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Nigeria’s Unhealthy Healthcare In Eye Of Coronavirus By Runcie C.W. Chidebe

Coronavirus (COVID-19) is right here to show us a lesson; I hope we be taught. Nigeria’s healthcare is unhealthy. But as an alternative of fixing it our rulers have been busy flying up and down to profit from different nation’s productive well being system. With Coronavirus, actuality is upon us. No extra operating abroad for medical trip. Our rulers can’t journey to the United Kingdom, United States of America or India anymore for medical care. These nations are additionally hanging on their final breath, battling to outlive the COVID-19 pandemic.

In 2017, President Muhammadu Buhari spent 103 days in London receiving medical therapy for an undisclosed sickness, spending taxpayers’ cash as an alternative of investing within the nation’s healthcare. Thousands of Nigerians died in the identical interval from totally different sicknesses. More than 3,000 girls died of breast most cancers, greater than 2,000 girls died of cervical most cancers and greater than 1,500 males died of prostate most cancers, in line with World Health Organization (WHO) figures on annual most cancers mortality.

I had hoped that on his return to Nigeria, President Buhari would declare a state of emergency within the nation’s well being sector. Painfully, nothing of such occurred. Nigeria’s funds allocation to healthcare has remained lower than 5% of the whole funds for the previous 5 years. Simply put, in 2020 the federal authorities budgeted N2,000 (£4.2) for every Nigerian with a complete of N427.Three billion as funds allocation to the well being sector whereas the United Kingdom budgeted £2,159.6 for every citizen with a complete well being funds of £143.4billion. It is similar dismal story within the states throughout Nigeria. Healthcare isn’t a precedence. In some states in Nigeria, a hospital is a 20-minute boat journey and an hour-long automobile journey. Because many poor Nigerians don’t personal boats, a girl in labour may bleed to loss of life earlier than she reaches the hospital.

On March 22, 2018, Bill Gates, founding father of Microsoft and the Bill & Melinda Gates Foundation, criticized Nigerian authorities’s poor funding of healthcare within the nation. In his phrases, “One in three children is chronically malnourished.” This tragedy has large implications for the economic system. According to the World Bank, addressing the stunting disaster in Nigeria would add virtually $30 billion to Nigeria’s GDP. It is painful that regardless of Mr. Gates assertion, nothing has modified. Nigeria has remained one of many nations on this planet with the worst healthcare system with over 60 deaths per 1000 stay births. Nigeria has one of many worst most cancers survival charges on this planet, with solely 2 to three most cancers radiotherapy machines working at any time and fewer than 70 oncologists for a inhabitants of over 200 million.

COVID-19 is exposing the insensitivity of our leaders to issues that matter most to us. That Nigerians are disobeying the federal government’s security recommendation on COVID-19 is a transparent reflection of residents’ distrust for his or her leaders. Many Nigerians belief their non secular leaders greater than they belief our political leaders. Successive governments have failed the nation, and it doesn’t appear like factor will change anytime quickly.

Nigeria is a rustic the place our rulers make legal guidelines as we speak and break the identical legal guidelines tomorrow. The Nigeria Centre for Diseases Control (NCDC) adopted the World Health Organization (WHO) guideline and strongly inspired all Nigerians coming from sure nations to self-isolate and monitor themselves, as a method to comprise or to delay the unfold of COVID-19. The president’s Chief of Staff, Abba Kyari, returned from Germany and as an alternative of isolating himself he was leaping from one state to a different, attending occasions and conferences with totally different folks, breaching the federal government’s personal advice and inserting the lives of different Nigerians in danger!

Now that COVID-19 is in Nigeria we have to face it with all that we’ve. But can we? The Nigeria Centre for Disease Control (NCDC) is now the nation’s solely perceived hope. Many Nigerians have been calling NCDC scorching traces, criticizing NCDC for not testing sufficient folks. But we must always face the music and never the dancer. NCDC is crippled and never effectively outfitted to guard Nigerians from the illness.

In 2016, NCDC budgeted N3.7m for its recurrent and N248m for capital allocations. That is a complete of N251.7m. Out of this, solely N155m was launched to the centre. In the identical 12 months, 1,166 Nigerians died of Cerebrospinal Meningitis. In 2017, the NCDC had a funds of N1.5b. Only N782m was launched. In the identical 12 months, greater than 120 Nigerians contracted Monkeypox and 7 folks died from the illness. That identical 12 months, the Presidency budgeted N77m for Aso Rock lease, N1b for journeys and sitting allowances, and N94m for meals. In 2018, the NCDC had a funds of N1.9b. Only N654m was launched. In the identical 12 months, N7.2b was proposed for Presidential Air Fleet. N440m was proposed for necessary improve and set up of stay TV and web service within the presidential aircrafts, N375m for brand spanking new cabin administration, N418m for the touchdown gears. In whole, over N1b was budgeted for the presidential aircrafts which is used for medical tourism and frequent journeys overseas.

On November 12, 2018, the NCDC institution invoice was signed by President Muhammadu Buhari, because of the efforts of Senator Mao Ohuabunwa, the then Chair, Senate Committee on Primary Healthcare and Communicable Diseases. On this premise, the NCDC was empowered with a laws for its work in stopping and making ready for outbreaks of infectious illnesses. Interestingly, the NCDC acquired the worst funds in 2019, the 12 months following the passage of the NCDC Act. The Centre had a funds of N1.4b, however solely N224m was launched. In the identical 12 months, over 472 Nigerians have been identified with Lassa fever and over 110 folks died from this viral hemorrhagic fever. Clearly, NCDC can’t carry out magic. They need assistance. Nigeria is grossly under-testing for COVID-19, the laboratories usually are not sufficient, and NCDC and its affiliate businesses wouldn’t have sufficient manpower and sources.

Months in the past, being unwell evoked empathy; as we speak being unwell evokes concern. The concern of COVID-19? No! It is the concern of not gaining access to the care that you just want, the concern of absence of ventilators, the concern of a damaged well being system. It is the concern of loss of life. Our political leaders have stolen from the sick by corruption. Many Nigerian governors construct non-functional hospitals of their states. Usually, after the commissioning of those hospitals, all of the CT Scan, Magnetic Resonance Imaging (MRI) and different medical machines—a few of them faux—are returned to the place they have been bought or left to rot.

Hospitals in Nigeria are among the worst on this planet. Our educating hospitals at the moment are museums the place lower than 5% of medical trial and analysis is occurring due to poor laboratory. Medical tourism has due to this fact grow to be the norm. Dubai hospitals, Saudi Arabian hospitals, and so on., are promoting in Abuja and Lagos for Nigerian sufferers. They are recruiting Nigerian docs, together with consultants. Nigeria isn’t solely going through “brain drain,” we’re additionally going through “patient drain.” Our docs and nurses work within the worst situations. Hazard allowance for well being staff is about N5,000 whereas wardrobe allowance for members of the National Assembly runs into hundreds of thousands.

Now is the time for Nigeria to confront its healthcare disaster. The Nigerian authorities should settle for its failure. Our political leaders should brace as much as their duty and critically replicate on the issue their greed has delivered to Nigeria. This is the time to put money into a result-oriented healthcare system. Health is wealth because the saying goes. healthcare system is the muse of any nation.

If we survive COVID-19, we have to contemplate a legislation to limit all public officers from searching for medical care overseas. It could also be perceived as strict, however it can save future generations since we don’t know which pandemic would come subsequent and when.

Let’s give each Nigerian an area to stay and a not probability to die.

