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Wednesday, August 17, 2011

Enhancing Environmental Health Services In Nigeria

 Wilfred Sawa o
 08/13/2011

Amidst contentions about its mandate by some recalcitrant practitioners, Environmental Health Officers and Registration Council of Nigeria, EHRECON, is now poised to effectively discharge its regulatory functions, writes HARRISON EDEH.

For the Environmental Health Officers and Registration Council of Nigeria, EHRECON, there is no better time than now. Amidst recent controversies over its oversight functions with some stakeholders in the business, a land mark judgment has been delivered in their favour thus empowering them the full legal powers to regulate the activities of health workers in the country.
The body is statutorily charged with the mandate of regulating the activities of the profession. The council, as a parastatal under the federal ministry of environment was established by the Act 11 of 2002 to register environmental health officers and regulate the practice of the profession. It is not only empowered to register the practitioners, but to also practise same.
In 2007, the council started the regulation of the practices in the area of cleaning services, pest control, waste collection services, among others. The components of the environmental health include sanitation, which is very broad; it encompasses housing, environment, food and some other aspects.
Though it is not the council’s responsibility to carry out these services, those that are registered by the council are duly authorised to carry out these activities. Today, government is trying to bring in some private sector in the provision of services in the area of sanitation.
Finding has, however, shown that in several cases, people who are not authorised by the council carry out these functions in the areas that are of health significance. An unofficial statement from ENHORECON stated that, “in the hospitals where you have to deal with pathogenic organisms, when you bring people who are not trained to clean the hospitals, you discover that they carry out the jobs with minimum health precautions, and that is because they are not professionals”.
The mandate of ENHORECON cuts across the various aspects of sanitation. It involves personal hygiene, housing, environment, food and others. The World Health Organisation, WHO, has already said that 70 percent preventable diseases that are rampant in the world today could be avoided if greater emphasis was given to sanitation. The world body has thus taken the lead in the campaign for a more friendly and healthy environment.
Environmental health has been defined recently as comprising those aspects of human health, including quality of life, which is determined by physical, biological, chemical, social and psychological factors in the environment.
It also refers to the theory and the practice of assessing, correcting, controlling, and preventing these factors that can potentially and adversely affect the health of present and future generations. Environmental health programmes are organised community efforts to monitor and modify man-environment relationships for a better health.
Environmental health organisation essentially helps in the prevention, detection and control of environmental hazards which affect human health. The United Nations, through WHO, has equally specified that the control and maintenance of environmental health can be achieved through functions such as proper waste management, food control and hygiene, pest and vector control, environmental health control of sanitation, epidemiological investigation and control.
Others are air quality management, occupational health and safety, water resources management and sanitation, noise control, protection of recreational environment, control of frontiers , air and sea ports , and border crossing, pollution control and abatement, educational activities, as well as environmental health impact assessment.
Considering these factors, experts have advised that matters that are associated with ENHORECON ought to be handled professionally, like it is obtainable in the fields of engineering and medicine. Trained personnel ought to register with the legally institutionalised agency, ENHORECON, the body legally charged with the responsibility of regulating health practices in the country.
Unarguably, EHORECON can not be at every nook and cranny of the country. That is why it needs the official registration of all those that would work collaboratively with it in order to ensure a professional handling of its activities by those who are duly authorised to work on its behalf.
Recently, the council, in its continuous effort to maintain professionalism and standard, asked people who were involved in illegal practice to come and register with them in order to enhance compliance to the rule of law. But a group known as the Cleaners Association of Nigeria bluntly refused, assuming that the council had no powers to regulate them because according to them, they had already registered with the Corporate Affairs Commission, CAC.
After repeated warnings that they were practising in a regulated profession necessitating the need for their compliance, they rebuffed and headed for the court. That case lasted for almost four years, but eventually, the justice of the high court, Justice Bilikisu Bello Aliyu, delivered judgment in favour of EHORECON.
By implication, all corporate companies who are engaging in cleaning services but are yet duly registered with the council are advised to do so.
In Nigeria, the development of environmental health has a history. As far back as the 18th century, the colonial government took the issue of preventive health services seriously because of the need to prevent the breeding of mosquitoes, which was a major killer of colonial officials. They introduced the then sanitary inspectors to the colony of Lagos.
The position of the sanitary officer was a very top position in the then colonial government. That was why a senior Municipal Sanitary Officer was statutorily made a member of the legislative council in 1913 before the amalgamation of both the Southern and Northern Protectorates.
Following the establishment of council, efforts have been made to raise the standard of environmental health practice in the country. This is because environmental health has continued to play a major role in disease prevention, control and sustenance of environmental integrity worldwide.

According to experts, over 70 percent diseases that cause the highest morbidity and mortality rate in the country is environment related. This makes the control of environmental health practice crucial as it will assist government’s efforts to alleviate poverty, a programme that is central to the Millennium Development Goal, MDG.
In line with this development, Chief Mrs. Helen Esuene, the former minister of environment, housing and urban development, remarked that “the realisation that many practitioners of environmental health do not even know that their practices constitute environmental health practice has compounded the task of regulating their practice”.
Stressing further on the issue, the registrar of EHORECON, Mr. Augustine Ebisike, had disclosed that the landmark judgment in favour of the council would give them the full capacity to swing into the action of regulating the practice of the profession.
He also commended Lagos, Kaduna and Ondo states for engaging environmental health officers in conformity with the mandate of the body. He also remarked that EHORECON would not relent in its efforts towards ensuring that those who are averse to complying with its rules will be appropriately punished in accordance with the law.

Tuesday, July 26, 2011

TRAINING AND FUNCTIONS OF ENVIRONMENTAL HEALTH PRARCTITIONERS [EHP]/ENVIRONMENTAL HEALTH OFFICERS [EHO]

Considering the dearth of manpower in environmental health in Nigeria, the Environmental Health Officers Registration council of Nigeria [EHORECON], in collaboration with UNICEF, Federal Ministry of Environment develops a curriculum for the training of Environmental health practitioners at B.Sc/B.Tech levels in Nigerian universities.
Right now in Nigeria, it is only Federal University of Technology Owerri; [FUTO] is running the programme, with plan by University of Ilorin to start soon.
What you will read below, is the rationale behind training of environmental health officers at degree level, which I copiously copy from the 24th public lecture handbook of Federal university of technology, Owerri, titled ‘Environmental health and Sanitation as a panacea to disease control and prevention’, by Prof Agwu Nkwa Amadi.
It will serve; I am sure a source of information to aspiring fellow environmental health officers that wants further their education to B.sc/B.tech and higher levels.


