Saturday 28 February 2015

Nigeria Environment - current issues


Environment - current issues: soil degradation; rapid deforestation; urban air and water pollution; desertification; oil pollution - water, air, and soil; has suffered serious damage from oil spills; loss of arable land; rapid urbanization
Definition: This entry lists the most pressing and important environmental problems. The following terms and abbreviations are used throughout the entry:


Acidification - the lowering of soil and water pH due to acid precipitation and deposition usually through precipitation; this process disrupts ecosystem nutrient flows and may kill freshwater fish and plants dependent on more neutral or alkaline conditions (see acid rain).


Acid rain - characterized as containing harmful levels of sulfur dioxide or nitrogen oxide; acid rain is damaging and potentially deadly to the earth's fragile ecosystems; acidity is measured using the pH scale where 7 is neutral, values greater than 7 are considered alkaline, and values below 5.6 are considered acid precipitation; note - a pH of 2.4 (the acidity of vinegar) has been measured in rainfall in New England.


Aerosol - a collection of airborne particles dispersed in a gas, smoke, or fog.


Afforestation - converting a bare or agricultural space by planting trees and plants; reforestation involves replanting trees on areas that have been cut or destroyed by fire.


Asbestos - a naturally occurring soft fibrous mineral commonly used in fireproofing materials and considered to be highly carcinogenic in particulate form.


Biodiversity - also biological diversity; the relative number of species, diverse in form and function, at the genetic, organism, community, and ecosystem level; loss of biodiversity reduces an ecosystem's ability to recover from natural or man-induced disruption.


Bio-indicators - a plant or animal species whose presence, abundance, and health reveal the general condition of its habitat.


Biomass - the total weight or volume of living matter in a given area or volume.


Carbon cycle - the term used to describe the exchange of carbon (in various forms, e.g., as carbon dioxide) between the atmosphere, ocean, terrestrial biosphere, and geological deposits.


Catchments - assemblages used to capture and retain rainwater and runoff; an important water management technique in areas with limited freshwater resources, such as Gibraltar.


DDT (dichloro-diphenyl-trichloro-ethane) - a colorless, odorless insecticide that has toxic effects on most animals; the use of DDT was banned in the US in 1972.


Defoliants - chemicals which cause plants to lose their leaves artificially; often used in agricultural practices for weed control, and may have detrimental impacts on human and ecosystem health.


Deforestation - the destruction of vast areas of forest (e.g., unsustainable forestry practices, agricultural and range land clearing, and the over exploitation of wood products for use as fuel) without planting new growth.


Desertification - the spread of desert-like conditions in arid or semi-arid areas, due to overgrazing, loss of agriculturally productive soils, or climate change.


Dredging - the practice of deepening an existing waterway; also, a technique used for collecting bottom-dwelling marine organisms (e.g., shellfish) or harvesting coral, often causing significant destruction of reef and ocean-floor ecosystems.


Drift-net fishing - done with a net, miles in extent, that is generally anchored to a boat and left to float with the tide; often results in an over harvesting and waste of large populations of non-commercial marine species (by-catch) by its effect of "sweeping the ocean clean."


Ecosystems - ecological units comprised of complex communities of organisms and their specific environments.


Effluents - waste materials, such as smoke, sewage, or industrial waste which are released into the environment, subsequently polluting it.


Endangered species - a species that is threatened with extinction either by direct hunting or habitat destruction.


Freshwater - water with very low soluble mineral content; sources include lakes, streams, rivers, glaciers, and underground aquifers.


Greenhouse gas - a gas that "traps" infrared radiation in the lower atmosphere causing surface warming; water vapor, carbon dioxide, nitrous oxide, methane, hydrofluorocarbons, and ozone are the primary greenhouse gases in the Earth's atmosphere.


Groundwater - water sources found below the surface of the earth often in naturally occurring reservoirs in permeable rock strata; the source for wells and natural springs.


Highlands Water Project - a series of dams constructed jointly by Lesotho and South Africa to redirect Lesotho's abundant water supply into a rapidly growing area in South Africa; while it is the largest infrastructure project in southern Africa, it is also the most costly and controversial; objections to the project include claims that it forces people from their homes, submerges farmlands, and squanders economic resources.


