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TOP 5 CAUSES OF DEATH IN NIGERIA

TOP 5 CAUSES OF DEATH IN NIGERIA

 

Health is wealth and to listed below are the top five causes of death in Nigeria and how to prevent them from affecting you and your loved ones.

MALARIA
Malaria is one of the top causes of death in Nigeria, with about 207,000 deaths reported yearly. Nigeria has the highest malaria burden in the world.
Malaria is transmitted when an infected female Anopheles mosquito infected with the Plasmodium parasite bites an individual. The five main types of infectious parasites are P. falciparum, P. vivax, P. malariae, P. ovale, P. knowlesi with the worst being P. falciparum.
Malaria can be uncomplicated or severe.
In uncomplicated malaria, symptoms are similar to flu-like symptoms, such as are headache, fever, chills, joint pain, vomiting etc.
In severe malaria, complications such as cerebral malaria (malaria in the brain), severe anemia (reduction in amount of blood), acute kidney injury, hypoglycemia (reduced blood sugar).
Malaria should be treated by a primary care doctor (family physician, pediatrician or internal medicine) after some tests are done. Rapid diagnostic tests are done but should be confirmed by doing a blood smear.
Treatment of malaria is by artemisinin combination therapy. Be sure to complete the dosage to prevent resistance.
Malaria can be prevented by doing the following:

  1. Always sleep under long lasting insecticide treated nets (LLINs).
  2. Always wear covered clothing to reduce exposure to the insect.
  3. Use insect repellants on exposed areas.
  4. Make use of insecticide sprays.
  5. Keep all environment clean

LOWER RESPIRATORY INFECTIONS
Lower respiratory infections (LRIs) are infections that occur in the lower respiratory tract of a person and are usually highly infectious. They include pneumonia, bronchitis, influenza, brochiolitis etc.
LRIs are caused by microorganisms such as viruses and bacteria and fungi.
Symptoms and signs of LRIs include cough, wheezing, fever, sore throat, chest pain, breathlessness, difficulty in breathing etc.
Depending on the severity, hospitalization may be required and antibiotics administered. Mild cases can be treated at home and antibiotics are not required for viral infections.
Vaccinations are important in the prevention of LRIs. Pneumococcal vaccines should be administered to reduce the incidence of LRIs.
Reduction in smoking is also advised.

HUMAN IMMUNODEFICIENCY VIRUS (HIV)
Human Immunodeficiency virus, also known as HIV, is a type of virus that causes HIV infection and eventually, AIDS (acquired immunodeficiency syndrome). The virus attacks the immune system of the individual making them vulnerable to infections and diseases due to the inability of the immune system to defend the body.
HIV can be transmitted through unprotected sex with an infected person, sharing sharp objects with an infected person, transfusion of unscreened blood, and from a mother to her baby during pregnancy, delivery or breastfeeding.
HIV can be asymptomatic for up to ten years, silently destroying the immune system, after which the individual then begins to come down with various illnesses due to reduced immunity.
Several blood tests are usually carried out before the diagnosis of HIV is confirmed.
There is no cure for HIV but there are drugs that can fight the virus and increase the quality of life of an infected person. Infected individuals should be commenced on antiretroviral therapy as soon as diagnosis is confirmed.
Prevention can be done through safer sex, avoiding sharing of sharp objects, and if there is exposure to the virus, then, post exposure prophylaxis (PEP) should be administered.

DIARRHEAL DISEASES
A person is said to have diarrhea when the individual passes loose, watery stools, three or more times in a day. If it is for less than 14 days, it is called acute diarrhea. if it is for more than 21 days, it is called chronic diarrhea.
The most common cause of diarrhea is usually infectious, that is, from viruses, bacteria and parasites. However, there are other causes such as inflammatory bowel disease, irritable bowel syndrome and drugs.
People with diarrhea usually present with passage of watery stool, abdominal cramps.
Diarrhea can usually be treated at home with adequate intake of oral rehydration solution (ORS). However, if there are signs of dehydration or it lasts for more than 24 hours for a child, hospitalization may be required.
Diarrhea can be prevented by proper vaccination. Also, proper washing of fruits and vegetables, drinking clean water, and covering foods properly.

ROAD INJURIES
Road accidents are very common and can be devastating, either leading to death or disability in the survivors. Approximately 1.25million lives worldwide are lost to road crashes, with 90% being in low and middle-income countries.
Causes of road injuries include speeding, driving under the influence of alcohol and other psychoactive substances, nonuse of motorcycle helmets, seatbelts, distracted driving (using phones while driving), bad roads, bad vehicles, etc. Most of the causes listed can be avoided by making simple but lifesaving adjustments.
Be sure to avoid speeding, use seatbelts and motorcycle helmets, avoid drinking and driving, and distracted driving.

