Health
Don Urges Stroke Prevention Strategies
In a bid to curtail the high rising cases of stroke in the country, a neurologist professor in the Department of Medicine, College of Health Sciences, University of Port Harcourt, Prof Arthur Onwuchekwa, has advocated moderation in certain food intake, regular sensitization and media outreach as possible effective strategies to prevent the killer disease.
Onwuchekwa stated this at the 135th inaugural lecture of the College on the theme: Stroke: A Preventive Disaster Waiting to Happen” at the Ebitimi Banigo Hall, of the institution recently.
The neurologist who noted that the saying “prevention is cheaper and better than cure” was squarely important in tackling the menace of rising stroke cases in the country, maintained that population-based strategies that would involve community, education, pointed materials, lectures sensitization awareness programmes, and -visual bill board and television programmes as well as radio jingles remained concrete ways of reaching out to the vulnerable segments of the nation’s populace.
Quoting World Health Organisation (WHO), Onwuchkwa defined stroke as rapidly developing clinical signs of focal disturbance of the cerebral function lasting more than 24 hours with no apparent cause other than vascular origin. This results when blood flow to the brain is abruptly interrupted leading to the demise of cells”.
According to him, “this manifests as inability to move on one part of the body, problems of understanding, feeling like the world is spinning or loss of vision to one or both eyes. This is usually sudden in outset within seconds and minutes.
He noted that “if the symptoms last less than 24 hours and resolves outrightly with no residual deficit, it is called “Translent Ischaemic Attack (TIA) or Mini stroke”.
Noting that stroke symptoms normally commence abruptly within seconds to minutes, the Professor said the symptoms rely on the area of brain affected as well as function of that area, the more extensive area affected, the more functions are likely to be lost.
The Don stated that the commonest way to recognize stroke is by the means of the facial deviation, Arm weakness, slurred speech and Time in the brain (FAST).
“Every minute in which a large vessel Ischaemic stroke is untreated, the average patient loses about 1.9 neurons, 13.8 billion synapses. Each hour in which treatment fails to occur, the brain loses as many neurons as it does in almost about 3.6 years of normal aging, Onwuchekwa averred.
He listed high blood pressure, diabetes mellintis, high blood cholesterol, excessive alcohol intake, obesity, smoking, lack of physical activity among others as major risk factors that predispose people to stroke.
While stating that stroke was classified into two categories of Ischaemic, which is called cerebral infration, caused by interruption of blood supply to the brain and Haemorrhagic, which results from bleeding into the brain tissue due to rupture of blood vessels, a condition called intra-cerebral Haemorrhagic (ICH), and reiterated the significance of team work among health workers to ensure effective treatment.
Onwuchekwa said “stroke is the new face of chronic non-communicable disease in sub -Saharan Africa, a forerunner, of health transition in the developing countries and a preventable disaster waiting to occur”. He therefore called on policy-makers in health, education, transport, finance, power, agriculture and information acting in concert to deal with the problem of stroke.
“Stroke education should target prospective patients such as hypertensive, diabetics, sicklers, the aged including care givers, adding that the campaign should be carried to tertiary, secondary and primary schools including churches and markets.
The Don who called for improved healthcare delivery system that would lay strong emphasis on primary healthcare also stressed the need for the rehabilitation of health facilities for physiotherapy, occupational and speech therapy to cater for the needs of those who eventually comedown with stroke.
Lady Godknows Ogbulu
Health
Lagos Trains Health Workers On Handling SGBV Cases
To address the increasing number of rape and defilement cases in Lagos communities, the State Ministry of Health has trained healthcare workers on the prevention and management of sexual assault cases.
The Director, Public Affairs in the ministry, Tunbosun Ogunbanwo, in a statement on Monday said the training equipped health workers with the knowledge and skills to provide professional, compassionate, and timely care to survivors.
