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Concerns as HIV prevalence soars in Akwa Ibom

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Despite the aggressive enlightenment campaign by the government, as well as several donor agencies, the prevalence of HIV/AIDS in Akwa Ibom State remains high.

Akwa Ibom had in successive years maintained the number one position as a state with the highest burden of HIV in Nigeria, with 5.5%, according to Nigeria HIV/AIDs Indicator and Impact Survey (NAIIS).

The number one position, though infamous, has left much to be worried about.

Despite the aggressive enlightenment campaign by the government, as well as several donor agencies, the prevalence of HIV/AIDS in Akwa Ibom State remains high.

Akwa Ibom had in successive years maintained the number one position as a state with the highest burden of HIV in Nigeria, with 5.5%, according to Nigeria HIV/AIDs Indicator and Impact Survey (NAIIS).

The number one position, though infamous, has left much to be worried about.

According to Akwa Ibom State programme data 2022, about 240,000 persons are currently on treatment of HIV/AIDS in the State.

From the number, HIV gender disparity between females and males is high due to biological and social reasons showing that females are the worst hit.

“HIV prevalence was greatest among younger adults, with females aged 20-24 years (1.3%) having almost four times the prevalence of males in the same age group (0.4%).

“As at June 2023, 10,833 adolescents and young persons were on medications hence the need for positive living to ensure they adhere to viral suppression and epidemic control,” the survey revealed.

Dr Edith Mathias Igbemi said during a sensitization programme on HIV/AIDS in the state that women are recording high prevalence of HIV.

She called for more awareness on control measures.

She highlighted LGAs with high prevalence of HIV in Akwa Ibom to include Ikono, Obot Akara, Ikot Ekpene, Uyo, Uruan, Ibesikpo, Nsit Ubium, Eket, Ibeno and Oron.

Igbemi noted that the State had made some progress in the fight against HIV/AIDS in terms of improved case finding through Index Case Testing, Camping and Creek Testing modalities.

She revealed that with the breakthrough recorded, the 2021 publication of Akwa Ibom State Ministry of Health, estimated that the prevalence rate had dropped to 4.4 per cent, adding that this is subject to approval by NACA in another survey.

She, however, called for more collaboration with Stakeholders and Development partners in escalating HIV prevention activities to adolescents and young girls in the State.

Speaking with Mrs Cecilia Ekanem, a health worker with ECEWS in the Primary Health Centre, Wellington Bassey Way, Uyo, she identified low access to antenatal care by some pregnant women as one of the factors contributing to the spread of HIV spread, especially from mother to child in the State.

She lamented that some HIV positive mothers most times out of ignorance or fear of stigmatisation failed to go to hospital for antenatal checkup and would end up giving birth to their babies at the Traditional Birth Attendants homes or churches without knowing the safety measures to adopt.

She harped on exclusive breastfeeding for all mothers, saying that it fortifies the baby against diseases, including HIV.

According to her, “we are working to reduce the level of HIV in the State.

“All the pregnant women who come here must be tested. Those who test positive are placed on medication and all of them who follow instructions have babies that are healthy and free of HIV because they are taking their medication.”

On whether HIV positive mothers can breastfeed their babies without transmitting the virus to them, Mrs Ekanem said: “yes, she can breastfeed her child but it must be done exclusively. The child can get infected if the mother introduces mixed feeding.

“So, it is advisable for the mother to stop breastfeeding entirely after six months of exclusive breastfeeding and continue with other family diets so that the child will not be malnourished and will not contract the virus.”

One of the persons living with HIV, simply Edikan, an undergraduate of the Akwa Ibom State University, during the sensitization programme, said he contracted the virus from his mother at birth.

He said he had lived with the virus for 24 years without any form of challenge, noting that HIV is not a death sentence.

He encouraged people to come out for tests and take positive action after knowing their status.

He admitted that People Living with HIV were experiencing a high level of stigma in the State.

He, however, vowed that he would not be deterred from achieving his dream despite the challenge.

To stem the tide of stigma, the Manager of the Akwa Ibom State Agency for the Control of AIDs (AKSACA), Dr Enobong Akpan called for domestication of the anti-stigma and discrimination law in the State.

Speaking with our correspondent on the efforts of the Agency in tackling HIV stigma in the State, he said “we are going to fight against every form of discrimination or stigmatisation.

“We are going to pursue the necessary laws, the anti stigma law and all the laws to make sure any organisation or institution found to stigmatise any HIV positive person will face sanctions.”

He also encouraged people living with the virus to eschew any form of self stigmatisation, describing it as the worst.

Dr Edith Igbemi, on her part, explained that stigmatisation was one of the factors driving the epidemic, especially amongst the young people, noting that a study revealed that 31.9% agreed that it was difficult to disclose their HIV status to people for fear of being stigmatised.

She said that females were more stigmatised than their male counterparts in the State, noting that the National Demographic Health Survey, NDHS, of 2018, reported that females experienced stigma more than men with a percentage of 61 per cent, while just 38 per cent of men reported stigma.

