Lifestyle

Dr. Ismail Muhammad Bello

Beyond hospital settings, harmful practices persist, particularly in developing countries where obtaining drugs over the counter is prevalent, and drug vendors may lack comprehensive knowledge of medications and diseases. From Penicillin to Ceftriaxone, these precious drugs, which require protection, can be obtained without prescriptions, posing a significant threat.

The ease of access to drugs has paved the way for self-treatment or “chemist” consultations, fostering malpractices. Again, a frequent occurrence is the prescription of antibiotics for the common cold. Research indicates that the common cold is predominantly caused by viruses, which are not responsive to antibiotics. It is a self-limiting condition that can be managed with measures such as steam inhalation, antihistamines like loratadine, and decongestants.

Similar to the common cold, most cases of sudden onset of watery stool, not stained with blood or mucus, with or without vomiting, are often of viral origin. This is typically a self-limiting condition that usually does not require antibiotics. In the management of diarrhoea, especially in children, the primary focus is on fluid therapy using Oral Rehydration Solution (ORS). Drug treatment is seldom beneficial, and antidiarrheal (antimotility) drugs can be harmful. Unfortunately, many individuals quickly resort to taking Flagyl, Loperamide, or Lomotil at the onset of diarrhoea.

However, bloody or mucoid stool, high fever, severe abdominal pain and prolonged diarrhoea are pointers to more serious conditions that may warrant antimicrobial use and should be quickly evaluated by a qualified doctor. In such instances, the use of antimotility agents is highly discouraged as it could lead to catastrophic outcomes like bowel perforation.

Another problem that continues to fuel this issue is the widespread and perplexing “Malaria-Typhoid diagnosis.” The lack of clinical skills needed to appropriately discern acute febrile illnesses coupled with excessive reliance on the outdated Widal test is driving an alarming prevalence of this peculiar diagnosis. 

Most cases exhibit a sudden onset of high-grade intermittent fever with chills and rigours, particularly worsening in the evening. This is usually associated with generalized body weakness and pain, with no symptoms attributable to the gastrointestinal system (abdomen). In a region and time where malaria is quite prevalent, this most likely suggests a simple case of Uncomplicated Malaria that should be managed as such. Strangely in our setting such cases are quickly subjected to not only Malaria but also Widal (Typhoid) tests at the request of a healthcare worker or even on self-referral.

Numerous studies have consistently demonstrated that the Widal test lacks high specificity, particularly in endemic zones such as ours, where repeated exposure to the bacteria is prevalent. Cross-reactivity with various diseases, including Malaria—a frequent cause of fever in Nigeria—and challenges in interpretation further restrict its reliability as a diagnostic indicator. 

It is therefore evident that the indiscriminate demand for the Widal test is causing the over-diagnosis of Typhoid fever, leading to the inappropriate use of antibiotics. 

This practice has also led to the wrong notion of “chronic symptomatic typhoid” among gullible persons. Typhoid fever is not in the league of HIV & Hepatitis B. Infection in typhoid does not endure indefinitely but could recur, especially when the underlying risk factors like unsafe water and poor hygiene persist. 

Chronic carriers do exist but are typically asymptomatic, holding more significance for public health due to their ongoing shedding of bacteria in their stool, a phenomenon reminiscent of the famous story of Typhoid Mary. Hence, statements like “Typhoid dina ne ya tashi” (I have a flare of a longstanding typhoid infection) and “Typhoid dina ne ya zama chronic” (I have a chronic typhoid infection) are grossly inaccurate.

While not antibiotics, antimalarials, unfortunately, face their fair share of misuse. A prevalent mispractice involves the irrational use of injectable antimalarial drugs such as IM Arthemeter and even the almighty Artesunate. Nowadays, individuals often opt for injections, citing reasons like “I prefer not to swallow pills” or the perception of faster and more effective results. The most concerning scenario occurs when the condition is misdiagnosed as Malaria, especially in many “chemist” settings. This not only entails misuse but also results in economic waste, unnecessary stress, and the potential risks associated with injections.

Regrettably, injectable antimalarials are meant for treating severe forms of malaria, which someone walking into a chemist likely does not have. This is akin to deploying elite special forces for a minor crime. These forces should be mobilized only for significantly heightened threats or when the situation surpasses the capacity of initial responders.

Recommendations: The government plays a crucial role in this battle. Policies and regulations must be established to ensure the optimal utilization of these drugs. To address our persistent issue, these policies should not remain mere documents in offices but must be strictly enforced, with penalties imposed on those who violate them. These regulations should encompass various aspects, including the use of antibiotics in veterinary practice and food production, as well as proper oversight of the opening and operation of patent medicine stores.

Prevention is certainly better than cure. Tackling infectious diseases at the primary level is more impactful and cost-effective. The COVID-19 pandemic has underscored the significance of Water, Sanitation and Hygiene (WASH) in disease transmission & control. Hand hygiene, a practice widely adopted in 2020, stands out as the most crucial measure to prevent the spread of infections. Therefore it is crucial to provide communities with access to potable water and sufficient sanitary infrastructure to forestall the spread of these diseases in our society.

In managing most infections, a standardized treatment guideline outlines the specific drugs, their timing, and proper usage. You might be intrigued to discover that many practitioners may not even be aware of a specific Nigeria Standard Treatment Guideline document or other guidelines for various medical conditions.

