A consultant neurologist, Dr Agabi Osigwe, has called for more awareness and training on the symptoms of Parkinson’s disease to ensure early and accurate diagnosis to enhance patient’s treatment.
Osigwe, a staff of the Lagos University Teaching Hospital (LUTH), said this in an interview on Tuesday in Lagos.
He made the call in commemoration of the World Parkinson’s Day celebrated annually on April 11 to bring attention to the medical condition.
Parkinson’s disease is a brain disorder that causes unintended or uncontrollable movements, such as shaking, stiffness, and difficulty with balance and coordination.
Osigwe said that people with Parkinson’s experience stigma when there is ignorance about the disease, myths and misconceptions about its cause.
“I have been involved with managing Parkinson’s actively for about 30 years, the challenge has been that many patients move from one place to another before finally getting a correct diagnosis.
“This can be corrected by improving awareness and training so the symptoms are recognised earlier and the patients are referred to a neurologist early,” he said.
Osigwe said access to medication was also a challenge as the drugs are relatively expensive and unaffordable for the majority of the patients.
“We have been particularly privileged at the LUTH Movement Disorders Clinic to have a philanthropic organisation, the Farah Foundation, provide the main drug for treatment (levodopa/carbidopa) for our patients who cannot afford the drug,” he said.
He said that getting around or participating in society where the infrastructure does not accommodate their disability was a challenge to the patients.
“Parkinson’s is a misunderstood disease and lack of awareness makes people with Parkinson’s vulnerable and discriminated against.
“People with Parkinson’s earn less money, have difficulty obtaining and retaining employment despite qualifications and ability. They often have to retire early.
“Due to the symptoms of the disease, many are often mistaken for being intoxicated and in some countries they are thought to be cursed by witches.
“Parkinson’s can mean living in constant pain. They often lose their voice, their confidence, the luxury of sleep and their ability to control their automatic functions, their limbs, and their future,” he said.
To address the challenges of Parkinson’s disease, Osigwe said that a special clinic for Parkinson’s disease and other Movement Disorders was established at LUTH over 10 years ago.
He said through the clinic, they have been able to provide specialist services diagnosing and treating Parkinson’s disease to hundreds of patients.
Osigwe said they have also led the training of doctors, nurses, and physiotherapists in the special requirements for managing Parkinson’s.
Parkinson’s research in the country and in West Africa,” LUTH was participating in several collaborative research studies to contribute to the global effort to find a cure to the disease.
“We are part of a global effort known as the GP2 (Global Parkinson’s Project) leading the search to understand the genetic basis of Parkinson’s disease.
“We have nearly 40 neurologists from across Nigeria within our network known as the Nigeria Parkinson’s disease research network, and are hopefully going to help discover clues that will lead to better treatments for Parkinson’s,” he said.
Osigwe said the institution was also part of the Parkinson Progression Markers Initiative (PPMI) project, funded by the Michael J Fox Foundation for Parkinson’s research in the U.S.
He said that the PPMI study was a huge effort that brought together researchers and participants at about 50 clinical sites across the world.
“Parkinson’s is a progressive disorder and the main focus of the PPMI is to identify signals in people with Parkinson’s (what we call biomarkers) that determine how the disease progresses, as a major step to then developing treatments to slow or even stop progression.
“We are involved in this study as the only Africa site and are open to welcoming people with early Parkinson’s to be a part of the study,” he said.
Osigwe said that the institution was starting the Transforming Parkinson’s Care in Africa (TRAPCAF) study that involved researchers in seven African countries in collaboration with Newcastle University, United Kingdom.
He said that the research was funded by the UK National Institute for Health and Care Research under its Global Health Research Unite initiative.
“We will be conducting prevalence studies to properly document the frequency of Parkinsons in the community, studying the risk factors for Parkinson’s in Africa, and other aspects such as understanding the lived experiences of people with Parkinson’s in Africa to help support them better,” he said.
Osigwe appealed to policy makers to acknowledge the social, economic and cultural impact of Parkinson’s and develop policies to reduce the negative impact on patients.
“As we celebrate World Parkinson’s Day, we urge policy makers to improve the access to essential medicines for Parkinson’s care.
“They should also improve access to health care professionals by expanding training, employment and retention of such health workers,” he said.
He appealed to individuals, the media and social media enthusiasts to learn about Parkinson’s disease and assist promote awareness about the disease.