Dr Folasade Oludara, Director, Family Health and Nutrition, State Ministry of Health, said the growing number of rape and defilement cases in Lagos communities necessitated the upskilling of healthcare workers who are often the first responders to survivors.
Oludara, represented by Dr Oluwatosin Onasanya, Deputy Director, Child Health, said the government recognised the critical role of health professionals in both clinical management and legal documentation of sexual assault cases.
She explained that the training was designed to ensure healthcare workers are adequately equipped to identify, document, and manage sexual assault cases effectively.
According to her, the training will strengthen Lagos’ coordinated health system response to gender-based violence.
She disclosed that the state government had already provided equipment and specimen collection tools to health facilities, noting that the training complemented this investment by building the competence of personnel handling such sensitive cases.
Oludara explained that doctors and nurses at the primary, secondary, and tertiary levels who serve as first contact points for survivors were carefully selected from all 57 LGAs and LCDAs, particularly from areas with higher incident rates.
The SGBV Programme Manager, Lagos State Ministry of Health, Dr Juradat Aofiyebi, emphasised that the capacity-building initiative was a strategic step toward improving survivor-centred healthcare delivery and prosecution outcomes.
Aofiyebi added that the training underscored the government’s commitment to reducing the prevalence of sexual assault through a robust, multi-sectoral approach.
“The training provides healthcare workers with the knowledge to properly identify survivors, document findings accurately, and provide comprehensive care, all of which contribute to justice delivery and prevention of repeat offences.
She said the ministry would sustain such training to ensure that every survivor who presented at a Lagos health facility received quality, non-judgmental care.
Mrs Adebanke Ogunde, Deputy Director, Directorate of Public Prosecutions (DPP), Lagos State Ministry of Justice, highlighted the importance of medical documentation in sexual assault trials.
She explained that most convictions hinge on the quality of medical reports and forensic evidence provided by healthcare professionals, noting that medical reports served as vital corroborative evidence in court, particularly in cases involving children.
“Your medical reports are crucial; they can determine whether justice is served or denied,” she said.
Ogunde reminded health workers of their legal duty to report suspected sexual assault cases to the police or the Lagos State Domestic and Sexual Violence Agency (DSVA).
Similarly, Dr Oluwajimi Sodipo, Consultant Family Physician, Lagos State University Teaching Hospital (LASUTH), underscored the importance of timely medical attention, psychosocial support, and non-stigmatising care for survivors.
Sodipo explained that immediate presentation within 72 hours of assault improved chances of preventing infections and collecting viable forensic evidence.
He commended Lagos State for sustaining its inter-agency collaboration and continuous professional training on SGBV.
Sodipo, however, called for the strengthening of DNA and forensic capacities, improved insurance coverage, and better remuneration for healthcare workers.
“We must sustain motivation and continuous retraining if we want to retain skilled professionals and enhance justice outcomes,” he added.
Also, Mrs Margret Anyebe, Claims Officer, Lagos State Health Management Agency (LASHMA), said domestic and sexual violence response had been integrated into the ILERA EKO Health Insurance Scheme.
Anyebe explained that survivors of sexual and domestic violence are covered for medical treatment, investigations, and follow-up care under the state’s Equity Fund for vulnerable groups.
“Hospitals are to provide first-line care, document, and refer survivors appropriately, while LASHMA ensures prompt reimbursement and oversight,” she said.
Health
Nch Technical Session Reviews 35 Memos …Sets Stage For Council Deliberations
The technical session of the ongoing National Council on Health (NCH) meeting on Monday reviewed 35 out of the 82 policy memos submitted ahead of full Council deliberations scheduled for later in the week.
Dr Kamil Shoretire, Director of Health Planning, Research and Statistics, disclosed this on Tuesday during the Technical Session of the 66th Regular meeting of the NCH ongoing in Calabar, Cross River.
He said that 10 of the memos considered were recommended for Council’s approval, eight were noted, and 18 stepped down for further work.
