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Popoola reveals ageing effects on Fellows

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Chairman, Board of Fellows (BOF) of the Pharmaceutical Society of Nigeria, Pharm. Israel Adesanmi Popoola is a man virtually every pharmacist in the country wants to identify with, and rightly so.  Aside being managing director of Reals Pharmaceuticals, his charismatic nature and professional handling of affairs among Fellows has been quite remarkable. In this interview with Adebayo Folorunsho-Francis, the pharmacist reveals the intricacies of running a board of senior citizens of the profession, and the attributes he hopes to see in the new PSN leadership. Excerpts:

Three years after your election as BOF chairman, how would you describe the journey so far?

Well, the journey has been smooth. Over the years I have interacted with the board at the executive level. I used to be   secretary of the Board, so I was familiar with the relationship and interface of issues between BOF and the Pharmaceutical Society of Nigeria (PSN). Sometimes it is often challenging. But thank God that in the past two to three years, I have had a wonderful relationship with the president of the PSN.

I am happy that the National Executive Committee (NEC) and the council have had a smooth relationship, too. I have been able to resolve issues surrounding the pharmacy profession as a whole which was one of the primary assignments given to the Board – to ensure a smoother relationship within the profession. We have been able to achieve that in our tenure. In the last three years, I have become more mature in the way I handle issues. Prior to becoming chairman, I would have handled some issues differently. Now I know every statement I make or every move I make might be misinterpreted; so I am always careful. So I will say it has been a good time for me.

 Have you been able to meet the objectives you set out to achieve at the beginning of your tenure?

Basically in the last three years, I have been able to engage all stakeholders. When I came in, there were several areas of conflict. The issues on ground were so many that we had to bring in other elders to resolve them. It was at the time that the pharmacy advisory board was set up. In fact, the advisory board had to wade in to assist me. After one year, things became normal again. That was how we were able to now move the profession forward which was in line with my set objectives. I had resolved within myself that during my tenure, I would not be having conflict at the top. The other is to resolve the conflict within the board that might affect leadership. That objective, I believe, has been achieved.

What about the objective of repositioning the pharmacy profession you mentioned during our last interview?

Yes, I remember saying that. You know, when you have conflicts, it is two steps forward and one step backward. But when there is no conflict, everybody will pull in the same direction. Honestly in the last two years, Pharmacy has been pulling in the same direction which has helped us to get the current council in place. I thank God that all the issues that came up, we were able to resolve amicably. Pharmacy as a profession is very strong now. You cannot take away those who will still remain disgruntled.  People will always have issues, but as they come up, we will always resolve them. That is what makes the world to move forward.

Has the issue of funding improved?

Funny enough, I found out that we actually had money. But the money was with our members. So what I did was to say “No! Any member who has not paid for some time will be delisted.” And it worked wonders!

In terms of attendance and support of Fellows, you once said that it was not more than 40 per cent. Has it improved?

Well, what we have done is to bring up activities to stimulate the interest of Fellows. We also engaged them through communication. We also made the chapters to be vibrant. Once the charpter is vibrant, it throws people in the centre for attendance and meetings.  I can confidently say that, at the last conference, we had the best attendance so far. The attendance at the midyear was superb and the one at the general meeting was fantastic. It was one of the best we had ever had as a board. We have moved above 40 per cent.

That notwithstanding, what I have found out in the last few years is that the Fellows are ageing. And when people age, there is this challenge of mobility. What we discovered is that age has slowed down several Fellows and they are not able to attend meetings. What we do is that we use the chapter to reach out to them. We have given out money and other forms of support to others.

The late (Chief) Timothy Adebutu, managing director of Gem Pharmacy, once lamented about being deprived of fellowship despite his age and contribution to Pharmacy. Is there no consideration for this set of people?

The board does not confer fellowship on pharmacists. It is the responsiblity of the PSN through the recommendation of its branches and committees. The person we are talking about, I will confess, I was just hearing about him for the first time in my life through his obituary where they wrote MPSN and aged 80-something years. I kept wondering: How could someone be that advanced in age and I had been actively around for close to 30-something years in Pharmacy and never heard of that name?

He had not been actively participating in the activities of the profession. With due respect, the fellowship recognises your contribution to the profession, the society at large and your impact to Pharmacy. I don’t know what transpired in the last years before I became active in the pharmacy profession. But the truth is that I had not heard of his name.

My decision to study Pharmacy was circumstantial – former PCN Chairman

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Until its dissolution in July 2015, Pharm. Bruno Nwankwo was chairman of the Pharmacists Council of Nigeria (PCN). A native of Umuabiama village, Ajali, Anambra State the pharmacist was educated at Government Secondary School, Owerri. He graduated from the Nigerian College of Arts, Science and Technology, first with a diploma in 1963 and followed it up with B.Pharm from the University of Ife in 1966. In this interview with Adebayo Folorunsho-Francis, Nwankwo bares his mind on the journey so far and why he thinks pharmacists need to upgrade.

Tell us briefly about your work experience

I worked briefly in research before the Nigerian Civil War started. I worked at the General Hospital, Enugu, and also rendered some war services. After the war, I went back to the Ministry of Health in Enugu, before I joined Ciba Geigy in August 1970 as medical representative and, later, head of division, executive director and chairman. I was with them until 1992 when I retired.

Can we say your official work experience started in the hospital?

To some extent, yes. I had a chequered career. After my diploma, I started working immediately with Lagos Island Maternity, a general hospital committed to the health of women. But after one year, I joined a small pharmaceutical company (Arco) as a medical representative. Then in 1965, we (those with diploma) went back to the university for a one-year programme (Part 3) of the B.Pharm.  My journey to the general hospital in Enugu was a war-time affair where everybody had to go.

Whose decision was it for you to study Pharmacy?

It was a personal decision but a circumstantial one, though. Like every other young man in my day, I had my eye on Medicine since we were Biology or science-inclined. In my second year A Level at Nigerian College, Enugu, it turned out that the government announced that there would be no scholarship to study medicine. However there was a scholarship to study Pharmacy. Therefore, I had to make a switch. That was why I mentioned earlier that it was circumstantial.

 In retrospect, did you regret taking that step?

I don’t think so. It has been challenging, not quite as rewarding as one had earlier hoped. But I don’t regret because that is where I find myself.

How would you rate today’s practice compared to your time?

Pharmacy practice in our day was probably not as advanced and evolving as it is today. You will get  more contents in the practice today. There is also more technology now unlike when we came out. Again, the practitioners have evolved in line with best practices outside and improved in competence and technology.

There are complaints that most pharmacists are not meeting up with expected standard. Why is that?

I will say less commitment. Most pharmacists are largely less committed. Job satisfaction, to some extent, is also less. I view it from two points. First is that the reward system is not as good as one will expect. But again, the professionalism is not there because many of the Fellows today want to be more than one thing at the same time. They are not developing themselves as required by the demand of the patient or demand of the products. The pharmacopoeia in our day was very limited. Therefore, it was easy for us to know everything that we needed to know. But today, the array is so wide that you need to work extra hard to know what the various products are, their merits and demerits, where they can be better than others and where they are not as good as others so that you can be of service to the patients and the doctors. It is only then you can say, “Doctor, it is advisable to use this formulation” and so on. Today’s pharmacists are not necessarily on board because of their lack of dedication. They are always trying to do more than one thing almost at the same time. They want to be called a pharmacist and want to be called a contractor at the same time. And they are not there to do the job they present themselves to do. So there is that constraint.

How best can the perennial problem of drug counterfeiting be curbed?

Public enlightenment is one thing. Knowledge by the pharmacist himself is another thing. He must be competent in recognising the tell-tale signs of fake drugs. He must also be competent in terms of advising the not-so-literate patients on what to do. Information is important from the point of view of the patient.

There is nowhere in the world that is free of counterfeiting. It is a matter of relativity. At a point in time, it was rampant in Nigeria. We have not been able to wash away that slur off the character of the Nigerian pharmaceutical market. But a lot has been done in terms of creating awareness, technology for identification, pharmacovigilance and reporting.

We must acknowledge that we have come a long way. More can still be done by reducing counterfeiting further through public enlightenment and, of course, through economic empowerment. This is because many of the people who patronise fake drugs do so out of poverty. During one of our meetings at the last PSN conference in Abuja, a patient was said to have been shown two products – one fake, the other genuine. Having been briefed about their nature and prices, he was asked which one he would go for. The patient still ended up choosing the fake because it was what he could afford. It is a hydra-headed monster.

What is your view about pharmacists in politics?

Great. Although I cannot go myself because I cannot really face what it takes. For me, it is a rugged terrain which I am not cut out for. But certainly, politics rules the world and we cannot get what we need except we are politically well-placed.

How active are you especially in pharmaceutical activities?

I think I have been there right from my student days. I was president of PANS in my time. My association with Pharmacy and the struggles of Pharmacy date back to my student days. When I came out after the war, I was assistant national secretary for two years. I’ve been involved in projecting pharmacy interest within the industry, mentoring the young ones, getting involved in continuing education in Pharmacy through presentation of papers at workshops, colloquiums and others. I think I have done the bit I could. Even as a Fellow of the Society, I was the past chairman of the Board of Fellows.

Are there some honours or awards to show for your selfless services?

I am a Fellow of the PSN, Fellow of WAPCP, Fellow of NAPharm. etc. Most of the awards I can have as a pharmacist in Nigeria, I already have and I am proud of them.

If you were to choose another profession outside Pharmacy, what would it be?

As I said earlier, I wanted to be a doctor. Maybe I would have turned out to be one. I have not thought of veering into any other profession outside.

What is your advice to young pharmacists looking up to you?

Commitment and dedicated service to your profession and the patient is important. They should also work for self-fulfilment.

Iykmavian Pharmacy, 26 others win Reload 2015 Promo

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– As ACPN lauds PharmacyPlus on initiative

L-R: Pharm Ogheneochuko Omaruaye, managing director of New Heights Pharmaceuticals; Pharm. Abiola Paul-Ozieh, Lagos ACPN chairman; Pharm. Chukwuemeka Obi, chief operating officer of PharmacyPlus Limited; Omotunde Adebowale David (Lolo 1), ace broadcaster of Wazobia FM, and Pharm. Joseph James, marketing manager of the company.
L-R: Pharm Ogheneochuko Omaruaye, managing director of New Heights Pharmaceuticals; Pharm. Abiola Paul-Ozieh, Lagos ACPN chairman; Pharm. Chukwuemeka Obi, chief operating officer of PharmacyPlus Limited; Omotunde Adebowale David (Lolo 1), ace broadcaster of Wazobia FM, and Pharm. Joseph James, marketing manager of the company.

 The maiden edition of Reload Multivitamin Win-Win Promo has produced 27 winners out of 250 community pharmacies in the retail segment of the Nigerian pharmaceutical market who participated in the event.

The glitzy raffle draw, which was organised by PharmacyPlus Limited on 23 December 2015 at Protea Hotel, Ikeja, Lagos, saw Iykmavian Pharmacy emerge winner of the much coveted grand prize of an all-expense paid 5-day trip to Dubai, while 26 others clinched the remaining prizes of ten electric irons, two 32-inch plasma television sets, two home theatre systems, ten ceiling fans, two units of refrigerators and one air conditioner.

In his welcome address, Pharm. Chukwuemeka Obi, chief operating officer of PharmacyPlus Limited, explained that the promotion which started early last September was a way of giving back to Reload multivitamin retailers who had been exceptionally loyal to the company.

“We have achieved our objective of rewarding those partners that we consider key stakeholders in building the reward brand in our society towards improving the health of the consumers. They have helped put the brand in the marketplace, reach out to Reload customers on our behalf, which is the whole essence of the raffle draw,” he said.

Buttressing his view, Pharm Joseph James, marketing manager of the company, further emphasised the importance of multivitamins in the day-to-day lifestyle of Nigerians.

“We live in a very stressful environment. And looking at our eating habits, there is possibly no way we can get all our daily nutrition requirements from the food we eat, except through multivitamins. Most times too, we encourage nursing mothers to take Reload multivitamin because we understand that many don’t usually breastfeed babies for 1,000 days. However, with continuous use of Reload, there is no cause for alarm,” he reassured.

While expressing appreciation on behalf of retail pharmacists, Pharm. Abiola Paul-Ozieh, chairman of the Lagos branch of Association of Community Pharmacists of Nigeria (ACPN), commended PharmacyPlus for engaging the retailers, as well as rewarding them for supporting the Reload brand.

Paul-Ozieh who was the special guest of honour at the draw recalled that the first time she saw the Reload range of multivitamin, was at a programme organised by New Heights Pharmaceuticals in Lagos.

“Let me reiterate how impressed I am with PharmacyPlus. To succeed in business, a good entrepreneur is expected to find a need and fill the void. That is exactly what this company has done! It started with Alphabetic (later Alphabetic Plus) and now Reload, a product, which I believe, is less than four years old in Nigeria. And here we are today celebrating both retail pharmacists and Reload multivitamin,” she enthused.

The Reload multivitamin range of products has been developed as food supplements to make up for vitamins and mineral deficit. It contains 24 fruits and vegetables. Products in the range include: Reload Men’s formula, Reload Men’s 50+ Formula, Reload Women’s Formula, Reload Women’s 50+ Formulas, Reload Extra formula, Reload Immunity Formula, Reload 4 Kids Tablet and Reload 4 Kids Syrup.

Dignitaries who attended the event include Omotunde Adebowale David (Lolo 1), ace broadcaster of Wazobia FM; Mr Peter Inukwe, chief operating officer of Greenmeans Healthcare; Pharm Ogheneochuko Omaruaye, managing director of New Heights Pharmaceuticals Limited and staff of PharmacyPlus Limited.

Stakeholders charge community pharmacists to maximise opportunities

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…As Lagos ACPN holds continuing education programme

L-R, Pharm. Ike Ugwu, keynote speaker; Prof. Bola Sylva, dean, Faculty of Pharmacy, UNILAG and Pharm. Abiola Paul-Ozieh, chairman, ACPN, Lagos Chapter, at the Continuing Education Conference organised by the Association of Community Pharmacists of Nigeria (ACPN), Lagos State Branch, at NECA House, Alausa Ikeja, Lagos
L-R, Pharm. Ike Ugwu, keynote speaker; Prof. Bola Sylva, dean, Faculty of Pharmacy, UNILAG and Pharm. Abiola Paul-Ozieh, chairman, ACPN, Lagos Chapter, at the Continuing Education Conference organised by the Association of Community Pharmacists of Nigeria (ACPN), Lagos State Branch, at NECA House, Alausa Ikeja, Lagos

Stakeholders in the pharmaceutical profession, including Pharm Ike Ugwu, chief executive director, Pharmacare Support Group, have said that for the profession to attain enviable and fulfilling heights, pharmacists in the country must acquaint themselves with new opportunities and make the best use of them.

Pharm. Ugwu, who is a Fellow of the Pharmaceutical Society of Nigeria (FPSN) and the Nigeria Academy of Pharmacy (FNAPharm) made his submission while delivering a keynote address on the topic, “Positioning Community Pharmacists for Evolving Opportunities”, at the Continuing Education Conference organised by the Association of Community Pharmacists of Nigeria (ACPN), Lagos State Branch, at NECA House, Alausa Ikeja, Lagos, last December.

The revered pharmacist stated that many pharmacists are not quick to recognise opportunities and some who do don’t make judicious use of them.

Speaking further, Ugwu noted that over the past 40 to 50 years, the role of the pharmacist has evolved from provision of drugs and information to patient care, adding that pharmacy as a profession has come a long way and must continue to advance.

“I want to advise you to always strive to be the best pharmacist in your community so that when people are looking for the best they think about you first,” he said.

Ugwu also emphasised the need for thorough preparation   and personal development, as these not only help to maximize opportunities but also to cope with challenges and competition.

He said: “I was amazed when I learnt people were afraid of chain pharmacies coming to the country and I asked, are Medplus and Healthplus pharmacies not chain or is it because they are run by pharmacists? I have said it time without number that we should not be afraid of anything, provided we have our own home work and prepare well.”

Using his own example, he added that pharmacists must not become complacent after opening one or two pharmacies.

“I made a similar mistake when I started out in Festac area of Lagos State and I stopped expanding after opening my second pharmacy as I was contented that I had got it all; but today, close to 100 pharmacies have taken over Festac Town. So do not stop expanding and ensure you plan very well ahead of any of your steps,” he advised

Speaking in the same vein, Prof. Bola Sylva, dean, Faculty of Pharmacy, University of Lagos (UNILAG), who was also chairman of the occasion, stated that the opportunities in Pharmacy are numerous, adding that all a practitioner needs to do is to be mentally ready for the opportunities and be ready to tap into them.

While speaking with journalists at the event, chairman of ACPN Lagos, Pharm. (Mrs) Abiola Paul-Ozieh said the conference was designed to ensure members of the association were not left out in the scheme of things even as the world keeps developing every day.

“I want to believe there many of us who have not heard about some new opportunities in the practice and it is our responsibility to open their eyes to them. So, what we aim to do basically is to look at how to improve our practice, using technological means – for example, we now have electronic means of doing business and so many other technological improvements,” she said.

Speaking further, Pharm. Paul-Ozieh disclosed that the Continuous Education Conference programme in Lagos had been held consistently over the years because of the importance that the Lagos ACPN places on knowledge and effective service delivery.

“In recent times, we included motivational talks, such that pharmacists can have some personal developmental tips on how to improve themselves, how to improve their practice and how to improve their businesses. This is essentially a capacity-building programme for community pharmacists.”

Other dignitaries at the event included: Pharm. Deji Osinoiki, former national chairman of ACPN; Pharm. Albert Kelong Alkali, current national chairman, ACPN; Pharm. Ahmed Yakasai, president, PSN, represented by Pharm. (Mrs) Uzamat Akinbile-Yusuf, Hon Commissioner for Youth and Social Development who was also the guest of hounour; Pharm. N.A.E Mohammed, registrar, PCN, represented by Pharm. Augustine C. Ezeugwu; Pharm. Gbenga Olubowale, chairman, PSN, Lagos State; Pharm. Gbenga Falabi; Pharm. Folashade Lawal, among others.

Determining a mutual mistake in a transaction

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Dr Peterside plans to establish a private hospital in Port Harcourt. For this purpose, he contacts the estate agent for Garden City Complex, which has available facilities in Blocks A, B and C. After careful examination of the premises, the doctor settles for the ground floor of Block B.

A lease agreement is drawn up and sent to Dr Peterside for signing and payment of the fees due. The document contains the terms of agreement including the annual rent, caution deposit, a 10 per cent charge for agency fees and another 10 per cent for legal fees. The document does not specify the tenure of the lease.

On presentation of a cheque for payment, a dispute arises between Dr Peterside and the estate agent. The doctor has written a cheque to cover one year’s rent and additional charges, as determined by the lease. However, the estate agent had been expecting the initial payment to cover two years’ rent, as is the custom of lease agreements in Port Harcourt. He explains that the whole transaction was premised on the anticipation of two years’ rent and presents receipts of payments for other tenants, to support his position. The estate agent demands that Dr Peterside pay the rent for two years or forfeit the lease.

In this scenario, what is the legal position of the parties concerning the mistake made in the transaction?

As previously discussed, there are three classes of mistake in law: a) Common mistake; b) mutual mistake; and c) unilateral mistake. The subject of the above scenario is mutual mistake. When one party makes to the other an offer which is accepted in a fundamentally different sense from that intended by the offeror, it is classified as a mutual mistake.

The legal issues to be addressed are:

  1. How is a mutual mistake determined in law?
  2. The effect of a mutual mistake in a transaction.

The general rule, as applied in the case of Wood v. Scarth, is that where the occurrence of a mutual mistake is established, the contract will be void. This is because there is no correspondence between the offer and acceptance. There is no consensus ad idem (meeting of minds). In determining the existence of a mutual mistake, the court adopts an objective test. The conduct of the parties and all relevant documents and transactions are considered. If they all point to the existence of a contract, as alleged by one of the parties, the court will enforce the contract on those terms, irrespective of the motive or subjective intention of the parties. The court bases its decision on the external appearance of things and ignores all subjective factors.

If, on the other hand, all these external factors do not point to the existence of one contract, but to two or more possible interpretations of what transpired between the parties, then there can be no contract. The agreement will be void for mutual mistake.

In this matter with Dr Peterside and the estate agent, a transaction was made for the lease of property in Port Harcourt. According to the expectation of the estate agent, the lease should run for an initial period of two years. This would translate to the payment of two years’ rent by Dr Peterside for the property. The doctor, on his part, had made no commitment to pay the rent for two years upfront. Indeed, his plan was to pay the annual rent with additional charges and so, a cheque for that amount was made available.

The argument of the estate agent is that the practice of two years’ lease is common in the city of Port Harcourt. Proof of this is provided by the presentation of receipts of payments for other tenants, who apparently had paid in advance for two years. In view of this, it is not doubtful that the estate agent had the expectation of concluding a two-year lease. Nevertheless, the rule regarding mutual mistake requires the application of an objective test. In this situation, there must be an examination of the document of transaction.

The lease of agreement between the parties is specific on the terms of transaction. This lease stipulates the annual rent, caution deposit, a 10 per cent charge for agency fees and another 10 per cent for legal fees, but fails to mention the duration of tenancy and the number of years required to be contracted for.

