Health

By Lawal Dahiru Mamman 

In the year 2020, just before the COVID-19 outbreak was declared a global health emergency, I was privileged to be part of a class taking a course on ‘Animal Health and Diseases’ at the Usmanu Danfodiyo University, Sokoto, UDUS.

At the beginning of the pandemic, rumours were rife that the disease emanated from animals. We did not immediately dismiss the narrative because we had just learnt about zoonotic diseases (illnesses contracted by humans from animals), their preventive techniques and how deadly some of them can be.

Just over a week ago, precisely on June 13, 2023, the Federal Ministry of Agriculture and Rural Development alerted Nigerians to take precautions as Northern Ghana, bordering Burkina Faso and Togo, had recorded an outbreak of the Anthrax disease. 

According to that statement, Sokoto, Kebbi, Niger, Kwara, Oyo, Ogun and Lagos States are most at risk due to their proximity to Burkina Faso, Togo and Ghana, and needed to “intensify animal vaccinations”.

At this point, it dawned on me that Anthrax was one of about twelve deadly bacterial diseases, which we discussed in class about three years ago. The disease is zoonotic. Hence, if left untamed, it threatens the loss of humans and livestock. And perhaps, this is why relevant authorities thought it wise to inform the public.

The announcement came with a caution against consuming hides popularly known as ‘Ponmo’, smoked and bush meat, as they pose serious risks. These are not the only route of transmission.

In Nigeria, a large percentage of the livestock are kept under a pastoral and agropastoral production system. This means that animals are not secluded; they interact with humans directly or indirectly, and not everyone attending to animals washes themselves before mingling with others. 

The point is, while animals are primary, humans, contaminated soil and materials are secondary sources of zoonotic diseases. Anthrax manifests in several forms, including flu-like symptoms such as cough, fever, and muscle aches. If not diagnosed and treated early, it can lead to pneumonia, severe lung problems, difficulty breathing, shocks and death.

To prevent zoonosis, there are about two ways. The first is to prevent the disease from even entering your community or country by allowing immigration or the purchase of only healthy animals. This can be achieved through proper quarantine, vaccination and isolation before release to the general animal population.

Secondly, environmental cleanliness, proper animal management, isolation of sick animals, drug therapy and regular veterinary visit in unfortunate circumstances where the disease is already endemic is the way to go.

Vaccination remains cost-effective in the prevention and control of animal diseases. To this effect, National Veterinary Research Institute Vom, Plateau State, has the mandate of producing standard quality vaccines for the livestock industry in Nigeria.

Since the announcement, reports have it that Federal Government has resuscitated a Standing Committee on the control of Anthrax in the Ministry of Agriculture and Rural Development; relevant institutions and collaborators have been contacted to control the outbreak in addition to the sensitisation of state directors of veterinary services nationwide.

Sadly, on Thursday, June 22, 2023, a veterinarian and Chief Executive Officer, CEO El-Mond Veterinary Services, Abuja, Dr Monday Ojeamiren, mentioned in one of the national dalies that the “level of preparedness to prevent Anthrax disease spreading to Nigeria is not far from zero,” and poor awareness of the disease by Nigerians can lead to a momentous outbreak.

In the wake of Mr Ojeamiran’s alarm bell, Nigerians must and should know that Anthrax is life-threatening, and many scholars think it has existed since the time of Moses and may have caused what was known as the fifth plague during the ten plagues of Egypt.

While we hope the situation is swiftly contained by the government and health authorities in the country, we, as citizens, must heed experts’ warnings about the disease. Prevention, as they say, is better than cure.

Lawal Dahiru Mamman writes from Abuja and can be reached via dahirulawal90@gmail.com.

By Aisha M Auyo

“She’s very arrogant. Who the hell does she think she is? ita ba kowa ba sai girman kai, wai Auyo ce zata nuna bata ganemu ba? Why will Auyo pretend not to recognise us after all our years together? (My friends, acquaintances, coursemates, and relatives).

“Aunty Hadiza, Aisha fa bata gaidamu, idan mun hadu dauke kai take, abin mamaki da takaici“. (My mother’s friends and colleagues complain with disappointment that I don’t greet them whenever we meet.)

