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Diabetes: Reducing Burden Of Silent Killer

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Mr Tunde Fomoye thought himself to be very healthy until five years ago.
“ I took it upon myself to share my story because it takes the grace of God for you to survive diabetes.
“In 2013, I was on night duty in my office when I started shivering; I managed till the morning when I went to a hospital.
“After the initial medication, the fever continued and I was having some pains under my feet; it was checked and something was inside; a tiny piece of glass was removed and pus was coming out.
“The next day, I went back to the hospital and showed them the glass; the doctor said I should go and check my blood pressure and it was found to be high; it was `crashed’.
“Three weeks later, it got very bad; I was referred to a general hospital where I was admitted; I was found with diabetes and ended up with a limb amputation,’’ the former company  worker narrates.
According to Famoye, life has not been the same because of constant medication, medical bills and being out of job.
“However, I am glad and grateful to God for being alive,” he says.
An endocrinologist, Dr Afoke Isiavwe, notes that diabetes is a worldwide problem and that is why the UN has set aside Nov.14 and now, the whole November annually to raise awareness on Diabetes Mellitus.
“The awareness is necessary because all the complications can be prevented through proper management.
“Diabetes, popularly known in Yoruba as `ito sugar’ is not strange; it is common and occurs when the body cannot handle blood sugar.
“Diabetes occurs when there are raised levels of glucose in the blood because the body cannot produce any or enough of the hormone, insulin, or use insulin effectively,’’ she explains.
Isiavwe, discloses that a symptom of diabetes is frequent urination.
“Other symptoms include sudden weight loss, wounds that won’t heal, especially foot wounds, erectile dysfunction in men, low libido, frequent thirst and recurrent boils.
“For women, they may find out that every time they get pregnant, they have a still birth, the baby dies in the womb or they have very large babies.’’
According to the endocrinologist, who is the Medical Director of Rainbow Specialist Medical Centre, Lekki , there are different sub-types of diabetes, including the Type 1, Type 2 and Gestational diabetes.
Isiavwe believes that, worldwide, there is a lot of data on diabetes but in Nigeria, there is a dearth of it.
“Currently, we have 16 million people and it is extrapolated that by 2045, we will have 41 million people living with diabetes, which represents an increment of 156 per cent.
“For developed countries, they have a hold of it at 35 per cent and Europe is just 16 per cent.
“The low and middle income countries such as those in Middle East and Africa are the ones that will be battling with diabetes, especially as four out of five people with diabetes live in low and middle income countries,” she said.
On solutions to addressing the incidence of diabetes, she believes there is a need to have a national diabetes registry.
“It is going to help us with planning, registration and allocation; in developed countries, they plan for the present and future.
“Screening is another good way because it picks up people who have symptoms; half of the people with diabetes do not know they have diabetes because it is called the silent killer.
“We need to adopt a healthy lifestyle; our eating habit has changed because we are doing fast foods and pastries.
“We need to watch what we are putting in our children’s lunch boxes and on the table for everybody to eat.
“ In addition to eating healthy meals, families should learn to exercise together.’’
The endocrinologist believes  that knowledge is important, especially if one has a family history of diabetes, so as to learn about diabetes, the risks, symptoms, complications and how to prevent them.
“There is also need to live in an environment that supports healthy lifestyle; if you stay in a storey building, you can go up and down.
“If you work in an office environment and are always sitting down, you can move around and stretch.
“Eighty per cent of cases of Type 2 diabetes are preventable through the adoption of a healthy life style; 70 per cent of premature deaths among adults are largely due to behaviour initiated during adolescence,” she argues.
The expert emphasises the need to teach children how to eat right, and be active.
“If they have different clubs, sports, encourage them to participate,’’ she urges.
Mr Sam Efaroro, a media consultant and publisher of the Nigeria Health Online,  lives with diabetes.
According to him, he was able to recognise the signs of diabetes having attended a workshop on diabetes few years ago. He went to a hospital and  was diagnosed with diabetes. He began treatment with an endocrinologist and today, he lives a normal life with moderation and observes a healthy lifestyle.
“Diabetes management requires daily treatment, regular monitoring, healthy lifestyle, education and family support.
“It is also very essential that diabetes medications and disposables be accessible and affordable.
“The government needs to put policies in place that will make importation of diabetes medication duty-free; that way, it will get to the end user at an affordable price,’’ Efararo says.
Mrs Susan Snell, Head of Roche Diabetes Care, Sub-Sahara Africa calls for structured testing of blood glucose in the management of diabetes.
“It is important to have structured testing of blood glucose as a necessary measure a patient must take to achieve control of the disease.
“ Roche has been involved in diabetes patients care for 40 years by providing the Accu-check blood sugar measurement which they could use at home or anywhere they are.
“The Accu-chek device is a “tailor-made diabetes self-management solution” designed to help people with diabetes to manage their condition and  enhance quality of life,’’ Snell explains.
On World Diabetes Day, Victoria Ibanga, general secretary , Nigerian Guild of Editors (NGE), says the media has a major role to play in creating awareness about the disease and shaping public opinion.
Ibanga, who spoke on behalf of the President of NGE, Mrs. Funke Egbemode, says: “As the fourth estate of the realm, it is the responsibility of the media to call governments to account and provide good leadership to the benefit of the populace.
“Nigerian governments both at federal and state levels should tell us how much has been achieved in the last one year or long years since the declaration of the day in 1991.
“It is also our responsibility and business to speak the truth to authorities especially in areas like health, which they have failed.
“We have a responsibility to ask questions about the budget for the health sector; how much is allocated, how much is implemented and how does it benefit the low and middle income communities?
“We have a responsibility to spread to the rural communities and provide them information and options, especially on ways to detect symptoms of diseases.”
She says as watch dogs, the media could  bring about change in the society by embarking on extensive campaign to create awareness on the rising cases of diabetes.

