Monday Health Burst

Viral Hepatitis – Overview

#ViralHepatitis, Hepatitis B, Hepatitis C, Monday Health Burst, PMTCT, Viral Hepatitis, WHO / cfhinitiative

Hepatitis is an inflammation of the liver caused by a variety of infectious viruses and non-infectious agents leading to a range of health problems which could result in fatality. There are five main strains of the hepatitis virus, referred to as types A, B, C, D and E and they all cause liver disease. However, they differ in significant ways such as modes of transmission, severity of the illness, geographical distribution and prevention methods.

Viral hepatitis B and C leads to chronic disease in hundreds of millions of people and together are the most common cause of liver cirrhosis, liver cancer and viral hepatitis-related deaths.

According to World Health Organization (WHO), about 354 million people worldwide live with hepatitis B or C, and for most, testing and treatment remain beyond reach and in 2019, approximately 290 000 people died from hepatitis C.

Viral Hepatitis types are contacted through ingestion of contaminated food or water, unsafe contact with infected body fluids, receipt of contaminated blood or blood products, Mother-child transmission, sexual contact etc. Symptoms may be mild or severe at the onset of the infection.

Some types of hepatitis are preventable through vaccination while there is currently no effective vaccine against hepatitis C. Hepatitis if not treated with caution at the early stage will progress to cirrhosis and other chronic conditions of the liver.

WHO’s global hepatitis strategy, aims to reduce new hepatitis infections by 90% and deaths by 65% between 2016 and 2030.

#hepatitis #who #liverdiseases #livercirrhosis #mondayhealthburst #cfhi #unfpa #unicef

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MONDAY HEALTH BURST – HIV/AIDS Common Myths and Facts

Monday Health Burst / cfhinitiative

On today’s Monday Health Burst, find out some HIV/AIDS common myths and facts. This topic is of great importance to the ending of AIDS because false myths arise due to lack of facts or having inaccurate information.

Myth 1: HIV can be cured.

Fact: There’s no cure yet for HIV, but antiretroviral treatment

Myth 2: I can get HIV by being around people who are HIV-positive.

Fact: HIV is not spread through touch, tears, sweat, saliva, or urine

Myth 3: Mosquitoes spread HIV.

Fact: Several studies show that mosquitoes do not spread HIV, even in areas with lots of mosquitoes and cases of HIV.

Myth 4: I don’t need to worry about getting HIV. Drugs will keep me well.

Fact: Antiretroviral drugs (ART) improve the lives of many people who have HIV and help them live longer. But many of these drugs are expensive and have serious side effects. Prevention is cheaper and easier than managing a lifelong condition and the problems it brings.

Myth 5: I am HIV-positive. My life is over.

Fact: ART allows people with HIV or AIDS live longer, normal, and productive lives when taken correctly and in time. One may live as long as s/he would have without the virus.

Myth 6: Now that I have HIV, I can’t have kids.

Fact: When pregnant, a doctor will prescribe HIV drugs to protect the mother and baby. The baby may also be given medication after birth. This will help protect the baby from being infected with the virus.

Myth 7: HIV is a spiritual curse.

Fact: HIV is not a spiritual curse, it is a disease contracted via unprotected sex, sharing of infected sharp objects, blood transfusion, exchange.

Join us next week on #MondayHealthBurst as we shall be discussing Pre-Exposure Prophylaxis (PrEP).

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SPEAK WEDNESDAY – PREDIABETES

Diabetes, Health, Healthy Dieting, Monday Health Burst, Prediabetes / cfhinitiative

PREDIABETES – YOUR CHANCE TO PREVENT TYPE 2 DIABETES

According to Centre for Disease Control (CDC), prediabetes is a serious health condition where blood sugar levels are higher than normal, yet not high enough to be diagnosed as type 2 diabetes. If one has prediabetes, it shows that the cells in the body do not respond normally to insulin. Hence, the pancreas makes more insulin to try to get cells to respond and eventually will not be able to keep up. The blood sugar then rises, setting the stage for prediabetes and type 2 diabetes.

Studies have shown that 1 in 3 American adults have prediabetes. In Nigeria, the prevalence of prediabetes is also high with hypertension emerging as the possible driving force. Though the exact cause of prediabetes is unknown, family history, genetics, lack of regular physical activity and being overweight with excess fat around the abdomen appear to be important factors. Other factors include ever having gestational diabetes (diabetes during pregnancy) or giving birth to a baby who weighed more than 9 pounds and having polycystic ovary syndrome.

