The Cross River State Chapter of Nigerian Medical Association (NMA) has appealed to Governor Ben Ayade to approve 100 per cent Consolidated Medical Salary Structure (CONMESS) for doctors in the state.
This, the association said, was in line with other states in South South.
The association made the appeal in a communiqué issued on Tuesday in Calabar at the end of the South South Zonal Executive Council Meeting of the association.
The communiqué, which was signed by Dr Agam Ayuk, NMA Chairman, South South Zone, and Dr Ezoke Epoke, NMA Secretary, South South Zone, said that such approval would help to retain skilled workers in the state civil service.
The association also appealed for universal application of remuneration for all doctors in federal and states hospitals to improve workforce.
“NMA South South zone appeals to Governor Ayade to approve 100 per cent CONMESS for Cross River doctors in line with other states in the South South.
“The zone also calls for the development of areas of interest/specialties by both federal and state hospitals in the South South to guarantee quality training and healthcare delivery.
“On budgeting, the zone calls for improved budgetary funding and release to the health sector at least 15 per cent of total budget in accordance with the Abuja Declaration of 2001 by African Heads of States.
“As an association, we are also calling for renewed efforts by relevant authorities to prevent the re-occurrence of flooding incidents in the South South and other regions.
“The association urged government at all levels on early preparation, increased surveillance and public enlightenment /awareness, to control the spread of infectious diseases and provision of vaccines for vaccine preventable diseases.”
How to Get Rid Of Rashes Or Itching?
Itchy rashes torment you when least expected. What seems like innocent, mild rashes may soon give rise to a vicious itch-scratch-itch cycle. Rashes may appear anywhere on your body. It all starts with abnormal discolouration of the affected region on the skin, accompanied by a change in its texture. Some rashes are flat while others may appear as bumpy red spots.A condition in which you develop red, bumpy rashes on your body, is commonly known as dermatitis. Itchiness and development of rashes are termed as pruritus.
Rashes are generally non-contagious and affect adults and children alike. Certain weather conditions and immune response also contribute to the development of rashes. Eczema is the most common type of rashes, followed by other kinds like granuloma annulare, pityriasisrosea and lichen planus. In extreme case, rashes may develop into puss,and the infection may worsen
Since there may be several underlying reasons for rashes or itching, getting to the root cause is important, and for that one can book a doctor online at docprime to get an expert’s opinion. Topical application of anti-pruritic ointments coupled with antifungal and antibacterial drugs can provide relief from rashes and itching.Surfaz-Sn cream is effective in the healing of rashes and itching when applied on affected area as directed by your dermatologist.
Why Do Rashes and Itching Occur?
Rashes and itching often go together. While most rashes are pruritic, continuous itching can also lead to the appearance of rashes.
Rashes appear when your skin is inflamed. Inflammation is an immune response to allergens, antigens and pathogens.
Rashes Due to Immune Misfire
- Rashes which are red, scaly and itchy might be due to Eczema. Atopic Eczema results from a hypersensitive immune system. Common triggers are skin irritants (found in skin products or fabrics), stress, certain proteins and other allergens.
- Dermatitis causes red, dry, flaky and itchy rashes which often become infected. Physical contact with irritants, hives due to hypersensitivity and extremely dry weather can cause atopic and nummular dermatitis respectively while stasis dermatitis stems from poor blood circulation to extremities.
- Red, circular and raised rashes could be Granuloma annulare.
- An autoimmune disorder, triggered by certain medications, Hepatitis B or C could lead to the development of flat, shiny and reddish-purple bumps. These are called Lichen Planus.
- Pityriasisrosea refers to large, scaly and pinkish rashes associated with itching. Later, they develop into red,inflamed regions due to constant itching.
- Psoriasis and Systemic Lupus Erythematosus are examples of autoimmune disorders resulting in rashes
Rashes Due to Pathogens
- Ringworm infection is caused by a fungus, which is characterised by circular, itchy rashes in groins, the area between fingers and arms.Seborrheic dermatitis is caused due to fungal infection on the scalp.Surfaz-Sn cream can be used to treat fungal skin infections.
- Impetigo is an example of highly contagious bacterial infection leading to puss filled blisters on face, arms and legs.
- Rashes due to chicken pox and Hand Foot and Mouth diseases are attributed to viral infection.
The sensation of itching is primarily mediated by immune molecules like histamine. Other molecules triggering itching are proteases, cytokines and neuropeptides.
Getting Rid ofrashes and Itching
For mild itching, you can opt for some home remedies for symptomatic relief. These can help you soothe your itchy skin and prevent reinfection caused by constant itching.
Dryness can trigger itchy skin rashes. Regular moisturization using non-scented and mild oils and lotions can ease the itchiness. Cold compress also helps to curb skin inflammation by cooling down the affected area. It can be used whenever required. Humidity and sweat can also aggravate rashes. Wearing lightweight clothes and staying in a cool setting can tone down itchiness.
Calamine lotion is effective in treating rashes due to hives by cooling down the inflamed skin. Oatmeal bath and baking soda bath can also cool off your body and reduce the intensity of rashes.
Most rashes resolve after topical application of corticosteroid ointments and antifungal or antibacterial ointments.An ointment which has anti-microbial, as well as anti-histamine action, is the best way for symptomatic treatment of itchy rashes.