Inuit Circumpolar Conference (ICC) - represents the 145,000 Inuits of Russia, Alaska, Canada, and Greenland in international environmental issues; a General Assembly convenes every three years to determine the focus of the ICC; the most current concerns are long-range transport of pollutants, sustainable development, and climate change.


Metallurgical plants - industries which specialize in the science, technology, and processing of metals; these plants produce highly concentrated and toxic wastes which can contribute to pollution of ground water and air when not properly disposed.


Noxious substances - injurious, very harmful to living beings.


Overgrazing - the grazing of animals on plant material faster than it can naturally regrow leading to the permanent loss of plant cover, a common effect of too many animals grazing limited range land.


Ozone shield - a layer of the atmosphere composed of ozone gas (O3) that resides approximately 25 miles above the Earth's surface and absorbs solar ultraviolet radiation that can be harmful to living organisms.


Poaching - the illegal killing of animals or fish, a great concern with respect to endangered or threatened species.


Pollution - the contamination of a healthy environment by man-made waste.


Potable water - water that is drinkable, safe to be consumed.


Salination - the process through which fresh (drinkable) water becomes salt (undrinkable) water; hence, desalination is the reverse process; also involves the accumulation of salts in topsoil caused by evaporation of excessive irrigation water, a process that can eventually render soil incapable of supporting crops.


Siltation - occurs when water channels and reservoirs become clotted with silt and mud, a side effect of deforestation and soil erosion.


Slash-and-burn agriculture - a rotating cultivation technique in which trees are cut down and burned in order to clear land for temporary agriculture; the land is used until its productivity declines at which point a new plot is selected and the process repeats; this practice is sustainable while population levels are low and time is permitted for regrowth of natural vegetation; conversely, where these conditions do not exist, the practice can have disastrous consequences for the environment .


Soil degradation - damage to the land's productive capacity because of poor agricultural practices such as the excessive use of pesticides or fertilizers, soil compaction from heavy equipment, or erosion of topsoil, eventually resulting in reduced ability to produce agricultural products.


Soil erosion - the removal of soil by the action of water or wind, compounded by poor agricultural practices, deforestation, overgrazing, and desertification.


Ultraviolet (UV) radiation - a portion of the electromagnetic energy emitted by the sun and naturally filtered in the upper atmosphere by the ozone layer; UV radiation can be harmful to living organisms and has been linked to increasing rates of skin cancer in humans.


Water-born diseases - those in which bacteria survive in, and are transmitted through, water; always a serious threat in areas with an untreated water supply


