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Should we donate blood for free if recipients have to pay for it?

By Bello Hussein Adoto

One, two, three. Every three seconds, someone somewhere is receiving blood, and they don’t know where it comes from. The person could be an accident victim with a broken leg, a woman bleeding after birth, a sickle cell patient hanging on to life, a man with haemophilia whose blood just won’t clot, or a snakebite victim whose cells are lysing away.

Three seconds. Someone is on the bed, being saved with another person’s blood. That blood could be yours—one pint drained from your body in ten minutes every three months (men can donate up to four times a year). Sometimes, it doesn’t take more than that to save a life.

Unfortunately, many people don’t donate blood because they frown at the idea that hospitals “sell” the blood they donate for free, so it is better that they don’t feed what they see as an unwholesome trade. Why should we donate blood for free if recipients have to pay for it? Let’s unpack the answer.

Blood is free. Hospitals—public ones, at least—don’t sell blood.

They collect service charges ranging from five to eight thousand naira in public hospitals to cover the cost of screening, collecting, bagging, storing, matching, and transfusing blood. The service charge is like revolving funds that keep the blood flowing from the donor to the patient.

Is it criminal? Not quite. Hospitals get blood from unpaid voluntary donors and relatives of transfusion recipients who donate to replace the blood their loved ones received. A third source is those who get paid for donating blood. However, getting blood from paid donors is discouraged for ethical and safety reasons. Whatever the source, blood recipients are required to pay processing fees to cover the cost of getting blood and transfusing it safely.

Let’s face it. Healthcare is subsidised, but it’s not free. The government can only pay for so much. Hospitals need facilities to receive donors and collect their blood. They need equipment, test kits, and reagents to screen the blood; bags and anticoagulants to keep the blood fluid and aseptic; storage units to keep the blood stable enough to be useful to the patient. These cost money and that’s the service charge that patients and their relatives pay.

The need for blood for voluntary blood donation is high in Nigeria. According to a recent National Blood Services Commission (NBSC) report, only 25% of blood transfusion demand is met in Nigeria. Unpaid voluntary donation closes the demand gap for blood donation. It makes blood available to patients, especially those with rare blood types and those needing many pints of blood.

While you are welcome to share your concerns about patients having to pay for blood, please don’t let that discourage you from donating. People need blood, and that need is critical. Malnourished children, pregnant women, people with severe malaria, and those with sickle cell disease are among the top groups in this category.

Your blood could be the difference between someone staying alive or dead. Imagine your younger sister or a parent desperately needs blood, but blood banks and reserves are depleted due to a lack of willing donors. What do we do then? Even if you worry that recipients will eventually have to pay for it, your blood gives them something to pay for.

Besides, your donation makes blood available so that desperate patients and their relatives don’t have to get it from the so-called black market, which is more expensive.

Beyond donating, you can raise awareness for other people to donate. As of 2022, only 8% of transfused blood in the country was voluntarily donated. We need more unpaid voluntary donations to make blood more accessible to those in need.

Transfusible blood is obtained only from humans. We can’t manufacture blood like normal saline or get it from animals like insulin. So, people need to donate blood.

We must also make the case for better investment in our health system. Many public hospitals across the country cannot collect or store blood. They often ask patients’ relatives to look for donors or collect and keep blood that may not be useful for transfusion. Better hospital facilities and more laboratory supplies will buffer these limitations and improve the quality of blood transfusion in Nigeria.

While I don’t deny that unscrupulous elements could profit from the blood trade, we need to see the bigger picture. Blood donors serve a great need. Your donation makes blood readily available and accessible to everyone. So, please, go out there and donate. You are saving a life.

Adoto, a researcher, writer, and journalist, writes via bellohussein210@gmail.com.

Open letter to Governor Mai Mala Buni on sickle cell patients in Yobe State

Dear Governor Mai Mala,

I write to you with the utmost respect, acknowledging the positive impact you have made in the healthcare sector of Yobe State. I would like to commend you for your notable efforts in providing health insurance slots to sickle cell patients through YSCHMA, as well as the provision of free drugs and food items to these individuals via YOSEMA.

However, despite these commendable initiatives, it is crucial to address the issue of sickle cell disease, which continues to affect numerous children in Yobe State, making it one of the states with the highest prevalence.

Your Excellency, in certain Local Government Areas (LGAs), such as Potiskum, the specialist hospital lacks an emergency ward that caters to the needs of sickle cell patients and others requiring immediate medical attention. The existing emergency ward at the specialist hospital in Potiskum is operating at a limited capacity.

Hence, I kindly request that you prioritise the establishment of an emergency ward dedicated explicitly to sickle cell patients or consider expanding the current ward at the specialist hospital in Potiskum and other LGAs that lack such facilities.

Furthermore, I urge you to continue the excellent work you have initiated by enrolling sickle cell patients into the health insurance program. This ongoing support will significantly improve their access to necessary medical services.

