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PT Health Watch: Why women face higher risk of thyroid disorders — Expert

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The thyroid gland, a small butterfly-shaped organ located at the front of the neck, plays a vital role in regulating metabolism, heart rate and body temperature.

Yet thyroid disorders often go undetected, especially among women, whose symptoms are frequently mistaken for stress, ageing or normal hormonal changes.

Speaking with PT Health Watch, reproductive endocrinologist Oladapo Ashiru said women are far more likely than men to develop thyroid disorders, citing Nigerian studies that reported female-to-male ratios ranging from 6.3:1 to as high as 98:1.

According to Mr Ashiru, recognising the warning signs early is important because untreated thyroid disorders can affect fertility, pregnancy and overall quality of life.

Symptoms often overlooked

Mr Ashiru explained that thyroid disorders generally occur in two forms: hypothyroidism, where the gland is underactive, and hyperthyroidism, where it is overactive.

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An underactive thyroid commonly causes unexplained weight gain, sensitivity to cold and hair thinning, while an overactive thyroid may lead to unexplained weight loss, heat intolerance and a faster metabolism.

“If the thyroid is underactive, there will be increased weight or unexplained weight gain. If it is overactive, there will be unexplained weight loss. The person may feel too cold in a normal environment if it is underactive, or too hot in a cool environment if it is overactive,” he said.

Beyond these symptoms, women may experience irregular menstrual cycles, mood changes, anxiety, depression, constipation or frequent bowel movements.

Mr Ashiru, who is the Chairman and Chief Medical Director of Medical Art Centre, said women are also more likely to experience neck tightness caused by an enlarged thyroid gland, excessive tearing and persistent symptoms even after treatment.

By contrast, men more commonly present with heart palpitations.

He explained that because many thyroid symptoms resemble those associated with stress, menopause and other everyday conditions, thyroid disorders in women are often overlooked or diagnosed late.

Effects on fertility and pregnancy

Mr Ashiru said women between the ages of 30 and 49 face the highest risk of thyroid disorders, although younger women can also be affected.

He warned that untreated thyroid disease can interfere with ovulation, increase menstrual bleeding, raise the risk of miscarriage and contribute to complications after childbirth.

Women planning pregnancy, he advised, should consider thyroid screening to detect and treat any underlying condition before conception.

The endocrinologist also highlighted postpartum thyroiditis, an inflammation of the thyroid gland that can occur after childbirth.

According to him, new mothers should not dismiss persistent exhaustion as simply part of caring for a newborn, as it may signal an underlying thyroid disorder.

Screening and healthy habits

Mr Ashiru said thyroid disorders can be diagnosed through simple hormone tests available in many Nigerian hospitals and laboratories.

He recommended routine screening, particularly for women aged 35 years and above, pregnant women and people with a family history of thyroid disease.

Although some thyroid conditions are hereditary, he said healthy lifestyle habits may help support thyroid function.

These include getting adequate sleep, managing stress, eating a balanced diet with appropriate amounts of iodine and selenium-rich foods such as eggs, fish and beans, and engaging in regular physical activity.

He also encouraged stress management through family support, prayer and relaxation techniques, including deep-breathing exercises.

Some of his recommendations, including limiting processed foods, genetically modified foods and environmental toxins, reflect his clinical opinion on factors that may influence thyroid health.

READ ALSO: PT Health Watch: Persistent fatigue, weight changes may signal thyroid disorder Expert

Early diagnosis improves outcomes

Mr Ashiru said treatment depends on the type of thyroid disorder, with many patients responding well to thyroid hormone replacement therapy or other appropriate medications.

He stressed that early diagnosis remains the most effective way to prevent complications and improve quality of life.

Describing the thyroid as a vital organ, he said it regulates reproductive hormones and supports the proper functioning of the heart, skin and other body systems.

He also warned that exposure to environmental toxins may affect thyroid function and urged people to minimise avoidable environmental risks.


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Health

Drug-resistant bacterial infections kill 1m people annually – WHO

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The World Health Organisation (WHO) says drug-resistant bacterial infections kill about one million people globally every year, calling for coordinated action across human, animal, food and environmental sectors to curb the growing threat.

Jean-Pierre Nyemazi, Acting Director of the AMR Department at WHO Headquarters, said this at a virtual media conference marking an exhibition at the European Parliament on AMR and its human impact.

The virtual conference preceded the exhibition, “AMR: The Human Stories Behind a Silent Pandemic,” being held at the European Parliament from 28 September to 2 October and featuring stories of people affected by AMR across Europe.

“AMR is taking many lives. One million people die every year due to drug-resistant bacteria alone – that is, two people every minute die of bacterial AMR,” Mr Nyemazi said.

He said the scale of deaths meant that AMR should no longer be treated as a “silent pandemic”, stressing that “we know what works” to prevent and control the threat.

“Preventing infections is the number one priority. This can be done through better vaccination, infection prevention and control, Water, Sanitation and Hygiene (WASH), and improved animal husbandry,” he said.

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“All of these work and can prevent AMR.”

Mr Nyemazi said strengthening surveillance, responsible use of antimicrobials, access to quality medicines and diagnostics, and reduction of environmental contamination could also make a difference.

“The tools exist, and the evidence is there, but the cost of inaction is rising. The longer we delay action, the higher the cost becomes,” he said.

He said the One Health approach, which recognises the links between human, animal, plant and environmental health, was essential because drug-resistant pathogens could move across sectors and borders.

