Health
Nigerians Prone to Mental Illness due to hardship – Expert
Prof. James Obindo, President, Association of Psychiatrists in Nigeria (APN), has said that Nigerians are prone to mental illnesses, due to the visible hardships in the country.
Obindo said this in an interview with newsmen on Sunday in Abuja.
The APN president spoke while giving an insight on the country’s constitutional amendment, particularly as it affects punitive measures for attempted suicide, Correctional Service Bill and advocacy for passage of the Mental Health and substance Bill in the country.
Mental health management became more critical globally within the last two years, largely due to the Coronavirus pandemic, which impacted negatively on the world’s socio-economic and governance order.
But in Nigeria, the pandemic made it more complicated, owing to what many experts described as consistent neglect of the mental healthcare sub-sector by successive administrations in the country.
For instance, even before the outbreak of the pandemic, statistics from the World Health Organisation (WHO) had indicated that, one in every four Nigerians, an average of 50 million people, were suffering from mental illness.
Obindo stressed that about 60 per cent of Nigerians had been documented to have significant mental illness.
According to him, the development is made worse, as there are less mental health workers such as psychiatrists, psychiatric nurses, psychologists and others, in the country, to treat and manage patients.
The president noted that more than half of the number of mental health workers had been attracted to foreign countries.
“We don’t have enough mental health workers in the country and even the few that we have are all being attracted out of the country.
“We have less than 300 psychiatrists. The prescribed number is such that we should have nothing less than 1 to about 10,000 individuals.
“But what we have is 0.4 to about 10,000 individuals, four psychiatrists to 1 million Nigerians. The psychiatrist, psychiatric nurse, psychologist, social worker, as well as the occupational therapist, work as a team. Psychiatric hospitals are also few,” he lamented.
Obindo noted that in addition to the current scarcity of fuel across the country, economic hardship, coupled with the level of insecurity, may likely inflict mental illness to more Nigerians.
“In the last few years, Nigerians have had to deal with issues like kidnapping, attacks and socio-economic downturns among others, and the recent fuel scarcity, forcing an individual to stay on queue for more than three hours to buy fuel even at exorbitant prices, is a major stressor for Nigerians, as stress is a major predisposing factor to mental illness.
“If one’s well-being is affected, such that an individual is not able to realise his potential or finds it difficult to work effectively or contribute to the society and be able to overcome normal stresses of life, then the person cannot be said to be mentally healthy.
“If you look at this and you compare it with what goes on in other climes, you will discover that we have a greater predisposition to developing mental illness,” he explained.
The President urged the government to decriminalise attempted suicide, adding that instead of punishing people who attempt to take their lives, they should be sent for medical attention.
“This bill talks about how to have a humane and globally accepted way of taking care of those who are mentally ill. What should be done is how the government is meant to fund and see to the wellbeing of those who are mentally ill.
“One of the other areas that need to be looked at is the criminal act CAP 237, which criminalises those who attempt to take their lives and that needs to be removed immediately. Those who attempt to take their lives are jailed one year.
“Are we punishing them for being ill, or for the socio-economic problems in the country? No, we shouldn’t. What should be done is that they should be referred for medical attention, a psychiatric assessment.
“Even Ghana and Kenya have decriminalised suicide attempts. We are pleading with the good people of the country and all stakeholders to rise up and see that the ill among us are properly and humanely attended to,” he noted.
He also urged government to speedily pass the mental health bill to protect the right of mentally ill persons in the society, to be treated humanely and with care.
“The Lunacy Act looks at those who are mentally ill as being aggressive, nuisance and someone that needs to be kept in an asylum, away from the community.
“Rather than taking care of those that are mentally ill, the law tends to protect the community against them. Therefore, we felt that that law needed a review.
“As we talk now, the mental health bill has been passed by both the Senate and House of Representatives and has been harmonised and is now before the President for his assent. This has been between 2020 and early 2021,” he said.
Obindo added that about 90 per cent of those who attempted to take their lives are known to have psychiatric problems.
He noted that out of the figure, 80 per cent are as a result of depression. Others he said, are because of the socio-economic conditions in the country. (NAN)
Health
Psychiatrists Demand Decriminalization of Attempted Suicide
By Ubong Ukpong, Abuja
Association of Psychiatrists in Nigeria (APN) President, Prof. Taiwo James Obindo, has asked for the decriminalization of attempted suicide in the country.
He made the call at a stakeholders meeting organized by the House of Representatives Committee on Specialty Healthcare on the need to prioritize and implement the Mental Health Act.
Obindo said the establishment of the National Counselling Centers all over the country in an attempt to address mental health was like putting the cart before the horse, because suicide attempt was still a criminal offense in both the Criminal Act and the Penal Code.
“Hence the first step would be a move to decriminalize attempted suicide.
Criminalizing attempted Suicide has proven to be a major barrier for suicide prevention intervention service uptake.“The archaic law, inherited from our Colonial masters, in an attempt to stop the act of suicide did not address the thoughts and social determinants of Suicide. Significant evidence showed that 90% of those who take their lives through suicide had a background history of Mental Health Conditions; out of which 80% are attributable to Depression due to various bio-psycho-social aetiologies.
