Perception about being an aged person in South-Western Nigeria

This paper investigates the perception about being an aged person in SouthWestern Nigeria. 594 aged persons were interviewed through questionnaire administration in Lagos and Oyo states of South-western Nigeria. The univariate, bivariate and One-way Analysis of variance (F-ratios) were employed in the analyses of this research. The major findings of this study are: firstly, the univariate and bivariate results indicate that there is low-perception about being an aged person. Secondly, One-way Analysis of variance (F-ratios) show that the study location, age category, means of livelihood; and usual place of residence (Oyo and Lagos state rural settings) have significant influences on perception about being an aged person in South-Western Nigeria. Thus, the paper recommends the following: firstly, that aged persons from Lagos state who are 50-79 years should begin to admit from now that they are ‘elderly people’ despite the fact that some of them are retired and still physically active. Secondly, the salary earners who are still working as well as Lagos-rural dwellers should urgently assume their roles as elders both in the families and in larger Nigerian society

The burden of road traffic crashes, injuries and deaths in Africa:A systematic review and meta-analysis

Objective To estimate the burden of road traffic injuries and deaths for all road users and among different road user groups in Africa. Methods We searched MEDLINE, EMBASE, Global Health, Google Scholar, websites of African road safety agencies and organizations for registry- and population-based studies and reports on road traffic injury and death estimates in Africa, published between 1980 and 2015. Available data for all road users and by road user group were extracted and analysed. We conducted a random-effects meta-analysis and estimated pooled rates of road traffic injuries and deaths. Findings We identified 39 studies from 15 African countries. The estimated pooled rate for road traffic injury was 65.2 per 100000 population (95% confidence interval, CI: 60.8–69.5) and the death rate was 16.6 per 100 000 population (95% CI: 15.2–18.0). Road traffic injury rates increased from 40.7 per 100 000 population in the 1990s to 92.9 per 100 000 population between 2010 and 2015, while death rates decreased from 19.9 per 100 000 population in the 1990s to 9.3 per 100 000 population between 2010 and 2015. The highest road traffic death rate was among motorized four-wheeler occupants at 5.9 per 100 000 population (95% CI: 4.4–7.4), closely followed by pedestrians at 3.4 per 100 000 population (95% CI: 2.5–4.2). Conclusion The burden of road traffic injury and death is high in Africa. Since registry-based reports underestimate the burden, a systematic collation of road traffic injury and death data is needed to determine the true burden

Emergence and spread of two SARS-CoV-2 variants of interest in Nigeria.

Identifying the dissemination patterns and impacts of a virus of economic or health importance during a pandemic is crucial, as it informs the public on policies for containment in order to reduce the spread of the virus. In this study, we integrated genomic and travel data to investigate the emergence and spread of the SARS-CoV-2 B.1.1.318 and B.1.525 (Eta) variants of interest in Nigeria and the wider Africa region. By integrating travel data and phylogeographic reconstructions, we find that these two variants that arose during the second wave in Nigeria emerged from within Africa, with the B.1.525 from Nigeria, and then spread to other parts of the world. Data from this study show how regional connectivity of Nigeria drove the spread of these variants of interest to surrounding countries and those connected by air-traffic. Our findings demonstrate the power of genomic analysis when combined with mobility and epidemiological data to identify the drivers of transmission, as bidirectional transmission within and between African nations are grossly underestimated as seen in our import risk index estimates

The evolving SARS-CoV-2 epidemic in Africa: Insights from rapidly expanding genomic surveillance

INTRODUCTION Investment in Africa over the past year with regard to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) sequencing has led to a massive increase in the number of sequences, which, to date, exceeds 100,000 sequences generated to track the pandemic on the continent. These sequences have profoundly affected how public health officials in Africa have navigated the COVID-19 pandemic. RATIONALE We demonstrate how the first 100,000 SARS-CoV-2 sequences from Africa have helped monitor the epidemic on the continent, how genomic surveillance expanded over the course of the pandemic, and how we adapted our sequencing methods to deal with an evolving virus. Finally, we also examine how viral lineages have spread across the continent in a phylogeographic framework to gain insights into the underlying temporal and spatial transmission dynamics for several variants of concern (VOCs). RESULTS Our results indicate that the number of countries in Africa that can sequence the virus within their own borders is growing and that this is coupled with a shorter turnaround time from the time of sampling to sequence submission. Ongoing evolution necessitated the continual updating of primer sets, and, as a result, eight primer sets were designed in tandem with viral evolution and used to ensure effective sequencing of the virus. The pandemic unfolded through multiple waves of infection that were each driven by distinct genetic lineages, with B.1-like ancestral strains associated with the first pandemic wave of infections in 2020. Successive waves on the continent were fueled by different VOCs, with Alpha and Beta cocirculating in distinct spatial patterns during the second wave and Delta and Omicron affecting the whole continent during the third and fourth waves, respectively. Phylogeographic reconstruction points toward distinct differences in viral importation and exportation patterns associated with the Alpha, Beta, Delta, and Omicron variants and subvariants, when considering both Africa versus the rest of the world and viral dissemination within the continent. Our epidemiological and phylogenetic inferences therefore underscore the heterogeneous nature of the pandemic on the continent and highlight key insights and challenges, for instance, recognizing the limitations of low testing proportions. We also highlight the early warning capacity that genomic surveillance in Africa has had for the rest of the world with the detection of new lineages and variants, the most recent being the characterization of various Omicron subvariants. CONCLUSION Sustained investment for diagnostics and genomic surveillance in Africa is needed as the virus continues to evolve. This is important not only to help combat SARS-CoV-2 on the continent but also because it can be used as a platform to help address the many emerging and reemerging infectious disease threats in Africa. In particular, capacity building for local sequencing within countries or within the continent should be prioritized because this is generally associated with shorter turnaround times, providing the most benefit to local public health authorities tasked with pandemic response and mitigation and allowing for the fastest reaction to localized outbreaks. These investments are crucial for pandemic preparedness and response and will serve the health of the continent well into the 21st century

