Pattern of substance abuse among adolescent secondary school students in Abakaliki

Background: Substance abuse is a rising public health problem especially among adolescents the worlds over. Abuse of substances exposes the youth to several physical and psychological consequences. Objectives: To determine the prevalence and pattern of substance abuse amongst secondary school students in Abakaliki and identify factors predisposing to substance abuse. Methods: A cross section survey of 620 senior secondary students (SS2 and 3) using the WHO drug use questionnaire. Results: A prevalence of substance abuse was 32.9% alcohol being the most commonly abused substance. Substance abuse was more amongst males, older students, persons from divorced home and orphans. It was however less amongst those who frequently participated in religious activities. Conclusion: Substance abuse is high among secondary school students in Abakaliki and alcohol is the most commonly abused substance

Effects of the coronavirus pandemic among adolescents and young people living in South-East Nigeria

Background: Information on the effects of the coronavirus pandemic on adolescents and young people, who are in a critical phase of transition to adulthood is sparse. We evaluated the effects of coronavirus disease (COVID-19) among adolescents and young people living in Southeast Nigeria.Objective: To evaluate the effects of the coronavirus pandemic on young people in NigeriaMethods: A cross-sectional (online and onsite) study of 328 Nigerian youths was conducted, and data on sociodemographic profile and effects of the pandemic collected through pre-tested self-administered questionnaires, were analysed using STATA 16.0, with the significance level for tests of association set at p<0.05.Results: The mean age of participants was 16.8±3.3 years. Two hundred and eleven participants (64.3%) experienced a fear of death significantly associated with a low monthly income (p<0.001), 62/328(18.9%) respondents had experienced intra-familial sexual abuse, significantly associated with age group (p=0.003). Positive effects reported by 190/328(57.9%) participants included learning new things (88/190 =46.3%), spending time with loved ones (39/190 =20.5%), spending time on studies (29/190 =15.3%, p=0.015), significantly associated with age group; and time for rest and self-discovery (34/190 =17.9%, p=0.038) significantly influenced by age group.Conclusions: A significant number of participants had a fear of death and intra-familial sexual abuse which was strongly associated with monetary poverty, and age; while some participants positively engaged in self-discovery, rest and studies. Thus, the mental health and social welfare of youths should be focused on, and positive skills enhanced during this pandemic and afterward

Perception of donor breast milk and determinants of its acceptability among mothers in a developing community: a cross-sectional multi-center study in south-east Nigeria

Abstract Background Due to the health and economic benefits of breast milk, the World Health Organization (WHO) recommends that for infants who cannot receive breast milk from their own mothers, the next preferred option is donated breast milk. This recommendation is however rarely practiced in most developing countries where donor milk is not widely accepted. Methods This cross-sectional multi-center study enrolled mothers attending antenatal or pediatric clinics in six tertiary institution in south-east Nigeria using purposive and convenient sampling method. Data collection was done using pretested questionnaires. The study aimed to assess the knowledge, acceptability and willingness to donate breast milk and/or use donated breast milk for their infants It also explored factors that determine this behavior. Results A total of 1235 mothers participated; 39% (480/1225) have heard about the concept of donor milk, while only 10% (79/759) and 7% (81/1179), respectively, had adequate knowledge of the concept and policy on donor milk. Sixty percent indicated willingness to use donor milk or donate breast milk if need arises. Respondents with lower age (p = 0.049) and with higher occupational status (p = 0.001) were more likely to have adequate knowledge of donor breast milk, while respondents with lower educational attainment (p = 0.002) and those who are non-Christians (p = 0.004) were more likely to request financial inducement for donating their breast milk. Adequate knowledge of the concept of donor milk (p = 0.001), preference of donor milk to infant formula (p = 0.001) and requirement of financial remuneration (p = 0.001) were the only significant predictors of willingness to donate and/or receive donated breast milk. Conclusion The knowledge of the concept of donor breast milk and awareness of policies regulating its practice in Nigeria is low, but the prospect of its acceptability is high among mothers surveyed in south-east Nigeria. Targeted public education by relevant government agencies in collaboration with clinicians, community and religious leaders about the concept of donor breast milk to families may help increase the acceptance and practice of donating breast milk and/or use of donated breast milk among mothers in the region

Molecular epidemiology, genetic diversity and antimicrobial resistance of Staphylococcus aureus isolated from chicken and pig carcasses, and carcass handlers.

The epidemiology of Staphylococcus aureus in food animals, associated products, and their zoonotic potential in Nigeria are poorly understood. This study aimed to provide data on the prevalence, genetic characteristics and antimicrobial resistance of S. aureus isolated from chicken and pig carcasses, and persons in contact with the carcasses at slaughterhouses in Nigeria. Surface swabs were collected randomly from 600 chicken and 600 pig carcasses. Nasal swabs were collected from 45 workers in chicken slaughterhouses and 45 pig slaughterhouse workers. S. aureus isolates were analyzed by spa typing. They were also examined for presence of the Panton-Valentine Leucocidin (PVL) and mecA genes, as well as for antimicrobial resistance phenotype. Overall, 53 S. aureus isolates were recovered (28 from chicken carcasses, 17 from pig carcasses, 5 from chicken carcass handlers and 3 from pig carcass handlers). Among the isolates, 19 (35.8%) were PVL-positive and 12 (22.6%) carried the mecA gene. The 53 isolates belonged to 19 spa types. The Based Upon Repeat Pattern (BURP) algorithm separated the isolates into 2 spa-clonal complexes (spa-CC) and 9 singletons including 2 novel spa types (t18345 and t18346). The clonal complexes (CC) detected were CC1, CC5, CC8, CC15, CC88 and CC152. CC15-related isolates represented by spa type t084 (32.1%) and CC5 represented by spa type t311 (35.3%) predominated among isolates from chicken carcasses/ handlers, and pig carcasses/ handlers, respectively. Multidrug resistance exhibited by all the CC except CC8, was observed among isolates from chicken carcasses (64.3%), pig carcasses (41.2%), handlers of chicken meat (40.0%) and handlers of pork (33.3%). All the CC showed varying degrees of resistance to tetracycline while CC15 and CC5 exhibited the highest resistance to sulphamethoxazole/trimethoprim and erythromycin, respectively. The predominant antimicrobial resistance pattern observed was penicillin-tetracycline-sulphamethoxazole/trimethoprim (PEN-TET-SXT). In conclusion, food animals processed in Enugu State in Southeast Nigeria are potential vehicles for transmission of PVL-positive multiple-drug resistant S. aureus and methicillin-resistant S. aureus from farm to slaughterhouse and potentially to the human population. Public health intervention programs at pre- and post-slaughter stages should be considered in Nigerian slaughterhouses