Health

 By Kasim Isa Muhammad

As I walked into the Potiskum Specialist Hospital in the Potiskum local government area of Yobe State on September 14th, 2024, I was filled with a sense of hope and urgency.

My niece, suffering from sickle cell disease, was in dire need of medical attention. Her condition was worsening by the day, and I knew that timely intervention was crucial. 

But what I witnessed that day was a distressing scene. The waiting area was packed with people, all waiting to see a doctor.

The air was thick with anxiety and frustration, and I could sense the desperation in the eyes of those around me.

The wait was agonisingly long. We spent three consecutive hours waiting for a doctor to arrive, watching as the minutes ticked by at a glacial pace. 

My niece was profusely crying due to the excruciating pain she was enduring, and I felt helpless as I tried to comfort her.

When the doctor finally arrived, the sense of relief was palpable. But as I looked around, I realised that the workload was simply too much for him to handle alone.

The hospital was understaffed, and it showed. Potiskum, as the most populous local government area of Yobe State, deserves better. Its hospital should be equipped to handle the needs of its people, but the lack of enough hospital personnel is a major hindrance. 

As I left the hospital that day, I couldn’t shake off the feeling of frustration and helplessness. But I knew I had to speak out, for the sake of my niece and the countless others who deserve better.

The lack of sufficient health personnel at the hospital has far-reaching consequences. It not only affects the patients but also the doctors and nurses who are overworked and undervalued. 

Governor Mai Mala Buni, we urge you to take immediate action and employ the numerous jobless health workers in our state to cater to the growing population of Potiskum.

It is unacceptable that our hospitals continue to struggle with inadequate staffing despite the abundance of qualified and eager healthcare professionals seeking employment. 

The current staffing crisis is not only detrimental to the well-being of patients but also puts an unbearable burden on the existing healthcare workers.

They are overworked, undervalued, and at risk of burnout, which ultimately affects the quality of care they can provide. By hiring more health workers, Governor Buni, you will not only be addressing the critical staffing shortage but also injecting life into the local economy. 

These new employees will contribute to the state’s economic growth, support their families, and stimulate community development.

Furthermore, employing local health workers will ensure cultural sensitivity and a deeper understanding of the community’s specific needs. They will be better equipped to address the unique health challenges facing Potiskum’s population. 

We implore you, Governor Buni, to seize this opportunity to transform the healthcare landscape of Potiskum. Provide the necessary resources, and watch as our healthcare system flourishes, benefiting generations to come. 

Kasim Isa Muhammad wrote from Potiskum, Yobe State and can be reached via Kasimimuhd1999@gmail.com.

By Maimunna Katuka Aliyu

Understanding blood types and genotypes is crucial for emergencies, such as blood transfusions during accidents. However, knowing one’s genotype, particularly before marriage, is equally important to avoid having children with Sickle Cell Disease (SCD).

Blood genotypes determine an individual’s blood type, inherited from our parents and remain constant throughout our lives. The four main blood types are A, B, AB, and O, classified based on the presence of antigens in red blood cells. The Rh factor can also be present (Rh-positive) or absent (Rh-negative), further defining blood types.

Blood genotypes play significant roles in the following:
– Blood Transfusions: Ensuring compatibility between donor and recipient blood.
– Pregnancy: Preventing complications like haemolytic disease of the newborn.
– Organ Transplants: Matching donor and recipient blood types for successful transplants.
– Disease Susceptibility: Influencing susceptibility to diseases like sickle cell anaemia.

Sickle cell disease is a genetic disorder affecting haemoglobin production, leading to abnormal red blood cells. These cells become crescent-shaped and rigid, causing a range of health problems. The genotype responsible for SCD is known as HbSS or HbSβthal, resulting from a mutation in the HBB gene.

Individuals with sickle cell disease have two copies of the mutated gene (HbSS), while those with one normal gene and one mutated gene (HbAS) have the sickle cell trait but generally remain healthy. Understanding an individual’s genotype is crucial in determining their risk of developing SCD or passing it to their offspring.

The symptoms of sickle cell disease can vary in severity and include:
– Anemia
– Fatigue
– Shortness of breath
– Pale skin
– Yellowing of the skin and eyes (jaundice)
– Painful episodes (crises)
– Swelling of hands and feet
– Increased risk of infections

While there is no cure for sickle cell disease, several management options help alleviate symptoms and prevent complications:
– Pain Management: Medications like acetaminophen and ibuprofen.
– Blood Transfusions: Increasing healthy red blood cell levels.
– Hydroxyurea: Reducing the frequency of painful episodes and improving anaemia.

