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Why pregnant women with previous CS shouldn’t use PHCs for antenatal care

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Maternal health experts have urged pregnant women with a history of two caesarean sections to register and receive antenatal care in secondary and tertiary health facilities rather than in Primary Healthcare Centres.

They noted that pregnant women with such a history have a high-risk pregnancy and need expert care and facilities that the PHCs do not have.

The gynaecologists, in separate interviews with PUNCH Healthwise, emphasised that early antenatal registration at the appropriate centre would help to prevent delays and complications, which could be life-threatening for both mother and baby.

The reproductive health experts also urge expectant mothers with hypertension, diabetes before or during pregnancy or a history of miscarriages to register and attend antenatal care in higher-level facilities such as general and tertiary hospitals.

They urged every pregnant woman to register and attend antenatal care in registered hospitals to ensure they receive the best care and prevent avoidable complications and deaths.

PUNCH Healthwise reports that pregnant women should register and begin antenatal care as soon as pregnancy is confirmed with a positive test, ideally within the first eight to 12 weeks.

PUNCH Healthwise also reports that expectant mothers who have undergone two caesarean sections should not attempt vaginal birth to prevent the rupture of the uterus and bleeding.

Severe bleeding after childbirth is the leading cause of maternal mortality worldwide, according to the World Health Organisation.

High blood pressure disorders during pregnancy, infections and complications from unsafe abortions are contributors to maternal deaths.

The 2018 National Demographic and Health Survey puts Nigeria’s maternal mortality rate at 512 deaths per 100,000 live births.

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Speaking with PUNCH Healthwise on the matter, a professor of Obstetrics and Gynaecology at the University College Hospital, Ibadan, Oyo State, Chris Aimakhu, explained that while low-risk pregnancies could be safely managed at primary healthcare facilities, women with high risk pregnancies, including those who have previously undergone caesarean deliveries, need specialist care, which is available in general and tertiary healthcare centres.

Aimakhu said, “Every pregnant woman should access antenatal care. But those with high-risk conditions such as previous CS, hypertension or diabetes must be managed in facilities that can handle emergencies. A primary health centre does not have the capacity to perform a caesarean section. If such women are booked there, it puts both mother and child at serious risk.”

He noted that many primary healthcare centres, especially in rural communities, are poorly staffed and often run without doctors, midwives or round-the-clock services, leaving them unequipped to handle obstetric emergencies.

“In situations where a woman with a previous CS registers in a PHC, and complications arise, delays in referral may lead to avoidable maternal or neonatal deaths,” the don added.

The gynaecologist further asserted that antenatal care was not optional, lamenting that Nigeria still records high maternal mortality due to preventable causes such as postpartum bleeding and pregnancy-induced hypertension.

The maternal expert, however, clarified that not all pregnant women need to register at teaching hospitals, stating that women who register in PHCs and are in need of specialist care should be immediately referred to the appropriate centres.

“Low-risk patients can safely receive care in PHCs or secondary hospitals if those centres know what they can handle. But once a patient has a history of caesarean deliveries, she belongs to the high-risk category.

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“The key is not only access but timely access. If a facility knows it cannot handle a case, it must not keep the woman until it is too late,” Aimakhu asserted.

Also, the president of the Association for Fertility and Reproductive Health, Professor Preye Fiebai, dispelled the notion that all pregnant women must seek antenatal care in tertiary hospitals, stressing that well-equipped primary health centres can effectively manage uncomplicated pregnancies.

“Antenatal care doesn’t have to be in a tertiary hospital. If we have good primary health care, you can start from there. Ideally, the essence of primary care is to identify those who require higher care and then refer them, but most people go straight to the teaching hospital. However, you can still receive good antenatal care if the setup of your primary healthcare system is good and you have qualified people to run it, and you can start from there.

“Mind you, some people go to private hospitals also and if you can afford it, why not?” the reproductive health expert said.

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53,000 dead, 50m sick yearly from unsafe food — FG

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The Federal Government on Monday raised fresh concerns over the growing burden of foodborne diseases in Nigeria, revealing that unsafe food causes more than 53,000 deaths and nearly 50 million illnesses annually across the country.

