The NCDC disclosed this in its daily COVID-19 report on Sunday  morning.

The 89 cases reported on Saturday indicate a decrease from the 120 cases reported on October 29.

The agency said the number of confirmed cases had reached 211,887, with 203,080 discharged and 2,895 deaths in the 36 states and FCT.

The NCDC data showed that Bauchi topped the list of infections with 22 new cases, followed by Edo and the FCT with 17 cases respectively.

Other states with new infections are Lagos 15, Plateau 10, Kaduna 4, Taraba 2, Bayelsa and Delta 1 each.

NCDC said report from Taraba State for October 28 showed two confirmed cases and 46 discharged while on October 29, there were 28 confirmed and 18 discharged cases.

It said that the report from Bauchi State indicated 22 confirmed cases, one on October 29 and 21 on October 30, 10 discharged cases confirmed, five each on October 29 and October 30 respectively.

It said that only one discharged case was reported from Lagos State on October 29.

The NCDC stated that Sokoto reported zero case on Saturday.

The public health agency noted that a multi-sectoral national emergency operations centre (EOC), activated at Level 2, continued to coordinate the national response activities.

“There are currently 5,814 active coronavirus cases in the country while a total of 3,298,966 blood samples have been tested since the pandemic began across the country,” the agency said.

In week  42, the number of new confirmed cases decreased to 1,162 from 1,604 reported in week 41.

These were reported in 28 states and the FCT.

In week 42, the number of discharged cases increased to 5,236 from 1,869 in week 41.

These were also reported in 18 states and the FCT.

They include community discharges reported from Edo and Lagos states.

There were 45 deaths reported in the last one week.

Cumulatively since the outbreak began in Week 9, 2020, there have been 210,460 cases and 2,882 deaths reported with a case fatality rate (CFR) of 1.4 per cent.

In week 42, the number of in-bound international travellers tested was 2,894 of which 25 were positive compared to 34 (out of 3,673 tested) in week 41.

In the same week, the number of out-bound international travellers tested was 4,541 of which 65 were positive compared to 77 (out of 5,923 tested) in week 41.

Source: NAN

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According to it, this is worrisome as the economic burden becomes quite significant knowing most of the health expenditure in the country is from out of pocket expenses.

The National Desk Officer, Diabetes, FMoH, Dr. Alayo Sopekan, made the disclosure at the Annual  International Diabetes, Podiatry and Diabetes Foot Care Workshop organised by the Rainbow Specialist Medical Centre in collaboration with World Walk Foundation , Jamaica Chapter on Wednesday.

The five-days workshop which started on Monday has its theme as: “Building the Diabetes Foot First Responders.’’

The lower extremity refers to the part of the body from the hip to the toes; it includes the hip, knee, and ankle joints, and the bones of the thigh, leg, and foot.

However, many  people refer to the lower extremity as the leg.

Sopekan, represented by Olanike Akinkoye, Non-Communicable Diseases (NCDs) Division, Diabetes Desk, FMoH, said: “Diabetes is a common clinical condition in Nigeria, being managed at the primary, secondary and tertiary health centers in both private and public sectors.

“It is the commonest endocrine disorder encountered in clinical practice.

“It is estimated that the rate of foot ulcer among people living with diabetes is between 8.3 and 19 per cent in the different zones of the country.

“The rate of amputation was also estimated to be as high as 53.2 per cent in people with foot ulcer in some centres, thereby making diabetes foot the most common cause of non-traumatic amputation in the lower extremities in Nigeria.’’

According to Sopekan, a large majority of people living with the disease in Nigeria have little or no knowledge of diabetes and its complications and its prevalence is expected to increase.

“With globalisation and demographic transition, the disease has become prevalent in all parts of the world and affects all segments of the population, rich and poor alike.

“The current global burden of diabetes disease (DM) is estimated to be 366 million.

“A projection for the year 2030 is put at 500 million people and 80 per cent of this increase is expected to occur in the developing countries, including Nigeria if nothing urgent is done.

“The resultant effect will be several complications of diabetes, more especially diabetes foot complications which may result in one form of amputation or the other.’’

On the risk for diabetes, particularly Type 2, he said it is heightened by overweight/obesity and the proliferation of industries producing unhealthy diets, including high sugar drinks.

Sopekan assured that the Federal Government was very much committed to providing leadership for the prevention and control of diabetes and other non-communicable diseases through the FMoH.

This, according to him, is by strategically eliminating the risk factors, improving the management of these diseases as well as preventing their complications.

He commended the Rainbow Specialist Medical Centre and the World Walk Foundation, Jamaica Chapter, for the efforts to arrest the dangerous trend of diabetes and its complications in Nigeria.

Dr Afokoghene Isiavwe, the Medical Director of Rainbow Specialist Medical Centre and Coordinator of the Diabetes Podiatry Initiative Nigeria, said the workshop was relevant.

According to her, having a strong diabetes foot care protocol at the primary care level would save more diabetes limbs and lives by ensuring primary healthcare workers are able to recognise the high risk diabetes foot.

It will also ensure that healthcare workers know how to promptly recognise, diagnose and treat diabetes and diabetes foot, to reduce delays in getting appropriate foot care services, prevent misdiagnosis and mismanagement.

“A first responder is a person with specialised training who is among the first to arrive and provide assistance at the scene of emergency, and diabetes has become a global emergency with its associated complications

“Foot diabetes is a major complication of diabetes and with podiatry training, it has been shown that when present in countries, reduces diabetes amputations,’’ she said.

She said the collaboration with the World Walk Foundation, Jamaica Chapter, headed by Owen Seivwright Bernard brings training and certification in basic and advanced diabetes foot care.

According to her, some of the achievements so far recorded include training of over 1,000 local healthcare workers and institutionalising a certification programme on diabetes foot care at the centre.

Also, raising awareness on Podiatry in Nigeria and creating a platform for Nigerian podiatrists in the Diaspora to reach out to Nigeria as well as producing a diabetes foot documentary.

Speaking with the News Agency of Nigeria (NAN), Owen Bernard, the Director of World Walk Foundation, Jamaica Chapter, said diabetes affected the feet through the circulation of blood.

“With diabetes, circulation becomes difficult and when that happens, it affects the nerve endings and can cause related conditions such as damaging blood vessels and cause plaque to build up.

“Also, one’s ability to feel and fight infection can become reduced.

“We need to prevent amputation, no matter what stage it is. We need to focus on the simple things that lead to amputations. We need to go to the primary care level and this starts with education.

“Let us improve foot health and ensure that we always check our feet, especially for those living with diabetes,’’ Bernard, who is a Chiropodist and Podiatrist advised.

Source: NAN

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