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Preventing Child Malnutrition: A Necessity

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There can be no real growth without healthy populations. No sustainable development without tackling disease and malnutrition. No international security without assisting crisis-ridden countries. And no hope for the spread of freedom, democracy and human dignity unless we treat health as a basic human right”.
These were the words of a Norwegian female politician, Gro Harlem Brundtland, who served three terms as Prime Minister of Norway and as Director-General, World Health Organization (WHO) from 1998 to 2003. Prior to the latter, she was appointed by United Nations as chairperson of the Brundtland Commission which presented the Brundtland Report on Sustainable Development formally known as the World Commission on Environment and Development (WCED) in 1983.
Without digressing, malnutrition as a critical disorder occurs when a person’s diet doesn’t contain the right amount of nutrients. It simply means ‘poor nutrition’ and can refer to undernutrition – not getting enough nutrients or overnutrition – getting more nutrients than necessary for normal growth, development and metabolism.
However, there are four sub-forms of undernutrition: wasting (low weight for height), stunting (low height for age), underweight (children with low weight for age), and micronutrient deficiencies.
Instructively, malnutrition results from a poor diet; when the intake of nutrients or energy is too high, too low, or poorly balanced. By implications, malnutrition can occur in poor families as well as rich families that are ignorant of diets. Emaciated or obese, it is still malnutrition.
Arguably, the best way to prevent malnutrition is to eat a healthy, balanced diet. To achieve these, eating a variety of foods from the four main food groups, especially sufficient fruits and vegetables, is indispensable.
UNICEF in her interventionist nature takes leading the advocacy particularly through the procurement of Ready-To-Use-Therapeutic Food (RUTF), a special therapy formulated to treat children suffering from severe acute malnutrition.
Lately, two prominent business moguls; Bill Gates and Aliko Dangote, have joined the crusade against malnutrition. This is commendable as nutrition remains the bedrock of child survival and development.
Nonetheless, the most rewarding beyond treatment is to conscientiously activate the popular maxim by a Dutch philosopher, Desiderius Erasmus, which said, “Prevention is better than cure”. Ultimately, taking proper care of health prevents lots of health challenges and also saves money by reducing the number of illnesses and medications.
Hence, parents and custodians should ineludibly be acquainted with knowledge on the best feeding practices especially for infants and young children. This will ensure that children are properly cared for and fed to prevent malnutrition. And this is where governments, non-government and corporate organizations have crucial roles to play. To articulate policies that support poor families in managing underlying factors affecting child’s nutritional intake is without doubt a step forward.
Typically, the human body requires six essential nutrients to function properly which according to WHO’s classifications are macronutrients: water, protein, carbohydrates and fats, and micronutrients: vitamins and minerals. Whilst the body requires macronutrients in large amounts, micronutrients are needed in smaller measures.
Beyond nutrients, malnutrition can be caused by infections, psychosocial and environmental factors. Vitally important! Good water supply, sanitation and hygiene are vital for their direct impact on infectious diseases. Incidentally, these demands cannot be met by chance but concerted efforts and self-discipline.
Thus, organizing and supporting community awareness workshops, possibly through the Local Government Areas (LGAs) structures to expose women in both rural and urban areas on suitable feeding practices for the family, may lend a helping hand.
Likewise, self-care is crucial as it reduces the heavy costs of healthcare associated with diseases. The reason is that many diseases are preventable, and also can be managed much better if identified in time. Self-care treatment of malnutrition may involve dietary changes such as eating foods high in energy, nutrients and other non-dairy sources of protein.
And the fact remains that well-nourished children are better able to grow resiliently. Undernourished children, on the other hand, have weaker immune systems, thus susceptible to infections and illnesses. Therefore, an investment in nutrition is relatively a premium long-term socioeconomic security.
For emphasis, malnutrition slows economic growth and perpetuates poverty by deterring people from reaching their full potentials. Equally, the mortality and morbidity associated with malnutrition constitute a direct loss in human capital and productivity to any economy, as undernutrition in early childhood makes victims prone to non-communicable diseases, including diabetes and heart disease.
From records, it was estimated that malnutrition could cost a society up to US$3.5 trillion a year, with overweight and obesity alone costing US$500 billion per annum. Likewise, economists maintained that in total, the cost of malnutrition could range from 2 to 3 percent of Gross Domestic Product (GDP). Of course, the education gap and consequent lower outputs of workforce can shake any country affected by malnutrition.
Correspondingly, an American physician, Dr. Nathan H. Heiligman (1907–1997) in “A strong Nation is a healthy Nation: Letter from the Lehigh County Tuberculosis Society” (National Library of Medicine) in 1940 elaborately emphasized on healthiness in nation-building. In addition, the effects of poor intelligent quotient and reduced school attainment that originate in early childhood undernutrition are grievous.
Thus, malnutrition has long-term implications which can ensnare generations of people in a vicious circle of poverty. Preventing malnutrition is, therefore, critical in eradicating poverty and positioning an economy for giant strides.
Umegboro, a public affairs analyst, wrote from Abuja.