“Anti-Binta, Aisha fa matar Abdullahi in ta gammu yi take kamar bata sanmu ba, yarinyar data taso a gabanmu? Bata san mune sirikanta ba, we can do and undo fa“. (My mother inlaw’s friends, relatives and colleagues complaining that I don’t respect them.)

“Baiwar Allah ban gane ki ba; I think you have mistaken me for someone else. We’ve never met”. (The strangers I greet with confidence and pride, thinking that I recognise someone I know). 

Does this sound familiar? These are the comments and remarks I’ve been hearing since my teens. Sometimes I explain to the complainants that it’s my eye problem; some people believe me, some do not, and they will say she’s just a snub. 

Then comments started coming from my friends or their parents that they’d greeted my mom, but she did not recognise them. I’ll apologise and explain to them that she finds it hard to identify people.

So when the complaints kept coming, I realised that mam and I have a common problem. So also Hafsa. The issue started eating me. I always pray that my eyes or memory should not fail me whenever I go out. 

Then greeting strangers become my new normal. I’ll see a person, assume that person is someone else, and even start exchanging pleasantries with them, only to see them surprised by my politeness, that they do not know me or the others I’m talking about. 

Then it occurred to me that this isn’t normal. Something must be wrong with us. Like we do great in school, we have a sharp ability to memorise and recall lessons and events, but why not people? I know we have sight problems, hence the use of constant eyeglasses, but why has our memory never failed us in school? Shebi na the same eye and brain we use to see people and read books?

So when my appointment with the optician came, I told him of this condition affecting my life. He explained that it’s a rare socio-medical condition that can be inherited or acquired later in life. I did my research and learned a lot about the condition. 

Here are a few things you should know about Prosopagnosia; perhaps you may encounter someone with such a condition.

Prosopagnosia (face blindness or facial agnosia) is a neurological disorder characterised by the inability to recognise faces. The term comes from the Greek words for “face” and “lack of knowledge.”

Depending upon the degree of impairment, some people with Prosopagnosia may only have difficulty recognising familiar faces, while others cannot discriminate between unknown faces. In severe cases, people may be unable to distinguish a face as different from an object. Some people are unable to recognise their faces. 

Prosopagnosia is only face blindness, not colour blindness or overall visual impairment. It is not the same as forgetfulness or sometimes struggling to find the right word.

This condition is unrelated to memory dysfunction, loss, impaired vision, or learning disabilities. The disorder is thought to result from congenital influence, damage, or impairment in a fold in the brain that appears to coordinate the neural systems controlling facial perception and memory (right fusiform gyrus). 

Congenital Prosopagnosia appears to run in families, making it likely to result from a genetic mutation or deletion. Some degree of Prosopagnosia is often present in children with autism and Asperger’s syndrome and may cause impaired social development.

Because there aren’t apparent brain lesions in people with congenital Prosopagnosia, scientists aren’t sure what causes it.

Prosopagnosia can be socially debilitating as individuals with the disorder often have difficulty recognising family members and close friends. They often use other ways to identify people, such as relying on voice, clothing, or unique physical attributes.

Evidence suggests that people with Prosopagnosia may become chronically anxious or depressed because of the isolation and fear that come with the condition. 

Navigating basic social interactions with Prosopagnosia can become fraught, and some people avoid contact with family members and other loved ones out of fear that they will not be able to recognise or address them adequately.

Sadly, there’s no treatment for Prosopagnosia, but there are ways to manage it. People with Prosopagnosia often focus on features like hair colour, walking style or voices to tell people apart.

So now you know, if you meet a person and he/she fails to recognise you, kindly be supportive and understanding. They may be suffering from this condition; trust me, it is debilitating for people suffering from it because It’s hard for others to understand. It may even cause depression in severe cases. 

And remember, before you assume, learn the facts; before you judge, understand why!

Aisha Musa Auyo is a Doctorate researcher in Educational Psychology, a wife, a mother of three, a Home Maker, a caterer and a parenting/ relationship coach.

By Ahmad Deedat Zakari

The Governor of Kano State, Abba Kabir Yusuf, in the early hours of Friday, flagged off open heart surgery for patients with heart-related diseases.

