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  • Maternal infections in health facilities

    Maternal infections in health facilities

    A clearer picture of the global impact 

    New research from the Global Maternal Sepsis Study (GLOSS), a major WHO/HRP initiative, shows that infection has a much larger impact on global maternal mortality and morbidity than previously thought.

    Logo of the Lancet Global HealthThe
    results from GLOSS, published in The Lancet Global Health, are the first to provide data on frequency of maternal infections and
    sepsis across the pregnancy and post-pregnancy period, in a large number of health facilities around the world. 

    Around 11 women per 1000 live births had an infection which resulted in or contributed to what is known as a severe maternal outcome – either they died or nearly died – during their hospitalization. 

    Urgent improvement is needed to manage this life-threatening risk faced by all pregnant and recently pregnant women, wherever they are in the world. 

    What is maternal sepsis and how does it lead to maternal death?

    Maternal sepsis is a life-threatening condition that arises when the body’s response to infection causes injury to its own tissues and organs during pregnancy, child-birth, post-abortion or the postpartum period.

    The latest global estimates place sepsis due to obstetric infections as the third most common cause of maternal mortality. However, this only includes infections as a direct result of pregnancy, such as endometritis or post-caesarean wound infections.

    Few
    previous studies include post-abortion infections. Neither do they address indirect infections such as respiratory and meningitis, which are aggravated by pregnancy but not directly caused by it.

    A better understanding of maternal infection

    GLOSS was a massive facility-based data collection effort led by WHO, accompanied by a ‘STOP SEPSIS!’ campaign to increase awareness among healthcare providers.

    The study gathered data on women who were admitted with suspected or confirmed infection during pregnancy or post-pregnancy over a one-week period in 2017. More than 2800 women participated in the study in 52 countries.

    GLOSS included healthcare facilities that care for women during pregnancy, childbirth or at the end of pregnancy, as well as facilities without maternity service but where women could be hospitalized during or after pregnancy, and data on infections
    which are not usually recorded as maternal sepsis, including post-abortion and indirect infections. 

    The result is a more complete understanding of the frequency and impact of maternal infections in health facilities. 

    GLOSS calls attention not only to the wider range of risks faced by pregnant women but also to the long period of time during which they are at risk. 

    Putting global numbers on maternal infection and sepsis

    Overall, around 70 pregnant or recently-pregnant women per 1000 live births were found to have a maternal infection needing hospital management. 

    Across the study, 11 women with either direct or indirect infection per 1000 live births developed a severe maternal outcome, but in low- and middle-income countries up to 15 women per 1000 births were affected.

    Infections were the underlying cause of most of the deaths recorded during the study, primarily post-abortion infection and indirect infections. Infections were also present in about a third of deaths attributed to other causes, such as postpartum
    haemorrhage.

    This suggests that the contribution of infection to global maternal mortality and morbidity may be larger than current reports of maternal sepsis mortality suggest.

    Preventing, identifying and treating maternal infection and sepsis

    Some of the most common maternal infections found in the study, such as urinary tract infections, post-caesarean and post-abortion infections, are largely preventable and treatable.

    GLOSS results suggest that current levels of monitoring and clinical care across health facilities are not enough to prevent, identify and treat levels of maternal infection effectively. 

    For instance, a complete set of vital signs was not reported for a third of the women in the study, on the day their infection was suspected or diagnosed. Delays in antimicrobial therapy were frequent.

    GLOSS also shows marked differences across countries, with the highest burden in low- and middle-income countries, compared with high-income countries.

    This may reflect the impact of broader health determinants in different country contexts. Challenges of overcrowding, limited access to water and sanitation and constraints to safe births by skilled birth attendants can reduce the ability of healthcare
    providers to manage the frequency and outcome of maternal infections.

    An opportunity to implement evidence-based practice

    GLOSS gives healthcare providers, policy-makers, and the public at large an opportunity: to mobilise around these data improve evidence-based practice, and save lives. 

    WHO has produced a number of resources which can support timely action to prevent, diagnose and treat maternal infection, as well as activities such as the upcoming SAVE LIVES: Clean Your Hands campaign
    on 5 May which celebrates the central role played by nurses and midwives in clean health care. 

