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OPINION

Revoking Appointment With The Grim Reaper? Avoid Watching Football If Hypertensive, Doctors Warn

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ISAAC ASABOR

It is not an exaggeration to opine that the unprecedented death toll that charactized the Super Eagles’  and the Bafana Bafana’s match in the semi-finals of the ongoing African Cup of Nations has left many wondering if the Grim Reaper had resolved to strike only when people are rejoicing. 

For the sake of clarity, “Death” is known as the Grim Reaper, depicted as wearing a dark hooded cloak and wielding a scythe.

The reason for the foregoing gruesome fact cannot be farfetched as no less than five persons died while watching the match between Super Eagles and Bafana Bafana of South Africa on Wednesday, February 7, 2024. 

For instance, as reported in the Punch Newspaper of today, February 9, 2024, in a feature story titled, “Tragic loss: Super Eagles mourn fans’ deaths during AFCON semi-finals”,  “No less than five persons had died while watching the match between Super Eagles and Bafana Bafana of South Africa on Wednesday”.

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As gathered, a former member of the House of Representatives who represented the Ika Federal Constituency of Delta State, Dr. Cairo Ojougboh, reportedly died while watching the AFCON semi-finals.

Also, a sales representative, Mikail Osundiji, said to be working with Nestle Plc. reportedly slumped and died while watching the match in Abeokuta, the Ogun State capital.

According to the feature story, “Others who had died while watching the match include: Deputy Bursar of Kwara State University, Malete, Alhaji Ayuba Abdullahi; and a Nigerian graduate and corps member named Samuel.

“They had all slumped and died following a heavy shock after the referee nullified Nigeria’s second goal against South Africa, put in the net by striker Victor Osimhen and awarded a penalty kick in favour of South Africa”.

Given the foregoing gory incidents, medical experts in the country have warned hypertensive patients against participating in activities that trigger excitement or put much pressure on the heart.

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Speaking on the possibilities of what could have happened to those who died while watching the football match between Nigeria and South Africa on Wednesday, consultant cardiologist, Federal Medical Centre, Jabi, Abuja, Dr. Salau Ibrahim, said the sudden collapse could be as a result of stroke, sudden heart attack or stress induced heart problem.

The cardiologist who specifically spoke with the Leadership newspaper said that age matters a lot, and for people who are older and have other problems like heart issues or the kidney, they need to be very careful about things that stress the organs, especially the heart, and therefore cautioned against anxiety or stress, explaining that anxiety is a form of emotional stress.

Salau said the major causes of such sudden deaths are stroke or heart attack.

He explained, “Like the two incidents that happened on Wednesday, it could be that they had heart attack or abnormal heart reading. It’s possible they are hypertensive, diabetic and have not been checking themselves.

“So, it’s either they had heart attack or they had cardiac arrhythmia, which can predispose someone to having cardiac arrest. Everything still falls under cardiac arrest.

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“Those are the major things. Regular check and lifestyle modification is very important. If you have any background comorbidity like hypertension or diabetes, ensure you take your medications regularly,” he advised.

Salau said “You can watch football even if you are hypertensive but you need to be sure that your blood pressure is well regulated, and taking your medication adequately.

“Being hypertensive is not a contradiction to watching football but you need to know the status of your heart before you watch that kind of very intense game.

“Avoid watching football among the crowd that can put pressure on you,” he advised.

Also, a consultant cardiologist at the Lagos State University Teaching Hospital (LASUTH), Dr. Ramon Moronkola has linked the possible causes of deaths during the football match to stroke as a result of cardiac arrest and heart or brain issue.

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Moronkola said that when there is emotional surge, which is a sudden increase of an emotion, many things could go wrong.

“Your adrenaline is pumping and your blood pressure could go up immediately. For someone that has underlying cardiovascular disease that is not well managed, that person could suffer from a sudden cardiac arrest, which could lead to death.

“For example, if the person has myocardial ischemic heart disease, which occurs when blood flow to your heart is reduced, preventing the heart muscle from receiving enough oxygen, that emotional surge could make that person develop heart attack which could lead to sudden death,” he explained

The physician also identified another possibility as having heart failure that is not properly managed, adding that when such a person is experiencing emotional surge due to the match,that could lead to sudden death as well.