Ihechu writes for the News Agency of Nigeria.

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Limiting Varsity Admissions Through Age

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Authorities of some
Nigerian universities have been remarkably consistent in denying admission to candidates on the basis of age despite their exceptional performances in the West African Senior School Certificate Examination (WASSCE) and the Unified Tertiary Matriculation Examination (UTME).
For some candidates, the initial euphoria of being admitted to study their choice of discipline for an academic session is short-lived as they fail to meet one of the many admission requirements of higher institutions, which is a minimum age of 16.
The action of some universities has generated squabbles in the education sector, and indeed, in the larger society, with a call on the Federal Government to set a minimum age benchmark for would-be admission seekers to institutions of higher learning in Nigeria.
Before the continuing controversy, the government made failed attempts to fix a minimum age limit of 18 years for admission into tertiary institutions and reintroduce the Higher School Certificate (HSC) in the school system. Again, the idea failed. It was jettisoned by some Nigerians on the basis that every child should express their ingenuity.
In recent times, some universities specifically maintained that no person under the age of 16 years would be admitted to the universities as a student. But many children below 16, assisted by their parents, beat the rules, and apply for admission to the universities because they think that the 16-year minimum age has no legal backing.
Nigerians seem to be divided on the direction the country should go on the minimum age limit for admission into the country’s universities, considering the fact that admitting students below the age of 16 has its merits and demerits.
Some stakeholders in the education sector have always argued that students in other climes, such as America, Europe and Canada could enter the university at any time they meet the requisite academic qualifications to enrol. If that is the case, why is it different in Nigeria? Why is there an age limit for admission to higher institutions in the country? What is such limit designed to achieve?
As the issue lingers some experts have called on the Federal Government to wade in to avert the looming disaster of wasting the brains of young, vibrant and scholarly youngsters. A few years ago, education stakeholders had engaged in spirited arguments – for and against – the age-limit admission policy by the universities. The age limit has become a norm with the exception of few universities admitting candidates as young as 14 and 15 years old.
Baring his thoughts on the issue, an educationist and retired principal, Mr Ignatius Lawson-Jack, spoke in favour of a “free age range” being canvassed in some quarters. According to him, globalisation and innovative learning devices, such as the Internet, computer, among others, have made students smart in acquiring knowledge and learning.
“Globalisation has made students very smart in learning because of the introduction of advanced learning devices, as well as the Internet. It is always advisable to allow students below the age of 16 into the universities owing to the fact that most of them possess high Intelligent Quotient (IQ) and can meet up with the demands of the society,” he stated.
A legal practitioner, Prince Nyekweru, said 16 years as the minimum age for anyone to gain admission to the university in the country is statutorily provided. According to him, the Joint Admissions And Matriculation Board (JAMB) Act makes a provision for it. He said age limitation for university admission in Nigeria was not a policy of any university or tertiary institution.
“There is a legal angle to the age limitation of university admission in Nigeria. It is not a university policy. The law establishing JAMB makes a provision for it. The act makes a provision that for one to be qualified to get into the university the person must have reached the age of 16. It is not a university policy.
“You see the challenge we have now is because of the exposure and everything; you can see somebody who is 16 years and the person is matured to be in the university even less than 16. And you can see somebody who is 16 years but behaving like someone of 12 years. I think they should find a meeting point. Age is not necessarily the determinant of maturity of a person. Maturity these days depends on foundation and exposure”, he said.
A journalist and publisher, Mr Owuje Park Harry, said admission to a Nigerian university should be based on performance not age. For him, maturity varies from person to person depending on the development of the brain. Some persons, he said, with high Intelligence Quotient are usually more intelligent and mature than those older than them.
“University admission should be based on the performance of the candidate, not the age. Because some persons, based on the development of their brain, their IQ is far higher than those far older than them. Just recently the child that had the highest score in JAMB was a 15-year-old candidate. But because of the law he was denied admission by the university of his first choice. Though some private universities cut corners and admit candidates below 16, the law cuts across every university in the country”, he stated.
But for a Port Harcourt-based educationist, Mrs Igbikinime Robinson, the present age limitation is all right. In other words, she said the age limit of university admission should not be left open considering the developmental factors of the child. According to her, if anything, the age should be increased to withstand pressures such as the things the child will face.
“Admission age to the university shouldn’t be left open considering the developmental factors such as the cognitive, affective and psychomotor domain of the child. I think it should have been 17 or 18 years of age so that by that time the child is matured enough to bear some responsibilities that might come their way. This period the child will be able to know their right from their left.
“Such a child will not be intimidated while in school. But those of them that enter at 14, 15 or 16 years still behave like kids. At that age they are still looking for people to take care of them. And then their mental level too is low emotionally and physically. At the present admission age they still need parental guidance. I think 17 or 18 should be ideal and that is what is obtainable in some Western countries.
“But before the university admission age can be extended, the current age children begin nursery and primary schools should be increased. For example, a child needs to be three years old to start nursery programme. No school should admit less than three years.
“At this point, the child has started talking. But we find out that these days because parents are looking for money and may be no one is to stay with the child, they are being forced to take such child to school at an early age of two or a year plus.
“I think it is wrong. There is a developmental process in every human being and at that age that child needs enough sleep. But waking up the child at 5 or 6 am because you want to look for money is wrong because it affects the child’s health or their developmental processes. So, children should start from age three for kindergarten. By the time the child gets to the primary level that child has attained six years.
“So, if the progression continues that child will finish secondary school at 17. At this age the child has attained maturity. That child will be able to bear some responsibilities because the understanding level has increased. Intellectually the child will be sound. There is no point rushing the child”, she emphasised.
As the debate on age limit for admission seekers to Nigerian universities continues, some stakeholders have asked for an exception particularly for exceptionally brilliant students? They have, therefore, called on the relevant authorities to amend the Act to accommodate such cases.

 

Arnold Alalibo

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Environmental Safety: Here Come Smarter Plastics

