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World TB Day 2020 Newsletter

Latest news and updates from WHO

Dear colleagues and friends,

World TB Day, this year, comes at a sobering time – as the world grapples with the COVID-19 pandemic. We stand in solidarity with those affected, those at the frontlines of the fight to combat COVID-19, as well as those who continue efforts to support
those ill with longstanding health problems like TB, HIV and other diseases. However, we cannot forget the millions and their families who battle TB every day and lose their lives to this ancient disease – which remains the world’s top
infectious killer.

As eloquently emphasized by WHO Director-General Dr Tedros Adhanom Ghebreyesus in his press briefing on COVID-19 yesterday, “I’d like to remind everyone that although COVID-19 is dominating the world’s attention-there is another respiratory
disease that is both preventable and treatable, but kills 1.5 million people every year – that disease is tuberculosis”

“It’s Time”, the focus for World TB Day this year is therefore on urgently accelerating the TB response to save lives and end suffering, even in times of crisis. This will be essential if we are to reach the targets and commitments made
by Heads of State at the 2018 UN High Level Meeting on TB.

We have made important strides against the TB epidemic to date.

We announced last year, that more people received life-saving treatment for tuberculosis in 2018 than ever before, largely due to improved detection and diagnosis. Globally, 7 million people were diagnosed and treated for TB – up from 6.4 million in 2017
– enabling the world to meet one of the milestones towards the United Nations political declaration targets on TB and the WHO Director-General Flagship Initiative Find.Treat.All End TB jointly with Stop TB Partnership and the Global Fund. This
has been a big win for the TB community.

WHO is working with countries to roll out important guidelines, including a comprehensive package on TB preventive treatment released today, and updated MDR TB guidelines to promote the use of all-oral regimens for patients with drug-resistant TB which
would be helpful – particularly at this point, when visiting health centers is a challenge. Furthermore, WHO has developed a note to guide and urge countries to ensure continuity of TB services during the COVID-19 pandemic.

We are strengthening our collaboration with civil society – more information is highlighted in the WHO Civil Society Taskforce Progress Review released today.

Youth mobilization is being ramped up through the WHO 1+1 Youth Initiative to end TB and the Global Youth Declaration to End TB. Multisectoral accountability is being promoted in countries through our framework and we have finalized a new global strategy
on TB research and innovation, that will be reviewed by the World Health Assembly.

Yet, the gains we have made are at risk – if there is any slackening of commitment and action, especially in times of crisis.

We are at a crossroads and we need to unite forces to take the path of success that will save lives and end suffering.

I was especially heartened today, to see the TB community coming together like never before. We all took our events to the virtual realm due to COVID-19 lockdowns. The WHO Online Talk Show held this afternoon, had a powerful line up of speakers that included,
TB survivors and advocates, civil society, high level government representatives, heads of agencies, researchers and partners. As of this evening we have surpassed 10,000 views on YouTube. I also participated in townhalls organized by Stop TB Partnership.
Our joint efforts have indeed ensured a continuing spotlight on those affected by TB, and clearly shows that no matter what the barrier, we can surpass it if we work together.

I am proud to stand shoulder-to-shoulder with you all virtually – and recommit to champion End TB efforts till we reach the finish line.

It’s time to deliver on our promises and ensure no one is left behind.

It’s time to End TB!

Dr Tereza Kasaeva
Director
Global TB Programme
World Health Organization

World TB Day Talk Show

In the backdrop of the global battle against COVID-19, WHO organized a special online talk show to mark World TB Day 2020. The talk show had a powerful line up of speakers from among TB survivors and advocates, civil society, high-level government representatives,
heads of agencies, researchers and partners. The video was streamed live on WHO’s Youtube channel crossing over 10,000 views in a few hours. Watch the talk show video

Spotlight on TB Preventive Treatment

New WHO recommendations to prevent tuberculosis aim to save millions of lives

24 March 2020 News release

Geneva – New World Health Organization (WHO) guidance will help countries accelerate efforts to stop people with tuberculosis (TB) infection becoming sick with TB by giving them preventive treatment. A quarter of the world‘s population
is estimated to be infected with TB bacteria. These people are neither sick nor contagious. However, they are at greater risk of developing TB disease, especially those with weakened immunity. Offering them TB preventive treatment will not only protect
them from becoming sick but also cut down on the risk of transmission in the community. Read more

The full package is available below and at our World TB Day Campaign Page

WHO Civil Society Taskforce on TB: Progress Review

The WHO Civil Society Taskforce provides a platform for meaningful engagement of civil society, building on the commitment of the Director-General, with emphasis on harnessing the untapped potential in engagement with civil society and affected communities
al all levels. To mark World TB Day 2020, the Task Force has released a Progress Review highlighting key achievements since its formation in 2018.

Access link here

WHO eTB guidelines: A digital platform to promote adolopment of TB recommendations

WHO Global TB Programme / McMaster University

The WHO Global Tuberculosis (TB) Programme, in collaboration with McMaster University, Canada, is developing a smart platform to improve access to and use of all WHO recommendations on TB prevention and care. The WHO eTB guidelines platform will facilitate
the adoption, adaptation and implementation (“adolopment”) by countries of recommendations across the continuum of care. This digital platform will provide a variety of users – TB programme managers, healthcare workers including
nurses, researchers, patients and affected communities – with easy access to all essential information about WHO-s current policy guidance on TB.