    In addition, WHO will publish a global sepsis epidemiology report around the 73rd World Health Assembly (WHA) in May, as requested in the
    2017
    WHA Resolution on Improving the prevention, diagnosis and clinical managementof sepsis.

    Understanding why and how infection affects women is essential for equipping healthcare providers with life-saving knowledge and enabling health care systems to bring down global maternal mortality and morbidity.

    Related publications

    WHO recommendations for prevention and treatment of maternal peripartum infections

    WHO Clinical practice handbook for safe abortion

    Global guidelines on the prevention of surgical site infection

    WHO statement on maternal sepsis

    World Health Assembly resolution on Improving the prevention, diagnosis and clinical management of sepsis

    Health Topics

    Antimicrobial resistance

    Infection Prevention and Control

    Water Sanitation Hygiene

    Other links

    Global Maternal Sepsis Study

    SAVE LIVES: Clean Your Hands 5 May 2020

     

     

    Maternal infections in health facilities
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  • Hard fought gains in immunization coverage at risk without critical health services, warns WHO

    Hard fought gains in immunization coverage at risk without critical health services, warns WHO

    Shutting down immunization services in the COVID-19 pandemic risks triggering a resurgence of diseases that can be prevented with safe and effective vaccines, warns WHO in the lead-up to World Immunization Week (24-30 April). 

    When immunization services are disrupted, even for brief periods during emergencies, the risk of vaccine-preventable disease outbreaks, such as measles and polio, increase. Last year’s deadly measles outbreak in the Democratic Republic of the
    Congo, which took more than 6000 lives in a country already facing its largest Ebola outbreak, highlights the importance of maintaining essential health services, such as immunization in times of emergency. Further disease outbreaks will also overwhelm
    health systems already battling the impacts of COVID-19.

    “Disease outbreaks must not remain a threat when we have safe and effective vaccines to protect us,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “While the world strives to develop a new vaccine for COVID-19 at record speed,
    we must not risk losing the fight to protect everyone, everywhere against vaccine-preventable diseases. These diseases will come roaring back if we do not vaccinate.”

    WHO is working with partners all over the world to accelerate research and development of a safe and effective vaccine and ensure equitable access for the billions of people who will need it.

    But even with an expedited process, development of a vaccine for COVID-19 will take time. Precautionary measures are essential now to help keep us safe from disease, including diseases for which vaccines already protect children and adults.

    Too many people are still excluded from the benefits of vaccines

    Prior to the COVID-19 pandemic, the world had made immense progress in ensuring that children are vaccinated. In 2018, 86 percent of children under the age of five globally were vaccinated with three doses of diphtheria, tetanus and pertussis (DTP3) and
    one dose of the measles vaccine, up from 72 percent in 2000 and 20 percent in 1980. The number of children paralyzed by polio has been reduced by 99.9 percent worldwide. 

    Yet, global vaccination coverage is still far from the 95 per cent coverage needed to fully protect communities against outbreaks of this vaccine-preventable disease. 

    In 2018 nearly 20 million children worldwide – more than 1 in 10 – missed out on lifesaving vaccines, such as measles, diphtheria and tetanus. Roughly, 13 million of the children have never received any vaccines, putting them and their communities
    at risk of disease and death. The majority of these children live in countries with already fragile health systems, further limiting their access to essential health services when they fall sick.

    Measles continues to remain an ever-present threat, especially if vaccination rates drops. Current projections indicate that the number of reported measles cases for 2019 will be at least 800 000. In 2020 there are increasing concerns about another
    resurgence, especially if vaccination rates fall due to delay or suspension of scheduled immunization activities as a result of COVID-19. 

    Outbreaks of polio, diphtheria and yellow fever are also of high concern, especially in the countries least able to respond quickly and decisively to address an emerging outbreak, as seen in previous emergencies such as the polio outbreak in Syria in
    2013. 

