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Gentry Prescription drugs AV [Sample Demo 1]

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Government orders free treatment for diabetic children

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IN what would give a new lease of life to children suffering from diabetes, the Federal Government has ordered the Ministry of Health to commence the immediate free treatment of diabetic children in all government owned hospitals across the country.

Minister of Health, Prof. Onyebuchi Chukwu disclosed this in Abuja Thursday while giving the mid-term report of the achievements of the present administration.

He said henceforth all children suffering from diabetes whose parents are registered with the national health insurance scheme irrespective of their location across the country would enjoy the free service.

He reiterated the need for parents to key into the scheme which require a monthly contribution of N150 to gain access to the medicare.  Onyebuchi said the scheme has been highly subsidised by government in order for the informal sector to be accommodated.

The minister said only about one  per cent of Nigerians can now have reasons for travelling abroad for medical treatment, noting that all necessary equipment for diagnosis and treatment were now available both in government and private hospitals.

Giving instances of equipment installed in the past few years, the minister said bone marrow transplant, open heart surgery, kidney transplant, microsurgery, laparoscopic surgery, total knee and hip replacement and other medical interventions that usually take people abroad can now be handled in teaching hospitals in Nigeria.

He noted that anyone who chooses to go abroad for treatment does so for personal reason and the government would not trample on anyone’s fundamental human right.

According to the minister, his ministry has successfully combined infrastructural development with health service delivery.    He explained that the rehabilitation and equipping of Obafemi  Awolowo University Teaching Hospital and that of University of Benin had already been completed while Nnamdi Azikiwe Teaching Hospital and the University of Calabar Teaching Hospital have reached 80 per cent completion.

He said his ministry was also able to establish trauma centres both in the University of Abuja Teaching Hospital Gwagwalada and the national hospital.    Onyebuchi said during the period under review, the Federal Government doubled the funding of polio eradication activities to N4.7 billion and made a further commitment of N2.5 billion in the current year.  This action, he said brought about a new robust polio eradication emergency plan with an accountability framework.

Commercial Blood Donation Is Dangerous – (Lagos Govt., Nigerian Medical Association)

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Lagos State Government and Nigerian Medical Association, NMA, yesterday, condemned commercial blood donation in the country, saying that it was against the Voluntary Non-Remunerated Blood Donation, VNRBD, approved by the World Health Organisation, WHO.

Speaking at different fora to mark the World Blood Donor Day, WBDD, today, the state government and NMA, said though voluntary donation was low in Nigeria, donation for commercial purpose portended a great danger to provision of an effective and efficient blood transfusion system in the country.

At a briefing, Commissioner for Health, Dr Jide Idris, faulted blood donation for non-altruistic reasons, warning that the state would, if notified, clampdown on any centre that perpetrated such act in Lagos.

According to him, “The paid donor is likely to involve in other activities for money as well and will most likely not be living a healthy lifestyle. In addition, they stress the health system unnecessarily as the blood has to be discarded after the rigorous and strict screening process when the blood is found to be unwholesome. This is why we join the rest of the world every year in celebrating our voluntary donors who give the gift that saves lives on a daily basis.”

On the theme of this year’s celebration tagged: “Give the Gift of Life: Donate Blood” Idris lamented that “only approximately 8 per cent of all the blood transfused is from voluntary donations adding that it is a far cry from the 100 per cent target set by the WHO for the whole world to achieve by 2020”

On its part, NMA President, Dr. Osahon Enabulele, said blood transfusion was a life saving procedure without which complex medical and surgical procedures, maternal and child health care activities and trauma care would not produce expected results.

What you need to know about electronic prescribing (I)

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By Kabiru Abubakar Gulma –

 Electronic prescribing or e-prescribing (e-Rx) is the computer-based electronic generation, transmission and filling of a medical prescription, taking the place of paper and faxed prescriptions. E-prescribing allows a physician, nurse practitioner, or physician assistant to electronically transmit a new prescription or renewal authorisation to a community or mail-order pharmacy. It outlines the ability to send error-free, accurate, and understandable prescriptions electronically from the health care provider to the pharmacy. E-prescribing is meant to reduce the risks associated with traditional prescription script writing. It is also one of the major reasons for the push for electronic medical records. By sharing medical prescription information, e-prescribing seeks to connect the patient’s team of health care providers to facilitate knowledgeable decision making.

FUNCTIONS

A “qualified” e-prescribing system must be capable of performing all of the following functions:

  • Generating a complete active medication list incorporating electronic data received from applicable drug plan(s), if available.
  • Selecting medications, printing prescriptions, electronically transmitting prescriptions, and conducting all safety checks, using integrated decision support systems (safety checks include: automated prompts that offer information on the drug being prescribed, potential inappropriate dose or route of administration, drug-drug interactions, allergy concerns, or warnings of caution).
  • Providing information related to the availability of lower cost, therapeutically appropriate alternatives (if any).
  • Providing information on formulary or tiered formulary medications, patient eligibility, and authorisation requirements received electronically from the patient's drug plan.
  • Review patient’s current medication list and medication history information within the practice.
  • Work with an existing medication within the practice. This can involve viewing details of a medication, removing a medication from the active medication list, changing dose, etc., for a medication or renewing one or more medications.
  • Prescribe or add new medication and select the pharmacy where the prescription will be filled.
  • The information is then sent to the transaction hub, where information on the patient eligibility, formulary and medication history/fill status is sent back to the prescriber.
  • Patient-specific information capabilities (e.g. current patient medication list, access to patient historical data, patient identification).
  • System integration capabilities (e.g. connection with various databases, connection with pharmacy and pharmacy benefit manager systems).
  • Educational capabilities (e.g. patient education, provider feedback).

 

MODEL

High-level dataflow diagram outlining the roles and processes involved in electronic prescribing.

The basic components of an electronic prescribing system are the:

  1. Prescriber – typically a physician
  2. Transaction hub
  3. Pharmacy with implemented electronic prescribing software
  4. Pharmacy Benefit Manager (PBM)

The PBM and transaction hub work closely together. The PBM works as an intermediate actor to ensure accuracy of information, although other models may not include this to streamline the communication process.

Electronic priscribing

PRESCRIBER

The prescriber, generally a clinician or health care staff, is defined as the electronic prescribing system user which is signed into the system through a verification process to authenticate their identity.

The prescriber searches through the database of patient’s records by using patient-specific information such as first and last name, date of birth, current address etc. Once the correct patient file has been accessed, the prescriber reviews the current medical information and uploads or updates new prescription information to the medical file.

TRANSACTION HUB

The transaction hub provides the common link between all actors (prescriber, pharmacy benefit manager and pharmacy). It stores and maintains a master patient index for quick access to their medical information, as well as a list of pharmacies.

When the prescriber uploads new prescription information to the patient’s file, this is sent to the transaction hub. The transaction hub will verify against the patient index. This will automatically send information about this transaction to the PBM, who will respond to the hub with information on patient eligibility, formulary and medication history back to the transaction hub. The transaction hub then sends this information to the prescriber to improve patient management and care by completing and authorising the prescription. Upon which, the prescription information is sent to the pharmacy that the patient primarily goes to.

PHARMACY

When the pharmacy receives the prescription information from the transaction hub, it will send a confirmation message. The pharmacy also has the ability to communicate to the prescriber that the prescription order has been filled through the system. Further system development will soon allow different messages, such as a patient not picking up their medication or is late to pick up medication, to improve patient management.

New courses needed to meet emerging challenges – Prof. Osazuwa

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For faculties of pharmacy in Nigerian universities to meet emerging health challenges in the country, and the world at large, the introduction of relevant courses like Pharmaceutical Biotechnology, Drug Logistics Studies, Pharmaceutical Gerontology and Geriatric Drug Studies is inevitable, Professor Emmanuel O. Osazuwa, dean, Faculty of Pharmacy, University of Benin (UNIBEN) has said.

The dean, who spoke to Pharmanews in an exclusive interview, hinted on the ongoing curriculum review in his faculty, and efforts being made at introducing relevant courses, which will enhance the faculty and other pharmacy schools meet emerging health challenges.

“In fact, a review of our curriculum is going on presently. Here in Benin, efforts are being made to introduce new but relevant courses such as Pharmaceutical Biotechnology, Drug Logistics Studies, Pharmaceutical Gerontology and Geriatric Drug Studies. These courses are inevitable, if we are to meet emerging health challenges.”

The don, who submitted that the courses are well structured in the curriculum, however stated that it is imperative to review it from time to time, in order to keep up with new trends in the profession.

Having trained abroad and one who has been teaching pharmacy students in Nigeria for the past three decades, he asserted that pharmacy students are more stressed in Nigeria by the work-load than those trained in England. “Our curriculum is overloaded but can be excused by our peculiarities and level of development.”

Speaking on the progress made so far in the faculty, since he took over the leadership, he said numerous achievements have been recorded, so far. Some of the achievements listed include: the possession of a purpose built faculty building, provision of a borehole (which was donated to the faculty by his humble self), prompt availability of examination results,  reduction in  examination malpractices, decrease in  failure rates at the faculty examinations, improvement in staff strength, renovation of laboratories, among others.

 

Asked about the faculty’s role in teaching the students ethics, he noted that the faculty has been encouraging good ethics, discipline and good moral character among students, to the extent that a student cannot graduate, if found wanting in learning and character. “The majority of our graduates are well behaved. It is only natural to expect a few bad eggs in the population.”

To all students of pharmacy, the don advised them to work hard at their studies, in order to graduate as pharmacists, as and when due. He also urged all pharmacists to embark on good pharmacy practice, as well as embrace the new trend of patient care and update knowledge, as often as possible.

On his choice of pharmacy as a career, he revealed that he was fascinated early in life by the ability of pharmacists to produce drugs, medicines, remedies etc. from natural or artificial sources. It is amazing what knowledge pharmacists have of live-saving drugs.

Speaking on his academic attainment, he said he was trained at the  Edo College, Benin City, the University of Ife (now OAU), Ile-Ife and the University of Manchester, England, where he bagged B. Pharm, M.Sc and Ph D degrees.  “Before now, I held several faculty and university positions, including assistant dean; faculty examinations officer; faculty admissions officer; member of several faculty and university committees; chairman, Pharmacy Students Disciplinary Committee; chairman, Post University Matriculation Examination (PUME) and others.”

 

Measles is here, beware!

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By Gracia Obi

This week, two of my neighbours lost their children to measles. It was a very sad moment, not only to the mothers, but also to the neighbours, who saw how the mothers suffered to save their children’s lives.

In developed countries, most children are immunised against measles by the age of 18 months. Unfortunately, in developing countries like Nigeria, children are only treated when they are down with the disease. And this is why the disease is one of the leading causes of child death in the country.

Measles is an infection of the respiratory system caused by a virus. Measles is spread through respiration (contact with fluids from an infected person’s nose and mouth, either directly or through aerosol transmission), and is highly contagious – 90 per cent of people without immunity sharing living space with an infected person will catch it.

There is no specific treatment for measles. Most patients with uncomplicated measles will recover with rest and supportive treatment. It is, however, important to seek medical advice if the patient becomes more unwell, as they may be developing complications. For the vast majority of healthy patients, measles is not serious; though in some cases complications may occur, which may include bronchitis, and rarely – panancephalitis, which may cause brain damage.

Signs and symptoms    

While measles is probably best known for its full-body rash, the first symptoms of the infection are usually a hacking cough, runny nose, high fever, and red eyes. A characteristic marker of measles is Koplik’s spots, small red spots with blue-white centres that appear inside the mouth.

The measles rash typically has a red or reddish brown blotchy appearance and first usually shows up on the forehead, then spreads downward over the face, neck and body, then down to the arms and feet.

A person with measles is contagious from 1 to 2 days before symptoms start, until about 4 days after the rash appears.

Prevention

Infants are generally protected from measles for 6 months after birth, due to immunity passed on from their mothers. Older kids are usually immunised against measles according to state and school health regulations.

For most kids, the measles vaccine is part of the measles-mumps-rubella immunisation (MMR) or measles-mumps-rubella-varicella immunisation (MMRV) given at 12 to 15 months of age and again at 4 to 6 years of age.

Measles vaccine is not usually given to infants younger than 12 months old. But if there is a measles outbreak, or a child will be traveling out of the country, the vaccine may be given when a child is 6 – 11 months old, followed by the usual MMR immunisation at 12 – 15 months and 4 – 6 years.

As with all immunisation schedules, there are important exceptions and special circumstances. Your doctor will have the most current information regarding recommendations about the measles immunisation.

 

May & Baker makes N6 billion sales in 2012

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May & Baker Nigeria Plc, a major player in the pharmaceutical sector, has announced that it posted about N6 billion sales in 2012.

The company, in its audited report and accounts for the year ended December 31, 2012, indicated that total sales rose by 17 per cent.

Key extracts of the audited report, which was prepared and approved in compliance with the International Financial Reporting Standards (FIRS), showed that turnover continued to rise on the back of recent expansion.

Total sales closed 2012 at N5.7 billion, as against 4.8 billion recorded in 2011.  Gross profit also increased from N1.9 billion in 2011 to 2.1 billion in 2012.  Profit for the year stood at N75.9 million in 2012.

Speaking on the performance of the company, Pharm. Nnamdi Okafor, the managing director, said that the company expects better results in 2013, based on increased output from its new multi-billion naira world-class pharmaceutical manufacturing plant and ongoing business restructuring effects.

He added that expected improvement in the business environment that could result from positive developments in the resolution of the country’s security challenges, would give company unhindered nationwide access to market her products and consolidate its performance.

He explained that the company also expects to reduce finance costs as a result of a recent access to a soft loan provided by the chairman of the board of directors, which is expected to significantly raise the profitability of the company in 2013.

Experts decry low funding of health sector

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By Gracia Obi

Health experts at a forum in Abuja unanimously decried the inadequate financing of Nigeria’s health sector and called on the government at all levels to increase funding of the sector, to prevent people from dying due to preventable causes.

The Federal Government currently spends about 4 to 6 per cent of its budget on health, contrary to the 15 per cent agreed on by African leaders, during the Abuja Declaration in 2001.

The experts, however, called on the Federal Government to introduce taxes on phone calls and airplane operators to generate more funds to service the health sector.

The experts made their views known at a stakeholders engagement forum on “Sustainable Health Financing in Nigeria”, organised by Access Bank Plc, as part of its contribution to the on-going reform in Nigeria’s health sector.

In his presentation, the director general of the National Agency for the Control of AIDS (NACA), Professor John Idoko, lamented that over 75 per cent of HIV spending in Nigeria was by foreign groups, while 25 per cent was from within the country.

He emphasised the need for the Federal Government to invest heavily in the health sector, considering the country’s high burden of diseases.

He said 60 to 70 per cent of morbidity in Nigeria was caused by TB, malaria and HIV, adding that there was the need for the government to develop the political will to domesticate health financing in the country.

In his address, chief executive officer (CEO) of Global Fund, Dr. Mark Dybul, stressed that the organisation was ready to work with Nigeria to improve its health sector “provided your country shows commitment.”

“We are ready to build a strong partnership with you, if you lead the process. We will bring companies to work with you on health insurance,” he said.

 

 

Kuka set to partner with PSN, ACPN, to fight malaria

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As Nigeria joined the rest of the world to mark the 2013 World Malaria Day, Kuka Pharmaceuticals, marketer of one of the best anti-malaria drugs in the country (Zeramal QS), has vowed to do everything in its capacity to continue the campaign against the scourge of malaria diseases in the country.

Disclosing this in an interview with pressmen in his office in Lagos recently, Pharm. Chris Ukah, managing director of the company, described malaria as a dreaded disease which people fail to take notice of.  He said that malaria is one of the top three killers of children in the developing world, adding that every minute a child dies of malaria.

Speaking further, Pharm. Ukah expressed concern at the report of the World Health Organization (WHO), which stated that in 2010 alone, malaria caused about 660,000 deaths, mostly among African children. He further noted that more than 264,000 of the 660,000 deaths occurred in Nigeria and Democratic Republic of Congo.  He, however, added that, if things are done correctly, malaria is both preventable and curable.

Pharm. Ukah noted that the WHO and Ministry of Health of countries where malaria infestation is endemic have been doing a lot in the fight against malaria, but added that a lot is needed to be done, especially in the area of treatment of malaria.

The Kuka Pharma boss stated that “according to a WHO report, about 300 million cases of malaria are recorded annually, resulting to over a million deaths, of which Africa is said to account for 90 per cent of them, mostly in young children and pregnant mothers.

Quoting extensively from the WHO report, he said: “The huge budget allotted to fighting malaria by authorities in government in Africa constitutes a major drain in public health care expenditure of majority of countries in Africa.  For instance, in Nigeria, official statistics estimates that the Federal Government loses over N300 billion annually to the malaria scourge.  Therefore, when you talk of the concern it gives Nigerians, I think it is a huge threat to every home and to the social and economic emancipation of countries in Africa. However, efforts currently being made by authorities in the health sector at the global, continental and national circles, through the agency of WHO, are welcome developments towards the eradication of malaria on the continent.  Meanwhile, in Nigeria, the efforts of the director-general of NAFDAC, Dr. Paul Orhii, to sanitise the health sector, especially in the area of reducing existence of counterfeit and adulterated drugs, using cutting-edge technologies is also highly commendable.”

While speaking on the theme of the 2013 World Malaria Day “Invest in the future: Defeat malaria,” Pharm. Ukah explained that approximately half of the world’s population is at risk of malaria. He, however, disclosed that Kuka Pharmaceuticals has taken it upon itself to partner with the Pharmaceutical Society of Nigeria (PSN), Association of Community Pharmacists of Nigeria (ACPN), Pharmaceutical Association of Nigeria Students (PANS), and other relevant health bodies to organise seminars, sensitisation programmes and awareness campaign programmes on the need to live in a malaria-free environment by staying off mosquito bites, proper waste disposal and environmental sanitation.

When asked on the affordability and safety of Zeramal QS, Pharm. Ukah explained that the product is a flagship anti-malaria brand from Kuka Pharmaceuticals.  He added that Zeramal Qs was introduced into the Nigerian market late last year and has been well received across the wide spectrum of the Nigerian end users because of its efficacy in the treatment of uncomplicated malaria. “The product is highly affordable and it cannot be faked, as it is covered by Mobile Authentication Service Technology (MAS), which affords end-users to scratch and text the pin on the pack for confirmation.”

Enhancing asthma control in Nigeria

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 On Tuesday, May 7, Nigerians joined the rest of the world to mark the 2013 World Asthma Day.

The annual event is organised by the Global Initiative for Asthma (GINA) and partners to improve asthma awareness and care around the world.

The theme of the 2013 World Asthma Day is: “You Can Control Your Asthma” with GINA introducing a sub-theme, “It’s Time to Control Asthma.”

Asthma is a disease that affects the lungs and causes repeated episodes of wheezing, breathlessness, chest tightness and nighttime or early morning coughing.

Speaking at an event organised to mark the day in Nigeria, Professor Greg Erhabor, a consultant chest physician at Obafemi Awolowo Teaching Hospital, Ile-Ife, declared that no fewer than 50 million Nigerians are suffering from asthma, lamenting that the disease had not only become a national problem but an international one.

Prof. Erhabour, who is the president of the Asthma and Chest Care Foundation, a nongovernmental organisation, bemoaned that the Nigerian government was not doing enough on asthma spread, diagnosis and treatment, stressing that past administrations in the country only concerned themselves with the eradication of communicable diseases, while neglecting non-communicable diseases like asthma.

He said that, with the rise in westernisation, cases of the disease had been on the increase in the country.

While the number of Nigerians affected by this health condition is quite contentious because of the absence of reliable data on virtually all health issues in the country, it is quite appropriate to state that the incidence of asthmna, like most of the other non-communicable diseases, is on the rise, and a lot can be done to curb this disease in Nigeria.

According to the Global Burden of asthma report, a compilation of public data on the prevalence and impact of asthma around the world, “an estimated 300 million people worldwide have asthma, and children constitute a reasonable percentage of those afflicted.”  According to the report, the prevalence of asthma is increasing throughout the world, especially as communities get urbanised.

Although asthma often runs in the family, and thus can be inherited, there are still other environmental factors that contribute to people developing this condition, and also having asthma attacks, as patients.

For instance, research has proven that smoking during pregnancy increases the chance of a child developing asthma.

It must be stated that, though asthma cannot be cured, with correct treatment, monitoring and avoiding triggers, the disease can be controlled.

A patient’s asthma is under control when he/she has no (or minimal) asthma symptoms, has no (or very infrequent) asthma attacks, has no (or minimal) need to use ‘reliever’ medication and has no need to wake up at night, due to asthma. It also includes the ability of the patient to do normal physical activity and exercise.

Even though asthma is a chronic and lifelong disease, if it is well managed, patients can live life normally. The control of the condition is the goal of treatment and can be achieved in the vast majority of asthma patients, with proper management.

Controlling asthma also means protecting patients from asthma-related triggers and aggravating factors. Factors that aggravate asthma include secondhand tobacco smoke, fumes from vehicles’ exhaust, among others.

To take care of these factors, as well as enhance treatment for the condition, it may be necessary for Nigeria to have a national guideline for asthma control.

The guideline can help in curbing the environmental factors that trigger attacks, as well as set a standard for the management of asthma by physicians in the country.

Government must also ensure uninterrupted and adequate supply of affordable and quality medicines for asthma. Nigerians should not die from this condition because it can be properly managed.

Quite a lot should also be done on education. Education on the health condition should be for both care givers and patients.

Physicians should be able to educate patients living with this chronic condition on how to manage it and thus be able to stay out of hospital wards.

As the 2013 World Asthma Day GINA sub-theme states, “It’s Time to Control Asthma.”

 

 

 

 

 

 

Making research- industry partnership work (R&D)

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The rise of a global knowledge economy has intensified the need for strategic partnerships between universities and the industry. It is true that the business of tomorrow would wear an academic gown. Such partnerships should be designed to run longer, invest more, look farther ahead and enhance the competitiveness of companies, universities and the state economies within which they operate. These partnerships seek to transform the role of the research university/organisation in the 21st century, anchoring it as a vital centre of competence, to help tackle social challenges and drive economic growth.

