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Nigeria And Tuberculosis Burden

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The recent disclosure that the Africa region has achieved a 26 percent reduction in Tuberculosis mortality rate in six years is cheery.
With this development, the  region is on the verge of reaching a 35 percent Tuberculosis death reduction rate.
However, despite this landmark achievement, one million people are still living with tuberculosis in the region and have not been detected.
According to the Regional Director of World Health Organisation in Africa, Matshdiso Moeti, because of delay in diagnosis and testing there is a notable gap between the estimated number of new infections and case notifications.
40 percent of people living with TB did not know their diagnosis or not reported in 2021.
Another challenge is that TB has a link with HIV, as approximately 20 percent of people newly diagnosed with HIV are also living with TB. In Africa only 26 percent of all people living with multi-drug resistance are receiving appropriate treatment.
Nigeria however, managed to significantly increase national TB case funding by 50 percent in 2021 using innovative approaches such as the expansion of the daily observed transparent protocols, use of digital technologies, Community Active Case, Finding and Enlisting Public Private Mix Initiatives.
But it is disheartening that Nigeria does not make the list of countries with reduced death rate caused by preventable and curable disease.While South Africa and East African countries like Eswatini, Kenya Mozambique, South Sudan, Toga, Uganda and Zambia have pooled resources to free their countries from stranglehold of TB.
Tuberculosis is fast becoming one of the leading causes of death in the sub-Sahara Africa, including Nigeria. Tuberculosis is airborne disease and is transmittable through ways that are air-related. The disease which was superstitiously associated with evil spirits was viewed as a bad omen by traditionalists and some locales. But modern science has revealed that it is preventable, treatable and curable when patients follow the prescribed drug administration or usage directions.
In recent times, the rate of Tuberculosis inflections and related deaths pose great concern to many people. This is despite  the advancement in medical research that has led to the manufacturing of drugs for the treatment of the disease.
The World Health Organisation (WHO) recently reeled out estimates and statistics on tuberculosis infection rate in Nigeria and Africa. According to the statistics volunteered to Journalists, tuberculosis claimed 156,000 lives in Nigeria and afflicted about 452,000 in 2020. The  World Health Organisation further said the global target of ending the disease by 2030 is being hampered by inadequate funding and investment in the control of tuberculosis which is an airborne disease.
Executive Director of Stop TB Partnership, Dr. Lucica Ditiu posited that more than 450,000 people in Nigeria are infected with TB yearly. According to him, the number of people developing the disease increase every year. Besides, 28,000 of the tuberculosis fatalities are people living with Human Immuno-deficiency Virus (HIV). The Africa region is home to 17 of the 30 high burden Tuberculosis countries in the world. The estimated 2.5 million cases in Africa in 2020 accounted for a quarter of the global burden with more than half a million African lives lost to the curable and preventable disease. These, no doubt, are terrifying, startling and spine-chilling revelations.
To say the least, the disclosure is a dangerous phenomenon and a threat to public health, taking into cognisance the fact that tuberculosis is not just transmittable but can be contracted by air. Airborne diseases are potentially dangerous because air is free, always in public domain, thus is available to every body within an environment. So it is easy for an infected person to transmit the disease to others. It is a belief of most people that when air is infested a greater number of people are  affected than when water is polluted.
