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Innovation: Key to excellence in pharmacy practice

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Pharm. (Barr.) Steve Azubuike Okoronkwo

 

 

 

 

 

 

 

By Pharm. (Barr.) Steve Okoronkwo

 

The healthcare landscape is constantly evolving. The dynamic nature of healthcare is said to be the major driver of change and innovation in pharmacy practice1. Innovation is at the core of pharmacy practice. It has played a key role in the significant growth and development witnessed in the field of Pharmacy.

Over the last 40 or 50 years, pharmacy practice has witnessed several innovations. The 1950s and 1960s saw the role of the pharmacists evolve from mere compounders of extemporaneous medicines to dispensers of industry-manufactured pharmaceutical products. Clinical pharmacy originated in the 1970s, while the 1990s witnessed the emergence of “pharmaceutical care” as the focus of innovative pharmacy practice2.

Whereas, some authorities canvass the concept of Medication Therapy Management, as an innovation in the pharmacy practice of the 2010 and beyond, others believe that this concept can be subsumed in the broader concept of pharmaceutical care, which is still being flaunted as the innovative key to excellence in contemporary pharmacy practice.

In Nigeria, innovation in pharmacy practice has become very imperative, in the light of changes in the drug regulation and drug distribution framework. With the promulgation of the National Agency for Food and Drug Administration and Control (NAFDAC) Decree of 1993, the rapid increase in the number of pharmacy schools, as well as the recent proposed Mega Drug Distribution system, the practice of Pharmacy has indeed changed. Accordingly, innovation, more than ever before, is now a sine qua non to achieving excellence in practice.

 

Understanding innovation

Innovation is the application of better solution that meets new requirements, unarticulated needs or existing market needs. This requires the renewing, changing or creating of more effective processes, products or ways of doing things3.

Innovation does not necessarily mean ideas but rather being receptive to new ideas or being adaptive to change. According to Theodore Levitt (1962), ideas are useless unless used. Innovation also differs from invention. It could, however, mean changing your business model or adapting to changes in your environment to deliver better products or services.

Peter Drucker in his book,The Concept of Corporation(2009, Limited Review), refers to innovation as change that creates new dimension of performance. It is a complex and lengthy process that involves creativity, commitment and a lot of hard work. It is usually developed through a sequence of events.

Innovation can also be seen as the price to pay to reach the next level. This price, however, must not come at the risk of patient’s safety, nor will it come as a compromise to professional ethics. Innovation must therefore be distinguished from so-called “cleverness” bordering on unethical conduct, which ultimately leads to professional damnation.

Several factors –both external and internal– drive innovation. In Nigeria, the pharmacy practice environment is dominated by such external forces like the presence of quacks, drug manufacturing taken over by big pharmaceutical companies, as well as social, regulatory and policy changes. These external factors, together with the internal factors (such as the need to improve profitability and quality, and the pressure for improved cash flow) have resulted to changes in the practice landscape4.

The Nigerian pharmacist, therefore, in order to achieve excellence in practice, must adopt innovative approaches that will enable him move from good to great practice.

 

Innovation in pharmacy practice

Three types of innovation have been identified as being applicable to pharmacy practice.  These are: Product Innovation, Service Innovation and Business Model Innovation5.

While it may not be pertinent to go into a detailed discussion of these models, given our target audience, suffice it to say that the nature of innovation that can lead to excellence in pharmacy practice may simply mean looking beyond the traditional view of pharmacy practice or the traditional way of doing things.

The following have been identified as innovations which when adopted by pharmacists, especially those in community practice, can lead to professional excellence.

 

1.   Innovation is properly defining your practice

Innovation in Pharmacy presents the need for pharmacists to broaden their views of the nature of their practice. The Nigerian pharmacist must come to terms with the professional-cum-commercial nature of pharmacy practice in Nigeria. He must also understand the chaotic environment in which he practises.

Undoubtedly, pharmacists are the undisputed custodians of drugs. However, it is counter-innovative for pharmacists to define their practice in terms of selling and provision of quality drugs. The activities of the National Agency for Food and Drug Administration and Control (NAFDAC) have reduced the weight attached to this assertion. Nowadays, even quacks also claim to sell only NAFDAC-registered products.

Pharmacists must therefore define their practice in terms of doing the things that will make patients and customers want, not only to visit their pharmacies, but to make repeat visits.  A pharmacist in pursuit of excellence must realise that selling quality products can, at the very best, only translate into a good practice. Quality drug is not the ultimate end; rather it is an indispensible tool in attaining the ultimate goal of the health care system, namely, to improve the patient’s health-related quality of life.

In order to achieve excellence in practice, pharmacists must be perceptive enough to spot where future growth may lie. The current practice model where the pharmacist’s role is only associated with drug production and delivery must be re-engineered to include many additional responsibilities, such as patient care, primary care and public health services6.

An innovative pharmacist must understand that he is in the business of helping patients get better. Whereas pharmacists by their training are very proficient in both the biological and physical sciences, the practice environment however dictates that for pharmacists to achieve professional excellence in practice, they must also be conversant with the human sciences, which include sociology, psychology, economics and management/marketing. Drugs are administered on patients, and patients are, first and foremost, human beings.

 

2.   Innovation is building a competitive advantage

A competitive advantage is an innovative tool that can be employed to provide superior performance in practice. In Pharmacy, competitive advantage goes beyond selling quality drug products or computerising one’s premises. Products and technologies are visible and well defined and can be copied by any person who is willing to make the investment.

According to Jean-Claude Larreche (1998), a competitive advantage, in terms of capabilities, is the ultimate advantage. Capabilities are intangible and comprise elements such as innovation, human resources and corporate culture7. A competitive advantage built on capabilities is pervasive and sustainable, and it is a veritable tool for value creation, both in the short and long terms. A pharmacist can recreate the value proposition for his/her patients by adding value to the product and service offerings, as well as appealing to the health care needs of the patients.

One way to add value is by following up on the patient through a phone call a few days after the supply of a prescription, in order to monitor the medication usage. Creating a competitive advantage that can provide superior performance and translate into excellence in practice means developing an atmosphere that will always make your customers and patients feel disappointed when they go elsewhere.

 

3.   Innovation is marketing your services

Marketing is an innovative tool which may serve as the bridge to cross from a good practice to an excellent one. Whereas, the Code of Ethics for Pharmacists in Nigeria prohibits pharmacists from advertising their pharmacy8, it does not however preclude pharmacists from marketing their services.

The word “marketing” here is not used in its generic sense. Marketing connotes building a practice beyond mere money-making. According to Peter Drucker in his book, ThePractice of Management(1954), marketing is not a function; it is the whole practice of Pharmacy seen from the point of view of the patient.

One challenge the profession of Pharmacy faces is patients’ lack of awareness of the role a pharmacist can play within the health care team outside of dispensing medications9. Therefore, any pharmacist who desires to excel in practice must adopt marketing as an innovative approach. Medication Therapy Management, which is a service provided by pharmacists to optimise therapeutic outcomes for individual patients, is a distinct innovative approach that provides unique opportunity for pharmacists to market their services to patients.

There is the need for pharmacists to develop closer relationships with their patients by listening to and engaging them during pharmacy visits. Pharmacists should also identify unmet health care needs and present appropriate solutions/services during encounters with patients.

The practice of pharmacists handing over medications to patients like vending machines is out-dated and does not fit into contemporary pharmacy practice. Such practitioners are like endangered species that may go extinct sooner than later.  A pharmacist should utilise every meeting with a patient to market his/her service. This could be achieved by using customer-friendly language, taking time to explain what the services are, giving patients realistic expectations of the service and having a plan of how to meet these expectations10.  As the renowned painter Pablo Picasso has eloquently stated, “It is your work in life that is the ultimate seduction.”

 

4.   Innovation comes from continuous learning

Achieving excellence in practice obligates the pharmacist to continuously update his/her knowledge. Pharmacy is a social profession. Society is dynamic. As the society changes, the profession inevitably evolves to meet the demands of the changing society.

Most pharmacists would invariably like to be the best. Unfortunately, only a few will develop the strict self-discipline and make the rigorous efforts required to excel. There is this general unwillingness among pharmacists to expand their horizons. Some stop learning the moment they graduate from the university. Most pharmacists, especially those in community practice, get carried away by the fact that they are making money or good sales in their pharmacies.

Excellence in pharmacy practice transcends sales or money making. You can always make money by doing what every other person is doing – selling quality drugs, locating your pharmacy in a strategic neighbourhood, using lower mark-up to attract patronage, etc.Excellence, on the other hand, is striving to be different. And one sure way to stand out is through continuous learning.

The saying that “a company surrenders tomorrow’s businesses when it gets better without getting different” is quite apt here.The knowledge base of the pharmacy graduates of the 2000s is different. This change in knowledge base has also affected the way Pharmacy is practiced now. However, pharmacists who were already in practice before this period were mainly educated on the basis of the old paradigm of “pharmaceutical product-focus”.  If these pharmacists are to contribute effectively to the new paradigm of “patient-centred pharmaceutical practice”, they must make serious effort to continuously update their knowledge-base and skillset, in order to adequately empower themselves for modern day pharmacy practice.

In recognition of the importance of learning to the role of the pharmacist, as a member of the health care team, the World Health Organisation (WHO, 1997), in conjunction with the International Pharmaceutical Federation (FIP), listed one of the attributes of the “seven- star pharmacist” as a life-long learner.

Describing the “seven-star pharmacist” as a life-long learner, the WHO/FIP observe that it is no longer possible to learn all one must in school, in order to practise a career as a pharmacist. The commitment to life-long learning must begin while attending pharmacy school and must be supported throughout the pharmacist’s career. Pharmacists should learn how to learn11.

 

5.   Innovation is practising “pharmaceutical care”

Ever since the Hepler and Strand treatise on the on the concept of pharmaceutical care in the 1990s,so much has been written on this concept which, arguably, is still being held as the most innovative approach to achieving excellence in contemporary pharmacy practice.

The FIP (1998), in an adaptation of the definition by Hepler and Strand, defined the term more realistically as the “responsible provision of drug therapy for the purpose of achieving definite outcomes that improve or maintain a patient’s quality of life”12. The concept of pharmaceutical care marks a clear departure in pharmacy practice from the age-long focus on medicine supply towards a more inclusive focus on patient care. Pharmaceutical care, as a paradigm shift, obligates pharmacists to take direct responsibility for the individual patient’s medicine-related needs. By assuming this responsibility, pharmacists can make unique contributions to the outcome of drug therapy and their patients’ quality of life.

In order to effectively carry out this new mandate of pharmaceutical care, the WHO (1997) introduced the concept of the “seven- star” pharmacist, which was adopted by the FIP (2000) in its policy statement on Good Pharmacy Education Practice. It describes the pharmacist as a care-giver, decision-maker, communicator, manager, life-long learner, teacher and leader. These attributes of the “seven-star” pharmacist are used as a benchmark to measure pharmacists who have achieved excellence in practice and are regarded as leaders of the profession.

Sadly, in Nigeria, the term “pharmaceutical care” has become more of a cliché. Whereas, every pharmacist talks about it, only very few practise it.

The belief that a pharmacy is doing well or growing and is, therefore, secure must never be allowed to overshadow the need for the pharmacist to practise pharmaceutical care. This is one sure route through which sustained excellence in practice could be achieved.

 

Conclusion

Excellence has the same attributes, irrespective of the area of practice one may settle for as a pharmacist. Achieving excellence in practice goes beyond doing well or being good. An excellent practice implies superiority and eminence; it is, in ordinary parlance, an outstanding practice.

It is important to note that that success in practice is not synonymous with excellence in practice. While it may be easy to measure how successful a person is in practice by the amount of money he/she may have made, an excellent practice transcends monetary parameters. Excellence in practice is achieved when the driving force in one’s practice goes beyond just making money.  Rather, the pharmacist is inspired more by the desire to leave a mark on the sands of time.

Pharmacists achieve excellence in practice when driven by the desire to contribute in making the society disease-free. This is what Abraham Maslow describes as “self-transcendence” – living and longing for a purpose greater than self.  When you transcend self, you stop competing with others; at every moment, you are intrinsically propelled by the excellent spirit to do better and improve yourself.

Finally, excellence in practice can be achieved by any person who earnestly strives to be different. It does not matter what grade you graduate with. Pharmacy training is different from pharmacy practice. Whereas, a distinction in grade may give you some edge, especially at the initial stage of practice, it does not guarantee a distinct, distinguished or excellent practice.

I leave you with these wise words by Jon Stewart in the fervent hope that you will commit it to heart:  “College is something you complete. Life is something you experience. So don’t worry about your grade, or the results or success. Success is defined in myriad ways, and you will find it; and people will no longer be grading you, but it will come from your own internal sense of decency.”

 

(Presented at the induction/oath-taking ceremony of the new graduates of Pharmacy at the School of Pharmacy, College of Medicine, University of Lagos Teaching hospital, Idi- Araba, Lagos on 8May, 2014).

 

References

1.     Uden, D: Innovation in Pharmacy through Pharmacy Practice: A Call for Papers: Pharmacy Practice, 2010,vol 1, No.1, Article 2

2.     Management Committee: Moving Forward; Pharmacy Human Resources for the Future. Innovative Pharmacy Practices Volume 1: Analysis and Overview. Ottawa (ON). Canadian Pharmacists Association (2008)

3.     Innovation: Wikipedia, the Free encyclopedia. en. Wikipedia.org/wiki/innovation

4.     Canadian Dairy Commission: Innovation Why is it so important?. www.milkingredients.ca

5.     Change Management and Community Practice Project: Options for Pharmacy

6.     Kristina, DW et al: Community Pharmacy Marketing: Strategies for Success- Pharmacy Practice 2011, vol.2. No 3.Article 48

7.     Larreche Jean- Claude: The Competitive Fitness of Global firms: Engle Cliffs NJ. Financial Times. Prentice Hall, 1998

8.     Code of Ethics for Pharmacists in Nigeria: Section iv(a)(i-iv)

9.     Law AV, Okamoto MP, Brock K:- Perceptions of Medicare, Part D enrolles about Pharmacists and their roles as providers of medication therapy management. J.Am Pharm Assoc. 2008 48(5): 648-653

10.   Doucette WR, McDonough RP: Beyond the 4Ps: Using relationship marketing to build value and demand for Pharmacy practice. J. Am Pharm Assoc. 2002: 42(2): 183-194

11.   WHO Consultative Group on “Preparing the Future Pharmacist” (Vancouver, 1997). Adopted by the FIP in its Policy Statement on Good Pharmacy Education Practice (Vienna, 2000)

12.           FIP Statement of Professional Standard on Pharmaceutical care (!998, The Hague)

INSPIRATION

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Shallow men believe in luck or in circumstance. Strong men believe in cause and effect. – Ralph Waldo Emerson

Great opportunities come to all but many do not know they have met them. The only preparation to take advantage of them is simple fidelity to what each day brings. – A. E. Dunning

Opportunities do not come with their values stamped upon them. Everyone must be challenged. A day dawns, quite like other days; in it a single hour comes, quite like other hours; but in that day and in that hour the chance of a lifetime faces us. – Maltbie Davenport Babcock

Accept responsibility for your life. Know that it is you who will get you where you want to go, no one else.

Challenges are what make life interesting and overcoming them is what makes life meaningful. – Joshua J. Marine

In order to succeed, your desire for success should be greater than your fear of failure. – Bill Cosby

 The only way to do great work is to love what you do. If you haven’t found it yet, keep looking. Don’t settle. – Steve Jobs

The only thing that stands between you and your dream is the will to try and the belief that it is actually possible. – Joel Brown

Though no one can go back and make a brand new start, anyone can start from now and make a brand new ending. – Carl Bard

Don’t judge each day by the harvest you reap but by the seeds that you plant. –  Robert Louis Stevenson

 

How regular use of sunscreen products prevents wrinkles – Pharm. Kio

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 In this enlightening chat with Temitope Obayendo, Pharm. Alfred Imonite Kio, the superintendent pharmacist of Duwin Pharmaceutical & Chemical Company Ltd., Lagos,  reveals, among other valuable beauty tips, how constant use of sunscreen products and herbal cream formulations can delay the ageing process in humans. Excerpts:

 

What motivated Duwin Pharmaceutical to go into cosmetics production and circulation?

The connection of Duwin with cosmetic products is through her sister company named Edkeen Industries Ltd., which is into the manufacturing of Movate brand of cosmetic products, where I served as the general manager.

Edkeen went into cosmetics production to meet the needs of consumers for customised and better formulated products that impart beauty, nourishment and protection to the skin and hair of the users. The company is also capitalising on the positive reputation of the brand name Movate has acquired in ethical pharmaceuticals.

 

The world is rapidly going herbal in health-related matters. Are there some natural molecules that can enhance body beauty aside from artificial cream?

 

Well-formulated cosmetic products, when used by the consumer, ensureprotection of the skin, cleanliness, personal hygiene and nourishment to the body; thereby promoting the health of the individual.

Formulation of herbal creams in cosmetic products add useful enhancement to the beauty of the body. Examples are aloe vera gel, jojoba, shea butter, neem oil and even fruit acids like glycolic acid, citric acid, lactic acid, malic acid and tartaric acid. These natural molecules have different enhancement properties to the body of individuals. These properties are cleansing, lightening, moisturising, protecting, and so on.

 

As a stakeholder in the beauty and cosmetics industry, how effective is the anti-ageing and sunscreen claims of some creams?

Sunscreen products, from the name, are basically intended to prevent harshness of sunlight on the skin of individuals. It is well known that harsh sunlight can lead to sunburn, darkening of the skin, skin cancer and dermatitis. These symptoms are more common in the North, where the sun is harsher.

Use of sunscreen prevents these symptoms. Continuous use of sunscreen products prevents development of wrinkles and sagging skin and this property is referred to as anti-aging. Sunscreen agents, when used with skin lightening products, enhance lightening effect because of the sunscreen property.

 

It was once reported that deodorants have adverse effects on users. Is this true?

Deodorants are used to prevent body odour. They are mostly formulated with perfumes and anti-perspirants. Anti-perspirants have aluminum salts in their formulation. When applied to the skin, mostly the armpit, the aluminum moiety reacts with the electrolytes to form a gel. This gel blocks the sweat pores, thereby reducing perspiration or sweating. But aluminum salts are implicated in allergic reactions in some people and contact dermatitis in others.

 

So, which would you advise for use: perfumes or deodorants?

It is advisable to use perfumes or deodorants without aluminum salts.

 

What is your advice to dealers in the industry, as regards circulation of counterfeit products?

Counterfeit products, from the name, are never the same as the original products. There could be defects in formulation, production procedure, purity of raw materials, etc. Their use could be dangerous to the health of the consumers. For instance, use of substandard relaxers can burn or damage one’s hair and even burn the underlying skin. The general advice is that dealers should avoid counterfeit products. 

PSN cautions on proposed Lagos Health Plan Bill

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(By Temitope Obayendo)

 

PSN

 

L-R: Pharm. Akintunde Obembe, immediate past chairman,PSN, Lagos State; Pharm. Gbenga Olubowale, PSN chairman, Lagos and Pharm. Olumide Akintayo, president, PSN, during the event.

 

The Pharmaceutical Society of Nigeria (PSN) has advised the Lagos State government to exercise caution in its formulation of the proposed Health Plan Bill, in order to prevent professional rancour among health care providers when the bill is eventually approved.

The newly inaugurated chairman of PSN, Lagos State branch, Pharm Gbenga Olubowale, gave this recommendation at the annual luncheon of the Society, held on 4 May, 2014, at the Sheraton Hotel & Towers, Ikeja, Lagos.

The chairman, who expressed the association’s support for the bill as a Universal Health Coverage initiative for providing managed health care to the residents of the state, emphasised the need for adequate consultation with all health care providers, as well as delineation of responsibilities, with the ultimate goal of providing quality health care to patients.

His words: “We caution the government to take into consideration the various submissions of all health care providers concerning the bill to make it all-encompassing, where there will be respect for each health care team player. This will guarantee the avoidance of the pitfall which the National Health Insurance Scheme (NHIS) has found itself.”

Olubowale also commented on the recent wave of violence and insurgency in the country, calling on stakeholders at all levels to help restore confidence in the capability of the government to fulfil its primary obligation of protecting the lives and properties of the citizens. He added that no nation can make any significant growth with the level of chaos being witnessed in the country.

In his own contribution, chairman of the occasion, Pharm. Layi Gobir, MD/CEO, Smart Mark Ltd., stressed the need for pharmacists to be financially empowered, adding that without this, the profession would not develop as expected.

The Smart Mark boss, who alluded to his life experience as a young pharmacist, noted that but for his timely realisation that his meagre salary would take him nowhere and that he needed to have better plans for his career, he would still have been a struggling pharmacist today. He therefore charged pharmacists in Lagos to be proactive professionally and financially.

The multifaceted event also featured inauguration of new executives, presentation of awards to past chairmen of the Society, and awards to the eight best graduating students of the 2012/2013 session of the Faculty of Pharmacy, University of Lagos.

 

 

Compulsory HIV test for prospective couples

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HIV couple 1

 

A new National HIV/AIDS Prevention Plan recently released by the federal government (FG) stipulates mandatory HIV/AIDS test for all intending couples in Nigeria. The Director of Bauchi State Agency for the Control of HIV/AIDS, TB, Leprosy and Malaria, Dr. Yakubu Abubakar, revealed this plan while speaking during the National Prevention Plan Validation meeting held in Abuja on 5 May.

Dr. Abubakar noted that the new plan was pertinent to prevent new HIV infections and curb further spread of the disease in the country. He explained that, from the experiences of the previous plan, it was realised that there were variations from state to state, in terms of prevalence rate, mode of transmission, culture, and general approach to HIV prevention. He added that the participation of the major religions, to ensure that no marriage takes place until a valid HIV test has been undergone and confirmed, is crucial for the new prevention plan.

It must be emphasised that this new plan, like all proactive strategies aimed at curbing the spread of HIV/AIDS in this clime, is a step in the right direction. Ordinarily, intending couples should be willing to submit themselves to all relevant and important medical examinations. It is for their benefit.

 

For HIV/AIDS, in particular, a recent research published in the Pan African medical journal shows that the disease has become the leading cause of premature death in sub-Saharan Africa and the fourth largest killer worldwide.  Nigeria currently has over 3 million people living with HIV.

The Joint United Nations Programme on HIV/AIDS (UNAIDS) estimated in 2012 that about 2.2 million children in Nigeria have become orphans due to HIV/AIDS, while deaths due to the disease are about 240,000.Mandatory HIV testing before marriage will thus help in our quest to reduce the HIV scourge in the country.

Still, it must be noted that this new prevention plan equally raises some issues that must be adequately addressed to ensure its effectiveness.

First and very important is the issue of stigmatisation of people living with HIV/AIDS. Stigmatisation is still a major challenge in the fight against the epidemic in Nigeria.  It is a major reason so many people are not submitting themselves for voluntary testing.  A situation whereby an HIV positive person is ridiculed and isolated cannot help in our quest to contain the spread of the disease. Not even a compulsory test before marriage can help in tackling the HIV menace, if the fear of stigmatisation still prevails.  Some people can resort to procuring fake test reports to overcome the hurdle.

The way out is to ensure that people living with HIV/AIDS are treated with love and respect in the country. The government can facilitate this by enacting laws to ensure the protection of their rights.

Another important issue is how to ensure proper testing of patients to eliminate errors as much as possible because there have been reported cases of wrong diagnosis, not just for HIV but for other health conditions in our hospitals.  The government must put measures in place to ensure that test results are accurate. In doing this, there is a need to also take cognisance of the window period, during which an infected person may test negative.

Also related to this is the cost of HIV test. To make this plan work, the government must consider making HIV test free in all government hospitals.

It is also necessary that the FG provides adequate support for HIV positive people by way of proper care and management. More people will be encouraged to go for tests and ascertain their HIV status when they are sure of therapeutic support.

Treatment for AIDS is a lifelong issue. Once a patient starts taking the antiretroviral drugs to manage the condition, it is expected to continue for the rest of his/her life. Treatment support for patients is thus very crucial.

Perhaps the most important consideration to make this new prevention plan a success is increasing the awareness of Nigerians about HIV/AIDS. There are still many misconceptions about the condition. The involvement of religious leaders in helping to clear these misconceptions can help, but the religious leaders themselves must be properly orientated and fully involved as partners in this quest. They must be well-informed on the controversies surrounding the disease before they can be used as effective agents of enlightenment and control in the country.

The philosophy of science: Beyond survival

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nelson okwonna

 

 

 

 

 

 

(By Pharm. Nelson Okwonna)

 

 

Science is the systematic study of natural phenomena; it often is intended to be for the purpose of improving the lot of humanity.

In the pharmaceutical Industry, science is that which we engage in to find better products and processes for the diagnosis, prevention and treatment of diseases.

It is a given that science should be done in a manner that assures sufficient profitability for all stakeholders in the venture. The aim of profitability is to encourage future engagement in the pursuit of such interesting matters.

On another plane, science is owned in a way by the individuals that have exerted or are responsible for the exertion of mental, physical and technological resources, in the quest of developing relevant solutions. We have established Intellectual Property laws and systems to ensure that these individuals are sufficiently rewarded for their ownership.

The philosophy of science is, therefore, a theoretical evaluation of the principles by which individuals engage in these beautiful process; it deals with how we  decide on what to study, how to study and how to ensure that the products emanating from our quest are actually useful to humanity and in such manner that humanity will appreciate our efforts.

This last bit on “appreciation” may not be apparent to everyone; however, it is at the heart of modern day science. Also, the need for utility (or usefulness) of the products of research efforts may not be apparent to everyone either. Notwithstanding, to the individual or entity responsible for the cost of engaging in scientific enterprise, a certain degree of reward is expected – not necessarily monetary, but a reward nonetheless.

On a macro level, science and the organisation of science have greatly changed our world and have created the world economies. The productivity of every nation is directly proportional to the effectiveness and efficiency of its science and the management of same. Sensible governments therefore take their sciences seriously; they know that much more than volume, management and effectiveness are essential. Hence, on a macro level, the philosophy of science would deal with the attitude required to lead science and development efforts.

In a recent debate at the British House of Commons, Prime Minister, David Cameron, was quizzed by the leader of the opposition party on the preparedness of his cabinet to mitigate the effects of the planned takeover of AstraZeneca by Pfizer on British jobs and science. In a heated response, Mr. Cameron stressed the country’s past and continued policy of engaging the drug makers to ensure that British science, technology and jobs are adequately protected. Both leaders understood the critical relationship between the ownership of their science and the economic fate of their nation.

On a micro level, the philosophy of science seeks to evaluate the mannerisms of the individual engaged in scientific processes – their vision of reality and its dynamism, as well as their procedure for making inferences from observed phenomena.

This article however seeks to look more at the macro level – on the leadership of science.

 

The management of innovation

The pharmaceutical industry is changing on a global scale. We are seeing and will definitely see more mergers and acquisitions, as global brands seek to increase the profitability of their firms. This may not lead to an improvement in health but is essentially more for the benefits of shareholders. These changes are caused by the declining results from research and development investments (an issue that a study of the philosophy of science evaluates at a micro level), leading to fewer blockbusters; and as patents expire, it is not surprising that companies are shifting grounds.

Also, with the increasing shift towards generics prescribing in the wake of broader national health insurance coverage and declining government expenditures on health, there are more reasons for concern. For us in developing economies, the point to note is that, as global brands consolidate, the next thing from a business point of view will be for them to build structures that will help harness the best of the market that exists here. We already have significant Asian presence; but we will see more in the near future. There is great need, therefore, if we could borrow from Prime Minister Cameron’s concerns, to engage every party that seeks to do business in Nigeria in such a manner that will help us in the long run.

The dynamics of a global economy portend that developing countries like Nigeria with little or insufficient manufacturing capacity and poor physical infrastructure will have a non-competitive business economy, except their governments could adopt policies that will considerably insulate their economies from global shockwaves. This will require a lot of skilful manoeuvring and bargaining and for the leaders of their sciences to focus their efforts on maximising their few competitive advantages.

For Nigeria, the growing market size, GDP and availability of potential raw materials comprise our major competitive factors. The essential feature of the leadership of science for us is to provide the motivation for science. In other words, it is only by protecting our market and delineating the most profitable paths for our research endeavours and promoting sufficient engagement can we be said to be really poised to providing sustainable research and development (R&D) leadership.

In this light, the effort to sanitise our drug distributorship network is not a matter of personal preference; it is a necessity for survival, without which any little decrease in the GDP of our nation will simply make our indigenous firms to disappear. This disappearance has happened before and it is for the simple reason that most of our local manufacturing facilities were not competitive and operated in an unprotected environment. Protective government policy, therefore, is not a gift but a necessity for survival.

 

Beyond survival

To lead science in a global economy, we will need to look beyond survival, as protective government policies may not be relied upon for a lifetime. We should desire to fly, as it is only in such flight that our future will be most secure.

To achieve flight in this age, there is the need to look to our science to help us devise structures that provide a certain level of synergistic efficiency. By this, I refer to technological clusters that allow for the availability of the principal elements for entrepreneurship within a particular geographical setting.

Like most big cities, the city of Lagos, for example, provides an illustration of what clusters offer. The sheer volume of human beings, certain level of infrastructure, and regulatory and financial organisations provide the pool, comprising the market, finance, human and technological resources required for productivity to happen, and at a relatively cheaper rate.

R&D/manufacturing clusters seek to create similar efficiencies for certain industries. For them to happen effectively, sufficient science is required to delineate the modus operandi; management will and muscle must be exerted and government commitment must not only be heard but also seen. Hence, there willbe the need to achieve a meeting of minds; in other words, leadership must happen and for sufficient duration.

The challenge with the nature of leadership required is that the sheer magnitude of skills required to achieve the thoughts enumerated here are hardly domiciled in any particular individual, and even when they are, there are obvious limits on the rate and efficiency of deployment; hence it is not a leader that must emerge but, rather, leading teams.

For the pharmaceutical Industry, these teams would need to combine market skills with research skills and sufficient influence with the government, not to mention that some folks must come along with bags full of money!

Another important challenge is that for individuals with the skill and dexterity required to lead science in our age, their competences are already enough to achieve survival and a bit more. If this article is effective, it will be that it has helped someone decide for somewhere beyond survival.

If we think about it on a micro level, survival was never the goal of science; Adam did not have to worry himself contemplating why ripe bananas turn yellow before he could eat them. However, we will always thank God for those Adams who ask those important; “beyond-survival” questions.

 

PCN inducts 39 pharmacists from Madonna University

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(By Adebayo Folorunsho-Francis)

 

No fewer than 39 graduates of Faculty of Pharmacy, Madonna University, have been offered licences to practise by the Pharmacists Council of Nigeria (PCN), shortly after their induction and oath-taking ceremony.

The colourful event, which attracted parents, friends and several pharmacists, took place at the school conference hall on 11April, 2014.

In his speech at the event, the vice-chancellor of the university, Prof. Chuks Ezedum, welcomed the PCN registrar, Pharm.  Gloria Abumere, and her entourage and thanked the founder of the university, Rev. Fr. (Prof.) Emmanuel Edeh, whose philosophy made it possible for the training of future pharmacists in the institution.

Prof. Ezedum assured the PCN that the graduands passed through a devoted dean and proficient lecturers, and therefore, were academically and morally qualified for the oath-taking and induction ceremony.

While remarking that Madonna University students were always of international standard, he urged the graduands to distinguish themselves as unique pharmacists in the pharmaceutical world.

The vice-chancellor also thanked the parents and guardians of the young pharmacists for investing positively in their future.

In his own speech, acting dean of the faculty, Pharm. Felix Osuala,also expressedgratitude to the founder of the university, as well as members of staff of the faculty, for their high sense of commitment and devotion to the training of the future leaders.

Osuala noted that the faculty had secured full programme accreditation from both the National Universities Commission (NUC) and the PCN.

Also speaking at the occasion, Pharm. Abumere expressed her joy that Madonna University hadsucceeded in producing the 5th set of pharmacists and thanked the university management for its effort in giving the best quality education to its students.

Earlier, in her speech, Abumere highlighted the rules and regulations of the Pharmacy profession to the young pharmacists and urged them to always consider the health and safety of their patients first in discharging their duties.

The PCN registrar also conducted the Pharmacists Oath on the 39 Pharmacists and afterwards issued them with practising licenses.

The high point of the event was the presentation of achievement award to Celine Chukwu, who emerged the best graduating student of the year in the faculty.

