WHO issues guidelines to prevent dementia



The number of people with dementia worldwide is expected to triple in the next 30 years, according to the World Health Organisation (WHO).

The organisation disclosed this in a statement announcing new guidelines to tackle the ailment, on its website on Tuesday.

“We need to do everything we can to reduce our risk of dementia,” the statement quoted the WHO Director-General, Dr Tedros Ghebreyesus, as saying.

“The scientific evidence gathered for these Guidelines confirm what we have suspected for some time, that what is good for our heart, is also good for our brain.”

According to the guidelines, people can reduce their risk of dementia by getting regular exercise, not smoking and avoiding harmful use of alcohol.

Other preventive measures outlined are controlling their weight, eating a healthy diet, and maintaining healthy blood pressure, cholesterol and blood sugar levels.

Dementia is a broad category of diseases that reduce brain function beyond what might be expected from normal ageing.

It affects memory, thinking, orientation, comprehension, calculation, learning capacity, language and judgment.

Dementia results from a variety of diseases and injuries that affect the brain, such as Alzheimer disease or stroke.

It is a rapidly growing public health problem affecting around 50 million people globally.

Going by the WHO prediction, this means the figure may rise to 150 million by 2049 if nothing is done.

“There are nearly 10 million new cases every year, inflicting a heavy economic burden on societies as a whole.

“The costs of caring for people with dementia are estimated to rise to two trillion U.S. dollars annually by 2030,” the organisation said.

A report by Alzheimer Disease International said 2.13 million people were living with dementia in sub-Saharan Africa in 2015.

It added that the number is projected to nearly double every 20 years, increasing to 3.48 million by 2030 and 7.62 million by 2050.

“The total costs of dementia in sub-Saharan Africa were an estimated 6.2 billion U.S. dollars in 2015, with two-thirds to three-quarters of the total costs attributed to informal care”, it said.

In Nigeria, the ailment has increased astronomically in the last 20 years, according to the University of Edinburgh, Scotland,  in the Journal of Global Health Reports, published in April.

The study estimated that the number of dementia cases increased by over 400 per cent over a 20-year period, from 63,500 in 1995 to 31,8000 in 2015.

The guidelines issued by WHO on Tuesday “provide the knowledge base for health-care providers to advise patients on what they can do to help prevent cognitive decline and dementia”.

They will also be useful to governments, policy makers and planning authorities as a guide in developing policy and designing programmes that encourage healthy lifestyles.


Some FCT residents urge doctors-patients relationship for improved healthcare




Abuja, Dec. 10, Some residents of the Federal Capital Territory (FCT), have urged medical doctors to show compassion by building trust among their patients in healthcare delivery.

According to the residents, doctor-patient relationship is a major step of care giving in the sector.

The residents who spoke in separate interviews with Nigeria News Agency in Abuja on Tuesday, called for improved relationship, adding that doctors must make the move.

Chinewe Nathaniel, an Engineer explained that doctor–patient relationship remains a major step of care as they must relate more effectively and efficiently with their patients to protect the interests and the preferences of individuals.

Nathaniel also said that doctors need training to enable them handle some difficult patients.

He said especially when treating patients with psychological problems or breaking bad news to them.

She said this had become imperative because some doctors lack the skills in dealing with difficult patients and also lack understanding of patient’s complaints.

Doctors are people too and they have their individual personalities.

I believe doctors are genuinely compassionate people, expressing that compassion is where they fall short sometimes.

It could be due to lack of training or because they get caught up in the increasing demands of modern healthcare,” she said.

Madam Nkiru Allision, a Pharmacist noted that for decades, physicians were among the most respected professionals globally, but unfortunately that perception was gradually changing.

According to her, patients’ trust in their doctors and healthcare in general is declining and the consequences can be disastrous.

Allision said lack of trust in the healthcare system had led to decreased patient compliance, worse outcomes, corrosive physician-patient interactions, and physician burnout.

This she said was so as patients now have access to information through the internet which makes it easier for them to second-guess their physicians.

The internet allows them to do their own research and arrive at their own diagnoses and treatments, correct or not.

As a result, fewer patients defer to physicians without question and if their information conflicts with their doctors views, they might be less likely to trust their doctors,’’ she said.

Mr Sunday Akhere of the Nigeria Security and Civil Defence Corps, said doctors’ empathy toward patients was important to ensure quality doctor-patient relationship.

