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The Thing Called Intuition

Men, as each one is aware of, are disposed to query this superior intelligence of ladies; their egoism calls for the denial, and they’re seldom reflective sufficient to get rid of it by logical and evidential evaluation. Moreover, as we will see a bit afterward, there’s a sure specious look of soundness of their place; they’ve pressured upon ladies a synthetic character which nicely conceals their actual character, and girls have discovered it worthwhile to encourage the deception. But although each regular man thus cherishes the soothing unction that he’s the mental superior of all ladies, and notably of his spouse, he always provides the mislead his pretension by consulting and deferring to what he calls her instinct.

That is to say, he is aware of by expertise that her judgment in lots of issues of capital concern is extra delicate and looking out than his personal, and, being disinclined to accredit this higher sagacity to a extra competent intelligence, he takes refuge behind the doctrine that it is because of some impenetrable and intangible expertise for guessing appropriately, some half mystical tremendous sense, some imprecise (and, in essence, infra-human) intuition.

The true nature of this alleged intuition, nonetheless, is revealed by an examination of the conditions which encourage a person to name it to his support. These conditions don’t come up out of the purely technical issues which are his every day concern, however out of the rarer and extra basic, and therefore enormously harder issues which beset him solely at lengthy and irregular intervals, and so supply a check, not of his mere capability for being drilled, however of his capability for real ratiocination.

No man, I take it, save one consciously inferior and hen-pecked, would seek the advice of his spouse about hiring a clerk, or about extending credit score to some paltry buyer, or about some routine piece of tawdry swindling; however not even essentially the most egoistic man would fail to sound the sentiment of his spouse about taking a companion into his enterprise, or about standing for public workplace, or about combating unfair and ruinous competitors, or about marrying off their daughter. Such issues are of huge significance; they lie on the basis of well-being; they name for one of the best thought that the person confronted by them can muster; the perils hidden in a incorrect resolution overcome even the clamors of vainness. It is in such conditions that the superior psychological grasp of ladies is of apparent utility, and needs to be admitted. It is right here that they rise above the insignificant sentimentalities, superstitions and formulae of males, and apply to the enterprise their singular expertise for separating the looks from the substance, and so train what is known as their instinct.

Intuition? With all respect, bosh! Then it was instinct that led Darwin to work out the speculation of pure choice. Then it was instinct that fabricated the gigantically advanced rating of “Die Walkure.” Then it was instinct that satisfied Columbus of the existence of land to the west of the Azores. All this instinct of which a lot transcendental garbage is merchanted is not any extra and at least intelligence—intelligence so eager that it might probably penetrate to the hidden fact by way of essentially the most formidable wrappings of false semblance and manner, and so little corrupted by sentimental prudery that it is the same as the much more tough job of hauling that fact out into the sunshine, in all its bare hideousness. Women resolve the bigger questions of life appropriately and shortly, not as a result of they’re fortunate guessers, not as a result of they’re divinely impressed, not as a result of they practise a magic inherited from savagery, however merely and solely as a result of they’ve sense.

They see at a look what most males couldn’t see with searchlights and telescopes; they’re at grips with the necessities of an issue earlier than males have completed debating its mere externals. They are the supreme realists of the race. Apparently illogical, they’re the possessors of a uncommon and delicate super-logic. Apparently whimsical, they hold to the reality with a tenacity which carries them by way of each section of its incessant, jellylike shifting of kind. Apparently unobservant and simply deceived, they see with vivid and horrible eyes. In males, too, the identical cruel perspicacity generally exhibits itself—males acknowledged to be extra aloof and uninflammable than the overall—males of particular expertise for the logical—sardonic males, cynics. Men, too, generally have brains. But that may be a uncommon, uncommon man, I enterprise, who’s as steadily clever, as always sound in judgment, as little postpone by appearances, as the typical ladies of forty-eight.

