Showing posts with label Health news. Show all posts
Showing posts with label Health news. Show all posts

20_05

WHO says 'extreme vigilance' needed in exit from lockdowns

The World Health Organization (WHO) has hailed dwindling COVID-19 infection rates and deaths in some countries, but called on nations to show "extreme vigilance" as they begin loosening restrictions.    

Swathes of Europe began the long process of reopening from coronavirus lockdowns on Monday, with officials in countries like France and Spain emboldened by declining death rates.

Germany earlier reported an acceleration in new coronavirus infections after it took initial steps to ease its lockdown. South Korea, another country that had won widespread international praise for its success in limiting virus infections, has seen a new outbreak in nightclubs.

"Now we are seeing some hope as many countries exit these so-called lockdowns," Dr Mike Ryan, head of the WHO's emergencies programme, told an online news briefing. But he added that "extreme vigilance is required".

"If the disease persists at a low level without the capacity to investigate clusters, there's always the risk that the virus takes off again," he said.

Ryan said he was hopeful that Germany and South Korea would be able to suppress new clusters and praised their surveillance, which he said was key to avoiding large second waves.

"It's really important that we hold up examples of countries who are willing to open their eyes and willing to keep their eyes open," he said. In contrast, he said other countries, without naming them, were "trying to drive through this blindly".

WHO Directo-General Tedros Adhanom Ghebreyesus told the same briefing that lifting restrictions was "complex and difficult" and that the "slow, steady lifting of lockdowns" was key to protecting lives and livelihoods.

Tedros said that Germany, South Korea and China - which has reported a new cluster in its original epicentre, Wuhan - all had systems in place to respond to any resurgence in cases.

"Until there is a vaccine, the comprehensive package of measures is our most effective set of tools to tackle the virus," Tedros said.

'Herd immunity' warning

The WHO warned against the notion in some countries that even if they do not take the measures needed to halt the spread of the virus, their populations will quickly build so-called "herd immunity".

"Early serological studies reflect that a relatively low percentage of the population has antibodies to COVID-19," Tedros said, pointing out that this means "most of the population is still susceptible to the virus".

More than 90 so-called serological studies, which reveal the presence of antibodies in the blood to determine whether a person has had a past infection, were being conducted in several countries.

Maria van Kerkhove, a WHO epidemiologist, said that while the UN agency has not yet been able to critically evaluate the studies, initial data released showed that between one and 10 percent of people had antibodies.

"There seems to be a consistent pattern so far that a low proportion of people have these antibodies," she said.

Ryan agreed, saying the early results belied the widely-held assumption that most cases of the virus were mild and going undetected.

Preliminary results were "showing the opposite ... that the proportion of people with significant clinical illness is actually a higher proportion" than previously thought, he said, stressing that "this is a serious disease".

"This idea that maybe countries that have lax measures ... will all of a sudden magically reach some herd immunity, and so what if we lose a few old people along the way ... is a really dangerous, dangerous calculation," he said.

16_11

How to prevent depression

Depression: let’s talk and details the tips to treat the monster in adults (over 60s), women of childbearing age, adolescents and young adults.
The life changes that come with ageing, childbirth or adolescence can lead to depression. According to the World Health Organisation (WHO), depression is an illness characterised by persistent sadness and a loss of interest in activities that you normally enjoy. This is accompanied by an inability to carry out daily activities, for at least two weeks. ‘
The World Health Organisation said depression is an illness that can happen to anybody- of any age, sex, or social status. It causes mental anguish and affects people’s ability to carry out everyday tasks, with sometimes devastating consequences for relationships with family and friends. At worst, depression can lead to suicide. Fortunately, depression can be prevented and treated.
It said in addition to the above, people with depression normally have several of the following: a loss of energy; a change in appetite; sleeping more or less; anxiety; reduced concentration; indecisiveness; restlessness; feelings of worthlessness, guilt, or hopelessness; and thoughts of self-harm or suicide.

READ ALSO: benefits of watermelon seeds .

The global health watch said it has noted with concern the high incidence of depression which is common in older people but often overlooked and untreated.
It noted: “Depression among older people is often associated with physical conditions, such as heart disease, high blood pressure, diabetes or chronic pain; difficult life events, such as losing a partner; and a reduced ability to do things that were possible when younger.”

Contributing factors and prevention

Depression results from a complex interaction of social, psychological and biological factors. People who have gone through adverse life events (unemployment, bereavement, psychological trauma) are more likely to develop depression. Depression can, in turn, lead to more stress and dysfunction and worsen the affected person’s life situation and depression itself.
There are interrelationships between depression and physical health. For example, cardiovascular disease can lead to depression and vice versa.
Prevention programmes have been shown to reduce depression. Effective community approaches to prevent depression include school-based programmes to enhance a pattern of positive thinking in children and adolescents. Interventions for parents of children with behavioural problems may reduce parental depressive symptoms and improve outcomes for their children. Exercise programmes for the elderly can also be effective in depression prevention.
Sadly, it said older people are at a high risk of suicide, yet depression is treatable, with talking therapies or antidepressant medication or a combination of these.

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Adolescense and young adulthood present many opportunities – for meeting new people, visiting new places and finding a direction in life. These years can also be a time of stress. If you are feeling overwhelmed rather than excited by these challenges. Having a baby is a major life event and can cause worry, tiredness and sadness. Usually these feelings don’t last long, but if they persist you may be suffering from depression.
It said depression following childbirth is very common. It affects one in six women who have given birth. Depression is an illness characterised by persistent sadness and a loss of interest in activities that you normally enjoy, accompanied by an inability to carry out daily activities, for at least two weeks.

Symptoms of depression after childbirth also include: a feeling of being overwhelmed; persistent crying for no apparent reason; lack of bonding with your baby; and doubt about being able to care for yourself and your baby.

Depression after childbirth can be treated with professional help. Talking treatments and medicines can help. Some medicines can be taken safely while breastfeeding. Without treatment, depression following childbirth can last for months or even years. It can affect your health and the development of your baby,” it stated.

Cheery news is that depression is treatable, with talking therapies or antidepressant medication or a combination of these.

READ ALSO: some natural solutions to sleep disorder .

WHO recommends what you can do if you are feeling down, or think you may be depressed: Talk to someone you trust about your feelings. Most people feel better after talking to someone who cares about them. If you think you are depressed, seek professional help.
Your local health-care worker or doctor is a good place to start. Remember that with the right help, you can get better.
Keep up with activities that you have always enjoyed, or find alternatives if previous activities are no longer possible. Stay connected. Keep in contact with family and friends. Eat at regular intervals and get enough sleep. Exercise regularly if you can, even if it’s just a short walk.
Also avoid or restrict alcohol intake and refrain from using illicit drugs; they can worsen depression. Only take medicine as prescribed by your health-care provider. Exercise regularly, even if it’s just a short walk. Stick to regular eating and sleeping habits. Accept that you might have depression and adjust your expectations. You may not be able to accomplish as much as you do usually. If you feel suicidal, contact someone for help immediately.

VIEW MORE HEALTH NEWS: All health news  


Rotary holds family health programme

Rotary International, District 9110, comprising Ogun and Lagos states, has held the fifth edition of its Family Health Week. To mark the occasion, various clubs engaged in projects to promote healthy living and lifestyles of individuals .

The 25-member Rotary Club of Lagos Central took its philanthropic gestures to markets and other areas such as CMS, Ikoyi, and Lagos Island.

The flag-off of the two-day project saw consultations with nurses, and the demonstration of the use of protective items.

Other programmes were family counselling, male and female condom distribution, diabetes and glucose level check; distribution of Vitamins A and C supplements, malaria screening and treatment; HIV tests; deworming of all children; blood pressure checks; distribution of common cold medicines and pain reliving medicines and distribution of mosquito nets.

Although injections were not given, referrals were made to various hospitals for those with serious ailments. Those who availed themselves of the health check include high way sweepers, security guards, market men and women and a few from the corporate environment.

President of the Club, Mr Vincent Adubor, who is the Director of Corporate Services at the Chartered Institute of Stock Brokers, said the clubs target was the masses, as there was need to take the project to those in the market place because many of them, due to their routine daily activities, don't remember to test their blood pressure and sugar level as well as their general health condition.

"There is need to create awareness of health conditions. People are now aware of what it takes to have a proper healthcare and we are glad at the turnout. Next year, we hope to have positive results from our talks and a larger turnout."

He noted that the club has a lot of prospects in terms of creating healthier communities, but is faced with the problem of manpower. He called on youths,between ages 25 and 35 to join the club.

Similarly, the Rotary Club of Oregun visited the Palace of the traditional ruler and Olu of Oregunland, Oba Lamidi Olorunfunmi, where it presented 250 pairs of reading eye glasses for distribution to older members in the axis.

During the visit, the Rotary District Governor Pat Ikheloa, charged the monarch on the need to ensure that cleanliness and general wellbeing is maintained in the locality.

He said this year; people were checked for their Hepatitis B status so that they can get treated

He added that Rotary has redoubled its effort to ensure that polio is eradicated in the country.

"We are doing our best and a lot of awareness has been made and our detective mechanism has been improved. Soon, we should expect a polio-free world."



