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Dealing with mental illness stigma

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By Ibiyemi Shindara

I can already guess that when you saw the topic for this article, the first picture that came to your mind is the picture of a mentally ill person (persons most of us call mad) on a street wrapped up in dirt with a makeshift drum and microphone.

However, this is why this article is being written, to enlighten you on what mental illness is and how to treat people with mental illness. Truth be told, there are a large chunk of Nigerians roaming freely and going to their various destinations on a daily basis but they don’t know that they have a mental illness. I can imagine that if they all got to find out, they will most probably treat people who are also dealing with it better or worse, they act hypocritical and pretend to ignore its existence.

The World Health Organization (WHO) estimates that a whopping 20 percent of Nigerians, or around 40 million people, are affected by mental illness.

In the same vein, a survey of over 5,000 Nigerians conducted in 2020 revealed that many Nigerians only perceive a person as having a mental health disorder when disruptive behavior attracts public attention. This stigma is also evident in romantic relationships, with most Nigerians, especially females, unwilling to engage in relationships with people living with mental health disorders. Respondents were also of the view that mental health diseases can be prevented if people stop taking hard drugs and are prayerful. Many believe that a mental health disorder is a curse from God or punishment for the victim’s wrongdoing.

The reason is because mental health is not a topic that is often talked about in a place like NIGERIA. I mean, imagine the law saying if you are caught attempting suicide, you are going to be jailed. Make it make sense to me. Not saying suicide is an option and I am not also judging you for thinking of suicide. If you are looking for someone who actually thinks of suicide most of the time, na me be this, it accompanies the illness I am battling with.

Back to my point, they don’t need to be jailed for God’s sake! Take them to a hospital and get them treated. Why do you think we have mentally ill people roaming on the streets? It just doesn’t make sense. When I see this people roaming on the street, I see myself in them. Not so fun fact: my diagnosis started with severe depressive disorder and PSYCHOSIS. Yes, psychosis but proper treatment made me better. Because in all honesty, if they had started treatment earlier it wouldn’t have gotten to the stage of loosing total control. But it’s not too late for them to get the necessary help that they need.

All I am saying is we have emotions too. And yes, there is something called MENTAL ILLNESS! It deals with a an abnormality brain! Okay?

I can’t even begin to talk about the sleepless nights, weakness, screaming, being stabilized with injections, scars on my laps from cutting myself, overdosing on drugs and a whole lot more.

I also posted a video recently of me dancing and jumping giving vibes and that might make mental illness seem easy to deal with. However, I might be smiling on the outside, but deep within I am hurting so bad. I have experienced depression so I definitely know what I am talking about. You see, that’s one of the problems we face as mental health warriors.

Recently, I got admitted to the hospital 28th of September and got discharged 9th of October. Most mental health warriors won’t tell you all this because it requires a lot of strength and courage to be vulnerable considering the fact that some people will call us “attention seekers.”

But I have made that decision to put myself out there. Yes, it might seem like you know everything about me but trust me you don’t.

As humans, we must do better in treating each other with grace and respect. You don’t have to downplay what someone else is feeling because there are yet to be any physical manifestations as with illness such as malaria or ulcer. For this introductory article, the focus on dealing with mental illness stigma is YOU reading this. Here are 5 things you should never presume about a person dealing with mental illness:

  1. They are attention seekers

No, we are not attention seekers. Being vulnerable about your struggles takes a lot of courage and the moment a warrior chooses to do that; instead of labeling them; why not show empathy?

  1. They are responsible for the illness

It’s debilitating enough that they subconsciously self-stigmatize themselves; you shouldn’t add to that. Like I explained earlier, mental illness can be a combination of various factors like genetic, alteration in brain chemistry, environmental factors and so much. It is such a broad concept and the warriors shouldn’t be judged for experiencing something they didn’t ask for.

  1. Never assume that an individual with a mental illness cannot function normally in the society

There are millions of people out there with mental illness are are holding high positions in their respective fields. Mental illness doesn’t mean mediocrity or inability to function. Personally, as a mental health warrior, I have never allowed my illness stop me from pursuing my goals and dream just like I am doing right now. With proper personalized treatment, an individual can cope effectively.

  1. The healing process differs 

We are all humans beings with different interests right? Same thing works in the mental health world. Coping mechanism for person A might not be the same for person B. So don’t assume because you met person A with a mental illness and he/she is doing really well in academics doesn’t mean it would be the same with Person B. In therapy, a personalized treatment plan is developed to help each individual cope with their triggers and stressors in the best way they can utilizing their various strengths.

  1. They would always be in pain

Mental illness is not marked by a constant period of elongated “suffering” or pain. NO. We also have joy, peace and happiness regardless of our struggles. Proper Treatment is a very important factor in the healing process of every mental health warrior because you get to learn that battling a mental illness doesn’t mean the end of the world for you.

With the above, I hope I have been able to adopt you as an advocate for mental illness. Join me next week as we explore the topic of depression as prominent mental illness.

For my mental health warriors; both diagnosed and undiagnosed. I will always end all of my articles this way;

I love you and I am rooting for you on your healing journey.

Ibiyemi Shindara is a mental health advocate. She can be reached on Instagram: ibiyemi_shindara or via email [email protected]

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Health

FG bans use of foreign syringes, needles in tertiary hospitals 

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The Federal Government has mandated all Chief Medical Directors (CMDs) and Medical Directors (MDs) of Federal Tertiary Hospitals to procure needles and syringes solely from NAFDAC-approved local manufacturers.

The new directive is contained in a circular addressed to all CMDs and MDs signed by the Minister of State for Health, Dr Tunji Alausa, on Friday.

The minister said that the directive was aimed at boosting domestic production and shielding the country’s manufacturing sector from the influx of foreign goods.

The circular also mandated NAFDAC to stop issuing licences for the importation of foreign manufactured needles and syringes.

Alausa said the health sector had dentified local pharmaceutical industries that produce needles and syringes that were in serious trouble because of the practice.

He also said that out of the nine local pharmaceutical companies that produced needles and syringes eight years ago, six have folded up due to the dumping of largely substandard goods into the market.

“Mr President has directed that this must stop. We all agreed to take the necessary steps to immediately remedy this sad situation.

“Pursuant to this, NAFDAC has been mandated to stop issuing licences for the importation of foreign manufactured needles and syringes.

“It is also to de-list companies involved in the importation of these products going forward,” he said.

Alausa said ”all our tertiary hospitals are hereby directed to procure needles and syringes for your hospital needs from only the NAFDAC-approved local manufacturers listed below are listed either directly or through any of their vendors.

“EL-Salmat Pharmaceuticals Company Ltd Block, Brand Name: Salmaject, HMA Medical Ltd., with brand Name: Deleject and Afrimedical Manufacturing and Supplies Ltd.”

He also listed some of the distributors of the listed companies in some states of the Federation for easy access to assist in making the procurement process easier in the various institutions.

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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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