The Governor flagged off the exercise, which was sponsored by the Saudi Government in partnership with Muslim World League, at the Aminu Kano Teaching Hospital Conference Hall in the State.

During the event, the governor reiterated the commitment of the Kano State Government to partner with any non-governmental organizations and individuals willing to assist in providing training to health personnel and medical care to patients in need of such services.

He said: “We are very much delighted to have you in Kano for this gigantic assistance. Kano state is the most populous state in Nigeria, with over 21 million People. We have the most vulnerable people, downtrodden masses that do not have any means of taking care of their health needs,” said the Governor.

He added that “We will stick to our campaign promises of building general hospitals across the 44 local governments and Primary health care centres across the state and the re-introduce mobile clinics to cater for the people in the rural areas who are in need of medical attention free of charge.”

The head of the medical team from Saudi Arabia, Dr Utman Al-uthman Saad, said the medical team comprised 20 Cardiac surgeons who will perform the surgery and pledged to do their best to achieve the set goals.

By Uzair Adam Imam

A young electrician identified as Alhaji died while repairing faulty cables on electric poles in Niger.

The incident happened on Thursday in Soje B. Area of Minna, Niger State, at around 3pm.

The man was said to have been specialised in preparing home electrical appliances and had died on the spot after being electrocuted.

The residents who spoke to the journalists in the state said that the efforts to save his life were not successful.

However, one of the witnesses, Aliyu Jibrin, stated that “No one knew he was electrocuted on the pole until his lifeless body fell from the top of the pole.”

By Ahmad Deedat Zakari

Ahmadu Bello University Teaching Hospital, Zaria has recorded an unprecedented milestone in the North-Western region of Nigeria as the university hospital successfully delivered its first invitro fertilization (IVF) baby.

Professor Adebeyi Adesuyun of the Department of Reproductive Medicine, disclosed this to newsmen on Friday. He said, “A male baby was delivered at 10:53am on May 16 with weight of 3kg.”

The Professor noted the cost implication of the milestone and further disclosed that it was a journey began by ABUTH about twelve years ago.”

Such delivery is costly and not available in the whole of the northwest region. ABUTH is the only public health facility that offers IVF. The journey did not start today; we have been on it for more than 12 years, but paucity of funds in getting the right equipment was our major hindrance,” he said.”

He also disclosed that the hospital has patients on their waiting list to receive the treatment.

By Uzair Adam Imam

A psychiatrist, Dr. Adeoyo Oyewole, said the physical and mental stress journalists are exposed to daily has psychological effect on them that could lead to mental shutdown.

The doctor said the pressure used to create a mental disequilibrium which manifests psychologically and phphysically.

Dr. Oyewole, who is a consultant at the Ladoke Akintola University Teaching Hospital, also added that lack of proper stress management killed journalists discreetly.

He made this shocking revelation on Monday at a seminar organised by Fountain University for practising journalists and final year Mass Communication students of the institution.

The seminar was themed: Effect of Poor Stress Management among Nigerian Journalists on Mental Health Productivity, at its campus, Osogbo.

The doctor further stated that Nigerian journalists carry Nigeria on their shoulders at a mental cost, and struggle daily to gather information in spite of humiliating cultural and bureaucratic bottlenecks.

He added, “There is a need for journalists to be proactive in managing time, value relationships and posses the will to break through barriers to achieve daily goals.

“Financial freedom is also essential. No journalists should be underpaid in discharging their responsibility as a professional in order to meet their daily demands both personally and as a family.

“A journalist must be able to meet his daily diet and supplement demand to be physically and mentally ready for the rigours of the job”, he said.

By Uzair Adam Imam

A patient in Ilorin has met with a sad fate when one Ayodele Joseph, the Chief Medical Director of Ayodele Hospital, sedated and raped her iside the hopital.

A police report revealed that Dr. Ayodele sedated the patient and eventually raped her without her consent.

It added that the doctor sedated the patient and raped her when she went to the hospital for medical treatment.

Ayodele was arraigned on a two-count charge of act of gross indecency and rape, contrary to sections 285 and 283 of the penal code.

The Daily Reality, through the police report, learned that the victim, who fell under the doctor’s trap, is also a professional nurse.

