Health Check

Despite the myths and fear which surround leprosy it can be treated and prevented with a short course of antibiotics. The disease is spread by a bacteria which is easily killed with these drugs. Although this stops the virus spreading it doesn’t help those who have been disfigured by the parasite, they are still viewed negatively even though they are no longer infectious. As Seydina Alioune Djigo reports, Senegal has embarked on a campaign to both treat Leprosy with drugs and educate more widely on the condition. They have also removed restrictions on those banished to former leper colonies. Also if you died would you donate your eyes to help some else see? Oyeyemi Gbenga-Mustapha reports from Nigeria on an eye banking project there, which uses donated eyes to restore the sight of people affected by corneal blindness. However as with many forms of organ donation the practice is not widely accepted yet. Presented by Priscilla Ngethe.

Vaccine hesitancy and Covid vaccines for Children. Claudia talks to paediatrician Dr Robert Jacobson of the Mayo Clinic, Rochester, Minnesota, USA about issues of Covid vaccine hesitancy and why this issue may grow as Covid vaccines become available for children. As trials on children as young as 6 months get underway, and vaccination for children likely to be available, in some countries, from the summer/early autumn, why is vaccinating children against Covid important and what can be done to help parents overcome any hesitancy they might have? New Test to predict pre-term labour. Every year, around 15 million babies in the world are born too early. In countries such as Malawi, Pakistan and Indonesia, more than 15% of babies are premature. Not all survive and some of those that do have disabilities, which might have been preventable with simple care. The question is how to predict which pregnant women might go into labour too early. Reporter Madeleine Finlay investigates a new test using the vaginal microbi

In Senegal there are a range of measures to help people living with disabilities enter the workforce, however overcoming attitudes is still a major issue. And we look at the impact of shoes on our physical health, it’s not just feet but bones and joints in the legs and spine that can be affected by our footwear. With Khadidiatou Cisse, Saida Swaleh and Priscilla Ngethe.

Claudia talks to her guest Dr Ann Robinson about a new study from the University of Glasgow in the UK that suggests the virus that causes the common cold can effectively boot the Covid virus out of the body's cells. Some viruses are known to compete in order to be the one that causes an infection and researchers have discovered that it appears cold-causing rhinovirus trumps coronavirus. The benefits might be short-lived but rhinovirus is so widespread it could still help to suppress Covid. Mental Health in Covid frontline health and social care workers. Claudia hears from Dr Talya Greene about a new study showing that nearly 60% of health and social care workers working in the UK during the first wave of Covid have suffered from either anxiety, depression or post traumatic stress disorder. What can we learn from the impact of Covid on the mental health of hospital and social care staff in order to help build resilience for future traumas. Azeezat Olaoluwa reports from Nigeria looking at something that

In Nigeria we meet someone who finds that swimming can help alleviate her depression and we discuss how self-esteem as well as diet can impact a new mothers’ ability to breastfeed. With Pricilla Ngethe, Milly Akeyo and Charles Mgbolu.

As further European countries announce precautionary suspension of the AstraZeneca/Oxford vaccine over fears it may have caused blood clots in a very small number of people, Claudia talks to BBC Health Editor James Gallagher about what the data really tells us about the safety of this vaccine. Tanzania and Covid. Claudia talks to BBC Africa Correspondent Leila Nathoo about Covid in Tanzania. President Magufuli was one of Africa’s most prominent Covid-19 sceptics, and is now rumoured to have died of the disease himself. Last year he said the disease had been eradicated from Tanzania by three days of national prayer but does Tanzania have a hidden epidemic? Vaccine Side Effects. Claudia discovers why there seems to be such a difference in how people have reacted to the vaccine, from no side effects at all, to mild flu like symptoms. She looks at how the vaccine triggers an immune response, and why it can’t give you Covid. Haitians in Chile. Chile has long been a destination for immigrants from other countri

As the roll out of vaccines across Africa gathers pace we look to the future, how vaccination may help ease travel restrictions and ways to convince those still reluctant to get vaccinated. We also look at diabetes, the disease is more common than we might think affecting a wide range of people. With Rhoda Odhiambo, Anne Mawathe and Priscilla Ngethe.