Variations in preference for family care support among the elderly in Southwestern Nigeria

Nigeria’s under five-mortality was 132 per 1000 in 2018. The statistic makes Nigeria the country with the third-highest under-five mortality globally. It implies that the government may not achieve the Sustainable Development Goal (SDG) of 25 per 1000 births by 2030. This situation is of grave concern to policymakers and other stakeholders interested in the country’s development. This study provides unique community micro-level information on child mortality determinants in rural communities where the country's health system is weakest. The study used a sample of 1350 pregnant women aged 20-44 who attended antenatal care in22 health facilities in selected rural communities of Ogun State, South-west Nigeria. The multicollinearity diagnostics tests conducted between the dependent variable and predictors showed no abnormality in the values of the variance inflation factor, eigenvalues, and condition indexes. Logistics regression results showed that the socio-demographic characteristics such as the respondent's age, educational level, number of living children, and husband’s education directly affected child mortality. In contrast, the husband has another wife had an indirect effect on child mortality. Environmental factors that directly impacted child mortality included the type of household toilet facility, source of water supply, and household waste disposal practices. These findings indicate that policies and programs to reduce child mortality in rural Nigeria must address socio-demographic and context-specific factors, especially at the community level

Variations in preference for family care support among the elderly in Southwestern Nigeria

Preference for family care support among the elderly has become a prominent issue in Nigeria. Hence, the study explored variations in preference for family care support among the elderly in South-western Nigeria (Lagos and Oyo states). Data were extracted from a 2012 elderly survey dataset, and analyzed using quantitative techniques (univariate and bivariate). The results showed that study locations, marriage-type, educational attainment, employment status, religious affiliation, means of livelihood and usual place of residence have little and apparent variations in preferences for family care support in Southwestern Nigeria. We recommend that in order to keep on sustaining high-preferences for family care support, elderly people should be given all-round communal supports by family caregivers in the Nigerian extended family system. (Afr J Reprod Health 2021; 25[5s]: 80-90)

Influence of socio-economic factors on prevalence of teenage pregnancy in Nigeria

The study utilized the theory of fertility as initiated by Davis and Blakes (1956) and developed by Bongaarts in 1978 to underscore why teenage fertility has remained high in Nigeria. This study investigates women socio-economic factors influencing pregnancy in Nigeria. A total sample of 8448 female teenagers with pregnancy experiences were extracted from the 2018 Nigeria Demographic and Health Survey (NDHS). The study revealed that 19% of young girls with 15-19 years have experienced teenage pregnancy in Nigeria. More importantly, the socio-economic factors with significant influence on teenage pregnancy are: respondents with age 18-19 years (33.2 percent), rural (27.2 percent), Islamic religion (25.2 percent), North-west (28.5 percent), poorest (32 percent), no educational (43.7 percent), married/living with partners (73.9 percent), employed (21.5 percent), visited any health facility in the last 12 months (42 percent) and those who were informed about family planning at a health facility (84.3 per cent) . There is need for sound education for females in Nigeria that will equip girls and women with adequate knowledge needed to make informed decisions on matters relating to sexual and reproductive health, hence resulting in the actualization of the SDG 5. (Afr J Reprod Health 2021; 25[5s]: 138-146)

Vulnerability of Children of Street Trading Nursing Mothers to Diseases in Urban Nigeria: Strategies for Mitigation

Background The preponderance of women in unstructured street trading activities in Nigeria might not be a challenge; however, the wearing of babies at the back in the conduct of the business could expose the children to infections and accident. . Objective The study examined the implications of the activities of street trading nursing mothers on the health of their accompanied children. Research Design Data was collected through structured face-to-face interviews intermediated by snowballing techniques among 228 mothers with children between ages 0 and 12 months who trade on the streets. These techniques were adopted due to lack of sampling frame on the target population. One Local Government Area out of 20 in Ogun state was chosen purposively due to proximity and cost. Data analyses involved univariate and multivariate methods. Results The results show that over 72% of women interviewed wrapped their babies at their back with their wares upon their heads while trading on the streets. It revealed that children wrapped at their mothers’ back while trading on the street are 77% more likely to be exposed to sicknesses/diseases than their counterparts who are not wrapped at the back while trading on the road (OR = 1.778, p=0.042). Conclusion The result obtained has a lot of policy implications considering the ongoing efforts to reduce infant morbidity. Government intervention in establishing free crèches, children sick-bay within the central business districts and campaign against such practice could safeguard the children from avoidable exposure to diseases

Oral fetus-in-fetu: A case report

Fetus-in-fetu is a rare condition, less than 200 cases have been reported. Its embryopathogenesis is linked to a monozygotic, diamniotic parasitic twin. The presence of a calcified vertebral column and other body parts are key to the diagnosis, and differentiate it from a teratoma. We report a case of a neonate who was admitted immediately after delivery by Caesarian section following a prolonged obstructed labor caused by a huge mass projecting from the hard palate. The mass had identifiable malformed body parts but was anencephalic. Intraoperative findings were a short stalk and cleft of the soft palate. He had excision of the mass and did well post operatively. Persistent mouth breathing and difficult nasal cannulation lead to request for post operative magnetic resonance imaging which showed patent nostrils and absent residual mass. Prompt and skillful anesthesia and surgical intervention assisted in the survival of this patient