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Vanguard Newspaper 14 April 2021

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Vanguard, WEDNESDAY, APRIL 14, 2021 — 3<br />

COVID-19: US suspends J&J vaccine over<br />

blood clots fears<br />

CDC, FDA investigate 6 reported cases<br />

.By Sola Ogundipe<br />

LESS than a week after<br />

Europe’s drugs<br />

regula<strong>to</strong>rs admitted that<br />

there is an extremely rare<br />

chance of fatal blood clots<br />

occurring in persons who<br />

receive the AstraZeneca<br />

COVD-19 vaccine, US<br />

health agencies have<br />

suspended the use of the<br />

Johnson & Johnson, J&J,<br />

single-dose COVID-19<br />

vaccine following the<br />

development of a similar<br />

rare disorder involving<br />

blood clots among<br />

recipients.<br />

In a joint statement, the<br />

US Centres for Disease<br />

Control and Prevention,<br />

CDC, and the Food and<br />

Drug Administration, FDA,<br />

said they were reviewing<br />

“six reported US cases of a<br />

rare and severe type of<br />

blood clot within 13 days<br />

after receiving the vaccine.”<br />

All the six recipients were<br />

women between the ages<br />

of 18 and 48. One woman<br />

died and a second has been<br />

hospitalised in critical<br />

condition. About 7 million<br />

Americans have so far<br />

received the single dose<br />

vaccine.<br />

The regula<strong>to</strong>rs are<br />

reviewing whether the<br />

vaccine is safe <strong>to</strong> use<br />

following discovery of the<br />

extremely rare and severe<br />

blood clot found in<br />

recipients of the jab.<br />

“Right now, these<br />

adverse events appear <strong>to</strong><br />

be extremely rare. We are<br />

recommending a pause in<br />

the use of this vaccine out<br />

of an abundance of caution,<br />

<strong>to</strong> ensure that the health<br />

care provider community is<br />

aware of the potential for<br />

these adverse events”, the<br />

statement noted.<br />

Following the<br />

development, Johnson &<br />

Johnson pharmaceutical<br />

company has announced<br />

that it would delay its<br />

European rollout of the shot.<br />

Food and Drug<br />

Administration scientist<br />

Peter Marks said the<br />

disorder might be triggered<br />

by a rare immune response<br />

<strong>to</strong> the vaccine similar <strong>to</strong> that<br />

seen among a few hundred<br />

recipients of the<br />

AstraZeneca jab in Europe.<br />

Both the Johnson &<br />

Johnson and AstraZeneca<br />

vaccines are based on<br />

adenovirus vec<strong>to</strong>r<br />

technology.<br />

The suspension is<br />

another blow for the<br />

troubled European vaccine<br />

rollout campaign.<br />

European Union has<br />

signed a deal for 200<br />

million shots of the vaccine<br />

with an option for 200<br />

million more.<br />

Dr. Janet Woodcock, the<br />

acting FDA commissioner,<br />

said she expected the<br />

pause <strong>to</strong> last for just days.<br />

From left—Direc<strong>to</strong>r General, NACA, Dr. Gambo Aliyu; CEO, Lagos State AIDS<br />

Control Agency, LSACA, Dr. Monsurat Adeleke; Chairman of Board, NACA, Sena<strong>to</strong>r<br />