Don’t blame poverty for malnutrition – NSN president

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(By Temitope Obayendo)

 

NSN presido

 

 

 

President, Nutrition Society of Nigeria (NSN), Professor Ngozi Nnam, has said that contrary to popular belief, the prevalence of malnutrition and related diseases in the country has little to do with its financial capacity.

 

Speaking with Pharmanews in an exclusive chat, Professor Nnam, who is also Head of Department, Human Nutrition and Dietetics, University of Nigeria, Nsukka, noted that neither affluence nor penury makes a nation feed well, but adequate knowledge of what should comprise the daily diet of its citizens.

The dietician condemned the feeding pattern of most families in Nigeria, noting that even children from wealthy families suffer malnutrition nowadays, due to monotonous diets.

According to her, “The socio-economic situation is not the major problem but lack of nutrition knowledge. Individuals should be educated on how to select and combine foods within the limits of their resources. Nutritionally, adequate diet is not necessarily an expensive diet but diet that contains all the food nutrients in adequate quantity and quality.”

Nnam further advised that, in order to prevent chronic degenerative diseases which set in later in life, people should regularly feed on diets that contain all food nutrients in adequate quantity and quality.

She also recommended more consumption of living foods, especially fruits and vegetables, increase in fibre intake, which helps in blood sugar control, and a reduction in salt, sugar and oils to the barest minimum.

“As people grow older, there is decrease in the functioning of their organs. This calls for reduced intake of sugar, fats and oil and increased intake of fruits and vegetables,” she noted.

Reiterating the essence of nutritional education in the society, the university don stressed that nothing can remedy poor diet than the knowledge of knowing the right things to feed on and the right sources of the substances.

“That poor woman in the village should be encouraged to include the fruits and vegetables that are most times found wanting in the family meal to make for adequate diet,” she counselled, adding that “judicious combination of locally available foods in villages and towns within the limit of family resources could give nutritionally adequate diet.”

 

The magic in your diet

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Have you ever wondered why there are such marked physical differences in the various classes of humanity? In some persons we see diseased and distorted figures, and in others we see fine and perfect personifications of radiant health? It depends so much on their thinking and eating.

Most people are only hanging on to life; they are not able to work magic. But you, as a magician, must know just how to be radiantly fit and mentally alert. As a magician, you must know how best to keep fit, and how to extend your life and live a long, long time. All the magic in the world that you may work for yourself is of little value unless you are radiantly fit and able to live a long time to enjoy it.  If you are beginning to make wonderful demonstrations (and you should be doing so by now), then you need glorious health to enjoy the fruits of your success.

By eating the right foods you will be able to say, “Gone are the aches and pains, the feelings of fatigue, the deadly lassitude that kills.” You will no longer turn over in bed in the morning to sleep a while longer. You will be up with the lark, singing, glad to be alive.

You will not be touchy and irritable any more. You will never know what it is to be exhausted. This is the perfect existence. Life for you will be grand.  “The wind’s on the health, brother; who would wish to die?” That’s how you will feel when you are well.  Your swimming pool, your Rolls-Royce, your yacht, your palatial home, your dreams that have come true through the magic in your mind, what use are they if you are sick and tired? How can you enjoy your new-found treasures, if you are old and weak?

Youth! Eternal youth! That’s what you want. Bronzed and beautiful and everlasting. Are you losing your youth? How are you losing it? And why? Left too long, youth can never be recovered. If you are not as young as you used to be when life was fun, if you are fully conscious that you are getting older, and begin to feel as one does during the last dance of a ball, tired but keen, then decide right now to do something about it.

You can remain young in spirit and fit in body until well over a hundred. Many people do. It is not just a matter of your attitude to life and thinking the right thoughts, but it’s a matter of what you eat. There are foods which help enormously towards giving you the power to work magic. And there are foods which gradually numb the mind, like slow poison, so that you can never, never have that power.

Let magic play a vital and fuller part in your health plan. As a magician, you have the power to bring health and beauty to the highest standard that the world has ever known, and a real tranquility to your mind.

So let us consider food, and what we eat often.

 

·      Bread

Bread, they say, is the staff of life. What sort of bread? Brown or white? This argument has been going on officially since Nero put the Romans on a diet of bread. Nero and his Court liked it white. Is there any difference between brown bread and white, as regards food value, sufficient that it matters?

I think so. A lady said to me the other day, “My son and daughter have each collected some tadpoles to observe their metamorphosis into frogs. My son put some white bread crumbs in his bowl for them to eat; my daughter put brown bread crumbs into her bowl. The next day, all my son’s tadpoles were dead, but my daughter’s are still thriving.”

You like white bread and you eat quantities of it. White bread is treated to maintain its colour, but the agent used may be slowly doing to you as a white-bread eater what it rapidly did to the more fragile tadpoles.  Don’t you agree? Maybe it is slowly killing that “something” in your mind that works magic.  That precious “something.”  I don’t say it is, but I think there is a strong possibility.

Brown whole-wheat bread is the best, because the wheat germ and the outer coating of the wheat contain most of the vitamins and minerals we need, whereas white-bread bakers remove the essential ingredients before selling to other firms, or as animal feeding. They can make a little money on the side, so to speak.

Do we lose anything from our diet by eating white bread instead of brown whole-wheat? “Of course we do,” says Mr C. Donald Wilson, member of the Soil Association. “The millers take out 30 per cent of the nutrition in wheat.” Like this, even if they put a little bit of it back, essential vitamins are lost from our diet.

When you start adding chemicals to food and adulterating natural food, harm and ill-health are bound to result. Why do the Indians, the Africans, the Hunzas, enjoy such perfect health? Because they eat pure food grown on natural soil. To bring out the magic in your mind, you must give thought to these things.

 

 

Culled from BRING OUT THE MAGIC IN YOUR MIND by AL KORAN

 

 

 

How to reduce mortality in Nigeria, by Melanie Bird

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(By Temitope Obayendo)

 

 

Melanie J. Bird is a registered nurse in the UK and deputy head of the Department of Primary and Public Health at Anglia Ruskin University.  She lectures on a variety of nurse-related courses offered by the university and supervises students undertaking both undergraduate and postgraduate dissertation modules.

Recently, the health care expert came to Nigeria and held a series of trainings aimed at upgrading the skills of the country’s health care practitioners. In this exclusive interview with Pharmanews, Ms. Bird expressed her views on the Nigeria’s public health care system and suggested strategies for improvement. Excerpts:

 

Please tell us about your mission in Nigeria.

With the increasing numbers of patients affected by public health-related illnesses, I became interested in the wider public health agenda.  After completing a teaching qualification and further professional development courses relating to public health, I worked as a Public Health Nurse Advisor for the NHS and have since moved into teaching public health to future public health professionals from around the world.

 

How possible is it for Nigeria’s health indicator to mirror that of the UK?

Nigeria has made great strides over recent years to improve the healthcare provision and public health of the population. The Nigerian government is working hard to implement strategies that will result in moves towards the WHO goal of ‘Global Health’.  These include improved infrastructure, increased training of healthcare workers and improved access to healthcare.

To move closer to the health indicator of the UK, Nigeria will need to keep moving forward with these strategies.  The life expectancy in the UK averages 86(F) and 83(M) years – which brings a different burden to UK public health. However,the Nigerian life expectancy is much lower at 55(F) and 49(M) – althoughthis has increased slightly over the last few years. Maintaining the strategies, as stated aboveshould, see an increase in life expectancy.

 

Also, infant and maternal mortality is still on the rise in Nigeria.  What assistance can your institution give to reduce this to the barest minimum?

Many of our MSc. public health students study MMR  (Maternal Mortality Ratio) as their chosen dissertation topic.  This gives them an increased knowledge base, with which to return to Nigeria and help this cause.

One of the most important aspects of reducing MMR is not just about training the healthcare professionals – it is about empowering the community to understand lifestyle risk factors, as well as educating them about medical issues.  One way of doing this is through motivational interviewing.

 

What are the new skills and courses your institution is offering Nigerian health care practitioners?

We have a variety of skills based workshops and courses that are applicable to a wide range of healthcare services, from midwifery courses (for registered midwives), advanced nursing courses (for registered nurses) and short courses in relation to managing diabetes, hypertension, wound care management, motivational interviewing and many others.

 

What advice do you have for health care professionals in Nigeria?

Nigerian healthcare professionals are achieving great strides in moving the health of the population forward.  I would urge more people to think about a career in healthcare and healthcare related roles.  More radiographers, pharmacists, microbiologists, etc. are needed.

Traditional birth attendants are growing. However, they need further education and training, in order to adopt relevant and contemporary birthing skills with further skills in monitoring the mother and baby prior to birth, to be aware of any complications.

 

 

NHIS law has limiting flaws – Dr. Olaniba

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Dr. Adenike Olaniba is the medical director, Olaniba Memorial Hospital, Surulere, Lagos, and national president, Healthcare Providers Association of Nigeria (HCPAN). In this exclusive interview with Adebayo Oladejo, the consultant public health physician spoke on the lingering crisis in the health sector. She also spoke on some issues relating to the National Health Insurance Scheme (NHIS), as well as the appointment of the Surgeon General of the Federation. Excerpts:

 

What were the objectives of HCPAN at the inception?

HCPAN is the umbrella body for all professional health groups that are participating in managed care and the National Health Insurance Scheme in Nigeria. The association was formed in compliance with Decree 35 of 1999 setting up the National Health Insurance Scheme (NHIS) with particular reference to Part 1, Section 11, Subsection 2 (g) and Part 11, Section 6 Subsection 2(d), enumerating the roles of health care providers in the country.

The association was established in August 2004 and was formally registered in 2005 with the Corporate Affairs Commission. So, it is a corporate body; a legally registered association. Membership of the association covers medical practitioners, dental practitioners, pharmacists, nurses and midwives, medical laboratory scientists, physiotherapist, radiographers and nutritionists, and their roles are enumerated in the Act.

 

Does it worry you that many public officials travel abroad for medical treatment?

Of course, it does worry us and we believe that health should be sourced for in Nigeria. However, it has been discovered that many of these people who travel abroad for treatment are attended to by Nigerian physicians who are based in those countries, especially the US and the UK. The belief is that we do not have basic infrastructure in Nigeria, which is why many of them travel abroad for treatment.

In a way, this is an indication that the Nigerian government has not paid enough attention to the development of our health sector, as there is insufficiency of trained personnel and inadequacy of medical facilities. So, until government pays attention to these, people will keep going to other countries to source for healthcare services.

However, it’s really a concern to those of us who are practising here. We believe that if the money they spend abroad could be invested in the nation’s health sector, we should have developed a better health system than what we have today.

 

Some healthcare providers have been calling for the removal of the health minister over claims that he is favouring medical doctors above others. What is your view on this?

I think that claim is a bit untrue. I am saying this because, in any country, especially countries that are running health insurance of any sort, medical doctors are always the first port of call. They are the primary physicians and any patient would naturally want to see them first. Traditionally, it is the doctor that refers patients to other healthcare providers, be it for diagnosis or for drugs.

In order to have a health system that follows the best practices, as forward in other countries, doctors must be the primary care personnel. That is the only way we can have an organised system. Although it is true that, in many countries, patients go first to the pharmacist, this is allowed because there are community pharmacists all over the place; and doctors themselves can go there for first-line drugs. I am happy that even here, in Nigeria, the jingles you hear on radio and television state that if you take a particular drug for three days, and you do not see any result, consult your doctor. This goes to confirm the role of the doctor in the health system.

So, for the health minister to place doctors as leaders of the health team is not out of order and it does not, in any way, mean that doctors are more important that other health care providers. The point he is making is that, in any team, there must be a leader and doctors will always be the leader of the health team, especially if that health team is to achieve the goal of providing qualitative healthcare to the masses.

 

How do we resolve the unending rivalry among healthcare practitioners in Nigeria?

The professional health group is a conglomerate of health practitioners, and if we all focus on the goal we are there to achieve, there will be no rivalry. The goal of the health system in any country is to provide qualitative healthcare for the citizenry. So, it doesn’t matter where the care is being provided or who provides it – the fact is that the care must be provided and the patient must be the focus of everybody in the healthcare team. Our concern should be on how to ensure that the patient gets qualitative healthcare.

To achieve this objective, we must agree among ourselves on where the patient should go first, and if we all agree that the first port of call should be the doctor, then we should allow them to lead the team. Since it is the provision of qualitative health care for the patient that we are all working towards, we should adopt the best practices that are prevalent in other advanced countries, so that our goal will be achieved at the end of the day.

As it is now, our health indices are so abysmal to the extent that our infant mortality rate, maternal mortality rate and others are below the average in the whole of Africa. So, we healthcare providers need to come together and close the gap. We should stop thinking about professional statuses and start focusing on the care we want to provide for the patients.

Incidentally, this issue of rivalry has caught the attention of the presidency and a committee has been set up to look into it. The committee is headed by the former Secretary to the Government of the Federation, Dr. Yayale  Ahmed. Members of the committee include Prince Julius Adelusi-Adeluyi and Prof. Akinsete, among others.

 

The decision of the FG to appoint a Surgeon General of the Federation has been kicked against by some non-medical health practitioners. What is your reaction to this?

As far as the issue of Surgeon General is concerned, in the developed countries, the Surgeon General is appointed to take care of technical situations in government. For example, if a government official decides to go abroad for medical treatment, somebody has to advise the government whether that treatment should be funded by the resources of the government or not. So, the essence of all this is to conserve the revenues of the country, so that government officials do not spend frivolously on overseas medical treatment.

Before the government can sponsor any official on overseas treatment, somebody must sit down to analyse, investigate and advise the government whether that expenditure should be incurred or not. That’s majorly what the Surgeon General will be doing and, obviously, it is a medical doctor that will be in that office. His role is to advise the government; he has nothing to do with private individuals who want to travel abroad for medical purpose. So, I see no reason why anybody or group should kick against it, in as much as it’s in the interest of the country.

 

Will you pass vote of confidence on the NHIS?

The NHIS is a veritable means of health financing in Nigeria but the enabling Act that brought it into existence has some flaws. This is why we are calling for immediate review and overhaul of the Act.

For example, there is a clause in the Act that makes it optional for Nigerians to have health insurance. We believe that the clause should be reviewed and every Nigerian must have a form of health insurance, instead. Once that clause is reviewed, it gives NHIS the ability to apply health insurance to all Nigerians. I think this is the major handicap that NHIS currently has.

Nevertheless, it is encouraging that the NHIS has been able to provide qualitative healthcare to members of the federal civil service, pregnant women, and children under the age of five; but this is still a meagre percentage of the population. About 95 percent of the population is in the informal sector, and this is why some people are scoring the NHIS low in performance because the vulnerable groups and the indigents are still there in the dark, and they need to be catered for.

 

Where do you hope to see HCPAN in the next five years and what message do you have for your members nationwide?

In the next five years, we hope that HCPAN, as recognised in the NHIS Act 35 of 1999, will be the major association under which all other healthcare professional associations will be operating the health insurance. This however does not mean that we are taking over the roles of individuals and professional health groups, as our own focus is on health insurance.

So, we are hoping that, in the next five years, all health facilities that are providing health insurance in the country will come under the HCPAN umbrella. This is necessary, so that we can regulate ourselves and be able to impart adequate knowledge in the implementation of health insurance in Nigeria.

To my members, I wish to say that, as healthcare providers, we must work together to ensure we achieve the goal of qualitative healthcare at affordable cost. Let us look at Nigeria as being able to achieve universal health coverage by the end of 2015 because we all know that 2015 is close. Let us join hands towards that goal.

 

Lagos ALPs receive newly graduated female pharmacists

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(By Adebayo Oladejo)

 

 

The recent induction and oath-taking ceremony of 141 Pharmacy graduates of the University of Lagos took a more glamorous and celebratory dimension, as it was announced that a total of eight students who graduated with distinction were all females.

Chairperson of the Association of Lady Pharmacists (ALPs), Lagos State Chapter, Pharm. Modupe Ologunagba, and other members of the association present at the induction beamed with delight at the disclosure.

While speaking with pressmen, Pharm. Ologunagba said she was even more delighted that over 50 percent of the graduands were females.

“The fact that over 50 percent of the graduands today are ladies is a thing of pride to the association…This is a good development for the pharmacy profession because females are more stable in their careers and if we go back to history, Pharmacy actually started with the women; so it’s like bringing back history to reality.”

She seized the occasion to advise the female graduands not to abandon the practice of Pharmacy, assuring them that ALPs has a very strong platform for them to excel in whatever area of the profession they wished to pursue.

The ALPs boss further revealed to the graduating students that the scarves bearing the name and logo of the association, which were shared to them, was a symbol of their acceptance into the association.

“The scarf is an innovation and we are doing this in order to motivate and mobilise our membership, and now that we have realised that majority of the graduands are females, we want them to start having a sense of belonging from today, so that they can contribute positively to the vision of the association.”

Reacting to the warm gestures of ALPs, one of the female graduands, Fasanmade Abiola Odunayo, who was clearly overjoyed, said she was happy to be part of the ceremony, adding that she was prepared for the challenges ahead because she had been taught a lot of things that she needed to know, in order to cope in the real world.

“I am going to practice Pharmacy and nothing will take me away from Pharmacy,” she enthused.

On her opinion of ALPs, Odunayo said, “I am already a member because they have given us forms to fill and we have done every necessary thing to become part of them and I can’t wait to join them.”

 

Patient referral should begin with community pharmacists – Pharm. Olanrewaju

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(By Adebayo Oladejo)

 

 

In this interview with Pharmanews, Pharm. Madehin Abdulgafar Olanrewaju, the national financial secretary, Association of Community Pharmacists of Nigeria (ACPN) and zonal coordinator, ACPN, Ipaja, Dopemu, Egbeda and Akowonjo Zone, explains why he thinks community pharmacists are not being recognised and rewarded enough in the country and what can be done to improve the situation .Excerpts:

 

Tell us about yourself and how you became a community pharmacist.

I am a community pharmacist and I graduated from the University of Ife, now Obafemi Awolowo University, Ile-Ife. I had my MBA degree from the University of Maiduguri in 1997.

I had developed interest in community practice before I gained admission into the university and it was the community pharmacists in my area in Ibadan, especially Mol Chemist, that influenced my decision to study Pharmacy, even though most of my loved ones wanted me to study Medicine.

By the time I gained admission and started studying Pharmacy in 1983, my interest in community pharmacy was already awakened. So, right from school, I had begun considering some names for the pharmacy I would operate after graduation. The only hospital experience I had was during my youth service, after my internship. But immediately after my youth service, I entered into community practice, and it was not just a community practice where I would go and register somebody – I was fully involved.

I joined Namu Pharmacy Limited, Bornu State, in December 1999, in form of a partnership. I was in that partnership for 15 years, until I decided to relocate to Lagos. I did this for two reasons:one was the challenge of political instability, which usually led to crisis and chaos then, and I was not comfortable with the thought of raising my children in that place; the other reason involved the typical challenges associated with partnership. I realised that my expectations were not being met.Though I still have good relationship with them till today,I had to leave then.

When I left Namu Pharmacy in December 2003, I relocated to Lagos and started working towards having my own premises, but it was not really easy getting a good location.So,along the line, the opportunity of working with Emzor Chemist came. At that time, the Chemist wasn’t doing very fine and they were looking for somebody to revive it.So,I was given employment, as the superintendent pharmacist there.

I joined Emzor in January 2004, and by the time I left in 2008, we were already making sales of about three million naira monthly –the  records are there for anybody to verify. Meanwhile, I had to leave because the initial reason I joined was to learn a few things about retail pharmacy and to understand the terrain very well. My experience with Emzor made me to know all that, and to understand the distribution system.So,by the time I was leaving, I had garnered enough experience.

I resigned from Emzor and started my own pharmacy, Epsilon Pharmacy Limited. It was incorporated in 2008 and the premises were registered in 2009.Since then, I have been doing what I love best because, to me, community practice was just like a calling and I have answered the call.

 

How would you assess community pharmacy in this part of the country?

Community pharmacists have a lot of potentials because, as community pharmacists, we render services to people.It is however unfortunate that Nigerians have not realised the full potentials of the community pharmacist and therefore not tapping into it.

The knowledge that pharmacists have is enormous; yet Nigerians don’t see them as people who have anything special to offer, rather than mere drug sellers. This is a mistaken perception because there is so much information that pharmacists have and are willing to share with the public. Components of this information provide the key to effective therapy.

Many Nigerians have not realised that, while drugs can be helpful, they can also be harmful. They don’t know that the only person that is trained to guide people on proper usage of drugs is the pharmacist. Meanwhile, other developed countries have realised this and this is why every prescription must go through the pharmacists before it gets to the final consumer.

Aside from that, we have a deregulated environment where people do things the way they like – they buy drugs and start selling, as they wish. And, due to ignorance,the consumers may not know that there is a need for them to see a qualified pharmacist before purchasing or consuming a drug. If the consumers are aware of this, charlatans would have been put out of business.

 

What are the challenges that come with community practice and how can they be surmounted?

The major challenge we have in community practice is empowerment. I mean empowerment in the area of knowledge and finance. A community pharmacist needs finance to undergo financial training, management training and others. Let me say here that it is the masters programme that I did that actually exposed me to the fact that those traders who have made success out of the drug distribution trade understand some rules of the thumb which wetrained pharmacists do not know.The only way we can learn all these rules is to go for trainings.

Still on finance, the community pharmacy profession is attached to the article of trade, even though it is not purely trading.For example, if one owns a pharmacy outlet and the person is very sound in the knowledge of pharmacology, pharmaceutical care, etc. – if people come to his pharmacy and find his shelf empty, they will lose confidence in him because they would have been disappointed with what they see in his pharmacy.

The state of your pharmacy determines the first impression people have of you. And by the time the first impression has been defeated, even though you are talking sense, they may not listen to you. But if they enter your premises and the place is neat, well-stocked and you are looking good, you have already broken the barrier of lack of confidence, and they will be willing to listen to you. This is where finance comes in.

If the government really appreciates the role of pharmacists as the interface between the drug and the consumer, they will develop deliberate policy in two areas: one is how they can increase the number of pharmacists being produced by pharmacy schools by funding those schools and establishing new ones; the second is to financially empower practising community pharmacists because, whether we like it or not, community pharmacies are like primary health centres, where majority of people visit first when they have a health challenge. By the time the government increases their capacity, they will be able to deliver effectively and, when necessary, they will also be able to refer patients to the appropriate professionals. In the real sense, the referral system should begin with the community pharmacy because that is where the patient goes first, and the community pharmacist should then refer to other professionals.

 

How lucrative is community pharmacy?

As it is now, there are lots of potentials in community practice and that is why everybody wants to sell drugs. Even professionals outside the healthcare system like lawyers, bankers, engineers and so on, are all interested in selling drugs.The reason is that they all see it as a very lucrative business. What determines whether a business is lucrative or not is the rate at which people demand for it. No one can do without drugs; drugs are consumed from the cradle to the grave. This is why everybody wants to go into the business of drug-selling.

Yet, it is not everybody that is trained to handle drugs because they are special products. It is now left for the government to deliberately prevent the profession from being hijacked by those who are not formally trained.

In a nutshell, community pharmacy practice is a lucrative business but the problem is that many pharmacists are not psychologically and technically positioned to tap the potentials of community pharmacy in their environment.

 

What are the major health conditions that bring patients in this area to the pharmacy and why is this so?

I will say it is malaria that often brings people to the pharmacy because by the time they come and complain and we give them a malaria drug, within the next two to three days, they will be okay. This is why I think we should be able to empower community pharmacists to take care of malaria and other minor illnesses, while the serious ones can be referred to the hospital.

 

How do you see the war on fake drugs?What strategies can be adopted to effectively tackle the menace?

The challenge of fake drugs is a global problem but other societies have identified the challenge and developed strategies to take care of it. In Nigeria, we have also developed strategies but we are not doing enough.The reason is that we are losing focus.For example, there is the task force on fake and counterfeit medicine set up by the federal government and is managed in all the states of the federation, but the members are not empowered to work. They should be able to go to any place where medicines are sold and be able to deal with anybody that stocks fake products. They should be able to trace those who are behind the pushing of fake drugs into the markets because they are all human beings and not ghosts. The regulatory bodies should also be empowered to do monitoring constantly, in order to ensure that people are doing the right thing always in the distribution system.

Another major area we have failed to look at is that in the process of moving a drug from the manufacturer to the consumer, the drug could become adulterated, due to poor storage. Many people do not know that poor storage can make the active ingredients in a drug to reduce, thereby making the drug substandard. So, the regulatory agencies have to start investigating whether those that are in the system have the proper capacity for storage.  Monitoring is essential.The manufacturer, the importer and, finally, the retailer should be properly monitored.

Pharmacy Faculty, UNILAG, launches annual alumni lecture

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(By Adebayo Folorunsho-Francis)

 

The Faculty of Pharmacy, University of Lagos, recently held its first annual alumni lecture and luncheon in honour of the 2012/2013 graduating students.

The lecture, held at the Old Great Hall of the Lagos University Teaching Hospital (LUTH), witnessed a massive turnout of Pharmacy students, as well as eminent pharmacists and professors in the country, including Prof. Fola Tayo, pro-chancellor & chairman of council, Caleb University;Pharm. Matthew Akinyemi, chief pharmacist of LUTH; Pharm. Wale Oyenuga, managing director of Cipla Evans; Pharm. Ade Popoola, managing director of Reals Pharmaceuticals; and Prof. Cecilia Igwilo, a Fellow of the Pharmaceutical Society of Nigeria.

Dean of the faculty, Prof. Olukemi Odukoya, explained that the lecture was organised to bring prominent and successful alumni of the faculty together so they can share their wealth of wisdom and experience with staff and students.

“Lecturers are also chosen among the alumni who have repeatedly proven themselves with tremendous achievements at the highest levels in their respective fields,” she said. “In this way, both the students and faculty benefit, in terms of alumni support and overall exposure.”

Addressing the alumni, the dean noted that the faculty anticipated that they should be able to educate and encourage fresh Pharmacy graduates on opportunities and challenges that await them as professionals.

“As alumni, you must be ready to put back into the system that made you; to create a synergy between you, our students, the faculty and the university; embrace giving; in truth as men of honour, we join hands to make the Faculty of Pharmacy, University of Lagos, a proud and excellent centre of reference,” she remarked.

Corroborating the dean’s assertions, Prof. Fola Tayo praised the resilience of the 2012/2013 graduating students, while equally affirming that things are no longer as rosy as they used to be in the health sector and in the nation, as a whole.

“Watching the drama performed by the students today made me weep inside,” he said.”It exposes the level of corruption in the society. Please, don’t join corrupt people in the health sector.”

Using his own experience over the years to challenge the participants, the professor, who retired as a don in the same Pharmacy faculty of UNILAG, declared that despite having worked in all the various aspects of Pharmacy, those who know him can readily vouch that he had never been fraudulent.

“For over 50 years, I insisted exclusively on doing the right thing. One thing you should know is that no amount of money will be enough for you. As you steal, you will definitely develop an appetite to steal more. But always remember the motto, ‘As men of honour…’” he stressed.

Guest speaker at the event, Pharm. Oyenuga, who delivered the lecture, “Successful Pharmacy Practice: Priming the New Graduates,” described the graduate pharmacist as a highly favoured professional, who already has greatness deposited in him.

According to him, the key to unlocking the inherent potential, while navigating the professional terrain, lies in continuous effort, not necessarily strength or intelligence. In his words, “choice, not chance determines success.”

 

UNILAG

L-R: Pharm. Ike Onyechi, managing  director of  Alpha Pharmacy; Prof. Cecilia Igwilo, a Fellow of the PSN; Prof. Olukemi  Odukoya, dean, Faculty of Pharmacy, University of  Lagos; Prof. ‘Fola Tayo, pro-chancellor & chairman of council, Caleb University; and Pharm. Wale Oyenuga, managing director of Cipla Evans, cutting the alumni lecture cake.

Personality of the month-Pharm. (Barr.) Steve Azubuike Okoronkwo

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Pharm. (Barr.) Steve Azubuike Okoronkwo, managing director of Al-Tinez Group (Al-Tinez Pharmaceuticals, Centaur Pharma, Xcel Pharma, Al-Tinez Visions Limited and Al-Tinez Consumer Care Limited) was born on 20 December, 1967.

A native of Akokwa, Ideato North Local Government Area of Imo State,Okoronkwo  attended  Dennis Memorial Grammar School, Onitsha from 1980 to 1985 and University of Nigeria, Nsukka (1986-1991) where he studied Pharmacy.

In 1998, the versatile pharmacist was admitted to study Law at the University of Lagos, Akoka. On graduation in 2005, he attended the Nigerian Law School and finished in 2006.

Due to his passion for continuous self-development, Okoronkwo went through the West African Postgraduate College of Pharmacists programme between 2002 and 2007. Two years after, he was back at the University of Lagos, Akoka for his MBA (2009–2011).

His work experience began at the Murtala Mohammed  Specialist Hospital, Kano, in 1991, where he worked as a pharmacist. He was also at the NNPC Medical Clinic, Benin City, in 1993, as part of his NYSC programme.

Between 1996 and 1997, he was a superintendent pharmacist at BC &Partners Limited, Onitsha. He also worked at Al Pharma Limited in 1998. He eventually started his own company, Al-Tinez Pharmaceuticals, in 2001.

A member of the Federal Government of Nigeria’s delegates on trade mission to Vietnam in 2008, Okoronkwo is also the director of Al Pharma Limited, Pharmachoice Limited and Vixel Resources Limited (pharmaceutical wholesalers).

The pharmacist is a member of the following associations: Nigeria-Chamber of Commerce, Pharmaceutical Society of Nigeria (PSN), Association of Industrial Pharmacists of Nigeria (AIPN), Nigerian Bar Association (NBA), American Association of Pharmaceutical Scientists (AAPS) and Fellow, West African Postgraduate College of Pharmacists.

Among his numerous awards are:Platinum Mentor Award of the Young Pharmacists Forum (2007);Distinguished Good Ambassador of the Advent of Our King Anglican Church, Egbu, Owerri (2008); Friendship Award of District 404A Lion Club Nigeria (2010) and Entrepreneurship Award of the Association of Community Pharmacists of Nigeria (ACPN), Anambra State chapter (2012).

Others are: Certificate of Merit in Recognition of Contribution to Health Care Delivery System and Pharmacy practice in Nigeria by the PSN, Abia chapter (2012) and Distinguished Merit Award by the Nigeria Bar Association, Badagry branch, Lagos State (2013).

As part of his extra-curricular activities, Pharm Okoronkwo enjoys travelling, reading and listening to music. He is married, with four children.

Private hospitals without qualified pharmacists should be sanctioned – Pharm. Debo Tade

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 (Adebayo  Folorunsho-Francis)

 

 Pharm Dedo Tade

 

 In this interview with Adebayo Folorunsho-Francis, Chairman of Mastoofy Supermarket & Electronics Ltd, Pharm. (Deacon) Adebowale Robert Tade, expresses weighty views on the different areas of pharmacy practice in Nigeria and why he thinks pharmacists in the country are not respected or appreciated enough.Exerpts:

 

 

Tell us a little about yourself

For someone who believes in both paternal and maternal sides, I always claim to hail from two states in Nigeria – Ijagbo community in Kwara and Ikogosi in Ekiti.

I was born on 16 February and presently nosing 70 years. I went to Baptist Boys’ High School, Abeokuta (a school whose motto is “nulli secondus” – second to none – and has produced a head of state, top academicians, erudite jurists, business moguls, top company executives for this nation and myself). I graduated from the School of Pharmacy, Ahmadu Bello University (ABU), Zaria, where I attended from 1965 to1970.

I have travelled extensively across the globe for general and senior management studies, courses in financial management/accounting studies and strategic planning skills. I had my internship in one of the busiest children hospitals in Africa, Massey Street Hospital, Lagos. After working there for a while, I made up my mind to quit hospital pharmacy because there was no respect for the pharmacy profession in hospital pharmacy practice.

 

Why did you say that?

I will come to that later. It is not something I want say at the beginning of this interview.

 

Tell us about your work experience then         

I first worked with Burroughs Wellcome. I was one of those who first launched Septrin, Actifed, Neosporins and some others. I later moved up north and worked with Beecham. At a point, I wasn’t satisfied with the state of things at the company because I was the only sales representative covering the most of the then northern states up to Lake Chad. I was always busy travelling from one end to the other. Eventually I got fed up. One day, I was forced to ask myself what I was doing in the Chad area. I left the company and returned to the south where I got an appointment with Pfizer in 1973 as medical representative.

I got promoted as the ethical product manager in 1975, after some very competitive on-the-job tests and interviews. Thanks to Pharm. Douglas Egbuonu for his forthrightness and the Late Pharm. Dr Fred Adenika for his thoroughness and leadership. Detribalised Nigerians they were.