In the West African region, our task is to first make this belief possible, to find champions of change, showcase models that worked, adapt these models to our unique setting and to demonstrate that we have something to offer and that we could do so profitably.

The West African Pharmaceutical Innovation Project (WAPIP) is a joint venture private sector driven initiative whose mandate is to drive the development of active and effective linkages between the pharmaceutical industry and research organisations within the West African region. The project executes the West African Pharmaceutical Innovation Awards (WAPIP AWARDS) and also provides the necessary apparatus for an effective integration of business development services in pharmaceutical research undertakings.

Achieving effective research-industry partnership is a big leap. It requires each side to engage far beyond the conventional exchange of research for funding. When they work well, strategic partnerships merge the discovery-driven culture of the university with the innovation-driven environment of the company. To make this chemistry work, each side must overcome the cultural and communications divide that tends to impair industry- university partnerships of all types and undercut their potential.

The team at WAPIP seeks to address the challenge of bridging the pharmaceutical industry-university divide by highlighting what makes universities/research organisations attractive as industry partners, what structures make for excellent partnerships and what approach produces seamless interactions. These would be done within our unique circumstances.

No doubt a challenging task, the project seeks to build on a growing pool of academic research about the state of industry-university collaborations. One of such is from that summarised in the report presented by the Science Business Innovation Board in Europe. (see www.wapip.org)

 WAPIP OBJECTIVES

  1. To create ownership for pharmaceutical innovation amongst industry, research organisations, government and other stakeholders.
  2. To develop guidelines for the development of effective pharmaceutical research-industry collaborations.
  3. To create and manage an annual Pharmaceutical Innovation Awards programme for research undertakings that meet certain guidelines within various categories.
  4. To promote the need for an effective integration of business development services in everyday operations of public and private research organisations.
  5. To help create and maintain a database of potential innovations within the West African pharmaceutical industry and to promote the commercialisation of such innovations.
  6. To provide the platform for the development of bio-entrepreneurs and acquisition of skills required for financial and knowledge management within the pharmaceutical industry.
  7. To help would-be-researchers find collaborative relationships with other researchers and obtain support from the industry.
  8. To contribute to the growth of the West African economy through a thriving African Phyto-Pharmaceutical Industry.

 SERVICE AREAS

As a company limited by guarantee, WAPIP would offer business advisory services to client organisationsto help achieve research-industry collaborations in four major areas:

a.         Collaborations that impact teaching and learning for both research and industry.

b.         Collaborations that develop new funding streams for research organisations.

c.         Collaborations that help rethink the role of the research institution or university.

d.         Strategic collaborations.

Specific business service offerings would include project management services on:

a.         Research contract for product development, quality control studies, pre-clinical and clinical studies,etc.

b.         Collaborative research and subsequent licensing for commercialisation (e.g. pilot scale studies and clinical trials).

c.         Licensing and commercialisation of existing research products.

 Business Advisory

The WAPIP Business Advisory Unit is managed by Onel Consults Limited in collaboration with other partners in the project. The unit is essentially a consultancy unit that provides the requisite business, legal and technical skill set that would be required in translating products of research to useful products on the shelves.

The Business Advisory Unit provides trainings and consultancy services on intellectual property right issues, research-industry collaborations, product development and commercialisation. Other services include the creation of business plans, spin-off companies, marketing studies and agency services for the provision of seed financing and venture investments.

Working as a network of business development and management consultants, researchers, clinicians,lawyers and venture financing experts, the unit is such that would help create the effective linkages required for a successful research-industry partnership.

HUMAN RESOURCE

In Nigeria, the defunct Xechem Nigeria Pharmaceutical Ltd in partnership with the National Institute for Pharmaceutical Research and Development (NIPRD) showed with NICOSAN™ that Nigeria could develop and manufacture herbal medicine with global acceptance. NICOSAN™ attained orphan drug status in the EU and in the USA. It is reported to be much safer than Hydroxyurea (Hydrea®), the only other popularly available medication that can decrease the frequency of painful crises in adults and children with the sickle cell anaemia disease. This fact cannot be overstated. No doubt, there are present challenges but the implications of some similar results in this manner would tremendously change the landscape and the mind set of pharmaceutical endeavour in Nigeria.

 

The major milestone in the course of the discovery of NICOSAN™ was the clinical trial establishing its safety and efficacy in human beings. These clinical trials were conducted in Nigeria and in the United States of America. In Nigeria, clinical trials are the major hindrance to developing herbal medicines that are globally acceptable and which can be prescribed by physicians. With a robust regulatory structure, very large population and relatively cheaper operational cost, it is safe to say that Nigeria is a good destination for clinical trials. Though the cost of organising a clinical trial is high, a proactive thrust focusing on robust public-private collaborations would go a long way in overcoming the limitations.

At the centre of these noble intentions is capacity development. People drive research-industry partnerships; people lead research organisations, universities and industry. There is therefore the need for us to have sufficient faith to compel action, to harbour a clear vision and the will to persevere; to persevere at relevant capacity development and proactive collaboration.

The late Chief M.K.O Abiolarecognised this need and in 1990 sponsored a trip to China for some top professionals in the Nigerian pharmaceutical research and development industry. Then he foresaw a nation that could garner great economic muscle from her medicinal plants, while meeting her healthcare needs. The four-man team was led by the late Dr. Fred Adenika (a pharmacist and the first chairman of the board of NIPRD), who later wrote a book on the China experience and the Nigerian challenge (Developing Traditional Medicine in Nigeria, Lessons from China 1990).Years later, NIPRD via NICOSAN™ showed that this was not a wasted investment, though we are yet to reach the zenith.

A Chinese proverb says that “the journey of a thousand miles starts with but one step.”This is no doubt an uncertain journey of discovery and knowledge. It promises to be long, exhausting and often frustrating; but ultimately, one hopes it would be rewarding and fruitful. Though we must caution ourselves not to expect miracles, we however know that in Africa, the impossible is possible.

 

Pharmacists should see one another as brothers and sisters – Pharm. Akinbile

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By Adebayo Oladejo

Pharmacists across the nation have been advised to see one another as brothers and sisters, whether community, hospital, academic or industrial pharmacists, adding that they belong to the same large family and that the future of the profession depends on how they handle their internal differences.

Pharm. Adebambo Akinbile, chairman, Pharmaceutical Society of Nigeria (PSN), Osun State Chapter, made the call recently in an exclusive interview with Pharmanews.

Pharm. Akinbile, who is also the chief pharmacist, Obafemi Awolowo University (OAU) Health Centre, Ile-Ife, also advised that the 86th PSN annual conference holding in Kwara State should not be a jamboree, stressing that all motions written should be debated and thrashed out. He added that the issue of allowing hospital and academic pharmacists to operate restricted community pharmacies should be thoroughly debated and an appropriate decision taken.  He explained that dodging or suppressing an issue like that is a time bomb that may negatively impact the profession in the future.

Below is a full text of the interview.

Please, can you tell us a bit about yourself, including your academic background?

My name is Adebambo Akinbile. I am 41 years old and from Ikire, Osun State, Nigeria. I went to Baptist Primary School, Fatima College, Ikire, Nigeria. I graduated from Obafemi Awolowo University Ile – Ife in 1994 and also went back for a Masters in Public Health and graduated in 2010.I am currently a chief pharmacist at OAU Health Centre, Ile-Ife, Osun State.

What are those things you hope to achieve before the end of your tenure as PSN Chairman?

As Chairman of PSN, I hope to be able to raise the bar in responsible and committed service to the society. I organised the best PSN week, so far, in the history of the state. The programme was graced by the presence of five traditional rulers led by HRM Oba OlatundeFalabi, Akire of Ikireland FPSN. The speaker of the House of Assembly, Hon. Oyeleke Ogunsola and the chairman, House Committee on Health for the State of Osun were also in attendance. I hope to replicate this in next year’s edition. I also hope to complete the PSN house by the end of my tenure.

After your election as PSN chairman, what are the changes you noticed in the society?

One of my members, Alhaji Pharm. Olufemi Ismail Adebayo, became the national chairman of ACPN. Two of our members also got elected as the vice chairman and PRO of NAHAP. Thirdly, Pharm. Mrs Omolara Ajayi became the permanent secretary of the Hospitals’ Management Board. Also, participation in activities of the society has increased.The Association of Lady Pharmacists has been reinvigorated by the election of Pharm Bose Ibikunle as the chairperson.

Presently, what are the major challenges facing pharmacists in your state?

The major challenges include the reluctance of some pharmacists in the state to register, due to their belief that they do not need the licence to practise. Many also do not see the reason why hospital and academic pharmacists cannot practise community pharmacy after closing from work, while people who are barely literate operate community pharmacies, masquerading as patent medicine shops.

In terms of membership participation, have you been getting the needed cooperation?

The cooperation has been massive. I want to thank the Fellows of the Society in the state for their support. Also, I give kudos to Hon. Leke Ogunsola for his support during the last conference in Abeokuta. He single-handedly bore the cost of transportation for majority of the delegates to Abeokuta. Also, His Royal Majesty, the Akire of Ikireland, Oba Olatunde Falabi, Lambeloye (III) FPSN, has been a pillar of support. I must not fail to mention numerous pharmaceutical companies who have partnered with us. Also, the Association of Lady Pharmacists (ALPS) has embarked on a radio programme to enlighten the people about public health.

What do you think pharmacists have been doing right or wrong that needs to be addressed in the campaign against fake drugs?

Fake drugs cannot be eliminated, as long as the open drug markets are still thriving. The distribution network has to be perfected for fake drugs to be eliminated. Also, I look forward to a time that drugs will solely be handled by pharmacists who are the true drug custodians, and nobody else. Drug manufacturing companies should resist the temptation of dumping drugs in open markets. Pharmacists should also come together to operate mega drug distribution outlets.

Many people have canvassed for stiffer penalties to be meted out to drug counterfeiters. Do you support the motion?

Yes, for it to serve as a deterrent, it is important to make the penalties stiffer. In some countries like China, it is the death penalty because a counterfeiter kills people in thousands.

What is your expectation of the 86th PSN annual national conference coming up in Kwara State this November?

The 86th PSN annual conference should not be a jamboree. All motions written should be debated and thrashed out. I am still hopeful that the issue of allowing hospital and academic pharmacists to operate restricted community pharmacies would be thoroughly debated and an appropriate decision taken. A hospital and academic pharmacist, who operates after closing from work, is a blessing to his/her community. Dodging or suppressing the issue is a time bomb that may scatter the profession in the future.

Are there ways by which this conference can be improved for better participation, if we are to use past outings as a reference point?

The conference can be improved by devoting a whole day for village meeting and Annual General Meeting (AGM); every motion should be debated and passed on merit and there should be no sentiment. Exhibition of drugs should be limited, as some people are only interested in buying drugs during the conference.

Finally, your advice for pharmacists (young and old) in Nigeria…

My advice is for pharmacists to see one another as brothers and sisters; whether community, hospital, academic or industrial pharmacists, we belong to the same large family. The future of the profession depends on how we handle our internal differences. I pray for the new president, Pharm. Olumide Akintayo FPSN, that God will give him the desired wisdom to pilot the affairs of the society. The time to tell ourselves the truth is now.

Pharm. Adebambo Akinbile

NMCN tasks nurses on professional excellence amidst challenges

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By TemitopeObayendo

 The Nursing and Midwifery Council of Nigeria (NMCN) has charged all nurses across the country to aim at achieving professional excellence, amidst several challenges rocking the profession, which are capable of distracting the nurses from their core responsibility as caregivers in the society.

NMCN representative, Ms Ijeoma Ohajuru, made this remark, while addressing nurse leaders in Lagos at the 3rd interactive forum for nurse leaders in Lagos State, organised by Healthy Living Communications, which was held at the Nigerian Institute for Medical Research (NIMR),Yaba, Lagos, on April 19th, 2013.

Attesting to the fact that technological advancement is on the rise in the health care delivery system where the nurse is a key player, she said professional excellence in nursing would only be achievable through Professional Development Programmes (PDP), as these encourage nurses to apply learning directly to their field of practice.

She defined professional development as “the conscious updating of professional knowledge and the improvement of professional competence throughout a person's work life.”

Since PDP is a must for every nurse to attain professional excellence, she highlighted the various means through which this could be obtained to include:in-house courses and external courses, which are further divided into: work-based learning; distance learning programmes; self-directed private study; preparation and delivery of lectures and presentations; attendance at lectures; seminars or conferences.

“The sole essence of PDP is to assist nurses in the continued acquisition of new knowledge, extension of professional responsibilities, expansion of personal skills and the improvement of problem solving approaches in profession” she explained.

Encouraging nurses to overlook their challenges, while striving to attain professional excellence, she enumerated some of the difficulties encountered in the process of professional development to include shortage of manpower, inadequate infrastructure, poor remuneration, hostile work environment and lack of academic backing for graduates of hospital based programme.

She also added that this PDP is mandatory for all nurses, especially those in government employment, because the renewal of their licenses will not be possible, except they have undertaken at least two modules within three years.

Speaking on the topic “The challenges of the nurse leaders today”, Mrs A.O. Oluwatayo, a retired matron, urged younger nurses to upgrade their academic portfolio by going for their degrees and masters in nursing science, adding that this will serve as a great relief to the shortage of human resources currently delaying the commencement of the colleges of nursing.

Oluwatayo, who recalled from the last nurse leaders conference she attended, said the commencement of the colleges of nursing was one of the main issues discussed, and the major factor delaying this operation is the lack of nurses to serve as lecturers in the colleges. Thus, she encouraged as many nurses as possible, who are still agile, to upgrade themselves for this purpose and others.

On the roles of nurse leaders in the hospital, she highlighted them as follows: envisioning goals, affirming values, motivating, managing, achieving workable unity, explaining, modeling and renewing.

Earlier, Mr. Emmanuel Oriakhi, managing director, Healthy Living Communications, appreciated the nurses for attending the conference, despite their tight schedules and assignments. He said the issues of focus in the forum have been geared towards uplifting nursing practitioners and the nursing profession, as a whole.

“I have received several testimonies of how many lives have been transformed professionally by the issues discussed at this forum. Of particular note is the awareness on the need for nurses to improve their education, as a way of not only advancing professionally, but also competing and coping with other healthcare professionals,” he remarked.

Nurses

L-R, Ms Ijeoma Ohajuru, NMCN representative, Mr. Emmanuel Oriakhi, managing director, Healthy Living Communications, and Mrs A.O. Oluwatayo at the event.

 

 

 

 

 

 

New Heights Pharmaceuticals donates Omron devices worth N1.4m to Lagos State Government

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 It was a beehive of activities at Adeyemi Bero Auditorium in Alausa Secretariat, Lagos venue of the three-day free hypertension, blood sugar, weight and cholesterol test jointly organised by the Lagos State Government in and New Heights Pharmaceuticals, official partner of Omron health devices in Nigeria.

The exercise, which commenced from 8th April, 2013, attracted hundreds of civil servants in various ministries at the government house and environs.

Speaking with newsmen, Pharm. Ogheneochuko Omaruaye, managing director of New Heights Pharmaceuticals, declared that despite the fact that 16 million Nigerian adults are suffering from hypertension, about 92 per cent of the population is ignorant of their status.

The pharmacist made this disclosure during the donation of several blood pressure monitors worth N1.4m to the Lagos State Primary Care Board, in commemoration of the 2013 World Health Day in Lagos.

According to Omaruaye, the idea behind the free medical check-up and donation of blood pressure monitors is in tandem with the World Health Organisation (WHO) call for intensified efforts to prevent and control high bloodpressure.

“High blood pressure, also known as hypertension, increases the risk of heart attacks, strokes and kidney failure. All over the world, one in three adults has high blood pressure. In Nigeria, 16 million adults are estimated to be hypertensive and 92 per cent are not even aware.

“We havetherefore decided to add our voice to the campaign for proper monitoring of blood pressure through associating with the Lagos State Ministry of Health and the Primary Health Board,” Omaruaye said.

Curbing the spread of preventable diseases

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By Gracia Obi

Why do two million children still die yearly from diseases that could be prevented at a cost of less than 30 dollars (N4,500) per child in Nigeria? Gracia Obi finds answers to the question.

As Nigeria is proving tough in the fight towards polio eradication, a World Health Organization (WHO) official, Mr. Ray Nihat, stressed that, considering the amount of money involved, there could be no other alternative than curbing the spread of preventable diseases.

To this effect, Nihar stressed that WHO would issue a standing recommendation to all nations under the International Health Regulations to make tangible efforts to curb the spread of the diseases through prompt interventions.

As regards polio, media reports indicate that although only Afghanistan, Nigeria and Pakistan are known as polio affected countries, Angola, Chad, Democratic Republic of Congo and Sudan are also suspected of having some polio infections.

Therefore Nihar said that, as part of efforts to ensure the total eradication of the disease, Nigerians traveling abroad would be compelled to take the oral polio vaccine from May.

“Children and adults traveling out of Afghanistan, Nigeria and Pakistan must be certified as having been vaccinated against polio, to reduce the substantial risk of the virus spreading to polio-free countries,” he said.

In spite of this proactive measure, medical experts insist that the best way to fight polio in Nigeria is by expanding the polio immunisation coverage, adding that vaccine-preventable diseases account for 22 per cent of child deaths in the country.

Unfortunately, the United Nations Children’s Fund (UNICEF) estimates that one-third of children in polio affected countries do not have access to vaccines, insisting that a child has the right to be protected against preventable diseases.

UNICEF notes that efforts to meet the UN Millennium Development Goals (MDGs) of reducing child mortality, improving maternal health and reversing the spread of killer diseases remain a paramount health concern.

In the light of this development, stakeholders at the 2012 National Vaccine Summit in Abuja unanimously voiced concern about the high mortality rate among Nigerian children, due to diseases which could have been prevented through vaccination.

In his speech at the summit, Sen. Anyim Pius Anyim, the Secretary to the Government of the Federation (SGF), noted that lack of public awareness was one of the factors impeding vaccination programmes, calling on stakeholders to educate the public on its benefits.

“It is essential that we all join hands; government at all levels, the private sector, non-governmental organisations, development partners, traditional and religious institutions, to educate our people on the benefits of vaccination,” he said.

“Dispelling false rumours and beliefs, mobilising the necessary resources for vaccination and monitoring the entire process of vaccination are essential for child survival.”

However, the minister of state for health, Dr. Muhammed Pate, told the gathering that the increased immunisation coverage of the country had led to a reduction in the occurrence of vaccine-preventable diseases.

“Measles, which used to ravage our communities, particularly during the hot season, is now much reduced; thanks to integrated measles campaign efforts,” he said.

“Cerebrospinal meningitis, which affected more than 55,000 Nigerians in early 2009, was reduced to less than 1,000 in 2011 and very limited cases have so far been recorded in 2012.”

Pate underscored the importance which the Federal Government attached to its vaccination programme, saying that in 2011, it earmarked N6 billion in the budget for the national vaccination programme.

All the same, Dr. Ado Mohammed, the executive director of the National Primary Health Care Development Agency (NPHCDA), stressed that the country’s vaccination efforts were still facing some challenges.

He listed some of the challenges as dwindling international funding, capacity and infrastructure, logistics, cold chain maintenance and human resource constraints, among others.

“However, efforts are going on to provide plausible solutions to some of the formidable security challenges affecting the polio campaign in some parts of Nigeria.

“We are engaging traditional rulers and religious leaders, as well as all the stakeholders in finding pragmatic solutions to the problem,” he said.

Mohammed said that the NPHCDA was strengthening its routine immunization programme, adding that other ailments, such as measles and malaria, would be included in the programme.

“The agency will continue to partner with all the security agencies and security cover will henceforth be given to polio vaccinators across the country,” he said.

 

Sharing similar sentiments, the minister of health, Prof. Onyebuchi Chukwu, said that the Federal Government was committed to curbing vaccine-preventable deaths in the country.

 

Speaking at the signing ceremony of N440 million-grant from Japanese International Cooperation Agency (JICA) to strengthen routine immunisation in Nigeria, the minister said that efforts had been doubled to safeguard children from deaths arising from preventable diseases.

 

“There are challenges in the area of polio and other areas but we are determined that by December, there will be zero transmission of wild polio virus,” he said.

 

The assurances notwithstanding, Mr. Jacques Boyer, the deputy country representative of UNICEF in Nigeria, emphasised that, although Nigeria had made significant progress in boosting child survival strategies, a lot still had to be done in that regard.

 

“While Nigeria has made significant progress in reducing child mortality rate, some key challenges still remain, and these ought to be addressed, if Nigeria is to achieve the health-related MDGs.

“Childhood killer diseases are still prevalent and vaccine-preventable diseases, such as measles, tetanus and whooping cough, are among the major causes of child mortality.

“The level of child mortality can be reduced with simple interventions such as immunisation, which is a very cost-effective child survival strategy,” he noted.

Nevertheless, Boyer said that UNICEF was working to strengthen the country’s immunisation activities via improved cold chain and logistics systems.

He, however, stressed that for Nigeria to reduce under-five deaths, integrated packages of primary health services must be made available to the citizens, particularly women and children.

Boyer, nonetheless, noted that the JICA grants would support the facilitation and monitoring of health sector performance, so as to ensure that children who were currently not immunised were reached by 2013.

 

Commenting on the JICA grant, Mr. Ryuichi Shoji, the Japanese Ambassador to Nigeria, said that his country was a signatory to an agreement on the polio victims in the past decade.

Japan has also contributed to the malaria prevention programme in Nigeria by providing 2.5 million dollars (about N400 million) through UNICEF this year,” he said.

In spite of the foreign grants, donations or interventions, experts hold the view that an effective campaign against polio should entail efforts to tackle perceptible challenges facing the campaign.

 

They note that such challenges include inadequate vaccination, total refusal of some parents to vaccinate their children and certain religious beliefs, among others.

The experts, nonetheless, insist that pragmatic efforts should be made to address these challenges, as part of the strategies put in place to attain universal vaccine coverage for all Nigerian children by 2015.