In the absence of a local protocol, variations in management may arise among colleagues due to diverse backgrounds and training. Nowadays, particularly in secondary healthcare, many learn primarily through apprenticeship without referring to standards or understanding the rationale behind certain “innovative” practices. Unfortunately, what one is accustomed to may be incorrect and potentially harmful, or at best suitable only within the constraints commonly found at lower levels of healthcare.

Therefore, despite the challenges in our setting, doctors must prioritize continuous medical education to stay updated on global trends and standards while navigating the complexities of our setting. These innovations should not only be embraced as centre-specific practices or based on individual preferences like “this is how we do it in our centre” or “this is how Prof XYZ does it,” but they should also serve as opportunities for research and scientific validation.

Also, hospitals should formulate treatment protocols tailored to their unique circumstances, disseminate them widely, offer them as job aids at points of care, and ensure strict adherence by practitioners.

Furthermore, healthcare practitioners should dedicate time to counsel patients about the significance and potential risks associated with adhering to the prescribed dosage and duration of treatment. In well-established hospitals, it is imperative to institutionalize antimicrobial stewardship to ensure effective utilisation and surveillance of resistance patterns. 

Ultimately, this is a battle declared by the microbial world on humanity, and everyone has a crucial role to play. Individuals should actively seek sound medical advice regarding diseases and treatments, avoiding the inclination to resort to self-help or patronize quacks. So when you take antibiotics for a simple common cold, know that you may be endangering humanity. When you fail to complete your antibiotics for the duration prescribed, you are surely endangering humanity. When you continue to treat typhoid when it is not the culprit, you are harming the patient and the world at large. Even you the medical practitioner, if you prescribe inappropriately, you are hurting the system.

Lastly, I encourage everyone to be advocates for responsible antibiotic use. Let’s utilize these valuable and endangered assets judiciously to avert a future where no drugs can cure pneumonia, syphilis, or meningitis – a potential regression to the 19th century. Remember, this is natural selection in action – it is not a lost battle but a fight for survival, one that we must undoubtedly triumph in. Dr. Ismail Muhammad Bello is a proud graduate of ABU Zaria. He is a Malnutrition Inpatient Care trainer and currently serves as a Medical Officer at both Khalifa Sheikh Isyaka Rabiu Paediatric Hospital in Kano and Yobe State Specialists Hospital in Damaturu. He can be reached at ismobello@gmail.com

By Dr. Ismail Muhammad Bello

Abuse of Antibiotics: Abuse of antibiotics entails both overuse and misuse. Medical professionals, veterinary practitioners, drug vendors, animal farmers and individuals in the community are all culpable in this detrimental practice. 

Antibiotics Abuse in Veterinary Practice and Animal Husbandry: In humans, antibiotics are primarily utilized for therapeutic purposes, but in veterinary practice, they are extensively employed for non-therapeutic reasons, such as promoting growth to meet the rising global demand for animal protein. Even for therapeutic purposes, a common practice involves administering antibiotics, sometimes even below the therapeutic dose, to entire herds for “disease prevention” when only some animals are ill.

The environment plays a crucial role in the evolution and dissemination of antibiotic resistance. Major sources of antibiotic resistance genes and antibiotic pollution in the environment include waste from large-scale animal and aquaculture farms, wastewater from antibiotic manufacturing, as well as from hospitals and municipalities. A portion of the antibiotics administered to humans and animals is excreted unaltered in faeces and urine.  Such animal waste is rich in nutrients and commonly used as fertilizer on crop fields, resulting in direct environmental contamination with both antibiotic residues and resistant bacteria.

Antibiotics Abuse in Human Medicine: In human medical practice, the lack of adherence to standard treatment guidelines has led to unwarranted prescriptions of antibiotics by medical professionals. A common occurrence is the prescription of antibiotics for non-bacterial conditions like the common cold (viral rhinitis).

Antibiotics Abuse in Hospitals: Moreover, medical professionals are also guilty of prescribing these drugs below the standard treatment dosage or for a shorter duration, particularly at the primary level of healthcare. This is particularly important because correct dosing is pivotal in drug therapeutics and serves as a significant distinction between orthodox and traditional practitioners. Paracelsus succinctly captures this in his renowned toxicology maxim: “All drugs are poisons; the benefit depends on the dosage.”

A common scenario in pediatric practice involves practitioners prescribing drugs based on volume rather than the calculated amount per child’s body weight. For instance, it’s not uncommon for a child to receive a prescription for 5mls of Amoxiclav Suspension to be taken twice daily. This practice poses a challenge for pharmacists during dispensing, as Amoxiclav Suspension is available in various strengths, ranging from 125mg to as high as 600mg of Amoxicillin in a 5ml dose.

A related situation arises when patients are instructed to take 1, 2, or 3 tablets of medications with varying dosage forms and strengths. For instance, Amoxiclav is available in tablets with 250mg, 500mg, 875mg, and 1000mg of Amoxicillin. This leaves the patient reliant on the drug vendor to select and dispense from his catalog, potentially leading to under-dosage or over-dosage, unless fortunate enough to be attended by a skilled pharmacist.

Another related practice involves the management of children with fever and multiple convulsions. In our setting, top among the list of differentials are severe malaria and acute bacterial meningitis. These conditions can be effectively distinguished through thorough good history-taking, physical examinations and investigations such as malaria parasite test (MP), cerebrospinal fluid (CSF) analysis and full blood count. Despite evidence favouring one treatment over the other, some practitioners often combine parenteral antibiotics and anti-malarials. While simultaneous severe infections are not impossible, they are typically uncommon, emphasizing the merciful nature of God.

