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ALPS, Sabeccly charge FG on cancer treatment

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As part of activities to mark the 2015 Pharmaceutical Society of Nigeria (PSN) Week in Lagos State, the Association of Lady Pharmacists (ALPs) in conjunction with Sabeccly Cancer Care, has called on the federal government to come to the aid of indigent citizens, who continue to die daily of the cancer scourge.

The lady pharmacists who took cancer awareness campaign and screening to civil servants and residents of Somolu Local Government Area, on 11 August, 2015, canvassed the inclusion of cancer care in the National Health Insurance Scheme (NHIS), arguing that while cancer care requires collaborative efforts, government must play a major role for success to be achieved.

L-R:Pharm. (Mrs) Folake Adeniyi, director of pharmaceutical servicies, Lagos Health service commission; Dr Omolola Salako, CEO, Sabeccly Cancer Care; and Pharm. (Mrs) Ngozi Okoye, vice chairman, Lagos State ALPs, during the occasion
L-R:Pharm. (Mrs) Folake Adeniyi, director of pharmaceutical servicies, Lagos Health service commission; Dr Omolola Salako, CEO, Sabeccly Cancer Care; and Pharm. (Mrs) Ngozi Okoye, vice chairman, Lagos State ALPs, during the occasion

Addressing participants during the campaign, Dr Omolola Salako, executive director, Sabeecly Cancer Care, lamented the prevalence of breast and cervical cancers among women, which she attributed to delayed presentation in the hospitals.

She noted that about 60 per cent of women had one form of breast lump or the other, which could be prevented from degenerating into cancerous growths when patients report early for medical examinations and counselling.

“For early diagnosis of cancer, women from 20 years and above are to practise self breast-examination once in a month, and see a doctor once in three years; while women who are 40 years and above should continue with self breast-examination and see a doctor for mammography annually”, she advised.

Dr Salako also maintained that cervical cancer could be prevented and should be prevented through the practice of safe sex. She listed the ABC of safe sex as Abstinence, Being faithful to one’s partner and Condom use.

She further counselled women to get vaccinated and go for Pap Smear , noting that “It cost less than N20, 000 to prevent cervical cancer and it costs over N500, 000 to treat it. Women should be wise in making the right decision by going for screening, because as they say, prevention is better than cure”.

Explaining reasons for the upsurge in cancer cases despite awareness campaigns, Dr Salako emphasised that there was a gap in awareness creation and the behavioural practices of many women. She equally noted that it was possible that information was not being strategically disseminated, or that some recipients of such information choose to be in denial.

She consequently called for a coordinated cancer information system that reaches people effectively and ensures that they go for screening.

On the role of the government and the NHIS in taming the scourge of cancer, the Sabeecly executive director said:

“It is expected that the NHIS should cover cancer care, we can take initial steps on this. The slogan for NHIS is ‘health care for all’. Health care is not just malaria or diabetes; available statistics are showing increase in cancer, we need to prepare for the burden, prevent preventable cases, in order to check the rate of cancer mortality in the country. As a nation, we are losing whole lots of women to breast and cervical cancer. And until the government takes full responsibility, we can’t win the war against cancer.”

Welcoming the participants earlier, the Lagos State ALPs chairperson, who was represented by the vice chairperson, Mrs Ngozi Okoye, expressed her delight with the turnout of the audience for the health education.

Explaining the vision and mission of ALPs as an interest group of the PSN, she said the ultimate goal is the enhancement of public health, with special focus on women and children. She listed the focus areas of ALPs Lagos activities to include girl-child education, school moral campaigns, HIV counselling and testing (HCT), charity visits and activities, environmental health and hygiene, as well as advocacy for rational drug use.

Okoye also explained ALPS roles in the Pharmacy Week, stating that the annual event of the PSN is often used as an opportunity to create awareness to the public about prevalent health issues and the pharmacists’ roles and contributions. The theme for this year’s edition was ‘Good Pharmacy Practice – The Key to Better Health Outcomes’. However, in consideration of the prevalence of various preventable and manageable health conditions currently ravaging the society, the Association of Lady Pharmacists, Lagos added the sub-theme: “Sensitisation and Health Screening Intervention as tools of Good Pharmacy Practice for better health outcomes”.

Tips for Healthy Living

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Healthy living, to different folks might have different meanings. However from  experts’ perspectives, it means both physical and mental health are proportionate in a person. In many instances, physical and mental health are closely linked, so that a change (good or bad) in one directly affects the other. Consequently, some of the tips will include suggestions for emotional and mental healthy living. Mr Chikat Lekshak, a nutritionist, learnt credence to this subject, urging Nigerians to cultivate the habit of taking food supplements regularly to enhance healthy living. You will find the tips below interesting for your daily upkeep.

Tips:

  • Eat three meals a day (breakfast, lunch, and dinner); it is important to remember that dinner does not have to be the largest meal.
  • The bulk of food consumption should consist of fruits, vegetables, whole grains, and fat-free or low-fat milk products.
  • Choose lean meats, poultry, fish, beans, eggs, and nuts (with emphasis on beans and nuts).
  • Choose foods that are low in saturatedfats, transfats, cholesterol, salt (sodium), and added sugars; look at the labels because the first listed items on the labels comprise the highest concentrations of ingredients.
  • Control portion sizes; eat the smallest portion that can satisfy hunger and then stop eating.
  • Snacks are OK in moderation and should consist of items like fruit, whole grains, or nuts to satisfy hunger and not cause excessiveweight gain.
  • Avoid sodas andsugar-enhanced drinks because of the excessive calories in the sodas and sugar drinks; diet drinks may not be a good choice as they make some people hungrier and increase food consumption.
  • Avoid eating a large meal before sleeping to decrease gastroesophageal reflux and weight gain.
  • If a person is angry ordepressed, eating will not solve these situations and may make the underlying problems worse.
  • Avoid rewarding children with sugary snacks; such a pattern may become a lifelong habit for people.
  • Avoid heavy meals in the summer months, especially during hot days.
  • Avegetarian lifestyle has been promoted for a healthy lifestyle and weight loss; vegetarians should check with their physicians to be sure they are getting enough vitaminsminerals, and iron in their food.
  • Cooking foods (above 165 F) destroys most harmful bacteria and other pathogens; if you choose to eat uncooked foods like fruits or vegetables, they should be thoroughly washed with running treated (safe to drink) tap water right before eating.
  • Avoid eating raw or undercooked meats of any type.

 

Tips for special situations:

  • People with diabetes should use the above tips and monitor their glucose levels as directed; try to keep the daily blood glucose levels as close to normal as possible.
  • People with unusual work schedules (night shifts, college students, military) should try to adhere to a breakfast, lunch, and dinner routine with minimal snacking.
  • People who prepare food should avoid using grease or frying foods in grease.
  • People trying to lose weight (body fat) should avoid all fatty and sugary foods and eat mainly vegetables, fruits, and nuts and markedly reduce his/her intake of meat and dairy products.
  • Seek medical advice early if you cannot control your weight, food intake, or if you have diabetes and cannot control your blood glucose levels.

 

How to care for your Ear

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Ear WaxCould you believe that several attempts made by you to remove wax from your ear were only increasing your risk of developing ear impairment? Otolaryngologists from the American Academy of Otolaryngology have warned on the dangers of using sharp objects in probing the ear. The ear specialists, who have listed a number of things you should never do to your ears, noted that earwax in a moderate amount is healthy and serves as a self-cleaning agent with protective, lubricating, and antibacterial properties, absence of may result in itchy ears.

Having said this, it is important to go through the Do’s and Don’ts list of ear care. Find t hem below:

THE DON’TS

  1. DON’T undergo ear candling to remove ear wax—it doesn’t work.
  2. DON’T…use a Q-tip to clean out your ears. Better yet, remove them entirely from your bathroom medicine cabinet.
  3. DON’T…expose your ears to continuous loud noises. Translation: turn your iPod down, or reduce number of hours on ear piece use.
  4. DON’T…smoke
  5. DON’T…ignore sudden hearing loss
  6. DON’T… use ear plugs if you have wax problems
  7. DON’T…try to remove ear wax on your own
  8. DON’T…use anything smaller than your elbow to clean inside your ears.
  9. DON’T…eat right before you go to bed—eat at least 3 hours before instead.
  10. DON’T…scratch the inside of your ear with a pen or any sharp object.

THE DOS

  1. Use a blow dryer to keep ears dry after water sports.
  2. DO…use nasal saline to keep nasal passageways clear during allergy season to prevent ear and sinus blockage.
  3. DO…apply sunscreen to the back of your ears as the skin there is prone to sun exposure.
  4. DO…use a 50:50 alcohol and vinegar solution as ear drops to evaporate excess water and keep your ears dry if you’re prone to swimmer’s ear.
  5. DO…see a physician if you experience sudden onset hearing loss
  6. DO… cover your ears when exposed to loud noises
  7. DO…have a qualified physician remove ear wax
  8. DO…use hydrogen peroxide or mineral oil to periodically loosen ear wax
  9. DO…use OTC decongestants while flying if prone to ear popping
  10. DO…use mineral or olive oil to drown live insects that get stuck in your ears (& get the dead insect removed by an ENT)

 

 

Proven Ways To Manage Your Stress

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nig nijstressed outResearch from both the experimental and clinical domains confirmed that stress is all about having little or no control over situations. It is interesting to find that stress is not all bad. In fact, stress can increase productivity up to a point at which fatigue, exhaustion, and ill health will occur rapidly. The point at which this happens is different for everyone.

Body changes during a stress reaction

When a person is stressed, there are internal reactions that happen within their body. Changes in body functions allow the person to undergo what is called the fight or flight reaction. This means the body is getting ready to fight if needed or run quickly and “get out of Dodge”.

7 Physical changes that occur during fight or flight response to stress. They are:

  • The persons heart starts to beat faster
  • Blood pressure goes up
  • Breathing becomes quicker, allowing more oxygen to the brain and muscles
  • Blood glucose level rises to give your body more energy to do whatever needs to be done
  • Blood moves away from your gut and into the big muscles of your arms and legs so you can act quickly
  • Blood gets ready to clot quickly should the person start to bleed
  • The person become very alert so that they can think about how to deal with the threat detected.

 

Most times, diabetics don’t fare well with stress, as insulin may not be available for the conversion of extra glucose (sugar). It is not unusual for this to happen during and after hospitalization and at other stressful times.

There are two types of stress

  1. Mental Stress
  2. Physical Stress (injury or Illness) and Diabetes

A person’s reaction to stress may depend on the type of diabetes they have and the kind of stress that is affecting them.

  • Mental stress usually raises the blood glucose in people with type 2 diabetes, while it fluctuates the blood glucose level in type 1 diabetics.
  • Physical stress will usually cause higher blood glucose levels in people with either type of diabetes.

It is important to test blood glucose level when stressed to see how stress affects individuals with diabetes. Diabetics should also note that domestic activities can also induce stress. Thus, experts warned on the need for diabetics to be more cautious.

When stress is extreme, distress may set in, problems such as headaches, stomach upset, chest pain and sleeping disorders can occur in addition to the increase in blood pressure and blood glucose.

Effective ways of Managing Stress:

  • Avoid the stressor
  • Say no to requests that will cause more stress
  • Limit time spent with stressful people
  • Limit situations that are stressful. Take the more scenic road instead of the highway to work.
  • Avoid conversation topics that are upsetting.
  • Alter the stressor
  • If a person is causing the stress, try to talk to the person in a caring fashion to help change the situation.
  • Change your own behavior to help or offer compromise to the situation
  • Set limits on your time and tell others what work you need to get done
  • Plan enough time for tasks

7 Smart Principles of Healthy Eating

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Here are seven sound diet principles as proposed by nutritionists that can keep your blood sugars from creeping upward, among other health benefits.

  1. Skip the sugary drinks. No sweet tea. No juice. No soda. No sweetened lemonade. No mocha latte coffee creations. “My number one recommendation to people is: Don’t drink your sugar,” Sugary drinks provide nothing more than empty calories, and they won’t help you feel full. “All the sugary drinks out there are a real risk factor for obesity,” she stresses.
  1. Pull back on portions. You still can eat many of the foods you like, just have smaller amounts of them, adding that this is especially true for starchy foods like white rice, white potatoes, and pasta. Cut out high-calorie, junky snacks, and save your decadent desserts for special occasions. Remember that even healthy foods can lead to weight gain if you eat too much of them, and being overweight is a primary risk factor for type 2 diabetes.

 

 

  1. Fill up on fiber. Eat plenty of high-fiber foods, including vegetables, fruits, beans, and whole grains. Fiber helps you feel fuller longer and can help you eat less to avoid weight gain. At least half your plate should be fruits and vegetables that have been steamed or sautéed in healthy fats. Those veggies can be fresh, frozen, or canned. Just skip the canned vegetables with added salt.

 

 

  1. Be choosy about fats. Your diet should have some fat, but opt for the healthiest sources: olive and vegetable oils, nuts, seeds, and avocado. Buy low-fat or fat-free dairy products such as reduced-fat cheeses, non-fat or low-fat yogurt, and skim milk.

Assorted fruits

  1. Drink alcohol only in moderation. Men should have no more than two drinks a day, women no more than one. A drink is 12 ounces of beer, 5 ounces of wine, or 1.5 ounces of distilled spirits of 80-proof.
  1. Choose lean meats. To easily identify lean red meats, look for cuts that have the word “round” or “loin” in their name, such as top round or pork loin. Even with these better-for-you picks, trim all visible fat. Opt for white-meat chicken or turkey without the skin. Adding fish to your diet two to three times a week is part of a diet that can help diabetes prevention. Bake, broil, roast, grill, or saute rather than fry to keep it lean.
  1. Stay hydrated. Drink plenty of water. People hydrationoften mistake thirst for hunger, which can lead to overeating and weight gain. “You feel better when you’re hydrated,” “Staying hyrated helps to lower your blood sugar, which you should do anyway.”

 

Super Ways of Eating for Body Types

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body type

Nutrionists, at various times have agreed with the American psychologist, Williams H. Sheldon, on his body type theory, called Somatotypes. The assumption of Somatotype is that there are three body types, and each individual could be any of the three. They are: Ectomorph, Mesomorph, and Endomorph.

The essence of nutritionists’ alignment with the theory of body type nutrition is that the human body type determines how it processes what the person eats. Though its difficulty or out rightly impossible to change the basic body frame and build, which is mostly determined by genetics, experts advised eating in line with body type, in order to:

Modify and respond to what they eat

Lose, gain, or maintain your weight as you wish to achieve your ideal body weight

Target trouble spots to modify fat and muscle to achieve the body shape you want

Eliminate food cravings

Boost your metabolism and energy

Achieve and maintain optimum health by reducing the challenges and health risks of a body type.

Body Types Categories and Description

Body types otherwise called somatotypes, as earlier mentioned, could be diet based, following Fitness and nutrition advocates guide. Now, its time you know your body type, in case you are yet to, and keep to your diet recommendation, in order to achieve your desired body look.

ECTOMORPHS

Ectomorphs (a.k.a lepacious) have a small bone structure, are naturally long and skinny, and have little muscle mass or body fat. This body type has​​ the following challenges:

Difficulty gaining weight, lean muscle mass, and fat no matter how much they eat

A high metabolism, so they burn off fat easily

A high carbohydrate tolerance, so they absorb and utilize carbs efficiently and there is less to convert to fat

To overcome these challenges and maintain a healthy weight and optimum muscle and fat mass the eating plan recommended for an ectomorph is to eat:

A high-carb, moderate protein and low-fat diet. Suggested nutrient distribution: carbs 50%, protein 30%, and fat 20% of total daily calories

Five to six meals a day of healthy calorie and nutrient-dense carb foods

Enough calories to maintain a normal amount of fat and muscle

An ectomorph can achieve this recommendation by eating a healthy combination of:

Complex carbs of whole grains, fruits, and starchy and non-starchy vegetables

Lean animal protein and legumes

Healthy sources of fats such as flaxseed and olive oils, as well as nuts, seeds, and dairy

To maintain enough fat, go light on aerobic exercise and, to increase your lean muscle mass, include weight training in your exercise plan.

MESOMORPHS

Mesomorphs have a medium build and bone structure. They tend to be muscular, lean, and athletic-looking and have little fat. They have the most ​​desired body type ​​and a healthy, moderate metabolism, but their challenges i​nclude:

Can gain or lose weight, fat, and muscle without much effort depending on what they eat

A tendency to carry weight in the bottom, hips, and thighs if they gain weight

To maintain a lean, muscular body and limit a tendency towards overeating and fat and weight gain, a mesomorph is advised to:

Eat a diet balanced between healthy carbs, lean protein, and healthy fats. Suggested nutrient distribution: carbs 40%, protein 30%, and fat 30% of daily calories

Manage calorie intake to reduce fat gain

To achieve this a mesomorph’s diet can include:

Complex carbohydrates such as whole grains, starchy and non starchy vegetables, and fruits

Lean animal protein such as lean meats, fish, skinless poultry, and legumes

Healthy fats from flaxseed and olive oils, nuts, and reduced-fat dairy

Add aerobics, such as running, to burn off any excess fat. Maintain lean muscle with weight training.

ENDOMORPHS

Endomorphs (a.k.a orobo) have a big bone structure and a heavier body mass with lots of poorly defined muscle and body fat. They tend to be round and soft and have the following challenges:

Gain weight easily and have difficulty losing it

A slow metabolism, so they have more difficulty burning fat, and excess calories are more likely to be stored as fat

A tendency to store fat around the belly and upper body, which carries an increased risk for diabetes and heart disease

Poor carbohydrate tolerance, so they don’t absorb and utilize carbs well, increasing the risk for diabetes

To lose fat and weight and tone muscle endomorphs should:

Eat a low-carb, high fiber, high protein, and low-fat diet. The suggested nutrient distribution is carbs 30%, protein 40%, and fat 30% of daily calories.

Pay attention to calorie intake because of the challenge of burning off excess calories and fat.

Endomorphs can achieve this recommendation by:

Choosing complex carbs of whole grains and non-starchy vegetables

Avoiding or limiting simple sugars and refined starches such as white bread, pasta, white rice, potato, and starchy vegetables, such as corn and peas

Eating lots of lean protein, such as lean meats, fish, skinless chicken, legumes, and a small amount of nuts and seeds

Limiting fats to healthy sources, such as flaxseed and olive oils, reduced-fat dairy, and peanut butter, as well as by making low-fat substitutions in favorite recipes

Add high intensity aerobic exercises to mobilize the fat and add weight training to tone muscles as the pounds come off.

Prescription drugs Business in India 2015 – 2020

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Prescription drugs Business in India is anticipated to be price US$ 55.39 billion by 2020, finds a brand new analysis report launched by NOVONOUS. See extra at: http://mrr.cm/okg

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7 Real Reasons You’re Always Hungry

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man-eating1It is generally accepted that eating is one of the functions of living things, however, when it is observed that an individual keeps sending down all that comes across his way into his stomach, then there’s more to it. “Hunger is the physiological need for calories, water and salt, and it’s driven by a mix of factors, including your diet, appetite hormones and emotional factors, such as stress,” says Maggie Moon, RD, a Los Angeles-based nutritionist and owner of Everyday Healthy Eating. These 7 things will help explain why your belly’s been growling.

You’re dehydrated

According to the American Academy of Nutrition and Dietetics, dehydration is often masked as feelings of hunger, when really your body just needs fluids.

To prevent this development, you need to increase your fluid intake, starting with a glass of water first thing in the morning.

You’re a restless sleeper

Lack of shuteye on a regular basis makes you ravenous for another reason. After poor sleep, you’re more likely to have serious fatigue and brain fog. Your system, desperate for a shot of energy, triggers cravings for sugar carbs, even if you’re not actually hungry. Aim for 7 to 8 hours of sleep a night, and you’ll get your energy level and hunger hormones back on track.

You load up on starchy carbs

Its observed that simple carbs, the kind found in sugary, white flour foods like pastries, crackers and cookies, spike your blood sugar levels quickly, then leave them plunging soon after. That blood sugar plunge causes intense hunger for more sugary carbs and the cycle continues. Get your carb fix with the complex, filling kind that contains lots of fiber.

You’re a stress case

Again, different individuals have attested to it that stress has a sneakier way of making you voracious. When you’re tense, your system ramps up production of the stress hormones adrenaline and cortisol.

It is also noted that elevated levels of these hormones trick your system into thinking it’s under attack and needs energy, so your appetite starts raging.

You drink too much alcohol

That pre-dinner cocktail or glass of wine meant to whet your appetite before dinner actually does just that, stimulating a feeling of hunger even if your stomach is full, says Moon. According to a study published in the journal Appetite, findings revealed that people were more likely to consume foods higher in calories after drinking alcohol. Since booze dehydrates, it has the tendency to has to trick people into thinking they need food when your body is really calling for water. So watch out for this reaction in your body.

You need to eat more protein

It may sound incredible but studies have also shown that protein has appetite-suppressing effect. Thus, stock-pilling your plate with more protein will reduce your hunger pangs.

You skip meals

Again if you have the habit of ghosting your breakfast and other meals, then you are more likely to increase your hunger hormone “Ghrelin”, which subsequently cause a rise in appetite.

Uncover AFT Prescribed drugs – Our Folks

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Uncover AFT Prescribed drugs.

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AlphaBetic, an effective medication for diabetics -Dr. Ogbera

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Diabetes mellitus (DM) is a chronic medical disorder that is assuming pandemic proportions. In 1985, an estimated 100-115 million people were affected, as at Year 2000, this figure rose to 151million and in the Year 2025, an all time high figure of 300million is expected.

The global increase in DM is poised to occur unfortunately more in developing countries like Nigeria. Nigeria like most dev countries is experiencing a rapid epidemiological transition with the burden of NCDs especially DM and Hypertension which are poised to overwhelm the healthcare system that is already overburdened by HIV/AIDS, TB and malaria.

In Nigeria, DM related admissions make up 15% of all medical admissions and the commonly documented reasons for DM hospitalizations include poor glycaemic control/hyperglycaemic emergencies and foot ulcers. 1 in 6 cases of DM admissions result in death and the commonest causes of DM deaths are hyperglycaemic emergencies (46%) and DM related foot ulcers (30%).