 

By: Carl Umegboro

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Opinion

Dealing With Fake Drugs In Nigeria

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Since late Prof. Dora Akunyili’s tenure as the Director General of the National Agency for Food, Drug Administration and Control (NAFDAC), the fight against fake, illegal and expired drugs seemed to be in limbo until the current raid by the agency. For over one-week NAFDAC has been in the news as it has taken the war to the door post of fake, unauthorised, expired medicine dealers across the country. From Ariaria Market, Aba to Bridgehead, Onitsha, Anambra State, to Idumota drug market, Lagos, the stories are the same. Warehouses are being raided, medicine shops are being closed, counterfeit and expired drugs are being destroyed and so on. The current Director General of NAFDAC, Prof Mojisola Adeyeye, must be commended for the reinvigorated effort towards ridding our society of poisons in the name of drugs.
Some of these drugs according to NAFDAC are expired, imported drugs which are repackaged and pushed into the markets. Some of the seized drugs were vaccines stored in dilapidated, unventilated rooms, sealed with iron sheets in highly unsanitary conditions. It is doubtful if there is any adult Nigerian that is not aware of the damage caused to the citizens and the country by fake and substandard drugs. How many times have we or someone we know taken malaria drugs, antibiotics or other medicines for a cure of an ailment and they were ineffective? How many people in the country have died because fake or relabelled expired drugs were administered to them? Experts have posited that fake, adulterated, substandard drugs fuel antimicrobial resistance, as substandard antibiotics fail to properly treat infections, leading to stronger and more resilient bacteria.
The proliferation of these harmful substances is indeed a crisis of national significance. It threatens public health, weakens trust in the healthcare system, and exacerbates Nigeria’s already fragile health sector. Local drug manufacturers who invest millions of Naira to produce genuine, quality drugs for the citizens are denied the fruits of their labour by criminal syndicates who take advantage of regulatory loopholes and weak enforcement to flood the market with dangerous substances, putting millions of lives at risk. So, by all means, they should not be spared. But the question that begs for an answer is, where were the government agencies when these fake and expired drugs entered the country and travelled to the states? Why were they not intercepted at the point of entry either via the ports or the land borders and the importers arrested and prosecuted?
According to Adeyeye, most of these poisonous drugs are brought into the country through the ports and the porous borders. Is there nothing that can be done to beef up security and checks against illegal drugs at the borders? Or is it a case of the personnel at the borders looking the other way when they must have been settled thereby allowing unhindered entry of fake and unauthorised products into the country? It is also worrisome why we have allowed drugs to be sold in the open markets in the country. For many years, the federal government has been coming up with policies to address the uncontrolled and undefined buying and selling of medicine with or without approval, all to no avail. Open drug markets continue to thrive, leading to abuse and counterfeiting.
