Health
Uncontrolled diabetes in pregnancy may lead to cataracts in children – Ophthalmologists
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By Francesca Hangeior
Contrary to the belief that cataracts mainly occur in older adults, eye specialists say babies and children could be born with it or develop the eye disease due to certain health conditions.
The ophthalmologists said pregnant women with uncontrolled diabetes and other metabolic diseases might give birth to babies with cataracts, though there were other causes of congenital cataracts in children.
The experts said it was important for pregnant women to have good antenatal care to reduce the risk of pregnancy complications that could affect the eyes of their babies when they are born.
Besides diabetes in pregnancy, the ophthalmologists also disclosed that certain infections in pregnancy like rubella (German measles) can lead to a woman giving birth to a child with cataracts while advising teenage girls to go for rubella vaccination.
They noted that cataracts in children could either be by birth (congenital) or acquired after birth, warning that an injury to the eye could cause cataracts in children.
However, the physicians who spoke during an exclusive interview with PUNCH Healthwise, said not all cataracts in babies and children had a known cause.
The World Health Organisation says cataract is a clouding of the lens in the eye that normally affects vision, stressing that cataract is the most common cause of blindness and visual impairment often related to aging.
The global body, however, said, “Occasionally children are born with the condition, or a cataract may develop following an eye injury, or as a result of inflammation or other diseases, such glaucoma and diabetes. Sometimes, the development of cataracts is linked to steroid use or it may develop after exposure to some types of radiation.”
Speaking with our correspondent, a paediatric ophthalmologist, Dr. Halima Alimi, also disclosed that some cataracts in children could also be hereditary, assuring that children with significant cataracts could be effectively treated by surgery.
The eye expert, who is the Executive Director of Restore Foundation for Child Sight, a non-government organisation that advocates for improved eye care for children, said parents should ensure that their babies go for routine eye checks after six months of birth to detect the condition early before it negatively impacts on the overall growth and development of the child.
Giving insight into why children also suffer from cataracts like older people, Alimi explained, “Why children suffer cataracts is because of the variety of things that potentially upset the clarity of the lens of a child’s eye and so we have said that it can be congenital or acquired.
“Part of the congenital causes of cataracts are children whose mothers suffer certain infections while they are pregnant with them which we call intrauterine infections. Most of them are viruses and so there are a host of diseases that pregnant mothers can have. Top on the list is something called rubella. It is a German measles.
“It is a sort of measles but a little bit different from the popular measles that is known. It is caused by the rubella virus. So when a pregnant woman is affected by German measles, the virus will go ahead to cross the placenta and infect the baby depending on the stage of the pregnancy at which it infects the baby.
“If it is in the early stage of the pregnancy when the eyes are still developing, it can cause congenital cataracts as well as other problems that the child may be born with.
“This is one of the most common causes of infective cataracts in children born with it. And then also children whose mothers have certain metabolic diseases such as uncontrolled diabetes, the children themselves if they are born diabetic and other metabolic diseases, can cause cataracts as well. “
According to an international non-governmental organisation that works with partners in developing countries to treat and prevent avoidable blindness, Sightsavers, cataracts are one of the leading causes of visual impairment and blindness in children.
Alimi also pointed out that there are a variety of other causes of cataracts in children that are not congenital but are acquired.
“Things like injury. We all know that children can suffer eye injury from moderate to severe. So if an injury is severe enough it can result in cataracts just by having an injury. Injury is the cause of cataracts occurring in one eye in children. Inflammation inside the eye can lead to cataracts in children if not handled effectively. That is why we discourage self-medication”, she said.
The ophthalmologist also said genetically inherited diseases and indiscriminate use of steroids can cause cataracts in children.
On signs of cataracts in children, Alimi identified delayed milestones such as sitting, social smile, walking, and standing as some of the early indications, urging patients to establish the habits of routine and annual eye checks for their children..
According to her, squinting during bright light, a white dot within the eye, abnormal movement of the eye, not focusing when looking, and squinting the eyelids when there is sunlight are also some of the signs of cataracts i.n children
Commenting on the treatment, the eye specialist said cataracts when they are significant are treated surgically, adding also that vision rehabilitation for the children after the surgery will enable them know how to use their spectacles and how to maintain good eyesight.
She said cataracts in children could be prevented through immunisation in pregnancy, optimal antenatal care, prevention of injury, avoidance of drug abuse, vaccination of teenage girls against rubella.
A Consultant Ophthalmic Surgeon, Dr. Folasade Fasina, told PUNCH Healthwise that cataract is the most common cause of blindness in Nigeria.
The ophthalmologist disclosed that cataract is treated by the removal of the cloudy lens, adding that this is replaced with a clear artificial lens.
