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Preventing Stroke In Sub-Saharan Africa

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Until recently, precisely in the 21st century, the common thinking was that stroke was the function of bewitchment. So everyone suffering from stroke is a victim of a mystical influence or evil powers. While it is difficult to dismiss those beliefs as mere figment of imagination, superstition and old wives’ fables, because of the reality of evil and mean people who cast spells and bring hardship on unsuspecting people, Medical Science has revealed that stroke could also be medically deficient living especially in the Sub-Saharan Africa where  life expectancy is conservatively as low as 47 years. When people refused to lead lives in keeping with medical and health rules, neurologists say that stroke is  inevitable according to Director, Trinity Health Group, Dr. Patrick,  some people distinguish a stroke from  a heart attack. Some people refer to a Stroke as a “brain attack”. A stroke is also known as silent killer.. He said all stroke occur when a blockade prevents blood flow to portions of the brain, starving it of oxygen. “A stroke also occurs if there is a haemorrhage in the artery in the brain and blood flows where it should not, damaging brain cells and the affected brain cells die rapidly”.
However, the Heart and Stroke Foundation defines stroke as a sudden loss of brain function which is caused by the interruption of flow of blood to the brain or the rupture of blood vessels in the brain.”The interruption of blood flow or the rupture of blood vessels causes brain cells in the affected area to die”, it says. The Foundation, however, maintains that the effects of a stroke depend on where the brain is injured, as well as the extent of the damage. It says that a stroke can affect body function including one’s ability to move, see, remember, speak, reason, read and write. The foundation insists that stroke is a medical emergency that requires prompt and adequate response to enable the victim to survive and recover. Sharing similar sentiments, the National Stroke Association says, stroke is a “brain attack” which can happen to anyone at any time.
“It occurs when blood flow to an area of the brain is cut off”.”When this happens, brain cells are deprived of oxygen and they begin to die. When brain cells die during a stroke, abilities controlled by that area of the brain such as memory and muscle control are lost. “The association says the effect of stroke on a person largely depends on where the stroke occurs in the brain and the extent of the damage in the brain. “For example, someone who had a minor stroke may only have minor problems such as temporary weakness of an arm or leg. “While persons who have larger strokes may experience permanent paralysis on one side of their body or lose their ability to speak. “However, some people recover completely from stroke but more than two thirds of survivors will have some kind of disability”, the association says.
On its part, the Nigeria Stroke Reference Group says that stroke is a leading cause of long-term disability and death in Nigeria, stressing that more than 160,000 Nigerians die from stroke every year. An executive member of the group, Dr Biodun Ogungbo, was quoted as  saying that mortality of stroke is higher than that of malaria and HIV combined, adding, however, that stroke is not truly recognised as a killer. He argues that often, many of the deaths and disability caused by stroke are erroneously ascribed to malaria and witchcraft. He, therefore, underscores the need to sensitise Nigerians to the effects and management of stroke in order to reduce the number of deaths and disabilities arising from it.
“Common stroke symptoms include sudden weakness of the face, arm, or leg; sudden confusion; trouble in speaking or understanding speech; and sudden trouble in walking or seeing. “Others include loss of balance; and sudden, severe headache”, he added.
He insists that the ability to recognise the symptoms and seek prompt medical attention is critical to surviving a stroke and minimising long-term disability. He also stresses the need to develop an emergency telephone line for stroke emergencies in Nigeria and a coordinated ambulance service as well.” There is also the need for the establishment of more treatment centres to address the increasing number of stroke patients in the country”, he said.
However, the Founder of Stroke Care International, Mrs Gloria Ekeng, says that “the lack of education, not in terms of academic learning but in terms of awareness about stroke, has contributed to the growing incidence of stroke in the country. “People do not realise that stroke is a medical emergency which could also be prevented”, she says. Ekeng says that the early warning signs of stroke include persistent headaches, which fail to go away even after the use of analgesics, and weakness or heaviness in certain parts of the body.