The first set of recommendations on TB preventive treatment were released on this new platform on World TB Day.

WHO eTB guidelines platform

Infographic

TB and COVID-19

24 March 2020 News release

Geneva – As the world comes together to tackle the COVID-19 pandemic, it is important to ensure that essential health services and operations are continued to protect the lives of people with TB and other diseases or health conditions. Health services,
including national programmes to combat TB, need to be actively engaged in ensuring an effective and rapid response to COVID-19 while ensuring that TB services are maintained. Read more

Let’s never forget: It’s time to end TB

Ksenia Schenina

Ksenia Schenina

24 March 2020 Photo story

On World TB Day 2020, the theme – “Its time” – stresses the urgency to end the TB epidemic. TB survivor and advocate, Ksenia Schenina, talks about her struggle with the disease, the persistence of stigma and the role that remembrance can play
in fighting it. Through her TB memorial project, she aims to remember those who passed away from this terrible and ancient disease. “We do it to show what kind of people they were – what kind of things they liked, what kind of music
they listened to and what their favorite movies were; if they liked fishing or dreamt of a flight to space,” she says. Read more

Commentary

To end TB, we must invest in research and innovation

24 March 2020 Commentary

If the world is to get anywhere near ending TB, a disease that killed more than 1.5 million people in 2018, something significant needs to change.

TB remains the world’s leading infectious killer and yet, in the last 50 years, only three new drugs and regimes have been developed to combat the disease. “What we need is more research and more tools in the pipeline; better diagnostics,
more effective vaccines, and safer, shorter drug regimes,” explains Dr Tereza Kasaeva, Director of the World Health Organization Global Tuberculosis Programme. Read more

Emily: A Day in the Life of a TB Nurse

Maria Emily C. Ballesteros

Watch this story of Emily, a nurse managing the tuberculosis (TB) program of the City Health Office in Tuguegarao City. Her dream for Tuguegarao is to one day see zero TB cases and that no one dies from this infectious disease. Nurses and healthcare workers
play a critical role in TB prevention and care. It’s time to invest in them to improve healthcare for all. We thank all the nurses, midwives and healthcare workers working to #EndTB! Watch the video

Updates and messages

New research tool supports scale-up of digital technologies to End TB

24 March 2020 TDR news item

National anti-tuberculosis efforts are increasingly involving digital technologies, such as mobile applications to support treatment adherence and electronic surveillance systems that enable real-time monitoring of a country’s TB situation. Read more

World TB Day 2020: It’s Time for solidarity

24 March 2020 HIV/TB news item

At this unique time in history when the world is grappling with the COVID-19 pandemic, the WHO Department of Global HIV, Hepatitis and STI Programmes stands in solidarity with governments and communities as they seek to maintain health services
and continue to address the needs of patients suffering from HIV and tuberculosis (TB). Read more

New, shorter treatment to prevent TB to be rolled out in five high TB burden countries

24 March 2020 news item

Three-month regimen expected to prevent TB in those at highest risk of developing the disease, including people living with HIV and children under the age of five
Today, the Aurum Institute and its partners, as part of the IMPAACT4TB project, announced that five high-burden TB countries will roll out a new, shorter drug regimen (known as 3HP) to prevent TB. The announcement comes as countries around the world mark World TB Day, which takes place every year on March 24th. Countries that will initially provide the new regimen with funding from Unitaid, U.S. PEPFAR and the Global Fund include Cambodia, Ethiopia, Kenya, Malawi, South Africa and Zimbabwe. More than 120,000 patient courses of 3HP will be delivered by the project to 12 countries in 2020. An additional 1 million patient courses are expected to reach low- and middle-income countries by the end of the year, through the combined support of Unitaid, Global Fund, the Stop TB Partnership’s Global Drug Facility (GDF) and PEPFAR. Read more

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March 31, 2020
Schistosomiasis elimination: refocusing on snail control to sustain progress
Substantial progress has been made during the past decade to prevent and control schistosomiasis (also known as bilharziasis) globally. The disease affects more than 230 million people, mostly in sub-Saharan Africa.

Progress is mainly due to large-scale periodic treatment of affected populations with praziquantel, the only medicine recommended by the World Health Organization (WHO) against all forms of schistosomiasis. Regular treatment cures mild symptoms and prevents
progression to severe, chronic disease.

“Through progressive scale-up of periodic large-scale treatment
to control morbidity in many endemic countries, we are closer to
achieving the minimum target of 75% global coverage of all school‐aged
children,” said Dr Amadou Garba Djirmay, who leads WHO’s global schistosomiasis control programme. “But
if we want to achieve elimination, we must go a step further to
introduce snail control in hot spots and in areas targeting elimination.
This is bound to increase impact and accelerate progress towards
interruption of transmission.”

Expansion of treatment is largely supported by donated praziquantel from Merck KGaA of up to 250 million tablets annually. In 2018, almost 78 million children were treated, representing 63% of all school‐aged children eligible for treatment.

Transmission: role of snails

Schistosomiasis is an acute, chronic parasitic disease caused by infection with trematode worms of the genus Schistosoma. It is prevalent in tropical and subtropical areas, especially in poor, rural communities that have little or no access to
safe drinking‐water and basic sanitation. Infection is transmitted when people suffering from schistosomiasis contaminate freshwater sources when evacuating urine and faeces containing the parasite’s eggs.