He said it would allow the doctor or the physician to understand the symptomatic experiences and needs of individual patients.

Akhere said various research outcomes had revealed that empathy improves the therapeutic effect and the patient’s quality of life.

Mrs Demola Buzunu, an Economist said doctors must stand on the oath of office based on trust as this always gave the patient confidence to effectively discuss in-depth of their health issues.

According to Buzunu, this development of trust enables the patient to comply with the doctor’s guidance, which consequently results in improvement of health.

Miss Adeola Coker urged doctors to be attentive to their patients during consultation as it was key to ensuring respect toward their patients.

She said nowadays, practitioners were most often taking notes at their computers while speaking with the patient not maintaining eye contact, not being aware of when one feels challenged and/or defensive.

Coker said taking notes on the computer was not a sin but such attitude always discouraged the patient from contributing to the consultation process.

Dr Abraham Ojo, a medical doctor said that people rather see the bad than the good in doctors, which he said tends to paint them all in a negative light.

Ojo said doctor and patient relationship had long been integral to medicine, and many descriptions of professionalism centred on quality interaction.

The doctor said it was on record that physicians always helped patients and families navigate some of life’s most treacherous diseases, adding that a strong bond facilitates the trust and openness necessary to help patients make wise, informed decisions under such difficult circumstances.

Ojo noted that some patients’ behaviours in active participation in medical encounters had over time contributed to physicians’ aversion to patients.

According to him, this attitude has led to the unfavourable direction of physician-patient relationship.

Physicians’ attitude is of central concern for establishing the physician-patient relationship.

There has never been a time when patients need to trust their doctors more, but doctors need to remember their oath and put the patient back in focus.

Sometimes, patients aren’t with the same physician long enough to know the potential of such doctors and build trust.

Patients need to learn that the vast majority of us care about our patients and have their best interests in mind.

As doctors, we all need to become a team again. Patients need to regain our trust, and our profession needs to re-establish its integrity,” he said.

Dr Titilayo Banjoko, a Pediatrician, said that physicians having a strong relationship with their patients were vital to the practice’s success.

She, however, noted that if the relationship between the two sides was irreparably fractured, there was little chance of the patient getting healthier.

Banjoko said it had become mandatory for doctors to provide the best possible care to a patient whether she liked or disliked the patient.

According to her, some patients lie about their past illnesses, treatment, addictions and other history relevant to their diagnosis and treatment.

She said that some patients do have reasons to hide information from a doctor but sometimes such information could drastically change the management and could even make a difference between life and death.

The Pediatrician stressed the need for adequate communication and trust in a doctor-patient relationship and because they influenced patient satisfaction and perceived quality of healthcare services.

She said that statistics had shown that patient-centred approach with effective communications skills and trust leads to better management and improved patient satisfaction.

This is associated to better adherence to the treatment, better health outcomes and better perceived quality of healthcare services.

The pediatrician also advised patients against self medication or changing their drugs without consulting their doctors.

“This includes omitting medications or not adhering to the advised schedule of treatment or starting a new treatment.  

Edited by: Hawa lawal/Ese E. Ekama




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 Ihedioha to sanction government health worker charging fees for HIV services in Imo



Gov Emeka Ihedioha of Imo says it will sanction any government health worker found charging fees for HIV services in the state.

The governor gave the warning in Owerri on Tuesday at the official launch of the Anti Retroviral Therapy (ART) Surge Response organised by the state government in collaboration with the United States Embassy in Nigeria and Caritas Nigeria.

Ihedioha, who reiterated his commitment to the welfare of Imo people, expressed regret that Imo was one of the seven states contributing over 60 per cent of Nigeria’s HIV burden.

He pledged to pay prompt attention to the recommendations of the consortium so as to find the yet to be identified victims of the pandemic and put them on ART.

The governor urged the people of the state to endeavour to know their HIV status promising to provide funds for the purchase of additional test kits for hospitals in the state.

Statistics indicate that Imo is one of the seven priority states with prevalence of HIV. We, therefore, pledge free HIV test and treatment.

The ministries of health and education will liaise to ensure that all students of tertiary institutions in our state are tested.

I also appeal to all pregnant women to know their status so as to checkmate mother to child transfer and ensure that henceforth no child is born with HIV in Imo,” he said.

