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COVID-19: NCDC Says Patients To Be Discharged Without Testing Negative

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The Nigeria Centre for Disease Control (NCDC) on Thursday June 4, said a negative laboratory test is no longer required to discharge a COVID-19 patient, as symptomatic patients will be discharged earlier than usual after they have stop showing symptoms of the disease – fever and respiratory symptoms).

Also, asymptomatic patients will now be discharge 14 days after their first positive test to the virus.

This is based on new data from Singapore that shows that RNA detected beyond 10 days is no longer infectious as no viable virus is grown by viral culture. Therefore, such patients will be discharged but advised to continue self-isolating at home one week after discharge.

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The Director-General of the NCDC, Dr. Chikwe Ihekweazu, who made this known at the daily briefing of the Presidential Task Force on COVID-19, in Abuja, said: “There have been new science emerging about the duration of infectivity of individual patients. It led to the WHO issuing new clinical guidelines.

“We then convened colleagues across our organisation, the department of hospital services of the Federal Ministry of Health, as well as other colleagues with whom we work, to review our guidelines and issue new guidelines for the country and of course adapting it to local circumstances.

“The key thing is that the management of COVID-19 will be made primarily supportive; we don’t have any treatment so far that has any proven impact on morbidity.

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“One of the major changes that have happened is the discharge criteria. While these guidelines are obviously and primarily targeted at physicians managing patients, it is important that patients and people know. There are two groups of patients –  symptomatic and asymptomatic patients.

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“For symptomatic patients, they may now be discharged at least 10 days after symptoms onset and at least 3 days without symptoms. If your symptoms last for longer, we will wait for longer managing you supportively.

“If you are asymptomatic, you can be discharged 14 days after your first positive test. So, we no longer have to wait for a negative test to discharge. This way you can go home with confidence that you are no longer infective and you’re not putting your family and friends or anyone else at risk.

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“We are not encouraging that people be discharged while they are still symptomatic. We are talking about discharging people that are asymptomatic and have recovered. That is, you are symptomatic and have recovered or you are completely asymptomatic throughout your clinical episodes”, he added

On the use and availability of personal protective equipment (PPEs), The NATION reports that the NCDC boss urged both public and private hospitals to procure their own PPEs and factor it into the cost for healthcare delivery.

He said, “Our hospitals both public and private, really need to include the purchasing of personal protective equipment in their procurement plans. These are things that they have to buy to keep their hospital going.

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“What we are doing now is simply a response to an outbreak –  managing logistics, sending around PPEs across the country. This is definitely not what we should be doing as a country. So, that has to change as we refigure our health system to include this.”

(NATION)

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Health

FG To Establish Blood Collection Centres In 774 LGAs

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The Federal Government has announced plans to establish Blood Collection Centres in all 774 local government areas, including the FCT to ensure availability of blood during medical emergencies and transfusions.

Abdullahi Haruna, Head, Media and Publicity, National Blood Service Agency (NBSA) made this known in a statement on Saturday in Abuja.

The Director-General, NBSA, Prof. Saleh Yuguda,  while reiterating the government’s commitment towards addressing blood shortages in the country, said the initiative will help in saving lives.

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“We are working tirelessly to ensure that blood needs are adequately addressed, and this initiative is a significant step towards achieving that goal.

“NBSA has partnered with the Nigerian Security and Civil Defence Corps (NSCDC) to establish a formidable blood bank at the Corp’s medical facility.

“This collaboration aims to mitigate blood shortages during medical emergencies and provide critical support to sister security agencies,” he said.

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He explained that to kickstart the blood collection project, the FCT would host strategic blood collection facilities in easily accessible locations.

“This move is expected to increase blood donation rates and ensure a steady supply of blood for medical purposes.

“The establishment of blood collection centers across Nigeria is a testament to the government’s commitment to improving the country’s healthcare system.

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“As the project rolls out, Nigerians should expect improved access to blood transfusions and better health outcomes,” he said.

 

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Lagos Cholera Cases Rise To 421

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The Lagos state suspected cholera cases have risen to 421.

