Editorial
Why Women Shouldn’t Smoke
Despite all the warnings that today’s teens have heard about the dangers of smoking, the reality is that almost all of the new smokers today are teenagers. The Centre for Disease Control and Prevention (CDC) reports that in 2020, 3.9 percent of teen girls smoked cigarettes, and 22.5 percent used some form of tobacco product.It should not come to us as a surprise that even female undergraduates smoke in their halls of residence. This causes discomfort to other students who may not be interested in smoking. Women who smoke are at risk of the same health concerns as men who smoke, such as the increased risk of various cancers (including lung, mouth, larynx, pharynx, oesophagus, kidney, pancreas and bladder) and respiratory diseases, but there are also smoking-related health risks that are unique to women. Smoking rate has declined in recent years, but a large percentage of girls and women continue to smoke cigarettes and use tobacco in other forms.
Studies have found that women who smoke are also more likely to have mental health problems. In one study published in the Journal of Women’s Health, women who smoke have significantly higher rate of anxiety, depression and post-traumatic stress disorder (PTSD). Women who smoke were also much more likely to have experienced childhood abuse and intimate partner violence. The CDC noted that people with mental health or substance use disorders smoke cigarettes at higher rates than people who do not have mental health conditions. Around 25 percent of adults in the well civilised cities have some type of mental or behavioural health condition and these individuals make up 40 percent of all adult cigarette use. This relationship has a significant impact on the health and wellness of people with mental health conditions. The CDC suggests that people with serious mental health disorders who smoke die 15 years earlier than people who do not have mental health conditions and who do not smoke.
Nicotine may also affect health by masking the symptoms of some mental health conditions and impairing the efficacy of some mental health medications. Having a mental health condition may also make it more difficult for women to quit smoking. Women who smoke are more likely to have co-occurring substance use and mental health conditions. Statistics suggest that people who smoke and who also have mental health issues face increased mortality risks.Smoking can also have an impact on women’s health including areas such as birth control, fertility, pregnancy, pelvic inflammatory disease, and menopause. Oral contraceptives (“the pill”) and other hormonal methods of birth control come with risks and warnings specifically for people who smoke. Women who smoke and use oral contraceptives have an increased risk of developing cardiovascular diseases such as blood clots, heart attacks, and strokes. This risk increases with age, and women over 35 who smoke should not use oral contraceptives.
Historically, people who used the pill also experienced a mild elevation in blood pressure. However, blood pressure often returned to normal “pre-pill” levels once oral contraceptives were discontinued. Some newer studies indicate that high blood pressure is not a common problem associated with hormonal contraceptive use today. Nonetheless, all people who take oral contraceptives should have their blood pressure checked every six to 12 months. Chemicals in cigarettes are passed from pregnant people through the bloodstream to the foetus. These toxic chemicals present serious risks to the fetus as well as the pregnant person. According to the CDC, smoking during pregnancy increases the risk of Birth defects of the mouth and lip, Low birth weight, Preterm birth, Sudden infant death syndrome (SIDS). Children born to people who smoke experience more colds, earaches, respiratory problems, and illnesses requiring visits to the pediatrician than children born to people who don’t smoke. Many women today delay pregnancy until they are in their 30s or even 40s, which can cause fertility problems even for nonsmoking women. But women who smoke and delay childbirth are putting themselves at a substantially greater risk of future infertility than nonsmokers.
A 2017 study found that women who smoked six or more cigarettes a day experienced significant harm to their ability to conceive. Studies suggest that decreased ovulatory response, as well as the fertilisation and implantation of the zygote, may be impaired in women who smoke. Chemicals in tobacco may also alter the cervical mucus, making it less favorable for sperm and resulting in more difficulty conceiving. It is important to note, however, that smoking does not just affect female fertility. Male smokers are 50 percent more likely to become impotent. Some of the toxic chemicals found in cigarettes may result in gene mutations in sperm that can also cause miscarriage, birth defects, cancer, and other health problems in their children. Pelvic inflammatory disease occurs with a greater frequency in people who smoke than in people who don’t. Pelvic inflammatory disease (PID) is a painful disease that requires immediate medical intervention and is often a contributing factor in ectopic pregnancies as well as pelvic adhesions and other fertility problems.