Extract from IN DEFENSE OF WOMEN by H. L. Mencken

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April 7, 2020
WHO to accelerate action to reduce the harmful use of alcohol
The
harmful use of alcohol causes roughly Three million deaths yearly and the
general burden of illness and accidents attributable to alcohol consumption
stays unacceptably excessive. The tempo of improvement and implementation of
alcohol insurance policies has been uneven in WHO areas, and assets and capacities
for implementation of the WHO Global technique to reduce the harmful use of
alcohol 10 years after its endorsement don’t correspond to the magnitude of
the issues. On this foundation, the WHO Executive Board in its choice EB146
(14) known as for accelerated action to reduce the harmful use of
alcohol.

The Board thought of the report on the political declaration of the third high-level meeting of the General Assembly on the prevention and control of non-communicable diseases, notably Annex 3, entitled “Implementation of the global strategy to reduce the harmful use of alcohol,” and the report on the findings of the consultative process on implementation of the global strategy to reduce the harmful use of alcohol and the way forward.

The Board, in its choice EB146 (14), requested the WHO Director-General, inter alia, “to develop an action plan (2022-2030) to effectively implement the Global strategy to reduce the harmful use of alcohol as a public health priority, in consultation with Member States and relevant stakeholders, for consideration by the 75th World Health Assembly through the 150th session of the WHO Executive Board in 2022”, and “to develop a technical report on the harmful use of alcohol related to cross-border alcohol marketing, advertising and promotional activities, including targeting youth and adolescents, before the 150th session of the WHO Executive Board, which could contribute to the development of the action plan”, in addition to “to adequately useful resource the work on the harmful use of alcohol.

In response to choice EB146 (14), the WHO Secretariat will implement the following:
- March– April 2020: Commissioning of the scoping evaluate on the harmful use of alcohol associated to cross-border alcohol advertising and marketing, promoting and promotional actions, together with concentrating on youth and adolescents. Commissioning background papers for the report improvement.
- April-May 2020: Producing zero draft of the working doc for improvement of an action plan (2022-2030) to successfully implement the Global technique to reduce the harmful use with proposed important parts and parts.
- June 2020: Technical professional conferences organized by WHO headquarters to talk about zero draft of the working doc for improvement of the action plan and the content material of the technical report on the harmful use of alcohol associated to cross-border alcohol advertising and marketing, promoting and promotional actions.
- July-September 2020: Finalization of the working doc for subsequent session course of. Web-based session on the working doc for improvement of the action plan open to Member States, UN organizations and different worldwide organizations, and non-State actors. All related suggestions acquired will probably be revealed on WHO web site.
- October 2020 – March 2021: Regional technical consultations with Member States on the working doc for improvement of the action plan (2022-2030).
- March– April 2021: Development of the first draft of the action plan primarily based on the enter acquired on the working doc in the course of of the regional consultations.
- April -June 2021: The web-based session on the first draft of the action plan open to Member States, UN organizations and different worldwide organizations, and non-State actors. All related suggestions acquired will probably be revealed on WHO web site. Discussion of the first draft at the Third WHO Forum on alcohol, medication and addictive behaviours attended by technical focal factors from Member States, representatives of UN entities, civil society organizations, WHO collaborating centres, and academia. Consultation with financial operators in alcohol manufacturing and commerce on their contribution to decreasing the harmful use of alcohol inside their core roles. An casual session with Member States on the first draft of the action plan.
- July-August 2021: Development of the second draft of the action plan primarily based on the suggestions acquired on the first draft throughout the earlier levels of the session course of.
- August-November 2021: Briefings on the second draft of the action plan organized at the Regional Committee conferences. Release of the technical report on the harmful use of alcohol associated to cross-border alcohol advertising and marketing, promoting and promotional actions, together with concentrating on youth and adolescents, with a abstract of fundamental findings and conclusions out there in six languages. A proper assembly of Member States for consideration of the second draft of the action plan. Finalization of the draft action plan considered suggestions and inputs acquired from Member States and different stakeholders throughout the session course of in April -October 2021. Development and submission of the report by the Secretariat to 150th session of the Executive Board.
- January/February 2022: The 150th session of the WHO Executive Board will think about the report of the WHO Director-General containing the draft action plan (2022-2030) to successfully implement the Global technique to reduce the harmful use of alcohol.
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https://www.who.int/news-room/detail/28-03-2020-who-to-accelerate-action-to-reduce-the-harmful-use-of-alcohol

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April 3, 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
Felda defers deduction on settlers’ income until June

KUALA LUMPUR: The Federal Land Development Authority (Felda) is deferring deduction of its settlers’ income for repayment of crop and socio-economic loans for the month of April to June to help them cope with the situation brought about by the Covid-19 crisis.