A significant proportion of sufferers of Long Covid are reporting that their symptoms lessen or disappear completely after receiving a coronavirus vaccination. At the moment, the evidence is just anecdotal but doctors and researchers are intrigued. Claudia talks to New York infectious disease doctor Daniel Griffin who estimates that more than a third of his patients are getting some relief following vaccination and Prof Janet Lord, professor of immunology at Birmingham University, runs through the possible explanations. Dangerous myths about blood transfusions. Dayo Yusuf reports from eastern Kenya on the myths about them in some pastoralist communities and meets the parents who rejected the option of a life-saving blood transfusion for their son who has chronic anaemia. They feared bad character traits of the donor would be passed onto him. Monica Lakhanpaul, professor of paediatrics, discusses other damaging health myths that she has studied in South Asia and how these false beliefs about the body and mode

When it comes to mending broken bones or rectifying the eye problems caused by the disease Trachoma, what place does traditional medicine have? Many people would choose traditional medicine practitioners over conventional doctors and hospitals. However herbalism and spiritual belief are poor substitutes when surgery is needed. Can these two very different approaches be reconciled for the benefit of patients? Priscila Ngethe, Khadidiatou Cisse, and Charles Mgbolu discuss the conflict and potential for collaboration between the opposing forces of traditional and orthodox medicine.

Health Check looks into issues around Covid-19 vaccination and pregnant women. Harvard researcher Julia Wu has just done a global survey of attitudes of pregnant women about being vaccinated against Covid-19. Acceptance is highest in low and middle income countries such as India and Latin America. The greatest levels of reluctance were in the US and Russia. Pfizer has started the first trial of a Covid-19 vaccine in pregnant women, which will ultimately involve 4000 women in ten countries in the Americas, Africa and Asia. Should we have waited this long for the first trial in this group of people, seeing that pregnant women are at greater risk of hospitalisation, death and premature birth if they become infected? Claudia discusses the unknowns and risk/benefit considerations around vaccinating pregnant women against the virus, with Johns Hopkins medical ethicist Ruth Faden and maternal immunisation researcher Acuzena Bardiji, who works in Mozambique. Matt Fox in Boston is our guest of the week, talkin

We’re looking at why levels of blood donation in Africa are so low compared with other parts of the world. From Nigeria we hear about hospitals having to ask patients and family members to give blood to ensure there is enough for their relatives if they require treatment. From Somalia we look at how the continuing violence and unrest has brought into sharp focus the need for an organised system of blood donation – currently there is only one donor centre – for the whole country, run by volunteers. And in Kenya we meet people who refuse blood transfusions, believing they might take on the characteristics of the person donating the blood. Health workers and religious leaders are coming together to try to change these beliefs. Presented by Priscilla Ngethe with contributions from Bella Sheegow, Charles Mgbolu and Dayo Yusuf. (Picture: People donating blood in Kenya. Credit: Getty Images)

Health Check discusses Long Covid with Nishi Chaturvedi, professor clinical epidemiology at University College London, and Dr Shamil Haroon, family doctor and public health researcher at the University of Birmingham. They’ve both begun big research projects on what Long Covid is, what causes it and how best to treat patients. We also hear from two people whose lives have transformed for the worse by the syndrome. Claudia talks to Professor Gagandeep Kang who has delivered a keynote talk at this week’s Commonwealth Science Conference. Her theme was how the world’s scientists were able to develop multiple coronavirus vaccines so quickly. She says the global health community were determined to learn the lessons from the Ebola epidemic in West Africa in 2014 to 2016. Professor Kang is one of India’s leading vaccinologists, based at the Wellcome Trust Research Laboratory at the Christian Medical College in Vellore. Claudia also asks her about the latest coronavirus infection rate in India and why the mortality ra

We’re looking at a health issue that disproportionately affects black women - Uterine fibroids. These are non-cancerous growths that develop in or around the womb. There is little research on what causes fibroids or how to prevent them. Azeezat Olaoluwa, BBC News Women’s Affairs journalist based in Lagos, has been investigating. And the findings from a small study in South Africa on a leading Covid-19 vaccine have led to questions over its effectiveness. This one offers the most promise for Africa as it doesn’t need to be kept at super low temperatures. There are still plans to roll out this vaccine across Africa, though South Africa is now looking for alternatives. Rhoda Odhiambo has been looking into what it all means. Presented by Priscilla Ngethe.

Claudia talks to Dr Lucia Chambal at the Central Hospital of Maputo in Mozambique. She is helping to coordinate the response of the country’s largest hospital to an ongoing surge in new Covid patients. In the last three weeks, they’ve had to create more than new 150 beds to accommodate these patients, including erecting large tents to act as Covid wards in the hospital grounds. Dr Chambal talks about the pressures, saying they’ve admitted many more patients since January than during the entire period between last March and December. A study at New York hospital has revealed the substantial benefits of giving mobilising physiotherapy to hospitalised Covid-19 patients. In the first months of the pandemic at the Montefiore Medical Center when patient numbers dramatically increased, some patients received physiotherapy while others didn’t because of a lack of PPE for therapists. Looking back at the fate of both groups of patients, the hospital has now found that the survival rate of those getting the therapy

Infections caused by germs which have become resistant to the medicines used to treat them pose a great threat to people’s health, as curable diseases become untreatable. Unregulated medicine dispensation and improper cleaning and sanitation at hospitals can all contribute to the spread of resistant germs. Overuse of antibiotics in animal rearing can also contribute, although this is less prevalent in Africa. Professor Joachim Osur and Dr John Kiiru explain. Many claims have been made about the potential health benefits of coconut oil. The oil is used widely in cooking and for hair, skin and healthcare. Dayo Yusuf travelled to Mombasa, Kenya, to investigate how coconut oil is produced and explore the nutritional facts and fiction. Priscilla Ngethe discusses these issues with BBC Africa Health Editor Anne Mawathe and reporter Dayo Yusuf.

