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Why Working Night Shift May Lead To Obesity

People who work night shifts have a 35 percent higher risk of obesity because the nocturnal schedule derails their metabolism, a study claims.
Artificial light during night shifts disrupts the brain's melatonin levels and hinders the body's metabolism.

Someone who works at night will then gain more weight quicker because the metabolism is working slower than normal.

More than 3.4 million people worldwide die every year from obesity related ailments including diabetes, stroke and cardiovascular disease.

Experts recommend altering the work schedule to avoid working night hours in order to reduce the global obesity epidemic.

Researchers from the Chinese University in Hong Kong analyzed the shift patterns of employees and how it compared to their health.
His team pooled data from 28 previous studies involving hundreds of thousands of participants across the world including healthcare workers, manufacturing employees, local government staff and bus and truck drivers.

Senior author Dr Lap Ah Tse said: 'Globally, nearly 0.7 billion workers are engaged in a shift work pattern.
'Our study revealed much of the obesity and overweight among shift workers is attributable to such a job nature.' 

 They found night shift workers had a 29 percent increased risk of becoming obese or overweight. 
'Obesity has been evident to be positively associated with several adverse health outcomes, such as breast cancer and cardiovascular diseases,' Dr Tse said. 

The analysis, published in Obesity Reviews, also showed the risk of abdominal obesity, the most dangerous type where fat builds around the stomach and damages organs, was 35 percent greater. 

Dr Tse said exposure to artificial light at night disrupts the body clock, or circadian rhythm, reducing production of the sleep hormone melatonin that plays an important role in preventing disease.

Melatonin regulates the sleep cycle and also hormones such as cortisol, insulin and leptin but disrupting it may harm metabolism, leading to night workers gain weight.

Throughout the world, around 3.4 million deaths a year are caused by obesity related diseases. 
These diseases include diabetes, heart disease, stroke and forms of cancer.  
Shift work is becoming popular among employees because of the high demand for flexibility and productivity in the current work environment. 

But evidence has identified a link with obesity that can trigger the development of several cancers, such as breast cancer, as well as cardiovascular diseases.

Previous research has shown sleeping during the day burns fewer calories than at night. 
Despite suffering more disturbed sleep, night shift workers burned between 12 and 16 percent fewer calories.  
'Modification of working schedules to avoid prolonged exposure to long-term night shift work might be an efficient administrative control to reduce the risk of obesity,' Dr Tse said.
Story By JOHNSON OKPUSA OBASI 

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Monkey Pox: Reps Summon Nigerian Health Minister

The House of Representatives, yesterday, summoned the Minister of Health, Prof. Isaac Adewole, over the outbreak of monkey pox in the country.

The House took the decision in Abuja just as the National Centre for Disease Control confirmed that 31 cases of the disease had been recorded in the country.

The National Coordinator/Chief Executive Officer of the agency, Dr. Chikwe Ihekweazu, had disclosed that monkeypox cases had been reported in seven states.

 The states are Bayelsa, Rivers, Ekiti, Akwa Ibom, Ogun, Cross River and Lagos.
At its plenary in Abuja, presided over by the Speaker, Mr. Yakubu Dogara, the House was alarmed that the disease was spreading while it appeared that the Federal Ministry of Health was helpless without relying on the World Health Organisation.

A lawmaker from Bayelsa State, Mr. Diri Douye, raised the issue under matters of urgent national importance, praying that the minister should be summoned.

 The prayer was immediately passed in a unanimous voice vote.
Lawmakers expressed concern that a country, as big as Nigeria, did not have a laboratory to respond to the health emergency without first sending specimen to Dakar, Senegal, for investigations.
They were also in shock that Adewole admitted that Nigeria was helpless.

“The House is concerned by the shocking admission of Adewole that monkeypox could not be confirmed in Nigeria until laboratory investigations by WHO and referral to Dakar, Senegal.

“Again, concerned that the disease has spread to other states, notably Uyo in Akwa Ibom State, in spite of concerted efforts by the Bayelsa State Government since the initial report in Yenagoa, Bayelsa State,” the House motion read partly.

The minster is to explain the actions taken so far by the Federal Government to contain the spread of the disease.

The resolution stated, “The House invites the minister of health to explain the alarming situation of how a country, as vast and resourced as Nigeria, will depend on a laboratory in Dakar, Senegal, to analyse samples at such a critical time of national health crisis.

“To explain what measures and strategies the country has in place to be more proactive in the active surveillance and rapid case detection of cases for the prevention and containment of monkeypox as well as other viruses in future.”