TRAINING AND FUNCTIONS OF ENVIRONMENTAL HEALTH PRARCTITIONERS [EHP]/ENVIRONMENTAL HEALTH OFFICERS [EHO]

The training of an EHO/EHP is rigorous, like medicine and surgery, pharmacy, medical laboratory sciences, etc. The overall objective of the B.Sc/B.Tech [environmental health] degree programme is to contribute towards the improvement of health of the Nigerian population and its quality of life. It is, therefore, expected that at the end of the course, an environmental health graduate should have acquired knowledge, skills and attitudes to achieve the following specific objectives [averagely, the training of an EHO takes average of seven years comprising five years of training in university one year of internship and one year of youth services]:
General Objectives
Upon satisfactory completion of the programme in environmental health, graduates will be able to…
I. characterize major sources of chemical or microbial contamination of environmental media, viz, water, air, soil and food;
II. identify current regulatory programmes and legislative authorities directed at prevention and control of contamination of environmental media including water, air, soil and food;
III. describe major processes in human and natural environments that affect transport, dispersion, transformation, and accumulation of hazardous agents and identify characteristics of the agent, the environment and the conditions of release that influence the environment and distinguish key factors in a given scenario;
IV. characterize mechanism and processes by which toxic or infectious hazards reach target populations and predict the most significant exposure pathways in a given scenario;
V. describe and apply means by which exposures of target populations to toxic or infectious hazard can be measured and]or modeled; indicate how these approaches would depend upon the properties of specific contaminants; and identify sources and magnitudes of uncertainties associated with these characterization;
VI. describe and apply means of preventing or controlling adverse effects of contamination of environmental media [water, air, soil and food] on public health that are available to local, state and federal regulatory agencies or the private sector; and
VII. Communicate effectively with the public and professionals regarding potential public health impacts, mitigation strategies and associated uncertainties related to chemicals, or microbial contamination of environmental media [water, air, soil and food].

Cognitive Objectives
I To describe and apply the scientific principles involved in the identification, analysis and in providing solution to environmental health problems.
II To identify the communication and group dynamic processes necessary to effect changes.
III To describe the investigative or monitoring processes necessary to identify the environmental health problems in a community.
IV To describe in detail the steps in planning and implementing an appropriate environmental health programme aimed at solving these problems.
V To describe the basic knowledge of physical, sociological and biological theories, concepts and principle principles and application of these in the practice of environmental health.
VI To describe in detail the list of the commonest communicable diseases in the country, their mode of transmission and indicate methods of controlling the biological and physical environment so as to prevent them.
VII To list the public and Environmental Health laws of the country and explains their rational application so as to encourage citizen to voluntary compliance.

Psychomotor Objectives
I To perform accurately, standard laboratory tests employed in the monitoring of the physical environment, water supply, sewage disposal and food sanitation and hygiene.
II To design a satisfactory graphic representation of the water treatment plant of a rural community; an urban community.
III To design a satisfactory graphic representation of the sewage disposal and treatment plant of an urban community.
IV To initiate and undertake actions capable of preventing diseases and prolong lives.
V To identify an ill person within the community and make appropriate referral after initial first aid management.
VI To assume leadership role during times of emergency within the community
VII To manage resources adequately and perform required administrative functions.
VII To be able to recognizes an epidemic and design management strategy for its control.
Affective Objectives
1 To demonstrate an attitude that places premium on team work, accepting and performing leadership and followership role with equal effectiveness.
2 To demonstrate an attitude of pride in the contribution of his profession to the health of the nation and hence continually seek self-education and improved effectiveness.
3 To demonstrate an attitude of scientific enquiry in relation to every aspect of his professional activity, never taking anything for granted nor prematurely jumping to conclusions.

Employment Opportuinities
A carreer in Environmental health is both rewarding and challenging. Thus graduates of the discipline will be very suitably equipped to take on gainful employment in the following areas.
i Public health related agencies and environmental sanitation parastasals.
ii pollution monitoring and controls outfits.
iii Disease surveillance units/establishments
iv Research institutions
v Public health department of state and federal ministries of health, public utilities, etc.
vi Agencies concerned with food inspection, standards, disease control vis-à-vis immunization programmes, etc.
vii Private establishments and independently operated laboratories/ and referrals units for the analysis of environmental samples such polluted water, food [cooked], confectionaries/ bakeries, etc.
viii Establish private outfits in different areas of environmental health management..
The roles and functions of graduates of environmental health
Graduate employment opportunities will be varied and would include, among others, employment
by international organizations, government agencies as well as non-governmental organizations. Graduate of the B.Sc/B.Tech Environmental Health programme will be adequately prepared to perform the following roles and functions:
i Monitoring and management of environmental safety and protection at higher level of practice.
ii Initiation, implementation and evaluation of environmental health services.
iii Involvement in designing and inspecting of all types of premises and situations for environmental, occupational and sanitation requirement and compliance.
iv provision of technical advice in the enactment and enforcement of laws, regulations and by-laws relevant to public and environmental health.
v Conducting research activities on communities and the environmental health problems and suggesting solutions to the problems.
vi Participating in the surveillance and control of communicable diseases at local, state, national and international levels.
vii participation in the formation and development of health policies for the management and improvement of public health and its sustainability.
ix Facilitation of change towards positive health and its sustainability.
x production of ICT in the relevant areas of public health.
xi planning teaching and training programmes for environmental health personnel, and other related health workers and community members
xii Using appropriate intervention measures to educate the community on issues that relate to environmental and public health.
xiii Engagement in continuing education and research in public health.

Saturday, July 16, 2011

IFEH 12th World Congress on Environmental health

Dear Colleagues,

The Organizers of the 12th World Congress on Environmental Health have a great honour and pleasure of inviting you to take part in this Congress to be held on 21st-27th of May, 2012, in Vilnius, Lithuania.


The Congress will focus on the most relevant issues that reflect the main theme of the Congress – “New Technologies, Healthy Human Being and Environment” including traditional topics and aspects of environmental health, such as health impact and health risk assessment, noise and electromagnetic fields impact, food safety and public education. The Congress will touch as well new challenges to public health - such as information technologies, gene engineering, new epidemics, climate change and other.
Vilnius, the historical capital of Lithuania, dating back to the 14th century, has the most beautiful and the largest old town, awarded with the status of World Cultural Heritage by UNESCO, with Vilnius University being the oldest one in Eastern Europe. It is rapidly expanding as a modern European capital, so you can experience the harmony of the old and the new Vilnius. For the participants of the Congress this will provide beautiful atmosphere and the mood for work and friendship.

We are looking forward to seeing you in Vilnius!