The Drugs We Wash Away: Pharmaceuticals, Drinking Water and the Environment

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You may have read in the press about medicines, like antibiotics and the pill, being found in rivers and lakes, and even in drinking water. Is this true? How do drugs get there, and do they have effects? Is there anything being done to address this? Can I do anything to help?
The animation gives answers to these questions and explains the processes involved. It was conceived for a general educated public with no prior knowledge of the issue, and was funded by the EU within the research project PHARMAS (http://www.ecologic.eu/4276).

Concept and Production: Rodrigo Vidaurre (http://www.ecologic.eu/1566) and Melanie Kemper (http://www.ecologic.eu/498) , Ecologic Institute (http://www.ecologic.eu/)
Script: Rodrigo Vidaurre, Melanie Kemper, Nicolas de Leval Jezierski (http://www.behance.net/nicolasjezierski)
Direction and Animation: Nicolas de Leval Jezierski
Sound Design and Music: Michał Krajczok (http://www.talking-animals.com/the-animals/michal-krajczok.html), Talking Animals (http://www.talking-animals.com/)
Voice-over: Steve Taylor (http://www.voice-pool.com/en/english-voice-over/taylor.html), Voice Pool (http://www.voice-pool.com/en/ )
Funding: European Commission, DG Research & Innovation (http://ec.europa.eu/research/index.cfm)
Language: English
Date: June 2013
Length: 3:46 min

Further information:

“Pharmaceuticals in Drinking-Water”, WHO report, © World Health Organisation, 2012.
http://www.who.int/water_sanitation_health/publications/2011/pharmaceuticals/en/

“Pharmaceuticals in the Environment — Why Should We Care?”, Daughton C.G. and Ruhoy I.S., 2010. http://www.epa.gov/esd/bios/daughton/IWA-2010.pdf

PHARMAS project website: http://www.pharmas-eu.net/

Keywords: drug, medicine, medication, pharmaceutical, product, substance, water, drinking water, tap water, environmental water, water body, river, lake, exposure, concentration, risk, impact, effect, health, human, environment, pollution, aquatic, wildlife, animal, fish, feminization, ecosystem, prevention, antibiotics, the pill, self-medication, wastewater treatment, sanitation, toilet, pharmacy, disposal

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Concentration Follows Commitment

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In 1975 a pharmaceutical company interviewed me for the position of marketing manager. During the interview, I brought out a copy of the Nigerian Journal of Pharmacy, the official organ of the Pharmaceutical Society of Nigeria (PSN), of which I was the editor. I explained to the manager that I was the editor of the journal and did not want to take up any job that would not allow me to continue editing the journal. If he accepted that, then I would work for the company. He hesitated and eventually said, “I can see you are very much committed to PSN and the journal.”  “Yes,” I replied, “I promised to handle the journal and I don't want to let the Society down.” I believe that the manager might have been thinking that this person who is so committed to working for what he is not paid should be the right person to be employed. A letter of appointment was quickly prepared for me. When you are committed to a cause, people and resources follow you.

The following year, I asked my boss for permission to travel to Monrovia, Liberia, for the inauguration of the West African Pharmaceutical Federation (WAPF) in October.  He simply replied, “I know you're committed to the PSN. You should go.”  I earned his respect because of my commitment to something of interest to me.

The same commitment was passed on to my own publication when I started Pharmanews in 1979.  Sometimes, I think that Pharmanews is even a reward for my dedication to the PSN journal.  It is a spiritual law that if you take good care of other people's business, God will provide you your own and also take care of it.  Some employees willfully run down their employer’s business and drain the company, to accumulate capital for their own personal business. This is simply sowing a bad seed which will naturally produce bad fruits.

Commitment brings about concentration and concentration follows commitment. Look for the activities you give quality time, interest and devotion. You are committed to those activities and they will bring about remarkable results in your life and account for your success.

My understanding of concentration started in the chemistry laboratory in the secondary school.  We were severely warned to be very careful with concentrated acids, especially sulphuric acid and hydrochloric acid used in experiments. You dare not allow ‘conc’ acid to drop on your skin or clothes, or you would experience a serious burn. Therefore, they were handled with utmost care. I have seen in the dailies people whose faces were burnt with concentrated acid, beyond recognition, by their spouses or friends. In such cases, plastic surgeons must perform as much restorative surgery as possible but the face can never be fully recovered. Concentration brings about a powerful result, good or bad.

Drinkers know the difference between spirits, wines and beer. Spirits contain alcohol between 20% and 70%; wines between 15% and 22%; while beer contains 3% and 10%.  If you drink intoxicating drinks, as I used to do, you know how you feel and behave when you consume beer, wine or spirits at different occasions. The difference is just the concentration of alcohol. There is power in concentration. Ralph Waldo Emerson said, “Concentration is the secret of strength.”

If you want to think deeply, you need to focus and concentrate on the subject. Avoid distractions. Don't scatter your thoughts. Charles F. Hannel said, “Thought is energy. Active thought is active energy; concentrated thought is a concentrated energy. Thought concentrated on a definite purpose becomes power.” The most successful people are those who have the habit of concentrating on a single thing at a time, instead of spreading their efforts over many areas.

The habit of concentration helps you to listen well and remember what you see and hear. Can any student who does not make serious efforts to concentrate during lectures ever hope to perform well in the exams?

One factor that promotes relationship is the ability to remember names of people. When someone introduces himself, pay attention to his name. If possible, relate the name immediately to what you can easily remember.  Personally, I like to attach meanings to names or ask for the correct pronunciation or spelling. Asking someone more about his name shows you are interested in him. Such concentration on someone's name assures you of a good memory for recalling names of people.

How do you feel when someone you met casually many years backremembers your name and pronounces it well? If you do so for other people, then you will not lack friends.

Do you exactly know what you want from life? Have you made a definite plan to achieve it? Then concentrate on your goals with great determination. Be committed. Vince Lombardi said, “The quality of a person's life is in direct proportion to their commitment to excellence, regardless of their chosen field of endeavour.”

I was at a gathering some months ago and someone strangerecognised me and came close to greet me. I looked at him with suspicion, knowing that fraudsters approach people pretending to be friends. He noticed my reaction and quickly said to me, “You will not remember me but I was in your office in Maryland sometime in 1980to discuss adverts in your magazine. Is that magazine still on?” I then relaxed and told him that Pharmanews is still very much alive.
He expressed surprise that I have been able to get it going all these years. Jokingly, I told him that is the only thing I know how to do. Andrew Carnegie once advised: “Put all your eggs in one basket. Then stand by to see that no one kicks the basket over.” This is devotion, commitment and concentration. Haruki Murakami said, “The power to concentrate is the most important thing. Living without this power would be like opening one's eyes without seeing anything.”

Nature’s way to beauty and health

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(By Florence Udoh)

Most chemical laden products available in the market are snatching away your skin’s natural radiance and glow. Some African women spend a lot of money on beauty products that only damage the skin. Tomatoes, lemons, gram flour and cucumber can make your face beautiful instantly. Get that glow back on your face with these natural  beauty tips  writes  FLORENCE  UDOH  with  an interview  with  a  dermatologist  at  Lagos University Teaching Hospital, Dr.Abiose Longe.

Cleanse, Tone and Moisturise Daily

The rule of thumb for flawless facial skin still remains a regular cleansing, toning and moisturising routine. When it comes to cleansing, rose water is the best cleansing agent. Take cotton wool, dab it with rose water and apply it on the face to feel fresh and clean immediately. Cleansing your face twice a day will prevent breakout of pimples. Always make it a point to follow your cleansing routine by toning. Tulsi water is a great nourishing toner and you can use it with a piece of cotton wool. Now, make a mixture of onion juice, multanimitti and honey. Use this as a natural moisturiser to bring back freshness and glow on your face.

Use lime juice as a scrub

Mix lime juice with sweet almond oil and sea salt. Use your fingers or a cotton wool and apply it on your face in a circular motion. This natural scrub will remove dead cells from your face, giving a radiant glow. Lime peel also aids in fading scars and pimple marks from the face.

Use besan (gram flour) to get rid of tan

To treat sunburns, you may apply a mixture of one spoon of besan (gram flour) and two tablespoons of curd on your face. Let it dry for half an hour and rinse off with cold water. This face mask is a great aid in making your skin clear, soft and glowing naturally. For sensitive skin, mix curd with this mixture and cleanse the sun-tanned skin with the paste.

Cucumber – A wonderful beauty aid

If you want a happy skin, then cucumber is the answer. You may improve your complexion by applying a paste of cucumber mixed with raw milk. It will take 15 minutes for cucumber juice to seep into your skin, then wash off with fresh water. It also helps in soothing and softening your skin.

Tomato – An antioxidant power blast

Tomatoes are great anti-oxidants. For wrinkle-free skin, mash two large tomatoes and apply evenly on your face. Rinse off after 20 minutes with cold water. To make a paste, use one-day-old curd and mix with a tomato pulp. Apply this face pack daily in the morning to reveal a brighter and sparkling fresh complexion.

Treat oily skin with tomatoes

Tomatoes are great for the skin as they have cooling and astringent properties. They are naturally acidic, so they help balance the skin and get rid of excessive oil. Evenly apply tomato pulp on your face. Let it dry for 15 minutes and wash your face with warm water.

 

Use cucumber and lemon for removing blemishes

To naturally remove blackheads and have a fairer skin, prepare a paste with equal amounts of cucumber juice and lemon juice. Apply this paste on your face and neck before taking bath. Let your skin absorb it for at least 10 minutes. With regular use, you will notice lesser blackheads and a fairer skin tone.

Natural face pack for dry skin

If you have dry and rough facial skin, prepare a paste of equal amount of mashed muskmelon, pumpkin, cucumber and watermelon. Blend the mixture with milk cream and apply it on your face. Leave the paste to dry for one hour and rinse it using plain water. It lifts away the dry skin, giving a fresh vibrant look to your skin.

How to close pores naturally

Cut an apple into thin slices. Place these on the face and leave for 15 minutes. These soak up the extra oil and help to close pores. You may even make paste of apple peel, honey, vinegar and a dash of multanimitti. Apply for 30 minutes and rinse off with rose water. Your skin will visibly tighten and will develop a healthy, radiant glow.

Pamper yourself with these basics

Water and good sleep are natural facial beauty enhancers.10 to 12 glasses of water per day and six to eight hours of sleep everyday is essential for your skin to revitalise and repair damaged tissues. Set reasonable limits, scale back your to-do list and make time to do the things you enjoy, and remember to smile often and frown less. It will help in curing acne breakouts and other skin problems.

Restricting your consumption of oily and fatty foods, beside the use of the above mentioned beauty tips, would further ensure a naturally gorgeous complexion and spotless facial skin.

Stunting in children can be prevented – UNICEF

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(By Gracia Obi)

 UNICEF has said that remarkable progress has been made in the fight against stunted growth on the hidden face of poverty for 165 million children under the age of five.

According to the agency, stunting in a child is not only about being too short for his or her age, but it means suffering from stunted development of the brain and cognitive capacity.

“Stunting can kill opportunities in life for a child and kill opportunities for development of a nation,” said UNICEF’s Executive Director, Anthony Lake, stressing that “globally, one in four of all children under five is stunted.”

Lake attributed stunting to chronic under-nutrition in crucial periods of growth, revealing that an estimated 80 per cent of the world’s stunted children lived in 14 countries.

He explained that the damage done to a child’s body and brain by stunting “is irreversible, as it drags down performance at school and future earnings,” adding: “it is an injustice often passed from generation to generation that cuts away at national development”.

UNICEF’s media affairs officer, Samuel Kaalu, said in the progress report statement that stunted children were more at a higher risk of dying from infectious diseases than other children.

 

Intertek Prescribed drugs – Whitehouse, New Jersey

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Intertek Pharmaceutical Providers (Whitehouse, NJ) is a contract consulting analytical laboratory that has been serving the pharmaceutical, biotech and allied industries for over 20 years. Specializing within the pre-approval stage of the drug improvement life cycle, Intertek excels in a wide selection of drug merchandise, formulations, gadgets and supply methods. Intertek's analytical lab in Whitehouse, NJ additionally makes a speciality of analysis and classical approaches to extractable and leachable research. For extra data, go to: http://www.intertek.com/pharmaceutical/evaluation/whitehouse-nj/

supply

EVERYTHING BIG STARTS WITH SOMETHING LITTLE

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All of God's great people in the Bible were faithful in the small things. In Matthew 25 Jesus told the parable of the talents. In it He referred to the one servant who had taken his master's money and multiplied it. In verse 23, his master said to that man, “…Well done, good and faithful servant; thou hast been faithful over a few things, I will make thee ruler over many things: enter thou into the joy of thy Lord.” In Zechariah 4:10, the Lord asks the prophet, “For who hath despised the day of small things?” There is a powerful principle in taking small steps.

Many people are not moving with God today simply because they were not willing to take the small steps He placed before them. If you have received a call into any particular area, you should leap at the opportunity – no matter how small – to move in the direction in which the Lord has called you. If you are called to be a youth pastor, and are sitting at home waiting for an invitation from some large church, you should know that it will never come. You need to find the first young person you can, put your arm around him, and begin to minister to him.

Don't be afraid to take small steps. The Bible promises us that if we are faithful in small matters, one day we will be rulers over many larger things.

The impossible, many times, is just simply the untried.

I can remember a time in my life when I was literally frozen with fear at what God had called me to do. It seemed so huge a task that I was unable to bring myself to face it. A friend came to me and spoke two words that broke that paralysis in my life. He said simply, “Do something!” If you are at a point of paralysis in your life because of what God wants you to do, the word for you today is “Do something!” Don't worry about the goal, just take the steps that take you past the starting point and soon you'll get to a point of no return. As you climb higher, you'll be able to see much farther.

We should all learn to grow wherever we're planted.

As you begin, don't be afraid. Eric Hoffer said: “Fear of becoming a has-been keeps some people from becoming anything.” Every great idea is impossible from where you are starting today. But little goals add up, and they add up rapidly. Most people don't succeed because they are too afraid, even to try. They don't begin because of that old fear of failure.

Many times, the final goal seems so unreachable that it keeps us from even making an effort. But, once you've made your decision and have started, you are more than half-way there. God will begin with you today – no matter what your circumstances. Just think how thankful you would be if you lost everything you have right now and then got it all back again. Wouldn't you be ready to go? Choose to think eternally, but act daily.

 

Culled from AN ENEMY CALLED AVERAGE by JOHN L. MASON

 

 

Associate with the Right People

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Your outlook upon life, your estimate of yourself, your estimate of your value are largely coloured by your environment. Your whole career will be modified, shaped, molded by your surroundings, by the character of the people with whom you come in contact every day.  – ORISON SWETT MARDEN

Everything in life and business is relationships. Everything you accomplish or fail to accomplish will be bound up with other people in some way. Your ability to form the right relationships with the right people at every stage of your life and career will be the critical determinant of your success and achievement and will have an inordinate impact on how quickly you achieve your goals.

The more people you know, and who know you in a positive way, the more successful you will be at anything you attempt. One person, at the right time, in the right place, can open a door for you that can change your life and save you years of hard work.

No One Does It Alone

A key part of goal setting is for you to identify the people, groups and organisations whose help you will require to achieve your goals. To accomplish goals of any kind, you will need the help oflots of people. Who are they?

There are three general categories of people whose help and cooperation you will require in the years ahead. These are the people in and around your business, your family and friends, and people in groups and organisations outside your business or social circle. You need to develop a strategy to work effectively with each group.

Your Key Business Relationships

Start with your business. Who are the most important people in your business life? What is your plan to develop higher quality relationships with them? Make a list of everyone who works inside and outside of your business – yourboss, colleagues, coworkers, subordinates, and especially, your customers, suppliersand vendors. Which of these people have the greater ability to help you or hurt you in the achievement of your business or career goals?

 

Sometimes, I ask my audiences how many of the people present are in customer service? Only a few hands go up. I then point out that everyone is in the business of customer service, no matter what they call it or what they do.

 

Identify Your Customers

A customer can be defined as anyone who you depend upon for success and advancement in your job or business.  A customer can also be defined as anyone who depends on you in any way. By this pair of definitions, almost everyone around you is a customer in some way.

For example, your boss is your primary customer at work. Your ability to satisfy your boss will have more of an impact on your future, your income, and your career than any other single skill you have. If you displease everyone else but your boss is delighted with you, you will be safe and secure in your job. If you please everyone inside and outside your company but your boss is unhappy with you, that problem alone can short-circuit your future.

Your Customer Service Strategy

One ofthe best-strategies you can use is to make a list of everything that you believe that you have been hired to do. Answer the question, “Why am I on the payroll?” And write down everything you can think of. Then, take this list to your boss and ask your boss to organise this list in order of his or her priority. What is most important to your boss? What is second most important? What is third most important? And so on.

From that moment onward, discipline yourself to work on your boss's top task all day long. Make sure that whenever your boss sees you or talks to you, you are working on what he or she has told you is his or her top priority for you. This will do more to help you in your career than any other single decision you make.

Two Key Qualities for Promotability

Inasurveyreported in Success Magazine, a few years ago, 104 chief executive officers were presented with twenty qualities of an ideal employee and asked to select the most important. Eight-six percent of the senior executives selected two qualities as being more important for career success and advancement than any other. First was the ability to set priorities; to separate the relevant from the irrelevant. Second was the ability to get the job done fast; to execute quickly.

Nothing will help you more in your career than to get the reputation for being the kind of person who gets the most important job done quickly and well.

Hard Work on the Wrong Task?

But here's the catch. Many people are working very hard at their jobs, but they are not working on what their boss considers to be the most important job. The sad fact is that if you do an unimportant job very well, this could hurt your career and even threaten your job.

As conditions change, keep the lines of communication open with your boss. Be sure that what you are doing is still your boss's top priority. And then make a game of doing it fast. Nothing makes a boss happier than to have someone who gets the job done quickly. Be sure that you are that person.

Your Other Key Customers

Your coworkers, who also depend on your work, are your customers as well. Go to each one of them and ask them if there is anything that you can do to help them. Ask them if there is anything that you could do more of or less of, anything that you could start or stop doing that would help them do their jobs better.

 

The fact is that people think about themselves and their own fobs all day long. Anytime you offer to help people to do their jobs better or faster, they will be wide open to helping you later. The Law of Sowing and Reaping is not the Law of Reaping and Sowing. There is a particular order to this law. First you put in, and then you get out. First you sow, and then you reap.

You should look for every opportunity in your work to help people and to do nice things for others. Every honest effortyou make to help other people will come back to you in some way, at some time, and often when you least expect it. The most popular people in every organisation are those who are always willing to lend a helping hand.

The more the people next to you, above you, and below you like you and support you, the more you will get paid and the faster you will be promoted. Develop a reputation asa “go-giver,” as well as being a go-getter.

Look for ways to be a valuable resource to the people around you and they will automatically look for ways to helpyou and support you when you most need it.

Culled from GOALS by BRAIN TRACY

New Height Pharmaceuticals partners DIC on hypertension campaign

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As Nigeria joined the rest of the world to mark the 2013 World Hypertension Day, on May 17th, themed: “Healthy Heart Beat-Healthy Blood Pressure”, New Height Pharmaceuticals, official business partner for Omron healthcare in Nigeria, has called on all health practitioners, including pharmacists to be part of the campaign against hypertension.

Speaking to Pharmanews in an exclusive interview at the weekend, during a one-day workshop organised by Drug Information Centre (DIC), for community pharmacists on hypertension, pharm. Omaruaye  Ogheneochuko, managing pharmacist, New Heights Pharmaceutical s, urged pharmacists to be actively involved in the creation of awareness on high blood pressure, by providing their clients with information on how to measure their blood pressures  at  homes.

According to him, “we decided to partner with ACPN to educate and to inform pharmacists on the need for them to join in the advocacy, to create more awareness on hypertension”.

“Aside drug dispensing; we want pharmacists to know that they can also make available more information to their patients on the need for them to be actively involved in measuring and managing their blood pressures at home. As a leading marketer of Omron blood pressure monitors in Nigeria, we felt we should do something to instigate and encourage pharmacists to be involved in increasing the rate of hypertension awareness in the society”.

He further stated that about 70 per cent of the Nigerian population is hypertensive, quoting from a WHO’s information, adding that this is an unfortunate situation, because most of these people are not aware that they are hypertensive, owing to the simple fact that they do not know that they can check their blood pressures at home using an Omron BP monitor.

L-R. Pharm. Adeshina Opanubi, lead consultant, Shyne& Chloe consulting, pharm. Adebayo Ismail, national chairman, ACPN, and Dr. Amam Mbakwem, consultant cardiologist, LUTH, during the 2013 World Hypertension Day Workshop for community pharmacists, organised by Drug Information Centre (DIC), held at Maryland Business Plaza
L-R. Pharm. Adeshina Opanubi, lead consultant, Shyne& Chloe consulting, pharm. Adebayo Ismail, national chairman, ACPN, and Dr. Amam Mbakwem, consultant cardiologist, LUTH, during the 2013 World Hypertension Day Workshop for community pharmacists, organised by Drug Information Centre (DIC), held at Maryland Business Plaza

 

 

 

Court orders Barewa Pharmaceuticals, makers of ‘My Pikin Syrup’ to be liquidated & assets forfeited”

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A Federal High Court in Lagos has ruled that Barewa Pharmaceuticals, manufacturer of the deadly My Pikin Syrup, be wound up; and its asset forfeited to the federal government.

Justice Okechukwu Okeke who delivered the judgement , also sentenced Adeyemo Abiodun and Ebele Eromosele, two employees of the company, to seven years imprisonment.

The ruling which was fixed for Thursday, was however shifted to Friday  to enable the Justice in charge to conclude writing of the verdict.

Okeke had reserved judgment for Thursday after parties in the suit adopted their written addresses.

The company and two of its employees — Adeyemo Abiodun and Ebele Eromosele – are being prosecuted by the National Agency for Food and Drug Administration and Control on a six-count charge.

The accused were re-arraigned on January 7, after the charge was amended following the death of the company’s Chief Executive Officer, Mr. Kola Gbadegeshin, who was one of the accused.

