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End Fistula Day: Expert advocates free treatment for victims

End Fistula Day: Expert advocates free treatment for victims
By Olasunkanmi Onifade
Fistula
Abuja, May 23, 2019 (NAN) Dr Nathaniel Adewole, a Consultant Gynaecologist, University of Abuja Teaching Hospital, Gwagwalada, has called for more involvement of individuals and corporate bodies to make the repairs of fistula free and easily accessible.
Adewole made the appeal in an interview with the News Agency of Nigeria (NAN) on Thursday in Abuja in commemoration of this year’s International Day to end obstetrics Fistula.
The UN set aside the day since 2013. The day is meant to raise awareness of this issue and mobilise support around the globe.
The theme for 2019 is: “Leaving no one behind: Let us commit to ending fistula now!”
According to him, obstetric fistula is a medical condition in which a hole develops in the birth canal as a result of childbirth.
He said it can be between the vagina and rectum, ureter or bladder and it can result in incontinence of urine or faeces.
The expert said its complications may include depression, infertility, social isolation and poverty.
Adewole said other common types are Vesico-Vaginal Fistula (VVF) and Rectovaginal Fistula (RVF) or combination of the two.
“The health system must be strengthened with appropriate trained personnel like at least midwives in Primary Healthcare Centres and doctors in health centres with good referral system.
“This would minimise the issue of prolong labour which is the main cause of obstetric fistula.
“There are a quite a number of NGOs already assisting in psychological support and repairs of the fistula,” Adewole said.
He said community advocacy cannot be overemphasised to avoid stigma and rejection, adding that it can help in rehabilitation and reintegration of affected individuals.
“The psychosocial effects of this are enormous. The continuous dribbling leads to smell, rashes, loss of confidence and self esteem.
“The rejection by spouse and the family is more than enough trauma. One of the cardinal approaches is education and empowerment of the girl-child.
“This will reduce the possibility of too early marriage and empowered to seek appropriate medical help when pregnant or in labour,” he said.
He said Nigeria was contributing about 150,000 cases out of 2 million cases of obstetric fistula worldwide, adding that it is time for holistic approach to end the menace.
Adewole said obstetric fistula was the most devastating of all long standing obstetric disabilities with great psychological trauma.
He said men must not be left out, especially in avoiding harmful cultural practices. (NAN)
OEO/MST
Edited by Muhammad Suleiman Tola

Surgical removal of fibroid not treatment – Gynaecologist

Surgical removal of fibroid not treatment – Gynaecologist
By Chinenye Offor
Fibroid
Abuja, Aug. 30, 2018 (NAN) Dr Ibrahim Yakubu, a Gynaecologist based in Abuja, has said that surgical removal of fibroid was not the final solution in treating the condition.
Yakubu made this known in an interview with the News Agency of Nigeria (NAN) on Thursday in Abuja.
He explained that there could be possible re-growth and complications after myomectomy, adding that there are also chances of tubes blockage which could possibly cause infertility.
Myomectomy refers to a surgical removal of fibroid.
The expert emphasised that surgical removal of fibroid should be the last option if it was not causing any possible problems such as heavy flow, constipation and bloating among others.
He however challenged medical experts on comprehensive counselling and adequate information for patients on the complications that may arise during and after surgery.
According to him, it is better to leave the fibroid if it is not problematic to the patient.
“There are other medical ways of reducing the size such as an injection for every three months, six months, others to help shrink it,’’ he said.
Yakubu however cautioned that the injection could cause a patient to experience signs of menopause, adding that it does not usher a patient into early menopause.
The gynaecologist further noted the availability of a contraceptive device that could be used in preventing re-growth of fibroid for patients that had undergone surgical removal of fibroid.
He said: “Such contraceptive device will be inserted for two to five years and be removed when the patient is ready to start bearing children.’’ (NAN)
CSO/COO/MST
Edited by Cecilia Odey/Muhammad Suleiman Tola

