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We’re addressing your concerns — LASG assures health workers

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By Moses Adeniyi

The Lagos State Government (LASG) has assured health professionals in the State that challenges which have been making their colleagues flee the country, are being addressed urgently in the State.

The State Government gave the assurance in response to the projection that more young professionals trained in the State may be seeking to acquire skills and pursue a career abroad.

The Government gave the assurance while charging new inductees of the 4th Set of Nursing Science Graduates, the class of 2022/2023, of the Lagos State University College of Medicine (LASUCOM).

Charging them to be up and doing as good ambassadors to  represent the State and the Country appropriately in good light, the State Government assured that modalities had been put in place to make the working environment conducive for health workers in the State.

The guest speaker at the induction ceremony, Dr. (Mrs)  Kemi Ogunyemi, Special Adviser on Health to the Lagos State Governor, Mr. Babajide Sanwo-Olu, said at the instance of the increasing exodus of health professionals out of the Country, while the graduands cannot be stopped from acquiring the requisite skills or pursuing a career abroad, she urged them to be magninamous to return to serve and add value to their country.

This is as she hinted that the government is working hard to keep professionals within the Country and bring others in the diaspora back to add value to the health system in the Country.

She mentioned that issues of fixing infrastructures, working conditions and providing state of art equipment for work, are part of the problems the Government has set before the table for consideration.

She said the subject of good conduct for the new inductees was a necessity for the professionals to project Nigeria in good light before the World.

Mentioning that the prevailing exodus of health professionals out of the Country is an issue the Government is working to address, she said, “make us all proud, we need you,” urging them that they could go abroad to acquire skills but consider coming back to give value to Nigeria.

She charged them to optimise all opportunities and take critical interest in analysis and new ideas.

“You must make yourself valuable, it’s so important to develop yourself and be the best in what you do,” she charged them, calling on them to be part of the solutions to the emerging problems of the health sectors.

Speaking on Governor Babajide Sanwo-Olu’s  mandate for the institution to produce at least 1,000 health workers per year, the Provost, LASUCOM, Prof. Abiodun Adewuya, said the induction was a part of commitment to the task.

“It is like a mandate to us and in the next few years I think we can fulfill that. The mandate is to expand  our in-take to take in more doctors, nurses, and more dentists,” he said.

On the measures, he said, “We are expanding our infrastructure and making sure that we are getting more lecturers and taking-up more campuses. Apart from LASUTH here, the government is trying to give us other campuses, so that we can use all these infrastructures to produce more nurses, doctors and dentists,” he said.

Adewuya said, “The Lagos State Government seems to be doing what we have recommended, that is to upgrade the infrastructures of our hospitals,” mentioning the State’s owned hospitals were currently undergoing  upgrade.

“We already have the hospitals, what we need now is to have more personnel to train and the infrastructures of these hospitals are being revamped,” he said.

Adewuya added that the plans were to make the hospitals not only open to services, but also as centres for training health workers, mentioning that in addition to LASUTH, other hospitals  would serve as teaching hospitals.

On the issue of measures to retain health workers from fleeing the Country, he said “the most important thing is to make the environment conducive.”

Such measures he advised the government to muster efforts on, including having accommodation for health workers, good working environment and a liveable wage.

“So, what does a doctor or any health worker need; a good place to stay, a good working environment and a liveable wage.

“So, when we can provide  accommodation, maybe for doctors working inside the hospitals; if we can make sure that whatever they need to do their work is provided, and they are provided with a wage that is okay for them, I think that is good enough,” the provost submitted.

Charging the inductees, the  Vice Chancellor, Lagos State University, Prof. Ibiyemi Olatunji-Bello, mentioned that the event does not only “mark the beginning of your professional journey as Nurses,” but also demands  commitment to serving humanity.

Describing nursing as a noble profession demanding compassion, she said the profession as the “backbone of any healthcare system,” demands that the inductees exhibit the core values learnt from the College to service.

