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99% cervical cancer linked to common virus transmitted during sex — WHO

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By Matthew Denis

The World Health Organization (WHO) Regional Director for Africa, Dr. Matshidiso Rebecca Moeti has disclosed that almost all 99 percent of cervical cancer is linked to the common virus, human papilloma virus (HPV),  that is transmitted during sex.

The Regional Director made the disclosure in a statement made available to Nigerian NewsDirect in Abuja, while stating that the month of January, 2024 is slated for cervical cancer awareness month.

She said, “January is cervical cancer awareness month and the WHO African Region joins other WHO regions in marking this month to promote the three key messages of this year’s campaign: be informed; get screened; and get vaccinated.

“It is critical that young women in particular know about the link between cervical cancer and the human papilloma virus (HPV).

“Almost all (99 percent) of cervical cancer is linked to this common virus that is transmitted during sex. Second, getting screened knowing about this link with a common viral infection means that it is now easier to screen women for the disease.

“And third, get vaccinated – this disease can be prevented by vaccinating young women, thus preventing HPV infection. Cervical cancer awareness requires us to empower women with knowledge, at school, by clinic staff, and from women who are living with the disease. Understanding the link between the disease and HPV will encourage screening, and HPV vaccination among young women.”

According to her in 2020, in the WHO African Region, 100,000 women developed cervical cancer “and approximately 70,000 of these women died – this is 21 percent of the cervical cancer mortality globally. Cervical cancer disproportionately affects some of our most vulnerable communities.”

Dr. Moeti revealed that the high rates of cervical cancer in Africa region show that there are major gaps in knowledge, awareness of the disease, and access to screening.

“We also need urgently to ensure that the HPV vaccine reaches all our young women between the ages of 9 to 14 years. This requires us to focus on our immediate needs in order to address these gaps.

“How are we, in the WHO African Region, tackling this unacceptable burden of disease? First, as a region, we have a specific public health framework, launched in 2021, aimed at accelerating the elimination of cervical cancer as a public health problem in Africa. This framework contains concrete actions that can be taken to reach the following targets: 90 percent of girls are fully vaccinated with HPV vaccine by 15 years of age; 70 percent of women are screened using a high-performance test by 35 years of age and again by 45 years of age; and 90 percent of women with pre-cancer are treated, and 90 percent of women with more advanced cancer are managed.

 

“We also need to be aware that women living with HIV have increased susceptibility to HPV infection and so an increased risk of cervical cancer. While this is a particular challenge in the African Region, with our high levels of HIV infection, this is also an opportunity.

“We can use our HIV screening and treatment services as another opportunity to raise awareness of cervical cancer, and offer screening and vaccination to women attending HIV services. We are making good progress in this area, by integrating cervical cancer screening and treatment services into HIV programmes noting  that in Zambia they started this initiative in 2018. Around 235,000 women living with HIV were screened from November 2020 to October 2021. Between 2022 and 2023, there was an increase of 30 percent in cervical cancer screening rates among women living with HIV,” she said.

The Director emphasised that HIV services are not the only programmes into which cervical cancer screening and treatment services can be integrated.

She stressed that HPV vaccination – a game-changer in the drive to eliminate cervical cancer, not only in our region, but also globally they  are making major progress in this area.

“Twenty-seven countries in our region have started HPV vaccination, making it part of routine vaccination in young women. Another move towards accelerating the introduction of the life-saving HPV vaccine, is towards using only one dose – shown to be highly effective, and which means that young women are less likely to drop out of the vaccine schedule.

“Already, 4 countries have adopted the single dose vaccine. The region overall, is scaling up and increasing HPV vaccine coverage in the target populations, which is highly encouraging.

“I would urge all countries in the region to actively engage in awareness campaigns, promote screening and encourage HPV vaccination among their young women,” she said.

The Director summoned, “As we start 2024, let’s keep cervical cancer high on our agenda. My message is clear: first, cervical cancer can be prevented and it can be cured. Everyone needs to be aware of the disease, what causes it and how it can be prevented. Second, there is no one intervention that will achieve this – we need to harness a range of techniques and approaches.

“Third, the WHO Regional Office for Africa will continue to work with our countries and a range of partners and stakeholders to accelerate action against cervical cancer and ensure that no woman in Africa needs to be diagnosed with this devastating disease.”

Health

KDSG trains 180 Red Cross volunteers on Lassa Fever intervention

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The Kaduna State Ministry of Health has begun a three-day training for 180 Red Cross volunteers on Lassa fever intervention.

The training, which is facilitated by the ministry and funded by the Red Cross, is meant to equip the volunteers selected from 5 LGAs in the state with necessary skills.

The volunteers were drawn from Zaria, Igabi, Kaduna South, Kaduna North and Chikun Divisions.