Nigerians need to embrace preventive medicine – Dr. Nse Onyebuchi


Nse Onyebuchi


Dr. Nse Onyebuchi is well known in Nigeria’s health care circle as she worked in the public healthcare system be­fore she incorporated her firm. She is bringing something new to health­care in Nigeria as she’s combining conventional and lifestyle strategies in the treatment of diabetes and other diseases . Already one year in business, she is making astounding success in her chosen field of health­care. In this interview with Sunday Sun, she reveals quite a lot about her motivation and challenges.
Excerpts:
Who are you?
My name is Nse Onyebuchi. I graduated as a medical doctor at the University of Nigeria, Enugu Campus. I also have a master’s degree from the University of Birmingham in Public and Environmental Health.
What’s your motivation for what you are doing today?
My masters degree in Public Health was actually what changed my per­ception about medicine. When I first went for it, my colleagues here asked if I wanted to learn how to wash Lagos gutters, because that is what environ­mental health officers did in Lagos in the 60s and 70s. I wasn’t discouraged but wondered what the course entailed.
When I got to Birmingham, I checked out the main public health class, and eventually choose the en­vironmental health class. The environ­ment is not just the space around you; it’s you, your work, your life, your cul­ture, beliefs, your ethnic background, and how these affect health.
The World Health Organisation’s definition of health states “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.”
This means you don’t have to be sick to be unhealthy. If you are not hap­py on your job, you are not well, your stress level is high. If you are not happy in your environment, you are not well. We were shown the relationship be­tween emotional and physical health and how the different dimensions of health intertwine.
We had a lot of practical lessons. For instance, there was a lovely hous­ing development with parks but no one ever came out to walk or exercise. Some of us thought the people were plain lazy but after asking from door-to-door interviews, we found out that the people were afraid to go to the park because of bad boys, stray dogs, dog poop, etc.
Subsequently, the police now evict­ed the miscreants out of the place, people were fined for allowing their dogs to stray or the dogs were taken away. You won’t believe that in less than six months, people started walk­ing out freely, people were a bit health­ier and were a bit happier.
So, before we categorize people as something, we need to know why they are not doing certain things. During an­other interview too, we also found out why people were smoking especially women, because when you smoke, you lose weight. It’s cold there and when you tell them to stop smoking, you need to replace the bad habit with a good one as well as create another avenue for losing weight. From these I realised how our lifestyles actually af­fect our health.
How healthy are Nigerians?
In our society, people don’t appreci­ate preventive medicine. We are more reactive than proactive when it comes to health. Something major has to happen before we see a doctor. A lot of awareness on the health benefits of prevention has to be created especially with the global epidemic of obesity, di­abetes, hypertension and stroke. These diseases are called non-communicable diseases, or lifestyle diseases or West­ern diseases. They take a long time to progress, cannot be cured and usually do not show symptoms until compli­cations arise. They’re best diagnosed from routine health check-ups.
Diabetes, hypertension, stroke and certain cancers once called diseases of the elderly now affect people be­low forty-five. These people are in the working class age group. They are de­bilitating diseases that require life-long treatment and greatly increase the risk of serious, long-term complications.
Diseases from these conditions are accelerating globally, advancing across every region and pervading all socio­economic class. Unless addressed, the death rate and disease from these health problems will continue to in­crease. While premature death is a real threat, most people with chronic dis­eases live longer . However, their qual­ity of life may suffer and their indepen­dence may be compromised such that they retire from active service early, cannot enjoy the productive or fulfill­ing activities they once did.
Sometimes, we hear people sleep and didn’t wake up, half of that is caused by high blood pressure, or sometimes a combination of diabetes and high blood pressure. It is annoying that this is happening to younger peo­ple. This means that before we know it, soon, retirement age, will become forty five years, because we are suffer­ing from old peoples disease at thirty, so in fifteen years time, such persons would probably have complications and won’t be able to walk. It won’t just affect your health alone, it would affect your finances and relationships. It’s indeed our duty to take care of ourselves because no one else will do it for us.
Let’s stop being falsely optimistic about our health and undergo medi­cal check-ups and follow up. When I tell apparently healthy people that they have to come to the clinic, they ask ‘what am I coming there for? I tell them well, they need to check their blood pressure and their blood sugar and undergo screening . You know what they tell me? They say “God for­bid, it’s not my portion. It does not run in my family” I tell them yes, it’s not your portion but if you know, simply changing one thing in your life can ac­tually prolong your life.
You worked at LUTH, why did you retire?
