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Baby starts menstruating at four months, survives rare ovarian cancer at age two

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Baby starts menstruating at four months, survives rare ovarian cancer at age two
Ovarian cancer survivor, Baby Bibian, with her mother Faustine Andeso
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Baby starts menstruating at four months, survives rare ovarian cancer at age two

A baby girl who started menstruating at the age of four months has survived sex cord stromal tumors, described by doctors as ‘rare ovarian cancer.’

Experts say that sex cord stromal tumors is a rare type of cancer that forms in the tissues that support the ovaries or testes.

“These tumors may release sex hormones, and it is also called sex cord tumor and sex cord-gonadal stromal tumor,” doctors say.

Baby Bibian developed ovarian cancer when she was four months old, her mother, Faustine Andeso, tells The Standard at their Likuyani home in Kakamega County, Kenya.

Bibian, her parents’ first child, was born on April 16, 2019. “She was born weighing 4.2kg. She looked healthy,” her mother recalls.

Things started assuming fearful dimensions when the baby girl turned four months old and started manifesting symptoms of puberty as she developed acne.

Her breasts became enlarged, and pubic hair also began to sprout. About a month after the symptoms appeared, Bibian started to bleed from the vagina.

“The bleeding lasted five days,” says her mother of what is the standard bleeding duration for a menstruating female.

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Faustine took her daughter to hospital.

“She was treated for blood infection and given antibiotics,” the mother says. However, the situation didn’t improve.

The following month, she bled again, “like she was having menses,” Bibian’s mother says, recalling the beginning of a hard-fought battle to save her baby.

By now abandoned by her husband whom she had married on March 24, 2018, Faustine says that she moved from one hospital to another searching for proper diagnosis and treatment, but nothing much came of it.

She narrates how she borrowed money from friends, families and church to be able to pay the mounting medical bills.

In December 2019, she travelled up country to mark holiday festivities with her mother.

“At some point, my mother was bathing Bibian and she noticed that the girl was bloated. She advised me to take her to hospital. I attributed the bloating to her big body because I am also big bodied,” Faustine says.

Baby starts menstruating at four months, survives rare ovarian cancer at age two

“But my daughter’s symptoms got worse. She now had no appetite, was breathing heavily and could not stomach food,” Faustine says. So, they went back to the hospital where Bibian was asked to undergo an ultrasound.

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Results showed that Bibian’s abdomen was filled with fluids. The patient was referred to Moi Teaching and Referral Hospital. Faustine heeded the advice on December 26, 2019, and Baby Bibian was admitted and a fresh round of tests and scans were ordered.

“Around 10am on January 7, 2020, we were in the ward when I saw many doctors come in. One of them – their leader – called out my name and I responded.

“He then explained that Bibian had a growth in her reproductive system. It was the growth that was producing fluids. He recommended surgery immediately.

“My heart sank. I feared that she wouldn’t make it through surgery,” Faustine recalls.

The lead doctor was Elly Odongo, an obstetrician and gynaecologist and the head of gynaecological oncology at MTRH.

“Bibian’s case was brought to my attention in early 2020. From tests, the girl had a type of ovarian cancer known as sex cord stromal tumour,” Dr. Odongo says.

Bibian’s cancer was at stage 2 when she was taken to MTRH. Odongo advised parents of young girls to be on the lookout for symptoms that mimic puberty.

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“Cancer? Of the ovaries? In a baby? I thought this disease only affects women of reproductive age,” Bibian’s mother recalls.

Dr. Odongo told Bibian’s mother that the tumour was functional, meaning, it was producing hormones – oestrogen and testosterone; noting that it was the reason the baby presented with symptoms of a child entering puberty.

“The blood she was shedding is equivalent to menstruation in a woman of reproductive age. Of course, in an eight-month-old, this means something is wrong,” Odongo says.

The following day, Odongo and his team operated on Bibian and removed the tumours. The surgery was followed by chemotherapy – which Fausine says was brutal on Baby Bibian.

Now at age two years and five months, Bibian has been declared cancer-free. She, however, needs immune boosters and multivitamin supplements to help her fight common infections as chemotherapy has affected her immunity.

Faustino states that her daughter’s battle with cancer has cost her friendships, her (old) job, peace of mind, and, worst of all, her marriage.

