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The Essence of Great Health During Ramadan—By Dr. Nelson Aluya

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Ramadan is far more than abstaining from food and drink. It is a sacred season of discipline, renewal, and elevation of the human spirit. For Muslims around the world, it is a month where the body, mind, and soul are aligned in purposeful worship. Observed as one of the Five Pillars of Islam, fasting during Ramadan nurtures taqwa (God-consciousness), strengthens self-control, cultivates gratitude, and deepens empathy for those in need.

As a physician serving patients from diverse racial, ethnic, and religious backgrounds for over two decades, I have spoken at numerous Pre—Ramadan Health Fairs and seminars for the last fifteen years, and have walked alongside many individuals seeking guidance on how to manage their health, take their medications and fast safely. I believe that Ramadan offers tremendous spiritual and even physiological benefits when approached with knowledge, preparation, and medical wisdom.

*The Divine Foundation of Fasting*
Ramadan occurs during the ninth month of the Islamic lunar calendar. Its obligation is rooted in the Qur’an:

“O you who believe! Fasting is prescribed for you as it was prescribed for those before you, that you may attain taqwa.”
— Surah Al-Baqarah (2:183)

The Qur’an further clarifies the period and purpose:

“The month of Ramadan in which was revealed the Qur’an, a guidance for mankind and clear proofs for the guidance and the criterion…”
— Surah Al-Baqarah (2:185)

Fasting extends from dawn (Fajr) until sunset (Maghrib) for 29–30 days, beginning with the sighting of the new moon. In 2026, Ramadan is expected to begin around February 18 or 19, depending on lunar observation.

The Qur’an also provides compassionate exemptions:

“…And whoever is ill or on a journey – then an equal number of other days…”
— Surah Al-Baqarah (2:185)

Islamic law exempts the ill, travelers, the elderly who cannot tolerate fasting, pregnant or breastfeeding women if fasting may cause harm, menstruating women, and children. This divine mercy underscores a foundational principle: preservation of health precedes ritual obligation when harm is likely.

*Ramadan: A Holistic Act of Worship*

The fast is not merely physical deprivation. It is moral and spiritual refinement.

The Prophet Muhammad (peace be upon him) said:

“Whoever does not give up false speech and evil actions, Allah is not in need of his leaving his food and drink.”
— (Sahih al-Bukhari)

Thus, Ramadan is:
– A purification of the soul
– A strengthening of discipline
– A cultivation of patience
– A renewal of gratitude
– A communal celebration through shared Iftar

*Preparing for Ramadan: A Physician’s Perspective*

Fasting without knowledge can be harmful. The body undergoes metabolic transitions during prolonged fasting:
– Glycogen( sugar)stores are depleted.
– Fat metabolism( breakdown) increases.
– Ketone bodies(chemical produced in place of sugar during fastin) are produced.
– Hormonal shifts occur (including insulin reduction and glucagon increase).
– Fluid balance ( Dehydration)changes in the absence of water

While many experience modest weight loss, others gain weight due to excessive caloric intake at Iftar.

Preparation must therefore be intentional.

*1.Know Your Health Status*

Before Ramadan, assess:
– Physical and mental health
– Level of daily activity
– Chronic medical conditions
– Nutritional needs
– Work demands
– Hydration capacity
– Medication schedules

*2. Schedule a Pre-Ramadan Medical Visit*

The “Visit — Your Doctor and You” is critical.

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A pre-Ramadan consultation should include screening or review of may have developed along the way:
– Diabetes
– Hypertension
– Heart disease
– Chronic lung disease
– Kidney disease
– Autoimmune conditions
– Cancer
– Pregnancy

For those who insist on fasting despite chronic illness, coordinated medical supervision is essential.

The Qur’an emphasizes balance:

“…And do not throw yourselves into destruction with your own hands…”
— Surah Al-Baqarah (2:195)

Health preservation is not a lack of faith — it is an expression of wisdom.

*Suhoor and Iftar: Strategic Nutrition*

*Suhoor (Pre-Dawn Meal)*
The Prophet encouraged Suhoor:

“Take Suhoor, for in Suhoor there is blessing.”
— (Sahih al-Bukhari)

A balanced Suhoor should include:
– Complex carbohydrates (oats, whole grains)
– Lean protein (eggs, legumes, yogurt)
– Healthy fats (nuts, olive oil)
– Adequate hydration
– Limited salt to reduce thirst.