She says that people, whose blood pressure is terribly high, face a serious risk of having a haemorrhagic stroke (a kind of stroke that occurs when a weakened blood vessel ruptures). She, however, insists that no one is immune to stroke, saying that it can affect anyone with ages between 19 and 90 years. Ekeng said simple lifestyle changes are the best way to prevent stroke, particularly for people with a family history of high blood pressure and its complications. “You have to check your blood pressure and make sure it is not up to 120 over 70 for any reason. “People with a family history of diabetes are also at the risk of having a stroke; they should, therefore, endeavour to keep their condition under control. “People have to actively be healthy by choosing healthier cooking oils, maintaining a low salt diet and exercising regularly.
“They should also keep their stress levels low. I know this can be difficult in Nigeria where there are a lot of stress activators like gridlocks and lack of funds to take care of pressing, daily needs”, she says.
For his part, a neurologist Dr. Patrick of the Trinity Health Medical Group ..says  there are two types of stroke namely: Ischemic Stroke-when there is a blockade, lack of blood flow in the blood vessels to the brain and the Haemorrhage Stroke- when an artery carrying blood in the brain leaks or ruptures. He identified common causes  as High Blood Pressure. “It is medically important to each person to know their blood pressure and to check with a primary care provider if it is high. Normal blood pressure is 120/80mm. High Blood Pressure affects the arteries, heart, kidney, eyes and brain. Other factors and causes of stroke according to the neurologist are, “Smoking/vaping, overweight, high cholesterol, diabetes, lack of exercise, poor diet, high alcohol consumption”.
He posits that unchangeable risk factors are: Racial/Ethnic groups, Age/Sex and Family History. “About 55 percent of black adults have High Blood Pressure, the older the person the greater the risk of stroke” adding that men who before 65 years old have a higher risk while women who are above 65 years of age have a higher risk. All the same, a Neurologist at University College Hospital (UCH), describes stroke as a medical and occasionally, a surgical emergency that requires treatment as quickly as possible. In a paper, he presented, Dr Ogunniyi, a neurologist says, “stroke occurs without warning and their symptoms often appear suddenly.”Stroke accounts for 40 to 60 percent of neurological admissions and it poses a major burden to Nigeria, in terms of number of cases, preventable disability and economic costs; this will continue as the population ages”, he says. Ogunniyi says that stroke is the second leading cause of preventable disability in low and middle-income countries like Nigeria.
“The disability burden is increasing in Nigeria.”We have so many cases and this calls for a better health care system to enable us to manage the situation effectively, as the cost of managing stroke runs into millions of naira”, he says. In the same vein, the Director of National Clinical Centre for Stroke in UK, underscores the need for Nigeria to adopt a coordinated policy and the right approach to controlling the rising incidence of stroke-related deaths. He also said that the rising cases of vascular disease in Nigeria required the urgent attention of the authorities. Rudd, nonetheless, said that stroke is treatable and manageable if the necessary steps are taken on time. “In Nigeria, there is this wrong perception that non-communicable diseases have yet to reach an epidemic level. “This is wrong because available statistics indicate that stroke prevalence is 1.14 per 1000 persons, while the mortality rate of stroke has gone up to 40 per cent in Nigeria,” he adds.
According to Rudd, the risk factors for stroke include HIV, sickle cell anaemia and cigarette smoking, among others.” HIV increases the risk of stroke by 40 percent; 11 percent of sickle cell patients have stroke before the age of 20, while 24 percent of sickle cell patients suffer stroke before reaching the age of 45 years”, he said. He, therefore, urged Nigerians to avoid lifestyles, such as extreme passion and too much sleep which could also trigger stroke. Rudd particularly advised persons who are at risk to avoid smoking and develop the habit of constantly checking their  blood pressure. However, the debilitating effects of stroke, perhaps, propelled the World Stroke Organisation to set aside October 29 every year as “World Stroke Day” The Day aims to highlight the serious nature and high rates of stroke; raise awareness of how to prevent ot treat the condition; while providing better care and support for survivors.
Nevertheless, medical experts call on individuals, irrespective of their gender to adopt healthier lifestyles that could lessen the risks of contracting stroke, while undergoing regular health checks.