 

How did you feel about your promotion?

I can only thank God for His grace because, shortly after that, I moved in quick succession from product manager in 1976 to marketing manager in1978 and head of the pharmaceutical division as division manager in 1981.

By dint of hard work, I worked my way up to becoming Pfizer’s deputy managing director in 1985, the first Nigerian pharmacist to be so appointed and also elected to the Board of Directors of the company. It was a long wait but I enjoyed it anyway to the glory of God. Pfizer businesses registered astronomical growth in income and competitive edge in the short and medium term after my historic elevations.

Again, because of politics in the workplace, coupled with subterranean manoeuvres, I was moved to the then ailing Animal Health division of Pfizer to grow the business under the notion that I was an excellent turnaround management expert. I was named the country manager of Pfizer’s Animal Health Business, which included Livestock Feeds Plc.and veterinary pharmaceutical business. Pfizer divested its businesses in Nigeria later between1996 and 1997 and I became the chairman and managing director of Livestock Feeds Plc.

Following the divestment, Pfizer needed a seasoned manager for its 100 per cent-owned Pfizer Specialties Ltd., a company which operates in Nigeria, Ghana, Liberia, Sierra Leone and The Gambia. I was recalled by Pfizer New York headquarters and was named country manager, chairman and managing director. I was very active in all the regions. I launched some new Pfizer ethical products, including Viagra and Norvasc, and also posted unprecedented profits in all of the regions. I was at the helm of affairs for seven years and retired thereafter in 2005 in excellent health. Glory to God Almighty.

I thank God that I am still standing, long after my retirement. Now, I have dedicated my full time to doing God’s work and assisting in the running of Mastoofy Limited, a company my wife established after her earlier retirement in 1998.

 

In retrospect, can you confidently say studying Pharmacy was a good decision?

I will say that it was a good decision. After all, I achieved my set objectives of becoming a pharmacist and made my mark in the industry. I was also fortunate to have led the biggest pharmaceutical company in the world in terms of research and development, high volume sales and relatively high bottom-line figures over years.

 

What was the profession like in your day compared to today’s practice?

Depending on where you place yourself. In my day, the respect was really not there. But today, it is even worse, which is why I mentioned earlier that it depends on where you place yourself, your personal profile and the angle you are looking at it from. Do you respect yourself? Fine. The public will respect you likewise.

 

Tell us more about controversies surrounding the practice during your time

(Laughs) This also depends on the arm of pharmacy practice you are referring to. If it is industrial pharmacy, respect was there; it is still there and will still be there. In the industry, people like me competed with other professionals. It is a multi-disciplinary sector. Even as a pharmacist and deputy managing director also in charge of Pfizer Animal Health, I was privileged to head the animal feed section. In spite of my not being a veterinary doctor or an animal health specialist, I had veterinary surgeons who reported to me daily. That was born out of the profound respect they had for me. In me, they saw an innovative management guru, and an informed leader.

As general manager of Pfizer and, later, as chairman/managing director, I had finance directors, veterinarians, medical doctors, human resources directors and manufacturing plant directors who actively reported to me over the years. All of these people are candidates for the top job in the pharmaceutical industry and the best is usually given the top job. So, it is a competitive arena and you just must be proven to be ahead of them in all parameters of business and management of people and financial resources.

I thank God that Pfizer exposed me to relevant postgraduate general management and financial courses, some of which were done at Columbia University and Turfs University in the USA. I also thank God that I was trainable and progressively justified the rationale for my wide exposures to worldwide seminars and interaction.

 

Does that mean you never had any controversial issue at the industrial pharmacy level?

I cannot really say the challenges I encountered can be called controversy per se. But you have to prove your mettle still, especially when you have diverse people reporting to you all the time.

To me, Pfizer remains the biggest pharmaceutical giant to date. Whoever works in the company must be adequately equipped to do the job well. If, in the process of training, you don’t perform well, they will drop you. Unlike some pharmaceutical companies where you could present unproven reports, in Pfizer, operating results emanating from you must be robust and in line with the company’s short to medium business plan.

For our annual budget, I was in charge and, honestly, an annual budget document was about 200 pages,A4, single space, in narratives and data, all supported by research and encompassing secondary/desk research and primary/in-depth interviews. New products launch plans were rooted in so many surveys, requisite research work, collating etc. All of these ordinarily were veritable documents/thesis which qualified for PhD awards (laughs).  Many of our budget documents, new products lunch plans were references for future managers to develop their skills and excel in our competitive business operations environment.

 

What about controversies at hospital, academic and community pharmacy levels?

Yes, I agree there were problems in hospital pharmacy. Now we have the directorate of pharmacy which wasn’t there before. But before this could be achieved, it was “battle royale”. Quite some intrigues there.

In the area of academic pharmacy, there were some things missing in the past that have now been addressed. At least, we now have deans heading various pharmacy faculties. This was missing in the past. We thank God for the elders and forerunners who fought gallantly to have them in place. That was another battle.

But when it comes to hospital pharmacy, the kind of intrigues going on there is quite disturbing.

 

Maybe you can tell us why you had to quit hospital practice

I told you I would come back to that. Well, when it comes to health institutions, especially at the Massey Street Hospital where I worked, we resumed as early as 8.00am, counted tablets at the counter, prepared mixtures, made some emulsions and read/interpreted prescriptions and dispensed as necessary.

I remember I once queried the hospital specialist’s prescription. He was furious but I stood my ground because my training was instructive that he was wrong. Thank God, my superintendent pharmacist had to agree with me, albeit reluctantly.

We rarely prepared emulsions. You see, when I left pharmacy school, I was of the opinion that we would have a small production unit to work from. Definitely not what I encountered! There was no desired respect for us (pharmacists) because our scope of operation was limited. Patients’ counselling on use of medicines, ward-round checks on prescriptions were not allowed or readily tolerated in the system. That was why I made up my mind to quit. I was wasting away at the hospital.

 

Do you mean the general public don’t accord pharmacist due respect too?

They don’t even have an idea of what we do. Doctors, surprisingly, also pretend not to understand what pharmacists could do, or are trained to do. That is why you hear them at times asking, “What do pharmacists do?”

Do you know that there are times we are compelled to query some of these doctors’ controversial prescriptions? But the public wouldn’t know this. Their concern is just to pick up whatever is prescribed for them. In truth, the average pharmacist is not putting up to 10 per cent of what he/she studied in pharmacy school into practice. In a serious society, the government would have addressed such issues. But here in Nigeria, our government is not encouraging pharmacists at all.

Are you aware that in Europe and in the USA, some drug labels and adverts carry inscriptions that patients should contact pharmacists or doctors for consultations as necessary? The understanding of roles of pharmacists and doctors is clear and well-understood in the civilised countries

 

What about pharmacists working in private hospitals?

Those ones are worse. The kind of scandals that go on in private hospitals are more serious. How many private hospitals have a standard pharmacy in place, with pharmacists in charge? Only a few. In some cases, what you see are bunch of untrained nurses and illiterate salespersons placed behind a counter to dish out drugs. It is an insult to the profession. It is a serious issue that I think the government should look into.

I don’t want to make it look like the PSN is not doing enough. But I believe most [erring] private hospitals in Nigeria should have been brought to book. Any private hospital without a pharmacist should be sanctioned. Just imagine all the professional charges they collect! In most cases the private hospitals inflate the prices of drugs. The content of hospital bills in private hospitals is lopsided, cost of medicines is about 50 per cent of total hospital bills, and no pharmacist is in the employment of the private hospital. What a shame!

 

You didn’t say anything about community pharmacists. Are you impressed with them?

(Laughs). If we have to address community pharmacy practice in detail, I will say it is quite enormous. But I will just mention a few. In our days, our headache used to be patent medicine dealers. But today, I have observed that the problems associated with community pharmacy are worse than before.

Tell me, how many pharmacists who retired from hospital, academic or industrial pharmacy practice can wholeheartedly say they are interested in setting up a community pharmacy? Not many. This is because they are aware of the problems with running such practice now. Too many quacks have taken over the profession.

Additionally, community pharmacy is a key service arm of pharmacy practice which many pharmacists desire to be involved in. But community pharmacy has currently been dominated and changed into family business in locations with relatively high economic activities. Other locations available are yet to open up for minimal sustainability. Many are just crawling and slowly growing into sustainable economic levels that could make a pharmacist break even in the practice.

Establishing pharmacies in village-type streets in urban areas will not support the basic living conditions of young pharmacists or even some elderly ones, who were not favoured to open up community pharmacies on lucrative streets and are edged out by a cartel of powerful pharmacists who influenced “regulations” to become everlasting “lords” on commercial roads with high human traffic, even dominating hospital zones.

The truth is that some older and very influential pharmacists have cornered community pharmacy practice without qualms, a selfish and domineering behaviour, forgetting that the whole earth is for the Lord God and we all are mortals who will pass away someday.

 

What are the challenges facing pharmacy practice in Nigeria and how can they be surmounted?

Several challenges have evolved over the years, and the culture, attitude and environment have constituted the main problems for Pharmacy and every other profession and, indeed, the individual Nigerian.

Until justice and fairness become our watchword, there can never be peace in the professional arena. The challenge of practising any profession morally and ethically would always be a distraction and any gain by one would be viewed as a loss for the other. There are certainly enough laws guiding the profession, but respect for the law is often applied subjectively.

 

How best do you think the issue of fake drugs and counterfeit medicines can be curbed?

The problem of fake drugs started several years back. When I was the marketing manager of Pfizer, I tried my best to curb it, as majority of Pfizer products were also being counterfeited.

I recall a time when we took some offenders to court, the subject matter is described in legal parlance as ‘passing off’. We had about 35 varieties of counterfeited Pfizer’s TERRAMYCIN in the market ranging from names like Termicin, Tercin, Tamycin and about 30 others. We managed to win some cases, but we lost others.

Personally, I think the government is not doing enough to help us in this regard. There should be punitive laws for culprits. While I will not support death sentences for culprits, I think long term imprisonment will serve to deter several others

 

How do you mean?

It is simple. Why allowing open drug markets in Nigeria when, actually, in China, if the government catches you doing this, they will kill you immediately? But Nigeria has been treating the issue with kid’s gloves because of vested interests. We need an enabling law. I remember how my life was at risk during the raid we carried out on Onitsha market back then. Open drug markets are now everywhere, in Lagos, Kano and others.

 

What is your view concerning growing fears among young community pharmacists that the old ones are not accommodating?

This is why I said earlier that community pharmacy has been messed up. My grouse is that patent medicine stores and even pharmacies not owned by pharmacists are sited within the 200-meter gap and without sanctions. This “rule” must be abrogated or systematically reviewed to be devoid of selfishness of elders in the profession.

Also, some elders are lording their appetite for domination over current and upcoming generation of pharmacists. Some elders in the profession should rescind abuse of their previous exalted positions and privileges previously enjoyed which influenced the 200 meters “rule” to their advantage. This unpopular “rule” is not an Act of parliament and the implication is clear. The examples often cited of some countries and elsewhere are in error as there are lots of enabling incentives for young and upcoming pharmacists I those places. The draconian 200-meter gap rule should be significantly reduced to about 20  meters in hospital areas.

My view is that in hospital areas of about one kilometre radius, ideally, pharmacies could cluster as close as 10 meters apart. Competition should be allowed to play itself not domination and perpetuity of family practice, as it is today. In areas distant from hospital catchment, not more than 25 meters should be allowed. To ask pharmacists to open premises in untapped streets and villages, places without access roads, infrastructure and economic viability are non-existent, is outright invitation to militant resistance and litigations against PSN/PCN in no distant future. The time is now for review.

 

Is the rule not an attempt to make more pharmacists move into rural areas instead of the over-saturated urban areas?

So I was told. But where is the potential in that? Where is the economic activity? Now you expect the pharmacist to make N100 all day, not even N1,000. The proponents of this policy or call it selfish elders are not realistic. It is not a law of parliament but a policy put together by some selfish elders. It is an outright infringement of the fundamental human rights of pharmacists, yes it is. Very unaccommodating, I must say!

 

 How active were you in PSN-related activities?

I, together with the likes of Pharm. Ogundibo, Pharm. Bob Manuel of Glaxo and some few others pioneered the establishment of the Industrial Pharmacists group, an arm of the PSN in the early ‘80s. From my time as marketing manager to general manager, deputy managing director, to chairman/managing director, I strived to cause Pfizer to support the PSN at local and national levels in meetings, debates, and in resolving topical issues, including policy of engaging pharmacists by companies as pharmaceutical representatives, pricing guidelines to companies, ethical practices by companies etc.

Every year at the PSN annual national conference from 1977 to 1988 and, particularly, in the era of Nigeria’s SAP(Structural Adjustment Programme), as a pharmacist at the helm of affairs in Pfizer, I made sure Pfizer solely sponsored all key PSN conference opening buffet lunch. Pfizer painted the PSN conference programme red with products adverts to inform and educate all on Pfizer research -based products.

Pfizer partnered well with the PSN. It was a win-win deal as Pfizer successfully launched many of its key research -based products at the time. Several other companies are today on the queue to support the PSN with programme adverts and buffet lunch at the annual PSN meetings.

Let me seize this opportunity to commend the literary ingenuity of Elder Pharm. Atueyi for his pioneering efforts on the Pharmanews journal. Pfizer, under my leadership partnered with him through innovative centre-spread adverts, which commenced with FELDENE centre-spread advert from 1980/1981 and beyond. It is now well emulated by other companies. It was Atueyi then and I in action.

From my exposure to Pfizer veterinary pharmaceutical business from 1987 to 1998, I knew that veterinary business, if well managed, is more profitable than human pharmaceutical business but many pharmacists are unaware. Some level of understanding is required by pharmacists to also be involved in veterinary pharmaceutical practice. Therefore, in 1992, I got together the deans of the faculties of Pharmacy in three of our universities, dean of a veterinary institution and the then registrar of the Pharmacists  Council of Nigeria to deliberate, decide and agree on curriculum/courses on veterinary medicine in Pharmacy degree programme. The blueprint from the two-day meeting, which was held at the Sheraton Hotel, Lagos, seems moribund but I pray it will be revived soon.

I am a Merit Award winner, Courtesy of PSN, Lagos State Branch; a Fellow of the Pharmaceutical Society of Nigeria (FPSN);and a Fellow of theWest African Postgraduate College of Pharmacists (FPCPharm.).

 

How do you see the annual PSN national conferences?

The jamboree aspect is about 60 per cent, while the scientific aspect which is educational, sort of continuing education in Pharmacy, is about 30 per cent. The balance of 10 percent is for politics. I enjoy it though. But it is advisable to shift the priorities when we have policy decisions – we should know who is to do what and strive to report back by next conference.

 

If you were not to be a pharmacist, what other profession would you have opted for?

When I was in secondary school, there was this dog we had with yellow eyelids. One day, the dog misbehaved, became a threat to people and my father shot it. Being a biology enthusiast, I took it upon myself to bury it. I exhumed it after some weeks and skilfully put every skeletal bone in their proper place. As brilliant as I was, I identified all the bones, the vertebral column as I was thought in school (including the skull) correctly. Perhaps I could have become a surgeon or doctor. Against all expectations, I turned out to be a pharmacist. I think it was partly because I saw some pharmacists compounding medicines at the Ilorin General Hospital when I was on the queue to collect a cough medicine. I was really impressed!  I also saw a pharmacist at a time searching for herbs and also sorting out some leaves, combining and grinding them to make some concoctions. You know that pharmacognosy is also a vital part of Pharmacy.

 

As an elder in the profession, what is your advice to young pharmacists?

They need to be definitive and decide early enough which arm of pharmacy practice they desire to be involved in. They need not beat about the bush. It doesn’t matter whether you are in hospital, industrial, community or academic pharmacy practice– the sky is your limit. They must work hard, adequately equip themselves and, above all, allow the fear of God and the direction of the Holy Spirit to guide and direct them. That’s the key to success.

I think they can also take a cue from Pharmanews.  Atueyi is someone I know is quite principled. He knew what he wanted to do from day one. At one point, he was editor of the PSN journal. He wasn’t well equipped for the job because the PSN wasn’t taking the publication as serious as he and, indeed, some of us desired. But his flair for hardwork and focus saw him succeed. This is why I said people should work toward their goals.

Reckitt Benckiser celebrates 50 years of Dettol in Nigeria

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Reckitt Benckiser, the global health, hygiene and home care products manufacturer, has enumerated the various contributions of its flagship brand, Dettol, to the delivery of healthcare in Nigeria over the past five decades of its presence in the country.

A member of the Global Hygiene Council, Dr. (Mrs.) Nneoma Idika, spoke on behalf of the company, during the scientific session at the recent 54th Annual General Conference and Delegates Meeting of the Nigerian Medical Association (NMA) in Benin, Edo State.

In her presentation titled, ‘Dettol’s Contribution to Health and Hygiene in its 50 years in Nigeria’, Idika noted that, since its launch 50 years ago, Dettol has been part of the national efforts to improve healthcare delivery in the country by amplifying the benefits of hygiene promotion.

‘‘Hygiene promotion has become increasingly important to public health policy makers as a low cost illness reduction strategy,’’ she said.

Idika further highlighted some Reckitt Benckiser’s corporate social responsibility initiatives, one of which is the Dettol hygiene contact programme,which has benefitted  over one million new mothers and over three million children from 1,000 schools in Nigeria  since 2009.

“Over 1,000 public and private schools have been touched in the last three years, in collaboration with state governments, through the Universal Basic Education boards, while  1,152,745 new mums in 2,053 hospitals in 44 cities have been reached since 2009,” she revealed.

On other initiatives carried out by the brand in Nigeria, Dr. Idika said they include participation in the annual World Health Day, conduct of a memorability test for school children on hand washing, sponsored research studies on hygiene and campaigns promoting hygiene lessons.

She further stressed the need for Nigerians to embrace common hygiene behaviours that could improve cleanliness and lead to good health.

“Hygiene practice in the home, environment and hospital plays an important role in preventing infection transmission like common cold, influenza, gastroenteritis, diarrhoeal infections and so on,” she said.

Dr. Idika  also explained that studies have also shown a reduction in bacterial population in water for bathing by Dettol antiseptic liquid, in comparison with local purification agents like alum, lime, salt, potash alum and Moringa  oliefera seeds.

In furtherance of the company’s contribution to accelerate healthcare delivery in the country, the Reckitt Benckiser representative assured of its expansion of the coverage of various initiatives, including continued support for adequate data generation on numerous activities on good hygiene, as well as development of other intervention strategies.

President of the NMA, Dr. Osahon Enabulele, while giving his welcome speech, specifically commended Reckitt Benckiser for the Dettol brand, which he said had been endorsed by NMA for over a decade.

 

reckitt benckiser 1

L-R: Brand Manager, Dettol, Reckitt Benckiser, Ms. Morolake Onifade; Speaker for Reckitt Benckiser on Gastro Oesophageal Reflux Disease, Dr. Michael Ezeanochie; Member, Global Hygiene Council/Speaker for Reckitt Benckiser on Dettol, Dr. Nneoma Idika; and Marketing and Activation Lead, West Africa, Reckitt Benckiser, Mrs. Omotola Bamigbaiye-Elatuyi at the 54th Annual General Conference and Delegates’ Meeting of Nigerian Medical Association (NMA) held in Benin, Edo State, recently.

Why clinical diagnosis is crucial to all medical treatments – Sifomedics MD

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By Adebayo Oladejo

 

 In this exclusive interview with Pharmanews, Mr. Ibikunle Olusola, MD/CEO of Sifomedics Clinical Laboratory, a subsidiary of Sifoworld Investment Limited, spoke extensively on the importance of clinical diagnosis in health care delivery, the challenges facing medical laboratory practice in the country, and what government and the practitioners can do to improve the current situation.

He also spoke about the endless wrangling and rivalry among healthcare providers in Nigeria and the effects on the country’s health sector. Excerpts:

 

How crucial is clinical diagnosis to quality healthcare delivery?

People’s prognosis strictly depend on their diagnosis, meaning that if a clinical diagnosis is not adequately and meticulously done, the life of the patient involved is at risk.Such a diagnosis will mislead the clinician as well as the public, while subjecting the patient to untold trauma.So,it is of great importance to know that clinical diagnosis is the bedrock of every medical treatment.

However, talking about inaccurate diagnosis, there are lots of factors that could be responsible for this.Firstly, government is supposed to be monitoring the reagents that are being brought into the country – their year of their production, how long they had stayed on the sea, the conditions they had been subjected to and so many other considerations. But this is not often the case.

Aside that, as the day go by, the quality of education in the country keeps dropping and, as such, the quality of laboratory scientists produced in the country also continues to plummet – just like it is with other professions.

Moreover, apartfrom the challenges of reagents and personnel, there is also the problem of quackery. Many outlets and individuals, including patent store chemists, now runpregnancy, malaria, and so many other tests.In most cases, they do this without anybody monitoring their activities. Even in the hospitals where we expect a greater level of sanity and where there should be a standard laboratory being run by a qualified medical laboratory scientist, assisted by a technician or medical laboratory assistant, what we find is that most of them go below the standard, employ the service of maybe a science laboratory student or an IT student to man the laboratory.This contributes a lot to the problem of poor and inaccurate diagnosis.

 

Can you specifically highlight the challenges facing laboratory science practice in Nigeria and how they can be resolved?

There are lots of challenges facing the practice, either as a course of study in higher institutions or as a profession. We thank God for the introduction of the bachelor degree programme, because it used to be a higher diploma programme in the past; and the problem of where to fix the qualification usually brought a lot of problems then.Even at a time, around 1997, students who graduated as medical laboratory scientists were not allowed to go for national youth service as a result of misinterpretation of their qualification. But,thank God, it has been taken care of now.

Meanwhile, professionally, when it comes to the medical set up, we have some setbacks as medical laboratory scientists, even in the civil service. The kind ofrecognition that is being given to other medical professional is not accorded to the medical laboratory scientist. We have always been considered as second class citizens before the authorities in the health sector.But,as God would have it, the federal government signed a bill back in 2003 that gave the medical laboratory scientist the autonomy to become a director.

Still, the major challenge is the on-going rivalry between medical laboratory scientists and the pathologists, which is centred on who takes authority from who; who heads the department, and so on.And the challenge is still there as there are on-going legal cases here and there.

 

From your years of practice,what health condition would you say is most commonly sent to the laboratory for diagnosis in this part of the world?

 

The prevailing health condition is malaria.And let me tell you, malaria has graduated beyond the level of being an epidemic; it is something else because mosquitoes are everywhere, even inside your car, your office and your bedroom – and this is being worsened by the increasing number ofdirty drainages and environmental pollutants.

 

On the average, how many cases do you get in a day?

We get, at least, ten malaria test requests in a day.

 

How do you see the recent escalation of professional disputes among healthcare practitioners in the country?

Very recently, all the medical bodies, except the medical doctors, went on strike.This is because the system in which we findourselves does not really project ahead of time.If the people in charge had projected ahead of time and there was no selfishness, we wouldn’t have dwelt so long on the belief that only medical doctors can attain the position of health minister.

Imagine the short period that another professional, a pharmacist, in person of Prince Julius Adelusi-Adeluyi spent there as health minister. He was victimised throughout his tenure. That is the situation we have in in this country. It is until we get to the point that werealise that health care work is teamwork, just like it is in the United Kingdom where the pattern in the health system is that you man your own discipline and everybody works together towards one goal (the well-being of the patient), that things will improve.

In Nigeria, we focus more on power tussle – who leads the healthcare sector, who are the most recognised, the most acknowledged – forgetting that even an ordinary cleaner in the healthcare sector is important.Until we come to realise that, this rancour will not stop. This is why we have series of legal cases in court. We need to realise that everybody in the healthcare sector needs recognition, and that there are no more underdogs in the health care sector.Gone are the days when there was limitation to the educational attainmentsof some professionals. Nowadays, there are lots of PhD holders in Pharmacy, Medicine, Laboratory Science, and so on.So what are wefighting over?

 

What can you say about the level of awareness of people on the activities of medical laboratories and diagnostic centres across the country?

In all sincerity, the awareness to have one’s system regularly checked is very low in this part of the world. Hardly would you see people come in here for general check-up – to check their kidney condition or liver function.All they come to the laboratory for is pregnancy test and malaria. So we need a lot of orientation at every level, even at the government level. Imagine some members of the National House of Assembly running away from medical examination when they were to be checked for cardiac and other tests!

Where do you hope to see laboratory science practice in Nigeria in the next ten years?

Ten years is even a long time.Why not in the next five years? I wish that by that time, every diagnosis done at any centre in Nigeria would be without error, such that when somebody is diagnosed of typhoid, it is truly typhoid; and when a liver function result is released, the report of the enzyme that research laboratory A getsis exactly what another research laboratory, even of the highestcadre, will get.At that point, healthcare providers will have a rest of mind.

 

PMG-MAN holds summit on import guidelines, drug distribution

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– Gives excellence award to Swipha, Drugfield

excellence award 1

The Pharmaceutical Manufacturing Group of the Manufacturers Association of Nigeria (PMG-MAN) recently hosted top officials of the Nigeria Customs Service and chief executive officers (CEOs) of pharmaceutical companies at a consultative forum.

This follows its decision to tackle the challenges surrounding the implementation of the amended Import Guidelines and the new National Drug Distribution Guidelines.

In his welcome remarks at the event held at New China Restaurant, Opic Plaza, Ikeja, Lagos, Pharm. (Chief) BunmiOlaopa, chairman, PMG-MAN said that the decision of the group to organise the “ Special CEOs Forum” was to create the platform for consultation and networking among CEOs  in order to move the country and the industry forward.

He explained that the new importation guidelines now vested processing of all import transactions to Nigeria in accordance with the amended Import Guidelines of the Destination Inspection Scheme of the Nigeria Customs Service, adding that PMG-MAN decided to invite top officials of the customs service to the forum to discuss pertinent issues relating to the guidelines.

The PMG-MAN boss also noted that there had been questions in the minds of stakeholders as the date for the implementation of the new National Drug Distribution Guidelines draws near, adding that the quest to help supply answers to some of the questions prompted PMG-MAN to bring Dr.LoluOjo, the PSN focal person on drug distribution to the occasion.

Assistant Comptroller General of Customs, MrsBankeAdeyemo, who led a team of top officials of the Nigeria Customs Service to the event, in her remarks, commended the PMG-MAN for organising the event and for inviting the customs service to be a part of it.

She said that the Nigeria Customs Service is always ready to be part of discussions on how to facilitate international trade.

She also noted that the present reforms of the service was not only to generate funds for the government but to equally protect public health and ensure the security of the nation, adding that contrary to the impression of many Nigerians, the Nigeria Customs Service reform was to make the agency more effective in facilitating trade and not to jeopardise business efforts.

She pledged the commitment of her organisation to a productive partnership with PMG-MAN members.

While also speaking at the occasion, Dr.LoluOjo urged all the CEOs present to support the implementation of the new National Drug Distribution Guidelines, noting that even though there were challenges, they were not insurmountable.

The highlight of the occasion was the presentation of Manufacturing Excellence Award to Swiss Pharma Nigeria Limited (Swipha) and Drugfield Pharmaceuticals Limited.

Swipha bagged the PMG-MAN award for being the first pharmaceutical manufacturer in Nigeria and the entire West African region to comply with WHO’s guidelines on Good Manufacturing Practice. Deputy Managing Director of Swipha, Pharm AbassSambo received the award on behalf of the company.

Drugfield bagged the PMG-MAN award for being the first company in Africa to develop and receive regulatory approval for ChlorhexidineDigluconate 7.1% Gel, a critical product for cord care and one of the United Nation Commission’s life-saving commodities for women and children.

 

Pharmacists should embrace politics and community development – Pharm. Anohu

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     In this exciting interview with Adebayo Folorunsho-Francis, Pharm. (Chief) Matthias Chukwudi Anohu, who is often called the “Iroko of Anambra Pharmacy”, spoke on a number of issues related to the practice of Pharmacy in Nigeria and, in particular, how he thinks the practice can be improved. Excerpts:

 

Tell us a bit about yourself, especially your early days

I was born on 24 April 1940, in Okija, Ihiala Local Government area of Anambra State of Nigeria. My education started at St. Mary’s Catholic Primary School at Okija, from where I proceeded to Christ the King College (CKC), Onitsha, for my secondary education. I had my Advanced Level studies at Nigerian College of Arts, Science and Technology, Enugu and subsequently, University of Ife (now Obafemi Awolowo University) Ile-Ife, where I studied Pharmacy from 1959-1962.

Looking back, would you say studying Pharmacy was a good decision for you?

Indeed! It is a profession I enjoyed so much. It is a practice like no other. Pharmacy practice is quite versatile, business-oriented. With all pleasure, I will say studying pharmacy was a good decision for me.

Can you recall some major controversies, intrigues and peculiar events concerning the practice during your time?

In our days, the profession was fraught with lots of problems especially on the issue of professional status and inter-disciplinary disputes among the various professionals in the health sector. Back then, the common position meant for pharmacists was in the capacity of technical officer because our salary fell under ‘Grade C’. ‘Grade A’ salary was exclusively reserved for other health professionals. It was indeed a serious battle. At first, they tried to intimidate us but we stood our ground. We fought gallantly until the controversial salary grades were reviewed.

What are the challenges facing pharmacy practice in Nigeria and how can they be surmounted?

The major problem facing the pharmacy practice in Nigeria includes the issue of fake drugs and amorphous distribution of drugs in the country. Some of these problems may be solved by strengthening NAFDAC and getting officers of the Late Prof. Dora Akunyili’s status to man the agency. On the part of distribution, I believe proper distribution networks should be set up.

Speaking of Prof. Dora Akunyili, how would you describe the late NAFDAC boss?

A brilliant woman she was! Dora was someone we cherished and have come to acknowledge as worthy achiever. I must say I was privileged to have a wonderful encounter and close rapport with her. That is why I mentioned earlier that only people of Akunyili’s calibre should be deployed in all departments of NAFDAC.

How best can the issue of fake drugs and counterfeit medicine be curbed?

The issue of fake drugs and counterfeit medicines can be curbed by encouraging local drug manufacture and ensuring standards of drugs and medicines imported from other countries. That, to me, appears to be the only way out.

Over the years, you must have seen many PSN presidents come and go. Was there one who really left a lasting impression on you?

Yes, I think the period of Dr. Philip O. Emafo was positively eventful. The reason is not far-fetched. When he was at the federal ministry of health, he fought gallantly for recognition and importance of pharmacy practice. Even as PSN president, he carried on with his crusade. I would describe him as one of the few early fighters we had.

What were your involvements in pharmaceutical activities?

I have held many offices within the pharmacy profession. Perhaps my greatest achievement is being the first Nigerian pharmacist to be appointed as a permanent secretary in 1998 among other appointments. At a point, I was made a commissioner in the civil service commission (2002-2007).

Are there some major awards given to you in recognition of your selfless service?

Of course, I was given a special recognition by the State Health Management Board as the best pharmacist in the State. I cannot remember the date exactly but I know that it was whenChris Efobi was chairman of the management board.

How do you feel being recognised as the first pharmacist to be appointed as a permanent secretary?

It was a wonderful experience. Congratulatory messages poured in from different parts of the country. Prior to that time, I had worked in various ministries. I would say that it was quite an exciting moment for me as people applauded me when they discovered that I was actually the first pharmacist to assume such office. Many described it as a landmark in the history of the Pharmaceutical Society of Nigeria (PSN). If you were to visit the PSN secretariat today, you would still see it boldly written in the society’s landmark achievers column.

How did you manage running your work and giving attention to your family at the same time?

That wasn’t really a problem because I have a wonderful family. The good thing about it is that everybody is working. My wife taught at the University of Nigeria (UNN), Nsukka, before moving into the banking sector. She is presently a member at the ongoing national confab. My first son is an engineer; my second son is a member in the Anambra House of Assembly; my first daughter is the acting director general, National Pension Commission; I have another daughter who is an executive of Union Bank; my third daughter is also working as a banker and my last girl is presently in London studying International Law. So, you see why I said I never really had a problem managing the family.

How do you see the annual PSN national conferences?

The annual PSN conference is a still a worthwhile venture. It is where professional pharmacists exchange ideas and it is also a period for social interaction.

If you were not to be a pharmacist, what other profession would you have opted for?

None! I am quite satisfied with the pharmacy profession.

Is there any particular age when an active pharmacist should retire?

No, I think pharmacists should be allowed to practise for as long as they are able.

As an elder in the pharmacy profession, what is your advice to young pharmacists?

