Screening for Cervical Cancer: Experience from a University Hospital in North Western Nigeria (2007‑2009)

Background: Cervical cancer is the most common gynecological cancer among women in Nigeria. The incidence is on the increase and poses a public health problem. The etiological agent is the human papilloma virus that is sexual transmitted. The cervical cancer incidence is related to lifestyle, poverty and sexual practices. Fortunately, it is a preventable disease as it is preceded by a pre‑invasive phase that can be detected and treated. There is paucity of report in literature on cervical cancer screening in Sokoto North‑West Nigeria.Aim: To determine the uptake, indications and results of cervical cancer screening in Usmanu Dan‑fodiyo University Teaching Hospital (UDUTH), Sokoto.Materials and Methods: A 3‑year descriptive study of the results of cervical cytology among women who attended the gynaecological out‑patient clinic of UDUTH, Sokoto.Results: During the period of study, 126 cervical smears were taken and 96% (121/126) of them were considered adequate for cytological evaluation thus constituting the subjects of the study. The average annual uptake of cervical smear was 1.29%. The main indications for cytologic smears were abnormal uterine bleeding 33.9% (41/121) and suspected carcinoma of the cervix 28.1% (34/121). Cytologic study was positive for dysplastic cells in 7% (25/121) of cases. Ten percent (12/121) of them were high grade squamous intra‑epithelial lesions while invasive carcinoma was seen in 3.3% (4/121) of the smears. Conclusion: Presence of abnormal cervical smear in 20% of the study subjects underscores the need for routine screening for cervical cancer. While organized national screening policy is awaited, opportunistic screening should be maximized. Keywords: Cervical cancer, cervical cytology, north‑west Nigeri

Analysis of sildenafil citrate in herbal aphrodisiac preparations marketed in Sokoto metropolis and its public health implications

Aphrodisiacs are among the most widely marketed and consumed herbal products in North-Western Nigeria. There are speculations that these products are being adulterated with orthodox medicines in order to boost their effects and sales. The objective of current research was to analyse the presence of adulterated sildenafil citrate in some herbal aphrodisiacs commonly sold and consumed in Sokoto metropolis. Ten different liquid herbal aphrodisiac preparations marketed in Sokoto metropolis were collected from different areas of the city. Each of the preparation was analysed for adulteration with sildenafil citrate using thin layer chromatography and UV spectroscopy. Five of the preparations were found to contain sildenafil citrate in the range of 34 – 291 mg per daily dose. The findings from this study indicate that some of the herbal aphrodisiac preparations marketed in Sokoto metropolis are being adulterated with substantial amount of undeclared sildenafil citrate, a practice that poses serious public health hazard to its consumers. Consequences of which ranges from nausea, dyspepsia, pain, dizziness, abnormal vision, and headache and potentially heart attack especially among adults with underlying chronic diseases such as hypertension among others