In the similar case of Wood v. Scarth, the defendant offered in writing to let a public house to the plaintiff for 63 pounds per annum and the plaintiff, after an interview with the defendant’s clerk, accepted the letter. The defendant intended that a premium of 500 pounds be included, but this was neither mentioned in the letter of offer nor by his clerk in the interview. The plaintiff, on his part, believed that his obligations were limited to 63 pounds per year.

When the defendant refused to execute the lease agreement, the plaintiff brought an action for specific performance and the defendant raised the defence of mistake. It was held by the court that there was no mistake at law. No reasonable man, looking at what had transpired between the parties, would have interpreted the agreement to mean anything other than that it was a simple lease agreement for 63 pounds per annum.

In applying this rule, the lease of Dr Peterside does not, in any way, bind him to a contract of two years and subsequently, the payment of two years’ rent. It is therefore concluded that the contract is valid on the payment of the stated fees.

Principles and cases are from Sagay: Nigerian Law of Contract

Maintaining a balanced body

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Pharm. (Sir) Atueyi
Pharm. (Sir) Atueyi

Balance is an essential part of life. Acrobats are experts on balancing and can walk on a rope many feet high. Your car will have smooth movement on the road when the wheels are balanced. And unless you balance a mathematical or chemical equation, you cannot arrive at the solution.

Your life needs a balance also. To live successfully, you need a balance of your physical, spiritual, social, psychological, emotional, intellectual, economical, recreational aspects of life. For instance, one who does not maintain a good balance between work and rest can easily wreck his or her God-given body. Proverbs 23:4 warns, Do not wear yourself out to get rich; have the wisdom to show restraint.

The body needs a balance in a lot of things to maintain health. Too much of even something good is bad. That is why a balanced diet is always emphasised. The body needs carbohydrates, proteins, fats and oils, vitamins and minerals, Deficiency of any of results in ill health.

One area of balance that is vital but often neglected is acidic/alkaline balance, which is essential for good health. The human body is alkaline (around pH 7.4). God has designed the body to be maintained around this pH for proper functioning. Making the body more acidic (pH below 7.4) or more alkaline (pH above 7.4) throws it out of balance with undesirable consequences.

Unfortunately, many people do this out of ignorance but cannot escape the consequences. If someone offers you diluted sulphuric acid as a herbal medicine and you drink it, your tongue, mouth, throat etc must be burnt – regardless of the fact that you took it in ignorance.

The commonest way we disrupt the acidic/alkaline balance of the body is through food and drinks. The body is designed to consume predominantly alkaline foods to maintain alkaline environment for survival and good health. If the pH drops below 7.4 as a result of consuming too much of acidic foods, the body desperately attempts to neutralise the acidity. It achieves this by drawing calcium (an alkalising mineral) from the bones. This loss of calcium from the bones leads to low bone density or osteoporosis (a risk for bone fracture). Bone structure is kept strong in alkaline medium.

Acidity of the body creates an environment where bacteria, yeast, fungus, and mould thrive. That means that people who are prone to various types of infections must check the body pH. One unpleasant thing about infections is that pathogenic microorganisms produce wastes or mycotoxins which pollute the body and make it more acidic thereby worsening the environment.

If the pH of the blood drops below 6.9 the body is likely to go into coma and eventually die. Allowing the body to become too acidic (acidosis) or too alkaline (alkalosis) is unhealthy.

The question now is how do we maintain acidic/alkaline balance? As I said before, moderation is key. A lot of the foods and drinks we take are acidic. We sometimes need to take these things but we must be aware of their implications in the body.

Most grains, dairy products, meats, seeds, legumes and nuts tend to have an acid ash. Beef, chicken, eggs, white rice, wheat, bread, pineapple, fruit juice, soft drinks (sodas), alcohol, wine, spirits, coffee etc. all have this characteristic.

People who consume a lot of soft drinks and fruit juice, in particular, expose themselves not only to excess sugar in the body but also high acidity. Excess sugar in the blood leads to insulin resistance which is a precursor to type 2 diabetes. In addition, plaque bacteria use the sugar to produce acids that attack the enamel, the hard surface of the tooth.

Acidic minerals also destroy the teeth in the same way. This is why children, in particular, should be discouraged from drinking a lot of soft drinks and consuming sweets. Consumers of alcohol (beer, wine and spirits) must equally be aware that they are not only loading the body with alcohol but also acidifying it. Drinking alcohol in large amounts for a long time affects brain function, causes liver inflammations, heart and pancreas damage and also certain cancers.

On the other hand, the alkaline foods (which include most fruits and vegetables) should be included in your diet. These include cucumber, cabbage, garlic, spinach, tomato, banana, avocado, broccoli, ginger, carrot, green beans, lettuce, soybeans, lemon, coconut etc.

Coconut water is naturally high in alkaline – forming minerals notably potassium, calcium and magnesium and support the body’s proper pH balance. The pH acidic level in the body turns alkaline when you drink coconut water. It is therefore recommended for people suffering from acidity and heartburn.

Maintaining a healthy balance in our diets is the secret of enjoying good health. Everything we eat has good and bad effects. You do not have to abstain from certain food except on medical grounds like allergic reactions. But you should not indulge in any one. If you enjoy red wine because of its high concentration of resveratrol, which protects from both heart disease and cancer, remember that wine may be alcoholic or non-alcoholic. When you eat even good things, avoid gluttony or overeating. 1 Corinthians 10:31 says, So, whether you eat or drink, or whatever you do, do all to the glory of God.

What future has Pharmacy in Nigeria?

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 Dr Lolu Ojo
Dr Lolu Ojo

Pharmacy is the science and technique of preparing and dispensing drugs. It is the health profession that links the health sciences with chemical sciences and aims to ensure the safe and effective use of pharmaceutical drugs (Wikipedia). From this definition, the importance of Pharmacy to health care delivery in any nation cannot be overemphasised. It occupies a central position now and will continue to be so for as long as there are diseases which require drug therapy. It is therefore necessary and very important for us to continue to talk about the future of the profession with a view to catching up with the rest of the world.

Pharmacy in Nigeria has gone through different stages of development. From mere government dispensers many years ago, pharmacists have moved on to become first class scientists with specialisation in different fields of Pharmacy. Today, there are about 17 schools of Pharmacy in Nigeria (accredited by the Pharmacists Council of Nigeria (PCN)) offering courses from Bachelor of Pharmacy degree to the Doctor of Philosophy (PhD) level. There are 19,559 pharmacists in the register of the PCN but only 11,336 of this number renewed their licences in 2014. With a population of more than 170 million, Nigeria has one of the lowest “pharmacist to 10,000” population figures (less than 1). This pharmacist to population ratio may not improve significantly very soon as our universities are only producing an average of 1,165 pharmacists per year (2012-2014 data). There about 6000 Nigerian pharmacists practising abroad, mostly in Europe and America, and there are so many others who have chosen other endeavours in Nigeria.

In terms of practice, it was estimated in 2013 that there are about 127,068 health care facilities in Nigeria, largely skewed in favour of urban settlements, leaving the rural setting with little or nothing. Most of the federal and state government owned facilities have pharmacists in their employment. There about 8,500 community pharmacy outlets and 52,000 patent medicine stores. This number refers to the registered outlets and I am sure that the number of unregistered outlets will be in multiples of the quoted figures. Nigeria has a potentially huge local demand for drugs but with pervasive poverty and extreme inequality, only a small percentage of the population can afford quality health care and quality drugs. The Nigerian pharmaceutical industry at an estimated size of $1 -1.6 billion is a negligible contributor (about 0.3%) to the country’s GDP and it is virtually non-existent in the world pharmaceutical map. Only 30 per cent of the drugs sold in Nigeria are manufactured locally. 70 per cent is imported, largely from China and India, and because of weak local control, the market is bedeviled with circulation of fake and adulterated drugs. There is practically no R&D activity as most of the research based companies only have scientific offices in Nigeria.

This profile of the profession and the practice should ordinarily suggest a future that should be exciting as much as it should be interesting. However, the peculiar nature of our society has practically removed the factor of excitement and reduces the work of the pharmacist to that of existence struggle. Despite their sound education, the environment of practice does not allow young graduates to give their best. They are practically released into a system that is completely strange and for which they are ill-prepared. They have to struggle in practically all areas of practice. In the hospital, the doctor is the ‘boss’. He has cornered everything and in fact, will prefer the pharmacist and other ‘irritating’ para-medicals (as he derisively calls the other health professionals) to be thrown out of the hospital. There can only be one head of department who will probably retire as an assistant director or at best a deputy director. Everyone one else must wait. The various leaders at the different federal and state health institutions have not helped matters. Their development agenda have not always have Pharmacy as a focal point of attention. The current and persistent but unnecessary leadership tussle in the health sector has done much damage than good and we can only hope that good reason will prevail very soon. The prejudice against pharmacists and other non-medical health care professionals should stop and the focus should be on the delivery of the best services possible to the patient. When are we going to have a minister of health who will set a developmental target of getting new molecules to treat diseases to come from Nigeria and set the necessary templates or create the enabling environment for this to happen? When are we going to have collaborative medication therapy management, involving doctors and pharmacists, for the benefit of the patients in our hospitals? There so many more questions which I believe, one day, the appropriate leadership will emerge and provide the answers to the satisfaction of all.

For now, the future of Pharmacy is in the hands of the pharmacists themselves. We must continually uphold the tenets of our profession with a firm resolve to protect the interest of the patients at all times. We must adhere strictly to the core values as enunciated by the Pharmaceutical Society of Nigeria. We must remember that the system will appreciate you more for who you are and not for whom you claim to be. It is therefore important for us to repeatedly ask ourselves what our contributions are to the wellbeing of the system that we are serving. We should quit complaining about the system and the environment. If the environment in which you find yourself is not conducive, then create your own environment. The hospital management led by the doctors may not allow you to enter the wards but they will not stop you from organizing educational seminars for patients on drug therapy, particularly for chronic diseases in your department. You will have to live above your environment to have a chance to influence your world.

The Pharmaceutical Society of Nigeria (PSN) and the various technical groups have a role to play in charting the future path for the profession. We need to get the young ones to appreciate the challenges ahead early in their professional lives. They need to decide quite early the area of practice where they want to specialise and this is where mentoring is important for the desired future. The benefits of professional community pharmacy practice must be expanded to the rural setting. We must devise a way to take the emphasis away from self to the society we claim to serve. We must try and replicate successes from one point to the other and spread the benefits of Pharmacy across the country. We must create, develop and sustain a distinct public identity and put a permanent stop to the mentality of comparing ourselves to any other person.

It is my hope that this future is not too far from us. A future where pharmacists will excel beyond the current limitations and expand the horizon of practice. A future where dispensing will be separated completely from prescribing. A future when Nigeria will become a manufacturing hub for pharmaceuticals in Africa and the world. A future when research and development activities will take top priorities in our universities. We really have cause to be proud of whom we are as past and recent histories have listed pharmacists among the world most famous in politics, inventions and management. The three most popular soft drinks in the world were invented or developed by pharmacists: Dr John Pemberton (Coca-Cola), Charles Alderton (Dr Pepper) and Caleb Bradham (Pepsi-Cola). Hubert Humphrey, a pharmacist, was the Vice-President of USA in the sixties. Back home, Prince Julius Adelusi- Adeluyi, at 47 years old, cleared all the top prizes at law school in 1987 and has remained till today a mentor to a vast number of people across the profession. If these people could succeed despite the hostility of their practice environment, then I am quite convinced that we can do better. Dr Hiroshi Nakajima, a Japanese doctor and one-time Director-General of WHO, was reported to have said that: “without drugs, a health care delivery system has no substance and no credibility”. This statement remains evergreen and confirms that the pharmacist’s work as custodian of drugs gives substance and credibility to the nation’s healthcare delivery system. Here lies the future and the hope that the land is green for Pharmacy and pharmacists.

 

Dr Lolu Ojo presented this keynote address (abridged here) at the Induction/Oath-taking ceremony of the Faculty of Pharmacy, Igbinedion University, Okada on Wednesday, 6 January 6, 2016

Effective treatment of rheumatism and arthritis

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rheumatoid-arthritis-handOsteoarthritis-knee Rheumatism” is derived from the Greek word “rheuma,” which means a swelling.

It refers to an acute or chronic illness, which is characterised by pain and swelling of the muscles, ligaments and tendons or of the joints. It is a crippling disease, which causes widespread invalidism, but seldom kills.

This disease affects men and women, both young and old. Quite often, it extends to the heart and the valves, and the lining of this vital organ becomes inflamed. It is the most common cause in 80 per cent of the cases of valvular organic diseases of the heart.

Rheumatism, perhaps, more than any other disease, although readily diagnosed, is never the same in any two individuals. There are too many variations in the development of the disease.

Broadly speaking, however, rheumatism, which may be acute or chronic, can be roughly grouped into two classes. These are: muscular rheumatism, which affects the muscles; and articular rheumatism, which affects the joints. The muscular variety is, however, far less common than that affecting the joints.

In the acute form, it is found among children and young people. But in the chronic form, it is generally confined to the adults.

Osteoarthritis-knee

Arthritis: Not a single disease

Arthritis literally means joint inflammation. Arthritis is not a single disease. Arthritis refers to a group of more than 100 rheumatic diseases and other conditions that can cause pain, stiffness and swelling in the joints.

Any part of your body can become inflamed or painful from arthritis. Some rheumatic conditions can result in debilitating, even life-threatening complications or may affect other parts of the body, including the muscles, bones, and internal organs.

The two most common types of arthritis are osteoarthritis and rheumatoid arthritis. The incidence of arthritis increases with age, but nearly three out of every five sufferers are under age 65.

If left undiagnosed and untreated, many types of arthritis can cause irreversible damage to the joints, bones, organs, and skin.

 Osteoarthritis

Osteoarthritis, also known as degenerative joint disease, results from wear and tear. The pressure of gravity causes physical damage to the joints and surrounding tissues, leading to:

*    pain

*    tenderness

*    swelling

*    decreased function

Initially, osteoarthritis is non-inflammatory and its onset is subtle and gradual, usually involving one or only a few joints. The joints most often affected are the:

*    knees

*    hips

*    hands

*    spine

Risks of osteoarthritis increase with age. Other risk factors include joint trauma, obesity, and repetitive joint use.

Rheumatoid arthritis

Rheumatoid arthritis is an autoimmune disease that occurs when the body’s own immune system mistakenly attacks the synovium (cell lining inside the joint). Rheumatoid arthritis is a chronic, potentially disabling disease which causes:

*    joint pain

*    stiffness

*    swelling

*    loss of joint function

While the cause remains elusive, doctors suspect that genetic factors are important. Rheumatoid arthritis can be difficult to diagnose early because it can begin gradually with subtle symptoms.

Juvenile arthritis

Juvenile arthritis is a general term for all types of arthritis that occur in children. Juvenile rheumatoid arthritis is the most prevalent type of arthritis in children. There are three major types:

*    polyarticular (affecting many      joints)

*    pauciarticular (pertaining to       only a few joints)

* systemic (affecting the entire         body)

Signs and symptoms of juvenile rheumatoid arthritis vary from child to child. No single test can conclusively establish a diagnosis. Juvenile arthritis must be present consistently for six or more consecutive weeks before a correct diagnosis can be made.

Psoriatic arthritis

Psoriatic arthritis is similar to rheumatoid arthritis. About five per cent of people with psoriasis, a chronic skin disease, also develop psoriatic arthritis. In psoriatic arthritis, there is inflammation of the joints and sometimes the spine.

Fibromyalgia

Fibromyalgia syndrome is a painful condition characterised by muscle pain, chronic fatigue and poor sleep. The name fibromyalgia means pain in the muscles, ligaments and tendons. Fibromyalgia is a type of soft tissue or muscular rheumatism and does not cause joint deformities.

Gout

Gout is a painful type of arthritis that causes sudden, severe attacks of pain, tenderness, redness, warmth, and swelling in the joints, especially the big toe. The pain and swelling associated with gout are caused by uric acid crystals that precipitate out of the blood and are deposited in the joint.

Pseudogout / CPPD

Pseudogout, which is also known as Calcium Pyrophosphate Dihydrate Deposition Disease (CPPD), is caused by deposits of calcium phosphate crystals (not uric acid) in the joints. CPPD is often mistaken as gouty arthritis. Since CPPD is a different disease from gout, treatment is not the same as gout.

Scleroderma

Scleroderma is a disease of the body’s connective tissue that causes thickening and hardening of the skin. It can also affect the joints, blood vessels and internal organs.

Lupus / SLE

Systemic Lupus Erythematosus (SLE) is an autoimmune disease that can involve the skin, kidneys, blood vessels, joints nervous system, heart and other internal organs.

Symptoms vary, but may include a skin rash, arthritis, fever, anaemia, fatigue, hair loss, mouth ulcers, and kidney problems. Symptoms usually first appear in women of childbearing age, but, can occur in children or older people. About 90 per cent of those affected are women.

Recognising signs and symptoms of arthritis

Because there are over 100 different types of arthritis, symptoms of the disease can be variable, but there are certain signs which point to the disease.

You might suspect you have arthritis if you have signs and symptoms which include the following:

*Persistent joint pain.

*    Pain or tenderness in a joint         which is aggravated by movement or to fill out a written questionnaire at your first appointment.

Be ready for your medical history by having a list of current medications, medication allergies, past and present medical conditions you are being treated for, and the name of your primary doctor and other specialists, along with their contact information.

Keep a symptom diary. A symptom diary can help you keep track of pertinent facts about your condition and also help you track changes that may occur. With the diary, you are more inclined to give your doctor a good overall picture of the symptoms you are experiencing.

 Physical examination

Your doctor will perform a physical examination to try to see any visible signs and symptoms that point to arthritis:

*    Redness/warmth around a joint (inflammation)

*    Joint stiffness or tenderness

*    Joint fluid or swelling

*    Bumps or nodules

*    Pattern of affected joints (e.g. symmetric or asymmetric)

*    Limited range of motion

*    Fever

*    Fatigue

 Laboratory tests

After a medical history and physical examination have been completed, your doctor will likely need more information. Blood tests can provide more specific information and often serve to confirm what the doctor suspects is the diagnosis. Blood tests are also used to monitor disease activity and treatment effectiveness after a diagnosis has been established.

Treatment of arthritis

An effective arthritis treatment regimen can help manage the disease. There are many treatment options which you should know about. Over time, you may try several different treatments and change your treatment plan. Finding the best treatment for you can be a long process.

 Goals of arthritis treatment

The goals of arthritis treatment are to:

*    Decrease arthritis symptoms

*Slow progression of the disease

*    Prevent or minimise joint damage and deformities

*    Maintain joint function

*    Preserve mobility and range-      of-motion

People with early symptoms of arthritis are often inclined to self-treat with over-the-counter medications, topical creams, or conservative measures such as ice and heat. The Arthritis Foundation recommends seeing a doctor if you have joint pain, stiffness, or swelling which persists for two or more weeks, whether or not your symptoms began suddenly or gradually. Only a doctor can diagnose arthritis. An accurate diagnosis is needed so treatment can begin.

A rheumatologist (arthritis specialist) will help you understand all of your treatment options and also help you steer clear of unproven remedies. Discuss the potential benefits and risks of each treatment option with your doctor.

Arthritis medications

Medications are considered traditional treatment for arthritis. Depending on the severity of your arthritis symptoms when you first consult with your doctor, one or more medications will likely be prescribed.

Drug classes used to treat arthritis include:

*    NSAIDs (nonsteroidal anti-inflammatory drugs)

*    COX-2 Inhibitors

*    Pain Medication (analgesics)

*    Corticosteroids

*    DMARDs (disease-modifying anti-rheumatic drugs)

*    Biologic Response Modifiers (i.e. Biologics)

 Injections into a joint

There are several types of injections which can be given locally into the joint. Viscosupplementation is a procedure that involves the injection of gel-like substances (hyaluronates) into a joint (currently approved for knee) to supplement the viscous properties of synovial fluid. The five types are:

*    Synvisc

*Orthovisc

*    Supartz

*    Euflexxa

*    Hyalgan

Local steroid injections can be used for a specific, painful joint.

Three steroid injections per year into a joint is the maximum allowed by most doctors. Steroid injections were used long before viscosupplementation became a treatment option. Both are still used though, depending on patient preference.

Natural treatments

Some people are more interested in natural treatments than traditional medications. If you prefer a natural approach to treating arthritis, it’s still imperative that you tell your doctor what you are taking or what you want to try. There are many natural treatment options, also referred to as alternative treatments, which are popular but not fully endorsed for effectiveness and safety. Be aware.

*    Acupuncture / Acupressure

*    Biofeedback

*    Chiropractic

*    Magnets

*    Massage

*    Meditation

*    Tai Chi

*    Yoga

*    Supplements such as fish oil, glucosamine, chondroitin, MSM

Complementary medicine

The terms, complementary medicine and alternative medicine, are sometimes used interchangeably. The difference is that complementary treatments are used together with your usual treatment regimen. Alternative treatments imply that they are used instead of your usual treatment.

Regular exercise is strongly recommended for arthritis patients. Exercise can reduce pain and improve physical function, muscle strength, and quality of life for people with arthritis.

