Editorial
Why Women Shouldn’t Smoke
Despite all the warnings that today’s teens have heard about the dangers of smoking, the reality is that almost all of the new smokers today are teenagers. The Centre for Disease Control and Prevention (CDC) reports that in 2020, 3.9 percent of teen girls smoked cigarettes, and 22.5 percent used some form of tobacco product.It should not come to us as a surprise that even female undergraduates smoke in their halls of residence. This causes discomfort to other students who may not be interested in smoking. Women who smoke are at risk of the same health concerns as men who smoke, such as the increased risk of various cancers (including lung, mouth, larynx, pharynx, oesophagus, kidney, pancreas and bladder) and respiratory diseases, but there are also smoking-related health risks that are unique to women. Smoking rate has declined in recent years, but a large percentage of girls and women continue to smoke cigarettes and use tobacco in other forms.
Studies have found that women who smoke are also more likely to have mental health problems. In one study published in the Journal of Women’s Health, women who smoke have significantly higher rate of anxiety, depression and post-traumatic stress disorder (PTSD). Women who smoke were also much more likely to have experienced childhood abuse and intimate partner violence. The CDC noted that people with mental health or substance use disorders smoke cigarettes at higher rates than people who do not have mental health conditions. Around 25 percent of adults in the well civilised cities have some type of mental or behavioural health condition and these individuals make up 40 percent of all adult cigarette use. This relationship has a significant impact on the health and wellness of people with mental health conditions. The CDC suggests that people with serious mental health disorders who smoke die 15 years earlier than people who do not have mental health conditions and who do not smoke.
Nicotine may also affect health by masking the symptoms of some mental health conditions and impairing the efficacy of some mental health medications. Having a mental health condition may also make it more difficult for women to quit smoking. Women who smoke are more likely to have co-occurring substance use and mental health conditions. Statistics suggest that people who smoke and who also have mental health issues face increased mortality risks.Smoking can also have an impact on women’s health including areas such as birth control, fertility, pregnancy, pelvic inflammatory disease, and menopause. Oral contraceptives (“the pill”) and other hormonal methods of birth control come with risks and warnings specifically for people who smoke. Women who smoke and use oral contraceptives have an increased risk of developing cardiovascular diseases such as blood clots, heart attacks, and strokes. This risk increases with age, and women over 35 who smoke should not use oral contraceptives.
Historically, people who used the pill also experienced a mild elevation in blood pressure. However, blood pressure often returned to normal “pre-pill” levels once oral contraceptives were discontinued. Some newer studies indicate that high blood pressure is not a common problem associated with hormonal contraceptive use today. Nonetheless, all people who take oral contraceptives should have their blood pressure checked every six to 12 months. Chemicals in cigarettes are passed from pregnant people through the bloodstream to the foetus. These toxic chemicals present serious risks to the fetus as well as the pregnant person. According to the CDC, smoking during pregnancy increases the risk of Birth defects of the mouth and lip, Low birth weight, Preterm birth, Sudden infant death syndrome (SIDS). Children born to people who smoke experience more colds, earaches, respiratory problems, and illnesses requiring visits to the pediatrician than children born to people who don’t smoke. Many women today delay pregnancy until they are in their 30s or even 40s, which can cause fertility problems even for nonsmoking women. But women who smoke and delay childbirth are putting themselves at a substantially greater risk of future infertility than nonsmokers.
A 2017 study found that women who smoked six or more cigarettes a day experienced significant harm to their ability to conceive. Studies suggest that decreased ovulatory response, as well as the fertilisation and implantation of the zygote, may be impaired in women who smoke. Chemicals in tobacco may also alter the cervical mucus, making it less favorable for sperm and resulting in more difficulty conceiving. It is important to note, however, that smoking does not just affect female fertility. Male smokers are 50 percent more likely to become impotent. Some of the toxic chemicals found in cigarettes may result in gene mutations in sperm that can also cause miscarriage, birth defects, cancer, and other health problems in their children. Pelvic inflammatory disease occurs with a greater frequency in people who smoke than in people who don’t. Pelvic inflammatory disease (PID) is a painful disease that requires immediate medical intervention and is often a contributing factor in ectopic pregnancies as well as pelvic adhesions and other fertility problems.