The House commended the Bayelsa State Government for its “quick intervention and collaborative efforts” so far.
Also, the Senate urged the Federal Government to liaise with WHO and other donor agencies as Nigeria continued the fight against monkeypox.

This was part of the prayers of a motion moved by Senator Ali Wakili (Bauchi South), which the Senate adopted at the plenary on Tuesday.

The upper chamber of the National Assembly also urged the Federal Government, through the Ministry of Health, state and local governments, to be proactive in containing and preventing the disease from spreading beyond where it had been reported.

The lawmakers also called for aggressive enlightenment and education of the citizens on measures that could be taken to mitigate risk factors of exposure to the virus, while seeking a sustained public health education messages through media platforms.

Wakili, while moving the motion, said the Senate was worried that “there are no specific treatment in the provision or availability of vaccine for monkeypox infection and that Nigerians have been thrown into panic as the country’s health sector is facing a myriad of challenges.”
President of the Senate, Bukola Saraki, in a remark, thanked Wakili for the motion and its prayers.
Story By JOHNSON OKPUSA OBASI


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Cholera Kills 184 Persons In Eight States

The Nigerian Centre for Disease Control says no fewer than 184 persons died from an outbreak of cholera in eight states across the country this year.

The Surveillance Focal Person of NCDC, Ms. Nanpring Williams, said this at the Water Sanitation and Hygiene Sector Meeting, organised by the Federal Ministry of Water Resources in Abuja on Tuesday.

She said that the affected states were Zamfara, Kwara, Borno, Lagos, Oyo, Kebbi, Kaduna and Kano.
Williams said that the National Cholera Situation Report indicated that there were 8,241 suspected cases of the disease in parts of the country.

 She said that the centre was executing the pilot phase of administering Oral Cholera Vaccine in Muna Internally Displaced Persons Camp and the entire Mafa Local Government Area in Borno, reaching no fewer than 34,815 persons.

She said that the centre was also conducting active surveillance and laboratory diagnosis, effective coordination and case-by-case management of cholera.

Williams said there were cases of water contamination in Kebbi through open defecation, adding that deliberate efforts were needed from all stakeholders to promote access to water and sanitation.

She, however, bemoaned the lack of coordination between the state ministries of health and the rural water supply and sanitation agencies, saying that the deficiency had been a major challenge to efforts to strengthen WASH activities in the country.
Story By JOHNSON OKPUSA OBASI

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Panic As Monkey Pox Enters Lagos, Ogun, Ekiti

Yesterday, Nigeria Natural Health Online www.kimekwu.blogspot.com reported that Lagos had been placed on high alert in view of the outbreak of monkey pox disease in some parts of Nigeria. We can now authoritatively confirmed to you that the disease has not only entered Lagos, but has also found its way into neighboring  states like Ogun and Ekiti.

The Nigeria Centre for Disease Control (NCDC) yesterday declared that 31 suspected cases of monkey pox have so far been reported in seven states across the country. Dr. Chikwe Ihekweazu, the National Coordinator/Chief Executive Officer of NCDC, made this known in Abuja.

According to Ihekweazu, following the notification of a suspected monkey pox outbreak on September 22 in Bayelsa, other suspected cases have been reported from six more states. He listed the affected states as Bayelsa, Rivers, Ekiti, Akwa Ibom, Lagos, Ogun and Cross Rivers. Ihekweazu said that samples had been collected from each suspected case for laboratory confirmation.

“Results are still being awaited. So far, there have been no deaths recorded. It is unlikely that many of the suspected cases are actually monkey pox, but all are being investigated. All the suspected cases are currently receiving appropriate medical care, and the patients are all improving clinically in their various states,” he said.

 Ihekweazu said that the Federal Ministry of Health, through the NCDC, was supporting the affected states to ensure the outbreak is brought under control and to limit further spread. “NCDC has activated an Emergency Operation Centre (EOC) to coordinate the outbreak investigation and response across the affected states.
The EOC is currently supporting State Ministries of Health in their response to the outbreak through active case finding, epidemiological investigation and contact tracing. Measures have been put in place to ensure effective sample collection and testing for laboratory confirmation. Risk communication activities have been heightened to advise the public on preventive measures. All 36 States and the FCT have been notified for preparedness,” the NCDC national coordinator said.

 In Lagos, there was discovery of two suspected cases in private hospitals in the state.
The Commissioner for Health, Dr. Jide Idris, who disclosed this yesterday while addressing journalists at the state Secretariat, Alausa, Ikeja, urged residents to intensify their personal hygiene to prevent the spread of the disease.

