Tag: Cervical

  • Nigeria’s Unhealthy Healthcare In Eye Of Coronavirus By Runcie C.W. Chidebe

    Nigeria’s Unhealthy Healthcare In Eye Of Coronavirus By Runcie C.W. Chidebe

    Nigeria’s Unhealthy Healthcare In Eye Of Coronavirus By Runcie C.W. Chidebe 1

    Nigeria’s Unhealthy Healthcare In Eye Of Coronavirus By Runcie C.W. Chidebe 2


    Coronavirus (COVID-19) is right here to show us a lesson; I hope we be taught. Nigeria’s healthcare is unhealthy. But as an alternative of fixing it our rulers have been busy flying up and down to profit from different nation’s productive well being system. With Coronavirus, actuality is upon us. No extra operating abroad for medical trip. Our rulers can’t journey to the United Kingdom, United States of America or India anymore for medical care. These nations are additionally hanging on their final breath, battling to outlive the COVID-19 pandemic. 

    In 2017, President Muhammadu Buhari spent 103 days in London receiving medical therapy for an undisclosed sickness, spending taxpayers’ cash as an alternative of investing within the nation’s healthcare. Thousands of Nigerians died in the identical interval from totally different sicknesses. More than 3,000 girls died of breast most cancers, greater than 2,000 girls died of cervical most cancers and greater than 1,500 males died of prostate most cancers, in line with World Health Organization (WHO) figures on annual most cancers mortality.  

    I had hoped that on his return to Nigeria, President Buhari would declare a state of emergency within the nation’s well being sector. Painfully, nothing of such occurred. Nigeria’s funds allocation to healthcare has remained lower than 5% of the whole funds for the previous 5 years. Simply put, in 2020 the federal authorities budgeted N2,000 (£4.2) for every Nigerian with a complete of N427.Three billion as funds allocation to the well being sector whereas the United Kingdom budgeted £2,159.6 for every citizen with a complete well being funds of £143.4billion. It is similar dismal story within the states throughout Nigeria. Healthcare isn’t a precedence. In some states in Nigeria, a hospital is a 20-minute boat journey and an hour-long automobile journey. Because many poor Nigerians don’t personal boats, a girl in labour may bleed to loss of life earlier than she reaches the hospital.

    On March 22, 2018, Bill Gates, founding father of Microsoft and the Bill & Melinda Gates Foundation, criticized Nigerian authorities’s poor funding of healthcare within the nation. In his phrases, “One in three children is chronically malnourished.” This tragedy has large implications for the economic system. According to the World Bank, addressing the stunting disaster in Nigeria would add virtually $30 billion to Nigeria’s GDP. It is painful that regardless of Mr. Gates assertion, nothing has modified. Nigeria has remained one of many nations on this planet with the worst healthcare system with over 60 deaths per 1000 stay births. Nigeria has one of many worst most cancers survival charges on this planet, with solely 2 to three most cancers radiotherapy machines working at any time and fewer than 70 oncologists for a inhabitants of over 200 million. 

    COVID-19 is exposing the insensitivity of our leaders to issues that matter most to us. That Nigerians are disobeying the federal government’s security recommendation on COVID-19 is a transparent reflection of residents’ distrust for his or her leaders. Many Nigerians belief their non secular leaders greater than they belief our political leaders. Successive governments have failed the nation, and it doesn’t appear like factor will change anytime quickly. 

    Nigeria is a rustic the place our rulers make legal guidelines as we speak and break the identical legal guidelines tomorrow. The Nigeria Centre for Diseases Control (NCDC) adopted the World Health Organization (WHO) guideline and strongly inspired all Nigerians coming from sure nations to self-isolate and monitor themselves, as a method to comprise or to delay the unfold of COVID-19. The president’s Chief of Staff, Abba Kyari, returned from Germany and as an alternative of isolating himself he was leaping from one state to a different, attending occasions and conferences with totally different folks, breaching the federal government’s personal advice and inserting the lives of different Nigerians in danger! 