Research has found that women who smoke have a 43 percent increased risk of experiencing menopause before the age of 50 compared to non-smokers. Women who smoke notice symptoms of menopause two to three years earlier than nonsmokers on average. Menstrual problems such as abnormal bleeding, amenorrhea (absence of periods), and vaginal infections are also common complaints among women who smoke. Menstrual abnormalities and early menopause may be caused by a toxic effect on the ovaries or by the significantly lower levels of estrogens noted in many studies of women who smoke. Oestrogen replacement therapy provides beneficial protection to post-menopausal women against the risk of osteoporosis. But these benefits are many times negated by the increased cardiovascular and other health risks associated with smoking while taking hormones. Women who smoke face increased risk of developing cardiovascular diseases such as heart attack and stroke when using supplemental estrogens. This risk should be discussed with a healthcare provider before beginning hormone replacement therapy if you smoke. Additionally, a healthcare provider can assist you if you choose to quit smoking.
Women who smoke face increased risks when taking oral contraceptives and are more likely to have issues with pregnancy and fertility. Other issues specific to women’s health include an increased risk of pelvic inflammatory disease, premature menopause, and issues with hormone therapy. Women also have unique risks to other aspects of their physical health. Smoking can increase the risk of certain illnesses and diseases and can impact bone health and heart health. Tobacco products also increase the risk of several types of cancers that affect women. Osteoporosis affects most people as they get older, but there are certain things you can do to reduce your risk of osteoporosis such as participating in regular physical activity and making sure you are getting 1,000 mg to 1,500 mg of calcium daily. Smoking causes a significant increase in the risk of bone loss and osteoporosis. Women who smoke cigarettes experience a higher loss of bone density than nonsmokers. Research suggests that women who smoke have a 31 percent higher risk of osteoporosis. Smoking also slows down healing time after a bone fracture.
Bone density scanning to determine the density of your bone structure is recommended for all women beginning at age 40. Bone density scanning is particularly crucial for women who smoke so that changes can be noted and treatment can be started if osteoporosis is found. According to the CDC, one in every four deaths caused by cardiovascular disease can be attributed to smoking. Although most of these deaths are in women past menopause, the risk of smoking-related heart disease is significantly higher in young female smokers. According to a 2019 study published in the Journal of the American College of Cardiology, women under the age of 50 who smoke have a higher risk of having a specific type of serious heart attack compared to men. This difference may be due to the interaction of estrogen with the chemicals found in cigarettes. All women should have regular pelvic exams that include pap smears, and for women who smoke, the necessity is even greater. According to the American Cancer Society, smoking doubles the risk of developing cervical cancer.
Cervical cancer patients who quit smoking may have a greater chance of remission and survival than patients who continue smoking. Researchers believe that tobacco damages the Deoxyribonucleic acid, DNA, cells of the cervix which contributes to the development of cancer. Smoking also affects immunity, which may make the body less able to fight off HPV infections, which are also a risk factor for cervical cancer. The American Cancer Society published the results of a study in 1994 which indicated that breast cancer patients who smoke may increase their risk of dying at least 25 percent —a risk that increases with the number of cigarettes smoked per day. The possible risk of fatal breast cancer rises up to 75 percent for women who smoke two packs or more per day. The good news is that if you quit now, your potential risk of dying as a result of future breast cancer remains the same as for a non-smoker. Another type of cancer that may occur more frequently in women who smoke is vulvar cancer. This risk increases significantly in women who smoke and who have a history of HPV infection.
Women have a higher risk of experiencing physical health problems associated with smoking including osteoperosis, heart disease, cervical cancer, breast cancer, and vulvar cancer. There are different approaches to quitting smoking. One strategy is to quit cold turkey. Another approach is to gradually taper your nicotine use. Both can be effective, so choose the one that is right for you and your needs.
If you are planning to stop smoking cold turkey, some tips that may help include: Plan ahead to quit smoking on a certain day. When the quit smoking day arrives, make sure you have thrown out all the ashtrays and cigarettes you have in your home so you will not be tempted. Have plenty of raw vegetables such as carrot sticks and celery available for the times you feel like eating as a result of your desire to have something in your hand/mouth. Many people fear gaining weight as a result of quitting. Participating in a vigorous exercise programmes three times per week may help you quit, and exercise can help limit any subsequent weight gain in addition to providing overall physical and mental health benefits.