 

Igbiki Benibo

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Curbing Substance Abuse Among Nigerian Youths

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In September 2023, a 24-year old lady had a birthday party in a South-West state where one of the guests offered to sell sachets of ‘Milo’ for N1,500 each. The guest, a young lady, had mixed marijuana with Milo and put same in Milo sachets, which had been so expertly sealed that no one would have suspected what the content of the sachets was. The guests at the party rushed the ‘Milo sachet’ and went on a binge, drinking and smoking themselves to get ‘high’. After getting high, fight eventually broke out among them and security operatives had to be brought in to maintain the peace. It was at that point that unsuspecting members of the public got to know that the party guests had gone on a marijuana trip. According to the World Health Organisation (WHO), substance abuse, or misuse, is the harmful use of psychoactive substances, including alcohol and illicit drugs. A psychoactive substance is a drug that affects how the brain works and causes changes in mood, awareness, thoughts, feelings, or behaviour. Examples of psychoactive substances include alcohol, caffeine, nicotine, marijuana and some pain relievers. Other substances abused by Nigerian youths include, ice, molly, cannabis, tobacco, cigarettes, cocaine, sedatives, kolanuts, analgesics, glue, heroine, energy drinks, miraa, tramadol, tranquillisers, cough drops,antimalarial and antibiotics.
Substance abuse is detrimental to health and wellbeing of those involved in it. A Nigerian singer, Joshua Iniyezo aka Solidstar, recently disclosed how substance abused nearly ruined him. According to him, he was introduced to a banned substance called Ice in 2021. He said the substance made him see himself as “a king’’ who didn’t have to pay for any item. One day he walked from Awoyaya in Lagos Mainland to the Oriental Hotel a distance of about 32 kilometres.  Another singer, Inetimi Alfred, popularly known as Timaya, said he was introduced to Molly, a synthetic drug with psychedelic effects. The drug initially brought him happiness but eventually led to detrimental effects on his health, including weight loss and financial struggles. His words: “When I took it, I did not understand myself. I was so happy that I dashed all the money in my pocket. So I wanted to just keep feeling like that. That was how I lost a lot of weight. I was not eating, I was just happy. When I said I was taking Molly, I was taking like three pills every day and it felt like medication. I got kicked out of jobs and contracts… people I was doing business with did not want to work with me again.”
So, substance abuse makes the youth to get ‘high’ but it does more than that. It can make them paranoid, it can precipitate heart attack or failure, stroke, seizures, sleep disorders, drowsiness, nausea, respiratory depression, fatigue, disorientation, impairment in memory, learning, concentration, and problem-solving, hallucinations, decline in academic performance, etc.  As seen in the case of Timaya, it can result in job loss and can pose a threat to relationships. There is also the tendency to engage in criminal activities when ‘high’. Substance abuse among Nigerian youth is nearing the status of a pandemic. According to the National Drug Law Enforcement Agency (NDLEA’s) statistics, about 40 per cent of Nigerian youths between 18 and 35 years are deeply involved in the abuse of drugs. What does the future hold for the country if 4 out of every 10 young people are engaged in substance abuse?
The media is central to our lives. The media shapes our perception of the world. The media is actually the gateway to the mind. The media accesses the mind through the eyes and the ears. So, media contents are food for the mind. The mind is where decisions are made and where opinions are formed. Since the media has access to the mind, the media subtly controls the mind and plays a major role in the decision-making process. So, when the media projects something as good many people in the society take a cue from the media and believe that it is good. In the same vein, when the media projects an act as evil, the society largely avoids it. The media never leaves anything it comes in contact with the same way; it always affects them one way or the other. The media affects individuals in six various ways.  The media can affect cognition, which is the mental process. By affecting an individual’s cognition, the media affects his perception to the extent that he begins to see a particular phenomenon in a new light. The media also affects beliefs. The Western media has consistently showcased the Western culture as being superior to the African culture and this, to a degree, has been absorbed by some Africans who try all they can to travel abroad for ‘greener pastures’ only to get there and find out that the grass is always greener on the other side.
The media also affects attitude. If a child is exposed to violence, he begins to see violence as an option and will be tempted to try same every now and then. Another media effect is affect. This has to do with feelings, emotions and moods. Seeing a scene on television or reading about an event can affect the mood of an individual throughout the day. Media also has psychological effect on its audience. This means the media can affectthe orientation of people. The media also affects the behaviour of its users. Behaviour is the culmination of all the effects of media exposure that have been listed. By the time cognition, belief and attitude are affected, behaviour will change. Ladies and gentlemen, in light of the above, I will like to submit that advertently or not, the media has been encouraging substance abuse. This is a global phenomenon and not a Nigerian thing. When a television ad presents a successful musician with a bottle of an alcoholic drink at the background, though the focus of the advertiser from all intents and purposes will be to draw the attention of the society to its alcoholic drink, but the loud message is that “To be as successful as the musician in the ad, take alcohol”. Or, “Successful people take this alcohol; don’t you want to be like them?”
