Health Care

By Usman Abdullahi Koli 

The Nigerian healthcare system has long faced challenges that make accessing quality care difficult, especially for the average citizen. Many patients have endured unnecessary struggles during critical moments, from long queues at registration units to delays in retrieving medical records. Tragically, these inefficiencies have, in some cases, led to preventable losses—not just because of late arrivals at hospitals but also due to prolonged registration and file retrieval processes.

Abubakar Tafawa Balewa University Teaching Hospital (ATBUTH) Bauchi has boldly changed this narrative. Staying true to its vision and mission, the hospital has introduced an innovative e-health system to alleviate these issues. This transformation goes beyond addressing immediate challenges—it sets ATBUTH on a path to becoming a leader in modern, patient-focused healthcare in Nigeria.

ATBUTH has been a symbol of hope for years, offering quality healthcare to countless patients while continuously striving to improve its services. Recognizing the growing needs of modern healthcare, the hospital has embraced advanced digital solutions to revolutionize how it delivers care.

Adopting an Electronic Medical Records (EMR) system, seamlessly integrated with the eCMDS platform, reflects ATBUTH’s commitment to progress and patient well-being. This transformative step simplifies operations, improves administrative processes, and creates a more compassionate, patient-centred experience for everyone who walks through its doors.

The introduction of e-health at ATBUTH also aligns with a Federal Government policy to digitize public services. This initiative aligns with global trends, ensuring healthcare services are faster, safer, and easier to access. Digitizing patient records, registration, billing, and laboratory results drastically reduces waiting times and makes every interaction smoother.

The EMR system protects patient data from being lost or tampered with, while automated processes close gaps that could lead to fraud or revenue loss. Furthermore, the centralized database enables researchers to access accurate, real-time information, fostering medical advancements. This leap into digitization firmly establishes ATBUTH as a forward-thinking institution ready to stand shoulder-to-shoulder with leading hospitals in Nigeria and beyond.

Although the implementation of the e-health system has been highly successful, challenges still exist. One of the most pressing issues is network reliability, which can sometimes be unpredictable. However, the hospital’s management is actively working to resolve these issues permanently to ensure uninterrupted services. Unfortunately, specific individuals have also attempted to undermine this initiative by spreading misinformation and discouraging public trust. Such actions disrupt progress and risk undoing the remarkable strides ATBUTH has made in improving healthcare delivery.

Everyone must understand that progress is a journey that moves forward, not backwards. For ATBUTH to maintain its momentum as a leader in healthcare innovation, it needs the collective support of patients, staff, and the public. Adopting the e-health system is not just about modernizing healthcare—it’s about making services more accessible, efficient, and humane.

Despite being a relatively young institution, ATBUTH has achieved remarkable feats rivalling even the country’s most established hospitals. This e-health initiative is a testament to the hospital’s determination to excel and better serve its community.

ATBUTH’s e-health system is more than just a technological upgrade—it is a lifeline for thousands of patients who rely on the hospital for their care. As this digital transformation continues to evolve, the public must embrace and support it wholeheartedly. Together, we can ensure ATBUTH remains a trusted name in healthcare and a symbol of progress in Nigeria’s health sector.

Usman Abdullahi Koli writes from Bauchi.

By Usman Muhammad Salihu

Access to quality healthcare remains a pressing issue in Nigeria, particularly for the millions living in rural areas. Despite various initiatives to improve healthcare delivery, rural communities continue to face significant barriers, resulting in poor health outcomes and deepening inequalities in the healthcare system. 

These challenges underscore the urgent need for targeted interventions to bridge the gap between urban and rural healthcare access. One of the most significant challenges rural communities face is geographical isolation. Many villages and settlements are far from urban centres where most healthcare facilities are concentrated. 

The distance to the nearest hospital or clinic can sometimes span hundreds of kilometres, making timely access to care nearly impossible for many rural residents. This problem is exacerbated during medical emergencies, where every second counts, yet patients must endure long and arduous journeys before reaching medical help.

A chronic lack of healthcare infrastructure plagues Nigeria’s rural areas. Many villages do not have hospitals or clinics; even where facilities exist, they are often under-resourced. Shortages of essential medical supplies, equipment, and trained personnel are common, making providing even basic healthcare services difficult. 

According to a report by the World Health Organization (WHO), Nigeria needs to increase the number of healthcare workers and facilities to meet the growing demands of its population, particularly in underserved rural areas. Poor transportation systems further compound the challenges of accessing healthcare in rural Nigeria. 