Runcie C.W. Chidebe is Executive Director, Project PINK BLUE. He is at the moment a Commonwealth Scholar on Transforming and Leading in Health Care at Birmingham City University, United Kingdom. He tweets @runciecwc

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April 4, 2020
Amidst Coronavirus, Ogun Health Workers Underpaid By Tao Bakare

Tao Bakare

Tao Bakare

As the global pandemic continue to hold the world to ransom, nations all over the world continue to search for the ‘messiah vaccine’. Despite the fact that Covid-19 has successfully exposed even the supposed perfect and big countries in terms of inadequate health facilities, Cuba have come to the rescue.

However, Nigeria remains wanted in the battle for cure as the President have never for once failed to disappoint Nigerians.

Meanwhile, Ogun State, in the South-West region, which is one of the hotspot of the virus, has failed woefully in responding to the deadly situation.

Since the outbreak of the pandemic in Nigeria, Ogun State has recorded over three cases, while the state government has done almost nothing, but, mere cheap talk on radio, television and print. The governor has announced several millions of naira, while in reality, nothing is there to show for it.

Recently, Governor Dapo Abiodun announced that the state is working on an isolation centre in Ikenne Local Government. Good news, I am writing this piece from Ikenne right now, there is nothing in Ikenne. I call on Governor Dapo Abiodun to prove me wrong.

Also, with the state housing one of the major (but poorly funded) teaching hospitals in Nigeria, Olabisi Onabanjo University Teaching Hospital, Sagamu, one would think that the state will be more active in response to the pandemic. But the fact is that Olabisi Onabanjo University Teaching Hospital cannot even boast of a broken ventilator, let alone a functional one. Shame on the state government.

It is also sacrosanct to note that the welfare of health workers in Ogun State especially at Olabisi Onabanjo University Teaching Hospital is nothing to write home about. Apart from the fact that these ‘warriors’ have to work restless shifts of about 10 hours everyday, they do not even have enough items to discharge their duties properly. The sad news is, it is in OOUTH that nurses run out of face masks, gloves and sanitiders amidst a deadly virus.

Another major point of call is the remuneration of these health workers. The administration of former governor, Ibikunle Amosun, paid just four months out of the nine months arrears owed workers by the Gbenga Daniel regime still the present regime of Dapo Abiodun continue to hover around the same trend.

Of course, it is reasonable enough that amidst this pandemic, the welfare of our health workers should be held paramount by any reasonable government. But in Dapo Abiodun’s Ogun State, the shadow is the reality.

On arrival of Dapo Abiodun’s administration, thousands of promises were made to the people but a lot has remained unfulfilled.

The situation in Ogun State is no different from scenes in horror movies as both doctors and nurses are lamenting underpayment and little or no remuneration at all.

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April 2, 2020
Petri Dish Detention By Mohammed Ibraheem Zakzaky

The world is gripped in the Coronavirus reality and the immense panic and disruption it brings along with it. This virulent scourge has cut a path less trodden by viruses, as it infects and spreads with little regard for all the norms of red tape that has allowed the murder and official disappearance of many, including my six brothers. By the time it begins to execute those whose death sentences it has written and signed it is always 10 steps ahead on the paperwork. That is almost eight steps ahead of professionals like Buhari.

The virus is a near perfect beta of a doomsday virus. Even the most hard-line sceptics have ended up dumbfound by just how profoundly serious Covid-19 is as a survivalist organism that is here to accomplish its apocalyptic mission. Though many medical experts have since been pressured, pressed and forced to promise a vaccine and possible cure within the next few months to a year; the truth is that the threat is clearly unprecedented.

In my case I went to sleep in a world where my priority was to deliver food and medical aid to my parents in Kaduna Prison; only to wake up and realize that there was an even larger number of factors in play. I slept knowing full well that it was an uphill battle against the entire regime of Major-General-Buhari and his army of punitive henchmen; to all of a sudden be confronted by a Diablo ex-Machina; courtesy of the novel corona virus AKA Covid-19.

Now all visits to prison by anyone and everyone were effectively and strictly forbidden. I understood and reasoned that it was the proper measure to prevent contagion of this clearly deadly disease. The last thing I would want is to be a part of what makes my already sickly parents sicker; or worse.

In spite of the fact that I had completed all arrangements to have doctors visit both my parents in Kaduna Prison, in order to provide them with relief for their existing medical conditions due to age and a plethora of wounds they sustained during the attack and subsequent ransacking of our home by the Nigerian Army. All of which have all gone untreated during the past five years.

I still thought and reasoned that a quarantine of the entire area was the best measure possible in the short term, considering the existing circumstances. As a result of this I made all the necessary apologies to cancel appointments with all the doctors and hospitals, to ensure that the quarantine in Kaduna Prison will hold and be maintained. I then did all in my power to send masks, hand sanitizers, gloves, soap and vitamins. All in an effort to stay safe and keep everyone safe.

I have now since been jolted out of the stupor of perceived safety by terrible news. There has been a violent incident inside Kaduna Prison, which has rendered my memory of the Zaria Massacre of 2015 raw. As the harrowing sounds of another rampage of gun fire was heard from Kaduna Prison, where my parents are currently being detained.

All my frantic calls to the Controller of Prisons and his deputy were not answered, as the sounds of gun fire continued to rage. All my efforts to learn what was really going on failed. I have however been able to learn a few things through the few answered calls. All of them agree on the following.

1.      There has been a surge of Covid-19 symptomatic prisoners in Kaduna Prison.

2.      Staff of the prison clinic have been avoiding three symptomatic prisoners particularly.

3.      Three of them were removed and one was returned on Tuesday.

4.      A number of Prisoners strongly objected to the re-introduction of the prisoners.

5.      The prison staff tried to calm things down by trying to reason with them.

6.      The Prison’s armed squad were then deployed, to supress an alleged prison break.

7.      After a period of automatic fire in the air and on target, calm was restored.

8.      The prisoners suspected of Covid-19 are among those reported shot and killed.

9.      Bullet canisters were still littered all over the place 3 hours later.

10. Many of the Kaduna prison staff are visibly injured, some with serious injuries.

11. A significant number of the injured staff were seen walking around in blood-soaked uniforms.

12. So called normalcy has been enforced, and returned at an unknown cost.

The fact remains that the highly crowded, unsanitary conditions of Kaduna Prison remains a highly contagious environment, that is no place for my vulnerable mother and father, both of whom are above 50 years of age. Both of whom are un-healthy, both of whom are suffering from an unprecedented number of health issues that have remained untreated and unattended.

Due to a determination by the regime of Heil! Major-General Buhari and his now contagious Governor El-Rufai and their army of undertakers. It is unclear what is really going on at the site of all the intense gunfire that was heard in Kaduna Prison. Aside from the above stated facts, I can say no more.

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April 2, 2020
Legal Issues Arising From Management Of Covid-19 Patients By Ahmed Adetola-Kazeem

A lot of legal issues are bound to arise as an aftermath of the outbreak of Coronavirus otherwise referred to as COVID-19. There is therefore a need to shed light on some of the issues that may arise and how to navigate them. This article will x-ray the rights of patients, the rights of health workers and the basic minimum obligations of the government.