    Maintaining immunization services during COVID-19

    As the response to COVID-19 continues, countries must act now protect immunization services, in order to further minimize disease outbreaks and loss of life. This includes, facilitating urgent catch up programmes in places where
    services have been disrupted, ensuring strong supply chains, disease surveillance and trained health workers. Caregivers should also make sure they continue to vaccinate their children in line with national policies.

    New WHO guidelines on immunization and COVID-19 recommend that governments temporarily pause preventive immunization
    campaigns where there is no active outbreak of a vaccine-preventable disease. But it urges countries prioritize the continuation of routine immunization of children in essential service delivery, as well as adult vaccinations such as influenza
    for groups most at risk. If immunization services must be suspended, urgent catch-up vaccinations should be rescheduled as soon as possible, prioritizing those most at risk.

    Hard fought gains in immunization coverage at risk without critical health services, warns WHO
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  • MAEPS quarantine centre in Serdang to receive Covid-19 patients next week

    MAEPS quarantine centre in Serdang to receive Covid-19 patients next week

    MAEPS quarantine centre in Serdang to receive Covid-19 patients next week 1

    KUALA LUMPUR: The Covid-19 Low-Risk Patient Quarantine and Treatment Centre at the Malaysia Agro Exposition Park Serdang (MAEPS) in Serdang near here is expected to receive patients next week.

    Mardi Corp Group chief executive officer Zaidi Shahrim however said so far, it had no information on the exact date when the authorities would send the Covid-19 patients there for quarantine.

    “MAEPS will receive low-risk Covid-19 patients from around the Klang Valley, Malacca and several areas in Perak,” he said last night in an interview via Skype that broadcast live on the Bernama 7.45 programme.

    On the challenges faced throughout the process of transforming MAEPS into a quarantine centre in just a short period of time, Zaidi said said it was difficult to get supplies from contractors as many were ‘bound’ by the Movement Control Order (MCO).

    “We received the instruction during the first phase of the MCO but Alhamdulillah, with the close cooperation between various government agencies such as the Ministry of Health (MOH), Nadma (the National Disaster Management Agency), the Fire and Rescue Department and private companies, we managed to realise it within four days,” he added.

    Zaidi said MAEPS is equipped with hospital-like facilities such as beds, bathrooms, dressing room, toilet, lounge and so on.

    Among the services provided at the centre are clinical services, ward for Covid-19 patients, resuscitation rooms to stabilise patients in emergency situations, ambulance, pharmacy, X-ray, and pathology laboratory services.

    The quarantine centre which has the capacity to place up to 600 patients at any one time is coordinated by Nadma with the cooperation of the MOH, the Malaysian Armed Forces, the Fire and Rescue Department, the Civil Defence Force, the Social Welfare Department and the Public Works Department. — Bernama

    MAEPS quarantine centre in Serdang to receive Covid-19 patients next week
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  • Watch New Scientist Live talks for free on YouTube

    Watch New Scientist Live talks for free on YouTube

    Add some science to your lockdown living routine, as we make more than 50 incredible talks from our flagship science festival New Scientist Live available for free on YouTube over the coming weeks.
    Watch New Scientist Live talks for free on YouTube
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  • Living with pets during MCO

    Living with pets during MCO

    Living with pets during MCO 2

    KUALA LUMPUR: Working from home (WFH) is not as easy as many people think, especially when you have young children and pets.

    Yes, even pets. To others, it might seem easy having pets in the house. After all, don’t you just let them be and you do not have to give much attention to them?

    In reality however, looking after pets is just as much a responsibility as looking after young children. A look at the postings on Facebook and Twitter will show that many see the responsibility as similar, for to them, pets are as much a member of the family as children.

    Going into 24 days of the Movement Control Order (MCO) period, which means 24 days of WFH, the stories on the social media abound of the struggles that pet owners, especially those with cats, face juggling the responsibilities of work and looking after their pets.

    Interior decorate Intan Suhaiza Razak, 35, found that there were many secrets her cats kept from her which she only found out after she started to work from home from March 18.

    “It is only now that I am really getting to know my three cats. I did not spend much time with them before but now that I am with them all day, I am slowly learning their behaviour.

    “For instance, I was shocked to find out that they could turn the tap in the kitchen sink and would play with the water,” she told Bernama.