Joining a support group and using online resources or mobile apps can also be helpful in navigating smoking cessation. Over-the-counter quit aids like nicotine replacement therapies (such as gums and patches) help many people decrease the physical symptoms of nicotine withdrawal. See a healthcare provider if you need further assistance in achieving your goal to quit smoking. They can offer support and additional quit aids that are available by prescription. Smoking is a leading cause of death for women, so it is important to be aware of the health risks. Not only can smoking increase your risk for cancer, heart disease, and other health problems, it can also create problems if you are trying to conceive or are currently pregnant.
By: Eunice Choko-Kayode
Nigeria’s return to democratic rule in 1999 marked a watershed moment in the nation’s political history. After enduring nearly 16 years of successive military dictatorships, Nigerians embraced a new era of civil governance with the inauguration of President Olusegun Obasanjo on May 29, 1999. Since then, the country has sustained a democratic system for 26 years. But, this democratic journey has been a complex mix of progress and persistent challenges.
The formal recognition of June 12 as Democracy Day in 2018 by former President Muhammadu Buhari acknowledged a long-standing injustice. The annulment of the 1993 presidential election, Nigeria’s freest, betrayed the democratic aspirations of millions. That it took decades to honour this date reflects the nation’s complex relationship with its democratic memory.
One of the most momentous successes of Nigeria’s democracy has been the uninterrupted civilian rule over the last two and a half decades. The country has witnessed seven general elections, with power transferring peacefully among different political parties. This is particularly notable considering that prior to 1999, no civilian government had completed a full term without military intervention. The peaceful transitions in 2007, 2015, and 2023 are testaments to Nigeria’s evolving democratic maturity.
Electoral participation, while uneven, has also reflected a level of democratic engagement. In 2003, voter turnout stood at about 69 per cent, but this figure dropped to approximately 34.75 per cent in 2023, according to the Independent National Electoral Commission (INEC). Although the declining turnout raises concerns, it also highlights the increasing expectations of the electorate, who demand credible and transparent elections.
Another area of progress is the growth of a vibrant and free press. Nigerian media has played a crucial role in holding governments accountable and fostering public discourse. Investigative journalism and civil society activism have exposed corruption and human rights abuses. The rise of social media has further expanded the democratic space, enabling young Nigerians to mobilise and advocate for change, as evidenced by the 2020 #EndSARS protests.
Judicial independence has seen mixed results. On one hand, the judiciary has occasionally demonstrated resilience, such as in landmark rulings that overturned fraudulent elections or curtailed executive excesses. On the other hand, allegations of political interference and corruption within the judiciary persist, undermining public confidence in the legal system’s impartiality.
Nigeria’s democracy has also facilitated the decentralisation of power through the federal system. State governments now wield some autonomy, allowing for experimentation in governance and service delivery. While this has led to innovative policies in some states, it has also entrenched patronage networks and uneven development across the federation.
Despite these successes, Nigeria’s democratic journey faces formidable problems. Electoral integrity remains a critical concern. Reports from election observers, including those from the European Union and ECOWAS, frequently highlight issues such as vote-buying, ballot box snatching, and violence. The introduction of the Bimodal Voter Accreditation System (BVAS) and electronic transmission of results in 2023 elections showed promise, but technical glitches and alleged manipulations dampened public trust.
Corruption continues to be a pervasive issue. Nigeria ranks 145th out of 180 countries on Transparency International’s 2023 Corruption Perceptions Index, with a score of 25/100. Democratic institutions meant to check graft—such as anti-corruption agencies and the legislature—often struggle due to political interference and weak enforcement mechanisms.
Security challenges have also strained Nigeria’s democracy. Insurgency in the North East, banditry in the North West, separatist agitations in the South East, and herder-farmer conflicts across the Middle Belt have collectively resulted in thousands of deaths and displacements. According to the Global Terrorism Index 2024, Nigeria ranks as the eighth most impacted country by terrorism. The government’s difficulty in ensuring safety erodes public confidence in the state’s capacity and legitimacy.
The economy poses another critical remonstrance. Nigeria’s Gross Domestic Product (GDP) per capita stands at approximately $2,400 as of 2024, with over 40 per cent of the population living below the national poverty line. High unemployment and inflation have fueled discontent and disillusionment with democratic governance, especially among youth. Without addressing economic grievances, the democratic dividend will remain elusive for many Nigerians.
Ethnic and religious divisions further complicate Nigeria’s democratic consolidation. Politicians often exploit identity politics for electoral gains, exacerbating social tensions. Although federal character principles aim to promote inclusiveness, they have also sometimes fostered a quota mentality rather than merit-based appointments.