The VC who was represented by Deputy Vice Chancellor,  Professor Adenike Boye,  charged them to be guided by the challenges that lie ahead, saying they must be adaptable and proactive to embrace the ever changing landscape by staying abreast of the latest standards of the health sector.=

She called on them to be “advocates of change and beacons of hope,”  use their voice for equity and work “to make positive impacts in the lives of those they serve.”

Speaking, the Head of Department of Nursing, LASUCOM, Dr. Bola Ofi, implored the inductees to further their studies, as learning is continuous and compose themselves to address challenges and the demands of the responsibilities set before them.

She urged them to continue to identify problems and conduct research to make changes in the health sector.

Mentioning nursing calls for commitment to serving humanity, saying it is a noble profession demanding compassion, and the backbone of any healthcare system, she told them to exhibit the core values learnt from the College.

She charged them to be guided by the challenges that lie ahead, saying they must be adaptable and proactive to embrace the ever changing landscape, staying abreast of the latest standards of the sector.

She called on them to be advocates of change and beacons of hope, while lending their voice for equity and work “to make positive impacts in the lives of those they serve.”

The Chief Medical Director, LASUTH, Prof Adetokunbo Fabanwo, said about six other universities in the Country send their nursing students to LASUCOM for training, a posture he said, “draws from the culture of excellence that our University and College of Medicine is engraven with.”

He urged the inductees to be very good ambassadors of the institution, practising with such a posture of excellence.

Inducting the graduands,  the Registrar and CEO of the Nursing and Midwifery Council of Nigeria, said the induction is another “symbolic turning point” to the committed health care system.

She told the graduands not only to “provide comfort to those in need, commitment to the sacred duty to alleviate suffering and well being of individuals under your care,  bringing solace to those in pain,” but also “be committed to shaping the entire health care landscape.”

Mentioning the profession demands “resilience and unwavering commitment to excellence,” the Registrar who was represented by Mrs. Modupe Christiana Ayoola, Ass Director, Head of Index unit,  Nursing and Midwifery Council of Nigeria, urged them to “face the challenge ahead,” and “treat each person with dignity and respect.”

The overall best students, Balogun Modupe appreciated the College, educators, parents, for their contribution, assuring commitment of unique contributions to the society by shaping the future with the knowledge gained.

Health

NAFDAC recalls Benylin children syrups

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By Matthew Denis

The National Agency for Food and Drugs Administration and Control (NAFDAC) has recalled one of Benylin Paediatric Syrups, manufactured by Johnson & Johnson.

NAFDAC disclosed this on its website on Wednesday, stating that the laboratory analysis conducted on the product showed that it contains an unacceptable high level of Diethylene glycol and was found to cause acute oral toxicity in laboratory animals.

“Diethylene glycol is toxic to humans when consumed and can prove fatal. Toxic effects can include abdominal pain, vomiting, diarrhoea, inability to pass urine, headache, altered mental state, and acute kidney injury, which may lead to death,” NAFDAC explained.

Benylin Paediatric syrup is indicated for the relief of cough and its congestive symptoms and for the treatment of hay fever and other allergic conditions in children aged 2 to 12 years.

The details of the product showed that the product was manufactured by Johnson & Johnson in Cape Town, South Africa.

With batch number 329304, the product was manufactured in May 2021, and it is to expire this April 2024.

NAFDAC has, therefore, implored importers, distributors, retailers and consumers to exercise caution and vigilance within the supply chain to avoid the importation, distribution, sale and use of the substandard (contaminated) regulated products.

“All medical products must be obtained from authorised/licensed suppliers. The products’ authenticity and physical condition should be carefully checked.

“Anyone in possession of the above-mentioned product is advised to immediately discontinue sale or use and submit stock to the nearest NAFDAC office. If you witness any adverse reaction/event after the use of this product in any children, you are advised to direct such patients for immediate medical attention from a qualified healthcare professional,” the agency cautioned.

Meanwhile, NAFDAC has urged healthcare professionals and consumers to report any suspicion of substandard and falsified medicines to the nearest NAFDAC office.

Similarly, healthcare professionals and patients are also encouraged to report adverse events or side effects related to the use of the medicinal product to the nearest NAFDAC office, or through the use of the E-reporting platforms available on its website.