Although it may take many years for complications of diabetes to show up, in Nigeria, these complications occur at the time of diagnosis of the disease in 25% of this group of people. Although this list is far from complete, the more common complications of uncontrolled blood sugar levels include:

  • Heart disease – stroke, hypertension, heart attack, atherosclerosis
  • Eye problems – blindness, cataracts, glaucoma
  • Kidney disease
  • Neuropathy
  • Gum disease
  • Limb amputation

The management of DM includes life style modification (exercise, adoption of healthy eating habits) and use of glucose lowering medications (oral drugs and insulin injections). Supplementation with vitamins is also a useful adjunct in the management of DM.

ALPHABETIC & DIABETES MELLITUS

People with diabetes have specific nutritional needs which may not be completely fulfilled from the average multivitamin or from diet alone. Managing diabetic nutrition requires a daily dose of balance and replenishment to help restore diabetes-related nutrient deficiencies.

AlphaBetic is a supplement commonly prescribed for persons with diabetes mellitus. AlphaBetic is made up of vitamins E and C, Lutein and Alpha lipoic acid. The important functions of the components of Alpha lipoic acid are as listed below;

Vitamin C: The complications of Diabetes Mellitus are believed to result from hyperglycemia either via the intracellular accumulation of sorbitol or via the glycosylation of proteins or through both of these mechanisms operating in tandem. The Diabetes Control and Complications Trial demonstrated that substantial clinical benefits can be expected from an adherence to “tight” glycemic control. Adjunct therapies are proposed for the augmentation of tight glucose control. Among those therapies, strong evidence supported the likely efficacy of vitamin C supplementation.

Studies have shown that Vitamic C supplementation in conjunction with glucose lowering medication improved glycaemic control in persons with DM. Vitamin C is usually devoid of side effects and this makes it a particularly attractive therapeutic adjuvant in the treatment of type 2 DM.

Vitamin E: This important vitamin has been shown to reduce the risk of developing cardiac diseases in people with diabetes mellitus

Lutein: Cataracts and increased susceptibility to frequent and protracted infections may occur in persons with poorly controlled diabetes mellitus. Researchers have found that lutein is not only a potential candidate for the reduction of susceptibility to infections of diabetic patient but also protects against the development of cataract.

Alphalipoic acid: Alpha lipoic acid is a fatty acid which is used by every cell in the body and serves as an antioxidant that is also effective in the management of diabetic neuropathy. Diabetic neuropathy is damage to nerves that occurs as a result of diabetes. Diabetes is thought to damage nerves as a result of prolonged elevated levels of blood glucose.

Different types of diabetic neuropathy include peripheral neuropathy, focal neuropathy, autonomic neuropathy, and proximal neuropathy.

The common symptoms of peripheral neuropathy include pain, burning, tingling, and numbness of the feet and lower legs.

Autonomic neuropathy causes symptoms related to dysfunction of an organ system, such as urinary incontinence, diarrhoea or constipation, or sexual dysfunction.

Diagnosis of diabetic neuropathy is usually done by a clinical exam.

There is no cure for diabetic neuropathy, but treatments are available to manage the symptoms and one of these is alphabetic. The use of alphabetic in the treatment of this DM complication is as a result of the alpha lipoic acid component.

 

By Dr. Anthonia Ogbera, Associate Professor of Medicine, Lagos State University Teaching Hospital, Ikeja, Lagos

 

Event Timeline

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good
Pharm. (Mrs) Bisi Bright, CEO of Livewell Initiative and her team reciting the NGO’s anthem

 

 

perfect
Pharm (Sir) Ifeanyi Atueyi, managing director of Pharmanews Limited; Dr. Wale Alabi, project director and Olorogun

 

 

abiodun
Prof. Abiodun Falodun, deputy vice chancellor (academics) presenting
Sir Ike Onyechi, MD, Alpha Pharmacy & Stores , and other Fellows of the WAPCP druing the recent 27th AGM & Scientific Symposium of  the college.
Sir Ike Onyechi, MD, Alpha Pharmacy & Stores , and other Fellows of the WAPCP druing the recent 27th AGM & Scientific Symposium of the college.
Animashaun Tanwa, Gloria Agboola and Ojelabi Jesujoba
Animashaun Tanwa, Gloria Agboola and Ojelabi Jesujoba

UNIBEN approves construction of second Pharmacy building – As PANS honours Atueyi, PharmacyPlus boss, others

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Thunderous ovation reverberated throughout the main auditorium of the University of Benin on 7 July, 2015 as the institution’s deputy vice chancellor (academics), Prof. Abiodun Falodun, announced that the vice chancellor had authorised the erection of another building for the faculty of pharmacy.

L-R: Prof. Azuka Oparah, clinical pharmacy professor, UNIBEN, presenting the PANS Legend award to Pharm (Sir) Ifeanyi Atueyi, managing director of Pharmanews Limited during the opening ceremony of Pharmacy Health Week in UNIBEN.

 
Addressing the audience, comprising mainly pharmacy students, during the opening ceremony of the 36th annual pharmacy health week organised by the UNIBEN chapter of Pharmaceutical Association of Nigerian Students (PANS), Falodun explained that it didn’t take much convincing for the school vice chancellor to approve a new structure, complete with laboratory and lecture theatre for the faculty.

L-R: Dr Patrick Igbinaduwa, head of pharmaceutical chemistry department, Faculty of Pharmacy, UNIBEN presenting  the Pa. E. A. Osadolor Merit Award to Pharm. Chukwuemeka Obi, chief operating officer of PharmacyPlus Nigeria Limited
L-R: Dr Patrick Igbinaduwa, head of pharmaceutical chemistry department, Faculty of Pharmacy, UNIBEN presenting the Pa. E. A. Osadolor Merit Award to Pharm. Chukwuemeka Obi, chief operating officer of PharmacyPlus Nigeria Limited

“It is said that a giant Iroko (tree) begins with a small seed. It is that belief that spurred him to trust that the faculty of pharmacy can also take us (UNIBEN) to a giant height. It is that same belief that made him to appoint me also as deputy vice chancellor,” he said.
The DVC further added, to the delight of the students, that the faculty would soon begin to produce methylated spirit, cotton wool and hydrogen peroxide.
“In fact, as I am talking to you, a committee to oversee the project is in place and headed by Dr Patrick Igbinaduwa, head of pharmaceutical chemistry department,” he announced.
As the students expressed their excitement with deafening applause, the professor quickly added that there were also plans in place to ensure the production of hormonal drugs in the institution.
On the challenges often faced by pharmacy students going for internship, the professor said, “We have also observed that many pharmacy students go through a lot of stress in search for a place to do their internship. We are working on something that should take care of that very soon.”
Earlier in his address on “Self Care In Hypertension and Diabetes – The Role of the Pharmacist”, Prof. Azuka Oparah, a clinical pharmacy professor in UNIBEN had described self-care as the act of taking responsibility for one’s health without professional intervention, but with professional support.
The clinical professor explained that chronic conditions such as hypertension and diabetes required life-long self care, in addition to professional care in order to achieve the desired clinical, humanistic, and economic outcomes.
“If we live long enough, we stand the risk of chronic diseases,” Oparah noted, adding that “chronic diseases such as hypertension and diabetes are the major causes of death and disability worldwide. Many studies have demonstrated that a large proportion of patients are not aware of their high blood pressure.”
According to the don, the 1994 WHO resolution recognises the key role of pharmacists and further emphasises their responsibility to provide informed and objective advice on medicines and their use, to promote the concept of pharmaceutical care, and to actively participate in illness prevention and health promotion.
“After all, the mission of the profession of pharmacy is to improve or maintain public health through ensuring safe, effective, and appropriate use of medications,” he stressed.

The opening ceremony of the event was graced by a large number of eminent personalities, including Pharm (Sir) Ifeanyi Atueyi, managing director of Pharmanews Limited; who delivered the keynote address, Pharm (Mrs) Caroline Olumese, deputy director/head of department, University of Benin Teaching Hospital (UBTH); and Pharm Chris Iyare, chairman, Edo State branch of the Pharmaceutical Society of Nigeria (PSN).
Others were Pharm. Chukwuemeka Obi, chief operating officer of PharmacyPlus Nigeria Limited; Pharm. (Dr) Mrs Tawa Idubor, PSN national financial secretary; Pharm. Tunde Akanmu, managing director, Monic-Tee Pharm; Pharm. Aloysius Anieke, pharmacist-in-charge of Philip Andy Je Pharmacy; Dr Collins Aireminen, department of pharmaceutics & pharmaceutical technonolgy (UNIBEN); and Prof. Ehijie Enato, lecturer, UNIBEN’s faculty of pharmacy.
Towards the end of the programme, seven distinguished pharmacists were honoured by the PANS executives with two categories of awards – the Pharmacy Legend Award, and the Pa E. A. Osadolor Merit Award – in recognition of their innovative contributions to pharmaceutical excellence.
Recipients of the awards were: Pharm (Sir) Ifeanyi Atueyi and Pharm. Aloysius Anieke (Pharmacy Legend Award); Pharm. Chukwuemeka Obi, Pharm Chris Iyare, Dr Collins Aireminen, Prof. Ehijie Enato and Dr Patrick Igbinaduwa (Pa E. A. Osadolor Merit Award).

How studying Pharmacy became a blessing to me – Prof. Obiorah

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Former Deputy Vice Chancellor (Administration) of the University of Benin, Professor Bona Obiorah is a distinguished pharmacist. His illustrious career has seen him serve as president of the West African Pharmaceutical Federation (now West African Postgraduate College of Pharmacists). He was also a chairman of Edo State PSN and, remarkably, the first black professor of Pharmaceutical Technology in Africa. In this interview with ADEBAYO FOLORUNSHO-FRANCIS, the professor recounts the ups and downs of the journey so far. Excerpts:

What was your early education like?
My primary education was at St. Mathew’s Catholic School, Amawbia in old Onitsha Province. I left there in standard five in 1954 to attend Government College Umuahia. At Umuahia, I was in the experimental class that wrote WASC in class four. After WASC I had a stint of nine months in Shell BP as a clerk. Thereafter, I proceeded to the old Nigerian College, Enugu, for my A-levels in Physics, Chemistry and Biology which I successfully completed in June 1961.

How did you find yourself at Nigerian College?
Well, I think that is a story for another day. After my WASC, my passion was to study Agriculture at the University of Ibadan. I wrote the entrance examination and was admitted to the university. But the issue of Eastern Nigeria Government Scholarship cropped up and when I checked the list I found that I had been awarded a scholarship to study Pharmacy. That was the first time I was hearing of such a course.
I travelled to Enugu to find out what was going on. I was told that my name appeared under Pharmacy because that was an area of need for the regional government. I needed a scholarship and accepted to study Pharmacy at the University of Ife (now OAU). The letter of admission was for a three-year B.Pharm degree. On arrival at the university, the letter of offer was withdrawn and replaced with a three-year diploma offer.

What was the reason?
The reason was that the staffing situation was inadequate for a Pharmacy degree. Some of us went over to the University of Ibadan and enrolled for Medicine, but a good number took the matter philosophically and enrolled for the diploma programme.

What happened next?
At the end of the diploma programme in June 1964, we were enlisted in the register of pharmacists, which paved way for me to join the Eastern Nigerian Civil Service as a pharmacist. Quite unexpectedly, those of us who graduated in 1964 with diploma were invited back to Ife to do a one year top-up programme in October 1966. Thus, by June 1967, we had got the B.Pharm degree. At the end of the programme, those of us who bagged second class honours upper degree were offered appointments as Assistant Lecturers in Ife; but I could not take up the appointment.

Why?
Because of the Nigerian Civil War. Still, I was allowed to take up the offer in April 1970 at the end of the war. That was the start of my long and rewarding career in academia.

Rewarding, in what sense?
I was sponsored to the UK for a PhD programme by the university in September 1970. I spent about three and half years at the University of London and bagged my PhD in Pharmaceutical Technology in February 1974. I rose quickly through the ranks in Ife and subsequently at the University of Benin (Uniben) and became a full professor of Pharmaceutical Technology in 1981.

In retrospect, can you confidently say studying Pharmacy was a good decision for you?
Looking back, it was providential that I read Pharmacy since I never set out to do so. But as it turned out to be, I have no regret whatsoever studying Pharmacy. Pharmacy turned out to be a real blessing for me. I had attained the rank of full professor in Pharm Technology barely seven years after my PhD, and in fact, the first in black Africa. The rapid rise had its challenges but I feel fulfilled that I lived up to them as they arose.

What was the profession like in your day compared to today’s practice?
I was in hospital pharmacy for five years before going into academics. Pharmacy in the hospital at the time was beset with all sorts of challenges – top of which was being placed on the technical cadre in public service. We also operated from cubicles as pharmacies and there was very little contact with the patients.
With the recent introduction of clinical pharmacy, we are beginning to have a pre-eminent position in the hospital. We must bear in mind that the status of Pharmacy will always be determined by its fate in the hospital.

Were there scandals and other disturbing trends surrounding the practice during your time?
Pharmacy appears to have been a fighting profession over the decades. This is so because a lot of interlopers exist; and many people who try to determine our fate in most cases do not have a clue about Pharmacy as a profession. Of course, virtually everyone wants a bit of the pie. If the profession is allowed to fully regulate itself, Pharmacy will attain its full potential which will be to the benefit of all.
Some of the bad policies affecting our profession are gradually being addressed, with pharmacists throwing their hats in the ring of party politics. Pharmacists can no longer afford to remain apolitical.

What was your level of involvements in pharmaceutical activities?
My involvement in pharmaceutical activities was closely linked to my activities as a pharmacy teacher. I always preached to my students that they must take a lot of interest in hospital pharmacy. Students used to be reluctant to work in hospitals, complaining of little or no time for pleasure. I always emphasised to them that if the hospitals could dispense with their services on weekends, then they could also dispense with their services altogether since hospitals are open 24 hours a day.

What about active membership of associations and holding offices?
I was chairman of Edo State PSN. As dean of pharmacy in the University of Benin, I was fully active in pharmacy politics. I was also an active member of the West African Pharmaceutical Federation (WAPF) and rose to be its president and played a major role in midwifing it to become the West African Postgraduate College of Pharmacists. Even as deputy vice chancellor (administration) in the University of Benin, I remained very active in the affairs of Pharmacy, nationally and internationally.

Were there some major awards given to you in recognition of your service?
In the course of my service to Pharmacy, I was honoured with fellowships of the PSN (FPSN) and the West African Postgraduate College of Pharmacists (FPCPharm). I was also country representative of the Commonwealth Pharmaceutical Association for very many years.

What is your impression of the annual PSN national conferences?
The annual PSN national conferences seem to have derailed from the original thinking. It has become so commercialised that there is very little consideration for pharmacists in academia. They should be made to be an integral part of the jamboree.

If you were not to be a pharmacist, what other profession would you have opted for?
I have had a most rewarding career in pharmacy. If I was not in Pharmacy due to providence, I probably would have become a farmer as I indicated at the beginning of this interview. Whether I would have had the same success as I had in Pharmacy if I was a farmer is an issue for another day.

Is there a particular age when an active pharmacist should retire?
The issue of retirement age for pharmacists has continued to crop up. In my extensive travels around the world, I have seen pharmacists in various facets of the profession remaining active well over 80 years. The matter must be left to the individual pharmacist to decide. The alertness of the practitioner should be the deciding consideration, not age as a rule of thumb.

As an elder in the pharmacy profession, what is your advice to young pharmacists?
Young pharmacists tend to be too much in a hurry to reach the top or make money. Very often, this is to their detriment and that of our profession. They should make haste slowly and try to be on top of developments in the profession by continually updating their knowledge on the various areas of pharmacy. For the young ones ready to be sincere to themselves and the profession, they can rest assured that there is room at the top.

Ondo will soon win war against fake drugs – Pharm. Ogunjemiyo

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By Adebayo Oladejo

Pharm. Olabode Ajayi Ogunjemiyo is the new chairman, Pharmaceutical Society of Nigeria (PSN), Ondo State Chapter. In this interview with Pharmanews, immediately after the 34th Annual National Conference of the Association of Community Pharmacists of Nigeria (ACPN) tagged “Sunshine 2015” which was held in Akure, Ondo State, the one-time secretary of the Ondo PSN expressed his views on pharmacy practice in the state.

Pharm. Ogunjemiyo who took over the chairmanship of the PSN, Ondo State from Pharm. Samuel Adekola, having served the PSN in various capacities for twelve years, also revealed the strategy put in place by the state government as well as the PSN to rid the state of fake and unwholesome drugs. Excerpts:

 

As the chairman of PSN in Ondo State, what is your assessment of pharmacy practice in the state?

Pharmacy practice in this state has evolved over the years. And it keeps evolving as I speak because the profession is faced with different challenges on daily basis. So to the best of my knowledge, the practice is good because we have never failed since I joined the executive in implementing the policies of the PSN national. Our challenges have given us the opportunity to think outside the box.

If I must be sincere, the issue of fake and counterfeit drugs has been one of our major challenges. But as I speak now, the state government has purchased a machine called ‘Truescan’ which is being used by the National Agency for Food, Drug Administration and Control (NAFDAC) to detect fake and counterfeit medicines. And by virtue of my position as the chairman of PSN in this state, I am a member of the State Task Force Team on fake and counterfeit medicine. The team is saddled with the responsibility of using the machine to detect fake and unwholesome drugs. So, apart from NAFDAC, Ondo State is the only state in the federation that has this machine and we are hopeful that by the time the machine is put into full use, the issue of fake and counterfeit drugs will be reduced if not totally eradicated in the state. This way, practitioners, as well as the public, will begin to have confidence in the drugs purchased in the state.

I want to assure everyone that now that the machine has arrived and efforts are in top gear to rid the state of counterfeit and fake drugs, we have embarked on aggressive orientation and awareness programmes throughout the state. People are now more enlightened about the dangers of fake drugs; so they have begun to source their medicine from the right places. Also, all those who deal in the business of drug selling in the state are now more careful about where they source their products from. I want to believe, and this is not a matter of boasting, that before the end of this year, 2015, the issue of fake and counterfeit drug would have been a forgotten issue in Ondo State.

 

How lucrative is pharmacy practice in Ondo State?

As the chairman of PSN in the state and from my experiences over the years, I have seen that pharmacy practice, especially the community aspect, is really thriving in the state. This is not to say that we do not have some pharmacists that are not doing too well because we do not expect everybody to be going at the same pace, but some people have made it.

It must be said though that community pharmacy practice is capital intensive. So it is the amount of money you invest in it that determines your output. And that brings me to one of the challenges facing community practice, which is money. The interest rates commercial banks demand on loan is really killing the practice for the practitioners. Still, the practice is thriving for as many people that play by the rules, follow ethical practices, trust in God and deliver good pharmaceutical services to the people.

 

What is your view on retail chain pharmacy in Nigeria?

This is another major issue; but as far as I know, we in Ondo State are not opposed to retail chain pharmacy. It is a good idea, but it must come with a proviso, which is that all the outlets must be manned by pharmacists at every point in time. This actually is what the PSN has been emphasising.

We vehemently frown at the idea of leaving the chain outlets in the hands of non-pharmacists, as we believe that a pharmacy should be manned by a superintendent pharmacist. Pharmacists can also come together to open an outlet and register it in the name of one person which is renewable on yearly basis. And once the business starts bringing in money, they can open another one somewhere else which should be registered in the name of another pharmacist. What that mean is that a pharmacist can only use his or her name to register only in one place. It is a good idea as it will encourage people that have passion for the profession to come together to form a chain. It is not for every Tom, Dick and Harry to come together for a chain as that would negate the ethics of the profession.

What pharmacy is all about and what we preach now is pharmaceutical care; money-making is secondary. This is why we need passion to do well as pharmacists. So, I support chain pharmacy and I know that most pharmacists will also love the idea; but the existing law which makes the establishment of retail pharmacy the exclusive right of pharmacists or group of pharmacists should be maintained.

 

What is your assessment of this year’s ACPN national conference hosted by your state?

I am a member of the Local Organising Committee as well as the chairman of the Protocol Committee, so I can testify that the conference remains the best so far in the history of the ACPN. I shouldn’t be the best person to assess the conference but with what community pharmacists all over the country that attended are saying and with what you pressmen have also witnessed, the conference remains unbeatable.

The challenges encountered at the last conference in Uyo, Akwa Ibom State, taught us so many things. That was why we decided to go for an indoor hall that would make our exhibitors as well as the participants happy. And we are happy that, at the end of the day, all the pharmaceutical companies that came to exhibit and the participants that came from all over the country were satisfied with what we did. The conference was a memorable one in the minds of so many people.

 

 

 

Ahmed I. Yakasai

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Ahmed I. Yakasai is an accomplished pharmacist and pharmaceutical consultant. He has over 30 years experience in Regulatory Affairs (with focus on strategic development and registration of drugs, post marketing surveillance, labelling, quality assurance and compliance, packaging of contract manufacturing, providing scientific office, organising pharma investment forums, as well as other pharmaceutical and health related research works).
Yakasai studied at the prestigious Ahmadu Bello University, Zaria, and the University of Salford, Manchester, UK. He is the founder of Pharmaplus Nigeria Ltd, Multiplus Consulting, Multiplus Resources Ltd and Nigeria-Pakistan Pharma Investment Forum.
He has attended so many courses on leadership skills, Emergency Preparedness & Response to Epidemics/Case Management, Community Rapid Assessment with vast knowledge on HIV/AIDS, Pharmaceutical Current Good Manufacturing Practice (cGMP) etc.
The Pharmaplus boss is the author of ‘Pharmacists and Society’ as well as Pharmaceutical Directory, Kano/Jigawa.
He conducted so many researches for the National Agency for Food, Drug administration and Control (NAFDAC), PATH2 (AXIOS), and GHAIN project.
A part-time lecturer in Ahmadu Bello University, Zaria under the Pharmacists Council of Nigeria’s Mandatory Continuing Education, Yakasai is also an external examiner for the PCN and participated in accreditation of some Faculties of Pharmaceutical sciences of Nigerian Universities.
As an independent consultant, he has registered so many pharmaceutical, veterinary, medical devices and food products with NAFDAC.
Ahmed Yakasai was a former deputy national president of the Pharmaceutical Society of Nigeria, former vice president of Kano Chamber of Commerce and industry and former chairman Northern League of NGOs (NOLENGO).
Yakasai is a Fellow of the following bodies: Pharmaceutical Society of Nigeria (PSN), Institute of Logistics Management, Fellow of Nigeria Academy of Pharmacy and the Institute of Commerce Chartered.
In recognition of his excellence, he was awarded with a letter of appreciation for brilliant and excellent lecture presentation by PCN/MCEP Centre of Ahmadu Bello University Zaria. Not only that, the pharmacist was equally honoured with Most Outstanding Commissioner award by AIT Television.
Other awards include: Excellence Award by Nigerian Institute of Public Relations (NIPR) Kano Chapter, professional Service Award by the Association of Community Pharmacists of Nigeria (National), Award of Excellence by the Kano Chamber of Commerce for an outstanding performance to the development of Kano Business Community, Award/decorated with the State Executive Volunteer on humanitarian service number one by Nigerian Red Cross Society, Kano State Chapter, Certificate of Merit for valuable services rendered to Yakasai Community and Merit Award on drug Abuse Campaign by the Ministry of Health, Kano State.
Ahmed Yakasai is presently based in Kano, Nigeria.