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Hypertension-: How to tame the silent killer


In my youth, living in the midst of my family in those days, frightening stories of a mysterious and unseen killer used to be told. It often goes thus: a supposedly healthy individual, be it female or male had in a typical night retired to bed. Prior to going to sleep, he or she may have had an altercation with a neighbour. In the alternative, he or she may be perfectly well and just returned from the farm or local market, had a meal with the rest of the household and thereafter retired to sleep. However, in the middle of the tranquil night, the person having a supposed rest with his or her family began to struggle for survival. In the course of the raging personal battle, he or she may have shouted for help as being attacked by a mysterious and unseen intruder. He or she may also be gasping for breath because she feels suffocated and in the grip of death. On waking, the apparently healthy person that went to bed last night had by this morning become paralysed on one side of his or her body. If the person who suffered the paralysis is alive, he or she is lucky. On the extreme, he may not actually be alive to tell the event that happened at night. Such story, the victim might say, is that he saw a body coming through the window usually, delusional, at night and that on upon entry, began to press him down the bed and suffocating him or her.

In the local folklore, the paralysis is often attributed to a supernatural and cryptic attacker called "oro" or pronounced as word in Yoruba Language. Further, the attack may wrongly be blamed on the neighbour who had previously had an argument with the victim. The neighbour acting on malice is believed to have transformed to or have sent a third party called "oro" to attack the victim. The tale that I have narrated above is rampant in many Nigerian and African cultures albeit in different versions and nomenclature.

However, unknown to the people who believes in the folktales that I told above, the tragedy that befalls such individuals that I have illustrated above causing sudden death or stroke with paralysis have its foundation in high blood pressure or in medical terms Hypertension (that is, a tension of the blood flow through the body that is high{Hyper}). Again, the stroke and paralysis that occurred at the time of the alleged malicious attack are due to high blood pressure disease.

Therefore, in the coming weeks, I will be dealing with the scourge of a disease that is popularly called the silent killer- a rampant and ferocious attacker: a ubiquitous and serpentine enemy lurking in our midst.

What is Hypertension? Let us borrow a leaf from the World Health Organization (WHO) to help us with the definition: "Hypertension, also known as high or raised blood pressure, is a condition in which the blood vessels have persistently raised pressure. Blood is carried from the heart to all parts of the body in the vessels. Each time the heart beats, it pumps blood into the vessels. Blood pressure is created by the force of blood pushing against the walls of blood vessels (arteries) as it is pumped by the heart. The higher the pressure the harder the heart has to pump."

To a lot of my clients, they will often ask me, what does the upper and lower readings of blood pressure mean? According to WHO, "normal adult blood pressure is defined as a blood pressure of 120 mm Hg when the heart beats (systolic) and a blood pressure of 80 mm Hg when the heart relaxes (diastolic). When systolic blood pressure is equal to or above 140 mm Hg and/or a diastolic blood pressure equal to or above 90 mm Hg the blood pressure is considered to be raised or high."

If we are to write the first set of figures as the reading for an individual, it will be written thus: 120/80mmHg. The upper one is systolic and the lower one is the diastolic blood pressure readings.

Some factors that affect blood pressure readings (not the cause of high blood pressure which I shall deal with later on): Age is a crucial factor in the readings of blood pressure. Normally, except there is some interventions, the more an individual ages, then the more the progressive hardening of the blood vessels and hence the higher the blood pressure. A child's blood pressure is rarely measured clinically except there is a good clinical reason to do so. A person who is 20-30 year old and weighing normally, should have a reading in or around 120/80mmHg. A person who is 60years and above may have a blood pressure reading of say 150-160/85 without much concern. The circumstance where and when the blood pressure is measured is of paramount importance. Someone who had just failed an examination or heard of the demise of a relative might have his or her blood pressure raised. Different social and geographical locations may also affect blood pressure readings.

Doctor warn against female genital mutilation

A former Director of Public Health, Enugu Ministry of Health, Dr Ebenezary Festus, has urged parents to desist from female genital mutilation as it could lead to infertility.

Ebenezary in Enugu on Thursday that "female genital mutilation is the removal of genital tissue which involves removing necessary glands leading the vaginal environment to become unfavourable to sperm."

He said that female children who undergo such practice were at risk of infertility.

According to him, genital mutilation often results to painful intercourse, inability to have intercourse, infections and frigidity.

The doctor who said that the lips that surround the vagina could be narrowed, added that the narrowing of the vagina often makes it difficult for the penis to penetrate into it for the release of sperm for conception.

He further explained that female genital mutilation also included the partial or total removal of the clitoris and possibly the fold of skin surrounding the clitoris, removal of the labia minor and the labia major, among others.

Ebenezary said that appropriate institutional frameworks for advocacy and plans against the practice should be established in rural areas where this practice was most prevalent.

The World Health Organisation (WHO) has recognised female genital mutilation as a violation of the human rights of girls and women.



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16_10

Some natural solutions to sleep disorder (3)

I hope you now enjoy a good night rest. As earlier sections of this series have suggested, rest full sleep is the outcome of many factors. For example, the nerves must not be tremulous or spasmodic, that is gripping and shivery, otherwise many unpleasant situations may arise. Nerve spasms may cause irregular contractions of smooth muscles in the blood vessels of the brain, and these, in turn, may decrease blood circulation to the brain or flood it with more blood than it needs. Too little blood means insufficient oxygen, and too much blood may present situations of drowning brain nerves and cells. Pain may arise when oxygen supply is inadequate.

Poor blood circulation implies wastes accumulation and torment of brain tissue by accumulated wastes or toxins. Tick blood may osmotically dehydrate brain tissue, causing headache. That is why it is advisable to drink one or two glasses of water about thirty minutes before a meal and about two hours after a mill. This helps to prevent tick blood or pressure in the head. When we realise that the Pineal Gland, situated in the brain, is responsible for producing melatonin, the brain chemical which makes us to fall asleep or feel like doing so from about 9pm, and that a wrong brain biochemistry negatively affect this glands, we appreciate better the need to care for the brain through the diet, relaxation and positive thinking. Positive thinking is crucial in this, as in all matters of health, because stress and anger, for example, might decrease not only the amount of melatonin in the system, but, also, the capacity of the Pineal gland to manufacture it.

Earlier sections of this series suggested as well the need for alkaline forming foods, for acidosis compromises healthy metabolism. Caffeine disturbs sleep. In the brain, it burns Choline and Inositol to produce bursts of energy which produces the caffeine energy burst. But the energy burst is short-time energy. The user soon returns to status quo- ante when the energy is used up, and requires another doses. Frequently doses soon burn out the choline and inositol reserves. Choline and inositol are found in Lecithin, a fat-dissolving chemical substance which has been found to lower blood cholesterol, blood pressure, discourage gall-stone formation, improve cell signaling and improve immunity, among other benefits. In 1975, the Mossachusetts institute of Technology (MIT) carried out a "ground-breaking study which found that a daily supply of lecithin improves brain chemical activity." In www.diannecraft.org, we learn that lecithin affected brain activities such as learning, memory, motor co-ordination, sensory feedback and sleep patterns." The website adds that: "we can use these findings by concluding that Lecithin improves memory, speech, and motor problems that affected balance and movement. In his book, TOTAL CONCENTRATION, Dr. Levinson, a neurologist from New York, states that he frequently uses Lecithin to help both attention and learning in his young patients."

In www.doctoryourselft.com//sleep.html we observe: "Lecithin makes up nearly a third of your brains dry weight. This natural food substance is found in soy products and egg yolk, and is available as a supplement as well. Two to four teaspoons daily has consistently shortened the time needed for people to go to sleep."

If caffeine burns choline and inositol in Lecithin beyond normal proportions, the outcome on the brain is not so far-fetched. The image of caffeine in health matters has become so terribly beleaguered, despite the pharmacological credits ascribed to it, that many people who take caffeine containing foods are abandoning them. To the credit of caffeine is the suggestion that it is a central nervous system stimulant, a broncho-dilator and a mild diuretic. That would make it good for depression, bad breathing conditions, water logging and all that. But the negative impact has led to the "bad-mouthing" or discrediting of coffee, for example. As the coffee market set to dwindled, big boys of the trade came up with de-caffeinated coffee which has now been found to be worse than plain coffee on its damaging effects on health. From decaffeinated coffee, coffee pushers have moved to coffee combos with all sorts of health - promoting herbs. This has led to such proprietary products as Ginseng - Coffee, Red Yeast Coffee, Garnoderma coffee and, lately, Lecithin - coffee. The idea behind it all seems to be that "since you need caffeine to stay smart, and since caffeine has been so terribly condemned, you can have your coffee with a healthful herb which can reduce its side effects. I avoid such treats as much as I can. I would rather take energy-making herbs which gently keep me going, not even those popular energy drinks on the market which contain lot of caffeine. These energy given herbs will include Lecithin, Ginseng, Ganoderma, Ubiquinol variant of CoQ10, cordyceps, B vitamins, coral Calcium, Honey, Moringa, Graviola leaves, bark and stem powder tea, Blackstrap molasses, Black seed oil, chlorella and the likes of them.