All of the five highest causes of death in Nigeria can be avoided if we choose to do the right thing and encourage others to do the same.

All material on this website is provided for your information only and may not be construed as medical advice or instruction. Please consult appropriate health professionals on any matter relating to your health and well-being.

CODEINE: ABUSE, ADDICTION & TREATMENT

Image result for codeine abuse

Photo credit: Florida Prescription Addiction Helpline

It is a known fact that there is a drug problem across the world, especially among young people. There has been an outcry against the use of illicit drugs such as marijuana, cocaine, heroin. However, there is a new drug that seems to have spread all over Nigeria, and that new drug is the active agent in many cough syrups: CODEINE. This issue was brought even more to the forefront when Africa Eye, a new documentary strand under the British Broadcasting Corporation (BBC) carried out an undercover investigation into the outbreak of codeine abuse addiction all across Nigeria. The investigation which was carried out by BBC Pidgin journalist Ruona Meyer, revealed the covert sales of cough syrup by representatives of major pharmaceutical companies in Nigeria to drug dealers around the country, with one boasting of the ability to sell up to one million cartons of codeine-containing cough syrup a week. It was discovered that secondary school students and university undergraduates had become addicted to this drug and it was commonly used in birthday parties and night clubs.

Codeine is an opiate used as a cough suppressant and a pain reliever. However, it has a high potential for abuse and addiction due to its narcotic properties. It can therefore produce feelings of relaxation and euphoria, and can develop into a potentially deadly addiction.

When taken according to prescription, codeine is a safe drug and acts as a pain reliever and cough suppressant. However, when abused, codeine has both short and long-term effects. Short term effects include nausea and vomiting, dry mouth, constipation, excessive drowsiness and confusion. On the long run however, abuse of codeine can lead to life-threatening respiratory depression, seizures, liver failure, kidney failure amongst others.

In an attempt to curb this growing menace, local bodies and nonprofits are providing rehabilitation to addicts in various parts of Nigeria. Examples of such bodies include Federation of Muslim Women’s Associations in Nigeria (FOMWAN), Jajircewa Group of Kwanar Dala and Youth Awareness Forum Against Drug Addiction (YAFODA).

It is important to know the signs of codeine addiction so as to aid early recognition and intervention. They include drowsiness, slurred speech, short attention span, impaired judgment, dilated pupils, lack of coordination, apathetic behavior.

The Nigerian government, in response to the agitation birthed by the documentary has placed a ban on the production, importation and use of codeine across the country. The National Agency for Food and Drug Administration and Control (NAFDAC) also received a directive from the federal government to cease the distribution of permits for the importation of codeine by pharmaceuticals in the country. The federal government has also encouraged the Pharmaceutical Society of Nigeria to increase their efforts in monitoring the distribution of drugs and end drug abuse in the country. It is also important to educate young people on the dangers of the abuse of codeine and other drugs.

Africa Programme Intern

Image result for african internsAfrica Programme Intern

The Africa Programme at Chatham House aims to develop foreign policy-orientated research on issues affecting individual states of Africa, the African continent as a whole and relations with the outside world.

The programme is looking for an individual with demonstrable interest in African affairs who would like to gain valuable work experience in a policy institute.

Closing date: 

This internship is an opportunity to gain insight into one of the world’s leading independent centres for practical policy research and debate on the politics and international relations of sub-Saharan African states. The successful applicant will be an integral part of the Chatham House Africa Programme team and gain valuable experience from supporting  its current projects and activities.

Applicants should have:

  • A bachelor’s degree or higher in international relations, development studies, politics, or related field;
  • Demonstrable interest in African affairs;
  • Strong writing skills and excellent attention to detail;
  • Ability to work as part of a team as well as independently;
  • Strong administrative and organizational skills;
  • Strong interpersonal skills

Other information

Although flexible, we are ideally looking for someone who is able to commit 3 -4 days a week.

Please note that this is an unpaid internship. However, travel expenses to and from work within London (zones 1-6) will be reimbursed for the days worked. Lunch will also be provided in the staff canteen.

Application details

To apply please send a CV, covering letter, a writing sample and the names of two referees to:

Eugénie McLachlan
Programme Administrator,  Africa Programme
emclachlan@chathamhouse.org

  • Start date: 11 September 2017
  • End Date: 15 December 2017
  • Closing date for applications: 27 August 2017
  • Interview Period: 6-8 September 2017

For more information about the Africa Programme, please visit the website.