With warm regards,
Viktorija Montviliene
Chairperson
Lithuanian Union of Hygienists and Epidemiologists

ORGANISERS:

International Federation of Environmental Health (IFEH)
Lithuanian Union of Hygienists and Epidemiologists (LUHE)

LOCAL ORGANISING COMMITTEE:

Viktorija Montviliene, Chair
Audrius Sceponavicius, Ministry of Health
Andrius Kavaliunas, Ministry of Health
Rimantas Stukas, Vilnius University
Romualdas Sabaliauskas, Centre for Health Promotion and Disease Prevention
Ingrida Zurlyte, Centre for Health Promotion and Disease Prevention
Albinas Mastauskas, Radiation Protection Centre
Marius Urbonas, State Public Health Service
Vytautas Vaitkus, Ministry of the Interior
Ausra Isariene, State Food and Veterinary Service
Asta Razmiene, Vilnius Public Health Centre
Robertas Petraitis, Vilnius University
Vidmantas Januskevicius, Kaunas University of Medicine
Asta Slepetiene, Klaipeda Public Health Centre
Janina Tamosiuniene, Siauliai Public Health Centre
Viktoras Grincevicius, Panevezys Public Health Centre


MAIN TOPICS

New Technologies and Health:
• Biotechnology
• Nanotechnology
• Laser (optical radiation) Technologies
• Information technologies (IT)
• Gene Engineering

Food Safety, Nutrition and Physical Activity:
• Genetically Modified Food
• Sports and Nutrition
• Overweight and Obesity
• Technologies for Water Pollution Reduction
• Quality of Drinking Water
• Food-borne Communicable Diseases

Environmental Health:
• Health Impact Assessment
• Occupational Health Risk Assessment
• Noise Impact
• Impact of Electromagnetic Fields
• Air Pollution

Public Education, Communication, E-information:
• Prevention of Harmful Habits
• Children Health Promotion
• Health Protection of Elderly People

The Threats in Public Health:
• Climate Change
• Flu Pandemic, New Epidemics (Avian Flu, SARS)
• Chemicals and Biological Substances
• Radiation Safety

PROGRAM AT A GLANCE
MONDAY (21 Monday 2012)
IFEH Council Meeting

TUESDAY (22 May 2012)
Registration
Exhibition Opening
Welcome Reception

WEDNESDAY (23 May 2012)
Registration
All day Sessions
Reception

THURSDAY (24 May 2012)
Registration
All day Sessions
Congress Party

FRIDAY (25 May 2012)
Registration
Technical Visits
Workshops

SATURDAY (26 May 2012)
Registration
All day Sessions
Gala Dinner

SUNDAY (27 May 2012)
Closing Sessiion

Tuesday, July 5, 2011

Polio eradication: From NID to IPD and the way forward

June 23, 2006

By Sani Garba Mohammed

The struggle to eradicate polio started in 1988 wit the aim to eradicate it out of the world. Since then, various steps were [and still being] taken, but still it is not yet eradicated.

Recently 2003-04 precisely, polio eradication programme or better known as National Immunization Days [NIDs] suffered a major setback of rejection based on cultural, religious and other factors, including a position my state governor took to stop it pending the outcome of the team he instituted to verify the claim of whether or not it is safe.

Many things happen then, which at last the programme to eradicate polio was continued. Since then polio vaccination is being conducted at not less than six times a year, yet the number of polio cases is increasing in Nigeria, and Kano precisely leads in having the highest number of cases.

Having seen the lapses of NIDs, a new name was created to replace the former, that is Immunization Plus Days. The difference is that the latter included not only polio vaccines, but also Diphtheria, Pertussis, Tetanus and Measles injectable vaccines plus 'pluses' like insecticide treated nets, soaps, paracetamol syrup etc that will be given to every mother that brings her child for vaccination. This serves as a booster and encouragement to parents and others to be prompt in making sure their children are protected against these deadly and dangerous diseases.

The change from NID to IPD really brings a positive change, for parents who were hitherto uncompromising and are rejecting the polio vaccines, now brings their children for it, due to the pluses being given. For instance, in my last two days at the last exercise at the ward I Serve, our vaccines finish soon because of the pluses being given.

To those who know me knows that, I am against polio vaccine [despite being a preventive health practitioner] because of the complaint of my people which are why polio only, and yet still it is not eradicated etc, which I even join hand with the like of Dr Aminu Magashi, Supreme council of Shariah in Nigeria etc to call on our governor to do some thing about the polio vaccines as people are scared, hence the institution of committee of expert to determine whether or not it is safe. After the committee's findings shows that it is safe, I decided to join hands with those who matter to fight the deadly disease.

My being in the programme at my LGA level proves to me that the number of polio cases is increasing daily despite the polio vaccine programme. As such, my little experience tells me that all the previous setback and rejection based on some factors not withstanding, health workers, health education unit and LGA authorities must also be blame. There are many health workers that engage in polio vaccination programme, yet they are preventing their children and those they are close to not allow their children be vaccinated with oral polio vaccine, they are still much around, as such their posture further re-embolden many not to accept it, based on the fact that even 'health worker[s] did not believe in it, why should I'?

The health education unit of majority of our local government authorities are moribund, no money for them, no working equipment, in fact no any logistical support to carry out their duty of educating the public to know the importance of immunization in relation to the health status of their children. The local authorities [in collaboration with some medical staffs] have hijacked and politicize the recruitment of polio administrators by engaging those they like [with inclusion of few health practitioners], some of which are even illiterate and ignoramus about vaccine safety, administration, who were given the job to do just to get the money. This does not mean I am against them to get something, but let them be recorder or ay other things necessary but not polio or any other vaccine administrator[s].

But now with the introduction of IPD, the situation is changing, as each team of vaccinators must have 1 supervisor, 2 vaccinators [all of which must be health practitioners], plus 2 recorders and crowd controllers who can be others.



The way forward



Since now the challenge to eradicate polio has shifted to the end of 2007, and the highest cases is in Nigeria, Kano to be specific, I am advising WHO, UNICEF, COMPASS etc to ensure that these pluses being given are maintain, in fact let some expensive goods be given to mothers so as to encourage them the more, for no large amount of money donated in health services is too much or a waste. If this kind of programme was initiated since, by now large numbers of areas could have been covered, though it is not late.

District ward head [precisely mai unguwa] should be included fully in this activities, because the work will not succeed without their co-operation, for they know their people better than anybody, as such funds and other logistical support should be given to them so as to get maximum result. Mai unguwa has more roles to play more than district head, he should be the man to be help more than district head. I emphasized on him because in most cases they are being sideline by their [some of them] district head, even if they got something from authorities to share with them.

The current exercise need not only a health worker, but competent one, excellent in inter personal communication, advocacy etc, hence COMPASS, must ensure all its consultants makes only a capable ones are recruited to be supervisors and vaccinators.

The local authorities should consider health as a wealth, gives all the necessary logistical support to the programme without sacrificing and compromising competency and standard to their political leaning/selfish interest. Their co-operation will help a lot to make sure we reach the target.

Lastly, all hand must be on deck to make sure polio is not only eradicated n Nigeria but Africa and the world at large.



Sani Garba Mohammed, PHC department, Karaye LGA, Kano state.

