.
The disease is the second leading infectious cause of death globally — with 1.3 million deaths per year, the same as tuberculosis, a top infectious killer.
The report, released at the World Hepatitis Summit revealed that despite better tools for diagnosis and treatment, and decreasing product prices, testing and treatment coverage rates have stalled.
It, however, said, reaching the WHO elimination goal by 2030 is still  achievable, if swift actions are taken now.
New data from 187 countries show that the estimated number of deaths from viral hepatitis increased from 1.1 million in 2019 to 1.3 million in 2022. Of these, 83percent were caused by hepatitis B, and 17percent by hepatitis C. Every day, there are 3,500 people dying globally due to hepatitis B and C infections.
“This report paints a troubling picture: despite progress globally in preventing hepatitis infections, deaths are rising because far too few people with hepatitis are being diagnosed and treated,” said WHO’s Director-General, Dr Tedros Adhanom Ghebreyesus.
He added, “WHO is committed to supporting countries to use all the tools at their disposal – at access prices – to save lives and turn this trend around.”
Updated WHO estimates indicate that 254 million people lived with hepatitis B and 50 million with hepatitis C in 2022. Half the burden of chronic hepatitis B and C infections is among people 30–54 years old, with 12percent among children under 18 years of age. Men account for 58percent of all cases.
New incidence estimates indicate a slight decrease compared to 2019, but the overall incidence of viral hepatitis remains high.
In 2022, there were 2.2 million new infections, down from 2.5 million in 2019.
These include 1.2 million new hepatitis B infections and nearly one million new hepatitis C infections. More than 6,000 people are getting newly infected with viral hepatitis each day.
The revised estimates are derived from enhanced data from national prevalence surveys. They also indicate that prevention measures such as immunisation and safe injections, along with the expansion of hepatitis C treatment, have contributed to reducing the incidence.

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How Dates Boost Fertility -Research

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Now, researchers in a study, suggest that date palm is an arsenal to fight infertility in couples. They found that 1-month consumption of date palm has a positive impact on the sexual function of infertile couples.
The study to investigate the effect of date palms on the sexual function of infertile couples  was in the 2022 edition of the BMC Research Notes.
In a double-blind, placebo-controlled clinical trial conducted on infertile women and their husbands who were referred to infertility clinics in Iran in 2019, researchers found sexual function in females (arousal, orgasm, lubrication, pain during intercourse, satisfaction) in the intervention group was significantly increased compared to females in the control group that had no date palm.
Infertility and infertility management affects different dimensions of a couple’s life. Sexual dysfunctions can appear in both partners and might provoke problems in every stage of sexual response. Infertility negatively affects the sexuality of infertile couples.
Numerous studies show that infertile women have lower sexual function than fertile women. Sexual satisfaction is strongly affected by the consequences of infertility such as reduced self-esteem, feelings of depression and anxiety, and failed sexual relationships.
The intervention group was given a palm date capsule and the control group was given a placebo. The starch powder was applied to prepare the placebo capsules.
Also, all areas of male sexual function (erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall satisfaction) significantly increased in the intervention group compared to the control group.
Infertility is not only a medical problem but also affects all personal dimensions and social life of most infertile individuals. Infertile couples are more prone to psychological problems (anxiety, depression, and stress), which may result in marital distress, social dysfunction (stigma, social exclusion, and feelings of failure), and reduced quality of life.
Infertility and infertility management affects different dimensions of a couple’s life. Sexual dysfunctions can appear in both partners and might provoke problems in every stage of sexual response. Infertility negatively affects the sexuality of infertile couples.
Numerous studies show that infertile women have lower sexual function than fertile women. Sexual satisfaction is strongly affected by the consequences of infertility such as reduced self-esteem, feelings of depression and anxiety, and failed sexual relationships.
Dates palm is known to have come from what is now Iraq. In Nigeria, dry and soft date fruits are sold out for consumption. However, in the northern part, they are added to the locally brewed alcoholic beverage to help reduce the intoxicating power.
Dates are a good source of energy and vitamins and important elements such as phosphorus, iron, potassium and a significant amount of calcium. It is also rich in phenolic compounds possessing free radical scavenging and antioxidant activity.
Since ancient times, the date palm has been used in Greece, China and Egypt to treat infertility and increase sexual desire and fertility in females. There are few studies on the effect of date palms on male and female sexual function in human beings.
Besides, studies have shown that the various parts of its plant are widely used in traditional medicine for the treatment of various disorders which include memory disturbances, fever, inflammation, paralysis, loss of consciousness and nervous disorder.
Culled from Tribune online.

 

The researchers suggested that the improvement in male and female sexual function can be due to active ingredients and increased levels of sex hormones following the consumption of date palms since studies indicated that increasing sex hormones are effective in sexual function.

They, however, recommended more studies with a longer duration on the use of date palms on sex hormone levels in infertile couples.

Previously, a study revealed that using date palms in postmenopausal women for 1 month had a positive and significant impact on sexual desire and arousal.  Another suggested that using date palms had a positive impact on orgasm, satisfaction and lubrication in women and also reduced pain during intercourse in women.

In the laboratory, administering date palms to male rats and measuring their sexual behaviours, researchers showed that sexual behaviour parameters (number of ejaculations, number of intercourse) increased compared to the control group.

 

 

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