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Agony of 46-year-Old Woman Living With Irreparable VVF, RVF

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Philip Yatai and Hadiza Mohammed-Aliyu Zuwaira Iliya, 46, sits quietly on her hospital bed with catheter showing from the side of her wrapper as she slowly narrates her 30 years of struggle living with continuous leakage of urine and faeces.

Iliya, of Makarfi Village in Makarfi Local Government Area of Kaduna State, has been grappling with Obstetric Fistula.

But she has kept hope alive in spite of what appears to be a hopeless situation.

She told a News Agency of Nigeria Correspondent who was at the Vesico Vaginal Fistula Unit of Gambo Sawaba General Hospital, Zaria in Kaduna State on a special interview to mark the 2023 International Day to End Obstetric Fistula that she would be healed against all odds.

She told NAN that she had lived with VVF and Rectovaginal Fistula for 30 years as she contracted the condition at the age of 16 after her marriage.

Iliya said that she became pregnant soon after her marriage but experienced prolonged labour during childbirth, adding that she lost the baby and also developed both VVF and RVF in the process.

VVF or Obstetric Fistula, also known as fistula, is a childbirth complication which leads to abnormal opening between the bladder and the vagina, causing continuous and unremitting urinary incontinence.

The condition is among the most distressing complications of gynaecological and obstetric procedures which can cause discomfort.

And if left untreated, it may lead to serious bacterial infection, which may result to sepsis, a dangerous condition that can lead to low blood pressure, organ damage or even death.

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Similarly, RVF is a communication between bladder and rectum, where faeces pass before getting to the anus, leading to intermittent leakage of faeces into the vagina.

The development of these conditions, therefore, plunged the young Iliya into a life of agony.

And for the past 30 years, she said she had been struggling with depression, rejection, ridicule and abandonment.

She said: “I was married off at the age 16 and immediately became pregnant. When it was time to deliver the baby, I went into labour for three days.

“I was taken to the hospital for delivery, but had a big cut to enable the baby to come out and that was how I developed VVF and RVF.

“Thereafter, I was taken to a hospital in Kano, where I underwent surgery three times without success. And from there, I was taken to another hospital in Jos, Plateau State, but instead of performing a surgery, the doctor referred me to this VVF Unit in Zaria.

“Here in Zaria, I was operated twice, but still I continue to leak urine and faeces. Notwithstanding, I am still hopeful that maybe, just maybe if I undergo another surgery, I will be healed.”

Describing her life as “a very sad one”, Iliya said her husband divorced her in Kano because of the condition and she returned to her parents house.

She added that while trying to get better when her parents took her to the hospital, her mother and father died, leaving her all alone.

She explained: “My life is a life of agony because I was with my mother here in the hospital when she became ill and died, four days after my second surgery. I went to her burial with this catheter on me.

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“And just when I was waiting for another surgery, I received a message that my father was ill. I left the hospital to look after him and he also died.”

However, in spite of the visibly hopeless situation, relentless Iliya said she would not give up, adding that she hopes to get better and one day give birth to a child.

She said: “I have seen how some VVF survivors were operated on and were healed, went back home, became pregnant and then returned to the hospital and delivered their babies through Caesarean Section.

“This is why I am still hopeful that all is not lost and I have resolved to stay and get well so that maybe God will give me a child.”

On her part, Hajiya Fatima Umar, the Head of the VVF Unit at the Gambo Sawaba General Hospital in Zaria, said there are more than 20 irreparable fistula cases on the hospital list waiting for help.

Umar said some of the women have even made the hospital their homes, while others live in communities but maintain contacts with the facility.

She added: “Actually, the women have not been finding it easy staying in their environment or in their homes.

“Sometimes if they come and they are examined, or if they hear that other doctors are coming from somewhere, they will come.

“If they come, the doctors will examine them.

“Even if the doctors say they can’t operate on them, they will still come after a while because they are already comfortable with the hospital environment.

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“They prefer to be in the hospital than their homes because nobody is rejecting them here.”

Also, Dr. Ado Zakari, the Fistula Surgeon and Consultant, Public Health Physician, said most of the irreparable fistula cases were caused by quacks.

According to him, there is nothing doctors can do if the fistula is too wide and the damage is extensive.