The repercussions of this lack of precision extend beyond medical concerns to economic ones, particularly in our context. An unnecessary 7-10 day antibiotic course can result in an additional estimated bill of approximately N40,000 ($50.66). A good brand of Ceftriaxone nowadays costs about N2500-N6000 ($3.2-$7.6) per vial, varying by location. This is a significant expenditure for a country with the highest level of poverty globally compounded by a poor health insurance scheme and a paltry minimum wage of N33,000 ($41.8).

Such harmful practices may result in under-dosing, subjecting organisms to sub-therapeutic drug levels which are nonlethal, promoting drug resistance. It’s comparable to confronting a machine gun-wielding terrorist with a tiny stick, eliciting a reaction that can only be better imagined.

In this regard, health professionals should undergo continuous training on the proper use of antibiotics and adhere to standard treatment guidelines in disease management. Health institutions should also implement antibiotic stewardship programs to systematically educate and guide practitioners in the effective utilization of these drugs.

Job aids should be provided to assist in the accurate prescription of medicines. In this context, both healthcare workers and patients should recognize that medical practice is guided by the principle of “Primum Non-nocere” – First, do no harm – underscoring the importance of patient safety. Both patients and practitioners must understand that cross-checking when uncertain is not a sign of incompetence but a commitment to due diligence. Patient safety surpasses individual egos, as it’s wiser to be safe than sorry. Physicians’ reactions to patients’ treatment expectations contribute significantly to inappropriate antibiotic use. This often occurs when a patient arrives with preconceived notions about their condition and preferred medications. Emphasis should be placed on educating the patient rather than yielding to their requests and pressure. Patients need to be adequately counselled on their condition and the reasons why prescribed medication may not be necessary. Additionally, physicians should be mindful that non-drug therapies can be as effective, or even superior, in certain conditions.

Dr. Ismail Muhammad Bello is a proud graduate of ABU Zaria. He is a Malnutrition Inpatient Care trainer and currently serves as a Medical Officer at both Khalifa Sheikh Isyaka Rabiu Paediatric Hospital in Kano and Yobe State Specialists Hospital in Damaturu. He can be reached at ismobello@gmail.com

Bello Hussein Adoto

Last week, the world marked Antimicrobial Resistance Awareness (AMR) Week. The goal was to raise awareness about  AMR—a phenomenon where antimicrobials no longer kill or prevent the growth of the microbes they used to kill.

Our bodies do an excellent job of containing viral, bacterial, or fungal infections before a doctor chips in with a drug or two to kill the germs and bring us back to good health. These drugs include antibiotics for bacterial infections, antifungals for fungal infections, and antivirals for viral infections.

Unfortunately, some of us don’t go to—or wait for—the doctor to treat actual or presumed infections. We dash to the nearest chemist to buy ampicillin over-the-counter for boils (skin abscesses) and amoxil for typhoid. Patients who can’t tell the difference between dysentery and diarrhoea would buy branded Ciprofloxacin or Amoxiclav to resolve prolonged toilet troubles and stomach pain. Those who are not that buoyant would manage metronidazole.

Our health practitioners also contribute to the problem. A survey of 12 countries shows that Nigeria has the third-highest percentage of antibiotic prescriptions. Three out of every five patients on admission at our hospitals are on antibiotics. This heavy use of antibiotics contributes to Nigeria’s AMR burden.

The consequence of our use, abuse, and misuse of antibiotics is that the viruses, the bacteria, and the fungi have grown tough—they no longer fear us and our drugs. Our pills and creams are no longer as effective. Regular bacterial infections that were once treatable with first-line antibiotics have become stubborn. You may need a second or third line to treat them. Diseases that needed only Ciprotab now call for Ceftriazone and Imepenem. Diseases that were once tolerable have become debilitating, if not deadly.

The WHO recently spotlighted the story of a woman who had reconstructive facial surgery following an accident. The wound got infected and they treated the infection only for it to rebound and eat away at her face. Gradually, her facial muscles turned to cheese. Further tests showed she had MRSA, the dreaded methicillin-resistant Staphylococcus aureus. Luckily, the woman survived. “If I’d known earlier, maybe I wouldn’t have lost huge portions of my face,” she said years later.

Our ignorance about AMR doesn’t make it any less deadly. About five million people died from drug-resistant infections in 2019. More than one million of these deaths were linked directly to AMR.

Aside from being deadly, AMR is expensive. Infections with drug-resistant bacteria, for instance, mean that patients spend more on higher and more effective antibiotics. These antibiotics don’t come cheap. Augmentin, one of the go-to drugs for severe infections, is now 13,000 naira. That’s more than one-third of the minimum wage.

The task before us is to stem the tide this menace. The government is playing its part. It has drawn up a national action plan for AMR. The plan seeks to increase awareness about the problem

, promote surveillance and research, and improve access to genuine antibiotics. Doctors also have concepts like delayed prescription and antimicrobial stewardship to guide their prescriptions. You can join the fight too.

One, don’t use antibiotics without prescriptions. Trust your doctors when they say you don’t need antibiotics. Some viral infections like cold can resolve without drugs.

Secondly, complete your doses when using prescribed antibiotics. It could be tempting to abandon your drugs at the first sign of relief. It could be valid even: some research has shown that extended use of antibiotics after symptomatic relief doesn’t make any significant difference in recovery. Still, don’t discontinue your drugs at a whim. Speak with your doctor.

Thirdly, don’t share antibiotics or prescribe them to others. This should go without saying, but our desire to help friends and loved ones often pushes us to share drugs like antibiotics with them. You can do better by directing your friend or relative see a doctor. Antibiotics are not emergency drugs that can’t wait for a prescription.

