By Abdulaziz Bagwai
Between 2012 and 2018, I was a student in the Exchange Student Program at Sani Dingyadi Unity Boys College in Sokoto State. Whenever school resumed, our most cherished moments as junior students were the day school closed, and we left Sokoto for our various states. Our parents would send us food and local transport funds from our state’s education ministry to our hometowns.
As students from Kano, our first junction was always in Gusau, Zamfara State, to eat and pray. That Gusau junction, Lala, was our dream hub. It’s a place that every one of us would anticipate being. The first time I was at Lala, I couldn’t decide what to eat. The myriad delicacies, including those I’d never tasted, were there, and I had the pocket money to afford them—but I ended up eating half-spoilt rice and beans with stew.
A new experience but a different reality
In December 2012, after our first term, while traveling back home, my friends, whom we were seated together in the car, learned from the older students among us that drinking the combo of malt and milk increases blood volume. Seeing them all with tins of malt and peak milk was awkward, and because I was too uninformed as a junior secondary school student to think whether it was true or not, I admittedly found myself craving for the combo. Since then, it has become the norm for my friends and colleagues to buy the combo whenever we pass Lala to or from school, but I have never bought it once.
This article triggered an encounter with a client who brought his sick daughter to a chemist I work for earlier this month. My co-worker examined the patient and decided to send them for two blood tests: malaria’s rapid diagnostic test (RDT) and a pack-cell volume (PCV) because she was both feverish and hungry. Both results confirmed my co-worker’s professional inquiry: RDT reactive, PCV slightly low. When he enquired about my suggestion on the patient’s treatment plan, I told him to necessarily include medicines that would boost the patient’s low, slight blood count.
Upon hearing my suggestion, the man disagreed that no medicine should further be given to his daughter except for malaria. His reason was that this same daughter was anemic sometime in the past, and he denied buying any medicine she was prescribed in the hospital; he purchased for her a few tins of malt and milk, and in a few days, she recuperated.
While it’s my duty as a community health extension worker to educate community members about helpful and harmful health practices, misinformation, misconceptions, and baseless hearsay, I’ve done my part for my client, who seemed unconvinced.
What a nutritionist had to say about the combo
A July 19, 2021, Punch Newspaper article by Angela Onwuzoo titled “Drinking milk, malt combo won’t boost blood volume” featured Beatrice Ogunba, a professor of public health nutrition at Obafemi Awolowo University, Ile-Ife, Osun State. I quote the professor saying, “Consuming milk and malt could deliver nutrients to the body because they are fortified with iron, calcium, and vitamins.
Some malts are also fortified with vitamins, so consuming all these will deliver nutrients to the body, but mixing milk and malt with the notion that it will increase blood volume is unrealistic. There is no scientific evidence for that. I have heard about the mixture, and women primarily consume it. But in terms of delivering iron, I am sure of that because milk has iron.”
However, she urged Nigerians to diversify their foods to get all the nutrients they need to be healthy. She also noted that people vulnerable to anemia should consume iron-rich foods like vegetables and liver.
Hypovolemic or anaemic?
Hypovolemia is a state of abnormally low extracellular fluid (ECF) in the body. It may be caused by a loss of salt and water or a decrease in blood volume. Hypovolemia is the loss of extracellular fluid (ECF) and should not be confused with dehydration. Anemia is a blood disorder in which the blood cannot carry oxygen. It can be caused by a lower-than-normal number of red blood cells, a reduction in the amount of hemoglobin available for oxygen transport, or abnormalities in hemoglobin that impair its function.
While both conditions have different causative factors, in layman’s terms, insufficient blood is present in the body when investigated through a laboratory test. The extremes of both conditions—anemia and hypovolemia, which result from a decrease in blood volume—would require transfusion.
Furthermore, when both conditions are mild or are in their primary stages, and a doctor decides to prescribe medications, patients or their relatives should understand the reality and abide by the doctor’s rules. So, drinking the combo of malt and milk does not increase blood volume.
Abdulaziz Isah Bagwai is a community health practitioner, journalist, and storyteller. His work has appeared in The Solutions Paper, Brittle Paper, The Daily Reality, Neptune Prime, Opinion Nigeria, and more. He writes from Kano State and can be contacted at aibagwai001@gmail.com.