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The novel coronavirus (COVID-19), a respiratory infection which according to the World Health Organisation (WHO), causes fever, tiredness, sore throat and in severe cases, shortness of breath and respiratory difficulty, is the most challenging health issue the world has experienced in the past few decades.

WHO and other global public institutions have confirmed that the severity of COVID-19 infection is heavily linked with the overall state of the body’s immune system, a reason why people with pre-existing health challenges are said to be most vulnerable to the contagion.

It is, therefore, not surprising that since earlier this year when WHO declared COVID-19 a global pandemic, people are now increasingly mindful of the state of their immune system.

For instance, the shopping lists of households across different parts of the world, including Nigeria, have revealed changes remarkably. CNN reported that the United States retail sales of orange juice jumped about 38 percent in the four weeks ending on March 28 when compared to the same period last year. Also, the Florida Department of Citrus disclosed that there was a spike in demand for 100% orange juice within the same period. The department forecasts a considerable increase in the short-term demand for the commodity.

Just like in the United States, there has been surplus demand for fruit juices in every other part of the world. During the five weeks the Federal Capital Territory, Lagos and Ogun were on lockdown, shops and supermarkets had run out of orange fruit juice stock in the first two or three weeks of the restriction.

In fact, less than a week into the lockdown, my favorite 100% Real Orange Fruit Juice, which would have made the stay-at-home less boring for me, had rapidly been purchased off the shelves in Lagos. The scramble for unavailable raw fruits in the open markets started in earnest. That the restriction on movement cut off a large chunk of the supplies did not help matters.

This major spike in the demand for pure fruit juice, especially the orange category, could be attributed to the immune-boosting power of orange juice. Peter McCaffery, a professor of biochemistry at the University of Aberdeen, said vitamin C, which is contained in orange juice, helps to strengthen the immune system to fight off bacteria and virus infections like the one the world is currently grappling with.

There are still relatively very few studies on the effect of nutrition on the human immune system. Yet, Harvard Medical School in its Harvard Health Publishing says deficiency in zinc, iron, copper, folic acid, Vitamin A, B6, C (which is contained in large quantity in fruit juice) and E have negative impacts on immune responses. Fruit juice contains the vital micronutrients needed to boost immunity.

However, fruit juice intake is just one of the ways to boost one’s immune system. There are several other things one can do to achieve this – adequate sleep, thorough cooking of meat, maintaining good hygiene, moderate intake of alcohol and regular exercise.

There are lots of herbal mixtures on the shelves of local stores with labels containing ‘support immunity’, ‘immune booster’ etc. So far, there is no evidence that such substances can strengthen immunity.

Regular exercise is an essential component of healthy living. It improves cardiovascular function, helps control body weight, removes toxins in the body, increases blood circulation and lowers blood pressure. The result of these is a strengthened immune system that protects the body against infections and diseases. Regular exercise is most valuable when one shuns junk food and sticks to healthy eating habits and balanced diet.

Individuals are often advised to ‘eat well’ as protection against the risk of infection. This advice has become even more relevant since the outbreak of COVID-19. What is missing in this counsel is the real definition of ‘eating well’. It is good to fill your stomach, but at best, that may only give you energy. What about ‘going green’?

Fruits are also an awesome option, but you also need to be sure you are not eating trouble. You really might not know how many hands must have touched the mango or apple you want to eat. Pure fruit juice contains the same nutritional value as raw fruit. So, if you can find a pack of trusted and healthily-processed 100% fruit juice on the store shelf, you will be making a smarter choice considering the prevailing health challenge.

*Malomo is a nutritionist

Encephalitis is a rare condition that is most often caused by viruses (viral encephalitis). It can also be caused by non-infectious diseases, such as systemic lupus erythematous and Behcet’s disease (an autoimmune disorder). The leading cause of severe encephalitis is the herpes simplex virus.

Other causes include enterovirus infections or mosquito-borne viruses; Eastern equine encephalitis (EEE); Western equine encephalitis (WEE); Venezuelan equine encephalitis (VEE); Japanese encephalitis; and Zika virus.

The very young and the elderly are more likely to have more severe encephalitis.

Exposure to viruses can occur through breathing in respiratory droplets from infected people, certain insect bites, and direct skin contact.

What are encephalitis symptoms and signs?
The signs and symptoms of encephalitis can range from very mild flu-like symptoms to potentially life-threatening events. Signs and symptoms of encephalitis include sudden fever, headache, vomiting, visual sensitivity to light, stiff neck and back, confusion, drowsiness, unsteady gait, irritability, loss of consciousness, poor responsiveness, seizures, muscle weakness, sudden severe dementia, and memory loss.