“Why do we, as a Nation, then punish individuals who are ill and need medical attention rather than prosecution? It will shock you to know that Nigeria, the giant of Africa, is lagging behind as quite a number of our neighbouring nations have abrogated that law.
“Establishing a Counselling center, without abrogating this archaic law would put, even the counselors at risk because the law also prescribes penalties for those who are aware of the plan but did not report,” he said.
The psychiatrists Association President called for the implementation of the Mental Health Act, which he said was a product of legislation that went through rigorous processes by the legislature, assented to by the President of the Federal Republic of Nigeria in 2022, and has been gazetted as a law in the Country.
This, he said, would address the “many years of neglect of this important aspect of our nationhood.”
Obindo said a requirement for the effective implementation of the Act was the establishment of a Mental Health Services Department in the Federal Ministry of Health.
“It will shock you to hear that, more than a year later, the department is yet to be established. Most of, if not all, the items in your plan are meant to be supervised by this department in obedience to the rule of law! Hence, the establishment of the department is germane to the success of all your plans,” he said.
He said the Association of Psychiatrists in Nigeria was an umbrella body of all Psychiatrists in the Country and other allied Practitioners.
He said they have been at the forefront of campaigns and advocacy for global best practices.
He lauded the Committee for the initiative, saying when well-implemented, would positively impact the hitherto neglected Mental Health, persons affected by Mental Health Conditions, and Mental Health Practitioners.
Chairman of the Committee on Special Healthcare, Dr Alex Egbona, said all stakeholders must partner to address mental health challenges and other related health cases.
The lawmaker said the committee was created to provide the requisite legislative frameworks for improved healthcare delivery in Nigeria.
He said the session was a collaborative initiative of the committee to share its mandate and planned activities with identified relevant institutions and organisations.
“I, therefore, solicit the support and partnership of all stakeholders, our development partners, international NGOs, and CSOs, you are all urged to take interest in building the capacity of the committee members and staff to enhance the efficacy of the committee.
“Consider our five thematic areas of Mental Health, Trauma and Obstetrics Fistula, Oral Health and ENT, Blood Transfusion, Blood and Management, Traditional Complementary and Alternative Medicine and engage the committee for maximum impact,” he said.
Health
WHO Expresses Concern over Monkey Pox Outbreak in DRC
25,318 suspected cases of monkey pox, including 1,204 deaths, have been reported in the Democratic Republic of the Congo (DRC) since the declaration of monkey pox outbreak in December 2022.
The World Health Organisation (WHO) said on Tuesday.
According to the latest report, the outbreak, which was declared by the DRC Health Ministry on Dec.
16, 2022, was prompted by a notable surge in cases and fatalities associated with monkey pox as well as a fast spread to non-endemic provinces.Since the beginning of 2024, a total of 5,133 suspected cases, including 321 deaths, have been reported, according to the WHO report. It warns that the current situation of the outbreak in the DRC is of “grave concern” due to the sustained increase in suspected cases compared to previous years.
It added that with a significant burden in younger populations, particularly children under 15 years of age, who constitute the majority of both suspected cases and deaths.
In April 2024, a high-level emergency regional meeting on monkey pox in Africa was convened in DRC capital Kinshasa, gathering 12 health ministers of regional countries, aiming to develop common strategies to prevent and intervene effectively in the face of monkey pox in Africa.
“We must prevent the DRC from becoming the source of cross-border transmission, and our partnership must prioritise the health of those affected,’’ said Jean Kaseya, the director general of the African Centers for Disease Control and Prevention (Africa CDC) at the meeting.
“Over the years, monkey pox has become a real public health problem for our communities in the DRC, a regional threat and ultimately a global problem.
“We must now mobilise to resolve this crisis,” said Roger Kamba, DRC minister of public health, hygiene and prevention, said at the meeting.
Monkey pox, first detected in laboratory monkeys in 1958, is assumed to be transmitted from wild animals such as rodents to people or from human to human (Xinhua/NAN)
Health
WHO Warns of ‘Bloodbath’ as Rafah Offensive Looms
The World Health Organisation (WHO) has warned of dire consequences if Israel goes ahead with an impending military operation in Rafah.
The planned push into the southern border city of Rafah would lead to “a bloodbath,” the organization wrote on X, formerly twitter on Saturday
The WHO said that more than 1.
2 million people were currently sheltering in the area, many unable to move anywhere else.“A new wave of displacement would exacerbate overcrowding, further limiting access to food, water, health and sanitation services, leading to increased disease outbreaks, worsening levels of hunger, and additional loss of lives.
”According to the WHO, only 33 per cent of Gaza’s 36 hospitals and 30 per cent of primary health care Centre’s were functional in some capacity amid repeated attacks and shortages of vital medical supplies, fuel, and staff.
WHO calls for an immediate and lasting ceasefire and the removal of the obstacles to the delivery of urgent humanitarian assistance into and across Gaza, at the scale that is required.
Israeli Prime Minister, Benjamin Netanyahu is determined to launch an offensive in Rafah to eliminate the remaining strongholds of Hamas.
The organisation said that although Israel’s allies have repeatedly urged caution, as a large majority of the approximately 2.2 million inhabitants of the Gaza Strip have fled to the south during the war. (dpa/NAN)