Eating a nutritious diet is important for maintaining ideal weight and for bone health too. There is no known diet which can cure arthritis, but eating well is important.

Stress management may also be useful as a complementary treatment. Reducing stress helps to reduce pain and stiffness associated with arthritis.

Surgical options

Joint surgery is usually considered a last resort treatment option. Joint surgery is typically considered if other more conservative treatment measures are unsatisfactory or have stopped working. When joint damage is severe and when pain interferes with daily activities, joint surgery may be an option with the goal of decreasing pain and restoring function.

Pain relief

Pain is debilitating and can greatly interfere with daily living. Better treatments are always being sought, so people living with arthritis pain can achieve pain

 When symptoms affect normal activities

If symptoms are severe enough to interfere with normal functioning and your ability to perform usual activities early in the course of rheumatoid arthritis, you may bite the bullet and go to the doctor. The disruption in your life serves as the incentive to consult with a doctor.

If symptoms are not terribly disruptive, you may choose to wait before consulting a doctor. It is really quite simple is there a sense of urgency? A sense of urgency, or lack of, dictates when a doctor is consulted.

Explanation of symptoms

How did your aches and pains begin? Was there an event, such as an injury, that caused your symptoms? Did the symptoms begin gradually or suddenly, without obvious cause?

Typically, patients who feel comfortable with the explanation of their symptoms will wait before consulting a doctor. For example, if you walked into a wall and you developed aches and pains, you are more likely to give the symptoms a chance to subside on their own. But if there is no logical explanation surrounding your symptoms, you likely will choose to see a doctor, so the symptoms can be evaluated.

Knowledge of rheumatoid arthritis and treatment options

If you know much about rheumatoid arthritis, you know that an accurate diagnosis and early treatment is essential. Early treatment with DMARDs (disease-modifying anti-rheumatic drugs) and biologics may help prevent joint damage and subsequent disability.         With new treatments treatments that were marketed since 1998 the prognosis for rheumatoid arthritis is better. Realising that early treatment is important, is it not worth consulting a doctor and agreeing on your treatment regimen, so you can be assured that you are on the right path?

 Attitude towards the medical profession

If you have had positive experiences with doctors in the past, you are more likely to consult with a doctor about your aches and pains sooner rather than later. If you have respect for doctors in general, and if you trust those you have had in the past, you likely will not balk at getting your symptoms checked out.

The problem occurs if you have a history of bad medical experiences, or if you find it difficult to trust doctors. There are even conspiracy theorists who think doctors like to keep us sick because drug companies give them kickbacks to do so.

 Point to remember

Simply put, if your symptoms are interfering with normal life, if you understand that early treatment is important, and if you trust your doctor to know what to do and how to help you, you are more likely to see the doctor.

Misconceptions about arthritis

There are many misconceptions about arthritis. The most common misconceptions about arthritis seem to persist. Patients need facts and valid information, not myths and misconceptions, so they can better manage their illness.

Misconception #1 – Arthritis is an old person’s disease

Fact: Anyone can have arthritis.

The most common misconception about arthritis is that it is a disease only of old people. In actuality, arthritis can affect anyone at any age, not just the elderly, including children, young adults and middle-aged people.

Arthritis is not age or gender specific. There are over 100 different types of arthritis and related rheumatic conditions and some are more commonly found in particular groups.

Rheumatoid arthritis, fibromyalgia, and lupus are more commonly found in women than men. Gout and ankylosing spondylitis appear more often in men than women. In terms of gender, psoriatic arthritis affects men and women nearly equally. Older people are more inclined to have osteoarthritis, the degenerative form of arthritis.

Misconception #2 – Arthritis is induced by a cold, wet climate

      Fact: Climate itself is neither the cause, nor the cure.

It has long been theorised that arthritis is caused by a cold, wet climate. Moving to a warm, dry climate has been regarded by some as the cure. Logically, one can infer that if a warm climate cured arthritis, no one in other warm regions would have arthritis. Bone rubbing on bone after cartilage has worn away causes pain in any climate. However, warmth can be soothing. People without arthritis often feel better in warm climates too.

Warmth may relieve symptoms of arthritis, as does soaking in a hot-tub or taking a hot shower.

Misconception #3 – Arthritis can be cured

      Fact: There has been no scientific evidence that a cure for arthritis exists.

The notion that arthritis can be cured is a fallacy. To date, there is no known cure for the disease. Much has been discovered, in terms of better treatment options and slowing down the disease progression, but nothing yet has been found to successfully halt the disease. Since there are so many different types of arthritis, the prognosis varies.

Since arthritis is a lifelong process, the importance of gaining knowledge and understanding of your own health condition cannot be overstated.

Misconception #4 – Arthritis is caused by a poor diet

      Fact: There is no scientific evidence that specific foods prevent or cause arthritis.

There has been an abundance of speculation about the importance of diet with regard to arthritis. It is certain that a nutritious, well-balanced diet and ideal weight maintenance improves overall health and wellness for everyone. There are a few examples where there is a definite diet connection, such as between high uric acid levels and gout.

There is no scientific evidence, though some specific foods prevent or cause arthritis. Good diet does not prevent arthritis. Unless a person is found to have a particular food allergy which causes their arthritis to flare, there is no proven direct link between a particular food source and arthritis.

 Misconception #5 – Arthritis consists of only minor aches and pains

Fact: Arthritis consists of much more than just minor aches and pains.

It is another common misconception that arthritis exhibits only minor aches and pains. Television commercials, which claim that a couple of aspirin or another over-the-counter pain reliever takes away the minor aches and pains of arthritis, tend to mislead the public.

Such advertising, along with a lack of knowledge about the disease, expand some people’s unawareness of the more complex forms of arthritis, which require more aggressive forms of treatment.

Misconception #6 – “You felt fine yesterday… why so tired today?”

Fact: There is variation in the duration and severity of the symptoms of arthritis.

Since arthritis is a disease characterised by periods of flares and remissions, it is often difficult for the family and friends of an arthritic person to comprehend why they feel so much better or so much worse on any particular day. The inconsistency of arthritis can even lead some people to believe the disease is “all in your head”.

Arthritis is characterised by a mix of good days and bad days. Some days, the joint pain and fatigue is more exacerbated. A balance between rest and activity may be necessary to best manage living with arthritis.

Misconception #7 – “You have arthritis, you can’t….”

Fact: There is much a person with arthritis CAN do.

The limitations that arthritis imposes on an individual can cause people closest to them to become overprotective. Sometimes people do too much to try and help the person with arthritis. The disease does interfere with some physical ability, but certainly the arthritic person should not be viewed as totally dependent and invalid.

A certain amount of help and dependence is likely to be required. It must be remembered though that it is best to maintain as much independence as possible for both physical and emotional reasons.

 

Report compiled by Adebayo Folorunsho-Francis with additional information from Dr. Zashin, author of “Arthritis Without Pain” and About.com Health’s Disease and Condition

 

PANS UI lecture secondary students on pharmacists’ roles

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It was a day of to remember, as the Pharmaceutical Association of Nigeria Students (PANS), University of Ibadan Chapter, hosted youngsters from neighbouring secondary schools to a symposium tagged “Wetin Pharmacists Dey Do Sef?”

The event which was aimed at sensitising secondary school students on the importance of pharmacists and the pharmacy profession was one of the programmes featured in the 2015/2016 PANS Week

Speaking on the importance of pharmacists, Pharm. Niyi Aje, a lecturer in the Department of Clinical and Administrative Pharmacy of the Faculty of Pharmacy, UI, described a pharmacist as a “health care professional who is trained and licensed to manufacture, distribute and dispense drugs and to advise patients on the use of drug”, adding that a pharmacist is “a professional who knows something about everything and everything about something. He possesses diversified skills and gets involved in decisions to improve the health of patients.”

Corroborating the first speaker, Pharm. Thomas of the Department of Pharmaceutical Chemistry, UI, corrected the misconception that the role of the pharmacist is to dispense drugs prescribed by doctors. He stressed that “pharmacists do not just dispense, they also identify, isolate and synthesise drugs”.

He encouraged the youngsters to study Pharmacy so as to fill the void damagingly occupied by quacks and profiteers. He cited “high demand and rewarding job opportunities” as inducement to the profession.

Chairman of the symposium, Pharm. Lekan Fashesin who is also the Grand Patron of PANS UI, rejoiced with the young students on being privileged to know about the pharmacy profession that early. While encouraging the youngsters, he advised that they should have a passion for what they do and also seek to match their temperament to their chosen profession.

The students were not left out in the discussion as they were given opportunities to air their views and ask questions where necessary. Present at the Reacting to some of the opinions of the youngsters, Sub-Dean (Undergraduate) of the Faculty of Pharmacy, UI, Dr Dapo Adetunji, he noted that “thinking Pharmacy is an alternative to Medicine is a gross error”.

Also lending his voice to the discussion, PANS UI President, Mr Elijah Ajiga, asserted that pharmacists are “dynamic people” and “partners in health”.

 

Odukoya tasks scientists on new research strategies

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Professor Kemi Odukoya
Professor Kemi Odukoya

For Nigeria to derive maximum economic benefits from research efforts, researchers must begin to apply new research strategies, former Dean of Pharmacy Faculty, University of Lagos, Professor Kemi Odukoya, has said.

Odukoya, who made the submission, during UNILAG’s 10th Annual Research Conference & Fair 2015, held recently at the Multipurpose Hall, University of Lagos, Akoka, said research was indispensable for national development.

“There must be research in all ramifications,” she said. “If you look at Pharmacy today, most of the disease states are not responding to old molecules anymore, so new molecules must be developed for disease states. And the only way to get there is through research. Thus the implementation of new research strategies for national transformation is key. How can you transform the nation with the old strategies?”

Odukoya stated further that research had suffered a major setback due to lack of commitment on the side of the government and the society as a whole.

“It’s unfortunate that Nigerians, don’t appreciate research; they only want the end product. How you start as an inventor, how you put all resources together to achieve the end product is of no interest to anyone. Being a successful scientist is more than just being a graduate, it’s what you have been able to produce from your end that speaks for you. It’s not all about money; the ivory tower at the university is for teaching, research and service”, she noted.

She therefore urged all students, academicians, and government to devote more time and resources to academic investigation, in order to boost the nation’s economy through research outputs.

Also speaking at the event, Deputy Vice Chancellor (Academic & Research), UNILAG, Professor Babajide Alo, stated that there would be no new knowledge, without new research efforts.

“That is why we at the University of Lagos believe seriously that it is only through research that our country can grow. It is only through research that the transformation we are looking for can take place, he said.”

Alo, who gave ample descriptions of research efforts at the institution, urged members of the society to take active part in the research process, by reporting challenges to academic and research institutions and looking up to them for solutions.

He added that as a public institution, the institution had an obligation to the society which was to provide solutions to the challenges of individuals in the society.

“Essentially this annual research conference is designed by the university to provide solutions to national challenges, and perennial challenges of the people of the nation. We are actually moving forward, because several works of the university are being utilised in the industry,” he said.

 

Accolades for Neros boss at 60

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L-R: Dr. Poly Emenike, the celebrant; Emeka Onwuka, former chief executive officer of Diamond Bank and Pharm. Nnamdi Obi, chairman, Association of Pharmaceutical Importers of Nigeria (APIN) at the event.

 It was a spectacular show of glamour at the Landmark Events Centre, Victoria Island extension, Lagos, where top government functionaries, politicians, pharmacists, technocrats and international figures gathered recently to honour Dr Poly Emenike, chairman of Neros Pharmaceuticals, as he celebrated his 60th birthday.

Extolling Emenike’s virtues, Prof. Pat Utomi, former presidential aspirant, described him as a special breed worthy of showcasing to future generations.

“We are in a society where people are beginning to think that education does not matter anymore as long as you have money. At other times, you hear things like you must know somebody in authority to be successful in life. I have spent years challenging such fallacious expressions. I am happy that Poly has justified my belief” he enthused.

A director of registration and regulatory affairs with the National Agency for Food and Drugs Administration and Control (NAFDAC), Dr Monica Hemben-Eimunjeze, equally expressed her admiration for the Neros chairman.

“He is such a hardworking man who stops at nothing to get things done the proper way,” she said. “NAFDAC is proud to be associated with him.”

In the words of Pharm Okey Akpa, chairman of the Pharmaceutical Manufacturers Group of the Manufacturers Association of Nigeria (PMG-MAN), the celebrant is more than just a public figure.

“Such an active fellow he is! In PMG-MAN, we regard him as one of our trusted and most reliable members,” he said.

Pharm. Nnamdi Obi, chairman of the Association of Pharmaceutical Importers of Nigeria (APIN) noted that the Neros helmsman, who he described as a bosom friend, had to surmount several obstacles to triumph over abject poverty and wretchedness to become a paragon of excellence.

“As one of his closest friends, I can categorically tell you that his journey in life was a practical demonstration of the triumph of the human spirit,” he said.

Born on November 28, 1955, at Nnanka in Orumba North Local Government Area of Anambra State to a peasant farmer and a petty trader mother, Emenike is the sixth child in a family of eight. He was baptised and enrolled in  schools managed by churches even though his parents were not Christians.

‘    On completion of primary school in 1971, Emenike  looked forward to his admission into secondary school with his mates. But that lofty dream was cut short despite coming out in flying colours in his Common Entrance Examinations. Young Emenike was rather sent to Onitsha, to live with his maternal uncle, a lawyer.

After spending three years in his uncle’s house without being allowed to go to school, Emenike  left his uncle and started saving for the future while working as a young entrepreneur.

At the age of  32, with a wife, children and a thriving enterprise, he enrolled as a pupil at Ansar-Ud-Deen Grammar School, Surulere, in Lagos State, wearing the school uniform like his much younger schoolmates. In 1988, he completed his O’Level studies. Thereafter,  his hunger for academic excellence drove him to the University of Lagos, where he obtained his BSc and MSc degrees in 1997 and 1999 respectively.

A reserved gentleman, Dr Emenike is the first non-American and fourth person to be honoured in the 50-year history of the Napoleon Hill’s Foundation as well as a recognised Member of the Order of the Niger (MON).

In 2012, at the International School of Management, Paris, France, Emenike capped his academic laurels with a doctorate degree.

Following his acclaimed exploits at home and abroad, he was honoured with the award of Odenigbo Nanka by his beloved people.

In attendance at the birthday bash were Dr Alex Ekwueme, former vice president of Nigeria; Pharm. Kennedy Izunwa, APIN technical director; Prof. Onwuchekwa Jemie, editor-in-chief of Business Day Newspaper; Sir Ifeanyi Atueyi, managing director of Pharmanews Limited; Mr Emeka Onwuka, former chief executive officer of Diamond Bank; Chief Chidi Anyaegbu, chairman of Chisco Transport; and Bishop Paulinus Ezeokafor, spiritual father of the day.

Others were Dr Peter Obi, former governor of Anambra State; Dr Andy Uba, member, senate special committee on public accounts; AVM Lucky Ararile, the Ovie of Umiaghwa Abraka Kingdom, Delta State; Dr Chukwuka Obiora, chairman of Greenlife Pharmaceuticals; Mike Okeke, former vice president, National Football Federation (NFF) and representatives of Meko Pharmaceutical.

NAFDAC, pharmacists, others applaud Emzor’s thanksgiving dinner

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L-R: Mrs Osinachi Kalu, gospel artiste; Mrs Ndidi Nwuneli, co-founder of LEAP Africa; Mrs Dayo Benjamins-Laniyi, media entrepreneur and Dr Stella Okoli, Emzor Group’s CEO at the thanksgiving dinner

The 2015 edition of Emzor Pharmaceutical Industries Annual Thanksgiving Dinner witnessed a massive turnout of pharmacists, top government functionaries, captains of industry, technocrats, politicians and professionals from all walks of life.

According to Dr Stella Okoli, Emzor Group’s chief executive officer, the colourful ceremony which held in December 2015 at City Hall in Lagos Island, was her own way of showing appreciation to God.

“When the company started, it has only one product – Emzor Paracetamol. It is a product I still refer to as the best paracetamol in the whole universe,” she enthused.

Okoli reminisced that when she returned to Nigeria from abroad, she, along with other enthusiastic pharmacists, were encouraged to go to into pharmaceutical manufacturing.

In her summation, the Emzor boss lamented that nobody warned her about how tough the terrain was until she discovered much later. Nevertheless, Okoli said that she was grateful to God for strengthening her in weathering the storm.

She added that Emzor’s story is one filled with testimonies because each year, it strives to take a giant stride.

“After a while, doctors in Nigerian hospitals started acknowledging the efficacy of Emzor Paracetamol. It is so good that everybody, including NAFDAC, testifies about its quality.

“As we thank our Almighty God, we are also celebrating complete wellness in Nigeria and Africa as a whole. Very soon, we know that it will go global because Emzor Paracetamol is God’s Own Product (GOP)” she stressed.

Praising Okoli’s courage in birthing and nurturing Emzor to its present state, Pharm (Mrs) Elizabeth Awagu, special adviser to NAFDAC’s director general, described her as a wonderful, charitable, straightforward, loving, kind and God-fearing individual.

Sharing her view, Prof. Cecilia Igwilo, a Fellow of the Pharmaceutical Society of Nigeria (PSN) remarked that providence had continued to bless Emzor as a company because of Okoli’s appreciative stance with God.

“She is a daughter of Zion, a child of God. She has been having this thanksgiving dinner consistently every year. People tend to neglect appreciation when things are going well, but she doesn’t.

“Remember the biblical story about the ten lepers where only one came back to show appreciation. What happened to the other nine? Let us learn to be appreciative always,” she counselled.

In his address, Dr Ernest Ndukwe, chairman of the occasion, who remarked that he was pleased with the attendees’ response to the praise and worship session of the event, said he had always admired the personality of Okoli.

“When I was asked to be the chairman of this event, I quickly accepted because of the personality of Dr Okoli. I am always impressed with the company’s policy concerning wellness which I believe was built on solid foundation.

“Besides, the calibre of people and government functionaries represented here today says a lot about the personality of Emzor’s chief executive officer, Dr Stella Okoli.”

Ndukwe, the immediate past chief executive officer of Nigerian Communication Commission (NCC), further disclosed that he was quite captivated with what he had just witnessed and was eager to replicate same in his household.

The ceremony equally witnessed inspiring hymns and soul-lifting songs from the duo of Frank Edward and Sinach, while Pastor J. T. Kalejaiye, of the Redeemed Christian Church of God, gave an exhortation.

Among the dignitaries who also graced the ceremony were Mrs Uzoma Ezeoke, Emzor’s director; Senator Oluremi Tinubu, wife of APC National Leader, Ashiwaju Bola Tinubu; Mrs Bolanle Ambode, First Lady of Lagos; Pharm. (Dr) Monica Hemben Eimunjeze, NAFDAC director of registration and regulatory affairs; Princess Adejoke Orelope-Adefulire, former deputy governor of Lagos; and Dr Femi Olugbile, former chief medical director of Lagos State University Teaching Hospital (LASUTH).

Others were Sir Ifeanyi Atueyi, managing director of Pharmanews Limited; Pharm Ebenezer Adeleke, managing director of Living Hope Pharmacy & Stores Limited; Dr Babatunde Sowemimo, former director of Pharmaceutical Services, Lagos State; Dr Emmanuel Egbogah, former special adviser to the president on petroleum matters and Dr Chimezie Anyakora, chief of party, United States Pharmacopoeia.

Emzor Pharmaceutical Industries Limited is a wholly private indigenous pharmaceutical manufacturing group founded in 1984 by Dr Stella C. Okoli, OON. The company manufactures high quality pharmaceutical products and medical consumables. Its holding company, Emzor Chemists Limited, opened for retail business in January 1977 in Yaba, Lagos.

The rapid growth of the retail business encouraged Emzor Chemists Limited to venture into the importation and wholesale of assorted pharmaceuticals. The idea to manufacture locally came later and this was predicated on the need to develop local capability, create jobs and provide high quality pharmaceutical products and services to the Nigerian people at prices that were not only affordable but represented value.

Emzor Pharmaceutical Ind. Ltd. started pilot production in 1985. By 1988 it had become an established pharmaceutical manufacturing company especially with the introduction of Emzor Paracetamol which is today a leading brand of analgesic not only in Nigeria but across Sub-Saharan Africa.

The company’s factory is located in the Isolo industrial area of Lagos with facilities to make a wide variety of high quality pharmaceutical products that meet international standards at affordable and competitive prices. All Emzor products meet the highest international standards and are duly registered with NAFDAC.

The then secretary of Health to the Interim National Government Dr Christopher Okojie officially commissioned the company’s factory in July 1993. The company has since attracted foreign missions, scholars, and students of pharmacy, microbiology and chemistry. In April 1999, Prof. Debo Adeyemi, the Honorable Minister of Health, commissioned the factory extension.

Strive for excellence, experts urge pharmacy students

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L-R: Prof. ’Fola Tayo, Caleb University’s pro-chancellor and chairman of council; Pharm (Sir) Ifeanyi Atueyi, managing director of Pharmanews Limited and Pharm. Remi Adeseun, chairman of Rodot Nigeria Limited in a warm handshake during the event

In a strategic move towards greater excellence in pharmaceutical practice, experts have called on pharmacy students to embrace a paradigm shift by challenging the status quo.

