Health

By Dr Najeeb Maigatari

Your Excellency, I hope this letter finds you in good health. As I do not have the means through which my message could reach you, I am compelled to write this open letter to draw your attention to a menace threatening our healthcare system. That is the well-known Japa syndrome that has recently plagued our dear State.

I want to extend my heartfelt condolences to you and the good people of Jigawa State over the tragedy that befell the people of Majia a few weeks ago. This unforeseen event led to the loss of lives of over a hundred people and left several others with varying degrees of injuries. My heart goes out to the bereaving families of all those affected, and I pray that Allah repose the souls of the deceased and heal the injured. Amen.  

Returning to the purpose of writing this letter, Your Excellency, I would like to provide some details about how our dear state used to be. It was undoubtedly one of the states with the best healthcare systems and the highest number of practising medical doctors in Northern Nigeria. At one point, it was akin to a medical hub attracting patients and medical professionals from neighbouring states due to its subsidised healthcare, efficient service delivery, and overall welfare of health workers and patients. 

Since its creation in the early 1990s, the State has made giant strides in providing its citizens with effective and reliable healthcare services. To mention a few, various successive administrations have invested heavily in training Medical doctors and other health professionals, within and outside the country, in varying capacities to ensure effective healthcare delivery to the good people of the state. 

Similarly, Jigawa State has awarded scholarships with bond agreements to local and foreign medical students since time immemorial. It has produced medical graduates from various reputable institutions within and outside the country. In addition, it was one of the pioneer states among its peers to implement the sponsorship of medical doctors through postgraduate medical training programs to further their studies, a policy several other states would later adopt. 

Your Excellency, I can say with immense pride that our healthcare system performance score was impressive overall. It used to be one of the best in the country. The services rendered were affordable and accessible to the masses, and the welfare of patients and healthcare professionals was optimum. For instance, at some point, healthcare workers in Jigawa State were earning more than their federal counterparts. 

Unfortunately, things have now taken a turn for the worse. Our healthcare system is not only ‘underperforming’ below standard by all measures but also one of the worst in the country. We are now a shadow of our past. Jigawa State has a patient-doctor ratio of 1:35,000, far exceeding the WHO recommendation of 1:600, making it one of the states with the worst healthcare systems in Nigeria. This is indeed a troubling situation. 

Over the past few years, Jigawa State has witnessed an unprecedented mass exodus of medical doctors to other neighbouring states owing to poor welfare, overburdening workload, and inadequate health facilities in hospitals, among other factors. Regrettably, this internal Japa syndrome ravaging the state continues to overstretch our already fragile healthcare system. 

To put things into perspective, according to data obtained from the Nigerian Medical Association (NMA) Jigawa State branch from 2013 to 2024, of the 264 doctors who reported back to the state for bonding agreements, only 40 stayed after completing their terms. This is to say that more than 220 medical doctors have left to continue their careers elsewhere because Jigawa is fast becoming a nightmare and a difficult place for medical doctors.

It is worth noting that the state produced over 500 medical doctors (both foreign and locally trained) during the same period. Still, only 214 are on the state payroll, of which only 77 are currently manning the state’s primary and secondary institutions. They are about to round up their bond agreements by the end of the year; 89 are in training as either house officers or doing national service. The state has less than ten consultants and only 12 doctors in residency training. Altogether, fewer than 100 doctors attend to a population of over 7.5 million. 

This data suggests that while the state is doing a good job at producing medical doctors (both local and foreign), its retention capacity is very poor. The State will be left with no Medical doctors in the coming years if things continue at this pace. It has to either employ doctors from neighbouring states or overwork the few that stay to death if at all there would be! Your Excellency, this is only the tip of the iceberg as far as this crisis is concerned. This menace has no end. 

As a citizen concerned about the interests of Jigawa State, I implore you to declare a state of emergency on health in Jigawa State and engage with relevant stakeholders to find a way to end this worsening Japa syndrome, which is wreaking havoc in our dear state.  