Surfaz-Sn cream use is highly recommended to battle itchy rashes. Manufactured by Franco Indian Pharmaceuticals Pvt. Ltd, Surfaz-Sn cream composition is of Beclomethasone Topical (0.025%), Clotrimazole Topical (1%) and Neomycin Topical (0.5%).
Surfaz-Sn cream mechanism of action stems from the combination of anti-microbial and corticosteroid composition. Beclomethasone is a steroid that inhibits the production and migration of leucocytes, prostaglandins and other mediators of inflammatory reaction. It is useful in providing symptomatic relief from itchy rashes. Clotrimazole prevents fungal growth by interfering in their cell wall production. Bacterial growth is inhibited by antibiotic Neomycin which acts by blocking protein synthesis necessary for the survival of bacteria.
Other variants of Surfaz-Sn cream are Surfaz Dusting powder, Surfaz cream, Surfaz Topical Solution, Surfaz-O tablet and Surfaz-B cream.
Surfaz-Sn dosage and duration of treatment should be followed as directed by your physician. Surfaz-Sn side effects, although rare, shouldn’t be ignored if they occur. Your doctor should be notified about any such unwanted reactions like itchiness of the skin, dry and cracked skin, acne, infections, discolouration of the skin and increased hair growth.
Surfaz-Sn contraindications include allergy to any of its components, systemic fungal infection and any other active infection. Avoiding contact with eyes, nose and mouth, washings hands after every application and using a thin layer of the cream are some Surfaz-Sn precautions that should be followed. Surfaz-Sn cream interaction has been reported with other topical drugs like Amphotericin B, Nystatin and Flucytosine.
Persistent rashes with chronic inflammation might require a more detailed investigation and treatment, apart from the topical application of ointments.
HIV/AIDS: FG To Increase Access To Test, Treatment
The Director General of the National Agency for the Control of HIV/AIDS (NACA), Dr Sani Aliyu says modalities have been put in place to increase testing and treatment of people living with HIV/AIDS in Nigeria (PLHIV).
Making this revelation recently at the just-concluded conference of civil society organisations working on HIV/AIDS in Nigeria, the NACA boss said the Federal Government would put necessary things in place to increase access to test and treatment.
According to him, a lot of things hinder people living with HIV/AIDS from accessing and staying on therapy, ranging from social, economic and cultural challenges such as stigmatisation.
It is important for people living with HIV/AIDS to be able to access testing and stay on treatment.
“NACA is liasing more with other government agencies, such as National Health Insurance Scheme to have a synergy that would incorporate HIV into the NHIS”, he said.
While noting that the essence of the conference was to seek ways of sourcing for domestic funds for HIV/AIDS response, the Executive Secretary, Dr Walter Uguwocha said the forum was to part a new course for HIV/AIDS response.
“The forum aims to bring the government and private sector together to deliberate on how to fund HIV response in Nigeria as most international donor agencies are withdrawing their support”, he said.
On his part, a participant at the conference, from the Global Advocacy for HIV Prevention in America, Dr Kelvin Fisher,said that the conference afforded him the opportunity to meet with the Nigerian HIV/AIDS community.
“It is tremendously important to be in a place like this, so I can learn from the civil society organisations of Africa.
“I need to understand what the CSOs really need you can’t do that from the U.S. to find out what kind of assistance they need and understand how our decisions can best meet their need”, he said.
Also speaking, chairman of the Governing Board of NACA, Mrs Paullen Tallen, said government is working hard in prevention of mother-to-child transmission.
“That is an area that is very dear to my heart and we’re really putting more effort to ensure that our HIV positive mothers gave birth to safe children without HIV. So far the strategy is good and encouraging”, she said.
Over ten countries participated in the Accountability Forum with the theme: “Domestic Resource Mobilisation: Increasing Public and Private Sector investment.
Immunisation: Health Ministry Targets Rural Communities
Towards ensuring that the on-going Maternal, Newborn and Child Health Week (MNCHW)/ Maternal Neo-natal Tetanus Elimination campaign achieves its target of over 80 percent, the Rivers State Ministry of Health says it has provided modalities for trained health care providers to reach the interiors of the state.
Making this known to The Tide in an exclusive interview, the Health Educator/Coordinator, Rivers State Social and Behavioural Change Communication Committee, Dr Doris Nria said provisions have been made to take the free immunization exercise to the rural areas of the state.
“Because the programme is running concurrently in all the local government areas, and these areas have been empowered with boats or other means of transport, logistics have been provided.
“In areas where boats are used for transport, Implementing Partners/Rivers State Government have put resources together to ensure that they are able to get boat or bicycle to enable the health workers get to these areas”, she explained.
Dr Nria further stated that in addition to specially trained health workers “we have recruited many other persons that have the knowledge of health, to further enhance reaching the hard-to-reach areas”.
Nria used the opportunity to call on the public especially parents and women of child bearing age to avail themselves the opportunity of being immunized against tetanus.
The MNCHW is a week-long exercise set aside by the Federal Government to take care of the mother, new born and children from 0 -5 years.
The 2018 exercise, billed to last from Monday 19th to Sunday 25th of November, 2018, is targeted at immunizing about 1.3 million children between 1 to 5 years old.
According to Dr Nria, the implementing partners include UNICEF, World Health organization, the change initiative and the National Health Care Development Agency.
By: Sogbeba Dokubo
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