Gender representation remains inadequate in Nigeria’s democratic institutions. Women occupy less than 10 per cent of seats in the National Assembly, one of the lowest rates globally. Efforts to pass gender parity bills have faced stiff resistance, highlighting deep-seated cultural and institutional barriers to female political participation.
Civil liberties, while constitutionally guaranteed, are under threat. Crackdowns on protesters, restrictions on press freedom, and surveillance of activists reveal an authoritarian streak within the democratic framework. The controversial Twitter ban in 2021 exemplified the country’s willingness to curb digital freedoms, prompting domestic and international criticism.
The political crisis in Rivers State embodies broader democratic struggles. Attempts to control the state through undemocratic means expose weaknesses in federal institutions and the rule of law. Immediate restoration of democratic governance in Rivers State is vital to preserving Nigeria’s democratic integrity and institutional credibility.
Local governments remain under the control of state governors, depriving citizens of grassroots democracy. Last year’s Supreme Court judgment on local government autonomy is promising, but state-level resistance threatens its implementation. Genuine autonomy would bring governance closer to the people and foster democratic innovation.
As we mark Democracy Day, we must honour the sacrifices of Chief M.K.O. Abiola, Kudirat Abiola, Femi Falana, Chief Gani Fawehinmi, Pa Alfred Rewane, President Bola Tinubu, and countless others, who fought for Nigeria’s freedom. As democracy in Nigeria continues to evolve after 26 years, this day should inspire action toward its renewal. With despotism and state failure as real threats, both citizens and leaders must take responsibility—citizens by demanding more, and leaders by delivering. Excuses are no longer acceptable.
Yesterday, Nigeria joined the rest of the world to mark 2025 World Environment Day. The occasion serves as a stark reminder that our battle against plastic pollution requires more than symbolic gestures—it demands sustained, coordinated action from all levels of government. As communities worldwide grapple with mounting environmental challenges, Nigeria’s approach to plastic waste management stands at a critical juncture.
Dr. Ibinabo Ogolo, a Research Fellow at the Institute of Geosciences and Environmental Management at Rivers State University, has issued a timely call for comprehensive enlightenment campaigns targeting indiscriminate plastic waste disposal. Her message resonates with the urgency that characterises this year’s global theme: “Beat Plastic Pollution.”
The core challenge lies not in policy formulation but in implementation. Years of environmental initiatives have fallen short primarily due to inadequate public education and awareness campaigns. Citizens cannot be expected to adopt responsible waste disposal practices without understanding the gravity of their actions or knowing the proper alternatives.
Government platforms at federal, state, and local levels possess the infrastructure necessary to reach every corner of our society. Television, radio, social media, community meetings, and educational institutions provide ready channels for sustained messaging. The tools exist; what remains is the political will to deploy them effectively and consistently.
This year’s World Environment Day theme underscores the global recognition of plastic pollution’s devastating impact on ecosystems, wildlife, and human health. The message is clear: plastic waste represents one of the most pressing environmental challenges of our time, requiring immediate and sustained attention from policymakers and citizens alike.
The health implications of plastic pollution extend far beyond environmental aesthetics. Industrial and medical plastic wastes often contain toxic chemicals with carcinogenic properties, posing direct threats to human health. These materials don’t simply disappear when improperly disposed of-they infiltrate our environment, contaminating soil, water sources, and food chains.
Plastic additives released into the environment create a cascade of contamination that affects entire ecosystems. Wildlife suffers through ingestion, entanglement, and habitat destruction, while humans face exposure through contaminated water, food, and air. The interconnected nature of these impacts demands a comprehensive response that addresses both immediate disposal practices and long-term prevention strategies.
The link between plastic pollution and serious health conditions, including breast, ovarian, liver, and lung cancers, as well as various hormonal disorders, underscores the urgency of public education campaigns. Citizens have the right to understand how their daily choices affect not only environmental health but their own well-being and that of their families.
Despite scientific awareness of ocean plastic pollution dating back approximately 50 years, Nigeria’s rivers, creeks, and waterways continue to suffer from plastic waste invasion. This represents a failure of sustained commitment rather than a lack of knowledge about the problem’s existence and solutions.