Once an egg comes into contact with fresh water, it releases miracidia (hatchlings) which enter a snail and produce hundreds of cercariae (larvae) daily. The cercariae enter the human body on contact with the skin and develop into adult worms.

Besides treatment with praziquantel, eliminating snail hosts and improving sanitation are important methods for sustainable prevention of the disease. Dam and irrigation projects are known to be potential sites for outbreaks of the disease. Snail management,
often achieved through mollusciciding, can help to reduce transmission by eliminating these intermediate snail hosts.

Vector control

In 2017, the World Health Assembly – WHO’s decision making body – adopted resolution WHA70.16 on the Global Vector Control
Response, calling on Member States to develop or adapt national vector control strategies and operational plans. The strategy aims to reduce by at least 40% the incidence of vector borne diseases, including schistosomiasis, by 2025.

In response, WHO is reinforcing snail control as part of its strategic approach to achieve the target of eliminating schistosomiasis as a public health problem and, ultimately, the goal of elimination of transmission. Snail control will complement mass
treatment campaigns and sustain the public health impact of this core intervention.

To facilitate implementation of snail control, in 2019 WHO published on specific, standardized procedures and criteria for efficacy
testing and evaluation and in 2017 a manual on the use of molluscicides in the field. WHO is also planning to strengthen capacities
of health staff in medical malacology in order to reinforce snail control activities in countries.

In the past, molluscicides (particularly niclosamide¹ based products) were widely used in schistosomiasis control programmes. For example, in China programmes largely relied on snail control for over 30 years to overcome the disease as a public
health problem. In other parts of the world, however, snail control programmes were gradually discontinued and competencies faded away.

“Snail control is a crucial component of the global schistosomiasis elimination strategy,” said Dr Rajpal Yadav, Scientist, WHO Department of Control of Neglected Tropical Diseases. “It
is time we look for new snail control products that are cost–effective
and of low risk to humans and the environment. Some efforts are being
made to explore molluscicide compounds from plants, marine algae and
microorganisms.”

An integrated control strategy involving mass treatment with praziquantel, snail control and environmental modification, wider access to sanitation and safe water, economic and environmental development, health education and poverty-alleviation can greatly
contribute to sustainable control and elimination of schistosomiasis.

WHO’s new road map on neglected tropical diseases for 2021–2030, due to be launched later this year, advocates enhanced financial and political support to achieve the target of interruption of transmission. Additional research to address gaps,
develop tools and optimize the impact of existing programmes with snail control will complement the core strategic approach.

Schistosomiasis: forms of the disease

There are two major forms of schistosomiasis – intestinal and urogenital.

Intestinal schistosomiasis usually results in diarrhoea and blood in the stool; enlargement of the liver and of the spleen and portal hypertension are common in advanced cases.

Urogenital schistosomiasis is characterized by the presence of blood in the urine. Chronic infection results in fibrosis of the bladder and ureter that can evolve to hydronephrosis and create conditions for bladder cancer.

In women, urogenital schistosomiasis can cause vaginal bleeding, pain during sexual intercourse and nodules in the vulva, a condition now described as female genital schistosomiasis. In men, urogenital schistosomiasis can induce disease in the seminal
vesicles and prostate.

¹Limitations with the use of formulations based on niclosamide include restrictions on the usage of water immediately after application and temporary toxicity to non-target aquatic organisms including
fish, amphibians and invertebrates.
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March 27, 2020
Justice For Sambo Abdullahi, Victory For Whistleblowers In Nigeria By Chido Onumah and Godwin Onyeacholem

Whistleblowers are the first line of defence against corruption, crime and cover-ups, according to a 2019 paper by the All–Party Parliamentary Group (APPG) on whistleblowing in the UK.

For Sambo Abdullahi, head of internal audit at the Nigerian Bulk Electricity Trading (NBET) Plc, it has been one long tortuous journey. Over the past two years, he has been at the receiving end of the retaliation whistleblowers around the world, including in Nigeria, face for shining the light on malfeasance around them: denial of wages, job losses, expensive court cases, abuse, psychological trauma, blacklisting across their sector, and sometimes death.

Abdullahi has been denied his salary and other allowances since December 2017, threatened, blacklisted, arrested and sued. All of this for acting professionally and responding patriotically to the call of the Nigerian government asking citizens to join the fight against corruption by blowing the whistle on corrupt practices and other forms of wrongdoing in the country.

In two separate courts, in Ifo, Ogun State, and Okitipupa, Ondo State, where in a most brazen abuse of judicial process, Abdullahi was summoned to answer charges of defamation levelled against him by his boss, Dr. Marilyn Amobi, Managing Director of NBET, he easily walked through the doorway of victory. Both cases were struck out on account of Dr. Amobi’s lack of seriousness in prosecuting.

The crisis of corruption in NBET has been going on for almost three years and the government appears not to have any solution. The appointment of Dr Amobi as the second substantive MD/CEO of NBET signified doom not only for Abdullahi as head of internal audit but also for the entire staff of the company. The MD withheld Abdullahi’s salary and other emoluments just because he exercised the right to decline participation in her fraudulent activities and rejected an unwarranted deployment to a new department unilaterally created by the MD to continue to perpetrate fraud.

