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What You Should Know About Orofacial Cleft

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Orofacial cleft is an opening that a child is born with. The opening occur mainly on the upper lip (cleft lip) and the roof of the mouth (palate).

This opening result from distortion in the development of the baby in the first three Months.

Cleft lip and palate are among the most common birth defects and they mostly occur as isolated birth defects.

A consultant mouth orofacial surgeon, Dr Seidu Bello, said medical abnormality usually occur within the first three months of pregnancy, adding that the major cause of orofacial cleft is unknown.

He, however, said that there are predisposing factors which are either genetic or environmental.

The environmental factors, according to him, cannot be said to be the real cause but they are related to X-ray, while cautioning that “If pregnant women will have to do X-ray, they will have to be protected because X-radiation have been known to cause distortion during development of the fetus.”

Bello, who is also the executive director, Cleft and Facial Deformity Foundation, Abuja, said “Also few things like drugs, mothers that are epileptic and are taking anticonvulsant drugs have been known to also be a possible cause of cleft.

“Most of the cases we have seen actually are what can be described as isolated. For instance, you don’t see mothers drinking alcohol, no exposure to radiation and still they have cleft children. As a matter of fact, in a paper that was published last year by my organisation, in which we reviewed 683 cases of cleft, we found out that 6.5 per cent have some degree of family relation which means it has some genetic possibilities whereas the rest which is 93 per cent are just isolated. you don’t have any specific cause that you can relate to them.

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Prevention

On prevention, he said how do you prevent what you don’t know, saying since the cause is not known, it is difficult to talk about specific prevention, except for pregnant women to be protected during X-ray.

The consultant advised against use of drugs during pregnancy while also urging pregnant women to go for antenatal during pregnancy so that they can be advised on what drugs to take.

Treatment

On treatment, Bello said the defect is an opening, so the major treatment is surgery. However, he said there is comprehensive care which is the ideal way of managing a cleft patient.

According to him, “Orofacial cleft is just a birth defect like every other defects like hole in the heart. We have adequate care and it is done well in Nigeria.

Bello worried that in so many communities, there are so many myths around cleft while urging parents to take their cleft children for treatment.

“Pleas lets bring these children out for treatment and let’s stop ascribing witchcraft and others to it. Prayer houses or use of local herbs is not the solution,” he cautioned.

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Health

Ondo Resident Doctors Begin 14-Day Warning Strike

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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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Health

FG Okays N25bn Disbursement to Enhance Healthcare Delivery

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File photo of the Coordinating Minister of Health and Social Welfare, Ali Pate,

The Federal Government has greenlit the allocation of N25 billion to bolster the efforts of the National Primary Healthcare Development Agency (NPHCDA) and the National Health Insurance Authority (NHIA) in advancing healthcare accessibility and quality across Nigeria.

The Coordinating Minister of Health and Social Welfare, Ali Pate, made this known, stressing the steadfast commitment of the current administration towards revamping the healthcare system to achieve Universal Healthcare Coverage (UHC) for all Nigerians.

In a statement by Deworitshe Patricia, a spokesperson for the ministry, Pate emphasised that the government’s strategy for health sector transformation involves the implementation of a Sector Wide Approach (SWAp) and the Health Sector Renewal Investment Programme (NHSRIP).

Addressing the imperative for reforms in Nigeria’s primary healthcare delivery, Pate highlighted the significance of revising the Basic Healthcare Provision Fund (BHCPF) and its associated programmes.

Pate outlined the objectives of the revised guidelines, which include expanding healthcare services for underserved populations, particularly women and children, reducing maternal mortality rates, alleviating out-of-pocket healthcare expenses, and standardizing healthcare quality across primary healthcare facilities nationwide.

“The Ministry, in collaboration with development partners, is dedicated to ensuring equitable access to healthcare services for all Nigerians, with a special focus on vulnerable groups,” stated Pate. “Through initiatives like NHSRIP, we aspire to minimize the need for long-distance travel for medical care, thereby improving the overall health outcomes and well-being of our citizens.”

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Photos: Saudi Medical Team Make History, Separate Nigerian Conjoined Twins

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In a monumental achievement for medical science, a team of Saudi professionals at the King Abdullah Specialist Children’s Hospital has completed the separation surgery of Nigerian conjoined twins, Hassana and Husaina.

The directive for this historic achievement came from the Custodian of the Two Holy Mosques King Salman bin Abdulaziz Al-Saud and His Royal Highness Prince Mohammed bin Salman bin Abdulaziz Al-Saud, Crown Prince and Prime Minister, demonstrating the Kingdom’s commitment to advancing healthcare.

The complex procedure, initiated on Thursday morning, was the result of meticulous planning and execution by a dedicated team of 38 medical experts. This group included consultants, specialists, technicians, and nursing staff, all working in harmony to address shared areas in the lower abdomen, pelvis, lower spine, and lower spinal nerves of the twins.

The surgery, unfolding in nine carefully planned stages, lasted approximately 14 hours. Dr. Abdullah Al Rabeeah, Advisor at the Royal Court, Supervisor General of the King Salman Humanitarian Aid and Relief Center (KSrelief), and head of the medical team, expressed confidence in the success of the procedure, citing a noteworthy 70% success rate.

“This is a momentous occasion that showcases the Kingdom’s commitment to advancing medical science and providing compassionate healthcare globally,” he said.

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The successful separation of Hassana and Husaina commemorates the 60th operation conducted by the Saudi programme for separating conjoined twins. Over the past 34 years, this programme has offered care to 135 conjoined twins from 25 countries.

Dr. Al Rabeeah expressed heartfelt gratitude and appreciation to the Saudi leadership for their steadfast support of the programme.

He said, “The successful separation of Hassana and Husaina exemplifies the Kingdom’s dedication to humanitarian causes and its role as a leader in global healthcare.”

The Press Attaché at the Saudi embassy in Abuja, Mohammed Alsahabi, remarked on the accomplishment, stating, “This remarkable feat underscores the strong collaboration between Saudi Arabia and Nigeria in healthcare. We take pride in contributing to the improvement of these twins’ lives and their families.”

The separation of Hassana and Husaina represents not just a medical triumph but also serves as a symbol of hope for numerous individuals confronting similar challenges globally.

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