This is why the Federal Government must brace up to address this grave challenge at a time when Nigerians are going through the excruciating pains of unpopular economic policies of All Progressives Congress- led Federal Government.
The colossal amount of 1.3 billion dollars required to effectively detect and control the disease, according to WHO African Regional Director, further heightens the fear of Nigerians on an avoidable spread. Though Tuberculosis is preventable and treatable its prevention and treatability depend largely on the availability of funds.
Remove funding, all effort to curb spread and end the disease will, no doubt, translate to exercise in futility.
I am tempted to believe that the Federal Government is not being proactive enough in curbing the spread of the disease because of a funding that is disproportionate to the burden of the disease in Nigeria.
When will Nigeria, the Giant of Africa in population rank high in what is good even amid her abundant human and financial resources.
The Transparency International Corruption index on Countries in the world, ranked Nigeria 150 out of 180 countries on the 2022 Corruption Perception index.
The Corruption Perception Index I learnt is the Transparency International’s tool for measuring the level of corruption in the System of the 180 countries of the world based on prevalent indices.
In 2021 Nigeria, obtained 154th position with a growing population of about 200 million people, Nigeria is one of  the  countries in the world where its citizens live below one dollar per day.
It is one nation that is yet to break the jinx of failed electoral systems since independence, despite a whopping amount of taxpayers’ money injected into the processes.
Power supply is near-zero. From the Chief Olusegun Obasanjo’s administration who promised to end the problem in one year, to the present administration of General Muhammed Buhari, power supply is epileptic.
For any Government that has the welfare of the people at heart, making her counterpart contributions to meet the World Health Organisation 2030 target of ending the Tuberculosis scourge is not too difficult a commitment to make.
Every project on human health and welfare is a priority. No amount of money is worth the value of human soul. In fact if roads, schools, are built for humans, then the people should be helped to remain healthy to enjoy those infrastructure and facilities.
Russian philosopher and educationist, Lao Russell once wrote, “In vain you build the city if you don’t first built the man”.
Every project should have the face of human because the ultimate beneficiary of any project are (or ought to be) the people. If human welfare is not factored into the policy and programme of Government, then it is  anti-people. Government derives its legitimacy from the people. And those in government are stewards who by reason of the people’s mandate, should hold the resources of the people in trust.
The Federal Government and State Governments across the country should rise to the brazen challenge of the tuberculosis burden on Nigerians before we experience another wave of avoidable epidemic.
Already, the country and other African countries are not free from greater infection if there is no sustainable plans.
According to Dr. Matshidiso Moeti, World Health Organisation’s Regional Director for Africa, South Africa,  has steadily increased her domestic funding to fight the disease by allocating 81 per cent of her financial resources while Zambia has increased her funding seven-fold since 2015.
However, the commitment of South Africa and less economic viable Zambia country to end the threat of the disease gives a flicker of hope that the problem is surmountable if other African countries, including Nigeria  will borrow a leaf from South Africa and Zambia.