He said emotional surge can also lead to abnormal heart beat, which can also lead to sudden death.

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In essence, for those with underlying diseases like hypertension, diabetes, high cholesterol around the heart area, cardiac arrest is inevitable due to emotional surge as a result of the match, he affirmed.

He said there is another set of people who may not have had heart disease prior to the match, but they have genetic predisposition that made their heart go into abnormal heart beating due to emotional surge, which could lead to death.

Given the foregoing, the cardiologist, therefore, urged Nigerians to have regular heart check.

“Please go for regular heart check, Moronkola stated, adding that, “Do not wait until you have symptoms or until a problem arises before you go to the hospital. It might be too late, as with the case of Wednesday. If you are diagnosed with any heart condition, please treat it well.

For those who already know their heart status, the cardiologist advised them to control their emotion properly. “If watching the match can make you experience emotional surge, then don’t watch,” he appealed to Nigerians.

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Speaking further, he said this is also a wake-up call for the government to ensure that the country’s emergency response system is well developed, the cardiologist stated, adding that “This involved training everybody on how to do basic resuscitation.

“Government should ensure that places like airport, supermarket and churches etc., where people are gathered should have an Automated External Defibrillator (AED), which is used to help those experiencing sudden cardiac arrest. It’s a sophisticated, yet easy-to-use, medical device that can analyze the heart’s rhythm and, if necessary, deliver an electrical shock, or defibrillation, to help the heart re-establish an effective rhythm.”

In the same vein, consultant family physician at the University of Abuja Teaching Hospital, Gwagwalada, Dr. Chira Obiora, added to the advice by saying that people can watch football but they should first of all know their health challenges.

Obiora said “If your health challenges get stimulated, watching football will release adrenaline which can cause problem especially if you have a cardiovascular problem.

“It can trigger a heart problem and the person can have heart attack and die. It can even trigger stroke in some people especially if they are not controlling their blood pressure very well. That is why excitement can kill somebody.

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“Excitement, whether positive or negative, there are hormones that are released. That hormone is known as adrenaline; that is the hormone released when one is excited. It also releases it in anxiety, so what happens is that this hormone, one of the functions is that it can narrow blood vessels and make the blood pressure to increase a bit.

 

“So if one is having a pressure problem, it can trigger it or if the pressure is not good enough, it can even burst because if it is narrower, the pressure in the vessels will increase, so that is how it stringers heart attack. Even the narrowness of blood vessels can cause different forms of cardiovascular phenomenon to arise; from heart attack to stroke to even the clot in the blood vessel which can even detach and go and block somewhere, it can cause pulmonary embolism or any other thing,” he explained.

The family physician advised that the general thing is for people to go for general medical checks especially as it relates to age and family history. “That is the basic thing,” he said, while stating that someone who is hypertensive can watch football if the person is doing the right thing; controlling his or her blood pressure, doing medical checkup and trying as much as possible to have positive outflow so that the person will not be tensed unnecessary.

 