Abdullahi, a Fellow of the Institute of Chartered Accountants of Nigeria (ICAN), graduated in Accounting from a reputable university and has over two decades of experience. He acquired experiences from both the private and public sectors before joining NBET. He was the pioneer Head of Internal Audit of NBET in 2012; a position he held till 2016 when Dr Amobi joined the company.

Within one month of Dr. Amobi’s assumption of office, Abdullahi discovered the illegal over-payment of N2 billion to two generating plants, Omotosho Power Plc and Olorunsogo Power Plc, both of which have no Gas Supply Agreement (GSA) and Gas Transportation Agreement (GTA) as required by industry agreement. The implication of this fraudulent transaction is that electricity consumers on a monthly basis pay N2billion in excess of what they ought to have paid if this fraud is averted. It is on record that the very first month the fraud was detected, Dr Amobi assumed the role of internal auditor by signing off the payment vouchers.

Her defence for this unlawful violation was that the mandatory GSA and GTA had been waived. The questions for her are, who approved the waiver? Why was the waiver not extended to other thermal plants? And why did the waiver idea come only after the head of internal audit had uncovered the fraud?

Other transactions that made Abdullahi to incur the wrath of Dr. Amobi was his refusal to endorse other payment vouchers for illegal procurement of alcohol using taxpayers’ money, proposed monthly payment of N2.5million to one Engr. Achinaya (an ex-staff of both NEPA and PHCN) without procurement process, procurement of legal advisory services of Azinge & Azinge and Aelex law firms in gross violation of the Procurement Act, and payment for return flight ticket from London for Dr Amobi to resume work in NBET in violation of the NBET Board-approved benefit compensation packages just to mention a few.

As a retaliation against Abdullahi for doing his job professionally, which to Dr Amobi connotes standing in her way, she colluded with the Office of the Accountant General of the Federation to get rid of Abdullahi and his colleague Waziri Bintube. Both were removed from their duly appointed and NBET Board- approved functions as head of internal audit and Chief Finance Officer respectively. While Abdullahi’s salary was stopped, Bintube was sacked.

In response, the duo wrote a petition to the Ministry of Power in 2017. The ministerial committee report was released in March 2018 and vindicated them, while indicting Dr. Amobi. But despite the minister’s (Babatunde Fashola) directives that Abdullahi’s salary should be restored and Bintube reinstated immediately, and in fact that both workers should enjoy the rights of NBET staff, Dr. Amobi refused to comply with the directives.

Till date, she denies Abdullahi his salaries and Bintube has not been called back. Dr. Amobi heads a government agency supervised by a Ministry, but her insolent defiance of a Ministerial order is unprecedented in the history of public sector administration in Nigeria. And it is strange that this is happening under a government that claims to prioritize due process and accountability in the public sector.

As if the stoppage of salaries and sacking were not enough, Dr Amobi got Abdullahi and Bintube detained in the facility of the State Security Services (SSS) for more than twenty-four hours. Several directives by Babatunde Fashola, then Minister of Power, were rebuffed by Dr Amobi who insisted that as an appointee of President Muhammadu Buhari she would only take directives from the president.

While the issue of salary suspension remained unresolved in spite of interventions from the Ministry of Power, Office of the Secretary to the Government of the Federation and the office of the Vice President, among others, Abdullahi approached the National Industrial Court in December 2018, twelve months after the unlawful stoppage of his salaries, with Nigerian Bulk Electricity Trading Plc, Dr Marilyn Amobi (MD/CEO), Hon Minister of Power and the Ministry of Power as defendants.

On March 11, 2020, Abdullahi (the claimant) once again walked the path of victory with the court delivering judgement in his favour. According to Hon Justice O. O. Oyewumi, the act of the suspension of the claimant’s salaries from December 2017 till date was wrongful; the denial of the claimant’s 2017 and 2018 leave was wrongful; the 1st and 2nd defendants, contrary to its terms and conditions of service, withheld the claimant’s salary and other emoluments wrongfully. The judge ordered the payment of Abdullahi’s salaries and other allowances, noting, “All sums awarded in the judgement is to be paid within 30days of the judgement, failure upon which it attracts 21% interest thereon per annum.”

While the case lasted in court, the Economic and Financial Crimes Commission (EFCC), Independent Corrupt Practices and Other Related Offences Commission (ICPC), Auditor General of the Federation and the Bureau of Public Procurement all issued reports indicting Dr Amobi while recommending her immediate prosecution. Sadly, some higher powers are preventing this from happening.

Governance problems are commonly found in federal government agencies due to either lack of a Board or total collapse of the governance structure. The Director General of the Bureau of Public Enterprises, Alex Akoh, noted in a letter to the Minister of Finance, Budget and National Planning, Zainab Ahmed, dated January 7, 2020, that “for the past 14 months, no Board meeting of the company (NBET) was held, a situation which has serious consequences on the corporate governance of the company”. Truth is, no Board meeting of NBET has held since August 2018 when Professor Yemi Osinbajo, then Acting President, ratified the reconstitution of the NBET Board of Directors recommended by Kemi Adeosun, the immediate past Minister of Finance.

The governance collapse in NBET has entrusted the fate of about 80 million electricity consumers in Nigeria in the hands of Dr Amobi who sees herself as not only untouchable, but also a sort of “Alfa and Omega.” She formulates and executes policies at will, such as changing the company organogram whenever she sees any staff as standing in her way. The entire senior management has passed a vote of no confidence in Dr Amobi but despite this and other fraudulent activities traceable to her, no action was taken by the government to ameliorate the problem in the power sector and curb the continuous fraud being perpetrated in NBET.