Also, the agency has directed the Marketing Authorisation Holder (Johnson and Johnson company West Africa) to initiate the recall of the batch and the notice will also be uploaded to the WHO Global Surveillance and Monitoring System (GSMS).

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World Health Day: 250 people receive free diabetes screening in Asaba

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No fewer than 250 people have received free diabetes screening in Asaba, Delta, to celebrate the 2024 World Health Day.

The Chief Medical Director (CMD) of Asaba Specialist Hospital, Dr Peace Ighosewe, who led other management staff in organising the event,  said the screening was part of efforts by the hospital to promote healthy living.

The World Health Day which was established on April 7, the founding date of the World Health Organisation (WHO) serves to raise awareness of global health issues and garner support for their resolution.

Ighosewe said that healthy living was key to good health for Nigerians.

She said there was a need to create awareness on the importance of healthy living and that everyone had the right to access good health at an affordable cost.

“We are also engaging in a health walk and talk, to celebrate the 2024 World Health Day,” she said.

Ighosewe added that the event was also organised in line with the theme for this year’s World Health Day, which is: “Your Health, Your Right.”

A cross-section of Asaba residents including the Senior Special Assistant on Media to the Delta State Governor, Mrs Veronica Abang-Gwam, participated in the diabetes screening at the hospital.

Ighosewe further added that the general public was sensitised on the need to exercise regularly, to help maintain physical fitness and reduce the risk of chronic diseases.

“Eat a balanced diet which will provide essential nutrients for optimal health; go for routine medical checkups to allow for easy detection, timely intervention and management of any health issues.

“In line with the ‘MORE Agenda’  of Gov. SherrifOborevwori’s administration, the Asaba Specialist Hospital will continue to do its part,  to empower members of the surrounding communities with the right information on the importance of prioritising healthy habits.

“These healthy habits can significantly improve their physical health, mental wellbeing and quality of life,” Ighosewe said.

Consultant Family Physician and Head of Department, Family Medicine, Asaba Specialist Hospital, Dr Dominic Uwadia, who also spoke at the event, said the hospital would continue to promote healthy living and disease prevention in the state.

Uwadia urged the people not to wait till they get ill before getting necessary medical attention.

The Medical Laboratory Scientist of the hospital, Ms Faith Emetonjor, also advised people to live a healthy life, noting: “Your Health is Your Right.”

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NAFDAC meets manufacturers, frowns at marketing of breast-milk substitutes

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…Says substitute undermining health of babies

The National Agency for Food and Drug Administration and Control (NAFDAC) has met with the Association of Infant Food Manufacturers and Marketers in Nigeria (AIFMN) on the implementation of the International Code of Marketing of Breastmilk Substitutes noting that the marketing of breast-milk substitutes is undermining the health of babies.

Speaking at an interaction with the stakeholders, Director General of NAFDAC, Prof. Mojisola Adeyeye who was represented by the Director of Food Safety and Applied Nutrition (FSAN), Mrs. Eva Edwards disclosed that the World Health Organisation (WHO) global target for exclusive breastfeeding is 50 percent by 2025, while the demographic and health survey indicates that only 28.7 percent of nursing mothers embrace exclusive breastfeeding in Nigeria.

She reiterated the need for Nigerian nursing mothers to embrace exclusive breastfeeding of their infants for the first six months of life to improve the health status of their newborns.

She emphasised that NAFDAC remains resolutely committed to implementing and monitoring adherence to the provisions of the Code as the Agency designated by law for this responsibility in the amendment Decree No. 22 – Marketing (Breast-milk Substitutes) of 1999.

Exclusive breastfeeding – defined as the practice of only giving an infant breast milk for the first 6 months of life (no other food or water) – has the single largest potential impact on child mortality of any preventive intervention. It is part of optimal breastfeeding practices, which also include initiation within one hour of life and continued breastfeeding for up to two years of age or beyond.

The NAFDAC boss pointed out that exclusive breastfeeding is the best start in life and the cornerstone of child survival and health because it provides essential, irreplaceable nutrition as nature intended for a child’s optimal growth and development.