The Code of Medical Ethics in Nigeria 2008 lists acts that constitute professional negligence. Rule 29.4 of the Code outlines some of these acts as follows:-

a)      Failure to attend promptly to a patient requiring urgent attention when the practitioner was in a position to do so;

b)     Manifesting incompetence in the assessment of a patient;

c)      Making an incorrect diagnosis particularly when the clinical features were so glaring that no reasonable skillful practitioner could have failed to notice them;

d)     Failure to advise, or proffering wrong advice to a patient on the risk involved in a particular operation or course of treatment, especially if such an operation or course of treatment is likely to result in serious side effects like deformity or loss of organ, or function;

e)      Failure to obtain the informed consent of the patient before proceeding on any surgical procedure or course of treatment when such consent was necessary;

f)       Making a mistake in treatment e.g. amputation of the wrong limb, carelessness that results in the termination of a pregnancy, prescribing the wrong drug, or dosage in error for a correctly diagnosed ailment, etc;

g)     Failure to refer, or transfer a patient in good time, when such a referral or transfer was necessary;

h)     Failure to do anything that ought reasonably to have been done under any circumstance for the good of the patient;

i)       Failure to see a patient as often as his medical condition warrants or to make appropriate comments in the case notes of the practitioner’s observations and prescribed treatment during such visits. It also includes failure to communicate with the patient or with his relatives as may be necessary with regards to any developments, progress or prognosis in the patient’s condition.

Rule 11.2 of the 2008 Code of Medical Ethics in Nigeria provides that, “A physician shall preserve absolute confidentiality on all he knows about his patient even after the patient has died.”

             Rule 44 of the Code of Medical Ethics has extensive provisions on Confidentiality and when disclosure of information can be made. The Rule provides in part that:

“Disclosure of information on the patient by the doctor can only be made following an informed consent of the patient in writing. It is clear that the ethic covers even such information as induced abortion, venereal disease, attempted suicide, concealed birth and drug dependence but would exclude situations in which a discretionary breach of confidentiality is necessary to protect the patient or the community from danger and this must be made clear to the patient at the time of the confidential disclosure. Where statutory notification of disease is involved, the consent of the patient is not required.”

            Confidentiality: To Disclose Identity Of Covid-19 Patients Or Not To Disclose?

COVID-19 is an infectious disease caused by a newly discovered coronavirus. Most people infected with the COVID-19 will experience mild to moderate respiratory illness and recover without requiring special treatment. Older people, and those with underlying medical problems like cardiovascular disease, diabetes, chronic respiratory disease, and cancer are more likely to develop serious illness.[1]

The Federal Ministry of Health confirmed the first case of COVID-19 in Nigeria on the 27th of February 2020. It is the case of an Italian citizen who works in Nigeria and returned from Milan, Italy to Lagos, Nigeria on the 25th of February 2020. In reaction to the report, the social was divided between those who want the name of the Italian disclosed and those that preferred it remains confidential. The outcry was even more when the Chief of Staff to the President tested positive according to reports from various media houses[2], but the Minister of Health decided to keep mute on the identity of the President’s aide who contacted the virus, citing confidentiality.

It will ordinarily be wrong to disclose the medical status of someone infected with COVID-19, for instancethe case of the Italian who was the index case. However in view of the proviso to Rule 44 of the Code of Medical Ethics 2008 which provides that a discretionary breach of confidentiality is necessary in order to protect the community from danger, I am of the view that the test results of popular figures who hold strategic offices like the Chief of Staff to the President or a Governor must be disclosed to guaranty public safety. This is necessary in view of the countless number of people from all works of life they come in contact with on a daily basis. It will be correct to have made their status public in the overriding interest of the public, since it will enable those who have come in contact with them isolate, just like we have seen in the cases of the British Prime Minister, the Bauchi State Govenor, Prince Charles, the First Lady of Canada and many more. We must commend those who announced their status in public themselves-it is the best thing to do in the interest of humanity

The World Health Organization (WHO) provides additional guidelines for the management of coronavirus patients specifically.[3]

Health workers should:

•follow established occupational safety and health procedures, avoid exposing others to health and safety risks and participate in employer-provided occupational safety and health training;

•use provided protocols to assess, triage and treat patients;

•treat patients with respect, compassion and dignity;

•maintain patient confidentiality;

•swiftly follow established public health reporting procedures of suspect and confirmed cases;

•provide or reinforce accurate infection prevention and control and public health information, including to concerned people who have neither symptoms nor risk;

•put on, use, take off and dispose of personal protective equipment properly;

•self-monitor for signs of illness and self-isolate or report illness to managers, if it occurs;

•advise management if they are experiencing signs of undue stress or mental health challenges that require support interventions; and

•report to their immediate supervisor any situation which they have reasonable justification to believe presents an imminent and serious danger to life or health.

Doctors and health workers in Nigeria must endeavor to digest the guidelines in the Code of Medical Ethics as well as the WHO Guidelines for management of Coronavirus victims and ensure they work strictly by their provisions. A breach of these duties have dire consequences.

Options Available To Covid-19 Patients Who Are Victims Of Medical Negligence

A Coronavirus patient who has suffered medical negligence has a number of options:

1. He could file a complaint with the regulatory body (e.g. the Medical and Dental Council of Nigeria, in the cases involving a Doctor). The Doctor will in the first instance be investigated by the Medical and Dental Practitioners Investigation Panel, after which he will be tried by the Medical and Dental Practitioners Disciplinary Tribunal. If found culpable, the Doctor may be warned, suspended from practicing for a period not exceeding 6 months or in very serious cases, have his name can be removed from the Register of Medical Practitioners. The Medical and Dental Practitioners’ Disciplinary Tribunal does not award monetary damages.

2. A suit can be filed against the Medical Doctor, the Hospital, Agency or Government in the High Court for Medical Negligence and monetary damages will be awarded if the Defendant(s) are found culpable.

      3. If there is an element of Crime, a report could be made to the Police who would conduct Criminal Investigation and where the investigation reveals gross negligence, recklessness or wanton disregard for life of the victim, the police can prosecute or forward the case file to the office of the Attorney General of the State for possible prosecution in deserving cases.

A Need To Do More For Doctors And Other Professionals In The Health Sector

Health workers are at the front line of any outbreak response and as such are exposed to hazards that put them at risk of infection with an outbreak pathogen (in this case COVID-19). Hazards include pathogen exposure, long working hours, psychological distress, fatigue, occupational burnout, stigma, and physical and psychological violence.

During the outbreak of Ebola more than 500 health care workers died in Guinea, Liberia and Sierra-Leone alone. We also lost some of our finest doctors and health workers to the disease in Nigeria, the most prominent being Dr. Stella Adadevoh, who is credited with having curbed a wider spread of the Ebola virus in Nigeria by placing the index patient, Patrick Sawyer, in quarantine despite pressures from the Liberian government. As we speak, The coronavirus is waging a war of attrition against health care workers throughout the world, but nowhere is it winning more battles at the moment than in Italy and in Spain, where protective equipment and tests have been in severely short supply for weeks. In Spain 13.6% (6500) of those affected with the coronavirus are health workers and in Italy 10% (7400) of those affected with the virus are health workers. [4] In New York dozens of health workers have been affected with the virus, while hundreds are in quarantine.[5] According to reports filtering in as the time of concluding this article, three health workers have been infected with COVID-19 in Abuja, Nigeria.[6]

Human Rights Watch research into health system collapse in Hungary and Venezuela suggests the nations’ mismanaged, underfunded, and understaffed public healthcare system is poorly equipped to handle a COVID-19 outbreak. Patients and medical experts described a lack of basic hygiene protocol, lack of isolation rooms, and a shortage of health professionals, doctors and nurses, and medical supplies in general.

