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Expert recommends preferential COVID-19 vaccination for SCD patients under 16

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Dr. Patrick Obinna, an hematologist, based in Abuja, has suggested that Nigerians with Sickle Cell Disease(SCD), who are below 16 years old, should be eligible for the Coronavirus (COVID-19) vaccination.

Obinna in an interview with News Agency Of Nigeria(NAN) on Friday, in Abuja said that SCD patients were vulnerable to severe COVID-19.

NAN, reports that SCD is a collective name for a set of inherited chronic conditions.

It covers a spectrum, from milder to severe forms of SCD but with support, people with SCD can have a good quality of life.

SCD is associated with episodes of severe pain called sickle cell painful crises.

The expert said that the impact of COVID-19 on the routine management of SCD patients in the country had been substantial and complex.

He added that clinicians now needed to ensure that patients received appropriate care for SCD in balance with the challenges posed by the pandemic.

“News is evolving rapidly about COVID-19 and its vaccines. Early results from the COVID-19 vaccine trials are very promising, although the true benefits and risks will not be known until a larger number of people receive the vaccine.

“ I am surprised that SCD patients were not listed as one of the populations vulnerable to severe COVID-19, to be vaccinated immediately in the country.

“Sickle cell disease raises the risk for serious problems with COVID-19, especially when compared to the same age in the general population,” he said.

According to him, Nigerians with health condition such as kidney failure, sickle cell anaemia or type 2 diabetes should be eligible for the COVID-19 vaccine in the country and should be contacted for the vaccine.

Obinna recommended that, based on current information across the globe, people with sickle cell disease should receive COVID-19 vaccination immediately.

“I have patients that have been held up in their homes since the beginning of this pandemic.

“They are afraid to go out because they know that if they were to get COVID, their chance of being hospitalised, getting really sick or dying is higher than the average population.

“Sickle cell disease is a genetic blood disorder that causes red blood cells to be misshaped. The red blood cells are not able to carry oxygen well, which affects the whole body.

“The benefits of vaccination outweighs the risks for people with SCD. Vaccination is worthwhile compared to the risks of having COVID-19 disease in people with SCD,” he advised.

He advised that people with SDC should consult with their doctors or health care providers about whether their personal medical condition causes an exception to this general recommendation.

He stressed that the fact that SCD affects the immune system should not cause a safety problem for COVID-19 vaccines.

Obinna urged SDC patients, who have receive their jabs, and not to relax their precautions right after getting the vaccine.

“They might still get infected in the few weeks following vaccination. You could still give infection to those around you.

“Continue to wear a mask covering your nose and mouth. Wash your hands often. Maintain physical distance. Avoid crowds, and avoid people who are ill,” he advised. (NAN)

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SOFPON provides free surgical intervention for Lagos residents

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The Society of Family Physicians of Nigeria (SOFPON) has conducted free surgical intervention for 60 residents of Lagos State to reduce morbidity and risk of death from common medical conditions.

Dr Sixtus Ozuomba, Chairman, SOFPON, Lagos chapter, said this during the association’s surgical outreach in celebration of the World Family Doctors Day on Saturday in Lagos.

The day celebrated annually on May 19 has as its theme: ‘Family Doctors: The Heart of Primary Care’, emphasising the critical role of family doctors in delivering compassionate and patient-centred care to their patients.

Ozuomba noted that basic surgical procedures were among the most cost-effective health interventions that could prevent avoidable deaths, boost welfare and economic productivity.

He, however, said that poverty and affordability of surgical care was a huge challenge for many Nigerians, irrespective of the part of the country where they resided.

According to him, to bridge the gap of accessibility to surgical procedures, SOFPON organised free surgical intervention for lipoma, breast lump, ingrown toenail, ganglion, hernia and other day cases surgery.

He said that 60 people would benefit from the intervention which was held at Onikan General Hospital and General Hospital, Odan, Lagos.

Ozuomba said the surgeries funded from the dues and levies of SOFPON members was to complement the Lagos State Government’s efforts in ensuring qualitative healthcare for its citizens.

Speaking on the theme of the 2023 celebration, Ozuomba said that family physicians were reputed for providing comprehensive, continuous and coordinated healthcare to individuals, families and communities.

Ozuomba said that family doctors also advocated on behalf of their patients as it regarded government’s policies and actions.

“We have a lot of competent areas, what people have been saying is the medical aspects, we are not limited by disease entity, age or sex of the patients.

“Surgery is also an aspect of the competent areas of a family physician. We decided to showcase that this year and let people benefit from it.

“Some people that have been finding it difficult to get into the healthcare system are seizing the opportunity to come in,” he said.

