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When marriage becomes ‘Ibadah’

By Aisha M Auyo

Marriage is a huge opportunity to earn good deeds. By adjusting your intention, everything you do for your spouse can be an act of worship. It is that simple.

Seek to please Allah and be intentional. Every single thing you do with and for your spouse can be a form of worship when Ihsan is your motivation, and your heart is engaged in the remembrance of Allah in some way.

And by default, when good things become a habit, your good deeds are habitually earned too, insha’Allah.

From time to time, make a specific intention and say, “Oh Allah, I am doing this for my spouse only for Your sake and to earn Your pleasure.” You’ll feel the difference. A mundane task gets supercharged!

Umar ibn Al-Khattab reported: The Messenger of Allah, peace and blessings be upon him, said:

“Verily, deeds are only with intentions. Verily, every person will have only what they intended. Whoever emigrated to Allah and His Messenger, then his emigration is for Allah and His Messenger. Whoever emigrated to get something in the world or to marry a woman, then his emigration is for whatever he emigrated for.” (Ṣaḥīḥ al-Bukhārī 54, Ṣaḥīḥ Muslim 1907).

This hadith and post are especially important for my fellow women… wives… If all the good and extra things you do for your man are just so he wouldn’t marry another woman, know that your reward stops there. And he may marry other wives if that’s in his Qadr.

It might work if you’re being obedient, respectful, kind, and many other good things, just so you’d be his favourite among his wives, but know that the reward may stop there.

Let’s always remember that this world is only temporary… Our permanent abode is the aakhira. I am not in any way saying you should stop whatever you’re doing. In fact, I suggest we always try to improve, increase, and upgrade… 

Just be conscious of your intentions and be deliberate in whatever you do. Doing so, we will have double reward… here and in the hereafter, in sha Allah.

Aisha Musa Auyo is a doctoral researcher in Educational Psychology. A wife, a mother, a homemaker, a caterer, a parenting, and relationship coach. She can be reached via aishamuauyo@live.co.uk.

Wike orders clampdown on illegal hospitals after pregnant woman’s death in Abuja

By Uzair Adam 

The Minister of the Federal Capital Territory (FCT), Nyesom Wike, has ordered a full crackdown on unregistered hospitals and quack medical personnel operating within the territory.

The minister’s media aide, Lere Olayinka, disclosed this in a statement on Saturday, following the death of a pregnant woman at a private facility in Durumi, Abuja, after undergoing a caesarean section.

According to the statement, Wike warned that anyone found operating an illegal health facility or working in an unregistered hospital would be arrested and prosecuted.

He described the incident as regrettable, especially given that vulnerable groups, including pregnant women, are eligible for free registration under the Federal Capital Territory Health Insurance Scheme (FHIS). 

He noted that despite this opportunity, many pregnant women were still patronising unlicensed and unsafe facilities.

“In the FCT, vulnerable persons, including pregnant women, enjoy free enrollment into the FHIS, granting them free access to services covered under the basic minimum health package through primary healthcare centres,” he said.

Olayinka added that, in support of the federal government’s ‘Renewed Hope Agenda’ and the FCT Administration’s zero tolerance for maternal mortality, several hospitals—including Gwarinpa, Nyanya, Abaji, and Kuje General Hospitals—have been designated as comprehensive emergency obstetric and neonatal care centres, offering free cesarean sections.

He urged pregnant women to utilise these government services instead of risking their lives by seeking care from quacks and unregistered facilities.

The statement also recalled that on Friday, 35-year-old Chekwube Chinagorom was brought dead to the Asokoro District Hospital after a caesarean section at the unregistered facility in Durumi. 

Although the baby survived and was referred for further care at the Asokoro hospital, the incident raised alarm over the activities of illegal operators.

The Private Health Establishments Registration and Monitoring Committee (PHERMC) investigated and confirmed that the hospital was unregistered. 

Only one staff member, Mr. Simon Godiya, a junior community health extension worker, was found on duty during an inspection.

Godiya informed officials that Murtala Jumma performed the surgery alongside another unidentified person. Efforts to reach Jumma have so far been unsuccessful.

The PHERMC team, accompanied by police officers from the Durumi Divisional Headquarters, subsequently handed over the case to the police for further investigation.