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OPINION

The Scourge Of Rising Inflation

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By Dakuku Peterside*
An increasing number of Nigerians are being driven into poverty, not by choice, but by the current political and economic climate, shaped by stringent macroeconomic policies. These policies, such as subsidy removal, devaluation of Naira, and increase in electricity tariff, have had unintended consequences. For instance, removing subsidies has led to a significant increase in the cost of living, while the devaluation of Naira has made imported goods more expensive. These factors, combined with the high level of insecurity, have affected food security in Nigeria and created a perfect storm of economic hardship. The signs of this unavoidable reality are readily apparent. The interventions to prevent this descent into poverty are either ineffectual or remedy the condition too slowly.
An unprecedented rise in inflation has destroyed households’ disposable incomes and pushed many families into poverty. Spiralling inflation is having a devastating impact on all, but especially on households in the lower rungs of the working class, who in their millions are joining the already over 133 million multidimensionally poor Nigerians struggling to earn a living because high inflation has eroded the value of their income. As shown by the NBS Consumer Price Index of April 2024, published in May 2024, the headline inflation rate rose to 33.69% in April 2024 compared to March. The headline inflation rate was 11.47% higher in April 2024 compared to the previous year. During the same period, inflation in urban areas was higher than in rural areas. Even worse, the food inflation rate in April 2024 was 40.53%, increasing by 15.92% compared to April 2023. What does this mean for the ordinary citizen? More money can purchase fewer goods and services.
We cannot dismiss the direct correlation between rising inflation and rising poverty in Nigeria. A household with a monthly income of N300,000 in April 2023 would have lost 33.69% of its real purchasing power if it earned the same amount in April 2024. This means that the same amount of money can now buy significantly fewer goods and services, putting a strain on the household’s budget. Imagine this household struggled in 2023 to make ends meet; how will it cope with less than 33% of its value in goods and services this year? It is little wonder many Nigerians are in despair and are calling on the government to tweak its policies and salvage the situation before it is too late. Families in the earning bracket mentioned above are even better than many whose total income is less than N100,000 if both parents in the household earn minimum wages per month.
The government intervention so far, with the best of intentions, has yielded little result as inflation continues unabated. The monetary policies of increasing base interest rates to above 22%, improving the cash reserve ratio by banks to above 40%, and constantly engaging in the money market to mop up excess liquidity have yielded less than the expected result in curbing inflation. More is needed, and my little knowledge of street economics shows me that the Nigerian economy often defies some fundamental economic concepts that work in developed countries because of our economy’s informal and unregulated nature. The Nigerian government must creatively use other bespoke and practical fiscal and monetary measures to tame our raging inflation.
Paradoxically, there is compelling evidence that inflation continues to rise because of critical government policies. Instead of providing more concerted anti-inflationary measures, the government has added more inflationary steps to the economy. The government cannot confront inflation while imposing limitless taxes, tariffs, and charges on the things that people spend money on daily. The impact of excess tax is on everybody, but the burden is more on people experiencing poverty whose purchasing power has been eroded by inflation. The government cannot tax itself out of our economic predicament. Increasing personal income tax is one way the government reduces disposable income to curb demand-pull inflation, but the inflation in Nigeria is not because of an increase in household income, but caused by cost-induced factors. So tax on people whose income has not increased in the past year is a recipe for hardship.
Other factors also imperil government efforts to curb inflation. Imported inflation has been the bane of Nigeria, given the number of raw materials and goods imported into Nigeria from countries with high inflation rates. This is not helped by the new exchange rate regime that has seen the Naira fall to its lowest value in a generation. The government has been trying to control the erosion of the value of Naira to no avail. The increasing cost of energy has pushed some businesses to pack up. These factors have exacerbated the rise of inflation, and unless the government starts tackling them, it cannot effectively win its fight against runaway inflation.
The consequences of inaction are severe and far-reaching. The system requires a set of anti-inflationary measures to relieve the people and companies so that livelihoods can improve, and real incomes recover from shock to encourage people to live and save. Savings and prosperity will fire up investment, production, supply, and consequent demand. If inflation worsens, the economy will, at best, go into stasis, further regression, and possibly depression. More manufacturers will quit, and unemployment will worsen with even more crime and insecurity. The picture I painted above is not far from us.
Recent statistics about the hunger level in Nigeria occasioned by food inflation are alarming. There is a deteriorating food security and nutrition crisis in Borno, Adamawa and Yobe (BAY) states this lean season between May and September 2024. According to the Government-led Cadre Harmonise analysis released in March this year, in Borno, Adamawa, and Yobe states, some 4.8 million people are estimated to be facing severe food insecurity, the highest level in seven years. Children, pregnant and lactating women, older persons, and people living with disabilities are among those who are most vulnerable. About 2.8 million of these people need urgent interventions.
The prices of staple foods like beans and maize have increased by 300 to 400 per cent over the past year because of a cocktail of reasons. Inflation is outpacing the ability of families to cope, making essential food items unaffordable. Furthermore, the report stated that “malnutrition rates are of great concern. Approximately 700,000 children under five are projected to be acutely malnourished over the next six months, including 230,000 who are expected to be severely acutely malnourished and at risk of death if they do not receive timely treatment and nutrition support.”  The Acting Representative of UNICEF Nigeria argues that “this year alone, we have seen around 120,000 admissions for the treatment of severe acute malnutrition with complications, far exceeding our estimated target of 90,000”.  These statistics are for only 3 states in Northeast Nigeria. Imagine what it will be like for the whole 36 States in Nigeria. There is real fire on the mountain!
This rising hunger is not peculiar to the Northeast. From my knowledge of street economics, hunger and poverty is pervasive across all six geopolitics zones. Increasing poverty is directly linked with more severe economic outcomes. Increasing poverty can result in a more divided society, Issues with housing, homelessness, limited access to healthcare, nutrition poverty and poor living conditions that have a detrimental effect on one’s health. Children living in poverty have less access to education, which will reduce their chances in the future. More families facing poverty will experience conflicts, stress, and domestic violence. Poverty can set off a vicious cycle in which the effects of it act as catalysts for additional episodes of poverty. Increasing inflation and poverty are bad omens that blow us no good. They are bad for our economy. They are bad for our people. The government must pay attention to these factors and be more sensitive in our economic policy choices.
Only some anti-inflationary measures that comprehensively capture the macroeconomic dimensions and provide solutions may work. Poverty alleviation measures are barely temporary and, at best, work in the short run to cushion the effect of heightened inflation and food insecurity. The government should provide solid medium- to long-term solutions to tackle these problems. They should re-evaluate some of their policies to see whether they are inflationary and jettison them to allow good policies to thrive. We can only imagine the unintended consequences of allowing poverty and inflation to fester. The increasing inflation and poverty are creating desperation among a portion of society, which is increasingly becoming despondent and seeing itself at the fringes of society. The implications of this are plausible. Many ordinary citizens are burdened by poverty, hunger, and severe inflation, which have made their lives miserable. The government must take action to alleviate this scourge and help Nigerians lead meaningful lives.