Nigeria records progress in HIV/AIDS response- Minister
The Federal Government says Nigeria has made huge progress in the HIV/AIDS response and is on the way to ending the disease by 2030.
The Minister of State for Health, Dr Tunji Alausa, disclosed this on Thursday during a media conference to mark the 2023 World AIDS Day.
The theme of the 2023 commemoration is “Let Communities Lead”.
Alausa also unveiled some National HIV/AIDS, Viral Hepatitis and Sexually Transmitted Infections (STIs) policy documents which are meant to strengthen the existing framework for action, in order to reduce the spread of the diseases and manage their impact.
The Documents are National Guidelines for Viral Hepatitis Treatment and Care – 2023, Information, Education and Communication (IEC) materials for Prevention of Mother-To-Child Transmission (PMTCT) demand creation and scale-up-2023.
Others are Standard Operating Procedures (SOPs) for PMTCT scale up, jingles in 10 languages for PMTCT scale-up – 2023 and IEC materials for HIV self-testing scale up – 2022
According to Alausa, the laudable progress in the response to the disease was made in the last two decades towards ending the epidemic by 2030.
“Nigeria with the current HIV treatment coverage above 90 per cent is well on course to meet this goal.
“Currently, Nigeria has 1.6 million People Living with HIV/AIDS (PLHIV) on treatment out of 1.9 million.”
He added that communities contribute to the HIV/AIDS response in numerous ways as their leadership and advocacy ensure that the response remains relevant and grounded, keeping people at the centre and leaving no one behind.
“We cannot achieve lasting progress in our battle against HIV/AIDS without the active involvement of our communities.
“Our communities and community structures are not merely recipients of care; they are champions of change, the catalysts for progress, and the backbone of our collective resilience. “
He also said that tremendous efforts that have been made by successive governments and other stakeholders to control the HIV epidemic by averting new transmission and improving lives cannot be over emphasised.
Alausa said that in November 2020, Nigeria joined a multi-country learning network “the HIV Coverage, Quality, and Impact Network (CQUIN)” under the leadership of the National AIDS and STIs Control Program.
This was with the aim of learning and sharing knowledge to support the coordination and scale- up of Differentiated Service Delivery (DSD) for HIV in Nigeria.
He added that other means of progress have been through the scaling up of numerous interventions and services.
While giving an update on the state of HIV epidemics in Nigeria, the National Coordinator National AIDS, Viral Hepatitis and STIs Control Programme (NASCP), Dr Adebobola Bashorun, said there has been steady declines in annual HIV infections and AIDS related deaths.
He however said that out of the 1.9 million PLHIV, 270,000 had not been identified and that as at 2022, 159,923 estimated children aged zero to 14 years were living with HIV in Nigeria; making it one of the countries with the highest paediatric HIV burden globally.
“Also, 20,364 HIV exposed infants (HEIs) had Early Infant Diagnosis (EID) samples collected within two months of delivery, which translates to only 21 per cent EID coverage and a MTCT rate of 14 per cent at six weeks and 23 per cent through breastfeeding.
“96,517estimated HIV positive pregnant women who needed PMTCT, only 34 per cent were enrolled on Anti-Retroviral Treatment (ART) in 2022.
“However, 50,676 children living with HIV (CLHIV) were on treatment in 2022 which represents 32 per cent of the estimated CLHIVs.”
Bashorun noted that in spite of the current efforts towards paediatric case finding and linkage to HIV treatment, many children remain undiagnosed and thus without access to life saving ART.
He added that it was critical to identify these children and initiate ART as early as possible.
On his part, the Chairman, House Committee on AIDS, Tuberculosis and Malaria Control (ATM), Hon. Amobi Ogah, said that its very important for Nigeria to recommit to reducing foreign support to at least 50 per cent.
“We are not unmindful that over 90 per cent of funding for HIV/AIDS activities through programs in our country come from foreign partners.
“I therefore call on the Federal Government to look inwards in supporting domestic funding because it is high time we decide our fate and not be dependent on foreign aid which does not do us any good.”
He, however, assured that the legislature would work towards the increase of budgetary allocation to the fight against HIV/AIDS within the face of limited resources.
“We will also provide the legislative framework to protect the rights of people living with HIV and other forms of discrimination and stigmatisation”, he added.
The World Health Organisation (WHO), Universal Health Coverage Cluster Lead, Dr Chavan Laxmikant, said that the gains recorded should be consolidated through the creation of enabling environments for community leadership, continued adoption of innovative approaches for HIV prevention, treatment and care.