I know of some people who do not sleep easily or well when they take caffeine in caffeine containing pain killers, or even Cola drinks. Some people get off their sleep problems when they get off these drinks. I have seen some women who found their menstrual cycle problems reversed to normal when they stop cola drinks.

In the last section of this series, VERVAIN tea was proposed as a nerve relaxant and a sleep promoter, among its many other beneficial uses. Today, I would like to propose CHAMOMILE and VALERIAN ROOT.


CHAMOMILE

We are advised in www.naturalhealth365.com : "Chamomile, scientifically known as Matricaria recutita and also called German Chamomile, is normally employed by natural healers to treat digestive disorders, colds, muscle spasms, skin rashes, inflamed gums and infections. But it is the herbs ability to reduce anxiety, elevate mood and combat insomnia that is presently of particular interest to medical researchers.

Researchers have discovered that one constituent of Chamomile tea works on the brain in a way similar to that of Bensodia Zepines, a group of anziolytic or anxiety reducing drugs that include Xan ax and Valium. Not only can these drugs cause unpleasant side effects such as headaches, confusion, trembling, dizziness and nightmare - but they can be physically addictive but chamomile on the other hand, helps to smooth jangled nerves and to promote restful sleep without the risks of harmful side effects or physical habitation. Animal research and some limited clinical studies have supported chamomile's ability to elevate mood, reduce anxiety and promote sleep. In a double-blind, placebo-controlled clinical study conducted by the University of Pennsylvania and published in 2012 in ALTERNATIVE THERAPIES IN HEALTH AND MEDICINE, people diagnosed with mild to moderate anxiety and depression were given 220mg of Chamomile extract daily for eight weeks. Utilising both Black Anxiety inventory system and the Hamilton Anxiety Rating, researchers found that 57 percent of the group using the Chamomile had a significant reduction in their symptoms. Even more encouraging was the fact that the beneficial effect increased over time unlike pharmaceutical drugs, which can cause tolerance situation in which the medication must be taken in ever increasing dosages to have the same effects- chamomile seems to work better the longer it was used on additions, to improving mood and suppressing anxiety, chamomiles may make it easier to fall asleep. In one small clinical study stated in MOLECULAR MEDICINE REPORTS, 10 out of 12 Cardiac patients felt into a deep sleep after consuming chamomile tea. These suggestions are corroborated by www.homeremediesweb.com//chamomile - health which says: "Chamomile is a herb that comes from a flowering plant from the daisy family. For centuries, both the fresh and dried flowers of Chamomile have been used to create teas and also as natural treatment for a number of health problems. The active ingredient in chamomile essential oil that makes it suitable for treating health conditions is known as Bisabolol , which has a number of anti-irritants, anti-inflammatory and anti-microbial properties.

Chamomile can be used topically or orally to treat a number of every day ailments such as insomnia and other sleep disorders, anxiety and panic attacks, muscles twitches, wounds, burns and scrape, skin conditions such as psoriasis, eczema, chicken pox and diaper rash, stomach problems such as menstrual cramps, stomach flu and ulcers. "Chamomile has been found to contain fairly strong anti-spasmodic and anti-inflammatory constituents. Therefore, it has been found to be effective in treating stomach and intestinal cramps."


VALERIAN ROOT

This is one of my favourite herbs for headaches and for sleep. For headaches, it works as well, if not better than, such herbs as fever few and skull cap. Valerian root is eulogised in https://draxe.com/valerian-root/ "Valerian root is widely used and respected by the general population and physicians for its sedative effect and anti-anxiety capabilities. You may have even had valerian root before and not even realised it. It is very common for valerian root to be included in sleep promoting tea blends, but it does just offers a solid night sleep. It is also amazing at naturally calming anxiety and can even lower blood pressure, among other tremendous benefits." The website offers five major health benefits of valerian roots.

In it words: "One. Naturally Aids Sleep. Studies show that Valerian reduces the time it takes to fall asleep and improves the quality of sleep, so if you can't sleep, it may be just what you are looking for. Unlike many prescriptions of sleeping pills, Valerian has fewer side effects and it is a lot less likely to result in morning drowsiness. In one double-blind study conducted by the FOELNINGE HEALTH CENTRE in Sweden, the effects of Valerian on poor sleep were significant. Of the study participants, 44 percent reported perfect sleep while 89 percent reported improved sleep when taking Valerian root. In addition, no side effects were observed for this group. Valerian root is often combined with other sedative herbs, such as hops (C humulus lupulus) and Lemon balm (Melissa officianalis), to treat insomnia. In one study of children with minor sleep problems published in PHYTOMEDICINE, 81 percent of those who took a herb combination of Valerian and Lemon Balm reported sleeping much better than these who took a placebo.

"Why can valerian root help you sleep so well? Valerian extract can cause sedation by increasing your brains GABA level. GABA is an inhibitory neurotransmitter, and in large enough quantities it can cause a sedative effect. Result from an invitro study suggests that valerian extracts may cause GABA to be released from brain nerve endings and block GABA from being taken back into nerve cells. In addition, Valerians Valeric acid inhibits and enzymes that destroys GABA, another way that Valerian can improve your GABA levels and promote a great night rest.

"Two. Calms anxiety: Scientist have found that Valerian root increases the amount of a chemical called GAMMA AMINOBUTYRIC ACID (GABA) in the brain. GABA helps regulates nerve cells and calm anxiety. Drugs such as alprazolam (Xanax) and diazepam (valium) also works by increasing the amount of GABA in the brain. The Valeric acid and Valerenol contained in Valerian root extract act as an anti-anxiety agent. It is presently amazing that a herbal remedy as Valerian root can have the same anti-anxiety effects of prescription drugs without all the serious side effects of Psychotropic drugs.

"Three. Lowers blood pressure: Now that you know that Valerian root can be so calming to the mind and body, it is probably not surprising to hear it can also help lower blood pressure improving heart health. The same active components that make Valerian root so effective for stress and anxiety management can also help the body regulate it blood pressure. High blood pressure is something you definitely want to avoid since it increases the chance of stroke and heart attack. Valerian root supplements can help naturally reduce blood pressure and keep it at a healthy level which has a direct positive impact on your health.

"Four. Eases Menstrual Cramps: The relaxing nature of Valerian root can make it a smart choice for natural relief of menstrual cramps. It can reduce the severity and discomfort of menstrual cramps, which is a common problem for women who suffer monthly from PMS. How exactly can Valerian root help? It is a natural sedative and anti-spasmodic which means it suppresses muscle spasms and acts as a natural muscle relaxant. Valerian root can effectively calm the severe uterus muscle contractions that cause the terrible pain women may experience during menstruation, as a double blind, randomised placebo-controlled study from ISLAMIC AZAD UNIVERSITY in Iran showed.

"Five. Improves Stress Management: By reducing anxiety and improving the length and quality of sleep, Valerian root can significantly help with daily stress management. Chronic stress can make you anxious. But anxiety can make you even more stressed out. By improving GABA level, Valerian makes it easier for both the mind and body to relax. Since relaxation is the antithesis of stress, Valerian root is an excellent natural way to help keep your stress down, and your quality of life up. Furthermore, Valerian root has been shown to suppress both physical and Psychological stress, ascending to research in BMC complementary and Alternative Medicine."

As you may have seen in the series so far, Mother Nature has blessed us with everything we need to keep our body health and to have a restful night sleep after a hard day labour. For those who know about it, there are beings which keeps the earth moving, producing the effects of night and day, to bring sleep hours and work hours. Many researchers have educated us about the three rhythms of the day. One rhythm from 12 midnight to 8am helps our bodies to detoxify themselves and eliminate the waste product of their daily activities. That is why you go to wee or to void stool. Another rhythm, from 8am to 4pm enables our bodies to digest the food we put into them. But we must start gradually from light food for breakfast to heavier food at lunch time when the sun is high up and providing a large of quantum of energy for everything alive to do work, and from here dovetail to light food again when the sun is going down and energy to do work, including digestion, is ebbing. You will notice that animals from about 4pm and 5pm or even 6pm begins to go homewards to rest, after a hard day's labour. Look at the chickens and the goats and the birds. They hardly eat when the sun is down unless manipulated to do so by man. In the evenings, when the sun has gone away, many people overloads their bodies with food, giving it the work of digestion to do, when it should actually be absorbing nutrient from digested food. This confuses the body, and makes it less efficient including preparing itself for sleep. In these matters, I remember the teachings of Prophet Muhammad (May the Peace of Allah be with him wherever he is). The Koran says that, when we eat, we should fill one third of the stomach with food, another third with water and the remaining third with air. That means we should eat light always. Hands up Desola Seriki (Nee Oshilaran) if you do not break this rule. Hands up, too, Chris Daniel and Stanley Utsu if you do not overstock your stomach with heavily compacted Agege Bread. The third rhythm, from 4pm to 12 midnight is for the assimilation of nutrients from the food we eat to detoxify itself of poisons and waste products of its daily activities.



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Hope rises for infertile women

The major difficulty associated with infertility in a developing countries like Nigeria is that it transforms from a private agony into a public stigma, with complex and devastating consequences. Reporters writes on how 'Merck More than a Mother' initiative is engaging professionals in Assisted Reproductive Technology (ART) to cause a cultural shift, and also empower affected women.