I was bored. I loved what I was do­ing but the job was not just challenging enough. I still use what I learnt there. I did not get job satisfaction. I didn’t mind the salary at all but I was just not satisfied. I am doing what I like now. I can wake up in the middle of the night and try to research on what I am do­ing now. It was a struggle while I was working with the government to wake up and read for an exam. I know when I read now, I read because I am practic­ing what I read.
How and why did you set up Kairos Lifestyle?
It was after my masters degree pro­gramme I decided to set up this agency. I went for my masters because I needed something to do. I went for the masters to see if maybe I could still continue in this line of medicine otherwise I would have just done an MBA. When I went for my masters, I then found out I had to do this.
Kairos Lifestyle was therefore es­tablished to add value to lives through public health. We however started from health talks, outreaches and workshops.
How did you incorporate Kai­ros Lifestyle?
After I left the government service, I worked for my husband in his business, though his business was more of fash­ion. After a while, I then told myself, this was not what I wanted to do, let me just face medicine where I don’t need to dress big before coming to work. I started working on establishing Kairos in June 2013 but we started operations in December of the same year. We are really trying to create awareness about what we are doing here and that is why we are doing outreaches. Some com­panies have actually supported us with drugs.
How did you raise capital for the business?
My husband supported me and I’m hardworking too.
What challenges are you fac­ing?
In Nigeria, it’s sad to say that we work for money and we do not work for the growth of a firm. Also, Lagos State government is very unfriendly when it comes to taxation imposed es­pecially on small businesses. I started in December 2013 and by January, La­gos State started assessing me for tax and I am like tax from where.
So, human capital which involves attitude to work mostly, unstable power supply and punitive taxes imposed on small businesses in summary are the challenges my organization deal with.
What’s Kairos Lifestyle into?
We are into promoting healthy liv­ing as a method of preventing and treating illness. Achieving optimal wellbeing and aging in a healthy way is our credo.
Kairos is Greek for the opportuned time, the right time, God’s time. What we basically do is health assessments and health check-ups. We perform comprehensive health check-ups in a clean and ambient environment. We recommend exercise as medicine as well as nutritional remedies, health coaching, stress management, pain management, physical therapy and offer social support. We offer person­alised health care services and lifestyle modification services to tackle difficult to treat lifestyle diseases.
Other services include but are not limited to medical outreaches, coordi­nated school health services, corporate wellness, holistic retirement planning and health workshops.
Do you mean you do not treat people with medication?
We combine conventional and life­style medicine (nutrition, fitness, posi­tive stress coping) to take care of the whole person – body and mind not just his symptoms. Exercise is a remedy for all diseases. When you exercise, it improves your blood flow, when it im­proves your blood flow, it takes away the toxins and fits your cells with nu­trients and oxygen and all. You find out that simply having that happening to your body, you feel good, you are more relaxed. If you have diabetes and you exercise, there is a hormone called in­sulin and when you exercise, it makes that hormone effective. By exercising, you can actually lower your blood sugar and it can be used to also treat the early stages of high blood sugar called pre-diabetes, and infertility. There is no disease that cannot be treated with ex­ercise. Even when you are depressed, there is something that exercise does for you, it makes you a little happy.
An important aspect of medicine is that you can heal yourself from your mind, if you decide to be well, you will be well. If you have headache for in­stance, don’t just pop paracetamol, find out why you are having the headache. Could it be hunger, lack of sleep, anxi­ety or high blood pressure?
How affordable is Kairos?
Very, very affordable
Could you give us a glimpse into your customer base?
I am actually targeting working class age group and women of all ages. I went to a school and I shared flyers on diabetes, I wasn’t targeting chil­dren, I was targeting their parents but a few parents walked up to me and said “we need you to talk to us on how to manage our children, we have children that have diabetes.” Though initially I wasn’t targeting them but with my new flyers when I made them again, I now included adults and children too. Children are diabetic because our diet is not okay. Children are not play­ing the way they are supposed to play even in school. When they come back home, because of security reasons, we don’t let them run around like they should, so they are all caged inside the house playing video games and from one video game to another movie so they are inactive. So now, my clients include adolescents and the elderly.
Can you give some health tips Nigerians should imbibe?
Genes and environment play a role in determining our health. Health is wealth, if you have money and you don’t have good health, you can’t enjoy your money. Lifestyle simply means the way we do things; the way we eat, what we eat, how we eat it, when we eat it, our level of physical activity, alcohol consumption, and smoking. Unhealthy eating, inactivity/sedentary work, excessive alcohol consumption and smoking are the common risk fac­tors hypertension, diabetes and some cancers share. Let’s make our health a priority, prevention is sure better than cure.