The Commissioner for Health, Akin Abayomi disclosed this on his Instagram handle @profakinabayomi on Saturday.

As of June 20, 2024, an additional four suspected cholera cases have been reported, as illustrated in the accompanying graph,” he wrote.

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He noted that the Emergency Operations Centre in collaboration with all relevant partners is actively engaged in contact tracing, community-based surveillance, awareness campaigns, sample testing, and ensuring that confirmed cholera cases receive appropriate medical treatment.

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On Friday, the commissioner confirmed 35 cases out of the 417 suspected cases and 24 deaths across 20 Local Government Areas in the state.

The cases were reported from Agege, Badagry, Ikeja, Mushin, Ajeromi-Ifelofun, Epe, Ikorodu, Ojo, Alimosho, and Eti-Osa.

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Others were Kosofe, Oshodi-Isolo, Amuwo-Odofin, Ibeju-Lekki, Lagos Island, Shomolu, Apapa, Ifako-Ijaiye, Lagos mainland, and Surulere.

Cholera is a food and water-borne disease caused by ingesting the bacteria— Vibrio cholerae — in contaminated water and food. Cholera can cause severe acute watery diarrhoea, and the severe forms of the disease can kill within hours if left untreated.

In Nigeria, cholera is an endemic and seasonal disease, occurring annually mostly during the rainy season and more frequently in areas with poor sanitation.

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The World Health Organisation on Thursday announced a spike in cholera in several regions of the world, with almost 195,000 cases and over 1,900 deaths reported in 24 countries since the start of 2024.

WHO said the Eastern Mediterranean Region reported the highest number of cases, followed by the African Region, the Region of the Americas, the Southeast Asia Region, and the European Region.

The global health body, however, noted that there are no reported cases in the Western Region, according to its bulletin released on Wednesday.

It said it exhausted its global stockpile of Oral Cholera Vaccines by March but was able to exceed “the emergency target of five million doses in early June for the first time in 2024.”

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AUTISM: What You Need To Know

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By Silver Yeibake 

Autism, commonly known as Autism Spectrum Disorder (ASD), is a neurodevelopmental disorder that affects communication, social interaction, and behavior. Autism is referred to as a spectrum condition since it can manifest in a variety of symptoms and abilities. While the actual cause of autism is unknown, evidence suggests that genetic and environmental factors interact to influence its development.

The risk factors include a sibling with autism, advanced age of parents, exposure to certain air pollutants and pesticides before birth, extreme prematurity, mothers with diabetes, immune system disorders or obesity, any difficulty with delivery leading to deprivation of oxygen to the baby’s brain, fever during pregnancy, lack of certain vitamins minerals during pregnancy, and certain genetic conditions, such as Down, fragile X, and Rett syndromes.

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“Risk factors can not on their own cause a disease. However, they can increase the likelihood of that disease in a person.”

It is important to know that contrary to trending claims online, there is no scientific or medical evidence that vaccines or consumption of sugar are risk factors for autism.

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Autism is defined by difficulties in social interaction and communication. Individuals with autism may struggle to grasp social cues, maintain eye contact, and engage in typical back-and-forth conversations. Some people may also engage in meaningless, repetitive actions, such as hand-flapping or rocking, and have strong interests in specific areas.

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It is essential to remember that autism is a lifelong diagnosis, but with early intervention and adequate care, people with autism can live fulfilling lives.
Autism treatment frequently includes behavioral therapy, speech therapy, occupational therapy, and social skills training. Each individual with autism is unique, thus interventions should be tailored to meet their personal needs and strengths.

In spite of the difficulties that autism can cause, many people with autism possess unique talents and abilities. Some people may succeed in fields such as music, art, mathematics, or programming, thus it is important for society to acknowledge and honor the qualities and achievements of people with autism.

In summary, autism is a complicated and diverse disorder that affects individuals in various ways. By raising autism knowledge, understanding, and acceptance, we can build a more inclusive society in which people with autism can thrive and attain their full potential.

Dr. Yeibake, Weriwoyingipre Silver.
Senior Registrar,
Faculty Of Pediatrics,
WACP

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