The most crucial step to addressing this issue is the urgent need for the improvement of the overall welfare of the few Medical doctors and other healthcare professionals left in the state who are already struggling with chronic fatigue due to overwhelming patient workload. This singular act will not only boost the morale of these weary Medical professionals but relieve them of their burden. Still, it will also attract others from various States to compensate for the acute shortage of Medical doctors in the state. It will also improve the effectiveness of healthcare services delivered to the people. In other words, we can go back to our glory days. 

 Various States have already employed this strategy. Your Excellency, Jigawa State can not afford to lose the doctors it invests heavily in. This could amount to a work in futility! 

In addition, the government should seriously consider domesticating the Medical Residency Training Fund (MRTF), which will help train experts in various medical specialities in the state. This would help address the shortage of registrars and consultants in our tertiary facilities and provide an avenue for a healthy and excellent research environment in the State.

Other measures include equipping our already existing hospitals with state-of-the-art facilities and subsidising healthcare services, especially to women, young children and those suffering from such chronic debilitating conditions as sickle cell disease and chronic liver and kidney diseases. Your excellency, I believe these are some ways that could help end this menace threatening our very existence, help revitalise the State’s healthcare and improve its delivery to the citizens of Jigawa State. 

 Najeeb Maigatari is a Medical doctor. He writes from Dutse, Jigawa State, via maigatari313@gmail.com.

By Fatima Dauda Salihu 

Health is a fundamental priority that any government should address. When citizens are healthy, the entire state benefits. However, it is disheartening when the government neglects its health sector. 

The Federal Government of Nigeria has increased its expenditure on public health over the years to enhance public health outcomes, but much still needs to be done. Public health requires ongoing efforts, and continuous improvement remains a crucial goal. The numerous and serious healthcare challenges in the country arise from poor health infrastructure, inadequate education, hygiene and sanitation issues, and extreme poverty and hunger.

The Health department plays a critical role in educating people about unforeseen infectious diseases and interventions for alleviation. 

Public health infrastructure provides communities, states and the nation as a whole with the ability to prevent diseases, promote health and respond to both ongoing and emerging challenges to health. 

Since its independence, Nigeria’s health sector has been named one of the worst in Africa. Issues include lack of coordination, fragmentation of services, scarcity of medical resources, including drugs and supplies, inadequate and decaying infrastructure, inequity in resource distribution, and access to care. 

According to the National Institute of Health, the Nigerian healthcare system is poorly developed and has suffered several setbacks, especially at the local government level. No adequate and functional surveillance systems have been created;hence, there is no tracking system to monitor the outbreak of infectious diseases, bioterrorism, chemical poisoning, etc. 

Nigeria’s hospitals and emergency services do not meet world standards. The availability of healthcare institutions and professionals is limited, while long distances travelling for healthcare are not affordable. The healthcare costs and expenditures related to the prevention and treatment of diseases are rising. 

Many primary healthcare centres across Nigeria are dilapidated, have low staff, have poor electricity, and have unclean water, and they cannot efficiently serve people in rural areas. Many pregnant women still seek the services of traditional birth attendants for delivery, and even many children in rural areas miss out on routine immunisations, which are meant to be one of the responsibilities of effective primary healthcare centres. 

Due to the poor state of the health sector, there has been a constant mass migration of doctors and health professionals out of the country. This relates to ongoing strikes and poor working conditions in healthcare delivery centres. The challenges faced by Nigeria’s healthcare system include inadequate hygiene and sanitation, insufficient financial investments, and alimited workforce and facilities. 

Establishing healthcare institutions and insurance schemes, increasing the workforce, and improving hygiene and treatment conditions can help address these challenges. Implementing policies for maternal health and healthcare reforms can lead to better health outcomes. 

Fatima Dauda Salihu wrote from Bayero University, Kano.

By Ofemile Blessing Afeghese

Infantile immunisation is the process of making babies or toddlers resistant or immune to certain infections or diseases. It is vaccinating babies and young children to protect their health from serious and potentially life-threatening diseases. Immunisation gives infants the immunity to fight diseases that can cause long-term health issues or even death.

According to the United Nations Children’s Fund (UNICEF) in 2019, Vaccines are products usually given in childhood to protect against serious, often deadly diseases. By stimulating the body’s natural defences, they prepare the body to fight the disease faster and more effectively.