Foundation to sponsor treatment of 25 cancer patients

Foundation to sponsor treatment of 25 cancer patients
By Talatu Maiwada
Cancer
Abuja, Aug.16, 2018 (NAN) The Pink Oak Cancer Trust, an NGO, on Thursday said it would raise N100 million for the treatment of 25 cancer patients between August and December, this year.
Ms Rita Eugene, Media Assistant of the foundation, who disclosed this in a statement in Abuja, said the foundation was working with its partners to realise the target.
Eugene explained that Pink Oak was a charity foundation working with other cancer advocacy NGOs to improve access to cancer care.
She listed the member-NGOs to include Breast without Spot (Enugu), Cancer Aware Nigeria (Lagos), Project Pink Blue (Abuja), St. Cyril Cancer Treatment Foundation (Lagos) and Sebeccly Cancer Care (Lagos).
According to her, Mr Fola Adeola, Chairman, Pink Oak Governing Board, has approved the commencement of the programme in fulfilment of the primary goal of the group.
She added that Dr Laz Ude Eze, the Executive Director of the foundation, subsequently announced the launch of the 25 Patients Initiative (25PI), to make it a reality.
“Under this initiative, Pink Oak is working with its 5-member NGOs to identify patients in early cancer stages (Stage 1 or 2) who cannot afford to fund their treatment fully.
“The eligible patients shall be treated at various hospitals in Abuja, Enugu, Ibadan and Lagos already designated as treatment centres for Pink Oak-supported patients.
“Pink Oak shall also not pay cash to patients; rather, all payments shall be made directly to the treatment centres,’’ she said.
Eugene appealed to all good-spirited Nigerians, corporate and religious organisations to donate generously towards this cause to enable the foundation save more lives from cancer. (NAN)
TIM/ESAN/MST
Edited by Abiodun Esan/Muhammad Suleiman Tola

Official warns of unorthodox eye treatment

Official warns of unorthodox eye treatment
By Mercy Osajiugo
Eye
Minna, May 11, 2018 (NAN) Mr Yunusa Zarumai, the Chief Nursing Officer at the Eye Centre, General Hospital Minna, Niger, has warned Nigerians of inherent dangers in patronising traditional healers for eye treatment.
Zarumai, an Ophthalmic Nursel, gave the warning in an interview with the News Agency of Nigeria (NAN) in Minna on Friday.
According to him, unorthodox eye treatment is detrimental not only to the eye but to general health of an individual.
He said that orthodox treatment was the right treatment for the eye rather than resorting to crude traditional treatment that would endanger the eye.
“We are advocating that eye patients attend our hospital, where we have modern equipment that would be used for proper examination.
“That will give them the opportunity for the eye to be well examined and the right diagnosis made to proffer lasting solution to the eye condition,” he said.
Similarly, Zarumai cautioned those in the habit of taking tobacco snuff to treat their eye problem to desist from the act.
“This is not good enough for the general well being of the eye, especially the nervous system.
“Tobacco is harmful because it contains harmful and addictive chemicals that can raise the risk of many health challenges,” he said.
Zarumai said that using snuff could also raise risks of other conditions, such as high blood pressure, which can cause hypertensive retinopathy.
He therefore advised Nigerians, especially the aged, to shun snuffing as it does more harm to the body system than the perceived good they believe it does. (NAN)
MNO/IFY/MST
Edited by Ify Omowole/Muhammad Suleiman Tola

