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Lagos needs 30,000 medical doctors – Health Commissioner

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Lagos State Commissioner for Health, Professor Akin Abayomi

Lagos needs 30,000 medical doctors – Health Commissioner

The Lagos State Commissioner for Health, Professor Akin Abayomi, has revealed a critical shortage in the state’s healthcare system, stating that Lagos needs 30,000 medical doctors to meet its healthcare needs. Speaking at the 2024 Clean-Air Forum in Lagos on Wednesday, Abayomi highlighted the severe understaffing and its impact on the healthcare system.

“The dearth of medical doctors in Lagos has overstretched the available officials, making it challenging to bridge the gap in the available doctor-to-patient ratio,” Abayomi stated, pointing out that the scarcity of medical professionals has led to an overworked and overstretched workforce. He noted that “brain drain has significantly contributed to this personnel deficit.”

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Abayomi emphasized the urgent need for inter-agency collaborations to address the crisis, particularly given Lagos’ annual population growth rate of 6-8%. He mentioned that this rapid growth poses significant challenges, including a complex tuberculosis index, which the state is actively working to address.

The commissioner also stressed the importance of promoting air quality and halting environmental pollution, calling for collaborative efforts from various agencies. “We will continue to support every effort to improve air quality, reduce airborne and waterborne diseases, and enhance the health and well-being of residents,” he assured.

In response to concerns about the shortage of bed spaces in state health centres, Abayomi said, “We are working to address this issue by constructing modern facilities and establishing a medical research institution, which will bridge the gap within 18 months and provide improved services to the public.”

Lagos needs 30,000 medical doctors – Health Commissioner

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Surgeon contracts cancer after operating on patient

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Surgeon contracts cancer after operating on patient

A surgeon accidentally contracted cancer from a patient in a first of its kind occurrence. The patient, a 32-year-old man from Germany, had a unique form of cancer and was undergoing surgery to remove a tumour from his abdomen.

During the operation, the surgeon accidentally cut his hand. Although he cleaned and bandaged the wound right away, five months later, a small lump appeared at the injury site. When examined, it was found to be a malignant tumour, genetically identical to the cancer from the patient.

The medical team concluded that the surgeon likely caught the cancer when tumour cells entered the cut. The case was unusual because normally, the body fights off foreign tissue, which would have been expected in this situation. However, the tumour’s growth indicated the surgeon’s immune system did not effectively respond to the cancer cells.

Originally reported in 1996, this case gained new attention after being published in The New England Journal of Medicine. The report detailed how the surgeon injured his left hand while placing a drain during surgery. Despite the patient’s initial success in surgery, he later passed away due to complications.

Months later, a hard swelling appeared on the surgeon’s finger. Although tests showed no initial abnormalities, the growth was ultimately found to be a malignant fibrous histiocytoma.

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Both tumours were analysed and declared identical, suggesting that cancer cells from the patient had entered the surgeon’s body through the cut. The report emphasized that normally, the immune system would reject transplanted tissue.

 In this case, while there was inflammation around the tumour, it still increased in size, indicating a failure of the immune response. Researchers proposed that the tumour might have escaped destruction by changing its cell molecules and evading the surgeon’s immune system.

Two years after the surgeon had his tumour removed, there were no signs of cancer returning. The study also highlighted cases where heart transplant patients adopt traits from their donors.

Doctors found the case intriguing because the transplanted tissue is different from the host’s tissue, making it a target for the immune system, which tries to reject it. This is why people who receive organ transplants need to take immunosuppressive medications to prevent their bodies from rejecting the new organ.

In this specific situation, although the surgeon experienced inflammation around his original incision, his immune system did not stop the tumor from growing. Instances like the surgeon’s are very rare, and there are no reliable statistics on cancer that is transferred through organ transplants.

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US issues new advisory linking alcohol to cancer

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US issues new advisory linking alcohol to cancer

The United States’ Surgeon General, Dr. Vivek Murthy, has issued a public advisory emphasizing the significant link between alcohol consumption and cancer.

Released Friday, the guidance is based on research identifying alcohol as a contributor to at least seven types of cancer.

According to the advisory, alcohol increases the likelihood of developing cancers of the throat, liver, esophagus, mouth, larynx, colon, and rectum. It further identifies alcohol as the third leading preventable cause of cancer in the U.S., following tobacco use and obesity.

“Alcohol is a well-established, preventable cause of cancer responsible for about 100,000 cases of cancer and 20,000 cancer deaths annually in the United States – greater than the 13,500 alcohol-associated traffic crash fatalities per year in the U.S. – yet the majority of Americans are unaware of this risk,” Dr. Murthy stated. “This Advisory lays out steps we can all take to increase awareness of alcohol’s cancer risk and minimize harm.”

How Alcohol Contributes to Cancer
The advisory outlines four primary mechanisms by which alcohol increases cancer risk:

Acetaldehyde Exposure: Alcohol breaks down into acetaldehyde, a chemical that can damage DNA and elevate cancer risk.