    Now that COVID-19 is in Nigeria we have to face it with all that we’ve. But can we? The Nigeria Centre for Disease Control (NCDC) is now the nation’s solely perceived hope. Many Nigerians have been calling NCDC scorching traces, criticizing NCDC for not testing sufficient folks. But we must always face the music and never the dancer. NCDC is crippled and never effectively outfitted to guard Nigerians from the illness. 

    In 2016, NCDC budgeted N3.7m for its recurrent and N248m for capital allocations. That is a complete of N251.7m. Out of this, solely N155m was launched to the centre. In the identical 12 months, 1,166 Nigerians died of Cerebrospinal Meningitis. In 2017, the NCDC had a funds of N1.5b. Only N782m was launched. In the identical 12 months, greater than 120 Nigerians contracted Monkeypox and 7 folks died from the illness. That identical 12 months, the Presidency budgeted N77m for Aso Rock lease, N1b for journeys and sitting allowances, and N94m for meals. In 2018, the NCDC had a funds of N1.9b. Only N654m was launched. In the identical 12 months, N7.2b was proposed for Presidential Air Fleet. N440m was proposed for necessary improve and set up of stay TV and web service within the presidential aircrafts, N375m for brand spanking new cabin administration, N418m for the touchdown gears. In whole, over N1b was budgeted for the presidential aircrafts which is used for medical tourism and frequent journeys overseas. 

    On November 12, 2018, the NCDC institution invoice was signed by President Muhammadu Buhari, because of the efforts of Senator Mao Ohuabunwa, the then Chair, Senate Committee on Primary Healthcare and Communicable Diseases. On this premise, the NCDC was empowered with a laws for its work in stopping and making ready for outbreaks of infectious illnesses. Interestingly, the NCDC acquired the worst funds in 2019, the 12 months following the passage of the NCDC Act. The Centre had a funds of N1.4b, however solely N224m was launched. In the identical 12 months, over 472 Nigerians have been identified with Lassa fever and over 110 folks died from this viral hemorrhagic fever. Clearly, NCDC can’t carry out magic. They need assistance. Nigeria is grossly under-testing for COVID-19, the laboratories usually are not sufficient, and NCDC and its affiliate businesses wouldn’t have sufficient manpower and sources. 

    Months in the past, being unwell evoked empathy; as we speak being unwell evokes concern. The concern of COVID-19? No! It is the concern of not gaining access to the care that you just want, the concern of absence of ventilators, the concern of a damaged well being system. It is the concern of loss of life. Our political leaders have stolen from the sick by corruption. Many Nigerian governors construct non-functional hospitals of their states. Usually, after the commissioning of those hospitals, all of the CT Scan, Magnetic Resonance Imaging (MRI) and different medical machines—a few of them faux—are returned to the place they have been bought or left to rot. 

    Hospitals in Nigeria are among the worst on this planet. Our educating hospitals at the moment are museums the place lower than 5% of medical trial and analysis is occurring due to poor laboratory. Medical tourism has due to this fact grow to be the norm. Dubai hospitals, Saudi Arabian hospitals, and so on., are promoting in Abuja and Lagos for Nigerian sufferers. They are recruiting Nigerian docs, together with consultants. Nigeria isn’t solely going through “brain drain,” we’re additionally going through “patient drain.” Our docs and nurses work within the worst situations. Hazard allowance for well being staff is about N5,000 whereas wardrobe allowance for members of the National Assembly runs into hundreds of thousands. 

    Now is the time for Nigeria to confront its healthcare disaster. The Nigerian authorities should settle for its failure. Our political leaders should brace as much as their duty and critically replicate on the issue their greed has delivered to Nigeria. This is the time to put money into a result-oriented healthcare system. Health is wealth because the saying goes. healthcare system is the muse of any nation. 