Infantile immunisation is important because infants are vulnerable to infections, and their immune systems are not fully developed. Immunisation provides them with protection during this critical period of their lives. Vaccines are given to babies to protect them against serious illnesses like polio, which can cause paralysis; measles, which can cause brain swelling and blindness; whooping cough (pertussis); and tetanus, which can cause painful muscle contractions and difficulty eating and breathing, especially in newborns.

Abdullah Sani, a 39-year-old survivor of polio, said, “Growing up, I realised I couldn’t do what children my age could do with their legs. I wanted to run, jump, play with my friends and do everything my peers were doing, but I couldn’t. I felt terrible.

At the age of three, doctors told my parents that I would never walk again. My mum cried profusely as she resolved with my dad to fight the disease that had disabled me. I was taken to many hospitals and traditional healers in search of a cure, but the search was fruitless as there was no cure for polio. The disease took my ability to walk.”

World Health Organisation (WHO) stated in 2024 that vaccines and immunisation currently prevent 3.5 million to 5 million deaths yearly from diseases like diphtheria, tetanus, pertussis, influenza, and measles globally.

In Nigeria, the National Programme on Immunization (NPI) in the year 2014 stated that routine immunisation of children in Nigeria is carried out using the following vaccines: BCG ( Bacilli Calmette Guerin) at birth or as soon as possible after birth; OPV (Oral Polio Vaccine) at birth and 6, 10, and 14 weeks of age; DPT (Diphtheria, pertussis, tetanus) at 6, 10, and 14 weeks of age; Hepatitis B at birth, 6 and 14 weeks; Measles at 9 months of age; Yellow Fever at 9 months of age and Vitamin A at 9 months and 15 months of age.

Nigerian Federal Ministry of Health states that a child is considered fully vaccinated if they have received a BCG vaccination against tuberculosis; three doses of DPT to prevent diphtheria; pertussis (whooping cough); tetanus and at least three doses of polio vaccine; and one dose of measles vaccine. All these vaccinations should be received for five visits during the first year of life, including the doses delivered at birth. According to this schedule, children between 12–23 months would have completed their immunisations and be fully immunised.

According to UNICEF, in 2019, infantile immunisation was one of the most effective ways to protect babies from preventable diseases. Health experts say that vaccinating your child not only safeguards their health but also contributes to the overall well-being of the community.

 Vaccines are safe and effective and have played a crucial role in reducing and eradicating dangerous diseases. By following the recommended immunisation schedule, parents can protect their babies from the serious risks of infectious diseases, giving them the best possible start in life.

Ofemile Blessing Afeghese wrote from Bayero University, Kano.

By Onumoh Abdulwaheed 

Northern Nigeria is facing an increasingly severe malnutrition crisis, with recent data revealing a stark escalation in cases. UNICEF reports that Nigeria has the second-highest burden of stunted children globally, with a 32% prevalence rate among children under five. An estimated 2 million children suffer from severe acute malnutrition (SAM), yet only 20% receive treatment.

According to Médecins Sans Frontières (MSF), the situation has worsened dramatically in 2024. Dr. Sanjana Tirima reports alarming increases across northern Nigeria. In Maiduguri, northeast Nigeria, MSF’s inpatient therapeutic feeding centre admitted 1,250 severely malnourished children with complications in April 2024, double the figure from April 2023. The centre has had to expand to 350 beds, far exceeding its initial 200-bed capacity.

Similar trends are seen elsewhere. In Bauchi state, MSF’s facility at Kafin Madaki Hospital saw a 188% increase in the first quarter of 2024 compared to 2023 in the admissions of severely malnourished children. Northwestern states like Zamfara, Kano, and Sokoto have reported increases in admissions to inpatient centres ranging from 20% to 100%.

Dr Christos Christou, MSF’s International President, previously highlighted the multiple challenges facing northern Nigeria, including “overwhelming levels of malnutrition, frequent outbreaks of vaccine-preventable diseases, lack of medical facilities and personnel, and continuous insecurity.” The crisis is further exacerbated by widespread flooding, which has devastated farmlands and displaced millions.