Prof Adeyeye, noted that inappropriate marketing of breast-milk substitutes contributes to undermining efforts to improve breastfeeding rates and duration.

According to her, the stakeholders’ engagement with the Association of Infant Food Manufacturers and Marketers in Nigeria (AIFMN) is aimed at fostering fruitful dialogue on the implementation of the International Code of Marketing of Breast-milk Substitutes (the Code) and the National Regulations on the Marketing of Infant and Young Children Food and other Designated Products (Registration, Sales etc).

She explained that the International Code of Marketing of Breast-milk Substitutes, including the subsequent relevant World Health Assembly (WHA) resolutions aim to contribute to the provision of safe and adequate nutrition for infants, by the protection and promotion of breastfeeding, and by ensuring the proper use of breast-milk substitutes, when they are necessary, based on adequate information and through appropriate marketing and distribution.

‘’We cannot overemphasise the significance of breastfeeding in the context of maternal and child health,” she said, adding that recognising the irreplaceable impact of breastfeeding on the health and development of infants and young children all over the world, and for the purpose of the engagement, infants and young children in Nigeria, NAFDAC remains resolutely committed to implementing and monitoring adherence to the provisions of the Code as the Agency designated by law for this responsibility in the amendment Decree No. 22 – Marketing (Breast-milk Substitutes) of 1999.

She further explained that the responsibility for monitoring and enforcing compliance with the provisions of the Code and national regulations covers the spectrum of actors in the infant and young child feeding space (and their actions): these include manufacturers, distributors, marketers, and other stakeholders.

‘’You will recall that the sixty-ninth World Health Assembly, which held in 2016 adopted Resolution WHA69.9 which urged Member States and health professionals to implement the recommendations in the accompanying WHO Guidance on Ending Inappropriate Promotion of Foods for Infants and Young Children,” she said, adding that the Guidance seeks to ensure that financial support for infant and young child health programmes and workers do not create conflicts of interest (COI).

It states that “companies that market foods for infants and young children should not sponsor meetings of health professionals and scientific meetings and that health workers, health systems, and health professional associations should not allow such sponsorship.”

Prof. Adeyeye further stated that the Guidance also notes that health professionals and facilities are often targeted and influenced by the infant and young child food industry through promotion, relationships, and incentives, and that these incentives create conflicts of interest and can result in the loss of independence, integrity, and public credibility.

She said a conflict of interest arises every time anyone (including a non-professional health worker or health educator) whose duty it is to promote breastfeeding accepts some kind of gift or benefit from a company.

‘’Last year, the WHO, together with a Technical Advisory Group (TAG), in recognition of the current trend of digital promotion of BMS, developed the guidance on digital marketing technologies to address these new marketing tools that are powerfully persuasive and often easily recognizable as breast-milk substitute promotions,” she said, adding that digital marketing can indeed deliver breast-milk substitutes promotions covertly.

As regulators, she said “we welcome the development of the guidance document, having dealt with issues of digital promotions of breast-milk substitutes.”

As manufacturers, representatives of manufacturers and marketers, she said, “you are aware of your responsibility to align your practices with the provisions of the BMS Code and national regulations, recognising that inappropriate promotions have a significant impact on infant health, nutrition, and development.”

She said the Agency is fully committed to protecting and promoting breastfeeding to address threats that marketing of breastmilk substitutes (BMS) pose to optimal breastfeeding practices.

She noted that the engagement of stakeholders presented a platform for open dialogue, to increase knowledge on the Code, share insights, experiences, and challenges on implementing the Code in Nigeria, adding that “your collaboration and adherence to the BMS Code are instrumental in creating a conducive environment for optimal infant breastfeeding feeding practices and ensuring the wellbeing of future generations of healthy and productive Nigerians.”

She reminded them that breast-milk substitutes are legitimate products which should be available for use when they are necessary, based on adequate information and through appropriate marketing and distribution.

“Our concern is strictly on inappropriate marketing practices. In the spirit of creating a conducive environment where the health and well-being of mothers and infants are prioritized, I wish us a fruitful and interactive session,” she said.

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