Equip health workers, experts tell FG

Medical experts have called on the Federal Ministry of Health to equip health workers with the necessary gadgets that will enable them to manage Ebola victims.
Speaking in separate telephone interviews with our correspondent, the experts also called for the proper sensitisation of health workers on the symptoms of the viral disease
The Head of Department, Anatomic and Molecular Pathology, College of Medicine, University of Lagos, Prof. Fatima Abdulkareem, said the government should provide biohazard suits for doctors and nurses who are managing such patients.
Abdulkareem said, “Government should provide the appropriate gadgets for health workers to use. They should be provided with biohazard suits so they don’t get exposed to the body fluids of infected persons. In fact, it is not just about patients that we know and even those that we do not know.
“There are so many other diseases that we don’t know about until they are diagnosed. That is why every patient with fever should be considered as a suspected case for now.”
The Vice-President of the Commonwealth Medical Association and the immediate past president of the Nigerian Medical Association, Dr. Osahon Enabulele, said it was important for health service providers and owners of private hospitals to sensitise health workers on the symptoms of the disease.
Enabulele said, “The fact remains that health workers are as exposed as other people who come in contact with the virus, and increasingly so, because they are the ones that are, most times, the first contact, especially the doctors.
“For health workers, they should also be aware of the reality of the disease and have all the facts about the Ebola virus, in terms of its nature, character and mode of transmission; the signs and symptoms; and the available treatment modalities.
“This is necessary so they can have a heightened index of suspicion, especially since they may have first contact with patients when they come in for treatment.”
Enabulele noted that it was particularly important for health workers to adhere to safety precautions, like the use of protective hand gloves, facemasks and other protective clothing as well as regular hand washing.
He advised hospital owners to decontaminate their workplace and sterilise medical equipment as soon as they are used to prevent infections.
Also, a cardiothoracic surgeon at the Obafemi Awolowo University, Dr. Akin Ogunrombi, said it was essential that health workers be continuously sensitised and every patient be treated as a potential Ebola-infected patient.
He said, “All the precautions, like hand gloving, wearing of masks, and other personal protective equipment, unfortunately, are not available. We need to use the basic things that we have, like washing our hands often and even wearing the white coat.”


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40 per cent of Nigerians are hypertensive – Experts

Experts have raised the alarm that more Nigerians are living with hypertension, diabetes and heart diseases. They note particularly that the prevalence of hypertension has jumped from 11 per cent in 1997 to 40 per cent in 2013 in Nigeria.
The medics identified high salt content in Nigerian foods, increasing rate of obesity among children and adults and sedentary living as factors responsible for the increase in the population of Nigerians living with high blood pressure.
The physicians, who spoke at the seventh edition of the cardiovascular summit titled, “Managing High Risk Cardiovascular Patients Anchored on Evidenced- Based Guidelines”, also called on the government to implement a national salt reduction policy.
At the summit organised by Pfizer Nigeria and East African Region in Lagos, they also examined a World Cardiology study conducted in Oyo, Katsina, Kwara and Enugu states, which shows that high blood pressure is a condition Nigerians should worry about.
The study estimates that the prevalence of people living with hypertension is “about 27 per cent in Katsina, 36.6 per cent in Ilorin, 20.8 per cent in Ibadan rural, 46.6 per cent in Enugu rural.”
Emeritus Professor of Medicine at the University of Ibadan, Oyo State, Oladipo Akinkugbe, said that unmanaged and undetected hypertension or high blood pressure was the major reason why more Nigerians were suffering and dying of stroke, heart disease and chronic kidney failure.
He attributed the increasing population of hypertensive patients to the high salt content in local foods in the country.
According to him, research has shown that salt increases the blood pressure in blacks, especially those living in Africa.
Akinkugbe said, “Salt (sodium) is essential for our bodies. Normally the kidneys control the level of salt. If there is much salt, the kidneys pass it into urine. But when our salt intake levels through foods are very high, the kidneys cannot keep up and the salt ends up in our bloodstream. Salt attracts water. When there is much salt, it draws more water into the blood. More water increases the volume of blood, which raises blood pressure.
“Research has proved that salt intake is a reason why many Africans have hypertension. Africans are more salt sensitive than their white counterparts are. This means that Africans are prone to the consequences of salt even when they eat the same food. The situation is worse today because the lifestyle and diet of the average Nigerian has changed. We eat more processed foods than ever, yet we are the ones suffering from the diseases they cause because of our genes. Why don’t we have a national salt-focused reduction therapy policy?”
For Associate Professor of Medicine, College of Medicine, University of Lagos, Dr. Amam Nbakwem, Nigerians suffer from the effects of high blood pressure due to ignorance.
According to her, more than 60 per cent of Nigerians, who are hypertensive, do not know they have high blood pressure.
The cardiologist said, “Many with heart diseases do not know that they have high blood pressure till their hearts start failing.
“Nigerians wait for symptoms before they go for check up, which is deadly. For instance, if you have high blood pressure and you don’t know, by the time you are feeling dizzy or weak or breathless in the morning, some organs, such as the kidney and the liver, may have been damaged.”
Calling for more sensitisation, she noted that the campaign would make more Nigerians to take routine medical screening on high blood pressure more seriously.
She added, “We are not just worried that the number of hypertensive patients is going up. We are more worried that Nigerians do not know how to manage it. The statistics has been going up in the last 15 years, yet there is no special plan to check it. High blood pressure is fatal to the heart, kidney and brain when left unmanaged.”
But as Akinkugbe and Nbakwem hold these views, the Country Manager, Pfizer East African Region, Carl Engleman, looks beyond Nigeria and Africa in his assessment of the situation. According to him, a recent survey shows that heart and cardiovascular diseases are the leading causes of death in the world.
In Engleman’s thinking, death rates are higher generally in developing countries, including Nigeria due to the late detection of cases and other risk factors such as high cholesterol, high blood pressure and smoking; diabetes, obesity and sedentary living.
But like Akinkugbe, Engleman urged the government to come up with a national policy on management of non-communicable diseases, such as hypertension, diabetes and stroke.
Engleman argued that the policy would give a correct statistics of the population of Nigerians affected and ensure that the government policies on prevention, treatment and management has better impact on Nigerians.
Meanwhile, Akinkugbe said individuals diagnosed with high blood pressure needed to be religious in the use of their medication, as failure to do so, may lead to other complications like diabetes and stroke.
He added, “I have patients diagnosed with high blood pressure 30 years ago that are still alive. Their cases have been manageable because they have been faithful in taking their drugs and engaging in other routine exercises. Hypertension is not a death sentence; it only kills when you don’t know you have it.