I would advise young pharmacists to be proud of their profession and work hard to improve their status. They should be involved in community development and politics.

 

 

Embassy gets NAFDAC performance award

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(By Yusuff Moshood)

Pharm. Kayode Nelson, national sales manager, Embassy Pharm & Chem. Ltd., with Mrs. Maureen Ebigbeyi, director, ports Inspection Directorate (PID), NAFDAC, at the event.
Pharm. Kayode Nelson, national sales manager, Embassy Pharm & Chem. Ltd., with Mrs. Maureen Ebigbeyi, director, ports Inspection Directorate (PID), NAFDAC, at the event.

Embassy Pharmaceutical and Chemicals Limited has been named the first most compliant company in the pharmaceutical sector by the Ports Inspection Directorate (PID) of the National Agency for Food and Drug Administration and Control (NAFDAC).

The award was presented to the company at the 2013 End-of-Year Party/Performance Recognition Award for Stakeholders organised by NAFDAC PID and held at NECA Hall, Alausa, Ikeja, Lagos, last month.

Speaking on behalf of the Director General of NAFDAC, Dr. Paul Orhii, Pharm. (Mrs) M. Ebigbeyi, director, Ports Inspection, disclosed that Embassy was given the award in recognition of its performance and compliance with NAFDAC regulations in 2013.

She noted that Embassy was the first company in the pharmaceutical sector to ensure documentation and ports clearing processes were strictly followed in line with NAFDAC PID’s mandate that only quality and safe drugs, cosmetics, chemicals and medical devices should be imported into or exported from the country.

Ebigbeyi also used the opportunity to remind stakeholders that for NAFDAC to achieve its mandate, all must comply with the agency’s regulatory requirements in the clearing process of all its regulated products.

Pharm. Kayode Nelson, Embassy’s national sales manager, received the award on behalf of his company at the event.

Afribaby rewards sponsors at 9th Baby & Mothercare Expo

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(By Adebayo Folorunsho-Francis)

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In a show of recognition and appreciation, about 22 organisations, individuals and corporate sponsors were given various awards at the 9thAfribaby Babycare and Mothercare Expo.

The colourful event which took place within the premises of the Lagos State University Teaching Hospital (LASUTH), Ikeja, Lagos on 15 April, witnessed a massive turnout of nursing mothers and their babies.

The event was also graced by a number of dignitaries, including Governor BabatundeFashola of Lagos State; Prof. Adenike Grange, former health minister; HajiaBintu-Fatima Tinubu, Iyalode of Lagos; Chief (Dr.) MoladeOkoya-Thomas, Asoju Oba of Lagos; Chief AbimbolaElegunde-Dosunmu, Erelu of Lagos; Dr. Dorothy Esangbedo, consultant paediatrician, LASUTH; and Prof. AdewaleOke, chief medical director, LASUTH.

Speaking at the event which also doubled as First Lady’s Babycare Award, Governor Fashola commended the participants for their active support of balanced motherhood, adding that children adequately breastfed would always turn out healthy.

“I see it as the best practice because it inevitably reflects the bond, love and uncommon connection between mother and child. It is something I think our women need to keep up,” he stated.

Buttressing this view, Prof. Oke of LASUTH, who reiterated that the primary purpose of the convergence was to celebrate the leaders of tomorrow, canvassed for exclusive breastfeeding, adding that it had no substitute.

Chairman of the Afribaby initiative, Chief Okoya-Thomas, recalled that several breastfeeding programmes and expo had been hosted in several cities within and outside the country for the past nine years. He also thanked Dame Abimbola Fashola and Dr. Oscar Odiboh and his wife, Olayinka, for supporting the project over the years.

afribaby

The highpoint of the event was the presentation of recognition awards to partner individuals and organisations. Recipients include: Dr. Adenike Grange, Olori (Chief) Ayo Onisemo, Chief Okoya-Thomas (Trustees Award); Dr. Dorothy Esangbedo(Personality Award); Classic 93.7FM, The Punch Newspapers and Silverbird TV (Supportive Media Award); Northwest Petroleum, Wemy Industries, CFAO Motors, CFAO CICA and Gossy Waters (Corporate Sponsorship Award); and LASUTH (Best Supportive Institution Award).

The medical representative’s manual

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(By Dr Lolu Ojo)

This topic is closely related to the one previously discussed. The medical representative is a key player in the drug distribution system. He is the link between the manufacturer, importer or wholesaler (as the case may be) and the hospitals (public or private), industrial clinics, government agencies/parastatals and the community pharmacy. He provides information on the pharmacological basis of therapeutics in the segment of interest, offers proofs for claims made and makes supplies, as may be demanded. It is a good job, which the paraphernalia of office (car, gadgets, etc.) makes very attractive to all young pharmacists and scientists.

Reminiscences

In the ‘80s and up till the late ‘90s, the medical representative was indeed a great entry level job that was highly desired. Most multinationals operating in the country then had different training schemes for their staff. New recruits were encouraged to read the voluminous training or product manuals for deep understanding of the disease conditions and management options. Such was the level of practice in May, 1988, when I joined the services of Roche Nigeria Limited as a medical representative.

We took the training sessions like our normal classroom study. We prepared for the ‘after the training’ tests, as if they were the final B. Pharm examinations. We went to the field largely ‘green’ but with the enthusiasm and optimism of conquerors. We took on doctors in groups in their common rooms and challenged professors and consultants to ‘pharmacological contests’. We got our satisfaction in the ability to displace competing products from their ‘binding sites’ and got departments upon departments to adopt our products. We built a ‘covalent bond’ with chief pharmacists, without neglecting the deputy, who would later succeed him, and also the head of stores and the account/audit department. Some of these relationships have endured for many years, despite the changing roles.

In those days, meeting targets was a ‘must do’ because you would not want to be the subject of jokes during the quarterly cycle meeting and, of course, there was competition for various prices. It was fun to move around the states, making friends and creating customers for your products and company. We learnt the ‘pareto principle’ quickly and knew we could increase our revenue base through the vertical and horizontal expansion of our customer base. We were very ambitious and everyone was always on the beat, working to get up the career ladder. There were opportunities to make extra money through the discount offered by some wholesalers. These charges were through a dignified mode and were never at the expense of your company. We were always conscious of the fact that the company provided the platform to develop skills, competencies, grow our career and live a better life.  It was usually a very big surprise whenever any case of fraud is reported during our regular meetings.

Retrogressions

That was then, the good old days! Now, things have changed. The medical representative (and even the field manager’s) job has gone to the dogs.  People take this job now because they are looking for an organisation that will pay their bills for some months before they are caught doing nothing. They take up the job because they want to steal. Training sessions are sleeping sessions or, at best, sessions to be tolerated for a few days. Training manuals and other scientific papers end up being dumped in the bedroom.

Salesmanship is now about collaborating with all manners of characters. Goods are sold and the proceeds are siphoned. Company resources are used to fund personal trips abroad or numerous academic programmes within.

It is even more disturbing when you have one rep or manager working for more than one company at the same time. A case was reported to NAIP (Association of Industrial Pharmacists of Nigeria) about a pharmacist manager working for two companies at the same time. Each company gave him an official car and a huge salary. He drew expense reimbursement from each company and had a total of 12 subordinates (six from each company). He fooled the two companies for 17 months!

The space has, indeed, been completely polluted. Of course, the practice of some companies may have encouraged this kind of behaviour but the stark reality is that the entire value system in the country has been completely corrupted. The only thing that makes meaning now is money; nothing but money. Money, anyhow it comes, including organisational collapse!

Remedies    

So, how do we save the pharmaceutical industry from being consumed by the corrupt practices of its component parts? When I was chairman of NAIP, I initiated discussions at CEO level for us to open a central register for all the field operatives in the country. With IT deployment, we should be able to monitor their movements. This will prevent them from committing fraud on ‘the go’ and the knowledge that they are being watched could instil some restraint in them.

Recently, a representative left our company after committing fraud and he went to work for another owned by a close friend, cleverly erasing his record with us. Of course, within six months, he had done it again!

Unfortunately, the response to the IT initiative has been very poor. Nevertheless, the assignment has been handed over to the new chairman, Mr. Gbenga Falabi. I am also aware that NIROPHARM and other bodies are working on this subject also.

…Continues next edition.

Many community pharmacists are richer than oil workers – Pharm. Iyiola

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In this interview with Adebayo Oladejo, Pharm Gbolagade Iyiola, national assistant general secretary, Association of Community Pharmacists of Nigeria (ACPN) and managing director, Cifax Pharmacy Limited, reveals valuable lessons he has learnt since moving from hospital practice to community practice some years ago. He also expresses his views on the challenges of fake drugs and quackery in the industry. Excerpts:

Tell us about yourself

I am Gbolagade Michael Iyiola. I am a community pharmacist and have been in this locality, Ajegunle, for about 15 years now. I started community practice in this area with the establishment of my pharmacy, Cifax Pharmacy Limited about eight years ago and, since then, I have been impacting people’s lives. Also, by the grace of God, I am the publicity secretary of the Association of Community Pharmacists, Ifelodun Zone, and I have been the assistant general secretary at the national level for the past three years now.

 

As someone who has been in practice for some time, how would you access community pharmacy in this area?

As far as this zone is concerned, I will say community pharmacy is evolving. I remember when I came to this area, I started working with a private hospital, Tolu Medical Centre and, from there, I found out that most of the so-called pharmacies sited in this area were being run by traders. When you visited them and requested for a pharmacist, they would tell you he or she was not around. I discovered that most of them were actually using ‘register and go’ (R and G) pharmacists to open their pharmacies, which made it difficult for people to get any useful service from them. At that time, premises that were operated by dedicated pharmacists were not more than three. Imagine only three community pharmacists covering a population of about 2.5 million people!

It was at that point that I got the idea that I had to start offering something back to the society from what the profession has deposited in me. So I started my own pharmacy and I found out that it was not as bad as we thought and that there was so much we could give to the society as community pharmacists, in terms of medication advice, intervention, as well as changing the orientation of our people about drug and health matters.

Since I started, majority of the charlatans have disappeared and most of those that are still around have gone back to selling the provisions they started with.

 

How would you compare hospital practice with community practice?

In the hospital, you would have to wait for the prescription of the doctor before you could dispense. Moreover, since it was not yet the era of pharmaceutical care, where you could make necessary interventions regarding doctors’ prescriptions, what was common then was to dispense while doctors prescribed – this was even more so in private setups where cost consideration is very important. Interestingly, it is that same cost consideration that makes the pharmacist to be relevant in such settings because, being the custodian of drugs, you’re able to make much money for them; so they see you as being very relevant.

Being in hospital practice also makes pharmacists to be very sound clinically, being always in the midst of doctors – but this depends on how much a pharmacist is willing to avail him/herself of the opportunity of interacting with other professional colleagues.

On the other hand, as a community pharmacist, you need to study the environment where you want to establish. You need to study the people, the community, the diseases that are prevalent in the area and so many other things. For example, the diseases that are prevalent in highbrow areas like Victoria Island and Ikoyi are not the same with places like Ajegunle. Accordingly, their drug needs would also be different. So, for a community pharmacist to succeed, he or she needs to put all these into consideration.

In our own environment here, where most of the people living around are not company workers and where there are no company hospitals, their first port of call is definitely the community pharmacy. The community pharmacy is to them a primary healthcare centre; so any community pharmacist there is expected to know the diseases that fall into the purview of primary healthcare and must master them in order to provide necessary interventions and, before you know it, the person would have become a known figure in the community.

 

What challenges have you faced as a community pharmacist and how did you tackle them?

My initial challenge was adapting to the practice of sitting down in one place for hours. And, you know, when you are just starting, sales may not pick up immediately; and when you consider so many things like your family need that is staring you in the face, the various expenses that you have to make and so on, you may want to have a rethink. But I discovered that whatever God has called you for, He will definitely be there for you.

Also in this area, there is really not much to do in the morning and I was almost tempted to go take another appointment because I was still very young then and there was so much energy in me; but along the line, I found out that community pharmacy involves more than just sitting down from morning till night and that it entails moving out to meet with other colleagues, getting involved in the association’s activities, discussing issues about the profession, offering advice to other colleagues, attending PSN, ACPN meetings at the state and zonal levels, etc. Before I knew it I became deeply interested in the practice and it has been wonderful.

Another major challenge I faced was the issue of space because Ajegunle is not a place where you can easily get a space for business ventures. When we started initially, we got a small room and it was very difficult getting the place registered. But we appreciate God that we now have more spacious place and we believe God that we can get bigger than this (laughs).

 

How lucrative is community pharmacy practice in Lagos State?

It depends on the side you are looking at from. If you are looking at being able to pay your bills, being able to record profit, being able to afford a place you can call your home, being able to have a good car that will make people respect you, I believe any community pharmacist that has passion for the profession should be able to achieve these.

Also, if you are looking at it from the perspective of earning money like those working in oil companies – there are so many community pharmacists that are richer than those working in oil companies. What is most important, however, is passion for the practice. So if it is about being rich, one can do community practice and be rich.

But if it is about being wealthy, I don’t think so because professionals are not usually wealthy. The major problem we have in Nigeria is that we have to enforce all the existing pharmacy laws and regulations before pharmacy practice can be very lucrative. Imagine if there were no charlatans in this area and let’s assume we were just 20 pharmacists in the community servicing about 2.5million people. We would have moved from being rich to being wealthy.

 

What are the most common health conditions that bring patients in this area to the pharmacy and why is this so?

The most common one is malaria. As you can see, our drainages are not covered and there are stagnant waters. So it’s like we are rearing mosquitoes in this community. Apart from malaria, the second most common is sexually transmitted infections (STIs) and the reason is that this area is densely populated and the sexually active people are the young adults. Tuberculosis is also common because of accommodation problem.

 

If you were not a community pharmacy, what other aspect of the profession would you have chosen?

If I was not a community pharmacist, I would have been in the industry. But since I started community practice, it has been the most rewarding part of my career, in terms of recognition, financial gains and the satisfaction that I derive from doing it. If you are in community practice, you are indirectly a counselor or a cleric because people are looking up to you. In fact, you will be settling marriage disputes in your community and all those experiences are what makes one a man.

Even if I was working in a telecoms company today, I don’t think I would have been more fulfilled because the day I graduated as a pharmacist was one of the happiest days of my life.

 

How do you see the war on fake drugs? What other strategies do you think can be adopted to effectively tackle the menace?

We thank God for the National Drug Policy, from which the National Drug Distribution Guidelines have evolved. I believe if the guidelines can be implemented to the letter, it will be the best solution to the challenge of fake drugs.

What is actually encouraging fake and unwholesome drugs is that our distribution channel is faulty. Imagine a situation where a manufacturer or importer can sell directly to the end users, as if drugs were like clothes and wristwatches, forgetting that drugs are products of technical expertise that require to be administered to people with proper instructions and advice. So until the new guidelines are properly implemented, the charlatans will still have the upper hands.

 

What advice do you have for young pharmacists out there who are willing to come into community practice?

I want to encourage them that the more, the merrier. If they intend to come into the practice and they know their onions well, coupled with the passion that they have for the profession, they will definitely make it through.

However, they should have it in mind that charlatans will always compete with them but the only thing that will make them to succeed is their passion for the profession.

Also, they shouldn’t look at monetary rewards, especially at the beginning, as Rome was not built in a day.

One important thing is to be focused and have passion for what they are called to do. The era we are in is the era where all young pharmacists want to work in oil companies, banks, insurance companies, telecommunication companies, and I doubt if they really have any passion for studying pharmacy at all.

So, those willing to come into the practice should not come with the mind-set that money will not start falling as soon as they start because the only thing that will sustain them at the beginning is the passion they have for the profession.

 

UNILAG Pharmacy Faculty inducts 141 graduands

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– As Kofoworola Onagbola emerges best graduating student

 

(By Adebayo Folorunsho-Francis)

 

 

It was an atmosphere of great jubilation as parents, guardians, friends and representatives of the pharmacists’ community gathered to witness the induction and oath-taking ceremony of 141 graduates of the Faculty of Pharmacy, University of Lagos.

Under the chairmanship of Pharm. Michael Oyebanjo Paul, chairman of Mopson Pharmaceuticals, the glitzy occasion for the graduating 2012/2013 set was held at the New Great Hall, University of Lagos, Idi Araba on 8 May, 2014.

In attendance were Prof. Olukayode Amund, dean of Students Affairs, UNILAG; Prof. Olukemi Odukoya, dean, Faculty of Pharmacy, UNILAG; Pharm. (Dr.) Moyosore Adejumo, director of pharmaceutical service, Lagos State Ministry of Health; Pharm. (Mrs) Emily Olalere, director, Pharmacists Council of Nigeria (PCN, Lagos zonal office); Pharm. Gloria Abumere, registrar, PCN; Pharm. Margaret Obono and Pharm. Steve Okoronkwo, managing director of Al-Tinez Pharma, who was also the keynote address speaker.

In his keynote address, tagged “Innovation: Key to Excellence in Pharmacy Practice,” Pharm. Okoronkwo urged the graduands to embrace innovation in all its ramifications in the practice of their profession. Defining innovation as “the application of better solution that meets new requirements, unarticulated needs or existing market needs”, Okoronkwo noted that innovation is at the core of excellent pharmacy practice.

“In Nigeria today, innovation in pharmacy practice has become very imperative in the light of changes in the drug regulation and drug distribution framework,” he said.

Speaking in the same vein, Prof. Odukoya remarked that the ceremony of induction and oath-taking represented a commencement rather an end. According to her, the event was to honour the brilliant class of 2012/2013  which represented the best of the Faculty of Pharmacy, UNILAG.

“We look forward to the class of 2013 continuing our traditions of excellence, innovation and new relationship with the faculty as professional colleagues, alumni and life-long friends,” she intoned.

On her part, Pharm. (Mrs) Gloria Abumere, registrar, PCN, assured the graduands that the attainment of a university degree in Pharmacy was the beginning of a great and bright future for them, adding that they would now be provisionally registered by the PCN so they could be allowed to practise.

She also noted that the production of additional 141 pharmacy graduates from the institution would help to address the paucity of pharmacists in the healthcare system of the country.

During the award presentation ceremony that marked the climax of the event, Kofoworola Rebecca Onagbola was singled out for special recognition for being the best graduating student of the 2012/2013 set. Among other prizes , she won the PCN Prize for Best Graduating Student; Faculty of Pharmacy Dean’s Prize; Pfizer Science Prize and Pill Box Pharmacy Gift.

In an emotion-laden voice, Onagbola noted that it had been five challenging, roller-coaster years for her.

“It is with God’s help, hard and commitment that this day has become a reality for me,” she said. “One cannot but acknowledge the role of our dean and lecturers in shaping and moulding us all through the years. I salute my parents for believing in me and to my fellow course mates, I say a big congratulation! I appreciate the sense of responsibility and teamwork we share.”

Faculty of Pharmacy, UNILAG started as a school within the College of Medicine in 1980, with three departments: Pharmaceutics and Pharmaceutical Technology, Pharmaceutical Chemistry and Pharmacognosy, and Pharmacy and Biopharmacy.

The school was officially recognised by the Pharmacists Board of Nigeria (now PCN) in May 1984 as an academic institution authorised by laws to train and graduate degree holders in Pharmacy.

The school produced its first Bachelor of Pharmacy graduates in September 1984 and attained the status of a full-fledged faculty on July 29, 2003.

 

L-R: Pharm. Gloria Abumere, PCN registrar; Pharm. (Dr.) Moyosore Adejumo, director of pharmaceutical services, LSMOH; Prof. Olukemi Odukoya, dean of the faculty; Pharm. (Mrs) Emily  Olalere, director, PCN (Lagos zonal office); Prof. Olukayode Amund, dean of Students Affairs; and Prof. Cecilia Igwilo, a don in the faculty during the induction ceremony.

Alexion Prescription drugs

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Alexion Prescription drugs: breaking new floor within the struggle for sufferers with ultra-rare ailments.

supply

Managing high blood pressure (Hypertension)

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hbp 

When Nigeria joined the rest of the world to mark this year’s World Health Day on 7 April, medical doctors and pharmacists in the country used the occasion to raise the alarm over the rising number of high blood pressure case among the populace with its attendant complications.

The concerns of the health workers were justified. It has so far been estimated that no fewer than 56 million Nigerians are at risk, even as the World Health Organisation (WHO) calls for intensified efforts to prevent and control hypertension.

High blood pressure or hypertension is a condition in which the blood pressure in the arteries is chronically elevated.  Blood pressure is the force of blood that pushes up against the walls of the blood vessels. If the pressure is too high, the heart has to work harder to pump, and this could lead to organ damage and several illnesses such as heart attack, stroke, heart failure, aneurysm, or renal failure.

According to Medilexicon’s medical dictionary, hypertension means “transitory or sustained elevation of systemic arterial blood pressure to a level likely to induce cardiovascular damage or other adverse consequences.”

The normal blood pressure level is below 120/80, where 120 represents the systolic measurement (maximum pressure in the arteries) and 80 represents the diastolic measurement (minimum pressure in the arteries). Blood pressure between 120/80 and 139/89 is called prehypertension (to denote increased risk of hypertension), and a blood pressure of 140/90 or above is considered hypertension.

Hypertension may be classified as essential or secondary. Essential hypertension is the term for high blood pressure with unknown cause. It accounts for about 95 per cent of cases. Secondary hypertension is the term for high blood pressure with a known direct cause, such as kidney disease, tumours, or birth control pills.

 

What causes hypertension?

Though the exact causes of hypertension are usually unknown, several factors have been associated with the condition. These include:

·      Smoking

·      Obesity or being overweight

·      Diabetes

·      Sedentary lifestyle

·      High levels of salt intake (sodium sensitivity)

·      Insufficient levels of calcium, potassium and magnesium in the body.

·      Vitamin D deficiency

·      Alcohol consumption

·      Stress

·      Ageing

·      Medicines such as birth control pills

·      Heredity

·      Chronic kidney disease

·      Adrenal and thyroid problems or tumours

What are symptoms of hypertension?

There is no guarantee that a person with hypertension will present any symptoms of the condition. About 33 per cent of people actually do not know that they have high blood pressure, and this ignorance can last for years. For this reason, it is advisable to undergo periodic blood pressure screening even when no symptoms are present.

Extremely high blood pressure may lead to some symptoms, however, and these include:

·      Severe headaches

·      Fatigue

·      Dizziness

·      Nausea

·      Problems with vision

·      Chest pains

·      Breathing problems

·      Irregular heartbeat

·      Blood in the urine

 

How is hypertension diagnosed?

Hypertension may be diagnosed by a health professional who measures blood pressure with a device called a sphygmomanometer – the device with the arm cuff, dial, pump, and valve. The systolic and diastolic numbers will be recorded and compared to a chart of values. If the pressure is greater than 140/90, you will be considered to have hypertension.

A high blood pressure measurement, however, may be spurious or the result of stress at the time of the exam. In order to perform a more thorough diagnosis, physicians usually conduct a physical exam and ask for the medical history of you and your family. Doctors will need to know if you have any of the risk factors for hypertension, such as smoking, high cholesterol, or diabetes.

If hypertension seems reasonable, tests such as electrocardiograms (EKG) and echocardiograms will be used in order to measure electrical activity of the heart and to assess the physical structure of the heart. Additional blood tests will also be required to identify possible causes of secondary hypertension and to measure renal function, electrolyte levels, sugar levels, and cholesterol levels.

 

How is hypertension treated?

The main goal of treatment for hypertension is to lower blood pressure to less than 140/90 – or even lower in some groups such as people with diabetes, and people with chronic kidney diseases. Treating hypertension is important for reducing the risk of stroke, heart attack and heart failure.

High blood pressure may be treated medically, by changing lifestyle factors, or a combination of the two. Important lifestyle changes include losing weight, quitting smoking, eating a healthful diet, reducing sodium intake, exercising regularly, and limiting alcohol consumption.

Medical options to treat hypertension include several classes of drugs. ACE inhibitors, ARB drugs, beta-blockers, diuretics, calcium channel blockers, alpha-blockers, and peripheral vasodilators are the primary drugs used in treatment. These medications may be used alone or in combination, and some are only used in combination.

In addition, some of these drugs are preferred to others depending on the characteristics of the patient (diabetic, pregnant, etc.). If blood pressure is successfully lowered, it is wise to have frequent checkups and to take preventive measures to avoid a relapse of hypertension.

 

How can hypertension be prevented?

Hypertension is best prevented by adjusting your lifestyle so that proper diet and exercise are key components. It is important to maintain a healthy weight, reduce salt intake, reduce alcohol intake, and reduce stress.

In order to prevent severe health challenges such as stroke, heart attack, and kidney failure that may be caused by high blood pressure, it is important to screen, diagnose, treat, and control hypertension in its earliest stages. This can also be accomplished by increasing public awareness and increasing the frequency of screenings for the condition.

 

Exams and Tests

Your health care provider will check your blood pressure several times before diagnosing you with high blood pressure. It is normal for your blood pressure to be different depending on the time of day.

Blood pressure readings taken at home may be a better measure of your current blood pressure than those taken at your doctor’s office. Make sure you get a good quality, well-fitting home device. It should have the proper sized cuff and a digital readout. Practise with your health care provider or nurse to make sure you are taking your blood pressure correctly.

Your doctor will perform a physical exam to look for signs of heart disease, damage to the eyes, and other changes in your body.Tests may be done to look for:

•High cholesterol levels

•Heart disease, such as an echocardiogram or electrocardiogram

•Kidney disease, such as a basic metabolic panel and urinalysis or ultrasound of the kidneys

 

Treatment

As earlier said, the goal of treatment is to reduce blood pressure so that you have a lower risk of complications. You and your health care provider should set a blood pressure goal for you.

If you have pre-hypertension, your health care provider will recommend lifestyle changes to bring your blood pressure down to a normal range. Medicines are rarely used for pre-hypertension.

You can do many things to help control your blood pressure, including:

•Eat a heart-healthy diet, including potassium and fibre, and drink plenty of water.

•Exercise regularly – at least 30 minutes of aerobic exercise a day.

•If you smoke, quit – find a programme that will help you stop.

•Limit how much alcohol you drink – one drink a day for women, two a day for men.

•Limit the amount of sodium (salt) you eat – aim for less than 1,500 mg per day.

•Reduce stress – try to avoid things that cause you stress. You can also try meditation or yoga.

•Stay at a healthy body weight – find a weight-loss programme to help you, if you need it.

Your health care provider can help you find programmes for losing weight, stopping smoking, and exercising. You can also get a referral from your doctor to a dietician, who can help you plan a diet that is healthy for you.

There are many different medicines that can be used to treat high blood pressure. Often, a single blood pressure drug may not be enough to control your blood pressure, and you may need to take two or more drugs. It is very important that you take the medications prescribed to you. If you have side effects, your health care provider can substitute a different medication.

 

Possible complications

When blood pressure is not well controlled, you are at risk for:

•Bleeding from the aorta, the large blood vessel that supplies blood to the abdomen, pelvis, and legs

•Chronic kidney disease

•Heart attack and heart failure

•Poor blood supply to the legs

•Stroke

•Problems with your vision.

 

When to contact a medical professional

If you have high blood pressure, you will have regular appointments with your doctor.Even if you have not been diagnosed with high blood pressure, it is important to have your blood pressure checked during your yearly check-up, especially if someone in your family has or had high blood pressure. Call your health care provider right away if home monitoring shows that your blood pressure is still high.

 

Prevention

·      Adults over 18 should have their blood pressure checked regularly.

·      Lifestyle changes may help control your blood pressure.

·      Follow your health care provider’s recommendations to modify, treat, or control possible causes of high blood pressure.

 

Compiled by Adebayo Folorunsho-Francis with additional reports from the American Heart Association/American Stroke Association and Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine

 

Personality of the month

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Pharm. (Dr.) Egbuna Chekwube Udeorah, managing consultant at Global Spectra Consulting, was born on 12 November 1972, at Ogidi, Anambra State. He attended Ezi-Ogidi Primary School, Ogidi, from 1977 to 1983, and Bishop Crowther Junior Seminary, Awka, from 1984 to 1990.

Udeorah bagged his Bachelor of Pharmacy degree from the University of Benin in 1998 and his Doctor of Pharmacy degree in 2005 from the same institution.

The versatile pharmacist also attended the Senior Management Programme (SMP34) of the Lagos Business School to acquire more managerial skills to boost his career.

Udeorah’s pharmacy career as an intern at the Federal Medical Centre (FMC), Ebutte Metta, Lagos, and did his national youth service (NYSC) with NNPC, Lagos. Thereafter, he secured an employment with Emzor Pharmaceuticals Lagos, as a medical representative/product manager, a position he held for about six years.

He proceeded from there to Join Juhel Nigeria Ltd. as a Product Manager in 2006 and performed so well that he became head of Products and Marketing, two years after his resumption in the company. In affirmation of his business acumen and managerial skill, he was further made head of Sales in 2010.

The industrious strategist, who believes so much in entrepreneurship, eventually retired from paid employment in 2012 and established his own firm, Global Spectra Consulting, in 2013. His areas of focus include: sales team recruitment and management, products development and management, and sales team training.

A committed servant of the Pharmaceutical Society of Nigeria, Udeorah has served the Society in different capacities, both at the national and state levels for the past six years. He was Chairman, Conference Planning Committee, Enugu PSN, 2009-2011 and, later, member of the national Conference Planning Committee “Coal City 2011”.

Another feather was added to his cap in 2009 when he became the Public Relations Officer of Enugu PSN, a position he held for three years. He was ultimately elected National Publicity Secretary, PSN in 2012, a position he occupies till date.

A lover of sports, especially jogging and badminton, the Global Spectra Consulting boss is a member of the Enugu Sports Club, and also belongs to the Common Wealth Pharmacists Association (MCPA) 

Pharm. Udeorah is happily married to Pharm. (Mrs) Uzoamaka A. Udeorah, and their union is blessed with three children.

The anatomy of faith: Quest for innovation

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Nelson Okwonna 

(By Nelson Okwonna)

For most development endeavours, intense faith is necessary. Faith is the belief, often without sufficient logical proof, that something could be and should be in a certain way.

In the article, “The Discipline of Innovation”, founder of modern management, Peter F. Drucker, noted that innovation is the practice of knowing. This practice of knowing, of identifying what ought to be, is born not just of the mere flash of genius (inspiration), but often of a cold-eyed commitment to analyzing sources of innovation.

There are various sources of innovation, which include: natural phenomena (creatures), relationships (among creatures, and between them and the Creator) andthe well-known flash of genius.

I have used the term “creatures” to refer to all that is of nature as I am convinced that there are more proofs for Intelligent Design than for Evolution as a rational basis for the origin of species. For example, science, as described by the Microsoft Encarta Dictionary,is the study of the physical world and phenomena, especially by using systematic observation and experiments.

Note the expression, “the study of the physical world and phenomena”. Thus, from an Intelligent Design point of view, science could be defined as the systematic study of creature.

Since this Intelligent Designer is not obvious and cannot be studied in our laboratories though His handiwork abound in us and in our world, considerations taken with Him in mind in a quest for development usually constitute some elements of faith.

The genius scientist in his laboratory who is “haunted” by the voice of this Designer, labouring and striving like one possessed, to bring about definite results of which he is only dimly knowledgeable could be said to be interacting with faith. The scientist who studies physical phenomena which was birthed by this Voice to harness truths and principles of realities may not know it but he is interacting with faith. His efforts are born of a singular but often denied belief – that there are principles in creature, that there is order, a systematic flow to things (call it intelligence if you like); and that this systematic nature of things would continue.

A noted scholar once said, “We would have to answer the question of God’s existence once and for all because for either alternative, there are serious consequences.” Indeed there are.If He doesn’t exist, then we are on this random sphere of a matter, rotating at a speed of about 1675 km per hour around an axis and revolving around a very hot sun and no one is in control!

Well, if He does exist, then the knowledge brings a whole lot of meaning to our science.

Hence, for science to exist, we have to believe that there is a systematic order to things and though the source of this order is not known and not verifiable in our laboratory, it is very much real.

Faith is a posture of the heart that is led by an understanding of such invisible dealings. It is the mannerisms and convictions of individuals who can see the invisible and hear the inaudible.It is a commitment to that which has not yet appeared but has been fully settled in the heart of the individual.

We arrive at faith when we make room for the invisible, when we attend to spiritual realities and draw inferences from them. This commitment is voluntary and very deliberate.

 

The place for understanding and depth

It is impossible to understand something to which attention has not been given though it is within the realms of our consciousness. This attention is born of a deep respect for the Invisible.