Research has found that women who smoke have a 43 percent increased risk of experiencing menopause before the age of 50 compared to non-smokers. Women who smoke notice symptoms of menopause two to three years earlier than nonsmokers on average. Menstrual problems such as abnormal bleeding, amenorrhea (absence of periods), and vaginal infections are also common complaints among women who smoke. Menstrual abnormalities and early menopause may be caused by a toxic effect on the ovaries or by the significantly lower levels of estrogens noted in many studies of women who smoke. Oestrogen replacement therapy provides beneficial protection to post-menopausal women against the risk of osteoporosis. But these benefits are many times negated by the increased cardiovascular and other health risks associated with smoking while taking hormones. Women who smoke face increased risk of developing cardiovascular diseases such as heart attack and stroke when using supplemental estrogens. This risk should be discussed with a healthcare provider before beginning hormone replacement therapy if you smoke. Additionally, a healthcare provider can assist you if you choose to quit smoking.
Women who smoke face increased risks when taking oral contraceptives and are more likely to have issues with pregnancy and fertility. Other issues specific to women’s health include an increased risk of pelvic inflammatory disease, premature menopause, and issues with hormone therapy. Women also have unique risks to other aspects of their physical health. Smoking can increase the risk of certain illnesses and diseases and can impact bone health and heart health. Tobacco products also increase the risk of several types of cancers that affect women. Osteoporosis affects most people as they get older, but there are certain things you can do to reduce your risk of osteoporosis such as participating in regular physical activity and making sure you are getting 1,000 mg to 1,500 mg of calcium daily. Smoking causes a significant increase in the risk of bone loss and osteoporosis. Women who smoke cigarettes experience a higher loss of bone density than nonsmokers. Research suggests that women who smoke have a 31 percent higher risk of osteoporosis. Smoking also slows down healing time after a bone fracture.
Bone density scanning to determine the density of your bone structure is recommended for all women beginning at age 40. Bone density scanning is particularly crucial for women who smoke so that changes can be noted and treatment can be started if osteoporosis is found. According to the CDC, one in every four deaths caused by cardiovascular disease can be attributed to smoking. Although most of these deaths are in women past menopause, the risk of smoking-related heart disease is significantly higher in young female smokers. According to a 2019 study published in the Journal of the American College of Cardiology, women under the age of 50 who smoke have a higher risk of having a specific type of serious heart attack compared to men. This difference may be due to the interaction of estrogen with the chemicals found in cigarettes. All women should have regular pelvic exams that include pap smears, and for women who smoke, the necessity is even greater. According to the American Cancer Society, smoking doubles the risk of developing cervical cancer.
Cervical cancer patients who quit smoking may have a greater chance of remission and survival than patients who continue smoking. Researchers believe that tobacco damages the Deoxyribonucleic acid, DNA, cells of the cervix which contributes to the development of cancer. Smoking also affects immunity, which may make the body less able to fight off HPV infections, which are also a risk factor for cervical cancer. The American Cancer Society published the results of a study in 1994 which indicated that breast cancer patients who smoke may increase their risk of dying at least 25 percent —a risk that increases with the number of cigarettes smoked per day. The possible risk of fatal breast cancer rises up to 75 percent for women who smoke two packs or more per day. The good news is that if you quit now, your potential risk of dying as a result of future breast cancer remains the same as for a non-smoker. Another type of cancer that may occur more frequently in women who smoke is vulvar cancer. This risk increases significantly in women who smoke and who have a history of HPV infection.
Women have a higher risk of experiencing physical health problems associated with smoking including osteoperosis, heart disease, cervical cancer, breast cancer, and vulvar cancer. There are different approaches to quitting smoking. One strategy is to quit cold turkey. Another approach is to gradually taper your nicotine use. Both can be effective, so choose the one that is right for you and your needs.
If you are planning to stop smoking cold turkey, some tips that may help include: Plan ahead to quit smoking on a certain day. When the quit smoking day arrives, make sure you have thrown out all the ashtrays and cigarettes you have in your home so you will not be tempted. Have plenty of raw vegetables such as carrot sticks and celery available for the times you feel like eating as a result of your desire to have something in your hand/mouth. Many people fear gaining weight as a result of quitting. Participating in a vigorous exercise programmes three times per week may help you quit, and exercise can help limit any subsequent weight gain in addition to providing overall physical and mental health benefits.
