Neglect of common infectious disease outbreaks during the COVID-19 pandemic: an impending crisis in Nigeria?

Infectious diseases are major challenges of healthcare system in Nigeria. The coronavirus disease-19 (COVID19) pandemic has disrupted many systems including healthcare at all levels by creating disparities in the treatment, prevention, resource allocation and control of diseases in Nigeria. Premised on the foundation of circulating news and fact-checking platforms, this paper provides empirical evidence on varying perceptions on COVID-19 pandemic and apparent neglect of other infectious diseases while giving a critical analysis andcomparison between them. Keywords: COVID-19; infectious diseases; neglect; Nigeria French title: Négliger les flambées de maladies infectieuses courantes pendantla pandémie COVID-19: une crise imminente au Nigeria? Les maladies infectieuses sont des défis majeurs du système de santé au Nigeria. La pandémie de coronavirus19 (COVID-19) a perturbé de nombreux systèmes, y compris les soins de santé à tous les niveaux, en créant des disparités dans le traitement, la prévention, l'allocation des ressources et le contrôle des maladies au Nigéria. Fondé sur la diffusion d'informations et de plates-formes de vérification des faits, cet article fournit des preuves empiriques sur les différentes perceptions de la pandémie de COVID-19 et la négligence apparente d'autres maladies infectieuses tout en fournissant une analyse critique et une comparaison entre elles. Mots clés: COVID-19; maladies infectieuses; négligence; Nigeria

5 The motivators and barriers to physical activity in primary prevention of chronic disease

BackgroundRegular physical activity is protective against many chronic diseases. Despite this, 39% of adults in the UK are insufficiently active with an increased risk of chronic disease. Moving Medicine is an online resource developed by the FSEM to facilitate clinician-led conversations to reduce the risk of chronic disease through increased physical activity.AimThis is the first review to categorise and understand the principle motivators for and barriers against physical activity, for the primary prevention of chronic disease. It has informed the development of a national Moving Medicine resource.MethodsA structured search of MEDLINE and OpenGrey, augmented by handsearching of reference lists and contents of key journals. Qualitative evidence was then synthesised thematically.ResultsThirteen papers were selected as being of good quality (structured interviews and focus groups rather than questionnaires) and relevant to the aims of this review. Motivators identified were grouped into: anticipated positive effects, support/encouragement, social aspects, environmental aspects, goal-setting, and the use of feedback. Barriers to physical activity were grouped into: time constraints, physical health problems, environmental aspects, cost and poor communication.Building results into the resourceThe results of this review were presented to an expert panel of SEM doctors, GPs, nurses, physiotherapists, and patients. This multidisciplinary team then helped shape the primary prevention resource on the Moving Medicine website. See examples from the resource below.ConclusionGood quality conversations on physical activity in healthcare require an understanding of the key motivators and barriers reported by patients. Combining this qualitative review with the knowledge, skills and the experience of a multidisciplinary expert panel has enabled the development of a unique patient-centred primary prevention resource. Delivering this information through MovingMedicine.ac.uk is a vital step in using these important findings to inform routine clinical practice across the NHS. This should facilitate an increase in the proportion of adults meeting recommended physical activity levels and therefore reduce the rates of chronic disease.