Dipo Odujirin, and Mr. Faud Laguda, at the graduation ceremony of Economic<br />

Empowerment of Youth for HIV/AIDS prevention in Lagos.<br />

“We are committed <strong>to</strong><br />

safety and transparency<br />

and expeditiously learning<br />

as much as we can so<br />

further steps can be taken,”<br />

said Dr. Anne Schuchat,<br />

principal deputy direc<strong>to</strong>r for<br />

the CDC.<br />

“When we saw this<br />

pattern and were aware<br />

that treatment needed <strong>to</strong> be<br />

individualised for this<br />

condition, it was of the<br />

<strong>up</strong>most importance <strong>to</strong> get<br />

the word out,” she said.<br />

“That said, the pandemic is<br />

severe and it’s important <strong>to</strong><br />

get vaccine out so want <strong>to</strong><br />

make sure we make<br />

recommendation quickly.”<br />

Dr. Leana Wen, a former<br />

Baltimore health<br />

commissioner and a public<br />

health professor at the<br />

George Washing<strong>to</strong>n<br />

University, called the<br />

temporary halt of the<br />

By Gabriel Olawale<br />

MINISTER of Works<br />

and Housing,<br />

Babatunde Fashola has<br />

urged Nigerians <strong>to</strong> me<br />

more concerned with the<br />

quality of environment in<br />

which they live rather than<br />

agitating for more<br />

healthcare facilities.<br />

He opinioned that the<br />

conversation should focus<br />

more on the wellbeing and<br />

wellness of every citizen as<br />

no quantity of health<br />

infrastructure can be<br />

enough, "our conversation<br />

seems <strong>to</strong> be focus<br />

predominAantly on the<br />

quality of our health<br />

facilities rather than the<br />

quality of our environment.<br />

"We focus more on the<br />

number of hospitals,<br />

doc<strong>to</strong>rs, nurses among<br />

other health workers, while<br />

that is good, I think the<br />

Johnson & Johnson<br />

vaccine “exactly the right<br />

move.<br />

“To be sure, this is a<br />

disappointing setback,<br />

because the one-dose J&J<br />

has so much potential for<br />

easy distribution &<br />

administration. This, again,<br />

is why a thorough<br />

investigation is occurring.<br />

“The reason this really<br />

needs <strong>to</strong> be alerted now is<br />

for doc<strong>to</strong>rs who may see<br />

patients with this rare<br />

condition, <strong>to</strong> know what <strong>to</strong><br />

look for and how <strong>to</strong> treat<br />

them.”<br />

The type of blood clot<br />

reportedly found in the<br />

vaccine recipients, known<br />

as cerebral venous sinus<br />

thrombosis, CVST, is<br />

accompanied by low levels<br />

of blood platelets.<br />

It occurs when a blood<br />

clot forms in the brain and<br />

more need <strong>to</strong> be on the<br />

quality of our environment.<br />

For instance, cars are made<br />

<strong>to</strong> work rather than <strong>to</strong> be in<br />

mechanic garage and you<br />

all know that we cannot<br />

build enough garages in<br />

case cars break down so<br />

also we cannot build<br />

enough hospitals.<br />

"The COVID-19<br />

pandemic has shown that<br />

even the country with<br />

abundance of hospitals<br />

and facilities soon became<br />

overwhelmed until they<br />

return <strong>to</strong> the basics such as<br />

hand washing, physical<br />

distance, sanitation among<br />

others.<br />

“So ideal healthcare<br />

system must emphasise<br />

more on proper refuse<br />

disposal, screening,<br />

healthy living among<br />

others while healthcare<br />

facilities are not left behind."<br />

Fashola, a guest lecturer<br />

leads <strong>to</strong> hemorrhages. The<br />

symp<strong>to</strong>ms are similar <strong>to</strong> that<br />

of strokes, such as<br />

headache, blurred vision,<br />

loss of mobility, seizures or<br />

fainting.<br />

People that have received<br />

the J&J vaccine who<br />

develop a severe<br />

headache, abdominal pain,<br />

leg pain or shortness of<br />

breath within three weeks<br />

after vaccination, have been<br />

advised <strong>to</strong> contact their<br />

health care provider.<br />

Nigeria expects <strong>to</strong> receive<br />

<strong>up</strong> <strong>to</strong> 70 million doses of the<br />

J&J vaccine this year<br />

through the African Union,<br />

according <strong>to</strong> the the<br />

Nigeria Primary<br />

Healthcare Development<br />

Agency, NPHCDA.<br />

Up <strong>to</strong> 400 million doses<br />

of the J&J vaccine are<br />

expected <strong>to</strong> be delivered <strong>to</strong><br />

Africa by 2022.<br />

We should prioritise environment more<br />

than health facilities — FASHOLA<br />

at the 7th Felix Oladejo<br />

Dosekun Memorial<br />

Lecture, said that Nigeria<br />

should not wait for the<br />

infrastructures <strong>to</strong> decay<br />

before starting the<br />

maintenance.<br />

"We need <strong>to</strong> ask ourselves<br />

on how we can replace,<br />

expand the decayed health<br />

infrastructures in the<br />

medical schools. No matter<br />

the quality of infrastructure,<br />

if people do not used it<br />

properly it will not last.”<br />

Speaking on the theme,<br />

"Medical Education in<br />

Nigeria: The Challenges of<br />

Infrastructural Decay",<br />

Fashola said: "Our focus is<br />

<strong>to</strong> redesign medical<br />

schools that will improve<br />