By: Igbiki Benibo

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Opinion

NDDC, A Regional Commission?

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The Niger Delta Development Commission was established by the Federal Government of Nigeria to mitigate the effects of oil exploration and exploitation activities on the oil bearing communities or States. It is worthy to clarify that some of the  NDDC states are not from South-South geographical zone. NDDC is about oil producing States, irrespective of the geographical location. South – South geographical zone is made up of six states namely; Akwa-Ibom, Bayelsa, Cross River, Delta, Edo and Rivers State. As it is today, there is no regional commission called South-South Commission. Rather, what is well-known, is Niger Delta Development Commission to aid development in the oil-bearing States. NDDC is a distinct interventionist agency of the Federal Government of Nigeria to douse down tension or agitation of the people of Niger Delta region.
Agitation by the bearing community led to the establishment of the Ministry of Niger Delta Affairs, despite being scrapped by the present administration of President Ahmed Bola Tinubu. For instance, Abia State is in South-East region and it is part of NDDC, and it will benefit from South-East Commission established by the present Federal Government of Nigeria, to fast track development of South-East Zone. So, Abia State would benefit from NDDC and South-East Commission. Abia is an oil producing state in Nigeria. In the same position, Imo State is a South-East State and also an oil producing state; which automatically makes it a member of NDDC State.  And would benefit from both commissions; and no doubt, because of being an oil producing State and by location, South-East State. Automatically, by virtue of oil activities going on in the two Eastern States, they are members of Niger Delta Development Commission.
In the line of operation, Ondo State is in South-West region and by virtue of being an oil producing State, is a member of NDDC. This no doubt, makes Ondo State a beneficiary of NDDC creation. There is no question to ask why Ondo should be member of NDDC? And Ondo State is a member of South-West Development Commission, because of its geographical location as a State in that region. So, the argument that NDDC is a regional commission is out of place. Thus, NDDC is not only for States in the Niger Delta. Another question is: is there an established commission known as South-South Development Commission, that Rivers State, Akwa Ibom, Edo, Delta, Bayelsa and Cross River should benefit from? The answer is capital No! So NDDC is not a regional commission because it is not only for the six states that make up the South- South. Hence, there is need for the present Federal Government of Nigeria, to urgently address the inequality and disparity created already.
This is because the six geographical zones have zonal commissions. The Federal Government should correct the equation. The misconception that NDDC is regional is not in order and is not correct. As it is today, there is no South-South Commission to help fast track development in the region. The political representatives from the South-South zone, should unite themselves and demand for South-South Development Commission as other zones have theirs. The Federal Government should put modalities in place to establish South-South Development Commission. The status quo should not be allowed to remain as it is now. Thank God, the daily quota of oil production has increased to about 2.5m barrel per day. And that is the reason why South-South should also benefit from the increase of oil activities in Nigeria.
Observationally, every region is bracing up to gain from the oil revenue of the country. And South South Zone which seems to be the hub of oil and gas is lagging behind in terms of purposeful development. NDDC should embark on an aggressive development of the member states. The Federal Government of Nigeria, should correct the negative believe that NDDC is a regional commission. Politicians of the zone should sheathe their swords of discrepancies and work together for the development of the zone. There should be a united front to convince the Federal Government to create or establish South-South Development Commission. Therefore State of the South-South zone in the Niger Delta Development Commission should be made to benefit like their counter parts from South- East and South- West in the NDDC. Thus, NDDC goes beyond regional vision. And that is why the Federal Government should establish South- South Development Commission to balance the equation of regional commission springing up in the country.