Nigeria unveils agribusiness strategy to combat food insecurity

By Abdullahi Mukhtar Algasgaini

The Presidential Food Systems Coordination Unit (PFSCU) has launched a new National Agribusiness Policy Mechanism (NAPM) to address food insecurity and strengthen Nigeria’s agricultural sector.

The initiative, announced after the 5th Steering Committee meeting in Abuja, aims to improve coordination and investment across federal, state, and local levels using data and digital tools.

As part of its outreach, the PFSCU introduced the “Harvesting Hope Caravan,” a nationwide tour to engage communities through town halls and demonstrations.

Meanwhile, rising challenges in wheat and rice production prompted the creation of an emergency task force to assess and mitigate risks.

To enhance food security monitoring, the PFSCU is collaborating with the National Security Adviser and the FAO to develop an AI-powered early warning system.

Additionally, the $1.1 billion ‘Green Imperative Project’ is advancing, with 774 farms onboarded and six equipment hubs established to support farmers.

With regional offices set up for data-driven policymaking, the PFSCU reaffirmed its commitment to stabilizing Nigeria’s food systems through innovation and partnerships.

The move comes as food security grows increasingly tied to national stability.

Perinatal oral health: A neglected aspect of maternal and child well-being

By Oladoja M.O

Across all health-related policies, discussions, and publications, maternal and child care undoubtedly ranks among the top three priorities of our national healthcare system. Without mincing words, it constitutes a core aspect of public health that rightly deserves every ounce of attention it receives. One might ask, why is this so? 

A report by the World Health Organisation (WHO) underscores the alarming statistics, revealing that, in 2020, a maternity-related death occurred nearly every two minutes. This equates to approximately 800 daily maternal deaths from preventable causes across various regions of the world. 

Similarly, UNICEF, in one of its latest reports, noted that while Nigeria constitutes only 2.4% of the world’s population, it accounts for a staggering 10% of global maternal deaths. Recent figures indicate a maternal mortality rate of 576 per 100,000 live births, ranking as the fourth highest globally. Furthermore, an estimated 262,000 neonatal deaths occur annually at birth, the second-highest national total in the world.

Beyond these mortality figures, numerous other health complications afflict this demographic, often with far-reaching, detrimental consequences. Some of these complications include hypertension, gestational diabetes, infections, preeclampsia, preterm labour, depression and anxiety, pregnancy loss or miscarriage, and stillbirth. These conditions may jeopardise the health of the mother, fetus, or both, and can be life-threatening if not properly managed. With such distressing statistics, it is impossible not to prioritise this critical issue.

Recognising the gravity of the situation, the government has implemented several initiatives to address maternal and child health concerns. Notable programs include the Midwife Service Scheme, which aimed to enhance the healthcare workforce by deploying midwives to provide maternal health services in rural areas, and the Saving One Million Lives Program for Results, a performance-based funding initiative aimed at improving maternal and child health outcomes at the state level.

Additionally, the Maternal Mortality Reduction Innovation Initiative (MAMII) prioritises life-saving interventions for women and newborns, strengthening healthcare services in the 172 most affected local government areas through supply- and demand-side strategies.

However, despite these concerted efforts and the significant attention accorded to maternal and child healthcare, a critical yet insidious aspect of this discourse remains grossly overlooked—oral health. Among the myriad etiological factors contributing to maternal and child health complications, the intersection of oral health and overall maternal well-being is frequently ignored. 

A 2024 study highlighted that a mother’s oral health status, knowledge, literacy, attitudes, behaviours, and socioeconomic status are pivotal determinants of childhood caries. Another recent study underscored the detrimental impact of poor oral health during pregnancy, linking it to adverse outcomes such as preterm birth, low birth weight, preeclampsia, gingival ulcerations, pregnancy granulomas, gingivitis, and pregnancy tumours (epulis gravidarum). 

According to a CDC physician, improving pregnant women’s oral health is one of the most effective strategies for preventing early childhood caries. She further emphasised that oral health is an essential component of prenatal care, as poor maternal oral health can significantly compromise both maternal and neonatal health, setting the foundation for lifelong health challenges. Additionally, periodontitis has been strongly associated with adverse pregnancy outcomes, including preterm birth and low birth weight.

Given these profound implications, one would expect a holistic approach to maternal healthcare—one that integrates oral health awareness and services into prenatal care. Unfortunately, this is far from reality. A 2024 scoping review revealed that dental service utilisation among pregnant women in Nigeria is alarmingly low, with visits largely driven by curative rather than preventive needs.