Power of purpose

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Things are useful and thoughts are powerful in the measure that their parts are strongly and intelligently concentrated. Purpose is a highly concentrated thought. All the mental energies are directed to the attainment of an object, and obstacles which intervene between the thinker and the object are, one after another, broken down and overcome.
Purpose is the keystone in the temple of achievement. It binds and holds together in a complete whole that which would otherwise lie scattered and useless. Empty whims, ephemeral fancies, vague desires, and half-hearted resolutions have no place in purpose. In the sustained determination to accomplish, there is an invincible power which swallows up all inferior considerations, and marches direct to victory.
All successful men are men of purpose. They hold fast to an idea, a project, a plan, and will not let it go; they cherish it, brood upon it, tend and develop it; and when assailed by difficulties, they refuse to be beguiled into surrender; indeed, the intensity of the purpose increases with the growing magnitude of the obstacles encountered.
The men who have moulded the destinies of humanity have been men mighty of purpose. Like the Roman laying his road, they have followed along a well-defined path, and have refused to swerve aside even when torture and death confronted them. The Great Leaders of the race are the mental road-makers, and mankind follows in the intellectual and spiritual paths which they have carved out and beaten.
Great is the power of purpose. To know how great, let a man study it in the lives of those whose influence has shaped the ends of nations and directed the destinies of the world. In an Alexander, a Caesar, or a Napoleon, we see the power of purpose when it is directed in worldly and personal channels; In Christ, we perceived its vaster power when its course is along heavenly and impersonal paths.
Purpose goes with intelligence. There are lesser and greater purposes according to degrees of intelligence. A great mind will always be great of purpose. A weak intelligence will be without purpose.
What can resist an unshakable purpose? What can stand against it or turn it aside? Inert matter yields to a living force, and circumstance succumbs to the power of purpose. Truly, the man of unlawful purpose will, in achieving his ends, destroy himself, but the man of good and lawful purpose cannot fail. It only needs that he daily renews the fire and energy of his fixed resolve, to consummate his object.
The weak man, who grieves because he is misunderstood, will not greatly achieve; the vain man, who steps aside from his resolve in order to please others and gain their approbation, will not highly achieve; the double-minded man, who thinks to compromise his purpose, will fail.
The man of fixed purpose who, whether misunderstandings and foul accusations, or flatteries and fair promises, rain upon him, does not yield a fraction of his resolve, is the man of excellence and achievement; of success, greatness, power.
Hindrances stimulate the man of purpose; difficulties nerve him to renewed exertion; mistakes, losses, pains, do not subdue him; and failures are steps in the ladder of success, for he is ever conscious of the certainty of final achievement.
All things at last yield to the silent, irresistible, all-conquering energy of purpose!

Culled from MIND IS THE MASTER by JAMES ALLEN

Ultra Logistics Company Limited: Facts you must know By Dr. Lolu Ojo

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Nigeria, with a population of over 170 million, holds the promise of a massive pharmaceutical business due to a potentially large local demand. The market is dynamic, growing and estimated to be around $1.6bn or N368bn.

However, there is a major challenge in drug distribution which had remained unorganised and a breeding spot for all forms of unethical practices. The federal government has taken some measures, including the approval of the recently formulated New Drug Distribution Guidelines (NDDGs) to correct the lapses, protect the health of the consuming public and make pharmaceutical services more responsive to the need of the citizenry.

There is a huge business opportunity in drug distribution in Nigeria and potential investors are being called upon to take advantage of this opportunity. This is where Ultra Logistics Company Limited comes in.

 

Frequently Asked Questions

 

What is Ultra Logistics Company Limited?

Ultra Logistics Company Limited (ULCO) is a limited liability company established to provide an opportunity for investors and practitioners to be part of the positive changes that will reposition and maximise the growing Nigerian pharmaceutical industry. It will operate as a commercial enterprise with an underpinning social enterprise ethos that grows the investment of its shareholders while protecting the public interest in the distribution of safe, effective and affordable drugs.

 

What is the rationale for the formation of UCLO?

The Pharmaceutical Society of Nigeria (PSN), as a major stakeholder, set up a committee to work on the implementation of the NDDGs. The committee, as part of its report, recommended the setting up of company that will not only stabilise the system in the short run but also help to protect the public and vulnerable operators in the industry. The company was also conceived to promote indigenous entrepreneurship by offering all interested Nigerians an investment opportunity.

 

Is this company an arm of the PSN?

No. ULCO is a registered company with no statutory obligations to (or ties with) the PSN. The PSN is simply a promoter and shareholder of ULCO. All the activities of the organisation are being managed by a team of accomplished individuals led by a managing director. The finances of the organisation are not in any way tied to the apron strings of the PSN.

There were ventures promoted by the PSN in the past which did not succeed, why should I invest in this new venture?

As stated earlier, this venture (ULCO) is an independent organisation which will be run in line with the best business practices. The call for investment is not a call for annual dues, levy or any sort of contributions. It is a call for discerning individuals or groups to engage in a business for a future return on their investment. While we can cite some past failures, there are also success stories in our immediate environment and in the world that can inspire us to action. This venture has been carefully packaged for success and we can only be limited by our imagination.

 

What is the status of Ultra Logistics Company Limited now?

ULCO has been registered with the Corporate Affairs Commission (CAC). It has accounts with Diamond Bank Plc and Sterling Bank Plc. The placement memorandum was formally launched by an Icon of Pharmacy, Dr (Mrs) Dere Awosika on Thursday, 14 May, 2015. The response has been very impressive.

We are currently negotiating with banks for Equity and Debt financing options, and also with service providers on logistics, IT, etc. The company’s website has not been finalised but there are links that can take interested persons to the core essentials of the business.

 

If ULCO has been registered, who are the directors and how will the management team be chosen?

ULCO, as of today, has four nominal directors, each holding a nominal 25 per cent share of the company. They are:

  • Pharm (Dr) Lolu Ojo;
  • Pharm Lekan Asuni;
  • Pharm Victor Okwuosa; and
  • Pharm Abbas Sambo.

The interim management is completed with the addition of Mrs Bukky George, founder/CEO of HealthPlus Limited. The shareholders will appoint the substantive directors during the completion meeting when the placement register must have been closed.

Concerning operations management, we are working on filling the workforce gaps as contained in the business plan. The final list will be approved by the Directors as elected by the shareholders.

 

In summary, what are the key elements of the placement memorandum?

 

  1. The total, capital requirement is about N2.3billion with a critical threshold of N400-500 million.
  2. A total of 92,000,000 shares are on offer, at the rate of N25/share. The minimum level of investment is N100,000 or 4,000 shares. Application forms are available online and money can be paid directly to any of these bank accounts:
  3. Diamond BANK: 0060361322
  4. Sterling BANK: 0031278879

iii. The deadline, initially slated for 30 June, 2015, has been extended to 31 August, 2015.

  1. The cost outlay and the three-year revenue projections are provided in an easy-to-read format. We are targeting one percent of the total market in the first year of operation and our profit expectations are very, very conservative. Despite this conservative estimate, a breakeven is expected in the second year of operation.

 

What is the guarantee of success of this venture and when should I expect dividends?

  1. There are no absolute guarantees of success in a business venture of this nature. We are aware of the risks and have lined up measures to minimise the impact. Our inclusiveness strategy is a success factor, in addition to our realistic or modest expectations, the environmental allure and the passion of the promoters.
  2. Dividend payment will depend on the actual business success and the culture that the organisation will adopt as it grows. Dividend payment is not the only expected return on your investment. Your fund will grow and you can take advantage of the capital appreciation.

 

       What is the status of the NDDGs?

There are still on-going discussions among the various stakeholders on the exact manner of operation of the guidelines. The FG has a pronouncement which is yet to be effected. It is important that everyone is carried along in the implementation.

 

     Is the operation of ULCO tied to the implementation of the NDDGs?

       No. The birth of ULCO was based on circumstances that are related to the discussion of the NDDGs. However, there are enough existing business reasons for ULCO to operate with or without the NDDGs.

Our projections have already taken into account that the implementation of the NDDGs may or may not be delayed.

 

Will investment in UCLO be restricted to pharmacists?

  1. Pharmacists and pharmaceutical institutions are the primary but not the only targets of our investment drive. We are reaching out to the public to join hands with us in making our goal a reality. Already, we are in touch with investment experts to take over the second phase of the investment campaign.

 

What else do I need to know about UCLO?

  1. If you are yet to fill your form and make payment, please do so now. If you have made payment but wish to do more, please go ahead now. Do not wait till the new deadline of 31 August will close in on you.
  2. ULCO is an idea whose time has come. Nigeria cannot continue to be enmeshed in the chaotic system that is the order of the day. We have talked and talked about it to no end. This is the time to create solutions and you should be part of it.

iii.     The company will be run by a competent management team under the supervision of a Board of Directors whose membership will reflect the shareholding structure. You can get a seat on the Board, depending on your level of participation or shareholding.

  1. The company will be run based on the world best business practices, ensuring there is a commensurate return to the investors. It will also protect the interest of Pharmacy and the general public in the drug distribution system.
  2. We are committed to transparency and integrity in the deployment of the resources you putting in our care.

 

Dr. Lolu Ojo, BPharm, MBA, PharmD, FPCpharm, FPSN, FNAPharm, DFPEFON

Ag. Managing Director

ULTRA LOGISTICS COMPANY LIMITED

 

Bishops and the health care change agenda

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An important truth about the marketplace is that it is a social construction designed and operated within particular boundaries by certain stakeholders. It is not by any means autonomous, though certain characteristics develop over time which could give the impression of autonomy – perpetuated by the “invisible hand” perception attributed to the marketplace in many quarters. However, to the truly discerning, there are no invisible hands; the hands that shape the marketplace are very much visible.

Bishops, in this context, refer to individuals in positions of overseership, whose actions and inactions affect the operations of the marketplace. In the Nigerian marketplace, such designation applies to government, academic and business leaders. The title “bishops” is preferred by this author to reflect the spiritual dimension of the influence of these overseers; this is made with consideration of the fact that individuals over whom overseers exert influence are essentially immortals, though undergoing a physical experience.

 

Marketplace and governments

It is the responsibility of well-meaning governments to ensure fair play in the marketplace by enshrining the rules of engagement. Besides granting business bishops the licence to operate, leaders in government are also responsible for granting access to business leaders who seek to operate within particular domains like raw material exploration, import monopoly, patent protection, government contract execution, telecommunication, power generation etc.

This capacity to decide who has access to certain fields of limited participation is a very important role of the government, considering that the majority of billionaires in Nigeria and elsewhere are beneficiaries of selective government largesse, such as mining rights (e.g. cement), telecommunication licensing, product import monopoly, crude oil exploration, petrochemical distribution and the likes.

Carlos Slim, for example, has a monopoly of the Mexican telecommunication industry and understandably is quite well off, dashing in and out of the world’s richest position. The same applies for the richest men in Nigeria. It is nearly impossible not to have citizens like these individuals who benefit from selective government right of access; however, the role of good governance is to ensure equity – that is, that the booty gets around. It does so through taxation, anti-monopoly interventions, labour conditions and minimum wage stipulations.

Taxation is the government’s major avenue to garner funds for providing social amenities like security, power, education and housing, health care and social welfare. The American Dream and every other successful society were built in like manner – a government that ensures fair play in the market place and that the leaders share proportionately via taxes and fair wages. When this happens, the result is that employed folks can conveniently own their homes, get proper education for their children and enjoy basic social amenities.

The challenge of the USA right now is that somehow they left things to the earlier mentioned “invisible hand” and gradually killed the labour movement. Today a major campaign pitch for the USA 2016 elections is to “bring the jobs back from China”. It was human beings that took them there in the first instance. President Ibrahim Babangida of Nigeria did a similar thing in 1985 with the Structural Adjustment Programme (SSAP) and we are yet to make a full recovery.

Every Scriptural admonition to bishops in the church, the marketplace and in government follow this same thinking – ensure fairplay, good wages, shelter and basic amenities. The country needs to be prosperous for this to happen, hence the need for a slight dose of healthy nationalism in our marketplace thinking.

 

Case study:The health care agenda

The WHO’s recommended minimum spending on health care is $34 per capita. With Nigeria’s population of 170 million, to spend $34 per capita would be about 6 billion dollars (1.2 Trillion Naira) per annum – about 1.2 per cent of our GDP and almost 25 per cent of our fiscal budget.

On 12June this year, Dr Femi Olaleye, CEO of Optimal Health Care Limited, launched a community health insurance project that provides basic care to the Alagbado community, in Lagos, at less than N2,500 per person per year, with an equal counterpart funding from a corporate organisation, bringing the sum to N5000 per person. His organisation, with a bit less than the $34 recommendation, is bringing basic health care to the okada riders and the suburban Alagbado community.

The point is that, with an integrated community-based health insurance model, with the government spending 12.5 per cent of our fiscal budget and all of us contributing a minimum of N3000 per year, we could have basic primary health coverage for all Nigerians by 2018 (assuming it takes three years to get our acts together).

Note that a co-payment structure at the point of care provision could significantly reduce this 12.5 percentage. Note also that the emphasis for now is basic care – including emergency and maternity care.

The alternative model is to target a N3000 per capita increase in “health tax”, plus 12.5 per cent of current budget, and we would still get the same result. This is what obtains in the UK right now. The UK National Health Service consumes about 9 per cent of the GDP.

Though this is a simplified illustration of a possibility, my aim is to show that such possibilities happen when leaders in government and in the industry go about leadership in a pragmatic way. Consider that if the government should assign 20,000 lives to a health care provider to provide basic care at N5000/annum per life, the outcome would be a viable business. The government need not even build the facilities but can provide some fund from which the providers could borrow.

Observe also that if, say, ten authorities, were responsible for delivering this care to 17 million Nigerians each, they would invest a lot in making sure people do not get sick in the first place. A huge community approach to malaria vector control for example would drastically reduce the malaria episodes and positively affect the finances of the provider.

One of Nigeria’s major challenges right now is the way health care is being funded. Business leaders in this sector must recognise that positive “change” must influence the way health care is funded and, of necessity, the way it is provided.

This same mathematics of governance applies to other sectors such as education and infrastructure development. For instance, in the area of housing, Nigeria currently faces a 14million unit deficit, for which the just launched National Housing Policy and the concurrent National Housing Fund implemented by the Federal Mortgage Bank would go a low way to alleviate, provided that business and government bishops do their part.

 

The challenge

Quite often, bishops in the marketplace connive with bishops in government to throw a party. And for us in Nigeria, we have been partying hard for a while. Imagine if, as a health care management organisation, my firm was granted access to provide health care to 17 million Nigerians (10 per cent of the whole) under the thinking above. Imagine if I had to “sort” someone with 10 per cent “facilitation fee”. It would change the dynamics completely and if I were a rogue bishop, it could be “wiser” to share another 30 per cent to a group of rogue government bishops to help them forget about the project entirely, after all, it would only be for just one year – twelve months!

The connivance by bishops in the governance is in two folds – omission and commission. The latter is fuelled by corruption and only a removal would do. On the other hand, the sin of omission, born of ignorance, is simply not good enough, considering that the positions are elective.

For bishops in the marketplace, it is often a deliberate love of money and power, and not just for lack of good intent; for they indeed know that great things are possible, but the need to make the sacrifice is not always urgent and hence can be delayed, especially when considered in light of the actions of their government counterparts.

The great challenge is that in a party, it is difficult to change the tempo and style of the music when the same dancers are still on the dance floor. The emergence of Buhari as president had brought a temporary note of silence in our dance hall; the marketplace bishops on the other hand are obviously not elected into office and are still on the field of play, and if given the opportunity, would decide for the current leadership, the kind of music we need.

Wisdom therefore lies in understanding this challenge and that it is not only a new set of government that would save the day but a unique set of marketplace bishops or bishop culture. It was with this thinking that I drove myself to Abuja not too long ago, clutching my own Compact Disc, who knows, I might just be asked to play the next tune. As the old saying by a wise young man goes, “Is there not a cause?

 

Effective governance for health care board members

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        Health care provision depends on efficiently combining financial resources, human resources, and supplies, and delivering services in a timely fashion, distributed spatially in an organisation. According to Lewis (2006), this requires a “system that mobilises and distributes resources, processes information and acts upon it, and motivates providers’ appropriate behaviour by individuals, health care workers, and administrators.” This system is created and led by board members and good governance is a critical factor in making such a system function.

Governance is fundamental to organisation success. Good boards become bad boards and bad boards become good boards because of their understanding of governance. Arwine (2002) notes that effective governance has the following characteristics: it is efficient, allows a respectful conflict of ideas, is simple, is focused, is integrated and synergistic, has good outcomes, preserves community assets, and leads to enjoyment and personal reward for the individual board members.

EFFECTIVE LEADERSHIP

Board members are crucial to organisational development and they need to understand good governance. A comprehensive approach to clinical governance necessarily includes the active participation of boards and executives in sponsoring and promoting clinical governance as a quality and safety strategy. Boards have three primary roles: to establish policies, to make significant and strategic decisions, and to oversee the organisation’s activity.

 

Policy making

In his study, Arwine explains that effective execution of policy is necessary to fulfil the other two roles. Policies define focus and differentiate responsibilities among the board, the management, and the medical staff. Well-written policies lead to more efficient board functioning. Instead of having the same matter or very similar matters on the agenda repeatedly, the board can develop a policy that covers the issue and leave implementation of the policy to management. Boards have approximately 24 hours together each year, spread over regular meetings. It is essential to use that time wisely.

 

Decision making

Decision making involves making choices about the organisation’s vision, mission, and strategies. Boards make decisions about issues that are strategic and significant, such as whether to enter an affiliation agreement with another organisation. As decision makers, boards can also delegate non-governance types of decisions to others—and would be wise to do so.

 

Oversight

Oversight is an important function, but boards must remember that the organisation is theirs to oversee, not to manage. Some boards cross the line and try to involve themselves in management. Nevertheless, in the oversight role, the board is legally responsible for everything that happens within the hospital, whether in the emergency department, a clinic, or a pharmacy unit. In the area of quality, for example, the board’s oversight role may include setting the tone by stating that the organization is committed to quality; establishing policies related to quality, such as credentialing; ensuring that mechanisms are in place, such as committees, to establish a plan for quality; and monitoring implementation of the plan.

 

Responsibilities of boards

Boards have numerous responsibilities: they oversee management, finances, and quality; set strategic direction; build community relationships; establish ethical standards, values, and compliance; and select a CEO and monitor his or her progress.

Although the management team develops the strategic plan, it is the board’s responsibility to accept or modify the strategic plan and to set the direction. The board considers elements in the environment—such as growing competition and changing patterns of care—and develops a vision, a mission, strategic thrusts, goals, and tactics that respond to the environment, all the while showing the organisation’s values.

Financial oversight is a familiar job that boards usually do well. Boards ensure the use of financial controls; ensure that funds are prudently invested, considering cash management, banking, and contracting parameters; and establish policies related to budgets. Their goal is to protect the community’s assets. Oversight of the quality area often involves utilisation and risk management in addition to continuous quality improvement.

Attention to community relationships is a responsibility unique to not-for-profit institutions. Inasmuch as board members have contact with the community, they can be sensitive to the expectations and needs of its citizens and bring that knowledge to the board room. The focus is on all those the organisation serves: consumers, businesses, elected representatives, payers, and collaborators. Boards are paying more attention to the quality of life in their communities.

When reviewing these responsibilities, it is important to note that the board as a whole, and not any individual member, has the authority. Further, the board exists only when it is in session. The committee is an appendage of the board, and the board can delegate certain tasks to a committee or an individual, but otherwise an individual board member has no prerogative. Thus, it would be inappropriate for a board member to walk in to a manager’s office and ask to review the books or demand certain changes. Such actions, in fact, can cause much disruption. The CEO is the full-time agent of the board and is the only person directly accountable to the board.

However,contrary to what many believe, members of a non-profit board are not paid,yet they have enormous responsibilities. Hermann notes that,from time to time, however, individual members of a non-profit board may shirk from their responsibilities; or worse, board members may behave in a manner that is unbecoming or destructive. Many non-profit leaders are surprised, if not stunned, to witness the damage that a “bad actor” on a board can cause. And when a non-profit board includes more than one member behaving badly, the situation can quickly move from unhealthy to dire.

 

Elements of good governance in boards

In order to grapple with the cold feet attitude associated with non-profit boards, Arwine identifies three major components of governance among board members-behaviour, structure, and expectations.

 

Behaviour

Appropriate board behaviour can be defined as functioning in accord with the board’s roles and responsibilities. Thus, board members should know the difference between governance and management, see service as a responsibility of citizenship, and find enjoyment in such service. Appropriate behaviour also has key characteristics, the first of which is respect—for the organisation, the management, the clinicians, the employees, and other members of the board.

Respect is basic, but it doesn’t always exist. There are boards whose members were antagonistic towards large segments of the medical staff, for example. Such behaviour is distracting and counterproductive. Respect leads to additional behavioural characteristics that are needed: openness in the board discussions and confidentiality.

Conflicts of interest also fall in the category of behaviour. Some people believe that a potential conflict of interest precludes service on the board. Based on such a view, some hospital boards do not include physicians, claiming that they could have a conflict. All boards need to have a policy about conflict of interest. Usually this policy requires all members to disclose potential conflicts and to abstain from voting on such matters.

 

Structure

Boards may not pay much attention to structure, thinking that it is covered in the bylaws and requires no further comment. Nevertheless, problems often arise from structure rather than behaviour. In some cases, there are several boards in which the chairman had served for 30years, and members were discontented and ready for someone new. Many board bylaws do not address tenure. Whether the term limit is 2 or 3 years or something different, it is helpful if everyone knows what to expect.Other issues may concern the frequency of meetings or the size of the board.