NAFDAC said that “My Pikin” killed more than 80 children in Nigeria.

The agency called seven witnesses in the trial, while the defence called one.

According to the prosecution, the offences contravened Section 1 (a) of the Counterfeit and Fake Drugs and Unwholesome Processed Foods (Miscellaneous Provisions) Act No. 25 of 1999.

 

Asthmatic? How can it be effectively managed?

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As Nigeria, on May 7, joined the rest of the world to mark the 2013 World Asthma Day, experts have unanimously asserted that asthmatics can live their normal lives without experiencing frequent crisis, if they always take their inhalers along with them.

The experts who spoke at a symposium organised by the Elias Nelson Oyedokun Foundation, ENOF, a foundation established in the year 2012, in memory of late Nelson Oyedokun, a 13-year-year-old boy who died from asthma, said asthma is one of the conditions that can be easily managed if the suffers comply with the rules of the condition, by taking their inhalers along with them always to control any attack.

Speaking on the theme for this year’s world asthma day being: “You Can Control Your Asthma,” the commissioner for health, Lagos State, Dr. Jide Idris said asthma deaths are ultimate tragic evidence of uncontrolled asthma and these were mostly preventable if control measures are effectively instituted.

The commissioner, who was represented by Dr. Jemilade Longe, director of disease control, for health in Lagos has also urged parents and guardians to cooperate with healthcare professionals on improved knowledge, awareness and management of childhood asthma to check the chronic condition that is most commonly responsible for absence of pupils from schools across the federation.

He also called on both the public and private sectors to create a conducive work environment devoid of sensitisers that could trigger occupational asthma, as well as contribute to already high incidence of asthma in Nigeria.

Also, operators of companies dealing in strong chemicals that can trigger asthma in adults have also been advised to ensure adequate protection of their staff to prevent them from developing the condition.

According to the commissioner, the prevalence of asthma is increasing throughout the world, especially as communities adopt western lifestyles and become urbanised. “An estimated 300 million people worldwide have asthma according to the Global Burden of Asthma Report, a compilation of public data on the prevalence and impact of asthma around the world. “Children constitute a reasonable percentage of those afflicted”.

Medical Director of Massey Children Hospital, Dr. Abieyuwa Emokpae while noting that strong chemicals like paints can trigger asthma in adults, advised persons at risk of asthma to avoid strong fume, perfume, insecticide, mentholatum, smoke, among others.

In his presentation, a professor of paediatrics, James Renner advised parents to first get a proper diagnosis of asthma and prevent living in denial of the condition.

Secondly, he noted that affected persons should stick to the health plan regarding when to use drug and when not to use the drug. “They should know which drug to use and for what situation. There should be no fears for mother to manage asthmatic children,” said Renner.

In her remarks, Lola Ilaka and founder of the ENOF said the objective of the organisation is to create awareness about asthma and to touch lives, adding that ENOF will train health care providers on improved asthma care and create avenue for people to learn about asthma.

Nigeria health system defective – Dr. Godfrey O. Achilihu

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Hypertension already affects one billion people worldwide and kills nine million people every year. Prevalence of high blood pressure is highest in some low-income countries in Africa, with over 40 per cent of adults in many African countries thought to be affected. Hypertension is a silent, invisible killer that rarely causes symptoms. A United State Fellowship Trained Cardiologist, Dr. Godfrey O. Achilihu, in an interview with Gracia Obi, x-rays measures in which the government health system can provide these services to the less privileged, with emphasis on women and children.   

 

What would you say of the various problems facing the health care sector in this country?

There are issues, but the problems are not insurmountable. It starts with the decision of the government to address the problems. It also starts with the decision of the medical practitioners to address their part.

 

Individuals and government can invest in health, because they are spending as much money as they spend abroad. If they do, it will save a lot of capital flight which happens when Nigerian patients go abroad. In fact, it will improve the economic situation of the country.

 

Considering the high cost of services of medical specialists, don’t you think it is important that a trust fund be established to meet the needs of people who are unable to afford the cost?

Yes, there should be a system that caters for the less privileged. Government should have a fund that caters for the poor in such a manner that no one is left out. It is the case abroad where government caters for the less privileged. In Medicare or Medicaid, government pays for health care. In the United States, Medicare actually pays for it. It seems to me that we are running a system that is defective. In such a defective system, people that work for government are the ones that benefit from the defects of the system. It shouldn’t be the case because this country belongs to all of us. Those in government have access to health care, including the option of going abroad at the expense of the country. But if you don’t work for government, oil companies or banks, you may not get the health care you need, as you are likely unable to afford it.

 

Government should be able to get corporations to buy into health care provision. For example, a family should be able to afford health insurance, in which you pay a certain level of deduction from you earning. The idea is that it will be very difficult to get someone to pay several millions at a time because he was not expecting the problem. But insurance can help give some equivalent of their health care, when they are sick. This is because the insurance company will offset some of your bills when you are sick. I think that system can be established here in Nigeria.

 

How can professionals help to create awareness about the availability of these services in this country?

The level of awareness can be raised. Not just about what can be done to help patients but also about the disease symptoms itself. Nigeria should create a system such as “Calling 911” as is the case abroad. An emergency help line should be established. When someone has passed-out in front of you, you can just call 911 and the appropriate authorities will swing into action. When you dial that number, it rings at a central station which will then tell the ambulance where you are. Then help will reach you.

 

It is true that we, the professionals, have a lot to do. But apart from that, there are certain technologies that are required to make it work. We need consistent power supply. If for example, I want to call someone in Asokoro and there is no electricity supply, how do I get that done? Many factors are involved. Raising awareness can also be done through the churches, mosques, schools and local associations, while the doctors are able to provided intermittent and consistent information about disease processes and symptoms. If somebody tells you they should be able to do something, it is not wise to dismiss it. Or when they say they get out of breath when they do some work, or when their legs get swollen; those are symptoms of heart disease and it should not be dismissed. Particularly when someone complains of chest pain or tiredness, or when they break out in sweat. That is a sign of blockage of an artery in the heart that could lead to massive heart attack that can cause sudden death.

 

So, awareness can be raised in so many ways and we should all be involved in it. There should be seminars on the soccer field, and everywhere. Everyone should know what a defibrillator is. We all should know what should be done when someone collapses. It should be taught in school.

 

 

How expensive are some of the corrective measures, like the implanting devices?

Some of the things we do in the area of cardiology are expensive and cannot be afforded to most people. Economic problems can prevent a patient from getting the health care he needs. If we have enough resources and get enough people to pay for some of these things, the prices will reduce and become affordable to more people. The cost of health care in the United States and India is not very high.

 

However, some people may claim that they cannot afford health care, but they will build a hundred million naira home. Some patients come and they say “Oh, doctor, we cannot afford the cost,” but you find that the following week, they are in India. That is sometimes the problem. I don’t see how going to India will reduce what the cost could have been in Nigeria. When you put the cost of flight together and a few other things, you will find that it cannot be cheaper in India than it is in Nigeria. For many reasons, the best place to get your health care is in Nigeria. If there is an emergency, your family can be reached. More so, knowledge of the patient’s medical history matters. If you bring someone to me from India, I don’t know what the history of his sickness is, and it may be difficult to treat.

 

Is that different from what the National Health Insurance Scheme (NHIS) is doing in this country?

NHIS is a very low level insurance scheme. However, private individuals or corporations can run higher levels of health insurance that would also accessible to people who are not necessarily in that corporation. For example, everybody that is working in some area can cater for their health through that system. A corporation can have a health insurance department that is open to the public. When you need health care, insurance comes into play. NHIS that you spoke of is a low level scheme that makes provision for only primary health care issues. When it comes to funding for ailments that require a lot of money, I don’t think NHIS is positioned for that.

 

However, that kind of job shouldn’t just be the job of government alone. Health insurance should be run like any other business. If I want to buy insurance, I will buy into that kind of insurance.

 

Government should be able to provide these services to the less privileged. These should be with emphasis on women and child health because there is no society without women and children. The bedrock of a healthy society is the child. However, opportunities exists to do things right.

 

NAFDAC seizes drugs worth N3 Million in Abuja

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By Gracia Obi

The National Agency for Food and Drug Administration and Control (NAFDAC) recently in Abuja seized drugs valued at about N3 Million from drug hawkers in a surprise raid carried out at the popular Karimo market.

A statement by the Acting Director (Special Duties), Abubakar Jimoh, said the drugs seized include analgesics, anti-biotic and aphrodisiacs.

According to him, the drug hawkers were arrested selling drugs in the open market by NAFDAC officials.

“The hawkers violated the law against open hawking of drugs and handling sensitive drugs they are not authorised to handle,” he said. “We also seized drugs like Tramoldine, which is a popularly abused medicine by drug addicts and various brands of aphrodisiacs, some of which are not carrying NAFDAC registration numbers.”

He said NAFDAC officials arrested the drug hawkers while the man who is alleged to the main supplier of the drugs to the illegal market is on the run.

“The Agency’s officials broke into his warehouse, following a tip-off, and carted away different brands of drugs which he has illegally stocked in his warehouse under unhygienic and bad storage conditions,” he said.

Assistant Chief Regulatory Officer of the NAFDAC FCT office, Mr. A.M. Bashir, who led the raid, condemned the practice of open selling of drugs under harsh weather conditions, which he said could alter their properties and render them less efficacious.

“The practice of hawking drugs deteriorates the drugs, affecting their active ingredients and also affecting their potency,” he said. “This is why we carry out regular raids on all the markets, so as to rid the markets of such illegal drugs merchants.”

The Karimo market is located in one of the most densely populated and poorest areas of the FCT and is attractive to criminals of various shades. The drug hawkers stockpile their drugs in wooden shacks that carry no identification about the nature of the business they engaged in, to evade the detection of NAFDAC.

 

 

 

 

 

 

Group sensitises villagers on malaria

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In order to curb the menace of malaria in the rural areas, Women for Peace (WP), a non-governmental organisation (NGO) in the Federal Capital Territory (FCT), is currently visiting villages in the FCT, educating them on how to shield their environments from mosquitoes, the main cause of the disease.

The NGO visited Anagada, Giri, Kabusa, Sheda and Yangozhirecently, and held 45-minute sentitisation sessions with the people of each village, especially women.

Mosquito nets, insecticides, soaps, broom, cutlasses and drugs were shared in each of the villages.

Speaking to Pharmanews, the scribe of the NGO, Rebecca Madami said, “Malaria is a deadly disease.”

She said: “Because of the bushes that edge many villages, it is very prevalent there, yet they don’t know how to prevent its attack. Everybody knows that it is caused by mosquitoes, so the best way of stoping it is through shielding our environments from mosquitoes.”

“So, we are here to sensitise people on how to keep their homes away from mosquitoes. We have taught them how to clean and ensure that their houses are always neat, so that mosquitoes cannot come in; we taught them how to dispose sewages, cut the bushes around their houses and other measures. We also brought materials which we shared to them.”

Obono decries huge amount spent tackling adverse drug reaction

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Pharm. Margaret Obono, incumbent treasurer of the Pharmaceutical Society of Nigeria (PSN), has declared that the bulk of annual budget earmarked for the health sector is being spent on hospitalization, due to reported cases of adverse drug reaction (ADR).

Speaking on Essentials of Pharmacovigilance at a workshop organised for pharmacists by Pharmanews Limited on 4th April, 2013, Obono attributed this report to recent studies, saying that in addition to ADR, drug induced morbidity and mortality have also become a major problem for the health care professionals and the populace.

In defining adverse drug reaction, the former chairman of the Association of Lady Pharmacists (ALPS) described it as any response to a drug which is noxious and unintended and which occurs at doses normally used in man for the prophylaxis, diagnosis or therapy of disease or the modification of physiological function.

“Other issues relevant to this science include substandard medicines, medication errors, lack of efficacy reports, use of medicines for indications that are not approved and for which there is inadequate scientific basis, as well as case reports of acute and chronic poisoning,” she said.

In her presentation, Obono noted that it was on the legal basis for Pharmacovigilance that the National Agency for Food and Drug Administration and Control (NAFDAC), which was established by Decree 15 of 1993 (as amended), came into existence.

NAFDAC as Act Cap N1 laws of the Federal Republic of Nigeria 2004 was placed with the mandate to “to control and regulate the manufacture, importation, exportation, distribution, advertisement, sale and use of food, drugs, cosmetics, chemicals/detergents, medical devices and all drinks, including packaged water.”

“This mandate further requires NAFDAC to ensure quality, safety and efficacy of the above named regulated products, hence, pharmacovigilance.Thus the National Pharmacovigilance Centre (NPC) was set up in September 2004,” she said.

The PSN treasurer further explained that since no active drug is entirely free from adverse effects, the introduction of an adverse drug reaction reporting system is an essential component of a national health care delivery system. Government shall, therefore, encourage the establishment of adequately equipped pharmacovigilanceunits nation-wide, to collect, evaluate and disseminate relevant information on adverse drug reactions and poisoning.

While discussing pharmacovigilance regulatory system in Nigeria, Pharm Obono opined that it shall be voluntary for the reporting health professionals and traditional herbal medicine practitioners or healthcare providers working in establishments other than the manufacturing or importing/distributing companies.

“ADR reporting is voluntary with no remuneration. It is a professional ethical obligation. In fact, it shall be mandatory for all manufacturers of pharmaceutical products and traditional herbal medicinal products, their local agents in Nigeria, importers, including those of public health medicines, to report to the National Pharmacovigilance Centre any adverse reaction associated with their products in Nigeria or anywhere in the world,’ she emphasised.

The pharmacist declared, among other things, that report on ADR should include response to medicines used in humans which are noxious (harmful) and unintended, lack of efficacy, overdose, misuse and/or abuse of a medicine, medication error and counterfeit or substandard medicine.

 

Foundation provides cataract surgery for 29 people in Keffi

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Recently, a non-profit organisation, AMA Foundation, provided 29 people in Keffi Local Government Area, Nasarawa State, with free cataract surgery. The foundation, which is based in Abuja, conducted the exercise as part of its health outreach, which it carried out every month in various communities across the country. Gracia Obi tells us about it.

The two-day health outreach involved a pre-operative assessment of the health of the patients, the cataract surgery (which lasts no longer than 10 to 15 minutes), and a post-operative assessment, whereby the patients are re-evaluated by the doctors and given eye drops that would last up to two months.

Cataract is the clouding of the lens of the eye which affects clear vision. Cataract develops as a result of the lens of the eye becoming opaque (cloudy) such that light cannot easily pass through it. The opacity of the eye makes it difficult for patients who suffer from cataract to have clear vision.

Furthermore, it is the leading cause of blindness worldwide and also the leading cause of blindness in Nigeria, as there are more than 486,000 adults living with cataracts around the country. Cataract is treatable through surgery. The opaque lens is surgically removed and replaced with an artificial lens. Adult patients can regain full optimal vision after a successful cataract surgery. Although cataract can easily be treated through surgery, not everyone can afford it. Surgery can cost between N30,000 to N200,000, depending on the procedure being done. Unfortunately, there are not enough ophthalmologists (eye doctors) in Nigeria, particularly in Northern Nigeria.

AMA Foundation conducted a health outreach in January 2013 to provide malaria medication, mosquito nets, and other medical services. They also carried out eye screening and registered people who were in need of cataract surgery. 43 people were shortlisted and registered for cataract surgery. The second trip to Keffi was dedicated to performing surgery and providing follow up medication and treatment to those identified as needing cataract surgery.

The AMA team was made up of eleven personnel, including medical doctors, nurses, volunteers and others in management/logistics. The AMA team had to prepare the patients for surgery by first conducting a pre-operative assessment of their health. Each patient had their urine and blood pressure tested before the commencement of the surgery, in order to verify which patients were diabetic or those whose blood pressure was above normal. The patients were escorted to the hospital by their close relatives, who assisted them before and after surgery, as most of the patients were elderly and ranged between 60 to 70 years old.

The patients that arrived for the pre-operative assessment varied in age, gender and severity of visual impairment. For example, Hassan Maikasuwa, a 74 year-old man has been suffering from the disease since 1957. He has completely lost sight in one of his eyes. He said that he has traveled far and wide to find suitable medication for his ailment. He has traveled to hospitals in Kano, Kaduna, Abuja and Saudi Arabia, in order to receive treatment for cataract. Hassan used to work as a farmer but developing cataract in one of his eyes has prevented him from farming. Hassan is head of a large family consisting of four wives, twenty-four children and forty grandchildren.

Aishatu Musa, a 60 year-old woman, had been suffering from cataract for close to a year. She said she fell ill one morning, as she tried to perform ablution, in order to do Islamic morning prayers, when she discovered that she had lost vision in one of her eyes. Aishatu’s brothers and sisters have passed away, leaving her as the matriarch of her family. Her niece and daughter escorted her for the pre-operative assessment that morning.

After the pre-operative assessment, the patients were taken in for surgery. Most of the patients had their surgery done on the first day of the health outreach and were given beds in the hospital where they could recuperate from their surgeries. On the second day, the doctors conducted a post-operation assessment on all the patients and certified that each patient had a successful surgery without any complications. The doctors then discharged the patients. Each patient was given eye drops that would last for two months with instructions to apply them three times a day. The doctors reiterated these instructions to the relatives of the patients, so as to ensure they assist them in taking their medication.

Aisha Yusuf Mamman, the Program Director for the foundation, expressed her satisfaction with the success of the cataract surgeries and expressed the foundation’s commitment to giving back to those in need. Regarding the second Keffi health outreach, Aisha said, “AMA Foundation’s main aim is to do cataract screening and surgery for people suffering from cataracts. We were able to register about 40 people during the screening exercise, although we budgeted for 50 people for the surgery.

“We were able to successfully do surgery for 29 patients. Some had high blood pressure and failed to return after we prescribed medication to them. Three people did not return, so instead of having 32 patients we had 29 patients. And for our youngest cataract patient, 3-year-old Salisu Ibrahim, he will be going to Kaduna to meet with Dr. Amina, the lead ophthalmologist for his operation, which will be funded by the foundation.

“I think it was great that we were able to restore people’s vision, especially people that have bilateral cataract, that is those who cannot see at all. So, by tomorrow, when they open their eyes, they will be able to see. It is a really simple operation, so it’s a good thing we can reach out to assist people regain their sight. Helping people and giving back is fundamental to the foundation.”

Dr. Murtala Mohammed Umar, who collaborated with the foundation on the Keffi health outreach, commended the work of the AMA Foundation and acknowledged that it is an organisation that stands out, in terms of its standards and it dedication to leaving a lasting impact on the lives of people.

He said, “I think AMA Foundation is doing a great job. I must say that I have worked with several philanthropic organisations and NGOs; AMA is one of the best. In most of the outreaches I go to, announcements are done and people come, they are screened, surgery is done and there is no proper follow up. AMA is different; there was a medical outreach here two or three months ago and these patients were recruited, their phone numbers collected; they all had tests done so that those who had diabetes and needed extra care because they are more susceptible to infections were noted; blood pressures were also measured. Most of the time, in outreaches in Nigeria, people do not do these things when these are supposed to be standard procedures.”

Dr. Amina Hassan, the lead ophthalmologist, said she enjoyed working with the AMA Foundation and looked forward to other health outreaches they will perform together, in other parts of the country. She stated, “I have been doing cataract surgery for a few years now, and I trained in doing it for children, so it is my passion because there is nothing like restoring vision to someone that is blind. It makes me happy, and so when the AMA Foundation approached me, I was willing to give them my assistance. So, this is the first surgery that we have collaborated on and I am happy to be a part of it.

“We are going to continue; this is not going to be the last place we’ll conduct free surgery. We need NGOs like this to help people because if not, they will all end up blind or going to traditional healers, who end up causing further complications to their eyes.”

The foundation shall conduct follow up visits to Keffi, to provide the patients with eye medication that would last up to six months.

Recently, a non-profit organisation, AMA Foundation, provided 29 people in Keffi Local Government Area, Nasarawa State, with free cataract surgery. The foundation, which is based in Abuja, conducted the exercise as part of its health outreach, which it carried out every month in various communities across the country. Gracia Obi tells us about it.

The two-day health outreach involved a pre-operative assessment of the health of the patients, the cataract surgery (which lasts no longer than 10 to 15 minutes), and a post-operative assessment, whereby the patients are re-evaluated by the doctors and given eye drops that would last up to two months.

Cataract is the clouding of the lens of the eye which affects clear vision. Cataract develops as a result of the lens of the eye becoming opaque (cloudy) such that light cannot easily pass through it. The opacity of the eye makes it difficult for patients who suffer from cataract to have clear vision.

Furthermore, it is the leading cause of blindness worldwide and also the leading cause of blindness in Nigeria, as there are more than 486,000 adults living with cataracts around the country. Cataract is treatable through surgery. The opaque lens is surgically removed and replaced with an artificial lens. Adult patients can regain full optimal vision after a successful cataract surgery. Although cataract can easily be treated through surgery, not everyone can afford it. Surgery can cost between N30,000 to N200,000, depending on the procedure being done. Unfortunately, there are not enough ophthalmologists (eye doctors) in Nigeria, particularly in Northern Nigeria.

AMA Foundation conducted a health outreach in January 2013 to provide malaria medication, mosquito nets, and other medical services. They also carried out eye screening and registered people who were in need of cataract surgery. 43 people were shortlisted and registered for cataract surgery. The second trip to Keffi was dedicated to performing surgery and providing follow up medication and treatment to those identified as needing cataract surgery.

The AMA team was made up of eleven personnel, including medical doctors, nurses, volunteers and others in management/logistics. The AMA team had to prepare the patients for surgery by first conducting a pre-operative assessment of their health. Each patient had their urine and blood pressure tested before the commencement of the surgery, in order to verify which patients were diabetic or those whose blood pressure was above normal. The patients were escorted to the hospital by their close relatives, who assisted them before and after surgery, as most of the patients were elderly and ranged between 60 to 70 years old.