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A frenzy of scientific research is going on around the world to find lasting and contributory solution to the negative impact of plastic materials (which cause litter, choking of drainage system and marine life) on the environment. A lot of technologies are being developed for recycling of plastics while other efforts are being made on other areas including how to make plastics to be bio-degradable.
The United Nations World Environment Day celebration in 2018 was on the theme “Beat Plastic Pollution”.
For many stakeholders around the world, including United Nations agencies, plastics manufacturers, environmental protection agencies, concerned non-governmental organisations (NGOs) and the general public, who have been worried about the negative impact of non-degradable plastic materials on the environment, solution seems to have come.
The contributory solution, according to recent discovery, is using just 1% Ozone-Biodegradable (OBD) additive in the manufacture of plastic materials. This additive (OBD) is said to make any various plastic materials biodegrade after a short period of time.
A number of countries in Europe, Latin America, South Asia, Middle East and Africa are already using OBD in tackling the menace of plastics that have escaped collection and, therefore, polluting the environment.
According to the Ozone-biodegradable Plastics Associations (OPA), UK, the use of OBD in plastic manufacturing can actually be a contributory solution to the global menace.
The OPA said that the problems caused by plastic litter in the environment has compelled governments, manufacturers and brand owners to rethink the way plastic is produced, used and their end of life.
“Many are now looking for products and technologies that are inexpensive, non-disruptive to manufacture, and can   be   re-used and re-cycled at the end of their useful life.
The need for OBD plastics is indeed obvious. Thousands of tons of plastic waste is escaping collection, getting into the world’s environment every day, and unless treated with just a 1% inclusion of Ozone-biodegradable Additive will remain there for decades.
Ozone-biodegradable plastics have been independently tested and found ultimately bio-degradable on land or in the sea.
Perry Higgs, a senior scientist at Symphony Environmental Limited, UK, the leading producer of Ozone-biodegradable additives branded d2w, says the use of Ozone-biodegradable additive creates a faster and more complete degradation which leads to bio-degradation.
He was speaking at a one-day symposium on the menace of plastic waste, recently held in Accra, Ghana, attended by the Ghana Plastics Manufacturers Association (GPMA), the Ghana Environmental Protection Agency (EPA), Environmental Services Providers Association (ESPA), etc.
The President of GMPA, Mr. Ebbo Botwe was said to have advocated for the use of Ozone-biodegradable additives in Ghana to help reduce the menace of plastic waste in the Ghana environment – at least to serve as a mitigation measure to the concerns to many stakeholders in the country.
In fact, he was said to have disclosed that the association has provided about 7,000 special plastic waste bins to help curb the indiscriminate dumping of waste in the environment.
Information available, (https://www.symphony environmental.com/solutions/oxo-biodegradable-plastic/solutions/oxo-biodegradable-plastic/) shows that UK-based Symphony Environmental is a world leader in the development of additives to make ordinary plastic biodegradable and also has a range branded d2p which are protective technologies which enhance plastic products.