The Minister of Power of Power Engr. Sale Mamman, in December 2019, made a daring move to respond to the situation by suspending Dr. Amobi from office indefinitely. But curiously, he was overruled by President Muhammadu Buhari in less than two weeks and Dr. Amobi was returned to office.

This forced the Minister to fire a letter dated January 8, 2020, to Boss Mustapha, Secretary to the Government of the Federation, detailing investigations by the ICPC, EFCC and the reports of the Auditor General of the Federation which implicated the NBET boss “for breach of due process in the award of contracts and several financial wrongdoings.” In that letter copied to President Buhari, the Minister reminded the SGF of “the additional baggage which the suspended MD carries in the light of the anti-corruption stance of the Federal Government.”

If this government wants to be seen as genuinely fighting corruption, the NBET case is a golden opportunity to faithfully demonstrate that conviction. Dr. Amobi has been indicted for corruption by government anti-corruption agencies. The place for her, therefore, is the courtroom, not a cushioned seat of a government agency.

Meanwhile, before Dr. Amobi’s prosecution, government should direct her to obey without delay the judgment of a court of competent jurisdiction in the suit filed by a whistleblower, Sambo Abdullahi, the head of internal audit of NBET.

In addition, government should realize that all whistleblowers deserve full and effective protection from all kinds of retaliation, without which its whistleblowing policy will not succeed as an instrument for reducing corruption in the country.

Onumah and Onyeacholem are with the African Centre for Media & Information Literacy (AFRICMIL)

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March 26, 2020
COVID19: Restrictions On Peaceful Assembly And Movement Without A Law Or State Of Emergency Is Unconstitutional By Inibehe Effiong

A follower on Twitter asked me on Saturday whether it is “constitutional” for the government to restrict religious and social gatherings because of Coronavirus?

By virtue of Section 45 of the 1999 constitution, the rights to peaceful assembly and free movement can be interfered with in the interest of public health and public safety. Is Coronavirus a threat to public health and public safety? The answer is obviously in the affirmative.

Section 14 (2)(b) of the constitution states that “the security and welfare of the people shall be the primary purpose of government.”

However, I urge President Buhari to declare a state of emergency throughout the federation in line with Section 305 of the constitution.

Section 305 (3)(d) of the constitution, allows for a state of emergency when “there is clear & present danger of breakdown of public order and public safety in the federation or any part thereof requiring extraordinary measures to avert such danger.” COVID-19 is a clear and present danger to public safety.

Unlike in the United States, States in Nigeria cannot declare emergency. A governor supported by 2/3 members of the House of Assembly can only request the president to do so for them as stated in Section 305 (4) of the constitution. This is an example of the fraudulent nature of our federalism.

Since there is no special law to my knowledge, apart from laws establishing national and States emergency management agencies, to address public health crisis, it is necessary for the President to declare a state of emergency in Nigeria to address the outbreak of Coronavirus.

In the absence of a law enabling these restrictions to social and religious gatherings, the legality of these measures is questionable. This is because fundamental rights cannot be derogated from except as prescribed in a law that is “reasonably justifiable in a democratic society.”

It is either a law is urgently enacted across the volatile states or the President invokes the state of emergency clause. As at today, there is no strong legal basis for restricting gatherings. None of the governors or the President has issued even an ordinary ‘Executive Order’.

In the United States for example where we copied our presidential system, President Trump declared a national emergency, and at least 48 States in the US have also declared emergency due to COVID-19. The American Congress also passed the Families First Coronavirus Response Act.

In Nigeria, we are resorting to our usual militaristic way of doing things by relying on arbitrary executive fiat to tackle COVID-19. Nations do not become great just by the “good intentions” of politicians. Nations become great principally by adhering to the rule of law.

In the light of the foregoing, I strongly urge the federal and state governments to urgently take steps to address the apparent legal loopholes in their efforts to tackle Coronavirus. It is obvious that Nigeria is not prepared for an outbreak. We are doing trial and error.

We need a legal framework; not only to give legal backing to the restrictions on the fundamental rights of Nigerians to religion, association, assembly, movement, etc., but to also provide for reliefs for families and victims of COVID-19.

We should not wait for the worst to happen.

I wish to draw the attention of the government to the decision of the Court of Appeal in the celebrated case of Okafor v. Lagos State Government (2017) 4 NWLR (Pt. 1556) 404 where it was held that disobeying the “order” or “directive” of a governor is not a criminal offence.

In that case, Lagos State issued an order restricting movement during environmental sanitation, Okafor was arrested for disobeying the order. The court declared the arrest illegal and unconstitutional since there was no law that criminalized violation of the governor’s order.

Without a law or a state of emergency, it is illegal to arrest anyone for violating a mere executive order. Emotions cannot change the law. If religious leaders whose places of worship have been closed decide to challenge the closure in court, the government will likely lose.

I hope the government at all levels will listen to the voice of reason and initiate appropriate legal frameworks to support the containment of COVID-19. It is either we are a country of laws or a banana republic.

We should not yield to authoritarian rule because of expediency.