Despite the serious risks associated with poor oral health during pregnancy, oral health education remains conspicuously absent from antenatal awareness curricula, and primary healthcare centres lack dedicated oral health officers.

Thus, this serves as a call for urgent action and heightened awareness. The advocacy for integrating oral health education into antenatal classes must persist, as maternal knowledge of oral healthcare is often inadequate. 

Pregnancy is a critical period that necessitates heightened attention to oral health, and dental clinic visits should be regarded as an indispensable component of prenatal care. Most importantly, the government must prioritise the strategic deployment of public oral health officers to ensure that this vulnerable demographic’s unique oral healthcare needs are adequately addressed.

Oladoja M.O writes from Abuja and can be reached at: mayokunmark@gmail.com

Easter wellness tips: eat light, move more, stress less

By Maimuna Aliyu Katuka

Easter is a season of joy, reflection, and renewal. While it is often associated with festive meals, it is also an opportunity to embrace healthier habits without taking away from the fun and spirit of the celebration.

As the world becomes increasingly health-conscious, we can find creative ways to enjoy Easter while taking care of our physical and mental well-being.

By making thoughtful choices, we can turn this season into a meaningful and health-positive experience for ourselves, our families, and our communities.

Easter, which marks the resurrection of Jesus Christ, according to the Christians, is one of the most significant holidays in Christianity. For many, it symbolizes the triumph of life over death—a powerful reminder of hope, rebirth, and new beginnings.

Even non-Christians often take advantage of the holiday to travel or spend time with loved ones, making it a perfect occasion to reflect on personal wellness and communal values.

Whether you are planning a large family gathering or a quiet weekend retreat, here are some practical tips to help you celebrate Easter in a healthy and fulfilling way:

Healthy Eating and Drinking Habits

1. Balance indulgence with healthy choices:
Enjoy traditional Easter treats in moderation. Complement your meals with fruits, vegetables, and whole grains to maintain a balanced diet.

2. Stay hydrated:
Drink plenty of water throughout the day, especially if you are consuming rich or salty foods.

3. Choose healthier alternatives:
Opt for baked or grilled meats instead of fried ones. Dark chocolate or fruit-based desserts can also be tasty and nutritious options.

Staying Physically Active

1. Take a walk or hike:
Incorporate light physical activities like walking, hiking, or biking into your day to stay energized and connected with nature.

2. Plan outdoor games:
Organize family games or community sports that encourage movement and bonding while having fun.

Supporting Mental Well-being

1. Practice mindfulness:
Take time to relax, meditate, or simply enjoy the presence of family and friends. Mindfulness can help ease stress and promote gratitude.

2. Set boundaries:
Prioritize self-care by setting healthy limits on social and work commitments. Maintain a balance that supports your mental peace.

Additional Smart Tips

1. Plan meals ahead:
Prepare healthy dishes and snacks in advance to reduce the temptation of unhealthy choices.

2. Be mindful of portion sizes:
Enjoy your favorite dishes without overindulging by keeping portions in check.

3. Educate the next generation:
Teach children the importance of healthy living. Turn Easter traditions into learning moments about good nutrition and staying active.

Last Line:
As we prepare to celebrate Easter, let us take this opportunity to embrace a lifestyle that reflects the true spirit of the season—renewal, joy, and wellness.

By making simple, conscious changes, we can foster healthier habits that last beyond the holiday.

So, gather your loved ones, get creative with your traditions, and make this Easter not just memorable—but meaningfully healthy.

Farida Musa Kalla (FMK Duniya Ce): A role model for Hausa women

By Salihi Adamu Takai

Farida Musa Kalla(FMK) should be the exact definition of the Hausa woman in Kano, not as some of themmischievously intend to misrepresent to the world, being a hope of a lavish and luxurious life without a purpose in their matrimonial home. 

FMK, a woman who married her husband in her early years during her university days, uses her courage and ambition to define how women should be. She has steadfastly retained her femininity, contrasting with how others view them. 

Women are not a liability and shouldn’t be seen as such, neither by how “feminists” position them nor through the extremism of “masculinists.”

I was on Facebook, browsing my timelines when I came across a video on the DCL Hausa Page featuring an interview with Farida Musa Kalla, the CEO of FMK Nigerian Ltd. The program is titled “Sirrin Ɗaukaka,” and it invitesindividuals whose names trend in the media. 

