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00:00November 12 marks World Pneumonia Day, an annual global initiative established in 2009 to raise awareness about pneumonia,
00:08the world's leading infectious killer of children under 5, and a major cause of death among adults, claiming over 2.2 million lives annually.
00:19For 2025, the official theme is Every Breath Count, Stop Pneumonia in Its Track.
00:26This theme, announced by organizations like Every Breath Count Coalition and supported by WHO and UNICEF,
00:34emphasizes urgent prevention strategies such as vaccination, improved nutrition, clean air access, and equitable treatment.
00:43To halt the disease spread, especially in low-resource settings, where risk like malnutrition and pollution are high.
00:50Dr. Bola Shogwesson, a consultant pediatrician, gives us insight on how to combat this deadly disease.
00:58My name is Dr. Bola Shogwesson. I'm one of the consultant pediatricians here in Ifakodaya.
01:04The simple layman language is a disease that probably affects the lungs.
01:10I would not allow one to breathe very well because it's a difficulty in breathing.
01:14Now, that can be because of germs, bacteria, or viruses, so they would go into the lining of the lungs
01:21and affect the way the oxygen is transported across the lung cells.
01:28So, physically, it causes difficulty in breathing.
01:31So, you have very fast breathing and labelled breathing.
01:35And also, because of the infection, depends on what is causing it,
01:38it causes a fever. It causes an increase in temperature.
01:43Well, Nigeria can actually do a lot of things.
01:50We can actually end child pneumonia, especially child pneumonia by 2030.
01:53A very ambitious goal, but achievable, easily achievable.
01:59You know, so I think what we need to do is scale up our interventions that we have so far,
02:05involve families, you know, to let them know just what to look out for with pneumonia.
02:09Like I said, it's a problem with the lungs. It affects breathing.
02:14So, when these mothers or carers know what to look for in the babies or the children they are looking after,
02:20it's easier for them to seek help.
02:22And when they're seeking help as well, we need to talk about their health-seeking behaviours
02:26because some of them would usually go to the odd neighbour who doesn't know more than they do,
02:32or to healthcare workers who have not that experience.
02:36But coming to the right place, the health centres that are open for them and hospitals like this
02:40make things easier and faster.
02:43So, it's achievable.
02:44Apart from stepping up the hospital, stepping up information,
02:48making sure drugs are available where they need it, you know,
02:51ensuring that the information is there.
02:54Because pneumonia is airborne.
02:56And what I mean by airborne is that the agents are in the air, so it can be breathed in.
03:02So, if there's contact, I mean, improving, what do you call it, ventilation, indoor ventilation helps a great deal, you know.
03:10As a nation, we need to, first of all, upgrade our healthcare facilities
03:16to make it achievable, accessible, and affordable for every single person who comes in,
03:23from the primary health centres, basically.
03:26So that the initial, like the mild pneumonia that can be treated on an outpatient basis
03:32can be sorted straight away.
03:33That's one.
03:34The second thing is, for those who are treating them, adequate education are healthcare extension workers
03:41giving the adequate education they need.
03:44Apart from these healthcare extension workers, the mothers know to, will know what to,
03:49I mean, with public health education, they know what to look out for with these children.
03:53Like, if you have a baby who has a cough, who has very fast breathing,
03:58and who on looking at the chest has enjoying or has a lot of struggle with breathing,
04:03they know that, look, it's time for me to seek help.
04:06So, when they go to the healthcare workers, or they go to the health centres,
04:09or come to the hospitals, they have us available.
04:13But Hamattan, per se, doesn't cause pneumonia.
04:16I mean, people are always, a little bit, are wary about the cold air.
04:20But the one thing about Hamattan now, where there's more of a preponderance,
04:25or more of an incidence of pneumonia, is that the air at that time is quite dry.
04:30So, the dry air will actually irritate the airways anyway,
04:36cause a bit of inflammation, and make them more susceptible to infection.
04:40But apart from that, you know, like I said, pneumonia is airborne,
04:43the particles are in the air, they're in the dust.
04:46So, dust can carry all these bacteria, it can carry the viruses,
04:49it can carry the causative agents of pneumonia.
04:52That's why there's a bit of more preponderance there.
04:54So, mothers, we go back to the basics, breastfeeding.
05:00Breastfed babies are healthy babies.
05:03More adequate nutrition, breastfeeding gives the adequate nutrition
05:06they need to avoid these illnesses.
05:09So, optimal breastfeeding.
05:10And where breastfeeding cannot be sought,
05:12the right amount of food, the right amount of food,
05:15we have national agencies who are into pediatric feeding,
05:18who have supplemented food that they give to the children,
05:21that will be wholesome for their bodies, you know.
05:25Also, to their health-seeking patterns,
05:29you know, just to know to get to the qualified healthcare assistant first,
05:34than going to the old neighbor, or to the old chemist,
05:37or to the old traditional birth attendant,
05:39who would actually take the money they're meant to spend anyway.
05:43And by the time they come to the hospital,
05:44where they need to spend money, or where they need to do some things,
05:47they're already, you know, they've already gone far.
05:50So, the health-seeking pattern, knowing what to look out for,
05:54in a child who's got a cough, who's got a running nose,
05:57who has a temperature, and also has chest injury,
06:00or has difficulty in breathing, or is vomiting a lot,
06:02these are signs that they would have been taught.
06:04You know, like I said, the health education,
06:06once they know what to look out for, and seek prompt help.
06:09And also, you know, make sure that the children have adequate,
06:13well-balanced nutrition.
06:14And also to make sure that the vaccinations,
06:16because when they have children,
06:18for instance, over here in the faculty,
06:19we go to the vaccination schedule for them,
06:22so they know to get the vaccinations.
06:24This is very important, because there's a pneumococcal,
06:26a conjugate vaccine, which is part of the vaccine,
06:29what do you call it, schedule that it gets,
06:33and also the haemophilus influenza,
06:35which causes, which helps to prevent it.
06:38So when they optimize the vaccination,
06:40they know the right places to go,
06:42they know the right food to give,
06:44you know, they know the clinical science to watch out for.
06:47Yeah, that helps with the mothers, yeah.
06:50We have art patient care,
06:52where they are seen in the hospital on an art patient basis,
06:55you know, they come in, the doctors examine them.
06:58We have inpatient care for those who can't go home
07:01with oral medication, for instance,
07:03oral antibiotics,
07:04and have to be admitted for intravenous medication.
07:07We have inpatient care for them.
07:09We have the vaccination clinics, like I told you.
07:12You know, the vaccination clinics are good for the preventatives,
07:15because they get the pneumococcal vaccine,
07:17they get the haemophilus influenza vaccine,
07:20amongst the schedule of immunization for the year.
07:24You know, we have the healthcare extension workers,
07:27who go around to ensure that they're giving education
07:30about ventilation, hygiene, personal and general hygiene.
07:35And we'll have our updated health centre facilities,
07:39you know, the basic ones that they will go to first.
07:42So there's a lot of care,
07:43and that's why I know,
07:44even though all be ambitious,
07:46it's achievable by 2030 for our country.
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