The situation is not too different in Nigeria at the moment and except something drastic is done we might be witnessing a devastating effect of the pandemic. Nigeria’s, public health capacity has been diminished by large scale public sector corruption. Medical personnel lack surgical masks and local supplies have been diverted and shipped to other markets partly due to corruption. Many states are ill-prepared to combat the impeding surge in patients. A senior health worker with a government hospital in Abuja, in an interview with Sahara Reporters, lamented the lack of quality Personal Protective Equipment for them, adding that government must invest in the protection of health workers at the frontline of the battle against the virus. He said, “The unfortunate thing is that the government is not providing us with what to work with. It is sad that our PPE are not up to the world standard and can be penetrated by viruses. Some of us (health workers) have to use our personal funds to purchase gloves as we do not trust the ones government supplied. Nigerians should please remember us in their prayers and government should provide us with what we really need to work.” [7]

There was report that in Bauchi State a Coronavirus patient rejected the isolation centre at the Bauchi Specialist Hospital and went back home while describing it as “too dirty”.[8]

It is disappointing to hear that the hazard allowance for doctors and health workers is N5,000 per month in Nigeria. The amount is very paltry compared to the risks and the attendant emotional and psychological stress suffered by the health-care workers (HWCs) particularly during monumental outbreaks like this. Unfortunately, when a patient is mismanaged, these doctors and health workers bear the burden of paying huge compensation and sometimes losing their jobs. More importantly, the brain-drain in the health sector is monumental, almost all my friends who are doctors, work abroad. Unfortunately, there are concerted efforts by the US Government to engage foreign Doctors to further fortify its health work force as COVID-19 ravages. Many young Nigerian doctors are already considering the offers because the Nigerian government has paid little attention to their welfare and the welfare of the general health workforce. To stop the exodus of our doctors, who are already in short supply, the government must act fast by improving their welfare packages in line with acceptable international standards.

The psychological needs of doctors and health workers are also often ignored. Unsafe working conditions contribute to health worker attrition in many countries due to work-related illness and injury and the resulting fear of health workers of occupational infection, including from HIV and Tuberculosis. The 2006 World Health Report – Working Together for Health reported on a severe health workforce crisis in fifty-seven countries, most of them in Africa and Asia. [9]

Protecting the occupational health of health workers is critical to having an adequate workforce of trained and healthy health personnel. Governments at the Federal and State levels are urged to do more by complying fully with the World Health Organization’s guidelines regarding the Rights of Health Workers while combating COVID-19. Some of the rights are:

·         assume overall responsibility to ensure that all necessary preventive and protective measures are taken to minimize occupational safety and health risks;

·         provide information, instruction and training on occupational safety and health, including; Refresher training on infection prevention and control(IPC); and Use, putting on, taking off and disposal of personal protective equipment(PPE);

·         provide adequate IPC and PPE supplies (masks, gloves, goggles, gowns, hand sanitizer, soap and water, cleaning supplies) in sufficient quantity to healthcare or other staff caring for suspected or confirmed COVID-19 patients, such that workers do not incur expenses for occupational safety and health requirements;

·         not be required to return to a work situation where there is continuing orserious danger to life or health, until the employer has taken any necessary remedial action;

·         allow workers to exercise the right to remove themselves from a work situation that they have reasonable justification to believe presents an imminent and serious danger to their life or health. When a health worker exercises this right, they shall be protected from any undue consequences;

·         honour the right to compensation, rehabilitation and curative services if infected with COVID-19 following exposure in the workplace. This would be considered occupational exposure and resulting illness would be considered an occupational disease,

·         provide access to mental health and counselling resources; and

·         enable co-operation between management and workers and/or their representatives. Etc.

In conclusion, professional care givers for COVID-19 patients should uphold four basic principles formulated by Beauchamp and Childress in their book ‘Principles of Biomedical Ethics’ in order to protect themselves from liability for negligence. The four basic principles are autonomy, beneficence, non-maleficence and justice.

Autonomy: People have the right to control what happens to their bodies. This principle simply means that an informed, competent adult patient can refuse or accept treatments, drugs, and surgeries according to their wishes. People have the right to control what happens to their bodies because they are free and rational. And these decisions must be respected by everyone, even if those decisions aren’t in the best interest of the patient.

Beneficence: All healthcare providers must strive to improve their patient’s health, to do the most good for the patient in every situation. But what is good for one patient may not be good for another, so each situation should be considered individually. And other values that might conflict with beneficence may need to be considered.

Non-maleficence: “First, do no harm” is the bedrock of medical ethics. In every situation, healthcare providers should avoid causing harm to their patients. You should also be aware of the doctrine of double effect, where a treatment intended for good unintentionally causes harm. This doctrine helps you make difficult decisions about whether actions with double effects can be undertaken.

Justice: The fourth principle demands that you should try to be as fair as possible when offering treatments to patients and allocating scarce medical resources. You should be able to justify your actions in every situation. For instance, it will amount to a professional misconduct for a Health-care Worker to remove a poor man from the ventilator because a Senator was rushed in.

Ahmed Adetola-Kazeem is a partner in Adetola-Kazeem Legal Practice and specializes in Medical and Health Law

Email: aadetolakazeem@gmail.com;aadetolakazeem@gaklp.com

[1] https://www.who.int/health-topics/coronavirus#tab=tab_1(Accessed on the 28th of March 2020)

[2] https://businessday.ng/coronavirus/article/abba-kyari-tests-positive-for-coronavirus-buhari-negative/

https://www.channelstv.com/2020/03/24/buharis-chief-of-staff-abba-kyari-reportedly-tests-positive-for-coronavirus/ (Accessed on the 28th of March 2020)

[3] Coronavirus Disease (Covid-19) Outbreak: Rights, Roles and Responsibilities Of Health workers, Including Key Considerations For Occupational Safety And Health”. https://www.who.int/docs/default-source/coronaviruse/who-rights-roles-respon-hw-covid-19.pdf?sfvrsn=bcabd401_0   (Accessed on the 26th of March 2020)

[4] https://abcnews.go.com/Health/wireStory/collapsing-virus-pummels-medics-spain-italy-69789413 (Accessed on 26th March 2020)

[5] https://www.washingtonpost.com/health/covid-19-hits-doctors-nurses-emts-threatening-health-system/2020/03/17/f21147e8-67aa-11ea-b313-df458622c2cc_story.html (Accessed on 28th of March 2020)

[6] http://saharareporters.com/2020/03/28/exclusive-two-nurses-one-doctor-infected-coronavirus-abuja-hospital

[7] Supra

[8] https://www.dailytrust.com.ng/coronavirus-patient-rejects-bauchi-isolation-centre-returns-home.html (Accessed on 28th March 2020)

[9] https://www.who.int/occupational_health/topics/hcworkers/en/(Accessed on 26th March 2020)

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April 2, 2020
EXCLUSIVE: Viral Video Was Leaked By My Orderly, Army Commander, Olusegun Adeniyi, Says After Removal By Buratai

A senior Nigerian Army officer, Maj. Gen. Olusegun Adeniyi, who headed Operation LAFIYA DOLE and spearheaded the fight against Boko Haram terrorists in the country’s North-East region, has reacted to his redeployment to the Nigerian Army Resource Centre as Senior Research Fellow by Chief of Army Staff, Lt Gen Tukur Yusuf Buratai.

The redeployment of Adeniyi and over 50 senior officers was announced in a statement on Tuesday.

SaharaReporters had earlier reported that Adeniyi was removed as commander of Operation LAFIYA DOLE for revealing in a viral video that troops fighting Boko Haram terrorists lacked weapons and credible intelligence to execute their mission.

FLASH: @HQNigerianArmy Removes General Adeniyi Who Disclosed Weakness of The Military Against Boko Haram In Leaked Video pic.twitter.com/7B2JZC5fwC

— Sahara Reporters (@SaharaReporters) March 31, 2020

In the viral video, Adeniyi was seen standing together with his men on the battle field and lamenting how the terrorists shelled their positions with heavy artillery and mortar bombs during an ambush where they recorded heavy casualty.