The lack of reliable road networks, especially during the rainy season, leaves many rural areas cut off from healthcare services. Sometimes, patients must travel on foot or rely on motorcycles, which may not be suitable for critically ill individuals. 

The absence of affordable public transport options also limits the ability of rural residents to seek medical care, particularly for routine check-ups or preventive healthcare. Financial hardship is another significant barrier. Many rural residents are subsistence farmers or engage in informal sector jobs with little to no stable income. 

As a result, they often cannot afford healthcare services, especially when these are not subsidised. Even when free services are available, hidden costs such as transportation, medication, and unofficial fees can deter people from seeking care.

Cultural beliefs and language differences present additional hurdles for rural communities. In some areas, traditional medicine is preferred over modern healthcare, leading to delays in seeking professional medical attention. Furthermore, healthcare providers unfamiliar with local languages and cultural practices may struggle to communicate effectively with patients, resulting in misunderstandings and mistrust.

The challenges of accessing healthcare in rural areas have far-reaching consequences. One of the most alarming is poor health outcomes, including higher rates of maternal and infant mortality. According to UNICEF, Nigeria accounts for a significant proportion of global maternal deaths, with rural women disproportionately affected due to a lack of access to skilled birth attendants and emergency obstetric care.

Delayed treatment is another critical issue. The inability to access healthcare promptly often leads to the progression of diseases to more severe stages, reducing the chances of successful treatment. For example, conditions like hypertension or diabetes, which can be managed with early intervention, often go undiagnosed and untreated in rural areas, leading to life-threatening complications.

Additionally, the economic burden of healthcare is devastating for rural households. The cost of treatment can deplete a family’s savings, forcing them to sell assets or take on debt. This cycle of poverty further entrenches the disparities between urban and rural populations.

Addressing these challenges requires a multi-pronged approach. Governments and stakeholders must prioritise investment in rural healthcare infrastructure. Building and equipping clinics and hospitals in underserved areas is critical to reducing the geographical barriers rural communities face. Additionally, mobile clinics and telemedicine programs can bring healthcare services closer to people who live in remote locations.

Community-based healthcare programs are another effective solution. Training and deploying community health workers to provide essential services such as immunisations, maternal care, and health education can significantly improve health outcomes. These workers can serve as rural residents’ first point of contact, offering accessible and culturally appropriate care.

Financial support for rural residents is equally important. Subsidising healthcare costs through insurance schemes or direct financial aid can ensure that rural populations can afford essential services without economic hardship. The government’s National Health Insurance Scheme (NHIS) should be expanded and tailored to adequately cover rural residents.

Finally, addressing cultural and language barriers is essential for fostering trust between healthcare providers and rural communities. Training healthcare workers in cultural sensitivity and local languages can improve communication and encourage more people to seek care. Public health campaigns should also engage community leaders and use culturally relevant messaging to promote modern healthcare practices.

To conclude, the healthcare challenges in rural Nigeria are deeply rooted in geographical, infrastructural, financial, and cultural issues. However, these challenges are not insurmountable. 

Nigeria can take significant steps toward achieving equitable healthcare access for all its citizens by investing in rural healthcare infrastructure, implementing community-based programs, providing financial support, and addressing cultural barriers. Ensuring that no one is left behind in the quest for quality healthcare is a moral imperative and a necessary foundation for the nation’s development and prosperity.

Usman Muhammad Salihu was among the pioneer cohorts of the PRNigeria Young Communication Fellowship and wrote in from Jos via muhammadu5363@gmail.com.

By Anas Abbas

The Nigeria Centre for Disease Control and Prevention (NCDC) revealed that between 2023 and 2024, Cerebrospinal Meningitis (CSM) claimed the lives of 361 individuals across 24 states, including the Federal Capital Territory (FCT)Abuja. 

During an update on the ongoing Lassa fever and meningitis outbreaks, Dr Jide Idris, the Director General of NCDC, highlighted that these fatalities were recorded in 174 Local Government Areas (LGAs) nationwide. Additionally, the country has seen 4,915 suspected cases and 380 confirmed cases of CSM during the same period.

Cerebrospinal Meningitis is characterised by acute inflammation of the protective membranes surrounding the brain and spinal cord. 