Punchng.com

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FG Budgets ₦2,178 For Each Citizen’s Healthcare In 2022

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FG Budgets ₦2,178 For Each Citizen’s Healthcare In 2022
Minister Of Health, Dr Osagie Ehanire
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FG Budgets ₦2,178 For Each Citizen’s Healthcare In 2022

Despite the importance of the health sector, LEADERSHIP investigation revealed that the Federal Ministry of Health received the sum of Over N1.385.36trillion in the last three years (2019 to 2021).

A breakdown of the budget in the past three years (2019-2021) shows that N6,534 was budgeted for each citizen, indicating N2,178 per citizen in a year, based on the 2021 proposed population of the country.

Only four to five percent of the country’s total budget is allocated to health annually, against the Abuja Declaration of 15 percent budget allocation to health in 2001.

In 2001, heads of state of African Union (AU) countries met in Abuja and committed to prioritise the health sector by allocating at least 15 percent of their annual budgets to the sector.

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FG Budgets ₦2,178 For Each Citizen’s Healthcare In 2022

Now 20 years after this commitment, which Nigeria was part of, countries like Rwanda, Ethiopia, Malawi, Swaziland, Togo and the Central African Republic have since met this target.

Nigeria has not even been able to allocate half of the expected 15 per cent in these 20 years.

LEADERSHIP gathered that recurrent expenditure got about N1.93trillion while capital expenditure got N240bn in the years in question.

In 2019, for instance, of the total budget of N8.9 trillion, as contained in the Budget Office of the Federation document, the sum of N423.92 billion, representing 4.75 per cent of the budget, was allocated to health.

In 2021, of the total budget of N13.82 trillion, the sum of N546.98billion, or 4.18 per cent of the budget, was allocated to health: N380.21billion went to recurrent expenditure and N35.03billion to BHCPF, bringing the total recurrent expenditure to N415.24billion, while N131.74 billion was meant for capital expenditure.

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This indicates that a large percentage of the health budget goes to salaries, pensions and overheads while only a fraction is allocated to investment in healthcare facilities, equipment and other infrastructure.

Experts in the health sector have blamed low budgetary allocation for the deplorable state of the country’s health sector. They, however, linked corruption and poor utilisation of the little money provided as major challenges.

“It is true that the budgetary allocation is very low. It’s a shame, but the truth is that even the utilisation, the proper application and judicious utilisation of the little provided, is a huge problem. That is what people call corruption, but I don’t call it corruption, I call it stealing.”

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Also, a reproductive health expert, Dr. Ejike Orji, identified corruption and lack of accountability as another challenge confronting the sector, saying even the little that is allocated is diverted.

According to him, a research by Bill and Melinda Gates on public health financing showed that out of every N100 that was meant for the health sector, only 40 per cent was spent while 60 per cent was stolen.

“ people are dying unnecessary in the country. ““People are dying on a daily basis. In the past week I have counted people who have died who on a good day wouldn’t have died, and the reason is that the healthcare response to their needs was very poor.

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FG Sets To Establish Numerous Covid19 Vaccination Sites In Nigeria

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FG Sets To Establish Numerous Covid19 Vaccination Sites In Nigeria
President Buhari leading by example
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FG Sets To Establish Numerous Covid19 Vaccination Sites In Nigeria

*Nigeria least committed in W-Africa to tackling inequality amid Covid-19

The Federal Government has said plans were on the way to set up mass vaccination centres across the country.
This came as Nigeria was ranked as the worst performing country in West Africa in the global effort to defeat inequality during the COVID-19 pandemic, while the Federal Government has been charged to invest massively in public education, health and social protection, to tackle poverty, joblessness and other inequalities.

The Federal Government explained that the development was in line with the commitment to ramp up COVID-19 vaccine uptake.

Executive Director and Chief Executive Officer of National Primary Health Care Development Agency, NPHCDA, Dr Faisal Shuaib, disclosed this during a press conference he held to update Nigerians on the country’s current COVID-19 vaccination status, yesterday.

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He said: “The objective of this strategy is to vaccinate a high volume of individuals through large sites such as federal institutions (universities, polytechnics), shopping malls, religious centers, sporting events, conference centers, and markets etc.

“This will require strong collaboration between NPHCDA, state governments, religious bodies, school authorities and governing bodies of malls and large sporting events.”

“As we expand the vaccination sites, we encourage all eligible Nigerians to avail themselves for vaccination.

FG Sets To Establish Numerous Covid19 Vaccination Sites In Nigeria

“I am also glad to inform you that we have commenced the process of decentralizing COVID-19 vaccination in Nigeria, to include private health care providers.

“This is to expand access and increase utilization of the vaccines,” he added.