The expansive hall of the Oriental Hotel, Victoria Island, Lagos was filled to capacity. It was the Nigerian leg of the launch of the 'Merck More than a Mother' campaign. The campaign is a pan-African dialogue to empower infertile women in developing countries. Merck aims to empower them through access to information, health and change of mind-set with the initiative that was launched in June, last year.

Stakeholders from all walks of life - lawmakers, activists, pressure groups, sufferers, survivors, pen pushers, men, women, mothers, fathers, non-governmental organisations (NGOs) and even children - were in attendance.

Tears flowed. Some women stifled their cries. The participants wore a look of incredibility as viictims - one after the other - told their stories. This compelled the Chairman, Senate Committee on Health, Dr Lanre Tejuoso, to announce that his committee would ensure a quick regulation of Assisted Reproductive Technology (ART) in Nigeria.

Jackline Mwende, a victim of infertility stigma, was the first to relate her story. Jackline had her hands brutally chopped off for failing to bear children after seven years of marriage.

Jackline Mwende, a young woman of 27 years from Masii, Machakos County in Kenya, had her hands hacked off - not by thieves - but by her husband for failing to conceive, even though he was the one with fertility problems. Her husband told her 'today is your last day'.

"It is so shocking that someone would go to such an extent to batter his own wife and leave her nearly dead. Infertility should never be a reason to separate, hurt or kill your partner. There are so many options out there available to manage infertility," said Hon. Joyce Lay, member of Parliament and the ambassador for 'Merck More than a Mother' in Kenya.

"Through 'Empowering Berna' project, Merck will support Jackline Mwende throughout the rest of her life to empower and enable her to become an independent productive member in the society. 'Merck More than a Mother' initiative will provide Mwende with a monthly income of $250, it will establish a business for her through which she will be able to generate a sustainable monthly income of not less than $250.

"At the same time Merck will provide her with the needed physical and physiological rehabilitation to enable her to support herself and stand on her own two feet, despite the challenge of her disability that was caused by the stigma of infertility - even though her husband is the one who was found with the infertility problem, yet she is still the one who bore the devastating consequences of the public stigma associated with it," said Rasha Kelej, Chief Social Officer, Merck Healthcare.

Mwende didn't deserve what she went through and, especially, because her husband was the one with the infertility problem. Society, government and stakeholders need to continue to join hands with Merck in its campaign to encourage the acceptance of people living with infertility because the stigma associated with it puts pressure on them to a point where they do crazy and criminal things. We need to know that it's a shared responsibility, not just for the couple but for the society too.

"Jackline Mwende's story is the reason all people should appreciate 'Merck More than a Mother' initiative. No sane person should torture a woman for failing to produce children. Men should not think that their failure to be a biological father is due to women's infertility. Why torture a fellow human being and inflict such permanent bodily harm for a fault that could be yours? No amount of justice in the courts of law will bring back Mwende's arms. Justice will only prevail if Mwende's case marks a turning point in society that appreciates one fact- 'that women are women irrespective of their ability to bear children- they need to be respected,' emphasised Hon. Sarah Opendi, Uganda Minister of State of Health and the Uganda ambassador of 'Merck More than a Mother'.

"This terrible violence Mwende suffered has emphasised the significance of 'Merck More than a Mother' initiative for Africa. 'Merck More than a Mother' will continue working closely with partners to create a culture shift and to empower infertile women economically and socially through "Empowering Berna" Project to ensure no other woman in Africa should ever go through such violence, humiliation or misery again," Rasha Kelej emphasised.

Mwende's husband has been accused of attempting to kill her and is waiting for his trial.

Jackline Mwende is not alone. In many African cultures, childless women still suffer discrimination, stigma and ostracism. Infertility can transform from an acute, private distress into a harsh public stigma with complex and devastating consequences. An inability to have a child or to become pregnant can result in being greatly isolated, disinherited or assaulted. This may result in divorce or physical and psychological violence.

'Merck More than a Mother initiative' aims to define interventions to reduce the stigma and social suffering of infertile women, empower them and raise awareness about male infertility and the necessity for a team approach to family building among couples across the continent.

According to the World Health Organisation (WHO), lower levels of development are thought to be associated with higher levels of non-genetic and preventable causes of infertility. For instance, poor nutrition, untreated sexually transmitted infections (STIs), unsafe abortion, consequences of infections caused by the practice of female genital mutilation (FGM) or child marriage, exposure to smoking, leaded petrol and other environmental pollutants can lead to infertility.

For Victoria John Kuba, a resident in the Northern part of Nigeria, she walked out of her marriage when she could not bear the beatings by her husband due to childlessness. She met her husband while she was still in school through a friend. They dated for a short period and got married. They hoped to have children but no pregnancy. Then problems arose in their home. Her husband insulted and made jests of her. Her father-in-law would often come from the village to check if she was pregnant.

Recapping her experience, Victoria said after her husband and she got married, they lived together for two years without a child. He got impatient, causing her to seek fertility solutions. She went to a hospital, there the doctor confirmed that her womb was tampered with, and that it would take the grace of God for her to conceive. When her husband heard this, they started having marital problems. Things really got bad between them. Whenever he came back from work, he beat her, insulted her and alleged that she removed her womb and fed it to pigs. He said her family knew she could not conceive, yet they gave her out in marriage to him. He beat her continually and Victoria had nowhere to run to.

As for her father-in-law, who resided in the village, whenever he visited the couple, he always said Victoria's mother-in-law sent him to check if she was pregnant. He went into the couple's room at night when the couple is sleeping without knocking, or asking for permission. He insulted her husband that he wasted money in marrying her.

There was a night; Victoria's husband pressed her face forcefully, almost choking her to death. She struggled for her life. She could not breathe. She struggled and screamed. She tried to free herself but then he bit her at the back of her head. She screamed and bit him back, he then let go of her. She ran out naked, picked up a neighbour's wrapper, tied it around her waist and ran for her dear life.

Moved by her story, the audience went dead. If a pin had dropped, the sound would have sounded like a clanging cymbal. It drew empathy.

Victoria went to her sister's house, and then she called her pastor and informed him of what happened. The pastor scheduled a meeting with her husband and her. At the meeting they could not reach an agreement, so they separated from each other.

Victoria said if God comes down today she will ask him why He did not give her a child, even if it is just one. "God didn't give me a child, or peace of mind. No peace from my husband, no child. I will ask God all these questions. If I could turn back the hands of time, I would never have gotten married. I will live without a husband," moaned Victoria.

She said she appreciated Merck for helping her to live a better life. "And I thank God and believe he has not forgotten me. Merck has set up a Kerosene business for me. I hope to go back to school from the profit I made from the sales. Before now, I was into laundry work. I don't get regularly paid, and may not even have transport fares. During the raining season, it is difficult for clothes to dry sometimes. And if stained in this period, I don't get paid," Victoria explained.

Victoria doubts her remarrying again. Chinelo Azodo, Ijeoma Ezeaku, Oluchi Omenife, and Nneka Omenife shared their experiences as well. And have been reached out to by the "Merck More than a Mother" initiative.

President, Africa Fertility Society (AFS), Prof Oladapo Ashiru, said according to the World Health Organisation (WHO), lower levels of development are thought to be associated with higher levels of non-genetic and preventable causes of infertility such as poor nutrition, untreated sexually transmitted infections (STIs), unsafe abortion, consequence of infections caused by the practice of female genital mutilation, exposure to smoking and to leaded petrol and other environmental pollutants. Hence prevention awareness is very important.

"Together we can create a culture shift", the 'Merck More than a Mother' social media campaign will challenge the social and cultural perception of infertile women in Africa. Moreover it will raise awareness about male infertility, prevention of infertility and infertility management at large. Women are the ones who seek help when they cannot get children. Yet in most of the cases doctors keep treating women who have no problem. Men need to accompany their women to the clinic. When men do this the success rate of fertility treatment is higher," said Prof Ashiru.

Vice-President, Africa Fertility Society, Dr. James Olobo-Lalobo said, "We are very happy to partner with Merck, through this historic campaign, "Merck More than a Mother" where specialised practical training for our embryologists will be provided and awareness about prevention of infertility and male infertility will be raised across the continent for the first time in history. Together with Merck, we can challenge the perception about infertile women, their roles and worth in society, both within and beyond the medical profession in order to achieve any systemic shift in the current culture of gender discrimination in the context of fertility care".

Dr Tejuoso said the National Assembly organisation is committed to ensure the issues are bought to the front burner as he said, "Nigeria has a population of 180 million people and so also has a big infertility problem. When there is infertility people believe it's more spiritual than physical. Therefore, members of parliament (MPs) have a big role to play as we can go all over the country to educate people and I commit to be an ambassador of "Merck More than a Mother" campaign in Nigeria.

Dr Abayomi Ajayi of Nordica Fertility Centre, Lagos said ART has come to stay in Africa, nay Nigeria and should be explored by fertility challenged couples.



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Vegetable, fruits, modified lifestyle can curb heart attack

A t the third public lecture of the City Club, Surulere, Lagos, which had its topic as: "Heart Attack", the unexpected happened about 45 minutes into the programme. One of the elderly members (name withheld), who sat on the high-table collapsed, almost falling off his seat. But for the intervention of the medical team on ground conducting a routine medical examination on participants., the old man might have died.

