AIDS....Clinical Briefs about contraception for treatment of dysmenorrhea and menorrhagia.

My brothers and sisters Sex out of wedlock used to be considered a taboo by many, but that is increasingly changing. It is almost fashionable to have a sex partner who is not necessarily recognized by one's family. Parents, friends, colleagues and spouses now encourage others to have sex a source of livelihood. Therefore, we must take the bull by the horn and call evil what it is and fight accordingly. Abstinence is still the best way but where that fails, what is the alternative?  Medical science is also making it possible for people to not only live longer lives, but it is preventing unnecessary loss of lives of our loved ones. If your female relative is bleeding to death and the only solution is contraception what will you do or recommend? If people are having sex constantly and indiscriminately, as in case of our country where men demand sex for employment and academic promotions, where marketers are soliciting more than the next source of paychecks, where young male and female students are acquiring sugar mothers and daddies as if they are going out of style and also to be used to pay their tuition and support their younger girlfriends and boyfriends, but you observe that they are seemingly not worried about HIV or STDs, what will you suggest?   While in Nigeria recently, I noticed that the use of condoms was advertised about every five minutes on radio and on television. In fairness to the proponents of better education on the use and benefits of condoms, it seemed as if sexual promiscuity was being promoted and STDs were minute problems as long as condoms were being used. On the contrary, the use of condoms has actually reduced the rate of sexually transmitted diseases. It is not a cure but it makes a small dent on the magnitude of the problem. I am sure that if proper survey is done, we will find that it has also reduced teenage pregnancy in Nigeria. From a woman's viewpoint, the advertisements are actually doing Nigerians a world of good in a country were sex and witchcraft dominate every conversation.  Nigeria is a country where most men are willing to have sex with anything that moves in a skirt or wrapper. Most of those women have sex now legally from their homes or apartments.  There is no-longer a need to stand on the street corner breathing in fumes from cars, industrial waste, urine, human or animal defecation, smoke from random fires, malfunctioning emission systems and exhaust pipes, gutters ridden with algae, fungi, rotten food, feces, dead rodents and trash.  Many of the women have decided that if they cannot pay anyone to buy employment, they will simply offer sex for the positions if the man does not offer it first. Sadly, that does not always guarantee employment so they resort to witchcraft, soothsayers, fake pastors, their ancestors, or get upset enough to curse the men outside with their nakedness. The level of anger usually determine the method of revenge. Having sex in exchange for a favor, for example, is typical of the marketers for banks who are marketing more than new bank accounts.  Many of the our men in Nigeria or Overseas parade themselves as good husbands to their wives but keep filthy mistresses outside their homes as girlfriends, concubines, lovers or what have you, and pay handsomely to keep them. When the girls find a rich one, they call them jackpots. These men are not faithful to the ladies in or outside the house. They even cheat on the new girlfriends too. Sometimes, they have others who are less demanding elsewhere, in the villages, ready to have 10 children for them if they are not slowed down. The village wives do not always require a church wedding but immediately assign the title of wife to themselves whether the man likes it or not. They rarely abort children and do not ask for condoms. The problem with those is that when their Lagos, Abuja, European or USA husbands visit, they too bring something back to share. Some bring back HIV and dollars; infect them, and have them infect the local Jons.  