Arwine (2006) explains thus: “I believe strongly in agenda-creation and management. Since the board’s deliberations are determined by the agenda, that one document relates closely to the board’s effectiveness”. He adds that the agenda can be organised into three categories: items for information, items for action, and items for strategic discussion.

This agenda-organisation helps members know what is expected of them and eliminates worry, for example, about having to vote on an item that is just for information. If executive committees and task forces are appropriately established and charged, the board can trust their efforts and avoid recreating what happened at a committee meeting. Committee suggestions and other smaller, non-controversial action items can be grouped into a “consent agenda,” requiring only one motion and one vote. Background information on items in the consent agenda can be provided in the board book sent out before the meeting. Use of a consent agenda saves time and allows the board to focus on the most significant issues.

 

Expectations

The final component consists of expectations or, more specifically, board members’ knowledge of what is expected of them and what they can expect from others. One of the best ways to clarify expectations is to have new members sign a letter that outlines those expectations. Such a document also makes it easier to remove a board member if, for example, his or her attendance has been poor. It also serves to clarify the requirements of board membership when approaching a potential volunteer.

In return for their service, board members should expect respect, a proper orientation, proper flow of communications, advanced preparation for board discussions, judicious use of their time, educational opportunities, and the opportunity to contribute. In addition, boards should be able to expect “no surprises.” Boards will be comfortable with the CEO if they feel that he or she is being open with them. More than anything else, surprises damage the board’s comfort level; members worry that other important matters are not being communicated. Finally, the board member can expect to participate in a board that is well led, informed, experienced in proper board function, well sized, properly motivated, consistent, a unit, and respectful of management and professionals.

 

Evolution of governance

The scope of governance has widened in hospital boards.Braithwaite and Travgalia,In a study conducted in 2008,found out that there are links are between health services’ clinical and corporate governance. Clinical governance can be used to promote quality and safety through a focus on quality assurance and continuous improvement; the creation of clinical governance structures to improve safety and quality and manage risk and performance; the development of strategies to ensure the effective exchange of data, knowledge and expertise; and the sponsoring of a patient-centred approach to service delivery.

Today, the focus is on management oversight, financial management, and community response. The focus of the future is on strategic performance. Board members need to ensure that it has the right expertise around the table to deal with critical issues of the time.

 

References

Arwine, D.(2002) “Effective Governance:The roles and responsibilities of Board Members” Baylor University Medical Centre Proceeding. Vol. 15(1) Pp19-22

Braithwaite,J. and Travglia J. (2008) “An overview of Clinical Governance Policies, Practices and Initiatives” Aust Health Review 32(1) Pp 10-22

Herman,M.(2015) Enforcing Board Member Responsibilities

Lewis,M.(2006) “Governance and Coruption in Public health Care Systems.” Center for Global Development Vol.78

 

Balancing clinical detachment with personal touch

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FEATURE By   Oluwole Williams, BS.Pharm, Pharm.D

It takes a mixture of clinical detachment and cautious personal attention to respond to patients’ needs in ambulatory care pharmacy. When should a pharmacist apply the brakes in close personal attention to a patient’s need? And, when could an expression of clinical detachment be misinterpreted as a cold shoulder? Here are the peculiar circumstances of patient care in pharmacy practice that normally places a demand on the pharmacist’s personal communication skills and tact.

Patients presenting to the pharmacy have a baggage of personal needs and challenges outside of their pharmaceutical and medical needs that may pose an additional responsibility to their pharmacists. An unemployed patient, a patient in grief on the loss of a loved one, one recently involved in an automobile accident, a young jilted teenager, a woman who only yesterday lost a pregnancy, and an hurting unappreciated police officer are a few examples of the many members of the public who may show up in the pharmacy at an hospital or in the community.

In response to the prescription and pharmaceutical care needs of these patients, the pharmacist must maintain:

  1. An understanding attitude and a compassionate albeit unemotional involvement in the plight of the patients.
  2. A careful, patient, considerate response in all long-suffering to the potentially irritable behaviour or conduct of the affected patients.
  3. A professional response particularly for the purposes of sharing critical drug information and passing on valuable education to the patients.
  4. A cheerful mien, listening ear and polite interjections to the patient’s complaints or narration of symptoms.
  5. An open yet confidential approach in the exchange of information with the patient for the purposes of privacy and for clarity.
  6. Some level of questioning curiosity without appearing to be unduly inquisitive of the patient’s private affairs or activities.
  7. A clear clinical distance in a face-to-face conversation with patients to reduce possibilities of droplet infections or direct hand contact with patient’s nose drips or coughed up body fluids.

 

Community pharmacy practice especially places on the pharmacist huge responsibilities for personal touch in patient care responses, due to the very intense competitions in the market place of prescription sales at this time. The drive for sales goals and profitability may unfortunately make a cold zombie of the pharmacist’ behaviour in any practice setting if care is not taken. It is advisable therefore that pharmacists should read and digest literature on real life clinical plus behavioural approaches to patient care; more so in an era of increasing population of patients living with psychiatric disorders.

Pharmacists in themselves must be vigilant and self-examining; taking note of when the pressures of their professional careers may be taking a toll on their personal mental health, and should not be ashamed to seek therapy if necessary. There are many instances in which pharmacists have personally made financial sacrifices for the needs of their patients and the patients have responded in warm appreciation to the genuine gestures shown by their practitioner in an embarrassing mode of behaviour. It is a good example that must not be extended for too long in repetition, so that the patient does not become an emotional drain on the practitioner.

Opportunities for voluntary exchange of resource information relevant to prescriptions coverage particularly by certain medical philanthropies must be actively sought as a means of assuaging patient’s needs, particularly for those living with chronic conditions such as HIV, diabetes, hypertension and asthma/COPD. It is one of the ways in which a pharmacist can maintain a personal care approach with patients even while retaining a professional clinical detachment.

Pharmacists may refer patients to educational resources online, or direct patients to international agencies responsible for the monitoring or care of certain chronic disorders, so the patient may benefit from expert opinions of which community pharmacy practice time may be insufficient to meet. This allows the pharmacist an opportunity of care for the patient’s need without that peculiar lingering “guilt” of inadequate professional attention, the patient feels fulfilled and the impression of a direct personal touch or care is not lost on the patient.

Pharmacists provide a peculiar service to the public and the health community in their role(s) as custodians of prescription medicines. Patients and other health care practitioners: nurses, medics, dieticians, dentists, physiotherapists as well as the lay staff ALL rely on pharmacists to furnish them with drug information on any prescription drug wherever and whenever they require such. In responding to the needs of these people, the pharmacist is required to demonstrate compassion and professional etiquette, notwithstanding his/her own personal needs or lingering personal challenges; It is a professional duty that must be borne ethically and with great sacrifice for the ultimate public good.

 

Oluwole Williams wrote from Glenside, Pennsylvania, USA

Enjoy the bright side of life

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My earliest mentor, W. Clement Stone, was once described as an inverse paranoid. Instead of believing the world was plotting to do him harm, he chose to believe the world was plotting to do him good. Instead of seeing every difficult or challenging event as a negative, he saw it from what it could be – something that was meant to enrich him, empower him, or advance his causes.

What an incredible positive belief! Imagine how much easier it would be to succeed in life if you were constantly expecting the world to support you and bring you opportunity. Successful people do just that. In fact, there is growing research that the vibrations of positive expectation that successful people give off actually attract to them the very experiences they believe they are going to get. Suddenly, obstacles and negatives are seen not as just another example of “Gee, the world hates me,” but as opportunities to grow and change and succeed.

If your car suddenly breaks down on the side of the road, instead of imagining a serial rapist pulling over to take advantage of you, think of the possibility that the guy who stops to help you will be the man you fall in love with and marry. If your company downsizes you out of a job, suddenly the chances are good that you’ll find your dream job with more opportunity at much better pay. If you develop cancer, the possibility exists that in the process of reorganising your life to effect a cure, you’ll create a more healthy balance in your life and rediscover what’s important to you.

Think about it. Was there a time in your life when something terrible happened that later became a blessing in disguise? “Every negative event contains within it the seed of an equal or greater benefit,” says Napoleon Hill.

 

Personal experience

The big blessing for me came in the 1970s when they closed the Job Corps Centre in Clinton, Iowa, where I worked as a curriculum development specialist pioneering radical new learning systems for teaching underachieving students. I had unlimited support from the administration, I was working with an exciting team of bright young people who shared the same vision of making a difference, and I really enjoyed my work.

Then, out of the blue, the government decided to relocate the centre. It meant I would lose my job for at least six months. At first, I was upset at the decision, but while attending a workshop at the W. Clement & Jesse V. Stone Foundation in Chicago, I shared my predicament with the leader, who happened to be the vice president of the foundation. As a result, he offered me a job. “We’d love to have someone like you who have experience with inner-city black and Hispanic kids. Come work for us.”

They gave me more money, an unlimited budget, the ability to attend any workshop, training, or convention that I wanted – and I was not working directly with W. Clement Stone, who had introduced me to these success principles to begin with.

And yet, when they first announced the relocation of the Job Corps Centre and my being laid off, I was angry, scared, and despondent. I thought it was the end of the world. I thought it was a bad thing. Instead, it turned out to be the major turning point of my life. In less than three months, my life had gone from good to great. For two years, I worked with some of the most amazing people I have ever met before I left to enter a doctoral programme in psychological education at the University of Massachusetts.

Now, when anything “bad” happens, I remember that everything that ever happens to me has within it the seed of something better. I look for the upside rather than the downside. I ask myself, “Where’s the greater benefit in this event?”

 

Self-application

I’m sure that you, too, can think back to several times in your life when you thought what had happened was the end of the world – you flunked a class, lost your job, got divorced, experienced the death of a friend or a business failure, had a catastrophic injury or illness, your house burnt down – and later you realised it was a blessing in disguise. The trick is to realise that whatever you are going through now is going to turn out better in the future as well. So look for the lemonade in the lemons. The more you begin to look for the good, the sooner and more often you will find it. And if you take the attitude that it is coming, the less upset and discouraged you’ll get while you’re waiting for it.

Captain Jerry Coffee was a pilot who was shot down during the Vietnam War. He spent seven years as a prisoner of war in some of the most hellish conditions known to humankind. He was beaten, became malnourished, and was kept in solitary confinement for years. But if you ask him how he feels about that experience, he would tell you that it was the most powerful transformational experience of his life.

As he entered his cell for the first time, he realised he would be spending a lot of time alone. He asked himself, “How can I use this experience to my advantage?” He told me that he decided to see it as an opportunity rather than as a tragedy – an opportunity to get to know both himself and God – the only two beings he’d be spending time with – better.

 

Culled from HOW TO GET FROM WHERE YOU ARE TO WHERE YOU WANT TO BE by JACK CANFIELD

 

 

 

 

Contractual terms implied by custom or trade

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Following a brief interview, Mrs Bello is offered employment in the Faculty of Pharmaceutical Sciences of Benue University. She is to commence work immediately as a Senior Lecturer. Her employment package includes a car allowance and housing on the university premises, in addition to a monthly salary.
Mrs Bello negotiates to be paid annually instead. The day her full package for one year is paid, she moves into the university with her family and starts teaching in the faculty subsequently.
Six months later, a retrenchment exercise is undertaken by the university. Mrs Bello receives a letter, terminating her appointment with one month’s notice. In protest, she writes the faculty, claiming that they have no right to terminate her employment without just cause. Furthermore, she reminds them that the terms of her appointment involve the payment of an annual salary. On that premise, her employment is guaranteed for one year and not on a monthly basis, like the rest of her colleagues. In view of this, what are the legal effects of the terms of this engagement?
Contracts and transactions related to them are concluded within a society of people with social and commercial practices. These practices are, therefore, recognised and accepted as part of the contract even without the express declaration of the parties to it. The terms which may be read into a contract on the basis of the relevant practices are known as ‘implied terms’. To help a business perform effectively, some terms that are unique to that business are presumed to be part of a contract. These are terms implied by custom or trade.
This case involves the following legal issues:
1. The effect of terms implied by custom or trade.
2. Implied terms relating to employment contracts.
3. The effect of express terms in a contract which exclude implied terms.

Over a century ago, the principle of terms implied by custom was outlined by Park in the case of Hutton v. Warren: “It has long been settled, that, in commercial transactions extrinsic evidence of custom and usage is admissible to annex incidents to written contracts, in matters with respect to which they are silent. This same rule has been applied to contracts in other transactions of life, in which known usages have been established and prevailed.”
By application, a transaction between two parties may not be interpreted solely on the basis of the documented contract. Certain customs or practices that are incidental to the line of business will be presumed to be part of their contract. In the case of Mrs Bello and Benue University, there is a contract of employment. It is not sufficient to rely on the express terms of that contract for the resolution of a dispute. One must, of necessity, observe the practices associated with employment contracts. This is because the implied terms will be enforced as if they had been written expressly in the contract.
From the judicial decisions in employment cases, some practices can be observed. In Oki v. Taylor, it was established that a person who employs has the power to terminate the employment where there is no express provision for the latter. Also, from Cayme v. Allan Jones, it has become a standard rule that an employee paid on a monthly basis is entitled to one month’s notice on termination.
The contention of Mrs Bello is that the payment of an annual salary should guarantee her employment for the duration of the year. However, the case of Ahuronye v. University College, Ibadan is in contradiction of that notion. In that case, the plaintiff, who had been given a month’s notice of termination of service, brought an action against his employers for wrongful dismissal, arguing that since he was employed at an annual salary, the duration of his employment for a year was certain. The court rejected his argument and held that it must be presumed that the plaintiff was employed on the same terms as other employees within his category. In effect, when someone is engaged for an indefinite time, “it is common knowledge that neither the master nor the servant contemplates an agreement for a year certain”.
In view of the practices related to employment contracts, it safe to conclude that Benue University, being the employer, had the power to terminate the service of employment. Furthermore, the payment of an annual salary does not provide protection for the employee for the period of one year. The employer is still empowered to terminate services with a notice of one month.
However, it is important to note that a custom can only be implied when it has not been expressly or implicitly excluded by the contract. This means that a party to a contract who wishes to secure any form of protection may insist on the inclusion of the required term in the contract. An express term of contract will be effective in negating any implied term of custom or trade.
In the case of London Export Corporation, the eminent Lord Jenkins declared that “an alleged custom can be incorporated into a contract only if there is nothing in the express or necessary implied terms of the contract to prevent such inclusion and, further, a custom will only be imported into a contract where it can be so imported consistently with the tenor of the document as a whole.”

Principles and cases are drawn from Sagay: Nigerian Law of Contract

Why I enjoy coconut water

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One drink I enjoyed when I was a young boy was coconut water. Whenever I broke coconut, my mother cautioned me not to allow the water to spill because it was a good medicine for the body. I believed her, although she never told me the ailment it cured. I would carefully pour some into a metal cup and drink the remaining from the natural “cup”.

sir reflection
Sir Ifeanyi Atueyi

 

In those days, there were no sugar-laden, acidic soft drinks. Such drinks have now flooded the market and their producers use captivating adverts to get people, especially children, hooked to them. Coca-Cola, in particular, contains sugar and caffeine, which are both addictive. Some people do not know that sugar is more addictive than cocaine. Of course, excess sugar in the body is a major health challenge. Recent studies have shown that sugar feeds cancer cells.

Today, coconut water has gained popularity because of its health benefits. However, in Nigeria many people still don’t seem to value it. On the other hand, as one travels along the beaches of the Republic of Benin, Togo and Ghana, one finds these young green coconuts being sold from trolleys. The hawkers are very skilful with their cutlasses, opening the coconuts for buyers to enjoy the refreshing water.

Coconut water is my favourite drink. I drink a lot of it when I attend the annual Pharmanews Leadership and Management Workshop in Accra, Ghana. From 2004, when we started the programme, I have always looked forward to enjoying the rejuvenating drink. It is only someone who is ignorant of its health benefits and the dangers of sodas or soft drinks that would prefer soft drinks to coconut water.

Coconut water is high in naturally occurring electrolytes, notably potassium, calcium, and magnesium. These minerals are highly alkaline-forming, supporting the body’s proper pH balance to maintain optimal metabolic function. The presence of beneficial electrolytes makes   it is an excellent energy drink, highly effective for rehydrating the body after exercise. Many sports drinks are high in sugar, along with chemical colouring and flavouring agents, which are potentially dangerous.

Our processed foods, refined grains and sodas tend to make the body acidic, thereby disrupting the biochemical balance, and opening the door to numerous health problems. By replenishing the body’s alkaline mineral reserve, coconut water helps to restore a healthy pH balance.

Coconut water also contains small amounts of B-complex vitamins and other micronutrients and phytochemicals in a highly bioavailable form. This explains the reports of increased energy, well-being, and improved general health associated with its consumption.

Coconut water is a naturally sterile isotonic liquid whose chemical composition is similar to that of blood plasma. It has been successfully used as a short-term substitute for intravenous hydration fluid, in emergency situations where medical intravenous solution was not available.

Coconut water is the ideal drink for losing weight. It is lower in calories than any other beverages, excluding water. This makes it a perfect thirst quencher. It is a balm for the stomach because it is natural and easy to digest. After surgery, patients are given coconut water before they are placed on solid foods.

The pH acidic level in the body turns alkaline when you drink coconut water. Therefore, it is good for people suffering from acidity and heartburn. It is also recommended for people who have lost body fluids after vomiting or diarrhoea.

Coconut water has been found to be antibacterial and antiviral and can flush out toxins from the body. In addition, studies have shown that it can help break down small kidney stones and flush them out of the body.

Coconut water is now bottled or packaged and sold in food stores, with many commercial varieties coming up. Flavoured coconut water is, however, higher in calories.

Apart from the water, the coconut flesh is enjoyed by many people. It is a good companion to roasted or boiled maize and native pear. It also goes well with groundnuts. Maybe, you might have eaten coconut rice or cooked with grated flesh of coconut.

Coconut oil is an edible oil extract from matured coconuts. The oil contains a unique combination of fatty acids with powerful medicinal properties. The lauric acid in coconut oil can kill bacteria, viruses, and fungi and help to keep off infections.

Fatty acids in coconut oil are turned into ketones, which can reduce seizures. It is therefore effective in treating epilepsy in children. A ketogenic diet involves eating very little carbohydrates and large amounts of fat, leading to greatly increased concentrations of ketone bodies in the blood. For this reason, this diet can dramatically reduce the rate of seizures in epileptic children.

Coconut water also improves blood cholesterol levels and may lower your risk of heart disease. Saturated fats contained in the oil raise the good cholesterol (HDL) and reduce the bad cholesterol (LDL).

Body Language Handwriting analysis in pharmacy practice

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By Oladipupo Macjob

community
Oladipupo Macjob

    

 

Have you ever imagined the power in the ability to understand or gain insight into people’s emotions, intelligence or psycological status just by interpreting their handwriting sample? Did you know that 80 per cent of enterprises in France make use of graphology as a major tool in their recruitment processes?

Graphology is the study of all graphic movements, not just handwriting analysis. The graphologist studies doodles, drawings, paintings etc, in order to gain insight into the physical, mental and emotional states of the writer.

Communication through written symbols is a uniquely human endeavour. Humans are the only species that can use graphic symbols to communicate long after they are dead, through art, books, wills, music and so on. Although all graphic movement can be analysed, handwriting is the most accessible for analysis because we teach the subject in our schools and most people can write.

As a personality assessment tool, handwriting analysis helps to point out areas of strength in an individual that can be built on in one’s personality, as well as the potential trouble spots that need to be worked on.

There are two major types of graphological techniques, namely (1) Trait stroke graphology which originated from France; and (2) Gestalt graphology whose origin is Germany. It’s important to note that the trait stroke graphology was the first to be used by many centuries ago. Jean Hippolyte Michon (1806-1881), a French priest and archeologist is proclaimed the father of graphology.

 

Graphology and pharmacy practice

The following are the major areas of use of graphology in pharmacy practice:

 

  1. Personality assessment/recruitment tool

As I mentioned earlier, graphology is a mainstay in the recruitment process in France as well as many other western countries. This is because a handwritten application letter gives more insight into the prospective employee than a typed one. What we call handwriting is actually brain writing because there are people without hands who can draw and write with materials held with their mouth.

Today most pharmaceutical companies hire medical representatives and invest so much in training them even before starting their jobs. Unfortunately some leave the company just few weeks into the job or sometimes immediately after returning from the expensive training done outside the shores of the country. Truth is, some of these employees would not have been brought on board at all if their handwriting had been properly analysed.

The question is, how many companies would go through the pain of including graphology as part of their recruitment process, which the human resource department must consider?

Many companies do aptitude test but how many do attitude test? Even during oral interviews you are not likely to get all that is required because the theory of Albert Mehrabian on communication says that only 7 per cent of all kinds of communication is verbal. The remaining 93 per cent is non verbal and that is where graphology belongs.

My advice to all companies is to include graphology as part of their recruitment processes; it would save you a lot of money and prevent incalculable damage to your organisation.

 

  1. Personnel screening

This is very useful especially to human resource managers who need to screen a large number of candidates as part of pre-employment process. It saves a lot of time because there are certain features in handwriting that reveal, like the litmus test, a red alert on the non-suitability of a particular candidate for a job role. Another benefit is that graphology eliminates bias whether gender or otherwise because the handwriting of an individual does not reveal the Gender, race, religion, age or future.

 

  1. Personnel precision placement & team building

This is a tool very useful to managers at all levels. By understanding basic parameters to look out for in the handwriting of a team member or subordinate, the manager has a better insight into the personality and he or she knows who can better handle a particular assignment, as well are those to be assigned into different groups in the accomplishment of a particular task.

  1. Community pharmacy practice

As a community pharmacist, are you aware that graphology can help you in employing the most suitable salesperson? Did you know that there are certain parameters in handwriting that reveals a salesperson that is highly disorganised and may likely cause you to lose money?

 

In the next edition, we shall be sharing basic parameters in handwriting that may assist you in gaining an insight into individuals. Don’t miss it. Always put it at the back of your mind that every stroke of the pen says something about a friend.

 

info@diptoyconsulting.com

 

 

 

Road to a polio-free Nigeria

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Some polio victims at an event

One of the most troubling health challenges that many African children have had to grapple with has been the life-long disabilities that result from poliomyelitis. Otherwise called polio or infantile paralysis, the virus responsible for this devastating condition is caused by the polio virus which is usually seen in children. The virus is spread from one individual to the other through infected faeces entering through the mouth.