In his keynote address themed “Pharmacists’ Role in National Healthcare Policy Making” at a symposium held at Lagos University Teaching Hospital (LUTH), Idi-Araba,  Lagos  recently, Pharm. Remi Adeseun, chairman of Rodot Nigeria Limited, counselled students not to limit themselves to the conventional sub-fields of the profession.

He urged them to consider areas such as public health pharmacy which had become a growing area for modern-day professionals to explore.

“It is nothing to be scared of,” he assured. “Thank God we have trailblazers like Prof. ’Fola Tayo who are now experts in that aspect. For instance, how many of you are aware that nurses and pharmacists have been included in the prescription-based medicine policy of the United Kingdom, away from the conventional doctors-only policy of old?” he noted.

The pharmacist cum entrepreneur expressed confidence that Nigeria would soon be joining the trend, adding that young pharmacy students must necessarily broaden their knowledge,instead of limiting their scope of learning to what their lecturers taught them.

In a related development, Pharm (Sir) Ifeanyi Atueyi, managing director of Pharmanews Limited, equally advised final year students of the faculty to use the pharmacy profession to serve God, as this would make the profession more fulfilling for them.

“This has a lot to do with innate ability and talent in your calling. Money is good but it should not end there. Learn to give a listening ear to God. I want you to enjoy the profession because I am  enjoying it,” he enthused.

Another distinguished expert, Prof. ’Fola Tayo, also affirmed that the face of Pharmacy was changing strategically. The Caleb University’s pro-chancellor and council chairman further used the opportunity to warn those who were not interested in practising with their licence after graduation.

“Every licence has an expiration date which can be renewed based on how active you are. In the advanced world, if you don’t practise until expiration, such licence will be revoked. You will be asked to go back to school. I am sure none of you here wants that,” he stated.

Also lending his voice to the discourse, Pharm. Adeshina Opanubi, lead consultant of PharmAlliance, used a few parables to emphasise the need for the students to be proactive and persevering in challenging the status quo.

“Life is neither always easy nor comfortable. Things don’t happen as we wish. People don’t treat us as we hope. We work very hard, yet get few results. The way out is for us to make something good from the difficulties we face. Only through such means can we learn new things – new knowledge, new skills and new abilities. Above all, we tend to grow in experience. To succeed in life, we must try and try again. We must believe in what we are doing and must not give up,” he urged.

The annual health week programme organised by Pharmaceutical Association of Nigeria Students (PANS), UNILAG chapter was equally attended by Prof. Olukemi Odukoya, former dean, UNILAG Faculty of Pharmacy; Pharm. Charles Akinsete, chief executive officer of Biospec Network Limited; Pharm. (Dr) Monica Hemben Eimunjeze, NAFDAC director of registration and regulatory affairs; Pharm. Gbenga Olubowale, chairman, Lagos chapter of Pharmaceutical Society of Nigeria (PSN); Pharm. (Dr) Segun Adesegun, acting head, department of Pharmacognosy, UNILAG; and Dr Abimbola Sowemimo, sub dean, UNILAG Faculty of Pharmacy.

How God led me to care for widows, orphans, others – Pharm. Ezenwa

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Second from right, Pharm. Regina Ezenwa with other members of the team, presenting gift items to one of the widows.

 The story of the Roses Widows’ Day is a unique one, which started with only 35 widows in a small room, but has now grown up to over 800 widows during this year’s celebration. Spearheading this success story is no other person than Pharm. Regina Ezenwa, managing director, Rozec Pharmacy Ltd. Ezenwa received the call to care for the widows and the needy in the nineties, prompting her to start Roses Ministry. Since then, she has not allowed her professional obligations to hinder her from the extra role she was divinely assigned.

Althoug, the Roses Ministry has different departments – for the youths, the elderly and the widows-, this year’s Widows Day was outstanding, with lots of gifts for the women called ‘wives of Jesus’, to take home. Aside from food and clothing items, the widows’ health was also taken care of, as they were screened and given drugs by medical doctors alongside Association of Community Pharmacists of Nigeria members from Surulere branch. Temitope Obayendo had a chat with Pharm. Ezenwa at the event. Excerpts:

As a Fellow of the Pharmaceutical Society of Nigeria, what informed your decision to form an NGO?

Sometime in the 90s, as I submitted myself to the Lord as a willing vessel in the Full Gospel Business Men’s Fellowship International, the Lord began to speak to me: “feed my people.” Understanding feeding to mean giving people foodstuffs and spiritual foods, I did this, both at my community pharmacy and other places. As I ministered the word to people, their lives started changing, and I felt I was there. I had received the name in the 90s – “the Roses”; the Lord made me understand that that was the name, and I penned it down.

By 2006, however, the passion had become stronger, and it occurred to me that what I was doing was not what God was actually asking from me. Towards the end of that year, I was in a state where I was not aware of my physical condition (trance). In that state, the Lord appeared to me and said “the time is now”. The Lord gave me the words in Matthew 25: 35-36, “… I was hungry, you fed me, I was thirsty, you gave me drink, I was ill and you visited me…”

That passage became huge to me, and I asked myself, “Where do I start from?” I told my friends about the vision, and many of them offered to join me.

How was starting up like, with little or no resources?

We visited a school for the partially deaf and dumb at Surulere. We had a wonderful time with them, as we shared food and other things with them, and we went home fulfilled. After we had done this visitation for a while, it occurred to us that we needed a prayer backing; so we started from my sitting room. After a while, my sitting room was no longer conducive for us, as the number continued to increase. Thus we had to rent a space at Tantalizers that could accommodate up to 50 people. Eventually the Lord relocated us here, when our former place became too small for us.

Looking backward, what was the first Widows’ Day like?

In January 2007, the Lord said to me to show his love to these women (widows) whom He called His wives.      The very first Widows’ Day, we had about 35 widows. We had foodstuffs in small bags and also wrappers (fabric) for each of the women. The widows felt the love of God in their lives. This was how the 35 widows we started with grew to 804 widows this year.

Thereafter, were there other additions to the programme?

As we continued with the widows, we discovered that some of them were dying due to terminal diseases. So by 2009, we started medical intervention by screening them for high blood pressure and diabetes, as well as referring them to hospitals. But many of them returned to us to say they didn’t have money to pay to doctors. So we adopted the screening as part of the Widows’ Day last year. Thus for this year’s programme, we split it into two days – the first was for the medicals, which was in collaboration with the ACPN, Surulere Zone, and some doctors who offered their services to some patients who wished to see them.

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Through this medium, we have consistently given drugs to our hypertensive widows on a quarterly basis. We give them three-month packs of antihypertensive, and the diabetics have also been receiving free treatment too. I am glad to say that it was the Lord’s leading, because there was no patient that came for the medicals that was not attended to. Other drugs for malaria, anti-inflamatory, cough and catarrh were also dispensed to patients who needed them. We are really grateful to all companies who partnered with us on drugs and other items.

 From the medical screening conducted, what would you say is the predominant health challenge of widows?

From the screening conducted, it was discovered that the biggest health challenge of the widows is hypertension, as over 300 of them were found with the condition. Managing hypertension has to do with lifestyle, and we counselled them on low salt, low oil, more exercise, adequate rest, and staying away from undue worry.

 How do you hope to continue funding this project?

We have nothing of our own to support these widows, except individuals and few pharmaceutical companies. We urge government and bigger organisations to look for credible NGOs like us to support. We have credible team members who are contributing their time, talents and treasures. If we have corporate sponsorship, then we will be able to establish these women much more. We need funding to set up these widows in the different skills they have acquired, so that they will be able to cater for their families.

 

Why I dropped Biochemistry to focus on skincare – Dazzle MD

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Ms Adaobi Nnoli Nwaju is the managing director of Dazzle Beauty and Skin Care Specialist Home, a skincare home for treatment of all kinds of skin and scalp related conditions. In this interview with Pharmanews recently, the Anambra State born professional skincare specialist, who graduated from Nnamdi Azikiwe University, Awka, Anambra State as a biochemist,  speaks on the mission of her four-year-old company and how best Nigerians should care for their skin. Excerpts:

 Who is a skincare specialist?

Skincare specialists give facials, full-body treatments, and head and neck massages to improve the health and appearance of the skin. Some may provide other skincare treatments, such as peels, masks or scrubs, to remove dead or dry skin.

In addition to working with clients, skincare specialists also keep records of skincare regimens that their regular clients use. A growing number of specialists actively sell skincare products, such as cleansers, lotions, and creams. Those who operate their own salons have managerial duties that may include hiring, supervising, and firing workers, as well as keeping business and inventory records, ordering supplies, and arranging for advertising.

The job may involve a great deal of standing. Because skincare specialists must evaluate the skin’s condition, good lighting and clean surroundings are important. Protective clothing and good ventilation also may be necessary because skincare specialists often use chemicals on the face and body.

At Dazzle, we refer clients to medical personnel for treatment of serious skin problems. We advise clients about colours and types of makeup and instruct them in makeup application techniques. We sell makeup and other skin care products to our clients, while we collaborate with plastic surgeons and dermatologists to provide patients with preoperative and postoperative skin care.

 You graduated from the university as a biochemist. What informed your decision to go into skincare business?

I studied biochemistry in school as a course of study but along the line, I developed great passion for skincare and I started practising as an undergraduate. So, after my graduation, I quickly enrolled into a Beauty and Cosmetology School in Abuja, after which I also went to learn about cosmetics production.

When was Dazzle established and what were your objectives?

Dazzle Beauty and Skincare Specialist Home was established four years ago after I finished from beauty school. I initially started in Lagos before relocating to Abuja where we are presently; and to the glory of God we are doing tremendously well such that I have no regret dropping biochemistry to be a skincare expert.

At Dazzle Beauty and Skin Care Home, we treat all kinds of skin-related issues like acne, stretchmark, sunburn, skin rashes, ringworm, hyperpigmentation and hypopigmentation, acne scars, dehydrated skin, blackheads, enlarged pores, skin discoloration, scarring, dark patches, wrinkles and fine lines. We are also into hair and scalp related issues like hair breakage, dandruff, oily and dry scalp treatment – and all our treatment are guaranteed.

 

How well are your products doing in the market and what are you doing to ensure they are not counterfeited?

Dazzle beauty products are doing very well in the market because a lot of people that have used them have testified to their effectiveness. We are working so hard to make sure they are not faked because most of our products are herbals and they regenerate very fast.

 How relevant are skincare experts in the country and what does it cost to patronise them?

Skincare experts are very relevant in this country, especially in developed cities like Abuja, Lagos, Port Harcourt, Ibadan and many others. The reason is that so many people who live in these cities know the importance of skincare and beauty.

I have come to realise that so many people are dying in need of skincare experts for their skin-related issues but are afraid that it is only the rich and the celebrities that can afford skincare experts.  Also, we have so many who ignorantly patronise quacks, who rather than help them end up worsening their conditions.

At Dazzle Beauty Home, we guarantee every of our customers maximum satisfaction as we do proper skin analysis on each customer before commencing treatment.

 From your experience and observation, how well do Nigerians care about their skin? 

As I said earlier, it all boils down to the need for proper orientation as majority of  Nigerians who are properly enlightened care so much about their skin and therefore know what to do when they have issues with their skin. Our outward look is as important as what we take in; but most people care so much about what they eat and the drugs they take, in order to look healthy while they care less about their skin and their outward beauty. On the average, only about 30 per cent of Nigerians visit beauty homes to look after their beauty and care for their skins. The greater majority see it as needless extravagance.

 What keeps you passionate about helping people look beautiful?

What keeps me passionate about my job is the fact that I am able to put smiles on people’s faces in the little way I can. In fact, seeing my clients happy and satisfied after being treated or attended to makes me happier. Those are the things that keep me going in this business and I must say I am fulfilled in what I am doing.

In your opinion, why do people bleach?

People bleach for so many reasons, one of which is lack of confidence and inferiority complex. Bleaching has become a major practice in our society, to the extent that people now use different kinds of cream and soaps to achieve this. Studies reveal that most young boys and girls prefer using skin whitening products so that they can get a good standing in their groups, families and communities. In fact, the commercials shown on television these days also portray the same thing. These commercials have a great impact on the minds of young men and women and they opt for whatever cream or pill they can afford.

However, regardless of being a man or woman, skin bleaching is a good option to get rid of the black spots or any other type of spots on skin; but the options have become very complicated these days as there are plenty of options available in the market, leaving the customers confused.

 What are the side effects of bleaching?

Although skin bleaching or whitening could be a good option for getting rid of dark spots or skin discoloration, the process is not free from side effects. Some of the products are very harmful and can even cause skin cancer. Therefore, it is very important that people find out the side effects of skin bleaching before opting for it. Some other side effects are dark grey spots, acne, swelling of the skin, thinning of the skin, cataracts, settling down of fat on face, chest, upper back and stomach. There is also increase in appetite and weight gain; osteoporosis; neurological and kidney damage, due to high level of mercury used in the creams; psychiatric disorders; and severe birth defects. Some these side effects could be seen almost immediately while some are seen only after prolonged use of skin whitening creams.

What advice do you have for those who bleach and those who are careless about their skin?

Diet is the most important part that people should take care of if they want a flawless skin. Doing away with all refined food products and replacing them with healthy and nutritious ones is the secret.  Also when it comes to knowing how to taking care of one’s skin, it’s a matter of selecting the right product and importantly, being completely aware of the ingredients used in any product being considered.

It is important to consult a skin expert when considering trying a new skin care product to improve skin tone, remove age spots, sun spots, and other blemishes. That is why Dazzle Beauty Home is here.  $Our services are professionally offered  and our products are the best in the market.

NAIP, NIROPHARM laud Miraflash’s newly commissioned factory

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R-L: Pharm Moses Oluwalade, Miraflash’s managing director; Mrs Bridget Oluwalade, his wife; Prof Ayo Arije, chairman of the occasion; Pharm Ade Popoola, director of Reals Pharmaceutical and Elder J. A. Oluwalade, father of Miraflash’s director during the official commission of the company’s factory in Magboro, Ogun State
R-L: Pharm Moses Oluwalade, Miraflash’s managing director; Mrs Bridget Oluwalade, his wife; Prof Ayo Arije, chairman of the occasion; Pharm Ade Popoola, director of Reals Pharmaceutical and Elder J. A. Oluwalade, father of Miraflash’s director during the official commission of the company’s factory in Magboro, Ogun State

The Association of Industrial Pharmacists of Nigeria (NAIP) and the Nigerian Representatives of Overseas Pharmaceutical Manufacturers (NIROPHARM) have congratulated the management of Miraflash Pharmaceuticals, following the successful commission of its new factory in Ogun State.

The colourful event, which was held on 16 December 2015, attracted top government functionaries, patent medicine dealers, clergymen, community leaders, as well as several industrial, community and hospital pharmacists. While congratulating Pharm. Moses Oluwalade, managing director of the company, NIROPHARM’s vice chairman, Femi Soremekun, disclosed that all members of the association were proud of the achievement.

“Oluwalade is one of us. NIROPHARM rejoices with him. In particular, we are happy with his doggedness and determination to go through the rigour of setting up this factory. It is not easy. We wish him all the very best. And for those of us still hoping to set up a similar factory, he has set the pace for us to follow,” he said.

Sharing the same sentiments, Pharm Seye Agboola, chairman of Dortemag Pharmaceuticals, described the commissioning of the manufacturing plant as a great initiative.

“Among other things, it will help to absort people from the labour market. It will also motivate people to start seeing local manufacturing as the future of pharmaceuticals in the country. This is the time we hope the government can wake up to its responsibility by putting stable power, good roads and infrastructure in place. I wish Miraflash the best of luck,” he noted.

Also speaking at the event was Dr Lolu Ojo, former NAIP chairman, who admitted that the timing of the factory unveiling came to him as a surprise, given prevailing economic challenges.

“I congratulate the management and staff of Miraflash. It is a good thing. I must admit that it came to me as surprise because, in truth, this is a trying period when many companies are folding up. But for an indigenous manufacturing company to come up with a factory as big as this is indeed no mere feat. I congratulate the host State (Ogun), PSN, NAIP and Nigerians at large,” he remarked.

Ojo, who is also the managing director of Merit Healthcare Limited, Isolo, Lagos, started that the arrival of Miraflash plant would add to the growing list of local manufacturing companies, as well as benefit the country with quality products and employment creation.

In his welcome address, Prof. Ayo Arije, a consultant physician at the University College Hospital (UCH), Ibadan, educated the audience on the importance of pharmaceutical products where health is concerned.

“When you talk about drugs, we are discussing things that have a lot to do with the human life. It demands quality. It is even more important to engage a company that can deliver such quality,” he stressed.

The physician recalled that there was a time that his institution placed restriction on some drugs because the pharmaceutical companies manufacturing them were inconsistent in terms of quality control, adding that the country had gone beyond the stage of mediocrity and ignorance.

“In the past, we focused too much on witchcraft, where chronic diseases and illnesses were concerned. Thank God that such ignorance has been done away with. Nigeria is a developing country where making drugs revolves around availability and affordability. Let us continue to support local manufacturing companies like Miraflash,” he urged.

In his words of exhortation, Pastor Magnus Maduka, of the Redeemed Christian Church of God, Province 64, admonished the staff to sustain whatever they had done to bring the company to such enviable level.

While expressing his gratitude, Pharm Moses Oluwalade, Miraflash’s managing director, who described the launch as “an event of joy,” expressed optimism about the future of local manufacturing companies in the country.

“We are also particularly grateful to both the Pharmacists Council of Nigeria (PCN) and the National Agency for Food and Drugs Administration and Control (NAFDAC) for their invaluable support” he said.

According to him,  Miraflash, as at 2005, was only involved in the local manufacturing of four oral dry suspension powders which, include: Miramox (Amoxycillin), Miraclox (Ampiclox), Mirapicin (Ampicillin) and Cephaflash (Cephalexin) 125miligrammes.

He noted, however, that through hard work and purpose-driven management, Miraflash Nigeria Limited had made tremendous progress with the introduction of a capsule line at the newly commissioned factory.

Approval for the new range of capsules was given by both the National Agency for Food and Drug Administration and Control (NAFDAC) and the Pharmaceutical Council of Nigeria (PCN). “Today, the company sells over 37 high quality products at affordable prices all over Nigeria” he said

Speaking further, Oluwalade declared that Miraflash was one of two pharmaceutical companies selected in Nigeria by Standford Seed Innovation Programme (West Africa) in March 2015 for transformation of developing economies through the scaling of medium to large companies by intensive training and development of manpower and structural capacity.

The programme has enabled the company as a medium-sized company to establish some set goals to be achieved within five to ten years. He, however, called on the government to tackle the issue of the current prohibitive interest rate of commercial banks as no manufacturer can survive with an interest rate above 10 per cent.

The pharmacist urged pharmaceutical companies not to compromise on the quality of their products, while also urging pharmacists to embrace the use of new technologies, especially in checking the incidence of fake drugs.

“What we did in our own case is to adopt the Mobile Authentication Service (MAS) technology to help consumers verify the genuineness of the products they are buying.

“Anytime you buy our products and text the number on the scratch card, you will immediately receive an alert telling whether the drug is genuine or fake. Every pharma manufacturer producing antibiotics and antimalarial has that responsibility,” he emphasised.

The highlights of the event included the unveiling of Miraflash brands and a media tour of the factory which was led by the managing director and other distinguished pharmacists in the manufacturing industry.

In attendance were Pharm Ade Popoola, director of Reals Pharmaceutical; Pharm Ademola Adeoti, managing director of Synergy Healthcare Limited; Olakunle Olufisayo, Miraflash’s general manager (sales); Olufemi Odunayo, area manager and Yusuf Olukule, assistant national sales manager.

National Orthopaedic Hospital boss decries subvention decrease, NHIS coverage …As institution clocks 70

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L-R: Mrs Edoghogho Osagiede, head of admin., National Orthopaedic Hospital, Igbobi, Lagos (NOHIL); Dr Olurotimi Odunubi, medical director, NOHIL; Dr Mike Ugbeye, HOD, clinical services, NOHIL, at the press briefing.
L-R: Mrs Edoghogho Osagiede, head of admin., National Orthopaedic Hospital, Igbobi, Lagos (NOHIL); Dr Olurotimi Odunubi, medical director, NOHIL; Dr Mike Ugbeye, HOD, clinical services, NOHIL, at the press briefing.

There were mixed reactions in the Board Room of the National Orthopeadic Hospital Igbobi, Lagos (NOHIL) recently, as the Medical Director, Dr Olurotimi Odunubi, briefed journalists on the institution’s journey from way back in December 1945, when it was established as a medical centre, under the British Colonial medical services.

Odunubi who was filled with gratitude to God and all philanthropists who contributed to the immense development of the hospital, however lamented the sharp decrease in subvention from government, which drastically dropped from an average of N7 Million to N2.5 Million.

“This was a major challenge for a government-funded establishment like ours where government pays staff’s salary, gives overhead and has capital vote. With this development, we had to source for internally generated revenue to cope with our monthly cost of running the institution. For instance, we use an average of N4.1million worth of diesel monthly, with other costs inclusive,” he said.

He added that: “Nonetheless, on this occasion of our 70th anniversary, we are not ungrateful to the Federal government, for its unrelenting support to the NOHIL, even in the face of dwindling economy, as we are hopeful of better allocation in the coming years, for the provision of improved, international standard orthopaedic beds and plastic surgical services to the populace”, he stated.