    Auditor Amirul Iqbal Razali, 30, has found that working from home can be quite challenging when you have cats.

    “I have three, and the minute I turn on the computer, they come around demanding my attention.

    “That would be the time they want to sit on my lap and play, and ask for food, even though I had prepared everything for them. And my work-station has become their bed,” he said.

    Media practitioner Muhamad Saufee Rosman thinks his cat Ethan loves the fact that he and his housemates now have to work from home during the MCO period.

    “He is extra demanding now, maybe because he enjoys the fact that we are home now, whereas previously, he was always left alone in the house. Now, he keeps snuggling up to us all the time,” he said.

    Muhamad Saufee and his housemates do not find Ethan’s demand for attention troublesome, and in fact, he is a stress-buster to them.

    “Life is less boring with him around. Sometimes, he does get in the way, but it would be lonely without him,” he said.

    To these animal-lovers, the Health Ministry’s announcement that pets do not carry the COVID-19 virus was good news.

    “In the beginning, it was a bit worrying, so it was a relief when the ministry said that pet-owners did not have to worry and do not have to take their pets for Covid-19 screenings.

    Nurana Mukhriz, 29, who works in information technology said she cannot imagine being separated from her two cats which she had bred since five years ago.

    “I live alone, so my cats ‘Adik’ and ‘Che Yam’ are my companions. Talking to them reduces my stress level and I don’t feel so lonely during the MCO period,” she said. – Bernama

    Living with pets during MCO
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  • UFC 249 postponed again

    UFC 249 postponed again

    UFC 249 postponed again 3

    LOS ANGELES: The Ultimate Fighting Championship on Thursday scrapped controversial plans to stage a fight card later this month as the United States battles the coronavirus pandemic.

    The mixed martial arts organisation had planned to hold UFC 249 without fans at an undisclosed location, reportedly an Indian tribal reservation in California.

    However in an abrupt U-turn on Thursday, UFC said it had postponed the event at the request of broadcasters ESPN.

    “While the organisation was fully prepared to proceed with UFC 249, ESPN has requested the postponement of the event and subsequent bouts until further notice in light of the COVID-19 pandemic,“ a UFC statement said.

    “UFC looks forward to resuming the full live events schedule as soon as possible.”

    The New York Times reported on Wednesday that UFC chief Dana White planned to hold the event at the Tachi Palace Resort Casino in central California on April 18.

    By staging the event on tribal land, the UFC could have sidestepped state guidelines aimed at halting the spread of COVID-19 infections that have brought sports to a standstill.

    However the move met with resistance from California Senator Dianne Feinstein, who urged the UFC to postpone.

    “This event would involve dozens of individuals flying to California and driving to a casino for a purpose no one can honestly claim is essential,“ Feinstein said in a statement.

    “Going ahead with this event is not the right move.”

    The Ultimate Fighting Championship has already postponed three events after officials were unable to find venues to stage fights amid restrictions put in place to combat the COVID-19 pandemic. – AFP

    UFC 249 postponed again
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  • With Humans In Hiding, Animals Take Back The World

    With Humans In Hiding, Animals Take Back The World

    Gulf states have tightened lockdown measures in large cities, and with Dubai’s shops closed and almost no people on the streets, peacocks that normally live in nearby gardens ventured out to explore other areas of the Middle Eastern city.
    Gulf states have tightened lockdown measures in large cities, and with Dubai’s shops closed and almost no people on the streets, peacocks that normally live in nearby gardens ventured out to explore other areas of the Middle Eastern city.

    A flock of geese searched for food inside a temple in Nagaon, in India’s state of Assam, on April 3. Many temples and shrines across the country have closed during the nationwide lockdown.
    A flock of geese searched for food inside a temple in Nagaon, in India’s state of Assam, on April 3. Many temples and shrines across the country have closed during the nationwide lockdown.

    On April 5, two cows strolled on a Corsican beach usually popular with tourists. It was the 20th day of a strict shutdown in France.
    On April 5, two cows strolled on a Corsican beach usually popular with tourists. It was the 20th day of a strict shutdown in France.