The medical team, led by the first female Professor of Cardiology in Nigeria/Professor of Medicine, Janet Ajuluchukwu, revived the old man and later conveyed him in an ambulance to a hospital for further medical attention.

Giving an insight into what happened, timely intervention of the medical team, and knowing precisely what to do, Ajuluchukwu said it was a case of heart attack, which coincided with the topic at hand. She said: "The beauty of it is that this man was here today and we, the team, worked hand in hand to get him back on his feet. If it was at home and there was no immediate attention/intervention, that is, by-stander intervention, the worst could have happened. A first responder must know what to do in terms of First Aid."

Ajuluchukwu said heart disease and stroke remained the first and third leading causes of death in Nigeria. "Heart attacks are once described as uncommon in the country, but there is a worrying rising trend. In 1971, a British medical Journal publication by Olufemi Williams showed that only 10 victims of heart attack were identified among 8,000 autopsies performed over 10 years in Ibadan.

"More cases are occurring nowadays, but it is still not as common as it is in the industriaised countries. Our study showed that while heart attack caused 4.2 per cent deaths, stroke caused 50 per cent deaths among our hypertensive patients. The worry is that the risk factors are on the rise globally and in Nigeria," said Ajuluchukwu.

She said, for instance, hypertension, also known as high blood pressure, is a major risk factor for heart attacks and strokes in Nigeria. Its prevalence has increased fom 11 per cent in 1990s to 25 to 30 per cent currently in different parts of Nigeria.

Ajuluchukwu said Kano has the highest rate while Ikot Ekpene has the least. A natural observation by researchers indicated that Kano residents eat a lot of suya with fats embroiled in salt laden spices while Ikot Ekpene residents eat lots of vegetables, fruits and unadulterated palm oil.

She said: "Hypertension is divided into two main categories: essential or primary hypertension and secondary hypertension. Over 90 per cent of all diagnosed hypertension cases are essential, meaning that the underlying mechanism is unknown. In the remaining six to eight per cent, hypertension is secondary to another disease.

"Several factors can either exacerbate high blood pressure or contribute to complications and more serious consequences from the hypertension. These include: Black racial background, males, postmenopausal women, earlier age of onset, diastolic pressure consistently >115, smoking, diabetes mellitus, high cholesterol levels, obesity, cardiac enlargement, compromised blood flow to the heart and congestive heart failure," she explained.

According to her, prevention of risk factors and good management of hypertension are important. "The goal of prevention and management of hypertension is to reduce disability and death by the least intrusive method possible. These goals may be reached with lifestyle modification, nutrition/diet, or pharmacologic intervention," said Prof Ajuluchukwu.

She said lifestyle changes have the potential to prevent hypertension, lower blood pressure, and reduce other cardiovascular risk factors.

Ajuluchukwu said: "Even if lifestyle changes alone are not satisfactory in controlling hypertension, these changes, along with nutrition/diet and health may be able to adequately treat the situation, or just lifestyle changes may reduce the number and dosage of anti-hypertensive medications needed. Lifestyle modifications for prevention and management of hypertension include: losing weight if overweight. Limiting alcohol intake: There are many good health reasons to consider in avoiding alcohol altogether. Increase aerobic activity (30-40 minutes four or more times per week). Sedentary individuals with normal blood pressure have a 20 to 50 per cent increased risk of acquiring hypertension."

Ajuluchukwu warned that people should, "reduce sodium to no more than 2.4 grams of sodium or six grams of sodium chloride per day. It is good to eat noodles alone with stew or sauce rather than with the seasonings the pack comes with. The seasonings are high in sodium (salt). Maintain adequate intake of dietary potassium. High levels of potassium intake in the diet may protect against hypertension and even help to control or improve hypertension and maintain adequate intake of dietary calcium and magnesium.

"Low dietary calcium intake has been associated with an increased incidence of hypertension in most epidemiologic studies. Increasing the calcium intake may lower blood pressure in some individuals with hypertension, but the therapeutic effect of calcium supplementation is only minimal. Evidence suggests an association between lower dietary magnesium intake and higher blood pressure," she said.

She continued: "Cigarette smoking is a significant risk factor for cardiovascular disease. Blood pressure rises with every cigarette smoked. The risk of cardiovascular disease returns to normal after having quit smoking for two years. Reduce intake of saturated fats in the diet and high cholesterol foods.

"Although altering ones intake of fats does not seem to have much effect on hypertension, abnormal cholesterol ratios are a major independent risk factor for coronary artery disease. Reduce caffeine; mental/emotional stress can acutely raise blood pressure and if prolonged, could contribute to chronic high blood pressure.

"Relaxation therapies and biofeedback have been studied with mixed results, some showing mild, others significant decreases in systolic and diastolic blood pressure. Exercise regularly. Blood pressure can be lowered with moderately intense physical activity, and 30-45 minutes most days of the week. Regular aerobic physical activity can reduce the risk for cardiovascular disease and mortality. Even sedentary individuals with a normal blood pressure have a 20 to 50 per cent increased risk of developing hypertension."

She added that it was important to note that the concept of risk factors support 'increased tendency' for occurrence and invariably causal. "However, the higher the number of risk factors possessed by an individual, the higher the likelihood of the disease. The good news is that identifying and treating the modifiable ones, such as hypertension, can change the equation to a positive outcome or prevention," she explained.



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Ensure availability of pain medication- FG told

Towards a pain-free world, the Federal Government has been called on to ensure that opioids necessary for the control of moderate to severe pain are always available.

Professor Simbo Amanor-Boadu, Head, Hospice and Palliative care Department, University College Hospital (UCH), gave the call at a media chat by the hospital to mark the 2016 World Hospice and Palliative Care Day.

Amanor-Boadu stated that 90 per cent of people living with life-threatening illnesses such as cancer, chronic heart, kidney and liver diseases and sickle cell anaemia at some time of their illness have pain which impact negatively on their quality of life.

The expert, stating that the major focus of palliative care was to improve the quality of life of these patients' life-threatening illnesses, said towards the end of their life, more than 50 per cent of them will have severe pain that will require to be relieved.

The don, who described opioids like morphine as major medications in the management of moderate and severe pain, said pain relief is exceptionally poor in developing countries, Nigeria inclusive.

According to her, "A survey of pain management in Nigeria between 2012 and 2013 by Treat The Pain Organisation stated that of the 71,571 patients dying from cancer, 80 per cent had moderate to severe pain. In that period, Nigeria imported only enough medication to treat 493 people. Living and dying in pain does not have to happen."

Even as the hospital has been providing palliative care to 1200 patients alone this year, she appealed to Nigerians for donation and funding in order that the service could be extended to others outside the hospital.

Earlier, UCH's Chairman, Medical Advisory Committee, Dr Adefemi Afolabi stated that breast cancer had remained a challenge because patients mostly report late to the hospital.

Although awareness on breast cancer is increasing in the community, he said its cost of treatment was still high and as such the need for government to make cancer treatment part of the health insurance scheme.

According to Afolabi, an increased investment in cancer treatment was important to also curtail medical tourism.

He stated, "this is one way the government could instill confidence into Nigerians that cancer is not a death sentence."

Afolabi also urged for increased media support for early cancer detection, declaring the earlier a cancer is detected, the better its treatment outcome.

Meanwhile, UCH's Chief Medical Director, Professor Temitope Alonge stressed the need for a monitoring mechanism to check abuse of opioids among relative of patients.

In ensuring continuous availability of opioids for pain management in people living with life-threatening illnesses he suggested Nigeria also going to production of opioids tablets like India.

Having to rely on its importation when more complex drugs are produced in Nigeria, he said was not good, adding "we can encourage our pharmacognosy department to do it. Some herbs have opioid agonistic activity, whose analgesic effect is almost as strong as morphine."



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Nothing like ordinary malaria- expert

Director, Centre for Malaria Care, University of Ilorin, Professor Olugbenga Mokuolu has asked that people refrain from saying "ordinary malaria", saying the disease was being trivialised even though it is often fatal and can lead to death.

Mokuolu, a paediatrician, spoke during a dinner with media health editors in Lagos with the theme "Media health Editors as Advocates to Malaria Elimination in Nigeria." It was organised by Society For Family Health (SFH).

The expert stated that malaria is a killer disease and that it ought to be recognised as such by all individuals.

According to him, "A condition that kills cannot be addressed as ordinary. The way you dress up a condition is the way you will address it. It should be recognised as a killer disease.

"That an adult living in an area where malaria is endemic will not have severe malaria should not make us reduce our appreciation of the severity of malaria particularly among children who are not previously protected."

Mokuolu, who stated that the germ, plasmodium falciparum accounts for about 98 per cent of all malaria cases, said that a third of global deaths from malaria still occur in Nigeria.

However, he declared that remarkable progress has been achieved in reducing malaria cases and deaths, stating "burden of malaria in University of Ilorin has reduced significantly from 33 per cent to seven per cent of admissions in our emergency paediatric clinic and deaths from 36 per cent to six per cent now."