The process becomes a vicious cycle. The male tramps however, think that condoms are safe, quickly include themselves in the 70%-80% successful users  who are excluded from transmission or acquisition of the deadly diseases. They think it can only happen to others and not them because they are after-all, well fed (fat), strong, muscular, and rich. It just can't happen...they have too much to live for. They have wives, businesses, children, aging parents, and their reputation. So they blank it out of their memory and every now and then, they use a condom that are made from recycled materials or the ones we know here as "irregulars" . Manufacturers know that only the poor westerners and people in third world countries consume the irregulars or the intentionally cheaply made condoms. So they ship them to NAIJA where they rip from the holes, and are so thin that they do not stand a chance with prolonged penetration.    The holes defeat the purpose of their intended use. STDs get transmitted, and pregnancies, abortions and death (PAD) occur. When we step away from from condoms for a moment, we have no other way to prevent PAD than with pills. the added benefit is that they prevent excessive bleeding and anemia which can lead to death. Two very otherwise pleasant women suffer with serious pains and are bed ridden during their monthly periods. I think that if they had recommendations from their Doctors to use pills to curd their discomfort and shrink fibroids (as in the case of two of them), they will jump on the idea instead losing time from their jobs and school.  Therefore, I will suggest that no one should completely destroy the idea of the need for condoms or medication until one has had adequate knowledge of their use. One may not need it but preventing their existence, use or application may pose more detrimental blows on our brothers and sisters who may make less prudent choices in face of temptation or illness respectively. Please see the attachment to this mail.  I will also attempt to paste it below. Philo Nwarueze From: Chief Martin <martin@supanigeria. org> To: NENWEONLINE@ yahoogroups. com Sent: Sun, January 3, 2010 9:23:22 AM Subject: Re: [NENWEONLINE] A ... AIDS   "Generally, when used correctly and consistently, condoms are about 70% effective in protecting against HIV and other Sexually Transmitted Infections." - Dr. Leo. Dear Dr. Leo, Happy New year! Please read the extract from your FMC Keffi AIDS Message again. It INDISCRIMINATELY ranks condoms along with Abstinence and Faithfulness. That will definitely spread AIDS by " giving people a false sense of security and protection" ( false 100% instead of your 70%). Now, all the references I cited are secular and 'scientific' including the US Naval Research Lab. Washington DC and the British Journal of Medicine. I did not cite the Catechism of the Catholic Church! So why did you accuse me of dogmatism?  Why did you misrepresent Jerry's published position? Are you not being unfair, oppressive and tyranical? Should you not apologise to Jerry for such unethical misrepresentation? Why is falsehood glorified technically while truth is called dogmatic even when it is 'Scientific' ? Now to science: If condoms are about 70% effective, it means they are about 30% ineffective. 30% ineffectiveness means statistically that: averagely it will be ineffective once in 3 - 4 equivalent exposures! That once in 3 - 4 equivalent exposures averagely, the user has contacted the incurable HIV. Now, I am sure you can see more clearly how condoms are spreading HIV & AIDS. It is our duty of love to tell the truth to others. I am very happy & proud to be Roman Catholic. That does not erase the fact that I hold a world class Master of Science degree in Engineering with extensive international experience across America, Europe and Africa. I understand Science and its basics. However, I am truly dogmatic in religious issues as true religion must be dogmatic since, God cannot be wrong. QED. Whatever God says is true and the Church is the Oracle of God from the following refs.  "Go and teach all nations" - Mt. 28:19-20. "Whoever listens to you listens to me" - Lk. 10:16. "Simon son of John ... Feed my sheep" - Jn. 21:15-17. "I will give you the keys of Heaven. Whatever you bind on earth is bound in Heaven" - Mt. 16:19. "You are Peter, on this rock I will build my Church. The gates of hell shall not overcome it ..." - Mt. 16:17-20. It is only sinful pride that can make me think that I know better than God and His Church. Thanks for your understanding. God bless all. Chief Martin. On Mon 12/28/09 7:56 AM , leo Chukwuali doclichukwuali@ yahoo.com sent:   "Abstinence from unprotected sexual intercourse, being faithful to a single, uninfected sexual partner, correct and consistent use of condoms, avoidance of transfusion with unscreened blood, avoidance of sharing of sharp objects and prevention of mother-to-child transmission (PMTCT) remain the major means of prevention of HIV transmission. " -Dr Leo I suspect that messages like this from FMC Keffi, are spreading HIV/AIDS by giving people a false sense of security and protection.