Good hygienic practices can help, too. They limit the spread of infections, and the consequent antibiotics (ab)use. Wash your hands regularly. Adopt proper etiquette when you are in a hospital or laboratory environment. Doing otherwise increases your risk of contracting or transmitting new infections to your loved ones.

Five, get vaccinated. Vaccines protect you from contracting potentially resistant infections or spreading them to others. Moreover, viral infections that can be prevented with vaccines, like measles and influenza, are some of the reasons people abuse antibiotics. When you don’t contract influenza or measles, you won’t feel a need to abuse antibiotics.

The AMR Awareness Week has come and gone, but the problem and its consequences remain. They affect us all; everyone can and should contribute to the solution. You can be a part of the fight by not abusing antibiotics or demanding that your doctor prescribe antibiotics for you when you don’t need them. You can join in by not abandoning your treatment or sharing your drugs. You can get vaccinated too. Start now. Start today. Join the fight against AMR.

Hussein can be reached via bellohussein210@gmail.com.

By Dr. Ismail Muhammad Bello

You have likely heard about climate change, a pressing existential threat demanding global collaboration. However, it is not the sole concern. Antibiotic resistance is another rapidly emerging issue that demands urgent attention.

Not too long ago, the pathological basis of diseases was shrouded in mystery, often attributed to superstitions. About four hundred (400) years back, the role of microbes in disease causation was still unknown. It took the discovery of the microscope and the works of Antoni Van Leeuwenhoek to open our eyes to the unseen world – the realm of microbes – surrounding and inhabiting us.

Microbes, omnipresent and adaptable, have evolved significantly to thrive in a constantly changing world. The human connection with microbes is extensive and intriguing. Thanks to their versatility, microorganisms are instrumental in driving human technological advances through their varying applications in agriculture, environmental protection, medicine and industrial production. From drug discovery and development to their role in bioremediation, biotechnology, and the emerging field of genetic engineering, microorganisms have played a monumental role in the survival and progress of life forms on Earth, even shaping civilizations.

Nevertheless, despite their crucial role in the earth’s functions, microbes also contribute to human misery as pathogens. Despite global efforts to combat them, infectious diseases persist as a challenge, particularly in Sub-Saharan Africa where the existing weak health system grapples with a double burden of diseases – an increasing prevalence of non-communicable diseases alongside prevailing communicable diseases.

Apart from the substantial morbidity and mortality resulting from infectious diseases, the burden encompasses economic losses due to healthcare expenses and disabilities, as well as a decline in productivity. In a broader sense, infectious diseases hinder human development by adversely affecting education, income, life expectancy, and other health indicators.

While current morbidity and mortality rates remain notably high, the situation contrasts significantly with the past where certain infections, now easily treatable, were once considered death sentences or challenging to address. The serendipitous discovery of Penicillin by Alexander Fleming stands out as a pivotal moment in medical history. “Antibiotics” not only transformed the curability of many diseases but, coupled with advancements in anaesthesia, also enhanced the safety and feasibility of major surgeries.

While the term “antibiotics” holds a more specific meaning in pharmacology, commonly it refers to a category of drugs utilized in treating “bacterial” infections. Bacteria, while a significant group, represents just one class of microorganisms; others include viruses, fungi, parasites, and even prions. Antibiotics function by disrupting vital processes in microbes leading to a loss of structural integrity or functional capacity, ultimately causing them to die or halt their replication.

Antibiotics encompass a diverse group of drugs, belonging to various classes, each effective against specific types of organisms. They include the well-known Amoxicillin (Amoxil), Ampicillin-Cloxacillin (Ampiclox), Metronidazole (Flagyl), Ciprofloxacin, Amoxicillin-Clavulanate (Augmentin) and numerous others easily accessible over-the-counter in our setting. Antibiotics have played crucial roles in combatting menacing diseases like Tuberculosis, Leprosy, Gonorrhoea, Syphilis, bacterial pneumonia, acute bacterial meningitis, and many others.

The introduction of these drugs came as a huge blow to the pathogenic microbes that previously had a field day. However, in line with natural selection, they didn’t succumb passively and perceived the development as a declaration of war. Over the years, these microbes evolved, becoming insensitive to many of these drugs—a phenomenon known as antibiotic resistance.

In response, scientists discovered new drugs, tweaked some of the existing drugs or synthesized novel ones. This led to a vicious cycle, whereas new drugs are developed, these organisms adapt and become resistant. This trend persists to our present day, leading to the emergence of highly resistant strains of microorganisms that are not susceptible to most of the antibiotics used in treating the kind of infections they cause – the so-called Superbugs. 

Unfortunately, this cycle is not sustainable for mankind. The rate at which microbes adapt to our drugs is faster than the turnout of our drugs. It takes about 10-15 years to develop a new antibiotic. Not only that, studies have shown that the estimated global cost of developing a new, targeted antibiotic will cost over a billion USD ($1 Billion), making it a highly expensive and risky venture for pharmaceutical companies.

The combination of these factors has impeded innovation in the field of antibiotics. Notably, the latest discovery of a new “class of antibiotics” that has reached the market was back in 1987. Since then we have been in a “discovery void” era, and currently, there are few novel antibiotic classes in the drug development pipeline. 

In 2022, the World Health Organization (WHO) identified twenty-eight (28) antibiotics in clinical development that address the WHO list of priority pathogens, of which only six (6) were classified as innovative. The repercussions are felt globally as an increasing number of bacterial infections are becoming hard to treat, once again posing a threat to global health and development.