In the interview, FMK disclosed how she started the business with a bit of capital of 30k in her matrimonial home. She used the market tactics she’s known for to advertise her business, recording videos for the materials she sells. This was the first time her name started coming to the media—Facebook, X, and YouTube.

As she improved the business, her husband advised her to put 600k in the business, given to her by her mother, to buy a car. According to her, this 600k expanded the business and blessed it in every second. And today she runs the business with hundreds of millions. 

As FMK’s business improves and gains recognition in the market, she poses a threat to prominent marketers in Kano, such as Mudassir & Brothers. They have started to adopt her market strategies — using videos to unveil their faces as the CEOS of their company, as she has been doing.

Interestingly, FMK has not been using immoral activities just to advertise her business, but rather strategies that are not questionable for a married woman. 

FMK should be a challenge to all the women in Hausa land who think that they’re a liability to their husbands, as they “belong to the kitchen,” as propagated by the immediate former President of the Federal Republic of Nigeria, Muhammadu Buhari.

Salihi Adamu Takai wrote via salihiadamu5555@gmail.com.

Health Alarm: The poison we breathe, drink and eat

By Maimuna Katuka Aliyu

Pollution poses one of the greatest threats to human existence, yet it remains highly underestimated. All over the world, air, water, and land are being contaminated by industrial waste, plastic, toxic emissions, and deforestation. 

The impact is devastating—rising diseases, extreme climate shifts, and dwindling biodiversity. Yet, many people treat it as a distant problem, failing to see that the air we breathe, the water we drink, and the soil that grows our food are already contaminated.

With rapid industrialisation, urban expansion, and population growth, pollution has reached critical levels, threatening ecosystems and human survival. The consequences are already here—millions of lives are lost to pollution-related diseases annually, while climate change escalates natural disasters. 

Without urgent action, the world may be heading toward irreversible environmental collapse.

The Invisible Killer in the Air

Air pollution remains one of the deadliest forms of contamination, responsible for nearly 7 million preventable deaths yearly. Toxic substances such as carbon monoxide, sulfur dioxide, and nitrogen oxides fill the atmosphere due to vehicle emissions, industrial activities, and deforestation. 

Respiratory illnesses, cardiovascular diseases, and lung cancer are rising sharply, even in developing nations where pollution regulations are weak.

A recent World Health Organisation (WHO) campaign has garnered support from nearly 50 million individuals, highlighting the growing global concern over pollution’s impact on health. 

Advocates call for cleaner energy, stricter environmental policies, and large-scale sustainable infrastructure. Without such efforts, air pollution will continue to rob millions of their health and shorten lifespans worldwide.

Poisoned Waters and a Dying Ecosystem

Water pollution is another crisis unfolding before our eyes. Industrial waste, plastic pollution, and chemical runoffs have turned once-thriving rivers and oceans into toxic dumps. 

Marine life is being suffocated by plastic debris, while communities reliant on rivers and lakes for drinking water are facing increasing cases of waterborne diseases. The situation is especially severe in developing countries, where clean water is still viewed as a luxury rather than a basic right.

Land pollution is also eroding our ability to produce safe food. Improper waste disposal, deforestation, and unregulated pesticide use are depleting the soil, making it more difficult to grow crops. This issue coincides with the rise of global hunger, further exacerbating the suffering of millions.

Nigeria’s Battle Against Pollution and Disease

While the world grapples with pollution, Nigeria confronts a dual crisis—environmental contamination and disease outbreaks. The country is currently facing an alarming rise in Lassa fever cases, with the Nigeria Centre for Disease Control and Prevention (NCDC) implementing emergency measures to contain its spread. 

This outbreak, linked to poor sanitation and rodent infestation, is a stark reminder of how environmental degradation fuels public health disasters.

The parallel concerns of pollution and infectious diseases demand urgent intervention. Nearly 50 million individuals worldwide have signed petitions demanding stronger policies to combat pollution, but actions on the ground remain insufficient. 

If nations like Nigeria fail to address these twin threats, millions more could be at risk.

The Fight to Save Our Planet

The crisis may seem overwhelming, but solutions exist. Governments must enforce stricter environmental laws, encourage the adoption of clean energy, and invest in waste management systems. Individuals also have a role to play—reducing plastic use, supporting eco-friendly products, and advocating for policy changes.