The patients that arrived for the pre-operative assessment varied in age, gender and severity of visual impairment. For example, Hassan Maikasuwa, a 74 year-old man has been suffering from the disease since 1957. He has completely lost sight in one of his eyes. He said that he has traveled far and wide to find suitable medication for his ailment. He has traveled to hospitals in Kano, Kaduna, Abuja and Saudi Arabia, in order to receive treatment for cataract. Hassan used to work as a farmer but developing cataract in one of his eyes has prevented him from farming. Hassan is head of a large family consisting of four wives, twenty-four children and forty grandchildren.

Aishatu Musa, a 60 year-old woman, had been suffering from cataract for close to a year. She said she fell ill one morning, as she tried to perform ablution, in order to do Islamic morning prayers, when she discovered that she had lost vision in one of her eyes. Aishatu’s brothers and sisters have passed away, leaving her as the matriarch of her family. Her niece and daughter escorted her for the pre-operative assessment that morning.

After the pre-operative assessment, the patients were taken in for surgery. Most of the patients had their surgery done on the first day of the health outreach and were given beds in the hospital where they could recuperate from their surgeries. On the second day, the doctors conducted a post-operation assessment on all the patients and certified that each patient had a successful surgery without any complications. The doctors then discharged the patients. Each patient was given eye drops that would last for two months with instructions to apply them three times a day. The doctors reiterated these instructions to the relatives of the patients, so as to ensure they assist them in taking their medication.

Aisha Yusuf Mamman, the Program Director for the foundation, expressed her satisfaction with the success of the cataract surgeries and expressed the foundation’s commitment to giving back to those in need. Regarding the second Keffi health outreach, Aisha said, “AMA Foundation’s main aim is to do cataract screening and surgery for people suffering from cataracts. We were able to register about 40 people during the screening exercise, although we budgeted for 50 people for the surgery.

“We were able to successfully do surgery for 29 patients. Some had high blood pressure and failed to return after we prescribed medication to them. Three people did not return, so instead of having 32 patients we had 29 patients. And for our youngest cataract patient, 3-year-old Salisu Ibrahim, he will be going to Kaduna to meet with Dr. Amina, the lead ophthalmologist for his operation, which will be funded by the foundation.

“I think it was great that we were able to restore people’s vision, especially people that have bilateral cataract, that is those who cannot see at all. So, by tomorrow, when they open their eyes, they will be able to see. It is a really simple operation, so it’s a good thing we can reach out to assist people regain their sight. Helping people and giving back is fundamental to the foundation.”

Dr. Murtala Mohammed Umar, who collaborated with the foundation on the Keffi health outreach, commended the work of the AMA Foundation and acknowledged that it is an organisation that stands out, in terms of its standards and it dedication to leaving a lasting impact on the lives of people.

He said, “I think AMA Foundation is doing a great job. I must say that I have worked with several philanthropic organisations and NGOs; AMA is one of the best. In most of the outreaches I go to, announcements are done and people come, they are screened, surgery is done and there is no proper follow up. AMA is different; there was a medical outreach here two or three months ago and these patients were recruited, their phone numbers collected; they all had tests done so that those who had diabetes and needed extra care because they are more susceptible to infections were noted; blood pressures were also measured. Most of the time, in outreaches in Nigeria, people do not do these things when these are supposed to be standard procedures.”

Dr. Amina Hassan, the lead ophthalmologist, said she enjoyed working with the AMA Foundation and looked forward to other health outreaches they will perform together, in other parts of the country. She stated, “I have been doing cataract surgery for a few years now, and I trained in doing it for children, so it is my passion because there is nothing like restoring vision to someone that is blind. It makes me happy, and so when the AMA Foundation approached me, I was willing to give them my assistance. So, this is the first surgery that we have collaborated on and I am happy to be a part of it.  

“We are going to continue; this is not going to be the last place we’ll conduct free surgery. We need NGOs like this to help people because if not, they will all end up blind or going to traditional healers, who end up causing further complications to their eyes.”

The foundation shall conduct follow up visits to Keffi, to provide the patients with eye medication that would last up to six months.

FG reviews national plan for tuberculosis and leprosy control – By Gracia Obi

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Towards improving efficiency in combating two deadly diseases, the Federal Government has announced that it is currently reviewing the National Strategic Plan for Tuberculosis and Leprosy Control.

The outcome of the evaluation, which is being conducted by teams of international experts, with the support of TB experts in Nigeria, is expected to be used in re-strategising interventions and efforts towards reaching the Millennium Development Goals target by 2015.

It also said the National Strategic Plan for Tuberculosis and Leprosy has, so far, provided services to over 4,000 hospitals and health facilities across the country.

The Minister of Health, Prof. Onyebuchi Chukwu,said recently at the mid-term evaluation of the plan in Abuja that the review would facilitate the emergence of an adjusted and reviewed National Tuberculosis and Leprosy Strategic Plan Suitable for funding from government Global Fund, USAID, Centre for Disease Control (CDC) and other partners.

The Director of Family Health at the Ministry, Dr. Bridge Okoegbule, represented the Minister at the occasion.

National Coordinator of the National Tuberculosis and Leprosy Control Programme, Dr. Olusegun Obasanya, stated that the programme has so far provided health services in some 4,000 health facilities across the country.

“We have gone midway, though yearly we have been looking at our progress, but midway, we need to stop to look at what we have done, look at our achievements, our challenges and from there, re-strategies to say okay, let’s look at how we have been doing and see how we can improve our situation.”

 

 

All health-related Millennium Development Goals to be achieved by 2015 – Minister (By Gracia Obi)

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Minister of State for Federal Capital Territory (FCT), OlajumokeAkinjide, said the Federal Capital Territory Administration (FCTA) was determined to achieve all health-related Millennium Development Goals in FCT by 2015.

She said: “The FCT Administration is committed to ensuring that the residents of the territory have the best quality of healthcare at the various levels of care.

“The administration is determined to achieve all of the health related Millennium Development Goals (MDGs) in FCT by 2015 and the transformation agenda of Mr. President.”

She assured that FCTA was committed to ensuring a world-class healthcare delivery in the territory, adding that the provision of quality and affordable healthcare delivery remained a top priority of the administration.

Akinjide gave this assurance during a training organised for biomedical technicians and engineers by the FCTA, in collaboration with a non-profit organisation based in the United States of America, Medshare.

She stressed that the training was in line with the administration’s transformation agenda of providing world-class and affordable healthcare delivery, from primary to tertiary healthcare facilities.

“Effective and efficient medical practice is dependent on availability of skilful human resources, functional diagnostic medical equipment and hygienic working environment.

“It is my utmost belief that this capacity building programme will generate ripples of change among biomedical technicians and engineers in handling and maintenance of our medical equipment and ensure their optimal functionality,” she added.

 

 

DRIVING THE INNOVATION NETWORK

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Nigeria

For all her problems, Nigeria has gotten some things right. She is still an investment haven; she is still the beautiful bride that is currently being courted by many international businesses that seek to create greater returns for their investment. The factors that influence the attractiveness of a country for investment includes:

FACTORS Degree (of 20)
Market growth rate 18.0
Market size 18.0
Access to international/ regional markets 14.4
Skilled labour 8.3
Cheap labour 8.2
Infrastructure 6.8
Suppliers 5.8
Government effectiveness 5.7
Natural resources 5.5
Following competitors 4
Availability of incentives 3
Local Capital Market 2.5

 

 

 

 

 

 

 

  At present, we have the five most important factors: a very high market growth rate (as seen in the telecommunication business), a large market size, access to regional markets, skilled labour pool and relatively cheap labour. Though someone might give me a knock on the skilled labour pool, but just let that one pass.

What is the nature of products that sell in our markets?

A close look at the nature of products that sell in our marketshowcases two major things:

  1. A global feel: Any selling product today must not look like it was made in Aba. It is not that people do not want to have Aba goods, it is just that our tastes have been conditioned for the global feel.
  2. Local Content Appeal: Though the winning products all have a global appeal, they must not be totally out of touch with our African feel and values. A case in point is the Nigerian music and video industry, which has succeeded in achieving a certain degree of global feel-value and a local content appeal. Another good example is in our designer clothes and highbrow restaurants. Mr Bigg’s eatery had to introduce the Village Kitchen to achieve this very balance.

 Characteristic of the players

If you should take a good look at the firms that have thrived in our nation, you would notice this commonality – the provision of a product/service with a global appeal that meets a local need. In the pharmaceutical industry, our local need relates more to our disease burden and the purchasing power of the populace. One should not forget that the pharmaceutical industry is not limited to drugs and medical devices, but encompasses the food processing industry – an area that is still very much untapped.

Generally, the majority of our earnings are spent on these global-feel, local need products. If your product/service is not in this category, you may need to work harder at it.

To participate in the market, some of the options include:

  1. Import the products and achieve effective marketing.
  2. Be a representative of a foreign firm and achieve effective marketing.
  3. Develop the capacity to produce the products locally and yet, achieve effective marketing.
  4. Develop the product/service with some unique characteristics and enjoy some exclusivity, while achieving effective marketing.

You do not have to look far to find examples of option No. 1, 2, 3. It is a game of numbers, most of the indigenous firms that have thrived, have done so by doing the first three.

Globalisation

The challenge with the first three, especially for a growing firm, is that the world has gone global. Asian firms do not need a middle man any longer to sell in Nigeria. Walmart can sell here and foreign investors can now repatriate 100 per cent of their investment.Now, this has immediate implications for the workforce and the future economy but that is beyond the scope of this article. The point to note is that Nigeria is attractive primarily because of the consumption power of the growing middle class; hence, relatively larger firms with greater marketing force and more affordable global-feelproducts would have all to gain, if they could meet the needs of this class.

It is obvious therefore that for a growing firm in Nigeria that seeks to be a player in the pharmaceutical industry, there are some really big odds to overcome. For most developed indigenous firms, the core competence is selling (the first three) and now globalisation implies that they would have to compete with global firms with greater manufacturing competence, finance and relatively more organised government.

 The Cheetah Challenge

It would not be wise for this firm to bury its head in the sand and convince itself that all is well, even for indigenous firms with impressive balance sheets, the time to engage is now. Now is the time to seek means for not only achieving continual prosperity but also the survival of the future generation. The answers would not only be a purely business decision, it would be more of a nationalistic posture. It is nationalistic because there could be other immediate ways to make money without having to engage in the struggle that could be demanded.

So, here are the questions:

How can I create or find a highly finished product with a global appeal and a local feel?

  1. How can I best leverage finance?
  2. How can I integrate research and development to my product offering?
  3. How can I maintain specialised technical skills?
  4. How can I maintain great managerial capacity and
  5. still be good at marketing?

 The Cheetah in the Challenge

To be able to develop a successful solution in the midst of this challenge, the demands on the management of this firm would be a bit higher than that of just selling a good product, since he may need to now create that good product. There is so much competition and the market is constantly moving; his best bet would be to have a niche market and to keep innovating around that niche market.

His innovation would be around product, processes and people.

In the pharmaceutical industry, this innovation could be expensive. This firm would need a certain level of thought leadership and technical partnerships for the development of products, services and processes that offer greater value.  One of the challenges would be to be able to merge his business capacity with novel technical competence borne from academic research, and this should not be a short term engagement, it should be done in a manner that leverages the best of tax incentives and other government shelters that favour indigenous research and development.

Some examples of where he could look to develop better products and processes would be in the:

  1. Herbal Medicine
  2. Information Technology
  3. Food processing industry
  4. Proprietary products

 He would need to become a thought leader in the chosen area of interest and to seek partnerships with other thought leaders.

THE STRATEGY

There would be need to create a framework for:

  1. Knowledge building.
  2. Capturing relevant technical expertise, including intellectual property acquisition.
  3. Developing an effective local and international business network for future business opportunities. This would be necessary for leveraging of financial structures.
  4. Maintain a strong grip on marketing.

The goal therefore is to create new products and services with certain levels of exclusivity. It is a necessary goal and for some firms it could be the only goal worth pursuing.

 Though the role of the government in protecting and advancing this processes cannot be overstated, for the individual firm, the acquisition of innovation should be a sustained management strategy and should be pursued even in relatively stable indigenous firms. The development of Asian pharmaceutical giants was arrived at via conscious focus on technical capacity acquisition and the development of novel products, while maximising the benefits of a large market size.

REFERENCE

Smart State Council. (2008) “Attracting investment into Queensland’s knowledge-intensive industries” Brisbane, Queensland Government.

How to manage hypertension

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Are you hypertensive and do not know the way out of it? The good news is that lifestyle management is key in living with hypertension. You are sure to get ample guidelines that will help you manage your condition effectively from this article.

Hypertension or high blood pressure is a condition in which the blood pressure in the arteries is chronically elevated. With every heart beat, the heart pumps blood through the arteries to the rest of the body.

Blood pressure is the force of blood that is pushing up against the walls of the blood vessels. If the pressure is too high, the heart has to work harder to pump, and this could lead to organ damage and several illnesses, such as heart attack, stroke, heart failure, aneurysm, or renal failure.

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

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

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

Some 73 million adults in the United States are affected by hypertension. The condition also affects about two million teens and children.

 

What causes hypertension?

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

Smoking

Obesity or being overweight

Diabetes

Sedentary lifestyle

Lack of physical activity

High levels of salt intake (sodium sensitivity)

Insufficient calcium, potassium, and magnesium consumption

Vitamin D deficiency

High levels of alcohol consumption

Stress

Ageing

Medicines such as birth control pills

Genetics and a family history of hypertension

Chronic kidney disease

Adrenal and thyroid problems or tumors

Statistics indicate that African Americans have a higher incidence of hypertension than other ethnicities.

 

What are symptoms of hypertension?

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

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

Severe headaches

Fatigue or confusion

Dizziness

Nausea

Problems with vision

Chest pains

Breathing problems

Irregular heartbeat

Blood in the urine

 

How is hypertension diagnosed?

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

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

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

How is hypertension treated?

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

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

Medical options to treat hypertension include several classes of drugs. ACE inhibitors, ARB drugs, beta-blockers, diuretics, calcium channel blockers, alpha-blockers, and peripheral vasodilators are the primary drugs used in treatment. These medications may be used alone or in combination, and some are only used in combination. In addition, some of these drugs are preferred to others, depending on the characteristics of the patient (diabetic, pregnant, etc.).

If blood pressure is successfully lowered, it is wise to have frequent checkups and to take preventive measures to avoid a relapse of hypertension.

How can hypertension be prevented?

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

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

Exams and tests

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

Blood pressure readings taken at home may be a better measure of your current blood pressure than those taken at your doctor's office. Make sure you get a good quality, well-fitting home device. It should have the proper sized cuff and a digital readout.

Practice with your health care provider or nurse to make sure you are taking your blood pressure correctly.

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

Tests may be done to look for:

•High cholesterol levels

•Heart disease, such as an echocardiogram or electrocardiogram

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

Treatment

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

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

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

•Eat a heart-healthy diet, including potassium and fiber, and drink plenty of water. See: High blood pressure and diet

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

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

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

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

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

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

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

There are many different medicines that can be used to treat high blood pressure. See: High blood pressure medicines

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

Possible complications

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

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

•Chronic kidney disease

•Heart attack and heart failure

•Poor blood supply to the legs

•Stroke

•Problems with your vision.

When to contact a medical professional

If you have high blood pressure, you will have regular appointments with your doctor.

Even if you have not been diagnosed with high blood pressure, it is important to have your blood pressure checked during your yearly check-up, especially if someone in your family has or had high blood pressure.

Call your health care provider right away, if home monitoring shows that your blood pressure is still high.

Prevention

Adults over 18 should have their blood pressure checked regularly.

Lifestyle changes may help control your blood pressure.

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

 

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

Dean laments deterioration in pharmacy practice

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Worried by the sharp decline of professionalism among pharmacists, particularly those in the hospitals and communities, Professor Isa M.Hussaini, dean, faculty of pharmacy, University of Maiduguri, has called for an urgent intervention of the two umbrella bodies of PCN and PSN to rescue the profession from further deterioration.

The dean, who spoke with Pharmanews in an exclusive interview, expressed his displeasure with the way and manner in which some pharmacists operate today, as against the novel practice that existed in the seventies and eighties.

“Pharmacy practice has deteriorated immensely, compared to 1970’s and 1980’s.  The decline is more apparent in retail (community) and hospital pharmacy practice. Most pharmacy practice in these two areas needs major surgical intervention. There is an urgent need for the Pharmacists Council of Nigeria (PCN) and Pharmaceutical Society of Nigeria (PSN) to save the profession in these two areas of practice,” he stated.

He went further to suggest that some of those facilities should immediately be closed or heavy fines should be imposed on them, if they refuse to improve on their practice. He noted that the storage facilities and environments where they operate are very filthy and hot, which definitely contribute to the deterioration of the active ingredients in the drugs.

The don, who has just been appointed a fellow of the Nigerian Academy of Science (NAS)  also listed major areas in the health care industry that need to be improved upon in 2013 to include: preventive medicine (vaccination and environmental hygiene), diagnostic medicine (radiology and pathology) and pharmacy practice (retail and hospital pharmacy).

Speaking on the link between academic research and human development in the society, he said academic research is the vehicle that drives human development in many societies. He noted that the two go hand-in-hand, and any society that ignores academic research is doomed to fail and will continue to depend on other countries for survival.

His words: “Any society that ignores academic research is doomed to fail and will continue to parasitise on other progressive countries and societies. The main reason why countries such as the United States of America (USA), Japan, Germany and Britain, just to mention a few, are developing very fast is due to huge investments in academic research.”

Urging Nigerians to follow the good examples of other developed countries in the area of academic research, he said the US spends over $50 billion on academic research through the National Institutes of Health and National Science Foundation. He stated that the returns from such investments are new and improved products that advance the lives of US citizens, and they export the technology/products to developing countries that lack capacities to do research but spend money on finished products.

As regards the activities of the committee set up by NAFDAC to verify the curative properties of some herbs for various terminal diseases, he said it is a welcome development which may save the lives of Nigerians and reduce astronomical cost of cancer therapy, but should be done with caution.

“The committee constituted by NAFDAC should only recommend herbs that have been scientifically validated to be effective in terminal diseases before recommending the use of such herbs. Toxicities of such herbs should also be established with LD50 values before patients are given such preparations. We had tested over 54 herbs that are claimed to have anti-cancer efficacies. We could only confidently confirm the robust activities of eight of such preparations in Glioblastoma multiforme (GBM) and breast cancer cells.”

 

Assessing the performance of pharmacist students, he described it as excellent, considering the prevailing situations in our universities and country, in general. He said just like before, students are willing to work hard and assimilate new materials and the state-of-the-art techniques. “Most of our recent graduates are doing exceptional well in hospitals and pharmacy schools.”

“My advice to pharmacy students is to endeavour to be honest, hardworking and graduate with the best grades possible. I expect them to do their best and the sky is their limit. They have mentors, role models and heroes in their faculties and in pharmacy practice outside the universities.”

“To my registered pharmacy colleagues and friends, I advice them to be of the highest integrity and protect the image of our novel profession. We formulate, manufacture and dispense the most important substance (drug) known to mankind. I advice my colleagues to store this drug in a clean environment at the right temperature, respect our client, the patient, with outmost respect and perform pharmaceutical care with the best professional integrity. Our knowledge of drug information and physical appearance should portray the importance and value of our noble profession.”

 

Coffee, caffeine and headaches: Exploring the relationship between Caffeine and headaches

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The consumption of coffee has been linked to reduction of headaches. This article seeks to explain some common terms often associated with coffee and headaches i.e. withdrawal headaches, weekend headaches and fasting headaches, and their possible association with caffeine use.

What is meant by the term “withdrawal headaches”?

Caffeine withdrawal headaches are headaches that occur when regular coffee drinkers discontinue coffee intake abruptly. This sudden cessation of regular caffeine consumption may result in headaches among sensitive individuals. The headache generally resolves within a few days or at most one week after consumption has stopped.  In addition, the headache disappears when caffeine consumption is resumed. It is important to note that caffeine withdrawal headaches are not experienced by all individuals; prevalence figures vary between 0.4 per cent and 50 per cent. Caffeine withdrawal headaches can easily be prevented by reducing caffeine consumption gradually in the days before cessation of consumption, for instance in the case of religious fasting or a surgical procedure.

Are “fasting headaches” related to caffeine consumption?

Fasting of food is an important precipitating factor of headaches, generally, and the probability of onset increases directly with the duration of fasting. In fact, some authors have mentioned the use of terms like “hunger” headaches often used when individuals have not had any food for some time and experience headaches associated with their hunger. Fasting headaches are one of the most common forms of secondary headaches, but much remains to be explained about the underlying patho-physiological mechanisms. Hypoglycaemia and caffeine withdrawal are suggested as potential triggers although fasting headaches may occur even when there is no hypoglycaemia and in individuals who do not normally consume coffee. Other factors like abstinence from water, genetic makeup or cultural factors may also contribute to fasting induced headaches.

 

Are “weekend” headaches related to coffee consumption?

Some individuals may experience headaches particularly on weekend mornings. Different explanations are proposed for this so called weekend headaches. It might be related to the changes in stress levels, or sudden disappearance of stress during the weekend. Changes in the pattern of sleep have also been suggested as an important cause or missing the usual early breakfast on weekend mornings or avoidance of caffeine on weekend mornings.

Does the occurrence of weekend headaches indicate that coffee is addictive?

The common sense use of the term addiction is that regular consumption of a substance becomes irresistible and that using it creates problems. Caffeine use does not fit this profile. Its intake does no harm to the individual or society and caffeine users are not compelled to consume it. Though cessation of regular caffeine use may result in symptoms such as headaches and lethargy, these are very moderate, compared to those induced by drugs of abuse. In addition, they are easily and reliably reversible or wane with time.

In summary, coffee has many beneficial health effects and has been shown to reduce symptoms in certain kinds of headaches. Understanding the science behind some types of headaches that had been hitherto associated with regular coffee intake will help individuals prevent some of these symptoms and fully enjoy the health benefits of coffee consumption.

 

References:

Coffee and health information bureau.Coffee and the brain.Stmiocommunicatie&presentiatieTiel, Netherlands. April 2011.

