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
Ebola: WHO releases additional $3.4m as death toll rises to 139
The World Health Organisation (WHO) has approved an additional $3.4 million to support emergency response efforts following the worsening Ebola outbreak in the Democratic Republic of the Congo (DRC) and Uganda, where suspected deaths have risen to 139.
WHO Director-General, Tedros Adhanom Ghebreyesus, announced on Wednesday during a media briefing in Geneva that the agency had declared the outbreak a Public Health Emergency of International Concern (PHEIC) amid growing fears of wider regional transmission.
Tedros said the declaration was made on Sunday under Article 12 of the International Health Regulations after consultations with health authorities in the DRC and Uganda, citing the need for urgent international action.
According to WHO, 51 Ebola cases have so far been confirmed in the DRC, particularly in the provinces of Ituri and North Kivu, including the cities of Bunia and Goma, while Uganda has recorded two confirmed cases in Kampala, including one death linked to travellers from the DRC.
The agency also confirmed that an American national who contracted the virus in the DRC had been transferred to Germany for treatment.
Tedros, however, warned that the outbreak was far more severe than confirmed figures indicate, with nearly 600 suspected cases and 139 suspected deaths already reported.
He said the outbreak had spread to several urban centres, while infections among health workers pointed to transmission within healthcare facilities.
The WHO chief identified insecurity, mass displacement and intense population movement in mining communities within eastern DRC as major factors heightening the risk of regional spread.
He noted that over 100,000 people had been displaced in Ituri Province following escalating violence since late 2025.
Tedros also expressed concern that the outbreak involves the Bundibugyo strain of Ebola, for which no approved vaccines or therapeutics currently exist.
“In light of all these risks, I decided it was urgent to act immediately to prevent more deaths and mobilise an effective international response,” he said.
He commended the governments of the DRC and Uganda for their cooperation, particularly Uganda’s decision to postpone the annual Martyrs’ Day celebrations, which typically attract millions of participants.
WHO said the additional $3.4 million approved from its Contingency Fund for Emergencies brings the organisation’s total emergency support funding for the outbreak to $3.9 million.
The agency added that response teams, medical supplies and emergency support personnel had already been deployed to affected areas as efforts intensify to contain the virus.
Health
WHO declares Ebola outbreak in DR Congo, Uganda global health emergency
The World Health Organization has declared the Ebola outbreak caused by the Bundibugyo virus strain in the Democratic Republic of the Congo and Uganda a Public Health Emergency of International Concern (PHEIC).
The global health body in a statement said the decision was based on the growing risk of international spread of the disease and the absence of approved vaccines or treatments specifically targeting the Bundibugyo virus strain.
WHO Director-General said the outbreak met the criteria for a global health emergency under the International Health Regulations, although it does not yet qualify as a pandemic emergency.
As of May 16, health authorities had recorded eight laboratory-confirmed cases, 246 suspected cases and 80 suspected deaths in Ituri Province of DR Congo, affecting Bunia, Rwampara and Mongbwalu health zones. Uganda also confirmed two cases in Kampala, including one death, involving travellers from DR Congo.
WHO said unusual clusters of deaths linked to symptoms consistent with Bundibugyo virus disease had also been reported across parts of Ituri and North Kivu provinces, while at least four healthcare workers had died from suspected viral haemorrhagic fever, raising fears of hospital-based transmission.
The agency warned that the true scale of the outbreak remained unclear due to limited epidemiological data, insecurity, population displacement and weak health systems in affected communities.
According to WHO, the high positivity rate from initial laboratory samples, increasing reports of suspected cases and deaths, and the detection of cases in Kampala indicate the outbreak could be significantly larger than currently reported.
WHO noted that unlike the Ebola Zaire strain, there are currently no approved vaccines or therapeutics specifically targeting the Bundibugyo virus strain.
The organisation said neighbouring countries sharing borders with DR Congo face a high risk of further spread because of population movement, trade activities and ongoing humanitarian challenges in the region.
WHO announced plans to convene an Emergency Committee under the International Health Regulations to advise on temporary recommendations for responding countries.
The global health agency urged DR Congo and Uganda to activate emergency response mechanisms, strengthen surveillance and laboratory testing, improve infection prevention measures in hospitals and intensify contact tracing and community engagement.
WHO also advised affected countries to implement screening at airports, seaports and land borders, isolate confirmed and suspected cases, and consider postponing mass gatherings until transmission is interrupted.