Symphony’s technologies are sold into nearly 100 countries around the world, with applications in retail, medical and manufacturing industries with a focus on the protection of both the environmental and human health.
Symphony is a member of OPA (www.biodeg.org) the Society for the Chemical Industry (UK), and the Pacific Basin Environmental Council.
There are four main features of the d2w Ozone-biodegradable technology:
*Ozone-biodegradable Plastic facilitates the ultimate biodegradation of plastics on land or in seawater by bacteria, fungi or algae, within a reasonable time, so as to cause the plastic to cease to exist as such, far sooner than ordinary plastics, without causing any toxicity;
*Meets a number of relevant international standards;
*Has same characteristics in terms of appearance, strength flexibility and functionality as normal plastic;
* Does not just fragment and create micro-plastics, as the treated material becomes a biodegradable food source for the microbes found in these environments.
So far, 23 countries including Saudi Arabia, United Arab Emirate, Brazil, Argentina, Burkina Faso, Sudan, Togo, Benin, Mauritius and Pakistan have taken regulatory actions to make the production and/or importation and the use of Bio-Degradable Plastics mandatory.
Indeed many countries around the world have realized that they cannot realistically collect all the plastic or indeed impose the restriction and or ban plastic, considering its usefulness in terms of cost, durability and economic impacts on economies.
Furthermore legislating in favour of the use of Ozone-biodegradable additives helps to support the local plastics manufacturing industry, thus securing the jobs and livelihoods of tens of thousands of people employed in this sector worldwide.
Ozone-biodegradable technology would certainly be an excellent solution for Nigeria, especially for the significant plastics industry we have and those government agencies, including the Federal Ministry of Environment, which has scheduled a national workshop in Abuja on 12th September, 2019 on the need to develop a National Plastics Life Cycle Management Policy for the country.
During the tenure of the Nigerian 8th National Assembly, a bill was introduced in the two houses on how to address the concerns of Nigerians on the issue of plastic wastes – and the best ways to handle the issue. The Plastics Group of the Manufacturers Association of Nigeria (MAN) had advocated for a win-win solution in tackling the issue.
The Ozone-biodegradable plastics technology is an additional and very attractive option which will be proposed and recommend in Nigeria. Giving consideration to the significant importance of plastics in socio-economic life of the people, especially as over 600 plastics firms in Nigeria have 350,000 employees on their payroll, it will be difficult to dispense of such jobs.
The best and most pragmatic option remains to increase the infrastructure for the collection and recycling of plastics and at the same time make it mandatory for the use of Ozone-biodegradable additives, which will then help to mitigate the menace of plastic waste that escapes collection and ends up polluting the country.
MAN, being a representative body of all manufacturers in Nigeria and a custodian of making Nigeria an industrialized nation in the face of lean resources, should lead the discussions with the Federal Ministry of Trade, Industry & Investments (FMTII) and Federal Ministry of Environment (FMEnv) to enact laws or regulations in line with other countries that have adopted the Ozone-degradable technology.
Phillips, an environmentalist, writes from PH.