Nigeria, in particular, must strengthen its disease surveillance systems and healthcare access, especially in rural areas where pollution-related illnesses are rampant. Public health campaigns must be intensified, educating citizens about preventive measures against pollution-induced diseases and outbreaks like Lassa fever.

There is no more time for complacency. The battle for a cleaner planet is also a fight for human survival. Every moment wasted brings us closer to a world where clean air, safe water, and healthy food become privileges rather than rights. The time to act is now.

Maimuna Katuka Aliyu is a correspondent of PR Nigeria in Abuja.

Praise strengths, hide weaknesses in marriage and beyond

By Aisha Musa Auyo

I will begin my write-up with this Hadith: Prophet Muhammad (peace be upon him) said, “Nothing is heavier on the believer’s scale on the Day of Judgment than good character.” (Sunan al-Tirmidh).

If we pay attention and are fair to ourselves, I bet you will realise that none of us is perfect. We all have areas in our lives where we excel, and we all have areas where we do not excel – or even fail. This will be true in your marital life as well. So, let us try to upgrade our character based on this fact.

Marriages collapse for many reasons. Some marriages and relationships go wrong because people fail to praise each other’s strengths and tend to criticise each other’s weaknesses. 

Let me tell you from experience. I love getting praise when I do something good, but if I totally blow something, I am already critical and upset enough with myself that I do not need my mate coming in and twisting the knife, so to speak. I am pretty sure everyone out there would agree with me on this. 

If you want to approach marriage the right way, you must generously praise each other, particularly when one excels at something, and use criticism sparingly when one flounders. Pray about the challenges and allow Allah, the Most High, to handle the work. 

Crushing your spouse’s soul will only push them away and never pull them toward you. When you see your spouse has messed something up, this is a time to draw them into your arms, hug them tight, and assure them everything will be okay. 

Marriage is teamwork, not competition, so learn to support and encourage each other. If you discover that you have strengths in areas where your spouse is weaker, take the lead in those aspects of the relationship and allow your partner to excel in what they do best. This synergy is achievable only in a healthy, selfless, progressive marriage.

If you both struggle in an area, agree to collaborate to address it. Learning to use this key effectively will create tremendous harmony in your relationship.

This formula can be applied beyond marital relationships. Any type of relationship can benefit from it, including those between parents and children, teachers and students, siblings, coworkers, or employers.

In a world where you can be anything…. choose positivity, compassion, empathy, and kindness. Remember, people may forget how you look, but they may never forget how you made them feel.

One more reason to be kind, encouraging, and compassionate is the hadith that the Prophet Muhammad (peace be upon him) said: “The best among you are those who have the best manners and character” (Sahih al-Bukhari).

Aisha Musa Auyo is a Doctorate researcher in Educational Psychology. A wife, a mother, a homemaker, caterer, parenting, and relationship coach. She can be reached via aishamuauyo@live.co.uk.

The super bookseller; Tribute to Alaji Garba Mai Littafi.

By Muhammad Ahmad Iliasu

When Barr. Ammani recommended Hillary Clinton’s Autobiography ‘Living History’ to me back in 2018, I said to myself where could I find it? Because, among others, one thing was certain; books that are authored across the ocean are not easy to find. And if, in the rare case, they are available, a young student like me was most likely priced out of contention.

Then one day, during one of my trekking braggadocios between Kantin Kwari, Bata to Sabon Gari, I stumbled upon an intensely greying old man of modest stature, smiley and incredibly alert and mobile for a man of his age. What pulled my attention to his makeshift shop wasn’t him, but rather the large book carrying the face of Herbert Hoover – USA’s 31st President.

At that time, there were a lot of debates in our Macro class in BUK on Buhari’s Protectionist policy. And with Yanis Varoufakis’s dominance on my bookshelf, how protectionism backfired against Hoover as stated in his ‘Global Minotaur’ became of great interest to me. I didn’t only want to know all about protectionism in the 1930s but the whole lifetime of President Hoover and his administration.