Undoubtedly, resistance is a natural phenomenon and will eventually develop against some antibiotics. However, the accelerated rate at which it is occurring is aided by our irrational use of these drugs. Therefore, prudent use will surely slow down the process. 

Key determinants of antibiotic resistance include antibiotic abuse in veterinary and medical practice, inadequate provision of Water, Sanitation and hygiene (WASH) infrastructure, and the effectiveness of policy development and enforcement.

Dr. Ismail is a Medical Officer at Khalifa Sheikh Isyaka Rabiu Paediatric Hospital, Zoo Road, Tarauni, Kano State.

By Bilyaminu Abdulmumin

Guns are the enigmatic force that charm practitioners, all over the world, have been trying to crack since time immemorial. There was no length these charm practitioners didn’t go to contain this mysterious “oyibo” invention. In 2017, Daily Trust reported an awful story about a member of a Vigilante Group in Katsina and his quest for bullet charm. This lad was said to test the charm while in the middle of the vigilante gathering, so in a show of bravery and gallantry, he wrapped himself up in the charms, did incantations, picked a dane gun, and fired on himself. He died instantly!

Coincidentally six years later two similar stories shook the internet. One was in Bauchi State. According to an interview by the Bauchi police in the viral video of the purported spiritual helper, luck ran out of them. As he was testing the charm on his client the bullet pierced the helper’s stomach. The second incident, all the way in Ghana, but this time around it was gang members who claimed to have gotten the charm against the bullet, so this too, when testing the charm against one of them he immediately kicked the old bucket. Why is the constant desperation going unorthodox ways for bulletproof when it could be easily achieved when tuned to science’s endless ways?

Bulletproof materials are simply materials fabricated using layers of strong fibers. The fibers that are strong enough can “catch” and deform a bullet, mushrooming it into a dish shape and spreading its force over a larger portion of the fiber materials. In other words, fiber materials like vests could absorb the energy from the deforming bullet, bringing it to a stop before it can completely penetrate the textile matrix. There are fibers everywhere including heaps of waste along the roadsides in our cities, this could be harnessed for such purposes. Some time ago, I heard in an interview from one Nigerian student who was working to harness the fibers in chicken feathers to develop a bullet vest. This student further elaborated the idea behind the bulletproof in another way, he said strong fibers arranged in a particular way act like black hole phenomena, the concept that was revolutionized by the greatest 21st theoretical physicist, Sir Steven Hawking.

A black hole consumes any force that comes close to it without a trace. So a carefully prepared fiber material has this awesome feature. I wish I could learn further where the idea of this student has gone. Perhaps for the show of bravery and gallantry the charms practitioners want it natural, without the use of any vest. Then they should cry no more because there is equally a research in this direction. This involved directly engineering human skin to deflect the bullet. In the Netherlands, another student researched this by bioengineering a small sample of human skin to include spider silk between its layers. The Netherlands Forensics Institute has test-fired low-speed rifle bullets at it, and shown that it halts them.

So, it’s up to researchers to pick up from here by bioengineering human skin with spider silk for higher rifle endurance. The sons of slain victims of bullet charm would have very good motivation to continue with this research. Whenever it comes to bullet charm, Bokero’s legacy stands out. Bokero claims to be possessed by snakes, as a result, he became known for assisting with every spiritual help. So when the East African countries, Tanzanians and co, grew impatient with German colonial rule, back early in the 1900s, they turned to Bokero for help. He provided them the war medicine, according to Bokero the concoction would not only protect them from the German bullets but would turn the bullet into water, motivated by this new charm, these zealots would confront German firearms. May the souls of about 300,000 rest in peace.

By Tajuddeen Ahmad Tijjani

If excellence means possessing good qualities in an eminent degree and superiority in virtue, Mrs. Mba, the Executive Director of Cooperate Services in the Niger Delta Power Holdings Company (NDPHC), is a personification of it all. Beyond meritorious service to the nation of Nigeria, her journey has been nothing short of extraordinary, marked by unwavering dedication and exceptional achievements.

One of Mrs. Mba’s notable accomplishments has been her role in spearheading initiatives to address Nigeria’s power crisis. Through her strategic vision and tireless efforts, National Integrated Power Projects (NIPP) has been making progress in increasing Nigeria’s electricity generation capacity. Her tireless effort towards ensuring a stable and reliable power supply continues to impact businesses and households, fueling economic growth and improving the quality of life for millions.

Her leadership style has been a source of inspiration for her colleagues and subordinates. Under her stewardship, NIPP has witnessed significant improvements in corporate governance, efficacy, and transparency. Moreover, corruption and favoritism have never been her portion; she believes in merit and ability to deliver, which is the only yardstick that would propel every organization, not only NIPP.

Beyond professional feats, Mrs. Mba is becoming a champion in social responsibility, where she actively engages herself in community development projects, promoting sustainable practices, and empowering local communities. Her achievements in this regard are clear for all to see and appreciate. I can only mention a fraction of her distinct accomplishments in service to God and humanity. Through her passion for environmental conservation and social welfare, she is leaving indelible marks on the regions served by NIPP; though, NDPHC’s footprint cuts across every nook and cranny of the country.