“Investigation into the matter however led to the recovery of the video recording containing sexual action of the defendant on the victim while medical text also confirmed that the said nurse was assaulted and raped”, the charge sheet disclosed.

Gbenga Ayeni, the prosecutor, informed the court of the gravity of the offence and the motion attached to the police report, which sought to remand the suspect.

The court granted Ayeni’s prayer for remand while the matter was adjourned to May 18th, 2023.

By Kamal Buba Danladi

According to the Oxford Dictionary, Urology, also known as genitourinary surgery, is the branch of medicine that focuses on surgical and medical diseases of the urinary tract and the male reproductive organs. Organs under the domain of urology include the kidneys, ureters, adrenal glands, urinary bladder, urethra and the male reproductive system.

On the 19th of April 2023, Dr Amina Buba became the youngest urologic surgeon in Nigeria, the 7th female urologist in our country and the first Muslim woman in Nigeria to bear that title. Amina truly has shattered the glass ceiling! She is an inspiration to young women all around the world that anything is possible.

Amina was born in Lagos and attended St. Jude’s private School in Festac Town, Lagos. Then she started her secondary school at Federal Government College, Kwali, Abuja, before she transferred to Federal Government Girls College, Bwari, Abuja. After completing her junior secondary school there, she moved to El-Amin International School, Minna, where she completed her senior secondary school and then proceeded to her A-levels at Irwin College Leicester, England.

Amina also studied medicine at Brighton & Sussex Medical School, Brighton, England and then did her Master’s in Tropical Medicine & International Health at the Prestigious London School of Hygiene and Tropical Medicine, where she gained an MSc. as well as a diploma in Tropical Medicine and Hygiene. Shen then did her surgical residency in Abuja, Nigeria, which she recently completed.

When asked about why she chose this particular field, Amina says that she has always wanted to be a doctor, and when she qualified as a doctor, she knew that she wanted to be a surgeon but wasn’t sure of the surgical speciality. She began her residency programme with a posting in urology, and she fell in love with urology instantly because it is such a diverse surgical speciality, and you get to operate on the entire urinary tract as well as the male genital tract. There are also so many facets to it; there are paediatric urology, reconstructive urology, and upper and lower tract surgeries.

She further says that there are also plenty of opportunities to engage in both open and minimally invasive surgery, that is, laparoscopic, robotic and endoscopic surgeries. She was also drawn to it because, as a junior resident, she had 5 amazing consultants who, despite the strains of an under-resourced working environment, ensured that their patients got the absolute best.

Another interesting thing about the field, according to her, is that most urology patients have fixable problems and so it is really satisfying to identify a pathology in a patient, operate on it and discharge a happy, healed patient. She also added that urology is a fantastic speciality with so much room for growth.

She gave thanks to her mentors because they have been encouraging, and says she has had excellent teachers. Speaking about some of the challenges she faced, she says that they were there but were minimal and mainly from her peers questioning her decision to specialize in urology. This also prompted her to carry out a questionnaire-based survey on patients’ perceptions of having a female urologist. And interestingly, the majority of patients have absolutely no qualms at all.

In her practice, she has seen that even the few patients who seem sceptical tend to relax once she starts talking to them and establishes a rapport. She also says that she has had patients who specifically only want to see her, and she also added that when people are sick, they just want a good doctor and don’t care about their gender. She jokingly often asks people who question a decision to specialize in a primarily male-dominated area; “what of the men in gynaecology”. They only see women, but at least as a urologic surgeon, she sees both male and female patients. Another challenge she faced in training which she says is not peculiar to her, is the lack of facilities in Nigerian Teaching Hospitals. Our government really ought to do better.

And when asked about her family’s view on it she says that they were extremely supportive, and she really would not have been here if she didn’t have such supportive parents. Amina also says that her two elder sisters have been supportive, and they cheer her on in the process because the training is strenuous, emotionally and physically demanding and without her family’s support, it would have been impossible.

She also states that they have gone through the entire journey with her, and she appreciates them tremendously. She adds that she had some really supportive friends and bosses who have always cheered her on, and finally, her advice to young girls, especially in Northern Nigeria, is they should believe in themselves and strive for excellence, don’t settle for mediocrity. Pray hard, establish a good relationship with God and work hard.

