Let’s #RollBack, #Beat, #End Malaria: It’s World #Malaria Day.

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According to the World Malaria Report, since year 2000,

💉 6 countries have eliminated malaria;

💉 12 countries have attained zero malaria status;

💉 More than 40 countries have fewer than 10,000 cases.

🌍 Essentially half the world is now malaria-free. In the other half of our world, thousands, mainly children are being killed by Malaria.

Indeed, the perennial, age-long war against Malaria is at a cross road, are we #ReadyToBeatMalaria?

LET’S HIT THE NAIL ON THE HEAD.

Mosquitoes transmit malaria parasites. If they don’t bite us, 99.99% of malaria cases will be averted in human population. If humans no longer have the parasite, mosquitoes won’t get re-infected. So, malaria transmission in urban and semi-urban communities will be completely interrupted and eradicated.

Notably, mosquitoes do not just transmit ONLY Malaria parasites, in case you are thinking malaria can easily be cured with medications.

Most of the mosquitoes in urban and semi-urban areas are NOT Anopheles. Many are culex and Aedes mosquitoes, etc.

These mosquitoes transmit very dangerous viruses and worms that are not easily amenable to simple medications. Like Yellow Fever, Dengue Fever, Lymphatic Filariasis [commonly called Elephantiasis], etc

Besides worries about Malaria, we all need to do ourselves some favour, PREVENT YOUR CHILDREN AND YOURSELF from mosquito bites.

You can make your environment & home mosqiuito free. It takes collective effort to rid our homes and neighbourhood of open, stale water sources.

Intermittent fumigation from time to time will destroy both larva and adult mosquitoes in the vegetations, water bodies and hidden corners.

Interestingly, this week doubles as the world immunization week. So, attempt to check the immunization records of your children and yourself.

YELLOW FEVER has a vaccine that works. Walk into a health centre nearby to get vaccinated if your records of past vaccination is in doubt.

Generally, to save your life and that of your loved ones, ensure you test every episode of persisting FEVER before assuming it is just Malaria.

Fever can be due to many other diseases transmitted by the same mosquitoes. And for most of them, early diagnosis and prompt treatment is the surest guarantee of survival, full recovery or minimal complications.

If it is Malaria, using an artemisinin-based combination drugs from a reliable source is important. ACTs, as the medications are called has the added advantage of killing the forms of the malaria parasite that mosquito picks up when they bite. Thereby, disrupting the transmission cycle. Most other antimalaria do not have these effect.

In summary, where ever you see “Mr, Ms. or Mrs Mosquitoes”, don’t be kind, “shoot at sight” for the kill. Those guys are not known to hold any positive value, healthwise.

It’s 25th April, the World Malaria Day. To mark the day & at every other day through the year, we should all freely share this info with everyone on our platforms.

The question i was asked:

Any suggestions with regards to the “shoot and kill” strategy? Some children may react to certain insecticides, like Baygon. Are there safer brands in the market that you could suggest? Also, can frequency of falling ill due to malaria affect a child’s ability to learn? Please, share your candid responses@Dr Abraham.

My Response:

😃 lol. @ #ShootAndKill Strategy

“The shoot to kill at sight strategy” against mosquitoes is a mnemonic that implies USING ALL NECESSARY MEANS.

However, safety of measures used is paramount to avoid self poisoning and envrionmental hazards.

In that wise, using chemical measures should be your last option. All efforts should focus on physically preventing the survival of mosquitoes in your home & environment.

DO NOT, i repeat, DO NOT attempt to procure, store and use, dangerous industrial chemicals because you want to kill mosquitoes.

Risk of self poisoning is very high.

When environmental chemical use becomes inevitable, call fumigation experts to do it. They come with their chemicals, use them safely and go with any remnant.

Please, ensure you observe more than the recommended timeframe to stay away from a recently fumigated premises. It depends on the chemicals used.

Safe physical measures include, never allowing physical collection of OPEN water in your home & neighborhood, including flower ports. If you store water, keep them in airtight, sealed containers.

LET THE DRAINAGES FLOW. FLUSH THEM REGULARLY. Apply an oil film over any body of open water that you cannot eliminate, from time to time.

CUT THE VEGETATION AROUND YOU, if any.

Fix appropriate nets in your doors & windows. There are insecticide treated nets, procure that if you can find them. Otherwise, properly fitted regular insect-nets would do.