How do health care professionals diagnose encephalitis?
A health care professional diagnoses encephalitis after performing a thorough history and exam. The exam will incorporate special techniques to look for signs of inflammation of the membranes that surround the spinal cord and brain (meninges). The doctor will order specific tests to help determine the diagnosis.

Tests that evaluate individuals suspected of having encephalitis include cerebrospinal fluid analysis, brain scanning such as computerized tomography scan (CT or CAT scan)/ Magnetic resonance imaging (MRI) scan, and an evaluation of the blood for infection and the presence of bacteria.

The most common method of obtaining a sample of cerebrospinal fluid (or CSF) for examination is a spinal tap. A spinal tap, or lumbar puncture (LP), involves the insertion of a needle into the fluid within the spinal canal. The needle goes between the spine’s bony parts until it reaches the CSF. A medical professional then collects a small amount of fluid to send to the laboratory for an exam.

Evaluating the CSF is necessary for a definitive diagnosis of encephalitis and to decide on the best treatment options.

Abnormal spinal fluid results confirm the diagnosis and, in the event of an infection, by identifying the organism that caused the infection.

What is the treatment of encephalitis?
People require urgent treatment with antibiotics and/or antiviral medications if a physician suspects that person has encephalitis. Patients may need to take sedatives for irritability or restlessness. Doctors may administer other medications to decrease fever or treat headaches.

Prevention
Basic steps to avoid the spread of infections (handwashing, covering mouth when coughing, etc.) can help prevent encephalitis.

*Dr. Nwaoney is an epidemiologist, Chief Executive Officer (CEO) and Medical Director of Richie Hospital and El Shaddai Group.

The health benefits of lemon include treatment of throat infections, indigestion, constipation, dental problems, fever, internal bleeding, rheumatism, burns, obesity, respiratory disorders, cholera and high blood pressure, while it also benefits your hair and skin. Known for its therapeutic property since generations, lemons help to strengthen your immune system, cleanse your stomach, and it is considered a blood purifier.

Lemon juice, especially, has several health benefits associated with it. It is well known as a useful treatment for kidney stones, reducing strokes and lowering body temperature. As a refreshing drink, lemonade helps you to stay calm and cool.

The health benefits of lemon are due to its many nourishing elements like vitamin C, vitamin B6, vitamin A, vitamin E, folate, niacin thiamin, riboflavin, pantothenic acid, copper,  calcium, iron,  magnesium, potassium, zinc, phosphorusand protein. It is a fruit that contains flavonoids, which are composites that contain antioxidant and cancer fighting properties. It helps to prevent diabetes, constipation, high blood pressure, fever, indigestion and many other problems, as well as improving the skin, hair, and teeth. Studies conducted at the American Urological Association highlight the fact that lemonade or lemon juice can eliminate the occurrence of kidney stones by forming urinary citrate, which prevents the formation of crystals.

People use it to make lemonade by mixing lemon juice and water. Many people also use it as a washing agent, because of its ability to remove stains. The scent of lemons can also repel mosquitoes, while drinking lemon juice with olive oil helps to get rid of gall stones. It is well known for its medicinal power and is used in many different ways. As per the results reported in a study by the Annals of the Rheumatic Diseases, lemon provides protection against inflammatory polyarthritis and arthritis.

Health Benefits Of Lemon

Various health benefits of lemon are explained below:

Treats Indigestion

Lemon juice helps to cure problems related to indigestion and constipation. Add a few drops of lemon on your dish (take care, it does not go well with milk), and it will aid in digestion. It acts as a blood purifier and a cleansing agent, so a good drink after lunch or dinner is fresh lemon soda, which is also called fresh lime soda in many places. The recipe is lemon juice, cold water, soda, salts (common salt or rock salt) and sugar/honey for sweetness. You can also add some mint leaves or crushed fennel seeds for added flavor. Drink this whenever you have a heavy lunch or dinner.

Treats Fever

Lemon juice can treat a person who is suffering from a cold, flu or fever. It helps to break fevers by increasing perspiration.

Dental Care

It is also frequently used in dental care. If fresh lemon juice is applied on the area of a toothache, it can assist in getting rid of the pain. Massaging the juice on the gums can stop gum bleeding, while eliminating the bad odors that can come from various gum diseases and conditions.

