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‘Rivers Among Best States In Malaria Control’

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As the world commemorates another World Malaria Day (WMD) tomorrow, attention is once again drawn to considerations of how far states, regions, and countries have fared in the fight against malaria.
Globally, according to Fact Sheet of the Economic Section of the United States Embassy in Nigeria, malaria affects 3.3 billion people, or half of the world’s population, in 106 countries and territories. The World Health Organisation (WHO) estimates also show that 216 million cases of malaria occurred in 2010, with 81% in the African region.
WHO further estimates that there were 655,000 malaria deaths in 2010, with 91% of it occurring in Africa, and 86% of which were children under 5 years of age. The body also noted that malaria is the 3rd leading cause of death for children under-five years worldwide, after pneumonia and diarrhea disease.
The Economic Section of the United States Embassy in Nigeria also stated that thirty countries in Sub-Saharan Africa account for 90% of global malaria deaths, with Nigeria, Democratic Republic of Congo (DRC), Ethiopia and Uganda accounting for nearly 50% of the global malaria deaths.
Meanwhile, the Fact Sheet noted that malaria is the 2nd leading cause of death from infectious diseases in Africa, after HIV/AIDS and that about 1 out of 5 deaths of children under 5 in Africa are due to malaria.
In Nigeria, according to the Fact Sheet, malaria is a major public health problem and accounts for more cases and deaths than any other country in the world. About 97% of the country’s population is said to be at risk of contacting malaria.
Again, there are an estimated 100 million malaria cases with over 300,000 deaths per year in Nigeria. This is over the estimated 215,000 HIV/AIDS-related deaths per year in the country.
Malaria contributes to an estimated 11% of maternal mortality and accounts for 60% of outpatient visits and 30% of hospitalizations among children under five years of age in Nigeria.
The ailment is said to have the greatest prevalence, with close to 50% in children age 6-59 months in the South West, North Central, and North West regions, while it has the least prevalence (27.6) in children age 6 to 59 months in the South East region.
It is noteworthy that the government at various levels in Nigeria, in collaboration with various implementing partners, have done much in malaria control. In spite of these however, noticeable challenges and gaps still exist.
Such challenges and gaps include poverty being a major factor in malaria prevention and treatment, and that an estimated 65% of Nigeria’s population lives in poverty. Added to this, vector control is highly dependent on pyrethroids, a single class of insecticides, resistance to which has been reported in 27 countries in sub-Saharan Africa, including Nigeria.
Quoting the World Malaria Report of November 2018, the Programme Manager, Rivers State Malaria Elimination Programme, Dr. Mina Jaja said 219 million cases of malaria still occur globally. Out of this, she said, five countries accounted for half of all malaria cases.
“Of these five countries, Nigeria accounted for 25%. So you know what that means. It’s still a course for concern for us in the country”, she said.
In the midst of these realities, Dr. Jaja said, Rivers State has managed to be among the top states known to have performed outstandingly in malaria control since the last WMD in 2018.
“Thankfully, in Rivers State, the prevalence is 7.3% as against the national prevalence of 27%. So, in every sense of modesty, Rivers State ranks among the five best states in malaria control”.
She credits this development to partly the commitment of the state Governor, Nyesom Wike, who, she said, as the Grand Ambassador for Malaria Elimination in the state, “has given us a political platform and stability in the political terrain that has made battling the malaria scourge a little bit easier for us”.
One key contribution of the governor, she hinted, is the renovation and equipment of several health care facilities.
“The renovation and equipping of several secondary health care facilities made it easy for people to access health care. You know, for malaria, you must test before you treat, and you will test when there are facilities where you can go and test. The more facilities you can walk in and test, the better”.
She also credited the efforts of other partners, which include WHO, Shell Petroleum, Development Company (SPDC), and Nigeria Liquefied Natural Gas (NLNG).
From their contributions, she hinted, “there have been a massive scale-up in the various intervention strategies to reduce the burden of malaria (in the state)”, she said.
The peculiarity of the 2019 WAD, Dr. Jaja, explained, is its global theme, “Zero malaria starts with me”, which is further individualised to “Zero malaria starts with me, Join Me” in Nigeria.
“This is individualizing the World Malaria Day, individualizing zero malaria. It emphasises citizen participation. It’s not about moving the buck to the government. It’s about you. So, what are you, as a person, going to do to attain zero malaria?
The WMD was established in May 2007 by the 60th session of the World Health Assembly, which is WHO’s decision-making body. The day was established to provide “education and understanding of malaria” and spread information on “year-long intensified implementation of national malaria-control strategies, including community-based activities for malaria prevention and treatment in endemic areas.”
Before the establishment of WMD, Africa Malaria Day (AMD) was held on April 25. It began in 2001, one year after the historic ”Abuja Declaration” was signed by 44 malaria-endemic countries at the African Summit on Malaria.
WMD allows for corporations, multinational organisations, and grassroots organisations globally to work together to bring awareness to malaria and advocate for policy changes, with each commemoration focusing on a specific theme.
The theme for 2018 was “Ready to beat malaria”, that for 2016 – 2017 was “End Malaria for Good”, while it was “Invest in the future: defeat malaria” in 2013-2014-2015.
Others were: “Sustain Gains, Save Lives: Invest in Malaria” (2012); “Achieving Progress and Impact” (2011); “Counting malaria out” (2009 – 2010); and “Malaria: a disease without borders” (2008).
Events marking the commemoration of the 2019 WMD in Rivers State commenced last Friday with a Jumat service at the Central Mosque, Victoria Street, Port Harcourt. It was followed by LLIN demonstration at Seventh Day Adventist Church, Mile Three, Port Harcourt.
Highlight of tomorrow’s commemoration, which will be the grand finale, will free malaria screening for civil servants and the public at the state Secretariat Complex and massive distribution of LLINs at the venue.

 

Sogbeba Dokubo

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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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