Joining a support group and using online resources or mobile apps can also be helpful in navigating smoking cessation. Over-the-counter quit aids like nicotine replacement therapies (such as gums and patches) help many people decrease the physical symptoms of nicotine withdrawal. See a healthcare provider if you need further assistance in achieving your goal to quit smoking. They can offer support and additional quit aids that are available by prescription. Smoking is a leading cause of death for women, so it is important to be aware of the health risks. Not only can smoking increase your risk for cancer, heart disease, and other health problems, it can also create problems if you are trying to conceive or are currently pregnant.
By: Eunice Choko-Kayode
The delay in implementing President Bola Tinubu’s directive for zero customs duty and value added tax on food imports is unacceptable and highlights a concerning lack of urgency within the Federal Ministry of Finance and the Nigerian Customs Service. Over two months after the announcement, the policy remains stalled, despite the President’s clear intention for immediate enforcement. This prolonged delay, especially given the policy’s temporary nature (July – December), is inexplicable and detrimental to a hoi polloi already grappling with a severe economic crisis.
While the Comptroller-General of Customs attributes the delay to the Ministry of Finance finalising details, this explanation is insufficient. The dire need for food relief demands swift action, especially in the face of soaring fuel prices, rampant inflation, and skyrocketing food costs. The President’s promise of subsidised rice at N40,000 per 50kg bag remains elusive as well, pushing many Nigerians further into hardship. Accusations of deliberate slowdowns motivated by the government’s revenue goals are alarming and warrant serious investigation.
A circular from the Presidency has clarified the approved food items eligible for duty exemption, specifically maize, millet, rice, wheat, husked brown rice, grain sorghum, and beans. This strategic move aims to alleviate the financial burden on consumers and enhance food security. Previously subjected to import duties between five and 30 per cent, these commodities will now be more accessible, potentially stabilising prices in the local market.
It seems the execution of the policy is encountering obstacles due to bureaucratic processes. If the government fails to address this crisis with comprehensive and effective measures, the consequences could be catastrophic. The simmering discontent amongst Nigerians could easily boil over into widespread protests and social unrest, further destabilising an already fragile nation. Ignoring the cries of its citizens and the looming threat of social upheaval would be a grave mistake with potentially devastating ramifications.
Public officials insulated by privilege and detached from the everyday struggles of the people, have fostered a dangerous disconnect. For too long, they have failed to truly understand the harsh realities faced by the majority of Nigerians, the daily grind of poverty, the constant battle for survival, and the crushing weight of economic hardship. However, the current multifaceted crisis, with its clear manifestation of suffering, should serve as a jarring wake-up call, even to the most arrogant and out-of-touch.
The government’s ill-conceived and draconian policies, implemented without adequate consideration for the people, have created an intolerable situation that can no longer be swept under the rug or dismissed with platitudes. The widespread suffering is a stark indictment of their negligence, demanding a fundamental shift in perspective and a renewed commitment to the welfare of the Nigerian people.
The recent #EndBadGovernance protests serve as an obvious reminder that disregarding the plight of the people is a dangerous gamble. When basic needs like food and security are unmet, and the cries for change are silenced, the simmering discontent inevitably boils over. Escalating hunger and desperation create a fertile ground for unrest, a truth tragically illustrated by the protests. If the government continues to turn a blind eye to the suffering of its citizens, more widespread and possibly violent demonstrations are not only likely, but inevitable.
Furthermore, attempting to quell dissent through intimidation and persecution of protesters is a recipe for disaster, as it only serves to further inflame tensions and breed resentment. The path to stability lies not in suppression, but in genuine engagement with the concerns of the people and a commitment to addressing the root causes of their suffering.
The Federal Ministry of Finance, led by Olawale Edun, has a crucial role to play in improving the image of this government. Minister Edun and Customs Comptroller-General, Wale Adeniyi, must prioritise the fight against hunger by expediting the zero duty policy. This policy will allow the importation of food at a reduced cost and ease the burden on struggling families.
Officials must accord precedence to the well-being of citizens over bureaucratic processes. The current economic hardship is undeniable, and the callous indifference displayed by those in power, who seem shielded from the harsh realities ordinary Nigerians face, is deeply troubling. The government must act decisively to expedite this critical policy and provide the much-needed relief to a population struggling with hunger, poverty, and misery. Continued delay is a betrayal of Tinubu’s promise and a grim reminder of the disconnect between those in power and the suffering Nigerians.