Wear well-covering clothes when outdoor if your environment is insects infested. Long sleeves, trousers and stockings might be the barrier to save your child & yourself from that nasty insect bite that begins your journey to developing malaria.

It is not about whether it is day or night, the mosquitoes that transmit urban yellow fever, Dengue and Elephantiasis bite during the day. Wear protective clothings when outdoors.

Not only children, adults react to several insecticides. I find many insecticides highly repugnant, myself. Hence, i am not a fan of insecticides and other chemical measures. They should be reserved for when all other measures fail.

I will not attempt to recommend any specifically #safe brand of insecticide. Not because i don’t want to endorse any brand but, that you can not tell which one a person will react to until he/she is exposed to it. They are all toxic, no matter how sweet smelling the perfume added is. Sometimes, it is not the active ingredient that is the problem but, its concentration, addictives, duration after spray before re-entry house, direct spray on the child’s clothing, toys or bed, etc.

So, the best recommendations for parents is never use any type that you have reacted to. If you reacted to it, your child will likely do.

Do not spray the insecticides directly on clothing or solid objects where it might stick for longer, it is meant to be sprayed into the air. If it is powder, it is meant to be used in corners that are inaccessible to children. Infact, don’t use insecticide powders if you have little children.

Generally, the rule of thumb is to spray your home when you are going away for #hours. Ignore that 15-30minutes instructions. Give it hours, when you are back, the smell should be out, and lesser risk of reaction.

NB: There are insecticide-treated paints, which you can use on your house. They are safe and effective for years. If you can afford them, search your local sources and order.

Certainly, frequent Malaria affects a child’s neuro-development, cognition and ability to learn.

It is one reason #Malaria remain one of the biggest problem of the African child. It accounts for significant gaps in the cognitive performance of the African child relative to those in Malaria free zones of the world. I will spear you the details.

With chances of an effective vaccine still some time away, your newborn and growing child depends majorly on you, the parent particularly the mother to survive Malaria in the first few months to years of life.

That brings to bear the broad importance of #Breastfeeding to a child’s protection from many diseases, neuro-development and cognitive performance.

Your child do not have any prior immunity to many diseases including malaria, and are unable to protect him or herself. Breastfeeding was one way African mothers helped their children survive the endemic disease through the generations. Today, as recommended, exclusive breastfeeding for the first 4-6months, and continuation with complementary feeds for up to 2years, is one effective way of boosting your child’s ability to fight Malaria, other diseases, and grow optimally.

Do not forget other measures already discussed above.

Most importantly, if your child has a persisting #fever, don’t ignore, don’t self-medicate, visit your nearby health facility to test for what is causing that fever. Yes, i know it could be annoying to frequently visit hospitals but, it is a lot wiser, cheaper and better than “i wish i had presented earlier”.

Let’s #fight, #RollBack, #Beat and #End Malaria, in our lifetime.

#ReadyToBeatMalaria, #WorldMalariaDay,
#EndMalaria, #HealthForAll

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Medicine’s Secret Shame unveiled..!

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On Friday, 6th February 2015, Oncologist & Fulbright scholar, Ranjana Srivastava, took to theGuardian.com to xray a perennial cankerworm tucked neatly into the bright white coats or scrubs of men and women saddled with the responsibility to restore the health of billions in our world.

Here is the link to the original article titled:

How doctors treat doctors may be medicine’s secret shame.

It was a noteful flashlight into a problem that particularly bedevil the profession in Nigeria, like every other nation. I’m yet to decipher the logic that upholding ‘unhealthy rivarly or outright oppression of one another’ rather than ‘mutual respect’ is a better way to entrench the age-long traditions of the noble trade of medical practive. In terms of improving prospects or promoting the collective public image and mental wellbeing, I’m not sure that approach is working.

For me, the following excerpts were insightful from theguardian article by Ranjana Srivastava & I share thus:

“…Absolutely. The medical profession as a whole abounds with fragile egos and deep vulnerabilities..”

“Research, here and abroad, points to increasing levels of anxiety, depression and burnout among doctors. We traditionally invoke factors such as long hours, demanding patients and unending bureaucracy as the cause but perhaps it is worth asking what role do we play in harming each other, however unintentionally…” The patients suffer inevitably thereby.

May we all find grace to be true brethren rather than competitors in our selfless efforts to save lives, one at a time among billions across the globe..!!