Nehlig A. Caffeine and headache: Relationship with the effects of caffeine on cerebral blood flow. In Nehlig A (ed) Coffee, Tea, Chocolate and the brain;CRC Press LLC, Boca Raton, floroda: 2004;175-186

ScherA  Caffeine as a risk factor for chronic daily headaches. A population based study. Neurology, 2004; 63: 2022-2027

Shapiro RE.Caffeine and headaches. Current pain headache rep. 2008 12:311-315

Torelli P et al Fasting headache: a review of the literature and new hypothesis. Headache, 2009; 49:744-752

Coutorier EGM Weekend attacks in migraine patients: caused by caffeine withdrawal? Cephalaga, 1992; 12:99-100

Being appointed a Fellow is highest honour in pharmacy profession – Pharm. Jimi Agbaje

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Pharm. Jimi Agbaje, managing director of JayKay Pharmcy, has described being appointed a Fellow of the Pharmaceutical Society of Nigeria (PSN) as one of the highest honours that can be bestowed on a member of the pharmacy profession.

This much was revealed during the just concluded PSN presidential inauguration ceremony of Pharm. OlumideAkintayo and investiture of 25 eminent pharmacists,which took place at the Muson Centre, Onikan, Lagos, on 24th March, 2013.

Also in attendance were Pharm AzubikeOkwor, immediate past president; Pharm. Ade Popoola, chairman, PSN Board of Fellows (BOF); Hon. NdudiElumelu, chairman, House Committee on Health;Foluso Phillips, president, National Economic Summit Group (NESG); Dr. Nelson Uwaga, PSN past president;Dr Joe Odumodu, chairman, Standard Organisation of Nigeria (SON) and Mazi Sam Ohuabunwa, a PSN Fellow.

Speaking on the theme “Repositioning the Pharmacy Profession – Role of Fellows,”Agbaje, who was the keynote speaker, said thatFellowship is an honour which recognises those individuals who have attained distinction in particular aspects of their pharmacy career.

“Since majority of fellowships are based on nomination from the State branches, and in few cases from members, it signifies the esteem in which a member of the Society is held by his peers. Fellowship is an honour that all members should aspire to,” he said.

Explaining further, the former Lagos gubernatorial candidate noted that,after about four decades of existence, the PSN decided to start honouring deserving outstanding members of the Society with the award of the Fellowship of the Society (FPSN).

The first to be so honoured was the late AzariahOlusegunRansome-Kuti, posthumously, in 1971. However, the number so honoured up to 2012 stood at 431, out of a registered pharmacists’ population of about 17,000, making them the creme-de-la-creme of the profession.

While lauding the virtue of the incumbent PSN president, Pharm. Okworsaid that he believed he is the best man for the job.

“The PSN is meant for those who can be president and I can assure you that OlumideAkintayo fits that bill. It is my pleasure to hand over to someone who can carry on with the splendid tradition of the society,” he remarked.

Foluso Phillips, chairman of the occasion, also challenged pharmacists at the gathering to define the role they have played so far in the society and Nigeria as a country.

“At times like this, it is always pertinent to ask what key performance indicator we set for ourselves. What are the advocacy platforms you have in the society? Where’s your voice in roll back malaria andpolio programmes in our country?

“Aside key performance indicators in our various professions, we need to seek alignment in playing our major roles. Today’s Nigeria is compelling us to remain firm, accountable and determined,” he stressed.

 

SKG pharma rewards trade partners, launches Novalyn Linctus

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As part of its activities to retain customers’ loyalty, SKG Pharma Limited organised a trade partners conference, to celebrate the patronage of all their customers across the country, as well as reward them for the businesses transacted with the company for the year 2012.

The conference, which was held at the De-renaissance Hotel, Ikeja, Lagos, also witnessed the launch of a new product, Novalyn Linctus, a herbal cough medicine for both adults and children.

Speaking with the managing director, Mr. Okey Akpa, in an exclusive interview at the event, he said the trade partners’ forum is an annual event where they appreciate their clients for being in business with SKG Pharma, and also get reasonable feedback from them about the performance of the company, as well as that of its field force.

“The first thing we gain from this conference is customers’ loyalty; celebrating our customers every year is part of our scheme to retain loyalty. For us, loyalty is a two-way thing; we remain loyal to them, and they are loyal to us.”

“The second thing is quality feedback because they are the bridge between us and the rest of the channels, right down to the consumers. Speaking to them enables us get quality feedback, without which the business is at risk. So, we see this as a very important occasion where we interact, and chart the way forward for the organization.”

Speaking on the launched product, the SKG boss said the cough syrup has natural ingredients, which contain honey, purified natural oil, lime oil, lemon oil and glycerol. Another advantage it has over competitive products is its non drowsiness.

“As a company, we don’t want to be seen in one mode, either as a herbal company or anti-herbal company. We are a holistic pharmaceutical company, and we are involved in research and development. At any time we are able to get a product that is going to get all the therapeutic values, and meet all the scientific standards, that allow it to be registered by NAFDAC and other regulatory agencies, we will be very happy to present it.”

The workshop facilitator, Mr. Lere Baale of Howes Consulting Limited, took the participants on the topic: “Accelerating Business Growth”. He said, for a business to survive in a global economic recession, it must see advertising and marketing as an investment, and not a luxury. Also, he noted that the organisation must keep away from pitfalls that can run the company aground, such as price reduction, let’s wait and see approach, withdrawal of advertisements, and non training of staff.

He further submitted that there is the possibility of growth through expertise, by recruiting the right kind of people, passing the values and cultures of the organisation to the staff, focusing on productivity and teamwork, and ensuring involvement and participation of staff.

The trainer urged the company and its partners to see opportunity in the health care industry, stating that if the health care delivery is not efficient enough, it is an opportunity to sell quality products to the patients, who are seeking quality health care services.

In his own contribution, the national president of the PSN, Pharm. Olumide Akintayo, who was the special guest of honour of the occasion, tasked the company on continuous improvement, in the face of new drug distribution guidelines, and the need to put in place a drug distribution system that will be respected all over the country.

The president also advised the customers of SKG to remain loyal and committed to the organisation, saying that since they have been promoted from the level of customers to partners, they should abide by the values of the company, in all ramifications.

 

 

 

 

 

KCI embarks on solidarity walk to raise awareness for renal disease

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As part of events lined up to mark World Kidney Day, Kidney Consultants International (KCI), a not-for-profit organization, in conjunction with Leadway Assurance, National Orientation Agency, Abeokuta and Ogun State Ministry of Health, commenced on a long walk through the city of Abeokuta to draw attention to the plight of people living with renal problems.

The walk, which started at 10.30 am on 14th March, 2013, also had in attendance representatives of Federal Road Safety Corps, Abeokuta, Nigerian Police, Super Foods Abeokuta, Rotary Club, Nigerian Association of Nephrology and Pathcare Nigeria, a Lagos-based diagnostic laboratory, as well as members of National Youth Service Corps.

According to Mr. Adebayo Sokunbi, operations director of KCI, the purpose of the day is to educate the public about kidney disease and to call attention of health authorities, all over the world,to the rising burden of the disease and the need to make policies to reduce the incidence.

During the walk, fliers were distributed which contained educative/preventive information on kidney disease made for the occasion by the National Orientation Agency,Ogun State branch. There was a brief stop-over at the Olubara of Ibara’s palace, along the Omida axis, to pay homage.

After the walk, which lasted for about 1 hour 30 minutes, the participants were all seated at the garden of the Abeokuta sports club for the educative/preventive health talk on kidney disease and free screening that followed.

This segment of the World Kidney Day activities was flagged off by the operations director of the Kidney Consultants International, Mr. Adebayo Sokunbi, who gave a welcome address.

During his keynote address,Ogun State commissioner for health encouraged guests on healthy living and the need for use of drugs, based on prescription.

The lecture for the day on the theme:Kidneys for life stop acute kidney injury was taken by Dr. Osagie Otasowie, medical officer at the Kidney Clinics, Abeokuta Dialysis Centre. He spoke broadly on the human kidney, its functions, problems, treatment and prevention, as well as the health and financial burden on the patient, relatives and the society at large.

Bringing home the point, in relation to the theme, he emphasised that acute kidney injury is treatable and,in fact, reversible when detected on time and medical attention is sought. He therefore advised the audience on the need for regular medical checkups, healthy living and most importantly, to seek medical help as soon as symptoms are noticed.

After the lecture, one of the chronic kidney patients, a 22-year-old, who is currently having his dialysis sessions at the Abeokuta dialysis centre, relived his experience to a bewildered audience.

This was followed by a free screening by a team of Pathcare Nigeria and Abeokuta dialysis officials. The tests conducted include urinalysis and random blood sugar, as well as measurement of blood pressure and body mass index.

A total number of 68 persons were screened and those with abnormal values were seen instantly by the doctor for referral.

 

GlaxoSmithKline unveils New Sensodyne Toothpaste Variant

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In addressing recurring cases of sensitive teeth, GlaxoSmithKline Consumer Nigeria Plc has launched a new variant of its Sensodyne Toothpaste – Sensodyne Rapid Action into the Nigerian market.

The unveiling of the product, which was held at Eko Hotel and Suites, Victoria Island, Lagos on 28th March, 2013 had several dentists, including Dr. A. C. Olojede (president of the Nigerian Dental Association), academic professors such as Prof. K. O. Savage (past dean of Faculty of Sciences in LUTH) and community pharmacists in attendance.

Speaking at the launch, Chidi Okoro, GSK Consumer’s managing director, explained that so many people are unaware of the available treatment options and are also under the perception that treating sensitive teeth can be a time consuming process.

“But with this Sensodyne rapid action variant, many will immediately experience quick and effective teeth sensitivity relief in the most practical way. This is because the product is formulated to offer relief within 60 seconds,” he observed.

According to him, dentine hypersensitivity is a common problem affecting 1 out of 3 people, yet many do not actively address it. People develop sensitive teeth when the soft, inner core of the teeth, becomes exposed. This can happen due to factors such as abrasion from tooth-brushing, acid erosion which dissolves the enamel or tooth grinding that causes the enamel to be worn away, leading to sensitivity.

Buttressing his view, Dr. Steve Mason, GSK’s global clinical director for Sensitivity and Acid Erosion, stressed that Sensodyne toothpaste has been clinically proven to relieve the pain of teeth sensitivity with continuous use.

While expatiating on symptoms associated with dentine sensitivity, Mason explained that sensitive teeth may be experienced by people aged 20 and above, and if left untreated, can infringe on the enjoyment of certain food and drinks.

“That is why people adopt all sorts of methods to avoid the pain of sensitivity, but the simplest solution is to use a brand of toothpaste such as Sensodyne Rapid Action that is specially designed for sensitive teeth,” he remarked.

Following a complaint made by one of the participants on the difficulty experienced in accessing the product in Osun State, Dr Bode Adesoji, GSK’s medical director for Anglophone West Africa, said that the organisation plans to set up warehouses in some of the affected states, to facilitate smooth distribution.

“I can reassure you that GSK will never promote quackery. Before any of our adverts hit the press, it is made to undergo rigorous scrutiny. Besides, we have a well structured distribution channel,” he enthused.

Sensodyne was first marketed in 1961 as the first desensitising toothpaste based on a strontium chloride formulation.

In addition to being a global brand, with over 52 years of proven pain relief heritage, Sensodyne is the first brand with its core equity built on dentist’s recommendation and it is the most frequently recommended in the desensitising toothpaste category.

Presently, other variants of Sensodyne toothpaste available in Nigeria include: Sensodyne Extra Fresh, Sensodyne Total Care F and Sensodyne Gentle Whitening.

 

In addressing recurring cases of sensitive teeth, GlaxoSmithKline Consumer Nigeria Plc has launched a new variant of its Sensodyne Toothpaste – Sensodyne Rapid Action into the Nigerian market.

The unveiling of the product, which was held at Eko Hotel and Suites, Victoria Island, Lagos on 28th March, 2013 had several dentists, including Dr. A. C. Olojede (president of the Nigerian Dental Association), academic professors such as Prof. K. O. Savage (past dean of Faculty of Sciences in LUTH) and community pharmacists in attendance.

Speaking at the launch, Chidi Okoro, GSK Consumer’s managing director, explained that so many people are unaware of the available treatment options and are also under the perception that treating sensitive teeth can be a time consuming process.

“But with this Sensodyne rapid action variant, many will immediately experience quick and effective teeth sensitivity relief in the most practical way. This is because the product is formulated to offer relief within 60 seconds,” he observed.

According to him, dentine hypersensitivity is a common problem affecting 1 out of 3 people, yet many do not actively address it. People develop sensitive teeth when the soft, inner core of the teeth, becomes exposed. This can happen due to factors such as abrasion from tooth-brushing, acid erosion which dissolves the enamel or tooth grinding that causes the enamel to be worn away, leading to sensitivity. 

Buttressing his view, Dr. Steve Mason, GSK’s global clinical director for Sensitivity and Acid Erosion, stressed that Sensodyne toothpaste has been clinically proven to relieve the pain of teeth sensitivity with continuous use.

While expatiating on symptoms associated with dentine sensitivity, Mason explained that sensitive teeth may be experienced by people aged 20 and above, and if left untreated, can infringe on the enjoyment of certain food and drinks.

“That is why people adopt all sorts of methods to avoid the pain of sensitivity, but the simplest solution is to use a brand of toothpaste such as Sensodyne Rapid Action that is specially designed for sensitive teeth,” he remarked.

Following a complaint made by one of the participants on the difficulty experienced in accessing the product in Osun State, Dr Bode Adesoji, GSK’s medical director for Anglophone West Africa, said that the organisation plans to set up warehouses in some of the affected states, to facilitate smooth distribution.

“I can reassure you that GSK will never promote quackery. Before any of our adverts hit the press, it is made to undergo rigorous scrutiny. Besides, we have a well structured distribution channel,” he enthused.

Sensodyne was first marketed in 1961 as the first desensitising toothpaste based on a strontium chloride formulation.

In addition to being a global brand, with over 52 years of proven pain relief heritage, Sensodyne is the first brand with its core equity built on dentist’s recommendation and it is the most frequently recommended in the desensitising toothpaste category.

Presently, other variants of Sensodyne toothpaste available in Nigeria include: Sensodyne Extra Fresh, Sensodyne Total Care F and Sensodyne Gentle Whitening.

 

OAU inducts 98 pharmacy graduates,17 bag distinctions

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 It was a carnival like arena as parents, guardians, friends and dignitaries in their hundreds trooped into to the prestigious Oduduwa Hall of the Obafemi Awolowo University (OAU), Ile-Ife, Osun State, to witness the professional induction and oath-taking ceremony for the ninety-eight pharmacy graduates for the 2011/2012 set. The ninety-eight about to be inducted graduands, who were brimming with smiles, were already seated with their colourful academic gowns as early as 10am, when the programme commenced.

The induction ceremony, which was under the chairmanship of the vice-chancellor of Obafemi Awolowo University (OAU), Professor Bamitale Omole, who was represented by dean, Faculty of Arts, Design and Management and chairman, Committee of Deans, Prof Fadare, also had in attendance several eminent guests, such as Pharm. (Sir) Ifeanyi Atueyi, publisher, Pharmanews; HRM Oba Pharm. OlatundeFalabi, who was represented by Chief Falana, the Aremo of Ikireland; Pharm. Ade Popoola, chairman, Board of Fellows and group managing director, Reals Specialties, Lagos;Pharm. (Dr). Lolu Ojo, national chairman, National Association of Industrial Pharmacists and the managing director, Merit Healthcare Limited, Lagos, who was also the keynote address speaker; Pharm Olumide Akintayo, president, Pharmaceutical Society of Nigeria, who was represented by the chairman, PSN, Oyo State, Pharm Lekan Fashesin; Prof O. O. Bolaji, dean, Faculty of Pharmacy, OAU; Mrs. Oluwatayo Omotoyinbo, director of Pharmaceutical Science, Federal Medical Centre, Owo, Ondo State; Pharm A. L. Akinbile, chairman, PSN, Osun State; Prof Adio Ogunbona; Prof Omolara Orafidiya; Prof Mrs.Ajarat Ibrahim, among others.

While delivering his speech, the vice-chancellor, Prof Bamitale Omole, disclosed that he was delighted that the programme came at a time when the institution and the faculty are still celebrating 50th year anniversary. “In the first instance, I am happy because it is the 50th anniversary of starting pharmacy graduate programme in the institution and I am also very happy to be identified with you people because you belong to a profession that is very important, because they are life savers. Without pharmacists, the whole world would have been upside down and a lot of people would have died of treatable sicknesses.”

He therefore urged the graduating students to always strive to live beyond mediocrity in their day to day activities and trust their instincts, when facing challenges. He also advised that they should continuously strive to work hard, as the scope of pharmacy profession has changed from what it used to be to an advanced level, hence the need for them to continuously learn and upgrade themselves, so as to give the best service in their field.

“I urge you to be compassionate at all time and also listen to people’s needs and concerns. As you become members of a distinguished profession like pharmacy, I urge you to learn more on how to improve parental care. Aim very high; after all, you graduated from the premier school of pharmacy in the country. Feel compelled to lead in your chosen profession. As you are inducted today, OAU is ranked among the ten best universities in Africa and presently, the number one in Nigeria, and we are ready to sustain this development.”

Continuing, he said, “We have quite a lot of challenges, especially in the aspect of funding. We need funds for research and infrastructural development, so we solicit for financial assistance from our alumni present. Meanwhile, the new pharmacy building would be handed over to the faculty in the next six months and contracts for the roofing of the old faculty building and purchase of a thirty-seater bus for the faculty has been awarded. This shows how much we value pharmacy profession in OAU, and we hope to do more.”

In his goodwill message to the inductees, Pharm. (Sir) Ifeanyi Atueyi appreciated the institution for extending invitation to him to witness such an occasion and to visit his alma mater once again, which according to him, makes him look younger. “Pharmacy is not easy and this is evident in the fact that it is not all that start that finish. Let me state that my experience is unique. No two persons are identical and so their experiences will not be expected to be the same. Our destinies are different; therefore, our routes in life are also different.

“This is my advice to you, before you engage in the practice of different aspects of the pharmacy profession, when you do what you love to do, money will definitely follow you. I also urge you to work in the area of your strength or competence, and as well aim at being and doing your best in all you do. It is also important for you to embrace integrity and honesty, which can move you faster than connections, influence and intelligence, and as well focus and concentrate on what you love to do.

“It is also important to demonstrate diligence in your work and also persevere, especially when facing with oppositions or difficulties. Your initial work may not be what God wants you to be doing. If so, you will not truly prosper. You may have to change jobs, when necessary, until you are in the area of your calling; endeavour to ask God for direction. It is also advisable that you maintain eating and drinking. Cut down your consumption of salt, sugar and products made with white flour, junk food and fats. These have been implicated in degenerative diseases like hypertension, diabetes, heart diseases, kidney diseases, cancer, etc which manifest towards old age. Finally, you shouldn’t make the mistake of leaving God out of your life or business. All your intelligence, money and accomplishments amount to nothing, without God’s blessing.”

Dr Lolu Ojo, in his keynote address titled “Professional Character, Relevance and Integrity” defined a professional as the one who willingly adopts and consistently applies the knowledge, skills, and values of a chosen profession; while he defined character as the combination of qualities or features that distinguish moral or ethical strength, capacity, position or status; also adding that it is a characteristic property that defines the apparent individual nature of something.

He explained that there is no reason why pharmacists should be inferior to other healthcare practitioners, especially doctors; adding that pharmacy is a precision science and any mistake from a pharmacist could lead to the death of so many people at a time. He also added that without pharmacy, healthcare has no substance and credibility.

He however lamented the drop in the education standard and low quality of university graduates. “When we were in school, they made us believe that, as pharmacy students, we have no time for social activities, and we adhered strictly to that; but the question begging for an answer is: what is the quality of the university graduates that we turn out today? Under what environment is the teaching taking place? What tools are we using to teach? How is the knowledge impacted and what do we teach?”

Speaking further, Lolu Ojo, who was one-time president of the Pharmaceutical Association of Nigerian Students (PANS), OAU, chapter during his university days, while congratulating the graduating students, also advised them that success in life is not about fame or acclaim, but a venture tried, a challenge met, and a future that they embrace, which is successful only if it makes the world a better place to live in.

“To the new pharmacists, these are the few success tips that I have for you: If you do not go after what you want or desire, you will never have it. If you do not ask, the answer will always sound like a no. If you do not step forward, you will always be in the same place. If you remain in the same place, you will never see what lies ahead of you. And if you do not know what lies ahead, you will never aspire.”

Earlier in her remarks, Pharm. (Mrs) G.O Abumere, the acting registrar, Pharmacists Council of Nigeria (PCN), disclosed to the graduands that the attainment of a university degree in pharmacy by a student is the beginning of a great and bright future, as they would still have to undertake twelve months internship training, to expose them to practical applications of the theories they were taught and now equipped with. She added that they would now be provisionally registered by the Pharmacists Council of Nigeria, the agency of the Federal Republic of Nigeria, charged with the responsibility of regulating the training and practice of the pharmacy profession, so as to allow them practise.

She noted that the production of additional ninety-eight pharmacy graduates from the institution would again help to address the paucity of pharmacists in the healthcare delivery system of the country. “This number of pharmacists would definitely increase the circle of influence of the pharmacy profession. It is also hoped that these young graduates will go out there to halt the declining trend in the health indices of our dear country, Nigeria. I enjoin you to be good team players with other healthcare professionals, in the best interest of the patients and the society at large.

“I wish to bring to your notice that pharmacists have the obligation in ensuring the rational use of medicine and health commodities, helping patients achieve and maintain good health by optimising prescribed medications. The increasing availability of medicine and their de-classification from Prescription Only Medicine (POM) to over the Counter (OTCs) medicines bring to the fore the need to monitor, not only the efficacy of medicines, but their safety as well. This can be done by no other than the pharmacy professional. The work of the pharmacist includes but is not limited to: dispensing of medicines, patient counselling, education and information of patients, adviser to the medical practitioners, promoting rational and safe use of medicine, detection of known and unknown adverse drug reactions (ADRs), identification of predisposing risk factors to use of medicines, pharmacovigilance, molecular synthesis and development, drug discovery and research.”