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FIFA investigating Vorm transfer

FIFA have confirmed it is investigating the transfer of Netherlands goalkeeper Michel Vorm from Swansea to Tottenham after a formal complaint from his first club Utrecht, according to Sky Sports.
The Eredivisie side claimed they were due a 30% sell-on fee but Swansea sources say it was a free transfer and the Dutch club are not due any money.
A FIFA spokesperson said, “We can confirm that we’ve received a complaint from the club FC Utrecht against the club Swansea City in connection with the transfer of the player Michel Vorm.
“At this stage we cannot make any further comment.”
Vorm came on as a 93rd-minute replacement in the third-placed World Cup play-off for the Netherlands in their 3-0 win over hosts Brazil.
The 30-year-old moved to the Liberty Stadium in July 2009 for £1.5million before signing a fresh deal at the club in September 2012 to take him up to the summer of 2016.
However, Spurs secured his signature, and that of Swans team-mate Ben Davies, last month.
Davies signed a five-year contract at White Hart Lane, while Vorm signed a four-year agreement. Iceland midfielder Gylfi Sigurdsson moved to south Wales as part of the deals.
Swansea previously said Vorm’s transfer did not break any rules.
“The transfer of Michel Vorm was conducted and concluded correctly under Premier League rules,” a Swansea spokesman said.
“It was approved by the Premier League and also FIFA via their TMS (Transfer Matching) system.
“While we have been in contact with Utrecht as a matter of courtesy, we will continue to conduct our business in the best interest of our football club and our supporters, and not based on the views of other clubs.
“Unlike some countries abroad, we do not have third party ownership of players in Britain. The club will not be commenting further on this matter.”

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Chelsea relieved after Drogba scan

Chelsea are feeling relieved after scans on Didier Drogba’s injured ankle showed no significant damage.
The Ivoirian striker was seen limping off the pitch in Budapest on Sunday during a friendly against Ferencvaros, after twisting his ankle just before the half-hour mark.
And while some reports sparked concerns over the nature and gravity of the injury, it has been confirmed that Drogba should be resuming training towards the end of the week.
However, he is out of Chelsea’s last pre-season friendly against Real Sociedad at Stamford Bridge this Tuesday, while his participation in the Blues’ Premier League opener against Burnley on Monday is still in doubt.