Tuesday 17 February 2015

 

WHO IS AN ENVIRONMENTAL HEALTH OFFICER

 

Environmental Health Officers (also known as Public Health Inspectors) are responsible for carrying out measures for protecting public health, including administering and enforcing legislation related to environmental health and providing support to minimize health and safety hazards. They are involved in a variety of activities, for example inspecting food facilities, investigating public health nuisances, and implementing disease control. Environmental health officers are focused on prevention, consultation, investigation, and education of the community regarding health risks and maintaining a safe environment Environmental health officers make sure that people's living and working surroundings are safe, healthy and hygienic..
EHOs bring to the position an understanding of microbiology, risk assessment, environmental science and technology, food science, as well as the skills and knowledge related to the tracking and control of communicable disease. They must also have strong investigative skills and a thorough understanding of the application of legislation related to public health and the environment. Working in partnership with Government Ministries (such as Health, Agriculture and Environment), local municipalities, businesses, community groups, other agencies and individual members of the community, the EHO plays a major role in protecting public health.

The work EHO Deal With

As an environmental health officer or practitioner (EHO or EHP), you could deal with a wide range of issues including:
  • food safety
  • environmental protection
  • pollution control
  • noise control
  • health and safety at work
  • waste management
  • housing standards.
You might specialise in one of these areas, or you might deal with all environmental health issues in YOUR local area or company. YOUR work could involve:
  • inspecting businesses for health and safety, food hygiene and food standards
  • following up complaints and investigating outbreaks of food poisoning, infectious disease or pests
  • collecting samples for laboratory TESTING
  • enforcing environmental health laws
  • investigating accidents at work
  • advising community groups and giving educational talks
  • giving evidence in cases that come to court
  • keeping records and writing reports
  • advising employers on all environmental health matters.
You would work closely with EHOs from other areas as well as with government agencies, specialists in a variety of fields, the public and a wide range of businesses.

Monday 16 February 2015

Effects of Pesticides

If it has the suffix –cide in it, then you know it’s meant to kill something. Pesticides are designed to kill insects, fungus, bacteria and other things that feed on crops, are vectors for disease, nuisances, and things that destroy property. Farming is big business and some farming companies are bottom-line driven, in business to make money at any cost. Pesticides and genetically modified organisms are a way to ensure they get the crop yield they demand, no matter how it hurts the environment or the consumers.
Two types of pesticides are biological and chemical. Biological pesticides can be developed using fungi, bacteria, and other organically present substances. Some biological pesticides are microorganisms that, without any manipulation, demonstrate natural effectiveness in targeted pest control. These generally aren’t toxic to humans or animals and don’t leave a persistent residue.

PUBLIC HEALTH AND THE IMPORTANCE


Public health refers to "the science and art of preventing disease, prolonging life and promoting health through organized efforts and informed choices of society, organizations, public and private, communities and individuals."It is concerned with threats to health based on population health analysis.Public health incorporates the interdisciplinary approaches of epidemiology, biostatistics and health services. Environmental health, community health, behavioral health, health economics, public policy,insurance medicine and occupational safety and health are other important subfields.
The focus of public health intervention is to improve health and quality of life through prevention and treatment of disease and other physical and mental health conditions. This is done through surveillance of cases and health indicators, and through promotion of healthy behaviors. Examples of common public health measures include Promotion of hand washing, breastfeeding, delivery of vaccinations, and distribution of condoms to control the spread of sexually transmitted diseases.Public health researchers, practitioners and educators work with communities and populations. We identify the causes of disease and disability, and we implement largescale solutions.
For example, instead of treating a gunshot wound, we work to identify the causes of gun violence and develop interventions. Instead of treating premature or low birth-weight babies, we investigate the factors at work and we develop programs to keep babies healthy.The focus of a public health intervention is to prevent and manage diseases, injuries and other health conditions through surveillance of cases and the promotion of healthy behaviorscommunities and environments.Its activities aim to provide conditions in which people can be healthy and focus on entire populations, not on individual patients or diseases. Thus, public health is concerned with the total system and not only the eradication of a particular disease. The three main public health functions are:
  • The assessment and monitoring of the health of communities and populations at risk to identify health problems and priorities.
  • The formulation of public policies designed to solve identified local and national health problems and priorities.

  • To assure that all populations have access to appropriate and cost-effective care, including health promotion and disease prevention services.