He disclosed that they lost several soldiers during the mission due to wrong intelligence provided by military authorities.

Reacting shortly after his redeployment on Tuesday, Adeniyi disclosed that the viral video was leaked by his orderly and his friend.

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In a message to some of his soldiers, he said that he had no regret over the leaked video because he served well and defended Nigeria’s territory with commitment.

He said, “I am posted and also a happy man. Nobody should send any long pitiable message to me.

“I have not failed, nor led irresponsibly. I have demanded your best which you gave.

“Video meant for ASA leaked by my orderly and his friend could not have been helped. For even that there is nothing to be bitter about.

“We all had fun fighting Boko Haram together. God bless you.”

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April 1, 2020
Is Your Business or Career Still Relevant?

Hundreds of thousands of businesses have failed this year. Millions of people are struggling with career decisions/changes and often remain stuck causing economic chaos for them now and in the future. Next year these numbers will likely be the same or become even higher and why? Simple ? they are no longer relevant ? to their customers or the marketplace…

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March 29, 2020
Babalakin Obsessed With The Vice-Chancellor’s Removal By Alabi Azeez

As expected, the Vice Chancellor’s response on the barrage of lies that Babalakin tried to peddle about the suspension of the 51st convocation of the university, elicited anger and rage from a faceless and dishonest ‘Concerned Stakeholders’ and a group of delinquent non-academic staff making scrupulous releases requesting for the Vice Chancellor to proceed on leave, because, for them Babalakin has an intimidating resumé and commands national respect.

A cursory look at the individuals issuing these publications will tell exactly why they have taken such an undistinguished position. Interestingly, they could not use the SSANU platform which they have tried tirelessly in the pass to desecrate. The team is led by Mr Adetomiwa Adekola, who was impeached as SSANU Chairman on account of his financial recklessness and dubious land scheme he purchased for SSANU members. He is assisted by a rag tag, Mr Babatunde Oseni, who the SSANU electoral committee disqualified from contesting election into any SSANU executive position on account of his terrible records of service in the university.

What sort of stakeholders are these? Whose interest do they actually represent? Certainly not the interest of any known group in the university, but that of their paymaster who is hell bent on destroying the university.

Their position is not only laughable but also pedestrian and lacking in any form of logical reasoning. How can anyone contemplate the exit of a Vice-Chancellor who has achieved so much in two years, even under the worst of conditions? Maybe these fellows need a reminding that it was the selflessness and ingenuity of Prof Oluwatoyin Ogundipe that brought the University of Lagos to number one in Nigeria and eighth in Africa. The university during his Vice Chancellorship has attracted about N8bn in research grants. He created the much needed atmosphere for students to develop their entrepreneurial skills. Under Prof Ogundipe’s watchful eyes, the students and staff have won several international laurels and have become globally relevant. The renaissance of the research culture in the university is largely attributed to the Vice-Chancellor’s zeal to make UNILAG a research-based university. His tenure has given the University more international visibility and global respect. It is not surprising that even Mr Adekola and his cohorts rightly referred to the Vice Chancellor as a “scholar and administrator of repute.” This is particularly so because he singlehandedly won a lot of research grants as a scholar; and to the admiration of many, he has held various key administrative position in his over 30years in the services of the university. On the flip side we have a Pro Chancellor who has done everything in the last three years to give the university bad image and publicity.

Think for one minute, if Prof Ogundipe is the problem, why was Mr Babalakin also at logger heads with Prof Bello? If there is anything we should do at this material time, it is to praise the Vice-Chancellor, Prof Ogundipe, who in two years turned the fortune of the university around. Calling for him to take leave is pathetic and signs of the failings of the Pro Chancellor.

On the part of the Registrar, his Council Resolution Part 2 is a very interesting revelation. The reasons are not farfetched. He made a fair but failed attempt to divert the minds of the public away from the issue that made the university a subject of ridicule in the last three weeks – The suspension of the 51st convocation of the university. Mr Babalakin’s grand intention was to show the university management how powerful and highly connected he is by cancelling the convocation at the detriment of over 13,000 graduating students and then turned around to blame the Vice Chancellor and NUC. But the ploy failed woefully. The public saw clearly what went down, at least the letter from the Ministry of Education puts it pretty clear that the event was suspended at the instance of Mr Babalakin who claimed the ceremonies did not receive Council’s blessings.

The alumni and stakeholders who were tired of Babalakin’s repressive leadership style took to the social media to express their dissatisfactions and frustrations. The #saveMyUnilag trended for days on Twitter and Facebook. For many, it was crystal clear what the agenda was – a show of power. As Simon Kolawole succinctly puts it in his write-up, Babalakin the Bully, “…[Babalakin] he has gone too far by his latest power show which has forced Unilag to suspend its convocation…his ego fight at the expense of the graduating students and their families is ungodly.”

Secondly, the Resolution threw up a host of issues which he claimed was discussed at the Council meeting. One of such was the ‘Greek gift’ of 40 Hectares of land at Ogudu being proposed by the Pro Chancellor. First question to ask, is this not the same piece of land in dispute with the state government for many years? Little wonder the property has no title documents or survey. This is aptly validated by the Registrar’s statement that “it was resolved that steps be taken to retrieve the title documents and that Council should be updated” Haba! Now that he could not get contracts from Unilag, Babalakin has resulted to swindling Unilag staff of their meagre salary? It is important to urge Unilag staff to be vigilant and “shine their eyes” on this land matter o!!! Don’t forget the issue of the Lagos-Ibadan Expressway contract given to him, he did not do the job, yet collected huge sum of money to even accept to let go of the contract. Not even the road in Ondo State.

Nigeria is yet to know when Babalakin will fully handover MM2 to government as we are not sure if he will not again change the end of concession date as he did previously. Besides, even if they come up with fake papers for the land, the purported land is located in a swampy environment and a professor who earns the highest salary in the university will struggle to put up a foundation for any building there.

Pages 3-6 of the resolution was largely on financial matters. This Council led by Babalakin should be ashamed of its conducts! Throughout last year, the University was on a standstill over allegations that a sum over N4bn was misappropriated, embezzled, squandered, lavished and stolen by the university management. In fact, the song on Babalakin’s lips was “catch am, catch am, thief, thief, thief, catch am, catch am, robber, robber.”

The same Council, led by same Babalakin, in less than a year, is now publishing a resolution that money is no longer missing, albeit, the University Managements (past and present) have saved far too long and too much to the tune of N9bn in the TSA account of the university! Then the Council goes on to propose a lavish spending of the savings meant for the DLI building, School of Foundation Studies building, College of Medicine and School of Postgraduate Studies building. How can you make money saved for more than five years for capital projects available for spending?

Babalakin is definitely set out to destroy the 25-year strategic plan that the Vice Chancellor swore to up hold, in one sweep! Babalakin has not facilitated any building to the university and yet he wants to share the money saved in the university development account by more than three Vice Chancellors to construct educational edifices for the great citadel of learning. Our dear Pro Chancellor needs to take a cue from what his counterpart in Obafemi Awolowo University is doing.

As any right discerning person can already see, Babalakin is trying hard to play the welfare game to divide and rule the staff of the university, further entrenching the acrimony, bad blood, discord and division that he already created in in the university. He is also struggling hard to divert attention away from the convocation issue. This is the biggest shame of leadership.

It is distasteful that the UNILAG Council matter has suddenly become a gutter matter that any individual can pick up on the streets of Lagos. Let us advise Council to stop wasting resources in printing resolutions. The next Council meeting should hold at the Main Bowl of the Sports Centre where all members of the university community, alumni and press can witness the plenary.