Zakari said: “There are situations where the damage becomes extensive and there is nothing we can do because it is just the question of getting available tissue to repair.

“A situation where the entire tissue has been damaged, there is no way it can be repaired.

“This is because most quacks have no knowledge of anatomy; they operate anyhow.

“They take out everything, even the bladder tissue and when you look at it, there is no way you can repair it.

“You cannot create any tissue anywhere and close the fistula. Fistula is a hole, it is a communication, and if it is so wide, where will you get the tissue to repair it?

“We have such cases; they are irreparable. We cannot repair them.”

Philip Yatai and Hadiza Mohammed-Aliyu report.

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Hon. Larai Leads Initiative To Enhance Healthcare In Jaba LGA

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By Tambaya Julius, Abuja

Hon. Larai Sylvia Ishaku, the Executive Chairman of Jaba Local Government Area, has taken a significant step toward improving healthcare by hosting a Health Advisory Meeting.

The focus of the meeting was to evaluate the Reproductive, Maternal, Newborn, Child, Adolescent Health, and Nutrition (RMNCAH+N) Scorecard, ensuring that healthcare services within the region are enhanced to meet the needs of residents.

During the meeting, Mrs. Alisabatu David Haruna, the Health Secretary of Jaba LGA, provided an in-depth analysis of the RMNCAH+N Scorecard. She outlined crucial performance indicators, key achievements, and critical areas that require immediate intervention, which highlight the strengths and weaknesses within the local health sector, emphasising the urgent need to bolster healthcare services.

Speaking at the event, Hon. Larai Sylvia Ishaku commended the relentless efforts of the health department in ensuring quality healthcare across Jaba LGA.

She reiterated her administration’s dedication to improving maternal and child health services, ensuring that women and children receive the necessary medical attention and support. “I will build a healthier and more resilient Healthcare in Jaba LGA” Hon. Laria stated.

The Chairperson also acknowledged the invaluable support of Governor Uba Sani in advancing healthcare initiatives across Kaduna State. She highlighted the governor’s commitment to strengthening healthcare systems, particularly through policies and interventions that focus on maternal and child health, nutrition, and primary healthcare services.

Hon. Larai assured continued alignment with the governor’s vision of providing accessible, high-quality healthcare to all residents of Jaba LGA.

The meeting brought together key stakeholders, including representatives from the traditional institution, Christian Association of Nigeria (CAN), Jama’atu Nasril Islam (JNI), National Orientation Agency (NOA), and the National Youth Council of Nigeria (NYCN).

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These organisations pledged their unwavering support in raising healthcare awareness and facilitating the implementation of crucial health initiatives within Jaba LGA. Their collaboration will help enhance public health education and ensure that healthcare policies reach grassroots communities.

Hon. Larai reaffirmed that healthcare remains a cornerstone of her administration’s 7-point agenda.

By prioritising healthcare development, her administration seeks to create a robust health system that caters to all residents, particularly women, children, and vulnerable groups.

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Breast cancer cases projected to rise by 38% by 2050 – WHO

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World Health Organisation (WHO) has said in a new report that breast cancer cases are expected to increase by 38 per cent globally by 2050.

The findings from a report from the International Agency for Research on Cancer (IARC), a specialised branch of WHO, also projected annual deaths from the disease to rise by 68 percent.

It warned that if the current trend was not checked, the cases would continue to rise.

The findings were published in Nature Medicine on Monday.

They warn further that if current trends continue, the world will see 3.2 million new breast cancer cases and 1.1 million related deaths each year by mid-century.

“The burden will be disproportionately felt in low- and middle-income countries, where access to early detection, treatment and care remains limited,” the findings indicate.

“Every minute, four women are diagnosed with breast cancer worldwide and one woman dies from the disease, and these statistics are worsening,” the report, quoted Dr. Joanne Kim, an IARC scientist and co-author of the report, as saying.

“Countries can mitigate or reverse these trends by adopting primary prevention policies, such as WHO’s recommended ‘best buys’ for non-communicable disease prevention, and by investing in early detection and treatment,” she added.

Kim noted that breast cancer remained the most common cancer among women worldwide and the second most common cancer overall.

In 2022 alone, an estimated 2.3 million new cases were diagnosed, with 670,000 deaths reported.