He, however, cautioned that fever, the chief symptom of malaria was not limited to the disease and as such malaria must be confirmed by a test before any treatment is proffered.

According to him, the fight against malaria in Africa also requires multiple approaches, adding that there is hope that malaria can also be eliminated in Africa very soon.

In achieving malaria control, he declared that the gap in funding has to be met to ensure that malaria interventions are for all and can reach all.

According to him, "we see a scenario in which the malaria programme for complete comprehensive interventions requires something in the excess of the 250 million to 300 million US dollars."

Managing Director, SFH, Mr Bright Ekeremadu urged for media collaboration to ensure a reduction in malaria burden to pre-elimination levels and to bring malaria related deaths to zero by 2020

Ekeremadu, reiterating the need for media to equip itself with right and correct information of malaria, said that in the last five years, over 54million long lasting insecticidal nets (LLIN) have been distributed in Nigeria as part of the universal LLIN campaigns to protect 29million households as well as access to free and or highly subsidised Artemisin-based Combination therapies.

He, however, stated that huge information gap and appropriate knowledge about diagnosis, treatment and prevention of malaria still exist in the country, hence the need for continuous engagement of mass communication practitioners.



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Avoid use of onions, urine, breast-milk to treat eye infection

DR Sewuese Bitto, Head, Department of Ophthalmology, Garki Hospital, Abuja, has warned against the use of harmful substances such as onion fluid, breast milk, urine and battery water in treating eye infection.

Bitto, who gave the warning in an interview with the News Agency of Nigeria (NAN) on Thursday in Abuja said such practices were dangerous and harmful to the eyes.

The HOD, who was speaking on the sidelines of the celebration of `World Sight Day', a day set aside annually to focus global attention on blindness and vision impairment.

Bitto, a Consultant Ophthalmologist, urged those with eye infection to seek professional medical assistance in treating infections.

"People need to also stop the use of traditional harmful practices like use of breast milk, urine, onion fluid, battery water, saying these could be dangerous to the eyes.

"Although some of these practices were handed over to us from past generations, they are wrong.

"Please, take this information to your families, neighbours and friends; everybody needs to stop the use of these harmful substances in the eyes, because we are the ones battling with complications that arise from this in the hospitals.

"Immediately something happens to some ones' eyes, you see people advising them to use things like this to treat their eyes.

"We want people to be informed and equipped with the information that these practices are harmful and bad," Bitto said.

The theme for this year's celebration is `Universal Eye Health'.



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Alternative medicine-: Practitioner warns against self-medication

A medical practitioner, Dr Fawziyyah Ahmed, on Thursday warned against arbitrary use of traditional medicine as it could pose dire consequences to health.

Ahmed gave the warning in an interview with the News Agency of Nigeria (NAN) in Kano in view of the rampant cases of drug reactions to unprescribed traditional medicines.

"We have a lot of malaria and typhoid cases and people have resorted to taking traditional medicine for the cure, especially due to its cost implications.

"This act has triggered hazardous reactions that are manifested in many ways.

"The traditional doctors themselves, hardly even give their medicine without advising on how it should be taken, and as such, people should not engage in self-medication,'' she said.

Ahmed said that based on clinical observations, people just hear about plants and other mixtures and they start taking them for the treatment of some ailments, after which, they would start having reactions.

She therefore called on people who believed in alternative medicine, to make proper consultations before using any of such medication, to avoid dangers that such acts posed.



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Nigeria houses the largest number of VVF cases says expert

President elect, International Society of Obstetric Fistula Surgeons, Professor Oladosu Ojengbede has decried Nigeria having the largest burden of obstetric fistula cases globally, indicating that the association's 6th international conference was holding in Nigeria to proffer a solution to it.

Ojengbede, a professor of obstetrics and gynaecology at the University of Ibadan, who described obstetric fistula as a huge problem, declared the majority of the 2.5million women living with obstetric fistula globally reside in Nigeria.

According to the expert, the high burden of obstetric fistula in Nigeria was an indicator of the nation's healthcare services that did not provide a wide spread equitably distributed quality obstetric care for women, particularly during labour and child delivery.

He declared: "we expect that someone who is skilled attend to a pregnant woman in labour. But in Nigeria, only about a third of women ever get attended to by someone who is skilled."

The medical expert, who remarked that the quality of care within the health sector has really gone down, declared, "this conference is trying to see how we can increase skills of surgeons, thus improve care of women who already are living with the condition, especially those with really complicated cases."

He declared that though incidence of obstetric fistula is more in the northern part of Nigeria, it was becoming increasingly common also in the southern parts of the country.

"Majority of obstetric fistula in the northern part of Nigeria are direct effect of child birth due to obstructed deliveries but then in Southern Nigeria, it is from poor obstetric services, especially in women who undergo surgery for other conditions like fibroid, prolapse and other gynaecological conditions as well as caesarean section."

According to him, challenges faced in repairing women with obstetric fistula was far more than closing the hole through which they are leaking urine and or faeces.

He added, "they expect to be able to have sexual relationships with their partners and even become pregnant and have their babies delivered safely if they so desire as well as properly resettled into their families."

Ojengbede said all over the world, there are no enough health workers, nurses inclusive, to help ensure women with obstetric fistula access proper surgical treatment.

According to him, the dearth of doctors and nurses with expertise in obstetric fistula repair was because "the surgery is time consuming, delicate and difficult. And of course, there is no money in it."

In achieving a fistula-free generation, he stressed the need for increased male involvement in issues that affect the health of their wives as well as in ensuring a good and functional health system.

He stated that men have to understand that they need to care more than they are doing now for women in pregnancy, particularly during labour and childbirth as well as support them in case they sustain complications like obstetric fistula from childbirth.

On the part of the government, he called for increased strengthening of the nation's primary health care centres, saying that this was core to obstetric fistula eradication.



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Contraceptives does not lower libido, cause cancer

Religious leaders and the media have been called upon to champion the course of family planning in Nigeria just as they were told that an increase in its uptake was pivotal to attainment of Sustainable Development Goals (SDG).

Dr Adenike Jagun gave the call at a stakeholders awareness meeting organised by Pathfinder International in conjunction with Advocacy Network Nigeria in Ibadan.

The project officer, Pathfinder International, stated that an increasing Nigeria's contraceptive prevalence rate was important to the reduction of maternal and infant mortality, thus the development of productive society.

She described Nigeria's high maternal and infant mortality as embarrassing, urging that religious leaders, media and other stakeholders stop ignoring Nigeria's failing health care system.

According to her, "we need to step up to see how more women can access it and government should ensure that it is affordable and accessible. If lesser women are dying, we will have more women contributing to the economy."

The medical expert decried myths and misconceptions in the society and described them as barriers to modern contraceptive use.

According to her, such sayings that contraceptive can cause serious side effects; permanent infertility, harm the womb or reduce sex or cancer are not true.

"A lot of women say that contraceptive cause serious side effects. The truth is, some can experience side effects like weight gain and irregular periods, but when women are properly counselled about them, they are better prepared to deal with them.

"Also, the only contraceptive that cause permanent infertility are the permanent methods such as vasectomy. Similarly, contraceptives are not designed to cause any damage to the womb.

"Meanwhile, multiple studies have shown an inconsistent increase in the risk for breast, cervical and liver cancers, but reduced risk of endometrial and ovarian cancers. However, most people that come down with cancer also have other factors predisposing them to cancer aside contraceptive.

"Likewise, no study has shown a link between contraceptive and increased risky sexual behaviour and promiscuity. If fear of God will not stop promiscuity, nothing will."

Family Planning Coordinator, Oyo state Ministry of health, Mrs Adeola Awakan said that although Oyo State embraced family planning, availability of consumables for use in family planning services was a major challenge.

Awakan said contraceptive prevalence rate in Oyo state had improved but there is still room for improvement given the state's unmet contraceptive rate put at 13 per cent.

Shaikh Salahuddeen Busairi, Chairman ANN, in his welcome address described family planning was a catalyst for blissful living, adding that the concept was much more than limiting the number of children or pregnancy.

According to him, "family planning has to become a norm in our society; it should become part of our day to day living. The SDG goals cannot be achieved without family planning."



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Wants to stay healthy-: Read regularly



There's nothing quite like becoming immersed in a good novel for many readers, it is a way of fuelling the imagination, providing a period of escape from the more laborious aspects of daily life, at least temporarily. But increasingly, researchers are finding that reading may offer some very real benefits for health and well-being.

Experts reported on a study published in the journal Social Science & Medicine, that reading books could increase lifespan. The researchers from Yale University School of Public Health revealed that adults who reported reading books for more than three and half hours per week were 23 per cent less likely to die over 12 years of follow-up, compared with those who did not read books.

Although researchers were unable to identify the specific mechanisms by which reading may boost longevity, they pointed to previous studies which establish that reading can increase connectivity between brain cells, possibly lowering the risk of neurodegenerative diseases that can shorten lifespan.

Will reading for pleasure also confer other health benefits, too? Well, in a new review, psychologists in the journal, Trends in Cognitive Sciences, claim fiction may be more beneficial than we realise given, that it has the ability to encourage empathy.