For example, there are men to which reverential fear abides in the study of microbes. The microscope, to them, is the visa to another realm entirely and we should be grateful for their awe. There are other men to whom it is rocks; to some, it is music; and to others, the nature of chemical structures.

To these individuals, the respect for that invisible thing in them which makes them love what they do is one of the most critical steps in the path of innovation. As someone said, “those that must engage in development endeavour must first believe in themselves.”

After attention, comes meditation. The first look often will not do it; concerted effort is needed and, many times, a great deal of exertion should follow.

Depth is essentially a focused attention to meaning. This focus has a price: consecration – foregoing alternatives. Depth changes the realities of the individual involved. It gives a new prism from which every other thing is seen; and this new prism helps produce a positive feedback mechanism such that, with little time, an attentive individual who has paid the price of consecration would find that he or she has gained mastery.

 

The wilderness of faith

It is not always that we have the means to pursue the demands of unseen realities.It is often the observed that the greatest hindrance to the researcher is funding.

In our world, everyone needs funding – universities, businesses, governments. One begins to wonder what is really missing.Itappears the rewards of our productivities are often below current demands, and this should say a lot about our tastes and pursuits.

Yet, it not always money that really stops the genius. More often, it is the prototype that the society demands of him. With time, he finds that to realise his most important goals, he must become a stranger to the world. He must decide to find for himself a new paradigm. Thus, he sits down within his wilderness and writes himself a new charter.He says, “This is who I am under God, and this is why I live. These are my commandments and my goal posts. I do not care what anyone thinks of me.So help me God.”

After this, he finds that he is different being – Aman never to be moved by the vicissitudes of life.Whatever betides, he has found a bearing away from here.

 

The nobility of patience

In the much quoted Abraham Lincoln’s letter to his son’s teacher are these words:”Let him have the courage to be impatient, let him have the patience to be brave. Teach him to have sublime faith in himself, because then he will always have sublime faith in mankind, in God.”

There is courage for impatience. This is the type we need to remove obstacles and to engage the bottlenecks. The patience of bravery is that which insists that we never give up, never.

“Continuous effort” says Winston Churchill, “not strength or intelligence – is the key to unlocking our potential.” Of course, there are times when one needs to rest, get refreshed before continuing at perspiration.

This courage to persevere is born of redeeming love – a righteous goodwill towards the subject(s) under consideration. It is something that we must encourage in people, a fire to be fed and a faith very much to be appreciated.

 

The purpose called compassion

It takes desire to seek, to search out things other than our own interests. Compassion creates for us unique fields of interests within which we could make our contributions and drive innovation. It lays out clear subject matters that inspire and stimulate our curiosities.

Faith demands that we attend to the subjects of this compassion, the things we really care about. By compassion, I refer to a reasoning compassion – not one that complains about scenarios but one that is able to feel without being overwhelmed by feelings; one that can find pragmatic solutions in challenging times.

It is difficult for us to find solutions that will affect humanity if we’ve not harboured compassion on issues that affect humanity. Our compassion helps create our opportunities. Most times, the “breakthrough” we’ve been praying for comes when we reach out to lend a helping hand, to help another achieve their vision, to help with a project, to do that thing that we love even when it doesn’t pay much and to value affection over compensation.

 

In Summary           

The faith walk on the path of innovation is one that is engaged in when we can attend to the invisible, value it and allow compassion lead us to noble paths. It will lead along the path called “wilderness” and will make new men of all that would overcome. It is such that will bring greater understanding of the meaning of persistence and redefine our understanding of realities. At the end, it assures a fuller life and, ultimately, a more rewarding life here and hereafter.

anatomy of faith 2

 

Preventing Ebola outbreak in Nigeria

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ebola

Few weeks ago, the federal government alerted Nigerians on the spread of the deadly Ebola virus disease (EVD) to some neighbouring West African countries, which puts the nation at risk. Health minister, Professor Onyebuchi Chukwu, while speaking with newsmen, at the end of a Federal Executive Council meeting in Abuja, said that the virus had been spreading eastward towards Nigeria, adding that the nation was already facing real danger of the virus from Central African Republic.

Professor Chukwu, however, noted that Nigeria had not recorded any case of the disease, which he said had spread across West Africa, with 137 cases and 86 deaths recorded since the beginning of the year. The minister warned that there was no vaccine for medical prevention of the disease and asked Nigerians to take necessary precautions, which include constant washing of the hands after each activity, washing fruits before eating, and consulting a physician regarding any feverish feeling.

It must be reiterated that Ebola is a highly infectious disease that can be spread through contact with blood, organs or fluids of infected animals or persons.  The virus, which was first traced to wild bats, chimpanzees, monkeys and gorillas in some African countries, and has since spread to humans, is better diagnosed in a laboratory because the disease has symptoms similar to malaria, typhoid fever, cholera, meningitis, relapsing fever, as well as other viral haemorrhagic fevers.

Ebola, it must be stressed, is perhaps the most dangerous health challenge to have ever faced the human race. According to the World Health Organisation (WHO), this condition, formerly known as Ebola haemorrhagic fever, is a severe, often fatal illness with a fatality rate of up to 90 per cent.  The disease first appeared in 1976 in two simultaneous outbreaks, in Nzara, Sudan, and in Yambuku, Democratic Republic of Congo. The latter was in a village situated near the Ebola River, from which the disease takes its name.

WHO has noted that this acute viral illness, often characterised by the sudden onset of fever, intense weakness, muscle pain, headache and sore throat, and followed by vomiting, diarrhoea, rashes, impaired kidney and liver function, and in some cases, both internal and external bleeding, has an incubation period of between two to twenty-one days.  It usually leads to death of infected patients.

While we agree with the health minister’s submissions on this deadly virus and the need for Nigerians to take precautionary measures against its outbreak, we however call for specific, urgent actions to achieve this objective. The FG must be mindful that, while several vaccines are being tested and new drug therapies are being evaluated, in a bid to combat the disease, there is yet to be any positive news on the two fronts. Thus, the cliché, prevention is better than cure has become more apposite than ever. After all, fatality is almost the only guaranteed alternative.

The health minister has to speedily deliver on his promise to start an enlightenment campaign in the mass media to educate Nigerians on preventive measures against the disease. Nigerians must know that improved personal hygiene and consumption of hygienic food and fruits can help significantly to prevent the deadly virus.

There is also need for proper surveillance of people coming into the country from other countries where the fatal infection has been reported. Our security agencies, especially at the ports (sea and air) of entry, must also be educated on how they can help in this regard.

The medical community must equally be adequately prepared to contain this virus, should there be any reported case in the country. All that the country’s health personnel need, in terms of protective equipment to prevent the spread of the disease should, as a matter of urgency, be provided for our health institutions.

Above all, it must be stated that, as a nation, we must begin to work towards moving our health sector from its present infantile, dependent level to that of maturity and proactivity in disease prevention and control. Except this is done, we may sooner or later find ourselves battling with catastrophic consequences, should there be an epidemic like the Ebola virus disease.

Ebola outbreak in Nigeria can be prevented, and all necessary steps must be taken to ensure that the country is protected and fortified.

 

Patients have the right to complain about health facilities – HEFAMAA boss

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(By Yusuff Moshood)

Dr. Bayo

In this special interview with Pharmanews, Dr. Tayo Bello, chairman of Health Facility Monitoring and Accreditation Agency (HEFAMAA), Lagos State, spoke on the efforts of the agency to raise the standard of health care delivery in Lagos State.He also spoke on the challenges facing health facilities in the state and how members of the public can help HEFAMAA fulfil its mandate. Excerpts:

 

As the chairman of HEFAMAA, Lagos State, what objectives did you set for yourself at the inception of your tenure, and how far have you achieved them?

At the inception of our tenure, we set out to raise the standard and quality of health care delivery in the state to the next level. This we decided to achieve by collaborating with the major stakeholders in the industry: The Guild of Medical Directors (GMD), Association of General and Private Medical Practitioners of Nigeria (AGPMPN), Health Care Providers Association of Nigeria (HCPAN) and a host of other professional bodies in the state.

Issues such as medical waste management, high quality drugs and hospital consumables as well as provision of basic medical equipment in the facilities were top on our priority list. Qualified personnel were also to be hired by service providers while medical wastes were to be properly disposed by LAWMA Medical as opposed to cart pushers as was the case in the past.

Above all, the different professional bodies now relate better with HEFAMAA. We are now partners in progress. The facilities are also better off as those with improved quality indices have recorded improvement in clients’ attendance.

 

What are the challenges facing health facilities in Lagos State?

Among challenges facing facilities in the state are:Dearth of qualified personnel, especially the nursing cadre. With the tremendous improvement in infrastructure and welfare package in the state health sector, most of the highly qualified personnel hitherto in the private sector drifted back to the public sector, thereby leaving a vacuum in the private sector. For the nurses, the good news is that with the commencement of the new school of nursing, the vacuum so created will soon be filled.

Power supply is another major challenge, as most facilities have to provide their sources of energy – just as it is in almost all the other sectors of the economy – thereby increasing the cost of healthcare in the state.

Quacks and charlatans are also there to contend with. This is a major problem that HEFAMAA is having sleepless nights on. I must at this juncture appreciate some members of the public who have been giving useful information that have led to many arrests and prosecution. I urge members of the public to continue to assist us by providing us with information about any suspicious facility or provider in their community.

 

What is the level of compliance of health facilities in Lagos State to the required standards of HEFAMAA?

The level of compliance is very high now. As I said earlier, the providers have now realised that all HEFAMAA is doing is to improve the market for them. We meet regularly with the different professional groups to discuss grey areas and move at the same pace. In fact, some sanction their members before HEFAMAA gets to know of infractions.

 

Can patients file complaints against health facilities? If yes, what are the processes to follow to do this?

Oh yes! Patients have the right to complain about facilities to HEFAMAA. We have actually received many of such complaints which we have investigated. Two of the lines through which such complaints can be made are: +234 80 2929 3046 and +234 802 351 3345

 

 

The health sector in Nigeria over the years has been bogged down by incessant strike actions by health workers, sometimes leading to avoidable loss of lives.How can we halt these costly strikes?

As you have rightly put it, the incessant strike action in the health sector has been very costly, as innocent lives have been lost thereby. To stem this, I think the government and the health workers need to have a rethink. We need to dialogue more with each other. Above all, health workers should exercise more restraints in using the weapon of strike to press home our demands. We should always remember that we are taught to save and preserve lives. Even in other industries where strike is a very useful tool, clinics of such industries are usually left to function when they embark on industrial actions. This is to provide succour to members whose lives might be endangered during the exercise.

I am also of the opinion that government should actually see what health workers go through in our society. The dignity and adequate remuneration of health workers which have been eroded over the years should be restored. Government should equally be more instrumental in creating inter-professional harmony among the different professional bodies in the health industry.

 

Secrets of financial prosperity

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I will bless you

And make your name great;

And you shall be a blessing.

(Genesis 12:2)

 

“Change” is an interesting word to begin a discussion on finances because so many of us think of change as the coins in our pocket or the money we get back from a cashier. That’s not the way I’m using the word, here, however. I’m talking about making a change in the way we look at money-which is something I believe that most Christians need to do.

Change is always a key word in our searching, finding, and having the wisdom of God in our lives. God always asks us to change-to grow from where we are towards greater and greater perfection in Christ Jesus. The very process of growth requires change. A baby doesn’t look or acts like an adult. A baby changes as he or she becomes an adult. A sampling of a tree doesn’t look or produce fruit like a full-grown tree. A sapling changes as it becomes a mature tree.

Change is inevitable, but change toward perfection is not automatic. That’s a crucial difference for you to understand. You WILL change whether or not you want to change. But to change toward the good requires effort and a willingness to change.

Perhaps nowhere is that more evident than in the way we as Christians deal with our money. Most of us need to change in order to grow into the full stature of the wisdom God desires for us. And we need to be WILLING to change. For virtually all of us God’s approach to our money and to our use of money is vastly different from our way.

Isaiah 55:6-8 says, “Seek the LORD while He may be found, call upon Him while He is near. Let the wicked forsake his way and the unrighteous man his thoughts; let him return to the LORD…For My thoughts are not your thoughts, nor are your ways My ways, says the LORD.”

In The Living Bible, verse 8 reads this way: “This plan of mine is not what you would work out, neither are my thoughts the same as yours!”

In Deuteronomy 8, we find a great warning and a great promise of God related to our finances. This chapter says, in summary, that if we obey the laws of the Lord our God, walk in His ways, and fear Him with a reverent awe, then great blessings will be ours. But, on the other hand, if we start to trust in our own ability and start to claim that the blessings we have are results of our own accomplishments, then we should look out. If we forget God and worship other gods and follow evil ways, the Word of God in this chapter says, “you should certainly perish” (Deuteronomy 8:19 TLB).

Towards the end of Deuteronomy 8 we find this verse: “Always remember that it is the Lord your God who gives you power to become rich, and he does it to fulfil His promise to your ancestors” (Deuteronomy 8:18 TLB).

 

Are you aware today that you have a promise of God made to your ancestors in the faith that God is going to meet all of YOUR NEEDS according to His riches in glory (see Philippians 4:19)? Note that word ALL. Note the phrase YOUR NEEDS. That is the promise of God’s Word through the ages to those who will love God, serve God, seek the things of God, obey God, and fear God with a reverential awe. That’s His promise to YOU today.

How many in the church have fallen under what I call a “spirit of piety.” They believe that to be a devout person, you must be really poor. The poorer you are, the better Christian you are. That’s been the overriding philosophy of one large segment of the church for the past fifty years. And while Christians have become poorer and poorer, as a whole, we have seen various cults owning more and more of our nation. And what is their number one purpose? It’s evangelism for their cause! They expect to use their wealth and power to promote their own beliefs and to convert others to their religious convictions.

A few years ago, a member of our church sent us to Hawaii for a few days of vacation, and while we were there, Melva Jo and I went to the Polynesian Cultural Arts Centre, which is owned and operated by Mormons. That centre is actually a ten-billion-dollar tool for evangelism! Its primary purpose is to make money to support Mormon students to complete their education and to return to their island homes to convert their people to Mormonism.

Culled from WISDOM: DON’T LIVE LIFE WITHOUT IT, by LARRY LEA

 

Good management is key to national development – Uwaga

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– As NIM holds Centenary Management Day Lecture

For Nigeria to achieve its goal of being among the best 20 economies by the year 2020, the principles of good management must be imbibed and deployed in maximising its abundant human and natural resources.

This was the submission of the President and Chairman of Council, Nigerian Institute of Management (Chartered) and former President, Pharmaceutical Society of Nigeria (PSN), Dr Nelson U. O. Uwaga.

Uwaga made this assertion while presenting his welcome address at theNigerian Institute of Management (NIM)’s Centenary Management Day Lecture, held at the Nigerian Institute of International Affairs, Victoria Island, Lagos, in April.

At the gathering, which was also used to mark the country’s centenary commemoration,Uwaga noted that for Nigeria to be taken seriously among the comity of nations and for it to move from where it is to where it desires to be, it must begin to gravitate towards management excellence in all aspects of national life, adding that it is one of the surest ways of setting the nation on the path of greatness as it begins another century.

Earlier in his speech, the NIM boss had stated that one of the reasons the institute held both the annual lecture and the centenary celebration at the same time, was to contribute its quota to the steps being taken to taken to move the nation to the next level.

“The institute thought it wise to join government, other well-meaning Nigerians and corporate bodies to celebrate the nation’s accomplishments,” he said.”In doing this, we will also be looking critically at the challenges and prospects and put forward the best way to manage the nation and its abundant resources to set it on the path of sustainable development in the years ahead.”

Delivering the keynote address, titled, “Defining Nigeria’s Nationhood at 100 Years: The Viewpoint of Management”,Prof. Cornelius Alaba

Ogunsanwo of Lead City University, who had beenNigerian ambassador to Belgium, Luxemburg and the European Union at different times, observed that while Lord Lugard’s attempt at amalgamatingthe Southern and Northern Protectorates to form Nigeria in 1914 was purely for administrative and financial reasons, it was necessary to ascertain whether the successive managers of the nation in the past one hundred years had succeeded in moulding the various nationalities of the country into one nation.

“If the foundation laid was on sand which could not but be shifting, what efforts have we made to ensure that indeed we really want to build a nation out of the multiplicity of nations within Nigeria?” he queried.

Citing several indices, including the unending struggle for resource control and the spate of bomb­ings and incessant killings in the Northern part of the country, the university don noted that that the task of nation building had not been properly handled by the country’s managers.He consequently counseled that concrete steps must be taken to improve the status quo. Such steps, according to him, includefull return to true federalism, abolition of central control of the nation’s resources, reduction of federal responsibility to key areas and allowance of regional constitution which would include police powers,

“There is need for massive devolution of power and responsibilities to the second tier of government, which we advocate should be based on the existing six geo-political zones, which will now be regions. Within each region, there will be provincial governors since our politicians love titles,” Ogunsanwo said.

The colourful event was attended byprominent personalities and professionals from all walks of life, including Mrs Margaret  Adeleke, first female president, NIM; Prof. Munzali Jibril, Deputy President, NIM; Pharm. Azubike Okwor, immediate past president, PSN; Pharm (Sir) Ifeanyi Atueyi, publisher, Pharmanews; and Pharm. Jimi Agbaje.

 

Effective leadership for optimum performance

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prof. ken

 

 

 

 

 

 

 

 

(By Prof. Kenneth A. Attafuah)

The Pharmanews Leadership Series is a newly introduced section of Pharmanews, and is dedicated to the promotion of health care leadership and management. The essence is to inspire visionary leadership by providing exemplary information to health care professionals. 

 In this maiden edition, we provide excerpts from the lecture, “Effective Leadership for Optimum Performance” as presented by Prof Kenneth Attafuah, at a Pharmanews workshop in Accra, Ghana.

 Leadership means leading people, e.g., employees and stakeholders, to accomplish specific goals. Leadership is about making things happen; getting significant new things done and making improvements.

Prof. Stephen Adei once said, “Leadership is cause, everything else is effect.”Leadership is the central causative factor for progress or stagnation or retrogression among groups. Sound leadership is central to advancement in any field of human endeavour and its absence is often both an index and a predictor of decay.

History is replete with examples of communities and organisations that were transformed from nothingness, inefficiency and shambles into shining metropolises of wealth, efficiency and opulence. Poverty (of ideas and substance), ineffectiveness and inefficiency are not virtues, and enduring them for long is a mark of sustained failure, not humility. This poverty, ineffectiveness and inefficiency are horrors from which we can and must flee through hard work, sound leadership and strategic management.

 

Why focus on leadership?

There are different reasons for which we must focus on this important subject of leadership, some of which include:

A.    To meet the challenges of propelling performance and productivity. Ensuring and maintaining profitability. Managing change in a rapidly growing workplace under politically volatile times (Reorganising, downsizing, rightsizing, “left-out-sizing”, etc.

B.    To avoidabusive exercise of power.

C.    To meet the demands for growth and prosperity.

D.    To Respond to change and ever-emerging challenges occasioned by competition over limited resources, impact of technological advances in all spheres of human endeavour, globalisation, and conflicts

 

Elements of leadership

Different lists of leadership models and competences abound for achieving excellence.The leadership model adopted by a given organisation would depend on:

• Nature of the organisation.

•Mission (reason for being in business).

• Vision (where it wants to be and what it intends to be).

• Values (the guiding principles of how itfulfilsits mission and achieves its vision).

Every organisation has a unique combination of missions and values. Each organisation has its own definition of leadership and must develop the unique list of competencies required of its leaders. Hence, there are as many different types of leadership models and leaders as there are organisations.

 

Leadership types (Adapted from “The Wall Street Journal Guide to Management” by Alan Murray)

 

1.Visionary

The hallmark of this style is vibrant enthusiasm and a clear vision that motivates people by making clear how their work fits into the larger vision of the organisation.

 

2.Coaching

The coaching leader helps employees identify their unique strengths and weaknesses and tie them to personal and career aspirations. A coaching approach guarantees that people know what is expected of them and how they can fulfil the expectations.

 

3.Democratic

This style works best when leaders need guidance, input and buy-in from employees and stakeholders. It can drive up flexibility and responsibility in the process of building trust, respect and commitment.

 

4. Affiliative

This style is particularly useful when leaders need to increase team harmony, improve morale and communication, and repair broken trust.

 

5. Commanding

“This is classic model, “military” style leadership – probably the most often used, but the least often effective”.

According to Daniel Goleman, author of “Emotional Intelligence”, the commanding leadership style rarely involves praise, frequently employs criticism, undercuts morale and job satisfaction, only works effectively in a crisis when an urgent turnaround is needed.

 

6. Pacesetting

In pacesetting, the leader sets high standards for performance. He is obsessed about doing things better and faster. He asks the same of everyone.

Pacesetting should be used sparingly, because it can weaken morale, make people feel as if they are failing. Italso has the potential to poison the climate.

 

The commanding and pacesetting styles are congruent with the heroic model. When people are experiencing fear, threat, worry, or embarrassment, they move into the withdrawal (fight or flight) side of their brain and disengage, waiting to react rather than moving into the approach side of their brains for greater engagement.

 

Attributes of an effective leader

•     Articulate, committed, informed and dynamic.

•     Goal-oriented. As a leader, are you goal-oriented?

•     Achievement. What are the time-tested accomplishments of the leader?

•     Acceptance by the group.

•     Competence. Intellectual and emotional.

•     Capacity to deliver promises.

•     Concern for subordinates.

•     Responsibility. How responsible is the person in his or her business and family dealings?

•     Participation. Willingness to participate in group activities.

•     Communication. Ability to communicate information and decisions.Effective communication allows for involvement of other parties in decision making.It also eliminates doubts and concerns.

•     Dependability. An effective leader can be counted upon to deliver.

•     Flexibility.

•     Initiative. Great leaders take the lead, they provide direction.

•     Loyaltyto the organisation, cause and team members.

•     Enablement. Ability to provide means or opportunities for the team mates.

•     Objectivity. Is the leader able to perceive, appreciate or present issues without being influenced by sentiments and prejudices?

•     Perceptive. Is the leader able to observe and appreciate the realities of his/her environment?

•     Self-Development. Is the leader on the continuous path of personal development?

•     Trustworthiness.

•     Relaxed. He is not domineering or exploitative.

 

Key responsibilities of an effective leader

•     Providing vision and direction for the group.

•     Making decisions.

•     Articulating policies, goals and objectives of the group.

•     Motivating and inspiring subordinates.

•     Determining realistic performance objectives – e.g., quality, quantity and safety.

•     Communicating to subordinates what specifically is expected of them.

•     Providing subordinates with the necessary resources to perform their tasks

•     Delegating authority when necessary.

•     Encouraging participation as much as possible.

•     Removing barriers and stumbling blocks to enable effective performance.

•     Appraising performance and communicating results.

 

Achievingeffective leadership

To achieve effective leadership, the leader must continually improve his or her leadership styles. He must understand, though, that the “organisation” is an important element of the power of leadership. What this means is that there is need to appreciate the difference between organisational power and personal power. Organisational/office power must not be seen as an extension of his personal power.

Remember the following points of wisdom:

·      Personal power is perpetual and ambulatory (it moves with the leader, from one position/organisation to the other.) Personal power refers to the influence over others, the source of which resides in the person, instead of being vested by the position he or she holds.

·      Institutional (organisational/office) power is transient in the leader and resides in the organisation (it doesn’t move with the leader).

 

Personal power is crucial for effective leadership at all levels – personal, family, organisational and governmental. Personal leadership development is therefore crucial for enhancing personal influence and renewing people’s trust. It is also useful for improving the leader’s relationships with others (family members, co-workers, healthcare providers, suppliers and administrators); patients’ relationship and care; business prospects; and general happiness.

 

Emotional competencies and the resilient leader

Emotional competence is built on the cornerstones of self-awareness and accurate self-assessment.Emotional intelligence consists of self-awareness, self-management, social awareness and interpersonal effectiveness. Essentially, it allows us to be cognizant of the impact we’re having on our environment, and flexing our styles to promote resilience, resonance and wellbeing in those we influence.

Developing competence in social awareness and relationship management skills is crucial for strengthening interpersonal and social connectedness. Interpersonal and social connectednessarenecessary for any organisation to learn and to thrive as a living system

The key ingredients of interpersonal and social connectedness are:

•                 Empathy

•                 Organisational awareness

•                 Service orientation

•                 Influence

•                 Inspirational leadership

•                 Conflict management

•                 Teamwork and collaboration

•                 Developing others

•                 Being an effective change catalyst.

Supremacy of variety

Many studies have shown that the more styles a leader exhibits, the better. Those who have mastered four or more leadership styles have the best work climate and business results.

Resilient leaders are fluid. Having access to the full range of styles is what promotes resilient leadership and consequently, resilient organisations. Since all the leadership styles can have either a resonant or dissonant effect depending on the situation, every leader must be attuned to the impact she/he is having on others; and willing to adjust her/his style to get the best results.

With an expanded repertoire of leadership styles, health care providers can become even more effective leaders and maximise the influence they have and the contributions they can make as professionals within the hub of the health care system.

Wherea leader possesses and judiciously applies varied styles of leadership, there is always increased personal sense of well-being and resilience. Patients under his care will also experience and enjoy this sense of wellbeing and satisfaction.

 

Professor Kenneth A. Attafuahis the director, William Ofori-Atta Institute for Leadership & Governance, Central University College, Accra, Ghana.

Your lifestyle and lifespan

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 lifespan 2

You may not know it, but there is a powerful link between your lifestyle and your ultimate lifespan. While an undergraduate, I moved with some peers who were smokers and alcoholics. I admired them and consequently started trying their vices. Expectedly, I grew with these habits, not fully understanding the implication on my health, even as a pharmacist.

One day, in 1978, I smoked my pipe while returning from my office in Apapa to Maryland in my air conditioned car, in a traffic jam. When I got to the house and tried to come out of the car, I staggered and nearly fell headlong. I had inhaled a high dose of nicotine and other poisons contained in the tobacco. That moment, I decided to give up smoking and asked my wife to destroy my pipes and tins of Erinmore and St. Bruno tobacco packed in our wardrobe.

Sometimes, I am tempted to regret that I did not join the Scripture Union (SU) or the Students Christian Movement (SCM) while in the university. I might have started earlier to re-shape my life.

We do many things out of ignorance. This is why the Bible says in Hosea 4:6, “My people are destroyed for lack of knowledge.” Today, many people are sick, with some dying prematurely because of their ignorance of the deleterious effects of certain foods they eat and their lifestyles. Christians, in particular, are familiar with spiritual laws and God’s promises for good health but ignorant of the natural laws that will ensure good physical health. If I had continued with the habit of smoking and drinking, it is obvious that I might not be enjoying as much good health as I am today.

At a meeting of the Haggai Institute in 2011, my friend and professional colleague, ‘Lere Baale, gave me a book titled, “The Hallelujah Diet” written by Rev. George Malkmus. Hallelujah diet basically comprises fresh fruits, seeds, nuts and vegetables – all plant-based – and described as living foods. Using himself as a case study, Malkmus demonstrated that chronic diseases in his body that defied all orthodox medical treatments gradually disappeared when he strictly maintained this diet. He believed that with proper elimination of toxins and taking in of clean air, clean water, moderate sunlight, exercise, rest, and raw living foods, we should enjoy good health.

“Hallelujah Diet” classifies the following as dead foods, which bring diseases to the body: all animal flesh foods, dairy products, refined table salt, sugar, white flour, alcohol, nicotine, caffeine etc. The ultimate results of eating dead foods are slower metabolic function, digestive problems, constipation, formation of diseases, low vitality, loss of quality of life, loss of spiritual and mental clarity, early death etc. In general, the living foods are cell-building while the dead foods are cell-destroying.

Sometime ago, I bought another book by the same author, Rev. George H. Malkmus, titled, “Why Christians Get Sick.” According to him, the Bible gives only three reasons for sickness. First, for the glory of God (John 9: 1-3). Here we read of a man who was born blind from birth. Jesus’ disciples asked: “Who did sin, this man or his parents, that he was born blind? Jesus answered, “Neither hath this man sinned, norhis parents: but that the works of God should be made manifest in him.” Second, because of unconfessed sin. “That is why you should examine yourself before eating the bread and drinking the cup. For if you eat the bread or drink the cup without honouring the body of Christ, you are eating and drinking God’s judgement upon yourself. That is why many of you are weak and sick and some have even died (1 Corinthians 11:28-30). Third, the violation of God’s natural laws. “Don’t you realise that all of you together are the temple of God and that the Spirit of God lives in you? God will destroy anyone who destroys this temple. For God’s temple is holy, and you are that temple”(1 Corinthians 3:16-17).

The Bible teaches that the Christian’s body is not his own. It belongs to God. If a Christian fails to care properly for his body, God will destroy that body. When we continually eat those things that defile our bodies, whether knowingly or unknowingly, the result is sickness and death.

George Malkmus attributes over 90 per cent of all sicknesses and physical suffering being experienced today to violation of natural laws of God.

One major violation of God’s natural laws is sugar consumption. Many people do not know the havoc sugar causes in the body. Glucose, fructose, and sucrose are naturally occurring sugars found in raw fruits, vegetables, and honey. Sucrose is made up of equal amounts of glucose and fructose. Fructose is slowly converted to glucose, which is a simple sugar that is quickly released into the bloodstream.

Sugar is toxic and addictive. Heavy consumers of sugar develop tolerance (needing more and more to have the same effect). Common long-term effects of sugar addiction include fatigue, pain, obesity, mental maladies, weakened immune system, chronic fatigue, hormonal and gastrointestinal problems.

Excess sugar in diet increases the overall risk of heart disease. It promotes belly fat. There is increasing rate of obesity because of excess sugar consumption.

Degree in Herbal Medicine – right step or mere joke?

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The federal government recently announced plans to introduce Herbal Medicine as a course of study in Nigerian universities. Minister of Health, Prof. Onyebuchi Chukwu, made the announcement at the 3rd Annual Guest Lecture of the Medical and Health Workers Union of Nigeria, held in Abuja on 4 April.

The health minister disclosed that a committee had submitted the course curriculum, which would soon be presented to the National Council on Health (NCH), adding that, once approved, candidates for the Unified Tertiary Matriculation Examination could begin applying for the course from next year.

In this edition of Pharmanews, our reporter, Oladejo Adebayo, went out to get peoples’ opinions on the issue. Their views are presented below:

 

FG never ceases to amaze me

Sometimes when I read about the policies or decisions of this present government on issues that concern the citizenry, I am surprised because it is either they are off-track or they are pointless.

Imagine in a country where lecturers’ strike has become the order of the day, the federal government still wants to introduce more courses.Where are the facilities to take care of the courses and where is the political will on the part of the government to pump in more funds to upgrade our universities and motivate the lecturers who will do the work?

We shouldn’t deceive ourselves – our public officials are all comedians. I wonder how funny it would sound when you ask an undergraduate what course he is studying and he says it’s Herbal Medicine.

However, looking at it from another perspective, it may not really be a bad idea because it could help strengthen the status of herbal medicine in comparison with orthodox medicine. It is a known fact that about 70 percent of Nigerians use herbs or traditional medicines to treat their illnesses.Having Herbal Medicine as a course in the university will help the government properly regulate the usage of herbal drugs. It will also allow for wider consultation and research on various means of treating sicknesses in a traditional way.

So, while I would not disagree that the plan is a good one, I would still repeat that the government lacks the will to properly implement it and make it beneficial to the general populace.

VP

 

 

 

 

 

Adekanmi Adekemi

Ayobo Ipaja, Lagos

 

 

 

It is a welcome development

This is the best opportunity to put herbal medicine in its rightful place. Before the advent of orthodox medicine, we Africans had survived on herbal medicines for years and after the advent of orthodox medicine, majority of people, especially the masses, still survive on herbal drugs.So with this development, we are on the verge of taking the whole world by storm in the aspect of provision of efficacious medicine with little or no side effects.

Herbal medicines, as far as I am concerned, have more efficacy and potency than the orthodox drugs and the earlier we realise this, the better for us.Sothe move is a step in the right direction. But, it is one thing to take a decision and another to make it work.The onus is now on the federal government to ensure the plan isproperly implemented. Our government is known for insincerity when it comes to issues of this nature because there is no way some people’s interests will not be affected; and once this happens, the whole thing becomes history. So, my sincere appeal goes to the stakeholders in the process to not only ensure that the course is approved, but that it is properly implemented.

VP 1

 

 

 

 

 

Odekanle David

Yenagoa, Bayelsa State

 

 

 

 

FG is getting it right this time

This is the best decision taken so far by the federal government and I dare say that, if this is properly implemented, the whole of Africa and the world at large would soon be looking in our direction for assistance when it comes to healthcare provision.