 This came as the Cross River State Commissioner for Health, Inyang Asibong, said the suspected victim of monkeypox in the state was in stable condition. Idris said that one of the victims ate bush meat and just returned from Bayelsa State before he was taken to the hospital.

The commissioner disclosed that out of the 31 suspected cases in the country, two were recorded in Lagos and currently being investigated.
He said:

 “Though no confirmed case has been recorded, there is need to sensitise members of the public and provide adequate information on measures for prevention and control of the disease in line with policy of the state government.

Monkeypox is a rare viral zoonotic disease from (animal to man) caused by monkeypox virus which occurs primarily in Central and West Africa close to tropical rain forest where there is frequent contact with infected animals.
The symptom in human is similar to those seen in the past in smallpox patients although less severe.”

Idris added that disease surveillance team had been activated in schools and other public places in all the 57 Local Government Areas and the Local Council Development Areas (LCDAs).

 The commissioner said that the victims were under close monitoring. He added:

“Monkeypox should be suspected in any person with rash, fever, chills, sweat, headache, backache, lymphadenopathy, sore-throat, cough and shortness of breath. Residents are urged to take adequate measures in order to reduce the risk of contracting the disease.

“Health workers should have high index suspicion of any person with the above symptoms in order to improve case detection. I need to state that though there is no specific vaccine for the disease; vaccination against small pox has been proven to be 85% effective in preventing Monkey Pox.

There is also no specific anti-viral therapy for monkey pox, however the disease is self limiting and could be managed conservatively.” Idris, however, advised residents to be vigilant and report any suspected case of the disease to the nearest public health facility or the Directorate of Diseases Control in the state Ministry of Health.

 Meanwhile, Asibong said victims would not be released until samples sent to Abuja for confirmation of the tests had been received.

 The commissioner refused to disclose the name of the victim. He said: “I cannot give you his name but he is in a stable condition and we have taken every measure to ensure that we contain any outbreak. Remember that this is only a suspected case and not that anything has been confirmed. But we have mobilised to ensure that we contain any outbreak.”



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Multivitamins In Pregnancy Reduces Risk Of Autism

Taking multivitamins in early pregnancy may reduce the risk of children developing autism, research suggests.
Experts found that children whose mothers had taken the vitamins were around half as likely to develop autism as those whose mothers took none.

But the team cautioned that although they had found a possible association, more research was needed.
Writing in the British Medical Journal, experts from universities and hospitals in Philadelphia, Stockholm and Bristol examined data for 273,107 mothers and their children living in Stockholm.

All the children were aged four to 15 by December 31, 2011 and were born between 1996 and 2007.
The women's use of folic acid, iron and multivitamin supplements had been recorded at their first antenatal visit.
Cases of autism spectrum disorder were also identified in national registers.
After adjusting for factors that might influence the findings, experts found that women who took multivitamins, with or without additional iron and/or folic acid, had a lower chance of their child developing autism with intellectual disability compared with mothers who took none.

When iron and folic acid were looked at alone, there was no consistent evidence that their use was associated with a reduced risk of autism.
Guidelines say a healthy diet should give women most of the vitamins and minerals they need in pregnancy.

But women should also take 400 micrograms (mcg) of folic acid every day for the first 12 weeks of pregnancy and 10mcg of vitamin D a day, experts say.
More than one in 100 people are on the autism spectrum. There are many different characteristics that make up autism, but people may be under or oversensitive to sounds, touch, tastes, smells, light and colours.
They may also find social situations challenging and experience "meltdowns" when anxious.

In Nigeria, autism in children are recorded more in cities than in rural communities. This is mainly due to the fact that why the enlightened  parents of such children in cities have no qualms about bringing them out to health authorities, those in villages hide their children in fear of public ridicule. in most villages, autism is often associated with daibolism.


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JOHNSON OKPUSA OBASI

Fear As Monkey Pox Spreads To Uyo, Port Harcourt...Lagos On High Alert

Uyo residents of Akwa Ibom State were, weekend, gripped with apprehension after the state government announced the outbreak of the dreaded Monkey Pox disease in the state, making it the third state in the Niger Delta region, following earlier reports of outbreak in Bayelsa and Rivers states. Nigeria Natural Health Online www.kimekwu.blogspot.com has also reliably laernt that the authorities of Lagos State government has placed residents of the state on high alert in order to prevent the disease from coming into the city.

This came as the Federal Government described as fake and sinister the report that the outbreak of Monkey Pox in some parts of the country resulted from the alleged free medical care by the government in the affected areas.