Frank Ogwuonuonu
Ogwuonuonu  is a free lancer in PortHarcourt.

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Opinion

That NANS’ Induction Of Former Tai LG Boss

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Last week, precisely Thursday, February 20, 2025,  students in Nigeria and the diaspora, under the umbrella of  the National Association of Nigerian Students (NANS) inducted the former Chairman of Tai Local Government Council, Chief Matthew NenuBari Dike into its Hall of Fame and gave him a certificate of recognition for what they described as his  “outstanding contributions to the development of education and students in Nigeria”. Presenting the award at Saakpenwan, headquarters of Tai Local Government Area, the National Vice President of the National Association of Nigerian Students, Mohammed Sabo,  said unequivocally that the induction into the Hall of Fame and conferment of the award on Chief Dike was essentially  by merit; a product of his endeavor in building the education sector and human capital in Nigeria.
According to the National Vice President of the National Association of Nigerian Students in Nigeria and the Diaspora, the students body does not have a history of conferring frivolous and financially induced awards on people. Chief Matthew NenuBari Dike is one of fewest local government area chairmen  of Nigeria that have been so recognised and honoured by students in Nigeria and the diaspora. This is a welcome development given the fact that Tai Local Government Area has not been one of the local government areas in Nigeria that has attained the social,  economic and infrastructural sophistication to come to national limelight because of its rural and seeming obscure nature. However , good works and success like light cannot be suppressed, not even by enemies. Success is contagious, a force and voice that speak louder than arm-chair and callous criticism.
Looking at the antecedents of the awardee and recipient of the Nigerian students goodwill, Chief Matthew NenuBari Dike, it is not saying a new thing that he deserves the honour. Within 100 days in the saddle as chairman of Tai Local Government Area, Chief Dike  had made significant achievements in  driving the development of the education sector and students in Tai Local Government Area, and of course, Nigeria, a feat that marked him out for honour by the National Association of Nigerian Students. Aside recruiting 250 adhoc teachers to improve teaching and learning in Basic and Senior Secondary Schools in the Local Government Area, the former chairman has also established a Special Science School to develop manpower overtime in critical areas in the Local Government Area having noticed that in the last ten years no student of Tai Local Government Area had gained admission to read, Medicine, Engineering, Medical/Health Sciences and many other science based courses.
Chief Dike’s initiative is therefore to address a felt  and critical need of the people. Through a rigorous screening process, 104 students emerged as the first set of students to begin the Special Science School at its take-off facility, Model Primary School 2, Uedume, under Mr. Tete Baridamue Osih as the Director. Speaking during the Inauguration of the School, two weeks ago, the former Chairman of Tai Local Government Area, Chief Dike affirmed his administration’s commitment to deliver a new building for the Special Science School . No doubt, the Chief Dike’s adventures in the Education sector is a novel, and capital intensive project. It is a road less taken; only Local Government Area chairmen who are selfless, sacrificial and committed to human capital development of their people can take up such gigantic project, considering the cost-implications. Establishing a fully-furnished Science School for the Local Government Area requires a modern laboratory, provision of science books, a state-of-art science library and adequate funding.
Recurrent expenditures such as payment of salaries of staff, political appointees, councillors, overhead, and other entitlements of workers combined with ongoing capital projects and empowerment programmes that the chairman of the Local Government Area is embarking on, amidst limited income source, make Chief Dike a celebrity in governance, after the like of his principal, Sir Siminalayi Fubara, the “Rivers First” Governor. Students in Nigeria and the diaspora therefore, were objective, sound in judgement and devoid of primordial sentiment when they adjuged the former chairman of Tai Local Government Area worthy to be inducted into their Hall of Fame and honoured for his contributions. The adage that the “aroma of the Fart determines the substance of the poo” finds expression in the person of Chief Dike whose exploits in the education sector aimed at developing the capacity of students to meet critical needs of the Local Government Area, is a testament that  Chief Matthew Dike will do more when given higher responsibility or another term.
John C. Mason, in one of his best sellers, “Leadership Gold”, said every human organisation rises and falls on leadership. A good leader will inevitably midwife development in his sphere of influence. This corresponds with the wise saying of the Biblican King Solomon that ‘when the righteous rules, the people rejoice but when the wicked rules, the people groan”. The socio-economic situation of a people to a great extent shows who a leader really is. The works or activities of a leader in relation to the people speak volumes of leadership stuff. Chief Matthew NenuBari Dike  made significant impacts in the education sector and human capital development for a greater development in Tai Local Government Area. He is determined to leave a legacy in the sands of time of that Local Government Areas by raising millionaires through his economic empowerment programme to drive self reliance and reduce the level of abject poverty the people wallow in.
If Chief Dike had to achieve such commendable feat within only 100days  of 1,095 days term of office, with availability of funds or sustained financial resources, a stable economy and peace, he had the capacity to achieve ten times what he had done for the people of Tai Local Government Area. While this is the beginning of a long and tortuous journey in governance, it is necessary to join students in Nigeria and the diaspora to commend Chief Dike for his impacts in the critical areas of education, human capital development, economic development, etc. To act contrary is to live out the saying of Decimus Magnus Ausonius that “The earth produces nothing worse than an ungrateful man”.