Shuaib disclosed that as of the time of the briefing, “A total of 5,246,523 eligible populations have received at least one dose of COVID-19 vaccine in Nigeria.

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“This represents 4.7 percent of our target population.

“The number of eligible persons fully vaccinated in Nigeria is 2,546,094 which represents 2.3 percent of our target population,” he said.

Nigeria least committed in W/Africa to tackling inequality amid Covid-19

Meanwhile, the 2021 Commitment to Reducing Inequality Index, CRII, which ranks Nigeria last among the 16 countries of the Economic Community of West African Countries, ECOWAS, and second to the last in Africa (45th out of 46 countries), based its verdict on the nation’s very low spending on education, health and extremely limited and poor quality public services, amid high taxation.

The CRI Index which was developed and delivered through a partnership between Finance International and Oxfam International, with inputs from independent experts, ranked the Nigerian government 157th out of 158 countries on commitment to reducing inequality in areas of education, health and social protection; taxation; and, workers’ rights.

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From the Index, Nigeria has the 5th highest income inequality among the 15 ECOWAS countries including Mauritania.

But the country was “woefully unprepared as COVID-19 hit, spending only five percent of its budget on health and leaving more than 40 percent of Nigerians with no access to universal health services.”

In a response to the development, the country Director of Oxfam Nigeria Dr Victor Ahonsi, charged the Federal Government to invest massively in public education, health and social protection, to tackle poverty, joblessness and other inequalities amid the Covid-19 pandemic.

Speaking at the 2021 Tax Summit held in Abuja, the Country Director, Oxfam Nigeria, Dr Vincent Ahonsi, said Nigeria’s poor commitment towards reduction of poverty and inequality was worrisome.

Vanguardngr.com

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LAWMA Sweepers Get Free Breast, Cervical Cancer Screening, Treatment

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LAWMA Sweepers Get Free Breast, Cervical Cancer Screening, Treatment
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LAWMA Sweepers Get Free Breast, Cervical Cancer Screening, Treatment

Hundreds of sweepers and other women engaged by Lagos Waste Management Authority (LAWMA) have undergone free breast and cervical cancer screening and treatment, through the agency’s collaboration with Optimal Cancer Care Foundation and Access Bank Plc.

Addressing the beneficiaries at Ijora-Olopa, venue of the exercise, the Managing Director/CEO of LAWMA, Mr. Ibrahim Odumboni, stressed the importance of regular checks for early detection of cancer cases, noting that early detection of the disease aids its successful management by the victim.

He said, “I took interest in this partnership to let you know that your wellbeing is our priority and we will continue to look after you. The most important thing about this is for you to know your status and avoid having the disease, by listening to all that would be explained by the medical expert here. Prevention, they say, is better than cure”.

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“I appreciate Optimal Cancer Care Foundation and Access Bank for choosing LAWMA for this laudable programme focus on the women. 70 per cent of our workforce are women; the screening exercise is to let you know that we are looking after your health”, he stressed.

LAWMA Sweepers Get Free Breast, Cervical Cancer Screening, Treatment

Odumboni admonished the participants to be mindful of their health in the course of discharging their duties, noting that the importance of getting tested is to know their health status as well as serve as a preventive measure against the disease.

The Medical Director of Optimal Cancer Care Foundation, Dr. Femi Olaleye, lectured the women on self-examination for early detection of cervical and breast cancer and the warning signs, adding that they should immediately consult their doctors, anytime they noticed anything unusual.

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He said his foundation offered discounted and free cancer screenings to help women, in addition to early intervention treatment for those diagnosed with the disease.

The Head of Women Banking, Access Bank Plc, Mrs. Abiodun Olubitan, disclosed that the decision to collaborate with LAWMA and Optimal Cancer Care Foundation on the exercise was informed by the need to create awareness and provide preliminary treatments to women coping with the health challenge.

She stated further that the bank had deployed a lot of resources to connect, empower and inspire women, particularly in the area of health, adding that it is important for women to regularly check themselves, to know their health status.

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One of the beneficiaries of the programme, Mrs. Kehinde Raji, thanked LAWMA for facilitating the event, describing it as a great opportunity to get properly educated and sensitised on the very important health issue.

She said, “I appreciate our Managing Director’s effort. He is a kind man. This screening is such an eye-opener and I have really learnt a lot. I will also tell others about what I have learnt”.

The programme also featured a question and answer session, during which the beneficiaries asked questions on healthcare before they took turns for the screening test.

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