Explaining reasons for the minimal increase in patients’ fees, Odunubi attributed it to the shortfall in subvention to the hospital, saying that the institution was still open to receive all injured patients, with or without payment, adding that their speedy recovery what mattered most to the caregivers, as payment can be made later.

He, however, assured the citizens of better services ahead, stating that the hospital was poised to give excellent services to the public after the platinum anniversary, appreciating all donors to the institution since inception, especially, Sir Mobolaji Bank Anthony, Adebutu Kessington Foundation, Santana Group, among others.

Head of Clinical Services, NOHIL, Dr Mike Ugbeye disclosed the milestones achieved by the institute in the past ten years, including provision of highly specialised care in arthroscopic orthopaedic; recognition as the first orthopaedic hospital in the West African Sub-region; emergence as the first centre to train prosthetics/orthotics manpower at the ND and HND levels in Nigeria; training of 68 per cent of all consultant orthopaedic surgeons in the country, among others.

He also mentioned how the institution had enjoyed partnership with other private organisations, including a foreign firm which sponsored the cost of hip replacement for sickle cell patients in conjunction with Sickle Cell Foundation, at a cost of N1 million per hip replacement for twelve patients.

Ugbeye also called on the government to extend the coverage of the National Health Insurance Scheme (NHIS) to cover all the services rendered in the hospital, in order to reduce the financial burden on patients, adding that the institute has a record of N25 million to N30 million unrecoverable bills per annum.

 

Stakeholders insist on 15 per cent budgetary allocation to health

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Until the governments at all levels, agree with the stipulated 2000 Abuja Declaration, to make the least of their budgetary allocations to health 15 %, there might not be an end in sight, to the recurrent poor health indexes of infant mortality, maternal morbidity, high burden of diseases, inadequate health care services in public and private facilities, et cetera.

NOHI
Mrs Olufunke Amobi, Stanbic IBTC Bank, right, and Dr. Tochi Okwor

This was the unanimous submission of bigwigs in the health care industry, who converged at the FECOT Auditorium of the National Orthopaedic Hospital, Igbobi , Lagos, (NOHIL) recently, for the 70th anniversary public lecture, themed:”Efficient health care delivery in the 21st century”.

Speaking on the topic: “National health financing and policy”, professor Akin Osibogun, former CMD, LUTH, said one major task before the federal government is the implementation of universal health coverage, by reducing out-of-pocket health services to the barest minimum in the country.

Osibogun, who was ably represented by Dr. Tochi Okwor, condemned the rate of out-of-pocket health services, which was put at 69% as at last year, emphasized that for as long as there are out-of-pocket payments for accessing health care in the country, then there is no equity in health care provision.

The former LUTH CMD, who agonized over the inadequate government provision on health, over the years, noted that government allocation to health is equivalent to 3.2 % of the total allocation for some years, even to the present, and this has brought a lot of inefficiency to the system.

He therefore called for the rectification of these anomalies in the in the sector, adding that harmonization of external aids and partnership for health care financing, could be means of moving the system forward.

Osibogun also identified lack of implementation of the National Health Act as a challenge in the industry, and urged all health practitioners to insist on the application of the Health Act, in their various units, stating that this will go a long way, in ameliorating some of these challenges in the sector.

In his own contribution, Mr Yinka Sanni, CEO, Stanbic IBTC Bank, further commented on the theme of the anniversary lecture, with a focus on private participation in the health sector and funding. He asserted that since the private sector provides 40 % of the health care delivery to the masses, then they should be empowered financially to provide the best services to the people.

Sanni, who was represented by Mrs Olufunke Amobi, highlighted the challenges of the private health sector to include :lack of coordination, inadequate access to finance; regulations and institutions, advocacy; lack of sustainability, and so on.

To overcome these recurrent bottlenecks in the private health sector, he recommended that there should be sustainability of funding, formulating and implementation of apt policies; advancement in public and private partnership and more donations from donor agencies.

The Medical director, Dr. O.O. Odunubi, during his address, expressed his commitment to staff welfare, stating that he has always ensure that things get better for them, because human resources is the most important resources to any organization.

Odunubi, who frown at frequent industrial actions, embarked upon by workers, which had disrupted the institution’s services in time past, said it’s unfortunate that that is the only weapon labour uses, and it disposes patients trust in them.”Industrial action in medical sector does not help our advocacy and services in any way”.

Among other things the institution is working on, he said the provision of an environment for both rich and poor, and the development of a system for preferential billing system, are imperative for them.

The chairman of the occasion, prince Julius Adelusi-Adeluyi , cautioned the health workers on their incessant complaint about government’s disposition towards them, adding that should put up more positive orientation, by using what they have to acquire what they need.

 

 

 

 

 

 

 

Why field representatives fail at closing sales- Pharm. Oyeniran

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The real reasons behind the failure of most client service executives in achieving sales target might not be far-fetched from what pharm. Tunde Oyeniran, CEO, White Tulip Consulting Limited, described as barriers to communication.

Oyeniran, who was facilitating the first training session of the year, organised by Pharmanews- WhiteTulip, for the upgrading of Pharmanews field force, said communication is highly essential in achieving sales goals and objectives. He divided human communication into three parts, namely: visual and non-verbal communication 55%, voice tone 38 % and words 7%.

He listed the main reasons for marketers’ failure in sealing businesses to include: fear; stereotype; noisy transmission; cultural differences; interpersonal relationship; and assumptions, stating that reps should keen in understanding the personality of their clients.

Oyeniran, who is also a sales life coach, advised reps to always do holistic analysis of their clients’ sales activities, in order to boost their customers’ base, adding that they must make conscious efforts to be good listeners, if they must succeed.

Real reasons pumpkin leaves (Ugwu) are essential for you

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Yes, lots of Nigerians know that consuming pumpkin leaves is beneficial, but a large percent of them do not really know the exact benefits it offers.

Fluted pumpkin (Ugwu) is one of the commonly consumed dark green leafy vegetables in Nigeria and many of us in Nigeria have been eating Ugwu without really realising its importance to our body.

Pumpkin leaves contain a healthy amount of Vitamin A, Vitamin C, Calcium, and Iron, while still staying very low on the calorie front.

We all know about the vision benefits vitamin A provides, as well as the skin benefits. Vitamin C helps to heal wounds and form scar tissue, and maintain healthy bones, skin, and teeth. However since the body cannot produce this vitamin on its own or even store it, you should be consistently getting enough vitamin C in your diet.

As for calcium, your mother probably already told you growing up that you need a healthy dose of calcium for your bones and teeth as a child. However, if you are a female, it is important to consume enough calcium to help prevent osteoporosis and keep your bones strong. There have also been studies showing that calcium may help reduce the risk of cardiovascular failure.

Iron helps our muscles store and use oxygen, and helps carry oxygen from our lungs to other parts of our bodies as part of hemoglobin. If you’ve ever heard the term “anemia”, this can be caused by iron deficiency. Women and children in particular need a healthy dose of iron consistently, and this leaves help provide that nutrient naturally.

Other health benefits of pumpkin leaves include:

  1. Prevention of convulsion: The young leaves sliced and mixed with coconut water and salt are stored in a bottle and used for the treatment of convulsion in ethno medicine.
  2. Lowers cholesterol: leaves has hypolipdemic effect and may be a useful therapy in hypercholestolemia.
  3. Boost fertility: A particular study showed that pumpkin has the potential to regenerate testicular damage and also increase spermatogenesis.
  4. It has a liver protecting effect.
  5. It has antibacterial effects
  6. The leaves are rich in iron and play a key role in the cure of anaemia, (my mother used to mix the leaf extract with milk)
  7. They are also noted for lactating properties and are in high demand for nursing mothers.
  8. It has an hypoglycaemic (sugar reducing) effect. It is good for diabetics
  9. Increases Blood Volume and Boost Immune System
  10. The high protein content in leaves of plants such as pumpkin could have supplementary effect for the daily protein requirement of the body.
  11. Contains a healthy amount of vitamins.

Lassa fever now in 64 LGAS, 17 states

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As the National Action Committee on Lassa fever was installed yesterday, the group has been saddled with the responsibility of providing a blue print for the containment of the Lassa fever, in two weeks time.

Meanwhile, the disease has spread to 64 local governments’ areas in 17 states, with 212 suspected cases, while Edo, Rivers, Taraba, Nasarawa states have emerged hottest zones for the disease.

The minister of health, prof. Isaac Adewole, made this disclosure during the National Council on Health (NCH) meeting with Commissioners for Health from all the states of the federation and other stakeholders in the health sector, yesterday.

Adewole, who described the current outbreak of the virus as a national embarrassment, fuelled by ignorance, urged all health practitioners to be honest in disclosing the present status of the disease in their states, stating that the objective of the meeting was to generate strategies on curbing the spread of the virus.

“There is a high level of denial and a conspiracy of silence in some of our states. I think people take delight in saying we have no case and to me that is not the issue.In fact, if you are able to pick suspicious cases, to me that is the issue because that goes to tell us that the surveillance system is at work.

“We also want to alert all health professionals in the country that they should report any case. I have described the outbreak as a national embarrassment.

“We can manage the embarrassment, but when we allowed another outbreak to occur in August last year, it became a national shame to all of us.

“One of the things we will do to prevent us from dragging this nation into shame is to stamp out Lassa fever,” he said.

 

 

 

 

 

Lagos records first Lassa fever case, as FG installs Action Committee

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It’s now authentic that the Lassa virus has found its way into the centre of excellence, as the first case of the disease was confirmed in the state last Friday.

According to the Commissioner for Health, Dr Jide Idris, the patient, a 25 year old male undergraduate of the Ahmadu Bello University, Kaduna, is presently being managed at the Lagos University Teaching Hospital and his condition is stable.

In a swift reaction to curb the spread of the disease, the state government has sealed off the facility, the Ahmmadiyyah Hospital in the Ojokoro area of the state, where the patient was attended to, before heading to LUTH.

Speaking in a telephone interview during Sunrise Daily this morning, the minister of Health, Dr. Isaac Adewole urged health practitioners to desist from seeing the outbreak as a failure on their part, adding that such reasoning could prevent them from disclosing cases of the disease in their states.

His words: “I think at professional level, people must just admit that an outbreak should not be considered as a fault in the system but as something to be reported and actively to be presented”.

The Minister said that the Ministry of Health is in touch with all Commissioners of Health in the country, stressing that they would be meeting on Tuesday under the auspices of the National Council on Health.

“We have also dispatched drugs to the state and we are reactivating all our treatment and diagnostic centres in a bid to ensure that we are able to make diagnosis promptly.

“We are also sending teams all over the states to ensure that we uncover cases that hitherto, were not reported.”

Meanwhile, the Federal Government is set to inaugurate National Lassa Fever Action Committee on Tuesday, in order to forestall further spread of the disease.

The Director, Media and Public Relations in the Federal Ministry of Health, Mrs Boade Akinola, stated this in a statement made available to journalists in Abuja yesterday.

The statement also quoted prof. Adewole, as indicating that the ministry would convene an Emergency National Council on Health meeting to discuss the on-going Lassa fever outbreak in the country. It is hopeful that this committee will do justice to the outbreak.

 

Combisunate 80/480

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  • First line treatment for uncomplicated Malaria and recommended by WHO
  • If symptoms persist after 3 days of treatment consult your doctor

 

Combisunate

ATORFIT

3
  • Significant reduction in cardiovascular events such as MI, Angina & risk of Stroke
  • Can be taken anytime of the day irrespective of food

 

Contraindications

  • Active liver disease or unexplained persistent elevations of serum transaminases.
  • Hypersensitivity to any component of this medication

Clarithromycin 500mg Tablets

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Clarithromycin

  • Clarithromycin is a first-line treatment for lower respiratory tract infections
  • Clarithromycin is an effective antibiotic for treatment of lower respiratory tract infections

 

Contraindications

Clarithromycin is contraindicated in patients with known hypersensitivity to macrolode antibiotic drugs or any of its excipients

Why physical activity is essential for you

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Do you want to add years to your life? Or life to your years? Feeling your best boosts your zeal for life!

The American Heart Association recommends at least 150-minutes of moderate activity each week. An easy way to remember this is 30 minutes at least 5 days a week, but three 10-minute periods of activity are as beneficial to your overall fitness as one 30-minute session. This is achievable! Physical activity may also help encourage you to spend some time outdoors.

Here are some reasons why physical activity is proven to improve both mental and physical health.

  1. Physical activity boosts mental wellness.

Regular physical activity can relieve tension, anxiety, depression and anger. You may notice a “feel good sensation” immediately following your physical activity, and most people also note an improvement in general well-being over time as physical activity becomes a part of their routine.

  1. Physical activity improves physical wellness.

(Reduced Risk Factors)

Too much sitting and other sedentary activities can increase your risk of cardiovascular disease. One study showed that adults who watch more than 4 hours of television a day had a 46% increased risk of death from any cause and an 80% increased risk of death from cardiovascular disease.

Becoming more active can help lower your blood pressure and also boost your levels of good cholesterol.

  1. Physical activity prolongs your optimal health.

Without regular physical activity, the body slowly loses its strength, stamina and ability to function well. People who are physically active and at a healthy weight live about 7 years longer than those who are not active and are obese.

  1. Improves blood circulation, which reduces the risk of heart disease
  2. Keeps weight under control
  3. Helps in the battle to quit smoking
  4. Improves blood cholesterol levels
  5. Prevents and manages high blood pressure
  6. Prevents bone loss
  7. Boosts energy level
  8. Helps manage stress
  9. Releases tension
  10. Promotes enthusiasm and optimism
  11. Counters anxiety and depression
  12. Helps you fall asleep faster and sleep more soundly
  13. Improves self-image
  14. Increases muscle strength, increasing the ability to do other physical activities
  15. Provides a way to share an activity with family and friends
  16. Reduces risk of developing CHD/CVD by 30-40 percent
  17. Reduced risk of stroke by 20 percent in moderately active people and by 27 percent in those who are highly active
  18. Establishes good heart-healthy habits in children and counters the conditions (obesity, high blood pressure, poor cholesterol levels, poor lifestyle habits, etc.) that lead to heart attack and stroke later in life
  19. Helps delay or prevent chronic illnesses and diseases associated with aging and maintains quality of life and independence longer for seniors

Proven ways to get out of diarrhea

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Diarrhea could constitute a serious menace to the human system, whenever the bowel decides to react to anything it finds strange to the system. It is an increase in the frequency of bowel movements, an increase in the looseness of stool or both.

Diarrhea is caused by frequent secretion of fluid into the intestine, reduced absorption of fluid from the intestine or rapid passage of stool through the intestine.

Symptoms associated with diarrhea include abdominal pain, especially cramping. Other symptoms depend on the cause of the diarrhea.

Diarrhea can be defined absolutely or relatively. Absolute diarrhea is defined as more than five bowel movements a day or liquid stools. Relative diarrhea is defined as an increase in the number of bowel movements per day or an increase in the looseness of stools compared with an individual’s usual bowel habit.

Here are the top 8 ways to get rid of diarrhea.

  1. Ginger

Ginger is used in the treatment of food poisoning and can also help get rid of cramps and abdominal pain.

Grate a small piece of ginger and add one teaspoon of honey. Eat the mixture to promote the release of gastric juices and improve digestion. Avoid drinking water immediately after eating it.

You can also drink ginger tea two to three times a day to cure diarrhea. Slice one small piece of ginger and add them to one cup of water. Boil the water for a few minutes, strain it and add some honey before drinking it. If fresh ginger is not available, you can use powdered ginger from your spice rack.

  1. Apple Cider Vinegar

Another effective home cure for diarrhea is apple cider vinegar. It acts as an effective agent against bacteria that cause diarrhea.

* Add one teaspoon of apple cider vinegar to a glass of water.

* Drink the solution once or twice a day until your diarrhea subsides.

  1. Bananas

When dealing with diarrhea, it is recommended to eat ripe bananas because of their high pectin content.

  • Pectin is a water-soluble fiber that helps reduce diarrhea. Bananas are also high in potassium, an electrolyte that supports a number of vital functions in the body.
  • Eat a few ripe bananas a day until your diarrhea subsides.
  1. Chamomile Tea

Chamomile has antispasmodic properties that can provide relief from abdominal pains accompanying stomach disorders including diarrhea. It also is helpful in reducing intestinal inflammation.

* Make chamomile tea by steeping one teaspoon of chamomile flowers and one teaspoon of   peppermint leaves in a cup of boiling water for 10 minutes.

* Strain it and drink the tea a few times a day.

  1. White Rice

Plain white rice is among the bland foods recommended to eat during diarrhea because it is easy to digest. In addition, it can help decrease the amount of stools by adding bulk to the stools.

* Eat small amounts of plain white rice (without any added sauces and spices). Gradually increase the amount of rice as your diarrhea improves.

  1. Black Seed Oil

Black seed is also used in the treatment of various health problems such as gas, colic, asthma, constipation and diarrhea. For treating diarrhea, use black seed oil.

  • Mix a teaspoon of black seed oil in a cup of plain yogurt.
  • Eat this mixture twice a day until the diarrhea symptoms are completely gone.

These natural remedies for diarrhea can have different effects on different people depending on the intensity and the cause of their diarrhea. If your symptoms do not improve within three to four days, you should see a doctor.

  1. Carrot Soup

Carrot soup is a high-bulk food and is believed to have antidyspeptic effects. Carrot soup is particularly good for children recuperating from diarrhea because it provides essential nutrients lost during diarrhea.

  • Wash, scrape and finely chop 500g carrots.
  • Pressure cook the carrots with a little more than one-half cup of water for about 15 minutes.
  • Drain the liquid.
  • Add a little salt to taste.
  • Eat this soup fresh daily for a few days when suffering from diarrhea.
  1. Clear Fluids

Diarrhea can cause your body to become dehydrated. Drink at least eight glasses of water along with coconut water, clear broths, vegetable soups, and clear sodas (without caffeine) when suffering from diarrhea. You can also drink sports drinks that do not contain caffeine.

Stay away from caffeinated and alcoholic drinks. Also, avoid acidic drinks such as tomato juice and citrus juices.

Top 10 Tips for Healthy growing Children

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Developing a healthy eating habit could be a tall order for some kids, as most caring parents go all out in ensuring that their wards eat well.And it is crystal clear that healthy eating is crucial in raising healthy children.That is the more reason the subject of discussion is very important to caring mums  and dads.

Following some basic guidelines, as developed by KidsHealth can help encourage your kids to eat right and maintain healthy weight.

Here are 10 key rules to live by:

  1. Parents control the supply lines:

You decide which foods to buy and when to serve them. Though kids will pester their parents for less nutritious foods, adults should be in charge when deciding which foods are regularly stocked in the house. Kids won’t go hungry. They’ll eat what’s available in the cupboard and fridge at home. If their favorite snack isn’t all that nutritious, you can still buy it once in a while so they don’t feel deprived.

  1. From the foods you offer, kids get to choose what they will eat or whether to eat at all:

Kids need to have some say in the matter. Schedule regular meal and snack times. From the selections you offer, let them choose what to eat and how much of it they want. This may seem like a little too much freedom. But if you follow step 1, your kids will be choosing only from the foods you buy and serve.

  1. Quit the “clean-plate club:

Let kids stop eating when they feel they’ve had enough. Lots of parents grew up under the clean-plate rule, but that approach doesn’t help kids listen to their own bodies when they feel full. When kids notice and respond to feelings of fullness, they’re less likely to overeat.

  1. Start them young:

Food preferences are developed early in life, so offer variety. Likes and dislikes begin forming even when kids are babies. You may need to serve a new food a few different times for a child to accept it. Don’t force a child to eat, but offer a few bites. With older kids, ask them to try one bite.

  1. Rewrite the kids’ menu:

Who says kids only want to eat hot dogs, pizza, burgers, and macaroni and cheese? When eating out, let your kids try new foods and they might surprise you with their willingness to experiment. You can start by letting them try a little of whatever you ordered or ordering an appetizer for them to try.

  1. Drink calories count:

Soda and other sweetened drinks add extra calories and get in the way of good nutrition. Water and milk are the best drinks for kids. Juice is fine when it’s 100%, but kids don’t need much of it — 4 to 6 ounces a day is enough for preschoolers.

  1. Put sweets in their place:

Occasional sweets are fine, but don’t turn dessert into the main reason for eating dinner. When dessert is the prize for eating dinner, kids naturally place more value on the cupcake than the broccoli. Try to stay neutral about foods.

  1. Food is not love:

Find better ways to say “I love you.” When foods are used to reward kids and show affection, they may start using food to cope with stress or other emotions. Offer hugs, praise, and attention instead of food treats.

  1. Kids do as you do:

Be a role model and eat healthy yourself. When trying to teach good eating habits, try to set the best example possible. Choose nutritious snacks, eat at the table, and don’t skip meals.

  1. Limit TV and computer time:

When you do, you’ll avoid mindless snacking and encourage activity. Research has shown that kids who cut down on TV-watching also reduced their percentage of body fat. When TV and computer time are limited, they’ll find more active things to do. And limiting “screen time” means you’ll have more time to be active together.

Checkout the wholesome goodness of Lettuce

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Lettuce, a common green leafy-vegetable, in salads is crispy, and loaded with essential nutrients. In fact, it is most sought-after for crunchy green salads or healthy sandwiches.