*Iftar (Breaking the Fast)*

Traditionally, the fast is broken with dates and water, following the practice of the Prophet. Dates provide:

– Natural sugars for quick glucose replenishment
– Fiber
– Potassium
– Antioxidants

However, moderation is key. Heavy fried foods, excessive sweets, and large portions often lead to:

– Weight gain
– Blood sugar spikes
– Gastric distress
– Sleep disruption

Ramadan should not become a festival of overconsumption. The Qur’an reminds:

“…Eat and drink, but do not be excessive. Indeed, He does not like the excessive.”
— Surah Al-A’raf (7:31)

*Medication Management During Ramadan*

Medication timing often requires adjustment:
– Once-daily medications may shift to Iftar.
– Twice-daily regimens may need restructuring.
– Insulin dosing requires individualized modification.
– Diuretics ( water pills)may increase dehydration risk.
– Certain medications cannot be safely delayed.

Never adjust medications independently. Collaborative planning between patient and physician is essential.

*Who Should Not Fast?*

The Qur’anic exemption in Surah 2:185 is both clear and compassionate.

Those advised not to fast include:
– Uncontrolled( Sugar) diabetics
– Advanced heart failure patients
– Severe chronic kidney disease
– Active cancer patients undergoing therapy
– Frail elderly individuals
– High-risk pregnancies

Faith is not measured by physical endurance but by sincerity and obedience. For some, abstaining from fasting is the true act of submission.

*Mental and Spiritual Health During Ramadan*

– Ramadan strengthens psychological resilience:
– Structured routine enhances discipline.
– Night prayers (Taraweeh) improve communal bonding.
– Increased charity fosters empathy.
– Qur’an recitation enhances reflection and calm.

Scientific literature( Books ) ,increasingly recognizes that mindful fasting, spiritual meditation, and communal connection improve emotional regulation and stress resilience.

*Community, Compassion, and Character*

Ramadan is a communal equalizer. Rich and poor experience hunger together. Shared Iftar meals strengthen bonds across socioeconomic lines.

The Qur’an emphasizes generosity:

“And they give food in spite of love for it to the needy, the orphan, and the captive…”
— Surah Al-Insan (76:8)

True health is not merely biological — it is relational, spiritual, and ethical.

*The Balance Between Faith and Medicine*

As a physician who has cared for thousands of patients across cultures and beliefs, I have learned that faith and medicine are not adversaries. They are allies.

Ramadan teaches restraint. Medicine teaches prudence. Together, they preserve life.

The essence of great health during Ramadan lies in:
– Spiritual awareness
– Medical wisdom
– Nutritional balance
– Disciplined moderation
– Compassion for oneself and others

When approached correctly, Ramadan becomes a month of metabolic recalibration, spiritual elevation, and communal unity.

*My Spiritual Reflection*

Ramadan is not a test of starvation — it is a training of the soul.

It refines character. It disciplines appetite. It strengthens gratitude. It elevates consciousness.

And when practiced with knowledge and preparation, it can nurture both spiritual vitality and physical well-being.

“…Allah intends for you ease and does not intend for you hardship…”
— Surah Al-Baqarah (2:185)

May this Ramadan be one of wisdom, balance, safety, and profound renewal amin.

— Dr. Nelson Aluya

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NCC to Enforce Subscriber Compensation for Poor Telecom Service

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By Yusuf Danjuma Yunusa

The Nigerian Communications Commission has announced that its directive mandating telecommunications operators to compensate subscribers for poor service quality will take effect from this month.

The Commission disclosed this in a Frequently Asked Questions document released on Tuesday, offering clarity on how the compensation framework will work and which subscribers qualify.

According to the NCC, the directive applies specifically to Mobile Network Operators that fail to meet the required Key Performance Indicators for Quality of Service. These operators include major players such as MTN Nigeria, Airtel Nigeria, Globacom, and 9mobile, although the Commission did not specify which of them fell short of the standards.

The NCC noted that a separate compensation framework already exists for Internet Service Providers.

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Under the new directive, compensation will cover service failures affecting voice calls, data services, and SMS. To qualify, subscribers must have experienced poor network service in an affected Local Government Area and must have carried out at least one revenue-generating activity—such as a billed call, SMS, or data session—within the period in question.

The Commission added that both individual and corporate subscribers are eligible for compensation.

Importantly, the NCC stated that subscribers will not need to apply to receive compensation. Instead, telecom operators are mandated to automatically identify affected customers and compensate them directly.

“The compensation framework will take effect from April 2026.

“No. The directive does not replace existing consumer protection mechanisms. It adds a direct compensation mechanism for affected subscribers. It aligns with measures set in existing legislation, such as the Consumer Code of Practice Regulations 2024 and the Quality of Service Regulations 2024,” NCC said

“Operators are required and mandated to identify affected subscribers and provide compensation directly. Only service failures that fall below the defined thresholds set by the Quality of Service Regulations will qualify,” NCC said.

However, the regulator clarified that minor or short-lived network disruptions that are quickly resolved may not meet the threshold for compensation.