Despite the escalating crisis, the humanitarian response remains inadequate. In May, the United Nations and Nigerian authorities issued an urgent appeal for US$306.4 million to address nutrition needs in Borno, Adamawa, and Yobe states. However, MSF notes this is insufficient as it doesn’t cover other affected parts of northern Nigeria.

Dr Tirima emphasises the situation’s urgency: “Everyone needs to step in to save lives and allow the children of northern Nigeria to grow free from malnutrition and its disastrous long-term, if not fatal, consequences.” She calls for immediate action to diagnose and treat malnourished children and engage in sustained, long-term initiatives to address the root causes of the crisis.

MSF and other organisations stress the need for a comprehensive and urgent response as the situation worsens. “We can’t keep repeating these catastrophic scenarios year after year,” Dr. Tirima warns. “What will it take to make everyone take notice and act?” The crisis in northern Nigeria remains a critical humanitarian concern requiring immediate and sustained attention from national and international stakeholders.

Onumoh Abdulwaheed wrote via onumohabdulwaheed@gmail.com.

By Amrah Musa Kamaruddeen

Water is vital for our health, influencing everything from digestion to metabolism. While most people focus on how much water they drink, the temperature of that water can also have significant effects on our health. Water temperatureis measured using two primary scales: Celsius and Fahrenheit. Celsius is the most commonly used scale globally, while Fahrenheit is used primarily in the United States.

Cold water refers to water that is lower than room temperature. The average room temperature is between 20 and 25 degrees Celsius (68 and 77 degrees Fahrenheit), so water below this range is considered cold. In Celsius, cold water is defined as 0 to 15 degrees Celsius, while Fahrenheit is between 32 and 59 degrees Fahrenheit. This article explores the benefits and potential drawbacks of consuming cold water.

Benefits of Drinking Cold Water:

1. Enhances Metabolic Rate:

Drinking cold water can boost your metabolic rate, aiding in burning more calories. The human body burns calories when maintaining our core temperature; therefore, when we drink cold water, the body expends energy to warm the cold water to the core temperature, thereby burning calories.

2. Improves Digestion:

Cold water after a meal can aid digestion. It can contract stomach muscles, speeding digestion and facilitating nutrient absorption.

3. Reduces Inflammation:

Cold water can help reduce inflammation. Post-exercise, drinking cold water may soothe sore muscles and mitigate inflammation.

4. Aids Hydration:

Many people find cold water more satisfying, which may encourage higher water intake and better daily hydration.

Effects of Drinking Cold Water:

1. May Disrupt Digestion:

While cold water can be beneficial after a meal, consuming it during meals may interfere with digestion by solidifying fats, making them harder to digest.

2. Can Cause Headaches: 

Drinking cold water rapidly can trigger headaches or migraines as the cold temperature may constrict blood vessels in the head.

3. May Lead to Colds:

Cold water does not cause colds, but it might weaken the immune response, making individuals more susceptible to infections.

4. Can Aggravate Gallstones:

Gallstones are small stones, usually made of cholesterol, that form in the gallbladder.

For those with gallstones, cold water may cause gallbladder contractions, potentially intensifying symptoms.

In conclusion, while drinking cold water offers several benefits, it’s essential to be mindful of how and when you consume it. Opt for room temperature or warm water during meals to aid digestion, and enjoy cold water as a refreshing option throughout the day.

Amrah Musa Kamaruddeen wrote from the Department of Mass Communication, Bayero University, Kano.

By Uzair Adam

Adam Malam Umar Faruk, the former Deputy Director at the School of General Studies (SGS) and the first Head of Department (HOD) of the Mass Communication Department at Kano State Polytechnic, has died.

The Daily Reality reports that Malam Umar Faruk passed away today, Wednesday, after a brief illness.

According to his colleague, H. Kawu, Faruk’s sudden demise was deeply saddening, noting that his WhatsApp status remains active.

Kawu shared, “Even yesterday, he called me. Unfortunately, I wasn’t near my phone. Then, all of a sudden today, I heard of his death.”