How we are assisting VVF patients – UCH

How we are assisting VVF patients – UCH
Treatment
Ibadan, May 1, 2018 (NAN) Prof. Temitope Alonge, the Chief Medical Director of University College Hospital, Ibadan, says the United States Agency for International Development (USAID) is partnering with the VVF centre in the premier health facility to address the condition, including reintegration of patients.
Alonge made this known to the News Agency of Nigeria (NAN) while fielding questions in Ibadan on the treatment and rehabilitation of VVF victims into the society.
“Fistula Care Plus, USA, began supporting the centre in 2012 to address complex cases. The centre is a training centre and accepts referrals from neighbouring state hospitals across the South West in addition to providing family planning services.
“A pool effort sponsored by a Nigerian Nollywood actress was successfully carried out in 2014 on 20 women.
“We were able to bring hope and succour to the women who had been suffering and living with this condition for varying periods of time. The women had repair surgeries done at no cost to them and their families.
“UCH reserves 14 bed spaces for fistula patients. But this has now been expanded to 21 bed spaces.
“Through collaboration with Fistula Care Project, we have been able to build community awareness and increase focus on the integration of family planning services with fistula and maternal health care,” he said.
NAN reports that UCH is the only facility in the South West Zone catering for VVF patients.
Alonge, however, called on the Federal Government, international health organisations and other stakeholders to partner Nigeria to fight the menace, saying it is becoming a threat to public health.
He also called on federal government and other philanthropists in the health sector to intervene in the rehabilitation of the victims in the country.
Another Fistula surgeon and Head of Department of Obstetrics and Gynaecology at UCH, Prof. Ayo Arowojodu, told NAN that the federal government needs to strengthen the health system and change public perception about VVF.
“We have realised that early marriage is no longer one of the predisposing factors to developing VVF. Any woman can develop fistula at any age, if during delivery she fails to go to a place where she can get safe CS.
“Statistics show that every day, 145 women in Nigeria die giving birth. About 12,000 to 15,000 others end up with obstetric fistula, one of the complications of delayed birth.
“We need to ensure that the Society of Gynaecologists and Obstetricians of Nigeria trains the medical students and house officers.
“This is because most Caesarean Section (CS) done in hospitals are not performed by specialists; we should tailor the training not only to the specialists but also to the younger medical officers,’’ he said.
A Surgeon in Ogun, Dr Adewunmi Alayaki, called on the federal government to subsidise the treatment of VVF.
He told NAN in Abeokuta that the treatment needed to be subsidised as most patients are indigent and could not afford to pay for the treatment.
Alayake, however, said the ailment was not too rampant in the South West Zone.
“The last one I saw was last year in the State Hospital Ilaro. I referred her to UCH Ibadan.
“Because it is not rampant here, we really don’t need a centre for it, the sub-specialist in the repair of it in our tertiary institutions are enough to take care of them,’’ he said.
Alayaki, a former Secretary of the Nigeria Medical Association (NMA), urged the appropriate authorities to engage in rigorous advocacy because of the way patients are treated as outcasts.
He also advised relations of the sufferers to exercise patience with them and give them lots of care and love while also looking for a way to cure them.
“We need a lot of advocacy on that; they are seen as outcasts and because there’s no money to treat them, coupled with the perpetual urine odour oozing out of them, nobody wants to associate with them.
“But if their relations and friends get to know there’s a solution which they can afford, I believe they should settle for that, rather than pushing them away,” he added.
In Osun, Prof. Orgy Ernest, a Consultant on Obstetrics and Gynaecology at Obafemi Awolowo University Teaching Hospital Complex (OAUTHC), Ile-Ife, said victims of VVF needed encouragement and love from their relatives for them to be able to feel free in the society.

Ernest noted that early ante-natal care by pregnant women at recognised hospitals was one of the ways to prevent VVF.
He said husbands should encourage their wives to always patronise qualified doctors during pregnancy, adding that in case there was any complication, the doctors would be able to correct them immediately.
He said though VVF corrective surgery was expensive those who needed it should try everything possible to get it done.
Also speaking, Dr Rafiu Isamotu, the Osun Commissioner for Health, said reintegrating VVF victims back into society required joint efforts of individuals and government.
Isamotu said some VVF victims recently underwent free corrective surgery through the support of the state government at Wesley Hospital, Ilesa.
The commissioner said that the victims had been reintegrated back into the society quietly without any form of stigma.
“Government has being creating awareness on the causes and effects of VVF which is not that common in Osun.
“Private individuals can also play key roles through counselling, seminars, and also by going to rural areas to sensitise the people on the dangers of early marriages, among others.
“Although VVF is caused by many factors among which is prolonged child birth, there is urgent need for government and the media to partner in senstising people on the causes and prevention of VVF among women,’’ he said.
A Professor of Medical Sociology at the Ekiti State University, Ado Ekiti, Taiwo Christopher, deplored the stigmatisation of VVF patients.