The move is part of the NCC’s broader efforts to improve service delivery and hold telecom operators accountable for consistent network performance across the country.

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ADC Leadership Tussle Worsens as Third Faction Emerges, Rejects Nafiu Camp, Mark’s Coalition

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By Yusuf Danjuma Yunusa

A new faction within the African Democratic Congress has surfaced, rejecting the authority of the Senator David Mark-led coalition and distancing itself from Nafiu Bala’s faction.

According to Africa Independent Television, the faction led by Don Norman Obinna claims to represent the legitimate National Executive Committee of the party.

The group says it is stepping in to manage the party’s affairs ahead of the next national convention.

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At a briefing in Abuja on Tuesday, the group stated that “The tenure of Ralph Nwosu, who handed the party to the David Mark group, had ended in August 2022, and afterwards, he (Nwosu) had faced a series of litigations due to his failure to step down.”

The faction also clarified the status of Nafiu Bala, noting that he “never held the position of National Vice Chairman,” and affirmed that former ADC presidential candidate “Dumebi Kachikwu is still a member of ADC”

The group further disclosed that new interim leaders have been appointed to oversee party activities, ensuring continuity until the national convention is held.

The remarks come amid an ongoing leadership crisis within the ADC, which has seen rival factions contest control of the party. The Independent National Electoral Commission recently withdrew recognition of the party’s leadership under former Senate President David Mark.

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Internal Crisis Deepens in Jigawa APC as High-Profile Defections Threaten Party Cohesion

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By Yusuf Danjuma Yunusa

The All Progressives Congress (APC) in Jigawa State is grappling with its most significant internal crisis in years, as a wave of defections by prominent political figures threatens to erode the party’s structural integrity and electoral prospects.

The growing discontent is widely attributed to allegations of poor party management and the marginalisation of key stakeholders under Governor Umar Namadi. His leadership style has come under increasing scrutiny from within party ranks, with critics pointing to a breakdown in internal consensus-building.

Political observers trace the roots of the crisis to a strained relationship between Governor Namadi and his political benefactor, former Governor Mohammed Badaru Abubakar, as well as his financial backer, Isa Gerawa. Although both men remain in the APC, sources familiar with the situation report lingering resentment over what they perceive as a systematic exclusion from decision-making processes and party affairs.

This “cold war” at the highest levels of the party hierarchy has created factions and widened fissures across the APC’s political base in Jigawa. Analysts warn that if left unresolved, the discord could severely undermine party unity and weaken its performance in future elections.

The crisis has now manifested in a string of high-profile defections involving former lawmakers, ex-party executives, and grassroots mobilisers.

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Leading the list are former Senators Sabo Nakudu, who represented Jigawa South-West from 2015 to 2023, and Muhammad Ubali Shitu, a longtime political associate of the governor who served in the Senate from 2015 to 2019. Senator Nakudu’s defection is particularly symbolic, as he previously contested the APC governorship ticket against Namadi. His relationship with former Governor Badaru reportedly soured after Badaru backed Namadi during the primaries. Notably, Nakudu and Badaru have since reconciled, united by their mutual opposition to the current governor.

The departure of former party chairmen further underscores the depth of the crisis. Ado Sani Kiri, who chaired the party from 2014 to 2019 and also served as a commissioner and member of the House of Representatives, has left the party, as has Aminu Keskes, who led the party from 2019 to 2023 and previously served as Gumel Local Government chairman and chairman of the Association of Local Governments of Nigeria (ALGON) in the state.

Also among the defectors is Bala Usman Chamo, a former Social Investment Programme coordinator and Dutse Local Government chairman, widely regarded as a key grassroots organiser. Their exit is seen as a major blow to the party’s strength, given their influence across various political blocs in the state.

The crisis has also penetrated the governor’s inner circle, with several political appointees resigning from their positions and quitting the party. Two serving special advisers have stepped down, including one reportedly preparing to contest for a seat in the House of Representatives under the opposition African Democratic Congress (ADC). Additionally, six senior special assistants and two special assistants have resigned, all citing dissatisfaction with the current direction of the party.

One of the most notable exits is that of Zakari Kafin Hausa, a former senior special assistant who played a central role in organising Governor Namadi’s campaign and mobilising the support that led to his emergence as governor. His defection is viewed by insiders as a significant indicator of deepening cracks within the governor’s inner circle.

Perhaps most damaging to the APC’s political machinery is the defection of at least 17 former local government chairmen. These figures are critical to grassroots mobilisation, electoral coordination, and voter outreach. Their exit signals a potential collapse of the party’s local structures, raising serious concerns about the APC’s ability to secure the mandatory 25 percent of votes in the state during future presidential elections.

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