According to his relatives, the Janaza (funeral prayer) will take place at 4:00 p.m. at his residence located in Saban Titi, Mandawari, near Abu Hanifa Academy.

The late Umar Faruk, who was the pioneer HOD of the programme in 2011, played a significant role in shaping the Mass Communication Department during its early years.

His contributions, many believe, to the polytechnic will be remembered by colleagues and students alik

By Uzair Adam

Vice President Kashim Shettima has officially launched the federal government’s new nutrition initiative, aimed at addressing malnutrition and food insecurity across Nigeria.

The programme, named the “Nutrition 774 Initiative,” is set to improve nutritional outcomes in all 774 local government areas of the country.

Shettima emphasized the government’s commitment to ensuring that every household in Nigeria has access to nutritious food, beyond just availability in stores and warehouses.

He noted that the initiative aims to eradicate malnutrition through a community-based approach that empowers local actors, such as health workers and community leaders, to take charge of nutritional improvements in their areas.

At a roundtable meeting with development partners, Shettima called for their collaboration to make the programme a success. He explained that addressing malnutrition requires collective efforts from all stakeholders, including the government and development organizations.

The initiative also focuses on training local health professionals to better equip them in handling malnutrition at the grassroots level. Despite recent floods and global inflation affecting food security, Shettima highlighted the need for innovative solutions that directly tackle these challenges.

Coordinating Minister of Health & Social Welfare, Prof. Muhammad Pate, described the initiative as crucial in addressing malnutrition, particularly among vulnerable populations.

He stressed the importance of a multi-sectoral approach, integrating efforts from agriculture, health, water, sanitation, and social protection sectors to ensure the success of the programme.

By Sabiu Abdullahi

Dr. Kabiru Ibrahim from Sokoto State, Nigeria, has founded a nursing services company in Hamm, a city in North Rhine-Westphalia, Germany, Dr. Muhsin Ibrahim, a German resident, announced in a Facebook post on Sunday. 

According to Dr. Muhsin, the company, staffed by healthcare professionals from Nigeria, Kenya, Turkey, and Germany, offers critical care services.

Dr. Ibrahim’s achievement demonstrates the potential of African professionals making a meaningful impact globally. 

After studying medicine and surgery in Bulgaria and specialising in anaesthesia, Dr. Ibrahim moved to Germany in 2009.

His success has sparked praise from friends and colleagues, including Dr. Muhsin Ibrahim, a lecturer at the University of Cologne. 

“This is a massive achievement, and we are very proud of Dr. Kabiru,” Mr. Muhsin said.

Dr. Kabiru’s venture serves as a shining example of Nigerian excellence in the diaspora, which fosters economic growth and cultural exchange between Nigeria and Germany.

By Aisar Fagge

The AMG Foundation has urged the Kano State House of Assembly to establish a legislative committee dedicated to addressing humanitarian issues in the state.

In a letter addressed to the Speaker, Rt. Hon. Jibril Isma’il Falgore, on Friday, 4th October 2024, the foundation’s Chair, Dr. Magashi, emphasized the urgent need for such a committee, citing the increasing challenges faced by the state’s vulnerable population.

This call comes months after the current administration of Governor Abba Kabir Yusuf launched the Ministry of Humanitarian Affairs and Poverty Alleviation in April 2024, aimed at tackling poverty and humanitarian crises.

Dr. Magashi highlighted the pressing issues in Kano, including recurrent flooding, rising youth unrest, climate change impacts, food insecurity, and the alarming number of street children, homeless individuals, and women in distress.

“Kano is the Nigeria’s most populous state and is grappling with numerous humanitarian challenges that require immediate and coordinated legislative action,” Dr. Magashi stated in the letter.

The foundation believes that establishing a dedicated House Committee on the subject matter would enhance the state’s response to these crises and help create sustainable solutions.

By Maimuna Katuka Aliyu

When planning to conceive, couples should often focus on what they eat. Although choosing foods based on mood or preference is common, certain dietary considerations become essential when aiming to have a baby.