DISEASE

The disease is largely seen in third world or developing countries at the moment and it must be stated that it has been in existence for thousands of years. In the 20th Century, it became disturbing that the virus took a most devastating swipe on children. While the vaccine was developed in the 1950s, the spread of the virus reached an alarming concern in 2013 when there were reports of new cases in Syria. Asia, Africa and the Middle East became the focus of the World Health Organisation (WHO). Therefore, in May 2014 the World health body reportedly declared a public health emergency of international concern resulting from the outbreaks of the disease, while Nigeria, Afghanistan and Pakistan were the worst hit.

Speaking at an event in 2014, the representative of the World Health Organisation in Nigeria, Dr David Okello, noted that Nigeria was ranked alongside Pakistan and Afghanistan since they were grappling with the disease. According to him, “Nigeria indeed is the largest contributor of global polio burden, nearly 60 per cent. Nigeria is also the only country in the world to have all three types of polio virus, Type 1, Type 3, and circulating vaccine-derived Type 2 viruses.”

Okello further explained that the transmission of the disease in Nigeria posed a real threat to the global polio eradication effort, disclosing that of the 49 cases reported in the country, two-thirds were from four particular sanctuaries, the northern states of Borno, Kano, Sokoto and Zamfara.

It would be recalled that for over a decade ago, the campaign against polio suffered major setbacks particularly in Nigeria’s north as politicians and religious leaders spread rumours that the vaccine against the disease was responsible for the spread of infertility in women and AIDS, which prompted the President Goodluck Jonathan-led administration to increase the awareness and fighting of the age-long stereotypes about the disease.

 

Major progress

However, in January 2015, the Global Eradication Initiative on Polio reported a milestone achievement in Nigeria’s war against polio. It said January 24, 2015, marked six months with no cases of wild polio in Nigeria, a country which was earlier regarded as the only endemic nation in Africa.

In its report, the body noted that the milestone marked a major achievement for the global programme, which it said had faced significant challenges in Nigeria in the past years. It attributed the achievement to the increased political commitment, programmatic innovations and determination from a huge number of stakeholders and the Nigerian government, urging the need for vigilance and focus as the country had never passed six months without a case.

Also commending President Goodluck Jonathan in 2014, American business magnate and philanthropist, Bill Gates, who also is the co-chair of the Bill & Melinda Gates Foundation, a foundation committed to fighting polio, among other objectives, stated that it was noteworthy that the Goodluck Jonathan administration recorded a significant success in its fight against the endemic disease.

In Gates’ words: “Nigeria has reported only six cases of polio in 2014, compared to what it had in 2013. What’s more, the infrastructure Nigeria has built to fight polio actually made it easier for them to swiftly contain Ebola. The fact that Nigeria is now Ebola-free is a great example of how doing the work to fight things, like fighting polio, also leaves countries better prepared to deal with outbreaks of other diseases,” Gate said.

Gates also added that polio eradication around the globe remained a top priority to the Bill & Melinda Gates Foundation, adding that as a major supporter of the GPEI, the foundation remarkably contributes technical and financial resources to partners with the intent of accelerating efforts to eradicate polio.

 

Gaping gaps

In his contribution to the polio debate, Chairman of Rotary International Polio Plus Committee in Nigeria, Dr Tunji Funso has highlighted the existing gaps to be closed on polio in Nigeria. He stressed that notwithstanding the success recorded, Nigeria must persistently push for complete eradication of the disease.

He explained that “one of the important things is to avoid complacence. “We know we’ve done very well, but usually, things can go wrong. We had got almost this close before in 2010 when we had reduced all cases phenomenally by almost 80 per cent. But, now, we have gone further than that, we have reduced by over 90 percent. So, one of the things we are going to do is that we are not complacent. We want to build on the strength of what we have done, we also want to ensure that those things that still need to be done, particularly the challenge of having to reach children in the security-challenged areas, either because of access or because they are now Internally Displaced Persons.”

Concerning the cheery news that Nigeria will be certified polio free in 2015, an expert on the disease and Chairman, Experts Review Committee on polio eradication, Prof. Oyewale Tomori, has said that Nigeria can only be certified polio-free in 2018 if the country does not record any new case of polio this year 2015. He made the declaration during the 29th meeting of the ERC on Polio and Routine Immunisation, held at Rockview Royale Hotel, Abuja.

Professor Tomori based his assertion on the World Health Organization (WHO) regulations regarding polio. According to him, it would take three years of zero-incidence before a country can be certified polio-free. He noted that there are efforts going on to ensure there are no new cases of polio in the next three years.

Speaking in the same vein, David Ross, immediate past head of the Canadian International Development Agency (CIDA), said that there are indications that Nigeria may not be able to achieve the goal of totally eradicating polio in 2015 as a result of several challenges such as insecurity in the north, migration of people from one place to another and several other issues that are militating against the total eradication of polio in Nigeria.

“I think that Nigeria is on course to eradicating polio completely although there are some challenges, particularly given the security situation in parts of the north and the movement of population which affects the spread of the virus,” Ross said.

He further added, “The wild polio cases recorded last year (2014) is an issue the country needs to pay attention to by making sure that it is totally free of either of the two types of viruses. The job is not finished; there is the need for more funds, because it is even more difficult in the last stage. To rid this country of polio, funding must not only be sustained but improved. Also, the activities that have been done so far in this year’s surveillance and making sure they get to the children must be intensified. This country took care of Ebola by doing aggressive surveillance and with aggressive vaccination of children, we can get rid of polio in Nigeria.”

 

Heightened tempo

Indeed, as the country dashes towards the final stage in eradicating the polio virus, there is need to show more commitment and dedication and there is also need to continue motivating leaders at all levels, as well as community workers, to continue their efforts because the goal is possible. Although, the country still has three more years to go to ensure certification, vaccination must be made available not only for polio, but against all forms of communicable diseases so as to help reduce mortality.

Government in particular must intensify campaigns for routine immunisation so that other cases will not be recorded. In fact, this is the time government should declare more for the purpose of national immunisation exercise, so that no child in the country will be left out.

Polio and immunisation go together, so If we make gains in polio eradication without maintaining routine immunisation, we may not be able to sustain the gain; therefore, proper attention must be given to the two.

 

Pharmacy Internship: Challenges and way forward (2) By Sesan Kareem

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As a follow-up to the previous discussion on the topic, here are additional factors that contribute to difficulty in getting internship placements by young pharmacy graduates apart from paucity of training centres and lack of proper co-ordination or policy.

 

  1. Lack of authority: It is a fact that, in many training centres, the head of pharmacy department has little or no authority on the numbers of pharmacy internees to be employed or, who to be employed. It is also a grim fact that the number of house officers employed, compared to the number of pharmacy internees in many of the training centres, particularly in the hospitals which absorbs over 70 per cent of the internees is unacceptable.
  2. Pharmacy graduates: Some pharmacy graduates are not flexible, based on their choices, in terms of training centres. They are not ready to go outside their comfort zones. I’ve met young pharmacy graduates who were adamant of doing their internship in hospital settings, despite getting offers in community pharmacies. They believed they would learn and earn more in the hospital. However, I’ve also met few exceptional young colleagues who did their internship as a supra without any payment for a whole year. I salute these young Nigerians.

 

Way forward

The solutions to some of the challenges contributing to difficulty in getting internship placements by young pharmacy graduates are as follows.

  1. The Pharmacists Council of Nigeria (PCN) should mandate and continuously monitor ALL registered training centres to ensure that they employ pharmacy graduates. In addition, the Council should come up with a policy on the minimum numbers of internees each centre must employ, based on the number of bed spaces or facilities available. Furthermore, training centres that are not willing to follow the PCN guidelines should be sanctioned, then deregistered if need be; while those that are willing should be encouraged to do so. The PCN and the PSN must take a bold step to fix this challenge as a matter of urgency. Many young pharmacy graduates are frustrated about the profession before even starting the practice. No wonder, our young brains prefer to work for other major sectors of the economy rather than the health sector!
  2. The PCN with the support of the PSN must come up with a blueprint on how to absorb all pharmacy graduates for internship training, with the maximum of three months after they have been inducted into the profession. If the law profession can find a way of doing this for young lawyers, I sincerely believe that with proper planning and good strategy the pharmacy profession can duplicate it. All hands must be on deck that by December 2017 the Council will have a framework and working formula on how to train all inducted pharmacy graduates in Nigeria as soon as possible.
  3. It is time the pharmacy profession is given total right to take decisions on who, when and how to train their young pharmacists in the hospitals. The responsibility of conducting exams and employing internees should be the business of the pharmacy departments of all teaching and general hospitals. While pharmacy departments must at ALL times carry the hospital administrations along in the process. The onus is on the department to make decisions and take actions on matters concerning internship training. Pharmacy departments do not intervene in the employment of house officers. The case should be the same for internees, no double standard.
  4. Pharmacy graduates must be flexible and do their internship training at available training centres, as soon as possible. We are in the age of speed, and time is life. Instead of wasting months or years looking for what they truly want, I will suggest they should take up available opportunities; while looking out for what they truly desire. Thank God the PCN provides a window for an internee to transfer once during the training.

 

In conclusion, we must note that the future of any profession belongs to its young population. We must do ALL things humanly possible to empower, inspire, encourage and make the profession interesting and rewarding for our young colleagues. To achieve this, we need ACTION more than words, RESULTS more than promises and CHANGE more than wishes.

 

As men of honour we join hands.

I thank you.

God bless the Pharmacy Profession.

  

Pharm. Sesan Kareem is an international published author, powerful speaker and Chief Inspirational Officer of Mareek Image Concepts. www.sesankaeem.com

 

Sun Pharma rewards partners, optimistic of better deals

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For the loyal and enterprising customers of Sun Pharma in Nigeria, the proverbial statement ‘ a rising tide lifts all boats’ will be the most appropriate phrase to describe their situations, as the new management of Sun Pharma, which newly acquired the former Ranbaxy Pharma, has promised them improved products and services.

This assurance was brought to bare by the Country Managing Director, H.S. Arora, during the annual customers forum, which was held recently at the Sun Hotel, Ikeja, Lagos. Arora, who expressed his delight in the outstanding performance of the top 25 distributors of the company in Nigeria, urged them to expect better transactions in the new business year.

He further intimated the partners on the new developments in the company as a result of their merger with Sun Pharma, noting that the company’s new year calendar now starts in March as against April, adding that they just opened a new chapter –‘growing together’ in March 25, 2015.

Explaining the benefits of the merger, he said the combination of Sun Pharma and Ranbaxy created the fifth-largest specialty generics company in the world and the largest pharmaceutical company in India, worth of five billion dollar annual financial transactions.

The Sun Pharma country boss urged his distributors nationwide to plan their purchase patterns towards the new policies of the company as their incentives will be measured according to the rules. Interestingly, he noted that distributors do not need 100 percent to win incentives, stating a maximum of 80 percent will qualify them for a reward from the company.

He however pleaded for the continuous support of all distributors towards achieving the targets for the 2015 business year, as the organisation has got 3,000 products, to the benefits of all customers, and for the improvement of health care delivery system in Nigeria.

Concerning conflict resolution, Arora made it clear to the partners that his doors and lines are always open to anyone who has got any complaint relating to the company and their services, adding that the happiness of one is the happiness of all.

For the 2014 business year, a number of their partners performed excellently as they were rewarded accordingly.

Arora however encouraged them to improve on their business transitions with the firm as there abound several opportunities for as many as will push more this year.

 

The 2015 Nigeria Pharma Manufacturers Expo holds in Lagos

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The 3rd international exhibition on pharmaceutical manufacturing technologies, Nigeria Pharma Manufacturers Expo 2015, is scheduled for September 7 to 9, 2015 at the New Haven, Oba Akinjobi Street, GRA, Ikeja, Lagos, Nigeria. NPME 2015 is recognized as one of the largest and highly resourceful international pharma manufacturing exhibition of the Central & West Africa region…. Read more

 

 

World Hepatitis Day: WHO tasks countries on prevention interventions

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As Nigeria joins the rest of the world in celebrating the World Hepatitis Day, which is usually marked on every July 28, the World Health Organisation (WHO) has called on all policy-makers, health workers and the public across the globe expedite action on awareness campaign in order to prevent infection and death from hepatitis.

A release from the health apex body today described viral hepatitis as a group of infectious diseases known as hepatitis A, B, C, D, and E , which affects hundreds of millions of people worldwide, causing acute and chronic liver disease and killing close to 1.5 million people every year, mostly from hepatitis B and C. These infections can be prevented, but most people don’t know how.

The theme for this year’s campaign being: “Prevent hepatitis – know the risks,” it is amazing to know that 400 million people are living with hepatitis B and C worldwide, while 1.4 million die due to these infections every year and many more become newly infected. Transmission of this virus can be prevented through better awareness and services that improve vaccinations, blood and injection safety, and reduce harm.

According to the release, the annual campaign, “aims not only to raise awareness among the general public and infected patients, but also to urgently promote improved access to hepatitis services, particularly prevention interventions, by policymakers”.

Speaking recently on the disease, Dr Paul John from Port Harcourt said about 23 million Nigerians are infected with Hepatitis B, making Nigeria one of the countries with the highest Hepatitis infection in the world since about 400 million people in the world are living with either Hepatitis B or C . And more unfortunate is the fact that just only Hepatitis B virus is about 50 to 100 times more infectious than HIV. Despite this mind-boggling data, the disease has attracted very little attention from both the government and the people of Nigeria.

In a similar development, the Society for Gastroenterology and Hepatology in Nigeria, SOGHIN, has urged all Nigerians to get screened for the disorder.In a statement, the Publicity Secretary, SOGHIN, Dr. Uchenna Ijemo said every Nigeria should pay attention to efforts to control the disease. “We are advocating a two-point key strategy – to promote prevention and show support for hepatitis-positive persons.

“SOGHIN urges Nigerians to pay attention to key preventive messages including knowing the risks including unsafe blood, unsafe injections, sharing of sharps including drug injection equipment can all result in hepatitis.”

Ijemo further advised all Nigerians to demand safe injections, whenever they have the need for it. “About two million people contact hepatitis from unsafe injections. Using sterile single use disposable syringes can prevent these infections.  “Approximately 8 billion injections are given unnecessarily globally and unnecessary injections increase the risks.”

She however noted the importance of vaccinating children against the disease, urging mothers to take the pain in ensuring their children are immunized as at when due.

 

 

 

 

 

 

 

 

Prof. Ogunlana marks 51st wedding anniversary, launches new book

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By Adebayo Folorunsho-Francis

Sunday, 12 June 2015 was a historic day for Prof. (Sir) Lanre Ogunlana as friends and well-wishers joined him at the Muson Centre in Onikan, Lagos, to celebrate his 51st wedding anniversary and the launching of his new book, Reflections & Challenges of Time & Tide.

The two-in-one lavish ceremony which featured a citation on the celebrant, presentation of gifts and goodwill messages, witnessed a massive turnout of former professional colleagues, old friends, pharmacists, relatives, mentees and representatives of professional bodies such as the Pharmacists Council of Nigeria (PCN) and the Pharmaceutical Society of Nigeria (PSN).

ogunlana 1
L-R: Prof. (Sir) Lanre Ogunlana, former deputy vice chancellor, University of Ife (now Obafemi Awolowo University) and past president of the Pharmaceutical Society of Nigeria (PSN); his wife, Deremi; and Prof Akin Mabogunje, chairman of the Lagos Megacity Development Authority.

 

Ogunlana, a former deputy vice chancellor of the then University of Ife (now Obafemi Awolowo University) and past president of the Pharmaceutical Society of Nigeria (PSN), married Lady (Mrs) Deremi Ogunlana, a health care worker-turned-educationist, in 1964.

Speaking at the event, Prof Akin Mabogunje, first African president of the International Geographical Union, who also doubled as the chairman of the occasion, congratulated the couple for weathering the ups and downs of marriage for over 50 years.

“At times like this, we should be dancing and having merriment of all sorts. But Lanre (celebrant) chose to launch a book instead,” Mabogunje said.

He explained further that through the book, 79-year-old Ogunlana reveals five passions that shaped his life – Family, Methodist Boys High School, Music, Philosophy and Pharmacy.

The high point of the event was the presentation of award by Obafemi Awolowo University (OAU) to the celebrant, for being the first indigenous dean in the institution’s faculty of pharmacy.

Presenting the award, Prof. (Mrs) Grace Onawunmi, current dean, Faculty of Pharmacy, OAU, explained that Prof. Ogunlana joined the institution at a time when many wouldn’t think of doing so, until when the indigenisation policy was pronounced.

madam
L-R: Prof. (Sir) Lanre Ogunlana receiving an award plaque from Prof. (Mrs) Grace Onawunmi, current dean of pharmacy faculty, OAU; and Prof. Tiwalade Olugbade, Professor of Pharmaceutical Chemistry, OAU

 

“An eye sees not itself. You might not know the impact of what you were doing, but OAU did. It is therefore in recognition of contributions made by our foundation lecturers and alumni that we are giving you this award,” she stressed.

Praising the virtues of Ogunlana, PSN President, Pharm. Olumide Akintayo, described him as an extraordinary teacher and professional.

“Let me say that Prof. Ogunlana was my teacher, and not just an ordinary one at that. As young pharmacists, we were not permitted the luxury of using archaic English. I must also add that he was one of the most dressed personalities I know. A great professional!” Akintayo enthused.

Thanking the audience for their affection, Prof Ogunlana stated that the last 51 years had been eventful for him and his wife.

“I am grateful to God for sparing the lives of Deremi and I. When we wedded, it was a short ceremony with only eight participants and we have no regret about it,” he said.

Among prominent dignitaries present at the book launch were Pharm. Azubike Okwor, immediate past president of the PSN; Pharm. Regina Ezenwa, a Fellow of the PSN and founder of Roses Ministry; Prof. Abiodun Ogundani, book reviewer and Pharm. N. A. E. Mohammed, registrar of the PCN.

The book – Reflections & Challenges of Time & Tide – chronicles the life of the author, espoused through a highly impactful career, laced with exploits about mainstreaming the unique role of Pharmacy in the contemporary society.

 

Why pharmacists must engage in capacity building – Adelusi-Adeluyi

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President of the Nigeria Academy of Pharmacy (NAPharm.), Prince Julius -Adelusi-Adeluyi has charged pharmacists to constantly engage in research activities for the enhancement of national health care.
He said this is necessary for them to remain relevant and prominent in the health care delivery system.
Adelusi-Adeluyi made the remarks recently, while addressing the newly inducted fellows of the West African Postgraduate College of Pharmacists (WAPCP), at the 27th Annual General Meeting and Scientific Symposium, held at Welcome Centre Hotels, Airport Road, Lagos.

GRAND GOOD
The NAPharm. president who was also chairman of the occasion, charged all pharmacists to improve the net worth of the profession, by embarking on teamwork, effectively networking themselves, as well as conducting relevant capacity trainings, capable of projecting them as change agents in the society.
He also urged the leadership of the college to follow the footsteps of renowned international institutions like the Harvard University, in order to produce well-grounded students.
In his contribution, president of the college, Wiltshire Johnson noted that the conference offered participants the opportunity to enrich their careers, demonstrate their academic and professional capacities, while also participating in events and discussions aimed at steering the future of pharmacy and health care delivery in West Africa.
He explained that the theme of this year’s AGM, “Diseases of Public Health Importance in West Africa”, required pharmacists to redefine quality of health care services delivery in West Africa.
Johnson, who led the participants to observe a minute’s silence for the victims of the Ebola virus, challenged pharmacists on their level of preparedness in the event of another disease outbreak on the continent.
“Problems of public health importance run far deeper than an epidemic outbreak of an haemorrhagic disease,” he said. “In our region, it includes, HIV/AIDS, TB, multidrug resistant TB, malaria, meningitis, reproductive maternal and child health issues, gastrointestinal and respiratory infections, non-communicable diseases, including diabetes, hypertension, cancer, and chronic respiratory conditions, to mention but a few.”
He also observed that, over the decades, there had been an upsurge in the amount of resources devoted to combating public health disease in Africa, noting however that such resource investments were already reaching a point of diminishing and marginal returns due to paucity of strong public health facilities in the region.
Johnson added that it was evident that the priority of quick fix and rapid disease-specific interventions had not produced the desired results.
He therefore charged all pharmacists to unite in building resilient health systems.
“Our presence at the micro and macro levels of health care delivery serves as an ideal conduit for preventive and curative interventions; and this provides the opportunity for setting alert and action limits in health and strategic direction for any nation’s health care service”, he stressed.
The high point of the event was the induction of 161 graduands, along with 10 elected fellows of the college. The fellows included Professor Olukemi Odukoya, former dean, faculty of pharmacy, University of Lagos; professor Emmanuel Osazuwa, former dean, faculty of pharmacy, University of Benin; and Professor Chinedum Peace Babalola, dean, faculty of pharmacy, University of Ibadan, among others.

Sir Atueyi, Olorogun Kuku bag Lifetime Achievement Award – As May & Baker, HealthPlus, Fidson, others sweep NHEA awards

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In recognition of their outstanding contributions to pharmaceutical practice and health care in Nigeria respectively, the duo of Pharm. (Sir) Ifeanyi Atueyi, managing director of Pharmanews Limited and Olorogun (Dr) Sonny Kuku, co-founder of Eko Hospital, have been honoured with the Lifetime Achievement Award.

L-R: Pharm. Gbenga Olubowale, chairman, Lagos branch of Pharmaceutical Society of Nigeria (PSN); Pharm. Bukky George, managing director of HealthPlus Pharmacy; Pharm (Sir) Ifeanyi Atueyi, managing director of Pharmanews Limited and Dr Jacob Nwachukwu, President of Blood Pressure Control Foundation Nigeria during presentation of the NHEA award
L-R: Pharm. Gbenga Olubowale, chairman, Lagos branch of Pharmaceutical Society of Nigeria (PSN); Pharm. Bukky George, managing director of HealthPlus Pharmacy; Pharm (Sir) Ifeanyi Atueyi, managing director of Pharmanews Limited and Dr Jacob Nwachukwu, President of Blood Pressure Control Foundation Nigeria during presentation of the NHEA award

 

The award was presented during the Nigerian Healthcare Excellence Award (NHEA) ceremony, held at the Eko Hotel & Suites, Victoria Island, Lagos on 26 June, 2015.

The colourful event attracted several health care professionals, as well as eminent personalities in both the pharmaceutical and the medical subsectors, including Dr Olaokun Soyinka, Ogun State Commissioner for Health; Dr Leke Pitan, former Lagos State Commissioner for Health; Pharm. Gbenga Olubowale, chairman, Lagos branch of the Pharmaceutical Society of Nigeria (PSN); Dr Femi Olugbile, former chief medical director of the Lagos State University Teaching Hospital (LASUTH); and Dr Anthony Omolola, immediate past national president of Association of General Private Medicine Practitioners of Nigeria (AGPMPN).