    A young puma walked the streets of Santiago on March 24 after the government ordered confinement measures in some areas of the Chilean capital.
    A young puma walked the streets of Santiago on March 24 after the government ordered confinement measures in some areas of the Chilean capital.

    Mountain goats roamed the streets of Llandudno, in Wales, on March 31, one week after U.K. Prime Minister Boris Johnson issued a stay-at-home order.
    Mountain goats roamed the streets of Llandudno, in Wales, on March 31, one week after U.K. Prime Minister Boris Johnson issued a stay-at-home order.

    Sika deer wandered over to a sushi restaurant in Nara, Japan, on March 12. When Prime Minister Shinzo Abe declared a state of emergency for Tokyo and its surrounding regions, the number of visitors to the city of Nara dropped significantly
    Sika deer wandered over to a sushi restaurant in Nara, Japan, on March 12. When Prime Minister Shinzo Abe declared a state of emergency for Tokyo and its surrounding regions, the number of visitors to the city of Nara dropped significantly

    Macaques searched for food around the closed stalls of the Johari Bazar in Jaipur, India, on March 26. After Prime Minister Narendra Modi declared a nationwide lockdown, the marketplace was deserted.
    Macaques searched for food around the closed stalls of the Johari Bazar in Jaipur, India, on March 26. After Prime Minister Narendra Modi declared a nationwide lockdown, the marketplace was deserted.

    Since Italy’s countrywide lockdown was imposed, the water in Venice’s canals have cleared, and residents have noticed more birds appearing.
    Since Italy’s countrywide lockdown was imposed, the water in Venice’s canals have cleared, and residents have noticed more birds appearing.

    On March 30, ducks ventured across the street in the heart of Paris, which is typically bustling with traffic.
    On March 30, ducks ventured across the street in the heart of Paris, which is typically bustling with traffic.

    Goats sauntered on abandoned streets in Jaipur on March 24
    Goats sauntered on abandoned streets in Jaipur on March 24

    A baby rabbit crossed a main road in Christchurch on April 1. New Zealand entered its strictest state of lockdown on March 25.
    A baby rabbit crossed a main road in Christchurch on April 1. New Zealand entered its strictest state of lockdown on March 25.

    A wild fox roamed the empty streets of London on the night of March 28.
    A wild fox roamed the empty streets of London on the night of March 28.

    On April 1, cattle looked for food in Palu, Central Sulawesi, in Indonesia, where the government is recommending that people avoid public spaces.
    On April 1, cattle looked for food in Palu, Central Sulawesi, in Indonesia, where the government is recommending that people avoid public spaces.

    A coyote stood outside Dodger Stadium in Los Angeles on April 3, weeks after Major League Baseball suspended all play.
    A coyote stood outside Dodger Stadium in Los Angeles on April 3, weeks after Major League Baseball suspended all play.

    The movie theater was closed in Westbury, N.Y., on March 20, leaving the parking lot empty for Canadian geese to roam.
    The movie theater was closed in Westbury, N.Y., on March 20, leaving the parking lot empty for Canadian geese to roam.

    With Humans In Hiding, Animals Take Back The World 4Gulf states have tightened lockdown measures in large cities, and with Dubai’s shops closed and almost no people on the streets, peacocks that normally live in nearby gardens ventured out to explore other areas of the Middle Eastern city.


     

    It took just a few days of lockdown for baby rabbits to dare to cross once-bustling roads in Christchurch, New Zealand, and less than a week for a puma to descend from the Andes Mountains into Santiago, one of South America’s busiest capitals. In Barcelona, wild boar, a familiar sight for citizens on the city’s outskirts, have made their way into Diagonal Avenue, an eight-lane thoroughfare. 

    It’s surprising and strange, yes, but also meaningful. Research suggests that ecosystems can rebound with speed once human intervention subsides. A review published last week determined that damaged ecosystems and wildlife can be rebuilt if the right conditions are achieved. Marine ecosystems in particular can substantially recover by 2050, according to the study, led by Carlos Duarte at the Red Sea Research Center in Saudi Arabia.