“There have been calls that VVF patients be given treatment free of charge in the country through the collaboration of the Federal Government and other well-meaning individuals,’’ he said. (NAN)
Reporters/OJO/MST
Edited by Muftau Ojo/Muhammad Suleiman Tola

VVF: 196 patients treated in North East, others for reunion – Officials

VVF: 196 patients treated in North East, others for reunion – Officials
Rehabilitation
Abuja, May 6, 2018 (NAN) No fewer than 196 victims of Vesico Vaginal Fistula (VVF) in North East Nigeria had received free surgeries, the News Agency of Nigeria (NAN) reports.

Similarly, several other treated patients in the region are undergoing reunification processes with their respective families.

VVF is an abnormal congenital opening between the bladder (vesico) and the vagina that causes continuous involuntary discharge of urine into the vaginal vault.

It is often caused by prolonged labour, especially for teenage mothers during childbirth and can also be as a result of violent rape of minor.

Mr Aminu Imam, the VVF Surgical Officer at the Specialist Hospital, Yola, told NAN in Yola that the treated victims have shown positive signs of happy normal life.

Imam said that the victims were successfully operated upon while five of the patients were referred to Ahmadu Bello University Teaching Hospital, Zaria.

“Five women had special cases that needed further evaluation and advanced treatment,’’ the medical official said.

He said that patients of VVF cases in the state were receiving free medical treatment.

On discrimination suffered by the VVF victims, Imam said government has embarked on massive public sensitisation and awareness campaigns via the media and other public enlightenment programmes to curb the problem.

He explained that the free surgery was complimented by some indigenous foundations.

A report from Dutse says the Jigawa Government plans to foot the remarriage bills of 30 women that had successfully undergone VVF operation in the state.

Mrs Ladi Ibrahim, the state Commissioner for Women Affairs and Social Development, told NAN in Dutse that the beneficiaries were those discharged from the VVF hospital in Jahun Local Government Area of the state.

“It is a usual thing for us to sponsor the marriage of anyone of them who finds husband after her operation.

“We will sponsor their marriage and also provide them with complete furniture,” she said.

The commissioner noted that the gesture was to ensure the reintegration of the victims into the society after their discharge from the hospital.

“This is because some of them were abandoned completely by their former husbands, and even sometimes rejected by their relations; most of them are not financially buoyant to keep themselves afloat,” she said.

Ibrahim said that they (victims) had undergone training in skills like bead-making, mat-making, leather work and groundnut oil production.

She said that they were also taught food vending, dyeing, making of locust beans and local spaghetti, soap making, perfume and cosmetics production.

“We give them start kits, depending on the trade they learnt; for those in food vending, we assist them with beans, rice and millet, among others,” she said.

The commissioner said the empowerment scheme was to create jobs and promote self-reliance among the victims.

Dr Salisu Muazu, Director of Hospital Services, Jigawa Ministry of Health, also said that the state government had treated and discharged over 120 VVF patients.

He disclosed that the treatment was conducted in collaboration with Medicines San Frontiers, an NGO.

Meanwhile in Yobe, an Islamic cleric, Malam Bukar Ali, has expressed concern over increase in cases of neglect and abandonment of VVF victims by husbands.

He told NAN that because of the disturbing situation, they had embarked on massive sensitisation to make husbands accept their responsibilities towards their affected wives.