Often times, one could be with prediabetes for years with no clear symptoms, so it often goes undetected until serious health problems such as type 2 diabetes show up. However, some people experience increased thirst, frequent urination, excess hunger, fatigue, blurred vision, and darkened skin on certain parts of the body (neck, armpits, elbows, knees and knuckles).

To reverse prediabetes, keep an active lifestyle by getting at least 150 minutes a week of brisk walking or a similar activity, avoid refined carbohydrates, cut back on sugar, eat healthy foods, drink less alcohol, get sufficient sleep, reduce food portion size. More so, periodic screening is key to detecting and reversing prediabetes. Simple Blood Sugar Test done in time could stop prediabetes from developing into type 2 diabetes, heart disease, and stroke.

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HEALTH CONDITIONS ASSOCIATED WITH DRUG ABUSE

Health, Health Communication, Monday Health Burst / cfhinitiative

The Diagnostic and Statistical Manual of Mental Disorders fourth edition (DMS-4) defines drug abuse as “a maladaptive pattern of substance use leading to clinically significant impairment or distress.” Drug abuse also known as substance abuse refers to the use of certain chemicals to create pleasurable effects on the brain. Drugs most often used include alcohol, amphetamines, cannabis, cocaine, hallucinogens, and opioids.

Globally, some 35 million people are estimated to suffer from drug use disorder according to the latest World Drug Report, released by the United Nations Office on Drugs and Crime (UNODC). The report also estimates the number of opioid users at 53 million, up 56 per cent from previous estimates, and that opioids are responsible for two-thirds of the 585,000 people who died as a result of drug use in 2017. According to a survey led by Nigeria’s National Bureau of Statistics (NBS) and the Center for Research and Information on Substance Abuse, over the past year alone, nearly 15% of the adult population in Nigeria (around 14.3 million people) reported a “considerable level” of use of psychoactive drug substances—it’s a rate much higher than the 2016 global average of 5.6% among adults. It showed the highest levels of drug use were recorded among people aged between 25 to 39, with cannabis being the most widely used drug.

Addiction to any substance, whether legal or illegal, can in some cases lead to serious health conditions. The effects of drug abuse according to Medical News Today 2018 publication, depend on the type of drug, any other substances that a person is using, and their health history. Abusing a drug, or misusing prescription medication, can produce other short-term effects, such as changes in appetite, sleeplessness or insomnia, increased heart rate, slurred speech etc. On the other hand, experts have linked chronic drug use with the following health conditions:

Cardiovascular disease: Stimulants, such as cocaine and methamphetamines, can damage the heart and blood vessels. The long-term use of these drugs can lead to coronary artery disease, arrhythmia, and heart attack.
Respiratory problems: Drugs that people smoke or inhale can damage the respiratory system and lead to chronic respiratory infections and diseases.
Kidney damage: The kidneys filter excess minerals and waste products from the blood. Heroin, ketamine and synthetic cannabinoids can cause kidney damage or kidney failure.
Liver disease: Chronic drug and alcohol use can damage the liver cells, leading to inflammation, scarring, and even liver failure.
Overdose: Taking too much of a drug or taking multiple drugs together can result in an overdose.

Drug addiction is treatable and starts with detox under medical supervision. Family and friends can begin the healing process through group therapy, counselling, and talking to others in peer support groups or meetings and drug addiction forums.

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6 Comments / Anxiety Disorder, Health, Health Communication, Mental Health, Monday Health Burst / cfhinitiative

ANXIETY DISORDER – CAUSES, SYMPTOMS AND TREATMENT

Anxiety is a normal reaction to stress and can be beneficial in some situations. It can alert us to dangers and help us prepare and pay attention. However, when a person regularly feels disproportionate levels of anxiety, it might become a medical disorder. Anxiety disorder is a mental health disorder characterized by feelings of worry, anxiety or fear that are strong enough to interfere with one’s daily activities. The excessive anxiety can make you avoid work, school, and other social situations that might trigger or worsen the symptoms.