Lastly, while I am aware that employment opportunities are open to all state indigenes, I would like to draw your attention to the plight of sickle cell patients. Considering the challenges they face and the presence of many educated individuals among them, I humbly request your favour in providing job opportunities for some of these deserving sickle cell patients.

Thank you for your attention to these matters, Your Excellency. I hope your continued efforts will bring about positive changes in the lives of sickle cell patients in Yobe State.

Yours sincerely,

Mohammed Madu Bukar

madubukarmohammed@gmail.com

Asibitin Mal, Potiskum, Yobe State.

The criminogenic environment

By Lawi Auwal Yusuf

The nexus between our social environment and human behaviour is relevant in explaining Nigeria’s formidable crime rates. First, it is essential to understand the significance of socialisation in behaviour development.

Human interactions on both micro and macro levels provide a flawless context for learning behaviour from others. This learning occurs through these interactions that directly shape the socialisation process through observation of one’s environment, imitation, role modelling and expectation development.

So, human behaviour reflects what is learned in daily interactions with others. This socialisation process is influenced by individuals’ intimate groups and role models who similarly clout those close to them and serve as others’ source of learning.

Thus, deviation from society’s consensual values is not considered an innate human character predetermined by biological, psychological and or other natural factors, as argued by most social learning theories. Instead, it is a product of socialisation that determines the development of human behaviour through our perpetual interactions.

Given the foregoing, criminousness is like all other human behaviour spawned by social interaction. To wit, criminalness isn’t spontaneous. Untainted persons acquire their “knowledge” from external sources as they observe the tainted ones carrying out criminal behaviours. They learn and, subsequently, effectuate them.

Parents keep an eye on those your wards reach out to and teach them to avoid the toxic ones. Perhaps more importantly, don’t let those you are cynical of be their buddies. Be their pal yourself.

Lawi Auwal Yusuf wrote from Kano and is contactable via laymaikanawa@gmail.com.

Raising awareness of the potential outbreak of anthrax disease 

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.

The curious connection between money and relatives

By Abdulrazak Mukhtar

Money uniquely impacts family relationships, often leading to complex dynamics and a range of emotions. When individuals come into money, it can suddenly bring distant relatives to the forefront, seeking a connection or financial assistance. Conversely, acquiring wealth can also result in the emergence of long-lost relatives, appearing out of nowhere and claiming familial ties. This intriguing interplay between money and family sheds light on how our financial status influences our relationships.

When individuals experience a financial windfall, it’s not uncommon for distant relatives to suddenly appear. The allure of wealth and the possibility of benefiting from it can lead relatives who were once distant or disinterested to seek a connection. Whether driven by curiosity or a desire to share in the newfound affluence, these relatives may approach with familiarity, hoping to establish a bond and potentially reap the benefits of financial success.

Conversely, when someone finds themselves in a financially favourable position, they often become a target for relatives seeking assistance. Family members may seek financial support for personal endeavours, investments, or during hardship. The individual’s newfound wealth positions them as a potential source of aid, which can create a delicate dynamic of balancing familial obligations, personal goals, and responsible resource management.

The convergence of money and relatives can create a unique tug-of-war within family dynamics. Individuals who come into wealth must navigate the complexities of determining the authenticity of newfound relationships and managing expectations. Striking a balance between generosity and self-preservation is essential in maintaining healthy relationships while safeguarding personal interests.

To navigate this complex terrain, it is crucial to approach these situations with sensitivity and caution. Open communication is vital in establishing clear expectations, boundaries, and intentions with relatives. Honest conversations can foster genuine connections while managing financial expectations.

Defining personal goals becomes essential to make informed decisions about resource allocation. Individuals can prioritise their needs by aligning financial decisions with values and aspirations while considering family interests.

Seeking professional guidance from financial advisors, estate planners, or family counsellors can provide valuable insights and strategies for managing family dynamics while preserving personal financial well-being. These professionals can help individuals navigate the complexities of money-related familial relationships, offering objective advice and support.

Maintaining emotional boundaries is crucial when dealing with the influx of relatives during prosperous times. Distinguishing between genuine relationships rooted in care and those driven solely by financial motives is necessary to protect oneself from exploitation or manipulation.

Emphasising shared experiences, values, and interests can help foster authentic connections with relatives. Individuals can cultivate meaningful connections based on mutual understanding and common ground by focusing on the aspects of the relationship that go beyond monetary considerations.

In conclusion, the interplay between money and relatives within family relationships can be intricate and challenging. Managing the sudden emergence of distant relatives and requests for financial assistance requires careful consideration, open communication, and setting personal boundaries. By balancing familial obligations and personal goals, individuals can foster healthy relationships while protecting their financial well-being.

Abdulrazak Mukhtar can be contacted via prof4true1@gmail.com.

What you should know about Prosopagnosia and its effects

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.

IKIGAI: The Japanese secret to long and happy life

By Hafsah Ja’afar

It is a captivating and insightful book that explores the concept of Ikigai, a Japanese philosophy that translates to ‘reason for being’ written by Hector Garcia and Francesc Miralles. This book delves into the wisdom and practices of the people of Okinawa, one of the world’s blue zones. The people of that region are known for their longevity and well-being.