An attempt to cut or squeeze Lettuce leaves will produce milk-like fluid (sap) and hence its name derived from Latin lactuca for milk. Botanically this marvelous, nutrition rich leafy green belongs to the daisy family of Asteraceae. Scientific name: Lactuca sativa.

Lactuca sativa is a small size annual plant that flourishes well under sandy, humus soil. According to nutrition-and-you, there are about six varieties of cultivars, based upon their head formation and leaf structure. Leaf varieties with more bitter taste are rather rich in nutrients as well as antioxidants.

Further information from nutrition-and-you reveals that there are several health benefits of Lettuce. They include but not limited to the followings:

  • Lettuce leaves are one of the very low calorie green-vegetables. 100g fresh greens provide just 15 calories. Nonetheless, they are the store house of many phyto-nutrients that possess health promoting and disease prevention properties.
  • Vitamins in lettuce are plentiful. Its fresh leaves are an excellent source of several Vitamin A and beta carotenes. Just 100 g of fresh, raw-lettuce provides 247% of daily vitamin A, and 4443 µg of beta-carotene (Carotenes convert into vitamin A in the body; 2 µg of carotene is considered equivalent to 1 IU of vitamin A). These compounds have antioxidant properties. Vitamin A is required for maintaining healthy mucus membranes and skin, and is also essential for vision. Consumption of natural fruits and vegetables rich in flavonoids helps to protect the body from lung and oral cavity cancers.
  • It is a rich source of vitamin K. Vitamin K has a potential role in the bone metabolism where it thought to increase bone mass by promoting osteotrophic activity inside the bone cells. It also has established role in Alzheimer’s disease patients by limiting neuronal damage in the brain.
  • Fresh leaves contain good amounts folates and vitamin C. Folates are part of co-factors in the enzyme metabolism required for DNA synthesis and therefore, play a vital role in prevention of the neural tube defects in the baby (fetus) during pregnancy.
  • Vitamin C is a powerful natural antioxidant; regular consumption of foods rich in vitamin C helps the body develop resistance against infectious agents and scavenge harmful, pro-inflammatory free radicals.
  • Zea-xanthin (1730 µg per 100 g), an important dietary carotenoid in lettuce, is selectively absorbed into the retinal macula lutea, where it thought to provide antioxidant and filter UV rays falling on the retina. Diet rich in xanthin and carotenes is thought to offer some protection against age-related macular disease (ARMD) in the elderly.
  • It also contains good amounts of minerals like iron, calcium, magnesium, and potassium, which are very essential for body metabolism. Potassium is an important component of cell and body fluids that helps controlling heart rate and blood pressure. Manganese is used by the body as a co-factor for the antioxidant enzyme, superoxide dismutase. Copper is required in the production of red blood cells. Iron is essential for red blood cell formation.
  • It is rich in B-complex group of vitamins like thiamin, vitamin B-6 (pyridoxine), riboflavins.

 

 

 

Lassa Fever claims 41 lives, reported cases rose to 93- Health minister

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As the deadly disease of  Lassa fever continues to spread from one state to the other in the country, bringing down the souls of victims in their tens, the death toll from the epidemic rose from 40 to 41 yesterday, with increase in  reported cases from 86 to 93.

The Minister of Health, Professor Isaac Adewole, who confirmed this in Abuja on Tuesday at a joint ministerial news conference on the update of the outbreak of the disease, however assured the citizens of the Federal Government’s efforts in curtailing further spread of the virus.

According to the Minister,  Nigeria has been experiencing Lassa fever outbreak in the past six weeks in Bauchi, Nasarawa, Niger, Taraba, Kano, Rivers, Edo, Plateau, Gombe and Oyo states.

“The first case of the current outbreak was reported from Bauchi in November last year. This was followed by cases reported by Kano State and subsequently the other states mentioned above”.

“Our laboratories have confirmed 22 cases so far, indicative of a new round trip of Lassa fever outbreak.The Nigerian government will continue to enhance its surveillance and social health education, information   and   communication   activities to prevent the disease from spreading further in Nigeria and I wish to call for the support and understanding of Nigerians”, the minister said.

Adewole added that in response to the reported outbreak, the Federal Government had taken some drastic measures to curtail further spread and reduce mortality.

The measures, he said, included immediate release of adequate quantities of ribavirin, the specific antiviral drug for Lassa Fever to all the affected states for prompt and adequate treatment of cases; and deployment of rapid response teams from the Federal Health Ministry to all the affected states to assist in investigating and verifying the cases and tracing of contacts.

He however said that the non-specific nature of symptoms and varied presentations, have made clinical diagnosis difficult and delayed, especially in the early course of the disease outbreak.

In case of any suspected Lassa fever patient around you, you should immediately contact the epidemiologist in the State Ministry of Health or call the Federal Ministry of Health using the following numbers: 08093810105,08163215251, 08031571667 and 08135050005.

 

 

All you need to know about Lassa fever

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Lassa fever is an acute viral haemorrhagic illness of 1-4 weeks duration that occurs in West Africa.

The Lassa virus is transmitted to humans via contact with food or household items contaminated with rodent urine or faeces.

Person-to-person infections and laboratory transmission can also occur, particularly in hospitals lacking adequate infection prevent and control measures.

Lassa fever is known to be endemic in Benin (where it was diagnosed for the first time in November 2014), Guinea, Liberia, Sierra Leone and parts of Nigeria, but probably exists in other West African countries as well.

The overall case-fatality rate is 1%. Observed case-fatality rate among patients hospitalized with severe cases of Lassa fever is 15%.

Early supportive care with rehydration and symptomatic treatment improves survival.

Background

Though first described in the 1950s, the virus causing Lassa disease was not identified until 1969. The virus is a single-stranded RNA virus belonging to the virus family Arenaviridae.

About 80% of people who become infected with Lassa virus have no symptoms. One in five infections result in severe disease, where the virus affects several organs such as the liver, spleen and kidneys.

Lassa fever is a zoonotic disease, meaning that humans become infected from contact with infected animals. The animal reservoir, or host, of Lassa virus is a rodent of the genus Mastomys, commonly known as the “multimammate rat.” Mastomys rats infected with Lassa virus do not become ill, but they can shed the virus in their urine and faeces.

Because the clinical course of the disease is so variable, detection of the disease in affected patients has been difficult. However, when presence of the disease is confirmed in a community, prompt isolation of affected patients, good infection protection and control practices and rigorous contact tracing can stop outbreaks.

Symptoms of Lassa fever

The incubation period of Lassa fever ranges from 6-21 days. The onset of the disease, when it is symptomatic, is usually gradual, starting with fever, general weakness, and malaise. After a few days, headache, sore throat, muscle pain, chest pain, nausea, vomiting, diarrhoea, cough, and abdominal pain may follow. In severe cases facial swelling, fluid in the lung cavity, bleeding from the mouth, nose, vagina or gastrointestinal tract and low blood pressure may develop. Protein may be noted in the urine. Shock, seizures, tremor, disorientation, and coma may be seen in the later stages. Deafness occurs in 25% of patients who survive the disease. In half of these cases, hearing returns partially after 1-3 months. Transient hair loss and gait disturbance may occur during recovery.

Death usually occurs within 14 days of onset in fatal cases. The disease is especially severe late in pregnancy, with maternal death and/or fetal loss occurring in greater than 80% of cases during the third trimester.

Transmission

Humans usually become infected with Lassa virus from exposure to urine or faeces of infected Mastomys rats. Lassa virus may also be spread between humans through direct contact with the blood, urine, faeces, or other bodily secretions of a person infected with Lassa fever. There is no epidemiological evidence supporting airborne spread between humans. Person-to-person transmission occurs in both community and health-care settings, where the virus may be spread by contaminated medical equipment, such as re-used needles. Sexual transmission of Lassa virus has been reported.

Lassa fever occurs in all age groups and both sexes. Persons at greatest risk are those living in rural areas where Mastomys are usually found, especially in communities with poor sanitation or crowded living conditions. Health workers are at risk if caring for Lassa fever patients in the absence of proper barrier nursing and infection control practices.

Diagnosis

Because the symptoms of Lassa fever are so varied and non-specific, clinical diagnosis is often difficult, especially early in the course of the disease. Lassa fever is difficult to distinguish from other viral haemorrhagic fevers such as Ebola virus disease; and many other diseases that cause fever, including malaria, shigellosis, typhoid fever and yellow fever.

Definitive diagnosis requires testing that is available only in specialized laboratories. Laboratory specimens may be hazardous and must be handled with extreme care. Lassa virus infections can only be diagnosed definitively in the laboratory using the following tests:

  • antibody enzyme-linked immunosorbent assay (ELISA)
  • antigen detection tests
  • reverse transcriptase polymerase chain reaction (RT-PCR) assay
  • virus isolation by cell culture.

Treatment and vaccines

The antiviral drug ribavirin seems to be an effective treatment for Lassa fever if given early on in the course of clinical illness. There is no evidence to support the role of ribavirin as post-exposure prophylactic treatment for Lassa fever.

There is currently no vaccine that protects against Lassa fever.

Prevention and control

Prevention of Lassa fever relies on promoting good “community hygiene” to discourage rodents from entering homes. Effective measures include storing grain and other foodstuffs in rodent-proof containers, disposing of garbage far from the home, maintaining clean households and keeping cats. Because Mastomys are so abundant in endemic areas, it is not possible to completely eliminate them from the environment. Family members should always be careful to avoid contact with blood and body fluids while caring for sick persons.

 

In health-care settings, staff should always apply standard infection prevention and control precautions when caring for patients, regardless of their presumed diagnosis. These include basic hand hygiene, respiratory hygiene, use of personal protective equipment (to block splashes or other contact with infected materials), safe injection practices and safe burial practices.

Health workers caring for patients with suspected or confirmed Lassa fever should apply extra infection control measures to prevent contact with the patient’s blood and body fluids and contaminated surfaces or materials such as clothing and bedding. When in close contact (within 1 metre) of patients with Lassa fever, health-care workers should wear face protection (a face shield or a medical mask and goggles), a clean, non-sterile long-sleeved gown, and gloves (sterile gloves for some procedures).

Laboratory workers are also at risk. Samples taken from humans and animals for investigation of Lassa virus infection should be handled by trained staff and processed in suitably equipped laboratories.

On rare occasions, travellers from areas where Lassa fever is endemic export the disease to other countries. Although malaria, typhoid fever, and many other tropical infections are much more common, the diagnosis of Lassa fever should be considered in febrile patients returning from West Africa, especially if they have had exposures in rural areas or hospitals in countries where Lassa fever is known to be endemic. Health-care workers seeing a patient suspected to have Lassa fever should immediately contact local and national experts for advice and to arrange for laboratory testing.

WHO

Lassa fever update: Taraba State Government allays citizens’ fear, equips patients and personnel with drugs.

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As the dread of the Lassa Virus continued to spread in Taraba State, and other parts of the country, the state government has risen to the challenge by deploying health workers across the state to sensitise citizens on symptoms and preventive measures of the Lassa fever.

Assuring citizens of government intervention on Wednesday, as televised on Channels TV News@ Noon, the Taraba State Commissioner of Health, Dr. Innocent Vakkai, said the government has purchased drugs for treatment of patients and protective equipment for medical personnel on.

Dr. Vakkai, who was on a visit to the Federal Medical Centre in Jalingo, Taraba State capital, where he was taken round the wards by the Medical Directors to see the facility on ground and how the hospital is handling the patients, pending the outcome of blood samples taken for clarification, asked members of the public not to panic, as the state government had responded swiftly to tackling the disease with the provision of drugs and equipment for medical personnel.

A Medical Director at the Federal Medical Centre, Wiza Inusa, told reporters that it has not been ascertained if the affected patients are suffering from Lassa fever since blood samples have been taken to a specialist hospital for further confirmation.

The medical personnel however cautioned citizens on the need to step up their hygienic principles as well as keeping food stuffs from rodents, while they await the result of the blood samples taken for verification, at Irrua Specialists’ Hospital in Edo State for further confirmation.

It was earlier reported that one person has died of the fever in the state while two others infected persons have been quarantined

Season’s greetings to all our readers

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We are deeply indebted to all our readers, advertisers and subscribers, who have made the business of health publication a possibility for us, in the outgoing year of 2015.Our prayers for you is that, may the good Lord preserve you and yours throughout the coming years, in sound health and prosperity.

Thanks for always being there for us.

Made In India – Pharmaceutical Business 2015 -Trailer

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The Pharmaceutical business in India is the world’s third-largest when it comes to quantity. Based on Division of Prescribed drugs the overall turnover of India’s prescription drugs business between 2008 and 2009 was US$21.04 billion. India is without doubt one of the fastest-growing pharmaceutical markets on the earth and has established itself as a worldwide manufacturing and analysis hub. A big uncooked materials base and the supply of a talented workforce offers the business a particular aggressive benefit. India is as we speak one of many high rising markets within the world pharmaceutical scene. The sector is very information based mostly and its regular development is positively affecting the Indian economic system. The organized nature of the Indian pharmaceutical business is attracting a number of firms which can be discovering it viable to extend their operations within the nation. In 2013, there have been four,655 pharmaceutical manufacturing crops in all of India, using over 345 thousand individuals
The Indian pharma business is on an excellent development path and is prone to be within the high 10 world markets in worth phrases by 2 thousand 20, in line with the Worth water cooper report. Excessive burden of illness, good financial development resulting in increased disposable incomes, enhancements in healthcare infrastructure and improved healthcare financing are driving development within the home market, the report highlighted. The small and medium enterprises are anticipated to play a big position within the development story of the nation’s pharma sector as they contribute 35–40 per cent to the business when it comes to manufacturing

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Pharmacists must display professional skills in curbing drug abuse- Lagos PSN chairman

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Worried by the spate of drug abuse in the country, the Lagos State PSN chairman, Pharm. Gbenga Olubowale has called on all pharmacists in the state and across the country, to bring their professionalism into the fore, in order to rid the nation of the phenomenon.

The Lagos PSN Chairman, who made the call during the end of the year party of the association, said the abuse of Codeine, Tramadol, and even Postinol, among young stars has a lot of ripple effects.

Details later

President Buhari’s 2016 Budget and the Health Sector

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The numbers have been crunched and the budget is in, but it is set to leave health stakeholders in jaw-dropping shock.

Health was only mentioned once in President Muhammadu Buhari’s entire budget speech before the National Assembly on Tuesday-and that in connection with recurrent expenditure.

Now analysts are doing the maths.

Health sector gets N221.7 billion in recurrent spending, compared with N369.6 billion for education, N294.5 billion for defence and N145.3 billion for the interior ministry.

“This will ensure our teachers, armed forces personnel, doctors, nurses, police, fire fighters, prison service officers and many more critical service providers are paid competitively and on time,” the president told Nigerians on live TV.

The 2016 budget of N6.08 trillion is big on capital spending-N1.8 trillion, compared with N557 appropriated for capital spending under President Goodluck Jonathan last year.

Capital spending alone makes a third of the entire budget, and President Buhari intends future hikes in its proportion in future years.

What’s not certain is how much capital spending comes to health, and how to go on with the newfangled zero-base budgeting.

Take the cost of immunising Nigeria’s children. Vaccines and the services that surround immunisation next year will cost $1.4 billion, according to official estimates.

At N197 to a dollar, that’s N275.8 billion. In context, $1.4 billion is one-sixth the worth shaved off Aliko Dangote’s fortune since February by a combination of Naira slump and falling stock prices, according to Forbes.

Getting the vaccines could be some headache for the National Primary Health Care Development Agency, which coordinates immunisation nationwide.

NPHCDA says it has “secured” a $148 million from GAVI-the Global Alliance for Vaccines Initiative, which helps procure and move vaccines around the world. A counterpart $166 million from federal government is uncertain, and so is the rest of the money.

“NPHCDA should be ashamed to say it has secured GAVI funding,” one health expert said. “What we should be looking for is how to fund our vaccine needs ourselves.”

The present 2015 is a lesson. With proposal of N232.3 billion for personnel, N5.2 billion for overhead and N20 billion for capital spending, a shortfall meant Nigeria couldn’t cough up its counterpart spending for immunisation, and the World Bank stepped in to pay up.

Watchers of Nigeria’s health sector worry about overweening dependence on foreign donors-amidst concerns many are tightening their purse strings and cutting back funding.

GAVI procurements favour low- and middle-income countries. A rebased GDP under President Jonathan made Nigeria’s economy the largest in Africa, the 26th largest in the world, and cost it GAVI privileges for low-income countries.

It means finding a way to pay for its own vaccines, full. It also means allotting funding and backing allocations with cash.

The 2016 budget mentions N200 billion special intervention but health stakeholders are more interested in the National Health Act and its guarantee of 1% of consolidated revenue as additional funding for health care.

The Act’s implementation is still in the works, and the concern is that “the one percent is not being discussed,” explained one expert at a meeting days before the budget presentation.

“Outside the technical team of the health sector, there’s not much awareness of the National Health Act among politicians.”

It is debatable when President Buhari even knows about the special funding arrangement, he adds.

And nothing can come of it if it doesn’t get figured into the budget. Now the wonder is whether it is too late.

Daily Trust

About 5,000 babies are born with ear defeats annually- Prof. Oke

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As a means of eradicating deafness, especially among infants in the country,

the Lagos State University Teaching Hospital (LASUTH), Ikeja, has gone into partnership with an organization, with the name MED EL, to end the hearing impairment disability among the populace.

Addressing journalists at the weekend, after the first successful middle ear implant surgery conducted in the institution, Prof. Adewale Oke, the chief medical director, LASUTH, said that No fewer than 5,000 babies are born yearly with ear defects in Nigeria.

According to him: “I know that 5, 000 new babies are born annually in Nigeria with ear defects, and this means they are deaf and sometimes the cause of their deafness is congenital, which is from birth.Some of these babies lacked some hearing mechanism in their ears, so the best way to restore the hearing is through surgery, which has not been part of the practice before now.

“With this new innovative surgery, the person whose hearing is impaired will be able to hear and the noble thing is that the surgery is still new in Africa,’’ he noted.

Oke said that the surgery to correct deafness was called “Bone-bridge’’, and helped to open up the middle ear of the patient.

Commending MED EL for the feat, he expressed his pleasure with the organization for identifying LASUTH as the best place to conduct the first of its kinf surgery in the country.

Explaining the commitment of MED EL to human wellbeing, he said they came on their own accord with the device and identified patients that can afford it. They did two implants and one surgery of Bone-bridge. This is highly commendable.

“The surgery does not come with any side effect, the implants are bonelike small microchips inserted into the ears, and the only challenge is that the patient will be taught how to talk.Learning speech is because the person has not spoken before, so he will require the aid of a speech therapist and audiologist,’’ he said.

Oke said that the organization that brought the experts had trained many of the indigenous doctors on the post-surgery requirements to enable them to continue with the innovation.

“LASUTH is happy to have recorded such a feat again; this has spelt our vision toward the provision of quality healthcare to our people,’’ he said.

NAN

Meet Naomi – Industrial Administration (Prescribed drugs) Future Leaders Programme

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Naomi is on our Industrial Administration (Prescribed drugs) Future Leaders Programme. “Impacting society is an integral a part of my worth system. Working at GSK offers me the satisfaction of understanding that I’m a part of an organisation that’s saving lives and remodeling communities within the African continent and the world at giant.”

GSK – Do extra, really feel higher, dwell longer.
Discover out extra on http://www.gsk.com

Observe @GSK on Twitter: http://twitter.com/GSK
Like GSK on Fb: http://www.fb.com/GSK
Observe GSK on LinkedIn: http://www.linkedin.com/firm/glaxosmithkline
Subscribe to GSK on YouTube: http://www.youtube.com/subscription_center?add_user=gskvision
See extra images on GSK Flickr: http://www.flickr.com/images/glaxosmithkline
Observe GSK on Google+: https://google.com/+GSK

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Meet Ernesto – Industrial Managment (Prescription drugs) Future Leaders Programme

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Ernesto is on our Industrial Administration (Prescription drugs). “It’s additionally a tremendous journey as I by no means anticipated up to now that ranging from a gross sales consultant in Taiwan one can lastly come to headquarters in London and meet our CEO within the workplace.”

GSK – Do extra, really feel higher, dwell longer.
Discover out extra on http://www.gsk.com

Observe @GSK on Twitter: http://twitter.com/GSK
Like GSK on Fb: http://www.fb.com/GSK
Observe GSK on LinkedIn: http://www.linkedin.com/firm/glaxosmithkline
Subscribe to GSK on YouTube: http://www.youtube.com/subscription_center?add_user=gskvision
See extra pictures on GSK Flickr: http://www.flickr.com/pictures/glaxosmithkline
Observe GSK on Google+: https://google.com/+GSK

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National Orthopaedic Hospital boss decries decrease in subvention, NHIS coverage

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…As the institution clocks 70

There was mixed reactions at the Board Room of the National Orthopaedic Hospital Igbobi, Lagos (NOHIL) on Monday, as the Medical Director, Dr.Olurotimi Odunubi, briefed journalists on the institutions’ journey way back December 1945, when it was established as a medical centre, under the British Colonial medical services.

