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Experts Identify Gastrointestinal Diseases Management Challenges

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Some medical practitio
ners in Lagos have listed self medication, late presentation and ignorance as some of the challenges facing the management of gastrointestinal diseases.
The experts gave the advice in seporate interviews in Lagos.
Dr Funmi Duro-Emmanuel, Physician at the Lagos University Teaching Hospital (LUTH), Idi-Araba, said that gastrointestinal diseases were commonly seen at the hospital, usually at the late stages.
According to her, the diseases are right from the mouth to the anus which involve  the throat, stomach, small and large intestines and anus.
“At each point, these organs present different things ranging from fungal infection in the mouth to peptic ulcer in the stomach and inflammation and bleeding of the intestines.
“We find that a lot of people self medicate, and it is when things have taken too long, not going down well, and late, that is when we find people coming to the hospital,’’ she said.
The physician said that many people were ignorant of which specialist to visit when they had problems ranging from mouth infection to ulcer and inflammation of the intestines.
Duro-Emanuel said: “Ignorance, not only that they deny, but also they listen to a lot of talks involving spirituality, visit the pastors or Imams, talk to neighbours before getting to the doctors.
“Also, they are ignorant of the specific doctor to visit when they have any of the problems of the organs highlighted above.”
Also speaking, another physician at LUTH, Dr Remi Oluyemi, said that ignorance of what was viable options for diagnosis and treatment were some of the challenges.
“Some people do not even know that in some of these diseases, all that is needed is just a blood test or an ultrasound,’’ he said.
Oluyemi said that there was need for more awareness so that people would know where and who to see when they have gastrointestinal problems.
“There is need to create awareness for people to know that they need to present themselves early for screening and treatment.
“It is not until when a tumour has gone beyond surgical care that they come, but it can be detected early and treated,’’ he said.
In his remark, Dr Mobolaji Oludera, a surgeon, urged philanthropists and stakeholders to donate facilities for the diagnosis of these diseases.
Oludera said that facilities for the diagnosis and treatment of the diseases were few to meet the needs of many people seeking treatment.
“Sometimes, the facilities are there, but are grossly underutilised, because many people do not present their ailment early at the hospitals,’’ he said.

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Who Unveils Plans To Check HIV/AIDS Discrimination

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The World Health Organisation (WHO) at the 2024 International AIDS Conference, has released a technical brief titled, “Ensuring Quality Health care by reducing HIV-related Stigma and Discrimination.”
This technical brief is designed to assist health facility managers in providing quality, stigma-free services, and reinforcing the principle that every individual has the right to the highest attainable standard of physical and mental health.
The world health apex body observed that stigma and discrimination still remain significant barriers to accessing HIV-related care.
It noted that these barriers particularly affect key populations, hindering the uptake of and access to health services along the HIV services continuum.
There is a growing body of evidence demonstrating that effective interventions in the health sector can mitigate these issues by focusing on actionable drivers and facilitators of health-related stigma and its manifestations..
To ensure that people living with or affected by HIV can access and stay engaged in care, it is critical that health care workers have the skills to deliver quality stigma-free health services,” said Dr Meg Doherty, Director of WHO Global HIV, Hepatitis and STIs Programmes.
WHO’s technical brief emphasizes the necessity of integrating measures to improve the quality of health care and reduce stigma, ensuring everyone can access the services they need without fear of discrimination.”
The technical brief consolidates existing knowledge, outlines priority areas, describes key actions, and provides country examples to achieve quality, stigma-free health services. While the brief is primarily focused on the health facility level, it is also applicable to community service delivery models.