Anxiety disorders form a category of mental health diagnoses that lead to excessive nervousness, fear, apprehension and worry. These disorders alter how a person processes emotions and behave, also causing physical symptoms. Mild anxiety might be vague and unsettling, while severe anxiety may seriously affect day-to-day living.

The causes of anxiety disorders are not fully understood. Researchers are yet to know exactly what brings on anxiety disorders. A complex mix of things play a role in who does and does not get one. Life experiences such as traumatic events appear to trigger anxiety disorders in people who are already prone to anxiety. Inherited treats can also be a factor. Some causes of anxiety disorders are:

Genetics – Anxiety disorders can run in families.
Brain chemistry – Research suggests anxiety disorders may be linked to faulty circuits in the brain that control fear and emotions.
Environmental stress – This refers to stressful events you have seen or lived through. Life events often linked to anxiety disorders include childhood abuse and neglect, a death of a loved one, being attacked or witnessing violence.
Drug withdrawal or misuse – Certain drugs may be used to hide or decrease certain anxiety disorder. Anxiety disorder often goes hand in hand with alcohol and substance use.
Medical conditions – Some heart, lung, and thyroid conditions can cause symptoms similar to anxiety disorders or make anxiety symptoms worse. It is important to get a full physical exam to rule out other medical conditions when talking to your doctor about anxiety.

Anxiety disorders are characterized by a variety of symptoms. One of the most common is excessive and intrusive worrying that disrupts daily functioning, other signs include agitation, restlessness, fatigue, difficulty concentrating, irritability, tense muscles and trouble sleeping. Anxiety disorder can be debilitating, but they can be managed with proper help from a medical professional. Recognizing the symptoms is the first step.

Once one is diagnosed with anxiety disorder, it is important to explore treatment options with a doctor. For some people, medical treatment is not necessary. Lifestyle changes may be enough to cope with the symptoms. Treatment for anxiety disorder falls into two categories: psychotherapy and medication. Meeting with a therapist or psychologist can help learn tools to use and strategies to cope with anxiety when it occurs.

Medications typically used to treat anxiety disorder include antidepressants and sedatives. They work to balance brain chemistry, prevent episodes of anxiety, and ward off the most severe symptoms of the disorder.

Monday Health Burst is an initiative of CFHI to address issues of basic health concerns. Join us every Monday for more interesting episodes.

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Dementia, Health, Health Communication, Mental Health, Monday Health Burst / cfhinitiative

DEMENTIA – CAUSES, SYMPTOMS, AND TREATMENT

Dementia, also called neurocognitive disorder, is a collective term used to describe various symptoms of cognitive decline. Dementia is not a single disease in itself, but a general term to describe the loss of cognitive functioning – thinking, remembering and reasoning and behavioral abilities to such an extent that it interferes with a person’s daily life and activities. These functions include memory, language skills, visual perception, problem solving, self-management and the ability to focus and pay attention. Some people with dementia find it difficult to control their emotions, and their personalities may change.

Dementia ranges in severity from the mildest stage, when it is just beginning to affect a person’s functioning, to the most severe stage, when the person must depend completely on others for basic activities for living.

The causes of dementia can vary, depending on the types of brain changes that may be taking place. Alzheimer’s disease is the most common cause of dementia. Alzheimer is characterized by “plaques” between the dying cells in the brain and “tangles” within the cells (both are due to protein abnormalities). The brain tissue in a person with Alzheimer’s has progressively fewer cells and connection and the total brain size shrink. Other causes of dementia include;

Vascular disorders. These conditions affect the blood circulation in the brain.
Traumatic brain injuries caused by car accidents, falls, concussions etc.
Infections of the central nervous system. These include meningitis, HIV
Long-time alcohol or drug use

Symptoms of dementia can vary greatly. Many conditions are progressive, which means that the signs of dementia start out slowly and gradually get worse. Possible symptoms of dementia compiled and published by the American Academy of Family Physicians (AAFP) include;

Recent memory loss- a sign of this might be asking the same question repeatedly
Difficulty completing familiar tasks
Problems communicating – difficulty with language; forgetting simple words or using the wrong ones.
Disorientation
Problems with abstract thinking
Misplacing things
Mood changes

Treatment of dementia depends on its cause. In the case of most progressive dementias, including Alzheimer’s disease, there is no cure and no treatment that slows or stops its progression. But there are drug treatments that may temporarily improve symptoms. The same medications used to treat Alzheimer’s are among the drugs sometimes prescribed to help with symptoms of other types of dementias. Non-drug therapies can also alleviate some symptoms of dementia.