Others were Pharm. Bukky George, managing director of HealthPlus Pharmacy; Pharm. Bisi Bright, CEO of the Livewell Initiative; Dr Andy Cunliffe, general manager of Reddington Hospital; Dr Wale Alabi, NHEA’s project director; and Pharm. (Mrs) Clare Omatseye, managing director of JNC International.

In other categories of the award, HealthPlus Pharmacy emerged Best Pharmaceutical Retail Outlet of the Year, for the second time running; May & Baker won the Excellence in Pharmaceutical Research and Development Award; Reddington Hospital won the Private Healthcare Provider Award; Hygeia HMO clinched the Health Maintenance Organisation of the Year Award; while Pathcare Nigeria Limited emerged winner in the Private Laboratory Service Provider of the Year category.

Other winners included JNC – International Engineering Service Provider of the Year (Biomedical category); Mecure Healthcare – Best Eye Care Service Provider; Smile 360 Dental – Best Dental Service Provider; Bridge Clinic – Best IVF Service Provider; St Nicholas Hospital – Best Dialysis Service Provider; LUTH – Best Physiotherapy Service Provider; Fidson Healthcare Plc – Best Pharmaceutical Operation Excellence; and Swiss Biostadt – Best Healthcare Equipment Marketing Company.

On a very special note, the Healthcare Heroes Award was given to First Consultant Hospital, Obalende, in honour of the late Dr Ameyo Stella Adadevoh and others who sacrificed their lives in the campaign against the dreaded Ebola virus.

According to Dr Olugbile, the feat accomplished by Dr Adadevoh and the entire First Consultant team shows that health care in Nigeria is not dead.

“We are honouring you today for your resilience and integrity in the manner you handled the Ebola case. Instead of fleeing for their dear lives after being cleared, survivors of the virus who were hospital workers continued to practise. I think they deserve a round of applause for their heroic act,” Olugbile declared.

Acknowledging the effort put into the organisation of the award ceremony, Dr Wale Alabi, the project director, explained that the award was designed to celebrate and recognise hardworking individuals and organisations who had contributed in a remarkable manner to the improvement of the Nigerian health care sector.

“To remove any iota of doubt about this award, let me reiterate that all votes were done via social media. This is to retain our integrity and non-alignment to any individual or organisation. I use this opportunity to congratulate all the nominees and eventual winners,” he said.

NHEA is an initiative of the Global Health Project and Resources, in partnership with the Anadach Group.

Mimiko, Akintayo, others task pharmacists on quality service

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Ondo State Governor, Dr Olusegun Mimiko and some stakeholders in the health care industry, including President of the Pharmaceutical Society of Nigeria (PSN), Pharm. Olumide Akintayo, have called on community pharmacists in the country to be more dedicated in the discharge of their responsibilities to the public.

akintayo mimiko1
The governor who was the guest of honour at the opening ceremony of the 34thAnnual National Conference of the Association of Community Pharmacists of Nigeria (ACPN), tagged “Sunshine 2015”, made the call while speaking at the opening ceremony of the conference, held at Jorjein Hotel and Resorts, Akure, Ondo State recently.
The conference, had in attendance community pharmacists in their hundreds from across the nation, as well as other notable personalities, including Pharm. (Sir) Anthony Akhimien, former president, Pharmaceutical Society of Nigeria (PSN) and current president, Africa Pharmaceutical Forum (APF); Pharm. Olumide Akintayo, president, PSN; Pharm. Azuibike Okwor, immediate past president, PSN; Pharm. Deji Osinoiki, former national chairman, ACPN; Dr Dayo Adeyanju, commissioner for health, Ondo State; Dr Kola Adenujimi, chief of staff, Ondo State; Barr. Oluwatoyin Akukotu, head of service; Dr (Mrs) Yemi Mamoud, commissioner for women affairs; Princess Adetutu Adesida, Regent of Akure; Pharm. Ejiro Foyibo, immediate past national chairman, ACPN, among others.
While speaking, the governor, who was accompanied by his wife, Chief (Mrs) Olukemi Mimiko, said he was delighted with the choice of the theme for the conference, “Exploring New Frontiers in Community Pharmacy Practice”, saying the theme was apt as it was coming at a time the country was battling with the challenge of fake and counterfeit medicines.
According to him, community pharmacists are the closest health care professionals to the people as they play very vital roles in promoting efficient health care to the people. This, he said, should spur them to be dedicated and passionate about their chosen profession.
The governor added that: “It should be noted that any government that wants to give qualitative health care to its people must also reckon with pharmacists, as their position in health care delivery system cannot be over emphasised.”
Also speaking at the event, the Regent of Akure, Princess Adetutu Adesida, called on all community pharmacists across the nation to imbibe the fear of God in their practice, adding that the practice of community pharmacy was very important to humanity as it entails saving lives.
The regent further stated that community pharmacists should strive to leave their comfort zone and think of establishing in rural areas which she said were underserved in pharmaceutical care.
While making his own contribution, the Registrar, Pharmacists Council of Nigeria (PCN), Pharm. N.A.E Mohammed, who was represented by Pharm. Hammed Babaseun, noted that the theme of the conference: was timely at this definite period in the country, adding that the various issues confronting the association would soon come to an end.
“We are here to inform the association that there is never a cloud that the sun cannot shine on; therefore, the ACPN and the pharmacy profession shall definitely shine, no matter the challenges,” he assured.
In his speech at the conference, PSN President, Pharm. Akintayo, noted that in furtherance of the theme of the conference, community pharmacists across the country must lead the way in the battle for better health and wellbeing of the people as community pharmacies provide a, convenient and less formal environment for those who cannot easily access other kinds of health service.
Akintayo said community pharmacists must be readily available to give sound, professional advice and to help their clients deal with everyday health concerns and problems facing them, adding that pharmacies should have dedicated consultation areas specifically for private discussion. He added that community pharmacists must evaluate emerging realities of retail chain outlets which must place emphasis on home grown chains.
The highlight of the event was the presentation of the “Distinguished Public Service Award” to the wife of the governor, Mrs Olukemi Mimiko, who is the founder of Maternal Pulse Foundation, a foundation that seeks the total well-being of women and provides support for families with multiple births.

Alrange MD, marks 50th birthday – Donates books to UNICAL

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On Sunday, 10 May, 2015, Managing Director of Alrange Limited, Mr Ekom Henry Itauma and his wife, Imo, held a colourful party at his Isolo residence to celebrate his 50thbirthday anniversary.

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In attendance, aside from his families and close friends, were doctors, pharmacists, nurses and other health professionals.

The preparation for the event, according to the celebrant, started way back in February when the management of Alrange Limited, a professional books and library consultant, donated books on literature and languages to his former department in the University of Calabar (Department of English and Literary Studies) from where he graduated in 1986.

“We went there and were able to equip their literary library with some language and literature books, a gesture which even the vice chancellor of the school has acknowledged,” he said.

Born on 10 May, 1965, Itauma started his dream business, Alrange, in 1999. Although Alrange was incorporated in 1999, it did not commence operations until 2000.

Aside from providing specialised library support services to universities, polytechnics, research and regulatory agencies, as well as institutes such as the National Universities Commission (NUC), the Pharmacists Council of Nigeria (PCN), the Medical and Dental Council of Nigeria (MDCN), the company also partners with medical schools and professional health associations to source quality, evidence-based reference books for the entire industry.

“This partnership has given us the needed edge in the selection and sale of key books to both students and practitioners,” Itauma said.”We also partner with resident doctors, consultants/lecturers and offer credit facilities for books to aid their research needs and timely qualification.”

Itauma further hinted that Alrange professional books support services are tailored towards meeting the needs of scientific and professional associations in their bid to train, upgrade their practice and accredit new members.

“For instance we provide book support services for the Nigerian Institute of Safety Professionals (NISP), Institute of Public Analysts of Nigeria (IPAN), Institute of Chartered Chemists of Nigeria (ICCON), NAFDAC, West African Postgraduate College of Pharmacists (WAPCP), National Postgraduate Medical College of Nigeria (NPMCN), Association of Medical Laboratory Scientists of Nigeria (AMLSON), Association of Resident Doctors (ARD), Standards Organisation of Nigeria (SON) and the Nursing & Midwifery Council of Nigeria (NMCN),” he stressed.

On how he combines business and family life, Itauma said that having been married for 12 years, he and his wife had succeeded in overcoming their differences and challenges together.

“We don’t know whatever might come in future, but we know that God, who did it for us in the past, will see us through again. So far, the journey has been good. My wife has been supportive and quite humble. The fear of God is the beginning of wisdom. I have no regret whatsoever,” the Alrange boss said.

He added that “we travel a lot for programmes especially exhibitions. But my wife is quite supportive. She knows the kind of job I do and helps to patch up for me in the office. She receives calls on my behalf and does other things for me as well.”

Advising young people hoping to start a library and books consultancy dream like Alrange’s, Itauma admonished that the fear of God is paramount in not just relationships but also in business.

“This is why I will also advise those who are just coming into business to be patient. Go under somebody and get trained, study and improve yourself so that you don’t become frustrated later,” Itauma urged.

 

World Malaria Day: ALPs takes campaign to schools

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In commemoration of this year’s World Malaria Day and World Tuberculosis Day, held 24 March and 25 April of every year respectively, no fewer than four schools in Egbeda area of Lagos State benefitted from the Association of Lady Pharmacists (ALPs), Lagos State Chapter’s Public Secondary Schools Intervention Programme.

Pharm. Modupe Ologunagba (3rd from left), presenting some gift items at one the schools, during the campaign
Pharm. Modupe Ologunagba (3rd from left), presenting some gift items at one the schools, during the campaign

Beneficiary schools included State Comprehensive Senior College, Egbeda; State Comprehensive Junior College, Egbeda; State Senior High School, Egbeda; and State Junior High School, Egbeda.
The programme, which held within the premises of State Senior High School in Egbeda, was centered on moral education, environmental health, gender mainstreaming, drug abuse and misuse, personal hygiene advocacy, malaria awareness and sensitisation on tuberculosis.
Speaking at the event, the ALPs chairperson, Pharm. Modupe Ologunagba, advised the students to shun irrational use of drugs, drug misuse and abuse, as well as other unwholesome conducts, so as to safeguard their future and reduce the burden of diseases in the society, adding that it is a practical step towards achieving good health and living a healthy life.
Ologunagba, who is also a lecturer in the Faculty of Pharmacy, University of Lagos, said the association’s motive for organising the programme was to join other well-meaning associations and the world at large to commemorate this year’s world malaria and tuberculosis days, adding that the programme was very important as it was aimed at catching the students young and ensuring that they knew some relevant things regarding their health and moral values before reaching adulthood.
She explained that issues like malaria prevention, tuberculosis awareness, environmental health and others should not be handled with kid’s glove, hence the need to expose youngsters to such messages.
While taking the students on “Malaria Awareness Lecture”,treasurer of the association, Pharm. (Mrs) Rosemary Achi-Kanu, called on the students to protect themselves from the scourge of malaria.
She explained that malaria is a disease caused by the plasmodium parasite which infects the red blood cells and is characterised by fever, body ache, chills and sweating, adding that of the four species that cause malaria, plasmodium falciparum is the most serious and can cause serious complications
She explained further that after being bitten by an infected mosquito, the disease takes around 14 days to manifest, adding that the commonly observed symptoms are fever, headache, chills, sweats, fatigue nausea and vomiting.
“These are just some of the common symptoms of malaria,” Achi-Kanu noted. “Some of the other symptoms include dry cough and muscle pain; and if you have been diagnosed with the disease, you should take adequate rest until and also see a medical expert.”
In another lecture at the event, Pharm. Adenike Oluronbi, who spoke on “Tuberculosis Prevention and Management”, explained that tuberculosis, popularly called TB, is a disease caused by the bacterium Mycobacterium tuberculosis which mainly infects the lungs, but can equally attack other organs of the body.
“When someone with untreated TB coughs or sneezes, the air is filled with droplets containing the bacteria. Inhaling these infected droplets is the usual way a person gets TB.” She explained, adding that “only people who have active TB infections can spread the TB bacteria. Coughing, sneezing, even talking can release the bacteria into the surrounding air, and people breathing this air can then become infected. This is more likely to happen if you’re living in close quarters with someone who has TB or if a room isn’t well ventilated. Once a person is infected, the bacteria will settle in the air sacs and passages of the lungs and, in most cases, will be contained by the immune system.”
According to Achi-Kanu, the common symptoms of TB include coughing that lasts longer than two weeks with green, yellow, or bloody sputum; weight loss; fatigue; fever; night sweats; chills; chest pain; shortness of breath and loss of appetite. She however added that the occurrence of additional symptoms depends on where the disease has spread beyond the chest and lungs.
Asked if TB was treatable, the ALPs treasurer said all forms of TB were curable if they were diagnosed and treated in time, adding that treatment involved taking a combination of drugs for six to nine months because some tuberculosis bacteria are naturally resistant to one or more of the drugs prescribed. She added that the most important thing to do was to finish entire courses of medication when they are prescribed.
Explaining further, she said: “Treatment for TB depends on whether a person has active TB disease or only TB infection. If you have become infected with TB, but do not have active TB disease, you may get preventive therapy. This treatment kills germs that are not doing any damage right now, but could so do in the future; but if you have active TB disease, you will probably be treated with a combination of several drugs for six to 12 months. You may only have to stay a short time in the hospital, if at all, and can then continue taking medication at home. After a few weeks you can probably even return to normal activities and not have to worry about infecting others.”
Also speaking with the students on “Drug Misuse and Abuse among Nigerian Adolescents”, Pharm. (Mrs) Oluwakemi Charles-Okeh called on the students to always be cautious of what they swallowed in the name of drug taking, saying the menace of drug misuse and abuse had eaten deep into the society, especially among adolescents.
“A drug refers to a substance that could bring about a change in the biological function through its chemical actions. Drugs could thus be considered as chemical modifiers of the living tissues that could bring about physiological and behavioural changes,” Pharm. Charles-Okeh explained.
She therefore advised the students not to handle or use drugs without prescription from medical experts, saying drug misuse is an act of taking drugs in an improper way.
“When one fails to take the drug in accordance with an expert’s instruction, it is drug misuse.Drug abuse, on the other hand, is the process of taking drugs for a wrong purpose which is very dangerous, because drugs are not meant to be taken anyhow.So you must stay away from drugs like cocaine, heroin and even marijuana because they would do you no good; rather they can destroy your life.”
She also attributed the causes of drug abuse in adolescents to include factors such as curiosity to experiment, peer pressure, lack of parental supervision, personality problems due to socio-economic conditions, the need for energy to work for long hours, availability of the drugs and the need to prevent the occurrence of withdrawal symptoms, among others.
Pharm. Charles-Okeh also pointed out that most students, especially those in the secondary school, tend to see a drug user as one who is tough, bold and strong, adding that many of them have been known to use drugs at the instance of peers, elders or siblings.
She however advised that since the problem is more prevalent among those who are ignorant of the dangers inherent in drug abuse, effective counselling and proper awareness among the affected group would be pivotal.
In her own contribution, Pharm. (Mrs) Mfon Nsese, who spoke on “Environmental Health and Education Pursuit,” advised the students on some steps they couldtake to achieve complete wellness, including eating good food, engaging in proper exercise and maintaining a clean environment.
“Environmental health is very important and it comprises those aspects of human health, including quality of life, that are determined by physical, chemical and biological social and psychological factors,” Nsese said.
She noted that environmental pollution was one of the challenges that could adversely affectthe health of people and future generations.
“The environmental pollution can be air pollution, land pollution, water and noise pollution; but they have a greater effect on the conduciveness of an environment and therefore should be properly controlled or managed,” Nsese advised.
While thanking ALPs on behalf of all the participating schools, the Vice principal, State Senior High School, Mr C.A Olajide, said the programme was apt, adding that the best time for the young ones to be built for future challenges was when they were still in their teenage years.
“They are the leaders of tomorrow and when the foundation is very strong, it helps the future; but if the foundation is faulty from the beginning, it means there is danger ahead; so teaching them about their health, as well as moral and environmental health at this stage is good. We are hopeful that what they have heard today will help them in life, and by the time they grow up, it would be part and parcel of them.”

NARD urges FMoH to honour pact with members

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National Association of Resident Doctors of Nigeria (NARD) has called on the Permanent Secretary, Federal Ministry of Health, Mr Linus Awute, and the Director of Hospital Services, Dr Patience Osinubi, to expedite action towards honouring agreements reached with the association by the federal government through the ministry.

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Dr Prince Dan-Jumbo NARD president

 

The call which was contained in a communique issued after the 35th Ordinary General Meeting (OGM) and Scientific Conference, held at the Nondon International Hotel, Enugu State, was jointly signed by the NARD President, Dr Prince Dan-Jumbo; the Secretary General, Dr Daniel Gbujie, and the Publicity and Social Secretary, Dr Oluwajimi Sodipo.

During the OGM which was hosted by the University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State, several issues affecting resident doctors were raised, including non-payment of workers’ salaries, among whom are resident doctors in Abia, Osun, Oyo, Benue, Plateau and Lagos States; unilateral breach of agreement reached with the government on various issues affecting the association, among others.

NARD has therefore charged its striking members in various institutions to continue until the anomalies are corrected. It also reiterated its stand on skipping allowances for its members, stating that “any hospital where non-doctors skip, residents’ doctors must skip, to ensure universal application, and ensure harmony in all hospitals”.

NARD has also mandated its members in all public hospitals to form a stakeholders’ committee as soon as possible, the role of which is to make in-depth assessment of the cost of monthly payment of personnel in order to ascertain the possibility of the commencement of skipping allowances for its members.

The communiqué read in part: “that all hospitals should as a matter of urgency convoke a stakeholders’ committee comprising state NMA, MDCAN, ARD and representatives of management as agreed on the 27th of May to freely examine the records of personnel monthly payroll, cost implications and the personnel budgetary allocation of 2015 in order to ensure payment of skipping for doctors”

Funding for residency training was also discussed as the association had saddled the government with the responsibility of including residency training fund in the annual budget, as agreed with the federal government and effected in the 2013 and 2014 budgets.

Implementation of employer’s contribution to the Pension Fund was also highlighted, following reports that some institutions were defaulting in this aspect. The association therefore called on the Federal Ministry of Health in liaison with the Ministry of Finance to ensure the payment of the employer’s contribution to the Pension Fund as it affects resident doctors in ISTH Irrua, FETH Gombe, UBTH Benin, AKTH Kano, among others.

The re-enrolment of resident doctors and all civil servants onto the Integrated Payroll and Personnel Information System (IPPIS) was also deliberated upon. It was agreed that the federal government should fast-track the exercise, which has been described as a veritable tool for personnel cost control and corruption-curbing in public service.

UI pharmacy faculty marks White Coat Ceremony

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In a bid to produce quality graduates of high academic and moral standards, the Faculty of Pharmacy, University of Ibadan, has held the maiden edition of the White Coat/Orientation Ceremony for its students.

The programme,which took place on 29 April, at the new Faculty Auditorium, was attended by all B. Pharm. students from 100 to 500 levels.

Prof. Chinedum Babalola Dean, Faculty of Pharmacy,UI
Prof. Chinedum Babalola
Dean, Faculty of Pharmacy,UI

However, the White Coat Ceremony was specifically held to welcome 200 Level students into the faculty.

In attendance at the event were Prof. Chinedum P. Babalola, dean, Faculty of Pharmacy; Prof. Oluwatoyin A. Odeku, professor and head, Department of Pharmaceutics & Industrial Pharmacy; Prof. Edith O. Ajaiyeoba, senior lecturer, Department of Pharmacognosy; Prof. Sunday O. Idowu, senior lecturer, Department of Pharmaceutical Chemistry; and Prof. Olusola Gbotosho, senior lecturer, Department of Pharmacology and Therapeutics.

Others were Buhari-Alade Akintayo, president of the Pharmaceutical Association of Nigeria Students (PANS);deputy dean of the faculty,professors, heads of departments, sub-dean undergraduate, academic, administrative and non-teaching staff of the faculty.

In her opening address, Prof. Babalola announced that the orientation programme was the first of its kind in the faculty.

According to her, Pharmacy is one of the best professions in the world and was rated by Forbes in January 2015 as the best health care profession in the USA.

She solicited the support of stakeholders,including pharmacy instructors and students, to move the faculty to even greater heights.

Prof Odeku, on her part, spoke extensively on the theme “Student Disciplinary Matters: Malpractices and Sanctions.”

She informed the students that there was a newly reconstituted Student Disciplinary Committee (SDC), headed by the vice chancellor, which had been mandated to deal with cases of indiscipline such as examination misconduct, inappropriate behaviour, membership of a secret cult on campus and other related offences.

“The SDC will also mete out sanctions such as reprimand, rustication for one, two or four semesters, depending on the gravity of the offence, and expulsion. Hence, students with disciplinary cases would be given a fair hearing and allowed to come freely and defend their cases while criminal offences shall be handed over to the police,” she stressed.

Corroborating her view, Prof. Ajaiyeoba emphasised the essence of morality in the society.

“It helps us to judge the difference between right and wrong. Morals come from home and family, friends and peers, religion and church, society and state and emotions. I advise the students to uphold a high level of personal integrity, in school, at home and within the society,” she remarked.

The highpoint of the occasion was the administration of oath of allegiance and the donning of the laboratory coats as a sign of acceptance,which was greeted with a thunderous applause by the elated students.

In her closing remarks, the dean expressed her appreciation to the speakers, guests, professors, heads of departments, sub dean undergraduate, academic, administrative and non-teaching staff of the faculty, members of the committee on student orientation, PANS and the entire students for ensuring the success of the programme.

It would be recalled that the Faculty of Pharmacy, University of Lagos (UNILAG), Idi-Araba, on 13 March, held its second edition of the same White Coat Ceremony, following the success of the maiden edition last year.

UI pharmacy faculty inducts 59 “champions”

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A cross-section of the “59 Champions” taking their Pharmacist Oath

    In what has turned out to be an annual celebration of excellence, the Faculty of Pharmacy, University of Ibadan, has inducted and administered oath on 59 Bachelor of Pharmacy graduands.