- -Chief Martin Ezeamama,             Accept my best regards. There is nothing in my message suggesting that condoms are 100% effective in protecting against HIV/AIDS. Generally, when used correctly and consistently, condoms are about 70% effective in protecting against HIV and other Sexually Transmitted Infections. This is captured in the following extracts from your references: 1. "If used properly, latex condoms will help reduce the risk of transmission of HIV infection (AIDS) and many other STDs"...    2. 3 out of 10 women whose husbands are HIV positive and were always using a fresh condom for each intercourse, contracted AIDS. ( 7 out of 10 did not) 3.  1993 Studies by S. C. Weller concluded that Condoms are 69% effective. 4. Study showed a failure rate of 26%. 5. Contraceptive Technology USA Study indicates 87% effectiveness for typical use.             Given the above extracts, which clearly state that condoms are 69% to 87% effective in preventing HIV, I wonder how you arrived at the conclusion that my message is spreading rather than helping to prevent HIV/AIDS. I respect your intelligence and your constructive approach to issues but that is mainly when your views are not beclouded by religious sentiments. However, dogmatism belongs more to Religion than to Science.       Apart from ABSTINENCE and MUTUAL FIDELITY BETWEEN UNINFECTED PARTNERS, no other method of prevention of HIV is 100% effective but this can hardly be captured in a short message as the one under discussion. Even at that, observing those other methods can only prevent (albeit not 100%) rather than spread HIV.       Even Prevention of Mother-To-Child Transmission (PMTCT) interventions are not 100% effective in preventing HIV infection in the newborn. Without PMTCT, about 37% of newborn babies of HIV positive mothers will be HIV positive. But when PMTCT is properly implemented, only 2% to 5% of such babies will be born with HIV. In a recent study of PMTCT in FMC, Keffi over a 5-year period, only 3.5% of over 500 babies of HIV positive mothers were born with HIV infection. This is better than most reports from other centres in Africa . Our report was presented at the Paediatric Association of Nigeria Conference (PANCONF) in Lagos in January 2009.       Having said all those, Chief Martin, I fully understand the premises on which you made your comments. By His Grace, I am also a practicing Catholic. There is nothing in my message that promotes condoms for contraception even though in the practice of my profession, I have nothing against contraception and indeed offer the full range of contraceptive services to married people. Unplanned and unwanted pregnancies in married women as well as pregnancies too many and too late contribute over 60% of the high maternal mortality ratio in our practice. Maternal death is a catastrophe because it not only means the death of a family but also spells doom to child survival. If contraception to married women can help to prevent these needless deaths, I am professionally compelled to offer contraceptive services. In fact, women are referred to my Clinic for the insertion of desogestrel contraceptive implants. May be I should be more Catholic than that.             The other commentators on the topic did not seem to understand the premises from which the discussion flowed. That was why one of them was far less than constructive in his comments. Statements like:  'all the doctors in Nigeria are just struggling to survive' are simply thoughtless. I reserve my comments except if forced otherwise. He that lives in a glass house should not throw stones except if he is also unwise.      Happy New Year. Dr L.I.Chukwuali (JP) --- On Tue, 12/1/09, Chief Martin org> wrote: On Tue 12/ 1/09 10:22 AM , leo Chukwuali doclichukwuali@ yahoo.com sent: __._,_.___ . __,_._,___