For many of us who are watching gleefully, the management of the university must be praised, in spite of all the grandstanding and unnecessary brinkmanship, the university rose to first in Nigeria and eighth in Africa.

No body and no lies can change what we already know, Babalakin cancelled the University of Lagos 51st convocation four days to the event.

On a lighter note or perhaps as a matter of national importance, the Pro Chancellor, Mr Babalakin was alleged to be in London on 11th March for Justice Oguntade’s birthday, he subsequently denied traveling to London but confirmed he was in Germany on medical trip. Whether London or Germany, since hi

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March 29, 2020
BREAKING: Sowore Raises The Alarm Over Plot By Buhari’s Regime To Re-arrest Him After SaharaReporters Exposed Coronavirus In Aso Villa

Omoyele Sowore

Omoyele Sowore

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Rights activist and journalist, Omoyele Sowore, has raised the alarm over a plot by the Nigerian Government to detain him over revelations by his news outlet, SaharaReporters, that Chief of Staff to President Muhammadu Buhari, Abba Kyari, tested positive for Coronavirus.

On Monday night, SaharaReporters had exclusively reported that Kyari was ill and had contracted the deadly virus.

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The online news medium went ahead on Tuesday to break the story of three of Kyari’s staff contracting the virus from him.

Till this moment, the Presidency has been unable to deny any of the reports, instead plotting to turn their anger on Sowore and SaharaReporters.

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In a message to his followers on Facebook on Thursday, Sowore said his lawyers had informed him of a high-powered delegation sent to the Federal High Court in Abuja to obtain a detention order.

Sowore said, “Folks, it is important to inform you that we are facing some unusual circumstances and the days ahead might be very tensed and difficult, but we will conquer.

“Following the revelation by SaharaReporters that the Chief of Staff to Buhari, Abba Kyari, contracted Coronavirus and subsequent revelations about the criminal conducts/negligence that has brought Nigeria to the nadir of this global pandemic, the Buhari regime today sent some high powered delegation to the Chief Judge of the Federal High Court of Nigeria to help procure a detention order against me.

“The courts are reportedly on break due to COVID-19 pandemic. This was leaked to our lawyers a few minutes ago. They plan this time is to use the Nigerian Army for the sinister plot.

“The plan is to obtain a court order and then send soldiers to shoot up my residence in Abuja by claiming that I resisted arrest with armed colleagues.

“If I am arrested alive, they would take me to a military barracks in Abuja to be tortured and or infected with COVID-19.

“I am not raising the alarm to scare anyone, it is to inform our compatriots that we should brace for difficult days ahead.

“However, rest assured that we are in high spirits and are totally convinced that we may be turning a historic corner in the face of brutal repression.

“I am urging all to stand firm, unbowed and unbroken.”

Recall that Sowore was first arrested in the early hours of August 3, 2019 by operatives of the Department of State Services for calling on Nigerians to take to the streets in peaceful demonstrations on August 5 to demand a better country from the administration of President Buhari.

He was kept in unlawful detention from that period until December 5, 2019 when he was finally released on bail despite two court orders earlier sanctioning his freedom.

In a twist of event, DSS operatives invaded the Federal High Court in Abuja on December 6, 2019 to rearrest him without any court order.

He remained in unlawful detention until 18 days later when he was released by the secret police for the second time.

At the resumption of his trial in a case brought against him by the Nigerian Government, the prosecution failed to prove accusations against him and even went ahead to dropping seven of the charges earlier preferred against him.

Groups and high-raking individuals from around the world have described the charges against Sowore as baseless and a waste of time.

The journalist remains confined to Abuja as one of his bail conditions forbids him from leaving the city or speaking with journalists until the end of his trial.

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March 27, 2020
EXCLUSIVE: Indonesian Embassy In Abuja, Others Refuse To Allow Staff Work From Home Despite Coronavirus Outbreak

Embassy of the Republic of Indonesia in Abuja

Embassy of the Republic of Indonesia in Abuja

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The Embassy of Indonesia in Abuja, Nigeria, has refused to allow staff work from home or observe social distancing despite the outbreak and continued spread of Coronavirus in the country, SaharaReporters can confirm.

Despite pleas to the leadership of the high commission, staff especially Nigerian employees of the embassy have been asked to continue working without recourse to their health.

“The High Commissioner even threatened some staff that if they refused to come to work, they will be fired.

“This is despite the announcement by the FCT authorities that everyone should stay at home to help stop the spread of the Coronavirus,” one troubled staff said on Thursday.

SaharaReporters gathered that the embassy authorities insisted that it cannot regard the verbal directive from the Nigerian Government for residents to work from home.

It was also gathered that despite the matter being brought to their notice, Nigerian Government officials were yet to intervene.

The Indonesian Embassy and in fact several other high commissions in the country employ only contract staff with no health insurance, pension, benefits or allowances.

Nigerian authorities are aware of this gross labour law violation but have failed to act to protect citizens employed in such places.

“They all treat Nigerians the same. Most of them reduce salaries without prior notification and they pay poorly.

“For example, administrative staff earn between N90,000 to N120,000 while drivers, domestic help and cooks earn between N25,000 to N60,000 with no overtime and they also deny women maternity leave,” a top diplomatic source told SaharaReporters.

At the Indonesian Embassy in Abuja, only four Nigerian staff are employed and they mostly serve in domestic capacity.

“We are suffering in our own country. We need government to intervene and ensure that they abide by the laid down rules of their host community, Nigeria,” another staff at the Indonesian Embassy said.

As at the time of this report, an enquiry sent to the Indonesian Embassy via email by SaharaReporters was yet to be responded to while phone numbers listed on the website of the high commission failed to connect when dialed by one of our correspondents on Thursday.

As a way of curtailing the spread of Coronavirus in Nigeria, the federal and various state governments had adopted various measures including restricting public gatherings and advising workers to operate from their houses.

Nigeria has 51 confirmed cases of Coronavirus and one recorded death at the moment with fears growing of a further spread if the stay-at-home order is not complied with by citizens.

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March 27, 2020
The Political Economy Of Coronavirus By Kunle Wizeman Ajayi

The most powerful person in Aso Rock, Abba Kyari; who is the chief of staff to the president, has tested positive to Covid19. No government official can reach President Buhari without him. There is a ripe suspicion that the kitchen cabinet might have been infected. Likewise in Europe, the most powerful person, Angela Merkel the chancellor of Germany, has been quarantined. While Trump and Boris Johnson took the same path in trying to ignore the pandemic, their governments are in deep crises of the damages and exposures their neglect has caused the citizens.

As I type, the fear of corona virus is the beginning of real wisdom as governments are now banning even churches and mosques from gathering. The Nigerian federal ministry of health has announced 42 cases so far. And even the mass of working people who have hitherto doubted our thieving class so far, are now more wary and precautionary over their immediate safety without relying on the failed health institutions. People seldom shake hands now. Corona waves na the way to greet now! That corona virus has turned a corruption racket is what will be duly discussed another day.

Industries are closing down as Wall Street falls like pack of cards. US President Donald Trump is shouting “cuts” for the working class and bail-outs for industries and big business. Whereas, Socialist presidential aspirant Bernie Sanders is calling for “healthcare for all” as well as pay for all US citizens staying at home during the pandemic days. The globalised trend of the corona virus needs a global understanding and lessons of how the world is being ruled everywhere. The way US rulers have failed to care for the poor and invest in proper and compulsory healthcare for all but private pharmaceutical companies who make healthcare a commercial quantity that only the rich can afford, is the same way Nigerian rulers failed to build hospitals and kept allocating between 4 to 6% budgetary spending on education while them and their children spend billions on medical tourism. Also, Boris Johnson’s UK government is renting “beds at hospitals.” This is unlike Spain that has nationalized its healthcare!