The tasks before EHORCN

April 26, 2006

By Sani Garba Mohammed

Environmental health [or sanitation as it is known then] is the oldest profession in Nigeria, yet it is only of recent that it is fully recognized by law to exist. The history and the state of environmental health in Nigeria is long, but I summarized it in my article which was published in Daily Trust, January 14, 2004 . And of recent The Journal Of Environmental Health, March 2005 said it all, page 42.

The profession has faced many difficulties from within its members and other rival health professionals plus relegating it to the background by policy makers and implementers. Many things happens in Awka, Anambra state 1998 which leaves much to be desired, which prompt the like of Kate Obukwelu, A.O Ebisike, Gladys Ihunda, Nwokocha Ogbona, Bunmi Falodun, Sammy oyeleke and Biodun Bamigboye to be the torchbearers of the profession. Abuja 1999 conference saw the emergence of Abiodun Bamigboye to lead the profession to its present status. Now that the Environmental Health Officers Registration Council of Nigeria [EHORCN] became reality, courtesy of their and others, and ready to take its position in the scheme of things in the Nigerian Health sector, I will like to offer some suggestion and advice on certain things, which are very important to the council. The things are many but my contribution is limited to few, which to some extent encompass the others. More so now [25-26 th April 2006] that the council is hosting it ever and first stakeholders meeting titled 'National stakeholders conference on Environmental Health practice in Nigeria' which include the entire professional and others, to review the practice of Environmental health in Nigeria and the future ahead; sensitize and solicit public participation in environmental health matters; to develop a structure for putting environmental health on the national agenda, to highlight the potentials of employment and revenue generation of a well coordinated environmental health services, induction of registered environmental health officers, etc.



Politics

The politics of the council should be serving and protecting its members wherever they are regardless of where they come from. This becomes necessary considering many things if not all in Nigeria are mixed with religion and tribalism. I want this council to look at all Environmental Health Officers in Nigeria [EHOs] as one with no bias, discrimination or difference. Though these things may have been taken care of, nevertheless it is very important to be strictly adhered to, for failure to in doing so may lead the council not meeting its objectives considering the ups and down that was experienced before the council became reality which was over twenty years.



Discipline

The issue of discipline is very important. Council must try to ensure all its members are discipline and obedient to the code of conduct governing it, whoever found wanting should be dealt with accordingly with neither fear nor favour. This became necessary considering the work of EHO encompass man's life and his health in relation to his environment. The issue of bribery and corruption should not be allowed to destroy the image of the members, for many members do collect bribery in the course of discharging their duty, so that offenders does not goes free. Therefore, this kind of problem[s] should be given proper attention.



License

License is the most important [which I know will be issued at the current conference], for there are many substandard and untrained people that are practicing environmental health without attending any course in the field and present themselves as EHOs which is all as a result of non license of members and regulation of the practice. Therefore, for instance while "a physician that perform illegal abortion" said Olu Soetan "may have his license withdrawn whereas, the trained or untrained or unqualified and practicing environmental health personnel that allow the sale of unwholesome food is not only allowed to go free, he continues to practice unhindered. In this Particular instance, the action of the physician affect only one or two lives, the action of unlicensed environmental health personnel may not only affect many more but may actually be the cause of death of many more". Based on this only the license issue became necessary and of immense importance.

Another problem in relation to this issue of license is, a situation where by anybody or group are establishing company to practice environmental health with neither license nor employing EHOs, which according to Olu Soetan "apart from reducing employment opportunities for trained personnel, such a situation is degrading as it gives the impression that environmental health control requires no special skill or knowledge that is peculiar to it. Consequently, the EHOs cannot be regarded as professionals", hence the need to do something is needed.

The registration of license should be fast, precisely to those who have HND, and yet to collect their original certificate from West Africa Health Examination Board, Lagos as it is causing us a lot of stress. This writer applies for the license since July-August 2005, yet up till this time do not know his position. There should be good rapport between the council and the board so that all these delays are minimized.





Education

Educational qualification need to be emphasized seriously. We are aware that EHO holds a minimum of diploma [ND or HND], I will like the council in conjunction with some universities to start a degree programme in different field of environmental health, which, according Prof. MKC Sridhar "would command more experience" because all EHO's are discriminated due to their HND qualification in certain areas. We need to be proud of our profession and have a higher qualification. Courses like public health, environmental/public health engineering, Preventive and social medicine, epidemiology and control of communicable diseases etc should be introduced. Even the course that Obafemi Awolowo University started of environmental health and epidemiology that was cancelled need to be reverse. We need to further our education in Environmental health related filds, but we lack them in the Nigerian universities.

Sincerely speaking we need more courses to be run in our universities, so that within short period of time we have large number of manpower which is at it lowest ebb now, more couple with the ever increasing attention our country need of environmental health services.

As at now, most of graduate of environmental health are not undergoing NYSC after their completion of studies, which is affecting us unfavourably with others. All the schools rendering courses in Environmental health should be autonomous and accredited by NBTE, so that all graduates have chance of partaking in NYSC scheme.



I want use this medium also to draw the attention of the council that courses like environmental health assistant[EHA], environmental health officer [retraining], environmental health officer technician [EVHT], and other courses which are producing supposedly EHOs should also be regulated. Regulating them became necessary, for failure to do that can gives room on how not to identify the real environmental health officer. There is too much duplication in the courses and all of them are calling themselves EHO. Or let there be a uniform system of awarding a diploma to all students who enroll for the course with the minimum qualification, which will be applicable to all institution running the course. All this assistants and other courses should be scrapped and be convert to EHO programme only to avoid producing substandard or poorly trained officers. This the greatest task ahead of the council. We need to be like medical/law profession , which do not allow you to practice without passing through Nigerian Medical and Dental Council/Nigeria Bar Association.

Nomenclature

We are aware that environmental health practitioners are called worldwide now as 'environmental health officers', but here in Nigeria are called different names, like sanitary inspectors, public health superintendents, public health officers etc. Many now preferred to be called public health officers or sanitarians, because they see it as more encompassing and respectable, while the use of word 'environmental', depict them as on- ly a professional that is after the cleanliness of the environment. Whatever it is, the council should provide the name each practitioners shall hold relative to his qualification, because most practitioners are calling themselves 'officers', though they are not. More so, there is also issue of technologist, public health superintendent which is causing difficulties in promotion in their place of work as to where does the later terminate his salary. There is the need to rectify all these anomalies for better recognition by all and sundry.

Also if the name 'officers' as is being used in 'Environmental Health Officers Registration Council of Nigeria' means only 'officers'? if so where does those who are technicians or assistant technicians fall, as such many are calling for the change of name to be 'Environmental health practitioners registration council of Nigeria'.