Mrs. Nkechiyelu Mba embodies the values of integrity, excellence, and service to the nation. Her meritorious service to Nigeria in the realm of energy and corporate governance has not only transformed the power sector but also served as an inspiration for future generations of leaders. I foresee that Nigeria will attain its full potential with her caliber in the energy sector. Again, her legacy is one of unwavering dedication to the betterment of her country, making her an exceptional and revered figure in Nigeria’s history of public service. On a personal note, I cherish and adore this woman of substance, who is a mother, the voice of the downtrodden, and an inspirational leader to the unborn generation.

History is more than the path left by the past; it can influence the present and shape the future. Mommy, I’m certain that history will be kind to you.

Tajuddeen Ahmad Tijjani writes from Abuja.

By Manasseh Mercy

Social media integrates digital media platforms, including combinations of electronic text, graphics, moving pictures and sounds in a structured computerized environment that allows users to interact with the data for appropriate purposes or otherwise. The digital environment can include the Internet, telecommunications and interactive digital television. The Web is now part of the overall business of communication, sales and services. It changes business practices across the globe.

Its technical limitations affect the amount of material and the speed of access. The network depends mainly on the connections of the telephone line, so the more they are good on a territory, the more the service will be reliable. As a result, messages can reach audiences and target groups in real-time and generate changes and trends.

Nowadays, younger generations grow up having good contact with different social networks, easily acquire digital culture and live in a digital world where only adults are naturalized citizens. Trends can bring awareness to other organizations and not just for selling products. 

In 2014, the ice bucket challenge was a popular trend that spread across Instagram’s platform. The trend was created to help bring awareness and donations to Lou Gehrig’s Disease, also known as ALS, which stands for Amyotrophic Lateral Sclerosis. Pete Frates, a former baseball player for Boston College, helped promote the nonprofit organization ALS Association because of his diagnosis of the disease. Both celebrities and regular social media account holders made videos of pouring ice water on themselves while tagging at least three friends to post themselves participating.

This trend was an example of one of the many situations that brought light to very serious topics. The millions of people posting about the ice bucket challenge resulted in the organization raising millions of money. That year, an estimated $115 million was raised for the cause in just a few months. The Ice Bucket Challenge was created to raise money for research purposes in hopes of finding a cure for ALS disease.

The Ice Bucket Challenge is just one of the many trends that took over social media platforms. Many nonprofit organizations have been going viral over the years, bringing awareness to millions of people. Situations like these can come out of pure luck to get everyone on the Internet to discuss a topic. Getting people to talk about specific issues brings attention to a cause that can get people to donate money. It’s not only companies and organizations that get attention online but also individuals as well.

TikTok is a social media platform for creating, sharing and discovering short videos. Young people use the App to express themselves through singing, dancing, comedy and lip-syncing. It allows users to create videos and share them across a community. It is one of the most popular social media platforms in the 21st century. 

In Today’s generation, popular trends on social media have a significant influence on younger generations. Trends can consist of different things such as makeup, clothes, music, toys, and interests. TikTok trends are viral short videos that use popular features, songs, sound effects and hashtags. 

Some current TikTok Trends (November 2023) include Bird’s-eye View — November 17, 2023. In this trend, you grab your friends or coworkers, tape your phone to the ceiling, and record yourselves dancing and being silly. Another was (Added November 20, 2023) Smug Corgi/Confused Dog Meme Trend. Example: Posting a video with the CapCut template from the example with a funny text overlay describing a situation where you (the corgi) would be smugly doing something while the other person (represented by the other dog) is super baffled, often about spend a lot of money on something like Christmas decorations.

What are the potential risks? Users may be exposed to foul language and sexual content. Users can comment on other videos, which leaves the potential for online bullying or negative comments. The App promotes positive comments and encourages users to ‘say something nice’. However, if you encounter an inappropriate comment, you can report it as abuse. 

Stalking, identity theft, personal attacks and misuse of information are some of the threats social media users face. Most of the time, the users themselves are to blame as they share content that should not be in the eye of the public. 

These dangerous trends are not only harmful to the individuals who participate in them, but they also hurt society as a whole. When young people engage in these trends, they send their peers messages that it is acceptable to engage in risky and inappropriate behaviours. This can lead to a culture of recklessness and disregard for personal safety and etiquette.

It is essential for parents and educators to be aware of these dangerous trends and to talk to young people about the potential consequences of participating in them. It is also essential for social media platforms like TikTok to take responsibility for the content shared on their platform and to take steps to remove the dangerous content.

In conclusion, TikTok trends influence the social behaviour of Nigerian youths in one way or another. Nigerian youths engage in time-consuming and energy-draining trends, and sometimes, they cost money because they want to be famous and act like their peers. The Nigerian government should closely monitor and adequately regulate TikTok trends so as not to destroy Nigerian youths’ moral and social behaviour.

Mercy Manasseh is a student of Mass Communication from the University of Maiduguri and can be reached via mercymanasseh951@gmail.com.

By Laraba Jauro

Women advocates in Nigeria, like other women in the world, encounter numerous challenges in undertaking advocacy, especially in the country’s northern region. The women’s voices are not heard, and want to be heard. And their vulnerability is a high risk in society.

The United Nations declared 1975 through 1985 a “Decade for Women”. Four world conferences on women were held: Mexico City 1975, Copenhagen 1980, Nairobi 1985 and 1995 Beijing. These conferences directed the searchlight on various issues affecting women’s status in society. 

These issues, among others, include Violence against Women, Women’s Rights as Human Rights and Women’s Reproductive Health. It was not until then that the woman’s question entered the political agenda in Nigeria. 

Various national development plans were gender-blind and gave no specific place to gender issues in Nigeria. These Conferences encouraged Nigerian women to come and form their Non-Governmental Organisations (NGOs) to empower themselves.

