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NACA Charges FG On HIV/AIDS Programme

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The Director-General of
the National Agency for the Control of AIDS (NACA), Dr Sani Aliyu, has said that the Federal Government must take full sponsorship of its HIV/AIDS programme or risk losing one million of its citizens currently living with the disease before 2022.
Aliyu, who stated this while fielding questions from State House correspondents in Abuja on Sunday, said taking ownership of the programme by Nigeria had become imperative in view of the dwindling resources coming from foreign donors for the programme.
According to him, at the moment, almost one million Nigerians are on HIV treatment with only about 60,000 of them being catered for by the Federal Government through the “Taraba and Abia project’’.
He said about 700,000 HIV positive Nigerians were catered for by the U. S. government while remaining 240,000 people were being treated through funds donated by other global organizations.
He, therefore, warned that, “if our major donors decide to stop funding HIV/AIDs programme, almost a million Nigerians will come off the  treatments.
“”I can tell you as a physician that if those one million people are out of treatment, statistically most of them will be dead in the next five years.
“”This is a national security issue. HIV treatment is now affordable and we as a country need to start taking ownership of the programme.
“As I mentioned to the National Economic Council, there is no programme on earth that is open-ended. No donor agency will come to you and say “I’m going to look after you forever’, It will never happen.
“So, eventually sooner or later those funds will dwindle and they will go away. At the moment we have an opportunity; we have an opportunity because in the last few weeks we have just crossed the tipping point for the epidemic.
“The tipping point for the epidemic is when we have more people going on treatment than we have new infections, which means that the epidemic is on real downward trend and therefore we need to maintain that momentum.’’
Aliyu expressed optimism that the country would be able to achieve the 90-90-90 per cent objective (90 per cent will have HIV; 90 per cent are on treatment and 90 per cent are biologically suppressed) by 2030 “if the momentum is maintained in the next few years.’’
He disclosed that state governments had already agreed to commit between 0.5 per cent to one per cent of their monthly allocation towards HIV/Aids programmes.
He said: “We are not asking for that money to come to the federal government. No, they keep their money but they commit to investing that money in HIV care in their states so that their health system can be strengthened; so that in the future they will be able to deliver their own HIV programme.
“By providing those funds we will be able to increase the number of people on treatment by 50 per cent.
“If we know that we have two million people on treatment by increasing 50 per cent we must have actually saturated the number of people on treatment.
“And with the HIV epidemic once you have more than 80 per cent of your people living with HIV on treatment and biologically suppressed, you don’t need to do anything, the epidemic will die out on its own because the infectivity is so low that the efficiency of transmission is interrupted.
“So, that was our first prayer to the governors and I made the point very clear that most states are already budgeting the one per cent towards HIV/AIDs but the problem is with the budget release.’’
It would be recalled that the federal government in 2010 signed an agreement with the U.S. government, stipulating that both the federal and the state governments would set aside one per cent of their allocation towards HIV programme in the country.
The Director General said the federal government was conscious of the agreement “but it was time the state governments implement it.
“HIV will not go away. You just don’t  sit down and pretend it is not a problem simply because somebody is paying for treatment for your citizens. You have to sit up and do it yourself.
“I’m happy to say, the state governors agreed to that prayer and we will follow it up with them.’’
Aliyu also said state governments had agreed to remove all fees and charges for anti-natal care for pregnant women living with HIV/AIDs.
“Nigeria is right at the bottom of the list when it comes to pregnant women with HIV in terms of transmission.
“Thousands of babies are born in Nigeria every month with HIV. On average one in every three babies born in the world is a Nigerian child. We are covering only one out of every three pregnant women with HIV.

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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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