Face-off in Kano

I am aware that the council is aware of the face-off between environmental health practitioners working in the Kano state ministry of health with authority over the stance that they must all be transfer to the state ministry of environment where in the thinking of the state their work is more relevant. The council should take an active measure to see that move discarded. I wrote on this in the New Nigerian Weekly, Jan 7, 2006 page 7, Desert Herald Feb, 2006, Daily Triumph Feb 13, 2006 page 6 etc.





Other things

The council should fight over the expunging of environmental health practitioners from heading primary health care department at Local government level by National Primary Health Care Development Agency. The council must ensure full participation and employment of all its members in places that is their professional rights in all aspect of environmental health in different agencies, which as at now was hijacked by other profession. Places like airport, seaport, hospitals, environmental agencies and others The issues discussed by Professor MKC Sridhar in his interview with Health and Environment Voice Magazine November 99 should be revisited and be put in the action plan of the council. More so, affiliation with other international organization should be form.

The council should remember that the task ahead is big and that "the public is full of hope and high expectation, hoping that you will be able to return Nigeria to the good old days of discipline hygiene" according to the then minister of environment [Daily Trust March 17, 2004].



At the end, I am congratulating all Environmental Health Officers of Nigeria for this new lease of life they found themselves. Environmental Health Officers Association of Nigeria has achieved many things like upgrading GL14 bar for the profession to GL 17, registration of Environmental health Officers Council act, registration of Society for Environmental Health of Nigeria, exploring opportunities for improved higher education and Environmental health act 2003 which was not reviewed since 1958. Thanks goes to Allah whom due to his infinite power bless us and make this association a reality, and to Mr. Abiodun Bamgboye who is our 'Dr. Isaac Oluwole' of this century due to his unquantifiable contribution for many years in making all these achievements a reality, plus the workaholic Anieofik Moses, Ebike Augustine, Bala Mohammed Tukur etc . May Allah reward them, so also to everybody who in one way or the other contribute with suggestion, advice, and prayers in making the council what it is today, therefore we want the youth to support this vision under the leadership of Mr. Abiodun Bamigboye and Ayuba P waabba-the current president Medical and Health Workers Union of Nigeria [at the association level], and Emir of Ningi Alh Muhd Danyaya, Ibrahim Malami, Ebisike Augustine [at council level]. This will ensure that the profession and the association are placed in an irreversible position in the scheme of things in Nigeria.



Sani Garba Mohammed, is of PHC department, Karaye LGA, Kano state.

Should Environmental health be retained in Ministry of health?

December 31, 2005

Environmental health means many things to many; some see it as 'waste management affair', 'inspection of premises' and others as 'control of diseases' only. Whichever divide you fall or see environmental health you are right, for, it does not only include them but encompasses every aspect of human struggle and survival. For the purpose of this paper, and the current National Environmental sanitation Policy, I would quote the meaning of environmental health as "the principles and practices of affecting healthful and hygienic conditions in the environment to promote public health and welfare, improve quality of life, reduce poverty and ensure a sustainable environment"

"A pleasant environment" said the policy "which is hazard free and promotes healthful living, is a fundamental right of all Nigerians. There is an increasing national consciousness on the need for judicious management of Nigerian environment in a sustainable manner; therefore, ensuring improved Environmental sanitation standard has become high on the political agenda of the government in the current democratic dispensation. This is demonstrated in the creation of Federal ministry of Environment [and state too: my emphasis] to address amongst other things, the problems of poor environmental sanitation and is expected to engender improved productivity and foster equitable share of the job and joy of national economic development"

I think it is based on these [perhaps] that recently Kano state government set up a committee to harmonize and transfer some departments and all environmental health practitioners from the state ministry of health to the ministry of environment to avoid duplication and fragmentation of environmental health services. Accordingly, if the transfer is affected, it will increase and maximize the efficiency of the practitioners in their new re-deployed ministry. Though the move is good considering the mission and vision of the current state government on environmental health, and more so they will be more relevant there [ministry of environment]in the thinking of the state, nevertheless, if implemented, it will create a problems and further complication between the two ministries over some works which are purely environmental health services on whether or not which ministry they supposed to stay. These and many more, will be discuss in this article for the state to look on the pros and cons of the move if implemented.

Ministry of Health [MOH] is the center point or nucleus of all health related issues of a state or nation, as such it is there that all policies about health and disease control are formulated and implemented in conjunction with other relevant authorities as the case may be through multisectoral approach. In any ministry of health, we have three [3] main divisions [notwithstanding other divisions, which directly or indirectly relates to either of the three]: protective, sanitary and medical divisions. The first two divisions employs public health and sanitary inspectors [aka EHO], and the later division which includes the National Health Services, employs trained medical staff like doctors, Nurses, microbiologist etc.

The protective and sanitary divisions are wholly preventive which is the work of environmental health practitioners in the ministry of health, and the medical division the work of other health workers; let us see the work of each division.



Protective Division



The protective division main responsibilities in the control of health and disease include the following: to ensure a high standard of food hygiene to control the spread of food-borne diseases; to ensure supply of water for drinking [urban areas], and to prevent pollution of public water supply to control the spread of water borne diseases; to prevent carriers of infectious diseases from foreign from entering the country at airports, seaports, and border stations; to organize vaccination and screening programmes [usually carried out by local health authorities]; to be alert to any outbreak of infectious diseases in the district and inform the public on the precautions to take to control its spread; to keep all public places, such as markets, public latrines, drains, etc, clean and free of pests and disease causing organisms. This includes killing stray dogs and many others [Ramlingam 1993].



Sanitary division



This division has the following responsibilities: to ensure the removal and proper disposal of refuse, especially in urban areas; to make sure that refuse is collected and disposed of properly; and to keep public burial grounds and cemeteries clean and hygienic. [Ramlingam 1993]

It is also the duty of sanitary division to ensure sanitation of abattoir and slaughter slab, sanitation of bake houses, housing sanitation, sanitation of public places, markets, hospitals and institution, sanitation of recreational facilities and hospitality industry and health & hygiene education.



Medical Division



This division provides the medical services essential in the control and treatment of diseases. It is, therefore, responsible for: setting up and supervising general hospitals, clinics, maternity centres and health centres; providing school health services, school dental services and welfare services; employing doctors, nurses, midwives and other medical staff for the above establishments; and supervising the filing of medical records and the compilation of health statistics [Ramlingam 1993].

Environmental health should and must be in the ministry of health, notwithstanding the creation of ministry of environment, for each of them has a role to play in collaborating with each other to make environment more conducive and hazard free for living and economic development. There is no point whatsoever to depend the move of the state government to engage in massive transfer of environmental health practitioners to ministry of environment without adequate arrangement.