Improved empathy not specific to literary fiction

More and more, researchers are developing an increasing interest in how fiction might affect the mind. They are recognising that there's something important about imagination and that it is partly fuelled by increased utilisation of brain imaging in the field of psychology.

For instance, one study that used functional magnetic resonance imaging (fMRI) to assess the brain's response to imagination-inducing phrases, such as "a dark blue carpet" or an "orange-striped pencil" found these phases were enough to produce the most activation of the hippocampus, a brain region associated with learning and memory.

From the study's finding, they pointed out that fiction is a "simulation of social worlds," and "similar to people who improve their flying skills in a flight simulator, those who read fiction might improve their social skills. Fiction might be the mind's flight simulator."

Compared with subjects who read non-fictional books, the study found that those who read fictional books had significantly higher test scores, indicating a much higher level of empathy. This ironically was after accounting for individual differences in personality and other characteristics.

Studies have indicated that increased empathy may not only occur with literary fiction. Evidence to date suggests that any form of fictional media that involves the reader or viewer engaging with the characters may lead to improvement in empathy and other social skills in the real world.

Now reading books is not just a popular pastime; perhaps learning more about how it could improve health and well-being will encourage you to shun the TV for the library.

Reading can reduce stress

Stress contributes to around 60 per cent of all human illness and disease. Experts say that stress can raise the risks of stroke and heart disease by 50 per cent and 40 per cent, respectively. Nonetheless, reading can help to reduce stress and stop it from becoming a serious health issue.

According to a 2009 study conducted by the University of Sussex in the United Kingdom, reading can reduce stress levels by as much as 68 per cent, even more than listening to music or going for a walk.

They found that participants who engaged in just six minutes of reading - whether a newspaper or a book - experienced a slowed heart rate and reduced muscle tension.

Why is this so? Being engrossed in a book allows an escape from the worries and stresses of the everyday world while exploring the domain of the author's imagination. This is more than merely a distraction but an active engaging of the imagination.

Reading enhances mental agility in old age

With ageing, brain slows down and as such cognitive tasks that were once found easy such as remembering a name or a house number may become more challenging.

Experts in many studies have shown that reading could help slow down or even prevent cognitive decline, and it may even help stave off more severe forms of cognitive impairment, such as Alzheimer's disease.

Reading can improve sleep

Smartphones and laptops have become our regular bedtime friends. But research indicated that this habit could wreak havoc on your sleep.

A study published earlier this year in the journal Social Science & Medicine found that using a smartphone just before bedtime is linked to shorter sleep duration and poorer sleep quality because the light emitted from the devices reduces production of melatonin in the brain - hormone that tells us when to sleep.

But swapping your smartphone for reading a book before bedtime, according to Mayo Clinic, can "promote better sleep by easing the transition between wakefulness and drowsiness."

Reading can enhance social skills

While some people view books as a way to escape the real world and the people in it, research has shown that when it comes to social skills, reading may have its uses.

For example, a 2013 study published in the journal, Science, found that individuals who read fiction may have better "theory of mind" - that is, the ability to understand that people's beliefs, desires, and thoughts are different from their own.

Reading may boost intelligence, attention span

Studies have shown that reading can increase an individual's vocabulary, which has been linked with greater intelligence. It appears that the stronger a person's early reading skill is, the more intelligent they are likely to become.



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Good health:- what to do before doctors come

IT is not uncommon to suffer mild or major health problems at homes that require urgent attention prior to proper medical attention at hospitals.

From slight headache to deadly bites, what can a layman do to treat victims or preserve their lives before a doctor is brought in? Medical problems are quickly attended to by applying First aid treatment and Dr Victor Adeyefa, a Belgium-trained medical practitioner, defines First Aid as the assistance or care given to any person suffering a sudden illness or injury to preserve life, prevent the condition from worsening, and/or promote recovery.

First aid does not necessarily require any particular equipment or prior knowledge, and can involve improvisation with materials available at the time, often by untrained persons.

Some of the common ailments that may require emergency treatments are diarrhoea, burn and snake bites, among others.

"One starts to feel faint, get weak and collapse or die. That is because victims would have lost much body fluid via stool. Saline water solution should be carried out at once. Get a cup of very clean water, add salt to it and give the victim to sip so that he or she can regain salinity and little strength. To avoid cholera outbreak, however, a clean surrounding is the best thing to keep.

"Though diarrhoea and vomit go together, it's not the same thing," he added.

"ORC solution, or oral technology, is simply salt and sugar solution and together with zinc tablet, it's the best way to curtail vomitting before a doctor comes. Zinc tablet is important, especially for children, and should be applied within the first 24 hours. After the application, one should take the victim to a hospital," Dr Ajeigbe said.

"As regards second and third degree burns, which could be from very hot vegetable oil, water, kerosene explosion, etc, there is no home medication, the victim must be taken to a hospital quickly," Dr Agejide said.



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Natural solutions to sleep disorder

Many people take sleep for granted, simply because they fall asleep with little or no effort. In a bus, I have witnessed situations in which some passengers were fast asleep when the bus arrived at their destinations. They were either woken up by their neighbours or woke from sleep a few bus-stops away. Such people may suffer from sleep attacks. One man who intrigued me about how easily lost in sleep he could be was my gate-man when I lived at 34, Ajanaku Street, Opebi, Ikeja, Lagos. About 11p.m one day, an air conditioner fire broke out in the children's room. I was lucky to be home early from work that day and to get my family to safety on the road, guarded by our faithful dog named Mercury or Merc for short. Our neighbours called the fire service, and upturned almost every property in the house while trying to put out the fire before the fire-men arrived. Before these events, the gate-man had retired to the boy's quarters to sleep. He always did that whenever he knew we were all in-door. This day, he was dead asleep, as we often say. By about 3a.m, the fire engines departed, and we managed to sleep in the kitchen area, far away from the smell of soot. The night shift gate-man changed duty with the morning shift gateman with the following entry in their Security report notebook. "everything normal". That was his typical entry every day, and on this day. And it was to become my nickname for him. He was shocked to his marrows the day after when he read my own report in their notebook for their supervisor. There are other people who do not sleep stone-dead like this man, but who are, nevertheless, easy sleepers. They fall asleep at meetings, in church, and can't help naps in the office. They are a contrast to Al Herpin (1862-January 3, 1947), the American who was nicknamed "the man who never slept".

Al Herpin

We learn of this rare man and his sleep problem from the website https://en.m.wikipedia.org/wiki/Al-Herpin, which says:

"Al Herpin, who lived in Trenton, New Jessey, claimed to have developed a rare case of insomnia, whereby he could not sleep. The supposed cause is unknown, although it may be linked to his mother suffering a major injury a few days prior to his birth. In the late 1940s, Al Herpin's claim attracted the attention of several medical professionals; inspecting his house they found no bed, or other sleep-related furniture, but only a rocking chair. Herpin claimed that after a long day's work, he would rest in his rocking chair reading the newspaper until dawn, then return to work. He was in good health, and had a constant level of high awareness, defying all scientific understanding for the necessity for sleep. Al Herpin died on January 3, 1947, reportedly at the age of 94; however, this is inconsistent with the previous assertion that he was born in 1862. His death saw another New York Times story of his claim.'death came today for Alfred E. Herpin, a recluse who lived in the outskirts of the city and insisted that he never slept. He was 94 years old and when questioned concerning his case of sleeplessness, maintained that he never actually dozed but merely rested. No other person with total insomnia has lived for such a long period of time. It was likely that he died for other reasons, not sleep deprivation, as his insomnia did not seem to have any effect on his health'.

Alfred Herpin's case is an extreme condition, no doubt. And it is doubtful if there is another person like him.

But there are millions, if not billions of people worldwide, who hardly sleep well, going by the volume of world market business in sleep inducing medications. In 2012, for example, Gaylord Hospital sold to Norwood National sleep therapy its sleep medicine equipment which had fetched 72million US dollars that fiscal year. No less than 18million Americans suffer from sleep apnea, a condition in which the airway is temporarily blocked during sleep, making the sufferer feel suffocated and dying. Nigerians who express this symptom often call it a "spiritual attack", claiming that an unseen force presses them down with intent to kill them. The sufferer feels he or she is dying, but comes around, nevertheless, if he or she is able to move a limb or scream. One of the most popular sleep medicines sold in Nigeria is Valium. It affects chemicals in the brain that may be unbalanced in their functioning or synergistic ratios in people who suffer from anxiety and, as a result, cannot sleep well. It is also prescribed for muscle spasms and alcohol withdrawal, among other conditions. But it is unknown to many people who self-medicate that valium is contraindicated for narrow angle glaucoma, sleep apnea, severe breathing problem, asthma, seizure and so on.

