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Bleeding After Intercourse May be Sign of Cervical Cancer— Prof. Adewole

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Prof. Isaac Adewole, a former minister of health, Nigeria, says many people are unaware that contact bleeding especially during bleeding or just after sexual intercourse can be early sign of cervical cancer.

Adewole,  Co-Founder, African Cancer Coalition, told in Lagos on Thursday in  a telephone interview that  cervical cancer was preventable and treatable , if presented and diagnosed early.

According to the World Health Organisation (WHO) cervical cancer is still the second  most common cancer among women in Nigeria and the fourth most common cancer among women globally.

It is the most common among women ages 15-44 years,  claiming 7,900 women’s lives each year from the 12,000 cases reported in Nigeria.

Adewole said: “The challenge in Nigeria, just like the challenge in Africa and many developing countries, is that a lot of people are largely unaware of the situation with cervical cancer.

“Therefore, when they present to the hospitals, they present largely in advanced stage, for quite a number of reasons

“One, they are not aware of the symptoms of early stages which include contact bleeding especially during bleeding or just after sexual intercourse.

“What most women with such incidents usually do is to stay away from their men believing that the bleeding was caused by the man.

“They probably thought it was due to trauma, and some form of injury. And interestingly, when they do that, they bleeding will stop but the disease will continue to progress.

“So, by the time they will have a resurgence of the disease in terms of symptoms, the disease will be far advanced.’’

Adewole, a Professor at University of Ibadan and Northwestern University, said: “So, you have these women moving from one care giver to the other and healing homes to another.

“By the time they finally present at the final destination, maybe a Teaching Hospital, or a  private facility manned by a Specialist, the disease would be advanced, and at that stage, it is beyond cure.’’

The former minister of health said about 80 per cent of cases of cervical cancer presented were  in advanced stages,  and that many healthcare practitioners also missed  some of these early signs/stages of cervical cancer.

Adewole told that the  trajectory of late presentations could be moved to either no presentation at all or early presentation.

He said that according to the WHO, symptoms of early-stage cervical cancer might include: “Irregular blood spotting or light bleeding between periods in women of reproductive age.

“Postmenopausal spotting or bleeding, bleeding after sexual intercourse; and increased vaginal discharge, sometimes foul smelling.’’

On the causes of cervical cancer, the WHO says, two Human Papilloma Virus (HPV) types (16 and 18) were responsible for nearly 50 per cent of high grade cervical pre-cancers

HPV is mainly transmitted through sexual contact and most people were infected with HPV shortly after the onset of sexual activity.

No fewer than 90 per cent of them cleared the infection eventually and Cervical cancer could be cured if diagnosed at an early stage and treated promptly.

Proffering some solutions, Adewole said a new research on the efficacy of a one-dose HPV vaccine regimen was among several of the factors that could prevent and bring the world closer to eliminating cervical cancer.

He urged increased sensitisation on the disease by governments and stakeholders.

He encouraged that HPV  vaccine  be given to young girls   from ages nine to  14  to prevent them from having the cancer.

He also advised women with symptoms to present early at health facilities for diagnosis.

NAN reports that Adewole is among the 12 leading health experts from around the world moving the powerful call to action in the fight against cervical cancer through The Global Declaration to Eliminate Cervical Cancer.

The declaration was formally launched at the World Health Assembly in Geneva on May 22, 2023,  with signatures from more than 1200 global health leaders and advocates representing over 100 countries.

Top among them included  former Prime Minister of New Zealand Jacinda Ardern, CEO of Amref Health Africa, Githinji Gitahi; President of the International Federation of Obstetrics and Gynecology (FIGO) Jeanne Conry, and President-elect of the International Pediatric Association Naveen Thacker. (NAN)

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Health

No pending Lassa Fever Cases in kaduna—–Official

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Kaduna State Primary Health Development Agency, (KPHDA) says there is no pending cases of Lassa fever in the state.

Director of public health, Ibrahim Hamza-Ikara, told the News Agency of Nigeria on Wednesday in Kaduna, that the state has not recorded any Lassa fever cases for the past few weeks.

He added that all suspected cases have been discharged from the hospitals.

“We have not recorded any Lassa fever cases for the past few weeks and all the remaining eight patients have been discharged.

He said the state would  continue it’s sensitisation programme on how best to improve hygiene practices to residents.

The News Agency of Nigeria recalls  that on February 23, the state recorded four deaths of Lassa fever and three on admission from the 44  Nigerian Army Reference hospital in the state.

Others infected were identified and being closely monitored.

He urged residents to maintain proper food and environmental hygiene and immediately report any suspected cases of Lassa fever to the nearest health facility for prompt attention. (NAN)

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BNSG Signs MoU With Shanghai Haitian hospital, Sinoki System for Training Activities  

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From Attah Ede Makurdi 

The Benue State Government, on Monday , singed Memorandums of understandings (MOUs) with the Shanghai Haitian Hospital, to facilitate academic and clinical interchange between Benue State University Teaching Hospital, Makurdi.