Its general manager, Datuk Dr Othman Omar, said it would involve their harvest for the month of March to May, but would not involve deduction for Kedai D’Mart and the agency’s development and security department (JKKR).

“All setters automatically get it. There is no need for them to apply to the Felda management. The deferred deduction will be rescheduled after the postponement period is over. This initiative will benefit more than 92,000 settlers,” he said in a statement today.

Apart from that, Felda has taken proactive steps by setting up the community food centre to assist settlers having financial problems during these trying times.

The centre was set up following an initiative by the Settlers Consultancy Committee (JKPP) and the Settlers and Community Development Department, he added.

Any inquiry on the deferment of the deduction or other matters can be e-mailed to jkk@felda.net.my or Felda Facebook.

Othman said Felda is also offering the use of its hostels and other facilities as quarantine centres to help the government, especially the Ministry of Health (MOH), with its preparation in anticipating the increase in Covid-19 patients next month.

Besides the three hostels in Kuala Lumpur, Johor Bahru and Kuantan in Pahang, Felda also has three training centres (in Kuala Lumpur, Kerteh in Terengganu and Chini in Pahang) and four Felda Residence, at Tanjung Leman in Johor, Sugai Tekam in Pahang, Trolak in Perak and an Felda Sahabat in Sabah.

All these facilities are suitable for use as quarantine centres and can accommodate more than 1,500 people, he said, adding that Felda Sahabat has been activated as a quarantine centre that accommodates 52 patients. – Bernama

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March 31, 2020
World TB Day 2020 Newsletter

Latest news and updates from WHO

Dear colleagues and friends,

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

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

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

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

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

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

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

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

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

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

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

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

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

It’s time to End TB!

Dr Tereza Kasaeva
Director
Global TB Programme
World Health Organization

World TB Day Talk Show

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

Spotlight on TB Preventive Treatment

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

24 March 2020 News release

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

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

WHO Civil Society Taskforce on TB: Progress Review

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

Access link here

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

WHO Global TB Programme / McMaster University

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

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

WHO eTB guidelines platform

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TB and COVID-19

24 March 2020 News release

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

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

Ksenia Schenina

Ksenia Schenina

24 March 2020 Photo story

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

Commentary

To end TB, we must invest in research and innovation

24 March 2020 Commentary

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

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

Emily: A Day in the Life of a TB Nurse

Maria Emily C. Ballesteros

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

Updates and messages

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

24 March 2020 TDR news item

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

World TB Day 2020: It’s Time for solidarity

24 March 2020 HIV/TB news item

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

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

24 March 2020 news item

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

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March 31, 2020
Attach or Detach

Here?s the problem – most people do the first step but fail to do the second one. What is attachment? It?s when we own a belief, opinion, judgment, attitude or principle ? whether right or wrong or good or bad. This ownership drives all of our emotions, decisions, actions and behavior. We attach to expectations, frustration, being right, judging others, our stressors and disappointments. We attach to our pain, guilt, obligations, goals, needs, problems, failures, achievements and successes. Again none of these are good or bad ? right or wrong but we attach to them nonetheless…

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March 29, 2020
Accept Your Failure and Leave Sowore Alone, Odumakin Tells Buhari

President, Centre for Change, Dr Joe Okei-Odumakin, has called on the Nigerian Government to steer clear of its plan to rearrest human rights activist and journalist, Omoyele Sowore, saying such move would be counter productive.

Sowore had raised the alarm over moves by the Nigerian Army to secretly secure an order from the Federal High Court, Abuja, to rearrest him over SaharaReporters publication revealing that President Muhammadu Buhari’s Chief of Staff, Abba Kyari, had been infected with Coronavirus.

Odumakin said such attempts by the government was tantamount to taking Nigeria back to the dark age and total into abyss.

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

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She said the President should concentrate on finding solutions and remedy to the problems created by his failure and negligence in tackling Covid-19.