    Of course, a deadly pandemic that brings about a sudden economic collapse is no way to sustainably restore threatened ecosystems. Yet it’s a clear reminder of how quickly the wild world responds when humans take a step back.

    Scientists have tracked this pattern for decades. The number of humpback whales migrating from Antarctica to eastern Australia has been increasing each year, from a few hundred animals in 1968, when commercial whaling was banned, to more than 40,000 today. In 1880 only 20 breeding northern elephant seals had survived decades of hunting, and today there are more than 200,000.

    Hunting bans, habitat restoration, and the reduction of water pollution are all linked to the recovery of marine species. The continuation of these practices—and, most of all, working to mitigate the effects of climate change—would contribute to oceans recovering significantly by 2050, the researchers said.

    It’s more difficult for land ecosystems to bounce back because both the scale of extinction and the scale of human presence are so large there, said Duarte, a marine science professor. But these differences don’t mean the return of wildlife to deserted city streets isn’t significant, he said: “I believe our own confinement, and the release of wildlife from confinement, should bring some empathy between humans and wildlife moving forward.”

    With Humans In Hiding, Animals Take Back The World 5A flock of geese searched for food inside a temple in Nagaon, in India’s state of Assam, on April 3. Many temples and shrines across the country have closed during the nationwide lockdown.


    With Humans In Hiding, Animals Take Back The World 6On April 5, two cows strolled on a Corsican beach usually popular with tourists. It was the 20th day of a strict shutdown in France.


    With Humans In Hiding, Animals Take Back The World 7A young puma walked the streets of Santiago on March 24 after the government ordered confinement measures in some areas of the Chilean capital.


    With Humans In Hiding, Animals Take Back The World 8Mountain goats roamed the streets of Llandudno, in Wales, on March 31, one week after U.K. Prime Minister Boris Johnson issued a stay-at-home order.


    With Humans In Hiding, Animals Take Back The World 9Sika deer wandered over to a sushi restaurant in Nara, Japan, on March 12. When Prime Minister Shinzo Abe declared a state of emergency for Tokyo and its surrounding regions, the number of visitors to the city of Nara dropped significantly


    With Humans In Hiding, Animals Take Back The World 10Macaques searched for food around the closed stalls of the Johari Bazar in Jaipur, India, on March 26. After Prime Minister Narendra Modi declared a nationwide lockdown, the marketplace was deserted.


    With Humans In Hiding, Animals Take Back The World 11Since Italy’s countrywide lockdown was imposed, the water in Venice’s canals have cleared, and residents have noticed more birds appearing.


    With Humans In Hiding, Animals Take Back The World 12On March 30, ducks ventured across the street in the heart of Paris, which is typically bustling with traffic.


    With Humans In Hiding, Animals Take Back The World 13Goats sauntered on abandoned streets in Jaipur on March 24


    With Humans In Hiding, Animals Take Back The World 14A baby rabbit crossed a main road in Christchurch on April 1. New Zealand entered its strictest state of lockdown on March 25.


    With Humans In Hiding, Animals Take Back The World 15A wild fox roamed the empty streets of London on the night of March 28.


    With Humans In Hiding, Animals Take Back The World 16On April 1, cattle looked for food in Palu, Central Sulawesi, in Indonesia, where the government is recommending that people avoid public spaces.


    With Humans In Hiding, Animals Take Back The World 17A coyote stood outside Dodger Stadium in Los Angeles on April 3, weeks after Major League Baseball suspended all play.


    With Humans In Hiding, Animals Take Back The World 18The movie theater was closed in Westbury, N.Y., on March 20, leaving the parking lot empty for Canadian geese to roam.


     

    Credits: Bloomberg

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  • Assuaging Plight Of The Poor In This Perilous Time By Okechukwu Nwanguma

    Assuaging Plight Of The Poor In This Perilous Time By Okechukwu Nwanguma

    Assuaging Plight Of The Poor In This Perilous Time By Okechukwu Nwanguma 19

    Assuaging Plight Of The Poor In This Perilous Time By Okechukwu Nwanguma 20


    Rule of Law and Accountability Advocacy Centre has been monitoring and receiving information on public compliance with the Federal Government ordered lockdown in Abuja, Lagos and Ogun states, which contain measures to contain the ravaging Covid-19 pandemic.