When a musical video glamourises boozing and smoking, what is the message to the society? A song like ‘FotiFoyin’ (brush your teeth with alcohol) encourages the youth to consume alcohol, while a musical video like ‘Asake Loaded’ celebrates smoking. The producers of these musical contents are role models in the society. Some of them are even brand ambassadors. If, as we said, the media is the gateway to the mind, what is the message of these media contents to the society?   The media has to be alive to its social responsibility if Nigeria will win the war against substance abuse by the youth.  The social responsibility theory of the media mandates the media to put the societal wellbeing at the centre of its activities.
This theory says that the media has a responsibility to the society and should always work in the interest of the society. While a media outfit may be a business organization that must make returns to its shareholders, the operators of the business must realize that they will only continue in business if the society survives. If the society is destroyed, the business outfits operating in it will also go down. The easiest way to destroy a society is to destroy its youths.
If the media understands this responsibility and upholds it, it will be clear that the future of the youth who are being exposed to substance abuse is of more importance than the immediate pecuniary gain they will make by pushing out deleterious contents that will push the youth into seeking substances that would make them high.
The media is a major factor in the wellbeing of the society because it plays a major role in what is permissible or prohibited. This is done through what it promotes or refrains from promoting.
As part of its social responsibility, the media should embark on sensitisation of the public on the dangers inherent in substance abuse. This should be continuous and sustained as the media’s contribution to the wellbeing of society.
The government is the most important factor in curbing substance abuse because government is a change agent. Whatever the government permits gains prominence and whatever it prohibits is frowned at.
Government can curb substance abuse through orientation and reorientation. By deploying its massive resources, the government can get across to all strata of the society on the ills of substance abuse and why it is pertinent for it to be spurned by the youth. By making use of all channels of communication and all media outlets, the government can drive home the point on why substance abuse should not be embraced by the youth.
Another means the government deploys to curb the spread of substance abuse is regulation. The Federal Government has, over the years, come up with various regulations to reduce substance abuse in the country. These include:
The Indian Hemp Decree No. 19 of 1966.
The Indian Hemp (Amendment) Decree No. 34 of 1979.
The Indian Hemp (Amendment) Decree, and the Special Tribunal (Miscellaneous Offences) Decree No. 20 of 1984.
The Special Tribunal (Miscellaneous Offences) (Amendment) Decree of 1986 and the National Drug Law Enforcement Agency Decree No. 48 of 1989 (as amended by Decree No.33 of 1990, Decree No 15 of 1992 and Decree No. 62 of 1999). These laws were harmonized as an Act of the parliament, CAP N30 Laws of the Federation of Nigeria (LFN) 2004. This Act established the NDLEA.
The government also fights substance abuse through Enforcement.
The National Drug Law Enforcement Agency (NDLEA) is the agency of government primarily saddled with the enforcement of substance abuse laws. The agency, which is under the Federal Ministry of Justice, is charged with eliminating the growing, processing, manufacturing, selling, exporting, and trafficking of hard drugs. The agency was established by Decree Number 48 of 1989. (1) The NDLEA is present in international airports, seaports, and border crossings.
The last leg is prosecution.
Section 11 (a) of NDLEA Act makes it an offence for a person, who having no lawful authority to do so, to engage in the importation, production, manufacturing, processing, growing and planting of cocaine, heroin, LSD or any other drugs of similar nature. The offence is punishable on conviction with life imprisonment. Section 11(b) and (c) also spell out punishments for those who contravene NDLEA laws. The import is that NDLEA is the primary agency with prosecutorial powers on substance abuse. The Nigeria Police Force can also prosecute.
Of the four legs to combating substance abuse, it is only orientation and reorientation that involve the three tiers of government. The remaining three, regulation, enforcement and prosecution are within the ambits of the federal government. How can NDLEA be on top of the situation of those smoking igbo at Igbo Ora or those sniffing Kushy at Kishi?
The point here is that substance abuse among Nigerian youths is on the rise because the strategy is wrong. Every criminality is local. Therefore, criminality is best fought or combated at the local level. Nigeria cannot successfully overcome the challenge of substance abuse among the youth unless the states and local government authorities are fully involved in it. That brings us again to the issue of the elephant in the room: restructuring.
We need to restructure the policing system as well as the substance abuse regulation and enforcement systems to defeat substance abuse among the nation’s youth.
The media and the government have critical roles to play in reducing substance abuse among the youth. The media needs to take its social responsibilities seriously and ensures that it projects values that would make the society better and stronger.
The government needs to take its sensitization and orientation responsibilities very seriously. Then, the system of government that makes the fight against substance abuse more of a matter of the federal government needs to be tinkered with so that all tiers of government can own the battle and deliver our youths from the jaws of substance.
Olanrewaju is Special Adviser (Media)/Chief Press Secretary to Oyo State Governor.