In a welcome address, Imo Commissioner for health, Dr Vin Udokwu, said that the state had 54,000 HIV patients with 16,000 of them currently placed on treatment.

He however, added that Imo was the only state to have met its weekly target of finding 112 yet to be identified carriers of the virus and placing them on ART with a view to achieving the epidemic control target of Sept. 2020.

Also speaking, the Imo Program Coordinator, Nigeria AIDS Indicator and Impact Survey (NAIIS), Dr Desmond Emeh said that 4,700 new cases were expected among persons 15 years and above in year 2020.

He described as `unfortunate’ the HIV prevalence rate of 1.8 per cent among persons aged 0 to 64 while thanking Eze Samuel Ohiri, the chairman, Imo Council of Traditional Rulers for donating 1,000 test kits to the state.

In her contribution, Ms Kathleen FitzGibbon, the US Deputy Chief of Mission in Nigeria, commended the governor for his proactive efforts in the fight against HIV in the state.

FitzGibbon promised that the USA would continue to provide necessary support to Nigeria and other countries with HIV needs adding that the USA had spent over 60 billion dollars in fighting the disease since 2004.

She however, urged people living with HIV to act as ambassadors to the rest of society and shun stigmatization as according to her, HIV is not a death sentence.

Edited by: Maureen Atuonwu


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NMA President says it will take 25 years to reduce doctors’ shortage in Nigeria



The Nigeria Medical Association (NMA) says with no fewer than 3,000 doctors graduating yearly in Nigeria, it will take about 25 years to produce adequate numbers of doctors to cater for the country’s population.

The NMA National President, Dr Francis Faduyile, made this known on Tuesday at the ongoing a week-long Annual Symposium organised by the Health Writers Association of Nigeria (HEWAN) in Lagos.

Theme of the symposium is: “Curbing the High Rate of Brain Drain in the Nigerian Health Sector.’’

Faduyile said the few healthcare practitioners in Nigeria were overwhelmed as a doctor caters for about 10,000 to 22,000 patients, instead of the World Health Organisation recommendation of a doctor to 600 patients.

He said currently, the nation’s education institutions graduates about 3,000 doctors yearly, and with such number it would take about 25 years to produce the adequate number of doctors required to cater for Nigeria’s increasing population.

Like in the UK where many of our doctors are migrating to, the ratio of doctors to the populace is about zero point eight.

It means that they have so many doctors, whereas Nigeria is in deficit when it comes to numbers of doctors,’’ he said.

Faduyile, however, said that there was huge deficit in the nation’s health sector due to brain drain as some of the best healthcare practitioners were leaving the country through migration to more favourable countries.

Nigeria is losing some of its most educated, talented and professional healthcare practitioners to countries such as Namibia, Senegal, Ghana, U. K, South Africa and many others.

This is because government is not interested in giving adequate priority to health, low funding, no appropriate employment, low remuneration, lack of equipment to intervene and save lives, insecurity, bad roads, among other problems.

Now, it is taking toll on the country as our people are suffering due to shortage of workers, people are dying due to lack of effective healthcare system and Nigeria has one of the worst health indices in the world,’’ he said.

The NMA President urged journalists to report the problems in the health sector objectively to make government accountable and make things right.

Also, Dr Anthony Omolola, a former President of the Association of Private Medical Practitioners of Nigeria, said there was need for declaration of a state of emergency in respect of inadequate numbers of doctors in Nigeria.

Omolola said it was disheartening to note that with about 72,000 registered doctors, less than half were practicing in Nigeria.

“We need committed leadership to curb the challenge of brain drain in this country.

Government needs to increase budgetary allocation to health and invest hugely in the private sector.

The education sector is the bedrock to make our healthcare system function optimally,” he said.

In his remarks, Dr Sam Ohuabunwa, President, Pharmaceutical Society of Nigeria (PSN), said the media have a role to play, urging them to collaborate with with healthcare professionals in form of advocacy for better healthcare delivery in Nigeria.

Ohuabunwa also called for the education of prospective healthcare practitioners on the need to stay and practice In Nigeria to fill the huge deficit in the nation’s health sector.

Edited by: Olagoke Olatoye

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Report objectively to end GBV, experts task journalists



Dr Franca Attoh, an Associate Professor, Department of Sociology, University of Lagos, has tasked journalists to focus and report objectively on issues bordering on Gender Based Violence (GBV), harmful practices in a bid to end the menace in the society.