This inflammation can result from various infectious agents, including bacteria, viruses, parasites, and fungi, as well as from injuries or certain medications.

Dr. Idris emphasised that CSM is an epidemic-prone disease with year-round cases reported in Nigeria. He noted that environmental factors, particularly during the dry season marked by dust storms, cold nights, and increased respiratory infections, heighten the risk of infection, especially in overcrowded and poorly ventilated settings.

The “Meningitis Belt,” which encompasses all 19 northern states, the FCT, and parts of southern states such as Bayelsa, Cross River, Delta, Ekiti, Ogun, Ondo, and Osun, bears the highest burden of CSM in Nigeria.

In response to this public health challenge, over 2.28 million Men5CV-ACWYX meningitis vaccines have been administered in Bauchi, Gombe, and Jigawa across 134 wards in 13 LGAs.

The vaccination campaign primarily targets individuals aged 1 to 29, representing approximately 70% of the population.

Dr. Idris concluded that despite recent advancements in surveillance, diagnostic capabilities, and vaccination efforts, CSM remains a critical public health concern in Nigeria. Due to its recurrent outbreaks in high-burden states, the disease continues to pose challenges for individuals, health systems, economies, and communities.

By Jerry Ayuba Yavo

Depression is not just a regular aspect of human experience but a serious medical condition. According to the National Institute for Mental Health, depression is a common yet serious mood disorder. It causes severe symptoms that impact how a person feels, thinks, and handles daily activities, such as sleeping, eating, or working. 

Some symptoms include persistent sadness, feelings of hopelessness or pessimism, irritability, frustration, restlessness, and, in severe cases, thoughts of death, suicidal ideation, or suicide attempts.

In 2023, the World Health Organization (WHO) reported that an estimated 3.8% of the global population experiences depression, with 5% of adults affected (4% among men and 6% among women) and 5.7% of adults over the age of 60. 

Approximately 280 million people worldwide suffer from depression, and alarmingly, depression is about 50% more common in women than in men. This disparity is primarily attributed to biological factors, including hormonal fluctuations, genetic predisposition, and other factors.

Despite its prevalence, many people with depression may be unaware of their condition. A woman in Nigeria shared her experience with a reporter, revealing how she had struggled with mood swings since childhood. Her parents believed she was facing spiritual attacks, isolating her from her siblings, who were considered “normal.” 

As she grew older, she turned to drugs and alcohol to cope, eventually becoming addicted. It wasn’t until much later that she realised she had been suffering from depression since childhood. After marriage, she also experienced post-natal depression, which worsened her case.

In recent years, treatments such as medication and psychotherapy have proven effective for most people with depression. However, over 75% of individuals in low- and middle-income countries receive no treatment due to several barriers, including limited investment in mental health care, a lack of trained healthcare providers, and the social stigma surrounding mental illness.

Both men and women must assess their mental well-being and seek professional help if they experience symptoms of depression. Addressing mental health openly and without stigma is essential for a healthier society.

Jerry Ayuba Yavo wrote from the Department of Mass Communication, Bayero University, Kano, via jerryjnr419@gmail.com.

By Aminat Adebesin Adebisi 

Nigeria, known for its vibrant culture and resilient people, is grappling with a pressing concern: mental health issues. Conditions such as depression, anxiety, and substance abuse affect millions, particularly the youth. Despite alarming statistics, the topic remains shrouded in stigma and silence.

Personal Experience

I have witnessed firsthand the devastating impact of mental health stigma. A close friend struggled with depression for months, hiding her pain behind a mask of smiles. For her, seeking help felt like a sign of weakness, and she wasn’t ready to open up. As I watched the twinkle in her eye fade, I wondered how I could have helped her escape the darkness.

Alarming Statistics

According to a 2019 report by the World Health Organization (WHO), depression is the leading cause of disability in Nigeria, with 1 in 5 Nigerians suffering from mental health disorders. The National Mental Health Survey (2018) reveals that 22% of Nigerians experience depression, while 30% struggle with anxiety.

Barriers to Seeking Help

Limited awareness, stigma, and entrenched cultural beliefs hinder individuals from seeking help. In Nigeria, voicing mental health concerns can lead to gossip, judgment, or even rejection. This silence forces many to suffer in isolation.