And for a way forward,

We can all use some of the advise in the video clip below: “Protect your creative genius” by Jamie Katuna

Russia and the West: Where did it all go wrong? -BBC News

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Russia and the West: Where did it all go wrong? – http://www.bbc.co.uk/news/world-middle-east-37658286

Now more than ever after the disintegration of the USSR, the aggressive reappearance of the Vladimir Putin led Russia Federation in the international scene is raising more germaine questions than answers, fast unsettling the global community that was already at home with the unipolar world order and definitely igniting migraine in the heads of NATO leaders, the US led Western Alliance.

The above publication by BBC NEWS did some justice to the subject that you may find worthy of your inquisitive mind. So, click http://www.bbc.co.uk/news/world-middle-east-37658286  , read and drop your take, remarks and comments right here.

Preventing Colon, Prostate & Liver Cancers: Tips for Everyone!!

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Cancer is one of the most critical health issue confronting 21st century populations. This lecture will describe to you the best practices for colon, prostate and liver cancer prevention in primary healthcare practice that anyone can understand and learn from.

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So, download this cancer prevention lecture, learn all you can, practice everything and share the information. Together, we shall win the war against cancer in our lifetimes!!

FMoH Guidelines for Young Persons’ Participation in Research and Accessing Sexual and Reproductive Health Services in Nigeria (2014).

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If you do research in Nigeria involving children and adolescent or you provide sexual and reproductive health (SRH) services to young persons within Nigeria then, you must have been faced with the challenge of finding legal and regulatory framework to guide your work. Today, you need not look or worry any further as the Federal Ministry of Health has a consultative report document that can guide your work. Click FMoH Guidelines for Young Persons Participation in Research & Accessing SRH Services in Nigeria 2014  for your copy.

According to Dr. Khaliru Alhassan, the Hon. Minister of State for Health and Supervising Minister of Health, in his foreword to the document, he said that “..Sexual and Reproductive Health (SRH) consequences disproportionately affect children, adolescents, and young persons. They account largely for morbidity and mortality in these groups in many African countries including Nigeria and have slowed down or reversed the gains of the child survival efforts of the last decade. The need to mainstream children and adolescents in national reproductive health programmes has become even more significant because children profoundly depend on adults for participation in research and access to SRH services that affect their survival and development.

As part of efforts of the Federal Government of Nigeria, to strengthen SRH interventions across the country the need for the Federal Ministry of Health to develop a guidance document to address gaps currently inhibiting participation of children in SRH research and their access to services has become pertinent. This document is designed out of the need to provide guidance in determining the age at which children, adolescents and young persons can give consent for SRH research and access to services without parental consent and in addition, establish standards of practice with regards to management of confidentiality for SRH research and service provision in the best interest of the child. Also some ethical considerations become necessary when engaging children with special conditions in SRH research and service provision.

The Federal Government of Nigeria expects that all health professionals and organizations in the country involved with engaging children, adolescents and young persons in SRH research and their access to services will uphold the standards prescribed in this guidance document. This document is expected to be implemented along with the National Health Research Ethics Council and eventually adopted as a policy document…”

Document source: http://www.nhvmas-ng.org/website/pubcontent.php?pubid=21

#SRH #ASRH #Research #Children #Adolescent #Nigeria #FMOH #PopulationCouncil #Health

#Xenophobia & #Racism in Contemporary Times: a peep into the African dynamics

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For me, it is absolute NO to #Xenophobia or more correctly #Racism, wherever it is happening globally including Northern Nigeria where southerners and sometimes, selectively christian-southerners are considered and treated as foreigners in their own country even by the host state governments. They are usually killed at will for flimsy reasons or no reason at all except for the fact that they are strangers in those communities or share a religious perspective different from the persecutors. Of course, similar incidences do occur down south in Nigeria but, much less violent or fatal.

Though humans of all skin colour or faith are guilty of these acts, it is a long made conclusion that the trend between blacks to blacks is seemingly much worse, least reported and absolutely senseless. Friends have always stirred at me whenever I dared to remind them that black people are actually the worst racist in contemporary times if objectively anaylsed. You may call it tribalism, ethnic rivalry or religious war or any other suitable term.

In the simplest explanation, more often than not, whites are racist because they feel superior and wants all others to come under their control but, blacks do theirs for a deep sense of envy, hatred and endemic inferiority complex. An average black man tolerates people of other tribe as long as they are poorer, suffering and less productive but, trouble starts when a non indigenous group are seen to be progressive, contributing to society progress and getting less dependent. Elsewhere, some white populations are known to prefer such crop of foreigners whom they will rather encourage to stay so they can exploit their productive abilities to build their societies.