Oxidative Stress: Alcohol triggers oxidative stress, harming DNA, proteins, and cells while causing inflammation.
Hormonal Changes: Alcohol alters hormone levels, such as estrogen, which has been linked to an increased risk of breast cancer.

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The advisory notes that more than 16% of breast cancer cases are associated with alcohol use.
Enhanced Absorption: Alcohol facilitates conditions that allow it to be absorbed more readily, compounding its risks.

The advisory also emphasizes that individual risk is influenced by a combination of biological, environmental, social, and economic factors.

Steps to Mitigate Risk
Dr. Murthy’s recommendations include adding warning labels to alcoholic beverages highlighting the cancer risk and reassessing guidelines on alcohol consumption limits. He encourages individuals to make informed decisions about their alcohol intake and calls on healthcare professionals to educate the public about the risks.

“Too many Americans are living with an outdated assumption that some amount of alcohol is not only harmless, but also good for you,” the advisory warns.

Expert Reactions
Dr. Marc Siegel, a clinical professor at NYU Langone Health, supported the advisory’s findings. “Increasing evidence shows that [alcohol being harmless] isn’t true,” he told Fox News Digital.

Dr. Siegel noted that alcohol, often viewed as a stress-reliever, is a “proven toxin” with clear links to diseases of the liver, heart, and brain. While traditional guidelines suggest moderate drinking—up to one drink daily for women and two for men—Siegel pointed out, “In fact, no amount of alcohol is healthy.”

The pandemic further complicated the issue, with alcohol consumption rising by 25% during periods of heightened stress and isolation.

“The timing of this advisory is right on the mark,” Dr. Siegel added, stressing the need for a public shift in understanding alcohol’s risks.

 

US issues new advisory linking alcohol to cancer

(FOX NEWS)

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ABU Teaching Hospital will begin kidney transplant in 2025 – CMD

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Ahmadu Bello University Teaching Hospital (ABUTH) Zaria

ABU Teaching Hospital will begin kidney transplant in 2025 – CMD

The Ahmadu Bello University Teaching Hospital (ABUTH) Zaria is set to begin kidney transplant surgeries in 2025, aiming to provide relief to patients with kidney failure and reduce medical tourism.

Prof. Ahmed Umdagas, the hospital’s Chief Medical Director, revealed this in an interview with the News Agency of Nigeria (NAN) on Sunday in Zaria.

He announced that the Urology Centre of Excellence, which will deliver advanced urology services, is expected to be operational by the first quarter of 2025.

“By the first quarter of 2025, ABUTH would commence kidney transplant. What was just holding us was a few infrastructure,” Umdagas said.

He added that most of the required machines and equipment are already in place, and personnel have been adequately trained to deliver the services.

Umdagas stated that the Urology Centre of Excellence at ABUTH would be ready by the first quarter of 2025 to deliver high-quality urology services.

“By the first quarter of 2025, ABUTH will commence kidney transplants. What has been holding us back is a few infrastructure upgrades,” he said.

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He added, “Besides that, most of the machines and equipment required for kidney transplants are available, and our personnel have been adequately trained to provide the services.” 

Amenity wing for enhanced patient care 

Umdagas also revealed plans for an Amenity Wing, designed to accommodate patients from all classes.

According to him, the Amenity Wing will feature a single-bedroom and a room-and-parlor option for affluent patients, emphasizing that ABUTH is committed to offering world-class services.

“The Amenity Wing will have a dedicated line and a website,” Umdagas explained. “The website will showcase the profiles of doctors in the hospital. When a patient wants to see a specific professor or specialist, they will simply need to use the dedicated line or the website to book an appointment seamlessly.” 

Cutting costs for imaging services 

Similarly, the Chief Medical Director (CMD)  also disclosed that a contract has been awarded for the procurement of linear machines to enhance cancer care at the facility.

Speaking on additional efforts to curb medical tourism, the CMD highlighted that ABUTH boasts a fully functional 128 Slice CT Scan machine.

He explained, “If you undergo an investigation abroad requiring the 128 Slice CT Scan, it costs no less than $200, which is over N300,000. Meanwhile, ABUTH charges just N30,000 for the same service.” 

Advanced imaging and lithotripsy services 

The CMD noted that many patients now come to ABUTH for scans, take the results abroad, and continue their treatments there.

We also have 1.5 Tesla MRI and 0.2 Tesla MRI machines, which are advanced imaging technologiesThese machines are fully functional, and the cost for such services at ABUTH is significantly lower than what is charged elsewhere in Nigeria.” , He said.

He added, “We also perform lithotripsy at ABUTH, which involves breaking stones using lasers instead of surgery.” 

IVF milestones and future plans 

Umdagas further shared that the hospital had celebrated over five successful IVF cases in collaboration with its partners.

He revealed plans to establish a dedicated unit for IVF services in future budgets, ensuring all necessary equipment is housed in one facility.

ABU Teaching Hospital will begin kidney transplant in 2025 – CMD


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