Inibehe Effiong is a Lagos-based legal practitioner and human rights activist

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March 23, 2020
Why people delay software updates, despite the risks

In May 2017, around a quarter of a million computers around the world running Microsoft Windows were attacked and infected with malware that would later be named “WannaCry.” Victims found their computers locked and unusable, but could free them if the victims transferred Bitcoin—typically an amount equivalent to $300-600 USD—to the people behind the attack.

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March 17, 2020
Businesses Pursuing New Product Development

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With the aftermath of globalization, companies are carefully thinking about the best ways to extend their product and service offering. Thus, product development strategy is critical for their success. Yet, many companies are in defensive mode and merely want to maintain the position in the market place.

However, staying in a holding position is a definite way for companies to be left behind. Innovative thinking that allows for product/service growth is a too sure way for sustainable success. In today’s discussion, we will explore the importance of product development for the growth of businesses, especially in a competitive market.

Launching into new product offerings is not easy. According to one market research, approximately 75% of consumer-packaged goods and retail products fail to earn even $7.5 million during their first year. Harvard Business School Professor, Clayton Christensen, who is the world’s foremost authority on disruptive innovation, suggests that the failure rate of new products may actually be as high as 95%. Product failure rates relate to the number of products that are launched commercially but fail.

Geoffrey A. Moore, the author of Crossing the Chasm, maintains the challenges of product deployment: “… the less successful product is often arguably superior. No content to slink off the stage without some revenge, this sullen and resentful crew casts about among themselves to find a scapegoat, and whom do they light upon? With unfailing consistency and unerring accuracy, all fingers point to-the vice president of marketing. It is marketing’s fault!” Thus, new product development is a risky proposition to senior executives making these critical positions as well as the organization as a whole.

Businesses that want sustainable growth must develop new product and services often and consistently. Philip Kotler and Kevin Keller, authors of Marketing Management, “In an economy of rapid change, continuous innovation is a necessity. Highly innovative firms are able to identify and quickly seize new market opportunities.”

In taking any actions on new product development, businesses should think strategically about their product development. Alexander Chernev, the author of Strategic Marketing Management, further argues that managing growth is the most preferred route to profitability compared to just cutting cost.

He outlines four key issues in managing growth, which include: (a) gaining and defending a market position, (b) managing sales growth, (c) new product development, and (d) product-line management. Chernev maintains, “New products and services are the keys to sustainable growth; they enable companies to gain and sustain their market position by taking advantage of the changes in the market to create superior customer value.”

With that said, new product development meaning having the ability to take a product or service idea and convert it into a tangible offering that customers want. The following are the steps that more products undergo for market consumption: (a) idea generation, (b) concept development, (c) business analysis, (d) product development, (e) market testing, and (f) business deployment.

The Ansoff Matrix is a strategic tool for product development, consisting of market penetration, market development, product development, and diversification. In market penetration strategy, organizations seek to grow using its existing product offerings in existing markets. With this strategy in mind, organizations try to increase market share. In a market development strategy, companies try to expand into new markets like new buyers using their existing offerings. In product development strategy, businesses seek to create new products and services targeted at its existing buyers.

In a diversification strategy, an organization tries to grow its market share by introducing new product offerings while at the same time entering a new market. Diversification is the most-risky approach due to simultaneous making new changes (new product, new market). Kotler and Keller further maintain the difficulty of sustainable product success: “It is increasingly difficult to identify blockbuster products that will transform a market, but continuous innovation can force competitors to play catch-up.” The concept sounds easy. However, it is riddled with problems.

Without a doubt, many companies know that product development is a risky business. Although many consumers will proudly proclaim the success of many innovative products like Apple and Google, these same buyers are not aware of the numerous product launch failures in this country. In our discussion, I demonstrated the importance of product development for the growth of businesses, especially in a competitive market. Failures often lead to innovation.

American great inventor, Thomas Edison, had his own share of failures, but learned how to innovate because of them: “I have not failed. I’ve just found 10,000 ways that won’t work.” Likewise, today’s businesses can also achieve success if they understand how to deploy their products and services to the marketplace strategically. Although there is enormous danger in failure, there is also the opportunity of unforeseen growth. Don’t wait until it’s too late.

© 2017 by DD Green

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Source by Dr. Daryl D. Green

Views: 0

February 10, 2020
Larry Ellison – Here Is A Terrifyingly Good Rags To Riches Story

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Born to an unwed Jewish mother and an Italian American US Army Air Corps, Larry Ellison did not have a fairytale childhood at all. Unable to raise him properly, his mother gave him to her aunt for adoption at the age of just 9 years. Larry had a severe bout with pneumonia at that time. His adoptive father was a Government Employee who lost all his earnings in the Great Depression.

Raised in a Reformed Jewish home, Larry respected people who believed in religion even though he did not believe in that stuff at all. A dropout from the University of Illinois-Champaign, Larry completed his education at the University of Chicago. This was his first tryst with computer designing.

Larry realized that his heart was with computers. At Amadhi Corporation and Ampex Corporation, he learned the ropes of the trade. One of the projects done by him was preparing a database for the CIA. He named it ‘Oracle’.

The year 1977 saw him venture into the business arena when he founded Software Development Laboratories along with two other friends with an initial capital of $2000. This company was rechristened ‘Oracle Systems Corporation’ in 1982. This company had its share of near bankruptcies before ruling the regional database market along with Sybase, Informix and Microsoft.