Igbiki Benibo

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Opinion

Dealing With Fake Drugs In Nigeria

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Since late Prof. Dora Akunyili’s tenure as the Director General of the National Agency for Food, Drug Administration and Control (NAFDAC), the fight against fake, illegal and expired drugs seemed to be in limbo until the current raid by the agency. For over one-week NAFDAC has been in the news as it has taken the war to the door post of fake, unauthorised, expired medicine dealers across the country. From Ariaria Market, Aba to Bridgehead, Onitsha, Anambra State, to Idumota drug market, Lagos, the stories are the same. Warehouses are being raided, medicine shops are being closed, counterfeit and expired drugs are being destroyed and so on. The current Director General of NAFDAC, Prof Mojisola Adeyeye, must be commended for the reinvigorated effort towards ridding our society of poisons in the name of drugs.
Some of these drugs according to NAFDAC are expired, imported drugs which are repackaged and pushed into the markets. Some of the seized drugs were vaccines stored in dilapidated, unventilated rooms, sealed with iron sheets in highly unsanitary conditions. It is doubtful if there is any adult Nigerian that is not aware of the damage caused to the citizens and the country by fake and substandard drugs. How many times have we or someone we know taken malaria drugs, antibiotics or other medicines for a cure of an ailment and they were ineffective? How many people in the country have died because fake or relabelled expired drugs were administered to them? Experts have posited that fake, adulterated, substandard drugs fuel antimicrobial resistance, as substandard antibiotics fail to properly treat infections, leading to stronger and more resilient bacteria.
The proliferation of these harmful substances is indeed a crisis of national significance. It threatens public health, weakens trust in the healthcare system, and exacerbates Nigeria’s already fragile health sector. Local drug manufacturers who invest millions of Naira to produce genuine, quality drugs for the citizens are denied the fruits of their labour by criminal syndicates who take advantage of regulatory loopholes and weak enforcement to flood the market with dangerous substances, putting millions of lives at risk. So, by all means, they should not be spared. But the question that begs for an answer is, where were the government agencies when these fake and expired drugs entered the country and travelled to the states? Why were they not intercepted at the point of entry either via the ports or the land borders and the importers arrested and prosecuted?
According to Adeyeye, most of these poisonous drugs are brought into the country through the ports and the porous borders. Is there nothing that can be done to beef up security and checks against illegal drugs at the borders? Or is it a case of the personnel at the borders looking the other way when they must have been settled thereby allowing unhindered entry of fake and unauthorised products into the country? It is also worrisome why we have allowed drugs to be sold in the open markets in the country. For many years, the federal government has been coming up with policies to address the uncontrolled and undefined buying and selling of medicine with or without approval, all to no avail. Open drug markets continue to thrive, leading to abuse and counterfeiting.
A former National Chairman of the Association of Community Pharmacists, Mr Samuel Adekola, in a recent interview bared his mind on the issue of open drug market. He said, “We know that open drug markets are not the best for Nigeria because of how the drugs are sourced. The government has been coming up with policies to address it, but you know that nature abhors vacuum, so once there is no alternative, these markets crop up because people must use drugs. Policies of the government must support alternatives which will make the drug distribution process/system in Nigeria a regulated and sanitised one. The whole essence of this is to save society from fake and adulterated drugs because the burden of fake drugs on citizen’s health and the economy is huge. Today, 70 percent of deaths in the hospitals arise from drug misuse or fake drugs.”
Early in the week, the NAFDAC DG during a television interview announced that the Kano Coordinated Wholesale Centre for drug marketers has taken off and that that of Lagos, Aba, Onitsha and other places are in the pipeline. Hastened efforts in actualising this will go a long way in checking the menace of fake drugs. Also, in addition to Adeyeye’s request for more funding and more staff for the agency to help in manning the borders and prevent the infiltration of poisonous drugs into the country, there is the need for technology-driven solutions to the challenge. The adoption of digital tools, such as mobile verification codes on drug packaging, can help consumers verify the authenticity of their medications. Blockchain technology can also be explored to track and trace pharmaceutical products from manufacturers to end-users.
NAFDAC and other regulatory bodies should be empowered with adequate resources to crack down on counterfeiters. Policies that improve oversight, enhance drug registration processes, and promote stricter penalties for offenders are essential. The nation’s drug distribution policy which stipulates penalties for defaulters must be implemented. While Adeyeye’s proposed death penalty for fake drug peddlers may be too harsh, many years imprisonment without an option of fine will not be out of place. While commenting on the recent raids, the National Chairman of the Pharmaceutical Society of Nigeria – Young Pharmacists Group, Tekena George showered some encomium on the NAFDAC DG, saying that beyond enforcement, her transformational policies promote local production of high-quality medicines in Nigeria, noting that by encouraging domestic manufacturing, she is not only reducing the country’s reliance on imported drugs but also strengthening the nation’s medicine security and economic resilience.
Indeed, over-reliance on imported drugs increases vulnerability to counterfeit products. Both federal and state governments should therefore encourage domestic pharmaceutical production, backed by strong quality control measures. This will ensure a safer drug supply chain. Nigeria should work closely with international agencies such as INTERPOL and the World Health Organisation (WHO) to dismantle transnational drug counterfeiting networks. Sharing intelligence and coordinating enforcement efforts will help disrupt the supply chain of fake drugs. Awareness campaigns are inevitable in dealing with the menace of fake drugs in our society. Many Nigerians remain unaware of the dangers of fake drugs. Government agencies, civil society groups, and healthcare professionals must therefore collaborate to educate the public on how to identify counterfeit drugs and report suspicious products.
Most importantly, the National Orientation Agency, religious and traditional leaders, parents, schools and other organisations must join hands in changing the “get rich at all cost” mentality of some Nigerians. As some people say, corruption, greed and selfishness are the root of all the problems in Nigeria. And unless these vices are dealt with all efforts at stemming fake drug distribution and other menace in the country will bear no positive result.

Calista Ezeaku

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