Monday Health Burst is an initiative of CFHI to address issues of basic health concerns. Join us every Monday for more interesting episodes.

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Endometriosis, Health, Health Communication, Monday Health Burst / cfhinitiative

ENDOMETRIOSIS – CAUSES, SYMPTOMS, AND TREATMENT

Endometriosis, sometimes called “Endo,” is a common health problem in women. It gets its name from the word endometrium, the tissue that normally lines the uterus or womb. Endometriosis happens when tissue similar to the lining of the uterus (womb) grows outside of the uterus and on other areas in the body where it does not belong. It is especially common among women in 30s and 40s and may make it harder to get pregnant. Endometriosis is often found on the ovaries, fallopian tubes, tissues that hold the uterus in place or outer surface of the uterus.

The cause of Endometriosis is yet unknown, However, there are several theories associated with the causes of Endometriosis. The widely accepted theory is that the womb lining does not leave the body properly during a period and embeds itself on the organs of the pelvis. This is known as retrograde menstruation. Other factors include

Genetic factors -Because endometriosis runs in families, it may be inherited in the genes.
Immune system problems -A faulty immune system may fail to find and destroy endometrial tissue growing outside of the uterus. Immune system disorders and certain cancers are more common in women with endometriosis.
Hormones -the hormone estrogen appears to promote endometriosis. Research is looking at whether endometriosis is a problem with the body’s hormone system.
Surgery -during a surgery to the abdominal area, such as a Cesarean (C-section) or hysterectomy, endometrial tissue could be picked up and moved by mistake. For instance, endometrial tissue has been found in abdominal scars.

Endometriosis is a long-term (chronic) condition. Symptoms can vary significantly from person to person and some women have no symptoms at all. Yet, the most common symptoms include: painful periods or heavy periods which gets worse overtime; pain in the lower abdomen, pelvis or lower back, pain during and after sex, bleeding between periods, difficulty getting pregnant, painful bowel movements or pain when urinating during menstrual periods. Most women with endometriosis get pain in the area between their hips and the tops of their legs. Some women experience this pain all the time.

Other symptoms may include persistent exhaustion and tiredness, discomfort when defecating, bleeding from the back passage (rectum) or blood in feces, and coughing blood in rare cases when the endometriosis tissue is in the lung. How severe the symptoms are depends on where in the body the abnormal tissue is, rather than the amount of tissue present. A small amount could be more painful than a large amount. It is worthy of note that Endometriosis is rare in women who are in the menopause stage.

There is presently no cure for endometriosis. Endometriosis can be a difficult condition to deal with, both physically and emotionally but treatments are available for the symptoms and problems it causes. The symptoms of endometriosis can often be managed with painkillers and hormone medication, which help prevent the condition interfering with daily activities. Still, there is no known cure for endometriosis. For women who are not interested in getting pregnant, hormonal birth control is generally the first step in treatment. Patches of endometriosis tissue can sometimes be surgically removed to improve symptoms and fertility also. However, Surgery is usually chosen for severe symptoms, when hormones are not providing relief or if there are fertility problems.

Monday Health Burst is an initiative of CFHI to address issues of basic health concerns. Join us every Monday for more interesting episodes

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Female Genital Mutilation, Gender, Health, Health Communication, HIV/AIDS, Hygiene, Mental Health, Monday Health Burst, Stop FGM, Women's Rights / cfhinitiative

EFFECTS OF FEMALE GENITAL MUTILATION (FGM)

According to World Health Organization, more than 200 million girls and women alive today have undergone female genital mutilation (FGM) in 30 countries in Africa, mostly in the Middle East and Asia. All forms of FGM are associated with increased health risk in the short- and long-term. Below are some of the health risks.

Short-term health risks of FGM

Severe pain. Cutting the nerve ends and sensitive genital tissue causes extreme pain. The healing period is also painful.

Shock. Can be caused by pain, infection and/or haemorrhage.

Genital tissue swelling. Due to inflammatory response or local infection.

Infections. May spread after the use of contaminated instruments (e.g. use of same instruments in multiple genital mutilation operations), and during the healing period.