Minister of State for Health and Social Welfare, Dr Iziaq Salako, disclosed this in Abuja during a ministerial press briefing to commemorate the 2026 World Food Safety Day, themed “From Burden to Solutions – Safe Food Everywhere.”

Salako described food safety as a critical national development and health security issue, warning that the true cost of unsafe food extended beyond sickness and death to the loss of human capital, particularly among children.

According to him, Nigeria loses an estimated 4.26 million years of healthy life annually to foodborne diseases through illness, disability and premature death.

“Nigeria records nearly 50 million foodborne illnesses every year, and unsafe food causes more than 53,000 deaths annually in our country.

“Together, these illnesses and deaths result in a staggering 4.26 million years of healthy life lost to illness, disability or early death,” the minister said.

He noted that children under five account for more than 80 per cent of the country’s foodborne disease burden.

“Most of this burden falls heavily on children under five, who account for more than 80 per cent of all foodborne disease burden in Nigeria.

“The true cost of unsafe food in Nigeria is not only measured in sickness and death, but also in the lost cognitive, physical and developmental potential of our children,” Salako added.

The minister’s remarks came on the heels of newly released estimates by the World Health Organisation showing that unsafe food causes about 866 million illnesses and 1.5 million deaths globally each year, with Africa bearing the highest per-capita burden.

According to Salako, diarrhoeal diseases remained the leading cause of foodborne illnesses in Nigeria, with more than 40 million cases linked to pathogens such as Salmonella, Escherichia coli, Campylobacter, Shigella and rotavirus.

“Over 40 million diarrhoeal illnesses in Nigeria are linked to foodborne pathogens. These infections continue to be a major cause of hospitalisation, malnutrition and mortality among our youngest citizens,” he said.

He also warned of increasing exposure to chemical contaminants.

“Chemical hazards are also emerging as a serious concern, with lead exposure responsible for tens of thousands of healthy lives lost through contaminated grains, spices and water sources. These numbers underscore the urgency of strengthening food safety systems across the entire value chain,” he stated.

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Despite the challenges, Salako said Nigeria had made notable progress in building a stronger food safety system.

He said the country’s 2023 Joint External Evaluation recorded measurable improvements across all food safety indicators, while Nigeria’s 2025 State Party Annual Report score surpassed the World Health Organisation target for low- and middle-income countries.

“Nigeria is now one of the leading countries in the region in establishing functional systems for detecting, reporting and responding to foodborne disease events,” he said.

The minister, however, stressed that the latest figures should serve as a wake-up call.

“The new WHO estimates are a call to action. We must intensify surveillance for heavy metals and chemical contaminants. We must improve food safety practices in traditional and informal markets where most Nigerians buy their food.

“We must strengthen hygiene, water and sanitation infrastructure and ensure food business operators comply with national standards,” he said.

Salako also linked food safety to the country’s growing burden of non-communicable diseases, including hypertension, stroke, diabetes and obesity.

“Food safety is not only about preventing infections; it is also about ensuring that the food we eat does not contribute to the growing burden of non-communicable diseases,” he said.

He disclosed that Nigeria had developed National Guidelines for Sodium Reduction, while the National Agency for Food and Drug Administration and Control had finalised draft sodium reduction regulations aimed at reducing salt levels in processed foods.

According to him, the country was also implementing industrial trans-fat elimination regulations and strengthening efforts to improve the sugar-sweetened beverage tax and front-of-pack food labelling systems to encourage healthier food choices.

Salako urged food manufacturers, regulators, researchers and consumers to support efforts aimed at ensuring safer and healthier food for Nigerians.

“Food safety is everyone’s business. It saves lives, strengthens our economy and protects our children. These numbers show that food safety is not optional; it is a national health security priority,” he said.

The Director-General of NAFDAC, Prof Mojisola Adeyeye, said strengthening food safety systems remained critical to reducing the country’s burden of foodborne diseases.

Represented at the event by the Director of Food Safety and Applied Nutrition Directorate, Eva Edwards, Adeyeye described food safety as a public health, socioeconomic and development imperative.