Being a woman in Nigeria comes with deliberate discrimination, social, religious and economic inequality, misogyny and gender-based violence. Being a woman in Northern Nigeria sometimes comes with the aforementioned challenges.

Northern Nigeria is a diverse region with people from different groups, religions and cultural orientations towards women’s rights.

In an interview with executive Director Zenith of the Girl Child and Women Initiative Support, Aishatu Kabu Damboa, a gender equality activist in Maiduguri, said, according to the United Nations sexual and reproductive health agency, of the 7 million people affected by the insurgency in north-east Nigeria, about 1,750,000 are women and girls of childbearing age who need sexual and reproductive health services.

“Through my foundation, I worked on sensitisation programs on the prevention of SGBV and provision of re-washable menstrual sanitary pads at camps for internally displaced persons in Maiduguri. She is also actively working to support adolescent girls in IDP camps by providing access to vocational skills.”

She added that women and girls in Borno state, like any other place in Africa, deal with poverty, rape, domestic violence and gender discrimination, and there is a need to raise their voices for government to take necessary action.

She said being a woman advocate in Borno state and anywhere in the north is full of threats, insults and rejection. When men, and even some women, hear you mentioning equality for women and girls, they think you are starting a war with men. 

Threats of physical violence, name-calling, trolling and online abuse come with the territory. The abuse used to hurt me, but then I understood that here in the community where I came from, it is not the norm for women to be outspoken.

Women in politics or who hold public office are called prostitutes. But she isn’t letting it get to her or stopping her from her mission of educating women and ensuring a gender-balanced society. I strongly believe in education. Our people must be educated; it is the long-term plan to change things.

However, she believes education is the key to lifting women and girls out of poverty. She said women are breaking the culture of silence, unlike their forebears who kept it to themselves and died in silence. 

Being vocal about women’s rights on a public platform as a young Northern Muslim woman has a challenge in northern Nigeria. She also advised the government to ensure women representatives on every issue in Borno state. People should understand their aim and stop harassing women advocates in northern Nigeria at large. 

Laraba Jauro wrote from the Department of Mass Communication, University of Maiduguri.

By Aisha Musa Auyo

In simple terms, body shaming is defined as the action or practice of mocking or stigmatising someone by making critical comments about the shape, size, or appearance of their body.

Body shaming involves humiliating someone by making inappropriate or negative comments about their body size or shape. As well as “fat shaming,” you may also hear negative comments if you’re underweight or about a specific body part.

This type of criticism can be made to others or yourself. You may feel unhappy with your weight or body’s appearance and judge yourself harshly. You may even engage in negative self-talk, such as “I feel so fat today” or “I need to stop stuffing my face with food.”

The act of body shaming can be carried out in person or remotely via the internet and social media and can be done by your parents, siblings, friends, or people you’re not even close to.

Even in a joking manner, remarks about what you eat or how much food you consume constitute body shaming. Giving someone advice about dieting or praising weight loss is also considered body shaming, whether intentional or not. 

Your friends and family often don’t want to hurt your feelings, but their comments can still be critical. They may not realise the negative effect that questions like “Have you lost weight?” or “Do you need to eat all of that?” can have.

Why Do People Body Shame?

You know how hurtful these behaviours can be if you’ve received those judgments—or even within earshot of words, looks, and gestures that judge others. So why do people do it?

Before I discuss why people choose to body shame others, I would say right up front: reasons don’t equal excuses! Ever. There’s no appropriate reason to make another person feel bad about the skin they’re in.

At the same time, it can be helpful to understand the motivation behind a person’s hurtful words. Doing this gives us perspective. Perspective helps us decide on the best path forward. Depending on the situation, we might:

* Shake off what another person says about us

* Remain confident as we see the lack of confidence in others

* Understand the heart behind hurtful words

* Call out misbehaviour in a calm, respectful manner

* Shut down rude talk without room for more to be said

With this in mind, let’s gain some perspective on why people do it.

We could talk about many interesting things—and have many good reasons to laugh. So why talk about how a person looks, right? Unfortunately, plenty of people do. Let’s look at some of the reasons why

1. Insecurity: When a person feels self-conscious about their body, they may talk badly about another person’s body to make themselves feel better. 

2. Societal norms: For so long, joking about how people look has been something that many people were brought up thinking is okay. This is learned bias.

3. Societal norms: For so long, joking about how people look has been something that many people were brought up thinking is okay. This is learned bias.

4. Best of intentions: Friends, family members, and even medical professionals can think they’re helpful by pointing out perceived areas for improvement in another person.

5. Lack of awareness: A person may refer to a friend’s stature or frame and not realise that they’ve crossed a line or that the person on the receiving end doesn’t like it.

5. Immaturity and lack of empathy: Some people don’t take the time or care to consider their words or how they might affect another person.

Please, allow me to be blunt. Beyond gaining perspective, it doesn’t matter why a person chooses to body shame. After all, the results are the same. Body shaming is known to cause mental health problems, eating disorders, low self-esteem, etc.

Most of us know firsthand about the adverse effects of body shaming because we’ve been on the receiving end of it at one time or another—especially when we were growing up. Research shows that 94% of teen girls and 64% of teen boys have been body-shamed.

The effects of body shaming and how to overcome it

Hearing negative comments about your appearance can impact your body image and leave you feeling anxious and self-conscious. However, there are ways to manage body shaming or other critical remarks and achieve body acceptance.