Excessive bleeding (haemorrhage). Can result if the clitoral artery or other blood vessel is cut.

Human immunodeficiency virus (HIV). The direct association between FGM and HIV remains unconfirmed, although the cutting of genital tissues with the same surgical instrument without sterilization could increase the risk for transmission of HIV between girls who undergo female genital mutilation together.

Urination problems. These may include urinary retention and pain passing urine. This may be due to tissue swelling, pain or injury to the urethra.

Impaired wound healing. Can lead to pain, infections and abnormal scarring.

Death. Death can result from infections, including tetanus, as well as haemorrhage that can lead to shock.

Mental health problems. The pain, shock and the use of physical force during the event, as well as a sense of betrayal when family members condone and/or organize the practice, are reasons why many women describe FGM as a traumatic event.

Long-term health risks of FGM

Infections:

Chronic genital infections. With consequent chronic pain, and vaginal discharge and itching. Cysts, abscesses and genital ulcers may also appear.
Chronic reproductive tract infections. May cause chronic back and pelvic pain.
Urinary tract infections. If not treated, such infections can ascend to the kidneys, potentially resulting in renal failure, septicaemia and death. An increased risk of repeated urinary tract infections is well documented in both girls and adult women who have undergone FGM.

Painful urination. Due to obstruction of the urethra and recurrent urinary tract infections.

Vaginal problems. Discharge, itching, bacterial vaginosis and other infections.

Menstrual problems. Obstruction of the vaginal opening may lead to painful menstruation (dysmenorrhea), irregular menses and difficulty in passing menstrual blood, particularly among women with Type III FGM.

Excessive scar tissue (keloids). Excessive scar tissue can form at the site of the cutting.

HIV (Human immunodeficiency virus). Given that the transmission of HIV is facilitated through trauma of the vaginal epithelium which allows the direct introduction of the virus, it is reasonable to presume that the risk of HIV transmission may be increased due to increased risk of bleeding during intercourse, because of FGM.

Sexual health problems. FGM damages anatomic structures that are directly involved in female sexual function and can therefore also influence women’s sexual health and well-being. Removal of, or damage to, highly sensitive genital tissue, especially the clitoris, may affect sexual sensitivity and lead to sexual problems, such as decreased sexual desire and pleasure, pain during sex, difficulty during penetration, decreased lubrication during intercourse, and reduced frequency or absence of orgasm (anorgasmia). Scar formation, pain and traumatic memories associated with the procedure can also lead to such problems.

Childbirth complications (obstetric complications). FGM is associated with an increased risk of caesarean section, postpartum haemorrhage, recourse to episiotomy, difficult labour, obstetric tears/lacerations, instrumental delivery, prolonged labour, and extended maternal hospital stay. The risks increase with the severity of FGM.

Obstetric fistula. A direct association between FGM and obstetric fistula has not been established. However, given the causal relationship between prolonged and obstructed labour and fistula, and the fact that FGM is also associated with prolonged and obstructed labour, it is reasonable to presume that both conditions could be linked in women living with FGM.

Perinatal risks. Obstetric complications can result in a higher incidence of infant resuscitation at delivery and intrapartum stillbirth and neonatal death.

Mental health problems. Studies have shown that girls and women who have undergone FGM are more likely to experience post-traumatic stress disorder (PTSD), anxiety disorders, depression and somatic (physical) complaints (e.g. aches and pains) with no organic cause.

Pain. Due to tissue damage and scarring that may result in trapped or unprotected nerve endings.

Though FGM may be normative and considered to be of cultural significance in some settings, the practice is always a violation of human rights, with the risk of causing trauma and leading to problems related to girls’ and women’s mental health and well-being. (WHO,2020)

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2 Comments / Attention Deficit, Health Communication, Hyperactivity Disorder, Mental Health, Monday Health Burst / cfhinitiative