Doctors frequently recommend specific foods and advise against others to ensure both the mother’s and baby’s health, reducing the risk of complications or miscarriage.

Fertility refers to the ability of couples to conceive. For those trying to have a child, adjusting the diet is crucial in preparing the body for pregnancy. Research suggests that diets rich in whole grains, vegetables, fruits, and fish can significantly improve fertility, particularly in women.

Moreover, these foods can contribute to a healthy start in pregnancy, which is why doctors generally recommend maintaining a nutritious diet during this period.

Conceiving a baby can take time. While 30% of couples get pregnant in the first month of trying, some may still be trying after a year. Although no diet can resolve underlying medical issues affecting fertility, certain foods can support the reproductive system better than others.

These foods are rich in antioxidants and nutrients that enhance ovulation or improve sperm quality and quantity. Since infertility issues can equally involve male partners, it’s advisable for both partners to adopt a fertility-friendly diet.

Protein-Rich Foods: Lean meats like chicken, turkey, pork, and beef (trimmed of excess fat) are excellent sources of protein, zinc, and iron—vital nutrients for a healthy pregnancy. Additionally, cold-water fish such as salmon, canned light tuna, and sardines are rich in DHA and omega-3 fatty acids, which support the development of the baby’s nervous system and reduce the risk of premature birth.

Fish can be included in a fertility diet a few times a week without worrying about mercury levels. However, it is best to avoid fish known for higher mercury content, such as shark, swordfish, tilefish, and king mackerel.

Fertility-Boosting Foods: While no specific food guarantees pregnancy, ensuring a healthy diet can support fertility. Below are some foods that are beneficial:

– Fruits and Vegetables: Packed with essential vitamins and antioxidants, these are a staple for a fertility-friendly diet.

– Healthy Fats: Incorporating fats from sources like avocados, nuts, and olive oil can improve fertility.

– Complex Carbs: Whole grains such as brown rice, quinoa, and whole wheat bread help maintain steady blood sugar levels, which is crucial for reproductive health.

– Eggs: A potent source of protein and choline, eggs are essential for brain development in babies and should be included in a fertility diet.

– Plant Proteins: Beans, nuts, seeds, and tofu are excellent sources of protein and healthy fats. Studies have shown that plant-based proteins can reduce the risk of ovulatory disorders, especially when they make up 5% of your total calorie intake.

– Dairy: Full-fat dairy products like whole milk and yogurt are linked to higher fertility rates, while low-fat dairy options have been associated with an increased risk of ovulatory infertility.

– Walnuts: These nuts are high in omega-3 fatty acids and magnesium, which support brain development and reduce the risk of neurologic problems in the baby.

Lifestyle Factors for Fertility 

– Physical Activity: Regular exercise is beneficial for both male and female fertility, especially for those dealing with obesity. Consult with a healthcare professional to determine the most suitable types of exercise.

– Stress Management: Trying to conceive can be stressful, and stress can affect menstrual cycles and fertility. It may be helpful to talk with a mental health professional if stress or anxiety about conceiving is overwhelming.

Foods to Avoid: A healthy fertility diet isn’t just about what you eat; it’s also about what you avoid. Here are some foods that might negatively impact fertility:

– Added Sugar: Found in sugary beverages, baked goods, and ultra-processed carbs, added sugars can disrupt hormonal balance.

– Red and Processed Meats: These meats, especially those high in saturated fats, can adversely affect fertility.

– Caffeine: Excessive caffeine intake has been linked to fertility issues.

– Alcohol: Drinking alcohol can reduce fertility and should be limited or avoided when trying to conceive.

Incorporating fertility-boosting foods into your diet is a delicious and effective way to support reproductive health and increase your chances of conception. By focusing on nutrient-dense foods like leafy greens, berries, fatty fish, and whole grains, couples can create a strong foundation for a healthy pregnancy.

Additionally, staying hydrated, limiting processed foods, and managing stress can contribute to a fertility-friendly lifestyle. While no single food or diet can guarantee pregnancy, making informed dietary choices is a powerful tool in your reproductive journey. Nourish your body, nourish your fertility, and take the first step towards a healthier, happier you!