Breaking the Silence

To combat the rising rates of depression, we must take the following steps:

• Establish Support Groups: Create social support networks with trusted, informed individuals to encourage open conversations.
• Raise Awareness: Leverage organisations like the Nigerian Mental Health Association, the Federal Ministry of Health, and media outlets to promote understanding of mental health issues.
• Integrate Education: Incorporate mental health education into school curricula to empower students and reduce stigma from a young age.
• Engage Community Leaders: Collaborate with community leaders and influencers to promote discussions around mental health.
• Improve Accessibility: Develop affordable and accessible mental health services to ensure that help is within reach for everyone.

Together, we can create a Nigeria where mental health discussions are embraced with empathy rather than met with stigma. By breaking the silence, we can offer support and hope to those affected, fostering a healthier, more understanding society.

Aminat Adebesin wrote via adebesinaminat2018@gmail.com.

By Mutalib Jibril

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

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

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

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

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

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

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

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

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

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

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

Mutalib Jibril wrote via mutalibdantanisabi300@gmail.com.

By Abdulaziz Isah Bagwai

After the Asr prayer on a rainy Monday, Jummai, who was pregnant, was sweeping her courtyard when her daughter Laure returned from the river, where she went to fetch the water they would use for the chores. “Assalamu alaikum,” Laure greeted as she entered the house and poured the water she fetched in a rubber bucket into a large pot.

Jummai, an all-female mother of five, had prayed endlessly during the day and night for a male child, and since the miracle of this pregnancy, her prayers have doubled. She’d often wake up in the middle of the night to remind God of her prayers and to jokingly remind Him that He’d promised to answer good prayers. Hers was.

One night in September, Jummai began her labour with low and intensifying moans that woke Baban Laure, her husband, whose sleeping groans filled the noiseless room. “What’s happening? Are you well?” He inquired in a low, creaking tune. She couldn’t answer him, but in her moans, he understood she was calling God for aid into her large tummy, and when he grabbed his torchlight, he saw that she was holding the belly tightly.

Baban Laure rushed to his neighbour, Rakiya, a traditional birth attendant. Upon their arrival, Rakiya confirmed that it was labour, but the condition was beyond her basic skills; hence, he should take his wife to the primary health care facility in Bagwai.

Amidst preparation, Jummai continued to bleed, and Baban Laure suggested that “if not for the bleeding, we could manage to wait until the morning when the staff of our health post come.” Baban Laure suggested this to Rakiya, who was engrossed in controlling the seemingly unending bleeding. Baban Laure said they could only travel to Bagwai on bikes that night of misery because the only person who had a car wasn’t in town.

Jummai gave birth to a beautiful baby boy at around 4:00 a.m., whom she was unable to see immediately until the day broke. “Where’s my baby?” She asked. But the strolling tears in Rakiya’s eyes told her everything. The baby is dead, she understood, with a bit of desperation in her face. When the birth attendant was telling Rakiya to report on time in emergency cases like this because the baby died as a result of oxygen starvation, which was, of course, due to the excess blood she had lost, she understood that her baby was a boy. Before Rakiya arrived at her bed to calm the tears that formed rivers in her eyes, she lay there stranded, unconscious, and was admitted for two weeks!

What is behind the pause of Kwajale Comprehensive Health Center’s construction project?

Had this project been completed and launched today, there would’ve been a 24-hour medical service in this village, which could’ve saved the life of Jummai’s baby boy that she had wished and prayed for. 

“This project has put light on many faces in Kwajale, for it was initiated when our clinic and the services we rendered were insufficient for the community,” said Saifullahi, a healthcare worker at Kwajale Primary Health Post.

“When the construction started, we were assured that it wouldn’t take long to be completed, and we agreed to their assertion because they worked with an enthusiastic speed,” Saifullahi continued.

Who are the contractors?

It was a federal government project awarded in 2007 by the Association of Local Government of Nigeria (ALGON) to Mathan Nigeria Limited. This indigenous engineering company had quietly touched the lives of Nigerians long before it got caught in the eye of the storm because an April 2nd, 2012, Premium Times report stated that “Abandoned N37 billion health centre projects rot away nationwide.” However, “the contractor Mathan Nigeria Limited is insisting on a variation of the original contract sum.”

However, on October 24th, 2023, Platform Times reported that “After 16 years, ALGON disburses equipment to [an] abandoned hospital in Ogun [State].” Although this report might’ve meant ALGON was on another different project with a different contractor, the report continued to read, “The equipment, which was part of a federal government project awarded in 2007, was delivered to the health centre on Monday by a contractor, Mathan Nigeria Limited.”