A former National Chairman of the Association of Community Pharmacists, Mr Samuel Adekola, in a recent interview bared his mind on the issue of open drug market. He said, “We know that open drug markets are not the best for Nigeria because of how the drugs are sourced. The government has been coming up with policies to address it, but you know that nature abhors vacuum, so once there is no alternative, these markets crop up because people must use drugs. Policies of the government must support alternatives which will make the drug distribution process/system in Nigeria a regulated and sanitised one. The whole essence of this is to save society from fake and adulterated drugs because the burden of fake drugs on citizen’s health and the economy is huge. Today, 70 percent of deaths in the hospitals arise from drug misuse or fake drugs.”
Early in the week, the NAFDAC DG during a television interview announced that the Kano Coordinated Wholesale Centre for drug marketers has taken off and that that of Lagos, Aba, Onitsha and other places are in the pipeline. Hastened efforts in actualising this will go a long way in checking the menace of fake drugs. Also, in addition to Adeyeye’s request for more funding and more staff for the agency to help in manning the borders and prevent the infiltration of poisonous drugs into the country, there is the need for technology-driven solutions to the challenge. The adoption of digital tools, such as mobile verification codes on drug packaging, can help consumers verify the authenticity of their medications. Blockchain technology can also be explored to track and trace pharmaceutical products from manufacturers to end-users.
NAFDAC and other regulatory bodies should be empowered with adequate resources to crack down on counterfeiters. Policies that improve oversight, enhance drug registration processes, and promote stricter penalties for offenders are essential. The nation’s drug distribution policy which stipulates penalties for defaulters must be implemented. While Adeyeye’s proposed death penalty for fake drug peddlers may be too harsh, many years imprisonment without an option of fine will not be out of place. While commenting on the recent raids, the National Chairman of the Pharmaceutical Society of Nigeria – Young Pharmacists Group, Tekena George showered some encomium on the NAFDAC DG, saying that beyond enforcement, her transformational policies promote local production of high-quality medicines in Nigeria, noting that by encouraging domestic manufacturing, she is not only reducing the country’s reliance on imported drugs but also strengthening the nation’s medicine security and economic resilience.
Indeed, over-reliance on imported drugs increases vulnerability to counterfeit products. Both federal and state governments should therefore encourage domestic pharmaceutical production, backed by strong quality control measures. This will ensure a safer drug supply chain. Nigeria should work closely with international agencies such as INTERPOL and the World Health Organisation (WHO) to dismantle transnational drug counterfeiting networks. Sharing intelligence and coordinating enforcement efforts will help disrupt the supply chain of fake drugs. Awareness campaigns are inevitable in dealing with the menace of fake drugs in our society. Many Nigerians remain unaware of the dangers of fake drugs. Government agencies, civil society groups, and healthcare professionals must therefore collaborate to educate the public on how to identify counterfeit drugs and report suspicious products.
Most importantly, the National Orientation Agency, religious and traditional leaders, parents, schools and other organisations must join hands in changing the “get rich at all cost” mentality of some Nigerians. As some people say, corruption, greed and selfishness are the root of all the problems in Nigeria. And unless these vices are dealt with all efforts at stemming fake drug distribution and other menace in the country will bear no positive result.