Supermodels and prima ballerinas have insecurities and imperfections, but we still perceive them as the ultimate representations of beauty. You may feel inadequate and unworthy if you don’t meet these standards.

And if you experience body shaming by others and take their negative comments to heart, it can lead to unhealthy behaviours and mental health problems, such as:

Eating Disorders: Having a negative body image is one of the main factors for developing disordered eating or an eating disorder, such as anorexia, bulimia, or binge eating.

You may start a diet that involves restrictive eating to change your body shape or size. However, such dieting can spiral into harmful behaviours like skipping meals, fasting, vomiting after eating, excessive exercising, or overusing laxatives. Over time, you deprive your body and brain of essential nutrients necessary for optimal health.

Body shaming comments such as “Did you lose weight? You look so much better” can be triggering and create more disordered eating habits in an attempt to maintain or lose even more weight.

Body Dysmorphic Disorder (BDD): Experiencing body shaming can interfere with your self-image and make you feel highly self-conscious. This can escalate into body dysmorphic disorder, where you become obsessed with a perceived appearance flaw that can create repeated avoidance behaviours.

Daily life can become consumed with concerns about a minor flaw or one not apparent to others. You may constantly look at yourself in the mirror or avoid mirrors altogether, conceal body parts you don’t like, pick at your skin, or frequently ask others if you look okay.

Being constantly ashamed of your body can also impair your performance at school and interfere with your relationships with peers, teachers, and family members. Fears about being judged by others may cause you to limit or avoid social activities.

Anxiety and depression: Body shaming can trigger or worsen existing symptoms of anxiety and depression. If you are body-shamed in public or on social media, you may try to avoid going to school or other situations where this shaming might occur. You may withdraw from others and feel isolated and alone.

Hearing critical comments about your appearance can also be humiliating, heighten your insecurities, and damage your self-esteem. Consequently, you may engage in negative self-talk as you internalise these feelings of worthlessness. You may tell yourself things like “I am a bad person” or “I am completely worthless.” This can escalate into extreme loneliness, depression, anxiety, and poor body image.

Physical Health Issues: Fat shaming, in particular, is rampant in our society as obesity is associated with being lazy, unattractive, and lacking the willpower to lose weight. In one study, over 70% of adolescents reported being bullied about their weight in the past few years. This can be harmful to your physical as well as psychological health.

Rather than being a motivating factor for losing weight, fat shaming has the opposite effect. The stress has been linked to a reduction in physical activity and the consumption of more calories.

Don’t body shame others

Research shows that when you promote body positivity to others, you also feel more positively about your body. Surround yourself with people who are courteous and treat others with respect. Avoid bullies who engage in body shaming and talk about the flaws of others.

Establish boundaries with your friends and clarify that you will not tolerate comments about your body or weight. You can also set an example by standing up for others who are the targets of body shaming.

So, let’s work together to stop body shaming and talk about more interesting things. The truth is, we all body shame one another. We are sometimes the villains and sometimes the victims. And the society has made it very normal. If we genuinely believe that every one of us is created by our Lord, none of us chooses how we look in most cases, and none of us knows how we will look tomorrow (life happens… story for another day), then we should stop body shaming. It starts with you and I. 

Were you ever body-shamed? Please share with us how you felt, how it affected you, and what you did to overcome it.

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 Zailani Bappa

The satellite television, Arewa24, with headquarters in Kano, will continue to be a pain for northerners who cherish their heritage. It is a necessary evil and a bad influence on the teeming youth in a predominantly conservative society. But, it is established to achieve a purpose and do that efficiently and quickly.

I learned the medium was established by the US government through one of its established NGOs some nine years ago. Amidst the devastating experience of Boko Haram in this part of the country, several studies have indicated to the West that the passion for Islamic values in the North and the teeming followership of a springing set of radical Salafists in the region is the major cause of such developing activism….or should I say…terrorism.

Hence, the decision to spend the hard-earned tax-payers money of the American people to build an entertainment television station in the heart of conservative Kano (after rejecting Kaduna and Abuja as a base for the new medium). I am sure you know that when these guys give you a dime worth of something with the right hand, they are sure enough to take back something worth a dollar from you with the left hand.

So, the Arewa 24 came into light with a bang…..good hands employed mostly popular actors from the entertainment industry as pioneer staff, with good pay for them to work optimally and to stay, very enticing and entertaining programmes with fresh breath of air and of course, all programmes beamed to us with the best of technology one can find around here. Significantly, most programmes target women and the young.

Free of charge, we were entertained until the station became a menu that came to every table in the house. Then came the next stage of the plan (as I see it). It was sold out to a very rich and powerful Nigerian who has the capacity and the passion to run it according to both the quality of content and the pursuit of the target.

Gradually, the programmes started becoming more daring in their approach to change. There is mild and uncoordinated resistance here and there, but the medium has a strong advisory consultant. They evade or outrightly neutralise every challenge from angry quarters at times. And they will continue to do so.

I firmly believe that the Arewa 24 debut, acceptability, prowess, and popularity (often challenged with visionless resistance) are only the tip of the iceberg. This is an era of globalisation. It is a moving train we cannot stop. It will reach its destination, ultimately. Our resistance to it will continue to be a massage to its global ego.

So, for those who understand this phenomenon, just pray, stay calm and do your own thing according to your conscience. Teach your young ones to value your values the way you can, very hard and consistently; then, leave the rest to God. This fight is just too big for us……..for every one of us.

Zailani Bappa wrote from Bauchi State via zailanbappa@gmail.com.