WORLD AIDS DAY...Dr Chukwuali

Federal Medical Centre, Keffi

A goodwill message from the IHVN-FMC Keffi Action Project
On the occasion of theWorld AIDS day, 2009

Dear Compatriots,
Every year, the 1st of December is celebrated globally as World AIDS Day. Since 1988, this day has been set aside for increasing awareness, fighting prejudice and improving education about HIV/AIDS.
The reality of HIV/AIDS can no longer be contested by any rational person. The latest world statistics show that 33.4million people, including 2.1million children, are living with HIV/AIDS, there being 2.7million new infections in 2008 alone. About half of the HIV infections occur before the age of 25 years and kill the victims before they are 35 years. In other words, HIV/AIDS virtually eliminates our youths, our vibrant work force. Overall, 2million people died globally of HIV/AIDS in 2008 and the world has lost 25million people to HIV/AIDS since its discovery in 1981.
Sub-Saharan Africa currently bears 67% of the global HIV/AIDS burden with HIV prevalence rates of up to 23.9% in Botswana and 18% in South Africa.

In Nigeria , 2.6million people, both adults and children, are living with HIV/AIDS. This translates to approximately 20% of the global HIV burden even though Nigeria represents barely 2% of the World’s population.

In Keffi, 9.1% of women attending antenatal clinic as well as 8.6% of prospective blood donors are HIV positive.

Unprotected sexual intercourse with an infected partner, transfusion with infected blood, sharing of sharp objects between infected and uninfected persons and transmission from an infected mother to her unborn or breast-feeding baby remain the major means of transmission of HIV. These are fueled by ignorance, poverty, illiteracy and reckless lifestyles. Abstinence from unprotected sexual intercourse, being faithful to a single, uninfected sexual partner, correct and consistent use of condoms, avoidance of transfusion with unscreened blood, avoidance of sharing of sharp objects and prevention of mother-to-child transmission (PMTCT) remain the major means of prevention of HIV transmission.

The theme of this year’s World AIDS Day is UNIVERSAL ACCESS AND HUMAN RIGHTS. It draws attention to the need for people living with HIV/AIDS anywhere in the world to have unhindered access HIV prevention, treatment, care and support, recognizing this as fundamental human rights.
Frequently, we infringe on the fundamental human rights of people living with HIV/AIDS (PLWHAs). Discrimination and stigmatization in whatever form against PLWHAs constitute an infringement on their fundamental human rights and these in turn hinder access to prevention, treatment, care and support. We must respect and protect PLWHAs.

We are hereby called upon to join the fight against HIV/AIDS. Let us provide unhindered access to information on prevention to those who are uninfected and unhindered access to treatment, care and support for people living with HIV/AIDS.

Thank you very much.

Signed by:
Dr Leo Chukwuali (JP)
MBBS, FWACS, FICS.
PMTCT Focal Person.
For the Project Director

IHVN-FMC Keffi Action Project.

THE ACTION PROJECT IS A COLLABORATIVE PROJECT ON HIV/AIDS PREVENTION, TREATMENT, CARE AND SUPPORT BETWEEN THE INSTITUTE OF HUMAN VIROLOGY, BALTIMORE, MARYLAND, USA AND THE FEDERAL MEDICAL CENTRE, KEFFI, NASARAWA STATE, NIGERIA. IT IS FUNDED BY PEPFAR.THIS MESSAGE WAS CIRCULATED WIDELY TODAY IN KEFFI AND ENVIRONS.

In Nenwe, who will cry when you die?