    If we survive COVID-19, we have to contemplate a legislation to limit all public officers from searching for medical care overseas. It could also be perceived as strict, however it can save future generations since we don’t know which pandemic would come subsequent and when. 

    Let’s give each Nigerian an area to stay and a not probability to die. 

    Runcie C.W. Chidebe is Executive Director, Project PINK BLUE. He is at the moment a Commonwealth Scholar on Transforming and Leading in Health Care at Birmingham City University, United Kingdom. He tweets @runciecwc

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  • Cervical cancer elimination initiative updates

    Cervical cancer elimination initiative updates

     

    Banner of the Cervical cancer Elimination newsletter

    February: Garnering international support on the path to eliminate cervical cancer

    On
    5 February, the WHO Executive Board recommended to the 73rd World
    Health Assembly the adoption of the draft Global Strategy to accelerate
    the elimination of
    cervical cancer as a public health problem, and urged its
    implementation. The proposed resolution urges Member States to implement
    the strategy, calling for the support of international organizations
    and other relevant stakeholders, and includes a request
    for the Director General to support Member states in this endeavor.
     The WHA will consider the resolution when it convenes in May 2020.  The
    session included 23 interventions from EB Member States, most of them
    in full support of the Strategy and resolution;
    18 from other Member States, 6 observers and 6 non-state actors. Dr
    Nono Simelela, ADG and Special Adviser to WHO Director-General Dr
    Tedros, responded at the end of the session, thanking delegates for the
    broad support, and addressing some of the comments
    by sharing some of the ongoing work such as the efforts with the
    immunization partners to address HPV vaccine supply challenges and
    transparency in pricing.

    Read the full story

    Read the full draft resolution

    Download the
    Draft Strategy


    Dr Nono Simelela presented the draft Global Strategy towards Eliminating Cervical Cancer as a Public Health Problem during a webinar with partners. This presentation was given as part of
    the Us vs. HPV Prevention Week webinar series hosted by the Global
    Initiative Against HPV and Cervical
    Cancer. While highlighting WHO’s life-course approach to cervical
    cancer control, Dr Simelela also explained the proposed elimination
    threshold and targets as laid out in the strategy. She also discussed
    addressing salient challenges such as redressing inequities
    and taking special considerations for women living with HIV.

    Read the full story

    Listen to the full webinar “Gathering momentum for the global elimination of cervical cancer”

    Watch the video: Cervical Cancer Elimination – developed by Basic Health International (BHI), Union for International Cancer Control (UICC) and the Global Initiative Against HPV and Cervical Cancer (GIAHC)

    Read the story:To eliminate cervical cancer in the next 100 years, implementing an effective strategy is critical


    Dr
    Simelela was invited to Rwanda to support the kick off for a national
    cervical screening program set to put Rwanda on the path towards the
    Global Strategy goals
    for elimination of cervical cancer.

     

    Dr Simelala with the 1st Lady of of the Republic of Rwanda, Mrs. Jeannette Kagame

     

    HPV DNA test self-sampling demonstrated at cervical cancer screening facility, Muhoza Health Center

    Radiotherapy facility at Rwanda Cancer Center, colleagues from MOH, WHO, RBC and CHAI

     

    Amongst
    others, Rwanda’s First Lady Jeannette Kagame received her for a
    discussion on how WHO can support efforts against cervical cancer in her
    own country and
    throughout Africa. Dr Simelela held discussions on cervical cancer
    screening and treatment services, including building radiotherapy
    capacity, with the dedicated staff of Ruhengeri Hospital, Butaro
    Hospital, the Muhoza health center and hospital and the Rwanda
    Military Hospital. While cervical cancer and breast cancer are the most
    prevalent cancers among the women in the country, Rwanda has
    impressively reached a 97% HPV vaccination rate since introducing a
    vaccination programme in 2011, with a target to reach 70%
    screening coverage in five years. We look forward to a continuing and
    fruitful partnership with Rwanda and all the countries who have pledged
    their commitment to eliminate this preventable cancer. Together we can
    answer WHO’s call and improve the lives of
    girls and women around the world. 