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Trabzonspor close on Toure

Turkish club Trabzonspor insist they are confident of finalising a deal for Liverpool defender Kolo Toure.
The club had previously failed with an approach for Toure earlier in the summer, with the player unsure about the move.
But now after talks with club boss Brendan Rodgers, it appears that Toure is now warming to the idea and Trabzonspor’s president Ibrahim Haciosmanoglu claims a deal is close to beind done.
“We have agreed terms with Kolo Toure and we will bring him to the club,” he told Hurriyet.
Liverpool are ready to let Toure – who joined last summer on a free transfer from Manchester City, penning a two-year deal – leave the club, having bolstered their defensive options in recent weeks with the signing of Dejan Lovren from Southampton.
Ambitious Trabzonspor are hoping 33-year-old Toure will be joined by Turkey international striker Mevlut Erding, and they are locked in talks with Saint-Etienne over his signature.

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Robbery pays more than our JOB, say suspects...(PUNCHng)

Two suspected armed robbers, Sikiru Oyebamiji and Afeez Salami, arrested by the Lagos State Police Command, said robbing people was more profitable than their legal job.
The duo was arrested in the Mushin area of Lagos and also found with a locally-made pistol.
They were nabbed by the Special Anti-Robbery Squad on Friday, July 31, around 12.30am when they were allegedly heading for an operation.

It was further gathered that the duo had taken a cab from Oshodi, and the vehicle had got to a checkpoint around Mushin where SARS operatives asked the occupants to alight.
The suspects were said to have ordered the driver to evade the policemen, threatening to shoot him if he refused.
But the operatives arrested the suspects and recovered the pistol from them.
After their arrest, the suspects confessed that they were nine in the gang. They also told the police that there were two other locally-made guns belonging to the gang.
The suspects told PUNCH Metro that they had taken to robbery because their respective jobs were not lucrative enough.
Twenty-four-year-old Oyebamiji who hails from Apomu Ikire, Osun State, said he was a cobbler and bus conductor before he joined the gang.
He said, “I was formerly a bus conductor, and a cobbler, before joining the gang. I sold Indian hemp too. I met the gang leader at a night club, and he advised me to be a part of them. We are actually nine in the gang. In most of the operations, we stole phones, gold, laptops, jewellery, and money. I did not like robbery, but I had no option because my work did not give me enough money.”
Oyebamiji, who lives on Lawanson Road, Itire, added that he had gone for about five operations with the gang, and made at least N20,000 from each.
He said, “I have gone out with the gang on about five occasions. We robbed in Sango, Ogun State; Egbeda, Ojuelegba and Pleasure Ile Epo areas in Lagos. We collected money and property in the process. I used the money from armed robbery to send my son to school. I realised about N20,000 from each operation.”
The second suspect, 21-year-old Salami also said he took to robbery because his work was not lucrative.
He said, “I was living in the Ojuelegba area, and I was a meat seller (butcher). But, meat selling was not bringing me much money. So, I joined the gang. We make use of three guns, but the two other guns are with the boss. I realised about N15,000 from each robbery operation. I am actually an orphan. Nobody was taking care of me.”

WHO approves experimental drugs as Ebola death toll tops 1,000


The World Health Organization authorized the use of experimental drugs in the fight against Ebola on Tuesday as the death toll topped 1,000 and a Spanish priest became the first European to succumb to the latest outbreak of the virus.

 The declaration by the UN's health agency came after a US company that makes an experimental serum said it had sent all its available supplies to hard-hit west Africa.

 "In the particular circumstances of this outbreak, and provided certain conditions are met... it is ethical to offer unproven interventions with as yet unknown efficacy and adverse effects," the WHO said in a statement following a teleconference between medical experts.
The current outbreak, described as the worst since Ebola was first discovered four decades ago, has now killed 1,013 people since early this year, the WHO said.
Cases have so far been limited to Guinea, Liberia, Sierra Leone and Nigeria, all in west Africa where ill-equipped and fragile health systems are struggling to cope.

 Monrovia said it had requested samples of an experimental drug, ZMapp, that has shown some positive effects on two US aid workers but failed to save the Spanish priest.

 Supplies would be brought in by a representative of the US government later this week, the Liberian government said.
There is currently no available cure or vaccine for Ebola, which the WHO has declared a global public health emergency, and the use of experimental drugs has stoked an ethical debate.
- Early phase -
Despite promising results for the ZMapp treatment, made by private US company Mapp Bio pharmaceutical, it is still in an early phase of development and had only been tested previously on monkeys.
ZMapp is in very short supply, but its use on the Western aid workers evacuated to the United States last week triggered controversy and demands that it be made available in Africa.
Mapp said it had sent all its available supplies to West Africa.


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