“The response has been encouraging but those with severe cases were left at the care of their parents and relations,” he said.

Hajiya Yagana Usman, a mother whose daughter had VVF, said the husband initially abandoned the wife but later showed concern and care.

Malam Baba Wakil, a health worker in Damaturu, said “increased awareness had facilitated reintegration and care of victims”.

A husband of a VVF patient who did not want his name mentioned, described the situation as “very challenging”, but added that victims needed support and love.

In neighbouring Borno, a medical staff at the VVF Centre of Borno Specialist Hospital, Maiduguri, who spoke on condition of anonymity, also told NAN that they recorded about 70 cases of VVF in the last two years.

“Many of them were as a result of unrelieved obstructed labour, resulting from breakdown in the tissue in the vagina.

“The hospital is getting support from international and local Non-Governmental Organisations, especially in the areas of provision of relief materials and counseling, as most of the victims are Internally Displaced Persons (IDPs).

“Many have been abandoned; some have spent about two years with no one to come for them.

“We at the hospital are providing support for their upkeep; other philanthropists also come in to also support,” she said.

Mrs Aisha Wakil, Founder of Complete Care and Aid Foundation (CCAF) in Maiduguri, said her organisation was currently supporting about 50 women with severe cases of VVF ailment in the state.

Wakil said the NGO was supporting the victims with assorted food items and other relief materials to cushion their hardship.

“We have concluded plans to train them in different skills aimed at making them to be self-reliant, thereby making it easy for them to get reintegrated into the society.

“We shall also embark on house-to-house sensitisation of couples on reproductive health issues to enable people live normal life,” she said.

A 14-year-old victim in Maiduguri (name withheld), said she had been on admission since January this year, after child birth.

“My husband usually comes to see me; I am now getting better; doctors said I will soon be discharged from the hospital,” she told NAN.

In Gombe State, the Chairman of Christian Association of Nigeria (CAN) North East Zone, Rev. Abare Kalla, said they had been encouraging the reintegration of VVF victims rejected by their husbands or families.

“As religious leaders, we encourage husbands to take good care of their wives, after all, they (husbands) are the major cause of the ailment (VVF),” he said.

Mrs Hauwa Yahuza, a relation of a 17-year-old VVF victim in Gombe, told NAN that they were doing their best in taking care of her.

An Islamic cleric in Bauchi, Malam Baba Inuwa, told NAN that many women suffering from VVF in the state had been abandoned by their husbands and relations.

He described the development as worrisome, adding that people should have the fear of God.

Madam Jummai Yakubu, a 35-year-old mother of two in Bauchi, said she had suffered from the ailment for 15 years, until it was repaired recently.

“I thank God I am normal now but sometimes I face discrimination among my people, especially after the death of my husband,” she said.

Also narrating her ordeal, 20-year-old Maryam Musa, who hails from Ganjuwa in Bauchi State, said she was abandoned by her husband five years ago when she was confirmed with VVF.

“It started after I gave birth, though he (the baby) died after two months. When my condition became critical, my husband left me, and I had to return to my parents. They are the ones catering for me now,” she said.

Another victim, Mrs Hannatu Salihu, 35, said she had stayed in the hospital for over one year without getting better.

“I do not know the whereabouts of my husband; he has not visited me or my family for the past one year; my parents take care of me both in the hospital and at home,” she said.

Another victim in Bauchi, Mrs Lami Saleh, 23, told NAN that her husband and parents had been taking care of her, but that the challenge of discrimination came from the larger society.