This is not to excuse the cruelty of white racist and the unfathomable crimes they commit but, I hope that the resurging incidences of racism across the globe from SA to USA to Northern Nigeria will awaken our instinct to rethink and reform how we see or treat each and every other human being we interact with. #Racism or #Xenophobia is an assault on our collective humanity. All arsenals must be deployed to stamped it out. I am Abraham Idokoko and I #saynotoXenophobia..!!!

Click here for more… http://www.theweek.co.uk/63378/south-african-xenophobia-why-is-there-so-much-hatred-of-foreigners?fb_action_ids=10152968785168759&fb_action_types=og.shares&fb_source=other_multiline&action_object_map=%5B818313884913105%5D&action_type_map=%5B%22og.shares%22%5D&action_ref_map=%5B%5D

Equality, Inequality and Equity in Perspectives!

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It suffices to assert that God Almighty is the author of “inequality” in the natural order of life. Hence, He made fingers unequal. You don’t need to agree with the statement but you will concur to the following premise.

At the same time, God Almighty established “equity” which makes none of the unequal fingers suffer any deprivation in blood supply or innervation as a result of their positioning, size or limited contribution to functionality of the hand.

More ingeniously, God made it such that the thumb must cooperate with the other four fingers in order for anyone to achieve any meaningful functional use of the hand despite the fact that the thumb is as powerful as the other four fingers put together.

Without further ado, I suppose the foregoing analogy places another huge nail to the coffin of the sensational but dead-on-arrival propaganda of human equality in contemporary times as opposed to the timeless need to resurrect the evidently logical preeminence of equity and functional cooperation as the panacea for sustainable peacebuilding and development in all human society.

In other words, “Equality of humans does not exist except or perhaps in the matchless view of the Most High God. Hence, the pursuit of equity is the soul and sole means of achieving justice and harmony among humans” ..by Abraham Idokoko ©Wíseåb thoughts 2013/11/10.5:33pm.library.unilag!

Life is a #War: you are meant to #Win.

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Let’s be frank, the #RealWorld is NOT a #playground, it hasn’t been at any time in #history.

It is NO #game field either. Life is real-time #war, and the principles of fairplay #seldom apply. In otherwords, the order of life is fundamentally unfair to those who do NOT win. Life ONLY recognises those who fought and won, and keep winning. Life takes no #valid excuses for giving up.

Everyone is #fighting. #Doctors are fighting against #diseases. #Lawyers fight against #injustice. #Teachers are fighting against #ignorance. Literally, every significant human derives value on a battle to fight one thing or the other. You aren’t any different. You need to arise and fight. #Depression happens when you lose the will to fight.

The will to fight, compete for and win the things, issues and cause you value is the fundamental rationale behind your natural desire to stay alive, in spite of all that may have happened to you in times past. If you lose the will to fight, you will begin to die slowly, and depression sets in. So, it is crucial that you keep and put on your fighting kits, step up to the ring, don’t remove your gloves, be on the table, and hope to win.

The innate drive to fight is at the core of the instinct to stay alive. Never lose that. And if you happen not to have won a battle yesterday, look forward to fighting harder and differently the next day, the war isn’t over, life as a war continues until you give up. Review your strategies, see to the rules of engagement, and strike again, and again, and again, until you win.

Apparently, playing by the rules seem to be rhetorics in practice, meant to be discussed before and after but not during the war, by the #umpires and #spectators. Sadly, in reality, those who worry about the rules while the game is on-going do not score goals.

Successful people focus on deploying winning strategies, and leave the referee, fans & spectators to do the talking. It is NOT your job to catch rule evaders on the frontlines, it is your duty to fight & win, first and foremost. Mind you, whoever [I believe it is God] created the world made it so, not me, not you.

Hhhmmm, does that mean anything goes? No rules?? Not quite. What is true is: the soldier actively fighting and making advancement reduces his survival/winning chances if he choses to discuss the rules at the raging warfront. That is for the review board meeting. Be altruistic all you want but, fearlessly sustained winning is the common denominator of effective living.

Make no mistake, each and everyday of Life is a new battle. You were designed to win but, not without a #Fight. There is NO option B to fighting if surviving or winning is your goal. #Selah.

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#Wìseåb.

Image credit: @fearlessmotivationofficial.

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