Why the failed project in Kwajale is different

“We’re a little bit far from Bagwai [town], and we do not have good roads; referred patients suffer a lot [in the day, not to mention at night, and even in the dry season, speak less of the rainy season] along the way.” Malam Umar, a community member, lamented.

“We’ve been given classes to continue with our activities because the building meant for the primary health post has been under renovation for years now, but no progress has been made yet,” said Malama Aisha, the head of Kwajale Health Post.

“A non-governmental organisation (NGO), the United Nigerian Youth Forum (UNYF), has urged the Department of State Services (DSS), the police, other security agencies, and the Economic and Financial Crimes Commission (EFCC) to probe the contractor handling the construction of health centres across the country. The forum accused the contractor, Mathan Nigeria Limited, of abandoning the N57 billion contract, which the forum said had led to the deaths of many Nigerians.” Leadership news report.

Ali Muhammed, the UNYF’s spokesperson, alleged that the contractor’s negligence had caused the deaths of hundreds of expectant mothers who ought to have safely delivered their babies at the health facilities if the projects had been completed on time.

For 17 years now, the remedy for the continued pain like Jummai’s in Kwajale is still uncalled for; no medical condition is manageable at night in Kwajale, their bad roads are yet the same, and patients still suffer along the bicycle-and-motorcycle-only road.

By Lawan Bukar Maigana 

According to a report by the World Health Organization, Nigeria, after India, has the highest number of maternal mortality in the world. The report shows 788 women and children deaths per hundred thousand’ in India, and 540 women and children ‘per thousand’ died in Nigeria.

Other countries with high maternal, neonatal, and stillbirth rates are Pakistan, the Democratic Republic of the Congo, Ethiopia, Bangladesh, China, Indonesia, Afghanistan, and the United Republic of Tanzania.

‘About 57,000 mothers died from pregnancy and complications during childbirth in 2023 alone,’ said Nigeria’s Minister of Health and Social Welfare, Muhammad Pate, at a public health function.

Unfortunately, the frequent loss of lives among pregnant women in Nigeria, particularly Northern Nigeria, remains an issue of concern. This gives Nigeria a poor global ranking.

Pate explained that the Federal Government was committed to drastically reducing maternal mortality through the new Safe Motherhood Strategy. He noted that the central government will take actionable steps and cascade the strategies to state and local governments, targeting at least seven million pregnant women.

“The aim is to ease six million new births by activating the Decentralised Facility Financing package, establishing robust collaboration with health NGOs, community leaders, and media to boost awareness campaigns.” 

Sequel to the Health Minister’s lamentation, the Girl Child Concerns (GCC), in collaboration with the Borno State Government through the Multi-Sectoral Crisis Recovery Project (MCRP), has trained 300 Community Health Extension Workers (CHEWs) on Basic Emergency Obstetric Care and Early Neonatal Care in Borno State.

The Chief Adviser and Coordinator for Sustainable Development, Partnerships, and Humanitarian Support to the Governor of Borno State, Dr. Mairo Mandara, stated that the training aimed to improve maternal and child health services across the state. The training was conducted in three zones of the state. Each zone underwent one week of theoretical training followed by one week of clinical training. 

The training for Borno Central was held on May 27, 2024, for Borno North on June 3rd, and for Borno South on July 1st, with each zone being exposed to theoretical and clinical aspects of the training.

Dr. Mandara emphasized the governor’s commitment to ensuring quality health services for the resilient people of Borno State, especially the locals, given the magnitude of the challenges they face due to the terrorist activities of Boko Haram insurgents in their communities.

Dr. Mina Endeley from the Namu Project in the UK and Oluwaseyi Akinlaja from Princes Alexandra Hospital Trust in the UK have also joined the training, leading a practical session on successful delivery and universal approaches to handling emergency cases.

Endeley at MCH Biu Local Government Area practically taught non-medical attendants the concepts of basic life support, including managing catastrophic bleeding in the community.

The participants practised approaching the scene safely, calling for help, managing catastrophic bleeding, and reviewing the patient’s airway, breathing, and circulation using a mnemonic we created.

Oluwaseyi Akinlaja from Princess Alexandra Hospital Trust, UK, explained the labour mechanism: how a baby is delivered as it passes through the pelvis into the birth canal and is born by expulsion. This was done to enable CHEWs to visualize the birth process so that they could make early referrals when necessary.