According him, two additional memos were deferred and will be re-presented after revisions are made.
At the reconvening of the session, Ms Kachallom Daju, Permanent Secretary, Ministry of Health and Social Welfare, said that there were five memos from the Coordinating Minister of Health, adding that they were all related to the Department of Food and Drugs.
Daju said that the memos were stepped down on Monday and scheduled for re-presentation.
She also provided clarification on the previously contentious healthcare waste-management memo, explaining that the N3.5 million requests tied to the proposal had already been repurposed by the Global Fund.
“I have followed up, and I am informed that the funds have been reprogrammed. Just so we put it to rest, we will not be discussing that memo anymore,” she said.
She also said that the final memo considered on Monday was the proposal for the inclusion of telemedicine services under the National Health Insurance Authority (NHIA).
“The next memo scheduled for presentation is the proposal for the establishment of Medipool as a Group Purchasing Organisation (GPO) for medicines and health commodities in Nigeria.
Meanwhile, Dr Oritseweyimi Ogbe, Secretary of the Ministerial Oversight Committee (MOC), formally notified the Council of the establishment of Medipool, a new public-private GPO created to strengthen the procurement of medicines and health commodities nationwide.
Presenting an information memorandum at the technical session, Ogbe explained that Medipool was the first nationally approved GPO designed to leverage economies of scale, negotiate better prices, and ensure quality-assured medicines.
He said this was beginning with primary healthcare facilities funded through the Basic Health Care Provision Fund (BHCPF).
According to him, Medipool was established after a proposal to the Ministry of Health, followed by appraisals and endorsements by the Project Implementation and Verification Committee (PIVAC) and the Ministry of Finance Incorporated (MOFI).
“It subsequently received Federal Executive Council approval, with MOFI now owning 10 per cent of the company’s shares. The Infrastructure Concession Regulatory Commission has also approved its operations.
“Under the model, Medipool will work with Drug Management Agencies (DMAs) in all states to aggregate national demand and negotiate directly with reputable manufacturers to obtain competitive prices and guaranteed-quality supplies.
“The platform will function as a one-stop shop for DMAs, who will then distribute medicines to health facilities through existing state structures.”
Ogbe added that while Medipool will initially focus on BHCPF-supported primary healthcare centres, it was expected to expand to other levels of care nationwide.
“The organisation will provide regular reports to the ministry of health and participate in national logistics working groups to ensure transparency, oversight, and technical guidance,” he said.
The News Agency of Nigeria (NAN) reports that Day One of the 66th NCH technical session opened with a call reaffirming the Ministry’s commitment to advancing Universal Health Coverage under the theme “My Health, My Right”.
“The delegates also adopted the amended report of the 65th NCH, setting the stage for informed deliberations.
The implementation status of the 19 resolutions from the previous Council was also reviewed, highlighting progress and gaps.
Health
Police Hospital Reports More Malaria Incidence
The authorities of Police Clinic in Port Harcourt have reported high cases of Malaria in its facility.
The revelation was made by Mrs Udoh Mba Robert, a Chief Superintendent of Police and senior medical personnel in the Clinic.
She told The Tide that,”the Hospital admits sixty (60) to seventy (70) patients in a month”.
On how the facility runs, she stated that the hospital is under the National Health Insurance Scheme as most patients are treated almost free.
She maintained that staff of the hospital have been trained professionally to manage health issues that come under the purview of the National Health Insurance Scheme.
Mrs. Robert explained that malaria treatment also falls under NHIA, as patients are expected to pay only 10 per cent for their treatment while the government takes care of the outstanding bills.
NHIA, she further stated covers treatment and care for uniform personnel like the police force, military men, civil servants and all others working for the government.
Urging the public to seek professional medical attention, Mrs. Robert said the facility is open to workers in the federal services, especially police staff.
Favour Umunnakwe, Victory Awaji, Excel Nnodim
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