The introduction of Herbal Medicine into the curriculum of our Universities is another dimension to giving credence to our indigenous discoveries in the area of drug making and this will go a long way in projecting our image positively to the world.For instance, during the administration of Chief OlusegunObasanjo, Dr Jeremiah Abalaka, an immunologist and proprietor of Medicrest Specialist Hospital in Abuja, claimed that he had found a cure to HIV/AIDS; but because our system does not give credibility to anything African, the claim was dismissed and all the efforts of the respected doctor became fruitless.

Imagine what the likes of Dr Akintunde Ayeni of YEM-KEM International, Rev Fr Adodo of Pax Herbal Diagnostic Centre and others are doing through herbal medication.You will agree with me that herbal medicine has come to stay.

VP 2

 

 

 

 

 

 

 

Adelowokan David

Ibafo, Ogun State

 

 

 

Kudos to the FG

I have always wondered why we find it difficult to appreciate what God has given us rather than wasting money and time on what is not ours. I have said it times without number that orthodox medicine is not the best solution to our healthcare needs and I am happy now that the federal government itself has recognised.

As Africans, God has blessed us with various things that we need to take care of our health. In the days of our forefathers, there were no orthodox medicines and they lived fine and even now that we have the orthodox medicines, most of the ingredients that used to make them are obtained from the herbs.So what other proof do we need that we need to embrace our local herbs?

Also, apart from the fact that this giant step by the federal government will broaden the scope of knowledge of our local drugs manufacturers, it will also create employment opportunities for our teeming unemployed youths and as well reduce the rate at which people die of curable diseases.

I want to therefore urge the federal government to ensure that the course is approved and rightly implemented.

VP 3

 

 

 

 

Salako Adesegun

Ikotun, Lagos.

 

 

Unlocking the power of your imagination

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Personal Success

Your mind is like a sleeping giant. All scientific evidence now indicates that the creative or artistic mind is just as intelligent as the academic mind. Einstein for instance, often considered the greatest scientist of all time, was not simply a fuzzy-headed mathematical physicist whose brain was full of numbers and formulas. Records show that he failed mathematics at school and that he was nearly thrown out of college for day-dreaming.

According to Einstein himself, he discovered the Theory of Relativity not seated at his desk, but while lying on his back on a hill one summer day.  He looked up with his eyes half-closed, the sun filtering through his eyelashes breaking into thousands of tiny sunbeams. In his imagination, he took a ride on one of those sunbeams on a journey through the universe. His imagination took him to a place where his formal training in physics told him he should not be. Concerned about this, he went back to his blackboard and believing his imagination to be more correct than his formal training, worked out a new mathematics to explain the truth of what he intuitively knew to be true.

Einstein used both sides and aspects of his brain to an exceptional degree – one producing the beautiful imagined journey and the other to develop a new physics and mathematics to provide a formal framework for the image he had created. His imagination provided mankind with one of the most significant theories of all time. The question now is: what will you do with your imagination?

A new BMW today has more computer systems in it than the Apollo 13 which was the most sophisticated moon rocket in its day. We’ve moved into the information age with knowledge as the primary source of value, so fast that most of the major institutions of society have not yet caught up or even caught on.

William Shakespeare said, “Imagination is reaching into heaven and bringing down to earth a great idea and it’s up to you to work it and make it real.” Imagination taps your divine creative potential. Imagination is your life’s preview of coming attractions. Use your imagination and who knows what an extraordinary contribution you can make to the planet.

What you are imagining and thinking right now will strongly influence your experience tomorrow. What the future has in store for you is totally determined by what you have in store for the future. What you vividly imagine and ardently desire tends to materialize. What you visualise you realise. Remember, visualise, internalise, and then actualise to materialise and realise.

Worry is the misuse of imagination and is a form negative gold visualising. Its positive goal-setting and visualising in reverse. A new state of mind creates a new state of circumstances. Your future is contained of limitless opportunity.

In Napoleon Hill’s blockbuster “Think and Grow Rich” he writes, “Imagination is the workshop of the mind and is capable of turning mind energy into accomplishment and wealth.” He also taught that your sub-conscious mind can’t distinguish between what is vividly imagined and what is real. Your Sub-conscious Mind connects to the Super-Conscious Mind and Infinite Intelligence. It draws to you and manifests for you the people, circumstances, and events that you imagined in vivid detail. Imagination embraces the entire universe. It stimulates progress and gives birth to new and great ideas.

 

Rufus Jones went so far as to say “Getting your imagination captured is almost the whole of life.” Knowing that the palest ink is better than the most remarkable memory. I think what Rufus was referring to is to develop the habit of capturing your imagination by writing down good ideas as soon as they flow. It is very important to capture these thoughts by writing them down immediately. Don’t wait till later; the most brilliant revelations may escape you if you do. The author Clarence Klein once said that, “he believed he discovered the one great compelling force, which makes every man what he is in the end. That force was imagination.”

This new millennium is pregnant with the greatest opportunities this planet has ever seen. Napoleon Bonaparte, the great French commander said, “Imagination rules the world,” He was once asked, why he was such a great military leader and he replied, “I can tell you how long it will take to take a certain number of elephants to get from Germany to Egypt and I have the ability to have men die for me without knowing the reason why.”

In my native Canada several years ago there was a general contractor who had built over 70 homes, and a few retail stores at a trading outpost in northern Saskatchewan. They were also responsible for building a powerhouse and installing generators. They had less than a mile of overhead power line to run when they got caught with an early winter. Temperatures dropped to 50 degrees below zero. Unless they got the line in by the 1st of December the company would lose a lot of money. Nobody could figure out how to dig 4-foot holes in the ground that was frozen more than 4 feet deep, and you can’t set a pole in the ground without a hole and you can’t string a power line without a pole.

Then an office clerk came up with what at first seemed like a ridiculous idea. Blow holes in the ground with dynamite, fill the holes with water, set the poles in the water, the water will freeze to ice and it will hold the poles solid as a rock until the spring thaw comes and then you can set them properly with concrete. They tried her idea. They had some problems to overcome but it worked. The dynamited hole was made driving a steel rod into the ground with a sledge hammer but first the rod had to be heated red hot to get in into the frozen ground and they had to be heated 40 to 50 times for each hole. A portable forge was dragged from hole to hole. Nearly 80 holes were made in the ground. The water was carried in from a nearby river with bobsleds carrying 2-100 gallon drums with faucet welded onto them. The faucet had to be thawed with a blowtorch to get the water out of the barrels and into the holes for the uprights.

The job was done on time, and by using an office clerks’ imagination that at first sounded completely idiotic. In fact the clerk told them afterwards that she almost didn’t tell them of her idea since she was afraid of being ridiculed and laughed at.

Now the question is, what ideas have your imagination given you that you’ve failed to act upon because you were afraid of being ridiculed or laughed at?

 

 

Culled from SUCCESS TO SIGNIFICANCE by RICHARD CARSWELL

NIMR DG tasks nurses on mortality reduction

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…as HLC holds 2014 workshop for nurse leaders

(By Temitope Obayendo)

 

Following the recent statistics of the United Nations Children’s Fund (UNICEF) which shows that Nigeria loses about 2000 under-five-year-olds and 145 women of childbearing age every day, the Director-General, Nigerian Institute of Medical Research (NIMR), professor Innocent Ujah, has on nurses in the country to explore all techniques at their disposal to ensure drastic decrease in infant and maternal mortality in Nigeria.

Ujah made the remarks at the 2014 interactive workshop for nurse leaders held at NIMR hall, Yaba, on 11 April. The annual event was organised by Healthy Living Communications.

The NIMR boss who was a special guest at the occasion as well as the host, noted that there was still much to be done by nurses regarding awareness campaigns on the safety of caesarean section for both mother and child.

The experienced obstetrician and gynaecologist disclosed that one of the major reasons infant and maternal mortality persists in the country is the misconceptions of the majority of people about surgery, which has led to the death of thousands of women and children.

Ujah stated that to remedy the situation, nurses must do much of  ’talking to’ and not ‘ talking at’ pregnant women in order to avert  further loss of lives at childbirth.

Earlier on at the forum, the former Head of Nursing Department, Health Services Commission, Lagos State, Mrs. Victoria Oloruntegbe, addressed the participants on: “Pre and Post Retirement Issues and Challenges Facing the Nurse Leader”.

Oloruntegbe described life after retirement and explained why every nurse leader must make adequate plans for it in ahead of time.  She also highlighted some challenges associated with retirement, which include: “time issues, finance issues, loss of power and authority, accommodation problems, medical treatment issues, transportation, and so on.” She however assured the participants not to fret over the challenges as strategies are already in place to help them cope.

Categorising the coping strategies into “government input” and “nurse leader input”, the veteran nurse and midwife  revealed that the government input is already in place, through the enactment of the Pension Reforms Act 2014. She added that, on the part of the nurse leader, it is very essential for each one to have proper finance management, investment in bonds, savings, properties, healthy lifestyle, health insurance policy, etc.

Also addressing the health professionals, Mr. Emmanuel Oriakhi, the MD/CEO of Healthy Living Communications, expressed his appreciation for their presence and explained that it became imperative to have a forum for nurses having held different fora for general practitioners, surgeons, medical laboratory scientists, paediatricians, and other health personnel.

He listed the objectives of the forum to include: exchange of ideas with health care operators; updates on new products and techniques as they emerge; examination of issues of national importance to health care delivery; and review of industry professional developments as they affect the practice.

One of the participants, Mrs Titilayo Adegun, expressed gratitude to the organisers of the workshop for consistently keeping nurse leaders abreast of trends in the profession for the past three years.

 

Commendations as LASUTH former medical director Adegbile retires

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(By Adebayo Folorunsho-Francis)

 

Encomiums have continued to pour on Dr Femi Olugbile, former chief medical director of Lagos State University Teaching Hospital (LASUTH) and outgoing permanent secretary, ministry of health, Lagos State, as he officially retired from public service with effect from 24 February, 2014.

In a show of appreciation, the management and staff of LASUTH held a befitting retirement party for him at the Medical Research Centre Hall, LASUTH, Ikeja, Lagos on 28 February, 2014.

Some dignitaries who attended the event include Prof. David Adewale Oke, current chief medical director, LASUTH, head nurses from various departments as well as levels one to seven officials of the institution.

Dr. Olugbile was appointed permanent secretary, Lagos State Ministry of Health, in December 2010. Until then, he was the chief medical director of LASUTH.

In a related development, Lagos State governor, Babatunde Fashola, while swearing in three new permanent secretaries to replace the outgoing ones in the state civil service on 13April, extolled Olugbile’s virtues and called for an enabling environment that would allow young people to attain leadership positions in the public service.

The governor, who spoke at Government House in Alausa, Ikeja, said young leaders tend to stay longer in positions and deploy the experience they gain for better service delivery.

Fashola advised the new permanent secretaries to be just and fair in their dealings with people and to always remember their oath of office.

The new permanent secretaries are Mr Oluseyi Whenu, Dr Joyce Osunkiyesi, and Mr Ajibola Ariyibi-Oke.

Hospital pharmacists must be more proactive – Pharm. Anyafulu

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In this no-holds-barred interview with Adebayo Folorunsho-Francis, Pharm. Lawrence Okwuchukwu Anyafulu, former deputy president of PSN(1977-1979) and chairman of Pharmaceutical Society of Nigeria (PSN), East-Central State Branch from 1974 to 1977, explains some of the intrigues surrounding the issue of counterfeit medicine and why he thinks hospital pharmacists are not doing enough to help themselves.

 

 

Tell us a little about yourself, especially your early life

My early life was not spent in one place. My elementary education, for instance, was done in nearly eight schools due to frequent movements of my aunt whom I was staying with.

My first experience of what they called “school” was while I was in Okitipupa, Ondo State. I am not sure I spent up to six months there though. From there, we moved to Enugu where I had my primary one. I must have been in Enugu for about three years before we were transferred again to Nsukka. There I had my schooling up to class two. Shortly after, we went back to Enugu where I had classes two and three. Classes three, four and five were done in Warri, present day Delta State. I didn’t really finish Class five at Warri as we made a short stay in Kwale where I spent four months in another school. From there, my aunt moved again to Sapele where I attended Government College for my Standard 6 certificate.

I passed my common entrance and got admitted into Hussey College. The slogan, then, used to be “There is only one college in Warri – Hussey College and others.” At that time, the focus was to be educated, not just to pass exam.

 

So can we say that your education only stabilised when you got to Hussey College?

Yes. I must say that I had a nice time in the school which was doing well in the area of sports. There was a time we competed favourably with the likes of Government College, Kings College, St Gregory’s College and Igbobi. I was not just a school prefect but also an active footballer.

At that time too, I joined what was called “Anti-Graft Society, which had the slogan, “Don’t give bribe, don’t accept bribe and don’t abet bribe”. That Society also prepared the way for me to shun anything that has to do with corruption.

 

 

Tell us about your work experience

Immediately I left college, I had a brief stint working as a civil servant. I was asked to work with federal prisons as a clerk. I am not so sure but I think I spent like two to three years there before I resolved to further my studies instead of remaining a civil servant.

 

Why did you choose to study Pharmacy when you could have done any other science course?

At that time, my initial intention was to study Agriculture. That was perhaps because I come from an area where the people are predominantly into fishing and farming. So I believed that doing that might improve whatever area I eventually delved into. I later changed my mind and opted to study at the School of Pharmacy, Yaba, from 1956 to 1959. Some of my course mates were Fidelis Omiyi, Harry Ajagun, Emma Osuji, Sam Ejikeme, Ayo Adejoko, T. O. Daudu and William Ekpo. About four or five of us are now Fellows.

 

How did you end up working for a federal parastatal?

When I graduated, I thought of going to the East but it didn’t work out. So I started working with the federal government. My first official assignment was with Federal Hospital, Lagos. I was moved to Yaba dispensary where I worked for sometime before calling it quits. At the general hospital, I worked under Pharm. Ojomu and the likes of Lady Nylander, a very hardworking, jovial and strict lady. We were doing shifts and things were going on fine. Most of our mixtures, ranging from lotions to tonics were made there. We neither bought nor outsourced.

 

Tell us about some memorable controversies and intriguing events relating to the practice during your time

One of the major controversies we had then was on the issue of wages and salary structure for pharmacists in the country. We formed a strong union that was called Nigeria Union of Pharmacists (NUP) because we were not happy with the situation of things in the federal ministry. As the general secretary of the union, I had to travel to Ibadan to motivate and persuade them that there was hope. We went on agitating and subsequently called for industrial action at some point. But the federal government refused to back out saying we should quit if we were not contented. So we went on strike and were always resuming at Yaba to ensure everybody was in good health.

At that time, only one person showed interest in our activities and was steadily coming to encourage us from the Nigerian College of Arts, Science and Technology – Bruno Nwankwo (current chairman of PCN). It got so bad that, at a point, many pharmacists wanted to decamp and work in other sectors. I met with Andrew Egboh and Otobo and together we continued the struggle until Scale A salary structure was introduced to appease us. From there, I told myself I needed to move on, having tried enough to bring recognition to the profession.

 

Did you leave because the pressure was taking its toll on you?

No, it was a personal decision. After I left, I joined John Holt in 1965. Unlike now, it was formerly called West African Drug Company, which helped to train many of those great pharmacists such as IfeanyiAtueyi, Adebowale, the late BayoOgunyemi and myself. We were all made to change our mode of thinking to start seeing things like businessmen from all ramifications – marketing, sales, distribution, and so on. What this also means is that we were always travelling both within the country and abroad.

 

Tell us more about your involvement in pharmaceutical activities

As a secretary of NUP, I was elected member of the Pharmacy Board (now Pharmacists Council) from 1962 to 1965. After the civil war, I was made chairman of Pharmaceutical Society of  Nigeria (PSN), East-Central States, which comprises Enugu, Imo, Abia, Ebonyi and Anambra, from 1974 to 1977. Due to the vastness of the area, we had to zone it.

Imagine back then, we had only one pharmacist in Okigwe, Imo State. At a point, we were calling it a one-man zone. Let me say that it was during my era that PSN started functioning as an organised zone, in terms of income and attendance.

 

Did you record any notable achievement during your tenure?

I give glory to God because in my era, too, we were able to carry out the first raid on Onitsha market. Another notable person in our team then was the father of  Dr. Joe Odumodu, present director general of Standard Organisation of Nigeria (SON), who is also a pharmacist. This is why we are not surprised that “Young Joe”is equally doing well because we know his father’s DNA is still very much in him. The father was my senior by two years in school.

 

What was it like heading a multinational company as WAD?

It was a good experience. In my career at WAD, I started as a trainee manager but later climbed the wrung of the leadership ladder. I soon made it to senior manager, area manager, deputy managing director before I eventually became the MD. I was the first indigenous managing director in WAD for 10 years before I retired in 1990.

 

Is it true that you were once with the Lagos Chambers of Commerce?

Yes! I was chairman of the pharmaceutical group in Lagos Chamber of Commerce and Industry for 10 years until somebody else was elected. In fact, after I left, many people clamoured for me to come back but I declined. In 1979, I was made honourary life vice president, Lagos Chamber of Commerce and Industry.

 

What was the profession like in your day compared to today’s practice?

As a member of Pharmacy Board, we were always discussing issues bordering on pharmacy practice and the country. We also deliberated on import and export duties as well as ways to improve. We also prepared our budgets and submitted to government through the Lagos Chamber of Commerce and Industry.

Among other things, we were very keen to know about importation of drugs in the country; what quantity was produced, how many were imported and produced locally. We set up a committee to look into fake drugs and the quality of products imported. I can remember vividly that the committee was chaired by Mazi Sam Ohuabunwa who was then with Pfizer.It was even then that we found out that the genuine drugs were not more than 10 per cent and that the fake constitute about 70 per cent. We discovered that a large chunk of the drugs made here were fake. We submitted the report to the government and, for many years, the report was what they acted on. We also enjoined that they used the opportunity to reactivate pharmaceutical research but unfortunately they were foot-dragging. So we raised money in the industry and started the research ourselves.

 

How are you enjoying life in retirement?

Well, what can I say? On my social life after retirement in 1990, I continued doing pharmacy business with some companies for 10 years and saw how things were going. Then I decided to slow down before I stopped. I don’t sell or trade as a pharmacist now. I just observe things, which I think is better for me.

Having worked 25 years with WAD, I think I have paid my dues. I am a member of some notable associations like the Rotary Club of Tin Can which I had to quit after sometime because of the distance and stress involved. I compensated by joining the Rotary Club of Lagos West which is nearer to me.

 

What was the profession like in your day compared to today’s practice?

The practice of Pharmacy wasn’t as porous as it is now. Patent medicine vendors were not as bold as they are now. I remember that we were always able to track the fake ones among them. In the 1970s, the best analgesic used in Nigeria was Buscodin. But it dawned on some people that they could make a kill of it. They imported the drug and were selling at half price. It became so worrisome that Mr. Pearce, the then managing director of Boots approached me. I was in Aba then being chairman of East-Central States. Pearce came all the way to see me in Aba.

Luckily, I was able to unravel the mystery throught the efforts of Amaikwu, Boots pharmacist, who helped to track down the culprits. He was also a pharmacist. So we brought in the police and rounded up the operation. The police came, saw the exhibits but were only able to take out one drum. When they returned, the remaining had disappeared. Mr Pearce was baffled but I reassured him the matter would be taken to court as a last resort.

So the first thing we did was to ensure the place was barred. But the suspects also changed their own names and the product label to another brand and continued to sell.  When I observed how things were going, I told Mr. Pearce to allow them continue to sell it. Because even if we claimed those products were fake, they would be subjected to forensic test and the result of the laboratory test would decide that.

As I earlier said, they did not only change the name, the packaging too had undergone transformation. So it is a trend that will continue. It is a war that we can’t win completely. So this was our own little effort aimed at taming counterfeit medicine back then. There were times many of us were ambushed by cartels who saw us as perennial threats.

 

It appears you have a misgiving towards hospital pharmacists. Why?

I must say that pharmacists in hospital practice today appear to be in ice block. In our era, while I was working in Federal Ministry of Health, we initiated action. We went ahead and started something. When it was becoming too much for us, we invited in the PSN. I remember that some of the struggles we went through were complete stalemate. Who cares? It has always been between us and the government.

But the present pharmacists in federal and state employments fold their hands and want PSN to fight their battle. This is the major difference between the two. They should be able to initiate action. And if the heat becomes much, PSN can come in. It is wrong to always expect PSN to be the arrowhead of every struggle. That is my own advice.

 

If you were not to be a pharmacist, would you have opted for football where your youthful passion lies?

I wouldn’t have made it into any serious football club. So football couldn’t have been my choice. Surprisingly, being a member of Anti-Graft Society back in school, I thought I would have ended up as a policeman. But when my father heard it, he convinced me to think otherwise. Subsequently I dropped the idea because I learnt the police had too many enemies.

My hard-line stance on bribery didn’t really go down well with some people. I think having such background also helped a lot in pharmacy practice. Truth be told, if I were given the chance to start all over again, I would still be a pharmacist. What I have achieved today, quietly and peacefully, was due to Pharmacy. And I have personally observed that Pharmacy is improving year by year.

MedXGuide (Ways To Good Health)

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This handbook focuses mainly on some ways to good health through healthcare delivery facilities and interventions. Such facilities like hospitals, clinics, medical centres and community pharmacies provide access to medicines but there are issues on management and/or mismanagement of medicines and sundry products Also, some categories of hospitals; laboratories and community pharmacies are are secondary providers of health insurance-a universally acknowledged way to good health.

MedXGuide 2016 Edition
MedXGuide (A health care delivery guide)

Furthermore, HIV/AIDS Counselling and Testing (HCT) is a proven public health prevention and care intervention – another major way to good health.For medicines management, the non-enforcement of the regulations and guidelines concerning the distribution, purchasing prescribing, dispensing and use of medicines in countries such as Nigeria have led to high incidences of morbidity (illnesses) and mortality (deaths)

This  handbook is a valuable resource used to deliver the Keynote address at the World Pharmacists Day(25th September 2014) of the PSN Ondo State Branch-Akure.

(Pharm Remi Adeseun, FPSN)

CONTENT  HIGHLIGHTS

2.1         What is Healthcare Delivery?
3.1         What is Medicines Management in Healthcare Delivery?
3.2.3      National  Health Insurance Scheme (NHIS)
NHIS Updates (January, 2015)
4.1         What is Public Health?
4.4         Ways to get your Medicine(Avoid Fake Drugs)

APPENDIX TWO
Update of list of HIV/AIDS COUNSELLING AND TESTING CENTRES IN LAGOS STATE NIGERIA (JANUARY,  2015)

This is the End of the preview, and we are sure you enjoyed it.
Buy one by selecting the product and a click on the ADD TO CART button.

 'The foreword was written by Prof. E.O.Ogunlana(seated at the far right at an event early 2014)-he was a past president of the Pharmaceutical Society of Nigeria(PSN) and also a past president of the Association of Professional Bodies of Nigeria(APBN)'
‘The foreword was written by Prof. E.O.Ogunlana(seated at the far right at an event early 2014)-he was a past president of the Pharmaceutical Society of Nigeria(PSN) and also a past president of the Association of Professional Bodies of Nigeria(APBN)’

(Excerpts from the foreword) – This book guide presents some challenging areas of thought concerning healthcare delivery and …..

A 90-page ebook

-CONTENT HIGHLIGHTS

  • The relationship between drugs, medicines and sundries
  • Medicines management in healthcare delivery
  • Some case reports and studies
  • Some public health programs involving medicines
  • Current list of some HIV/AIDS counselling and testing centres in Lagos State-Nigeria

SOME TESTIMONIES

1. As a valuable research tool, the book resonates with educative,

practical, informative and concise information amidst its stark

simplicity – This Day Newspaper Review 

 

2. The book is a useful source of information to healthcare

workers, especially the pharmacists – WHO (Nigeria Office, Abuja)

 

3. The book has a clear style and is simple to grasp. Its case

reports on experiences in other countries are interesting and

useful for medical doctors and other healthcare providers.

– Prof. Folabi Lesi (Dean, Faculty of Clinical Services- CMUL)

 

4. The book has helped me as a reference material for presenting my memos and ….

– Pharm. (Mrs.) G Balogun – Past

Director of Pharmaceutical Services – Lagos State

Ministry of Health

5. The book is a practical tool to improve drug management

systems and layouts in both public and private hospitals;

clinics, medical centres and community pharmacies. It provides to ….

–Prof. (Pharm.) N. D. Ifudu (Past Dean, Faculty of Pharmacy – LUTH)

 

6. The book has given me a better understanding of primary

healthcare and public health – Olatunji Eniola (Student – Lagos State School of Health

Technology)

Click on the link below to get your copy of the eBook online

click-here-5

 

Invest in the future, defeat malaria!

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mosquito malaria-area-map

World Malaria Day is usually marked on 25 April of every year, and the theme for this year’s commemoration is: “Invest in the future. Defeat Malaria.”

Malaria has remained a major public health concern in Nigeria. It accounts for over 60 per cent outpatient visits and 30 per cent hospital admissions in the country. It remains one of the leading causes of morbidity and mortality. It is responsible for 29 per cent of childhood death, 25 per cent of infant mortality and 11 per cent of maternal mortality. The disease has also impacted negatively on the economy, with about 132 billion naira lost to the disease annually,as cost of treatment, prevention and loss in man-hours.

 

Understanding the disease

Malaria is an infectious disease caused by parasitic protozoans of the genus Plasmodium. The five identified species of the malaria parasite are P. falciparum, P. vivax, P. ovale, P.malariae and P. knowlesi.However, in Nigeria, 98 per cent of all cases of malaria are due to P.falciparum. This is the species that is responsible for the severe form of the disease that leads to death. It is transmitted from bites of an infected female Anopheles mosquito, which introduces the organisms from its saliva into a person’s circulatory system.

The Anopheles mosquito breeds in clear stagnant water, especially in unused discarded tyres, broken pots and other areas where water can collect.In many parts of Nigeria, where people’s behaviour, coupled with environmental factors, encourage the breeding of mosquitoes, and thus increase human vector contact, which promote the continuous transmission of infection, it is important to position malaria control as a top priority for government intervention.

mosquitoes malaria_special

Facts about plasmodium parasites

·      P. falciparum is found mostly in the tropics and subtropics (near the equator).

·      Infection with P. falciparum can lead to life-threatening complications after the first few days.

·      P. falciparum is often resistant to a popular antimalarial medicine (chloroquine) and needs treatment with other medicines.

·      P. vivax and P. malariae occur all over the tropical regions of the world. P. ovale is found in western Africa, and P. knowlesi is   found in Southeast Asia.

·      Infection with P. vivax, P. malariae, or P. ovale is usually not life-threatening, and a person may recover in a month without treatment. But infection with P. knowlesi may be fatal.

·      P. vivax, P. malariae, P. ovale, and P. knowlesi are generally not as drug-resistant as P. falciparum.

·      P. vivax, P. ovale, and P. knowlesi may stay in the liver, requiring further treatment with medicine to prevent relapses.

 

How the disease spreads

Malaria spreads when an infected the Anopheles mosquito bites a person. The mosquito becomes infected by biting an infected person and drawing blood that contains the parasite. When that mosquito bites another person, that person becomes infected.

 

Common symptoms of malaria

In the early stages, malaria symptoms are sometimes similar to those of many other infections caused by bacteria, viruses, or parasites. Symptoms may include:

·      Fever

·      Chills

·      Headache

·      Sweats

·      Fatigue

·      Nausea and vomiting

Note also that symptoms may appear in cycles. The time between episodes of fever and other symptoms varies with the specific parasite you are infected with. Episodes of symptoms may occur:

·      Every 48 hours, if you are infected with P. vivax or P. ovale.

·      Every 72 hours, if you are infected with P. malariae.

P. falciparum does not usually cause a regular, cyclic fever.

The cyclic pattern of malaria symptoms is due to the life cycle of malaria parasites as they develop, reproduce, and are released from the red blood cells and liver cells in the human body. This cycle of symptoms is also one of the major signs that you are infected with malaria.

Other common symptoms of malaria include:

·      Dry (non-productive) cough.

·      Muscle or back pain or both.

·      Enlarged spleen.

·      In rare cases, malaria can lead to impaired function of the brain or spinal cord, seizures, or loss of consciousness.

·      Infection with the P. falciparum parasite is usually more serious and may become life-threatening

There are other conditions with symptoms similar to a malaria infection. It is important that you see your doctor to find out the cause of your symptoms.

 

When symptoms appear

Malaria can begin with flu-like symptoms. In the early stages, infection from P. falciparum is similar to infection from P. vivax, P. malariae, and P. ovale. You may have no symptoms or symptoms that are less severe, if you are partially immune to malaria.The time from the initial malaria infection until symptoms appear (incubation period) typically ranges from:

·      9 to 14 days for Plasmodium (P.) falciparum.

·      12 to 18 days for P. vivax and P. ovale.

·      18 to 40 days for P. malariae.

·      11 to 12 days for P. knowlesi.

The incubation period may be longer if you are taking medicine to prevent infection (chemoprophylaxis) or because you have some immunity due to previous infections.

 

Variation in symptoms

In regions where malaria is present, people who get infected many times may have the disease but have few or no symptoms. Also, how bad malaria symptoms are can vary,depending on your general health, what kind of malaria parasite you have, and whether you still have your spleen.

 

Risk of malaria according to geographic region

·      The risk of malaria is highest in Sub-Saharan Africa, Papua New Guinea, the Solomon Islands, Vanuatu, and the Amazon and Orinoco basins of South America.

·      The risk is medium in Haiti and the Indian subcontinent.

·      The risk is low in most of Southeast Asia and Latin America.

 

Statistics of Malaria incidence

·      Of the 300-500 million clinical cases of malaria that occur globally each year, 90 percent of them are in Africa.

·      Malaria is endemic in more than 90 countries.

·      40 per cent of the world population is at risk for malaria.

·      10 per cent of world population gets sick each year with malaria.

 

Malaria mortality

·      Number of fatal cases of malaria each year: over 1 million.

·      Most common age at death: 4 years.

·      Every 30 seconds, a child dies of malaria.

·      Five per cent of African children are killed by malaria, almost 3,000 each day.

·      Up to 23 per cent of African infants are born with the malaria parasite.

 

Malaria situation analysis

A malaria situation analysis was carried out by the Federal Ministry of Health some years back. Some of the findings were as follows:

·      The perception of the cause of malaria is poor and very few people link mosquito to malaria.

·      80 per cent of malaria cases are inadequately managed at community level by the facility and home-based caregivers.

·      96 per cent of caregivers initiated actions within 24 hours but only 15 per cent of their actions were appropriate due to inadequate dosage.

·      60 per cent of mothers had no knowledge of the current management of convulsions. Only 5 per cent referred such cases to hospital, while most either go to traditional healers or use traditional home made concoctions.

·      Improper use of parentheralantimalarials.

·      Only 5 per cent of antimalarial drugs are produced in Nigeria.

·      85 per cent of health facilities surveyed in rural areas had stock out. None had pre-packaged drugs.

·      51 per cent of mothers obtain drugs from patent medicine vendors; 89 per cent of the drugs were found to be substandard and 43 per cent of syrups unsatisfactory.

 

Control of malaria in pregnancy

Malaria infection during pregnancy is a major public health concern in Nigeria. The main burden of infection results from P.falciparum like in any adult in the country.

In areas of stable malaria transmission, most adult women have developed sufficient immunity that, even during pregnancy, P.falciparum infection does not usually result in fever or other clinical symptoms. Thus, the principal impact of malaria infection is malaria-related anaemia in the mother and the presence of parasites in the placenta. The resulting impairment of foetal nutrition contributes to low birth weight and is a leading cause of poor infants’ survival and development.

The World Health Organisation recommends that pregnant women in Malaria-endemic areas should receive two doses of Sulphadoxine-Pyrimethamine (SP) given at therapeutic doses at scheduled interval during the index pregnancy.

Studies in countries like Kenya and Malawi have shown that IPT, with at least two treatment doses of SP, is highly effective in reducing the proportion of women with anaemia and placenta malaria infection at delivery.

 

Malaria diagnosis

Malaria diagnostic testing improves the quality of care for all patients with febrile illnesses. It is the first step in the WHO-recommended T3: Test. Treat. Track approach to malaria treatment.

 

Rapid diagnostic tests

Malaria rapid diagnostic tests have the potential to significantly improve management of malaria infections, especially in remote areas with limited access to good quality microscopy services.

 

Microscopy

Microscopy remains the mainstay of malaria diagnosis in most large health clinics and hospitals but the quality of microscopy-based diagnosis is frequently inadequate.