Additionally, it can be used in the regular cleansing of your teeth. Keep your eye out for a toothpaste containing lemon as one of the ingredients, or add a drop of its juice onto your normal toothpaste. Some people also rub their teeth with the outer shell (the inner side touching your teeth) of a lemon after removing the juice. But be careful, it can be highly acidic, so if your mouth starts burning, rinse your gums and mouth quickly with water.

Hair Care

Lemon juice has proven itself in the treatment of hair care on a wide scale. The juice applied to the scalp can treat problems like dandruff, hair loss and other problems related to the hair and scalp. If  you apply this juice directly on the hair, it can give your hair a natural shine.

Skin Care

Lemon juice, being a natural antiseptic medicine, can also cure problems related to the skin. The juice can be applied to reduce the pain of sun burns, and it helps to ease the pain from bee stings as well. It is also good for acne and eczema. It acts as an anti-aging remedy and can remove wrinkles and blackheads. Drinking its juice mixed with water and honey brings a healthy glow to the skin, and if you thoroughly search the cosmetic market, you will find some soaps containing this juice, but they aren’t too easy to find!

Cures Burns

Use lemon juice on the site of old burns can help fade the scars, and since lemon is a cooling agent, it reduces the burning sensation on the skin when you currently have an irritating burn.

Internal Bleeding

It has antiseptic and coagulant properties, so it can stop internal bleeding. You can apply lemon juice to a small cotton ball and place it inside your nose to stop nose bleeds.

Promotes Weight Loss

If a person drinks lemon juice mixed with lukewarm water and honey, it can help reduce body weight.

Soothens Respiratory Disorders

Lemon juice assists in relieving respiratory problems and breathing problems, such as its ability to soothe a person suffering from an asthma attack. Being a rich source of vitamin C, it helps in dealing with more long-term respiratory disorders as well.

Treats Cholera

Diseases like cholera and malaria can be treated with lemon juice, because it acts as a blood purifier.

Relaxes Foot

Lemon is an aromatic and antiseptic agent and is useful in foot relaxation. Add some its juice to warm water and dip your feet in the mixture for instant relief and muscle relaxation.

Treats Rheumatism

It is also a diuretic and can treat rheumatism and arthritis. It helps to flush out bacteria and toxins from the body.

Reduces Corns

Lemon juice can dissolve lumps on the skin, so it can be applied at the places where the skin has hardened up, like the soles of feet and the palms of your hands. Drinking it with water can help patients reduce gall stones for the same reasons.

Throat Infections: Lemon is an excellent fruit that fights against problems related to throat infections, due to its well-known antibacterial properties.

Controls Blood Pressure

Drinking lemon juice is helpful for people suffering from heart problems, because it contains potassium. It controls high blood pressure, dizziness, and nausea, because it provides a calming sensation to both the mind and body. It is commonly employed to reduce mental stress and depression.

Lemon has proved to be nature’s boon to everyone who uses it. It provides many valuable solutions to health-related problems, because it contains its own set of antiseptic and natural medications. It also aids in treatment of malaria. A good practice is to eat anywhere from a quarter to a half of a lemon per day to get the maximum benefits from this powerful little fruit!

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Is it just a headache?

Although a bad migraine might make you wish for the end of everything, headaches are not usually life threatening. However, a severe headache can signal something much more serious, requiring emergency attention such as stroke, aneurysm, and meningitis. These are not terribly common, but it’s worth watching for a headache that feels markedly different from normal—even if normal is agonizing. Here are three signs to watch for.

Neck pain and fever

A stiff neck and fever could be a sign of meningitis, an inflammation of the membranes surrounding the central nervous system, which can quickly become critical.

Nausea

Severe nausea or vomiting and any neuro-deficit (such as difficulty speaking or walking), which could be signs of a hemorrhagic stroke.

The worst headache ever

“The thing we’re taught to look for is someone claiming to have ‘the worst headache of their life,'” says Adam Wilkes, MD, an ER specialist at Lankenau Hospital in Wynnewood, Pa. “It may mean that they have an aneurysm in the brain that has begun to leak a little blood, but could turn into a catastrophic full bleed. And that can be life threatening.”

See a doctor

If you go to the emergency room, expect the doctors to perform a CT scan, which can reveal a bigger problem. “We always like to be bothered,” says Dr. Wilkes. “Let me decide if there’s a problem or not. I’d so much rather have people come in unnecessarily and reassure them and send them home, than miss something that could have helped saved their life.” For more information on headaches that may be emergencies, visit our A-Z Health Library.