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130 LGAs Records Outbreak of Meningitis, Kills 183

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Nigeria has reported a total of 287 confirmed cases out of 2,707 suspected cases of meningitis, including 183 deaths, with a case-fatality ratio of 6.8 per cent.

Their cases were reported from 130 Local Government Areas in 24 states, including the Federal Capital Territory in Nigeria from From October 2022, to July 2, 2023.

This is according to the epidemiology situation of the disease released by the Nigeria Centre for Disease Control and Prevention.

Meningitis is a serious infection of the meninges, the membranes covering the brain and spinal cord. It is a devastating disease and remains a major public health challenge. The disease can be caused by many different pathogens including bacteria, fungi or viruses, but the highest global burden is seen with bacterial meningitis.

Several different bacteria can cause meningitis. Streptococcus pneumoniae, Haemophilus influenzae, and Neisseria meningitidis are the most frequent ones. N. meningitidis, causing meningococcal meningitis, is the one with the potential to produce large epidemics.

Meningococcal meningitis is transmitted from person to person through droplets of respiratory and throat secretions, usually by asymptomatic carriers. Close, prolonged contact with an infected person, or living with a carrier, facilitates the spread of the disease. The average incubation period is four days but can range between two and 10 days.

Abia, Adamawa, Bauchi, Bayelsa, Benue, Borno, Delta, Ebonyi, Gombe, Imo, Jigawa, Kano, Katsina, Kebbi, Kogi, Kwara, Nasarawa, Niger, Oyo, Plateau, Sokoto, Taraba, Yobe and Zamfara states reported the suspected CSM cases.

The report partly read that as of July 2, “A total of 2,707 suspected cases including 183 deaths have been reported from 24 states in this 2022/2023 CSM season. A total of 667 samples collected (25 per cent) from 2,707 suspected cases from beginning of the outbreak, and 298 confirmed (45 per cent positivity rate).

“The five to 14-year-old age group was the most affected. 54 per cent of the total suspected cases were Males. 98 per cent of all suspected cases were from six (10) states – Jigawa (1508 cases), Yobe (654 cases), Katsina (177 cases), Bauchi (123 cases), Zamfara (53 cases), Adamawa (45 cases), Gombe (26 cases), Kano (10 cases) and Sokoto (10 cases).

“Nineteen LGAs across five states, Jigawa (10), Katsina (4), Yobe (2), Bauchi (2) and Zamfara (1), reported more than 20 cases each this 2022/2023 CSM season.”

The NCDC, however, said it will continue to support affected states with essential response commodities.

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Euracare Hospital replies Chimamanda Adichie, Clarifying Nkanu’s Death

Chimamanda, the bereaved mother, had in a public statement, accused the hospital’s anesthesiologist to have neglected monitoring the sick child after he was given “too much propofol.”

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The management of Lagos-based Euracare Multispecialist Hospital said on Saturday, ” We find it necessary, for the record, to clarify that some of the reports currently being circulated regarding the demise of Chimamanda Adichie ‘s son, contain inaccuracies.”

Chimamanda, the bereaved mother, had in a public statement, accused the hospital’s anesthesiologist to have neglected monitoring the sick child after he was given “too much propofol.”

Said Chimamanda: ” It turns out that Nkanu was NEVER monitored after being given too much propofol. The anesthesiologist had just casually carried Nkanu on his shoulder to the theater, so nobody knows when exactly Nkanu became unresponsive. How can you sedate a sick child and neglect to monitor him? Later, after the ‘central line’ procedure, the anesthesiologist casually switched off Nkanu’s oxygen and again decided to carry him on his shoulder to the ICU!The anesthesiologist was CRIMINALLY negligent. He was fatally casual and careless with the precious life of a child. No proper protocol was followed.

“The Hospital’s management, while expressing their deepest sympathies to Chimamanda and family for the loss, acknowledge that the loss of a child is beyond words, adding , ” we offer our most heartfelt condolences to his parents and the entire family.”

In the statement, the management, stated that they have commenced a detailed investigation “consistent with our clinical governance standards and best practices.”

The statement reads: ” Our facility is a reputable centre for complex medical care, led by an internationally trained and experienced clinical team.

The patient, who was critically ill, was referred to our facility for specific diagnostic procedures after receiving treatment for a period of time at two paediatric centres.

Upon arrival, our medical team immediately provided care in line with established clinical protocols and internationally accepted medical standards, including the administration of sedation where clinically indicated.In the course of his care, we worked collaboratively with external medical teams as recommended by his family and ensured that all necessary clinical support was provided.

Despite these concerted efforts, the patient sadly passed away less than 24 hours after presenting at our facility.

We remain committed to engaging transparently and responsibly with all clinical and regulatory processes.