Calista Ezeaku

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Opinion

President Trump As Owha: A Reprise

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Early in Trump’s 45th Presidency, I wrote an article titled “Trump as Owha” and sent it to major newspapers in US and Nigeria. Unfortunately, only THISDAY and The Tide published it on February 15 and 20, 2017, respectively. This piece revisits the article, which likened Trump to a bellicose -machete-wielding masquerade called Owha . Numerous masquerades perform during the grand finale of the week-long burial rite of passage of Ogba people of Ogba/Egbema/Ndoni Local Government Area (ONELGA), Rivers State, Nigeria. Each type comes in multiple, adorned in mask and costume while displaying a choreography that proclaims its individuality. The event attracts tourists to Omoku, the headquarters of ONELGA, for what is adjudged a variant of Mardi Gras without the erotism of the New Orleans event.
At the arena, people are usually in celebratory mood and the events go on smoothly until Owha enters and precipitates chaos by chasing any and every person with the intent of inflicting injury, hence it is put on a long leash with many able-bodied young men as handlers. When angered by the restraints from the handlers, Owha turns around, chases them and complete chaos ensues until it is brought under control and forced out of the arena. Thereafter, the festivities continue to a cheerful conclusion. As the 45th President, Trump demonstrated the Owha element but was perhaps restrained by the desire for a second term. Even at that, it was one contentious issue after another: Australia refugee deal, Mexico’s wall project and “bad hombres,” Germany euro accusations, putting Putin at par with Merkel, discriminatory travel ban that drew Americans to the streets and was challenged by the Judiciary; the word “ally” was redefined, alliances shaken to their roots, the fourth estate dubbed “the most dishonest people on earth.”and discordant tunes consistently emanated from the Oval Office such that Kathleen Parker referred to them as “the perilous absurdities emanating from the White House”.
Trump showed every sign of the Owha. Today, as the 47th President without the restraint of re-election, the Owha in Trump is manifesting its capacity to create chaos (CCC). Worrisomely, Trump seems not to realise the immense responsibilities incumbent on the US President. A day before his inauguration, Trump declared thus: “Starting from tomorrow, I will act with historical speed and fix every single crisis facing our country”. Following inauguration, he hurriedly appended “his signature on executive orders, memorandums and proclamations”, declassified many documents and fired twelve Inspectors General (IG). Jack Cocchiarella avers that “Trump is a disaster”. Like the Owha, Trump has fired shots on all fronts: Canada and Mexico, US’ Northern and Southern neighbours and signatories to the trilateral North America Free Trade Agreement (NAFTA), have replied Trump on new tariffs in equal measure.
Immediately Trump imposed tariffs on Chinese goods, the Sleeping Dragon woke up and “responded with lightning speed and retaliated in more than equal measure…No empty words, no drawn out negotiations; just swift decisive countermeasures” that affect the critical sector of US economy. For Bernie Sanders, the situation is “a dangerous unprecedented moment in American history” and calls out Americans to be “smart, organised and fight back [by building] a movement against political power”. Certainly, the allure that attracted Mary Ann Macleod to the US in 1930, is waining.The questions are: is Trump psychologically prepared for the enormous powers of Oval Office? If Trump manifests the full CCC of Owha, can Vice President Vance and the Cabinet of Billionaires invoke Section 4 of 25th Amendment? Can Congress effectively play the role of handlers of this Owha?
Most importantly, Can Trump be trusted with The Presidential Emergency Satchel? On the side of the Judiciary, District Judge John Coughenour, has set the pace by blocking Trump’s executive order curtailing the right to birthright citizenship referring to it as “blatantly unconstitutional” and urged the States of Washington, Arizona, Illinois and Oregon to prevent the administration from enforcing it. Can that bold afront be sustained across the US? All said, President Trump should submit to the psychologist’s chair same way President Eisenhower accepted being deprogrammed from his military psyche. Finally, what does Revelations (13:5) mean by “power was given unto him to continue forty and two months?” Does “continue” not mean another chance? Perhaps a second term? If so, does “forty-months” refer to a date with June 2028 or hide a deeper spiritual meaning? Whatever it is, Americans and their institutions should be “smart, organised and fight” to contain the excesses of the Owha in Oval Office.

Jason Osai.
Osai lectures in Rivers State University.

