Health
Why HIV Positive Mothers Can Breastfeed Babies for 12 Months Only – Ewa
By Laide Akinboade, Abuja
Stakeholders in the health sector have explained why Human Immunodeficiency Virus (HIV), positive mothers can only breast feed their babies for 12months in order not to pass the virus to their baby.
An expert, Dr. Atana Ewa stated this while fielding questions from journalists on managing children and adolescents living with HIV, recently, she said before an HIV positive mother can breastfeed her baby, she must be on antiretroviral drugs and must know her viral load.
She stressed that, in order to prevent mother to child transmission, a mother cannot breast feed the child more than 12 months,
“A breast feeding mother who is HIV positive must know her viral load and must be taking her anti-retroviral drugs.
“And no matter how much she loves breast feeding and the baby, she must stop at 12 months, exclusive breast feeding for 6months and she continues but not beyond 12 months.
“The longer you breastfeed, the more you are increasing the chance of passing the virus. Even though she is on ART, let not do it too long, nobody knows the level of which infection can or can’t occur”.
She said HIV antibody testing in children at 18 month old can provide definitive diagnosis for children that are with known or unknown exposure to HIV.
“You need to speak lovingly to the children and you need to access health facility that can do HIV testing, then you move from there.
“The good news is that there are drugs and these drugs increase the rate of survival , what the drug target is to reduce the viral loads and increase the survival rates for these children. Until we have a cure, we need to encourage the people in our community,” she stated.
Ewa lamented the secrecy of Parents hiding their HIV status from their children or parents hiding their children for years because of their HIV positive status, “it is sensitization, just keep talking and talking, teach people how to disclose their status, partners should learn how to disclose to partner, Parents should disclose to their children, yes there are lots of guilt feelings about HIV, status.
“The message is that, stop hiding, people are hiding their status from their children for years, many health facilities do HIV testing.
“Whenever a child have malaria or thereabout repeatedly also do HIV test in order to detect it early. And if the child test positive, offer the treatment immediately. We counsel the parents too,” she stressed.
Assistant Director, National Prevention of Mother-To-Child Transmission (PMTCT) Lead at the National AIDs & STIs Control Programme (NASCP), Federal Ministry of Health (FMoH), Dr. Olugbenga Ijaodola, decries the fact that only 24% of pregnant women have access to anti natal care.
He decried the fact that 59 per cent of pregnant women in the country deliver at home, which mean the much needed HIV/AIDs preventive services will not be accessed by them.
He said it is imperative that government encourage women to use health facilities to be able to test for HIV status on these women.
He said 2 out of 10 pregnant women who use health facilities tested positive for HIV in Nigeria and about 1.7 tested positive after retesting. Nigeria was able to have 45% ANC coverage in 2020 but the Federal Government is targeting 95% in a few years.
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)