We recognise that the family is grieving an irreplaceable loss and we shall continue to support them in any way that may bring comfort during this devastating period.As medical professionals, we carry the weight of this loss deeply.

Our priority remains compassion, patient safety, and the responsible handling of this matter, while respecting the family’s privacy and allowing due process to take its course. We continue to hold the family in our thoughts and prayers.”

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WHO Names Nigeria’s Professor Martins Emeje Co-Chair of Traditional Medicine Advisory Group

The appointment of Professor Emeje reflects the WHO’s commitment to inclusive, balanced, and scientifically rigorous leadership in advancing traditional, complementary, and integrative medicine worldwide.

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As the Director-General of NNMDA, Professor Emeje has played a pivotal role in promoting research, development, regulation, and commercialization of natural medicines in Nigeria.

The World Health Organisation (WHO) has named Professor Martins Emeje, Director-General of the Nigeria Natural Medicine Development Agency (NNMDA, as Co-Chair of its newly established Strategic and Technical Advisory Group on Traditional, Complementary and Integrative Medicine (STAG-TM).

Professor Emeje was appointed alongside Dr Susan Wieland, Director at Cochrane Complementary Medicine, following the formal unveiling of the Strategic and Technical Advisory Group.

The establishment of STAG-TM marks a significant milestone in the implementation of the WHO Traditional Medicine Strategy, aimed at strengthening global health systems through evidence-based traditional and integrative medicine.

The appointment of Professor Emeje reflects the WHO’s commitment to inclusive, balanced, and scientifically rigorous leadership in advancing traditional, complementary, and integrative medicine worldwide.

Both Co-Chairs bring extensive expertise in research, innovation, and policy development, particularly in natural products and evidence-based medicine.

As the Director-General of NNMDA, Professor Emeje has played a pivotal role in promoting research, development, regulation, and commercialization of natural medicines in Nigeria.

His selection highlights Nigeria’s growing contribution to global health governance and innovation in traditional medicine.

The Strategic and Technical Advisory Group on Traditional, Complementary and Integrative Medicine will provide expert guidance to the WHO on policy frameworks, research priorities, and best practices to ensure the safe, effective, and quality integration of traditional medicine into national healthcare systems.

The W.H.O while announcing the creation of the 19 member Group emphasized that the move is part of its global Traditional Medicine Strategy 2025 describing it as a decisive step in applying a scientific response to traditional medicine.

At the inaugural meeting of the Group, held alongside the second W. H.O Global Traditional Medicine Summit held in New Delhi, India, the W.H.O’s Assistant Director General for Health System,Access and Data, Dr Yukiko Nakatani says it is a pivotal moment for Traditional Medicine as it embodies cultural heritage, national health identities and a vital component of policy healthcare strategies.

The situation whereby the rapid growth of traditional medicine has not been matched by strong evidence, standards, regulatory frameworks or sustainable governance, W.H.O’s Chief Scientist , Dr Sylvie Briand emphasized, underscores the urgency of the initiative.

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Music eases surgery and speeds recovery, Indian study finds

To understand why the researchers turned to music, it helps to decode the modern practice of anaesthesia.

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• A patient with headphones playing music during surgery in a hospital in Delhi.

Under the harsh lights of an operating theatre in the Indian capital, Delhi, a woman lies motionless as surgeons prepare to remove her gallbladder.

She is under general anaesthesia: unconscious, insensate and rendered completely still by a blend of drugs that induce deep sleep, block memory, blunt pain and temporarily paralyse her muscles.

Yet, amid the hum of monitors and the steady rhythm of the surgical team, a gentle stream of flute music plays through the headphones placed over her ears.

Even as the drugs silence much of her brain, its auditory pathway remains partly active.

When she wakes up, she will regain consciousness more quickly and clearly because she required lower doses of anaesthetic drugs such as propofol and opioid painkillers than patients who heard no music.

That, at least, is what a new peer-reviewed study from Delhi’s Maulana Azad Medical College and Lok Nayak Hospital suggests.

The research, published in the journal Music and Medicine, offers some of the strongest evidence yet that music played during general anaesthesia can modestly but meaningfully reduce drug requirements and improve recovery.

The study focuses on patients undergoing laparoscopic cholecystectomy, the standard keyhole operation to remove the gallbladder.

The procedure is short – usually under an hour – and demands a particularly swift, “clear-headed” recovery.

To understand why the researchers turned to music, it helps to decode the modern practice of anaesthesia.

“Our aim is early discharge after surgery,” says Dr Farah Husain, senior specialist in anaesthesia and certified music therapist for the study.

“Patients need to wake up clear-headed, alert and oriented, and ideally pain-free. With better pain management, the stress response is curtailed.”

Achieving that requires a carefully balanced mix of five or six drugs that together keep the patient asleep, block pain, prevent memory of the surgery and relax the muscles…

(From BBC)

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