Dear Sai, Permit me once again, to fraternally GANG UP with you on this one. My brother Ken Mbah, is happily another "gangster" on this. His fingers were faster than mine. Sai, in 2004, Engr. Chris Nwonye put it very crudely, again we were pretending to be discussing dreams of and projects for Nenwe. He said, it is all talk, talk and more talk, "but when it is time for action, the room suddenly becomes empty". I followed up with a question, "is it the same thing as oroo ovohu? You were there, Sai. Do you again, remember our discussions on how to help build St. Peters Nenwe? It was punctuated by money, money, money. Remember? Also try to read our various contributions on Water, Light, Road, Culture and Hospital projects in Nenwe. There is always a booby trap. You have followed up with the various Health Projects by Dr. Chukwuali and his group of professionals. While reasonable men and women are making donations, eccentrics are busy either attacking the philosophy of the initiative or the esometric (I am not sure about this one) of the organizers. May I request the Moderator to RE-publish names of all donors in those previous Health projects and other developmental projects in Nenwe so that we know who the real enemies of the town are. Development of Nenwe town is not by e-mail. We need money, yes, money, ideas, responsible ideas, suggestions, not distractions; not brain waves. Money, money, money. Each time there is a noble idea on the table, we resurrect Plato, Socrates, Aristotle, Thomas Paine and some times, Mark Antony, to use Brutus to kill our ambitions. We show our mastery of grammar, even if our ideas are damn shallow. And the only reason is because a friend once said NIU Lagos embezzled money contributed before the amalgamation of Northern and Southern Nigeria in 1914. By the way, money contributed by others?. Visit the archives and read my piece on PhD - Pull Him Down syndrome on NOL. AS if to reasure us, Chief Martin at that time, suggested that if we are afraid of embezzlement, we should send all the money to him and he would send same to his mother for safe keep. He went further to say that he runs a scholarship program and beneficiaries receive their money through his mother. But no, it is not enough assurances. The only story that sticks is how a friend said NIU Lagos could not account for money contributed by OTHER well meaning citizens, before Socrates was born. I appreciate the apparent anger or loss of faith shown by my brother and name sake, Kalu Onyemaechi on the lack of depth of discussions on NOL, but we know the source of our distractions. And only when we run out of ideas, do we retreat from NOL and return as a tree to make a forest. Let us be more practical - let us contribute money and pursue one project for Nenwe. NPAUSA is working on water. Let NOL work on making school chairs for our junior brothers and sisters whom we abandoned decades ago and who are still sitting on bare floors in Nenwe schools. Let us extend electricity to the more than 85% of the areas where there is no electricity currently. "Suddenly, the room becomes empty" and meaningless grammar takes over. There is a Nenwe Scholarship Program, contribute to it. You don't have to be a Bill Gates or an MO Ibrahim to make an impact. There are families in Nenwe who have not even one person in a primary school. It is not out of choice. They are our relations, mine and yours. Grammar can not send them to school. We have called for donations to support the Nenwe cultural fiesta, give us your ideas, if you are afraid of your money. It is regrettable and shameful that people who are ensconced in the comfort provided by others are the same ones shooting down any useful suggestion that would move Nenwe forward. And we are quick to refer to past heroes of Nenwe as if we have learnt anything from their bravery. In my subject line above, I have parodied a book, Who will cry when you die, by Robin Sharma. I recommend it for everyone to read. As ever Chief Cyril Onyemaechi Oleh (Okwuru Oha) Abuja - Nigeria "If we fall back, should we complain others are rushing forward?"

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MARRIAGE IN NIGERIA -THE REVEALED TRUTH

Dear All,

Adindu Okoro, popularly known as

ADIDAS is fast becoming one of our prolific writers. He already has three titles to his credit and is coming out again with a new

work titled :MARRIAGE in NIGERIA -THE REVEALED TRUTH; the presentation of which takes place on November 22, 2009 @ Chief Felix Mbanta's Comkpound - Kado Village Abuja

You are invited

CHASING SHADOWS

CHASING SHADOWS? Popped up on this forum a number of times. Those of you who attended Awgu County Secondary School in its pre-civil war glorious days will remember our esteemed senior tutor, the late Mr. Eneh. He was a remarkable precision shooter. As the kites (egbe) would hover above in the sky, he would ask one his children to bring his double barreled rifle. He never looked at his target directly. He would look at the shadow of the kite on the ground, points his gun upward, pulls the trigger, and tells his children to go pick the kill. The legendary fictional Sherlock Holmes also used shadows prominently. How about James Bond in the Gold finger who used the shadow of his enemy to gun him down. Chasing shadows may not be a bad thing. I must confess that I have chased shadows in my life. It could be a good thing. One could chase the shadow of the person he adores and admires. One can also track down a shadow he wants to abolish. I have chased the good shadow of my late father and have attained some success with it. Now, I am tracking down the shadows of the enemies of Nenwe culture. You need to know or define the objects whose shadows you want to chase. Shadows represent real objects and invariably do not exist as phantoms. When you have done this, you also want to ensure that you become good at chasing shadows, and a little bit of luck can't hurt. Now, let us join hands and track down the shadows of greed, tyranny, and corruption in our society. They are the real enemies of Nenwei. Did I mention to you that I am also walking in the shadow of a distant figure in Nenwe history? Let not your spirit be troubled. Sincerely, Cosmas Onwudiwe Onuora, M.D., FACOG, FICS.

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