Attoh gave the task while presenting a paper on Journalism, Development and Ethical Issues at four-day training on Gender Based Violence (GBV) in Lagos, themed, “Sensitive Reporting and Investigative Journalism.”


Nigeria News Agency reports that the training was organised by The UN Educational Scientific and Cultural Organisation(UNESCO), under its Spotlight Initiative aimed at eliminating all forms of Violence Against Women and Girls (VAWG).

She listed the core values of good journalistic practice to include honesty, diligence, accountability, fairness, independence and objective in reportage.


The emergence of ethical journalism has become central to all newsrooms and it is the cornerstone of a new journalism that supports society’s development and the integrity of communication.


Therefore, journalism should be a veritable tool to impel development.


The duty of the journalist is to be the watch-dog that protects the citizenry from the antics of politicians.


He or she is the gate keeper and the conscience of the society by reporting the facts as they stand,’’ she said.


The don also stressed the need for the media to be up their game by concentrating more on investigative reportage, which she said would aide in fighting the scourge of harmful practices and GBV.


“Our goal is to report GBV in the best possible way and the methodology to deploy is investigative journalism.’’


Attoh also advised journalists to be inquisitive, factual have evidence and work within the ambits of law, while investigating any story, particularly on harmful practices and all forms of violence.


Similarly, Dr Sharon Omotoso, a lecturer on Gender Studies, University of Ibadan, while presenting on “Patriarchy, Exclusion and Sexist Practices’’ also advised media to use neutral terms and avoid assumptions about gender roles and stereotypes.


The media exposes how certain people, values and norms in the society are perceived. They are also capable of changing the views and perceptions of a society about a thing or a concept.


For the media to accurately mirror our society, to produce coverage that is complete and diverse, it is critical that the news reflect the world as seen through the eyes of women as well as men,’’ she said.


Dr Zubairu Attah, a Consultant and Specialist on Gender Issues, who presented paper entitled, “Situating Gender in the Context of Journalism and Development’’, emphasised the role of the media toward ending gender violence.


According to him, the media is also charged with the responsibility of promoting equality and inclusiveness in governance.


“It is a problem which we all must tackle as impact change champions who encourage and exhort the state and sections of society to address the inequalities and barriers that face our development.’’


NAN reports that 33 participants, drawn from each of the six geo-political zones from Adamawa, Lagos, Ebonyi, Cross River, Sokoto, and FCT among others are attending the workshop.

Edited by: Dada Ahmed

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Malaria: EU/UNICEF programme treats 16,992 children in Adamawa



No fewer than 16,992 children below the age of five were treated of malaria under the  Maternal, New-born and Child Health and Nutrition (MNCHN) project in Adamawa.

The Disease Surveillance and Notification Officer of Fufore Local Government Area, Mr Sa’id Umar, made this known in an interview with the Nigeria News Agency on Monday in Fufore town.

Umar said the children located in hard to reach remote villages were attended to by Resource s) between 2018 and November 2019.

Umar said Fufore has 240 CORPs provided with the necessary training by the Adamawa State Primary Healthcare Agency for testing and managing mild malaria cases.

He said that the CORPs were always armed with malaria drugs, antibiotics and Oral Rehydration Solution to go round house-to-house in the remote areas identifying sick people particularly children.

They treat those with minor illness such as mild malaria, while those with more serious cases and those above five years including pregnant and nursing mothers were referred to the nearest primary healthcare centre.

Corps are also very useful in reporting any strange illness; for instance just recently one of the Corps drew my attention to a sick child with the symptoms of one of those children child diseases and we immediately went into action by collecting sample which has been sent for laboratory test,” Umar said.

While commending the effective role of the CORPs in helping to fight diseases in communities without access to health centres, Umar said that to make them more effective, the CORPs undergo quarterly training to enhance them and have supervisors who monitor them.

Speaking on the activities of CORPs in his community, the village Head of Nafori, Malam Jauro Nafori, said his people were happy and impressed with the role of CORPs in bringing healthcare to their doorsteps.

This programme gives us a sense of belonging and makes us feel the government really care about our healthcare,” Nafori said.

Modibbo Baraya of Janjanre village and Mr Babangida Liman of Mbewere village also lauded the CORP initiative, describing it as one of the most positive government steps in areas of healthcare delivery.