The delay in implementing President Bola Tinubu’s directive for zero customs duty and value added tax on food imports is unacceptable and highlights a concerning lack of urgency within the Federal Ministry of Finance and the Nigerian Customs Service. Over two months after the announcement, the policy remains stalled, despite the President’s clear intention for immediate enforcement. This prolonged delay, especially given the policy’s temporary nature (July – December), is inexplicable and detrimental to a hoi polloi already grappling with a severe economic crisis.
While the Comptroller-General of Customs attributes the delay to the Ministry of Finance finalising details, this explanation is insufficient. The dire need for food relief demands swift action, especially in the face of soaring fuel prices, rampant inflation, and skyrocketing food costs. The President’s promise of subsidised rice at N40,000 per 50kg bag remains elusive as well, pushing many Nigerians further into hardship. Accusations of deliberate slowdowns motivated by the government’s revenue goals are alarming and warrant serious investigation.
A circular from the Presidency has clarified the approved food items eligible for duty exemption, specifically maize, millet, rice, wheat, husked brown rice, grain sorghum, and beans. This strategic move aims to alleviate the financial burden on consumers and enhance food security. Previously subjected to import duties between five and 30 per cent, these commodities will now be more accessible, potentially stabilising prices in the local market.
It seems the execution of the policy is encountering obstacles due to bureaucratic processes. If the government fails to address this crisis with comprehensive and effective measures, the consequences could be catastrophic. The simmering discontent amongst Nigerians could easily boil over into widespread protests and social unrest, further destabilising an already fragile nation. Ignoring the cries of its citizens and the looming threat of social upheaval would be a grave mistake with potentially devastating ramifications.
Public officials insulated by privilege and detached from the everyday struggles of the people, have fostered a dangerous disconnect. For too long, they have failed to truly understand the harsh realities faced by the majority of Nigerians, the daily grind of poverty, the constant battle for survival, and the crushing weight of economic hardship. However, the current multifaceted crisis, with its clear manifestation of suffering, should serve as a jarring wake-up call, even to the most arrogant and out-of-touch.
The government’s ill-conceived and draconian policies, implemented without adequate consideration for the people, have created an intolerable situation that can no longer be swept under the rug or dismissed with platitudes. The widespread suffering is a stark indictment of their negligence, demanding a fundamental shift in perspective and a renewed commitment to the welfare of the Nigerian people.
The recent #EndBadGovernance protests serve as an obvious reminder that disregarding the plight of the people is a dangerous gamble. When basic needs like food and security are unmet, and the cries for change are silenced, the simmering discontent inevitably boils over. Escalating hunger and desperation create a fertile ground for unrest, a truth tragically illustrated by the protests. If the government continues to turn a blind eye to the suffering of its citizens, more widespread and possibly violent demonstrations are not only likely, but inevitable.
Furthermore, attempting to quell dissent through intimidation and persecution of protesters is a recipe for disaster, as it only serves to further inflame tensions and breed resentment. The path to stability lies not in suppression, but in genuine engagement with the concerns of the people and a commitment to addressing the root causes of their suffering.
The Federal Ministry of Finance, led by Olawale Edun, has a crucial role to play in improving the image of this government. Minister Edun and Customs Comptroller-General, Wale Adeniyi, must prioritise the fight against hunger by expediting the zero duty policy. This policy will allow the importation of food at a reduced cost and ease the burden on struggling families.
Officials must accord precedence to the well-being of citizens over bureaucratic processes. The current economic hardship is undeniable, and the callous indifference displayed by those in power, who seem shielded from the harsh realities ordinary Nigerians face, is deeply troubling. The government must act decisively to expedite this critical policy and provide the much-needed relief to a population struggling with hunger, poverty, and misery. Continued delay is a betrayal of Tinubu’s promise and a grim reminder of the disconnect between those in power and the suffering Nigerians.
All looks set for the conduct of the Rivers State local government election scheduled to take place tomorrow in the 23 local government areas of the state. A total of 18 political parties will vie for various council positions in the polls to be conducted on Saturday. The Rivers State Independent Electoral Commission (RSIEC) had initially listed 19 political parties for the election, but the Peoples Democratic Party (PDP) discontinued the contest. Chief Emeka Beke’s faction of the All Progressives Congress (APC) has said that it will participate in the ballot.
Ahead of tomorrow’s council election, various lawsuits have resulted in conflicting rulings about how the election should be conducted. A recent judgment by a Federal High Court in Abuja has prohibited the Independent National Electoral Commission (INEC) from providing the voters register to RSIEC and instructed the police to withdraw security for the ballot. Similarly, the court has barred RSIEC from getting the voters register from INEC. However, in a counter ruling, a High Court in Port Harcourt has mandated that the state electoral commission continues with the election, requiring INEC to hand over the voters register and ordering police protection for the event.