The price of crude oil has fallen globally. The global stock exchange has crashed as workers can no longer go to work and make great wealth for their casino. Coronavirus has superceded SARS with its speedy spread and effects globally. So the world economic crises have been, for the first time, propelled by a health crisis. What can the Left and the revolutionaries in Nigeria make out of this global crises that could leave no island untouched?

Naomi Klein, the author of the classic ‘The Shock Doctrine: The Rise of Disaster Capitalism’ has come up to warn that “if you’re a hard-core free-market economist, you understand that when market fails it lends itself to progressive change much more organically, than it does (when) the kind of deregulatory policies emerge. Political and economic elites understand that moment of crises is their chance to push through their wish list of unpopular policies that further polarize wealth…”

I argue that while the government in Nigeria has reduced the cruelly expensive cost of petrol by just #20, and there is lipservice to building new hospitals, there is a larger probability of massive corruption as the federal government has already declared #2trillion intervention fund. Why we the working people have to very much care is because the same elements who created the crises (whichever ways) would end up profiting largely from the crises. This just as many military officers and politicians are billionaires courtesy the Boko Haram war.

The interplay of methods of these corruptive accumulations on one hand, and the trajectory of working class resistances is critically assessed weighing up why and how the working people were at the loosing ends at the 2008/9 global economic crises that made the Central Bank under the Soludo/Sanusi bail-outs policies made the criminal banks even richer than before. Though a few bank MDs and top officers were detained on “hospital beds” and such other “ajebutter” prisons; no bank owner was even questioned.

The fact that both the US and Nigeria are rich governments that have bad healthcare policies, discussing social infrastructures as class struggle under this system of “primitive accumulation” needs to be knocked up as perspectives to guide millions who want an end to crises and build another world that would be for all and not a tiny thieving few.

A CLASSLESS PANDEMIC

The corona virus has shown that the gap between the rich and the poor is just an artificial creation. The nature of humans is more communal than competitive. Plenty of the rich mouth the fact that we are all equal, but some are more equal than others. This virus is a threat to all and shows that the world can organize together and defeat any virus that attacks it. Crises like this shows that there is no policy that is pro-rich that can save society. Most of the capitalists who rule our world have been saying that government cannot help all and cater for the needs of majority. They tend to tell us that getting “healthcare for all” is rocket science. Corona virus has proved that all that is wrong!

Meanwhile, many Nigerians are debating as to the cause of corona virus, and why it has drawn more attentions than malaria that kills about 800 everyday and child mortality that murders about 300 women daily. These debates became rife when Ibrahim Magu; head of the Economic Financial Crimes Commission (EFCC) asserted that “corona virus is caused by corruption.” His position, while quite misleading, is correct to the point that the virus is actually caused by the greed of man in unsettling the animal and forest lives. Most of the viruses live in the wildest of forests but humans go in and destroy their habitats. These make the virus homeless and have to migrate to live with humans.

The corona virus has also made the Nigerian politicians to have no escapist lives again. Most of them used to go abroad for medical tourism. But there is nowhere to run to now! This is why revolutionaries must use this chance to support striking doctors and demand for free, functionally standard and compulsory healthcare for all. We do not want a situation where the ruling class would use state wealth to build defence and cure for corona virus, only for the rich, instead for all. We must avoid repeating case of the last economic meltdown where what we could see is socialism for the rich and leave the poor uncatered for. This is why we must all reject the paltry #20 that was reduced from oil price as well as condemn the full devaluation of the naira. These policies will make the rich eat their cake and have it. Petrol price should be reduced to at least #45 while naira should be strengthened. The time to consider the #RevolutionNow demands of an “economy for the majority” is now!

2008/9: A FLASHBACK

When the 2008 global economic meltdown stormed Nigeria, the rulers ordered “technocrats” to adopt the Obama measures in bailing out the banks and their thieving managers. After prosecuting five CEOs of Afribank, Oceanic, Finbank, Intercontinental, and Union bank, The CBN went ahead to put #460bn as bail-outs for the banks after recovering just #70bn. The CEOs lost their posts for giving out #700bn loans without collateral. The loans portfolio of the bank, according to CBN, is #2.8tn. The richest guys in the country were involved in this public racket and were never touched. A good instance is Aliko Dangote who had a loan worth $15m with Oceanic Bank but got elected to replace Ndi OKereke as Nigerian Stock Exchange president. The same person has the monopoly of trading in rice, salt, sugar, textiles, and vegetable oil. The same persons who created the crises in the same place got rewarded after the crises. This is what Naomi Klein is warning about. For the rich, socialism is never good for the majority. The rich, in the time of corona virus and other disasters, want bail-outs but never for the working people. Just as Omoyele Sowore noted; “when crises arises, capitalism retires and socialism becomes the messiah!

We must start asking for Cost of Living Allowance (COLA) from the federal government. Every Nigerian must each be paid at least #100,000 monthly as the corona virus effect billing. We should also demand a standard hospital per 5 streets with the doctors and nurses paid appropriately!

THE TRUMP/BUHARI DISORDER

President Buhari’s address to Nigerians has failed to address the pandemic. Trump’s tweets are of the same mental disorders like those of the ministers and officials of Buhari’s government.  Trump boasted that the “virus is under total control…The market will take care of itself,” he had to recant after the Dow Jones Industrial closed with its worst one-day decline since 1987; “The market will be very strong as soon as we get rid of the virus.”

“But even as he was doing so, Trump maintained that he hadn’t said the virus was “under control,” which is something he has most definitely said on many occasions — along with other attempts to play down fears” CNN noted.

Garba Shehu and other spokespersons of President Buhari have also been speaking from all sides of their mouths. They first downplayed the effect of the virus by revealing that malaria has been killing hundreds…Until they made some allocations of about $1.2trillion to the virus effects. The question remains the goals of the government. Many Nigerians do not trust the same government that has never given as much as 8% budgetary allocation to healthcare since the Buhari regime came into place, just like the PDP governments before it. While the president is one of the most sick, he prefers to betray electoral promises and visit private hospitals in the UK for months instead of building standard public health care.

Working people in US,UK, and Nigeria should look beyond their reactionary rulers and make real political demands that will make sure the same rogues who cause the crises don’t come back to claim to be the super heroes of the same crises. The case of Ebola and Lassa in Nigeria are classics in this regard. While Nigeria was lucky to get over the Ebola case with the sacrifice of health officials; Lassa fever has killed thousands so far loosely tackled because rodents most likely cannot enter luxury houses.

Nigerians should be aware that both Buhari and Trump are exponents of crazy capitalism and prefers to give false answers to real threats and would only be falsely apologetic later. We must understand that the rulers are neither interested in our well being nor our future. Their fear is that the virus should never become for all. They prefer crises for just the masses. But oga corona no mind. This is why despite Trump trying to call it Chinese virus or Buhari trying to boycott addressing the country, nothing matters to the working people than having a healthy society. Arms in arms, we will have to care for one another and defeat the most dangerous virus ever in the history of the world!

OPIUMS ON THE CROSS

Pastors in Nigeria, aside the ban on public and mass gatherings, are seriously on trial! Many a youths are asking what their “God” would do in this time of corona virus to save the followers from untimely deaths. The first pastor to become so fearless had predicted that he would go to China to cure the virus. But by the time the Italian became the first case in view; the pastor got admitted in a hospital for unknown reasons.