Malam Sa’adu Yuguda, a 28-year-old CORP in Mbewere village, said he has been a proud member of the CORPs for the past two years.

Edited by: Muhammad Suleiman Tola

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NGOs caution NPopC, others against birth registration extortion



Population opC), and relevant stakeholders, have been cautioned against extorting money from citizens during birth registration.

Community , and the Investigative , gave the warning on Monday in Abuja, in a joint news conference to mark the 2019 International Anti-Corruption Day.

Agbonsuremi ’s Executive Director, described birth registration as one of the biggest current corruption channel where ordinary Nigerians were made to pay to get their newborns registered in the country.

Birth registration is supposed to be free in Nigeria, and it is the responsibility of the NPopC to keep the birth record as it keeps death records, because both are important for national planning.

Corruption is a major problem facing Nigeria and it is robbing the citizens of the dividends of good governance,’’ he said.

He noted that birth registration of children in Nigeria had been low, in spite of the initiative introduced in 2012 by NPC with the support of United Nations International Children’s Fund (UNICEF) (Nigeria) to address the problem.

According to him, extortion of money by birth registration officials across the country has denied the country from registering a large number of births.

This he said had further hampered appropriate record keeping for actual number of births recorded in the country in a year.

He noted that with increasing demand for birth certificates for different purposes, many Nigerians had missed opportunities such as scholarships, oversea trips and admissions among others.

With this reality, parents are now eager to get their children registered but the exercise is marred by extortion and lack of adequate registration centres in rural areas.

It became worrisome when the officials saddled with the childbirth registration are those that are culpable of this crime in spite of the fact that registration is the first step towards recognising a child’s inalienable rights as a human being.

An investigation by the ICIR revealed that the task of documenting the birth of Nigerian babies has been taken over by touts and profiteers who collect dubious fees from unsuspecting parents,’’ he said.

He called on anti-graft agencies to beam their searchlights on the NPopC’s birth registration with a view to ending the corruption, sanitising the system, and prosecuting culpable officials.

He further said that UNICEF in a report titled “Good practices: Working towards free and universal birth registration’’ stated that costs related to fees had always been a barrier to increased birth registration.

He, however, said UNICEF recommended the prohibition of payment for birth registration in some countries such as Nigeria, Senegal and Rwanda among others.

The Executive Director urged the Federal Government to look into the recommendation.

PRIMORG is focused on advocating for good governance and accountability. It fights corruption generally, sensitises and mobilises citizens to participate wisely in government activities such as election.

Anti-Corruption Day is celebrated globally on Dec. 9, to tackle corruption in all fields of life.

Edited by: Nyisom Fiyigon Dore

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Scholars celebrate renowned medical expert, Ojengbede, at 70



Some scholars, on Monday, paid glowing tribute to a renowned obstetrics and gynaecology expert, Prof. Oladosu Ojengbede, for his numerous contributions to the advancement of women’s reproductive health.

The scholars, including a former Vice-Chancellor of the University of Ibadan, Emeritus Prof Ayo Banjo and the incumbent VC, Prof. Idowu Olayinka, spoke at the valedictory service and 70th birthday celebration of Ojengbede.

Others were Prof. Oluwabunmi Olapade-College , Ibadan and Prof. Adesina Oladokun, Head, Department Obstetrics and Gynaecology, UCH.

The Nigeria News Agency reports that the event was organised by the Department of Obstetrics and Gynaecology, University College Hospital, Ibadan.

Banjo, who was the Chairman at the occasion, noted the impactful role the celebrator had played in contributing to knowledge.

Ojengbede had made immense contributions to the University College Hospital and University of Ibadan as well as to the world of scholarship.

We have all benefited from his gesture. I wish him many happy returns of the day,” he said.

In their separate remarks, Olayinka, Olapade-Olaopa and Oladokun noted the invaluable contributions of Ojengbede, both nationally and internationally, as well as how he had facilitated training and grants to the institutions.

In his lecture entitled: “Medical Sub-speciality Training: Opportunities for National Development and International Partnerships”, Dr Bolarinde Ola of Sheffield Teaching Hospital, United Kingdom, spoke on ways to improve medical training in Nigeria.

According to Ola, corruption, over-population and capital flight, which are the bane of quality healthcare in Nigeria, can be tackled with development in science and technology as well as human capital.