The State Epidemiologist, Dr Jeremiah Dikwu, said the volunteers were trained with  the knowledge needed to massively intervene during cases of Lassa fever in the state.

He said that the intervention would include Risk Communication and Active Case Search, Psychological First Aid, Rodent Control and Hygiene Promotion for the next 3 months.

Dikwu said the training started  with 30 volunteers on surveillance and would end with the training of 150 volunteers on Risk Communication and Community Engagement .

According to him, Lassa fever is a viral hemorrhagic fever transmitted by rats.

He added that Lassa fever  has been known since the 1950s, but the virus was not identified until 1969, when two missionary nurses died from it in the town of Lassa in Nigeria.

Dikwu added that Lassa fever was caused by a single stranded RNA virus and disseminated systemic primary viral infection.

“The main feature of fatal illness is impaired or delayed cellular immunity leading to fulminant viraemia,” he said

The epidemiologist said that Lassa fever presented  symptoms and signs indistinguishable from those of febrile illnesses such as malaria and other viral hemorrhagic fevers such as Ebola.

“It is difficult to diagnose clinically but should be suspected in patients with fever (e”38°C) not responding adequately to antimalarial and antibiotic drugs.

“The most useful clinical predictors of Lassa fever are fever, pharyngitis, retrosternal pain, and proteinuria for diagnosis; and fever, sore throat, and vomiting for outcome,” Dikwu said.

He said that Ribavirin and general support were needed.

“Ribavirin is almost twice as effective when given intravenously as when taken orally, and if given within six days of the start of illness it may reduce deaths by 90 percent.

“Dehydration, oedema, hypotension, and poor renal function are common; fluid replacement or the use of blood transfusion requires careful monitoring,” he said.

 Dikwu said the volunteers would  be carrying out Risk communication and Community engagement, Active Case Search, Psychological First Aid, Rodent Control and Hygiene Promotion

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Health

Assembly passes Kano Pre-Marital Health Screening Bill

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Kano State House of Assembly has passed a bill for a law to compel intending couples to undergo HIV, hepatitis and sickle cell anaemia screening before marriage.

The passage followed deliberations in the Committee of the Whole House during plenary session,
presided over by the Speaker, Ismail Falgore on Monday in Kano.

After deliberations, the lawmakers approved the 3rd reading of the bill, read by the Deputy Clerk, Alhaji Nasiru Magaji.

Shortly after passage of the bill, the Majority Leader of the house, Lawan Hussein (NNPP-Dala), stated that “any person
intending to marry shall first submit self for medical examinations.”

He said the bill was considered and passed after the 3rd reading, following various legislative processes.

The leader further said that the bill was passed because the state had been battling with different health issues, including
HIV because people go into marriages without medical screening.

He said that the bill, if signed into law, would save many lives and curb the spread of life-threatening diseases.

“The bill will safeguard the health of citizens by institutionalising pre-marital testing to check the spread of diseases
like hepatitis, HIV and sickle cell anaemia,” he added.

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WHO to begin vaccination against Human Papilloma Virus May 27 in Kogi

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The World Health Organisation (WHO), says it plans to commence vaccination against Human Papilloma Virus (HPV) on May 27 in Kogi.

The state’s Team Lead of WHO, Dr Muktar Toyosi, said this when he led his team on an advocacy visit to the State Council of the Nigeria Union of Journalists (NUJ) on Wednesday in Lokoja.

Toyosi said that the vaccination was meant for girl child of between the age nine and 14.

He said the ongoing sensitisation was to keep the people informed, and educate them on the vaccination of their children to protect them against cervical cancer in future.

”Kogi falls within the second phase of the programme. We are soliciting for the cooperation of the media in educating the people of the state on the HPV vaccination.

“There need for girls child across the state to take the vaccination to safeguard their future.

“Although the vaccine was initially scarce and difficult to get, the good news now is that it has been made available by the government,” Toyosi said.

Also speaking, the State Technical Assistant for WHO, Dr Ahmed Attah, said that the HPV mostly affect women, adding that the vaccination remained a preventive measure against the disease.

Attah, a former state Chairman of the Nigeria Medical Association (NMA) and a former Chief Medical Director (CMD), Kogi Specialist Hospital (KSSH) Lokoja, urged parents and guardians to avail their children of the vaccination to justify government’s investment.

In his response, the Kogi NUJ Chairman, Mr Seidu Ademu, described the health sector as very critical, stressing that the vaccination was a right step in the right direction.

Ademu promised a robust partnership with WHO to enable the team to achieve its set goals.
He stressed the need to inform, educate and sensitise the general public on the need to embrace the vaccine by ensuring that girls within the age range were vaccinated.

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