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Tobaina's Posts

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PhonesRe: Zain's Browsing- Your Experience by tobaina: 11:32pm On Feb 28, 2009
Freegate's good and fast asusual. It has never stopped working.
European Football (EPL, UEFA, La Liga)Atlast Arshavin In Arsenal 4 12 Million Pounds (13.3 Million Euros) Wears No 13 by tobaina(op): 9:26pm On Feb 02, 2009
The long awaited transfer
gunners will definitely be glad
but wenger stingy sha!!!

http://uk.news.yahoo.com/18/20090202/tuk-arshavin-joins-arsenal-till-2012-clu-2c0ffe7.html
AutosRe: Inspired,adexcarz,babeisme,: Pls Help Urgently With Vin by tobaina(op): 7:40pm On Feb 01, 2009
thanks
chief!!! wink wink wink
AutosRe: Inspired,adexcarz,babeisme,: Pls Help Urgently With Vin by tobaina(op): 6:18pm On Feb 01, 2009
guys pls chk this for me plssssssssss!!!
AutosInspired,adexcarz,babeisme,: Pls Help Urgently With Vin by tobaina(op): 4:37pm On Feb 01, 2009
My guys Pls help me with this VIN
JA4MT31H1XP003631
thanks
AutosRe: Check Your Vin ( Vis-à-vis Inspired_m ) by tobaina: 4:32pm On Feb 01, 2009
bros pls help with this VIN
JA4MT31H1XP003631
THANKS
AutosRe: Black 2000 Lincoln Navigator for N2.1M by tobaina: 8:10pm On Jan 31, 2009
adex pls help me with this vin
JA4MT31HLXP003631
thank u in advance
AutosAdex Pls Help With This Vin by tobaina(op): 10:19am On Jan 31, 2009
JA4MT31HLXP003631
THANKS
AutosSomeone Pls Help With This Vin by tobaina(op): 10:15am On Jan 31, 2009
Someone pls help with this VIN
JA4MT31HLXP003631
AutosRe: Check Your Vin Foc(free Of Charge) by tobaina: 9:44pm On Jan 30, 2009
MY CHAIRMAN
pls help me check this vin
JA4MT31HLXP003631
thanks
PhonesRe: Research & "FBT" Thread ( This is not a chat room ) by tobaina: 8:06pm On Jan 22, 2009
talk2medo:
2e stand for 2 Elephanthttps://l.yimg.com/us.yimg.com/i/mesg/emoticons7/71.gif
grin grin grin grin grin grin(nairaland sha!!!)
PhonesRe: Research & "FBT" Thread ( This is not a chat room ) by tobaina: 8:02pm On Jan 22, 2009
zain + freegate
its fast
just look for dem i.p from china
RomanceRe: My Girlfriend And I Are Both As. We've Just Found Out by tobaina: 8:05pm On Jan 19, 2009
READ THIS YOU WILL BE CONVINCED

By Chukwuma Muanya

Governments' involvement

Many Nigerians still have the notion that government should or would do everything even when the contrary is evident. I personally feel that we, the people, should take pride in helping to solve our own problems. We have bright people who can make a difference if we provide the right conditions for them to work in this country. We should modify our priorities; spend less on celebrations and more on programmes that would contribute to human advancement.

We chose to be a non-governmental organisation because we felt we could then be more efficient, more responsive and more decisive.

Eradicating sickle cell in Nigeria

It is a popular but rather simplistic expectation that sickle cell disorder can be eradicated in Nigeria. It is communicable diseases such as small pox that lend themselves to eradication. Small pox ravaged wide communities in Nigeria and was not eradicated by the usual claims of herbal cures, but by vaccination which was the outcome of serious scientific research. Other communicable disorders that can be eradicated in Nigeria are proving more difficult to do for a variety of logistical reasons, even when the knowledge to do so and the means of accomplishing them are available. Polio, tetanus, malaria and tuberculosis are some examples.