She stressed that the removal can only be done through surgery.
Fasina explained, “There are various methods of removal but all are surgical.
“Diagnosis is made when a doctor, an eye specialist, examines and carries out some tests on a patient complaining of blurred vision.
“Cataract is treated by an ophthalmologist who performs surgery on the eye. When the cataract is still small, vision can be improved with prescribed glasses, but the definitive treatment is surgery.”
In a 2021 study published in ScienceDaily, researchers from Denmark found that mothers who have diabetes before or during their pregnancy are more likely to have children who go on to develop eye problems.
The researchers analysed the associations between maternal diabetes before or during pregnancy and the risk of high refractive error, conditions in which there is a failure of the eye to properly focus images on the retina.
They advise that early screening for eye disorders in the children of mothers with diabetes may play an important role in maintaining good eyesight health.
Health
DR Congo Ebola outbreak tops 1,000 cases, kills 254
More than 1,000 Ebola infections have been recorded in the Democratic Republic of Congo, where the latest outbreak has killed more than 250 people, official figures showed Monday.
The country’s National Institute of Public Health (INSP) confirmed 1,003 cases and 254 deaths, with a fatality rate of 25 percent.
The latest outbreak of the deadly haemorrhagic fever was declared on May 15.
Almost all cases are in Ituri province in the northeast, a conflict-weary region plagued by armed groups.
In total, three provinces have been affected: Ituri, neighbouring North Kivu and South Kivu, home to around 15 million people.
The virus has also spread to neighbouring Uganda, where the World Health Organization has recorded 20 cases and two deaths, though Kampala said the situation was “under control” earlier this month.
The outbreak is caused by the rare Bundibugyo strain of the virus, for which there is no vaccine or specific treatment.
Existing Ebola vaccines, developed between 2018 and 2019, are only effective against the Zaire strain, which caused previous major outbreaks.
The World Health Organization has declared an international public health emergency, warning the outbreak could last months.
“The outbreak was declared around two months after the first suspected deaths were reported… During that time, the disease spread unchecked in ways we still don’t fully understand,” an international aid group representative told AFP, speaking anonymously.
AFP
Health
Fed govt moves to prevent Ebola outbreak, sets up presidential task force
The federal government on Thursday inaugurated a Presidential Task Force on Ebola Virus Disease Preparedness, declaring that Nigeria would not wait for an outbreak before taking action and vowing to prevent a repeat of the 2014 Ebola scare.
Chief of Staff to the President, Femi Gbajabiamila, said the task force was established as a proactive measure to ensure the country is fully prepared against any possible outbreak of the deadly disease, even as he confirmed that no case of Ebola has been reported in Nigeria.
Speaking with State House correspondents after inaugurating the task force at the State House, Abuja, Gbajabiamila said the government’s focus is on prevention rather than response, stressing that authorities were determined not to be caught unprepared.
“We did the inauguration today on the preparedness of Nigeria for the Ebola virus disease. We’ve covered a lot of ground. Right now, there’s no reported case, which is good news, and that’s why all hands have to be on deck to make sure the measures we are taking are preventive, not curative.
“We don’t want to be in the situation we were last time, where we had a carrier in the country and we’re all running helter-skelter”, he said.
He disclosed that the task force had established several subcommittees to coordinate critical areas of preparedness, including surveillance, border control, immigration management and emergency response.
According to him, one of the key lessons from the 2014 outbreak is the need for stronger coordination among all stakeholders, particularly between the Federal Government and states with international points of entry.
Gbajabiamila noted that governors and representatives of states hosting international airports, including Lagos, Rivers, Enugu and the Federal Capital Territory, participated in the meeting, describing the collaboration as essential to preventing the virus from entering the country.
He said special attention was also being given to Nigeria’s extensive land borders, warning that disease transmission through informal migration routes posed a significant risk.
“Normally, when people talk about emergency preparedness and cross-border diseases such as this, they think about airports. But now we’re covering not just airports; we’re placing greater emphasis on land borders.
“We have a lot of cross-migration through the land borders, and the Border Control Development Agency is involved, immigration is involved, and a lot of the border communities are involved”, he said.
The Chief of Staff said the government had drawn valuable lessons from the country’s successful containment of the Ebola outbreak in 2014 and was building stronger structures to eliminate gaps in preparedness.
“What we want is a zero case, as we have now. We want to maintain a zero case”, he added.
Also speaking, Director-General of the Nigeria Centre for Disease Control and Prevention (NCDC), Dr. Jide Idris, said surveillance systems had already been strengthened at major points of entry across the country, particularly airports.
