From Fred Ezeh, Abuja
Nigeria, on Monday, July 22, joined the rest of the world to mark the 2024 World Brain Day, providing the opportunity for global awareness and advocacy on the need for improved mental health care vis-a-vis the brain health.
It was also a day to promote awareness and education for neurological disorders that had affected several individuals worldwide especially in developing countries with poor medical infrastructures and other basic human services.
In Nigeria, experts, notably, neurologists and cardiologists, have repeatedly raised the alarm over the increasing cases of brain and spine injuries, thus pushing the blame to ignorance, several myths and misconceptions, that had encouraged poor health-seeking behaviour of Nigerians.
At an event organised by Brain and Spine Foundation Africa (BSFA), in Abuja, to mark the 2024 World Brain Day, the experts frowned at the careless attitude of some Nigerians that have result in some avoidable domestic and outdoor accidents that had affected the health of the brain, and in some cases, the spine so many Nigerians.
The experts also made reference to some hereditary and genetic windows that could also cause some of the injuries. Sadly, they said that many of the cases ought to have been prevented, but for the poor response from the expected first responders (in accident cases) like the Police, Federal Road Safety Corp (FRSC), health workers and several others as the case may be.
They made reference to several studies that indicated that neurological disorders such as stroke ((90 per cent), dementia (40 per cent), and epilepsies (40 per cent) and few others, significantly contributed to disability-adjusted lifestyles.
Some push factors
The health experts said that many lives and destinies are being cut short untimely in Nigeria because of poor care and support to people who might had passed through brain and spine injuries, which in some cases result in permanent disability.
Founder, BSFA, Chika Okwuolisa, said: “Investment in brain health is an investment in the future of our society. Prevention is not just a strategy; it’s the foundation for a healthier, more resilient world. Every effort we make to understand and prevent neurological diseases brings us one step closer to a world where every individual can live a life of mental clarity and vitality.
“It’s time for African leaders to rise and champion-brain health. It’s time to highlight the vital importance of brain health to the general well being of the society, and the proactive measures needed to prevent brain disorders.
“Our brains are at the core of who we are, our thoughts, memories, emotions, and actions, all originate there. Therefore, protecting and nurturing brain health is not just a medical priority but a fundamental aspect of our overall well-being.
“Our brains are extraordinary organs that control every aspect of our lives. Yet, neurological conditions such as strokes, brain tumors, and mental health disorders are becoming increasingly prevalent in Nigeria.
“These conditions can profoundly impact individuals, families, and communities, making brain health an urgent public health issue. We must aspire to reach the global standard by matching the strides of developed countries in awareness, research, prevention, treatment, rehabilitation, and support for those affected with neurological condition.”
Expert’s submissions
Chairman, Nigeria Medical Association (NMA), FCT Chapter, Dr. Charles Ugwuanyi, re-echoed the fact that the brain is not only a sensitive part of the body, but also the central processing part of the body, hence it requires proper and adequate attention at all time. Represented by Dr. Etukumawa Iboro, he said that most of the cases of brain and spine injuries are caused by the reckless activities of some individuals, beginning with commercial motorcycles operators otherwise known as “Okada,” stressing the need for enforced use of protective helmet by both the riders and passengers.
Consultant Cardiologist, Defence Medical Centre, Abuja, Dr. Anthony Life Ajemba, confirmed that the heart is the engine room of the body; hence it works closely with the brain for human being to function optimally.
He, however, highlighted some misleading myths and misconceptions around some protective measures that were introduced by the authorities to protect the people against brain issues, appealing to the government, perhaps, through the National Orientation Agency (NOA) to intensify advocacy and enlightenment to neutralize the misconceptions.
He admitted that, though, several issues might be triggering the rising cases of brain disorder in Nigeria, which might include economic issues, but appealed to Nigerians to take their health care seriously to avoid curative measures, which, in most cases, are more costly.
Vulnerable people
Neuro Rehabilitation Specialist, Dr. Chibuike Mbamalu, said: “While there are no definitive cure for many neurological disorders, understanding and addressing risk factors can significantly alleviate the burden. Undoubtedly, cases of brain injury are coming closer to the people than expected with children also coming down with various disorders.
“Malaria, obesity and several other common ailments are increasingly pre-disposing the people to brain disorders especially among the children. For adults, having some kind of job that causes much stress, physical and mentally, puts one at high risk of brain disorder if adequate balance is not maintained.
“Nevertheless, it’s important for someone to consciously engage in a healthy lifestyle that exercise the brain. At least, 30 minutes of exercise everyday is very helpful. People are also encouraged to engage in games or puzzles that would put the brain to work. Otherwise could increase the chances of getting down with brain issues. Smoking and excessive alcohol consumption is dangerous, and risk factors for some of the brain disorders especially stroke.
First responders
BSFA CEO said: “At Brain and Spine Foundation Africa, we are dedicated to advancing research, raising awareness, and providing support for individuals and families affected by neurological conditions. We believe that through collective efforts, we can create a world where brain health is prioritized, and preventable brain disorders become a thing of the past.
“We acknowledged the inter-connectedness of our roads, our behaviours, and the precious lives we strive to protect. We must know that brain and spinal cord injuries are not mere statistics. They are profound disruptions to lives, families, and communities.
“Behind each incident of brain and spinal injury is a narrative of pain, resilience, and the indomitable human spirit. It’s this narrative that pushes us to find innovative solution, foster awareness, and fortify our emergency response mechanisms,” she said.
Fixing the challenge
The experts said that aside deliberate effort to improve awareness and advocacy; there is urgent need for government to increase investment in the health care system, particularly the neurological services
They stressed the need for the establishment of a well-equipped neurological care centres (with functional MRI and CT Scan machines) across the country, in addition to increased health manpower to provide quick and urgent medical attention to brain injury patients.
“There should be significant improvement in National Emergency Medical Service and Ambulance System (NEMSAS) which was designed to address some identified weaknesses in Nigeria’s health system that hitherto had no provision for physical and financial access to first aid and healthcare in case of life-threatening emergencies of any type.
“Every second counts when it comes to brain and spine injuries. Any delay could remember the patient ‘useless’ for the rest of his or her life. There are several people who are on ‘vegetative mode’ now, and perhaps, for the rest of their lives across the country because of little or prolonged delay in attending to their brain issues.”
They advocated a healthy lifestyle choice that comprises regular exercise; balanced diet rich in nutrients, adequate sleep, and staying mentally active, can significantly reduce the risk of brain disorders.
“Simple changes in our daily routines can also make a big difference. Mental health is as crucial as physical health. Stress management, seeking support when needed, and promoting mental well-being are essential for maintaining a healthy brain.”
They stressed the importance of early detection and intervention that can be done via regular check-ups, and being vigilant about changes in cognitive or neurological function can lead to early detection and better outcomes.
“Awareness and education about the signs and symptoms of brain disorders are critical, while communities are encouraged to support those affected by neurological conditions. Through advocacy, we can drive policy changes and increase funding for research and healthcare services,” they said.
Looking ahead
BSFA advocated a strong synergy and collaboration for all organizations working on neurological initiatives to align with the World Health Organization’s (WHO) intersectoral Global Action Plan on Epilepsy and other Neurological Disorders (IGAP), by enrolling as a Member of African Neurological Support Network (ANSN) and be a part of a collective efforts to improve neurological health across Africa. “Together, we possess the power to make a difference, ensuring that no one is left behind.”