Also, Gideon Solomon of the Heartland Alliance identified lack of access to prevention materials, such as condoms and pre-exposure prophylaxis (Prep) as part of factors increasing the spread of HIV in the State, adding that some persons have refused to go for HIV testing due to fear.

He said, “we observed that some people are scared to know their status. But I advise that they should go ahead and have their HIV personal test kit.

“It’s not only knowing your status, but knowing your status consistently following the prevention procedures religiously.

“We want to push the ‘know your status narrative’. If you know your status, what do you do, you go on Prep. If you are on pre-exposure prophylaxis, the chances of you being shielded from getting infected with HIV is 99.9 per cent,” he advised.

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Health

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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Doctors’ strike continues as NARD demands fair deal, better pay

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The Nigerian Association of Resident Doctors (NARD) has urged the Federal Government to immediately conclude the long-delayed Collective Bargaining Agreement (CBA) as the union’s indefinite strike entered its 15th day on Saturday.

The doctors are also demanding a review of the Consolidated Medical Salary Structure (CONMESS), which they described as outdated and inadequate in the face of rising living costs.

In a statement posted on X on Saturday, NARD said doctors have waited too long for a fair and clearly defined agreement on their work conditions and remuneration.

“For long we’ve waited for a Collective Bargaining Agreement (CBA), a simple, written promise that ensures fairness, clear work terms, and proper pay. But the government keeps delaying, while doctors face rising costs and crumbling morale,” the union said.
“We demand the immediate conclusion of the CBA and review of the outdated CONMESS salary structure.”

The ongoing industrial action, which began earlier this month, has disrupted services in 91 hospitals across the country, including federal teaching hospitals, specialist centres, and federal medical centres.

NARD reiterated that its 19-point demand list is vital for improving the welfare of doctors and safeguarding the health sector. Among the demands are the payment of arrears under CONMESS, the disbursement of the 2025 Medical Residency Training Fund, prompt payment of specialist allowances, improved recognition of postgraduate qualifications, and better working conditions.

The union said these measures are essential to keep medical professionals in the system and maintain a functional healthcare delivery structure.

President Bola Tinubu had earlier directed the Ministry of Health to ensure immediate resolution of the strike, assuring that the government is working to address the doctors’ concerns.

However, NARD said the continued delay in signing the CBA and reviewing salaries has further dampened morale among resident doctors, many of whom are battling with economic hardship while providing critical healthcare services.

The union maintained that it remains open to dialogue but expects urgent government action to restore normalcy in the nation’s hospitals.

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Kogi Rises to 10th Position in 2025 Health Preparedness Index

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Kogi State has recorded a remarkable leap in its healthcare readiness, climbing from the 18th position in 2023 and 2024 to the 10th position in the 2025 SBM Health Preparedness Index (HPI).

The SBM Health Preparedness Index assesses the capacity of Nigeria’s 36 states to effectively respond to health emergencies and deliver quality healthcare services. The annual report draws data from credible national and international institutions including the National Bureau of Statistics (NBS), World Health Organisation (WHO), The Lancet, Nigeria Demographic and Health Survey (NDHS), BudgIT, The Cable, the Faculty of Medical Sciences of Radboud University, and the Global Data Lab.

The index evaluates key indicators such as budgetary commitments, human resource capacity, and health outcomes, using the most recent available data.

Although no state in the country met the 30 percent national target for health preparedness, Kogi’s advancement represents a significant step forward in its healthcare reform journey. The improvement reflects the Ododo administration’s sustained investments in healthcare infrastructure, personnel development, and community-based health delivery.

Speaking on the development, the Coordinating Commissioner for Health, Dr. Abdilazeez Adeiza Adams, described the improvement as “a testament to the strategic leadership of Governor Ahmed Usman Ododo and the dedication of the health workforce in Kogi State.”

He assured that the State Government remains “fully committed to strengthening the health system to achieve universal health coverage, enhance emergency response capacity, and surpass national benchmarks in the coming years”.

“This is an encouraging development, but we are not relenting. We are scaling up investments in primary healthcare, training more professionals, and expanding access to quality medical services across all local government areas. Our ultimate goal is to make Kogi a model of resilience and efficiency in Nigeria’s health sector,” Dr. Adams said.

Also commenting on the report, the State Commissioner for Information and Communications, Hon. Kingsley Femi Fanwo, said Kogi State continues to shine in healthcare delivery under the leadership of Governor Ahmed Usman Ododo.

“This is a positive response to the challenge posed to the Coordinating Commissioner for Health, Dr. Abdilazeez Adeiza Adams, to move Kogi up from the 18th position she occupied in 2023 and 2024. The Ministry has done the needful, and now the Governor has further challenged the Health Team to push Kogi even higher,” he stated.

Hon. Fanwo added that the development reflects the tangible outcomes of the administration’s people-centered policies.

“Our investment in health is paying off. This is the real measure of development, when governance directly improves lives and strengthens our health sector capacity”, he asserted.

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