According to him, parliamentarians have a critical role in ensuring that national AMR commitments are supported by legislation, financing and accountability.

“The media also plays an indispensable role. Journalists help bring AMR out of scientific circles and into public debate,” he said.

“They raise awareness, combat misinformation, and ensure that AMR remains visible to decision-makers and the public alike.”

He said WHO Member States approved an updated Global Action Plan on AMR at the World Health Assembly in May, providing a framework for combating AMR over the next 10 years through a One Health approach.

Mr Nyemazi said the updated plan placed stronger emphasis on prevention, governance, behavioural change and measurable targets, and that the four Quadripartite organisations developed it jointly.

He said the organisations comprised the Food and Agriculture Organisation (FAO), United Nations Environment Programme (UNEP), WHO and World Organisation for Animal Health (WOAH).

“What is new about the updated Global Action Plan on AMR for the next 10 years is that it is truly multi-sectoral – a genuine One Health plan.

“The previous plan was heavily focused on human health; this time the four Quadripartite organisations worked together and engaged all sectors,” he said.

Mr Nyemazi said a 10 per cent reduction in AMR was achievable through infection prevention and control, vaccination and improved access to quality antimicrobials, with better coordination, education and surveillance capable of delivering further gains.

He also called for investment in new antibiotics, antifungals, phage therapy and other technologies, while stressing the need to preserve existing medicines.

He said there was also a major access problem, with many regions unable to obtain even existing antibiotics.

A member of the European Parliament, Martin Häusling, said excessive antibiotic use in food-producing animals was contributing to the problem, particularly through mass treatment.

“When it comes to food-producing animals, we still use far too many last-resort antibiotics, and we must get away from that,” Mr Häusling said.

He said AMR was a global issue that could affect anyone, adding that it could destroy families and livelihoods.

To tackle it, the parliamentarian said it was important to create public awareness so that parliaments could address the issue properly, adding that the issue was still not taken as seriously as a future challenge should be.

Rob Purdie, an AMR survivor and member of the WHO Task Force of AMR Survivors, said his experience demonstrated the consequences of delayed diagnosis and treatment.

Mr Purdie said an infection that began with a headache eventually progressed to fungal meningitis after he received antibiotics for a condition that had not been properly diagnosed.

READ ALSO: Four Super Eagles stars who could decide Nigeria’s AFCON Qualifier against Guinea-Bissau

He said he eventually spent about $250,000 on hospital costs and had been unable to work for about five years.

“My ability to earn a living was eliminated for about five years in a single-income household where I provided for my wife and two children,” he said.

Mr Purdie said his experience underscored the need to keep AMR visible in public discussions.

“That is why it is so important for those of us who have survived and can speak, to remove the word ‘silent’ from the ‘silent pandemic’,” he said.

(NAN)


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Health

FCT approves completion of abandoned Utako General Hospital, upgrade of 14 hospitals

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The Federal Capital Territory Administration (FCTA) has approved the resumption of work on the long-abandoned Utako General Hospital and the renovation and upgrading of 14 other general hospitals across the territory.

The FCT Mandate Secretary for Health and Environmental Services, Adedolapo Fasawe, disclosed this to journalists after the 19th FCT Executive Council meeting on Tuesday, presided over by the FCT Minister, Nyesom Wike.

The intervention, she said, would involve the construction and equipping of the Utako hospital, as well as the provision of medical equipment and improvements to existing facilities across the territory.

Reviving Utako hospital

Ms Fasawe said Mr Wike had directed the immediate commencement of work at the Utako General Hospital, which has remained abandoned for years.

She said the intervention would go beyond the construction of the facility to include its equipping and staffing, with the aim of ensuring that the hospital is able to provide healthcare services when completed.

For the 14 existing general hospitals, she said the administration would procure new medical equipment, including X-ray machines and diagnostic materials, while hospital theatres would also be upgraded.

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The interventions, according to her, are intended to improve access to reliable and affordable healthcare for residents of the territory.

Ms Fasawe added that the administration had also continued to meet its financial obligations to health insurance providers and health maintenance organisations (HMOs) through the regular payment of premiums and capitation.

Other council decisions

Beyond the health sector, the FCT Executive Council approved several other projects and interventions at the meeting.

The Chief of Staff to the FCT Minister, Chidi Amadi, said the council considered 20 memoranda presented by various secretariats, departments and agencies.

According to him, the submissions were aimed at advancing infrastructure development and improving public services across the capital.

One of the approvals was the digitalisation of the FCT High Court, covering about 67 courtrooms across its judicial divisions.

The council also approved two contracts for the supply of examination materials to primary, junior secondary and senior secondary school students across the FCT.

The Mandate Secretary for Education, Danlami Hayyo, said the initiative formed part of the administration’s broader efforts to improve public education through facility renovations, better classrooms and continued instructional support.

Mr Hayyo said the improvements had encouraged some parents to transfer their children from private schools to public schools.

The Satellite Towns Development Department (STDD) also secured approval for a N5.703 billion contract for the construction of a 33KV power supply line from Dawaki to Tukulo and surrounding villages in Bwari Area Council.

The STDD Coordinator, Abdulkadir Zulkiflu, said CGC Nigeria Limited was awarded the contract and that the project would be completed within eight months.

The council also ratified two road projects in the satellite towns that had already been completed and commissioned.


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