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Prof. Chinedum P. Babalola, dean of the faculty (centre) in a group photograph with other dignitaries and the newly inducted “59 Champions”

 

The 28th Induction and Oath-Taking Ceremony which was conducted for the 2013/2014 set of pharmacy graduands on 14 May 2015 at the Trenchard Hall, University of Ibadan, had in attendance, dean of the Faculty, Prof Chinedum P. Babalola, deputy vice chancellor (academics), Prof. Gbemisola Oke; deputy provost, deans of other faculties and heads of department.

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Also present at the occasion were the first dean of the faculty, Emeritus Prof. A. A. Olaniyi; Pharm. Chidi Okoro, General Manager Africa – Lucozade Ribena Suntory; Pharm. N.A.E Mohammed, registrar, Pharmacist Council of Nigeria (PCN) represented bythe PCN’s Director of Education and Training, Pharm. Anthony Idoko; representatives of the Pharmaceutical Society of Nigeria (Oyo State Branch); director of pharmaceutical services; Oyo State Ministry of Health; Oyo State Hospital Management Board; PSN Board of Fellows and families of the graduating students.

In his opening remarks at the event, chairman of the occasion, Prof. I. F. Adewole, congratulated the entire members of staff, students and alumni who had worked tirelessly to ensure stability of the faculty in terms of robust quality training at both the undergraduate and postgraduate levels.

“The Faculty of Pharmacy is so dear to me because I am also part of its history,” Adewole said.”In fact, it was during my tenure as Provost, College of Medicine, that the dream of assuming a faculty stature was realised and my administration has supported the faculty in various ways.”

The celebrated don urged the inductees to be good ambassadors of the university, join the alumni association and contribute to the development of their alma mater. Adewole also admonished them to be heroes, great achievers, role models, life-long learners, and instead of making excuses, make choices that will positively transform their generation.

In her own remarks, dean of the Faculty, Prof Babalola thanked God for the conduct of the inductees, whom she tagged “The 59 Champions”.

She enjoined the inductees to continue to believe that they were the only ones who could determine the kind of career and life they wished to have.

Prof. Babalola further emphasised the need to uphold high level of discipline and integrity in all they do so as to be good ambassadors of the faculty and institution.

Delivering his keynote address, Pharm. Chidi Okoro listed a number of opportunities in the pharmaceutical sector that could make the graduands to reflect and plan ahead for a productive future.

“The pharmaceutical industry has huge headroom for expansion if you can make use of the opportunities that abound in the industry…I charge you not to get distracted in your course of adding values to the society. Otherwise how else can we explain a situation where we have about 3000 registered retail pharmacies in the country to serve a population of about 180 million Nigerians?” he said.

The former GSK (consumer) boss revealed that the current situation (economic and growth potential) in the country presented opportunities for pharmacists to contribute greatly to health care delivery in the nation.

He further advocated for better collaboration between the academia and NAFDAC,especially in the establishment of world class laboratories by NAFDAC in institutions like the University of Ibadan that would be used by NAFDAC and available for teaching and research by the faculty.

The hallmark of the occasion was the administering of the Pharmacist Oath on the graduands by the registrar, Pharmacists Council of Nigeria, followed by the presentation of provisional certificates of registration to the graduands.

2016 WKD: Why kidney failure is on the rise in Nigeria – Dr Awobusuyi

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In this exclusive chat with Temitope Obayendo, Dr Olugbenga Awobusuyi, a consultant nephrologist of high repute with the Lagos state Teaching Hospital (LASUTH) and an associate professor at the Lagos State University College of Medicine (LASUCOM), opens up on the prevalence of Chronic Kidney Disease (CKD) in Nigeria, implicating uncontrolled diabetes and hypertension as the major culprits. Excerpts:
Chronic Kidney Disease (CKD), also known as kidney failure, has become more rampant these days, what could be responsible for this?

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The reason for the prevalence of CKD is the surge in conditions that predispose people to renal failure, which are hypertension and diabetes. Nowadays many people are coming down with uncontrolled hypertension and diabetes, thus the prevalence of CKD in our society.
There is the World Kidney Day celebration to create awareness on the disease, but there are further campaigns done by stakeholders in the hospitals during our routine clinic visits, to enlighten patients who might be at risk to come for check-ups.
Our kidneys are endowed with functional reserves, which could prevent a patient from having any symptoms years after the disease might have set in, in fact, this could delay symptoms until after 60 -70 percent of the kidney functions might have been damaged.

Before now, kidney failure used to be associated with the elderly, but it is becoming also common among the younger generation. What predisposes a youth to kidney failure?
Just as hypertension is very common, so is what is called glumerulonephritis also common. Glumerulonephritis is a situation where a patient’s body produces some substances like protein, called antibodies, which attack the kidney to destroy it. Although this condition is not common in our environment, it is a cause of renal failure. We have a lot of diabetics, habitual consumers of native medications, and the analgesics addicts, who are already down with the disease. Some infections like HIV, Hepatitis B, Sickle Cell, patients with cysts in the kidney, prostate enlargement, kidney stones, can also cause CKD. Glumerulonepheritis could be responsible for the disease in young people.

During the celebration of the 2013 World Kidney Day (WKD), President of the Nephrology Association of Nigeria (NAN), Dr Ebun Bamgboye, said 36.8 million Nigerians are suffering from kidney disease at different stages. Two years after, what do you think the statistics will look like now?

We don’t have any hard statistics on the prevalence, although the Nephrology Association of Nigeria (NAN) is taking some steps to have a renal register, though it’s still at the infant stage. Nonetheless, there are a number of studies conducted in some communities, which indicated that the prevalence is still between 17 and 21 per cent of the population.

Can you explain the stages of kidney disease, the symptoms, and at what point patients should seek medical advice?

It actually has five stages, based on what we call Glumerulo Filtrating Rate (GFR), which reflects the overall functions of the kidney. The first stage is 90 or more millimetre per minute; stage two is GFR 60-89; stage three, GFR 30-59; Stage four, GFR 15 -29 and stage five is lower than 15 GFR.
It is at stage five we do dialysis for a patient. What we generally do is to treat the underlying disease. We also consider factors that make kidney functions decline drastically, some of which are uncontrolled diabetes and hypertension. However, when the condition becomes uncontrolled, we do kidney transplant, which is very expensive.

Is it possible to treat the disease if detected earlier?
It is one of the messages we are trying to pass across to the populace – that chronic kidney disease is preventable, and many of the causes are treatable. If patients are diagnosed early enough, their diabetes and hypertension can be well managed to prevent renal failure. This could be done by slowing down the deterioration rate of the kidney, thereby ensuring adequate management of the underlying conditions. Patients must always ensure they meet their doctors at the right time, as well as take their medications as prescribed. If this is done, there are chances that the rate of death associated with kidney failure will be reduced.
For everybody to understand the symptoms of the disease, there is need to know the functions of the kidney. The kidney actually excretes water and other waste products from the body; secondly it regulates the internal environment, by making the system conducive for the internal organs e.g., the electrolytes; and thirdly, it regulates blood pressure. It is also responsible for the production of a very active form of Vitamin D, which makes our bones strong. It produces another substance called erytopoietin which stimulates our bones to be stronger.
Thus, once a kidney start failing in carrying out these functions, then it’s a symptom of an ailment. For instance, when a patient cannot eliminate the water he/she takes in, through sweat and urine, when he finds it difficult to pass out excreta, then there will be an accumulation of waste products in the body, which is an indication of kidney failure.
What we usually tell people during awareness campaign is that they should always check their urine; once it’s foamy, it’s an indication of protein in the urine, which is a symptom of CKD. Diabetics need to be more conscious about their health, because it’s a condition that has more tendencies to damage the kidney. Once these symptoms are detected, patients need to visit the hospital for screening. It’s also worthy of note, that the initial medical tests are not expensive. Urine test costs around N500, while blood screening is around N1000.

How many forms of kidney failure exist?
There are two forms of kidney failure, acute and chronic. Acute kidney failure could occur within an hour or two, due to severe infections, loss of blood through childbirth, severe diarrhoea and cholera – but the system normalises itself few hours later. Diarrhoea and cholera patients could be predisposed to this condition. At times, they lose consciousness and may even convulse. However chronic kidney disease is our focus of discussion.

With your involvement in medical practice so far, can you estimate the cost of a successful kidney transplant?
A kidney transplant goes for about N5 million to N6 million. All over the world, I’m not sure many patients can afford that. However, in most cases where they can access the facility, the government usually pays for the chunk of the fee.

How many nephrology experts do we have in the country?
The ratio of nephrologists in Nigeria to patients is about 150,000 to about 40 million patients.

Can it be said that people without diabetes or hypertension are not at risk of CKD?
Yes, they are not at risk, but if they have a family history of CKD, diabetes or hypertension, they should be going for check at least once a year. Especially if they are above 40 years, regular check up is important.

Considering the state of our health care facilities, is there any hope for Nigeria in overcoming CKD?
It depends on the will of the government of the day. If there is political will in the provision of local facilities, building of good facilities, provision of manpower, and monitoring of the administrative section for effectiveness, then cases of CKD would be drastically reduced.

What is your advice to Nigerians as regards kidney diseases and their general health conditions?
They should always participate in medical screening exercises. Hypertensives and diabetics should keep their appointments with their health care givers and also ensure they meet qualified doctors, not roadside quacks.

Monarch, commissioner canvass public enlightenment on fake drugs

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Regent of Akure Kingdom, Princess (Dr) Adetutu Adesida, and Ondo State Commissioner for Health, Dr Dayo Adeyanju have urged the federal government to step up its war against fake drugs in the country, saying the menace had caused more deaths than the dreaded Boko Haram group and could wreak even more havoc, except drastic measures were taken.

L-R: Ondo State Commissioner for Health, Dr Dayo Adeyanju; Regent of Akure, Princess (Dr) Adetutu Adesida; National Chairman, ACPN, Pharm. (Alh) Olufemi Ismail Adebayo and others during the ‘Walk Against Counterfeit and Fake Drugs’ programme in Akure, Ondo State recently.
L-R: Ondo State Commissioner for Health, Dr Dayo Adeyanju; Regent of Akure, Princess (Dr)
Adetutu Adesida; National Chairman, ACPN, Pharm. (Alh) Olufemi Ismail Adebayo and others during the ‘Walk Against Counterfeit and Fake Drugs’ programme in Akure, Ondo State recently.

The duo disclosed this at the Palace of the Deji of Akure land, where Princess Adesida received members of the Association of the Community Pharmacists of Nigeria (ACPN), led by their national chairman, Pharm. (Alh) Olufemi Ismail Adebayo who visited the palace to receive the royal blessing of the monarch as the ACPN kick-started its”Walk Against Counterfeit Drugs”campaigned, as part of activities for the 34thAnnual National Conference which was held in Akure, Ondo State recently.
Addressing the visitors, Princess Adesida, who holds a PhD in Pharmacy, implored the federal government to emulate the government of Ondo State, under the leadership of Dr, Olusegun Mimiko, whom, she disclosed, had taken giant strides in the fight against fake and counterfeit drugs by procuring a Trustcan machine to test the genuiness of drugs being sold in the state.
According to her, any nation that cares for the lives and safety of its citizens will never take the issue of fake and adulterated drugs lightly.
“We all know the dangers fake and counterfeit drugs portend for the health of the citizens and as such, serious campaigns, through the media, electronic and print, must be used so that more people could be aware and well-informed about the dangers it poses to their health.”
Also advising the Nigerian populace, the regent said, “I want to implore our citizens as well to desist from buying drugs anyhow and anywhere as drugs are too dangerous to be taken anyhow; therefore they should ensure they get their drugs from approved places across the state. The campaign will not end here as all my chiefs here present will as well take the message back to their people and with that, everybody, especially our ageing mothers and fathers, will be aware of it.”
Speaking in the same vein, the state’s Commissioner for Health, Dr Dayo Adeyanju, disclosed that aside the procurement of a Trustscan machine to test the originality of drugs being sold across the state, government had also set up a task force which comprising officials of the Ministry of Health, the National Agency for Food and Drug Administration and Control (NAFDAC) and security agencies, to inspect drugs being sold in the state.
He added that with the use of the scanning machine, officials from the ministry and other agencies would be able to know the genuineness of drugs put up for sale in stores, adding that any stores found selling fake drugs would be blacklisted and the findings of the inspection team would be made public so as to serve as a deterrent to others who may be nursing the idea of starting such illicitbusiness.
The Commissioner, while highlighting the harmful effects of fake drugs, noted that the danger was much more than the effects of dreaded diseases like HIV/AIDS, cancer and malaria combined.
“It is funny when you see people taking drugs for same ailment over and over and the ailment refuses to go and they assume the ailment has spiritual connection, not knowing that it is actually as a result of fake drugs. It is therefore pertinent that we fight this scourge now before it kills us all,” Adeyanju said.
While thanking the association on behalf of the king of Akure Kingdom, High Chief M.A Adebayo, who was referred to as “Akure Warlord” appreciated the health commissioner for creating an enabling environment for the ACPN to hold its conference and for his effortsin the fight against fake and counterfeit drugs in the state.
“The influx of fake and substandard drugs has done a lot of havoc to our healthcare sector in this state and the entire nation; therefore the decision to organise this ‘walk’ in order to sensitise our people and create awareness is a welcome development and we are happy about it. We therefore assure you of our maximum support, while we enjoin you not to hesitate to ask us for anything that will ensure smooth running of your programme because its importance to the lives of our people,” Adebayo stated.
In his response, ACPNnational chairman, Pharm. (Alh) Olufemi Ismail Adebayo, appreciated the state government for its efforts at ensuring the state was rid of fake and substandard drugs. He also thanked the regent of Akure for sharing the passion of the association, regarding the theme for the ‘walk’.
“I want to assure your majesty and entire people of this state that and my members and I will not rest on our oars until the war against fake and counterfeit drugs is won.I therefore enjoin members of the public to cooperate with the association by reporting matters relating to the issue of fake and counterfeit medicine to the appropriate authorities, while patronising only authorised pharmacies for their drugs,” Adebayo stated.

Make pharmacist next health minister, PSN tells FG

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The Pharmaceutical Society of Nigeria (PSN) has appealed to the newly elected government of President Muhammadu Buhari to appoint a pharmacist as next minister of health.

mimiko
In a communiqué signed by its president, Pharm. Olumide Akintayo, the society argued that such appointment had eluded its members for several years under various administrations.
“The norm now is to appoint seasoned administrators and managers with cognate experience to run modern day health care. With benefits of insight, we assure relevant decision-makers that we have a preponderance of such persons in the pharmacy profession.
This development is coming on the heels of speculations that a technocrat or a health professional with medical background could emerge as the next minister to pilot the affairs of the health sector. The last time a pharmacist rose close to a similar position was during the short-lived interim government of Ernest Shonekan when Prince Julius Adelusi-Adeluyi (incumbent president of Nigeria Academy of Pharmacy) was made the minister of health and human resources,” the statement said.
The PSN further stressed that the marginalisation suffered by pharmacists is not limited to the ministerial level but equally affects other areas, such as the National Health Insurance Scheme (NHIS), the Consolidated Health Salary Scale (CONHESS) and the amendment bill to correct the obnoxious decree 10 of 1985.
“In the spirit of broad spectrum of reforms, the PSN recalls the monumental injustice meted out to its teeming members in Nigeria’s version of a social insurance scheme. For over 5 years now, the NHIS encourages unlawful payment mechanisms dubbed global capitation, while HMOs also capitate secondary and tertiary facilities which outrightly disrupts the equilibrium of the health system,” the PSN stated.
The Akintayo-led society demanded a well-defined welfare package for health workers, which redresses controversies that have led to recurrent and perennial strike actions.
According to the PSN communiqué, some of the recurrent welfare issues the society considers relevant include:implementation of the circular on promotion of its members from CONHESS 14 to 15, as directors, which places premium on the need to sanction defaulting hospital managements; specific steps to be taken by head of service of the federation to ensure expedited issuance of an enabling circular authorising consultancy cadre for health professionals that have adhered to due process to be vested with consultancy status.
“We want payment of arrears of specialist allowances to qualified hospital-based health professionals with effect from January 1, 2010, to be ensured with further delay. Flowing from those two earlier requests, the PSN strongly demands that the federal ministry of health must come up with a circular on residency programmes for all health professionals in Nigeria” it emphasised.
Aside from calling for immediate and full payment of arrears accruing from skipping of CONHESS 10 which remain outstanding since 2010, the society said it was high time an amendment bill was sponsored to correct, once and for all, the litany of contentious provisions in the obnoxious decree 10 of 1985 (CAP U15 463) LFN 2004 which formalises marginalisation of all health workers by doctors in the country.

CDDDP holds hand-sanitisation campaign

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Prof. Chinedun P. Babalola demonstrating to Abadi Primary School pupils on how to clean their hand properly with sanitiser

CDDDP

In apparent support of the World Health Organisation (WHO)’s “Save Lives, Clean Your Hands” campaign for 2015, the Centre for Drug Discovery, Development and Production (CDDDP), recently held a sensitisation programme on hand sanitisation in Ibadan, Oyo State.
The CDDDP, a MacArthur Foundation funded Centre of Excellence at the Faculty of Pharmacy, University of Ibadan, which had embarked on the production of alcohol-based sanitisers in response to the Ebola virus outbreak in West Africa in 2014, took the sensitisation campaign to some primary schools within the University of Ibadan area.
The Director of the Centre, Prof. Chinedum O. Babalola supported by other staff members, first led the CDDDP team to Abadina Primary School, where the pupils were educated on the importance of hand hygiene and how to properly cleanse their hands, using a hand sanitiser. The enthusiastic students were educated on the advantages of clean hands and the Centre also donated its brand of hand sanitisers to the school.
The CDDDP sensitisation team also went to the University Staff School, University of Ibadan, where pupils were also enlightened on the advantages of using hand sanitisers in keeping their hands clean especially when there is no access to clean water.The sensitisation team equally donated the CDDDP sanitisers, which come in different fragrances, to the school.
The management of the two schools thanked the CDDDP team for selecting their schools for the campaign and for the hand sanitisers donated to them.

The tonic of love

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Christ is the Spirit of love, which is the abiding and indwelling reality in man. In this principle of love, all knowledge, intelligence, and wisdom are contained, and until a man realises it as the one vital reality of his being, he does not fully comprehend the Christ. Such glorious realisation is the crown of evolution, the supreme aim of existence. Its attainment is complete salvation, emancipation from all error, ignorance, and sin.
When Jesus said, “Without Me ye can do nothing,” he spoke not of His perishable form, but of the universal Spirit of love of which His conduct was a perfect manifestation; and this utterance of His is the statement of a simple truth; for the works of man are vain and worthless when they are done for personal ends, and he himself remains a perishable being, immersed in darkness and fearing death, so long as he lives in his personal gratifications.
Man is of the substance of love; this he may realise if he will relinquish the impure, personal elements which he had hitherto been blindly following, and will fly to the impersonal realities of the Christ Spirit; and these realities are purity, humanity, compassion, wisdom, love.
Every precept of Jesus demands the unconditional sacrifice of some selfish, personal element before it can be carried out. Man cannot know the real whilst he clings to the unreal; he cannot do the work of Truth whilst he clings to error. Whilst a man cherishes lust, hatred, pride, vanity, self-indulgence, covetousness, he can do nothing, for the works of all these sinful elements are unreal and perishable. Only when he takes refuge in the Spirit of love within, and becomes patient, gentle, pure, pitiful, and forgiving, does he work the works of righteousness and bear the fruits of life.
The vine is not a vine without its branches, and even then it is not complete until those branches bear fruit. Love is not complete until it is lived by man; until it is fully understood by him and manifested in his conduct. A man can only consciously ally himself to the vine of love by deserting all strife and hatred and condemnation and impurity and pride and self-seeking, and by thinking only loving thoughts and doing loving deeds. By so doing, he awakens within him the divine nature which he had heretofore been crucifying and denying.
Every time a man gives way to anger, impatience, greed, pride, vanity, or any form of personal selfishness, he denies the Christ, he shuts himself out from love. And thus only does one deny Christ, and not by refusing to adopt a formulated creed.
Christ is known only to him who by constant striving has converted himself from a sinful to a pure being, who by noble, moral effort has succeeded in relinquishing that perishable self which is the source of all suffering and sorrow and unrest, and has become rational, gentle, peaceful, loving, and pure.

Culled from MIND IS THE MASTER by JAMES ALLEN

Why are you on earth?

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Have you ever taken time to consider this important question? Life is not just about how long we live but also how well. According to the Guinness Book of World Records, the greatest fully authenticated age to which any human has ever lived is 122 years 164 days, by Jeanne Louise Calment of France. But the Bible also contains the record of Methuselah, who died at the age of 969.However, at whatever age you die, the important thing is fulfilment of the purpose for which God created you. Without that, life has no meaning.

Everyone wants to be successful. Success has definitions and various interpretations. But my own understanding of success is simply doing and being what God expects of you. This implies that you must have a relationship with God to enjoy success. You must know what He wants you to do and become. In Joshua 1:8, God said to Joshua, Do not let this Book of the Law depart from your mouth; meditate on it day and night, so that you may be careful to do everything written in it. Then you will be prosperous and successful” (NIV). True success comes through carrying out directives from God.

When I have a certain task to perform, I try to do it well, to please God and protect His image and reputation. I like to seek His approval in my work, knowing full well that I am serving Him. If He approves my work, then man has no choice but to approve it also.

I have come across some workers who do their work carelessly and produce bad products. Some do not put their talents and abilities to profitable use. Some want to acquire money, without providing the equivalent service or product. This is fraud. Slothfulness is bad. Proverbs 13:4 says, “The soul of the sluggard desireth, and hath nothing: but the soul of the diligent shall be made fat” (KJV).

Among the sluggard are people who spend so much time in public prayers, fasting, retreats and vigils, like the Pharisees, while neglecting the work they have been given to do. Failure to do what you have been asked to do is disobedience, which attracts curses.

Looking at the universe, it’s obvious that success is inherent in all that God created. For instance, birds are designed to fly; therefore, wings are provided so that they can fly. Seeds have something inside them to make it possible for them to germinate under favourable conditions and grow into seed-bearing fruits. The seed has the in-built ability to reproduce its kind.

Fish is designed to live in water and not on land. I remember how I caught a fish when I was young. I had gone to the stream to fetch water one evening after school. As I approached the stream, I sighted some fish darting, splashing and drifting with the wave, as if they were having a party and some of them were already drunk. I watched with interest, as one of them dashed sharply and landed at the edge. As it made desperate attempts to get back into the stream, I quickly grabbed it and threw it farther away from water. That was the end of that fish because it was not designed to live on land. It had only got itself outside its natural habitat through excessive excitement. Fish outside water is like someone outside the will and purpose of God.