Sleep disorders

There may be a thousand and one reasons or a combination of some of them why it may be impossible for one to sleep well. Sleeping well means achieving not just stage one sleep but stage four sleep, also called rapid eye movement (REM) sleep. You can imagine driving a car over hundred kilometres in uninterrupted traffic on gear one or gear two. That may damage the engine. The ideal gear to drive the engine over such a distance is gear four or gear five, depending on the gear system of the car. A person who achieves only stage one or stage two sleep is a light sleeper, and is unlikely to wake up in the morning, refreshed and bubbling with a kick-and-go body full of energy and drive. There are too many reasons for sleep problem to mention here. Some insomniacs are sugar lovers. Sweet foods and drinks may cause a sugar overload in the blood, as in pre-diabetes or diabetes. Sugar congested blood moves sluggishly and may not promptly deliver blood and oxygen to the brain, and take away the waste products of brain's metabolism. Either way, the brain may come under stress, and a distressed brain may not induce sound sleep. If the sugar overload encourages the overgrowth of candida, a yeast form, the yeast infestation may become systemic, that is afflicting some organs, and if the brain is one of the afflicted systems, the nervous system may be on fire, literally speaking. It would require candida cleansing to restore normalcy.

Stress

Many insomniacs cannot withstand stress. The imagery of stress I enjoy most is this. We live in a pressure-packed world. Imagine how a pressure cooker works. In it, you can boil rice for a meal for 10 people in only three minutes. The pressure-cooking pot impacts terrible force on the cell wall of the rice grains. And because their resistance is poor, they break down quickly. On this earth, we human beings are as though in a pressure-cooking pot. The pressure is to help us become inwardly more mature as we move against it and overcome it. If the pressure within us cannot overcome the pressure acting against us from outside, we break down. But we are meant by our creator never to succumb. In fact, we need this pressure to sprout, flower and fruit. The seeds we plant in the soil push the soil away and move against the force of gravity to come to top soil, sprout flower and fruit. In our case, all we need to do is understand why we are here on earth and understand, also, the concepts we encounter in everyday life. These concepts are keys to the doors of life. If you insert the wrong key in a door, it would not turn the lock to open the door, and you may stand before the door banging on it and stressing yourself to no avail. Marriage is a concept. So is love. So is the child. So is earthly possession. So are work and duty. So is attachment or independence. So are birth and death. The death of a loved one may rattle some people for months or even years. But what if the departed is enjoying himself or herself elsewhere while we are killing ourselves here? Wouldn't that be selfishness on our part? I was told of a man, who was bed-ridden for months, suffered from severe bed sores. He was on life support. Then, after some weeks, he came around, and the first words he uttered were "so, I am still here". Apparently, in his state of coma from which the doctors were trying to revive him, he may have been experiencing life in another world! So soon after, he returned there, to the sadness of his children!

Psychiatric hospitals are filled with women who either found out about their husbands "other women" or who were jilted or divorced. Would they go through this trauma if they knew that neither a husband nor a wife was the property of the other, but a mere companion? Gibran in his book, the prophet, says that, in marriage, spouses should drink together, but not from the same cup. This suggests that they are individuals and should always allow space between them. This suggests, also, that a marriage is not a merger or fusion of two souls, but a union. And aren't unions dissolvable when the right conditions call for it? And aren't there many possible companions for each person to choose from? To only one's creator, therefore, should one be attached.

There are other sources of stress, no doubt. School fees, hospital bills, house rent, examinations, job security and even the fear of the traffic jam are yet others. To these you may add environmental stressors such as polluted air, water and food, and noise-making.

The sum total of what these stressors do is that they overwhelm the adrenal glands. An adrenal gland sits on top of each kidney. They are like the shock absorbers of a car which protects the car from the rattle of road bumps. They produce stress chemicals which enable us cope with every day stress up heavals without feeling their impact. But we need the right understanding of these events to prevent us from unnecessary attachments or clinging which must cause pain and stress when, in the lawful order of Nature, we must be forcefully turn away from them to teach us a lesson. If the pressure becomes too much for the adrenal glands to cope with, we may suffer from adrenal burn-out or adrenal collapse. Hormones become disarranged, the kidneys suffer, and there is an imbalance in the brain-calming chemicals, particularly the ones which help the brain to calm the nerves at nightfall and to induce sleep. In this situation, we can help sleep function by eating foods and using herbal supplements which supply the body with these exhausted chemical substances.

Some other causes

A deficiency of calcium and magnesium can cause disorder. Magnesium in particular promotes sleep. Too much calcium and too little magnesium may cause contractions, such as restless leg syndrome in which knee or leg jerks awake the sufferer from sleep. Magnesium relaxes, on the other hand. The brain needs calmants, such as Omega-3 (DHA) oil, lecithin (for choline and inositol), proper blood circulation (Ginkgo biloba, cayenne e.t.c), energy (Ubiquinol), Nerve Growth Factor (NGF), to improve nerve flow and repair damaged nerves (Lion's Mane mushroom) and, if you like, the proprietary product Amazon Brain Support and Amazon CNS (central nervous system) support. Depression is another major road block against restful sleep. It robs the brain in particular of Dopamine and serotonin and Melatonin, all neuro-transmitter. Dopamine is also called "the happy juice", because people who have enough or surfeits of it are happy and active people, and people who have a deficiency of it are sad and inactive. And hardly sleep well. Some recreational drugs which cross the brain-blood barrier may damage cells which produce dopamine. Dopamine supply to the brain can be enhanced by consuming Tyrosine-rich foods or by taking the supplement since Dopamine is synthesised from Tyrosine. Evidence abounds that Omega-3 fish oil is linked to Dopamine production. Eggs contain tyrosine. So does Spirulina, the green-blue algae. Ditto Kale, which, being rich in folate, triggers dopamine production. Some others are Red beets (Beet root) which contains Betaine (acting as an anti-depressant) and tyrosine, Apple (Quercitin prevents neuron-degeneration and encourages Dopamine production). Even Banana boosts Dopamine output. Strawberries and Blueberries, like bananas, boost Tyrosine levels. Green tea, too, has a hand in Dopamine production. In the realm of herbs, the top shots are Ginkgo biloba, Nettle, Dandelion and Ginseng. Exercise boosts Dopamine and serotonin levels in the blood.

We learn more about sleeping and waking from the website https://sleepfoundation.org/sleep-topics/melatonin-and-sleep:

"The pattern of waking during the day when it is light and sleeping at night when it is dark is a natural part of human life. Only recently have scientists begun to understand the alternating circle of sleep and waking, and how it is related to day light and darkness. A key factor in how humans sleep is regulated, is expose to light, or to darkness. Exposure to light stimulates a nerve path way from the retina in the eyes to an area in the brain called the Hypothalamus. There, a special centre called the suprachiasmatic nucleus (SCN) initiates signals to other parts of the brain that controls hormones, body temperature and other functions that make us feel sleepy or wide awake.

"The SCN works like a clock that sets off a regulated pattern of activities that affect the entire body. Once exposed to the first light everyday, the clock in the SCN begins performing functions like raising body temperature and releasing stimulating hormones like cortisol. The SCN also delays the release of other hormones like melatonin, which is associated with sleep onset until many hours later when darkness arrives.

''Melatonin is a natural hormone made by your body's pineal gland. During the day, the pineal is inactive. When the sun goes down, the darkness occurs, the pineal is 'turned on' by the SCN and begins to actively produce melatonin which is released into the blood. Usually, this occurs around 9p.m. As a result, melatonin levels in the blood rise sharply and you begin to feel less alert. Sleep becomes more inviting. Melatonin levels in the blood stay elevated for about 12hours . ball through the night, before the light of a new day when they fall back to low day time levels by about 9a.m".

Vervain

Today, I would like, in addition to the aforementioned, propose Blue vervain (Verbana histata) as a sleep aid because of its tonic effects on all parts of the body working synergically to promote restful sleep. A few years ago, I wrote elsewhere the following about Vervain:

"Vervain is reputed in herbal pharmacopeia as a mild sedative and digestive herbal tonic that will also strengthen the nerves and gently ease nervous tensions. It is, besides, credited with some dental care attributes. The warm water infusion is indicated as a diaphoretic (sweat-promoting herb) especially in the early stages of fevers. It is said to bring high temperature down by increasing capillary blood circulation which, in turn, encourages moisture and heat loss through the skin. Vervain may be found soothing, also, to the nervous system in conditions such as nervous headaches, sleeplessness, mild depression and melancholia. As a digestive tonic, it is believed to stimulate the production of some digestive juices, including bile salts, for proper digestion of fats; it cleans up the stomach and awakens the sluggish liver. As a galactogogue, it would encourage and increase the secretion of mother's milk. And, as an emenagogue, it would promote menstruation. For this reason, it should not be taken during pregnancy as it may stimulate uterine contraction. As an anti-spasmodic, vervain has been reported to ease spasms of muscles, whether in the airways, stomach or intestine. For upset stomachs, vervain is more effective in easing the spasms if the tea is sipped rather than gulped or rushed".

I remember vervain everyday. It was the first herb, along with Basil ocinum, I gave a neighbour of mine when I decided to try my hands on alternative medicine about 1994. He was an Igbo trader. He had been vomiting food and water for about three days running, and was weak. His stomach and intestine were afflicted with spasms. I prepared the powder of both herbs and gave to him. He was to sip one tablespoonful of the solution every 15minutes or thereabout. That was on a Saturday evening. The following day, I went for worship. When I returned in the evening, my wife suggested I check him up. When he sighted me, he screamed 'it's a miracle.it's a miracle'. That Saturday evening, the spasms eased. He asked for boiled rice and did not vomit it. A few hours later, he asked for Eba and it went down. This miracle encouraged me in this practice.