She exposed the participants to the seven steps/processes that a baby passes through before delivery, namely engagement, descent, flexion, internal rotation, extension, external rotation, and extension.

On his part, the Emir of Biu, Maidala Mustapha Umar Aliyu II, described the combined efforts of the organization—GCC—and Borno State Government as a “timely homily” and expressed readiness to support the effort in every way possible.

The lead facilitator of the training, Hadiza Yahaya, has expressed satisfaction with the performance of the participants during the training and expressed hope that the CHEWs will help greatly in the fight against maternal mortality. 

The training offered to Community Health Extension Workers (CHEWs) in Borno State is expected to result in each participant putting the knowledge into practice and witnessing a drastic reduction in maternal mortality in the state.

Lawan Bukar Maigana is the Communication Officer for Girl Child Concerns, GCC, and can be reached via email at lawanbukarmaigana@gmail.com.

By Mujahid Nasir Hussain

Hypertension, commonly known as high blood pressure, is characterized by persistent rising blood pressure levels in the arteries. It is often referred to as the “silent killer” because it presents no symptoms until significant damage to the cardiovascular system is achieved. This menace is a paramount health concern, affecting millions of people worldwide and contributing to a high risk of premature mortality. Therefore, as we marked World Hypertension Day on 17th May, raising awareness about this epidemic is very important. Raising awareness about hypertension is essential in combating this global concern as it will go a long way in educating the public about its dangers and causes and the importance of regular monitoring and early intervention.

Blood pressure is the force exerted by circulating blood against the walls of the arteries. It is measured in millimetres of mercury (mm Hg) and recorded with two numbers: systolic pressure (the pressure when the heart contracts) and diastolic pressure (the pressure when the heart relaxes). According to a lot of literature, normal systolic blood pressure in young adults is within the 90- 120 mmHg range, and diastolic blood pressure is within the 60- 90 mmHg range. Thus, it’s important to note that this value increases beyond the normal limit and consequently results in hypertension.

Hypertension is of two types: Primary hypertension and secondary hypertension. Primary hypertension accounts for about 85-90% of hypertension cases and develops gradually over many years. While other complications do not cause primary hypertension, the secondary type is always associated with underlying health conditions such as Kidney disease, Toxemia during pregnancy, etc.

The World Health Organization (WHO) reported hypertension as a global health issue, estimating that over 1.13 billion people worldwide suffer from it currently. Consequently, it is responsible for an estimated 7.5 million deaths annually, accounting for about 12.8% of all deaths. Its prevalence is increasing, particularly in developing countries like Nigeria, where health systems often struggle to diagnose and manage the condition effectively. In high-income countries, phishing awareness regarding its treatment rates is generally higher. However, even with that, the condition remains a significant health concern as a result of lifestyle factors such as poor dietary intake, physical inactivity, and high rates of obesity among individuals.

Several factors contributing to the development of hypertension include Genetic factors, Dietary habits, obesity, alcohol and tobacco use, stress, etc.

*Genetic Factors: Family history plays a vital role in the risk of developing hypertension. This means that if one or both parents have high blood pressure, the percentage of their offspring developing the condition is high.

Dietary Habits: Diets high in sodium (salt) and saturated fats are strongly associated with high blood pressure. Excessive salt intake can cause the body to retain water, leading to increased blood pressure.

 Obesity: Individuals with body mass index above 30kg/m² are at high risk of developing hypertension. Obesity often results in increased resistance in the blood vessels, making it harder for the heart to pump blood efficiently, resulting in high blood pressure.

Alcohol and Tobacco Use: High alcohol consumption and tobacco use are also contributing towards the development of hypertension. Alcohol can raise blood pressure by several mechanisms, such as stimulating the sympathetic nervous system. At the same time, smoking is associated with causing damage to the vessel walls, leading to increased blood pressure.

Stress: Prolonged stress can also contribute to the development of hypertension. Stress-related behaviours, such as inappropriate lifestyle modification, further attenuate the risk.

Age and Gender: As age progresses, so does the risk of developing hypertension. Men are generally at higher risk at a younger age compared to women. Still, the risk for women increases and often surpasses that of men after menopause as a result of hormonal withdrawal.

Some of the consequences of uncontrolled hypertension include Heart failure, Stroke, Kidney damage, vision loss, aneurysms, etc. Therefore, managing and preventing it requires a multi-faceted approach, such as lifestyle modifications, regular monitoring, and medication when necessary.