    Our monitoring of the compliance with the lockdown and stay-at-home orders in Lagos, Abuja and few other states indicate that most people are finding it difficult to effectively comply for various reasons. 

    First, there are those, who still don’t believe that Covid-19 is a real life-threatening pandemic and that precautionary measures such as social distancing, personal hygiene and other outlined measures can prevent its infection and spread. 

    In fact some have been made to believe that the lockdown is a deception by government to achieve other ulterior motives. Those, who promote this narrative are mainly the apocalyptic Pentecostal ‘Men of God’, who push arguments linking Covid-19 to 5G mobile technology, which they argue is a part of the biblically ordained designs of the Anti-Christ.

    Second, some Nigerians are simply lawless or lack discipline, just like when passengers are asked to switch off their phones prior to flight take off and you still find some people, seemingly ladies and gentlemen, fiddling with their phones.

    To illustrate, a relative of mine called me yesterday to complain that he was arrested by the police somewhere in Lagos when he drove out to buy pap for his baby. I asked him whether he knew about the lockdown order and whether there was nowhere around his neighbourhood he could walk down to buy the pap. He said ‘but other vehicles are on the road’. I told him that he had broken the law as much as those other people. Everybody may not be arrested at once.

    He wanted me to talk to the police officers, who arrested him and ordered him to drive to their station. I asked him what he wanted me to tell them.

    Third, and most significantly, there are yet others, who are forced out of their homes by want and hunger. They can’t stand the site of their tender children crying for hunger.

    As I said elsewhere, majority of the population fall within the poor and vulnerable category. Usually, many feed themselves and their dependents on their daily earnings. They live from hand to mouth.

    Under the prevailing difficult and uncertain situation, many families and individuals are already suffering and starving, just one week into the lockdown, with one more week left to go, with the probability of an extension.

    The Federal Government’s Social Intervention Policy, the so-called conditional cash transfer is not yet addressing mass poverty, deprivation and hunger. The billions, which government announced that it has released and made available for conditional cash transfer to the poor and vulnerable in communities are not reaching the targets. There are still cries of woe and anguish in most communities.

    We have seen videos of caricature of the ‘social intervention’, of food items shared to some communities. In one video, we saw a street in Lagos of over 30 families, who said they were given two loaves of bread and few cups of rice and garri and few condiments (tomato paste sachets) to share. And we see members of the community lamenting and asking how a whole street of over 30 families could be given such quantity of food items not enough to serve one family for two days to share!

    Corruption has become our national culture. A seemingly intractable challenge to our progress and development. Most of our politicians and public office holders are unscrupulously avaricious.

    Given our past experiences where public funds meant for and released to assuage the sufferings of poor and vulnerable communities were  either unconscionably used to ‘cut grasses’ or inexplicably got ‘swallowed by snakes’, we call for transparent and community-based approaches to the management and disbursement of social intervention funds.

    Considering complaints by many local communities about not benefiting from the released billions of naira announced and meant to alleviate poverty and hardship, especially during this difficult and uncertain period, we call for a transparent and effective investigation of the management of the funds so far allocated. Efforts must be put in place to ensure that the funds are not diverted as usual.

    Independent community committees must receive these funds and be charged with identifying those in their midst, who qualify to benefit.

    The management of the funds should be monitored by a multi-stakeholder committee including government and community representatives as well as credible media and civil society representatives.

    Government must put effective measures in place to check corrupt public officials, who want to steal or divert funds meant to relieve the sufferings of the poor and vulnerable people in this perilous times.

    This is the only way to help the people comply with the law and stay at home for now!

    Finally, since government has been announcing huge numbers of beneficiaries of cash transfer program running into millions and claiming to have paid billions, can the government make the system transparent by publishing the names and addresses of the beneficiaries on an electronic portal so that Nigerians can do the verification?

    Okechukwu Nwanguma is the Executive Director of Rule of Law and Accountability Advocacy Centre

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