Non-communicable disorders with a genetic component such as hypertension, diabetes, asthma, albinism and sickle cell anaemia are less amenable to eradication and more amenable to better management and control which can reduce prevalence, reduce illness and complications and prolong life.

Unfortunately, because it is known that sickle cell anaemia can only be inherited by the contribution of Sickle genes from both parents, many Nigerians naively believe that marriages at risk of producing affected children would always be avoided where the partners are aware of their shared risk. In reality, this is not true. Many educated couples make an informed decision to marry themselves despite the risk. We who work in the field encounter this all the time. People with SS and AS or SS and SS have married each other. We tend to judge others too readily and assume that marriage is only for procreation. I would share the following report made by doctors in UCH Ibadan with your readers.

Proper genetic counselling fully informs the clients and allows them to make informed choices which should then be supported. In the cases related above, the patients made informed choices, which is what people do. It surprised the doctors because they believed otherwise until put to test. In reality, one cannot talk of some marriages being medically incompatible. You could extend this to diabetes, hypertension and more.

An attempt by a military governor, Nwosu of Oyo State, to legislate by decree, against marriages between couples who both have the sickle gene was thwarted when the meeting of the Attorney-Generals of the Federation of Nigeria declared it against human rights to which Nigeria is a signatory.

The reality is that with one in four men and women carrying the sickle gene, one in 16 marriages randomly contracted will be between carriers of the gene and be at risk of producing affected children. With modern management and treatment which includes newborn screening and prophylactic treatment these children are likely to live to adulthood and become useful members of the society. To cut a long story short, if affected people are exposed to modern treatment and to results of future intense research, sickle cell would shortly become another chronic disorder that one can live with to old age.

Forced marriages have never eradicated any genetic disorder in the world. It would breed enormous stigmatisation that would be disruptive and counterproductive. Even if it were possible to ensure that all persons with AS only married people with AA, the prevalence of AS will increase in the population, making the future births of people with SS more difficult to avoid. The unthinkable way to eradicate sickle cell anaemia would be to commit genocide of all carriers of the sickle cell trait or collect and banish them to far off lands, never to set foot again on Nigerian soil.

Think about this. Sickle Cell was introduced to the USA five to six hundred years ago with slavery. Now, only one in 12 African-Americans (eight per cent) are carriers of the sickle trait but over 2,000 (two thousand) children with Hb SS are born in America every year. If they, with enormous resources, have not eradicated sickle cell anaemia, why do people think we can easily do so in Nigeria?

Gene therapy and sickle cell

Gene therapy can beneficially modify the S gene but a lot of research and money is still needed to achieve it.

Advice to couples with sickle cell trait

The chance of couples who both have the sickle cell trait having an SS affected child is 25 per cent or one in four in each pregnancy. This is the same chance they have of producing a child with Hb AA. The chance of having a child who, like them, would carry the sickle cell trait, is 50 per cent or one in two. Put differently, they have three in four (75 per cent) chances of producing a healthy child AA or AS in each pregnancy.

To return to your question, I would advise the couple to make an appointment to see a trained counsellor in the National Sickle Cell Centre. If they are not resident in Lagos, the Centre will provide contact details of other certified counsellors near where they live. If the couple decide to marry themselves after counselling they would receive our support and we shall help to guide any affected children produced to safety and longevity with modern day knowledge.

Bear in mind that among people with Hb SS are doctors (including the co-author of my book on 'How to Live with Sickle Cell Disorder'); lawyers, politicians, engineers, technicians, high court judges, caterers, businessmen and women, state commissioners and I am informed, a state governor. They deserve to be treated with respect and support and not be regarded as objects of pity. In the foreseeable future, sickle cell anaemia should become a stable chronic disorder that can be controlled like say, hypertension.

Already, with oral prophylactic penicillin in childhood, malaria prophylaxis, and daily hydroxyurea, affected people are living longer and enjoying a significant reduction in the frequency and severity of sickle cell crisis and related events.