Can't the state imitate the federal government where by the public health department [in charge of environmental health services] is still in the ministry of health not environment? For instance, departments like disease surveillance, port health services, epidemiology, immunization etc are still in the ministry of health, is FG unaware that it still retain them? Both the ministries are working together where they share similarities [though sometimes there is some form of conflict over who have control on so so]. But if the point is to avoid duplication and fragmentation [which perhaps Kano state think of], then the case is beyond harmonization. For environmental health services does not start and ends in a single ministry, it circumscribed any ministry.

Even though the current policy on environmental sanitation is formulated by the Federal ministry of environment, nevertheless, it alone can not do it, as various ministries are incorporated and inculcated to participate for better optimum results. Accordingly the federal ministry of environment [and state also] shall "formulate, review and produce" said the policy "environmental sanitation policy and guidelines; enact, review and harmonize existing legislation on environmental sanitation………develop master plan for biomedical waste and ensure its implementation……" . On the other hands the federal ministry of health shall "generate and disseminate data on environmental sanitation related diseases; collaborate with federal ministry of environment [FMOE]on vector borne disease control, especially in the environmental management control strategies for malaria, schistosomiasis, guinea worm etc; collaborate with FMOE in the promotion of sound food sanitation; and collaborate with FMOE on capacity building of environmental health programmes in sound environmental sanitation practice.

Based on these, the state government of Kano state should rescind her decision of deploying all environmental health practitioners to the state ministry of health, for doing that is ill timely prepared and not in good conscience. The most important issue to be address in order to enhance capacity building and efficiency, the environmental health practitioners in the two ministries should work as a team [depending on where your duty falls], and the state government should re-enforce the limit and boundary which each practitioner in the ministries can go.

But if the state government insist on deploying all environmental health practitioners to ministry of environment, then they must go with all environmental health related services [immunization inclusive], which there is inter professional fighting on whether it is preventive or curative medicine, while we know it is preventive, nevertheless, the current move by some medical practitioners is to ensure environmental health practitioners has no hand in immunization [which is purely their professional duty] is ignorance and greedy.

In fact I recently gathered that a final decision is reach on the deployment, the implementation is hampered by the lack of budget to accommodate them [which has been passed already before the effecting of the decision], whatever is the reason for the delay, the state government should rescind her decision. Even though I learnt that many interested parties are happy over the deployment such they can occupy the position that will soon be vacant, and the new to created [if any], nevertheless, the issue of professional competency should be regarded than personal interest of those to benefit from this ill conceived move.

I am also insisting that, if the deployment become necessary, let those affected move with all their professionally related works [departments] in their former place of works, this is the hard way and the only way.



Sani Garba Mohammed, contribute from PHC Department, Karaye Local Government, Kano state.

Understanding Environmental Health

31st December,2005

By Sani Garba Mohammed

Despite the emerging and-emerging diseases and other environmentally related health problems, not much has been done to tame the environment so as to reduce disease burden and make the environment safe for our sustainable development for future generation.

For this misplaced priority, emphasis has always been curative rather than on prevention, which environmental health programmes aims to achieve. More so even health professionals like doctors, pharmacist, nurses etc are ignorant on what environmental health is, talk less of it relevant to them, so also policy makers and other peoples. For the mere pronouncing the word 'environmental', many brings in to their mind only issues pertaining waste and clean environment, no more no less. This article will look at what environmental health is, its functions and others for more understanding.

Environmental health has been defined by World Health Organization [WHO] as 'the control of all factors in man's physical environment which exercise, or may exercise, a deleterious effect on his physical development, health or survival. It is also a broad concept in public health, which is the science and art of preventing disease, prolonging life and promoting health through organized community effort to ht society. Environmental health is also the principles and practices of affecting healthful and hygienic conditions in the environment to promote public health and welfare, improve quality of life, reduce poverty and ensure a sustainable environment.

Environmental health has been also describe recently as comprising of those aspects of human health, including quality of life, which is determined by physical, biological, social, and psychological factors in the environment. It also refers to the theory and practice of assessing, correcting, controlling and preventing these factors in the environment that can potentially affect, adversely the health of present and future generations.

Environmental health services are organized community effort to monitor and modify man-environment relationships in the interest of better health [AJ Moses 2003]. It has also been noted that environmental health programmes are undertaken to prevent or limit disease and disability and to promote conditions for good health. Environmental health has also been accepted universally as a major health component be it public health or Primary Health Care.



"The environment" said Society for Environmental Health [SEHON] "is continually changing and introducing new threats to human health and living depending on the level of interaction. Health in this context is seen as a relative concept, which assumes that the environment is a proper standard for its definition. To this end, health could be seen as the ability of man to interact with the environment in a responsible manner and in a way that there is mutual benefit in a sustainable basis, without creating a situation where by environmental factors pose dangers to physical, mental, social, psychological and spiritual well being of man. This definition places enormous responsibility on man especially the protection of environment for his well being and safety.

The out come of environmental health services include: prevention, detection and control of environmental hazards which will affect human health. The following includes the functions or component of environmental health services: solid waste management; medical waste management; housing and environmental planning; food sanitation; sanitary inspection of premises; pest and vector control; epidemiological control; air quality management; occupational health and safety; market and abattoir sanitation; water sanitation; management of urban drainage; protection of recreational environment; pollution control; control of reared and stray animals; disposal of dead [man and animals]; port health services; environmental health impact assessment; weed and vegetation control; hygiene education and promotion and others [Journal of Environmental Health JEH March 2005, National Environmental Sanitation Policy 2005].

Based on these, it can be deduced that Environmental health services/programmes touches every aspect of life, wherever you are, whatever you do and whoever you are. For instance, while a medical doctor is fully in charge of his office, environmental health practitioner [aka Environmental health officer/Sanitarian], will not only look at the environmental health control of the whole hospital [which includes the doctors and others' offices], but equally look and approve whether or not a surgical operation can take place [depending on certifying of the air worthiness and safety within the operation premises], prevention of cross infections within the patients and many others. So the feeling or the belief of many that environmental health programmes in the management of waste and clean environment should be stop. Also the now arrogant [not all] community health practitioners [CHO] and others health practitioners should see reason not sentiment to know that environmental health services does not aims to stop their services, but to help them discharge their duties without much stress, as such we do not need to fight over avoidable issues.

The Federal, states and Local governments should allow environmental health practitioners to carry out their duties accordingly, for as at now, their work is not given attention, and also other professional like medical doctors, some segment of engineers and other quacks engage in the practice of environmental which is outside their professional training, there by making it all comers affairs. The Environmental Health Officers Registration Council of Nigeria [EHORCN] should make sure there is full regulation and ensure no any quack [no matter his academic background] in as much as he is not a professional Environmental Health Practitioner to practice. So also we supposed to have a university offering a degree programme in environmental health so as to close the gap of lack and uneven availability of the practitioners in the country.



Sani Garba Mohammed, is of PHC Department, Karaye Local Government, Kano state.