 

Applications for 2018/2019 Chevening Scholarships

 

Chevening is the UK Government's global awards programme

DEADLINE FOR APPLICATION: 7th November, 2017

Chevening is the UK Government’s international awards scheme aimed at developing global leaders. Funded by the Foreign and Commonwealth Office (FCO) and partner organisations, Chevening offers two types of award – Chevening Scholarships and Chevening Fellowships – the recipients of which are personally selected by British embassies and high commissions throughout the world.

ELIGIBILITY CRITERIA

To be eligible for a Chevening Award you must:

  • Be a citizen of a Chevening-eligible country
  • Return to your country of citizenship for a minimum of two years after your award has ended
  • Have an undergraduate degree that will enable you to gain entry onto a postgraduate programme at a UK university. This is typically equivalent to an upper second-class 2:1 honours degree in the UK.
  • Have at least two years’ work experience (this may be up to five years for fellowship programmes, so please refer to your country page for further details)
  • Apply to three different eligible UK university courses and have received an unconditional offer from one of these choices by 12 July 2018
  • Meet the Chevening English language requirement by 12 July 2018

You are not eligible for a Chevening Award if you:

  • Hold British or dual British citizenship (unless you are a citizen of a British Overseas Territory or hold BN(O) and are applying from Hong Kong)
  • Are an employee, a former employee, or relative of an employee (since July 2015) of Her Majesty’s Government (including British Embassies/High Commissions, the Department for International Development, the Department for Business, Energy & Industrial Strategy, Department for International Trade, the Ministry of Defence and the Home Office), the British Council, or a staff member of the Association of Commonwealth Universities. Employees, former employees, or relatives of an employee (since July 2015) of Chevening Partner organisations are eligible to apply, but cannot receive a Chevening/Partner Award from the organisation for which they work, previously worked, or are affiliated with through relatives.
  • (Note: Immediate relatives are defined as parents or step-parents, siblings or step-siblings, children or step-children, spouse, civil partner or unmarried partner (where the couple have been in a relationship akin to marriage or civil partnership for at least two years)
  • Have previously studied in the UK with funding from a UK Government-funded scholarship. However, if you have previously studied under a UK Government-funded scholarship (including Chevening), you may be eligible to apply for a Chevening Fellowship five years after completion of your initial UK Government-funded scholarship.

ENGLISH LANGUAGE REQUIREMENT

In order to receive a Chevening Award, all applicants must demonstrate that they have fulfilled the Chevening English language requirement by 12 July 2018. We advise all applicants to ensure they have fulfilled the English language requirement as early as possible by either:

  • Taking an English language test
  • Claiming an exemption based on the UKVI exempt categories

If you fail to demonstrate that you have met the required English language level by 12 July 2018 or fail to prove that you qualify for an exemption, your application will not be successful.

English language tests

You are free to take tests more than once in order to meet the Chevening English language requirement. Please note that Chevening does not pay for costs associated with English language testing. You are responsible for booking and paying for costs associated with these tests.

Chevening accepts English language tests from five providers:

  • Academic IELTS
  • Pearson PTE Academic
  • TOEFL iBT
  • Cambridge English: Advanced (CEA)
  • Trinity ISE II (B2)

The English language test must be taken from one of these providers on or after 1 October 2015. If you do not already have an existing eligible test certificate, it is your responsibility to ensure that you have booked a test date so that you can obtain the required results.

COURSES

Choose your three courses carefully as you won’t be able to change them after submitting your application. To be awarded a scholarship, you must get an unconditional offer for one of your course choices by 12 July 2018.

Applicants will need to select three different master’s courses, these can be three different courses at the same institution or the same titled course but at three different universities. You should choose your field of study carefully and select courses which reflect your current or future career goals.

In order to be eligible, the courses you choose must be:

  • Full-time
  • Start in the autumn term (usually September/October)
  • Taught master’s (i.e. not research-focused MRes programmes)
  • Lead to a master’s degree qualification
  • Based in the UK

Course cannot be:

  • Distance learning
  • Part-time
  • Less than nine months in duration
  • More than 12 months in duration
  • PhD or DPhil are not permitted

REFERENCES

References are an integral part of the selection process. References are required for both the fellowship and scholarship programmes. The reference letters must be written by your chosen referees and sent to you to upload to your online application.

We will not accept references that are sent directly to the Secretariat or to your local British Embassy/High Commission.

Who can be a referee?

Please select your referees carefully; they should be people who can comment on your general suitability to receive a Chevening Award. Referees should be known to you, either in an academic or professional capacity. They should not be a relative or close personal friend.