In a statement issued in Abuja yesterday, the Minister of Information and Culture, Alhaji Lai Mohammed, said Nigerians should disregard the report which, apparently, was being spread by some unscrupulous persons to fit into a sinister agenda.
He said: “The Federal Government has not conducted any free medical service or care in either Bayelsa or Rivers state, as alleged in the fake report being circulated. So that could not have been the cause of the outbreak of Monkey Pox in both states.
“Monkey Pox is a virus found only in monkeys and it is rare in human beings. It belongs to the same family as Chicken Pox and Smallpox. It is suspected that someone may have contacted it by eating monkey meat, thus triggering the current outbreak.”
He assured that no effort will be spared in curtailing the spread of the disease.

Akwa Ibom Commissioner
Meanwhile in Uyo, Commissioner for Health, Dr. Dominic Ukpong, while disclosing the outbreak during an interview with newsmen in Uyo, said one case has already been confirmed and that the victim had been isolated.
According to him, two other suspected cases were being monitored by medical personnel, explaining that “the viral ailment is borne by wild animals, especially Monkeys, and can be contacted through bodily contact with infected persons.
Dr. Ukpong, while warning residents of Uyo to eschew bush meats, also advised the people to take precautionary measures by imbibing personal hygiene such as hand-washing, avoiding indiscriminate handshake and physical contacts.
A resident and medical personnel in the metropolis, who craved anonymity, expressed worry over the outbreak of the disease, saying that government should wake up to arrest the situation by ensuring urgent intervention in all aspects of healthcare delivery.
She said if urgent measures are taken, the outbreak can be controlled.

Information Commissioner
Commissioner for Information and Strategy, Mr. Charles Udoh, has also corroborated his Health counterpart by warning the residents to avoid crowded places, as relevant agencies have been alerted to put adequate medical measures in place to deal with emergencies.
He said: “We have recorded one confirmed case of Monkey Pox, while two other cases are still under investigation. The good news is that all these cases have been quarantined.
“Again, the blood samples of quarantined suspected cases have been sent for confirmation. Confirmation requires the highest level of laboratory sample test which is not available in the state.
“However, there is no cause for panic because the era of hand sanitisers are here and there is nothing for anybody to panic. People should wash their hands regularly, maintain the highest sanitary condition as well as avoid eating bush meats.”

Emergency lines
Meanwhile, to arrest the spread of the viral Monkey Pox disease, Bayelsa State Government has intensified efforts at public enlightenment and civic engagement.
Therefore, the government called on residents of the state to report all suspected cases of the disease by using the following hotlines, 08066987752 and 08035474676 to get the attention of its rapid response team.
The State Commissioner for Information and Orientation, Daniel Iworiso-Markson, in a statement yesterday, said the swift sensitisation campaign embarked upon by his ministry on radio with translations in all the local dialects in the state will be sustained.
According to him, the ministry had commenced sensitisation campaign and advocacy visits to communities in the state on the need to reassure the people of government’s intervention and activities in curbing further spread of the disease.

Victims’ recovery
While giving an update of the situation, he disclosed that the government had stopped further spread of the disease, noting that out of the number of those affected and quarantined at the Niger Delta University Teaching Hospital, NDUTH, Okolobiri, many were already showing signs of recovery.
Iworiso-Markson explained that two of the index cases and the doctor affected by the disease had fully recovered and discharged, expressing happiness that so far no death had been recorded.
According to him, “to further allay the fears and reassure Bayelsans of governments’ effort in curbing the disease, let me make it clear that we are on top of the situation. However, it is important for people to take note of the fact that prevention is better than cure.
“Hence, they are required to always wash their hands, avoid monkeys, bush meat and dead animals as well as be on the lookout for symptoms, which often manifests as various stages of rash and an intense weakness of the body, severe pains, among other things.”

Resident abandon bush meat
Meanwhile, the fear of the disease has forced many residents to shun bush meat consumption.
Though the government has said it has contained the spread of the disease, bush meat vendors said people have stopped patronising them since the outbreak of Monkey Pox.
Akpan Jones, a bush meat seller along the Onuebum-Otuokpoti Road in Ogbia Local Government Area of the state, lamented that sales have been poor in the last couple of days.
His words: “I was happy when I heard on radio that the disease has been contained, but people have continued to avoid buying bush meat. I believe they are afraid because of the government warning that monkeys and other bush meat consumption should be avoided for now.
“Pictures of persons said to be infected with Monkey Pox disease being circulated on internet are also discouraging them.
“I don’t know how long I have to wait until the problem is over. I have to return to my old palm tapping business to cater for my family.”


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JOHNSON OKPUSA OBASI