 

Four-step preventive measure against malaria

·      Awareness of risk of malaria.

·      Bite-prevention.

·      Chemoprophylaxis (taking antimalarial medication exactly as prescribed).

·      Diagnosis and treatment.

 

Awareness of the risk of malaria

The risk varies between countries and regions. For example, back-packing or travelling to rural areas is generally more risky than staying in urban areas. In some countries, the risk varies between seasons – malariais more common in the wet season. The main type of parasite and the amount of resistance to medication vary in different countries.

The mosquitoes which transmit malaria commonly fly from dusk to dawn and therefore evenings and nights are the most dangerous time for transmission.

 

Bite-prevention

You should use an effective insect repellent to clothing and any exposed skin. Diethyltoluamide (DEET) is safe and the most effective insect repellent and can be sprayed on to clothes. It lasts up to three hours for 20 per cent, up to six hours for 30 per cent and up to 12 hours for 50 per cent DEET. There is no further increase in duration of protection beyond a concentration of 50 per cent. When both sunscreen and DEET are required, DEET should be applied after the sunscreen has been applied. DEET can be used on babies and children over two months of age. In addition, DEET can be used, in a concentration of up to 50 per cent, if you are pregnant. It is also safe to use, if you are breast-feeding.

If you sleep outdoors or in an unscreened room, you should use mosquito nets impregnated with an insecticide (such as pyrethroid). The net should be long enough to fall to the floor all round your bed and be tucked under the mattress. Check the net regularly for holes. Nets need to be re-impregnated with insecticide every six to twelve months (depending on how frequently the net is washed) to remain effective. Long-lasting nets, in which the pyrethroid is incorporated into the material of the net itself, are now available and can last up to five years.

If practical, you should try to cover up bare areas with long-sleeved, loose-fitting clothing, long trousers and socks – ifyou are outside after sunset – toreduce the risk of mosquitoes biting. Clothing may be sprayed or impregnated with permethrin, which reduces the risk of being bitten through your clothes.

Sleeping in an air-conditioned room reduces the likelihood of mosquito bites, due to the room temperature being lowered. Doors, windows and other possible mosquito entry routes to sleeping accommodation should be screened with fine mesh netting. You should spray the room before dusk with an insecticide (usually a pyrethroid) to kill mosquitoes that may have come into the room during the day. If electricity is available, you should use an electrically heated device to vaporise a tablet containing a synthetic pyrethroid in the room during the night. The burning of a mosquito coil is not as effective.

Herbal remedies have not been tested for their ability to prevent or treat malaria, and are therefore not recommended. Likewise, there is no scientific proof that homoeopathic remedies are effective in either preventing or treating malaria, and they are also not recommended.

 

Chemoprophylaxis (antimalarial medication)

Antimalarial medication helps to prevent malaria. The best medication to take depends on the specific location. This is because the type of parasite varies between different parts of the world. Also, in some areas, the parasite has become resistant to certain medicines.

There is a possibility of antimalarials that you may buy in the tropics or over the Internet, being fake. It is therefore recommended that you obtain your antimalarial treatment from your doctor, a pharmacist or a travel clinic.

As already said, the type of medication advised will depend upon the area. It will also depend on any health problems you have, any medication you are currently taking, and also any problems you may have had with antimalarial medication in the past.You must take the medication exactly as advised

Regarding side-effects, antimalarial medication is usually well tolerated. The most common side-effects are minor and include nausea (feeling sick) or diarrhoea. However, some people develop more severe side-effects. Therefore, always read the information sheet, which comes with a particular medicine, for a list of possible side-effects and cautions. Usually, it is best to take the medication after meals, to reduce possible side-effects.

If you are taking doxycycline then you need to use a high-factor sunscreen. This is because this medication makes the skin more sensitive to the effects of the sun.Around 1 in 20 people taking mefloquine may develop headaches or have problems with sleep.Several things influence the choice of medicine, including:

·      Whether the medicine is being used to prevent or to treat malaria.

·      Your condition (such as your age or whether you are pregnant).

·      How sick you are from malaria.

·      Geographic location where you were exposed to malaria.

·      Whether the malaria parasite may be resistant to certain medicines.

·      Side effects of the medicine.

 

Your age and health condition are important factors in selecting a medicine to prevent or treat malaria. Pregnant women, children, people who are very old, people who have other health problems, and those who did not take medicine to prevent malaria infection require special consideration.

Reports compiled by Temitope Obayendo with additional information from: World Health Organisation, Lagos State Ministry of Health and WebMD medical reference.

 

 

 

ePharma Summit 2014: Tom McCourt, Ironwood Prescription drugs

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Catch Tom McCourt in our free webinar: Enhancing Affected person-Doctor Communication By means of a Novel Digital Portal: Difficult the Standing Quo- http://bit.ly/1v9ElVw
6/11, 2:00-Three:00PM EST

On this interview, Tom McCourt, CCO, Ironwood Prescription drugs, discusses activating the sufferers voice going ahead.

“As the following 12 months evolves, actually activating the buyer, activating the affected person so that they’ll increase their hand and ask for simpler remedy is absolutely how my job will change. Then actually perceive how does that impact physicians angle in the direction of sufferers and physicians angle in the direction of alternative in addition to the care and the supplier.”

Hear extra from trade thought leaders like Tom at ePharma West- http://bit.ly/1iftAg8
September 22-24 | San Francisco, CA

Do not miss subsequent 12 months’s ePharma Summit- http://bit.ly/1lFjROc February 24-26 | New York, NY

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ePharma Summit 2014: Pete Dannenfelser, Janssen Prescribed drugs

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On this interview, Pete Dannenfelser, Director of Digital Advertising, Janssen Prescribed drugs, talks concerning the alternatives introduced by right this moment’s advertising and marketing local weather.

“There’s actually a chance for us as entrepreneurs, each conventional and digital markets, to offer higher content material and higher data for these sufferers. If you’re partaking prospects, it is most necessary to grasp what’s necessary to them versus attempting to pressure feed print content material into an internet site. On the finish of the day, an important factor concerning the content material you present the shopper is that it is delivered in such a method buyer can use it and desires to make use of and can discover it partaking.”

Hear extra from business thought leaders like Pete at ePharma West- http://bit.ly/1iftAg8
September 22-24 | San Francisco, CA

Do not miss subsequent 12 months’s ePharma Summit- http://bit.ly/1lFjROc February 24-26 | New York, NY

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Pharmaceutical research and development: Cost considerations

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(By Pharm. Nelson Okwonna)

r & d

In open economies, where channels of import and export exist, factors other than strategic intent and the availability of human and material resources, become increasingly important in deciding between alternative courses of actions. One of such factors is cost.

After the IMF instigated the Structural Adjustment Programme of 1985 – which was ostensibly designed to boost local productivity, decrease imports and launch Nigeria to a more prosperous path – suffered a colossal failure, manufacturing activities in Nigeria have never remained the same.

One major effect of the policy was the astronomical rise in the cost of raw materials like machine parts and expatriate labour (in fact, everything that came through the borders became expensive, including the factors of production). Also, there was no commensurate increase in the earning capacity of the indigenous labour force; hence those who could migrate to “greener pastures” migrated.

 

In sum, the effects of the policy could be described as follows:

A.   Increased cost of production due to increased cost of material inputs.

B.    Decrease in the pool of available human capital due to migration (which is more difficult to replenish).

C.    Incentives for the importation of finished goods and not for localised production.

D.   Greater barriers to manufacturing and worthwhile research and development efforts.

Sadly, from that time (1985) till now, we are still battling to find our footing. Add corruption to our challenges and you get a better picture. The aim of this article, however, is not to chronicle our predicaments but to offer a ray of light.

On 20 June 2013, the NIPRD-Industry Business Summit held at Sheraton Hotel and Towers, Ikeja. The event, which was chaired by veteran pharmaceutical industry leader, Mazi Sam Ohuabunwa, had, in attendance, other distinguished CEOs and representatives from stakeholder-organisations in the pharmaceutical industry.

The summit highlighted the earnest desire for change among stakeholders, as industry partners presented their areas of need and called for intense collaboration from NIPRD. Since then, other strategic meetings have been held to advance the cause of indigenous research and development. Still, there are many new calls for increased R&D drive from representatives of the pharmaceutical industry and my engagement with NIPRD and other pharmaceutical research organisations show that the sun shall yet shine on pharmaceutical research and development in Nigeria.

The points I mentioned much earlier were to demonstrate why this sun is apparently not shinning enough and to buttress issues that need be addressed. A major constraint is cost and one area that accounts for this cost is the clinical trial process.

But apart from cost, there is also the low adaptive capacity of the manufacturing industry and insufficient stakeholder ownership for sustaining research–industry dialogue. The recent calls by the Industry are perhaps indicative of the renewed perception among stakeholders that research & development is perhaps our visa to a glorious future; it shows that the Industry is maturing, though not fast enough, as we try to rid ourselves of the effects of the SAP policy.

 

On clinical trials

At present, there are very few organisations dedicated to this critical chain in the drug development process. In 2010, working for an indigenous firm involved in drug development, we were able to estimate the cost of delivering a clinical trial for an antimalarial product.

One thing that I took away from the process is that the cost is not as exorbitant as many think. This should be understood within the context of the major cost factors and the nature of the product under examination – a phytopharmaceutical. Two things are peculiar to this kind of product:

A.   WHO has made certain exceptions for Phyto-pharmaceuticals.

B.    The major cost is the human resource cost.

The National Health Research Ethics Committee (NHREC) has a clear pathway for approving clinical trials in partnership with NAFDAC and the major constraint, from my own point of view, is basically a management challenge and an insufficiency of demand by Industry. Perhaps this is because of limits in the perception of the huge opportunities that exist, a perception that I believe is rapidly changing.

To overcome the human resource cost of delivering a large scale clinical trial, I am advocating for Research–Hospital partnership. The aim is to reduce the initial cost of entry for an industry player. Consider the NIPRISAN/NICOSAN case study (which is chronicled in my book, the Heart and Art of Innovation); despite the huge investments made by NIPRD on developing the sickle cell product, the entry cost for the pharmaceutical stakeholder was $115,000 and a 7.5% of gross sales as royalties. Of course, there must have been many other operational costs.

The purpose of the partnerships would be such that the research organisation (university or institute) that did the basic research and the clinical research organisation (the hospital) are under the same umbrella as in the NIPRD scenario and would also defer gratification (accept royalty terms). The partnerships would address critical issues like:

a.     Delineating knowledge-sharing procedures for relevant stakeholders

b.    Developing human capacity for clinical trial models of major disease groups.

c.     Providing cost estimates of delivering standard protocols

d.    Developing business structures within partner organisations that defer gratification in place of a royalty agreement.

 

There are many benefits to this from an Industry point of view. Some of which are:

a.     Cheaper cost of entry from a go-to-market angle.

b.    Greater ease for determining potential collaborative R&D budgets.

c.     Greater opportunity for institutional gap analysis.

d.    Greater sustainability of research and development efforts.

e.     Potential for human capacity development across the value chain.

f.     Reduced fragmentation of the drug development chain.

g.    Greater room for the emergence of indigenous clinical research organisations.

 

Challenges

The major challenge of this proposition is that the potential parties that will make a venture as this feasible are both public organisations – universities/research institutes and teaching hospitals. Bureaucracy and the usual Nigerian factors are powerful factors that must be considered. However, optimists would always choose to see the half-full glass and in this case, I believe that is exactly where we are. The water in our glass may not even be up to the half-mark but it is certainly not empty.

 

Your gut and your health

0

 When I was young, my mother ensured that I cleared my stomach regularly with laxatives, which I later discovered to be Epsom salt, chemically known as magnesium sulphate. She strongly believed that the stomach accumulated unwanted and harmful matters, which should be eliminated.

Actually, that was a process of detoxification of my system. After each detoxification, she encouraged me to eat well. Since I had no problem at all with my health, her only concern was my stomach. From that time, I understood that, whether her prescription was right or wrong, the stomach was important to my overall health.

From time immemorial, the stomach has often been associated with the mind. A stomach that is loaded with wastes from undigested food is like the mind filled with evil thoughts. In Igbo language, we say that someone has ‘afo ojo’ (dirty stomach)if he is wicked or unmerciful. On the other hand, someone is said to have ‘afo oma’ (good stomach) if he is kind, generous and merciful. In my place, ‘Afoma’ is good  female name;in fact, one of our daughters has that name.

Essentially, if you take care of your gut, it will take care of you. But how much do you care for it? The food we eat sustains us and we must eat to live. But research has shown that the same food we eat may increase the risk of several leading causes of death, notably, diabetes, some forms of cancer, arteriosclerosis, coronary heart disease and stroke. We live and die through what we eat. Ignorance is no excuse. Hosea 4:6 says, “My people are destroyed for lack of knowledge.”

We suffer from many diseases because we continually eat wrong foods that are often improperly digested. The by-products of incomplete digestion clog the gut with accumulated debris. This coating of the gut becomes a perfect breeding ground for dangerous bacteria and other microorganisms. These toxins escape from the bowel into the bloodstream and poison the body. This is self-poisoning or autointoxication. Of course, accumulation of these toxins is responsible for all manner of diseases.

It is believed that over 90 per cent of diseases are caused or complicated by toxins created in the intestinal tract by unhealthy foods that are not properly eliminated. Imagine a gutter that has been left uncleared and continues to accumulate all types of rubbish, which decompose and produce offensive odour. The debris provides a haven for harmful bacteria that cause diseases. People who cook and eat near such a place endanger their health. This is similar to what happens in the gut. It was for this reason that my mother regularly gave me Epsom salt to clear the decomposing debris in my gut.

The food we eat yields only a small proportion of substances our body uses. The rest is eliminated as wastes – digestive and metabolic. The digestive waste is composed of unabsorbed products of the digestion process. The metabolic waste is composed of cellular waste from broken down and discarded cells, eliminated mainly through the kidneys. If these waste products are not regularly eliminated, they poison the body and blood, leading to disease and even death.

A lot of people continue to eat large amounts of harmful foods and experience constipation – no  bowel movement for days – and  then take some laxatives to clear the bowel. This is a bad habit. Really, what the body needs are the micronutrients contained in the food. Sadly, after a heavy meal, most of it is excreted as wastes.

Heavy meals also keep the gut working continuously, which is unhealthy for the body. You need to lighten the workload  of your stomach by giving it an occasional holiday. This is why a form of fasting is good for your health.

Many years ago, I was a victim of constant constipation and resorted to my mother’s method of treatment. But when I knew better, I dropped that unwholesome way of managing constipation.

The food we eat needs some enzymes for digestion. Digestive enzymes break down proteins, fats, sugars, starches, and other carbohydrates. For example, proteolytic enzymes break down proteins, while cellulase enzymes break down the fibre contained in plant foods. These enzymes and the complex processes of the digestive tract are vitally related to our health. Without them, food will not be digested. Vitamins and minerals can only work in the presence of enzymes. Enzyme deficiency may also impair your immune function, resulting in illness.

The source of our enzymes is raw food. Cooking, canning and processing of foods destroy the enzymes they contain. Pasteurisation of milk also destroys the enzymes. You can increase your enzymes by adding more raw fruits and vegetables to your diet. Eat a lot of them.  Do not gulp your food. Eat slowly to have better digestion.

Raw fruits and vegetables prevent and cure diseases by virtue of their enzyme content and wide variety of nutrients. They are described as living foods because they still contain their active enzymes, which are crucial to proper digestion and absorption of the nutrients in the food we eat.

Success factors in the life of the young pharmacist

3

 

(By Pharm [Barr.] Steve Okoronkwo)

Pharmacy is unarguably a profession. Therefore, pharmacists are professionals and young pharmacists are among young professionals. According to Wisegeek, there is usually a great deal of fluidity when it comes to identifying the specific characteristics of young professionals. The phrase,”young professional” or “young pharmacist” is, at best, ambiguous, as there is scarcely any generally accepted definition. For one thing, there is no age bracket for classifying “young professionals.”

However, there are about three schools of thought on whoa young professional is. The first school uses “age” as the key factor in classifying young professionals. According to Young Professional Association of City of Greater Grand Sudbury, “A young professional is a person aged 20 to 40 who has an interest in personal and professional development. . .”

The second school uses the number of years of practice or a combination of years of practice and age of the individual in its classification. The International Pharmaceutical Federation classifies “young pharmacists” as pharmacists under 35 years of age with less than 10 years’ experience as practising pharmacists.

The third school posits that young has nothing to do with a number. According to this school, “young” is merely a mindset, an approach to living, a choice. This school further opines that young people of all ages share three traits, namely:

A thirst for knowledge

A young person or any person, irrespective of age, with the mindset of a young person knows that it is not possible to know everything. Bearing this limitation in mind, a young pharmacist, in order to succeed, must never stop learning.

Will Rodgers was absolutely right when he said: “Even if you’re on the right track, you’ll get run over if you just sit there.”Unfortunately, most pharmacists think that a B. Pharm degree is an automatic ticket to prosperity and success. Let it be known now that our degrees and certificates are simply potential tools for success; they do NOT guarantee success. I am sure you know of some persons who came out with “distinction” or “first class” but are not particularly living a “first class” life today, while their classmates who were not as academically successful are faring better.

Rodofo Costa has warned us thus: “Learn to adapt. Things change, circumstances change; adjust yourself and your efforts to what it prescribed to you so you can respond accordingly. Never see change as a threat, because it can be an opportunity to learn, to grow, evolve and become a better person”. Success is never given; it is taken.

A necessarily naive courage

Young people are usually bold enough to take on huge challenges and courageous enough to risk failure. As young pharmacists, you must be courageous to face that fear that haunts you. When you do, it will disappear. According to Robert Strauss, “Success is a little bit like wrestling a Gorilla. You don’t quit when you’re tired. You quit when the Gorilla is tired”.

You also need courage to be positive and filled with hope while you travel on this success journey. According to Will Rogers, “The road to success is dotted with many tempting parking spaces”. Don’t  park !

An enthusiasm for life

Young people believe a passionate life is a successful life. They embrace life fully. They constantly push, poke and prod. They dance wildly, love fiercely, and burn brightly. According to Albert Einstein’s formula for success, “If A is a success in life, then A equals X plus Y plus Z. Work is X; Y is Play and Z is keeping your mouth shut”.

Permit me to say that I align myself with the third school of thought on the description of the young professional and endorse its perspective on the matter at hand.

What is success?

It is apparent that an agreement on what constitutes success is perhaps impossible. However, a few insights from some personalities are apposite here.AccordingtoAnatole De Lafarge, “All the virtues and all the joys of living are contained in one word – success.”Elizabeth Taylor asserts that “success is a great deodorant.” On his part, Michael Korda contends that “success builds up self-esteem and self-confidence and opens up wider horizons; it stimulates what amounts to a process of rejuvenation.”

I must state from the onset that “success” does not necessarily mean having a large cache of cash as many young persons are bound to think. While money can be used as one of the variables to measure success, we will all miss the point if we are to think that success begins and ends with money. A number of very rich people live very unhappy and miserable lives. Now, can we still classify such people as successful? Your guess is as good as mine.

For starters, one needs to get a thrill from whatever job one is doing to have any chance of being successful at it. To succeed as a young pharmacist, you must not only be interested in your salary or bothered only about increment; you should also be passionate and concerned about the growth of the company you work for. It is apparent that a business that isn’t growing is a no-good business; therefore, we should always remember that the company’s growth is vital to ours.

Success factors

There are several factors that can lead to success in our professional and personal lives. Different authors have written extensively on success factors. Some factors are, however, more fundamental to success than others. I must state that this is not an exhaustive list.

Self-motivation

It was Abraham Lincoln who said, “Always bear in mind that your own resolution to succeed is more important than any other one thing.” This goes to emphasise the point that everything starts in the mind and ripples out. Success is a choice, irrespective of whatever life throws at us. According to Steve Maraboli, “No matter what the cause, God is only as willing as you are.”

The paradox of life is such that even some people that may have supported you as a student may see your current success as a threat. If you are looking outside of yourself for the motivation to succeed, you are very likely not to get it. While you may get some inspiration from external sources (your role models,for example), the most important motivation you need to succeed is intrinsic.

Farouk Radwan has said, “Contrary to common beliefs, there are no successful or unsuccessful people; instead, there are people who have the potential to succeed and who do things that help them realise this potential and there are people with the same potential who don’t do those things.”

Follow your natural instincts and appetites

Warren Buffett, one of the world’s richest persons, has this invaluable advice on how to be successful: “You only need to do very few things right in your life so long as you don’t do too many things wrong.”

Were it to be merely a matter of choice, most people would rather succeed than fail. But success is more than wishful thinking or deciding to succeed, as the saying goes, “If wishes were horses, beggars would ride.” Accordingly, we must first RESOLVE or DECIDE that we want to succeed; then we must translate such decision into action.

One sure way to succeed is through hard work. However, the problem is often not that people don’t work hard but that such hard work is not focused towards success. John Wooden has warned us thus, “Don’t mistake activity for achievement.”

Follow your natural instincts. When you do, your work will become fun. Initial hiccups and failings will be but temporary detours on your road to success. To enable you identify your natural instincts and interests, you must HONESTLY answer these questions for yourself:

a.    Are you a pharmacist by choice or by chance?

b.    Which area of pharmacy practice interests you most?

c.     Are you honestly finding fulfilment in the practice of Pharmacy?

According to Richard Branson, success is about the fun, innovation, creativity with the rewards being far greater than purely financial. Only when you follow your natural instincts and appetites will your success bring fulfilment.

Your definition of success

How a person defines success is very important. But we must understand thatsuccess is relative. Not every pharmacist will become a professor, or the managing director of GlaxoSmithKline, or the registrar of Pharmacists’ Council, or the director general of NAFDAC. According to ZigZiglar, “Success means doing the best we can with what we have. Success is the doing, not the getting, in the trying, not the triumph. Success is a personal standard, reaching for the highest that is in us, becoming all that we can be.”

As young pharmacists, perhaps the best way to succeed is to begin with a reasonably realistic goal and work towards attaining it. This is to be preferred to aiming at an outlandish goal that is virtually unrealistic and unattainable.

As the saying goes, success is a journey and the road is always under construction. Success is not a destination. It is a marathon, not a 100-metre dash. Winston Churchill has said that “success is not final, failure is not fatal; it is the courage to continue that counts.”  The fact is that anyone can be successful. Obtaining a B. Pharm degree is a huge achievement and can pass as a significant milestone in one’s life. To achieve that success was a journey on a rough academic terrain that lasted between 5 and 6 years. It was obviously an academic marathon to get here, if you recall that the foundation was laid even from your crèche days! But see how it has turned out today. The same is true of every worthwhile achievement or successful venture. Often, it takes time, commitment, determination and concerted effort.

However, Robert Kiyosaki has warned us all that “success is a poor teacher”. Success is also its own greatest threat. Success craves for more success. Thus, success at one stage in one’s life does not automatically guarantee success at the next stage. The greatest challenge therefore in being labelled a success is to remain successful.

As young pharmacists, you must note that during the course of your “success journey,” rules may change. Your original ambitions may be superseded by different and larger ones. The strategy that brought you success as a pharmacy student may not be the strategy you need to succeed as a pharmacist. Being successful as a student or very brilliant in school may not guarantee success in practice. Therefore, being a success and remaining successful is awork in progress(WIP).

Loyalty

According to Po Bronson, “If you want to give yourself a fair chance to succeed, never expect too much too soon.”Studies have shown that it is generally better to stick with one company than to junket from one job to another. As the saying goes, a rolling stone gathers no moss. A level of stability is needed to succeed in life.

Pharmacists in Nigeria have been described in terms that are less than flattering, even derogatory. The level of employee turnover in the industry is not only staggering but destabilising to the entire industry, ultimately affecting the fortunes of all the stakeholders. In fact, some pharmacists make it a point of duty to change jobs on a yearly basis. Unfortunately, most of these pharmacists use monetary incentives as their major benchmark or reason for moving jobs.

One of the drawbacks of this frequent ‘porting’ or changing of jobs is that it has eroded investors’ interest in pharmacists in particular and Pharmacy generally. Increasingly, more organisations are beginning to see pharmacists as professionals that cannot be trusted to hold down jobs for any meaningful length of time. This impression has adversely affected pharmacists’ chance to succeed.

As young pharmacists, you must understand that loyalty counts. Almost all the top executives of multinational pharmaceutical companies stuck with their companies. I am also sure that almost all of them will attribute their success to the stability in their careers and sustained experience. Loyalty and long experience on a job are vital attributes for success.

Nevertheless, loyalty does not mean that you must remain a square peg in a round hole. Are you fascinated by production but stuck in a marketing job?Michael Korda cautions that if you do not want to change jobs but feel that your values are unsuited to your current area of practice, then start changing your values – fast!

 Energy

It has been said that a successful man continues to look for work after he has found a job.According to Michael Korda, the first rule of success and one that supersedes all others is to have energy. As young pharmacists, you must know how to direct and focus your energy on things that matter rather than wasting it on trivia.

Energy does mean working long hours, taking a slavish interest in details or being engrossed in office politics or gossip. Michael Korda posits that energy is a positive quality – a desire to get things done and done the right way. Energy is also an active quality – an urgent need to move from one point to another, to rise to a specific goal, to advance to a new position, to accomplish a given job. Energy is never static. As young pharmacists, your entire body should convey energy. You must understand that the way you stand and walk speaks volume about you and your energy level. We are usually judged by appearance. If you appear listless, slow-moving and lethargic, no amount of hard work or academic performance will convince people that you are worth promoting.

Persistence

Gerard de Marigny has said that “success can be defined in many ways but failure is only one . . . quitting.” Is there any good in having a B. Pharm or Pharm. D or skills if you lose hope in succeeding after failing once or twice? Napoleon Hill’s three Ps of success – patience, persistence and perspiration – make an unbeatable combination for success.

As young pharmacists, you must understand that you cannot succeed by only looking for a “quick fix.” You cannot succeed merely by hopping from one company to another in search of bigger pay cheques without pausing to think about how to build an enduring career through gaining requisite skills. Michael Korda notes that “success is an accelerated learning process, a form of growth. You learn from everything, even the moments of failure, but you stay in the game; you never give up.” The secret of success is constancy of purpose and the only guarantee for failure is to stop trying.

Accept responsibility

Lorii Myers has said that “your success is your responsibility. Take the initiative, do the work, and persist to the end.” According to Michael Korda, “In the final analysis the one quality that all successful people have (and which is the most difficult one of all to fake) is the ability to take responsibility.”

You must be willing to take responsibility for your thoughts and actions, for, according to Victor Frankl, while there is a gap between a stimulus and response, the freedom to choose lies within this gap. Accepting responsibility requires being proactive. Proactive people do not blame their circumstances or conditions. According to Stephen Covey, “It is not what happens to us, but our response to what happens to us that hurt us.”

Farouk Radwan notes that most unsuccessful people have what he calls “External Locus of Control” (ELC). According to Radwan, this is the way of thinking that makes a person assume that everything that happens to him is the result of external factors. An example is one saying that an examination was too difficult when one does not do well or blaming the high unemployment rate in the country as a reason one cannot find a job.

The flip side is the “Internal Locus of Control” (ILC)which is the thinking pattern of successful people. The ILC makes the individual believe that he or she is in charge and in control of everything that happens to him. Accordingly, he takes responsibility for his failure and does everything to redress it instead of blaming his plight on his environment or other people.

As young pharmacists, accepting responsibility requires a good deal of courage but, according to Michael Korda, it is ultimately the one test you cannot afford to fail.

Conclusion

Let nobody delude you that the way to the top is paved with gold. If you are one of the few who have success thrown into their laps, good luck to you. For the vast majority of others, success requires carefully identifying your talents, channelling such talents into a career that gives you the most joy while giving you an opportunity to contribute meaningfully to human development.

Having chosen Pharmacy as a career, let me recommend this saying by Bill Cosby to you to wit: “I don’t know the key to success but the key to failure is trying to please everybody.” Even more apposite is the advice by Farouk Radwan that “the only thing you need to succeed is do exactly what successful people did”. Perhaps I only need to add, with a little adaptation:

 

Good luck to you all and see you at the top!

 

(An address presented by Pharm (Barr.) Steve Okoronkwo to the Young Pharmacists’ Forum of the Pharmaceutical Society of Nigeria, Lagos State, on 30August, 2013 at the Lagos Airport Hotel, Ikeja)

 

 

Success factors in the life of the young pharmacist (Feature)

By Pharm (Barr.) Steve Okoronkwo

 

 

Pharmacy is unarguably a profession. Therefore, pharmacists are professionals and young pharmacists are among young professionals. According to Wisegeek, there is usually a great deal of fluidity when it comes to identifying the specific characteristics of young professionals. The phrase,”young professional” or “young pharmacist” is, at best, ambiguous, as there is scarcely any generally accepted definition. For one thing, there is no age bracket for classifying “young professionals.”

However, there are about three schools of thought on whoa young professional is. The first school uses “age” as the key factor in classifying young professionals. According to Young Professional Association of City of Greater Grand Sudbury, “A young professional is a person aged 20 to 40 who has an interest in personal and professional development. . .”

The second school uses the number of years of practice or a combination of years of practice and age of the individual in its classification. The International Pharmaceutical Federation classifies “young pharmacists” as pharmacists under 35 years of age with less than 10 years’ experience as practising pharmacists.

The third school posits that young has nothing to do with a number. According to this school, “young” is merely a mindset, an approach to living, a choice. This school further opines that young people of all ages share three traits, namely:

 

A thirst for knowledge

A young person or any person, irrespective of age, with the mindset of a young person knows that it is not possible to know everything. Bearing this limitation in mind, a young pharmacist, in order to succeed, must never stop learning.

Will Rodgers was absolutely right when he said: “Even if you’re on the right track, you’ll get run over if you just sit there.”Unfortunately, most pharmacists think that a B. Pharm degree is an automatic ticket to prosperity and success. Let it be known now that our degrees and certificates are simply potential tools for success; they do NOT guarantee success. I am sure you know of some persons who came out with “distinction” or “first class” but are not particularly living a “first class” life today, while their classmates who were not as academically successful are faring better.

Rodofo Costa has warned us thus: “Learn to adapt. Things change, circumstances change; adjust yourself and your efforts to what it prescribed to you so you can respond accordingly. Never see change as a threat, because it can be an opportunity to learn, to grow, evolve and become a better person”. Success is never given; it is taken.

 

A necessarily naive courage

Young people are usually bold enough to take on huge challenges and courageous enough to risk failure. As young pharmacists, you must be courageous to face that fear that haunts you. When you do, it will disappear. According to Robert Strauss, “Success is a little bit like wrestling a Gorilla. You don’t quit when you’re tired. You quit when the Gorilla is tired”.

You also need courage to be positive and filled with hope while you travel on this success journey. According to Will Rogers, “The road to success is dotted with many tempting parking spaces”. Don’t  park !

 

An enthusiasm for life

Young people believe a passionate life is a successful life. They embrace life fully. They constantly push, poke and prod. They dance wildly, love fiercely, and burn brightly. According to Albert Einstein’s formula for success, “If A is a success in life, then A equals X plus Y plus Z. Work is X; Y is Play and Z is keeping your mouth shut”.

Permit me to say that I align myself with the third school of thought on the description of the young professional and endorse its perspective on the matter at hand.

 

What is success?

It is apparent that an agreement on what constitutes success is perhaps impossible. However, a few insights from some personalities are apposite here.AccordingtoAnatole De Lafarge, “All the virtues and all the joys of living are contained in one word – success.”Elizabeth Taylor asserts that “success is a great deodorant.” On his part, Michael Korda contends that “success builds up self-esteem and self-confidence and opens up wider horizons; it stimulates what amounts to a process of rejuvenation.”

I must state from the onset that “success” does not necessarily mean having a large cache of cash as many young persons are bound to think. While money can be used as one of the variables to measure success, we will all miss the point if we are to think that success begins and ends with money. A number of very rich people live very unhappy and miserable lives. Now, can we still classify such people as successful? Your guess is as good as mine.

For starters, one needs to get a thrill from whatever job one is doing to have any chance of being successful at it. To succeed as a young pharmacist, you must not only be interested in your salary or bothered only about increment; you should also be passionate and concerned about the growth of the company you work for. It is apparent that a business that isn’t growing is a no-good business; therefore, we should always remember that the company’s growth is vital to ours.

 

Success factors

There are several factors that can lead to success in our professional and personal lives. Different authors have written extensively on success factors. Some factors are, however, more fundamental to success than others. I must state that this is not an exhaustive list.

