Environmental Justice and Health in Nigeria.

PURPOSE OF REVIEW: The United Nations Sustainable Development Goals (SDGs) identified 17 goals to achieve by the year 2030, with many of these goals directly or indirectly linked to environmental justice. Health outcomes remain poor in Nigeria; the country ranks low in environmental quality despite supporting environmental treaties and laws. The burden of diseases in the country is in part related to poor environmental quality and is linked to environmental justice issues, such as mining, energy exploration, transport emission, poor waste management, and proliferation of slum settlement. RECENT FINDINGS: Previous studies found that living in proximity to mines and environmental degradation of land and water disrupts means of livelihood and causes poor health outcomes among children and adults. Specifically, health issues like respiratory illness, malaria, kidney disease, and high blood pressure are likely consequences of proximity to mine waste. Few published studies are available for a developing country like Nigeria, although the link between environmental justice and health in Nigeria is clear enough to require action on the part of the government and polluting industries. This paper reviewed the concept and coverage of environmental justice in the Nigerian context and its impact on health. Addressing environmental injustices related to mining and other environmental issues can accelerate health gains through conscious and concerted efforts towards preserving the environment. Also, the right of everyone to a sustainable city regardless of socioeconomic class and geographical location can only be secured through environmental justice.

The Impact of the First and Second Waves of COVID-19 Pandemic in Nigeria.

In recent times, the COVID-19 pandemic has been the subject of global concern. It has so far claimed over 5.4 million lives globally, with over 291 million cases recorded worldwide as of 5 January 2022. It is known to have different waves and variants, thus making it difficult to handle/manage. This study investigates the impact of the first and second waves of COVID-19 in Nigeria, West Africa. The data used is for the 36 states of Nigeria archived at the National Centre for Disease Control from February 2020 to April 2021. Results from the study reveal that the highest number of COVID-19 cases during the first/second wave was recorded at Lagos (23,238/34,616), followed by the Federal Capital Territory (FCT) (6,770/12,911) and alternates between Plateau (3,858/5,170) and Kaduna (3,064/5,908). Similarly, the highest number of deaths (during the first/second wave) was also recorded in Lagos (220/219), followed by Edo (112/73), and then FCT (83/81). The Case Fatality Ratio (CFR) was observed to be higher mostly in northern Nigeria during the first wave and the southeast during the second wave of the pandemic. On the average, the number of cases/deaths recorded during the second wave was higher than those of the first wave, but a decrease in the CFR values was observed during the second wave. Higher values of COVID-19 cases/death were mostly recorded in Nigeria during; maximum relative humidity (RH) (>70%) with minimum Temperatures (<25°C), Low temperatures, and low RH which is mostly observed during the cold/dusty periods.

A Systematic Review Protocol of Opportunities for Noncommunicable Disease Prevention via Public Space Initiatives in African Cities.

Public spaces have the potential to produce equitable improvements in population health. This mixed-methods systematic review aims to understand the components of, determinants, risks, and outcomes associated with public space initiatives in African cities. This study will include quantitative and qualitative study designs that describe public space initiatives in African cities with implications for promoting health and wellbeing, particularly through the prevention of noncommunicable diseases. Only studies published after 1990 and that contain primary or secondary data will be included in the review. Literature search strategies will be developed with a medical librarian. We will search PubMed, using both text words and medical subject headings. We will adapt this search to Scopus, Global Health, and Web of Science. This systematic review will adopt a mixed methods analytical approach. Mixing will occur in extracting both qualitative and quantitative findings; in synthesizing findings; and in the analysis where we will integrate the qualitative and quantitative strands. The learnings from this study will contribute to advancing knowledge on noncommunicable disease prevention through public space initiatives in African cities.