The years 1994 to 2010 was the golden period for Larry Ellison and Oracle as they acquired Sun Microsystems and expanded their grip on their domain. Larry has the power of being the CEO of the company until 2014 after which he assumed the post of The Executive Chairman and Chief Technology Officer.

Imagine a person starting a company with a meager sum of $2000 ending up as the seventh wealthiest man in the world in February 2017 with a net worth of $55 billion, according to Forbes. This is a true rages to riches story.

Is It Possible For You?

The answer to that question is yes. All you must do is get educated on the industry you will like to become affiliated with. Luckily for you, there are organizations of experts who offer free reports to help those who are in need of some information on how to multiply their income like how Larry did.

Obviously, there are a lot of resources of the internet, but the main thing to take away is the proper method on how to capitalize on the right investment.

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Source by Marc-Eddy Drouinaud Jr

Views: 0

February 5, 2020
Improving Healthcare Delivery by Setting Up an Integrative Family Medicine Practice

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There are several definitions of the Integrative Medicine model which include:

a) A healthcare model that combines treatments from Conventional healthcare and Alternative / Traditional Medicine for which there is some high-quality evidence of safety and effectiveness

b) Focuses on person-centred (holistic care) and uses all appropriate therapeutic approaches

c) Focuses on preventative maintenance of health by paying attention to all relative components of lifestyle

Every person desires good health. Health, according to WHO is not merely the absence of any disease or infirmity but a state of complete physical, mental and social well-being. There is no single medical system that is perfect and each has its own merits and weaknesses; It is wrong to assume that any specific medical system, be it conventional or complementary therapies such as, Ayurveda, Yoga, Naturopathy, Traditional Chinese Medicine is correct with the exception of conventional emergency medicine. Integrative medicine is based on this concept and it incorporates evidenced-based alternative medicine alongside conventional methods for treatment and diagnosis.

The use of complementary and alternative medicine has gained popularity in the last few years. An integrative healthcare service combines the strength of conventional and complementary medicine therapies in a way that provides the maximum benefits for the consumer. As each individual is different, the best way to provide holistic treatment would be to offer patient-centered evidence-based healthcare services combining the benefits of alternative and complementary medicine.

If you want to set up a successful Integrative Medicine practice, then you should consider the following:

1. Targeted Therapy

A revolution is underway in healthcare, where the importance of lifestyle, diet, emotional and physical factors are important complementary medicine components in formulating effective therapeutic protocols.

The key to any effective Integrative Medicine treatment is 'targeted therapy' using a biological rationale and a predefined mechanism of action from Conventional and Alternative Medicine systems. This treatment protocol involves the strategic integration of therapies, pharmaceuticals, and supplements.

2. Establish a unique brand identity that defines your business culture or values

Your brand name and the values are potent tools that build credibility with patients. You should create a unique or modern brand identity that defines the culture or values of your medical practice. People prefer to connect with established brand or reputed organizations that deliver quality healthcare services at a competitive price.

3. Increase patient volume and business

The Complementary Medicine industry continues to flourish which is indicative of current dissatisfaction with the conventional healthcare models. The anticipated growth is $ 4.6 billion in 2017-18 from the $ 3.5 billion in 2014. Therefore, it follows that Integrative Medicine practice will flourish with the correct marketing and the inclusion of a supporting delivery framework which underpins best clinical practice.

4. Use highly effective marketing strategies

With the increasing popularity of digital marketing, your center should have a website with detailed information and appropriate marketing content that will enable people to make well-informed decisions. The leveraging expertise of experienced digital marketers will streamline promotion of your brand and build credibility among patients. It is essential that you know what you are delivering, why you are delivering the product and have systems to measure the results.

5. Build a sustainable service delivery model

Three key factors are important in creating a thriving Integrative Medicine center. These are:

A) An Effective Service Delivery Model

B) A Framework of Delivery that underpins best practice and is cost effective for the consumer

C) A Management strategy for successful implementation of the model

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Source by Luke Harper

Views: 0

December 29, 2019
Proven And Profitable Money Making Ideas

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With an entrepreneurial spirit, perhaps you might be thinking about money making ideas that have been proven and are profitable on the internet that you can use to make a living with. Online business is still an evolving tool to earn money. Everyone has predicted a major tech crash as a matter of fact it’s already happening.

According to Hostingfacts.com in 2017, “there will be more internet traffic than all prior internet years combined. Wi-Fi and mobile-connected devices will generate 68% of all internet traffic in 2017.”

More statistics show that “worldwide retail e-commerce sales will reach $1.915 Trillion in this alone according to Emarketer.com. There are a number of ways by which people can make money online.

Internet businesses provides relaxation and comfortability to people who run their own business while sitting in their homes or traveling the world. E- Commerce refers to the online functioning of businesses in which all of the transactions are accepted by means of the World Wide Web.

Online sales in the United States are anticipated to reach $523 billion in the next five years. This is up 56% from $335 billion in 2015, and mobile devices are expected to be a key leader in that growth, Forrester Research Inc. says.

The Census Bureau of the Department of Commerce announced “that the estimate of U.S. retail e-commerce sales for the third quarter of 2016, was $101.3 billion, an increase of 4.0 percent from the second quarter of 2016. Total retail sales globally for the third quarter, was estimated at $1,212.5 billion, an increase of 0.9 percent from the second quarter of 2016.”

With the collapse of the tech bust in full swing, should you even attempt entrepreneurship online, let alone a new business launch in 2017? My answer? Absolutely yes.