Aisha Mahmud, a sickle cell patient diagnosed at age three, shared her experiences. As she grew older, the frequency of her crises reduced, occurring only once every three months. She regularly visits Primus Hospital in Karu, Abuja, and FMC Azare for checkups. Aisha emphasises that emotional stress often triggers crises, highlighting the importance of therapy over medication. Remarkably, her genotype changed from SS to AC, bringing immense joy to her family.

The challenges faced by sickle cell patients are immense, impacting them physically, psychologically, emotionally, and financially. Crises can occur unpredictably, causing significant distress to patients and their families.

Researchers are continuously exploring new treatment options for sickle cell disease. Some of the latest developments include:

– Hydroxyurea: Reduces pain crises and acute chest syndrome, decreasing the need for blood transfusions.

– Voxelotor: Approved for people age four and older to reduce pain crises and improve anaemia.

– Crizanlizumab: Approved for people age 16 and older to reduce pain crises.

– L-glutamine: Approved for people age five and older to reduce pain crises.

– Bone Marrow Transplant: Can cure some individuals with SCD but requires careful consideration and a suitable donor.

– Gene Therapy: Genes are used to correct the mutations that cause sickle cell disease.

– CRISPR Technology: A gene-editing tool that corrects the mutation causing SCD.

In conclusion, sickle cell disease is a complex and debilitating genetic disorder affecting millions worldwide. While there is no cure, management options help alleviate symptoms and prevent complications. Ongoing research and new treatment options offer hope for improved treatment and potentially a cure in the future.

Maimunna Katuka Aliyu wrote via munat815@gmail.com.

By Aisha Musa Auyo 

September is globally declared Sickle Cell Awareness Month.  The month is dedicated to raising awareness about sickle cell disease (SCD) and the challenges faced by those living with this inherited blood disorder. It serves as an opportunity to educate the public, promote early diagnosis, and advocate for better treatment options and research. 

The month also highlights the importance of genetic screening, support for patients and families, and increased funding to improve the quality of life for individuals affected by SCD. Through community events, health campaigns, and social media, advocates aim to bring attention to the urgent need for action and support for those impacted by sickle cell disease.

Today, I want to discuss sickle cell disease from a social and psychological perspective rather than a medical one. While I’m not a medical doctor, I’ll focus on the impact this condition has on families and individuals beyond the clinical aspects.

Anyone who knows me as a relationship coach knows that I deeply love and believe in love. I advocate for it passionately. However, when it comes to marriage, love is just one of many essential foundations. I’ll be very realistic here—there’s much more needed to make a marriage thrive. We’re all witnesses to the struggles and the painful moments of crisis of sickle cell sufferers. We know how their parents strain to cope with the financial demands at times of crisis.

For AS-AS couples who choose to look beyond their genotype and marry for love, the romantic vision they once had is often overshadowed by constant worry, fear, and apprehension. The looming possibility of having a child with sickle cell disease adds significant stress. After having children, the anxiety only deepens, with parents constantly fearing an impending crisis or managing one. This often results in the other children not receiving the care and attention they need, as the focus shifts primarily to the sick child.

Sometimes, the mother has to forfeit most of her dreams and aspirations because she’s always in and out of the hospital. I don’t want to mention the fear, horror, and pain they endure whenever their kids are in the hospital. The hospital becomes the second home of sickle cell kids with their parents. 

These parents hardly have any social life outside their homes and hospitals. The mothers, who are naturally more emotional, tend to be most affected by this.

Now, let’s discuss the pain and agony of sickle cell children. As much as I hate to write about it, we have to do it.  The pain experienced by a sickle cell patient is not only severe but often unpredictable. It can occur when least expected. 

The crisis stems from the sickle-shaped red blood cells that block blood flow, reducing oxygen delivery to tissues and causing intense pain. The pain can affect various parts of the body, particularly the bones, joints, chest, and abdomen. It can be acute (lasting hours to days) or chronic (persistent over time). The episodes are triggered by stress, dehydration, cold, or infections. The ensuing pain can be debilitating, leading to hospitalisations and significantly affecting the patient’s quality of life.

As these children grow older, many develop feelings of resentment toward their parents. They feel that their parents prioritised their desires over the potential suffering of their children. Every painful episode and crisis can remind you of choices made without fully considering the long-term consequences. This resentment stems from a sense of betrayal as they bear the physical and emotional toll of a decision that was not theirs. Parents often face this blame, which adds another layer of pain to an already difficult journey.

Parents in this situation are bound to carry the heavy burden of guilt and regret. Some marriages don’t survive the strain, leading to divorce, while others remain intact but with the painful decision to stop having children. 