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OPINION

New Approach To Combatting Terrorism In Nigeria: Truth Alliance And The Path Forward

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Terrorists

By Ahmed Mustapha*

Three weeks ago, a high-level UN counter-terrorism summit in Abuja concluded that a new approach to fighting terrorism was needed across Africa.

As the head of one of Nigeria’s largest NGOs dealing with this problem, I strongly agree and hope that the conclusions of this meeting will herald new and exciting approaches to reducing the risk of more violence and its terrifying consequences for the people of this country and the Continent of Africa.

The summit gathered one month after the brutal kidnapping of over 100 students from Kuriga, Kaduna State.  Even more recent kidnappings show how the terrifying reality of violent extremism remains in Nigeria. Both provide a stark reminder of the ruthless tactics of terrorist or violent extremist groups who target innocent civilians, using suicide bombers in markets, places of worship, and crowded venues, further exacerbating the region’s humanitarian crisis – all to further their cause.

As the summit discussed, the terror unleashed by Boko Haram, Islamic State West Africa Province (ISWAP), and their likes has led to widespread displacement, with millions forced into refugee and internally displaced persons (IDP) camps under dire conditions. The social fabric of entire communities has been torn apart, with trust eroded and countless families mourning the loss of loved ones.

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But there is hope.  Our pioneering work to reduce the risk of violence and rehabilitate those who leave these groups and the tireless works of other groups like us give points to a new way forward.

Our work in affected communities is heralding great results and pointing to a new wave of defections and surrenders from Boko Haram for those fed up with the hypocrisy of its leadership, the brutality of its actions and the cruel manipulation of those whose job it is to recruit people into their ranks.

That is why a group of stakeholders, CSOs and concerned citizens formed the ‘The Truth Alliance’ – a network committed to unmasking the truth behind violent and extremist groups and empowering communities to resist tyranny and violence. Through education, outreach, and collaboration, the Truth Alliance strives to build a safer, more resilient society for all.

In a campaign tagged ‘Time to Tell the Truth’, the Truth Alliance has come together to expose the truth behind how violent extremist groups draw young people into their ranks. Their message is simple: these groups manipulate, they deceive, they control, they kill, and they destroy the hopes and dreams of people, their families and the communities in which they live.

