By Sani Garba Mohammed
Environmental Health remains at the periphery of sustainable development, because it is inadequately defined, rarely quantified, and institutionally fragmented. Failing to address environmental health amplifies the burden of diseases, which impinges on Sub-Saharan Africa's overall economic performance and wellbeing of the population especially the poor.
---James A Listorti et al
Environmental Health remains at the periphery of sustainable development, because it is inadequately defined, rarely quantified, and institutionally fragmented. Failing to address environmental health amplifies the burden of diseases, which impinges on Sub-Saharan Africa's overall economic performance and wellbeing of the population especially the poor.
---James A Listorti et al
The dearth of Environmental health
practitioners better known as Environmental Health Officers [EHO] in Nigeria is
a great set back to the healthcare delivery which is making not only primary
health care services off target, but equally other health services.
This is because "to a
greater extent" said Aniefiok Moses, Journal
of Environmental Health June 2006, "the development of environmental
health in Nigeria has been retarded due to the dominant influence of the
medical profession, which assumed superiority and erroneously annexed
everything health into medical practice.....”
This strange marriage existed for so long that
it was near impossible to established or convince anyone that Environmental
health was a profession. Whereas, World Health Organization has recognized
Environmental Health as a profession, it was totally impossible to say so among
policy makers in the health sector in Nigeria, more so, even in Britain, where
the development of Environmental Health started in 1877, it was not recognized
and regarded as profession until 1956. Here in Nigeria it is in 2002 that
environmental health was recognized as a profession by act no 11 of 2002.
In a country which has taken
enthusiastically to the curative idea of modern medicine, it is difficult to
genuinely emphasize the environment as the critical factor in health.
“Can the sanitary landfill or sewers be
really as important as specialist hospital? Safety of food in the restaurant
for instance, does not appear to get the same attention as the case of a food
poisoning admitted to the intensive care unit of the hospital.
Nigeria is caught in a style of thinking
largely in favour of generating more support for curative institutions and
professionals for the fight against diseases in hospitals rather than prevent
them in the environment. But we all know that, the environment exerts more
profound effects on all stages of life than do the curative services which are
not always promising.
“We all know that” said Dan Rikichi Kajang “in the nineteenth century the major
influences on personal health came when sewers and clean water supplies were
established. In particular cholera and typhoid were prevented by sanitary
measures, but public opinion and medical opinion were initially hostile to the
environmental strategies. Yet these environmental engineering efforts did more
for the cholera and typhoid than all the medical practitioners put together”.
The environment is diametrically attached
to human health, illness and mortality. Some estimates put that 40% of world
deaths are related to environment. Exposure to potentially hazardous agents
such as microbes, toxic chemicals and metals, pesticides, and ionizing radiation,
account for many form of environmentally related morbidity and mortality.
But
now that the profession is coming of age under the amiable and indefatigable
Registar-Augustine Ebesike, and doing everything possible to place it in its
appropriate domain in the scheme of national health issues, those feel
threatened are fighting back and making sure all available channels are blocked
so that the profession stagnate.
These saboteurs and co have been the one
rendering the profession irrelevant in health interventions by hijacking most
of its area of scope under them, by using all covert and overt means to
frustrate its effort of retrieving its lost place in the scheme of health
service in the nation.
At primary health care, which is the base
of Nigeria health system, where 70% of environmental health services are, it
has been downplayed in favour of curative health services. Also from federal
ministry of health, National Primary Health Care Development Agency to the
state own, environmental health services are given only superficial role,
notwithstanding its central role in the delivery of all the other health
services.
Because of their stance against proper
environmental health practice, Nigeria could not tame its environment so as to
reduce disease burden and make the environment safe for sustainable development
and for future generation. Also, it is glaring that Nigeria could not likely
achieve the Millennium Development Goals in key health areas-[under five
mortality, maternal mortality and malaria prevalence] and environment [clean
drinking water and sanitation].
It is an open secret that over 70% of
Nigeria’s health problems are environmentally related, sadly, in spite of this
glaring evidence and conviction that prevention is better than cure, they make
sure greater emphasis is still being placed on curative health services, while
simple and effective strategies like personal hygiene, food hygiene, and
environmental sanitation are relegated to the background.
Those against or feel threaten of full
environmental health practice feel that they may be render irrelevant, or the
offices they are holding sway may be taken over, or the money they are making
could be stop, are doing these for their selfish and pecuniary interest not for
the development and progress of the nation health sector.
Globally, environmental health control is
accepted as a major health component whether in public health or primary health
care. If it is properly organized and implemented, it will improves longer
survival, less disability, more efficient personal and social performance, and
socio economic development. Why should Nigeria pay lip service to it in favour
of costly and unpromising venture?
There is no valid reason[s] to be afraid of
environmental health practice, for, the time has come for it recognition as
inroad to public health intervention in Nigeria.
Environmental health practice is not a one
man work; it is a multi-professional which includes the like of agriculturist,
biochemists, disaster preparedness specialist, environmental biologist,
toxicologist, environmental health officer, fire safety officers, geographers,
hydro geologist, occupational health nurse, occupational health physician,
sanitary engineer, etc. Therefore, environmental health must be planted on our
national consciousness, discussed at major fora and placed on the national
agenda, this is the only way public
health and safety can be guaranteed in this and the next generation.
No comments:
Post a Comment