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    Cervical cancer elimination initiative updates 3For
    news and real-time updates from around the world,
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    @DrNonoSimelela
    ADG, Special Adviser to the Director-General on Strategic Programmatic Priorities

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  • WHO EB recommends the adoption of the strategy for elimination of cervical cancer

    WHO EB recommends the adoption of the strategy for elimination of cervical cancer

    20200203_WHO_Executive_Board_021

    Co-sponsored by 20 Member States and the EU, the draft resolution for the
    Seventy-Third World Health Assembly (WHA) was presented on 5 February,
    2020, at EB146.

     The proposal followed Executive Board Members’ review of the Director-General’s report.

    The proposed resolution recommends that the World Health Assembly adopt the global
    strategy to accelerate the elimination of cervical cancer as a public
    health problem and its associated goals and targets for the period
    2020–2030.  It also urges Member States to implement the
    strategy, calling for the support of international organizations and
    other relevant stakeholders, and includes a request for the Director
    General to support Member states in this endeavor.   The WHA will
    consider the resolution when it convenes in May 2020.

     

     

     

    WHO EB recommends the adoption of the strategy for elimination of cervical cancer
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  • To eliminate cervical cancer in the next 100 years, implementing an effective strategy is critical

    To eliminate cervical cancer in the next 100 years, implementing an effective strategy is critical

    Vaccination, screening, treatment and palliative care are the key interventions of WHO’s Draft Global Strategy towards the Elimination of Cervical Cancer as a Public Health Problem,
    the fourth most common cancer in women.

    On World Cancer Day, new estimates show that this strategy could save more than 62 million girls and women from a cervical cancer death and prevent 74 million cases within the next 100 years – but only if these interventions are used effectively
    together.

    No single intervention can eliminate cervical cancer

    These estimates, published by the WHO Cervical Cancer Elimination Modelling Consortium (CCEMC) in The Lancet, are based on the draft strategy’s targets to achieve a global coverage of 90% vaccination, 70% screening and 90% treatment by 2030.


    lancet

    Impact of HPV vaccination and cervical screening on cervical cancer elimination: a comparative modelling analysis in 78 low-income and lower-middle-income countries

    Mortality impact of achieving WHO cervical cancer elimination targets: a comparative modelling analysis in 78 low-income and lower-middle-income countries



    Developed by Member States, UN agencies and other partners, the draft global strategy seeks to redress the unequal burden of cervical cancer around the world. Nine in 10 cervical cancer deaths occur in low and lower-middle-income countries, where
    women lack access to health services.

    As Dr Tedros Adhanom Ghebreyesus, WHO’s Director-General has said, “It doesn’t have to be this way. Cervical cancer
    is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively.”

    This new analysis compares the impact of vaccination, screening and treatment of cervical pre-cancer lesions as single or combined interventions. Focusing on 78 countries where cervical cancer mortality is highest, the results clearly show that no
    single intervention will be sufficient to reduce levels of cervical cancer in the next 100 years to below the elimination target of 4 cases per 100,000 women per year.

    Acting immediately on all three fronts is crucial.                                                                                       

    90-70-90: a triple intervention by 2030 and beyond

    Vaccinating girls against cancer-causing types of human papillomavirus (HPV) before the age of 15 is the foundation for bringing every country’s incidence rate of cervical cancer down to the agreed elimination level.

    Right now, however, vaccination is not enough. As a single strategy, vaccination targets would only deliver a 0.1% reduction in cervical cancer mortality by 2030. Scaling up screening and treatment of cervical pre-cancer lesions at the same time would
    reduce mortality by more than one third, or 300,000 deaths, in the same period.

