Health
Too many babies are born too small
More than 20 million babies were born with a low birthweight (less than 2500g; 5.5 pounds) in 2015—around one in seven of all births worldwide according to the first-ever estimates documenting this major health challenge.
These findings and more are documented in a new research paper developed by experts from the World Health Organization, UNICEF and the London School of Hygiene & Tropical Medicine, published in The Lancet Global Health.
More than 80% of the world’s 2.5 million newborns who die every year are of low birthweight. Those low birthweight babies who survive have a greater risk of stunting, and developmental and physical ill health later in life, including diabetes and cardiovascular disease.
“Low birthweight is a complex clinical entity composed of intrauterine growth restriction and preterm birth,” says co-author Dr Mercedes de Onis from the Department of Nutrition at WHO.
“This is why reducing low birthweight requires an understanding of the underlying causes in a given country. For example, in Southern Asia a large proportion of low birthweight babies are born at term but with intrauterine growth restriction, which is associated with maternal undernutrition, including maternal stunting.
“Conversely, preterm birth is the major contributor to low birthweight in settings with many adolescent pregnancies, high prevalence of infection, or where pregnancy is associated with high levels of fertility treatment and caesarean sections (like in USA and Brazil). Understanding and tackling these underlying causes in high-burden countries should be a priority.”
Although close to three-quarters were born in Southern Asia and sub-Saharan Africa, the problem remains substantial in high-income countries in Europe, North America, Australia and New Zealand. High-income countries have seen virtually no progress.
What is being done to tackle this major public health problem
Reducing the incidence of low birth weight requires a comprehensive global strategy, which must include improving maternal nutritional status; treating pregnancy-associated conditions such as pre-eclampsia (hypertensive disease of pregnancy); and providing adequate maternal care, perinatal clinical services and social support.
Affordable, accessible and appropriate health-care is critical for preventing and treating low birthweight. Reductions in death, illness and disability in newborn babies will only be achieved if pregnancy care is fully integrated with appropriate care for low birthweight babies.
The National Agency for Food and Drug Administration and Control (NAFDAC) has ordered the immediate closure of the Gomboru drug market in Maiduguri following severe flooding that submerged the area and contaminated the drugs sold within the market.
In a statement posted on its official X handle, NAFDAC disclosed that the decision was made after reports surfaced that contaminated drugs, which had been washed and sun-dried for resale, were being sold at the market.
“After the recent flooding in Maiduguri that submerged the Gomboru drug market where contaminated drugs were washed and sun-dried for resale, the @DGatNAFDAC ordered the immediate closure of the market to conduct a thorough shop-to-shop removal of these compromised drugs,” the agency wrote.
The flooding, which ravaged Maiduguri, was triggered by the rupture of the Alau dam on the Ngadda River, located 20 kilometers (12 miles) south of the city.
The floodwaters claimed at least 30 lives and displaced 400,000 residents, leaving large parts of the city and surrounding areas in devastation.
NAFDAC’s intervention is aimed at safeguarding public health by preventing the sale and consumption of contaminated drugs.
The agency has mobilized teams to inspect the market and ensure the removal of all compromised pharmaceutical products.
Engr. Aderemi Oseni, Chairman of the House Committee on Federal Road Maintenance Agency (FERMA) and the lawmaker representing Ibarapa East/Ido Federal Constituency of Oyo State has expressed deep concern following the recent outbreak of cholera cases in the state.
Cholera, a highly contagious bacterial infection transmitted through contaminated water and food, poses significant health risks, particularly in densely populated areas with inadequate sanitation.
Oseni urged residents of Oyo State, especially those in his constituency, to prioritise hygiene practices and strictly adhere to recommended safety measures, emphasising the critical importance of proactive measures to halt the disease’s spread.
In a statement issued on Monday by his media aide, Idowu Ayodele, in Ibadan, the state capital, the lawmaker underscored the necessity of maintaining clean water sources and practicing proper sanitation methods.
“Cholera outbreaks can be significantly reduced if we all take responsibility for our hygiene habits and ensure our surroundings are clean,” he stated.
The APC chieftain also stressed the urgency of seeking prompt medical attention at the first signs of symptoms such as diarrhea and vomiting, which are characteristic of cholera.
“Early detection and treatment are crucial in combating cholera and preventing its spread. Access to safe drinking water and adequate sanitation are fundamental rights that must be upheld, especially during health crises like this,” he asserted.
Oseni further called for unity and collective action in combating the cholera outbreak.
He expressed confidence that through concerted efforts and vigilant adherence to preventive measures, communities can contain and ultimately overcome this challenging public health issue.
“By working together, maintaining vigilance, and prioritising hygiene practices, we can effectively mitigate the impact of cholera on our communities,” the lawmaker concluded.
Resident doctors at the University of Medical Sciences Teaching Hospital (UNIMEDTH) in Ondo State have initiated a 14-day warning strike, as confirmed by the National Association of Resident Doctors (NARD).
The strike action, led by the association’s President, John Matthew, highlights various grievances, notably the non-payment of seven months’ salaries to new members.
Matthew added that the strike also addresses the non-payment of palliative to House Officers since February, the failure to disburse the February Hazard Allowance despite prior assurances from the state government, and the ongoing shortage of staff due to resignations.
Matthew lamented the drastic decrease in resident doctors, citing a decrease from 150 doctors to a mere 26 in recent months.
In response to the situation, he urged management to prioritise the full payment of arrears owed to members, immediate payment of the February 2024 palliative to house officers, and prompt disbursement of the February hazard allowance.
The association further called for urgent measures to address the critical shortage of clinical manpower within the institution.
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