By: Sulaimon Olanrewaju

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Curbing Substance Abuse Among Nigerian Youths

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In September 2023, a 24-year old lady had a birthday party in a South-West state where one of the guests offered to sell sachets of ‘Milo’ for N1,500 each. The guest, a young lady, had mixed marijuana with Milo and put same in Milo sachets, which had been so expertly sealed that no one would have suspected what the content of the sachets was. The guests at the party rushed the ‘Milo sachet’ and went on a binge, drinking and smoking themselves to get ‘high’. After getting high, fight eventually broke out among them and security operatives had to be brought in to maintain the peace. It was at that point that unsuspecting members of the public got to know that the party guests had gone on a marijuana trip. According to the World Health Organization (WHO), substance abuse, or misuse, is the harmful use of psychoactive substances, including alcohol and illicit drugs. A psychoactive substance is a drug that affects how the brain works and causes changes in mood, awareness, thoughts, feelings, or behaviour. Examples of psychoactive substances include alcohol, caffeine, nicotine, marijuana and some pain relievers. Other substances abused by Nigerian youths include, ice, molly, cannabis, tobacco, cigarettes, cocaine, sedatives, kolanuts, analgesics, glue, heroine, energy drinks, miraa, tramadol, tranquillizers, cough drops,antimalarial and antibiotics.

Substance abuse is detrimental to health and wellbeing of those involved in it. A Nigerian singer, Joshua Iniyezo aka Solidstar, recently disclosed how substance abused nearly ruined him. According to him, he was introduced to a banned substance called Ice in 2021. He said the substance made him see himself as ‘’a king’’ who didn’t have to pay for any item. One day he walked from Awoyaya in Lagos Mainland to the Oriental Hotel a distance of about 32 kilometres.  Another singer, Inetimi Alfred, popularly known as Timaya, said he was introduced to Molly, a synthetic drug with psychedelic effects. The drug initially brought him happiness but eventually led to detrimental effects on his health, including weight loss and financial struggles. His words: “When I took it, I did not understand myself. I was so happy that I dashed all the money in my pocket. So I wanted to just keep feeling like that. That was how I lost a lot of weight. I was not eating, I was just happy. When I said I was taking Molly, I was taking like three pills every day and it felt like medication. I got kicked out of jobs and contracts… people I was doing business with did not want to work with me again.”

So, substance abuse makes the youth to get ‘high’ but it does more than that. It can make them paranoid, it can precipitate heart attack or failure, stroke, seizures, sleep disorders, drowsiness, nausea, respiratory depression, fatigue, disorientation, impairment in memory, learning, concentration, and problem-solving, hallucinations, decline in academic performance, etc.  As seen in the case of Timaya, it can result in job loss and can pose a threat to relationships. There is also the tendency to engage in criminal activities when ‘high’. Substance abuse among Nigerian youth is nearing the status of a pandemic. According to the National Drug Law Enforcement Agency (NDLEA’s) statistics, about 40 per cent of Nigerian youths between 18 and 35 years are deeply involved in the abuse of drugs. What does the future hold for the country if 4 out of every 10 young people are engaged in substance abuse?