Odunubi who was filled with gratitude to God and all philanthropists, for their contributions to the immense development of the hospital, however lamented the sharp decrease in subvention from government, which drastically dropped from an average of N7 Million to N2.5 Million.

“This was a major challenge for a government funded establishment like ours where government pays staff’s salary, gives overhead and has capital vote. With this development, we had to source for internally generated revenue to cope with our monthly cost of running the institution. For instance, we use an average of N4.1million worth of diesel monthly, with other costs inclusive.

“Nonetheless, on this occasion of our 70th anniversary, we are not ungrateful to the Federal government, for its unrelenting support to the NOHIL, even in the face of dwindling economy, as we are hopeful of better allocation in the coming years, for the provision of improved, international standard orthopaedic, burns and plastic surgical services to the populace”, he stated.

Explaining reasons for the minimal increase in patients’ fees, Odunubi attributed it to the shortfall in subvention to the hospital, saying that the institution is still open to receive all injured patients, with or without payment, adding that their speedy recovery is of utmost interest to the caregivers, as payment can be made later.

He however assured the citizens of better services ahead, stating that the hospital is poised to give excellence service to the public after the platinum anniversary, appreciating all donors to the institution since inception, especially, Sir Mobolaji Bank Anthony, Adebutu Kessington Foundation, Santana Group, among others.

Centrum Pregnancy Care Solves Mother/baby Nutritional Imbalance

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Centrum Pregnancy Care is a scientifically formulated complete multivitamin and multimineral supplement designed for mothers before and during pregnancy and provide for their nutritional needs for a healthy living. Centrum Pregnancy Care is one of the five variants of Centrum Multivitamins/Multimineral supplement which was launched by Pfizer Consumer Healthcare during the 88th Annual Conference of the Pharmaceutical Society of Nigeria in Abuja, Nigeria.

Pfizer 1Centrum Pregnancy care supplement contains 19 vitamins all fat soluble vitamins except K: (Vitamin A – Betacarotene, D, E and Water Soluble vitamins (Vitamin B – Complex and Vitamin C), the combination of essential vitamins help mothers and the healthy growth of the baby.

According to the Marketing Manager, Pfizer Consumer Healthcare, Sue Cartwright, the science behind the product is an improved development that meets the world best practices in the pharmaceutical industry.

She added that the product is designed for consumers who are looking for a multivitamin and multiminerals to specifically support pregnant mothers and their babies and provide for their nutritional needs.

Oschmann tasks stakeholders on affordable medicines

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Mark

As a way of bridging the gap in accessing quality health care in the country, the CEO of Merck Pharmaceutical, Dr Stefan Oschmann has urged all drugs manufacturers to embark on measures that will make medicines available and affordable to the poor man on the street.

Oschamnn who was speaking during the unveiling of their Lagos office, there is the need to reduce the prices of medicines in the country, in order to solve the problem of inaccessible health care in the country.

“We are thinking of cutting down the prices of our medicines in Nigeria. Such things are currently going on in Ghana where we make products available at a much lower price for the public system and charge regular price in the private system for the people who can afford it. So there are plenty of things we want to do in Nigeria. And again, we are very optimistic that we are going to make huge progress in the future”, he said.

He further noted that: “Access to quality medicines is very important. Our industry needs to make sure that we adopt our business model, so that we can make medicines available at prices that the common man on the street can be able to buy it.

“We need to be involved with public-private partnership; we also need to do private partnerships.  We need to join forces with Nigerian players to make medicines more affordable. We need to work on supply chain, security and reliability.

“We need to make sure that medicines are safely distributed to the people that need them and in some areas, such as the neglected tropical diseases, we need to work on our social responsibilities programmes and donate medicines because the very poor cannot afford the very cheap medicines”.

 

NMA president tasks health minister on a virile sector

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Address by the president of the Nigerian Medical Association (NMA), Sir. Dr. Kayode Obembe, on the occasion of the flagging off ceremony of the 2015 physicians’ week on Sunday 25th October, 2015 at NMA national secretariat, Abuja.

PROTOCOL: On behalf of the National Officers’ Committee (NOC) of the Nigerian Medical Association (NMA), I welcome everyone to the flagging off ceremony of our Association’s 2015 Physicians’ Week holding at all the 36 States of the Federation and the Federal Capital Territory, Abuja. We are immensely grateful to everyone for honouring our invitation to grace this epoch making event. Every year, the NMA sets aside a week in the month of October to Organise the Physicians’ Week. This week long activities were originally fashioned in line with the World Health Day activities of the World Health Organisation. Some countries of the world do observe separate national doctors’ day- March 30 in USA, July 1 in India, December 3 in Cuba, etc, however, NMA chooses a week in the month of October to mark ours and have expanded the scope to maximally utilise the opportunity at the National level choosing a theme that suits emerging trends and issues as they relate to the present health situation and realities in the country. The Physicians’ week offers doctors and dentists in Nigeria a special opportunity to have a critical appraisal of the medical profession and practice, the Healthcare system and other important contemporary national and global issues. It also offers medical and dental practitioners opportunity to interact with their patients and the general public and also offer humanitarian services to Nigerians as part of their corporate social responsibility.

 

The theme of this year’s celebration Routine Immunization in the Change Era ;Targeting Measles and other vaccines Preventable diseases and sub theme, the National Health Act 2014 & Immunisation, reflect on the near success story of our nation in her dogged determination and struggles to eradicate Polio, Measles and other vaccines preventable illnesses and the dissection of the potentialities of relevant provisions of the NH Act 2014 in revitalizing immunization activities vis a vis expected roles of members of the medical Professions in actualising that. The activities earmarked for the celebration include a formal Guest Lecture on the theme and Sub themes, Special Jumat prayers and Thanksgiving services at designated Mosques and churches respectively, Medical Mission/Outreach to poor rural and vulnerable communities and a host of other activities that involves giving back to the society. In FCT this year, we shall conduct free medical outreach at the Wassa Internally Displaced Persons (IDP) camp near Apo Abuja. There would also be a public health education/enlightenment forum on STROKE at the Transcorp Hilton Hotel targeted at the ever busy but poor health seeking senior Executive class. NMA belongs to all and cares for all.

The 2015 Physicians’ Week is therefore historic in coming at a period when the word-CHANGE is perhaps the commonest slogan not only in Nigeria but overseas. We believe that this change mantra should also affect and impact positively on the health sector. This is the basis of the theme ROUTINE IMMUNIZATION IN THE CHANGE ERA. The theme lecture of the 2015 Physicians’ week will be delivered by the Executive Director/CEO of the National Primary Healthcare Development Agency Dr. Ado J.G. Mohammed while the Sub-theme lecture will be delivered by Dr. Ben Anyene Chairman of Health Reform Foundation of Nigeria (HERFON) who convened the coalition of NMA, other professional and civil society organisations that led to the passage and assent to the NH Act 2014. We couldn’t have chosen better speakers as they are not just knowledgeable in the assigned areas but are in fact midwives delivering the dividends contained therein. So, I appeal to all especially members of the Press to come and get the strong messages which our speakers have for the nation tomorrow. Preventable child hood diseases like Measles ought not to still exist in Nigeria. Our record shows that Measles is one of the leading causes of death among young children and in 2013, there were 145, 700 measles deaths globally and about 400 deaths every day or 16 deaths every hour. We also observed that Measles vaccination resulted in a 75% drop in measles deaths between 2000 and 2013 worldwide. We also discovered that between 2000 and 2013, measles vaccination prevented an estimated 15.6 million deaths making measles vaccine one of the best buys in public health. Whereas some states of the federation are doing well, data from the Nigerian Demographic Health Survey (NDHS) 2013 shows that some states performed woefully. But, change has come! There is no specific treatment for measles. Those that recover from the disease run the risk of developing complications: blindness, encephalitis, severe diarrhea, ear infection and pneumonia. Primary prevention of measles and other vaccine preventable illnesses therefore remain the game changer- top of the pack in our efforts to eradicate these aliments.

 

The phrase ‘Routine Immunization’ suggests an activity that is taken repetitively without extra effort or innovation and therefore deserves no serious attention. Could this perhaps be the reason why it has taken us long to make the modest achievements so far in preventing vaccine preventable illnesses in our children? Could this be the reason why perhaps some of our states governments seem not bothered about the funding, coordination and sustenance of this program? Could this too explain why such an important game changing intervention program be left to be substantially funded by donor funds? Perhaps, this too, is the reason why few are bothered about the fate of immunisation programs in the face of donor fund withdrawal. How about the unwholesome and bitter experiences many heath workers have faced, and kept on facing in the field? These and many more prompted us to posit that the Change mantra should stir up some effects in us as a people to eliminate the apathy or lack of commitment in all quarters so that we start prioritising activities and programs in order of importance. To eliminate the frustrating experiences from health workers that carry out this immunization, Nigerian Medical Association is of the strong opinion that time has come for a more critical appraisal of Nigeria’s primary and secondary healthcare systems-the strata that should give stronger institutional impetus to immunization activities in the country. Should our primary health care been active, responsive and highly resourced, routine immunisation which is one of its cardinal programs would have in fact been routine and not taken for granted. In the absence of a virile PHC system, the journey would still be too fortuitous, cumbersome and therefore, fraught with many ups and downs. We are all ears to hear what the Speakers would say concerning these posers tomorrow.

 

Towards fighting this scourge and many other health conditions which embarrass our nation today, the Nigerian Medical Association thinks that the time is ripe to declare a national emergency in the Health sector. This will entail putting all machinery in place towards eradicating this embarrassing health situation from Nigeria by adapting a Country plan as guided by the WHO Measles elimination plan. This plan was endorsed by Nigeria in September 2011 during the 6th Session of WHO Regional Committee for Africa. I wish to state emphatically that in Nigeria, there should be a strengthening of the strategies already put in place for effective routine immunization and elimination of measles and other vaccine preventable diseases in Nigeria. We should further look for additional knowledge and other aids perhaps what we are doing is not good enough. This is why we’ve brought those who are better to educate us and stir us up to more action tomorrow. We also wish to use this medium to restate our earlier call for our country to start the implementation of road map towards achieving Universal Health Coverage. Today, there is an enabling legislation which provided guaranteed funding for primary healthcare delivery. This is the National Health Act 2014. What is still holding us back? It is also our position that unless Nigeria embarks on Community Based Health Insurance Scheme, the dream of expanding the coverage and achieving the targets set for the National Health Insurance Scheme would still be a mirage. We strongly await the appointment and assumption of office of the Minister of Health. A lot has suffered in the absence of a Minister of Health for the nation. However, this scenario of leaving this sort of vacuum could have been avoided had our successive appeals for the re-establishment of the office of- and appointment of the “Chief Medical Officer” of the Federation. This office was last held by Sir Dr. Samuel Layinka Ayodeji Manuwa CMG, OBE in the first republic – the golden era of progressive development in healthcare delivery in Nigeria.

As we speak today, there is no functional regulation for medical practice in Nigeria due to the wrongful dissolution of the Medical and Dental Council of Nigeria. NMA is looking up to your Excellencies tomorrow to use your clout and unbeaten record of silent but effective advocacy to appeal to Mr. President to exempt the Medical council from the sweeping dissolution of other political boards of corporation and agencies of Government. Except the Chairman, no other member of the Council is appointable by the President- explaining the uniqueness of the MDCN. It is perhaps only in Nigeria that medical practice could exist without regulation for even a day. Please, do something sir. Similarly, Nigerian Medical Association has been disturbed over the rising cases of sudden death in Nigeria, particularly among productive male and female age groups. We believe that in as much as we talk about child survival, we must also look at the lifestyle of the adults for this have tremendously reduced the life expectancy of our populace. As the “Face of Healthy Living and Health Check-ups in Nigeria”, NMA is looking up to the Excellencies tomorrow to live up to this high office. We are in need of support for promotion and execution of the healthy living campaign in Nigeria- a campaign that would have something for every citizen.

 

This speech cannot be complete without my commending Nigerian Physicians for working hard to sustain Nigeria’s healthcare system despite the various challenges being faced in the health sector. We specially salute our colleagues working in the North Eastern parts of Nigeria where insurgency has taken, and keeps on endangering the lives of many. May I thank God Almighty for seeing us through these perilous times and pray for the souls of departed as a result of insurgency in different parts of the country that they may find peace with their creator. May Nigeria and posterity remember you for good. We shall never forget the most patriotic sacrifice of the late Dr. Stella Ameyo Adedavoh of the Ebola misfortune. We pray our nation appreciates her efforts by immortalising her some day. It’s not all about woes as we as a people have developments to celebrate. Ebola died in Nigeria about a year ago courtesy of the efforts of all Nigerians who cooperated with the authorities and did all they were asked to do. Nigeria has successively interrupted the transmission of the wild polio virus en route WHO certification of Polio eradication in 2017. Let’s all pat ourselves in the back as these are no mean feats. We truly appreciate all our resource persons, Heads of other Professional Associations, NMA FCT Branch, Our Chief Host and invited guests who despite their tight schedules will be expected at the opening ceremony. I congratulate everyone here present for your attendance at this flagging off ceremony and wish all of us a memorable week ahead.

To God be the Glory.

 

Long Live Nigerian Medical Association!

Long Live the Federal Capital Territory!!

Long Live the Federal Republic of Nigeria!!!

Sir, Dr. Kayode OBEMBE B.Sc, Med. Sc., MBBS, FMCOG, FWACS, FIAMN, FAGP, FICS, DMP Hon. DG., M.O.W.,J.P, KJW.

President, Nigerian Medical Association

Consultant Obstetrician & Gynaecologist, Christus Specialist Hospital Nig. Ltd

Chief Executive Officer, Premier Medicaid Nig Ltd–HMO

Council Advisor, World Medical Association.

 

Pharm. Mathias Bubanani Zirra

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Pharm. Mathias Bubanani Zirra is Adamawa State’s assistant director of Food, Drugs and Pharmaceutical Services, and head of Pharmaceutical Inspectorate Unit (chief inspector), Adamawa State.

Born on 2 January 1968 in Michika LGA of Adamawa, Zirra attended the Ahmadu Bello University (ABU) Zaria where he bagged a Bachelor of Pharmacy degree in 1995. Nine years after, he applied and got admitted for his MBA at the Modibbo Adama University of Technology (MAUTECH), Yola in 2004.

In 2008, Zirra took up another course with the Institute of Commercial Management in Zambia where he got a Diploma in Purchasing Management. Seven years after, he bagged a Diploma in Electronic Accounting (DEA) from the Preface ICT Consult, Yola.

After his internship at Specialist Hospital, Yola (1994 -1996), Zirra had his National Youth Service Corps (NYSC) programme at St. Luke’s Hospital, Anua Uyo, Akwa Ibom State (1996-1997).

He began his professional career as hospital pharmacist at General Hospital, Garkida, Adamawa from December 1997 to February 2007 and January 2009 to January 2011. Between February 2007 and January 2009, he was chief pharmacist-in-charge of Ronald Ross Hospital, Mufulira, Copper belt Province Zambia while on Technical Aid Corps (TAC) volunteer to Zambia.2006-2008 set.

The Adamawa State assistant director of Food, Drugs and Pharmaceutical Services was also the chief pharmacist-in-charge of General Hospital Mubi (January 2011 to February 2013).

Aside from being a State Implementation Team (SIT) pharmacist from January 2014 to date, Zirra is the Secretary, Procurement and Supply Technical Working Group (PSM TWG) in Adamawa State (November 2013 to date).

At various times, he held the following positions in pharmacy bodies: Secretary, PSN Adamawa State Election Organising Committee from (August 2014 to August 2015); Auditor, PSN Adamawa State Branch from 15 August 2015 to date; and coordinator, Adamawa State Logistic Management Coordination Unit (2 March 2015 to date).

In fulfilment of his childhood dream, Zirra ventured temporarily into the field of academia. His odyssey included: Part time lecturer, EYN RHP Garkida for village health workers 2004 to 2006; Part time lecturer at School of Nursing and Mid-wifery Mufulira Zambia in 2007 and Part time lecturer at College of Health Technology Michika Mubi Campus 2011 to 2013.

In recognition of his brilliance and selfless services, he was awarded the Medical Merit Award by the Institute of Industrial Administration of Nigeria (2004); and a Certificate of Merit for contributing to academic achievements by Abridgement Students, Run Eight, College of Health Technology Michika (2011)

The pharmacist is also a member of the following professional bodies: Pharmaceutical Society of Nigeria (MPSN); West African Postgraduate College of Pharmacists (WAPCP); Institute of Public Diplomacy and Management (MIPDM); Institute of Professional Managers and Administrators (FIPMA); and Member Institute of Industrial Administration (MIIA).

He is married with children.

Exercise for the mind

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Singleness of purpose is essential for success, no matter what may be one’s idea of the definition of success. Yet singleness of purpose is a quality which may, and generally does, call for thought on many allied subjects.

This author travelled a long distance to watch Jack Dempsey train for an oncoming battle. It was observed that he did not rely entirely upon one form of exercise, but resorted to many forms. The punching bag helped him develop one set of muscles, and also trained his eye to be quick. The dumb-bells trained still another set of muscles. Running developed the muscles of his legs and hips. A well balanced food ration supplied the materials needed for building muscle without fat. Proper sleep, relaxation and rest habits provided still other qualities which he must have in order to win.

The reader of this piece is, or should be, engaged in the business of training for success in the battle of life. To win, there are many factors which must have attention. A well organised, alert and energetic mind is produced by various and sundry stimuli. The mind requires, for its development, a variety of exercise, just as the physical body, to be properly developed, calls for many forms of systematic exercise.

Horses are trained to certain gaits by trainers who hurdle-jump them over handicaps which cause them to develop the desired steps, through habit and repetition. The human mind must be trained in a similar manner, by a variety of thought-inspiring stimuli.

In the long, hard task of trying to wipe out some of my own ignorance and make way for some of the useful truths of life, I have often seen, in my imagination, the Great Marker who stands at the gateway entrance of life and writes “Poor Fool” on the brow of those who believe they are wise, and “Poor Sinner” on the brow of those who believe they are saints. Which, translated into workaday language, means that none of us know very much, and by the very nature of our being can never know as much as we need to know in order to live sanely and enjoy life while we live.

Humility is a forerunner of success. Until we become humble in our own hearts we are not apt to profit greatly by the experiences and thoughts of others. Sounds like a preachment on morality? Well, what if it does? Even “preachments,” as dry and lacking in interest as they generally are, may be beneficial if they serve to reflect the shadow of our real selves so we may get an approximate idea of our smallness and superficiality.

Success in life is largely predicated upon our knowing men. The best place to study the man-animal is in your own mind, by taking as accurate an inventory as possible of YOURSELF. When you know yourself thoroughly (if you ever do) you will also know much about others.

To know others, not as they seem to be, but as they really are, study them through:

  1. The posture of the body, and the way they walk.
  2. The tone of the voice, its quality, pitch, volume.
  3. The eyes, whether shifty or direct.
  4. The use of words, their trend, nature and quality.

Through these open windows you may literally “walk right into a man’s soul” and take a look at the REAL MAN!

Going a step further, if you would know men study them:

  • When angry
  • When in love
  • When money is involved
  • When eating (alone, and unobserved, as they believe)
  • When writing
  • When in trouble
  • When joyful and triumphant
  • When downcast and defeated
  • When facing catastrophe of a hazardous nature
  • When training to make a “good impression” on others
  • When informed of another’s misfortune
  • When informed of another’s good fortune
  • When losing in any sort of a game of sport
  • When winning at sport
  • When alone, in a meditative mood.

Before you can know any man, as he really is, you must observe him in all the foregoing moods, and perhaps more, which is practically the equivalent of saying that you have no right to judge others at sight.

Appearances count, there can be no doubt of that, but appearances are often deceiving.

Adapted from THE LAW OF SUCCESS by NAPOLEON HILL

 

PSN needs to do more for pharmacy education – PANS president

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pans 3

Raymond Okokoh is the outgoing national president of the Pharmaceutical Association of Nigeria Students (PANS) and a graduating pharmacy student of the University of Nigeria (UNN), Nsukka, Enugu State. In this exclusive interview with Pharmanews, the Ebonyi indigene reveals the achievements and challenges of his administration. He also discloses reasons for the annulment of the national elections of the incoming national executives, as well as why the PSN should be more involved in pharmacy education. Excerpts:

Raymond Okokoh is the outgoing national president of the Pharmaceutical Association of Nigeria Students (PANS) and a graduating pharmacy student of the University of Nigeria (UNN), Nsukka, Enugu State. In this exclusive interview with Pharmanews, the Ebonyi indigene reveals the achievements and challenges of his administration. He also discloses reasons for the annulment of the national elections of the incoming national executives, as well as why the PSN should be more involved in pharmacy education. Excerpts:ne year on, how has it been so far as PANS national president?

As the saying goes, no matter how bad the economy of the jungle is, the lion can never eat grass. Although we could not achieve much, the little we achieved is worth mentioning so as to serve as a benchmark for our successors. Under our administration, the PANS Anthem was given a new tune and was produced in compact disc plates so that all pharmacy students could have and sing it properly.

Additionally, the NEROS Pharmacy Tournament was established in honour of NEROS Pharmaceuticals Limited, and the tremendous support received from the company made this year’s convention a success.