He noted that brain drain was affecting all specialties of the health sector, especially the family doctors whom he said were in high demand due to their competence that cuts across specialties.

Similarly, Dr Oghide Oziegbe, Secretary of SOFPON, said the free surgical intervention would relieve many beneficiaries from pain and discomfort which they have had for years but could not treat due to paucity of funds.

Oziegbe noted that the beneficiaries had undergone free laboratory tests and assessments to assess their fitness for the surgery.

He noted that 40 per cent of the patients were booked for hernia surgery, while breast lumps took the other number followed by procedures for ganglion, lipoma and ingrown toenail.

Also, Dr Madewa Adebajo, Medical Director, Onikan General Hospital, said the surgical intervention had assisted to eliminate out-of-pocket expenses for beneficiaries, advising residents to register for the Ilera Eko health insurance plan to ensure access to healthcare services.

He also appealed to healthcare personnel to shun braindrain, saying that the state had improved its infrastructure and curriculum to encourage career progression.

Earlier, Prof. Akin Abayomi, Lagos State Commissioner for Health, said the state was committed to ensuring the provision of quality and affordable healthcare services to residents, irrespective of their socio-economic status.

Abayomi said that Ilera Eko which connoted the wellbeing and health of all residents of Lagos state was created to achieve universal health coverage for Lagos residents.

He called on all residents to prioritise their health and buy into the Lagos State Health Scheme, while commending SOFPON for its efforts in supporting government to bridge access to quality medical care for citizens. (NAN)

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Resident doctors suspend 5 days warning strike, resume work today

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National Association of Resident Doctors, NARD, yesterday, suspended its 5-day nationwide warning strike.

National President of the association, Dr. Emeka Orji, told Vanguard that work resumes by today 8a.m., all federal and state Teaching Hospitals as well as other hospitals where resident doctors are trained.

He said: “Strike has been suspended and work resumes at 8a.m., tomorrow (today). Progress made will be reviewed on June 2. 2023, during our general meeting where the next line of action will be decided.”

NMA raises alarm over 5-month doctors’ salaries arrears in Abia, Imo, Ekiti, Ondo, Anambra
Doctors strike as national embarrassment

Recall that the doctors under the auspices of the National Association of Resident Doctors, NARD, began a five-day warning strike in public health facilities across the federation on Wednesday last week.

Some of the demands of the doctors include; immediate massive recruitment of clinical staff in the hospitals and abolishment of the bureaucratic limitations to the immediate replacement of doctors and nurses who leave the system, immediate infrastructural development in public hospitals with a subsequent allocation of at least 15 percent of the budgetary provisions to health in line with the Abuja declaration of 2001 and immediate increment in the Consolidated Medical Salary Structure, CONMESS, to the tune of 200 per cent of the gross salary of doctors among others.

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Industrial Action: Resident Doctors Give FG Two-Week Ultimatum On Pending Agreements

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The national leadership of the Nigerian Association of Resident Doctors (NARD) has issued a two-week ultimatum to the Federal Government to commence the implementation of all pending agreements.

The ultimatum was handed down in a communiqué at the end of a three-day extraordinary National Executive Council (NEC) meeting held at the Federal Medical Centre in Abeokuta, Ogun State.

The resident doctors also demanded a 15 percent annual budgetary allocation for the health sector from the current 5.7 percent, to address the current infrastructure decay, the recruitment of clinical staff to bridge the gap created by the current brain in the sector among other demands.

“NEC resolved to issue the Government a two-week ultimatum beginning today, 29th April 2023, to resolve all these demands, following the expiration of which on the 13th May 2023, we may not be able to guarantee industrial harmony in the sector nationwide,” the communiqué said.

Among its demands are an immediate increment in the Consolidated Medical Salary Structure (CONMESS) salary structure to the tune of 200 percent of the current gross salary of doctors.

According to the doctors, the demanded revision of salary structure is in addition to the new allowances included in the letter written by NARD to the Minister of Health, Dr Osagie Ehanire, on July 7, 2022 for the review of CONMESS.

The NARD leadership further demanded the immediate withdrawal and jettisoning of the “ill-conceived” bill by the House of Representatives member representing Oshodi/Isolo Federal Constituency II in Lagos State, Ganiyu Johnson, on the alleged enslavement of young doctors in Nigeria.

It also sought the immediate payment of the 2023 Medical Residency Training Fund (MRTF) in line with the agreements reached at the stakeholders’ meeting convened by the Federal Ministry of Health.

“This should be done without further delay,” the communiqué added.

It also demanded the commencement of payment of all salary arrears owed to NARD members, including 2014, 2015, and 2016 salary arrears, as well as areas of the consequential adjustment of the minimum wage.

 

 

 

 

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