The media is central to our lives. The media shapes our perception of the world. The media is actually the gateway to the mind. The media accesses the mind through the eyes and the ears. So, media contents are food for the mind. The mind is where decisions are made and where opinions are formed. Since the media has access to the mind, the media subtly controls the mind and plays a major role in the decision-making process. So, when the media projects something as good many people in the society take a cue from the media and believe that it is good. In the same vein, when the media projects an act as evil, the society largely avoids it. The media never leaves anything it comes in contact with the same way; it always affects them one way or the other. The media affects individuals in six various ways.  The media can affect cognition, which is the mental process. By affecting an individual’s cognition, the media affects his perception to the extent that he begins to see a particular phenomenon in a new light. The media also affects beliefs. The Western media has consistently showcased the Western culture as being superior to the African culture and this, to a degree, has been absorbed by some Africans who try all they can to travel abroad for ‘greener pastures’ only to get there and find out that the grass is always greener on the other side.

The media also affects attitude. If a child is exposed to violence, he begins to see violence as an option and will be tempted to try same every now and then. Another media effect is affect. This has to do with feelings, emotions and moods. Seeing a scene on television or reading about an event can affect the mood of an individual throughout the day. Media also has psychological effect on its audience. This means the media can affect the orientation of people. The media also affects the behaviour of its users. Behaviour is the culmination of all the effects of media exposure that have been listed. By the time cognition, belief and attitude are affected, behaviour will change. Ladies and gentlemen, in light of the above, I will like to submit that advertently or not, the media has been encouraging substance abuse. This is a global phenomenon and not a Nigerian thing. When a television ad presents a successful musician with a bottle of an alcoholic drink at the background, though the focus of the advertiser from all intents and purposes will be to draw the attention of the society to its alcoholic drink, but the loud message is that “To be as successful as the musician in the ad, take alcohol”. Or, “Successful people take this alcohol; don’t you want to be like them?”

When a musical video glamourises boozing and smoking, what is the message to the society? A song like ‘FotiFoyin’ (brush your teeth with alcohol) encourages the youth to consume alcohol, while a musical video like ‘Asake Loaded’ celebrates smoking. The producers of these musical contents are role models in the society. Some of them are even brand ambassadors. If, as we said, the media is the gateway to the mind, what is the message of these media contents to the society?   The media has to be alive to its social responsibility if Nigeria will win the war against substance abuse by the youth.  The social responsibility theory of the media mandates the media to put the societal wellbeing at the centre of its activities.

This theory says that the media has a responsibility to the society and should always work in the interest of the society. While a media outfit may be a business organization that must make returns to its shareholders, the operators of the business must realize that they will only continue in business if the society survives. If the society is destroyed, the business outfits operating in it will also go down. The easiest way to destroy a society is to destroy its youths.

If the media understands this responsibility and upholds it, it will be clear that the future of the youth who are being exposed to substance abuse is of more importance than the immediate pecuniary gain they will make by pushing out deleterious contents that will push the youth into seeking substances that would make them high.

The media is a major factor in the wellbeing of the society because it plays a major role in what is permissible or prohibited. This is done through what it promotes or refrains from promoting.
As part of its social responsibility, the media should embark on sensitization of the public on the dangers inherent in substance abuse. This should be continuous and sustained as the media’s contribution to the wellbeing of society.

**The government is the most important factor in curbing substance abuse because government is a change agent. Whatever the government permits gains prominence and whatever it prohibits is frowned at.

Government can curb substance abuse through orientation and reorientation. By deploying its massive resources, the government can get across to all strata of the society on the ills of substance abuse and why it is pertinent for it to be spurned by the youth. By making use of all channels of communication and all media outlets, the government can drive home the point on why substance abuse should not be embraced by the youth.
Another means the government deploys to curb the spread of substance abuse is regulation. The Federal Government has, over the years, come up with various regulations to reduce substance abuse in the country. These include:
The Indian Hemp Decree No. 19 of 1966.
The Indian Hemp (Amendment) Decree No. 34 of 1979.
The Indian Hemp (Amendment) Decree, and the Special Tribunal (Miscellaneous Offences) Decree No. 20 of 1984.
The Special Tribunal (Miscellaneous Offences) (Amendment) Decree of 1986 and the National Drug Law Enforcement Agency Decree No. 48 of 1989 (as amended by Decree No.33 of 1990, Decree No 15 of 1992 and Decree No. 62 of 1999). These laws were harmonized as an Act of the parliament, CAP N30 Laws of the Federation of Nigeria (LFN) 2004. This Act established the NDLEA.
The government also fights substance abuse through Enforcement.
The National Drug Law Enforcement Agency (NDLEA) is the agency of government primarily saddled with the enforcement of substance abuse laws. The agency, which is under the Federal Ministry of Justice, is charged with eliminating the growing, processing, manufacturing, selling, exporting, and trafficking of hard drugs. The agency was established by Decree Number 48 of 1989.[1] The NDLEA is present in international airports, seaports, and border crossings.