In a statement on Friday, Odumakin said, “Our attention has been drawn to the alarm raised by Publisher of SaharaReporters, Mr Omoyele Sowore, that the Federal Government was planning an onslaught on him for reporting that Mr Abba Kyari was Coronavirus positive.

“Does it mean that our government would have concealed Kyari’s status and allowed Coronavirus unchecked among the top echelon of Nigerian society?

“If the status of UK Prime Minister can be made public, who is Kyari that his status must not be known?” she queried.

Okei-Odumakin said SaharaReporters had done a great service to the country by making the information public.

She advised government to begin to remedy its failure by doing whatever it can to provide services for citizens.

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March 28, 2020
Covid-19: Chow Kit market remains busy, but with close monitoring

KUALA LUMPUR: The implementation of Movement Control Order (MCO) has not stopped people from visiting Chow Kit Wholesaler Market here although the authority has limited the number of visitors who can enter the market at a time.

A check by Bernama found that customers start queueing up patiently lining-up in very early in the morning while monitored by the police.

Dang Wangi district police chief ACP Mohd Fahmi Visuvanathan Abdullah said as of 10am today, about 700 visitors had already lined up to enter the market, which was allowed to operate from 6am until 1pm.

The police divided them accordingly into groups of between 30 and 40 and gave them 20 minutes to enter the market to buy essential goods.

“Customers need to register their names and undergo body temperature screening before they can enter the market. This is to ensure that they complied with the MCO,” he told reporters after monitoring the MCO implementation at the market today.

He said the police also set-up a special lane for the elderlies.

However, he regretted that some visitors did not practice one-meter social distancing or were not wearing face masks.

Mohd Fahmi Visuvanathan also reminded the people not to visit Chow Kit Market after 1pm.

“Action will be taken to those who refuse to comply,” he said.

To date, no arrests have been made by the Dang Wangi District Police Headquarters in relation to MCO implementation.

Meanwhile, several customers at the market described the entry limit as a good measure to break the Covid-19 infection chain.

A homemaker Aminah Abdullah, 44, said the 20-minute limit to buy necessities would be sufficient if the customers made initial preparations by listing the items to be purchased.

“I’m a regular customer in this market … so when I came to the market, I already know my way to the items I need,” she said.

A civil servant, known as Amir, said he visited the market to buy necessities for his family.

“I came to buy goods in large quantities for my family because I need to go to Johor afterwards. My wife and children stay in Kuala Lumpur,” he said.

A worker in a private sector, Abdullah Sidek, 44, said as the head of his family he is taking over the task of buying groceries from his wife during the MCO period.

“I didn’t encounter problems because my wife had prepared a good list of items she needed, everything is in this market,” he said. — Bernama

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March 27, 2020
Writing Copy That Sells

Every form of writing needs to be written with a different approach in order to create an impact on the reader. Most importantly, it is vital to showcase the benefits associated with your product or service through the write-up. Try to understand what problems the potential customer might be facing and then, with the help of your write-up, let them know how your product or service can help solve those problems. For example, while writing a sales copy you need to consider the key aspects of your product or service, which will not only help you in writing a good copy but also ensure its success in winning the sale…

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March 27, 2020
COVID-19: Should Education Hit A Pause Or Are We Just Unprepared In Nigeria? By Olabisi Deji-Folutile

Olabisi Deji-Folutile

Olabisi Deji-Folutile

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The world is facing its most trying and unprecedented times as the last few weeks have been most challenging for almost everybody. What started in Wuhan, China, as an epidemic, has put the entire world in disarray. Major streets across the globes have become empty. Both the rich and the poor are being ravaged by the plague of COVID-19, which the World Health Organisation has rightly described as a pandemic. Work places have been shut; religious and social gatherings banned and many countries are on total lockdown, in a bid to curb the spread of this viral disease. Expectedly, schools are also affected across board. Every day people are being told to embrace social distancing and suddenly things like human contacts, hitherto considered as free gifts of life, are becoming very expensive.

No one knows when this whole chaos will end, so people are making different kinds of adjustments to cope with the situation while it lasts. Many companies have shifted their operations online. Likewise, many schools have opted for e-learning, making use of available technology for teaching and learning.