Toward better waste management

June 1, 2005

The issue of waste has becomes one of the major national and
international problem in which the government, people and other
organizations has much concern [though not very serious in Nigeria]
due to the fact that improper waste disposal creates a serious damage
which tend to ruin the living and non living environment to lesser or
greater extent. As a result of over increasing waste generation from
our daily and industrial activities and lack of commitment from
people, organizations and government towards proper treatment and
disposal, it gives room for environmental degradation ranging from
land, water and air pollution, aesthetic nuisance and other associated
problems on the environment.

The management of waste has always been a problem in industrial,
commercial and general environment. Moreover, disposal of wastes has
been identified as being of utmost important; it is the first problem,
which must be discussed in any community, because the success of any
other health measures introduced will depend largely upon the
efficiency, which it is solved considering its effects [the waste] on
health and environment. In view of this, this paper looks at waste and
its relation or effect on health.

Waste in the language of World Health Organization expert committee on
solid waste management [1977] refers to "all the useless, unwanted or
discarded material resulting from normal community activities". It is
being seen also as any item or thing for which the immediate owner can
find no particular use and of which disposal is necessary. Though the
word is being used in different circumstances to mean different thing
like refuse, excreta, sewage and the like, it is not only limited to
these but also to other things which needs to be disposed.

Waste is generally categorized into three broad components: solid
[refuse], liquid sewage] and gaseous waste. Solid waste include
combustible and non-combustible refuse etc; liquid waste include like
industrial effluent, excretion, sullage, etc; and for gaseous we have
the like of dust, mist, fumes, methane, carbon monoxide etc. If we
look at all these, we can understand that wherever a person goes
around Nigeria it is common to come across such wastes. For instance,
you will come across heaps of refuse all over our streets, blocking
our water ways which render the liquid waste unable to move, thereby
inviting the likes of mosquito to come and breed there; air pollution
in the area that are densely populated with industries with no proper
control of emission, plus the dirty waste around many places that air
can blow them to fly in the atmosphere; and water pollution where
houses' sewage and or industrial waste that contain toxic things are
allowed to have access to water source without being treated.

The issue of waste is very serious problem if left unattended. Besides
health problems, economic, social and agricultural problem are also
experienced. Economically the country is losing in term of items that
are supposed to be recycled which can contribute significantly to our
economy if recycled and reutilized. Socially the environment we are
living will be unattractive and unpleasant for living due to offensive
odour that may arise, mosquito and flies infestation, occupying spaces
[by the waste] that can be used for other purposes; and agriculturally
it can render our land infertile and polluted due to toxic chemicals
and other agent in the waste.
The effect of waste on health are numerous, it encourage rodent
infestation. Moreover, the main source of this rodent is refuse and
rubbish dumps. The diseases associated with rodent that have harmful
effect on human health include Lassa fever, plague, murine typhus,
leptospirosis, rat bite fever, tularemia etc. It also cause odour
nuisance, which is a feature of faulty waste disposal method, fire
hazard and or disaster as some waste are flammable.
Another effect of waste on health is atmospheric and water pollution.
When a waste is burnt in an open space or a gaseous waste is released
to the atmosphere from the chimney of factories, a large amount of
smoke and dust pollute the air of the surrounding. Gases such as
sulphur dioxide, nitrous oxide, carbon monoxide, methane etc. are
generated and if left unchecked can cause atmospheric pollution and
aesthetic insult. The effect of atmospheric pollution include property
damages, damage to plants and animals, damage to human health and
genetic damage [as some pollutants are carcinogenic, mutagenic, and
teratogenic]. In case of water pollution, the heaps of refuse or waste
generated including the liquid one from industries, when storm water
ran through them and carry them to the source of water, the
possibility of being polluted is inevitable. The source of the water
can be contaminated thereby rendering the aquatic lives in danger and
to the human in case of using the water in domestic, agricultural, or
industrial use, and or eating the animals [like fish] living in the
water.

The biggest effect of waste on health is causation of diseases. Even
though the existence of many diseases is favoured by either biological
vectors, physical and mechanical means, air borne solids, water
supply, food supply, direct contact, or other means related to the
socio economic status of a given population, nevertheless improper
waste disposal is playing a great role.

Diseases associated with waste include fly transmitted disease like
diarrhea, dysentery, onchocerciasis, cholera, etc; rodent transmitted
diseases like Lassa fever, plague rat bite dermatitis, histoplasmosis
etc; mosquito borne diseases like malaria, dengue fever, filariasis
etc; helminthes infection like anklystomiasis, enterobiasis,
ascariasis etc.

The last aspect in this write up about the dangers that waste poses on
human health is environmental degradation. This is through improper
dumping of the refuse in any place be it street, drainage, and open
space, in the market or any other place that is undeserved for waste
to be disposed there. Doing such constitutes a violation of public
health law and is an eyesore to the natural beauty of our environment.
It also makes our environment unattractive and unclean, and it can
even scare away tourist from Nigeria. Therefore, our environment will
be in constant threat of pollution and degradation in as much as we do
not give priority to its maintenance.

What I have been trying to point out is the effect of waste on health.
The case is for our authorities to see reason and gives more emphasis
on proper waste disposal so that our surrounding/environment will be
attractive, pleasant and safe, and our health to be safeguarded in
relation to waste. It also shows how improper or lack of disposal is
creating a situation that have a devastating effect on the human
health and society.
In view of this, Nigerian government at federal, state and local
should give waste disposal and environmental sanitation more attention
as it was before. This can only be achieved if the governments are
ever ready in tackling the situation by empowering the sanitary
inspectors [aka health officers] with the roles they are known with
since, with adequate fund and support. In addition, the government
must incorporate the public in proper waste management in their
locality by educating them on how not to mismanage their waste and
encourage them to keep their environment clean.
Lastly, the government through national assembly should revised the
Nigerian public health laws regarding cleanliness, hygiene and safety
of our environment, and stipulate a hard penalty for whoever violate
the laid down laws.

United against Malaria?