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“The theme for the 2026 World Food Safety Day, ‘From Burden to Solutions – Safe Food Everywhere,’ reminds us that food safety is not merely a technical issue; it is a public health, socioeconomic and development imperative. Behind every statistic on foodborne disease is a child, a family, a community or a business affected by preventable illness and loss,” she said.

The NAFDAC boss said the agency remained committed to reducing foodborne diseases through stronger regulation, surveillance and stakeholder engagement.

“At NAFDAC, we remain firmly committed to contributing to reducing the burden of foodborne disease through science-based regulation, effective surveillance, strengthened food control systems and robust stakeholder engagement,” she said.

She added, “Our efforts continue to focus on ensuring that foods manufactured, imported, exported, distributed, advertised, sold and consumed in Nigeria meet acceptable standards of safety and quality.”

Adeyeye stressed that safe food was central to achieving the country’s nutrition and health goals.

“We recognise World Food Safety Day as an added opportunity to situate food safety as a significant issue of public health concern, especially in the light of safe, wholesome food being important for boosting immunity and improving the body’s natural defence in fighting diseases.

“Where food is unsafe, our nutritional goals cannot be achieved,” she said.

The NAFDAC Director-General further noted that addressing food safety challenges would require stronger collaboration among government agencies, industry players, researchers, development partners and consumers.

“The challenge before us is significant, but so too is our collective capacity to address it through evidence-based policies, effective regulation, responsible industry practices and sustained public awareness,” she said.

Adeyeye reaffirmed the agency’s commitment to strengthening food safety systems nationwide.

“At NAFDAC, we remain resolute in our unwavering commitment to playing our role in strengthening the national food safety system, upholding standards and regulations, and promoting best practices within industry and across society to assure a safe food supply,” Adeyeye said.

Meanwhile, the Corporate Accountability and Public Participation Africa called for stronger regulatory measures to address the growing burden of diet-related diseases in Nigeria.

In a statement issued on Monday to commemorate the 2026 World Food Safety Day, CAPPA warned that millions of Nigerians were increasingly exposed to health risks associated with excessive consumption of sugar, salt, unhealthy fats and ultra-processed foods.

The organisation argued that food safety should extend beyond concerns about contamination and foodborne diseases to include protection against products that contribute to non-communicable diseases.

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CAPPA Executive Director, Oluwafemi Akinbode, said, “Food safety is not only about preventing food poisoning. It is also about ensuring that the foods and drinks available to Nigerians do not slowly undermine their health and well-being.”

He warned that weak regulatory safeguards and aggressive marketing of unhealthy products were contributing to rising cases of hypertension, diabetes, obesity, stroke, kidney disease and certain cancers.

According to him, diet-related diseases were placing a growing burden on families, the healthcare system and the economy.

“Public health policies must be guided by science and the public interest, not by industries whose profitability depends on unhealthy consumption patterns,” Akinbode stated.

CAPPA welcomed the recent passage by the Senate of a bill seeking to strengthen Nigeria’s Sugar-Sweetened Beverage Tax regime, describing it as a critical intervention in efforts to reduce excessive sugar consumption and curb non-communicable diseases.

The organisation also urged the Federal Government to adopt national sodium reduction targets, implement Front-of-Pack Warning Labelling on packaged foods and beverages, and strengthen restrictions on the marketing of unhealthy foods to children.

“Truly, safe food should not only be free from contamination but should also protect consumers from preventable diseases and support long-term wellbeing,” he added.

World Food Safety Day is observed annually to raise awareness and inspire action to prevent, detect and manage food-related risks. The 2026 edition marks the eighth global observance of the event.

While food safety discussions have traditionally focused on microbial contamination and foodborne disease outbreaks, public health experts are increasingly drawing attention to the role of unhealthy diets in driving non-communicable diseases such as hypertension, diabetes, obesity, cardiovascular diseases and certain cancers.

In Nigeria, authorities have intensified efforts to strengthen food safety governance through the National Food Safety Management Committee, the National Integrated Guidelines for Foodborne Disease Surveillance and Response, sodium reduction initiatives, industrial trans-fat elimination regulations and improved food surveillance systems.