“They take good care of me, give me all the necessary care, except that I encounter some stigmatisation from people who point fingers at me,” she said. (NAN)
Reporters/ASH/MST
Edited by Abdullahi Salihu/Muhammad Suleiman Tola

Foundation urges FG to increase radiology centres, machines

Foundation urges FG to increase radiology centres, machines
NAN-HG-8
Cancer
By Chinenye Offor
Abuja, Feb. 9, 2018 (NAN) The Executive Director, Project Pink Blue, Mr Runcie Chidebe, has called on the Federal Government to establish more radiology centres and increase machines in the country to help save lives.
Chidebe made the appeal at the unveiling of the organisation’s new project upgrade on oncology in commemoration of World Cancer Day on Friday in Abuja.
According to him, the incidence of cancer in Nigeria is low compared to some western countries such as Europe, while the death rates in these countries were the same as Nigeria.
He blamed the inequalities on lack of care, prompt treatment, lack of radiology centres and machines in the society.
The executive director underscored the urgent need for intervention in the areas of radiology centres and more facilities to help reduce deaths.
Chidebe therefore called on all stakeholders to collectively support the government and constitute cancer care as a national priority.
Prof. Onyekwere Ebigho, Board Chairman, Project Pink Blue, said the situation of cancer in Nigeria needed an urgent intervention from government.
“In some hospitals, there is no radiology machine and cancer have become a hopeless sickness in Nigeria.
“The group have engaged NHIS to include cancer in the scheme,’’ Ebigho said.
Similarly, the Deputy Chairman, House Committee on Health, Mr Mohammad Usman, said the Federal Government was working towards having an agency for cancer care.
“If the agency for cancer control came to be, they will be able to have a budget of their own and as well regulate it, which will help alleviate some problems faced in the treatment of cancer.
“Cancer treatment is the most expensive treatment and partnership is key in achieving cure and care for the patients.
“Most of the people suffering from the disease are from rural areas and are calling on government to come to their aid,” he said.
He therefore enjoined state governors and local government councils to join hands in creating awareness and sensitising people about cancer.
Usman also advised people to go for regular testing and as well consume nutritional food in order to fight the scourge.
Dr Igbinoba Festus, Association of Radiation and Clinical Oncologists of Nigeria, also called on government to provide the necessary facilities and more machines that would help in the fight against cancer.
Festus added that having more machines in place and also training the personnel further on how to operate the facilities would help save lives.
“What to do we have, but the facilities are not enough and we need more and modern facilities because the little we have are burdened.
“I advise cancer patients to listen to their doctors and avoid listening to voice of unprofessionals,” he said.
Festus therefore enjoined pharmaceutical companies, manufacturers of machines as well as NGOs to come on board to fight the menace.
Ms Gloria Orji, the President, Abuja Breast Cancer Support Group, advised patients diagnosed of cancer to listen to their doctors.
Orji, a survivor of breast cancer, also encouraged patients to go for screening and early treatment, adding that it is key to survival.
“Cancer kills and can also be cured,” she said. (NAN)
CSO/MUYI/MST
Edited by Muyideen Jimoh/Muhammad Suleiman Tola