The South African government has decided to pause its roll-out of the Astrazeneca-Oxford vaccine because of disappointing results of the vaccine’s effectiveness against the most common variant in the country in a trial of young people. And is there any good evidence from trials elsewhere that this vaccine reduces the chances of people spreading the coronavirus to others, as well as preventing severe illness and death? How do you test whether a vaccine prevents or reduces transmission of the coronavirus? Claudia’s regular guest epidemiologist Professor Matt Fox of Boston University discusses the issues. Claudia talks to two ovarian cancer specialists, Dorothy Lombe in Zambia and Georgia Funtes Cintra in Brazil about the challenges and success stories in providing treatment and care for women with this kind of cancer. The Global Cancer Coalition Network has released a report documenting the worsening situation in cancer care in 104 countries because of the coronavirus pandemic. Dorothy and Georgia tells us

So far five African counties have begun vaccination campaigns, with vaccines gifted to them by wealthier countries. For many of the continent’s 1.2 billion people Covid -19 vaccinations will come through the COVAX initiative, which is a programme designed to reach many of the poor and vulnerable across the world. Whilst this is a huge task, Africa does have the advantage of having developed effective methods of delivering vaccinations with campaigns to fight Polio and Ebola. Along with the global pandemic, life threatening diseases such as cholera still thrive in inadequate sanitary conditions which is the situation for many people worldwide. However, there are some relatively simple and cheap solutions available, such as a scheme to build waterless latrines in Nigeria. Reporters Rhoda Odhiambo and Charles Mgbolu join presenter Priscilla Ngethe to discuss these health issues.

Claudia Hammond discusses the latest influx of excellent Covid-19 vaccine results with Sarah Boseley, health editor of The Guardian. Dr Samara Linton reports on efforts by black doctors in the UK to overcome vaccine hesitancy in their communities. The Biden administration is to rescind the USA’s Mexico City Policy which denies federal aid funding to organisations overseas that provide abortion counselling or services. The policy, also known as the Global Gag, prevented other family planning and HIV prevention services from receiving essential funding. Joy Phumaphi, former Botswanan health minister and now with the Partnership for Maternal, Newborn and Child Health talks to Claudia about the impact of the policy on the health and wellbeing on women and children in sub-Saharan Africa, and about the prospects for these services after the Mexico City Policy’s imminent demise. A team of eye specialists at University College London has found that levels of air pollution typical of big cities around the wor

The Brazilian city of Manaus remains in a state of crisis as its second surge of Covid-19 cases continues to overwhelm its hospitals and kill hundreds of people every day. Dr Marcus Lacerda, a clinical researcher at the FioCruz Institute talks to Claudia about the city’s medical oxygen supply shortage and why the coronavirus has caused even more suffering during this second surge of cases. One of the commonest symptoms of Covid-19 illness is the loss of the sense of smell. It returns after a few weeks in most people but a significant minority still can’t smell anything many months later. We talk to Professor Carl Philpott of Norwich Medical School who’s led an international panel of nose doctors, assessing the evidence for the best therapies to restore the olfactory sense to people who’ve lost it following respiratory infections. So-called smell training comes out top as the most evidence-based approach. Carl explains how it works and we hear from two people who are trying to regain their sense of smell. Ca

After the first few days of India’s Covid mass vaccination programme rollout, Claudia talks to medical ethicist and health policy expert Anant Bhan about the issues arising from the lack of efficacy data for one of the two vaccines. Will they undermine confidence in this gargantuan public health exercise? Cindy Sui reports from Taiwan about a recent increase in the number of suicides among students there. Claudia talks to Zi-Jun Liu about the obese miniature pigs that he is using to study the dangerous condition of sleep apnoea. Claudia’s guest of the week is Tabitha Mwangi of Cambridge University, with news on making yellow fever vaccines go much further when there’s a serious outbreak, protecting vulnerable children from malaria and how the pandemic is putting commercial sex workers in West Africa at greater risk of HIV infection. Presenter: Claudia Hammond Producer: Andrew Luck-Baker (Picture: BMC medical staff congratulate their colleague Sr. staff nurse Charushila More after she administered the f