We can reverse brain drain, if opportunities are provided in Nigeria for training of health providers, increase earning power and job satisfaction.

Put innovation and entrepreneurship in place to drive development because when you increase people’s health, you increase their productivity,” he said.

In another lecture entitled: “Advances in Medical Sub-specialisation in Obstetrics and Gynaecology”, Medical , highlighted new technologies and methods of practising medicine in developed countries.

He noted that robotics and artificial intelligence had changed the narratives in medical practices, even though the traditional methods remained the backup in case of eventualities.

Joshua noted that minimal invasive approaches and the use of evidence- based practices had been incorporated into training and were helping quality healthcare delivery in developed countries.

In his response, Ojengbede, appreciated God for his achievements and thanked his teachers for their mentorship.

He urged people never to stop lending helping hands to the less-privileged ones and do good at all times.

The event featured the launching of a book entitled: “Grace Found Me” written by Ojengbede

NAN reports that Ojengbede, who bowed out of service after 35 years, had made his marks in the field of Obstetrics/Gynaecology, both nationally and internationally.

He is currently the director of Centre for Population and Reproductive Health, College of Medicine, University of Ibadan.

He has also engaged in research into a number of intervention studies for reducing maternal/neonatal morbidity and mortality, with the objective of identifying or developing best practices for replication.

Ojengbede has also actively pursued the development of training manuals in reproductive health for healthcare providers.

Edited by ‘Wale Sadeeq



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Expert tasks FG on self-care training for leprosy victims



Dr Gabriel Adakole, an Abuja based Public Health expert, has urged the Federal Government to encourage self-care training for people affected by leprosy.

Adakole made call in an interview with the Nigeria News Agency , on Monday in Abuja.

He said government should also ensure that the stigmatisation of people with leprosy was tackled, as well as make sure they were empowered to stand up for their rights.

The expert said that the combination of a disease that had a debilitating effect on the body and stigma associated with it required a holistic approach.

He called on government to focus on the physical, social, spiritual and psychological needs of leprosy patients in the country.

Adakole who spoke further on the health, rehabilitation and disability care for leprous persons, noted that even after treatment the disease might have already caused permanent damage to their nerves.

As they no longer feel pain, they are usually at risk of injuring their hands and feet while completing daily tasks such as walking and cooking.

Government needs to design a programme to train people on self-care techniques that will help minimise the risk of injury, and promote the setting up of self-care groups in leprosy-affected communities.

Teach them how to inspect each other for injuries and encourage one another to treat their wounds, as well as on giving each other emotional support,” he said.

The health expert said that many people affected by the disease live in basic shelters with inadequate sanitation because of poverty and discrimination.

Often, they live as part of a leprosy-affected community set up because people with the disease were shunned by friends and neighbours,’’ he said.

Adakole advised the government to provide thousands of leprosy-affected families with improved housing and sanitation in the country.

He also advised the government to create opportunity for children and young people from leprosy-affected families to acquire basic education and improve their livelihood.

“Going to school will encourage them to achieve their full potential.

Leprosy is one of the world’s most stigmatised disease. It seems inconceivable that people affected by a mildly-infectious disease can become so marginalised in society,” he said.

The expert said that it was disheartening to note that leprosy could destroy job, education and marriage prospects of an entire family as a result of age-long stigma and misunderstanding surrounding the disease.

He decried a prevalent global myth that leprosy was a curse for something the victims had done wrong, either recently or in past life.

Edited by: Chinyere Bassey/Nyisom Fiyigon Dore

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Kwara govt gets pass mark from UNICEF over health spending



The United Nations Children’s Fund (UNICEF) has commended the Kwara state government for spending over N92 million on health within the last six months.

Health Kaduna Field Office, gave the commendation on Monday in Ilorin at the 2019 End-Year Review and Planning meeting.

Tsofo said the amount spent by the government between May and November, was an improvement on the previous years’ expenditure on health in the state.

According to him, Kwara has surpassed many states that received more money than the state from the international children’s funding agency.

The UNICEF official explained that the money was specifically spent on campaigns on polio, measles and meningitis, which according to him are part of immunisation activities.

Tsofo, however, said that UNICEF spent N265 million on health activities in the state from January to December.

Edited by: Ismail Abdulaziz

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