Dame Patience Jonathan was in Namibia in July. There are reasons I take
note of it. She had followed in the footsteps of President Goodluck
Jonathan who was in that same country earlier this year. Nigerians
shouldn’t forget that, on that occasion, Namibians had honoured their
leader with the highest national award in their behalf, in the process
thanking Nigerians for their assistance in the course of Namibia’s war
of independence.
That’s a point once noted on this page, pointing out then that compared
to other people from that part of the continent which enjoyed the same
assistance from Nigeria, Namibians stand apart; they are a grateful
people. So, just as one had stated then, and because every act of
gratitude deserves another round of assistance if it’s needed, it’s
repeated here that Nigeria should continue to stand by Namibians
anytime, anywhere.
For this reason, when Nigeria’s First Lady...
travelled to Windhoek to attend the 8th Stop Cervical, Breast and
Prostrate Cancer in Africa programme with the theme, “Universal Access
to Cervical Cancer Prevention”, it immediately caught this writer’s
attention. The fight which the President’s wife took to that country
wasn’t the first. She had been to other African countries too, and on
some other occasions had sent gifts from Nigerians to nations where
there were displaced people such as the Saharawi Republic in the
North-West of the continent. This time though, it was for the cause of
women suffering from cervical cancer that she had headed South-West. But
there are more reasons for being interested in such an endeavour.
Africa is one place where the helpless and the voiceless are in the
majority, meanwhile, it’s the vociferous few that make the louder noise,
often not about issues that affect the voiceless majority. In Sudan’s
Darfur, women and children die under Khartoum’s relentless assault and
the main news pages where this tends to come into focus are those of the
Western world, their radio as well as their TVs. In Central African
Republic, years of misrule have turned Muslims and Christians who have
lived together for years into enemies; now they maim and kill one
another, with no one hearing about it except for the few occasions when
Western media happened to pick the more heinous acts of bloodshed and
report them. Those are a few of the man-made problems, the outcome of
lack of quality governance.
There are the challenges that man has little control over; those are
many, and are generally pushed to the background especially in the face
of more shocking human miseries. In the face of this, something still
has to be said and done for victims of other problems that silently
trouble Africans, not a few of which involve women. Cervical cancer is
one of such. One more reason what took place in Namibia is of interest
is that finding relevant voices on the continent that voluntarily speak
for the voiceless doesn’t always happen. So when wives of Africa’s
leaders put heads together to speak up on an issue, any issue at all,
it’s worth pointing to. More so, this is one continent where the
challenges are so overwhelming that governments can’t pay needed
attention to all. In that case, whatever helping hand any group offers
should, for the sake of the beneficiaries, be placed in its proper
perspective and made the most of.
According to the WHO, in 2008, there were more than 530, 000 new cases
of cervical cancer worldwide and 275,000 deaths resulting from the same.
Over 90 per cent of them were recorded in developing countries among
which is Nigeria. In the African region alone, 75,000 new cases were
recorded in the same year while 50,000 women died of the disease.
Cervical cancer occurs when the cells in the cervix begin to grow and
replicate in an abnormal and uncontrolled way. When this happens, the
body cannot organise these cells for normal function and the cells form a
mass that is called a tumour. Malignant tumours in the cervix can
spread to other parts of the body, crowding and destroying normal cells.
Cervical cancer often grows very slowly over a period of years. Before
the cancer actually develops, there are early changes that occur in the
cells of the cervix. While these cells that become abnormal are not in
themselves cancerous, and many women with the cells do not develop
cancer, the cells may lead to cancer. The abnormal cells usually develop
as a result of viral infection that is generally s*xually transmitted.
When women have the virus, their immune system can eliminate it. For
women whose immune system does not eliminate the virus, the cells may in
time develop into cervical cancer. While all women are potentially at
risk of developing cervical cancer at some point in their lifetime, the
most common risk factors include an early age of first int*rcourse,
having multiple s*xual partners, and having experienced a weakened
immune system. Cervical cancer is most often diagnosed in women in their
late 30s. It can, however, be diagnosed in younger as well as older
women.
Where this becomes more important for Africa is that high incidences of
cervical cancer are reported on the continent, at rates exceeding 50 per
100,000 populations with age-standardised mortality sometimes exceeding
40 per 100,000 populations. For example, between 1981 and 1990, data
from Nairobi hospital showed that cervical cancer accounted for 70 per
cent-80 per cent of all cancers of the genital tract and eight per
cent-20 per cent of all cancers. In Nigeria, 17, 550 women are diagnosed
yearly, and no fewer than 26 Nigerian women die daily as a result of
cervical cancer.
The good news is that there are measures that offer opportunities for
prevention: There is the low-cost screening approaches suitable for
low-resource areas and vaccines that are efficacious in preventing the
infections as well as the precancerous changes that can lead to cervical
cancer. Efforts are also being made from different backgrounds, and
from outside the continent to see to its prevention. In 2013, it was
announced that the African Collaborative Centre for Microbiome and
Genomics Research at the University College Hospital in Ibadan was to
receive more than $4.16 million over four years from the United States
of America to fight cervical cancer.
The funds released were part of the initiatives by the US expanding its
partnership with African institutions and scientists for research into
some of the most vexing health problems plaguing the continent. The
research in this case was to focus on the epidemiology of cervical
cancer and human papillomavirus infection. As the US National Institute
of Health puts it, the grant “addresses a high-impact public health
challenge that affects women’s health in Africa and the rest of the
world”. The US didn’t forget to remind everyone of this and related
initiatives at the recently concluded US-Africa Summit where President
Barack Obama’s Secretary of Commerce had announced for Africa’s leaders
to hear: “Investing in Africa would support workers in California, and
strengthen the health of patience in Nigeria” because of the MoU signed
by Environment Chemical Corporation to “construct a state of the art
cancer institute in Ibadan”.
The fight against cervical cancer is one area where groups and agencies
external to the continent have been seen to be doing something vital. It
was to this a few relevant voices on the continent also added their own
quota in Windhoek. Out there, in the course of the programme, Nigeria’s
First Lady said she and her fellow First Ladies were focusing on
“universal access to cancer prevention,” adding that “girls between the
ages of nine to 15 years should be immunised… and have regular cancer
screening done using the affordable procedures”. So, it’s the view of
this writer that sometimes such interventions from whatever corner they
come from may be what that next girl or woman needs in order to survive
and raise the next generation for Africa. And of course that fight in
one small corner of the continent, on behalf of the womenfolk, can’t be
separated from whatever progress Africa wishes to make. It’s in that
light efforts such as this should be fully encouraged.
BY ’TUNJI AJIBADE