References must be:

  • Written in English. Your application will not be considered for an award if your references are not written in English.
  • Provided in a letter format, preferably typed, and addressed to the British Embassy or High Commission (the mailing address of the diplomatic mission is not required)
  • Uploaded to your application form in PDF format. The file must be no larger than 5MB.

WORK EXPERIENCE

Applicants must ensure they meet the minimum work experience requirement of two years’ work experience for the award that they are applying to before submitting their Chevening application. If you do not already have the required level of work experience, you will be unable to submit your application.
Eligible types of work experience

Applicants must meet the minimum work experience requirement before they submit their application for a Chevening Award. The types of work experience that are eligible for Chevening can include:

  • Full-time employment
  • Part-time employment
  • Voluntary work
  • Paid or unpaid internships
  • Work experience can be completed before, during, or after graduating from your undergraduate studies.

Employment undertaken as part of your undergraduate or postgraduate course are not eligible.

You do not need to meet the work experience requirement in one period of employment nor do you have been working in your current role for the minimum requirement in order to be eligible to apply. Applicants can submit up to ten different employment periods in order to meet the requirement. If you have held more than ten positions then please enter the periods which make up the greatest number of hours worked.

If you are in current employment, it is not a requirement of Chevening that you resign from your position. You are advised to discuss your application with your employer and it is your responsibility to ensure that they will release you if you are selected for a Chevening Award. The British Embassy/High Commission or the Chevening Secretariat cannot intervene in this.

ONLINE APPLICATION SYSTEM

Below are some tips and advice for applicants when using the online application system:

1) Use the Google Chrome web browser as this is recommended for the best experience.

2) When completing your application form, work in a full-size window. This will make the application form easier to read in its original format.

3) Don’t use your browser’s ‘back’ and ‘forward’ buttons. This will take you out of the system and you will lose all unsaved work. Navigate through the pages of the application form by using the menu links in the form.

4) Remember your username and password. This saves time when you want to log back in to the online application system.

5) Enter information accurately, especially your contact details. Please ensure that you enter a valid email address. If it changes after you have submitted, please ensure you update it in your application otherwise you may miss important updates from the Chevening Secretariat. If you provide a second email address, please ensure that it is valid and different from your first.

INTERVIEWS

If you are shortlisted to interview for a Chevening Award, you will be invited to attend an interview in the city where the British Embassy or High Commission has a representation.

The global interview period for 2018/2019 Chevening Scholarships will run from 5 March to 2 May 2018. Interviews for fellowships may take place at a different time. Please refer to your country page for further details.

In order to submit your Chevening Scholarship application, it is essential that you have the following ready:

  • Valid passport/national ID card
  • University transcripts and degree certificates (undergraduate, postgraduate)
  • Three different UK master’s course choices

You may also wish to submit the following optional documents if you already meet the requirements. You can submit your initial application without these documents, but you will have to upload them to your application by 12 July 2018:

  • English language test results
  • UK master’s university offer

Only documents in PDF format can be uploaded to the online application system, and documents cannot be over 5MB in size.

 

For full information on how to apply, please visit the Chevening Scholarships website.

Extreme heat linked to climate change may adversely affect pregnancy

Image result for pregnant woman
Pregnant women are an important but thus far largely overlooked group vulnerable to the effects of extreme heat linked to climate change, according to new research by Sabrina McCormick, PhD, an Associate Professor of Environmental and Occupational Health at Milken Institute School of Public Health at the George Washington University.

“Expecting mothers are an important group whose unique vulnerability to heat stress should be factored into public health policy,” says McCormick, who has been studying the impacts of climate change on human health for over a decade, and served as the lead author on the Special Assessment of the Nobel Prize-winning Intergovernmental Panel on Climate Change. “Exposure to extreme heat can harm both pregnant mothers and their babies, especially in situations where the expectant mother has limited access to prenatal care.”

McCormick and Leeann Kuehn, a recent GW MPH alumna concurrently studying to be a physician’s assistant, conducted the most extensive systematic review to date of research articles that identify how heat-related exposures result in adverse health effects for pregnant women. They followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guide to identify and systematically review articles from PubMed and Cochrane Reviews on climate change-related exposures and adverse health effects for pregnant women.

The studies that McCormick and Kuehn identified provide evidence that exposure to temperature extremes can adversely impact birth outcomes, including changes in length of gestation, birth weight, stillbirth, and neonatal stress during unusually hot temperatures.

“Our study indicates that there is a need for further research on the ways that climate change, and heat in particular, affect maternal health and neonatal outcomes,” McCormick says. “The research also shows that uniform standards for assessing the effects of heat on maternal fetal health need to be established.”

Source: International Journal of Environmental Research and Public Health.

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