 

Self-motivation

It was Abraham Lincoln who said, “Always bear in mind that your own resolution to succeed is more important than any other one thing.” This goes to emphasise the point that everything starts in the mind and ripples out. Success is a choice, irrespective of whatever life throws at us. According to Steve Maraboli, “No matter what the cause, God is only as willing as you are.”

The paradox of life is such that even some people that may have supported you as a student may see your current success as a threat. If you are looking outside of yourself for the motivation to succeed, you are very likely not to get it. While you may get some inspiration from external sources (your role models,for example), the most important motivation you need to succeed is intrinsic.

Farouk Radwan has said, “Contrary to common beliefs, there are no successful or unsuccessful people; instead, there are people who have the potential to succeed and who do things that help them realise this potential and there are people with the same potential who don’t do those things.”

 

Follow your natural instincts and appetites

Warren Buffett, one of the world’s richest persons, has this invaluable advice on how to be successful: “You only need to do very few things right in your life so long as you don’t do too many things wrong.”

Were it to be merely a matter of choice, most people would rather succeed than fail. But success is more than wishful thinking or deciding to succeed, as the saying goes, “If wishes were horses, beggars would ride.” Accordingly, we must first RESOLVE or DECIDE that we want to succeed; then we must translate such decision into action.

One sure way to succeed is through hard work. However, the problem is often not that people don’t work hard but that such hard work is not focused towards success. John Wooden has warned us thus, “Don’t mistake activity for achievement.”

Follow your natural instincts. When you do, your work will become fun. Initial hiccups and failings will be but temporary detours on your road to success. To enable you identify your natural instincts and interests, you must HONESTLY answer these questions for yourself:

a.    Are you a pharmacist by choice or by chance?

b.    Which area of pharmacy practice interests you most?

c.     Are you honestly finding fulfilment in the practice of Pharmacy?

According to Richard Branson, success is about the fun, innovation, creativity with the rewards being far greater than purely financial. Only when you follow your natural instincts and appetites will your success bring fulfilment.

 

Your definition of success

How a person defines success is very important. But we must understand thatsuccess is relative. Not every pharmacist will become a professor, or the managing director of GlaxoSmithKline, or the registrar of Pharmacists’ Council, or the director general of NAFDAC. According to ZigZiglar, “Success means doing the best we can with what we have. Success is the doing, not the getting, in the trying, not the triumph. Success is a personal standard, reaching for the highest that is in us, becoming all that we can be.”

As young pharmacists, perhaps the best way to succeed is to begin with a reasonably realistic goal and work towards attaining it. This is to be preferred to aiming at an outlandish goal that is virtually unrealistic and unattainable.

As the saying goes, success is a journey and the road is always under construction. Success is not a destination. It is a marathon, not a 100-metre dash. Winston Churchill has said that “success is not final, failure is not fatal; it is the courage to continue that counts.”  The fact is that anyone can be successful. Obtaining a B. Pharm degree is a huge achievement and can pass as a significant milestone in one’s life. To achieve that success was a journey on a rough academic terrain that lasted between 5 and 6 years. It was obviously an academic marathon to get here, if you recall that the foundation was laid even from your crèche days! But see how it has turned out today. The same is true of every worthwhile achievement or successful venture. Often, it takes time, commitment, determination and concerted effort.

However, Robert Kiyosaki has warned us all that “success is a poor teacher”. Success is also its own greatest threat. Success craves for more success. Thus, success at one stage in one’s life does not automatically guarantee success at the next stage. The greatest challenge therefore in being labelled a success is to remain successful.

As young pharmacists, you must note that during the course of your “success journey,” rules may change. Your original ambitions may be superseded by different and larger ones. The strategy that brought you success as a pharmacy student may not be the strategy you need to succeed as a pharmacist. Being successful as a student or very brilliant in school may not guarantee success in practice. Therefore, being a success and remaining successful is awork in progress(WIP).

 

Loyalty

According to Po Bronson, “If you want to give yourself a fair chance to succeed, never expect too much too soon.”Studies have shown that it is generally better to stick with one company than to junket from one job to another. As the saying goes, a rolling stone gathers no moss. A level of stability is needed to succeed in life.

Pharmacists in Nigeria have been described in terms that are less than flattering, even derogatory. The level of employee turnover in the industry is not only staggering but destabilising to the entire industry, ultimately affecting the fortunes of all the stakeholders. In fact, some pharmacists make it a point of duty to change jobs on a yearly basis. Unfortunately, most of these pharmacists use monetary incentives as their major benchmark or reason for moving jobs.

One of the drawbacks of this frequent ‘porting’ or changing of jobs is that it has eroded investors’ interest in pharmacists in particular and Pharmacy generally. Increasingly, more organisations are beginning to see pharmacists as professionals that cannot be trusted to hold down jobs for any meaningful length of time. This impression has adversely affected pharmacists’ chance to succeed.

As young pharmacists, you must understand that loyalty counts. Almost all the top executives of multinational pharmaceutical companies stuck with their companies. I am also sure that almost all of them will attribute their success to the stability in their careers and sustained experience. Loyalty and long experience on a job are vital attributes for success.

Nevertheless, loyalty does not mean that you must remain a square peg in a round hole. Are you fascinated by production but stuck in a marketing job?Michael Korda cautions that if you do not want to change jobs but feel that your values are unsuited to your current area of practice, then start changing your values – fast!

 

       Energy

It has been said that a successful man continues to look for work after he has found a job.According to Michael Korda, the first rule of success and one that supersedes all others is to have energy. As young pharmacists, you must know how to direct and focus your energy on things that matter rather than wasting it on trivia.

Energy does mean working long hours, taking a slavish interest in details or being engrossed in office politics or gossip. Michael Korda posits that energy is a positive quality – a desire to get things done and done the right way. Energy is also an active quality – an urgent need to move from one point to another, to rise to a specific goal, to advance to a new position, to accomplish a given job. Energy is never static. As young pharmacists, your entire body should convey energy. You must understand that the way you stand and walk speaks volume about you and your energy level. We are usually judged by appearance. If you appear listless, slow-moving and lethargic, no amount of hard work or academic performance will convince people that you are worth promoting.

      

Persistence

Gerard de Marigny has said that “success can be defined in many ways but failure is only one . . . quitting.” Is there any good in having a B. Pharm or Pharm. D or skills if you lose hope in succeeding after failing once or twice? Napoleon Hill’s three Ps of success – patience, persistence and perspiration – make an unbeatable combination for success.

As young pharmacists, you must understand that you cannot succeed by only looking for a “quick fix.” You cannot succeed merely by hopping from one company to another in search of bigger pay cheques without pausing to think about how to build an enduring career through gaining requisite skills. Michael Korda notes that “success is an accelerated learning process, a form of growth. You learn from everything, even the moments of failure, but you stay in the game; you never give up.” The secret of success is constancy of purpose and the only guarantee for failure is to stop trying.

 

Accept responsibility

Lorii Myers has said that “your success is your responsibility. Take the initiative, do the work, and persist to the end.” According to Michael Korda, “In the final analysis the one quality that all successful people have (and which is the most difficult one of all to fake) is the ability to take responsibility.”

You must be willing to take responsibility for your thoughts and actions, for, according to Victor Frankl, while there is a gap between a stimulus and response, the freedom to choose lies within this gap. Accepting responsibility requires being proactive. Proactive people do not blame their circumstances or conditions. According to Stephen Covey, “It is not what happens to us, but our response to what happens to us that hurt us.”

Farouk Radwan notes that most unsuccessful people have what he calls “External Locus of Control” (ELC). According to Radwan, this is the way of thinking that makes a person assume that everything that happens to him is the result of external factors. An example is one saying that an examination was too difficult when one does not do well or blaming the high unemployment rate in the country as a reason one cannot find a job.

The flip side is the “Internal Locus of Control” (ILC)which is the thinking pattern of successful people. The ILC makes the individual believe that he or she is in charge and in control of everything that happens to him. Accordingly, he takes responsibility for his failure and does everything to redress it instead of blaming his plight on his environment or other people.

As young pharmacists, accepting responsibility requires a good deal of courage but, according to Michael Korda, it is ultimately the one test you cannot afford to fail.

 

Conclusion

Let nobody delude you that the way to the top is paved with gold. If you are one of the few who have success thrown into their laps, good luck to you. For the vast majority of others, success requires carefully identifying your talents, channelling such talents into a career that gives you the most joy while giving you an opportunity to contribute meaningfully to human development.

Having chosen Pharmacy as a career, let me recommend this saying by Bill Cosby to you to wit: “I don’t know the key to success but the key to failure is trying to please everybody.” Even more apposite is the advice by Farouk Radwan that “the only thing you need to succeed is do exactly what successful people did”. Perhaps I only need to add, with a little adaptation:

 

Good luck to you all and see you at the top!

 

(An address presented by Pharm (Barr.) Steve Okoronkwo to the Young Pharmacists’ Forum of the Pharmaceutical Society of Nigeria, Lagos State, on 30August, 2013 at the Lagos Airport Hotel, Ikeja)

 

 (Feature)

By Pharm (Barr.) Steve Okoronkwo

 

 

Pharmacy is unarguably a profession. Therefore, pharmacists are professionals and young pharmacists are among young professionals. According to Wisegeek, there is usually a great deal of fluidity when it comes to identifying the specific characteristics of young professionals. The phrase,”young professional” or “young pharmacist” is, at best, ambiguous, as there is scarcely any generally accepted definition. For one thing, there is no age bracket for classifying “young professionals.”

However, there are about three schools of thought on whoa young professional is. The first school uses “age” as the key factor in classifying young professionals. According to Young Professional Association of City of Greater Grand Sudbury, “A young professional is a person aged 20 to 40 who has an interest in personal and professional development. . .”

The second school uses the number of years of practice or a combination of years of practice and age of the individual in its classification. The International Pharmaceutical Federation classifies “young pharmacists” as pharmacists under 35 years of age with less than 10 years’ experience as practising pharmacists.

The third school posits that young has nothing to do with a number. According to this school, “young” is merely a mindset, an approach to living, a choice. This school further opines that young people of all ages share three traits, namely:

 

A thirst for knowledge

A young person or any person, irrespective of age, with the mindset of a young person knows that it is not possible to know everything. Bearing this limitation in mind, a young pharmacist, in order to succeed, must never stop learning.

Will Rodgers was absolutely right when he said: “Even if you’re on the right track, you’ll get run over if you just sit there.”Unfortunately, most pharmacists think that a B. Pharm degree is an automatic ticket to prosperity and success. Let it be known now that our degrees and certificates are simply potential tools for success; they do NOT guarantee success. I am sure you know of some persons who came out with “distinction” or “first class” but are not particularly living a “first class” life today, while their classmates who were not as academically successful are faring better.

Rodofo Costa has warned us thus: “Learn to adapt. Things change, circumstances change; adjust yourself and your efforts to what it prescribed to you so you can respond accordingly. Never see change as a threat, because it can be an opportunity to learn, to grow, evolve and become a better person”. Success is never given; it is taken.

 

A necessarily naive courage

Young people are usually bold enough to take on huge challenges and courageous enough to risk failure. As young pharmacists, you must be courageous to face that fear that haunts you. When you do, it will disappear. According to Robert Strauss, “Success is a little bit like wrestling a Gorilla. You don’t quit when you’re tired. You quit when the Gorilla is tired”.

You also need courage to be positive and filled with hope while you travel on this success journey. According to Will Rogers, “The road to success is dotted with many tempting parking spaces”. Don’t  park !

 

An enthusiasm for life

Young people believe a passionate life is a successful life. They embrace life fully. They constantly push, poke and prod. They dance wildly, love fiercely, and burn brightly. According to Albert Einstein’s formula for success, “If A is a success in life, then A equals X plus Y plus Z. Work is X; Y is Play and Z is keeping your mouth shut”.

Permit me to say that I align myself with the third school of thought on the description of the young professional and endorse its perspective on the matter at hand.

 

What is success?

It is apparent that an agreement on what constitutes success is perhaps impossible. However, a few insights from some personalities are apposite here.AccordingtoAnatole De Lafarge, “All the virtues and all the joys of living are contained in one word – success.”Elizabeth Taylor asserts that “success is a great deodorant.” On his part, Michael Korda contends that “success builds up self-esteem and self-confidence and opens up wider horizons; it stimulates what amounts to a process of rejuvenation.”

I must state from the onset that “success” does not necessarily mean having a large cache of cash as many young persons are bound to think. While money can be used as one of the variables to measure success, we will all miss the point if we are to think that success begins and ends with money. A number of very rich people live very unhappy and miserable lives. Now, can we still classify such people as successful? Your guess is as good as mine.

For starters, one needs to get a thrill from whatever job one is doing to have any chance of being successful at it. To succeed as a young pharmacist, you must not only be interested in your salary or bothered only about increment; you should also be passionate and concerned about the growth of the company you work for. It is apparent that a business that isn’t growing is a no-good business; therefore, we should always remember that the company’s growth is vital to ours.

 

Success factors

There are several factors that can lead to success in our professional and personal lives. Different authors have written extensively on success factors. Some factors are, however, more fundamental to success than others. I must state that this is not an exhaustive list.

 

Self-motivation

It was Abraham Lincoln who said, “Always bear in mind that your own resolution to succeed is more important than any other one thing.” This goes to emphasise the point that everything starts in the mind and ripples out. Success is a choice, irrespective of whatever life throws at us. According to Steve Maraboli, “No matter what the cause, God is only as willing as you are.”

The paradox of life is such that even some people that may have supported you as a student may see your current success as a threat. If you are looking outside of yourself for the motivation to succeed, you are very likely not to get it. While you may get some inspiration from external sources (your role models,for example), the most important motivation you need to succeed is intrinsic.

Farouk Radwan has said, “Contrary to common beliefs, there are no successful or unsuccessful people; instead, there are people who have the potential to succeed and who do things that help them realise this potential and there are people with the same potential who don’t do those things.”

 

Follow your natural instincts and appetites

Warren Buffett, one of the world’s richest persons, has this invaluable advice on how to be successful: “You only need to do very few things right in your life so long as you don’t do too many things wrong.”

Were it to be merely a matter of choice, most people would rather succeed than fail. But success is more than wishful thinking or deciding to succeed, as the saying goes, “If wishes were horses, beggars would ride.” Accordingly, we must first RESOLVE or DECIDE that we want to succeed; then we must translate such decision into action.

One sure way to succeed is through hard work. However, the problem is often not that people don’t work hard but that such hard work is not focused towards success. John Wooden has warned us thus, “Don’t mistake activity for achievement.”

Follow your natural instincts. When you do, your work will become fun. Initial hiccups and failings will be but temporary detours on your road to success. To enable you identify your natural instincts and interests, you must HONESTLY answer these questions for yourself:

a.    Are you a pharmacist by choice or by chance?

b.    Which area of pharmacy practice interests you most?

c.     Are you honestly finding fulfilment in the practice of Pharmacy?

According to Richard Branson, success is about the fun, innovation, creativity with the rewards being far greater than purely financial. Only when you follow your natural instincts and appetites will your success bring fulfilment.

 

Your definition of success

How a person defines success is very important. But we must understand thatsuccess is relative. Not every pharmacist will become a professor, or the managing director of GlaxoSmithKline, or the registrar of Pharmacists’ Council, or the director general of NAFDAC. According to ZigZiglar, “Success means doing the best we can with what we have. Success is the doing, not the getting, in the trying, not the triumph. Success is a personal standard, reaching for the highest that is in us, becoming all that we can be.”

As young pharmacists, perhaps the best way to succeed is to begin with a reasonably realistic goal and work towards attaining it. This is to be preferred to aiming at an outlandish goal that is virtually unrealistic and unattainable.

As the saying goes, success is a journey and the road is always under construction. Success is not a destination. It is a marathon, not a 100-metre dash. Winston Churchill has said that “success is not final, failure is not fatal; it is the courage to continue that counts.”  The fact is that anyone can be successful. Obtaining a B. Pharm degree is a huge achievement and can pass as a significant milestone in one’s life. To achieve that success was a journey on a rough academic terrain that lasted between 5 and 6 years. It was obviously an academic marathon to get here, if you recall that the foundation was laid even from your crèche days! But see how it has turned out today. The same is true of every worthwhile achievement or successful venture. Often, it takes time, commitment, determination and concerted effort.

However, Robert Kiyosaki has warned us all that “success is a poor teacher”. Success is also its own greatest threat. Success craves for more success. Thus, success at one stage in one’s life does not automatically guarantee success at the next stage. The greatest challenge therefore in being labelled a success is to remain successful.

As young pharmacists, you must note that during the course of your “success journey,” rules may change. Your original ambitions may be superseded by different and larger ones. The strategy that brought you success as a pharmacy student may not be the strategy you need to succeed as a pharmacist. Being successful as a student or very brilliant in school may not guarantee success in practice. Therefore, being a success and remaining successful is awork in progress(WIP).

 

Loyalty

According to Po Bronson, “If you want to give yourself a fair chance to succeed, never expect too much too soon.”Studies have shown that it is generally better to stick with one company than to junket from one job to another. As the saying goes, a rolling stone gathers no moss. A level of stability is needed to succeed in life.

Pharmacists in Nigeria have been described in terms that are less than flattering, even derogatory. The level of employee turnover in the industry is not only staggering but destabilising to the entire industry, ultimately affecting the fortunes of all the stakeholders. In fact, some pharmacists make it a point of duty to change jobs on a yearly basis. Unfortunately, most of these pharmacists use monetary incentives as their major benchmark or reason for moving jobs.

One of the drawbacks of this frequent ‘porting’ or changing of jobs is that it has eroded investors’ interest in pharmacists in particular and Pharmacy generally. Increasingly, more organisations are beginning to see pharmacists as professionals that cannot be trusted to hold down jobs for any meaningful length of time. This impression has adversely affected pharmacists’ chance to succeed.

As young pharmacists, you must understand that loyalty counts. Almost all the top executives of multinational pharmaceutical companies stuck with their companies. I am also sure that almost all of them will attribute their success to the stability in their careers and sustained experience. Loyalty and long experience on a job are vital attributes for success.

Nevertheless, loyalty does not mean that you must remain a square peg in a round hole. Are you fascinated by production but stuck in a marketing job?Michael Korda cautions that if you do not want to change jobs but feel that your values are unsuited to your current area of practice, then start changing your values – fast!

 

       Energy

It has been said that a successful man continues to look for work after he has found a job.According to Michael Korda, the first rule of success and one that supersedes all others is to have energy. As young pharmacists, you must know how to direct and focus your energy on things that matter rather than wasting it on trivia.

Energy does mean working long hours, taking a slavish interest in details or being engrossed in office politics or gossip. Michael Korda posits that energy is a positive quality – a desire to get things done and done the right way. Energy is also an active quality – an urgent need to move from one point to another, to rise to a specific goal, to advance to a new position, to accomplish a given job. Energy is never static. As young pharmacists, your entire body should convey energy. You must understand that the way you stand and walk speaks volume about you and your energy level. We are usually judged by appearance. If you appear listless, slow-moving and lethargic, no amount of hard work or academic performance will convince people that you are worth promoting.

      

Persistence

Gerard de Marigny has said that “success can be defined in many ways but failure is only one . . . quitting.” Is there any good in having a B. Pharm or Pharm. D or skills if you lose hope in succeeding after failing once or twice? Napoleon Hill’s three Ps of success – patience, persistence and perspiration – make an unbeatable combination for success.

As young pharmacists, you must understand that you cannot succeed by only looking for a “quick fix.” You cannot succeed merely by hopping from one company to another in search of bigger pay cheques without pausing to think about how to build an enduring career through gaining requisite skills. Michael Korda notes that “success is an accelerated learning process, a form of growth. You learn from everything, even the moments of failure, but you stay in the game; you never give up.” The secret of success is constancy of purpose and the only guarantee for failure is to stop trying.

 

Accept responsibility

Lorii Myers has said that “your success is your responsibility. Take the initiative, do the work, and persist to the end.” According to Michael Korda, “In the final analysis the one quality that all successful people have (and which is the most difficult one of all to fake) is the ability to take responsibility.”

You must be willing to take responsibility for your thoughts and actions, for, according to Victor Frankl, while there is a gap between a stimulus and response, the freedom to choose lies within this gap. Accepting responsibility requires being proactive. Proactive people do not blame their circumstances or conditions. According to Stephen Covey, “It is not what happens to us, but our response to what happens to us that hurt us.”

Farouk Radwan notes that most unsuccessful people have what he calls “External Locus of Control” (ELC). According to Radwan, this is the way of thinking that makes a person assume that everything that happens to him is the result of external factors. An example is one saying that an examination was too difficult when one does not do well or blaming the high unemployment rate in the country as a reason one cannot find a job.

The flip side is the “Internal Locus of Control” (ILC)which is the thinking pattern of successful people. The ILC makes the individual believe that he or she is in charge and in control of everything that happens to him. Accordingly, he takes responsibility for his failure and does everything to redress it instead of blaming his plight on his environment or other people.

As young pharmacists, accepting responsibility requires a good deal of courage but, according to Michael Korda, it is ultimately the one test you cannot afford to fail.

 

Conclusion

Let nobody delude you that the way to the top is paved with gold. If you are one of the few who have success thrown into their laps, good luck to you. For the vast majority of others, success requires carefully identifying your talents, channelling such talents into a career that gives you the most joy while giving you an opportunity to contribute meaningfully to human development.

Having chosen Pharmacy as a career, let me recommend this saying by Bill Cosby to you to wit: “I don’t know the key to success but the key to failure is trying to please everybody.” Even more apposite is the advice by Farouk Radwan that “the only thing you need to succeed is do exactly what successful people did”. Perhaps I only need to add, with a little adaptation:

 

Good luck to you all and see you at the top!

 

(An address presented by Pharm (Barr.) Steve Okoronkwo to the Young Pharmacists’ Forum of the Pharmaceutical Society of Nigeria, Lagos State, on 30August, 2013 at the Lagos Airport Hotel, Ikeja)

 

Editorial

0

In February 2013, the federal government launched the new National Drug Distribution Guidelines (NDDG), with the aim of improving the chaotic drug distribution situation in the country. A year and almost two months after, a review of the progress made thus far towards implementing the guidelines is timely.

Some cardinal features of the guidelines include: (a) The starting date of July 2014, which is expected to mark the end of open drug markets in Nigeria; (b) the emergence of Mega Drug Distribution Centres (MDDCs) and State Drug Distribution Centres (SDDCs) as the primary service centres through which manufactured and imported drugs can be accessed by wholesale operators and national health programmes. The wholesalers will, in turn,  feed the retail premises; (c) the limit on the operations of each operational level which stipulates that importers cannot sell directly to wholesalers and wholesalers cannot do retail; (d) the experience requirements of pharmacists that will be in charge of the distribution centres. The guidelines stipulate five years for retail and ten years for wholesale.

In our evaluation of these stipulations, it must be stated that though the pharmaceutical industry may not be fully ready to accommodate the changes, it is very important that the implementation of the guidelines begins in July as projected. Depending on prevailing circumstances, it may be necessary that the implementation process be phased such that the SDDCs can begin to play more prominent roles and pharmaceutical manufacturers and importers find alternative routes of distribution other than the open market.

To achieve this objective, there is need to deploy technology and abundant human resources. A lot of strategic thinking is also required, part of which is the understanding that a Mega Drug Distribution Centre is more of a logistics facility than a market.

The MDDCs should basically provide facilities that accommodate representatives of the relevant stakeholders, thereby offering a common platform for wholesalers and national health programmes to access pharmaceutical products from manufacturers and importers. A robust website can provide the interface of such facilities, considering that they are not open to the public and the operators are few. In addition to that, a call-in order service station could supplement the website.

The latest PCN publication has it that there are about 800 registered wholesalers in Nigeria. An e-commerce website that has the products of each importer and manufacturer and their prices and which allows registered wholesale operators to place orders either electronically, by phone or by physical visit, would significantly help to facilitate this revolution. The benefits are immense as product-tracking and barcoding can be done along the value chain from the manufacturer/importer to the retailer. Also, price stability can be achieved and counterfeiting reduced to the barest minimum.

We believe that organising such a structure where the 800 registered wholesale premises and others that would join their ranks can trade with registered importers/manufacturers is not beyond the capabilities of the pharmaceutical industry. The success of online retail outlets is a sufficient demonstration that our industry can indeed solve her logistics challenges.

While it is true that the primary focus now should be doing all that is necessary to ensure the successful implementation of the guidelines at the stipulated time, we believe that creating such an alternative platform as the one highlighted above is key to ensuring that we rid ourselves of the menace of open drug markets. Before the month of July, the onus is on the industry to play its part; thereafter, the government could be engaged to keep to its word.

We are aware that concerted efforts are already being made by concerned stakeholders in the industry to mobilise resources and achieve a consensus. We owe it to ourselves and to posterity that these efforts achieve the intended goals. We call on these champions of change to persist in their laudable goal, while looking beyond personal interests and other parochial concerns as they strive to help the Nigerian pharmaceutical industry chart a new path in its troubled history.

It must also be emphasised that the stipulation on the experience level of pharmacists to serve as superintendent pharmacists in retail and wholesale operations is not absolutely necessary. Considering the present population of pharmacists, such a stringent condition will only serve as an impediment to the successful implementation of the guidelines.  We expect that this will be adjusted to accommodate the younger pharmacists who form the bulk of personnel in the premises.

 

How sufficient water intake can boost your health

4

– By Florence Udoh

Some people do not like drinking water, probably because it does not really tickle their taste buds; or because they are completely ignorant of its health benefits. Water is the body’s most essential tonic. In other words, it is the single most important nutrient for our bodies.

A lot of people put their minds and bodies under unnecessary stress and become ill, simply because they do not drink enough water. Most times, people wait until they are thirsty or have a dry mouth before taking water, thereby subjecting themselves to a form of dehydration. It may however interest you to know that unintentional dehydration sometimes leads to illnesses and degenerative diseases that could easily have been prevented simply by drinking plenty of water.

Contents of Water

According to scientists, there are two types of water: spring water and mineral water. Spring water is natural water collected directly from its source. Mineral water emerges from under the ground, then flows over rocks before it is collected, resulting in a higher content of various minerals.

Different brands of spring and mineral waters have differing amounts of minerals depending on their source. In choosing the right type of water, aim for pH balance. Distilled water is too acidic and alkaline water is too alkaline. The ideal pH of water should be between 6.5 to 7.5, which is neutral. Studies have shown that spring water is in this ideal range. It is one of the healthiest types of water on the planet because it is “living water”. Spring water has essential minerals and nutrients like magnesium, potassium, sodium, selenium, etc., which are important for nearly every function of the human body.

Comforts of Water

Water aids maintenance of a healthy body weight. A study published in the Journal of Clinical Endocrinology and Metabolism found that “drinking water (about 17oz) increases metabolic rate by 30 per cent in healthy men and women.” Water suppresses hunger and aids in digestion. The gastrointestinal tract requires lots of hydration to keep things flowing smoothly and prevent constipation. The skin regulates water by perspiration and absorbs lots of water by acting as a protective layer.

Water aids decrease muscle and joint inflammation by keeping joints strong, healthy and lubricated. The muscles produce lots of traction when they are in motion. They require lots of hydration to function smoothly. Water also detoxifies the body naturally. Most of the toxins produced or accumulated in the body is carried through cells by water fluids and flushed out. Water protects our organs, keeps our tissues moist and dissolves minerals and other nutrients to make them accessible to the body.

Studies have also shown that, “in case of headaches and migraine problem, the first thing to do is to drink plenty of water”. They have also shown that “staying hydrated can reduce risk of colon cancer, bladder cancer, breast cancer and heart attacks”.

Consumption of Water

A question most people ask regarding water intake is: how much water should I drink daily? Knowing more about your body’s need for fluids will help you estimate how much water to drink each day, depending on the general climate, personal lifestyle, etc. If you are in a hot climate or engaging in strenuous activity, it is advisable to increase your water intake as needed. As you age, your thirst mechanism works less efficiently, so older adults need to pay more attention to the colour of their urine, to see if their water intake is adequate.

Some studies have shown that “to determine how much water your body needs, you need to measure your body weight (in pounds) and divide it by two. That is how much ounces of water you need a day unless you have congested heart failure or kidney failure, in which case you should consult a doctor.”

Caution with Water

In  a  chat   with  Pharmanews,  a medical  doctor  with  May  Hospital,  Ilasa, Lagos,  Dr (Mrs)  Rose  Onakayo,  explained   that  a  lot of people drink  excessive water during meal times without knowing its health implications. Drinking too much water with meals, she said, washes away the hydrochloric acid, digestive juices and enzymes in the stomach and intestines, and also slows down digestion.

So, aim to drink water about 15 to 20 minutes before you eat, and then try not to drink too much water until about 30 minutes to an hour after you have finished your meal.

Drinking cold water with meals can also slow down digestion process and may cause cramping.  Always bear in mind that you do not consume all the water you need in liquid forms; water can also be consumed in other forms like in fruits and vegetables and some foods.

To encourage adequate consumption of water for those who do not like its taste, it is advisable to put some lemon slices in water, to enhance its taste.

In general, plenty water is the key to a longer, healthier, and more vigorous life; making water your everyday drink saves a lot of money in the long run, because you will be healthy and will  not need to go to hospital often. So, always take along with you a fresh bottle of water anywhere you go.

Herbal medicine should be integrated into Nigerian health care – NMPDC boss

10

( Temitope  Obayendo)

Pharm (Hajiya) Zainab Shariff, CEO, Nigerian Medicinal Plants Development Company (NMPDC) is a well-known authority on “Green Pharmacy” in Nigeria, having done extensive work on several medicinal plants. In this exclusive chat with Temitope  Obayendo, Shariff, who is also the national chairperson of the Association of Lady Pharmacists (ALPs) explains why the federal government must integrate herbal medicine into the Nigerian health care delivery system. She also emphasises the role of adequate funding in productive research. Excerpts:

It was recently reported that only 25 per cent of medicinal plants are utilised in Nigeria. As an advocate of herbal medicine, what factors do you think will enhance the harnessing of Nigerian medicinal plants for health and nutritional benefits?

To fully harness the usefulness and efficacy of these plants, there must be increased sensitisation of Nigerians to appreciate the values and enormous potentials that abound with their use. The federal government, on its part, must initiate and facilitate policies through the Federal Ministry of Health by passing the Traditional Medicine Policy, to regulate the practice.

There is also the need to facilitate the integration of herbal medicine into the healthcare delivery system. This will stimulate research and development, as well as processing and packaging of herbal products.

Added to this is the need to discourage importation of such products mostly from  China and India currently flooding our markets. Reduced interest in the quest for chemically synthesised drugs and a desire by the global pharmaceutical sector to promote “Green Pharmacy” will also promote utilisation.

 

Since the creation of NMPDC, how far has it gone in harnessing the potentials of herbals for the improvement of health care in the country?

NMPDC has, so far, successfully cultivated and commercialised Artemisia annua (a Chinese antimalarial plant used in producing ACTs). We currently have four products in the market: Artemisia tea, Artemisia tea plus, Morigvite tea and Morigvite powder. Also, there are nine new products that we plan to introduce to the market, which are currently awaiting approval by NAFDAC.

Many research findings have identified several nutritional phytochemicals in plants. Most of these findings have however died a natural death, due to lack of sponsors. How can this issue be addressed?

Researchers are urged to carry out their findings from A-Z. Research findings on medicinal plants at every stage have the potential to generate revenue, while the revenue generated is used for further research. This is done to prevent research works ending up under lock and key, and even forgotten. Most importantly, there must be a strong political will by the government to support research institutes through adequate funding and encouragement of private participation to commercialise research findings.

It has been observed that fertilisers used in cultivating some plants make them unhealthy for consumption. Do you agree with this observation?

As much as possible, it is better and safer to go more organic, and less inorganic in the choice of fertiliser used.

How cordial is the relation between NMPDC, faculties of pharmacy and other research institutions?

There has been a very cordial relationship,by way of collaborative efforts,with universities such as University of Jos,  Zaria,and University of Benin. Research institutes, such as NIPRD, Bioresources Development and Conservation Programme, Raw Materials Research and Development Institute, Agricultural Research Council, National Stored Products Research Institute, Institute of Public Analysts of Nigeria, etc.

What are the challenges facing your company?

The major challenge, at the moment, is funding.

What counsel do you have for other researchers in Nigeria?

Researchers in Nigeria need to identify themselves with research institutes around, locally or internationally. Researchers have to strive to source for government intervention to support research and commercialise research findings. They should not easily give up. Efforts could also be made to source for intervention from private partners, investors, institutions and international organisations, particularly in researches that have high potentials to be commercialised and can impact positively on the society.