Amina also has this to say “Pray like you are not working and work like you are not praying”. The world is our oyster, and there are so many glass ceilings waiting to be shattered! She concludes by thanking Allah for the mercies he has shown to her and by saying if she can do it, then anybody can. She hopes that her achievement will inspire young ladies to realize that there is so much that needs to be done.

Kamal is a student of Mass Communication from Skyline University Nigeria. He writes from Kano, Nigeria.

By Muhammad Suleiman Yobe.

Jigawa State Ministry of Health has confirmed 141 new cases of Cerebrospinal Meningitis that claimed eight lives in the state.

The ministry’s Permanent Secretary, Dr Salisu Mu’azu, confirmed the cases to Daily Reality in Dutse, the state capital.

The Permanent Secretary, who spoke through Dr Sabi’u Muhmmad of the disease control department in the ministry, outlined some areas in Kaugama, Birniwa, Gumel, and Maigatari Local Governments the cases were identified.

Dr Muhammad said 134 out of the 141 patients were infected by Neisseria Meningitis type C, and 6 contracted Strept pneumonia while one was identified with Neisseria Meningitis type X and among the cases identified, about eight death were recorded.

He said that all measures had been put in place to avert the pandemic. He further advised communities in the affected areas to be conscious and refer a suspected case to the nearest general hospital for all necessary action. The state government has procured free medication for patients with such cases.

By Bashir Abdu Muzakkari, Ph.D.

Kano State is the most populous state in Nigeria with a projection of over 20 million people. Access to quality and affordable healthcare services in Kano state have been a major challenge for many years which is due to various factors: inadequate healthcare facilities, shortage of healthcare professionals, poverty, and a lack of awareness and enlightenment among the people about the importance of healthcare. The incoming government under His Excellency, Abba K. Yusuf, has made a commitment to revive the healthcare system in the state through a range of initiatives.

One of the major initiatives is the recruitment of human resources for health sector. This is because, Kano has a shortage of healthcare professionals which has led to inadequate access to quality healthcare services. The government aims to attract more healthcare workers to work in the state by providing incentives and partnering with medical schools to train more healthcare experts locally.

The establishment of mobile clinics and ambulance services is also a key initiative of the government. These services will provide basic healthcare services to people living in remote areas who may not have access to healthcare otherwise. Ambulance services ensure that patients can be transported to hospitals quickly in case of an emergency, improving their chances of survival.

The free Maternal and Child Health (MNCH) program is another significant initiative. This program will provide free healthcare services to pregnant women and children under the age of five. This initiative will help in reducing maternal and child mortality rates in the state as more women will have access to free antenatal care and delivery services.

Primary healthcare services are also a priority for the government. The provision of basic healthcare services at the community level helps to reduce the burden on hospitals and clinics. This initiative will help people access healthcare services closer to their homes, especially those in remote areas.

Partnerships and donor coordination in the health sector are also critical. This initiative will lead to increased funding for healthcare services in the state and partnerships with international organizations and donors to improve healthcare infrastructure and services.

The renovation of major hospitals in the state will also be a crucial part of the incoming government’s efforts. This initiative will improve healthcare services and increase patient satisfaction. The government will also encourage private investment in the health sector to improve access to health services.

To make it easier for people, the government will set up a smart contributory health plan. The scheme is aimed at ensuring that people have access to healthcare services regardless of their income level. This initiative has helped poor and marginalized people all over the world to get better access to healthcare services.

Finally, the government will provide support for medical students and doctors in residency training. This ensures that healthcare professionals are adequately trained and prepared to provide high-quality healthcare services.

In conclusion, the incoming government under His Excellency Abba K. Yusuf’s leadership has shown a commitment to improving access to quality and affordable healthcare services in Kano state. If implemented by the government, the initiatives: recruitment of healthcare professionals, establishment of mobile clinics and ambulance services, free maternal and child health program, primary healthcare services, partnership and donor coordination in the health sector, renovation of major hospitals, private investment in the health sector, a contributory health scheme, doctor residency training and support for medical students will contribute to the improvement of healthcare services in Kano state. These initiatives have the potential to transform the healthcare system in the state and improve access to healthcare services for the people of Kano state.

Bashir A. Muzakkari, Ph.D. writes from Kano.