I’ve seen firsthand the difficult choices couples make, including terminating multiple pregnancies because the babies were predicted to have sickle cell disease. It begs the question—why start down this path in the first place, knowing the potential heartache? No one should have to make these choices, and it’s a reminder of the importance of understanding genetic risks before taking that step.

Dear aspiring couples, Love, while beautiful, is not enough to withstand the many challenges that marriage brings. If both of you carry the AS genotype, I urge you to reconsider your relationship. There are many potential partners out there, and though it may be difficult, stepping away now could save you unimaginable heartache later. Trust me, it’s not worth the pain.

To couples already married with the AS genotype, please think carefully before bringing more children into the world. Consider the immense suffering that comes with sickle cell disease—for both you and your child. Spare them the pain and constant crises. Your love can be expressed in ways that protect their future.

Dear parents of children with sickle cell, my heart goes out to you. As a fellow parent, I can only imagine the trauma, pain, regrets, and difficult choices you face. The physical, financial, and emotional toll can feel overwhelming at times. 

Please remember that this is beyond your control, and you are doing your best for your child. Stay strong and lean on each other for support. Don’t hesitate to seek help from family, and make time for yourselves to recharge. Remember, there’s a life outside the hospital and home—try to socialise and find moments of joy. 

Connect with other parents who understand your journey, learn the best ways to care for your child, and never stop seeking knowledge. Above all, pray for Allah’s guidance and strength. You are not alone, and you will get through this.

Dear sickle cell warrior, please know your parents are deeply feeling your pain. They live with a mix of empathy and guilt, wishing they could take away your suffering. While they can’t change the course of destiny, they are sacrificing so much to ensure you have the care and support you need. Their love for you runs incredibly deep, often even more so because of the battles you face. If they could go back and change things, they would do so in a heartbeat. Always remember that your health and happiness mean the world to them.

The spread of the sickle cell genotype can end in a few generations when we intentionally avoid reproducing that genotype. It is a must for all of us to know our genotype before engaging in any serious relationship with the opposite gender. A stitch in time saves nine.

In my next post on this topic, I will discuss prevailing medical solutions in the management and treatment of sickle celldisease.

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.

By Aisar Fagge

“I will facilitate connections between the State Ministry of Humanitarian Affairs and the Federal Ministries, as well as international donors like the United Nations,” said Aminu Magashi Garba during a courtesy visit to the ministry on Tuesday, as part of his commitment to support vulnerable populations, including the less privileged and disabled in the state.

Magashi, founder and CEO of the Aminu Magashi Foundation (AMG), also announced technical support for the ministry, a gesture commended by Hajiya Amina Abdullahi Sani, who is the commissioner of the ministry.

Hajiya Amina assured the foundation of her commitment to collaboration, aiming to enhance the ministry’s impact on the people of Kano State, especially the vulnerable and disabled.

During the visit, Magashi pledged to support the ministry in several key initiatives, including convening a one-day stakeholders’ forum on the proposed Kano State Humanitarian Agenda, organizing a two-day working visit to Abuja to explore partnerships with the Federal Ministry of Humanitarian Affairs and Poverty Alleviation, and the United Nations Office of the Resident and Humanitarian Coordinator.

He also committed to assisting with the development of the 2025 Annual Operational Plan and a five-year strategic plan for Humanitarian Affairs and Poverty Alleviation.

Other support initiatives from the foundation include assistance with establishing the Kano State Humanitarian Investment Trust Fund and the Kano State Inter-Ministerial Coordination Committee on Humanitarian Response.

In her remarks, the commissioner highlighted the present administration’s commitment to supporting vulnerable populations, which led to the establishment of the ministry, reiterating her dedication to working with the foundation to further this mission.

Dr. Magashi praised her leadership and urged the commissioner to engage stakeholders for further interventions. He also encouraged the ministry’s directors to develop annual operational and strategic plans for the future.

By Mutalib Jibril

Have you ever felt a sudden twinge in your back, experienced a sharp pain in your chest, or noticed unusual fatigue? Did you rush to your favorite search engine to discover what might be wrong? You could be a patient of Dr. Google. Even with the best intentions, your search can quickly become a tangled mess of confusion.

Technology has made nearly everything easier and more convenient, giving us access to a wealth of information at our fingertips. This convenience extends to the health sector as well. 

A research review suggested that 90% of people in the United States have searched the internet for health information. It also revealed that 1 in 3 adults have gone online to try to diagnose a medical condition.