 

Amaka Phillips

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Leveraging E-Payments, Digital Innovation For Trade

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There is no doubt that technology has revolutionised the banking industry, particularly mobile and the Internet, as bank customers continue to embrace electronic payment for financial transactions.
Indeed, individuals and businesses now crave e-payment platforms mainly due to the immense economic benefits they derive from them, which include convenience, affordability, availability and customer retention.
For instance, a recent report of the National Bureau of Statistics (NBS) on “Selected Banking Sector Data: Sectoral Breakdown of Credit, ePayment Channels and Staff Strength” for first quarter, shows that a total of 557,083,712 electronic payment transactions valued at N34.02 trillion were recorded in selected banks across the country.
The e-payment channels include: the Nigeria Inter-Bank Settlement System Instant Payments (NIP), Automated Teller Machine (ATM), Point of Sale (PoS), electronic cheque truncation, mobile cash, electronic bills pay, web and mobile payment, among others.
Statistics indicate that cash and cheque use are declining as the world is swiftly becoming the age of digital payments, push payments and instant payments.
Analysts say the rise of different e-payment channels continues to have a direct impact on local economies, especially Nigeria.
In 2016, a report by Moody’s Analytics commissioned by Visa Incorporated showed that increased use of electronic payment products, including credit, debit and prepaid cards, added 296 billion dollars to the Gross Domestic Product (GDP), while raising household consumption of goods and services by an average of 0.18 per cent per year.
The report: “The Impact of Electronic Payments on Economic Growth” was conducted in 70 countries between 2011 and 2015.
The report also showed that e-payments added 640 million dollars to Nigeria’s GDP and an average of 16,880 jobs per year within the review period.
The benefits of e-payment to Nigeria’s economy are unquantifiable as it is evolving into a cashless society, deepening financial inclusion, reducing poverty and contributing to the effectiveness and stability of the financial system.
Director, Payments System Management, Central Bank of Nigeria (CBN), Sam Okojere, said the Nigerian Payments System had evolved over the years from primitive barter system to the use of cowries, metals, notes and to the present electronic payments system.
Okojere disclosed that CBN, as the regulator of the payments system, had been implementing various policies and initiatives towards the development of the Nigerian Payments System.
According to him, the strategic objective of the payments system is to migrate Nigeria from cash-based economy to an electronic payments inclined market. Thus, the bank’s strategic priorities have been to achieve a credible, reliable and efficient payments system.
Okojere disclosed this during a recent Joint Seminar for Banking and Telecom Regulators from the Sub-Saharan Africa Locations on Digital Products and Payment Systems in Lagos.
The seminar which had the theme: “Advancing ePayment and digital innovations in Africa – Evolution of Nigeria’s payment systems” was to promote financial inclusion through digital innovations in sub-Saharan Africa.
The seminar was organised to provide key officers of regulatory authorities in African Markets – notably locations with FirstBank subsidiaries; Ghana, Senegal, DRC, Gambia, Sierra Leone and Guinea – a platform to get familiar with developments in the Nigerian Payment Systems and Digital Products Industry.
Thereon replicating and adopting the knowledge from the seminar with a view to bolster the finance industry in their respective countries.
Speaking on how other countries can learn from the Nigerian experience, Okojere emphasised the need for strong collaboration, especially in the areas of intelligence gathering and information exchange to fight fraud.
“The Nigeria Electronic Fraud Forum is working on extending its partnership to other African countries.
“Also, periodic exchange of staff to learn on the job is very crucial to the development of competence,” Okojere said.