Some of the lifestyle modifications that need to be adopted to mitigate the effects of hypertension include:

Healthy Diet: A diet rich in fruits, vegetables, whole grains, and lean proteins can help manage blood pressure.

Exercise: Regular physical activity, such as brisk walking, cycling, or swimming, can help lower blood pressure.

Weight Management: Maintaining a healthy weight is crucial for controlling blood pressure. A small amount of weight loss can profoundly reduce blood pressure levels in overweight or obese individuals.

Limitation of Alcohol Consumption and Tobacco Use: Reducing alcohol intake and quitting smoking can have a significant positive impact on blood pressure and overall body health.

Stress Reduction: Stress-reducing techniques such as mindfulness, meditation, and deep-breathing exercises can help manage blood pressure. Ensuring adequate sleeping hours and managing work-life balance are also important.

Regular Monitoring: Regular blood pressure checks are crucial, especially for individuals with risk factors for hypertension. Home blood pressure monitors can help people keep track of their levels and detect any changes early.

Even with all the lifestyle modifications mentioned above, those changes alone may not be enough to control blood pressure for some individuals. In such cases, healthcare providers may prescribe antihypertensive medications. However, following the prescribed treatment strategies and attending regular follow-up appointments is essential.

Mujahid Nasir Hussain wrote via mujahidhnasir@gmail.com.

By Aisha Musa Auyo

Do you know about dental floss? Please do not tell me that you don’t. I was shocked when I conducted an oral poll about dental floss and found out that only about 10 percent of people know about it, and only about 4 percent practice it. This could be part of the reason why dentists are making outrageous money. This could be part of the reason why people get irritated while listening to you. This could be part of the reason why your spouse doesn’t like kissing you.

According to the Cambridge Dictionary, flossing is the practice of cleaning between your teeth using dental floss. It also states that regular flossing is essential for healthy gums.

Flossing is an important oral hygiene habit. It is a habit that helps clean and dislodge food stuck between your teeth, which reduces the amount of bacteria and plaque in your mouth. Plaque is a sticky film (that looks like cream) that builds up on the teeth and causes gum disease, bad breath, and tooth decay if not managed properly.

Even though many people brush their teeth daily, some even do it twice daily, not everyone flosses their teeth. Flossing should be as regular as brushing. Brushing can never fulfill the function of flossing. Regardless of how expensive your toothpaste and toothbrush are, flossing is vital.

So now that you know, I need to tell you that it’s not about simply flossing. It is important to do it correctly, or else you will damage your teeth and gums. Brushing twice daily for at least two minutes each time is the first step in keeping your teeth and gums healthy. But even the best toothbrush can’t thoroughly cleanse the spaces between your teeth. That’s why the American Dental Association recommends that you floss once a day to remove food particles and plaque—the sticky film on your teeth that can lead to cavities and gum disease.

Plaque contains cavity-causing bacteria that feed on leftover food in your mouth. These bacteria thrive on sugary substances—and as they feast on them, they produce acids that can damage the shiny, protective surface of your teeth, setting the stage for tooth decay.

Plaque that isn’t removed by brushing or flossing can harden into a rough substance called tartar or calculus. Tartar builds up along the gum line, which can lead to gum disease.

Once tartar forms, only your dentist can remove it. However, flossing every day can help prevent plaque buildup. Some mouthwash can perform the function of flossing when gargled for over two minutes. However, excessive use of commercial mouthwash is not healthy or environmentally friendly.

Cloves soaked in water can also do it, but that should not stop you from mechanically flossing your teeth one by one.

How often should you floss?

The ADA recommends brushing your teeth for 2 minutes twice a day and flossing at least once a day. I floss after every meal or snack. I’m obsessed with it. I always carry my floss around with me, just like I do my phone.😀

I feel cleaner and more confident in my breath and teeth. I would advise you to do what works for you. It’s up to you whether you floss before brushing or afterward. It depends on your comfort and timing.

In conclusion, dental floss is readily available and affordable. It saves you the expense of visiting a dentist, spares you the embarrassment of bad breath and plaque-stained teeth, and improves both your confidence and oral health.

Let us take our oral hygiene very seriously. It reveals a great deal about our overall hygiene and self-care practices and strengthens our relationships with our spouses and others in general.