Googling your symptoms makes you believe you have a serious or even deadly health condition. When this happens, it’s known as cyberchondria. This term is used for an individual who develops extreme, unwarranted anxiety by using the internet to search for medical information.

For instance, you are experiencing a persistent cough. Almost instinctively, you grab your phone and search “persistent cough is a symptom of ….” In an instant, you are bombarded with a range of potential causes, such as allergies, asthma, tuberculosis, pneumonia, whooping cough, and chronic obstructive pulmonary disease (COPD). Now, you are not only coughing but also feeling overwhelmed and anxious. 

Turning to Google to diagnose what is wrong with you can lead to fear and anxiety because Google will not provide specific information about your health.

Online resources can be beneficial but are often confusing, alarming, and filled with inaccurate information. Google has no knowledge of your medical history, current medications, or other personal details crucial for an accurate diagnosis. One of the biggest risks of self-online diagnosis is that it may deter you from seeking the professional help you need.

When your car breaks down, you don’t just Google the problem to find out why it happened. Searching online may provide numerous reasons, but it won’t pinpoint the exact issue. Instead, you consult a mechanic with the expertise to identify and fix the issue. 

Similarly, seeing a medical doctor is more effective when you are experiencing health problems rather than relying on search engines.

When your smartphone starts acting up, you wouldn’t just rely on online searches to troubleshoot the issue. Instead, youwill visit a tech specialist who can fix the problem. Why, then, are you Googling your health problems? These two examples illustrate why seeking expertise is always the best approach.

Medical doctors undergo years of training that fully equip them with the precision to diagnose and treat a wide range of medical conditions that Google simply cannot match.

Mutalib Jibril wrote via mutalibdantanisabi300@gmail.com.

By Uzair Adam

At least 10 people have died and 40 others are currently hospitalized following a diphtheria outbreak in Kano State.

The state’s Commissioner of Health, Dr. Abubakar Labaran, disclosed this to journalists as reported by The Daily Reality on Sunday.

Dr. Labaran confirmed to journalists that the deaths occurred over the past week, adding that the state government has established diphtheria treatment centers in various local government areas to handle the outbreak.

“We have recorded 10 deaths from the diphtheria outbreak in the last week, and as of this morning, 40 patients are receiving treatment,” Dr. Labaran stated. He urged residents who encounter individuals showing symptoms of diphtheria to visit the newly established treatment centers instead of coming to facilities in the metropolitan area, to help prevent the spread of the disease.

He emphasized that treatment at these centers is free of charge.

Dr. Labaran also refuted figures circulating on social media, stating, “The only official number we have is 10 deaths.” The health authorities in Kano continue to monitor the situation closely as efforts to contain the outbreak are underway.

By Uzair Adam

A building collapse in the Makwarari area of Kano State has claimed the life of a 35-year-old mother and injured her two children.

The tragedy occurred on Friday following heavy rains that began on Thursday night and continued into the early hours of Friday morning.

The victim, identified as Balaraba Tijjani, was at home with her children, Abdulnasir and Abdallah, aged 11 and 13, when the incident happened.

According to her husband, Tijjani Magaji, the building’s collapse was due to the severe rainfall.

The Kano State Fire Service Spokesperson, Alhaji Saminu Abdullahi, confirmed the incident, noting that the structure was a one-storey residential building measuring 30 feet by 40 feet.

“We received an emergency call on Friday around 9:30 a.m. from one of our staff members, Ibrahim Isah, reporting the collapse,” Abdullahi said.

Emergency responders were promptly dispatched to the scene, where they managed to rescue the children alive.

They were taken to Murtala Muhammed Specialist Hospital in Kano for medical attention.

By Uzair Adam

Residents of Chikaji, located in the Sabon-Gari Local Government Area of Kaduna State, are urgently seeking assistance from the government and charitable individuals following a devastating flood that swept through the area.

Several media reports indicated that the flood caused extensive damage, washing away cemeteries, homes, and properties.

Triggered by a seven-hour downpour from 5:00 a.m. to 1:00 p.m. on Monday, the flood has severely impacted the community.

The Village Head of Chikaji, Alhaji Auwal Sani-Dambaba, reported on Tuesday that over 200 houses were affected.

He also mentioned that the flood caused significant destruction to the LEA Primary School and desecrated a large section of the Ojo Cemetery.

Although no lives were lost, many graves were disturbed, and residents are now taking refuge in nearby neighborhoods.

To address the immediate needs of the cemetery, Malam Suleiman Liman, the Chief Imam of Chikaji Central Mosque, has called an emergency meeting with local philanthropists to discuss relief efforts.