Notably, he stressed the need to start organising Intra-African Conferences with themes that reflected local challenges.
Specifically, he said the CBN continued to demonstrate its resolve to shape a more trusted and efficient payments landscape in Nigeria through its strong commitment to collaboration and stakeholder engagement.
Speaking on FirstBank’s leading role in promoting digital banking and financial inclusion across the country, Adesola Adeduntan, CEO, First Bank of Nigeria Ltd., said the bank had been a success story as far as digital banking was concerned.
He restated that economic growth and development of host communities was important to the bank, and that assisting Nigeria and the continent at large address poverty was imperative and reason for financial inclusion being at the core of its business strategy.
Adeduntan said First Bank was also committed to financial inclusion and would continue to improve the lives of Nigerians through the provision of innovative financial services.
Also, Mr Chuma Ezirim, Group Executive, e-Business & Retail Products, First Bank, noted that the bank was pursuing sustainable financial inclusion by leveraging its unparalleled experience in serving the low income segments.
“Our agent banking offering with focus on serving financially excluded individuals and small businesses in rural areas is experiencing exponential growth with significant revenue and social impact,” he said.
Ezirim disclosed that First Bank had over 28, 000 agent banking network located in 754 local government areas, processing N240 billion worth of transactions monthly.
“The agent banking asides creating employment has made banking easier and closer to people, and the testimony of the people is that their communities has been turned to city,” he said.
He highlighted the challenges faced by the agents as poor infrastructure, trust, lack of awareness, low income/literacy level and identity management, among others.
Corroborating the First Bank boss, Mr Mike Ogbalu, Chief Executive Officer, Verve International, said Nigeria’s payments system had evolved over the last 20 years with amazing impact on the economy, industries and the lives of Nigerians.
Ogbalu said the August 2005 banking sector recapitalisation redefined competition within the industry and set off a technology ‘arms race,’ which positively impacted the growth of the industry.
Also, Managing Director, Nigeria InterBank Settlement System (NIBSS), Premier Oiwoh, disclosed that Nigeria was one of the few countries in Africa and the world to have deployed an Instant Payment platform solution.
According to Oiwoh, the NIBSS Instant Payment (NIP) is the first and only point-to-point funds transfer service that guarantees instant value to the beneficiary.
He disclosed that the NIP experienced exponential growth value from N3.9 trillion in 2012 to N39.9 trillion as at June 2018.
Oiwoh noted that benefits of improved payment system would facilitate the entry of new players into the financial industry, faster turnaround time with inter-bank transactions, convenient banking and improved innovations from mobile and internet banking.
Others include: next day settlement of merchants for Point of Sale (POS) transactions, availability and uniform functionality of the terminals and uniformed card acceptability across the network.
However, he itemised fear of fraud and security issues, infrastructural challenges and low level of card usage on POS as some of the impediments to Nigeria’s electronic payment system.
Furthermore, Mr Agada Apochi, Managing Director, Unified Payment Services Ltd., urged operators in the payment system to evolve a scheme whereby various African currencies would be acceptable both as transaction, settlement and billing currencies.
“Otherwise, we would continue to depend on the dollars or pounds; because there is no national currency in African today that is allowed as a global currency for settlements or billing,” he said.
He also advised telecoms companies to reduce their roaming rates in Africa to deepen digitalisation, thus allow more businesses utilise their USSD for transactions during trips. He added that present roaming rates of telecoms companies in Africa was prohibitive.
Ishola writes for the News Agency of Nigeria.

 

Oluwafunke Ishola

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