On the internet, there are unlimited things that can be done to earn money. It is all up to the individual how much they can profit from these online opportunities. The trend is constantly evolving with innovative business ideas.

The start of a new year means great interest in new and exciting things, as we look forward to the year in the making. The year 2017 is also likely to see some changes with a few money making ideas not being in demand and new ones harvesting up.

Learning how to make money on the internet with an e-business is one of the most proven and profitable money making ideas dominating the economy. Facebook now has 1.55 billion active users and 2.9 billion Google searches are made every day. With this data, there is endless opportunity for the ordinary person looking to create money online.

In this article, I’ve researched a few of the businesses that are going to be profitable for the next 5 years. While tech may be on the decline, the world continually has room for proven, profitable and innovative products as well as services.

Proven & Profitable Money Making Ideas

Blogging

If you have a particular subject that interests you and you are passionate about it, then you can start a blog around such topic. Blogging is one of the fastest growing business trends on the web and the sweetest thing is that it is an information based business.

Many people in the current world are getting money by having their own blogs and websites. Generally, on these blogs and websites, they are putting thought-provoking and valuable information that interests other people. The science is simple; the additional number of visitors the more money you can make via advertisement and other revenues.

This works much like television where the more viewership means more advertisements and at a higher rate. This is one of the most well-known and informal techniques of producing income online and it doesn’t seem to be going away anytime soon. Don’t worry about technicalities, programming, etc. You also won’t need to invest a dime to get started as there are free platforms you can utilize like Blogger and WordPress being the most trusted blogging platform since 2004.

E-commerce Store

Another proven and profitable idea to start an internet business is to maintain an online store. You can provide products to your customers online. Yes, you can set up an e-commerce or retail store online and you can start this online business from home without even owning a single product. You can sell virtually anything ranging from books, clothes and electronics to household item through wholesale drop shipping or by setting up an affiliate store with Amazon or eBay.

You may even sell anything from customized cakes to used items to even new products you created on your own. With this kind of business idea, people primarily receive payment via credit card or PayPal accounts. It totally depends upon you as some people prefer to collect payment at the time of delivery of the products.

In the online store, you can provide a wide range of products in one place and keep the customers engaged with new products or services. On the other hand if you are creating products from scratch, you have to keep up good relationships with your suppliers so your business can be successful.

Affiliate Marketing

To become an affiliate marketer means that you will be promoting other people’s products and services through a blog or store online. How it works is whenever there is a sale, you will get a commission. The most stimulating fact here is that you don’t even need a dime of your own money to start it and you get to partner with some of the biggest enterprises in the world. The first venture I would recommend you to start online is your own affiliate marketing business.

Internet Marketing Services

Servicing people to help drive visitors to their websites can be an outstanding online business with a strong profit potential. Examples of services you can provide include pay-per-Click (PPC) advertising services, blog marketing services, article marketing services, guest blogging, link building service, etc.

Doing business on the web can be challenging because things often change quickly online. This idea allows you to help other online entrepreneurs such as yourself, keep up with the latest trends in internet marketing.

VLogging

This is comparable to a blog, but in video form. Basically turn your video camera on, feel free to use your tablet, and just talk! The best vloggers talk about a specific focus or niche. Vlogging about a topic that interest tweens or teens is most likely to get a big following fast.

Some popular topics include makeup, fashion, music, gaming and how to videos. The strategy to making money with these vlogs is gaining a large following and then receiving sponsorship on the platform that you publish the videos on, such as YouTube or Vimeo. You can also make money via advertisement.

E-Book Publishing

The information business allows you to identify people’s problems and provide a solution in the form of an e-book. Any style writing on any topic can be used with this method. If you love writing and you possess some marketing skills, then you can venture into writing self-published eBooks.

Educational Products

People will always be willing to pay for education. A good example is university education. A public four-year college costs around $20,000, and a private college can make an income of $50,000 per year. In spite of the outrageously high prices, people are eager to give out the money. Why? Because a college education is worth it. Right? Well, most of the time it is.

However, some disagree, and with recent improvements in the education platform, the traditional college model is being dismantled or unequivocally disrupted. The cause of these interruptions are startups like Udemy and Teachable, these platforms allow people to share their knowledge and profit from it.

You don’t need a platform to sell your knowledge. You can self-publish a book, create a video coaching session, or teach others how to make money. People will gladly pay to learn a new skill, shape their lifestyle, make new money, impress friends with their knowledge, and change their life in significant ways. If you have something to offer to others, then start teaching.

Graphic Design

There are lots of graphic designers on the web offer free and paid services. However, if you plan to thrive in this capacity online, aiding a specific niche target audience will be the most profitable for you. Suppose you’re focused niche is in music and you have a good graphic design skill, you can launch an online graphic design business that focuses on graphic design for musicians or singing artist. You can also choose to focus on infographic designing, e-book cover design, album cover designs, etc.

Implementing your ideas as an online business is a great way to start your business if you are low of capital. It is necessary that you have a proven and profitable online business idea to start your business. Starting and operating an online business is the new normal these days and continues to rise in popularity.

If you have any ideas that can be transformed to fit the online business model then by all means do your research and get started the opportunities are endless!

If I’ve failed to mention any other profitable ideas be sure to leave them in the comments below.

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Source by Jamie Clay

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October 9, 2019