We also had the inauguration of the Anti-Drug Misuse and Abuse Programme (ADMAP) in most pharmacy schools in Nigeria. ADMAP is a technical arm of PANS charged with the responsibility of enlightening the public on the hazards associated with illicit drug trafficking and abuse. Moreover, PANS was also able to form an alliance with the Nigerian Association of Pharmacy Students, Eastern Mediterranean University (NAPS-EMU) Famagusta, Northern Cyprus, Turkey.

In addition, we procured the following equipment for the association: A laptop, printer-scanner-photocopier, first aid kits, and a complete football team kit. That aside, PANS was also well represented for the first time with two delegates at the 4th African Pharmaceutical Symposium in Rwanda and six delegates from Nigeria made it to the 61st International Pharmaceutical Students’ Federation (IPSF) World Congress in India.

Also, we gained our status as full members of the IPSF after a short presentation during the General Assembly in India; while one of us in PANS, Aniekan Ekpenyong, became the secretary of the African Regional Office.

While we are putting everything in place to bid for the hosting rights of the 2018 edition of the African Pharmaceutical Symposium in Nigeria, let me quickly say that we also had a successful hosting of the 40th annual national conference of PANS, which was held here in UNN.

 

Looking back at your tenure, what would you say are your regrets? 

Well, I would not say I have nothing to regret. It is quite unfortunate that though my fellow executive members and I had many good plans for PANS, we did not have adequate resources to implement many of the plans.

 

How would you asses the contribution of the Pharmaceutical Society of Nigeria (PSN) to the development of pharmacy education in the country?

I think the impact of the PSN is felt more in pharmacy practice than it is in pharmacy education, although there are areas where the PSN has contributed immensely to the development of pharmacy education – especially the push for the transition of the pharmacy curriculum from the B.Pharm to the Pharm.D programme at the entry-level.

However, there is need for the PSN to look into other areas. These include involving students in their activities so that they (the students) can start learning right from school, especially since the survival of the profession is not dependent on mere intellectual abilities but also the values and politics involved in the society at large, which can only be learnt from interactive sesions.

Therefore, I would recommend that the PSN should be more involved in the development of pharmacy education so that pharmacy practice would equally develop.

 

What grey areas in the pharmacy profession do you think the PSN president and other stakeholders need to address urgently?

One of such areas is the issue of pharmacists being restricted to a single job at a time. I think this policy should be amended because we are having shortages of pharmacists in the country and this has given patent medicine dealers the opportunity to hijack the practice from the professionals. The policies guiding pharmacy practice in Nigeria are not very favourable. For instance, while medical doctors work in government hospitals and at the same time operate their private clinics, pharmacy lecturers are prevented from opening a community pharmacy shop, which is not fair enough.

With the way things are going, pharmacists in this country are not really in charge of drugs. Therefore the PSN and other stakeholders should look into this area critically and amend some of the policies limiting pharmacists from excelling in the society

 

What in your own opinion are the major challenges facing pharmacy education in Nigeria?

The number of lecturers in our pharmacy schools is grossly inadequate. The pharmacy schools themselves are too few, considering the population of students and the pharmaceutical needs of the populace. Also some of the schools are still using out-dated equipment for learning. Pharmacy education needs to give both theoretical and practical training that focuses on the development of professional competencies and confidence in the provision of evidence-based products and services.

 

What do you think the government can do to improve the situation?

Government should employ more lecturers into pharmacy schools and equip the laboratories to enhance easy translation of theoretical knowledge into practical work. What the society needs now are not just professional pharmacists but practising pharmacists. Government should also create more pharmacy schools in the country’s universities. The demand for pharmaceutical services is above the supply and this is as a result of the limited number of schools offering pharmacy degree programme in the country.

 

Why did you cancel the last national elections held at the Nnamdi Azikiwe University (UNIZIK)?

The elections were truly conducted by the National Liaison Officer but there were several petitions against the elections, the major emphasis being that the provisions of the electoral guidelines were breached. Secondly, some provisions of the PANS national constitution on election processes were not met; and thirdly, most of the senior students were on their Industrial Training programme when the elections were conducted and those students saw it as disenfranchisement.

Therefore, based on the evidences provided to the PANS National Executive Council (NEC) by the petitioners, and in a bid to allow fairness and justice to prevail, the elections were deemed not free and fair enough and consequently annulled. The NEC, headed by me, rescheduled the elections to hold when the school (UNIZIK) resumes for the next session. At that time, the electoral guidelines will be religiously adhered to.

 

How do you feel being the national president under whose administration the elections which should have produced a new leadership were cancelled?

Well, I feel sad that the elections were found wanting to the point of annulment, as funds, time and energy have been wasted in the process. However, on the other hand, it is a sign that the executive council has zero tolerance for corruption and injustice.

In PANS, dedication and honesty is our watchword; so the cancellation of the election results was not a personal decision but a decision taken in the interest of the association. We assure that a leadership that all pharmacy students will have confidence in will soon be instituted.

The meaning and effect of mistake in law

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LEGAL2

Mainland Maternity Hospital in Lagos places an order for four cartons of Babylee Infant Formula from City Express Stores on 1 June.  The goods are promptly supplied the following day and are paid for by cash upon delivery.

The following week, it is brought to the notice of the Chief Matron of the hospital that the products supplied were affected by a recent government provision.  The National Agency for Food and Drug Administration and Control (NAFDAC) had withdrawn the licences for the importation and distribution of certain products.  Unknown to both parties (Mainland Maternity Hospital and City Express Stores), the list of affected products was published in the month of May and it contained Babylee Infant Formula, among others.

The Chief Matron immediately contacts City Express Stores and demands that they take back their goods and refund all payments made.  The manager of City Express refuses to comply on the following grounds: 1) The hospital specifically requested for Babylee Infant Formula; 2) Since neither party was aware of the development, the transaction was genuine; 3) The NAFDAC provision is very recent and so it can ber overlooked; and 4) The products supplied are still consumable, as the expiration date is not due for another year.

In view of this, what is the legal position of the parties concerning the mistake made in the transaction?

In law, a mistake has a more limited scope than a mistake in ordinary usage.  What may be regarded as mistake by the layman, will in most cases not be so regarded at law.  If it is established that one or both parties entered into a contract under some misunderstanding or misapprehension, the circumstances will be considered to determine the remedies available.

The legal issues to be discussed are:

  1. What constitutes a ‘mistake’ in law?
  2. The classification of mistakes.
  3. The effect of a mistake in a transaction.

The scope of what constitutes a mistake at law is demonstrated by Lord Atkin in the case of Bell v. Lever Bros. Ltd:

“A buys B’s horse; he thinks the horse is sound and he pays the price of a sound horse; he would certainly not have bought the horse if he had known as a fact that the horse is unsound.  If B has made no representations as to soundness and has not contracted that the horse is sound, A is bound and cannot recover back the price.”

To the layman, this illustration would be regarded as a ‘mistake’ on the part of A; but in law, there is no mistake in such situations.  A has got what he contracted for.  It is not the business of the law to help A to define what qualities he had expected but failed to spell out expressly.  However, if unknown to both parties, the subject matter had already been destroyed at the time the negotiation to purchase was being concluded, it would amount to a mistake at law.  According to Lord Atkins:

“An agreement of A and B to purchase a specific article is void if in fact the article had perished before the date of the sale.  In this case, though the parties in fact were agreed about the subject matter, yet consent to transfer or take delivery of something not in existence is deemed useless: consent is nullified.”

There are various ways of categorising mistakes at law but a clear method of classification would be based on the parties involved in the misapprehension and the subject of error.  Thus, we have: a) common mistake; b) mutual mistake; c) unilateral mistake.

A common mistake is one where both parties concluded the contract under the same misapprehension about the same fact which lies at the basis of the agreement.  A mutual mistake is where two parties are mistaken about each other’s terms in the sense that one party makes to the other an offer which the other party “accepts” in a fundamentally different sense from that intended by the offeror.  A unilateral mistake is one where only one party is mistaken or is presumed to be mistaken.

In this case involving Mainland Maternity Hospital, it is apparent that both parties were unaware of the new provision affecting the importation and distribution of the required product.  It is therefore a classic case of a common mistake.

The manager of City Express Stores has expressed several reasons why the contract is valid, despite the NAFDAC provision.  The argument is that a genuine mistake, such as this, may be overlooked in view of the circumstances.  It is noteworthy that the hospital specifically requested for Babylee Infant Formula and they were given what they ordered.

However, in the case of Knight, Frank and Rutley v. Attorney General of Kano State, the state government engaged the services of a firm without cognisance of the fact that the assignment had been affected by the constitution and the Kano State Local Government Edict.  Consequently, after the firm had initiated the services and had been paid an advance fee, the state government discovered the mistake and repudiated the contract.  According to the court, where the subject matter of a contract has, without the knowledge of either party, ceased to exist before the contract was made, the contract is void on the ground of mistake.

From this analysis, even though there was a contract for sale of specific goods, the fact that the contract was preceded by a government provision, which invalidated the sale of such goods, goes to render the contract void ab initio (from the beginning).  In effect, the hospital is entitled to rescind the contract and claim a full refund of payments made.

Principles and cases are from Sagay: Nigerian Law  of Contract

Leadership and the PSN (3)

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By Dr (Pharm.) Lolu Ojo
By Dr (Pharm.) Lolu Ojo

The 2015 edition of the national conference of the Pharmaceutical Society of Nigeria (PSN) was concluded on a joyous note with a dinner on the night of Friday, 13 November, 2015. The dinner was the end of a process which began much earlier with the setting up of a Conference Planning Committee (CPC). The CPC team gave a good account of themselves in organising a befitting conference despite some initial hitches experienced.

I had, in the second part of this article, made allusion to the strategic importance of the national conference and emphasised the need to rebrand it. If there is an important juncture where a solid and thinking leadership is needed now, it is partly in the organisation of this important conference. The crowd was overwhelming and their commitment unassailable. They keep faith every year attending the conference even when, sometimes, it is economically inconvenient to do so. They deserve to be treated like kings (and queens), to a variety of events and activities that will remain indelible in their memory and also provide the salivating anticipation of the next edition.

I trust that the new president, Pharm. Ahmed Yakassai, FPSN, will do something along this line. The feeding and refreshment options need to be better managed. The sponsors are willing to pay what they pay annually because of the conference participants. It is only fair and trustworthy for us to spend a little part of this money to give them decent refreshment.

The 2015 conference was unique for producing a new president for the society. It was not an entirely smooth sailing transition as there were elements of protests from some quarters who were dissatisfied with the handling of the pre-election issues. It started like some murmurs or rumours of disqualification of some candidates which snowballed into an open confrontation with verbal missiles flying around from opposing sides particularly on the social media.

There were interventions at different levels involving individuals and groups, notably the Board of Fellows (BOF). The BOF, in a written submission, took a pacifist option of allowing all candidates to contest, affirming that delayed payment of annual due had not stripped any member of the fellowship status.

I was involved in discussions with many notable pharmacists on this subject and only a very few supported the disqualification of candidates based on the ‘annual due’ status of their referees. I held a constructive meeting with the then president, holding the aggregated opinion that the reason for disqualification was marginal and not substantial enough to deprive pharmacists of the rights to freely choose their leaders. The meeting was high on justification of positions and at the end of the day the president stood firmly on his convictions.

It is now history that the recommendations of the screening committee were upheld and the new president was elected unopposed. There were skirmishes during the AGM but God took control and good reason prevailed. What is important is for us to take the right lessons and use the experience to make our Society better. There are some key leadership issues that the conference and the elections have thrown up. We will take up some of these issues in this article and others later.

Level playing field

This is the third time in recent history that, consecutively, the president of the Society will be elected unopposed. To me, this is not a development that is worthy of celebration. We do not have, as yet, a system of succession where one person takes over from the other in a systematic manner without rancour. In some associations, the next president is known two or three years before the tenure begins. This system is clearly enshrined in their constitution. This is not the case in the PSN. Our constitution anticipates and makes provisions for a healthy competition for the exalted position and we should make it to remain so.

Alhaji Ahmed Yakasai is eminently qualified to be president and we will have no cause to regret his ascension to the ‘throne’. However, it would have been more colourful (and more authoritative) if he had won in a free and fair election. We must redefine the eligibility criteria. What we are looking for are vibrant, creative, honest and distinguished individuals who could lead Pharmacy to El Dorado, and not accidental or co-opted members of NEC. The super exclusive criteria must be expunged to make the platform more attractive to progress-minded people.

Power of conviction and moderation

The immediate past president, Olumide Akintayo, is a man of strong convictions. He stood solidly on his point of argument. He was well prepared and he deployed every arsenal in his possession to prove his case. He was standing on a high ground on legal points and the spirit of the screening guidelines and the constitution.

He had anticipated the questions of his opponents (and friends alike) and he had prepared 105 answers to every 100 questions that might come his way. He maneuvered his way through the trenches and ensured that his will prevailed at the end of the day. He was articulate and presidential, the stuff that great leaders are made of.

You can pontificate on his intentions but you cannot fault his arguments. However, he took a risk, too much of a risk which flipside could have negatively impacted everything he stands for. He was the only star in the contest and this is where moderation comes in. Our recent history is full of unpleasant consequences of power and privileges that were not exercised in moderation. You cannot win a war against your own community.

Preparation and opportunity

It was quite clear that most of the people negatively affected by the eligibility criteria were not prepared for the opportunity that comes once in 3 years. It happened in 2012 that some people were disqualified based on certain fault points in the screening guidelines. There were noises and threats, which fizzled out because of their feeble foundation.

I wonder how the disqualified contestants failed to acquaint themselves properly with the rules of the game. If the guidelines were not made available as claimed, then you should have shouted to high heavens much earlier. Great leaders prepare well in advance of actions or contests and this was why it was so difficult to fault those who insisted that the results of the screening must be upheld.

Again, some of the arguments are not articulate enough. You cannot win this kind of battle based on emotional postulations. You must have the facts at your fingertips and marshal your points to tilt the case in your favour.  I did not see any of that at the Town Hall meeting on Thursday or at the AGM on Friday.

I must, however, commend the decorum of the disqualified candidates. I interacted deeply with the close ones and our discussion centered mainly on the need to preserve the Society for the generations coming after us. I doff my hat for them, particularly for believing that tomorrow is another day.

Reformation required

Some people approached me on Friday screaming that this is the last time they would tolerate no-contest presidency. I was amused as much as I was excited. Amusement because they must have thought that I held so much influence to decree things into existence; and excitement because I truly believe we need to reform our processes in the PSN.

I have argued before that there is too much emphasis on the position and person of the president. We need to shift this emphasis into building systems. The council and the AGM must be strengthened to be truly independent of the person of the president. We need to return the PSN to her owners: the pharmacists. This cannot be done if the majority of the people sit in their comfort zones and leave only a few people to run around. We all need to show interest in what is happening around us and must not surrender our sovereignty to any individual or group of individuals.

Soothing balm

A new vista in the annals of the society has been opened. The president needs to move quickly to calm the frayed nerves. We have a lot of work to do.

We stand to achieve a lot more when we are standing together and that is why we say: As Men (and Women) of Honour, we join hands.

God bless Pharmacy.

Dr. Lolu Ojo BPharm, MBA, PharmD, FPCPharm, FPSN, FNAPharm, DF-PEFON

Your needless worries

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Sir Atueyi.jpg

Hudson Taylor, missionary to China and founder of what is today known as the Overseas Missionary Fellowship, once gave this excellent advice: “Let us give up our work, our plans, ourselves, our lives, our loved ones, our influence, our all, right into God’s hand; and then, when we have given all over to Him, there will be nothing left for us to be troubled about.”

Indeed, life is full of causes for worry and anxiety. Nobody can pretend that he or she does not experience them at one time or the other. We only need to handle them with wisdom because they can cause physical, emotional and psychological damage.

In Luke 12:22, Jesus said to his disciples, “Therefore, I say to you, do not worry about your life, what you will eat; or about the body, what you will put on”.

Even the disciples who were close to Jesus had a lot to worry about. They had given up their livelihood and belongings in order to follow Jesus.  They had sacrificed their security and comforts of home and family for an unknown future and unending travels. Jesus knew their worries and did not brush them aside because they were real. Instead, He assured them of God’s provision of their needs.

One of the ways to reduce anxiety is to identify those things which we have no power to control or change. An English idiom talks of crying over spilt milk.   There is no need to keep complaining over a loss. Nor should we dwell on past misfortunes. It is mere waste of energy and time worrying over these things. You have to know what you can change and what you cannot change. Don’t worry about what you cannot change or what has already happened.

In 2004, I had an interesting encounter, which God allowed, despite my fervent prayers.  From 2002, I started gathering materials and contacting co-authors to write my first book titled “Fake Drugs in Nigeria”. I invested a lot of my time and money on this project. The then Director-General of NAFDAC was pleased with the idea and encouraged me. On completion of the book with 11 co-authors in 2004, I mailed the soft copy to the DG with a request to write a commentary. This step became the turning point on the book project.

Out of covetousness and envy, the authorities decided to frustrate the project. I had already fixed the official launching for 4 August 2004 at the Lagos Airport Hotel Ikeja and several people had been informed and invited. With the threat of cancelling the launching, I worried about my investments and reputation, as well as the disappointment of my co-authors, patrons and supporters. I called for prayers in my church and at Full Gospel Business Men’s Fellowship International for God to intervene and prevent cancellation of the book launch by the DG. However, God did not grant our prayers.

Consequently,   in June 2004, I was ordered not to proceed with the planned book launch. From that day, I stopped worrying and asking God to do for me what was not according to His will. Instead, I started thanking God for His own better plans for my life and business. Then He gave me the idea of writing another book. I mobilised all the resources available and in the next six weeks I was able to produce a 30-chapter book titled, “Your Best Pathway for Life” and launched it at the Muson Centre Onikan on 24 August 2004.

Whenever I cast my mind back to the events of 2014, I give glory to God. From that year, I started writing other inspirational books.

We worry needlessly a lot of the time. According to Don Joseph Goewey, author of The End of Stress, Four Steps to Rewire Your Brain, 85% of what we worry about never happens.  A popular song says, “What a Friend we have in Jesus, all our sins and griefs to bear! What a privilege to carry everything to God in prayer! O what peace we often forfeit, O what needless pain we bear, All because we do not carry everything to God in prayer.”

 

Your needless worries

2
Sir Atueyi.jpg
Sir Atueyi

Hudson Taylor, missionary to China and founder of what is today known as the Overseas Missionary Fellowship, once gave this excellent advice: “Let us give up our work, our plans, ourselves, our lives, our loved ones, our influence, our all, right into God’s hand; and then, when we have given all over to Him, there will be nothing left for us to be troubled about.”

Indeed, life is full of causes for worry and anxiety. Nobody can pretend that he or she does not experience them at one time or the other. We only need to handle them with wisdom because they can cause physical, emotional and psychological damage.

In Luke 12:22, Jesus said to his disciples, “Therefore, I say to you, do not worry about your life, what you will eat; or about the body, what you will put on”.

Even the disciples who were close to Jesus had a lot to worry about. They had given up their livelihood and belongings in order to follow Jesus.  They had sacrificed their security and comforts of home and family for an unknown future and unending travels. Jesus knew their worries and did not brush them aside because they were real. Instead, He assured them of God’s provision of their needs.

One of the ways to reduce anxiety is to identify those things which we have no power to control or change. An English idiom talks of crying over spilt milk.   There is no need to keep complaining over a loss. Nor should we dwell on past misfortunes. It is mere waste of energy and time worrying over these things. You have to know what you can change and what you cannot change. Don’t worry about what you cannot change or what has already happened.

In 2004, I had an interesting encounter, which God allowed, despite my fervent prayers.  From 2002, I started gathering materials and contacting co-authors to write my first book titled “Fake Drugs in Nigeria”. I invested a lot of my time and money on this project. The then Director-General of NAFDAC was pleased with the idea and encouraged me. On completion of the book with 11 co-authors in 2004, I mailed the soft copy to the DG with a request to write a commentary. This step became the turning point on the book project.

Out of covetousness and envy, the authorities decided to frustrate the project. I had already fixed the official launching for 4 August 2004 at the Lagos Airport Hotel Ikeja and several people had been informed and invited. With the threat of cancelling the launching, I worried about my investments and reputation, as well as the disappointment of my co-authors, patrons and supporters. I called for prayers in my church and at Full Gospel Business Men’s Fellowship International for God to intervene and prevent cancellation of the book launch by the DG. However, God did not grant our prayers.

Consequently,   in June 2004, I was ordered not to proceed with the planned book launch. From that day, I stopped worrying and asking God to do for me what was not according to His will. Instead, I started thanking God for His own better plans for my life and business. Then He gave me the idea of writing another book. I mobilised all the resources available and in the next six weeks I was able to produce a 30-chapter book titled, “Your Best Pathway for Life” and launched it at the Muson Centre Onikan on 24 August 2004.

Whenever I cast my mind back to the events of 2014, I give glory to God. From that year, I started writing other inspirational books.

We worry needlessly a lot of the time. According to Don Joseph Goewey, author of The End of Stress, Four Steps to Rewire Your Brain, 85% of what we worry about never happens.  A popular song says, “What a Friend we have in Jesus, all our sins and griefs to bear! What a privilege to carry everything to God in prayer! O what peace we often forfeit, O what needless pain we bear, All because we do not carry everything to God in prayer.”