Background: Kabuki syndrome is a rare developmental disorder characterized by distinctive craniofacial features and variable multisystem involvement. Its anesthetic implications extend beyond potential difficult intubation to respiratory vulnerability, swallowing dysfunction, cardiovascular abnormalities, and neurological comorbidities. These concerns are particularly relevant during upper gastrointestinal endoscopy, when the endoscopist and anesthesiologist share access to the upper airway. Clinical illustration: A boy with a reported pathogenic KDM6A variant underwent esophagogastroduodenoscopy for investigation of dysphagia. His phenotype included a high arched palate, axial hypotonia, developmental delay, and a history of seizures treated with valproate. Previous echocardiography showed no structural cardiac abnormality. The clinical presentation and procedural photographs provide an opportunity to revisit the anesthetic implications of this uncommon syndrome. Discussion: This narrative review addresses airway assessment, aspiration risk, respiratory depression, neuromuscular recovery, associated organ disease, and preparation for rescue interventions. Published anesthetic experiences demonstrate heterogeneous clinical presentations and support individualized planning. Concerns about malignant hyperthermia and latex allergy should be interpreted according to the strength of the available evidence and the individual history. Conclusion: Recognition of Kabuki syndrome should prompt a phenotype based anesthetic assessment even for brief diagnostic procedures. During upper gastrointestinal endoscopy, coordinated airway management and attention to dysphagia, hypotonia, and recovery are central to perioperative planning.

Background: Abattoir work exposes workers to physical, chemical, biological, ergonomic and psychosocial hazards, yet evidence from Port Harcourt that links hazard exposure to compliance with safety practices is limited. This study assessed the occupational health hazards experienced by abattoir workers and their compliance with workplace safety practices in selected abattoirs in Port Harcourt, Rivers State. Methods: A descriptive cross-sectional study was conducted among 120 workers in three abattoirs (Okuru Ama, Minapu Azuabie and Eze Gbakagbaka Trans-Woji), selected by simple random sampling with proportional allocation. The sample size was calculated with Cochran’s formula and adjusted for 15% attrition. Data were collected in May 2026 with an interviewer-administered structured questionnaire and analysed in SPSS using frequencies, percentages, means and standard deviations. Results: The mean age of respondents was 45.0 ± 8.2 years; half worked in cutting and processing, and 58.3% had no specialized occupational health and safety (OHS) training. All respondents (100%) had contact with live animals before slaughter, and 91.7% reported exposure to contaminated water or surfaces. Cuts and lacerations (91.7%), body pain (91.7%) and chemical-related symptoms (98.3%) were widely reported, whereas psychosocial hazards were mostly described as rare (83.3%). Biological hazards had the highest overall exposure score (0.68), followed by ergonomic (0.55) and chemical (0.52) hazards. Compliance was high for avoiding chemical preservatives (100%), keeping a first-aid box (91.7%), inspecting animals before slaughter (83.3%) and using proper waste disposal methods (83.4%). However, only 41.7% always used personal protective equipment (PPE), and only 8.3% each reported receiving OHS training, having a hazard-reporting or emergency system, or being given PPE by their employer. Conclusion: Abattoir workers in Port Harcourt are exposed to several overlapping hazards, led by biological, physical and ergonomic risks, despite high self-reported compliance with basic safety practices. Gaps in training, PPE provision and hazard reporting need to be closed through structured OHS training, employer-supported PPE, non-punitive reporting systems and regular regulatory inspection.

Background: Access to safe drinking water, sanitation and handwashing facilities is unequal within Nigeria, but few studies compare local government areas (LGAs) with different levels of WASH compliance. We compared these services between compliant and non-compliant LGAs in Rivers State. Methods: A comparative cross-sectional study was conducted in four LGAs: Port Harcourt and Akuku-Toru (compliant) and Okrika and Emohua (non-compliant). In total, 422 adults were selected by multi-stage sampling, with a Cochran-based sample allocated in proportion to population, and interviewed using a structured questionnaire. Data were analysed with SPSS version 26 using frequencies, percentages and Pearson’s chi-square test (p < 0.05). Results: Access to safe drinking water was reported by 94.9% of respondents in Port Harcourt, 93.9% in Akuku-Toru, 60.7% in Okrika and 50.0% in Emohua. Access to improved sanitation was 91.0%, 90.9%, 53.6% and 46.2%, and handwashing facilities with soap and water in public places were reported by 89.6%, 90.9%, 42.9% and 34.6%, respectively. Compliant LGAs had significantly higher access to safe drinking water (94.8% vs 55.6%), improved sanitation (91.0% vs 50.0%) and handwashing facilities (89.7% vs 38.9%) than non-compliant LGAs (all p < 0.001). Conclusion: Access to all three services was substantially better in compliant LGAs, with the widest gap in handwashing facilities. Closing these gaps in Okrika, Emohua and similar LGAs will require strengthening local WASH institutions as well as infrastructure.