    The evidence shows that when all adult women are screened for cervical cancer at least twice, at ages 35 and 45, abnormalities are more likely to be detected before they become cancerous. When cancer has developed, screening increases a women’s
    likelihood of early and successful treatment, as well as palliative care if recovery is no longer an option.

    Meeting these triple-intervention targets would be a major contribution to target 3.4 of the UN Sustainable Development Goals (SDGs), a one-third reduction in premature mortality from non-communicable diseases by 2030.

    The future of cervical cancer elimination

    WHO’s global strategy towards eliminating cervical cancer aims to set the world on the right track by 2030, but it is just the beginning.

    At this pace, global elimination of cervical cancer is not predicted until 2120.

    While high HPV vaccination coverage is the primary prevention intervention, ensuring every woman has two cervical screenings in her life would accelerate elimination by 11 – 31 years, depending on the country.

    If no action is taken, cervical cancer deaths will rise almost 50% by 2030. Approval of the draft global strategy at the WHO World Health Assembly in 2020, and investment in mechanisms to deliver it, is vital.

    As the new World Cancer Report shows, only 18% of countries that currently provide screening for cervical cancer reached the recommended target of more than 70% coverage. An estimated 55% of low-income countries that reported offering
    cervical cancer screening generally lack accessible radiotherapy or surgery services.

    Elimination of cervical cancer is possible within the lifetime of today’s youngest girls, but the clock starts now and every intervention counts.

     

    To eliminate cervical cancer in the next 100 years, implementing an effective strategy is critical
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  • WHO outlines steps to save 7 million lives from cancer

    WHO outlines steps to save 7 million lives from cancer

    The World Health Organization (WHO) today spells out the need to step up cancer services in low and middle-income countries. WHO warns that, if current trends continue, the world will see a 60% increase in cancer cases over the next two decades. The greatest increase (an estimated 81%) in new cases will occur in low- and middle-income countries, where survival rates are currently lowest.

    This is largely because these countries have had to focus limited health resources on combating infectious diseases and improving maternal and child health, while health services are not equipped to prevent, diagnose and treat cancers. In 2019, more than 90% of high-income countries reported that comprehensive treatment services for cancer were available in the public health system compared to less than 15% of low-income countries.

    “This is a wake-up call to all of us to tackle the unacceptable inequalities between cancer services in rich and poor countries,” says Dr Ren Minghui, Assistant Director-General, Universal Health Coverage/ Communicable and Noncommunicable Diseases, World Health Organization. “If people have access to primary care and referral systems then cancer can be detected early, treated effectively and cured. Cancer should not be a death sentence for anyone, anywhere.”

    Yet, progress in poorer countries is achievable. WHO and the International Agency for Research on Cancer (IARC) are releasing two coordinated reports on World Cancer Day (4 February), in response to government calls for more research into the scope and potential policies and programmes to improve cancer control.

    “At least 7 million lives could be saved over the next decade, by identifying the most appropriate science for each country situation, by basing strong cancer responses on universal health coverage, and by mobilizing different stakeholders to work together”, said Dr Tedros Adhanom Ghebreyesus, Director-General, WHO.

    WHO highlights a wide range of proven interventions to prevent new cancer cases. These include controlling tobacco use (responsible for 25% of cancer deaths), vaccinating against hepatitis B to prevent liver cancer, eliminating cervical cancer by vaccinating against HPV, screening and treatment, implementing high-impact cancer management interventions that bring value for money and ensuring access to palliative care including pain relief.

    “The past 50 years have seen tremendous advances in research on cancer prevention and treatment,” says Dr Elisabete Weiderpass, Director of IARC. “Deaths from cancer have been reduced. High-income countries have adopted prevention, early diagnosis and screening programmes, which together with better treatment, have contributed to an estimated 20% reduction in the probability of premature mortality between 2000 and 2015, but low-income countries only saw a reduction of 5%. We need to see everyone benefitting equally.” The challenge will be for countries to select treatments balancing considerations including cost, feasibility and effectiveness. Each government is tasked with choosing the appropriate innovative cancer therapies, while recognizing that established treatments, many of which are very effective and affordable, can provide benefits for cancer without causing financial hardship.