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Natural Recipe For Longer Life

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Natural Herbs
By Kelvin Nengia

Costa Rica is home to one of the world’s Blue Zones, where people live longer and healthier lives than average. The region of Cartago, called Llano Grande is known for its rich agriculture.
According to a cookbook author and cooking teacher a diet of “pura vida”, lifestyle is our secret to longevity.
Beans
Beans are a great source of protein, fiber, complex carbohydrates, prebiotics, vitamins and minerals. They have been linked to reduced risk of chronic diseases like heart disease and diabetes.
Black and red beans are the most popular, usually served as part of a casado (our traditional dish of rice, beans, veggies and protein) or as a soup consisting of beans and vegetables.
Chickpeas and lentils are popular there and can be used as a substitute for the traditional black beans.
Fresh Fruit and Vegetables
Fruit and vegetables in Costa Rica are generally eaten fresh, not out of a can or a freezer. We typically get our fruits and veggies from local markets called verdulerias.
Some of the most common ones in their diet are papaya, mango, banana, watermelon, pineapple and passion fruit, and they are either eaten on their own or made into drinks and juices.
They use a variety of vegetables in Costa Rican cooking, including potatoes, carrots, tomatoes, avocado, onion, beets, yucca and zucchini. Veggies are either eaten raw, in simple salads dressed with lime, or prepared as picadillo, chopped and boiled, occasionally with some animal protein mixed in for flavor.
Picadillo de chayote is probably another favorite. Chayote is a type of squash that is native to Central and South America, and not very common in the United States. It is green and crisp, and it tastes similar to a jicama.
Rice and Corn
Grains like rice and corn are present in diet Costa ricans but mainly as a complement to the beans and vegetables that we eat.
For instance, the tortillas are used to eat the picadillo popularly called “gallos.” Arroz con pollo is a traditional Costa Rican dish consisting of rice, a lot of chopped vegetables and different pieces of chicken.
This meal is a very popular at celebrations like birthdays, but it is also very commonly enjoyed day to day.
Coffee
In Costa Rican coffee is known for being high in antioxidants, which can help reduce inflammation. Sugary drinks are generally not a big part of the coffee-drinking culture.
Coffee here is enjoyed black or with a bit of milk. And as much as any other meal, a cup is best enjoyed slowly — we do take our time to drink.
It’s a favorite Costa Rican longevity recipe.
They eat rice and beans, either black or red, two to three times a day. For lunch this meal is called casado. For breakfast, it is called gallo pinto and consists of rice and beans mixed with onions, peppers, and cilantro, accompanied with corn tortillas and coffee.
Thanks to its combination of whole grains, protein, amino acids and antioxidants, longevity researcher and Blue Zones founder Dan Buettner considers gallo pinto to be the healthiest breakfast in the world. It is amazing how such a simple dish can be packed with so many health benefits.

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55 Million Battle Dementia as WHO PLANS To Check Disease

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The World Health Organisation(WHO) says currently, more than 55 million people have dementia worldwide with over 60%  living in low- and middle income countries.

It also revealed that every year, there are nearly 10 million new cases.

The revelation came as WHO Assembly endorsed a global action plan on the public health response to dementia 2017-2025.

The goal of the action plan is to improve the lives of people with dementia, their carers and families, while decreasing the impact of dementia on them as well as on communities and countries.

The action plan includes seven strategic action areas, including one on dementia risk reduction,as  there is no cure for dementia currently.

The body stressed that risk reduction for dementia remains critically important with potentially modifiable risk factors means that prevention of dementia is potentially possible by implementing a set of key interventions. This would, in turn, offer opportunities to influence future dementia incidence.

To this end, WHO released guidelines for risk reduction of cognitive decline and dementia in 2019. The guidelines provide health care providers as well as governments, policy-makers and other stakeholders with evidence-based recommendations on health  behaviours and interventions to delay or prevent cognitive decline and dementia.

Since the initial release of the guidelines, the field has evolved significantly, with more evidence now being available. In line with WHO standard procedure, the Department of Mental Health, Brain Health and Substance Use has started the process of updating the guidelines for risk reduction of cognitive decline and dementia with the advice of a Guideline Development Group (GDG).

Meanwhile, experts are proposing to join the GDG for updating the guidelines for risk reduction of cognitive decline and dementia based on their technical expertise, diverse perspectives, demographic background, lived experience and geographic representation

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