In a new report, the Alliance has highlighted what we call “the significant revelations about the internal conflicts and growing disenchantment within Boko Haram.” We believe the group’s cohesion and operational effectiveness are weakening, illuminating the underlying vulnerabilities within its ranks.

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The personal testimonies from young insurgents who defected in April provide a disturbing glimpse into the group’s operations and the brutal reality that reveals the truth behind their recruitment practices, which contradict the group’s recruitment propaganda.  This manipulative recruitment strategy targets the most vulnerable, often deceiving them with twisted interpretations of religious texts.

The report also describes how Boko Haram, infamous for its brutal campaign of violence, has long engaged in atrocities, including mass kidnappings, indiscriminate killings, and the exploitation of children as soldiers. However, the growing number of surrenders and defections from Boko Haram indicates a loss of control and diminishing morale among its members.

If we act fast, these internal fractures are critical vulnerabilities that could provide opportunities for regional security forces to capitalise on. This could potentially accelerate the group’s decline and herald exactly what the summit asked for—a new scale of effort to tackle this enduring and terrifying problem facing the people of Nigeria.

*Mustapha is the spokesperson for The Truth Alliance and can be reached via info@truthalliance.org.ng

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OPINION

Manchester City Beat West Ham  To Become First Team To Win English League Title Four Seasons In A Row

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With Manchester City needing a win to be sure of holding off Arsenal, who started the final day two points behind but with a better goal difference, Phil Foden put Pep Guardiola’s side ahead after just two minutes.

The England star added another before the break and although Mohammed Kudus pulled one back, midfielder Rodri restored the home side’s two-goal cushion with a shot from the edge of the area after 59 minutes.

City survived a late scare when West Ham had a second goal ruled out by VAR for handball.

However, their victory was never seriously in doubt

The win completed a staggering run of 19 wins and four draws since their last defeat in the league, at Aston Villa on 6 December.

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City have now won six out of the past seven Premier League titles. Last term, they joined Huddersfield, Arsenal, Liverpool and Manchester United, twice, in winning the top flight three years in a row.

Now Guardiola’s team have achieved something no other side has managed since the English league was formed in 1888, 136 years ago.

On 25 May they will aim to become the first side to complete the domestic Double in successive seasons when they face Manchesterter United in the FA Cup final at Wembley.

Foden has already collected the Football Writers’ Association and Premier League Player of the Year awards. Few would argue against a clean sweep when the Professional Footballers’ Association eventually confirms theirs.

At 23, Foden now has six titles to his name. He is still a long way behind Ryan Giggs, who holds the record with 13.

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However, it is worth noting Giggs did not achieve his sixth until he was 26 and while the Welshman was 39 when he got his last, given City’s current dominance, Foden is likely to keep chipping away at that total in the short term.

Guardiola feels there is further improvement in the England international, but he has already developed his all-round game, makes better runs with and without the ball, and his close control is sublime.

James Ward-Prowse must have felt he was chasing shadows as he closed in to make a tackle when Bernardo Silva provided Foden with a square pass. But with one touch, Foden ghosted away from the West Ham man before delivering the perfect finish.

There was no real evidence of nerves in the crowd before kick-off. City had not lost at home all season and they had a 100% winning record against West Ham on home soil since Guardiola arrived in 2016 .

The visitors had nothing to play for, manager David Moyes is leaving and top-scorer Jarrod Bowen was ruled out with tonsillitis.

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But any home anxiety that did exist was rapidly swept away.

Foden’s second – his 26th goal of the season – wasn’t long in arriving as Jeremy Doku delivered a slide-rule, square pass through a crowd of bodies to the edge of the six-yard area. Foden was calmness personified in a frantic situation and found the net with a first-time finish.

Only a bit of bad luck and West Ham keeper Alphonse Areola prevented West Ham being completely swept away in the first half hour.

The France keeper turned away De Bruyne’s vicious free-kick, repelled Doku twice and also denied Manuel Akanji. Rodri, Erling Haaland, acrobatically, and Josko Gvardiol all missed the target from reasonably close range.

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