As voters in the state prepare to head to the polls tomorrow, the conflicting rulings and legal battles have cast a shadow of uncertainty over the election process. With INEC and RSIEC at odds over claims regarding the issuance of the voters register by the former and security arrangements for the ballot, there is a need for clarity and resolution to ensure a free and fair election. The conflicting court rulings have added further complications to an already challenging situation, raising concerns about the integrity of the electoral process. As all stakeholders navigate these legal challenges, the focus remains on upholding the democratic principles and ensuring that voters are able to cast their ballots without interference.
Intense preparations have characterised Saturday’s polls. The election is expected to be conducted in line with the provisions of the Rivers State electoral laws. Speaking at a meeting with stakeholders, the RSIEC chairman, Justice Adolphus Enebeli (Rtd), hinted that the commission had complied with relevant sections of the law in all its preparations for the task. He implored political parties and politicians to ignore acts that could jeopardise the electoral process.
While we wholeheartedly endorse the move to ensure that democratic practice, norms and values always prevail at the local government level, we are truly elated by the level of earnestness and commitment exhibited so far by the Justice Enebeli-led commission to conduct credible, free and fair election in the 23 local government councils. Indeed, RSIEC can execute credible elections if it resists pressures from different quarters.
Despite the Federal High Court order, the state electoral commission’s parley with security agencies, especially with the police, and other stakeholders is, to say the least, heart-warming and reassuring. We expect this cooperation and partnership to continue even after the election. Going by Enebeli’s antecedents, we strongly believe that the commission will not fail to provide a level playing ground for political parties and politicians to test their popularity in a free, fair and tension-free contest.
The state electoral body must, therefore, strive to adopt an open-door policy where complaints would be entertained on their merit during and after the election. As anticipated, we hope the commission embarked on massive voter education and training of electoral and ad hoc staff that would man the 23 local government areas. It is advised that adequate preparations should be made for the security of sensitive and non-sensitive electoral materials, particularly given the tensed atmosphere in the state.
RSIEC is reminded that the success or otherwise of any election depends largely on the authenticity of the updated voter’s register which the commission has reportedly obtained ahead of the election from the Independent National Electoral Commission (INEC). The news that as many as 18 political parties in the state will participate in the council polls is cheering. The parties are urged to support and cooperate with the commission in ensuring a smooth and credible election.
It is expedient that Governor Siminalayi Fubara releases all the funds appropriated for the conduct of the local government election to the commission and ensure that he does not interfere in the workings of the RSIEC, or even influence the outcome one way or the other. Members of the commission should work harder to uphold the law without fear or favour; let or hindrance.
Incidents of missing ballot or result sheets, late arrival of materials and other logistics will only serve to discourage the electorate who already entertain a deep mistrust for the electoral process in the country. The lack of confidence in the system is largely responsible for the attitude of most Nigerians refraining from playing an active role of either voting for candidates of their choice or vying for political office. RSIEC must guard against those lapses.
Politicians, on their part, must understand that irrespective of their party affiliations, the common goal is the provision of good governance for the people. An election should never be a ‘‘do or die affair’’ and no aspirant is worth spilling blood for. Political positions are a call to service, not personal enterprises motivated by profits or bloody sports for which violent and fatal competitions are means. Experience has shown that arms provided for political thugs during elections, end up being tools for robberies and kidnappings after the election.
The idea of security agents acting the script of political actors should no longer amount to something in our polity. The nation currently faces perhaps its worst security challenges, and the police as well as other security agencies need the trust of Rivers people to enable them to carry out their duties effectively throughout the polls.
Law enforcement agents must protect both voters and election materials because it is their constitutional role to do so. The recent #Endbadgovernance protest, along with the violence that ensued, is a manifestation of the dissatisfaction of Nigerians with police operations. These security agencies must learn to commit themselves to their constitutional obligation and oath in the sustenance of democracy, rather than to any government official.
We must realise that ultimate power rests with the people, and the best way to exercise this power is through the electoral process. Hence, Rivers people must own the electoral operation, first by acquiring their permanent voters’ card, turn out en masse tomorrow to vote for candidates of their choice, and guarantee that their votes count. They have to elect responsible and responsive persons whose utmost interest will be the security and welfare of the people.