our public health and<br />

preventive health,<br />

especially epidemiology<br />

area because of outbreak<br />

of infectious disease or<br />

viruses.<br />

Study identifies potential<br />

COVID-19 drugs<br />

By Sola Ogundipe<br />

A<br />

TEAM led by<br />

scientists in the<br />

Perelman School of<br />

Medicine at the University<br />

of Pennsylvania has<br />

identified nine potential<br />

new COVID-19<br />

treatments, including three<br />

that are already approved<br />

by the Food and Drug<br />

Administration (FDA) for<br />

treating other diseases.<br />

The team, whose findings<br />

are published in Cell<br />

Reports, screened<br />

thousands of existing<br />

drugs and drug-like<br />

molecules for ability <strong>to</strong><br />

inhibit the replication of the<br />

COVID-19 virus.<br />

Of the nine drugs found<br />

<strong>to</strong> reduce the replication<br />

in respira<strong>to</strong>ry cells, three<br />

already have FDA<br />

approval<br />

"Our discoveries here<br />

suggest new avenues for<br />

therapeutic interventions<br />

against COVID-19, and<br />

also underscore the<br />

importance of testing<br />

candidate drugs in<br />

respira<strong>to</strong>ry cells," said Dr<br />

Sara Cherry, a professor<br />

of Pathology and<br />

Labora<strong>to</strong>ry Medicine and<br />

scientific direc<strong>to</strong>r of the<br />

High-Throughput<br />

Screening (HTS) Core at<br />

Penn Medicine.<br />

Although great progress<br />

has been made in the<br />

development of vaccines<br />

and treatments for the<br />

By Sola Ogundipe<br />

A<br />

RENOWED Nigerian<br />

gynaecologist and<br />

fertility specialist, Dr<br />

Abayomi Ajayi, has been<br />

awarded the 2022 Endo<br />

Hero of the Year Award by<br />

the Worldwide EndoMarch<br />

Board and Nezhart Family<br />

Foundation.<br />

The award was<br />

presented in recognition of<br />

Ajayi’s outstanding<br />

contributions <strong>to</strong> the<br />

community and cause of<br />

ending the pain of<br />

endometriosis through the<br />

activities of the Nigerian<br />

EndoMarch chapter - the<br />

Endometriosis S<strong>up</strong>port<br />

Gro<strong>up</strong> Nigeria, ESGN.<br />

Endometriosis is a disorder<br />

in which the endometrial<br />

tissue that normally lines the<br />

uterus grows outside the<br />

uterus, causing pain,<br />

menstrual irregularities and<br />

infertility, amongst other<br />

symp<strong>to</strong>ms.<br />

In a statement announcing<br />

the award, the World<br />

EndoMarch Board<br />

described Ajayi, who is the<br />

Founder, and Patron of the<br />

ESGN, as “an incredible<br />

leader and inspiration in the<br />

global endometriosis<br />

community.”<br />

In a response, Ajayi, who<br />

is also the Medical Direc<strong>to</strong>r,<br />

Nordica Fertility Clinic,<br />

Lagos, Asaba and Abuja,<br />

recounted how, as a trained<br />

SARS-CoV-2 coronavirus,<br />

there is still much room for<br />

improvement.<br />

For their screening<br />

project, Cherry and<br />

colleagues assembled a<br />

library of 3,059 compounds,<br />

including about 1,000 FDAapproved<br />

drugs and more<br />

than 2,000 drug-like<br />

molecules that have shown<br />

activity against defined<br />

biological targets. They<br />

then tested all for their<br />

ability <strong>to</strong> significantly<br />

inhibit replication in<br />

infected cells, without<br />

causing much <strong>to</strong>xicity.<br />

They identified a suitable<br />

cell line, Calu-3, that is<br />

derived from human<br />

airway-lining cells. They<br />

used these respira<strong>to</strong>ryderived<br />

cells <strong>to</strong> test the<br />

antiviral compounds<br />

identified through the<br />

human liver cell screen,<br />

and found that only nine<br />

had activity in the new cells.<br />

The nine antivirals active<br />

in respira<strong>to</strong>ry cells include<br />

salinomycin, a veterinary<br />

antibiotic that is also being<br />

investigated as an<br />

anticancer drug; the kinase<br />

enzyme inhibi<strong>to</strong>r<br />

dacomitinib, an anticancer<br />

drug; bemcentinib, another<br />

kinase inhibi<strong>to</strong>r now being<br />

tested against cancers; the<br />

antihistamine drug<br />

ebastine; and cyclosporine,<br />

an immune s<strong>up</strong>pressing<br />

drug commonly used <strong>to</strong><br />

prevent immune rejection<br />

of transplanted organs.<br />

Ajayi wins ‘2022 Endo Hero<br />

of the Year Award’<br />

Dr Abayomi Ajayi<br />

gynecologist and<br />

obstetrician, he was<br />

fascinated by the<br />

disiscussions in the 80s and<br />

90s when it was believed that<br />

black women did not suffer<br />

endometriosis.<br />

Ajayi, who affirmed that<br />

endometriosis is not a<br />

Caucasian condition, noted:<br />

“From the inception of my<br />

fertility practice in 2003,<br />

especially after the<br />

introduction of endoscopy in<br />

2005, we encountered<br />

several patients with<br />

advanced endometriosis.<br />

“At that time, many people<br />

in Africa were struggling <strong>to</strong><br />

pronounce the word<br />

endometriosis,” he noted.<br />

The ESGN is a non-profit<br />

organisation committed <strong>to</strong><br />

raising awareness on<br />

endometriosis and providing<br />

s<strong>up</strong>port for women affected.

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