The last leg is prosecution.
Section 11 (a) of NDLEA Act makes it an offence for a person, who having no lawful authority to do so, to engage in the importation, production, manufacturing, processing, growing and planting of cocaine, heroin, LSD or any other drugs of similar nature. The offence is punishable on conviction with life imprisonment. Section 11(b) and (c) also spell out punishments for those who contravene NDLEA laws. The import is that NDLEA is the primary agency with prosecutorial powers on substance abuse. The Nigeria Police Force can also prosecute.

Of the four legs to combating substance abuse, it is only orientation and reorientation that involve the three tiers of government. The remaining three, regulation, enforcement and prosecution are within the ambits of the federal government. How can NDLEA be on top of the situation of those smoking igbo at Igbo Ora or those sniffing Kushy at Kishi?

The point here is that substance abuse among Nigerian youths is on the rise because the strategy is wrong. Every criminality is local. Therefore, criminality is best fought or combated at the local level. Nigeria cannot successfully overcome the challenge of substance abuse among the youth unless the states and local government authorities are fully involved in it. That brings us again to the issue of the elephant in the room: restructuring.

**We need to restructure the policing system as well as the substance abuse regulation and enforcement systems to defeat substance abuse among the nation’s youth.

The media and the government have critical roles to play in reducing substance abuse among the youth. The media needs to take its social responsibilities seriously and ensures that it projects values that would make the society better and stronger.

The government needs to take its sensitization and orientation responsibilities very seriously. Then, the system of government that makes the fight against substance abuse more of a matter of the federal government needs to be tinkered with so that all tiers of government can own the battle and deliver our youths from the jaws of substance.

Sulaimon Olanrewaju
Olanrewaju is Special Adviser (Media)/Chief Press Secretary to Oyo State Governor,

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Worsening Food Crisis In Nigeria