“We call on the government of Nigeria and its partners to empower the communities to take up leadership by providing an enabling environment and addressing cross-cutting issues-punitive laws and policies, stigma and discrimination, gender inequality and violence that hinder the communities.”
The World AIDS Day is commemorated on Dec. 1 every year to raisee awareness about HIV/AIDS, show support to people living with HIV and remember those people who have lost their lives to the infection.
Nigeria records significant decline in HIV/AIDS transmission — FG
Dr Gambo Aliyu, the Director-General, National Agency for the Control of AIDS (NACA), says Nigeria has recorded significant decline in the number of persons infected with HIV/AIDS.
He disclosed this at a news conference in Abuja on Friday, ahead of the 2023 World AIDS Day (WAD).
The WAD is a global observance, annually celebrated on Dec. 1 around the world to raise awareness about the AIDS pandemic, caused by the spread of HIV infection and mourning those who died of the disease.
The day has “Communities: Leadership to End AIDS by 2030” as its theme for 2023.
The NACA boss, therefore, said “Nigeria like many other countries has made significant strides in the fight against HIV/AIDS, but there is still much to be done to achieve the goal of ending AIDS as a public health threat by 2030.
“Nigeria has the second largest burden of HIV infection. Currently, a total of 1.8 million persons are estimated to be living with HIV in the country, out of which, about 1.63 million are already on Antiretroviral Therapy (ART), a lifesaving medication.
“Approximately, 58 per cent are estimated to be females, and 42 per cent are males.
“The national average Mother-To-Child Transmission rate of 22 per cent is driven by a large number of states with transmission rates above 25 per cent and few states with rates below 15 per cent.
“Nigeria is responsible for about 30 per cent of the world’s gap in Prevention of Mother to Child Transmission (PMTCT).”
He said that the declining figure was achieved with the support of partners and global communities to prevent new infections, increase HIV awareness and knowledge and support those living with and affected by HIV/AIDS.
He, however, stressed the need to address social and structural factors that drive the HIV epidemic.
“It is imperative that we confront these systemic inequalities head-on and work to ensure that all individuals have equal access to life-saving prevention, treatment and care services, as well as other social services available to Nigerians,” he said.
Dr Leo Zekeng, the Country Director of UNAIDS, who said that the UN body is committed
to continuous support to the Federal Government in eliminating HIV/AIDS, added that “we have made remarkable progress not only in Nigeria, but worldwide as about 30 million people are on treatment, which is remarkable.
“AIDS is no longer the deadly disease that it used to be, and those who are diagnosed with HIV but follow every rules and take the medication can live a normal life.”
On his part, Amobi Ogah, Chairman, House Committee on HIV/AIDS, Tuberculosis and Malaria Control (ARM), said the parliament was working toward increasing budgetary allocation to fight the disease in the country.
He said “we assure you that the National Assembly will work toward increasing budgetary allocation to the fight against HIV/AIDS in the face of limited resources.
“We will also provide the legislative framework to protect the rights of People Living with HIV and other forms of discrimination and stigmatisation.”
Mr Abdulkadir Ibrahim, the National Coordinator, Network of People Living with HIV/AIDS in Nigeria (NEPWHAN), said that the theme of the 2023 WAD recognises the need for communities to support programmes and initiatives toward achieving the 2030 target of ending AIDS.
Ibrahim, who was represented by Mr James Atusue, urged communities to tackle obstacles standing in the way of providing HIV services to those who required them most.
He said “as a network, we continue to mobilise our community in solidarity, helping those living with HIV, and those affected by HIV to deal with stigma and discrimination, and support them to know existing services from the social and economic perspective.”
Minister unveils policy on mental health, suicide prevention
Co-ordinating Minister of Health and Social Welfare, Muhammad Ali Pate has unveiled the “National Mental Health Policy” and the “National Suicide Prevention Strategic Framework” in Abuja yesterday.
The Minister commended the team that worked on the policy documents noting that they had worked extensively and invested in it.
He further noted that the policy was a followup to the resolution at the #NCH64 to “Adopt and implement the National Suicide Prevention Strategic Framework in the 36 States of the Federation and FCT.”
“Good mental health, including emotional, psychological, and social well-being of every Nigerian is an essential factor in the Renewed Hope Agenda of Mr President,” he explained.
The Minister promised to implement the policies by promoting understanding of mental health conditions and increasing access to healthcare for those who need it.
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