Although nationwide efforts to promote exclusive breastfeeding began in Nigeria in 1992, data on this type of infant feeding are still generally scarce. Current status breastfeeding data were obtained from 2794 mothers, enrolled from randomly selected infant welfare clinics in Ibadan, Nigeria, to evaluate factors that are associated with exclusive breastfeeding. The exclusive breastfeeding rate dropped from 57.4% at 1 month to 23.4% at 6 months. Using multiple regression analysis, younger age of infant (P < .0001), higher maternal occupation (P < .05), and delivery in tertiary (P < .0001) or secondary (P < .0001) health facility were predictive of exclusive breastfeeding. Mothers 24 years or younger and primiparous mothers were less likely to breastfeed their babies exclusively (P < .01 and P < .05, respectively). Additional programs are needed to meet the needs of at-risk mothers, who should be identified and counseled.
The inadequacy of pipe borne water in Ibadan Metropolis is almost endemic. This inadequacy is both in quantity and quality of the public water supply. As an alternative to the water supply, small scale industrial concerns came up with 'PURE WATER': 0.5Litre water in nylon sachets, which are electrically heated, sealed at both ends and widely patronized by both low and middle class Nigerians. The objective of the study was to find out the quality of such pure water. Stratified, simple random sampling procedures were used to select 78 samples from 20 brands of sachet water from important hawkers/vendors. The samples were subjected to physical, chemical and bacteriological analysis. For chemical analysis, Hanna's 100 spectrophotometer plus chemical reagents were used. The water samples were assessed for coliform and other intestinal bacteria using MKC cowkery broth (MM) and Brilliant Green Bile Broth (BGBB). Multiple tube method was employed. The result showed that the physical parameters were within W.H.O limits for drinking water quality guidelines except for pH which ranged from 6.6-9.7. Some chemical parameters were also within the W.H.O guideline values. However; aluminum which concentration ranged from 0.00-0.34 mg/l, fluoride concentration ranged from 0.01-1.87 mg/I and cyanide concentration ranged from 0.000-0175 were not. Bacteriological analysis, showed that five (5) or 6.4% of the samples tested fielded bacterial growth. Bacteria produced included: Klebsiella sp., Streptococcus faecalis and Pseudomonas aeruginosa. The enforcement of the regulation guiding water quality before the National Agency for Food and Drug Administration Control (NAFDAC) to comply with the drinking water qualities guideline values as recommended by W.H.O, becomes urgent.
Objective: To determine the prevalence and severity of symptoms of asthma, allergic rhinoconjunctivitis and eczema in Nigerian children aged 6–7 years. Subjects and Methods: A cross-sectional study of selected children in primary schools in Ibadan, Nigeria was conducted using phase I of the International Study of Asthma and Allergies in Childhood (ISAAC) format. Standardized questionnaires were distributed to parents and guardians of 2,325 children aged 6–7 years in 31 primary schools randomly selected among 272 in Ibadan. Results: Data was collected from 1,704 children (797 boys and 907 girls; M:F ratio 1:1.14), giving a participation rate of 73.3%. Both recent rhinoconjunctivitis and wheeze were reported by 5.1%, and itchy flexural rash in the past 12 months was reported by 8.5%. The cumulative prevalences of reported symptoms of wheezing, rhinitis and eczema were 7.2, 11.3 and 10.1%, respectively. These symptoms were basically the same among the boys and girls (rhinitis 11.4 vs. 11.2%; eczema 10.7 vs. 9.5%), except for wheezing, which was higher in boys (9.0%) than girls (5.6%), p = 0.015. Current symptoms of rhinitis and atopic eczema were associated with current wheeze and severe wheezing, whereas current symptoms of allergic rhinoconjunctivitis were only associated with severe wheezing attacks. One or more current symptoms occurred in 13.2% of the children, and all three symptoms were reported by 0.5%. Conclusion: The study demonstrates a high prevalence of atopic conditions among children 6–7 years old in Ibadan, Nigeria, with more than three fifths of the children who had current wheezing also showing symptoms of other atopic diseases. Children with allergic rhinoconjunctivitis were more likely to have severe wheezing attacks if they had developed atopic eczema before 2 years of age.
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