However, the report highlights significant disparities across regions.

The highest incidence rates were recorded in Australia, New Zealand, North America and Northern Europe, while the lowest rates were found in South-Central Asia and parts of Africa.

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Meanwhile, the highest mortality rates were reported in Melanesia, Polynesia and Western Africa, where limited access to healthcare contributes to poorer outcomes.

The link between breast cancer survival and economic development is stark.

In high-income countries, 83 percent of diagnosed women survive, whereas in low-income countries, more than half of women diagnosed with breast cancer die from it.

WHO launched the Global Breast Cancer Initiative in 2021, aiming to reduce breast cancer mortality rates by 2.5 per cent per year, which can prevent 2.5 million deaths by 2040.

The initiative focuses on early detection, timely diagnosis and access to quality treatment.

Dr. Isabelle Soerjomataram, Deputy Head of IARC’s Cancer Surveillance Branch, emphasised the need for high-quality cancer data to drive better policies in lower-income regions.

“Continued progress in early diagnosis and improved access to treatment are essential.

“These will help to address the global gap in breast cancer and ensure that the goal of reducing suffering and death from breast cancer is achieved by all countries worldwide,” she said.

The report underscores the importance of stronger health systems, increased funding for breast cancer screening and treatment and the adoption of cost-effective prevention policies.

With the projected rise in cases and deaths, the international community faces an urgent challenge.

This is the one that requires coordinated action to ensure millions of lives are not lost to a disease that is increasingly preventable and treatable.(NAN)

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Don’t ‘Japa,’ Health Minister Tells Newly Recruited Staff

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The Minister of State for Health, Dr Adekunle Salako, yesterday urged the newly recruited staff of the National Orthopedic Hospital, Benin, to remain in the hospital where they have been employed and contribute their quota to the country’s growth rather than ‘japa’ (leaving the country).

He appealed while touring the hospital facilities in Benin.

Dr. Salako said that the country belongs to them, and they must join hands to make it work and not migrate to other countries.

“The President is committed to improving the standard of living of the average Nigerian. He is committed to ensuring that Nigeria transforms into a place we all can live comfortably and be proud of.

“So, for those of us who are newly employed, please let us remain committed to our country. Let us display patriotism to the government. Let’s not abandon our country and Japa, as they say, because of economic crises alone.

“I want to come back and see that all the newly employed people remain in the service of this hospital serving our country because nobody is going to come to build this country for us.

“If we don’t do it ourselves when we go, we still come back and meet it the way we have left it. Therefore, I want to encourage all of you to remain committed and patriotic and serve Nigeria intelligently.

“The reform that Mr. President is doing is for the betterment of our country. I can assure you that we are turning the corner, and things are getting better. Very soon, things will get much, much, and much better,” Dr. Salako said.

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Earlier, the Chief Medical Director (CMD) of the National Orthopedic Hospital, Benin, Dr. Philip Ugbodaga, thanked President Tinubu for his efforts in assuring that health care remains a priority of his administration.

He said that no nation can develop without investing hugely in the health and education of its people.

Dr. Ugbodaga said since this infrastructure came on board, they have done everything to ensure that the healthcare needs of Nigerians take the centre stage in line with the renewed hope agenda of the present administration.

The hospital’s CMD said that only a few things remain to be installed: the electrical fittings and the connection to the national grid, a few structural things to be done, and then the final painting.

He said, “You will agree with me that all of these are very minor. So it is our plea, our minister, that with your full support, we are very hopeful that very soon, those few structural things that needed to be done are completed in this hospital so that full clinical services will commence”.

On the part of the traditional ruler of the community, HRH Michael Ogbonmwan, while commending the federal government for siting the hospital in his community, offered his land as a parking lot for the hospital.

“Also, I want to remind the management that the open space

opposite the hospital, which was for my personal use. It was a means of livelihood for me. Now that the hospital needs it for packing space and beautifying the edifice, it is my prayer that the federal government and the hospital management put me on a monthly stipend to enable me to meet some of my personal needs.

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“I want to equally draw your attention to the road links to the National Orthopedic Hospital to be fixed for easy accessibility.

“Finally, I want to announce to all and sundry and to the hospital in particular that the following compound has been donated to the National Orthopedic Hospital as a permanent site.

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