Nigeria, health partners to treat 1.5m missing TB cases

Nigeria, health partners to treat 1.5m missing TB cases
NAN-HG-25
Tuberclosis
Lagos, Oct. 9, 2017 (NAN) Global health partners and implementers from 13 countries, including Nigeria, with a high burden of Tuberculosis (TB) have launched a programme to find and treat 1.5 million missing cases of TB by the end of 2019.
The new initiative is important in stopping the spread of TB and reaching the global goal of ending TB as an epidemic by 2030.
A statement by Ibon Villelabeitia, Communications Specialist, Global Fund, said the new effort seeks to support a combination of innovative and targeted programmes to promote better use of data and approaches to find more missing cases of TB.
The 13 countries to implement the programme include Bangladesh, Democratic Republic of Congo, Indonesia, Myanmar, Nigeria, Pakistan, Philippines, South Africa, Tanzania, Ukraine, Kenya, Mozambique and India.
According to the statement, the decision is a fall-out from the 48th Union World Conference on Lung Health in Guadalajara, Mexico.
It said that every year, 10.4 million people got sick with TB, which is a preventable and curable disease.
“Of those individuals, 40 per cent do not even receive care they are `missed’ by health systems after failing to be diagnosed, treated or reported.
“The result is that many will die or continue to be sick and transmit the disease or if treated with improper drugs, contribute to the growing menace of drug resistance,’’ the statement said.
The statement quoted Dr Eliud Wandwalo, Senior Disease Coordinator, TB, Global Fund, as saying: “Urgent action is needed to break the transmission cycle of TB and drug-resistant TB to save millions of lives.
“It is also to achieve the global goal of ending TB as an epidemic by 2030; the longer the delay in finding the missed cases, the longer it will take to reach global targets.’’
Dr Sahu Suvanand, the Deputy Executive Director of Stop TB Partnership, said: “This is a great opportunity for all of us to support countries in finding the missing people with TB.
“These are people who have been so far left behind in some of the most vulnerable and underserved populations,’’ Suvanand said.
The statement quoted Dr Akramul Islam, TB and malaria control programmes for BRAC, an NGO, as saying that the private and public health sector providers need to work closer to identify missing cases.
“Despite all our efforts there are still too many missing cases.
“Without proper diagnosis and treatment of these missing cases, it will not be possible to meet our targets,’’ Islam said.
The statement said: “Missing TB cases and drug-resistant TB are major challenges in fighting the disease and pose serious threat to global health security.
“Deaths from drug-resistant TB when tuberculosis bacteria is resistant to existing medication, now account for about one-third of all antimicrobial resistance deaths worldwide.”
According to the National Tuberculosis and Leprosy Control Programme, Nigeria is ranked as the country with the fourth highest cases of TB worldwide.
The statistics also showed that over 80 per cent of TB cases were still undetected, while it claimed over 1.5 million lives annually in the country.
Also, the 2016 Global TB report showed Nigeria as having the highest TB burden in Africa and ranked 4th in the world.
The report also revealed that Nigeria was among the 10 countries that accounted for 77 per cent of the global gap in TB case finding.
In 2016, Nigeria notified less than 20 per cent of the total TB cases estimated for that year.
Therefore, more than 80 per cent TB cases in the country were undetected, implying that there are lots of undiagnosed TB cases in the community which served as a reservoir for continued transmission of TB. (NAN)
OOG/VIV/MST
Editing by Vivian Ihechu/Muhammad Suleiman Tola