He confirmed that Nigeria currently has no recorded case of Ebola but stressed that preparedness remained critical given recent developments in parts of Africa.
“The focus is to be prepared. We don’t have any Ebola case here now, but we need to be prepared. We need to ensure that we don’t get that Ebola virus here.
“However, just in case one slips in, we want to be prepared nationally to identify and deal with the case”, Idris said.
The NCDC boss explained that existing disease surveillance and emergency response structures were being upgraded and adapted specifically to address Ebola-related threats.
He said the preparedness framework brings together multiple government institutions, including the ministries of health, interior and education, as well as immigration, border control agencies and state governments.
According to him, emergency preparedness requires a coordinated national response built on teamwork, clearly defined responsibilities and an effective command-and-control structure.
“The bottom line is that the objective is that we do not allow Ebola to come in. If it does come in, we are prepared to rapidly identify and manage the case nationally”, he said.
Idris added that state governments across the federation had already been mobilised as part of the preparedness strategy, with efforts focused on surveillance, early detection, rapid response and public health coordination.
The inauguration of the task force comes amid heightened vigilance across several African countries following renewed concerns over Ebola outbreaks in parts of the continent.
Health
NARD Issues 21-Day Ultimatum To FG Over Attacks On Doctors
The Nigerian Association of Resident Doctors (NARD) has issued a 21-day ultimatum to the Federal Government to start implementing a national framework for the protection of healthcare workers, following a growing wave of attacks on medical personnel across the country.
NARD issued the ultimatum at a press briefing to end its Ordinary General Meeting (OGM), which took place in Kano. It also declared an industrial dispute with the government over 14 unresolved demands affecting the health sector.
According to the union’s president, Mohammad Suleiman, the rising cases of assault, intimidation, harassment and violent attacks on doctors pose a serious threat to Nigeria’s already fragile healthcare system.
“The OGM observed with grave concern the disturbing rise in cases of assault, harassment, intimidation and violent attacks against doctors across the country while discharging their professional duties.”
Suleiman described the trend as “barbaric, unacceptable and a dangerous threat” to the survival of the health system.
As part of its resolutions, the association demanded the immediate investigation, arrest, and prosecution of perpetrators of attacks on health workers, while urging the government and security agencies to strengthen protection for medical personnel and facilities nationwide. He further added that,
“Consequently, the OGM gives the Federal Government a 21-day window to commence concrete actions towards the development and implementation of a National Healthcare Workers Assault Prevention and Response Protocol, as well as the initiation of the necessary legislative process to address this menace.”
These include the immediate release and payment of the 2026 Medical Residency Training Fund (MRTF), which the association noted remains unpaid despite repeated assurances.
“The OGM demands the release and payment of the 2026 Medical Residency Training Fund to all eligible resident doctors nationwide within the next 21 days,” Suleiman said.
The association also demanded payment of outstanding 25/35 per cent CONMESS arrears, settlement of 19 months of unpaid professional allowance arrears, and clearance of salary and promotion arrears across federal and state health institutions.
It called for correction of discrepancies in professional allowance payments made in May 2026 and settlement of all related arrears.
Welfare and Recruitment Concerns
NARD raised concerns over worsening welfare conditions for house officers, including salary delays, unpaid arrears, and challenges in internship placement and onboarding.
It also demanded full implementation of outstanding provisions in the Medical and Health Workers’ Collective Bargaining Agreement (CBA) and urged government action on excessive workload, prolonged call-duty hours, casualisation of doctors, and abusive locum appointments.
Suleiman criticised delays by the Federal Character Commission (FCC) in issuing compliance letters, saying it has stalled recruitment and worsened manpower shortages in the health sector.
“The OGM demands the immediate issuance of a letter of compliance by the Chairperson of the FCC within the next 21 days to facilitate employment of healthcare workers and avert further worsening of the brain drain crisis,” the NARD chief said.
The association also called on federal and state tertiary health institutions to urgently address welfare, remuneration, infrastructure, and staffing challenges.
It specifically highlighted unresolved disputes at the Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC), Ile-Ife, and the Lagos University Teaching Hospital (LUTH), including provision of call meals and alleged victimisation of doctors.
Industrial Dispute Declared
While commending the governors of Osun and Kano states, Ademola Adeleke and Abba Kabir Yusuf, respectively, for interventions in the health sector, NARD warned that failure to meet its demands could trigger further industrial action.
“The Association hereby declares an industrial dispute with the Federal Government on the outlined matters above and cannot guarantee industrial harmony after the 21-day window,” it said.
He added that the association’s National Officers Committee would engage stakeholders during the ultimatum period, after which the National Executive Council would determine the next line of action.
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