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Opinion

My Thought On St Valentine’s Day

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Valentine’s Day, February 14, is one of those occasions that evoke mixed reactions from different people. For some, it is a magical day filled with love, romance, and grand gestures. For others, it is an over-commercialised event that puts unnecessary pressure on relationships and individuals. Personally, I have a balanced perspective on Valentine’s Day—I appreciate the sentiment behind it, but I also recognise its drawbacks. At its core, Valentine’s Day is about celebrating love, which is a beautiful concept. Love, in its many forms—romantic, platonic, familial—is worth recognizing and cherishing. In a fast-paced world where people are constantly busy, having a designated day to express affection and appreciation for loved ones can be meaningful. It serves as a reminder to nurture relationships and make time for those who matter most. For many couples, it is an opportunity to rekindle romance, spend quality time together, and create cherished memories.
However, Valentine’s day celebration has left a sour taste in many marriages and relationships. On this day some years ago, my friend’s five-year-old marriage crashed due to irreconcilable differences between her and her husband which resulted from Valentine’s Day celebration. The man was alleged to have spent the “Lovers Day” in a hotel with another woman, an accusation he denied. There followed accusations and counter-accusations and a series of problems that culminated in divorce. Just like my friend, many people have ugly stories to tell about Valentine’s Day. Many couples have had fights on Valentine’s Day when one of them did not buy a nice enough gift or worse still forgets to buy a gift. Many people, especially the young ones have had to do all kinds of unspeakable things to raise money for the event. All these negative stories have made many wonder if the day is worth celebrating.
Valentine’s Day started out well. It is a very old and religious celebration centred around Saint Valentine. Stories have it that Emperor Claudius II of the Roman Empire decided that young men should be soldiers, so he outlawed marriage. Claudius handed down this decree believing that soldiers would be distracted and unable to concentrate on fighting if they were married or engaged. Valentine, a Catholic Priest, defied the emperor and secretly performed marriage ceremonies. He was thrown into prison and put to death on February 14. Valentine believed in the power of love. He identified with couples that were genuinely in love and paid the supreme prize for his love for others. Valentine’s Day was therefore set aside for the exchange of gifts with loved ones, friends, relatives and others.
Today the meaning of Valentine’s Day is gone because society rewrote it. With all the radio and television and social media hype the day is enjoying, as well as all the activities up in many cities for the event, it is obvious the real meaning of the day is being misused. Many have argued that various love activities on the night of Valentine’s Day are capable of luring youth into fornication, alcoholism and other social vices, and are big threats to the lives of the younger generation. As a matter of fact, many young people are taking advantage of this day to carry out all sorts of immoral acts. Many get pregnant, relationships are broken, many contact dreadful diseases like HIV/AIDS and the future of many is shattered. Valentine’s Day is certainly not meant to encourage people particularly the youth to engage in inappropriate sex and other forms of immorality. History did not tell us that St Valentine was a fornicator. So, it is absurd associating Valentine’s Day with sexual promiscuity.
Meanwhile, the emphasis on romance can make those who are single feel left out, as if their happiness is dependent on having a partner. In reality, love comes in many forms, and self-love is just as important as romantic relationships. Instead of seeing Valentine’s Day as a day only for couples, it can be an opportunity to celebrate love in a broader sense—spending time with loved ones, practising self-care, or simply appreciating life. I think for Valentine’s Day celebration to make more meaning in our lives as individuals and as a society, we must have to do things right. Let us use this day of love to celebrate all the people in our lives. This is what Valentine’s Day should really be like, seizing the opportunity to tell the people we love that they are special to us and actually making time to do something about it. It should be an opportunity to strengthen family ties and friendships rather than just focusing on romantic relationships.
The point of this day is not to indulge in immoral acts in the name of love or ruin your relationship over material things. The point of Valentine’s Day is, or at least should be, to appreciate one another. We are expected to use this date to pay tribute to love, this universal human value that transcends geographic, religious and cultural challenges. There is no doubt that when such selfless, true love is expressed to one another there will be peace in our families and the country in general, especially when neighbourly love is practised not only on Valentine’s Day but every day. Churches, Non-Governmental Organisations, states and federal ministries in charge of youth affairs are encouraged to emulate the former Archbishop of Lagos, Anthony Cardinal Olubunmi, in Okojie who usually gathered youths on Valentine’s Day and taught them the essence of the day and also engaged them meaningfully. Youths need to be occupied with important, useful activities like charity work, visit to the needy. This will enable them to appreciate and love others and at the same time make them better citizens.
Valentine’s Day should be redefined beyond romantic relationships. Some organisations, schools and individuals use the occasion to engage in charity work, visiting orphanages, hospitals, and less privileged communities to spread love in a more impactful way. This is commendable as it highlights the importance of love in all its forms—romantic, familial, and humanitarian. Everything must be done to ensure that the purity of the society is not abused through Valentine’s Day celebration. We should also not forget that love is not about a single day; it is about a consistent effort and care we show all year round.

Calista Ezeaku

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