Therefore I stepped to the old man, pointed at the book and asked ‘how much is that one, Baba?’ ‘It’s price is two-thousand five-hundred Naira, boy’ – he replied. I responded ‘what?’ – almost terrified by its incredible cheapness, even though I didn’t have that amount at the time. To which he incredibly remarked ‘if you are truly serious, I will leave it to you at one-thousand seven-hundred Naira’. I laughed and borrowed the money from my boss’s change to settle the payment. I asked him once again ‘do you by any chance have Living History?’ The old man smiled and said ‘That will be Hillary Clinton’s Autobiography. I sold it two days ago. But I have ‘Women in Charge’. He put my curiosity into perspective with that response. Because I didn’t think he would know that instantly. And from then my relationship with him became very close. I admired his familiarity with books, genres and authors. And he became fond of how much I was willing to spend on books.

Interestingly, we never exchanged contacts. I usually stopped by his place anytime my boss sent me to Sabon Gari. And whenever he had a book he knew I’d like, he would keep asking his customers if they knew one big lad from the core metropolis who is crazy about books – I knew that because he asked three people who knew me and passed the message.

Beyond the unbelievable cheapness of his books, what made Alaji Garba special wasn’t his eagerness to sell, but knowing what his customers wanted to buy. He had a way of profiling people’s interest perfectly. For example, anytime he had an autobiography of a famous leader or historical figure he would try his best to see me acquire it. I recall how he kept the biography of Joseph Stalin waiting for weeks even though many wanted to get it ahead of me. Funny enough, I didn’t know who Stalin was at that time. He just believed I would like it. And he was right.

From him I acquired more than 20 biographies of US presidents including those of Washington, Maddison, Jefferson, Lincoln, FDR and Reagan. I first heard about The Bourbons, House of Windsor and The Bolsheviks from him. Better yet, he supplied deep readings on them. I got classics authored by Rousseau, Locke, Homer, Byron, Marx, Calder, Orwell, Dante and Dumas from Alaji Garba.

He introduced me to the artistic savagery of Mario Puzo’s Mafia and the boiling horror of Stephen King. I know Jenni Calder and her father Angus Calder because of Alaji Garba, and thanks to that I know Thomas Carlyle and whoever he mentioned in his analysis of Heroes. I’ve forgotten to mention the book “Heroes” by Jenni which Alaji Garba gave me almost for free, the very book whose analytical dexterity formed the earliest foundation of my ability to conflate history with literature, personality with reality, and what an author seeks to achieve with every detail of his book.

On the afternoon I bought Eisenhower’s biography, Alaji Garba gave me ‘Thirty Centuries of Command’ for free. And beyond acquiring familiarity with the military-industrial complex, the misinformations in the Thirty Centuries of Command on Sultan Muhammad al-Fatih rattled me into reading the history of the Ottoman Empire since Sulayman Shah and Ertugrul up to Lawrence of Arabia and Mustafa Kemal Attaturk.

Indeed, I am nothing without my bookshelf, and my bookshelf would be nothing without Alaji Garba’s heavenly supply. There are five times more books on my shelf that were supplied by Alaji Garba than any other bookseller. And he’s probably only edged by Jakara City on the quantity of my readings supplied. The poor man, whom I truly loved, probably had no idea what he was doing jumping from one shadow to another under a bridge with those small sacks of old treatises. He was probably just trying to put food on his table, unsure of who next will buy, and whether that will be enough to pay the fare home. But he was more than that. And I wish he knew it. I wish he knew how many lives he changed with that materially unrewarding trade. I wish he can get recognition for the volume of knowledge he worked very hard to put into the hands of people who otherwise would never have gotten the chance to get.

I wish he knew how much I loved him and how much I understood his efforts and how much I admired him and his trade. I wish he knew how people like him inspire me to be great despite having no independent ambition to be so, just so that when I tell their story to the people who should’ve known them it will bear some weight. I write, partially, so I could tell the stories that may never be told. And Alaji Garba’s is truly one of a kind. May Allah rest him in His eternal peace. May ‘Iqra’a’ rescues him from the wrath on the day of judgement. For certainly very few have dedicated more to the love of reading.

Muhammad Ahmad Iliyasu is Strategic Communications Officer at the Center for Fiscal Transparency and Public Integrity. He can be reached via his email: Muhada102@gmail.com

The insidious ascendance of antimicrobial resistance: A looming national, continental, and global pandemic

By Oladoja M.O

…and if we begin to face a threat of setbacks in our supposed success against diseases induced by pathogenic microorganisms, are we not seemingly sent back to the dark ages even as we claim to have advanced? When recounting the history of medicine, few triumphs can compare to the emergence and widespread use of antimicrobials, for indeed, it was a win for the world. 