While lauding the institution’s efforts so far, as the premier school of pharmacy, Pharm. Abumere further urged the graduands to set good examples of moral behaviour in their profession, home and social life, and as well discharge their jobs with sincerity and with all their hearts, adding that the code of ethics is indispensable for the practice of the pharmacy profession.

Is the provider reimbursement mechanism under the NHIS adequate? By Dr. Chidi Ukandu

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Introduction

The launching of the NHIS in 2005 heralded a change in the method providers are reimbursed in Nigeria. Prior to this time, providers were mainly reimbursed on a fee-for-service basis and salaries.

The NHIS employs capitation, fee-for-service and per diem as the major methods for reimbursing health care providers. The new reimbursement method has been raising a lot of furore, since its introduction. Providers (hospitals and clinics) with small numbers of lives have often complained that the capitation fee is too small, whilst other providers such as pharmacists, and laboratory scientists, insist that they should be capitated directly, instead of receiving payments from hospital and clinics (for primary care services).

This article examines various methods for reimbursing health care providers and recommends reforms, if  necessary (in the context of the advantages and disadvantages of alternative methods of doctor’s reimbursement).

To arrive at conclusions, firstly, an overview of payment systems is carried out, the predicted impact of the various systems on quality, quantity and efficiency of healthcare services is enunciated, and suggestions are made regarding possible reimbursement systems.

 Overview of payment systems

There are seven main ways of paying providers: Fee-for-service (FFS), Salaries, Capitation, Daily Payment or Per Diem (for hospital stay), Case Payment (per visit or admissions), Budget, and Bonus (performance based) payment.

 The FFS System

This involves the remuneration of doctors per unit of service rendered. It rewards doctors according to the amount of work carried out. It is commonly used in Belgium, France, Germany, U.S.A. and Canada.

Advantages

  • Enhancement of Productivity or Internal Efficiency
  • Promotion of cost-effectiveness

Disadvantages

  • Provision of unnecessary services (particularly when the workload is low, treatment options are ambiguous, and the fees are set at a profitable level)
  • Reduction in quality of health care services
  • Relatively high cost of administration

Capitation

This is a method of paying health care providers or insurers in which a fixed amount is paid per enrollee to cover a defined set of services over a specified period, regardless of actual services provided. Capitation payment is used in Denmark, Italy, the Netherlands, United Kingdom, Costa Rica, Indonesia, and in HMOs in the United States.

Advantages

  • Reduction in health care costs
  • Incentive to promote use of preventive services
  • Lower administrative costs

Disadvantages

  • Risk selection
  • Reduction in quality of care

 Salary

Under this system, the physician is paid for units of time. Remuneration is independent of the volume of services and independent of the number of patients.  The salary payment to doctors is common in planned health care systems. For example, all hospital-based doctors in China and the United Kingdom are salaried. Doctors who take care of patients in outpatient health centers are often salaried in Finland, Greece, India, Indonesia, Israel, Portugal, Spain, Sweden, the former Soviet republics, Turkey, and many countries in Latin America.

Advantages

  • No incentive for over or under provision of services.
  • Makes health care planning easier. This is because the doctor’s salary is known in advance.
  • Lower monitoring and administrative cost.

 

Disadvantages

  • Low incentive for productivity and cost effective care
  • Poor morale
  • Low quality care

Despite its many disadvantages, the salary payment is still the most popular payment method around the world.

Budget

The budget is a prospective payment method in which health care providers are paid an amount per given period (usually a year) for specified service provision responsibilities. It is presently used in Germany, U.K., China, Hungary, Israel and Canada, and is increasingly becoming popular. Budgets vary in their structure and implementation modalities amongst various countries.

Advantages

  • Makes cost of health care predictable
  • Increases internal efficiency

Disadvantage

  • Reduces quality of care due to transfer of all risks to providers

Bonus

The bonus is a payment that awards the payee extra money for achievement in association with established indicators of objectives. Various types of bonus systems exist in U.K., U.S.A., Indonesia, Canada and China. Although bonus systems are becoming increasingly popular, few studies in the health sector have analyzed the theoretical and practical effectiveness of the system.

Implications

From the above, it is clear that Provider Payment systems have their advantages and disadvantages. The choice of the ideal payment method for any health care system will depend on the historical, socio-cultural, economic and healthcare structure within which they are applied.

Conclusion

Incentives through provider payment systems influence provider behaviour and ultimately healthcare outcomes. The current provider reimbursement systems adopted by the NHIS appears adequate.

But it may be necessary to introduce some minor reforms, such as setting a minimum enrolee panel size, where capitation payment will commence for some providers. For example, providers with a panel size of 49 and below may be reimbursed on fee-for-service basis only and capitation introduced, when the enrolee panel rises to 50 and above. In addition, the bonus system may need to be added and tied to providers meeting health prevention objectives such as compulsory annual physicals for all enrolees.

 

PHARMANEWS WORKSHOP ON EFFECTIVE LEADERSHIP AND CHANGE MANAGEMENT IN HEALTH SERVICES 14th – 15th MAY 2013

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Delivering effective and efficient health care service is the role of leaders and managers in health care service systems. At every level of management, from top-level to junior level management, health care personnel are tasked to employ the best of their clinical, technical and management skills to ensure optimal service delivery. Continuous professional development is therefore required to further develop the capacity of personnel to meet present and emerging challenges. The Pharmanews workshop on Leadership and Management is designed to make this human capacity development possible.

For 20 years, Pharmanews Ltd has offered training and consultancy services to health care personnel in Nigeria. The company is accredited by the Centre for Management Development (CMD) as a management training institution. Our programmes have benefited pharmacists, doctors, nurses, medical laboratory scientists, pharmacy technicians, distribution managers, store officers, and other health care personnel.

We request that you please send us your nominations to the training workshop on the course below:

COURSE:                       EFFECTIVE LEADERSHIP AND CHANGE MANAGEMENT IN HEALTH SERVICES

 Date:                  Tuesday 14th and 15th Wednesday May, 2013

Time:                  9:00am – 4:00pm

Venue:               Pharmanews Training Centre

                            8, Akinwunmi Street, Mende, Maryland, Lagos

 Target Participants: Doctors, Pharmacists, Nurses, Medical Lab. Scientists and other Clinical, Administrative, and Technical personnel in the health care and Pharmaceutical industry.

Course Content:

  • Leadership and Change Management
  • Financial Management of Health Care Services
  • Effective Service Management Protocols
  • Opportunities and Challenges of the NHIS

Course Objectives:

  • To equip participants with the requisite Leadership and Management skills required for achieving optimum health care service delivery.
  • To educate participants on the relevance of Financial Management in health care services and to develop their capacity to meet the gaps in the public and private sector.
  • To enable participants understand the Protocols for Effective Service Management.
  • To educate participants on the trends, challenges, and opportunities in the implementation of the National Health Insurance Scheme in Nigeria.

 Registration:

Registration fee is N47,000 per participant. The deadline for registration is 30th of April, after which N49,000 will be paid. On-site registration of N49,000 will also be accepted at the workshop venue.

Registration fee covers tea/coffee break, lunch, workshop materials and certificates ONLY.

Group discounts:  3 – 5 participants – 10%,    6 and above participants – 15%

Cancellation: For cancellation of registration fee, 90% of the fee will be refunded, if cancelled at least seven (7) days to the workshop and this information communicated to us by sms or email only using: pharmanews@yahoo.com or info@pharmanewsltd.net. There will be no refund if cancelled thereafter.

Method of Payment:

Participants should pay into Pharmanews Ltd account in Zenith Bank Plc A/c No. 1010701673 or Access Bank Plc A/c No. 0035976695 and send their full names and bank deposit slip numbers by sms or email to Pharmanews Ltd.

For more information, contact:

Cyril Mbata                               –   0706 812 9728

Nelson Okwonna                       –   0803 956 9184

Elizabeth Amuneke                  –   0805 723 5128

Ifeanyi Atueyi                            –   0803 301 5991

 

 

 

 

 

FACULTY OF PHARMACY OBAFEMI AWOLOWO UNIVERSITY, ILE- IFE INDUCTION CEREMONY, 4TH APRIL, 2013. Comments by Pharm. Ifeanyi Atueyi, KSC, FPSN, FPCPharm.

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I really do appreciate your invitation to this induction ceremony. It is an opportunity to visit my alma mater once again.

May I congratulate the graduands and their teachers; you have all done well. As graduands, you now have the freedom to embark on a new phase of life for which you’ve been adequately prepared.

I know you would like me to share some thoughts and experiences with you on this occasion. Let me state that my experience is unique. No two persons are identical and so their experiences will not be expected to be the same.

Our destinies are different; therefore, our routes in life are also different.

My Uncle’s counsel

 

My uncle had groomed me for Medicine but I preferred Pharmacy. I quote here an extract from his letter to me dated March 3, 1961, before I entered this university in September of the same year.

 

‘… What I would have advised is Medicine, as first choice. But if you definitely dislike it … Many young people, in choosing a profession, look for that which brings most wealth or the highest social status, and they usually imagine that Medicine gives both. I hope you are aware that that is not my aim in recommending Medicine. As a matter of fact, I would strongly advise you not to place material wealth and social pomp in the forefront. Rather, you should pray to God to find you a profession in which you  will be a good Christian and, if possible, one that you will enjoy, not for the money or position it brings but simply for its own sake…’ (Emphasis mine).

 

After 52 years of my uncle’s counsel and 49 years of my practice as a pharmacist, I wish to pass on my own advice to you before you engage in the practice of different aspects of the Pharmacy profession.

 

 

  1. Do what you love to do. Do not look for where you will make more money. Look for what you will enjoy doing. Money will definitely follow you.
  2. Work in the area of your strength or competence. This is where your talents, gifts, skills and abilities can be fully utilised.
  3. Aim at being and doing your best in all you do. Cultivate the spirit of excellence. Aim at winning a prize, even if it is imaginary. It could be real. Realise that you are working for God and He demands high standards of performance.
  4. Integrity/Honesty: This can move you faster in life than your connections, influence and intelligence. Let your yes be yes and your no   be no. Shun cheating and stealing. They will destroy your character and reputation.
  5. Focus and Concentrate:  Nobody is created to be an expert in everything. There are other people to handle other things.  Therefore, focus and concentrate on what you love to do as your major. Any other thing will be ancillary.
  6. Diligence: Demonstrate diligence in your work.  Work hard but also know your limits. Slack hand leads to poverty.
  7. Perseverance: Many ventures fail because the owners lack the spirit of perseverance. Don’t give up at the slightest opposition or difficulty. Persevere.
  8. Your initial work may not be what God wants you to be doing. If so, you will not truly prosper. You may have to change jobs (when necessary) until you are in the area of your calling. This is where you have fulfilment, peace of mind and success. Ask God for direction.
  9. Maintain discipline in eating and drinking. I believe that cigarettes and strong alcohol are not for you. While still young, cut down your consumption of salt, sugar and products made with white flour, junk food and fats. These have been implicated in degenerative diseases like hypertension, diabetes, heart disease, kidney disease, arthritis, diabetes, cancer etc which manifest towards old age. Consume fresh fruits and vegetables which can keep away various diseases including cancer.
  10. Depend on God: Don’t make the mistake of leaving God out of your life or business. Make God your priority always. All your intelligence, money and accomplishments amount to nothing without God’s blessing.

 

  1. Thanks. 

De-worm the children, De-worm the nation (By Adebayo Oladejo)

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According to the World Health Organisation, nearly 2 billion people worldwide are infected with soil-transmitted helminthes (intestinal worms) or water-borne trematode worms called schistosomes. Many of those affected by worms live in low-income countries and do not have access to clean water and functional sanitation systems. Worm infections, while not immediately life-threatening, can have a significant negative impact on a child’s cognitive ability and general health. For example, children who have worms are more likely to become seriously ill and less likely to attend school on a regular basis. Worms also present a barrier to increased economic development since children who have worms are less likely to be productive, as adults.

A number of prominent health organisations and experts have promoted the deworming of children in the developing world as a potentially effective public health and development strategy. Because of the relatively low cost of intervention, deworming has attracted the attention of public health officials, development experts, and others concerned with global health, with early studies suggesting positive effects.

Helminths or worm infestations refer to worms that live as parasites in the human body and are fundamental cause of disease associated with health and nutrition problems beyond gastrointestinal tract disturbances. Globally, over 3.5 billion people are infected with intestinal worms, of which 1.47billion are with roundworm, 1.3 billion people with hookworm and 1.05 billion with whipworm. School children aged 5 – 15 years suffer the highest infection rate and worm burden that attributes to poor sanitation and hygiene.

 

According to Pharm. Adeshina Bashir, head, sales and marketing, Shalina Healthcare, worms are very dangerous for children because its manifestation and symptoms often takes time before it become evident. Bashir further advised that every child must be dewormed at least once in every six months as worms consume nutrients from children they infect, thus retarding their physical development.

 

“Worm affects children basically the normal way they live their lives. Children, especially those from poor background likes playing on the ground, eating without washing and eating of uncooked food and these are the avenue through which they get infected by worms. Meanwhile, worm infection is totally different from other diseases like malaria and others because it is basically asymptomatic.”

 

Bashir however advised that, people should not only look at de–worming exercise from the aspect of de-worming once in six months alone, but rather find ways to prevent it as well. “To do these, parents should always ensure that their children eat well cooked food, they don’t walk about bare footed and they wash their hands whenever they want to eat.

 

Also speaking in the same vein, Pharm.PemiOladipupo, the Association of Community Pharmacists of Nigeria (ACPN), Lagos State chapter’s coordinator for Ketu/Ojota/Ogudu/Magodo zone disclosed that one of the advantages of school based de worming exercise for primary school children is to enable those who do not have access to good health care and proper sanitation to benefit from what the children of the rich are enjoying.

 

According to him, it has been discovered that majority of children who attend public schools and few private schools do not have access to proper healthcare. “In accordance with UNICEF and WHO standard, children and even adults should be de-wormed once in every six months, but due to poverty and other limitations, you would discover that majority of those children may not be de-wormed even once in three years.”

 

“De-worming is very important, especially at the early years of pupils. If there is worm in their system, it can lead to their immune system being reduced, infection can also come in, such a pupil would also experience malnutrition, it destroy tissues and organs, causeabdominal pain, diarrhoea, intestinal obstruction, anaemia, ulcers and other health problems. All ofthese consequences of infection can slow cognitive development and thus impair learning.

 

He also added that de-wormingschool children by anthelmintic drug treatment is a curative approach for expelling the heavy wormload. However, drug therapy alone is only a short-term measure of reducing worm infection and reinfectionis frequent. Control measures through improved sanitation, hygiene and de-worming areneeded to prevent infection and re-infection.

Speaking further on the dangers inherent in not de-worming children, he disclosed that there are a number of measures being taken to prevent infections caused due to the human parasites viz., hookworm, pinworm, roundworm, tapeworm and whipworm. He added that worm infestations often cause serious health problems and impact a child's ability to attend and perform well in school.

Meanwhile, according to UNICEF report, researches have shown that regular de-worming can substantially increase school attendance and significantly improve a child's ability to learn in school. Eventually the growth rate and weight gain of children who are regularly de-wormed is higher than those who aren't. Hence regular de-worming is the best solution for many of the childhood illnesses.

The report further revealed that in most cases, de-worming once every six months is sufficient for children and adult. But, if one suspect that a child is getting worms more frequently, de-worming such a child or the whole family more frequently as deemed appropriate by one physician may be necessary. Except tapeworms (as in the case of pinworm or whipworm infection), a second dose may be necessary after two weeks or 73-75 days after the first dose to break the life cycle/to kill the migrating larval forms of these parasites. In any case, de-worming the whole family twice a year is important.

However in Nigeria, 45 percents of school-age children, totalling nearly 12 million, are estimated to be infected with parasitic worms. Nigeria has an integrated Neglected Tropical Disease (NTD) control policy and plan, a school health policy and school feeding guidelines that all include school-based deworming, and within these frameworks, the federal ministries of health and education have all agreed to work in collaboration specifically on school-based deworming.

In respect to this, in 2011, Ogun State was identified by the Federal Ministries as an area of very high prevalence where pills were available and the State Government would benefit from a comprehensive technical assistance package to enable them to act on the federal policies related to school-based deworming. In response, a group called Deworm the World (DTW) assisted with high level advocacy within the State, which led to the convening of a school-based deworming working group. This group, in close partnership with DTW developed a program plan, targeting strategy and budget.

The State Government was then able to leverage funding for a pilot program that reached three Local Government Areas, trained over 500 teachers, community workers and health workers, and targeted over 100,000 children for treatment for STH and schistosomiasis. The pilot was carried out with financial support from UNICEF and was collaboration between State and Federal Ministries of Education, State and Federal Ministries of Health, the State Universal Basic Education Board, and the Rural Water and Sanitation Agency. While, DtW provided technical assistance and catalytic funding throughout, helping to lead the master training and supporting key components of the training and pill distribution cascade.

Also in November last year, over 23,025 million tablets of Praziquantel were donated through World Health Organization (WHO) by Merck to support the scale-up of treatment of Schistosomiasis, a widespread Neglected Tropical Diseases (NTD). This was acknowledged at a ceremony in Abuja on 8th, November 2012 to highlight the collaborative efforts of Merck, the government of Nigeria and the WHO in the control of schistosomiasis in Nigeria. Schistosomiasis is a worm-like disease stunts growth and cognitive development that causes anaemia, and in pregnant women, and can lead to an increased risk of delivering underweight babies. In Nigeria, more than 30 million people, mainly children, were said to be at risk of schistosomiasis.

Speaking at the event, the Officer in Charge of the WHO Country Office in Nigeria, Dr Alex Gasasira said, the life-saving drugs will be used to treat school-aged children and adults who are most at risk, such as those in endemic areas, and with occupations involving contact with infested water – such as fishermen, farmers, irrigation workers – and women whose domestic tasks bring them into contact with infested water. He added that the treatment will also be complemented with health education. According to WHO, the therapy is considered the most effective intervention in the fight against the parasitic worm disease.

The Commissioner of Health in Ogun State, Dr.Olaokun Soyinka, last year at a deworming exercise programme in the state noted that the most disadvantaged children, such as girls and the poor, often suffer most from ill health and malnutrition, and gain the most benefit from deworming. “Regular desparasitation (deworming) will help children avoid the worst effects of infection, especially where there is no improvement in sanitation; with the overall effects on physical growth, cognitive performance, and improved school attendance,” Soyinka said in a statement signed by the Information Officer in the State Ministry of Health, Miss SeunOyelade.

It is therefore suffice to say that the benefits of deworming the children are immediate and enduring. It has been proven to reduce school absenteeism by 25 per cent, and with the low cost of treatment, regular deworming of children can also prevent the parents from spending unnecessarily on the health and wellbeing of their children.

Also, regular deworming of children can also leads to higher income and literacy as these children grow to adults. Children regularly dewormed are shown to earn over 20 per cents more and work 12 per cent more hours as adults, while those who remain persistently infected are 13 per cent less likely to be literate.

The effects of deworming the children are not limited to just those children who receive treatment. It also positively impacts their siblings and other children who live nearby. Children who were less than one year old at the time of being dewormed in their communities are shown to have large cognitive improvements equivalent to half a year of schooling.

Regular deworming also contributes to good health and nutrition for school-age children, which in turn leads to increased enrolment and attendance, reduced class repetition, and increased educational attainment. It also leads to greater earnings and workforce participation when these children grow to be adults. The most disadvantaged children often suffer most from poor health and malnutrition, and gain the most benefit from deworming.

 

 

 

Education crucial in diabetics prevention, treatment – Dr. Solana-Sodeinde

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The best way to enhance the prevention and treatment of diabetes in Nigeria is to properly educate the care givers and patients on the symptoms, risk factors and diet issues as it relates to the health condition, Dr. Diana Solana-Sodeinde, has said.

Dr. Solana-Sodeinde, a regulatory management officer at the Food Drug Agency (FDA) Office of Generic Drugs spoke with Pharmanews in an exclusive interview during the 85th Annual National Conference of the PSN, held in Abeokuta, Ogun State, last November.

Solana-Sodeine, a member of the Nigerian Association of Pharmacists and Pharmaceutical Scientists in The Americas (NAPPSA) who presented a paper on the topic: “Living sweet with diabetes – the role of Nigerian Pharmacists in diabetes management” at the conference said that proper education is crucial to diabetes control and management.

“People need to know how to take menu that are low in calorie and less in carbohydrates.  People also need to know the health benefits of consumption of less alcohol, quitting smoking and doing regular exercises, she said.

She stressed that proper education is therefore crucial to enhance lifestyle medication that will ensure that Nigerians eat the right diet and do regular exercise.
Dr. Solana-Sodeinde lamented that Nigeria currently have about 3 million people living with diabetes, which makes the country the most populous African country with diabetes, adding that the WHO has projected that by 2030, the figure will increase to four million, three hundred thousand people. These figures, she said are very high.

She urged the government to get the mass media involved in educating Nigerians on this medical disorder.  “Just like it is being done for HIV/AIDS, people need to be informed and educated about diabetes and the government should do more an enlightenment,” she said.

She said that NAPPSA is desirous of doing more to help improve health care in Nigeria, adding that the association will continue to help in any way possible to curtail the spread of diabetes and other non-communicable disease and even communicable diseases like HIV/AIDS, malaria and TB.  “We will try and help our country,” she said.

 

 

 

Human Resource Management, our major challenge in community pharmacy –Pharm Afolabi

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Pharm. Adetutu Afolabi, the managing director, Wellness Pharmacy and the financial secretary, Association of Community Pharmacists of Nigeria (ACPN), Ketu/Ojota/Magodo/Ogudu/Shangisha Zone is a reporter’s delight, any day. However, fixing an appointment with her is very difficult. She has such a busy schedule that one wonders how she copes with other things, aside from professional calls. In an interview with Pharmanews in her office at Ketu Alapere, Lagos, Pharm Afolabi spoke on some of the major challenges facing community pharmacists in Nigeria and equally addressed the challenges facing the practice as a whole.