The authors take readers on a journey to discover the essence of Ikigai, which lies at the intersection of four fundamental elements: What we love, what we are good at, what the world needs, and what we can be rewarded for. Drawing from extensive research and interviews with residents of Okinawa, the authors reveal how living a life driven by Ikigai can bring profound fulfilment and joy.

Through engaging anecdotes and practical guidance, the book offers valuable insights into how to uncover one’s Ikigai and cultivate it in daily life. It explores the importance of finding purpose, maintaining a strong sense of community, adopting a positive mindset, and embracing simple yet meaningful pleasures.

Ikigai provides inspiration and actionable steps to help readers discover and pursue their own Ikigai. It highlights the significance of aligning personal passions with contributing to the greater good, emphasising that a life rooted in meaning and purpose can improve well-being, longevity, and overall happiness.

With its blend of cultural wisdom and contemporary research, Ikigai: The Japanese Secret to a Long and happy life guides individuals seeking a more fulfilling and balanced existence. It offers practical tools and profound insights to help readers unlock their inner purpose, embrace the present moment, and lead a life of greater significance and contentment.

One of the surprising things about living in Japan is how active people remain after retirement. Many Japanese people never retire but rather keep doing what they love for as long as they are ‘hale and hearty’. There is no word in Japanese that means “leaving the workforce for good” as it is in English.

According to National Geographic reporter Dan Buettner, having a purpose or reason for being is so fundamental in Japan and the Japanese culture that the word retirement ceases to exist. The art of staying young while growing old is a choice you make; a healthful diet, a strong sense of community, and Ikigai (reason for being) play a significant role in their eternal youth, most especially in Okinawa (the island of eternal youth), one of the blue zones where centenarians the extraordinary human beings live in massive numbers.

Hafsat Ja’afar is a school teacher and wrote from Kano via jaafarhafsat@gmail.com

Before you assume, learn the facts; before you judge, understand why

By Aisha Musa Auyo

My mom and her colleagues were sitting in the famous Faculty of Education train at Bayero University, Kano (BUK), a corridor linking five faculties in the New site before the renovation. A lady walked by, and her ID card fell from her books. They kept calling her attention, but she ignored them. One of them even attempted to run after her while yelling the name they saw on the card, but she cared not to look back. They got annoyed and decided to let her pay for the consequences of her arrogance.

In those days (I don’t know for now), when a student lost a school ID card, they had to bring evidence, such as a police report to get a replacement. If exams are approaching, the student may be given a temporary ID card from the admin before they present the evidence, and a new ID card will be processed for them. This protocol was not an easy one. I’ve gone through it. It was my first time going to the police station.

My mom’s colleagues assumed the girl was doing ‘Yanga’, a typical snobbish attitude of undergraduate ladies. So they planned to throw away the ID card. My mom, being her usual kind person, begged them not to. She collected the card with the intention that she would take it to the lady’s department after work. As she read the name on the card, she identified the surname. We live in the same neighbourhood.

After work, she went to the house and gave them the card, explaining how they kept calling the girl, and she didn’t bother to answer. One of the mothers in the house said, ‘Ai ba za ta amsa ba, tana da matsalar kunne, ba ta ji’. (Meaning she couldn’t answer because she is deaf). Mom was so happy and relieved that she helped and promised to inform her colleagues about the lady’s condition.

If not for our human nature, we are quick to assume a thorough look into the ID card will reveal that the student is from the Department of Special Education. Most of the students in the department are either deaf, blind, or mute, and we are obliged to help them in any way we can. My mom’s colleagues were kind; they could ignore the card when it fell. They attempted to help her. They even called her name and ran after her. What they did wrong is the ‘judging’. They were quick to assume.

But they are only human. We do this all the time—you and I. We are quick to judge and assume. I have been accused of being a snub because I couldn’t recognise some of my relatives, colleagues, or classmates. People did not know that I have been diagnosed with Prosopagnosia, a medico-social disorder characterised by difficulty recognising family members and close friends. (I’ll write extensively on the topic next week, in sha Allah.)

This judging and quick-to-assume syndrome didn’t stop in our offline interaction with others. We brought it online. It’s especially unforgiving if it’s coming from a vendor. I read yesterday a comment from a vendor complaining that she did a voice-over of the price and location of her items, yet some annoying people kept asking her for that information.  

The question here is, what if some of those asking her are deaf? What if they don’t understand the language she used? Of the few thousand friends I have on Facebook, some are deaf. About seven of them have reached out to me. Many others have not. We interact with them, and they comment and react, but we don’t know what they’re battling with. You may also have similar people in your contacts or come across them on other social platforms.

Please, let us be less judgemental; it’s God’s responsibility, not ours.

Please, let us have more compassion.

Please, let us have more patience.

Before we assume, let’s learn the fact.

Before we judge, let’s 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.

Kano: Governor Abba flags off open heart surgery

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.

Man dies on pole while repairing cables in Niger

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.”