However, health advocates continue to push for stronger nutrition-focused policies, including enhanced sugar-sweetened beverage taxes, front-of-pack warning labels and tighter restrictions on the marketing of unhealthy foods to children.

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PHOTOS: William Kumuyi Celebrates His 85th Birthday Today

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Birthday: William Kumuyi Turns 85 Today!

Happy 85th birthday to Deeper Life Pastor, William Kumuyi.

We thank God for your life of unwavering dedication to Christ, sound biblical teaching, and faithful leadership.

Your impact on countless lives across generations remains a testimony to God’s grace and faithfulness.

May the Lord continue to strengthen you, grant you good health, renewed vigor, and greater fruitfulness in His service.

Wishing you a joyful and blessed birthday celebration.

Happy Birthday, Sir!

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How rescued orphaned elephant highlights Nigeria’s conservation fight

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As dawn breaks over Okomu National Park in Ovia South-West Local Government Area of Edo State, an exhausted wildlife caretaker prepares milk formula for Agbaibor, a month-old orphaned forest elephant rescued after wandering out of the rainforest alone.

“The baby elephant has to take two litres of this per meal,” said Joshua Aribasoye, one of those responsible for feeding and monitoring the calf around the clock in a makeshift pen at a ranger outpost inside the park in southern Edo.

Forest elephants, smaller and more elusive than their savannah cousins, are endangered and their population has collapsed in recent decades largely because of habitat loss and poaching.

Agbaibor—named after the ranger who helped rescue him—was found near a palm oil plantation bordering the protected forest late last year after being separated from the herd.

Rangers and conservationists tried to reunite the calf with its family by taking it back into the forest, but it soon wandered out again.

Fearing it would die alone or be attacked, park authorities and conservation group African Nature Investors (ANI) launched an emergency effort to nurse the animal, flying in elephant rehabilitation specialists from Zambia and assigning caretakers to raise him.

It has become a costly operation. ANI spends between four and five million naira (about 3,600) a month on his care, including 77 kilograms of milk powder, alongside oats and nutritional supplements.

Conservationists expect the rehabilitation process to take another three to five years. They are building a new enclosure deeper inside the park, within elephant habitat, where the calf will gradually be exposed to the sounds and movements of wild herds before an eventual reintroduction.

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“The calf will be cared for there… until it is integrated into a group,” said ANI project manager Peter Abanyam.

200 remain

The International Union for Conservation of Nature (IUCN) lists forest elephants as critically endangered, with conservationists estimating only around 200 remain in the country.

Roughly 40 are believed to live in and around Okomu—one of Nigeria’s last remaining rainforest ecosystems, covering about 24,000 hectares.

“Okomu is critical for conservation in Nigeria,” said Abanyam.

“In a small ecosystem like this, housing 40 elephants is a huge number, and it needs to be protected at all costs.”

But pressure on the forest is intensifying.

Logging, poaching, farming and expanding human settlements have fragmented large parts of the reserve, shrinking elephant corridors and increasing contact between wildlife and nearby communities.

Godstime Christopher, 26, once helped transport illegally logged timber out of the forest before being recruited as a ranger by ANI.

Today, he works with the organisation’s biomonitoring team, using camera traps to track elephant movements and identify poachers.

“When I became a ranger, I thought I would use that to exploit logging,” he admitted. “But the training changed our mentality.”

‘Preserve what we have’

Conservation groups say engaging local communities is essential if endangered wildlife is to survive in one of Africa’s fastest-growing countries, where economic hardship often drives people deeper into protected forests in search of land, timber or bushmeat.

While the ranger programme appears to have helped drive down poaching in the area, hunting for other species still disturbs the elephants and degrades their habitat, Christopher warned.

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Back at the rehabilitation centre, Agbaibor splashes in the mud, nudges his handler for attention and drinks from oversized bottles of milk formula.

For Aribasoye, the demanding work has become deeply personal.

“We are supposed to be like a mother to him,” he said.

“Seeing him eating and playing is part of the joy… because I know we are working to preserve what we have left.”

AFP

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