It is interesting how God uses people for special purposes.

To Prophet Jeremiah, God said, “I knew you before I formed you in your mother’s womb. Before you were born I set you apart and appointed you as my prophet to the nations” (Jeremiah 1:5, NLT).

Do you sometimes ask yourself why God created you? God created man for His glory and pleasure. Isaiah 43:7 says, “…For I have created him for my glory, I have formed him; yea, I have made him” (NKJV). When God created man, He gave him dominion over all other works of creation. He wanted man to succeed and give Him glory. However, some people do not succeed because of their own choice. In Deuteronomy 30:19, Moses said to his people, “I call heaven and earth to record this day against you, that I have set before you, life and death, blessing and cursing: therefore choose life, that both thou and thy seed may live” (KJV).

Terms of a contract

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Godwin is a sales representative for Richmond Pharmaceuticals in Jos, Plateau State. His primary assignment is the marketing of the company’s brand of paracetamol syrup. While supplying retail outlets on a Monday morning, he comes across Daily Need Pharmacy on CBN Road. On getting into the pharmacy, he is warmly received by Aisha, the sales attendant. Godwin introduces the product, informing her that the drug is very effective and in high demand. He offers her a carton to sell on a trial basis. Aisha inspects the medication and considers putting it up for sale in the pharmacy. Eventually, she agrees to sell. She explains that her boss is out of town till the weekend. She would try to sell the product as long as her boss approves of it.

On Thursday, Godwin calls Daily Need Pharmacy. He is pleased to hear that four bottles of the syrup have been sold. The following Monday, he arrives at the pharmacy with an invoice for one carton of paracetamol syrup. Unfortunately, Aisha has bad news for him. Her boss had returned over the weekend. He saw the product and decided against selling it. The unsold bottles have been packed to be returned. Considering that the drugs are already being sold, Godwin suggests that they sell the rest and pay for the carton afterwards. From a legal perspective, what are the effects of the terms of this transaction?

In every business transaction with a valid contract, it is necessary to determine the measure of obligations committed by each party. This can only be done by identifying the terms and the importance of each one. The terms of a contract will vary in weight, from the fundamental terms (the most important), to the conditions and the warranties. The nature of the term of a contract will determine the liability of the party committed to it and the consequences of a breach.

The legal issues to be considered in this situation are:

  1. The distinction between a contractual term and a mere representation.
  2. The nature and effect of terms of a contract.
  3. The incidence of collateral contracts.

While negotiating an agreement leading to the conclusion of a contract, parties may communicate certain things aimed at securing the other person’s commitment. If a dispute on a term of contract arises, it may become necessary to determine whether the issue involved was a ‘contractual term’ or a ‘mere representation’. This is because, in the case of a breach of a term of the contract, the aggrieved party can sue and receive a remedy in damages or in both damages and cancellation of the contract (depending on the seriousness of the breach). On the other hand, should the issue involved be a mere representation, the remedies available may be little or none at all.

The case of Shawel v. Reade established the principle that if the person who made the statement had special knowledge or skill, as compared to the other party, then the statement is taken to be a term of the contract. In our scenario above, during the presentation of the paracetamol syrup, Godwin asserted that the medication was “very effective and in high demand”. This would rightly be taken as expert information, inducing the other party to rely on it.

Having seen that the obligations in a contract are not of equal significance, it is understandable that the consequence of a breach of terms will vary. For this reason, a distinction should be made between a warranty, a condition and a fundamental term. Section 11(1)(b) of the Sale of Goods Act 1893 defined a condition as a stipulation in a contract of sale, the breach of which may give rise to a right to treat the contract as repudiated (or right to damages), and a warranty as a stipulation, the breach of which may give rise to a claim for damages but not to a right to reject the goods and treat the contract as repudiated.

Going by this definition, a term of contract which gives a party the right to cancel is a condition. Thus, an agreement which is premised on the occurrence of a specific factor is one subjected to a condition precedent. That agreement is not binding until the specific factor has occurred. In our case with Godwin and Daily Need Pharmacy, there was an agreement to sell the product on the condition of the approval of the boss. This situation is similar to the facts of Pym v. Campbell. In that case, an agreement by the defendant to buy the plaintiff’s invention was made subject to the approval of an engineer. It was held that there was no binding agreement until that approval was obtained.

Finally, some statements by a party may not qualify as terms of the contract but are still relevant to the incidence of it. These will come under the doctrine of collateral contracts. The rule established in the City & Westminster case is this: if a person makes a statement or promise which is intended to induce the other party to enter into a contract, then if that party makes a commitment on reliance on that promise, the person who made the promise will be held bound by it. The statement or promise is regarded as part of a preliminary or collateral contract.

In view of this, it should be noted that Aisha received a carton of paracetamol syrup from Godwin to sell “on a trial basis”. This trial basis was the premise on which she entered into the transaction in the first place. That means that the attempt to sell the product was simply a test which could be cancelled in the event of any vitiating factor.

Principles and cases are drawn from Sagay: Nigerian Law of Contract

 

 

Treating ear, nose and throat infections

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In Nigeria today, ear, nose and throat-related conditions constitute a major burden of infections. Yet the majority of the citizens are ignorant of ENT treatment options, leading to shortage of health personnel as the field is not considered lucrative. In fact, a recent survey conducted by Professor Babagana Ahmad, medical director of the National Ear Care Centre, Kaduna, revealed that in a population of about 170 million, Nigeria has only 200 ENT specialists.
However, the pattern of these diseases may vary from community to community or hospital to hospital, based on the availability of specialist personnel or facilities for the management of such diseases, which are either congenital or acquired in origin.
According to an ENT audit put together by Dr A. J. Fasunla, Department of Otorhinolaryngology, University College Hospital, Ibadan, the acquired diseases include infections, inflammatory diseases, neurologic diseases, vascular diseases, trauma, benign and malignant tumours etc.
ENT diseases are serious public health problems with universal distribution affecting all age groups. The knowledge of the ear, nose, throat, head and neck diseases is very important because of the type of morbidities which they cause due to impairment of the inherent physiologic functions that usually take place in the head and neck region. These include problems of hearing, breathing, swallowing, phonation, speech, olfaction, taste, protection of the lower respiratory tract and clearance of secretions.
Aesthetic problem of the face and psychological problem may occur in neoplasm and neurologic diseases of the head and neck region.Below are some examples of ENT disorders:

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Tonsillitis
When the tonsils become inflamed for long periods of time, they may have to be surgically removed. This procedure is called a “tonsillectomy.” Though tonsillitis used to be treated with tonsillectomy frequently, it is no longer the practice and is now only done in specific instances. When inflammation is severe enough, it can interfere with swallowing and breathing.
Tonsil removal is indicated in cases of extreme obstruction of the airways or swallowing. Often tonsils are enlarged, swollen and painful during tonsillitis. Less absolute indications for tonsillectomy include: recurrent acute throat infections, chronic tonsillitis that does not improve with antibiotics, obstruction leading to bad breath or changes in voice. There are many causes of tonsillitis.

Ear infection
Ear infections are one of the most prevalent ENT disorders. They occur when germs become trapped inside the inner ear. The Eustachian tube, a tiny tube that originates in the ear and drains in to the back of the throat, usually keeps unwanted germs out. If this tube is too small or becomes clogged by fluid and mucus, bacteria or other microbes may be able to enter the ear and cause an infection. Signs and symptoms of an ear infection include:
* recent history of an upper respiratory infection
* pain and pressure
* fever
* loss of balance
* difficulty hearing
* nausea and vomiting
* fluid discharge from the ear (this indicates perforation of the tympanic membrane)

Ear infections are more common in children. If your child has an ear infection, it may be difficult to detect. Here are some things you may notice about your child:
* pulling or tugging on the ears
* increased fussiness, especially at bedtime
* fails to startle at loud noises or does not consistently respond to name
* eating or drinking abnormally

EAR

Strep throat
Strep is an abbreviation for a family of bacteria called “streptococci.” Strep throat occurs when the throat and surrounding structures become infected with this germ. While strep throat is a common infection, many other infections have the same symptoms. You must have an actual strep test at your doctor’s office to be certain that your symptoms are associated with a streptococcal infection versus a different bacterial or viral infection. Symptoms are usually abrupt in onset, including:
* red, sore throat
* difficulty swallowing
* enlarged tonsils
* enlarged lymph nodes
* white patches on the tonsils or in the back of the throat
* fever
* body aches
* fatigue
* skin rash (rare)

mouth

Notably absent in strep throat are a runny nose and cough. You may also suspect strep throat if you have been exposed to someone with a strep infection in the last two weeks. Children between the ages of 5 and 15 are most at risk. You are also more likely to get a strep infection during the winter months.

Sinusitis
Sinusitis occurs when a germ finds its way in to the hollow recesses of the skull that surrounds your eyes and nose. The infection can then become trapped there, causing inflammation, pressure and pain. Acute sinusitis is often secondary to a common cold, so you are more likely to get sinusitis during the winter months.
Chronic sinusitis is sometimes an inflammatory disorder caused by untreated allergies or conditions, such as bronchial asthma. Sinusitis can last from weeks to years, if left untreated. Symptoms of sinusitis are:
* headache
* cough
* nasal discharge of various colours and consistency
* congestion
* toothache
* fever
* fatigue

Sleep apnoea
Apnoea is a medical term, meaning to stop breathing. Sleep apnoea is a disorder causing one to stop breathing for brief periods of time while sleeping. Sleep apnoea is a common disorder and can cause severe health problems, if left untreated. If you suspect that you have sleep apnoea, see a doctor. Symptoms include:
* waking up frequently in the middle of the night
* feeling unrefreshed upon awakening
* daytime drowsiness
* mood swings
* depression
* waking up with a dry, sore throat
* morning headaches

In addition to these symptoms, many individuals with sleep apnoea have often been told by a spouse or other family member that they snore, gasp or choke while sleeping. Family members may have observed an episode in which you stopped breathing while asleep. You are more likely to have sleep apnoea if you are overweight, have enlarged tonsils, take sedatives at bedtime or have inherited a shorter airway than the general population. People who are obese and have uncontrolled hypertension are more likely to have obstructive sleep apnoea.
The majority of people will experience one or more of these disorders in their lifetime. While visiting with your physician, discussion of your symptoms may help your doctor to come up with a diagnosis of an ENT disorder.

Diagnosis of ENT disorders
Many tests are used to diagnose ENT disorders. Regardless of your particular ailment, there is specific information you should always have ready for your physician to help him diagnose your problem. Here are some of the questions your doctor may ask:

* What are your symptoms and when did they start?
* Have you been taking any medications (over-the-counter, including vitamin and herbal supplements or prescription)? If so, your doctor will want to know the dosage.
* Are you allergic to any medications? If so, what are they and what kind of reaction did you have?
* Do you have a previous history of ENT disorders?
* Do you have a family history of ENT disorders?
* Do you have any other medical conditions?
* Have you been running a fever?

Here are additional questions if the patient is a small child:
* Has the child had nausea and vomiting? If so, has the child continued to have wet diapers?
* Has the child been abnormally fussy or lethargic?
* Has the child had balance problems?
* Has the child’s eating and drinking habits changed?
* Has the child shown signs of decreased hearing, such as not responding to their name immediately or not startling at loud noises?

Diagnosis of ear infections
If you have signs and symptoms of an ear infection, your doctor will use an otoscope to visualise the outer ear and eardrum. If an infection is present, the ear may appear red and swollen. There may also be a fluid discharge. Unlike other infections, the exact bacterium that is responsible cannot always be determined. As such, doctors choose antibiotics that will cover the most likely organisms when they suspect a bacterial source. This is because it can be difficult to obtain a sample from the ear for a culture. Antibiotics will not cure a viral infection, and it can take as long as three weeks for your body to fight off the virus.

Diagnosis of swimmer’s ear
With swimmer’s ear, the outer ear and ear canal may be red. Upon examination, the doctor may notice pus in the ear canal, and the skin may be scaly or shedding. The doctor may be able to obtain a fluid sample for culture.

Diagnosis of sinus infections
If a sinus infection is suspected, an endoscope may be used to go up the nose and visualise the opening in to the sinus cavity and take a direct sinus culture. Nasal swabs are not useful due to false positive results that do not reflect the sinus pathogen. By endoscope, the doctor will be looking for inflammation and/or discharge. Four view x-rays or a CT scan may be indicated, if other tests are inconclusive.

Diagnosis of strep throat
Strep throat causes enlarged reddened tonsils that sometimes have white patches on them; however, many viral infections can cause this as well. If strep throat is suspected, a throat culture will be taken and sent to the lab. This test is quick and easy to perform with only mild discomfort as it may cause a gagging sensation. A cotton swab is brushed against the back of the throat then sent to the lab to test for streptococcal bacteria, the cause of strep throat. The standard test can take one to two days; however, a rapid strep test can also be performed, which only takes a few minutes.
If the rapid strep test is positive, antibiotics will be started. If the rapid strep test is negative, you will be sent home and the standard culture will still be performed. About 20 per cent of negative rapid strep tests will become positive after a day or two in the laboratory. Sometimes your doctor may make the diagnosis based on classic symptoms and signs to treat you presumptively even without a swab.

Diagnosis of sleep apnoea
Sleep apnoea is a disorder causing one to stop breathing for brief periods of time while sleeping. In your first visit, the doctor will begin by obtaining a comprehensive medical history. Before ordering a sleep study, he or she will likely ask some of these questions:
* Have you ever been told that you snore?
* Have you ever been told that you have stopped breathing while asleep?
* Do you awake refreshed in the morning or do you suffer from daytime drowsiness?
* Do you suffer from mood swings or depression?
* Do you wake up frequently in the middle of the night?

The doctor will look inside your mouth for evidence of enlarged tonsils, uvula(a bell-like piece of tissue that hangs down from the roof of the mouth toward the back of the throat) or other structures that may be blocking the airway. The uvula contains some glands and affects vocal resonance. If the doctor suspects sleep apnoea, they may order a sleep study. Sleep studies are usually conducted at a sleep centre. After you fall asleep, a monitor, which measures the oxygen concentration in your blood, will be placed on your finger. Normal oxygen saturation during sleep in otherwise healthy men and women is 95 per cent to 100 per cent. If you stop breathing while asleep, this number will drop.
Another sleep study used to diagnose sleep apnoea is called a “polysomnogram.” It measures not only the amount of oxygen in your blood, but brain activity, eye movement and muscle activity, as well as your breathing and heart rate.
Based on your present symptoms, your doctor may choose to use a combination of these tests to diagnose your specific disorder. He will then use this information to create an effective treatment plan.

ENT treatment
ENT treatment can be handled by either a general practitioner or an otolaryngologist (ENT). Though general practitioners treat a number of ENT disorders, your family doctor may not feel comfortable treating you and may refer you to an ENT specialist. Seeking out a specialist on your own may also be helpful, if you are unhappy with the care you have received, need a second opinion or want more information than your general practitioner can provide.

How can I find an ENT specialist?
If you have been referred to an ENT specialist by your family doctor, he or she probably already has a specific doctor in mind. If not, you can use the to find a list of ENT specialists in your area.

What ENT treatments are available?
The best ENT treatment will vary according to what type of problems or symptoms you are having. In the early stages of a disorder, surgical procedures may not be warranted, as in tonsillitis, for example. Early treatments will also depend on whether or not the disorder is related to an infection. If an infection is suspected, tests may be performed to determine whether the cause is bacterial or viral. Viral infections will not respond to antibiotics.
If surgical procedures are indicated, the doctor or nurse will give you instructions to follow before the surgery, including when you need to stop eating solid foods, when to stop drinking clear liquids and whether or not you will need to start or stop any medications before the surgery.

Are there other specialists I need to see for my ENT treatment?
In some cases, an ENT specialist may diagnose your problem, but ultimately send you to another specialist for treatment. For example, many ENT doctors will diagnose cancer of the head and neck. They may surgically remove tumours and then send you to an oncologist for radiation or chemotherapy. Likewise, some children with chronic ear infections may have delayed speech development. In these cases, the ENT specialist and a speech pathologist may work together, as a team, to treat the child. Your ENT doctor can assist you in seeking out other medical specialists.
Of course, prevention is the best treatment for any disease, but if you find yourself battling an ENT disorder, remember that information is powerful. Make sure you find a physician who lets you become involved in the treatment of your own disorder. You are your best advocate.

Report compiled by Adebayo Folorunsho-Francis with additional from American College of Allergy, Asthma and Immunology; National Heart, Lung and Blood Institute and National Institute on Deafness and Other Communication Disorders

Diversify your practice, Akhimien tells community pharmacists

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Former President of the Pharmaceutical Society of Nigeria (PSN) and current President of the African Pharmaceutical Forum (APF), Pharm. (Sir) Anthony Akhimien, has called on community pharmacists to do more with their skills and training as professionals, urging them to delegate the daily routines of prescription filling and counting of tablets to their support staff.

AKHIMEN MAN

Akhimien, a Fellow of the PSN, gave the charge while delivering his keynotes address at the 34thAnnual National Conference of the Association of Community Pharmacists of Nigeria (ACPN), recently held in Akure, Ondo State.

He noted that, globally, task-shifting is the order of the day in the health care industry, adding that pharmacy technicians can be supervised to handle most of the pharmacist’s routine, so that the pharmacist can concentrate on pharmaceutical care, using his deep knowledge and skills in clinical pharmacy.

The APF president further disclosed that the National Health Insurance Scheme (NHIS), which kicked off about 10 years ago became moribund, largely due to poor implementation. He therefore urged the ACPN to reflect, return to the drawing board and engage relevant authorities in other to bring back community pharmacists into the scheme.

“We have a primary duty to protect the enrollee by guaranteeing the quality of drugs produced and dispensed to Nigerians who are in the scheme,” hestated.

Akhimien also observed that community pharmacists could be valuable assets in the management of chronic diseases in the neighbourhood, as the treatment of such diseases often requires long term use of medicine.

“Also, community pharmacists should advocate for inclusion in the provision of health screening for chronic diseases as diabetes, hypertension, cancer and others; counsel patients on appropriate use of medicines; advocate for lifestyles changes that prevent a chronic disease; and improve outcomes of drug therapy”, Akhimien said.

The former PSN president also bemoaned the attitude of community pharmacists in the country towards veterinary medicine, noting that this leads to loss of potential income.

In his words, “In this part of the world, community pharmacist shy away from stocking and dispensing of veterinary products; yet there is a growing need for veterinary products.A section of the pharmacy can be allocated to veterinary pharmaceutical products, such as mineral supplements, antiseptic, milking ointments, hoof softeners, flea and tick repellants, etc. This can improve the economic fortunes of community pharmacy practitioners,especially those in urban dwellings.”

The veteran pharmacist also encouraged community pharmacists to participate in government health programmes, adding that such could be achieved by working closely with other health care providers.

“Pharmacists should sharpen their skills and knowledge by attending short time certificate courses as approved by International bodies like USAID, PEFAR, WAPCP, WHO etc,” he said.

Explore new frontiers, Akhimien urges community pharmacists

By Adebayo Oladejo

Akhimien equally tasked community pharmacists to explore herbal medicine, adding that this would boost the image of the profession and the economic value of the individual.

“I am one of the proponents that herbal medicines are the future of pharmacy practice as evidences abound that where orthodox drugs fail, herbal remedies have taken over and done very well. These products are not cheap but our clients search and go for them. It is also economically viable to engage in them. ACPN can also invite a Director of NAFDAC and the Herbal Medicine Department of the Federal Ministry of Health to offer training to members that are interested,” he counseled.

Experts harp on life saving measures for sickle cell patients

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L-R: Consultant Haematologist, Lagos University Teaching Hospital (LUTH), Dr. Adewumi Adediran; National Director/CEO, Sickle Cell Foundation, Nigeria, Dr. Annette Akinsete; Chairman Sicle Cell Foundation, Profesor Olu Akinyanju; Air Line Staff, Caverton Airline Ms Joy Okebalama; representative permanent Secretary of the ministry, Director, Diseases Control Lagos State Ministry of Health, Dr Eniola Erinosho, at the commemoration of world sickle cell day, held in Lagos recently.

Poised to reduce the alarming rates of mortality and excruciating pains in people living with sickle cell, medical doctors with specialty in Sickle Cell Disease (SCD) have suggested bone marrow transplantation, good nutrition, mandatory screening policy, comprehensive and holistic management as life saving measures for sickle cell sufferers.

The experts, who converged at the National Sickle Cell Centre, Lagos, on June 19, 2015 to commemorate the World Sickle Cell Day, took turn to advise the patients on best options available for the management of the disorder, and possible means of staying healthy.

Fielding questions from journalist, Dr Adediran Adewumi, consultant dermatologist, Lagos State University Teaching Hospital, said sickle cell is an unwanted guest in Africa, which was brought about by genetic mutation, and it has done a lot of damage to Africans.

His words: “To get rid of this disease, bone marrow transplantation is the sure way out. Also, if our government could make sickle cell screening policy mandatory from secondary schools through to intending couples level , the spread of the disease can also be curbed. Another alternative is for our government to adopt the European policy with a deadline of transforming our sickle cell patients to normal patients through bone marrow transplantation”.

Another specialist on strokes in SCD, Professor A. A. Akinsulie asserted that comprehensive and holistic management from birth will go a long way in cutting down on SCD crisis. He said the implication of this is that a mother must know a child’s genotype from birth, in order for proper care to takeoff from birth. “Preventive health care like the provision of folic acid, good nutrition and proper hydration, will put the children in steady state. If by the age of two, a child with the tendency to develop stroke is monitored with a Transcranial Doppler (TCD), then such stroke can be preventable.

The representative of Lagos State Ministry of Health, Dr. Eniola Erinoso intimated the participants on the activities of the state government in giving succour to people living with SCD, stating that the government has recognised the plight of this group of people and has provided free medical treatment for children under 12 years with the condition, describing it as the most prevalent period of the disease in children.

“We have finalised the treatment guideline for the management of Sickle Cell Disorders and machinery has also been put in place towards developing a comprehensive state policy on Hemoglobinopathies. A key component of this policy would be support for enlightenment activities at all levels with particular emphasis on young persons who are yet to be committed in marriage to their partners”, he stated.

Immune Prescription drugs Highlights

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Immune Pharma

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Ted Buckley, Head of Authorities Relations and Public Affairs, Shire Prescription drugs

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