IMPORTANT  OF PUBLIC HEALTH

* Diagnose and Investigate health problems and health hazards in the community*Monitor health status to identify community health problems*Mobilize community partnerships to identify and solve health problems*Inform, Educate, and Empower people about health issues*Enforce laws and regulations that protect and ensure public health and safety*Assure a competent public and personal health care workforce*Link people to needed personal health services and assure the provision of health care when otherwise unavailable*Research for New Insights and Innovative Solutions to Health Problems*Evaluate Effectiveness, Accessibility, and Quality of Personal and Population-Based Health Services



Sunday 15 February 2015

perception of women using herbal medicine as a cure of breast cancer


Generally, cancer remains a low priority for 75% of the world population from the developing world that will have to grapple with infectious diseases, the HIV/AIDS epidemic, poverty and malnutrition . However, according to the International Association of Research on Cancer of the World Health Organization, recent global cancer statistics indicate a rising global incidence of breast cancer and the increase is occurring at a faster rate in populations of the developing countries that previously enjoyed a low incidence of the disease In addition to the fact that the incidence of the disease appears to be on the increase, late presentation with poor outcomes of treatment is the hallmark of breast cancer in most developing countries including Ghana. The 5-year survival of breast cancer in Ghana is less than 25%, compared with over 70% in Western Europe and North America . It also disturbing that the average age at diagnosis for breast cancer in Ghana is 46.29 years with a range of 26 to 80 years as compared to an average age of over 65 years in Europe and America.Cancer treatment is limited to surgery in the United States Territory of American Samoa. Patients who can afford mainstream treatment are referred off-island to Hawai‘i for chemotherapy or radiation. Those who cannot afford off-island care remain in American Samoa. In both cases, patients may visit a traditional Samoan healer, a Fofo or Taulasea, for complementary or alternative therapy. The use of Samoan healers is believed to be motivated by lack of affordable treatment or a distrust or dissatisfaction with hospital care. This results in a competition between the two medical systems with some cancer patients foregoing mainstream medical treatment and utilizing only traditional methods.Cancer patients take a wide range of complementary and alternative medicines (CAM). These include ingested therapies such as herbs, and vitamins, homeopathic remedies and traditional Chinese medicines as well as psychological, physical and spiritual techniques . Currently between 20% and 84% of cancer patients are using CAM therapies . Predisposing characteristics for CAM use have been shown to include a high level of education, high-income bracket, ethnicity, marital status, adjuvant therapy and presence of anxiety or depression .

While no data reports improved survival or disease free interval with the use of CAM , many cancer patients attribute CAM therapy with providing them a feeling of control over their disease. CAM therapies are also believed to have properties such as, 'boosting' the immune system and preventing/treating cancer . Studies comparing CAM use in women with advanced stage cancer to those with early stage cancer find goals of therapy to be similar, therapeutic and psychological : i.e. to relieve symptoms , to exude greater control over their life and express hopefulness over there disease and life Despite remarkable advances achieved by conventional medicine, there has been an exponential growth in interest in and use of complementary and alternative medicine (CAM), especially in developed western countries. The literature shows that non-conventional medicine is a significant element of treatment in poor and developing countries as well.
The integration of CAM into the national health systems has been the subject of constant debates and relevant reference can be found in documents from the World Health Organization (WHO) as EstrategĂ­a de la OMS sobre medicina tradicional 2002-2005, which recommends the need to investigate the following:
  • national integration policies of complementary and alternative therapies in the national health systems;
  • safety, efficacy, and quality of these therapies;
  • access to these therapies;
  • rational use by professionals and CAM users.
By; my environment 

Saturday 14 February 2015

Housing

Housing generally refers to the social problem of insuring that members of society have a home in which to live, whether this is a house, or some other kind of dwellinglodging, or shelter. Many governments have a department that deals with housing, such as the United States Department of Housing and Urban Development.Public housing is a form of housing tenure in which the property is owned by a government authority, which may be central or local. Social housing is anumbrella term referring to rental housing which may be owned and managed by the state, by non-profit organizations, or by a combination of the TWO, usually with the aim of providing affordable housing. Social housing can also be seen as a potential remedy to housing inequality.
Although the common goal of public housing is to provide affordable housing, the details, terminology, definitions of poverty and other criteria for allocation vary within different contexts.