 

Below is the excerpt:

 

Can you tell us what led to the establishment of Wellness Pharmacy?

We established Wellness Pharmacy because, aside being a pharmacist, there was a need to be available for our kids. Glaxo Smithkline was my former employer and my husband then was a staff member of Nestle Nigeria. There was a year we had to attend a sales conference at the same time. Meanwhile, we had a baby of about four to five months old and there was no one to leave the baby with.We had to find somewhere eventually to take the baby to. When we came back, we thought about it and concluded that we owe our children our time, so we thought about starting a business. That was how Wellness Pharmacy was established in 2007. But it became fully operational in 2008, when I resigned fully to manage the business.

 

Do you have so much money to start this business?

Except someone is giving you a lot of money to start your business, most of the time, what you have is never enough, and you just need to move on, follow your dream. We paid the rent in instalments, borrowed money from family and friends, collected stock from colleagues and wholesalers, paid the man that made the shelves in instalments.  We are happy we had the guts to start and we have been able to add value to peoples’ lives.

 

Tell us some of the challenges you have faced, as a community pharmacist?

One of the challenges that amazed me so much in Nigeria is that we have lost our moral value system. People come to your outlet to make dirty deals, to steal and to do all sorts of illegal things. You keep changing staff, not only because they are lazy or rude to your customers, but because most of them steal. In an outlet, where you have four to five staff, they could conspire to steal your money or the stock. Other colleagues could conspire with your staff to sell their products. Sometimes, they collect phone numbers of your customers to service them outside your pharmacy. So, one of my major challenges, as an employer of labour, is lack of human resources that are dedicated, honest and that have integrity. Gone are the days when females are preferred over the males because they don’t steal, but now everything has changed. Another major challenge is that we have some people, who registered as wholesalers and who are not supposed to sell to individuals, irrespective of the quantity. You would realise that an average person would rather prefer to patronise them because they sell at a very low price. Some would even come to you for consultation and still go back to those places to buy, so it is worrisome. But we thank God that those who value our products and services,because they know that they always get value for their money, do patronise us and we have been moving from strength to strength.

 

How lucrative is it being a community pharmacist?

Some people come in to community pharmacy practice and they get a shocker of their lives. However, if you are doing a business that affords you opportunities to live your dream, enjoy the basic things of lives and be a blessing to others, such a business is definitely lucrative. In community pharmacy practice, your needs can be met and the satisfaction you get saving lives of others is significant. What you want to achieve before you start your business is crucial.

 

How many outlets do you have now?

We have four outlets across the state and we are becoming a household name in the state. The most important thing I enjoy most in this community practice is service to humanity.

 

How would you assess pharmacy practice in Nigeria?

I will say pharmacy practice in Nigeria is still developing. We are not doing enough, in terms of manufacturing and effective distribution of pharmaceutical products.  We still have a lot we are battling with. I wonder why we are still unable to curtail the activities of the charlatans and the drug fakers. Our school system too is another major factor; we have so many pharmacy graduates who don’t know the intricacies of pharmacy practice. They do a lot of cramming while in school and when they graduate, they find it difficult to answer basic pharmacological questions.

 

How do you see pharmacy profession today, compared to when you started?

I will say we have only recorded a little improvement. I discovered that anytime issues concerning pharmacy are being discussed, those issues would still be those that have been discussed about eleven years ago. It is disheartening that those eleven years after I left pharmacy school, we still could not proffer solution to those issues. I am talking about issues like wholesalers and patent medicine dealer activities not being regulated, drug markets that are fake and substandard drugs are being sold.  They are the same issues over and over and we are unable to find solutions to them.

 

PSN conference now more interesting – Pharm. Olarogun

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Asiwaju Joe Oyewole Olarogun is a fellow of the PSN and a past secretary general of the society.

In this interview with the editor, YusuffMoshood, during the last PSN conference held in Abeokuta, Ogun State, the senior pharmacist x-rays the 85th PSN conference and states that the annual pharmacists gathering is now more interesting and educative, compared to how it used to be in time past.

Below is the full text of the interview:

 How do you see this 85th PSN conference? Is it a success?

 If we look at the history of our conferences, it is clear that we have evolved from the old ways of doing things, to a very modern way of doing things. To me, this conference is one of the best, if not the best that we have ever held.

This is as a result of the fact that a lot of things have been reviewed to make the conference more interesting, more educative,and more enlightening and focused.

 

It is also great that we now have people who are invited from other countries and who have come to share with us their knowledge of things relating to health and pharmacy.

This has helped us. The organisation of the PSN conference has improved and I think this is very good.

I have been the secretary general of the PSN before, and at that time, things were not as developed as we have now.  I am talking about 30 years ago.  At that time, the secretary general was doing virtually many things in the conference.  The task of the secretary general is now divided and handled by so many people.  This has made the management of our conferences much better.  I am very happy with the improvement.

 

What are the areas of improvement that should be considered?

 

First, I think we can now see that the success of this conference is due to the involvement of the state government. This is an eye opener to other states planning to host the PSN conference. They should get the government involved. There is no way you can have a good conference without getting the government involved. Fortunately, the next state to host the PSN is my State, Kwara. We have learnt a lot from this conference in Ogun State and we are going to use it to make the conference in Kwara State a success and even a better conference. We are definitely going to get the government involved.

 

Although, there is now a change of baton of the PSN executives, the immediate past exco had a running battle with the former PCN registrar,which negatively affected the profession.How do we avoid such a thing in future?

 

I must tell you that things like that are bound to happen. When a society is developing and you have different people managing various areas, such conflicts are bound to happen.

For instance, somebody has even gone to court to argue that he was barred from contesting for the presidency of PSN during the last election. As far as I’m concerned, he is just fighting for his right.  It is a fair development. It is a development that can help us to improve our society and profession.

What is happening in our organisation is a reflection of what is happening in the larger society.  The only thing is that we still have to stay together and do our best to learn from issues like these and improve from such situations. As long as we live, we shall continue to learn how to live.

 

What is your advice for the new PSN executive? What should the new exco focus on to make the PSN and the profession better?

 

What the new exco should do is to improve on the efforts of the last executives. I know that we have two secretariats that we are working on in Lagos and Abuja. The new exco should complete those projects.

I will also advise the new leadership to try and improve the relationship between the society and government. This is very important.

Invest in the future, defeat malaria

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Malaria is caused by parasites from the genus Plasmodium, which are spread to people by infected mosquitoes. There are five species of Plasmodium that can infect humans.

Statistics show that there are 250 million to 500 million cases of malaria each year in the world, causing up to 1 million deaths. Deaths are more common in children.

Although North America, Western Europe, and Russia are free of malaria, transmission still occurs in many other tropical and subtropical countries of the world. Disease rates are highest in sub-Saharan Africa.

The hallmark of malaria is fever. Initially, symptoms may mimic the flu. Fever may be accompanied by shaking chills and muscle aches. Anemia is common.

Severe cases may cause organ failure or death.

Causes of Malaria

Malaria is caused by protozoan of the genus Plasmodium. There are several stages in the life cycle of Plasmodium, including sporozoites, merozoites, and gametocytes. Sporozoites are the form that is injected by the mosquito into humans. Infection begins with a bite from an infected mosquito. After being injected into the human host by the mosquito, the parasite travels into the bloodstream and eventually makes its way to the liver, where the parasite begins to reproduce and develop into merozoites. The merozoites leave the liver and enter red blood cells to reproduce. Soon, new parasites burst out in search of new red blood cells to infect.

Sometimes, the reproducing Plasmodia will create a form known as a gametocyte in the human bloodstream, which is infectious to mosquitoes. If a mosquito takes a blood meal when gametocytes are present, the parasite begins to reproduce in the insect and create sporozite forms that are infectious to people, completing the life cycle.

There are five species of Plasmodium that infect humans:

P. vivax: Though it is most common in India and Central and South America, it's found worldwide. Infections can sometimes lead to life-threatening rupture of the spleen. This type of malaria can hide in the liver and return later to cause a relapse years after the first infection. Special medications are used to eradicate P. vivax from the liver.

P. ovale: It is rarely found outside Africa. Symptoms are similar to those of P. vivax. Like P. vivax, P. ovale can hide in the liver for years before bursting out again to cause symptoms.

P. malariae: It's found worldwide but is less common than the other forms. This form of malaria is hard to diagnose because there are usually very few parasites in the blood. If untreated, the infection can last many years.

P. falciparum: This is the most life-threatening species of malaria. Although present throughout much of the tropical and subtropical world, it is particularly common in sub-Saharan Africa. P. falciparum is resistant to many of the older drugs used to treat or prevent malaria.

P. knowlesi: Found in Malaysia, this species can cause high levels of parasites in the blood, leading to organ failure or death.

Common symptoms of malaria

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

Symptoms may include:

 

Fever

Chills

Headache

Sweats

Fatigue

Nausea and vomiting

Symptoms may appear in cycles and may come and go at different intensities and for different lengths of time. But, especially at the beginning of the illness, the symptoms may not follow this typical pattern.

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

Other common symptoms of malaria include:

Dry (nonproductive) cough

Muscle and/or back pain

Enlarged spleen

In rare cases, malaria can lead to impaired function of the brain or spinal cord, seizures, or loss of consciousness.

Infection with the P. falciparum parasite is usually more serious and may become life-threatening.

Malaria Diagnosis

Many diseases cause fever in the tropical and subtropical world, including malaria, tuberculosis, yellow fever, dengue fever, typhoid, and cholera. Each of these is managed differently. Thus it is very important to make a specific diagnosis.

 

Malaria is diagnosed by seeing the parasite under the microscope. Blood taken from the patient is smeared on a slide for examination. Special stains are used to help highlight the parasite. Sometimes, it is possible to identify the species of Plasmodium by the shape of the parasite, especially if gametocytes are seen. Whenever possible, smears should be reviewed by someone with expertise in the diagnosis of malaria. If the smears are negative, they can be repeated every 12 hours. Smears that are repeatedly negative suggest another diagnosis.

Two types of other tests are available for diagnosis of malaria. Rapid tests can detect proteins called antigens that are present in Plasmodium. These tests take less than 30 minutes to perform. However, the Food and Drug Administration and the Centers for Disease Control and Prevention recommend that these new tests be used in conjunction with microscopy. A second type of test that is newly available is the polymerase chain reaction (PCR), which detects malaria DNA. Because this test is not widely available, it is important not to delay treatment while waiting for results.

Malaria recurrences

Malaria caused by P. falciparum may come back (reocur) at irregular intervals for up to 2 years if treatment is not complete.

Malaria caused by P. vivax and P. ovale may reocur at irregular intervals for up to 3 to 4 years, but medicine can prevent relapses.

P. malariae can remain in the blood of an infected person for more than 30 years, usually without causing any symptoms.

Factors that increase your risk of getting malaria include:

Living or traveling in a country or region where malaria is present.

Traveling in an area where malaria is common and:

Not taking medicine to prevent malaria before, during, and after travel, or failing to take the medicine correctly.

Being outdoors, especially in rural areas, between dusk and dawn (nighttime), when the mosquitoes that transmit malaria are most active.

Not taking steps to protect yourself from mosquito bites.

Your risk of getting malaria depends on your age, history of exposure to malaria, and whether you are pregnant. Most adults who have lived in areas where malaria is present have developed partial immunity to malaria because of previous infections and so almost never develop severe disease. But young children who live in these areas and travelers to these areas are especially at risk for malaria because they have not developed this immunity.

Pregnant women are more likely than non-pregnant women to get severe malaria, because the immune system is suppressed during pregnancy.

In addition, pregnant women, young children, older adults, and people with other health problems are more likely to have serious complications if they get malaria.

Complications of malaria 

Malaria is a very serious illness which can be fatal if not diagnosed and treated quickly.

The falciparum parasite causes the most severe malaria symptoms and most deaths.

Anaemia

The destruction of red blood cells by the malaria parasite can cause severe anaemia.

Anaemia is a condition where the red blood cells are unable to carry enough oxygen to the body's muscles and organs, leaving you feeling drowsy, weak and faint.

Cerebral malaria

Some rare cases of malaria can affect the brain. This is known as cerebral malaria and it can cause your brain to swell, sometimes leading to permanent brain damage. It can also cause seizures (fits) or coma (a state of unconsciousness).

Other complications

Other complications that can arise due to severe malaria include:

  • breathing problems, such as fluid in your lungs
  • liver failure and jaundice (yellowing of the skin and whites of the eyes)
  • shock (a sudden drop in blood flow)
  • spontaneous bleeding
  • abnormally low blood sugar
  • kidney failure
  • swelling and rupturing of the spleen
  • dehydration (a lack of water in the body)

As complications of severe malaria can occur within hours or days of the first symptoms, it is important to seek urgent medical help as soon as possible.

The effects of malaria are usually more severe in pregnant women, babies, young children and the elderly.

Malaria in Pregnancy

Malaria in pregnancy is a major cause of maternal morbidity worldwide and leads to poor birth outcomes. Pregnant women are more prone to complications of malaria infection than nongravid women. Treatment involves antimalarial drugs and supportive measures. Prevention involves chemoprophylaxis and mosquito avoidance.

Record has it that each year, 50 million women living in malaria-endemic areas become pregnant; one-half of these women live in Africa. It is estimated that 10,000 women and 200,000 infants die as a result of malaria infection during pregnancy; severe maternal anemia, prematurity, and low birth weight contribute to more than half of these deaths.

Malaria in pregnancy increases the risk of:

  • maternal anaemia
  • stillbirth
  • spontaneous abortion
  • low birth weight
  • neonatal death

WHO recommends a package of interventions for the prevention and control of malaria during pregnancy.

  • The use of insecticide treated nets (ITNs) to prevent infection;
  • Intermittent Preventive Treatment (IPT) to prevent asymptomatic infections among pregnant women living in areas of moderate or high transmission of P. falciparum;
  • Effective case management for malaria illness and anaemia.

 

TREATMENT

Malaria in pregnancy is dangerous for both the mother and the fetus. Therefore, pregnant women with malaria must be treated promptly with an effective antimalarial agent to clear parasites rapidly. Safety and efficacy data to guide management are limited . In general, the newer the drug, the more likely it is to be effective (in part because there has been insufficient time for resistance to emerge), but fewer data will be available on safety in pregnancy. Clinicians therefore have to make treatment decisions based on the clinical severity of infection, epidemiologic resistance patterns, and available data regarding safety of the drug or class of drug in pregnancy.

P. falciparum — Pregnant women with severe P. falciparum malaria should receive parenteral therapy; the intravenous route is preferred over the intramuscular route. Options for therapy include artesunate or quinine (plus clindamycin) . In nonpregnant adults and children with severe malaria, a mortality benefit has been demonstrated with artesunate over quinine. No trials have compared the efficacy of these agents in pregnant women.

Malaria in infants

Of the estimated one million annual deaths from malaria, approximately 80% occur in young African children.

Infants are vulnerable to malaria from approximately 3 months of age, when immunity acquired from the mother starts to wane.

In areas of intense malaria transmission, most cases of severe malarial anaemia, blood transfusions, and deaths occur in infants and young children. Severe anaemia probably accounts for more than half of all childhood deaths from malaria in Africa, with case fatality rates in hospital of between 8-18%.

Prevention is clearly of critical importance, and the targeted delivery of interventions to prevent malaria and anaemia in high-risk groups (pregnant women, infants and young children) would be an appropriate use of limited financial and human resources.

 Malaria Prevention

To prevent malaria, there is the need to avoid mosquito bites.

Guidelines to prevent mosquito bites include:

Stay inside when it is dark outside, preferably in a screened or air-conditioned room.

Wear protective clothing (long pants and long-sleeved shirts).

Use insect repellent with DEET (N,N diethylmetatoluamide). The repellent is available in varying strengths up to 100%. In young children, use a preparation containing less than 24% strength, because too much of the chemical can be absorbed through the skin.

Use bed nets (mosquito netting) sprayed with or soaked in an insecticide such as permethrin or deltamethrin.

Use flying-insect spray indoors around sleeping areas.

Avoid areas where malaria and mosquitoes are present if you are at higher risk (for example, if you are pregnant, very young, or very old).

Other steps that may be helpful in reducing the risk of malaria include using air conditioning and electric fans, wearing protective clothing, using aerosol insecticides in your house, and taking certain antimalarial medicines.

Compiled by Temitope Obayendo with additional materials from emedicinehealth; bodyandhealth.canada and www.who.int

THE IMPOSSIBLE IS POSSIBLE

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By Pharm. Nelson Okwona

 The initial title of this article was “Endearing African Innovation: The Impossible is Possible”, for want of space, we have chosen the catch phrase above.

The phrase, “the impossible is possible” was meant to highlight my conviction and present disposition that Africa is ready and the time is now. We are ready for innovation, for break-through research, for development and for value creation. Against the backdrop of a dysfunctional system and an apathetic populace, Africa is indeed ready.

There are many reasons for this optimistic posture, my sojourn in the well-trodden pathof research and development in Nigeria is not a long one but has been quite revealing. It is said that ignorance breeds a certain level of optimism that is annoying, so I wish to state that my optimism is not borne from ignorance but rather from stark realism.

I believe my journey began with meeting Dr. Hadiza Nuhu, as a student at Ahmadu Bello University Zaria. She is a noble and dedicated lecturer with unparalleled commitment to herbal product development. From her, I learnt first-hand that the hurdles against product development from indigenous raw materials are enormous and that a certain level of commitment was required. Her work with Herb 25, an antimalarial herbal, product left a permanent impression on me. It left the impression that some things are worth doing and that responsibility is chosen.

The question then was how?  How many individuals are willing and capable of making such commitments to pharmaceutical research and development? It was a commitment that is not sufficiently attractive when one weighs the risks and the opportunity costs of doing so, the level of intellectual, emotional and financial commitments required were also daunting.The decision to join the ranks of individuals that would commit to research development and management was not a hasty one, it was one born from a certain knowing that this is the right thing to do. It certainly feels right to be the difference, though not necessarily easy.

Years later, on graduation from pharmacy school and after one year at the National Institute for Pharmaceutical Research and Development, certain things became rather obvious– thatwe have the technical capacity, the human resource and the will to develop effective products from indigenous research. What we needed was a very good strategy, a strategy that would integrate the stakeholders in a win-win manner for a sufficient duration of time.

We needed to set up a chemical reaction, a reaction that was self-sustaining, one in which the products of the reaction could be taken away to allow for new ones, some catalysts that would reduce the barriers to change and ensure that useful outcomes emerge – outcomes whose demand must be sustained so as to achieve a self-sustaining reaction.

This strategy would channel the flexibility and the means of the private sector and the subsidised technical capacity of public research organisations. By public research organisations, I am referring to institutions like the National Institute for Pharmaceutical Research and Development (NIPRD) and universities. The strategy would rely on the persistent actions of certain individuals that could sustain the passion for value creation.

Prof. Ramesh Pandey exemplifies the need for such individuals, especially bio-entrepreneurs who understand the language of research and industry. His role as the CEO of Xechem in NIPRD’s work with NICOSAN demonstrates the need for a multidisciplinary approach to research and development. I have met enough gallant researchers in Nigeria who have great potential products sitting on their shelves, as research publications. Sincerely, they have done great work. Given the circumstances, the missing link lies in aligning their interests with those of the industry. Though this may not be a total alignment, most research breakthroughs are borne from a deliberate alignment of interests.

I have written extensively on this and other issues in my book, “The Heart and Art of Innovation”. Other considerations like intellectual property protection and the development of robust financial structures underlie the need for a good team for any worthwhile development project to be successful.

I was very privileged to have met Prof. Charles Wambebe, the former Director General of NIPRD. His passion and commitment demonstrates that only a certain level of dogged commitment would create the results we desire.

I am optimistic because such commitment now exists and in sufficient quantity in the research, industry and public sector organisations. The journey may be rough and tough but the impossible is indeed possible. Africa can develop the cure for HIV and for malaria. It is not because we would suddenly achieve overwhelming technological advancement, though this is not impossible too, but rather because we have committed to a deliberate search – because certain men and women would continue to advance the cause of value creation, for innovation and for indigenous research.

I have always believed that discovery needs not be complex. Drugs like Quinine, the Fluoro Quinolones, Metformin, Digoxin and Paracetamol are mainstay that therapies could have been developed by indigenous researchers. The development of Nicosan demonstrates this sufficiently – thatthough the gifts of God are not always too apparent, as they are often hidden and do demand certain research commitments, the search is such that they are within the means of the seeker. The solutions can and would be found by us.

The rate of uptake of indigenous research by the Nigerian pharmaceutical industry has not been satisfactory and this has been attributed to many reasons, one of which is their perceived immaturity – most players in the Nigerian industry are content to market and produce generics. Well, not all are immature; some key industry leaders, some of whom I have met in person are very much keen on the infusion of indigenous derived pharmaceutical products. In some quarters, this has become a matter of necessity. These industry players have the motivation and the means to make things happen.

A new project, the West African Pharmaceutical Innovation Project (WAPIP) seeks to harness these optimisms and potentials to create a pool of indigenous research capacity in Nigeria and beyond.

WAPIP is a joint venture private sector driven initiative that is geared towards the development of active and effective linkages between the pharmaceutical industry and research organisations within the West African region. One of the goals of this project is to drive pharmaceutical research-industry partnerships in West Africa, via an issue based approach that will create ownership for Innovation among stakeholders and provide sufficient guidelines and motivation to engage in the much needed collaborative arrangements required for product development.

Led by champions of change in the pharmaceutical industry comprising leaders of industry, public research organisations, media, management consultants and authorities in intellectual property acquisition and commercialisation; this catalyst wouldchampion a project that would create a nexus for pharmaceutical development management and promotion.

It is from such an understanding and participation that I bear this overwhelming conviction that the impossible is indeed possible. This understanding that synergy is key; that passion exists; that potentials abound; that there are men who will not give up; that there are immense opportunities; that the challenges are not obstacles and that the whole is more than the sum of the individual parts; this understanding is that with the right mix of collaboration we could indeed create a miracle.

Thank you.