ATTENTION DEFICIT/HYPERACTIVITY DISORDERS (ADHD) IN CHILDREN

ADHD is one of the most common neurodevelopmental disorders of childhood. It is usually first diagnosed in childhood and often lasts into adulthood. ADHD symptoms can appear as early as between the ages of 3 and 6 and can continue through adolescence and adulthood. Symptoms of ADHD can be mistaken for emotional or disciplinary problems or missed entirely in quiet, well-behaved children. Adults with undiagnosed ADHD may have a history of poor academic performance, problems at work, or difficult or failed relationships.
It is normal for children to have trouble focusing and behaving at one time or another. However, children with ADHD do not just grow out of these behaviors. A child with ADHD might: daydream a lot; forget or lose things a lot; squirm or fidget; talk too much; make careless mistakes or take unnecessary risks; avoid tasks needing extended mental effort; have trouble taking turns or have difficulty getting along with others which can lead to academic failure and judgment by other children and adults; the tendency to have more accidents and injuries of all kinds; the tendency to have low self-esteem; increased risk of alcohol and drug abuse and other delinquent behavior.
There are 3 subtypes of ADHD: Predominantly inattentive (Majority of its symptoms fall under inattention); predominantly hyperactive/impulsive (Majority of its symptoms are hyperactive and impulsive) and combined (This is the combination of inattentive symptoms and hyperactive/impulsive symptoms).
Among the cause(s) and risk factors for ADHD, current research shows that genetics plays an important role. However, other factors include: Brain injury, exposure to environmental toxins during pregnancy, such as high levels of lead found mainly in paint and pipes in older buildings at a young age, premature delivery and low birth weight. Also, studies show that ADHD is more common in males than females. Females with ADHD are more likely to have problems primarily with inattention.
Diagnosis of ADHD requires a comprehensive evaluation by a licensed clinician, such as a pediatrician, psychologist, or psychiatrist with expertise in ADHD. Research shows that, ADHD is best treated with a combination of behavior therapy and medication. For preschool-aged children (4-5 years of age) with ADHD, behavior therapy, particularly training for parents, is recommended as the first line of treatment before medication is tried.
Monday Health Burst is an initiative of CFHI to address issues of basic health concern. Join us every Monday on all our social media platforms for more episodes.

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2 Comments / Drug Abuse, Health, Health Communication, Mental Health, Monday Health Burst / cfhinitiative

Schizoaffective Disorder in Adolescents
Schizoaffective disorder is part of a cluster of diagnoses called the schizophrenia spectrum and other psychotic disorders. Schizoaffective disorder is a neuropsychiatric or mental disorder in which a person experiences a combination of schizophrenia symptoms and mood disorder symptoms (typically either major depressive disorder or bipolar disorder).
The symptoms and behavior of children and adolescents with schizoaffective disorder may be different from those of adults with this illness. The following symptoms and behaviors can occur in children or adolescents with schizoaffective disorder: Changes in weight or appetite, Suicidal thoughts or attempts, agitation, sleeplessness, and paranoia; depressive symptoms, including sadness, fatigue, trouble concentrating, and loss of interest in daily activities; and/or psychotic symptoms, such as hallucinations, delusions, and confused thinking. Without treatment, the disorder may lead to difficulty functioning at work, at school, and in social situations.
Adolescents schizoaffective disorder is very hard to accurately diagnose, as it is difficult to distinguish from schizophrenia, bipolar disorder, and other mood disorders. Many adolescents with schizoaffective disorder are often initially misdiagnosed with bipolar disorder or schizophrenia.
The greatest risk factor for developing a schizoaffective disorder is generally family history of the same illness or other forms of psychosis, there are a few other risks associated with the development of a schizoaffective disorder in Adolescents, which includes but not limited to drug abuse (Overuse of mind-altering substances such as; methamphetamine, cannabis, cocaine, alcohol, amphetamines, and psychedelics. Some drugs, like ecstasy, can produce lasting or persistent psychosis even after single use in certain individuals) and trauma ( An extremely stressful event triggering latent symptoms. Though trauma is entirely subjective. A horrific event witnessed by multiple persons may only leave one or two struggling with traumatic mental health issues afterwards).
There is no effective cure, but symptoms can be managed and reduced to the point where a normal life without dire consequences can be possible. Adolescents are highly adaptive, and with some therapeutic intervention and possibly the use of medication, most adolescents with schizoaffective disorder can find relief. However, the disorder cannot be completely removed from a person’s mind. Managing it is an ongoing process, and there can be setbacks at times.
Monday Health Burst is an initiative of CFHI to address basic health issues. Join us every Monday on all our social media platforms for more health-related articles.

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