The partnership  according to the MoU, is in the areas of joint studies, training activities, and other educational exchanges of mutual interest.

The government has also entered into partnership with Sinoki System Limited, for the establishment of a Hybrid Solar Panel Factory in Benue State.

Signing the two Memorandums of understandings (MOUs) at the Old Banquet Hall of the Benue State Government House, Makurdi on Monday, Governor Hyacinth Alia said he was excited and optimistic that the partnerships would open many more doors of investments in the State, adding that his administration is willing to welcome more investors into the state.

He described the partnership with the Shanghai Haitian Hospital as an exciting one, saying his administration is determined to improve the overall health sector in the state, thereby discouraging the trend of health tourism to other countries.

“I am quite excited because our administration’s focus is to improve the health sector in the state that will be capable of increasing the lifespan of our people. The Benue State University Teaching Hospital as a partner in this is going to benefit from this collaboration, and it is our hope to discourage our people going overseas on medical tourism. There is nothing wrong in translating the finances spent elsewhere into our system.

“The partnership with the Shanghai Haitian Hospital will open more doors, especially as we also have Tertiary healthcare systems here in the state. Where we inherited total collapse of the healthcare system, we need to put all machinery in place to ensure that beginning from the primary to our tertiary health institutions, there are improvements.”

On the partnership with Sinoki System Company for the establishment of a Hybrid Solar Panel Factory in Benue State, the governor described it as a quick fix to the epileptic power challenge faced in the state, explaining that for every business to thrive, there must be some stability in electricity and he is excited about the partnership.  

“The partnership is going to be a plus to the State. The business partnership will bring about the establishment of Hybrid Solar Panel Company in Benue State, through a Private Partnership agreement between the Benue State Government and Sinoki System Limited. We are excited about this because it will open more investment doors in the state.

“As I have mentioned at some other forums, we are a state that is open for business, and we are welcoming investors into our state to come and do business.

“The establishment of the Hybrid solar panel company in the state has come at a time when the electricity situation has been epileptic. But for business to thrive, we definitely need some stability of electricity. This is one quick fix to the anxiety and I am very excited about it,” the governor explained.

He called for more investors to take advantage of the many untapped investment opportunities in the state, promising that government on its part will continue to create the enabling environment for businesses to thrive in the state.

Earlier in his address, the Special Adviser to the Governor on International Investment, Hon. Alex Adingi, while introducing the investors, said the investors have expressed their desire to partner with the state government in the two areas of health and energy for the overall good of the state, been the reason they have come to sign the partnership agreement.

A statement by chief press secretary to Governor Alia, sir Tersoo Kula said William Wang, a Director with the Shanghai Haitian Hospital, represented the Hospital while Liu Hai Ding, represented Sinoki System Limited.

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Health

Lassa Fever: NCDC Registers 1 Death, 15 New Cases in 1 Week

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The Nigeria Centre for Disease Control and Prevention (NCDC) has reported one death and confirmed 15 new cases of lassa fever within one week across the country.

The NCDC said this in a situation report for week 13 published on its website on Friday.

Reports says that lassa fever is an acute viral hemorrhagic illness transmitted to humans through contact with food or household items contaminated by infected rodents or contaminated persons.

Its symptoms include fever, headache, sore throat, general body weakness, cough, nausea, vomiting, diarrhoea, muscle pains, chest pain, and, in severe cases, unexplainable bleeding from ears, eyes, nose, mouth and other body openings.

The NCDC noted a decrease in the number of confirmed cases from 25 cases in week 12 to 15 cases in the reporting week, although the number of suspected cases increased compared to the same period in 2023.

Cumulatively, from week one to 13, the country recorded 806 confirmed cases and 150 deaths, with a case fatality rate (CFR) of 18.6 per cent, higher than the CFR for the same period in 2023 (17.5 per cent).

“Twenty-five states have recorded at least one confirmed case across 125 local government areas in 2024.

“Sixty-two per cent of all confirmed cases were recorded from Ondo, Edo, and Bauchi, with Ondo State accounting for 24 per cent, Edo 22 per cent, and Bauchi 16 per cent,” it said.

According to the report, no health worker was infected in the reporting week, and individuals between the ages of 31 and 40 were predominantly affected by the infection.

The NCDC said the National Lassa Fever Multi-partner, Multi-sectoral Incident Management System had been activated to coordinate response at all levels at the Emergency Operations Centre (EOC).

The NCDC highlighted some challenges in the fight against lassa fever, including the late presentation of cases leading to increased CFR and poor health-seeking behaviour.

It attributed the latter to the high cost of treatment and clinical management of lassa fever, as well as poor environmental sanitation and awareness in high-burden communities. (NAN)

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