    Note to editors

    World Health Organization

    Report on Cancer: Setting priorities, investing wisely and providing care for all

    The report aims to set the global agenda on cancer, mobilize stakeholders and help countries set priorities for investing in cancer control and universal health coverage. It introduces the principles, tools and current priority cancer control interventions in the context of the current and future cancer burden and opportunities.

    International Agency for Research on Cancer

    World Cancer Report “Cancer research for cancer prevention”

    The report focuses on prevention and offers the most comprehensive overview of relevant research available to date, ranging from descriptive etiology, cellular and molecular biology, toxicology and pathology through to behavioural and social science. Key chapters include discussions on the impact of inequalities in cancer, vaccination and screening, genomic individual susceptibility to cancer and the finer identification of those at risk, which may allow ‘precision cancer prevention’.

    WHO outlines steps to save 7 million lives from cancer
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  • Cervical Traction: The Best Way to Heal a Sore Neck

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    Traction is a centuries old treatment that has been administered by chiropractors for healing conditions like a sore neck or a sore back. Alternately, traction therapy may be used for decompressing any of the ailing joints.

    Who Can Use Traction Therapy

    Traction may broadly be seen as application of continuous force to stretch the spine. It is also very often used and is highly effective for treatment of musculoskeletal conditions, i.e. injuries that are not externally visible, but involve muscles, ligaments, joints, tendons, nerves, bones or the supporting structures. For muscular disorders, including muscle spasms, dislocation or for fracture, traction therapy can be very useful, and is often applied for arms, legs, back or neck.

    Traction Therapy for Neck related Issues

    In particular, traction therapy can be greatly effective for neck related problems. While neck traction is very often applied to ensure pain relief, there are various mechanisms by which it heals the neck.

    1. When traction is applied on the neck, soft tissues and joints are mobilized in the cervical spine.

    2. Alternately, it relieves pressure from the pinched nerve root by applying decompressive forces,

    3. And also reduces herniations on the spine.

    4. By applying traction, one can align any dislocations in the cervical spine, and this can effectively stabilize an injury in the cervical spine.

    5. And for anyone who has a faulty neck posture, such as the forward head posture, home traction therapy can enable the patient to get the curve in the neck again.

    6. This also works very well for anyone who suffers from conditions like military neck, wherein the curve of the neck is not bent forward, as it should ideally be. When a patient suffers from military neck, the curve of the neck is either straight or bent backwards, and with cervical traction, the patient benefits in the long term. Cervical traction not just ensures pain relief for the patient, but also increases the cervical range of motion, such that the patient can comfortably return to everyday activities.

    If one is able to treat a sore neck at home, it simply speeds up the healing process, and might even suffice in terms of treatment. Home cervical traction is advantageous because while it ensures long term pain relief, it is a non invasive treatment methodology.

    When cervical traction is administered, it relieves neck pain by stretching the soft tissue, or the tissues such as tendons, ligaments and fibrous tissue which surround, connect or support the backbone. This in turn works towards separating the spinal joint structures and ensures pain relief.

    With constant traction, the muscles are fatigued out, and the strain then rests on the joints. So with traction, the joint spaces are widened, and this induces pain relief as pressure on the cervical nerves is reduced.

    Cervical Traction: Is It Painful?

    People often wonder if traction therapy or traction devices in particular are painful. But traction therapy has been in prominence for centuries, and has worked very effectively for healing conditions like a stiff neck.

    Moreover, nowadays one can find some highly refined cervical traction devices which allow the patient to himself control the pressure. These are air inflated devices which work using a hand operated air pump, and allow the patient to adjust the air pressure to suit his needs and comfort levels.

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    Source by Harshad Jethra

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