The organisation, however, warned countries against closing borders or imposing travel and trade restrictions, saying such measures lack scientific basis and could worsen the spread of the disease through unmonitored routes.
WHO further urged neighbouring countries to strengthen preparedness, establish rapid response teams and improve monitoring for unexplained deaths and suspected cases.
Health
World Hypertension Day: Nigerians living with deadly BP – May&Baker warns
The Managing Director and Chief Executive Officer of May & Baker Nigeria Plc, Pharm. Patrick Ajah, on Friday raised alarm over the growing burden of hypertension in Nigeria, warning that millions of Nigerians are living with dangerously high blood pressure without knowing it.
Ajah, who spoke in Lagos during the Walk for Life 2026 organised by the company to commemorate World Hypertension Day, also lamented that rising energy costs are hurting drug prices, as the company spends N170m monthly on factory power.
The event, themed “Controlling Hypertension Together,” featured a health walk, free blood pressure and blood sugar screening, medical consultations, fitness activities, and health talks in collaboration with the Ikeja 1 NYSC Medical CDS Group and other stakeholders.
Speaking during the exercise, Ajah described hypertension as a “silent killer,” disclosing that many Nigerians discovered during previous screenings had dangerously high blood pressure levels, including readings as high as 200 over 120.
“Many Nigerians are walking the streets every day without knowing that they have hypertension,” he said.
“Some of the results we see are frightening. We have seen cases where people’s blood pressure ranges from 200 over 120, which is almost a killer.”
He said the situation was particularly alarming among low-income earners and market women who rarely go for medical checks because of rising healthcare costs.
“Most market women are very hypertensive, but they don’t check. It is getting worse because many people cannot afford hospital bills anymore,” he stated.
According to him, worsening economic hardship and stress are contributing significantly to the rising cases of hypertension across the country.
“With the condition of the country, stress levels are high, and stress increases the tendency for hypertension. The burden is a lot more than it used to be,” Ajah added.
The May & Baker boss warned that hypertension becomes more dangerous when combined with diabetes, describing both conditions as a dangerous alliance responsible for increasing cases of stroke, kidney failure, and sudden deaths.
“In medical school, we were taught that hypertension and diabetes form a dangerous alliance. When somebody is hypertensive and diabetic, it kills faster,” he said.
“That is why we don’t just check blood pressure here, we also check blood sugar.”
Ajah stressed that hypertension treatment is lifelong and warned patients against abandoning medications once their blood pressure appears stable.
“People need to understand that hypertension is not like malaria that you treat and it disappears. Once diagnosed, especially above 40, you are likely going to be on medication for life,” he explained.
“Many people stop taking their drugs once their blood pressure becomes controlled. That is dangerous.”
He urged Nigerians, especially those aged 35 and above, to regularly monitor their blood pressure and blood sugar levels, reduce salt intake, exercise regularly, and maintain a healthy lifestyle.
Ajah also lamented the rising cost of drug production in Nigeria, revealing that soaring energy costs and infrastructure challenges are affecting pharmaceutical manufacturers and ultimately increasing medicine prices.
“Before 2023, we spent about N65 million monthly on power in our factory. Right now, it is costing about N170 million every month,” he disclosed.
“So whether we like it or not, those costs will affect medicine prices.”
He, however, commended the Federal Government for approving duty-free importation of pharmaceutical raw materials, saying the policy helped manufacturers avoid additional drug price increases.
“When the executive order came, we suspended a planned price increase. It probably saved about 10 to 15 per cent on medicine costs,” he said.
Ajah further called on government to improve healthcare infrastructure, make medicines more affordable and address the worsening brain drain in the health sector.
“These days, people get to hospitals and wait for hours before seeing doctors because many doctors have left the country. Government needs to do more to encourage them to stay.”
Speaking, the Chairman of Ikeja Local Government, Comrade Akeem Olalekan Dauda, commended May & Baker for the initiative and urged stronger collaboration between private organisations and government in promoting public health.
“This is public good governance. What you are doing is part of corporate social responsibility and I encourage you to continue partnering with government so our people can enjoy more healthcare support,” Dauda said.
One of the beneficiaries, Mrs. Bose Ayo, praised the organisers after receiving free medical screening and treatment during the outreach.
“I checked my blood pressure and sugar levels and everything is fine. The doctors also attended to my cough and gave me medication,” she said.
“I pray they continue doing this for people like us who cannot afford hospital bills.”
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