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Hunger is widespread and chronic in Nigeria, and its prevalence is one phenomenon that statistics cannot fully capture, not even the Global Hunger Index (GHI), does justice to it. Statistics deals with numbers, but hunger deals with humans. Relying on quantitative data alone to assess the state of hunger in Nigeria is the worst mistake anybody could make. Quantitative data and analysis only show patterns and spread of hunger without delving into the experiences of those affected and its influences on their existence in all ramifications. Therefore, as bad as the statistics are, they are still child’s play compared to the rich information from qualitative data chronicling the dehumanising  experience of many poor and hungry Nigerians. Combining quantitative and qualitative data paints a horrifying picture of Nigeria’s food crisis and hunger.Twenty five (25) million Nigerians were said by UNICEF to be at high risk of food insecurity in 2023, this was a projected increase from the estimated 17 million people who were at risk of food in 2022. Humanitarian organisations fear that more people may be affected.
Hunger is the major problem affecting the Nigerian masses now. According to the Resident and Humanitarian Coordinator for Nigeria,  Mr Matthias Schmale, “the food security and nutrition situation across Nigeria is deeply concerning. “Those who visited the Nutrition Stabilisation Centres (NSC) filled with children, said “those Children fight to stay alive”. Children are the most vulnerable to food insecurity. There is a serious risk of mortality among children attributed to acute malnutrition. The number of children suffering from acute malnutrition was estimated to increase from 1.74 million in 2022 and 2 million in 2023.Worse still, it is estimated that 35 million people are currently critically facing food insecurity.The present predicament of Nigerians never seems to be real until people realised  that a “Congo” of Garri now costs between N1,900 to N2,500 naira, depending on the place you are buying from and the type you have to buy.
There is a systematic downfall in the economy, and those at the receiving end of its manifestation are the masses. Well, some may say that it is too early to judge the government of President Tinubu, but when starvation becomes a point of reference, they might just make an exception for that rule.”A government is a failure if it has not been able to fulfil its primary duties and its published agenda, it  is useless if its people suffer endlessly from starvation. Recently, the video of a man who was caught in agony and lamentation attracted people’s attention. He was in the market to buy a “Congo” of rice but was told that it now costs N3,500.The man started crying, lamenting the harsh condition and confused as to what he and his family would eat. He had just N1,800 with him, and only God knows how much effort he had to put together to get that amount. Some people tried to locate the man to give him some money.
Bodija market in Ibadan, Oyo State, has a reputation for cheap consumable commodities, and the cost of food products there, is considered slightly reasonable. However, this reputation is no longer possible as basic commodities now cost even more than they could be imagined. A lady lamented having bought her usual loaf of bread for 500 naira three weeks ago, and within that period, it had skyrocketed from N800 to N1, 200 and now at N1, 500 for a loaf that is as light as foam. Beans and other cheap foods that have been saving people experiencing poverty are no longer affordable. The cost of a “congo” of beans has risen to between N2,500 and N3,500 depending on the location and type. It is not only the price of the common foods that has risen, it is the same case for other staple foods. Today, a sachet of water costs around N50, and one barely see a bag of it at anything less than N300. This leaves the people to drink unclean well water or find their drinking water through other sources.
The price increase was expected, but it seems that the progression of price increase  for food items is at a higher rate than the supposed inflation. The economy is imploding and affecting the livelihood of the Nigerian citizens.First, the excessive price of petrol within the range of N700 to N1000 across the nation has an impact on the final prices. In addition, the roads have become outrageously insecure, with different stories of kidnapping, highway attacks, terrorism, and other vices.These have jointly jacked up the calculative cost of production, and the masses are paying heavily for it. The above reasons affect business, and most importantly, the irregular supply of power has become another foundational cause of the hike in prices and yet the government is still threatening to hike electricity tariff. Today, many small and medium-scale businesses do not have access to a stable power supply, and in some cases, the tariffs are  so outrageous to the detriment of the business. They, therefore, resort to generating their power, which causes another extra cost.The result is that the products keep increasing in price as the costs skyrocket.
Another factor is the decline in  the value of naira to dollars. The dollar is the major currency for international trade, and many of the household items in the country are imported. This means that the prices of those commodities in Nigeria are expected to increase the more with the value of dollars, causing difficulties for the citizens. So, when a market woman insults people in the market for negotiating lower prices for her wares, it is not because she is merely disrespectful but because she believes you are ignorant of the costs of putting her products on the market. What would N30,000  minimum wage do in the current economy? There is almost no average-class individual in the country as the condition affects every social stratum. Nigeria produces about 8.4 million tons of rice, but it is still not sufficient for consumption in the country. During the past administration of President Mohamadu Buhari, policies that discouraged the importation of rice and some other products in Nigeria in a bid to encourage local production were made, and that was one of the starting points of suffering and starvation in Nigeria, because the development made the price of local rice increase by 200 percent.
It is worthy of note, that such policies were a product of hypocrisy, foreign rice is not good for the poor Nigerians but foreign medical care is good for the Nigerian political elites. Currently, the prices of local and foreign rice are not too far from each other. This is because the price gap that would have been made necessary has been reduced by other local and internal issues fighting against local productions. It means that the government must make efforts to first increase the production of local items as well as ensure that there is an unhindered channel of distribution of the same across the country. Poverty cannot be eradicated without collaborative efforts between the Federal Government and the State Governments. Agricultural schemes and strategies are not the sole work of the Federal Government, as eradication of poverty should be the watchword of every reasonable government.
State-wide agricultural strategies and blueprints that would reduce the propensity of hunger and starvation in each state are important. It is a known fact that the food insecurity in Nigeria can be traceable to the relentless wave of attacks against farmers in Nigeria by armed groups in the last decade which has hindered critical food supplies and has pushed the country deeper into a devastating hunger crisis.Increased attacks against farmers across parts of the country have led to displacement of people, market disruptions and loss of livelihoods. Armed groups killed more than 128 farmers and kidnapped 37 others across Nigeria between January and June 2023 …
To be continued.

Kiikpoye Inabo
Inabo is our regular contributor from Radio Rivers, Port Harcourt.

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