Also, the mosques are closing shop. Even many are contemplating drinking alcohol to help in preventing corona virus. Despite the fact that many a churches and mosques become well attended public places, the belief in better life and a prosperous world without danger have been the egg tacts around the building of these beliefs. Saudi Arabia has stopped religious visitations. Government everywhere is banning all worshipping junctures. If these bans have been summoned by political demands of the left, it couldn’t have sailed through but the struggle is being marshaled by a pandemic. Bernie Sanders was seen as too extreme but most of those pro-establishment strollers must be shitting in their yanshes now!

Karl Marx was very clear that “religion is the opium of the masses, the soul of the soulless.” The realizations of the fact that the immediacy of the problems of society can only be derailed if the people think that there is an umbrella or belief that can make some magic. With corona now, even the state that employs religion is not apologetic in banning its public activities. Sadly, many priests still in shock as to a possible demarketing have kept on lying to their congregations. A viral video shows a pastor saying “coronavirus cannot enter Nigeria where there is corrosive anointing;” so cocky in ignorance.  Such public ranting must be condemned.

CONFUSION BREAK BONE; NAIJA HEALTH IN CRISES

When the deposed emir of Kano, former CBN governor Sanusi Lamido Sanusi, was banned to Awe in Nassarawa State; the town has two (2) doctors to two hundred thousand (200,000) people. Such is the metaphor of health care in Nigeria.  Most doctors, nurses, and other medical personnel have migrated to other climes in an unprecedented brain drain. As Yusuf posited “7 out of 10 Nigerians live on less than $1.25 (~500 Naira) a day and they also live in a country where 70% of health expenditures are out-of-pocket payments. Nineteen years after the Abuja Declaration where African Union states pledged to allocate at least 15% of their annual budget to health, Nigeria continues to default. With over 23,584 public primary health care facilities, 8,290 private primary health care facilities and 200,000 patent and proprietary medicine vendors (PPMVs) in Nigeria, yet the country’s health indices and other health indicators continue to remain abysmal without any significant improvement compared to other countries in Sub-Saharan Africa.

Citizens are condemned to self-care using several unregulated drugs and African raw herbs. The yearly allocations to health care in the budget never rise beyond 6 and 8%. This is despite the fact that Aisha, wife of President Buhari once publicly complained that Aso rock clinic has no syringe! At the Teaching hospitals, one has to pay heavily to get health care as the state has been practicing health care commercialization. The medical equipments are really not there while there are so poor remunerations of medical personnel. Yet, when Ebola came knocking in 2014, the health workers paid the sacrifices.

Corona virus is global and has now halted the medical tourism of the rich class of whom President Buhari is the chief. If not for Covid-19, he would have gone visiting his London doctors for the umpteenth time!

The health workers’ unions have been fighting for a better system for years. This has been led by the Joint Health Staffs Union (JOHESU) and the Nigeria Medical Associations (NMA.) JOHESU has led enormous strikes and pickets but the neo-liberal policies of the ruling class keep ignoring these strikes. As I write, doctors in Abuja are on strike. The rulers are now in a quagmire. This is the time for the unions to collaborate with the civil society and revolutionary movements to take up the state and fight for “free health care for all.”

THE EXAMPLE OF CUBA

Fidel Castro’s people are the certified global doctors today!

A small island at the backyard of the United States of North America; Cuba is a state-capitalist economy led by revolutionary socialists. While the state have yet boomed since 1959 as a result of the prevailing capitalist globe, it has been vociferous on social welfarism especially education, food, health, and housing. This has been the minimum with which the Communist Party has been working on since the revolution. With its third president in charge now; Cuba is the country that is now rescuing the world from the genocide of corona virus. The vessel that is wholly affected by the virus has been shipped to the Cuban shore and Cuba has been treating the patients on board. Italy is receiving about 200 Cuban doctors and nurses as the catholic country leads the population of casualties. The Cuban health statistics shows that 98% is living healthily just as education is 98.5%.

Cuba stood by the world on hurricane Katrina; by South Africa against apartheid; by Angola against imperialist Portugal, and now that “God-forsaken communist country” stands by the world with the best of its great medical care against corona virus. This is a lesson that we need to abide by and make the world a socialist island. The current system of “greed and power” is a pandemic. It is ruled by political viruses that live mainly on primitive accumulations of the sweat and blood of the majority. The working class of all lands should unite and fight capitalism to the ruins and replace it with a world led by the people who make the wealth, not those who do nothing but steal the wealth.

IN ALL; THIS PANDEMIC WILL FALL

The struggle for a safer world is in danger of that “common ruins of the contending classes.” Italy, Nigeria, Spain, China, US, and some others have recorded deaths through corona virus. It is currently rumoured that some senators and members of the House of Representatives have contracted the deadly virus. We have 582 deaths in US and 46,145 cases with only 295 recoveries. One death has been recorded in Nigeria with 46 cases recorded. 6,777 are dead out of 63,927 cases in Italy. China has 16,578 dead in 382,570 incidents. Germany has 29,056 with 123 people dead. German chancellor, Angela Merkel has been quarantined. India with over 1 billion population has about 500 cases with no deaths.

The Indian case is very peculiar in lessons for Nigeria. Public health care in all tiers is free and subsidized for those below the poverty line. The Indian health sector encompasses 18% of total outpatient care and 44% of total impatient care. Middle and upper class use public health care less than those with a lower standard of living

The Covid19 pandemic has exposed big countries like Britain, US, China, Nigeria, and others. The pandemic have also exposed capitalism as an idea that is deficient to the mass of working people. The idea does not care for the majority but the thieving minority. The rich continue to be richer while the poor becomes poorer. We need labour and civil society to work together and reconstitute revolutionary relationships to make sure that working people does not be at the receiving end of this pandemic. We must remember that those who destroy the country must not be allowed to continue with their madness after the covid19. We must demand for #FreeHealthCareForAll!

We must also demand that world-class hospitals are built massively all over the country and we leave the madness of neo-liberalism in the dustbin of ruins. To do these works, we need a movement of the working people dedicated to the revolution that will build a country for all like the Take It Back movement and the Coalition for Revolution (CORE). Socialist organizations like the Socialist Workers and Youth League (SWL) serve as the political tribunes that remind us all on the ideal and alternatives to the rot that is causing pandemics and wars to the world today.

Capitalist presidents that combine neo-liberalism and fascism are in deep shit today as the covid19 has exposed their inefficiencies and monumental social infrastructural dangers. The health of the world is the safety net to our wealth. Why would we allow those who care about the wealth alone to continue to rule us? Why should we continue to allow those who think of only the individual and never the collective to continue to rule us? When Greta Thunberg was leading the climate change campaigns, Donald Trump was scolding her. Bernie Sanders, Jeremyn Corbyn, Omoyele Sowore, Elvo Morales, Bobbi Wine and other revolutionary change-seeking eggheads have all campaigned for another world; the point is for we the working people and all oppressed, in unity and action, lead #RevolutionNow to get a life warranty of #FreeHealthCareForAll!

Nigerians should demand for Cost of living allowance (COLA) of at least #100,000 in order to survive as the country is being locked down. We all must observe hand washing regularly; social distancing; avoid touching of faces, and other sophisticated parts of the body. Government should provide water, gloves and hands sanitizers to all. There is no electricity just as there is very poor housing for the majority of the people. We need the majority of empty house in cities and towns to be massively redistributed. Electricity must be renationalized.

With all unity and actions, we will defeat the yet another genocidal virus. This also tells us that we must choose to build the world for all and not for the few as the threat of grand barbarism stares us all in the face once again. Rosa Luxembourg would be rolling and smiling in her grave as we are condemned to learn from her battle cry: “socialism or barbarism!”

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Kunle Wizeman Ajayi

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March 25, 2020