Prostate Complications: Surgeon recommends urgent treatment

Prostate Complications: Surgeon recommends urgent treatment
NAN-HG-3
Prostrate
By Chinenye Offor
Abuja, Aug. 17, 2017 (NAN) Dr Offiong Etim, a surgeon in Asokoro General Hospital, Abuja, has recommended early treatment of severe enlarged prostrate to reduce associated risks.
He said this in an interview with the News Agency of Nigeria (NAN) on Thursday in Abuja.
He described prostate as a walnut-sized gland that forms part of the male reproductive system.
Etim also described an enlarged prostate as the gland that had grown bigger, which was often called Benign Prostatic Hyperplasia (BPH).
According to him, the gland is made of two lobes enclosed by an outer layer of tissue which is located in front of the rectum and just below the bladder, where urine is stored.
The prostate also surrounds the urethra, the canal through which urine passes out of the body.
The surgeon explained that enlarged prostrate was a common part of aging, saying that it is common for the prostate gland to become enlarged as a man ages.
According to him, the prostate continues to grow during most of a man’s life; the enlargement doesn’t usually cause problems until late in life.
He stated that the condition usually caused no symptoms before age 40, but noted that men in their 60s and 90 per cent in their 70s and 80s have some symptoms.
The surgeon explained that cause of the condition was not known but stressed that it has been shown that it occurs mainly in older men and does not develop in men whose testes were removed before puberty.
He attributed increase of estrogen within the gland as contributory factor to the development of enlarged prostrate.
“As a man age, the amount of active testosterone in the blood decreases, leaving a higher proportion of estrogen thereby promoting cell growth.
He also blamed dihydrotestosterone (DHT), as another factor responsible for the development of the condition.
He explained dihydrotestosterone as a substance derived from testosterone if older men continue to produce and accumulate high levels of it in the prostate helps encourage the growth of cell.
Etim said that prevention of enlarged prostrate depended on healthy life style such as eating foods rich in fibre, drinking less alcohol and caffeine, among others.
He also encouraged emptying of the bladder always and drinking less of fluids at night as other measures of preventing the condition.
However, Etim said that early treatment was important in order to avoid complications and damage to the kidneys.
He noted that some of the cases may not need early treatment especially in patients with mild cases, saying condition may clear up on its own.
Although the need for treatment may not be urgent, he however advised for urgent medical help once the problem present a health risk.
He suggested regular checkups to watch for early problems and if the condition begins to pose a danger to the patient’s health.
He added that the condition may cause urinary tract infections and thereby suggested antibiotics to treat infection before treating the enlarged prostrate.
Etim also recommended the use of drugs that inhibit production of the hormone DHT, which increases prostate enlargement, saying that the use of them could either prevent progression of growth of the prostate or shrink the prostate in some men.
He also recommended removal of the enlarged part of the prostate, saying it is the long-term solution for patients with the condition.
He also suggested the latest procedure Urolift a non-invasive surgical procedure meant to lift or hold the enlarged prostate tissue out of the way so it would no longer block the urethra.
He therefore enjoined patients susceptible to enlarged prostrate to maintain a healthy life style in order to avoid risks associated with the condition. (NAN)
CSO/MST
Edited by Muhammad Suleiman Tola

1bn people treated of NTDs in 2015 – WHO

1bn people treated of NTDs in 2015 – WHO

NAN-HG-9

Diseases

By Yashim Katurak

Abuja, May 3, 2017 (NAN) The World Health Organisation (WHO) says about one billion people received treatments for at least one Neglected Tropical Disease (NTD) in 2015.

WHO said in its fourth report on NTDs that there has been transformational progress against debilitating diseases and a commitment by the United Kingdom to double its funding for NTDs.

It said significant gains have been recorded so far in relieving symptoms and consequences of diseases for which effective tools are scarce.

According to the report, important reductions have been achieved in the number of new cases of sleeping sickness, visceral leishmaniasis in South-East Asia and also of Buruli ulcer.

“WHO has released data showing medicines to prevent NTDs reach nearly a billion people every year.

“Leaders from governments, pharmaceutical companies and charitable organisations convened at a five-day summit in Geneva to pledge new commitments to the collective efforts to control and eliminate NTDs.

“The meeting comes five years after the launch of the London declaration on NTDs, a commitment by the public and private sectors to achieve the WHO goals for control, elimination and eradication of 10 NTDs.

“In that time, billions of treatments have been donated by pharmaceutical companies and delivered to impoverished communities in nearly 150 countries, reaching nearly a billion people in 2015,” the report said.

It described NTDs as some of the oldest and most painful diseases afflicting the world’s poorest communities, stating that one in six people suffered from NTDs worldwide including more than half a billion children.

According to the report, NTDs debilitate and perpetuate cycles of poverty, keeping children out of school, parents out of work and dampening hope of any chance of an economic future.

However, it said that more people were being reached with needed NTDs intervention than ever before delivered through five public health approaches.

“This include innovative and intensified disease management, preventive chemotherapy, vector ecology and management, veterinary public health services, provision of safe water, sanitation and hygiene,’’ it said.

The fourth WHO report on neglected tropical diseases aims at evaluating the changing global public health landscape and assessing progress towards the 2020 targets.

The report also considers the possible core elements of a strategic vision to integrating neglected tropical diseases into the 2030 Agenda of the Sustainable Development Goals (SDGs). (NAN)

KRY/GOM/MST

Edited by Gregory Mmaduakolam/Muhammad Suleiman Tola