May 5, 2005

By Sani Garba Mohammed

'FG to spend N350m on treated bed net' is a captioned story in the New Nigerian
of 22/4/05; this was disclosed by Ministry of Health Prof Eyitayo
Lambo in this year malaria day tagged 'United against Malaria'. The
plan is expected to provide 12m net in the next 5yrs to pregnant women
and children, not withstanding that in the last 5yrs he said they were
only able to provide 4m nets.
What baffle me is, for how long shall we be wasting our energy, time
and resources in buying a net that is hardly being used and
unavailable, despite continues claim of the government that it is
supplying net. Every health worker, irrespective of his profession,
knows that malaria is an environmentally based disease, hence its
total prevention and control lies in environmental management than
nets and drugs. The issue of nets does not even constitute up to 2% of
malaria. Mosquitoes, that caused malaria is attracted by stagnant
water in our drainages, abandoned cans and tin, old tyres, un clearing
of weeds and grasses, and failure to evacuate waste we are generating
daily to lay it eggs and survive there.
Therefore, to me, wasting time on only nets and drugs as a measure to
roll back malaria is not only a window dressing but also unfortunate.
Neglecting and failure of the government to invest much in the
environment, which favours the survival of the vector causing the
disease is un-called for. Instead, it paid more attention in ACT and
nets which is more profitable and attractive to the government and
even the donors.
Recently, National Environmental Sanitation policy was formulated
which covers all aspect of environmental health control, yet because
the attention of government is more to politics, nothing has changed.
Instead, the pre-occupation of Federal Ministry of Health is in the
curative measures than preventive. This is also more favourable to the
promoters of the nets and the drugs, whom are raking interest in the
process, as a result, prevention is [was] downplayed.
If we really want, achieve the theme of this year malaria day –'United
against Malaria', then all hands must be on deck from environmental
health perspective to pharmaceutical health angle. In addition,
environmental health practitioners [aka sanitarians] must be
incorporated in any move of diseases prevention and control to play
their roles, or the mission will remain a mirage.

The abuse drainage and building regulations in Kano

April 24, 2005
By Sani Garba Mohammed
Drainage is a sewerage network that rid away liquid waste from
residential, commercial or industrial areas to either water treatment
plant or a body of water. Drainages help in making all the liquid
waste we generated from one or more of the above areas above, thus
making our environment better, clean, attractive and a desirable to
live.
However, nowadays, the story is different; wherever you go the
opposite is the case. Instead, it is now turn in to dumping depot of
all kind of waste ranging from waste soil, stones, polythene, and
others, relative to the kind of waste being generated at the place
from occupational residue. You hardly find a good and free drainage
within Kano city and it environs. Walking round the city will reveal
to you that our drainages are in shambles, neither authority nor
individuals are playing any roles to clear all the refuse within, are
evacuated. Though some philanthropist are doing it, nevertheless,
immediately the waste is out, it will be allowed there, and later goes
back to it former position. No wonder, in our living environment, we
are being disturbed by noxious and offensive odour as a result,
precisely during rainy season which do even cause flooding.
All our drainages are full with all sort of garbage, nylons and
dangerous waste, but it seem both the government and the public are
paying lip service in making sure the trend is reversed. Is it we did
not value our health any more [considering the danger such pose to
us], or are we big enough to clear our drainage? Everybody [in most
cases] has drainage network from his house to the common drainage that
will convey liquid waste to it final destination, yet to even instruct
his son to clear it, seems impossible.
I learnt that evacuating and maintaining of drainage is a duty of
KASEPPA, but the questions is, does it live up to it expectation, I
doubt much. Many roads within Kano city has no provisions of
drainages, why does KASEPPA allow building in areas where drainage is
not provided, in some areas, building are so overcrowded that drainage
cannot be constructed and it is watching. Many questions need to be
answered by KASEPPA as per drainages and building, but still nothing
to write home about, there are many drainages that need to be
evacuated as they are blocked with many waste, yet nothing is taking
place.
The same thing with building or built environment; housing situation
in Kano state is nothing to write home about, as houses are built
haphazardly, as if no regulations exist. In a bid to meet the
increasing demand of accommodation, property owners and developers
have turned many places into squatters. Due to this, houses are built
without toilet, bathroom etc; people defecate any where [e.g. trade
fair complex field, around old city wall, inside drainages etc] and
channelled their waste water from bath and cooking activities to the
open, thus providing breeding places for mosquitoes and flies as well
causing nuisances to the public.
Conceptually, the built environment includes all of the physical
structures engineered and built by people--the places where we live,
work, and play. These edifices include our homes, workplaces, schools,
parks, and transit arrangements.
Our built environment also affects individual mental health as well as
population-wide well-being. Housing type and quality, neighbourhood
quality, noise, crowding, indoor air quality, and light have all been
linked to personal mental health. Indirectly, the built environment
may influence development and maintenance of socially supportive
networks within a community.
Now houses are built unplanned with little or no paying attention to
the effect that will have on the occupant and the environment. The
factors being considered at site before building like nature of the
soil; moisture content; natural lightning and air movement; location
from possible sources of nuisances; topography of the site etc are now
neglected. Houses are just springing up in any plot whether or not the
place is suitable.

More worrisome is the work of Environmental health officers [EHOs]
hijacked by Engineers and town planners at places like KASEPPA and
others. The aspect that law authorised them [EHO] to look into
include: size of the plot; size and area of the building that is going
into the plot applying the appropriate building regulations; the
dimensions of the rooms to determine their sizes in compliances with
the building regulation; the positions and areas of window and doors
to ensure that the house is properly lighted and ventilated; the
availability and adequacy of sanitary facilities within the structures
e.g. kitchen, toilet, bathroom and store; the total area covered by
the building is checked to ensure that the plot is not overbuilt; the
necessary ,allowance maintained between the proposed building and
buildings on the adjacent plot and the distance between the proposed
building line etc and other consideration etc.
Even though it not KASEPPA alone that has responsibility over building
and drainages, local government unit of environmental health is not
playing any roles similar to the ones I stated above [which they have
power and authority within their area of jurisdiction], so also the
public are not co-operating to help government in discharging its
duties.
Whatever it is, the fault is of KASEPPA, Environmental Health Officers
at local government levels and the public. KASEPPA [perhaps] is not up
to expectation due to logistic problems, inadequate manpower
competency and lack of fund; the local government Environmental health
unit is either docile in exercising it power toward the control of
building and drainages or succumbing to the Nigerian factor-corruption
by allowing people to build nay way they like; and the public are
further compounding the situation by their failure to adhere to
building regulation and making effort in evacuating their drainages,
instead, they are expecting government to do for them.
Above all, even if the government agencies cited above are performing
expectedly, there is also problem where by our so-called 'big men',
'elite', 'politicians' and others power that be, that are either
building on the drainage or even regard some parts of the road[s] that
cover the drainage[s] as theirs, which is unfortunate indeed! If you
try to do your job accordingly, you are bound to see an order from the
above restraining you from further action, that is the end, this is a
nation where we have two types of laws, one for the poor and the other
for the elite.
Also, the failure of KASEPPA in some aspect may not unconnected with
it having no any Environmental Health Officer in it staffs who can
guide them on many issues they do not know ,for they are either
engineers , town planners, administrators etc. Nevertheless, the issue
of environment encompass many sector which need multi sectoral
approach, hence having environmental health officer in it various
positions will help.

Lastly, there should be a collaboration between KASEPPA, REMASAB,
Local government environmental health units and the public in making
sure all hands are on deck to not only help in making our drainage
better, but also our building to conform with the laid down rules and
regulations, and also to make sure the waste we are generating is
disposed up accordingly.

Sani Garba writes in from Zaria Road, Kano