Among the victims is Malam Ibrahim Ahmed, whose two-bedroom home was reduced to rubble.

He expressed gratitude that the flooding occurred during daylight, which allowed residents to take swift action, although he lost all his belongings while trying to protect his children.

Community leader Alhaji Gafai Katsina highlighted the difficult situation for many flood victims, noting that some families are now staying with less affected neighbors or have returned to their parents’ homes temporarily.

Reacting to the disaster, a statement from the Office of the Speaker of the House of Representatives, Tajuddeen, emphasized the need for swift government intervention and called on the National Emergency Management Agency (NEMA) and the State Emergency Management Agency (SEMA) to provide immediate support to the affected residents.

The Speaker also urged residents to take precautionary measures and adhere to safety advice from authorities to minimize further risks associated with flooding.

By Hamza Muhammad Tasiu

I want to start with a powerful word: Kafkaesque! The meaning? It is when you enter a surreal world in which all your control patterns, plans, and how you have configured your own behaviour begin to fall to pieces. You find yourself against a force that does not lend itself to how you perceive the world. You don’t give up; you don’t lie down and die. You struggle against this with your equipment and whatever you have. But of course, you don’t stand a chance. That’s Kafkaesque as defined by Frederick R. Karl.

Kafkaesque comes from the name of the German author Franz Kafka. The word perfectly describes the cases of most kidney failure patients. The disease starts with back pain, then people go for diagnosis, and dialysis follows (Thank God it is free for Yobe indigenes). Swelling in arms and legs, shortness of breath, and hiccups follow and then comes the expected: slow and painful death. These are some of the things patients go through. 

But what is kidney failure? Kidney failure is a condition in which the kidneys lose the ability to remove waste and balance fluids. In other words, the kidneys have failed. 

Ordinarily, kidney failure should not be a death sentence. Dr. Ibrahim Sulaiman told us that a person can survive on 25% of his total nephrons, the kidney cells. That is, you only need half of one kidney to survive. But for most people, being diagnosed with one kidney failure is like being issued an indirect death certificate.

Most patients diagnosed with kidney disease put everything they can into the fight against the disease, but they stand no chance in most cases. And as the word says, ‘You don’t give up, you don’t lie down and die. You struggle against this with your equipment and whatever you have. But of course, you don’t stand a chance.’ 

Gashua has the highest number of cases of kidney failure in the whole of Yobe State. You could go to the dialysis unit in Yobe State Teaching Hospital and look at a kidney failure patient and ask him, ‘Are you from Gashua?’ The most probable answer? ‘Yes!’ 

As we speak today, hundreds of families are at the mercy of this disease. May we, the healthy ones, be protected from it. We also pray that this crisis comes to an end soon. 

My attempts for writing this short piece are that we may get someone (individuals, NGOs, governments, etc.) who will come to our aid and relieve the pain in my heart. As Neil Gaiman said, ‘Pain shared, my brother, is pain not doubled but halved.’

Hamza Muhammad Tasiu wrote via hamzamtasiu@gmail.com.

by Abdullahi Mukhtar Algasgaini

Governor Muhammadu Inuwa Yahaya, CON, inspected the 200-bed-capacity ultramodern General Hospital in Kumo, Akko Local Government Area of Gombe State.  

The hospital replaced an earlier dilapidated facility and is designed to provide comprehensive healthcare services as a referral centre.

Governor Inuwa said, “The complete reconstruction of this hospital is part of our larger plan to provide quality and affordable healthcare services to the people. We inherited a completely moribund General Hospital that could not provide the required healthcare services due to a lack of necessary equipment. We had no choice but to rebuild it from the ground up.”

“We built the hospital to international standards so it can function as not only a general hospital but also a facility that can provide tertiary health services,” the governor added.

He explained that the state government has also established similar hospitals in Kaltungo and Bajoga and revitalised at least one primary healthcare facility in each of the state’s 114 political wards.

“Our performance in the health sector, from human resources to infrastructure, is evident for all to see”. 

Strategically located, the Kumo General Hospital will serve the local population and travellers along the Gombe-Yola road. 

The Commissioner for Health, Dr. Habu Dahiru, conducted the governor around the facility and said it can handle complex medical cases, including heart surgeries and other medical complications.

He highlighted its modern equipment and potential to become a leading healthcare centre in the state and across the Northeast.

“In this theatre, multiple operations can be performed simultaneously, making it ideal for emergency situations and life-saving interventions,” he noted.

The Governor inspected the well-equipped laboratories, wards, maternity unit, accident and emergency complex, mortuary, powerhouse, and mini water treatment plant, among other facilities.