Without mincing words, Alexander Fleming’s serendipitous discovery of penicillin on his petri dish ushered in a new era in biomedicine. For just before our eyes, pathogens that had wreaked havoc for generations, perpetuating morbidity and mortality in their wake, were suddenly at the mercy of the new chemical arsenal deployed in the fight; and just like that, infectious diseases receded before the ever-rising tide of antimicrobials. Everyone felt optimistic and, in fact, predicted a swift and righteous victory over the scourge of infection.

For over a decade now, the world’s leading figures have consistently voiced concerns about the threat to global health posed by microorganisms’ resistance. It appears that humanity’s arsenal, which once assured victory over these microorganisms and their harmful effects, is now inadequate. Can we suggest that the drugs being produced are ineffective? Can we assert that our research is flawed? Or that humanity has developed a different genetic makeup? Or that these microorganisms are now clever enough to evade destruction? 

Well, many questions like these are very relevant. But as we consider these questions, it is more reasonable to retrace our steps to identify the real causes and understand what has positioned the world, particularly Africa and Nigeria, toward this path of looming global, continental, and national health breakdown.

Nationally, for example, this issue is moving very rapidly. Diseases that should be treated in a short time are becoming difficult to manage, with treatment becoming elusive. Many blame the serious organized crime surrounding “fake drug production ” in Nigeria, which floods the market day and night, and yes, this is a reasonable claim. What greater factor could contribute to a drug’s ineffectiveness than poor or flawed production? However, if this were the only cause, it would be a unique issue to Nigeria; instead, it transcends even beyond that. 

The individual practice can be directly linked to this whole issue without prejudice. Simply put, the consistent intake of drugs renders the individual impotent over time. The Department of Health of the Australian Government, in one of their submissions, noted that “using a drug regularly can lead to tolerance (resistance); your body becomes accustomed to the drug and needs increasingly larger doses to achieve the same effect or, even, becomes less potent.” This attitude, unfortunately, is almost a daily occurrence for many individuals, stemming from the persistent issue of self-prescription, however minor it may appear. 

The US National Library, in one of its publications in 2013, stated that “Self-medication is a global phenomenon and a potential contributor to human pathogen resistance to antibiotics. The adverse consequences of such practices should always be emphasized to the community, along with steps to curb them.” I think we can all agree that many people are guilty of this act; at the first sign of discomfort, almost everyone becomes a medical expert in their own home, concluding which drug works best for them, diagnosing their own ailments, and taking antibacterial drugs for fungal issues. 

A user on X @the_beardedsina narrated his experience: “A patient comes to the hospital. He has been sick for a week, having had a fever for days. A blood culture is done, and the result shows that he’s resistant to the following drugs (antibiotics): Ceftriaxone, Ampicillin, Cipro, Levofloxacin, Metronidazole, Cefepime, Meropenem, Piperacillin, Gentamicin, Amikacin, Nitrofurantoin, Vancomycin, and Chloramphenicol.” How can we survive this??

The issue of how antimicrobials are used in agriculture is another concern. The rise of industrial farming has fully embraced the prophylactic use of antimicrobials in livestock, not primarily to treat diseases, but to enhance growth rates. However, unlike clinical settings, the agricultural use of antimicrobials lacks the same oversight and prescribing guidelines. 

The inconsistency in regulation allows for significant variation in the classes and concentrations of antimicrobials used in agriculture. In 2021, approximately 54% of the 11 million kilograms of antimicrobials sold for use in domestic agriculture in the United States were categorised as “medically important. “

In conclusion, this issue requires significant awareness and sensitisation of the general public regarding the dangers of antimicrobial resistance. Conservative preventive care should be promoted, and individuals should seek care from qualified professionals. 

The commercial use of antimicrobial drugs must be approached with caution, and all relevant agencies responsible for this oversight at national, continental, and global levels should act swiftly before the situation escalates and threatens global health, reverting us to the dark ages of high mortality and the economic toll of microbial threats.

The world faces numerous challenges, and we should focus on celebrating our victories rather than becoming overwhelmed by this struggle.

Oladoja M.O writes from Abuja and can be reached at mayokunmark@gmail.com.