Drive and motivation

Having trained in England, when I joined the Lagos University Teaching Hospital, I unexpectedly encountered very many patients with sickle cell anaemia. I soon realised that most of them had no grasp or proper insight into their condition and this was making coping with it more difficult. I then created a distinct adolescent/adult Sickle Cell Clinic and introduced counselling and then counselling training. From then, one thing led to another and I soon realised that to achieve anything one had to focus and in this country be resilient and persistent. I recall my late father always saying "Anything worth doing is worth doing well" and "Good name is better than gold". These principles have helped me. Also, the sheer courage of sicklers and my conviction that with adequate research we can prevent or effectively abort their painful episodes and other complications have impressed me.

Uncompleted Sickle Cell Centre

We shall become fully operational as soon as we raise enough funds which we plan to do soon after the entire building is completed by June 2008. No amount is too small to donate. Also, a list of our requirements which we hope Nigerians will help us provide are available on our website: www.sicklecellfoundation.com


I wonder y nigerians are so myopic bout the sickle cell thingy.
PhonesRe: There's Nothing Like Free Internet Browsing. Be Wise! by tobaina: 1:08am On Jan 18, 2009
@poster
lfmao!!! lol!!!
hehehehehehe!!!
hahahahahaha!!!
grin grin grin grin grin grin
AutosRe: Nigerian Used 2004 Honda Accord: Going For 1.4million by tobaina: 9:24pm On Jan 16, 2009
lets talk if 1 mil is kool
080599713639
v.serious!!!
AutosRe: Nigerian Used 2004 Honda Accord: Going For 1.4million by tobaina: 9:21pm On Jan 16, 2009
lets talk if 1mil flies this car
08059713639
AutosRe: Check Your Vin Foc(free Of Charge) by tobaina: 6:31pm On Jan 16, 2009
chief!
help me with this vin pls
IHGCG165XYA063552
TV/MoviesRe: Tom Cruise Comes To Nollywood by tobaina: 8:26pm On Jan 13, 2009
nairaland sha!!!!
AutosRe: Check Your Vin Foc(free Of Charge) by tobaina: 8:01pm On Jan 10, 2009
adex
pls help me out wit this VIN
1HGCD5550TA163086.
THANX
AutosRe: Honda Crv (leather Seats): Toyota Camry Le: by tobaina: 10:21pm On Jan 07, 2009
i have 1.4 million cash down 4 this car (camry)
are u down wit me?
Car TalkRe: Nigerian Car Names by tobaina: 10:43pm On Jan 05, 2009
more names are
legedes benz,
legxus,
footwagon (these ones no dey use fuel, fuel economy= 100%)
grin grin grin
Car TalkRe: Nigerian Car Names by tobaina: 10:40pm On Jan 05, 2009
more names are
legedes benz,
legxus,
footwagon (these once no dey use fuel, fuel economy= 100%)
grin grin grin
PhonesRe: Research & "FBT" Thread ( This is not a chat room ) by tobaina: 4:04pm On Dec 19, 2008
@honsule
we need to talk pls
should i meet u i on yim?
ComputersRe: Browsing With Wlan by tobaina: 11:16pm On Dec 16, 2008
ComputersRe: Help With Oracle Database 10g Cbt Nugget by tobaina: 10:15pm On Dec 16, 2008
PhonesRe: Research & "FBT" Thread ( This is not a chat room ) by tobaina: 8:58pm On Dec 16, 2008
ComputersRe: Fgate Failed To Detect Server With Celtel Em Em S. by tobaina: 6:18pm On Dec 15, 2008
freegate is working o
ComputersRe: Where Can I Get Computers (good Ones) In Ibadan. by tobaina: 6:12pm On Dec 15, 2008
yim me on tobaina@yahoo.co.uk
i would help ya
PhonesRe: Research & "FBT" Thread ( This is not a chat room ) by tobaina: 12:22am On Dec 15, 2008
IMAGINE!!!
i didint even know some pages have bn deleted b4 i complained
moderator
i believe this thread can be summarized.

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