The ritualistic approach to World Environment Day celebrations must end. Annual speeches and symbolic cleanups, while valuable, cannot substitute for year-round, systematic efforts to change behaviour and protect our environment. Governments must develop comprehensive frameworks that extend beyond June 5th commemorations.
Sustained enlightenment campaigns require dedicated funding, clear messaging, measurable objectives, and regular evaluation. Success depends on consistency, creativity, and community engagement that transforms environmental protection from a government mandate into a shared cultural value.
The path forward demands that all stakeholders-government officials, community leaders, educators, and citizens-recognize their roles in combating plastic pollution. Only through sustained, coordinated efforts can we hope to achieve the behavioural changes necessary to protect our environment and secure a healthier future for generations to come.
The recent uproar surrounding the poor performance of students in the 2025 Unified Tertiary Matriculation Examination (UTME), alongside growing distrust in the Joint Admissions and Matriculation Board (JAMB), has sparked nationwide concern and regional tensions.
JAMB’s published results reveal a troubling trend: over 75 per cent of candidates scored below 200 out of 400. This marks a continuation of a steady decline in performance since 2020. The Minister of Education, Prof. Tunji Alausa, attributed this decline largely to the shift toward the Computer-Based Test (CBT) format introduced by JAMB.
Yet the crisis extends beyond widespread low scores. A total of 379,997 candidates-primarily from South-East Nigeria and Lagos State-were reportedly affected by technical glitches and human errors. These issues rendered their results invalid. In a rare public admission, JAMB Registrar, Professor Ishaq Oloyede, broke down in tears at a press conference, accepted responsibility, and announced a makeup UTME scheduled from Friday, May 16 to Monday, May 19, 2025.
However, the decision to reschedule the exam on short notice has drawn criticism. Many argue that the affected candidates, already emotionally distressed, were not given sufficient time to prepare. The Board’s plan to inform them via bulk SMS-a method known for its 50-60 per cent delivery rate-was also seen as inadequate, potentially excluding half of those impacted. Critics argue, JAMB should have either extended the resit period or leveraged digital answer scripts for regrading-unless, of course, such retrieval technology is unavailable.
Multiple factors likely contribute to the consistent underperformance of UTME candidates, yet the nation has seemingly accepted this dismal trend as standard. Each year, JAMB meets with university vice-chancellors, and low results are normalised. Consequently, universities scramble to admit the 25 per cent who scored above 200, often lowering their standards to fill quotas. This is especially evident in the profit-driven expansion of private universities.
The 2025 UTME debacle has exposed long-standing systemic flaws. Embracing digital-only exams demands greater readiness-both from service providers and from candidates. Reports from CBT centres include system malfunctions, frozen screens, login errors, and lost answers. Some candidates were unable to navigate subjects or submit their tests. These failures were beyond their control.
Whether due to technical incompetence or deliberate sabotage, the damage is clear. Some speculate that JAMB or its leadership-particularly Prof. Oloyede-may have been targeted. Over the past nine years, Oloyede has returned billions of naira in surpluses to the national treasury, earning both praise and scrutiny. While JAMB is not a revenue-generating agency, this unusual financial transparency has boosted its public image.
Despite this crisis, Prof. Oloyede showed commendable leadership, accepting responsibility, and taking immediate corrective action. The priority now must be to implement lasting solutions that prevent future failures. Leadership must be both principled and responsive to the public outcry.
Beyond the technical breakdowns and poor performance statistics, the UTME crisis had a tragic human cost, with at least one student reportedly taking their own life. Widespread irregularities have undermined trust in Nigeria’s educational meritocracy, reducing years of student effort to nothing.
The use of flawed software systems lacking safeguards has had catastrophic consequences. Essential reforms must include external audits, system redundancies, and real-time monitoring. JAMB’s initial poor communication only deepened public anxiety, underlining the need for greater transparency and independent oversight.
What is required now is a complete overhaul of JAMB’s technical infrastructure and a new communication strategy grounded in empathy and student welfare. Broader systemic reforms must follow, including more inclusive admission criteria and better support structures for students.
This crisis presents an opportunity-a solemn one-for sweeping reforms that centre students’ needs. Transformative action must be taken, not just in response to this scandal, but in honour of the life lost and to restore public trust.
Finally, an urgent and impartial investigation must uncover the true causes of these failures. Those found culpable must be held accountable. If we move forward without consequences, both JAMB’s reputation and that of its leadership may suffer irreparable damage.