Universities around the world are making use of communication technology to ease the effects of the global pandemic on their academic calendars.   In China, universities are going for online teaching instead of in-class teaching; the ones in Australia have moved their classes online just as UK universities have suspended face-to-face teaching.  Turkey started its remote university classes on March 23. In Kenya, universities have activated communication between lecturers and students via social media platforms and emails while classes have gone totally online in the Philippines and Kyrgyzstan. Teachers in France have been working with their students on Zoom.

Just a few days ago, Ghana’s President Addo Dankwa Akufo-Addo, directed the ministry of education to collaborate with the ministry of communications in rolling out open learning programmes in response to the closure of all educational institutions in the country. In the same vein, Mount Kenya University’s Vice-Chancellor Peter Wanderi, has announced the extension of online teaching platforms for regular students to facilitate the learning process. And to take care of the over six million students that have experienced disruption to their studies, ten North African and 12 Arab countries have begun work on an e-learning initiative to facilitate open and online education.

These are some of the steps being taken across the globe to bridge the gap created by school closure in the wake of COVID-19. Unfortunately, while all these activities are going on in other parts of the world, Nigerian government has not said anything about steps being taken to take care of its students’ community. Rather, the only message from the Federal Government was a total closure of all tertiary institutions and FG-owned unity schools till further notice. A statement issued by the National Universities Commission simply said universities would remain   shut   for one month while the Education Minister, Adamu Adamu, said tertiary institutions would remain shut indefinitely.

Assuming government has been overwhelmed by the burden of controlling the spread of COVID- 19, hence its silence on options for learning for its teeming student population, one would have expected the higher institutions themselves to at least say something, but as it is, they too are not helping matters. The silence in our universities has been deafening. To worsen the situation, the Academic Staff Union of Universities, decided to choose this time, of all times, to embark on an indefinite strike. One wonders how the academic body   manages to feel comfortable being on a strike at a time when researchers across the globe are busy looking for solution to a pandemic that is ravaging the entire world. This kind of action makes one query the essence of having Research and Development as a core component of tertiary education in Nigeria when researchers can be nowhere to be found at a critical time of societal needs.

By now, our researchers should be adding their voices to the various efforts being made towards developing a vaccine or cure for COVID-19. After all, universities are expected to proffer solutions to societal problems.  This is a wrong time for ASUU to embark on an indefinite strike. This should be a time of strategising and proffering solutions. This is really the time for everyone to get involved. Besides, I think Nigerian universities should also be more forthcoming on their responses to the challenges posed to their students by COVID-19.

As it is, religious organisations are doing far better in terms of their responses to the effects of this pandemic on their primary constituencies. Many of them have devised other means of getting the attention of   their members following several government directives prohibiting either gatherings or limiting the number of people allowed to congregate at a time. Almost all the churches have switched to online platforms for their services. How come religious organisations are working hard to keep their flocks and both government and higher institutions in Nigeria are just moving on as if all is well? No word on how to keep the students busy or keep them engaged using available online technology! Should teaching and learning be restricted to the classrooms alone in this 21st century?

Nigeria has always been described as a religious society. Corona Virus has further exposed the smartness of our religious bodies and the dullness of those in charge of our public educational institutions. This is not an attempt to blame any religious organisation for having the foresight to deploy technology in reaching their audiences. Instead, it is a wakeup call to managers of our educational institutions to adopt and use available technology to help their students at a time like this.

Apart from the National Open University of Nigeria, which basically runs online, I doubt if there is any other public university in the country that has capacity for online teaching. This is in spite of the launch of the Nigerian Communication Satellite known as NIGCOMSAT by the Nigerian Government first in 2007 and then NIGCOMSAT-IR in December 2011, to provide critical ICT backbone infrastructure to support e-learning, among others in the country.

What is the essence of investing so much money in a communication satellite if it cannot be deployed at a time of need?   Those in charge of NIGCOMSAT, the commercial arm of Nigeria’s space centre, have consistently claimed that the technology has the capacity to cover the entire Africa. If that is the case, why is the country still struggling to deploy internet connectivity facilities to its schools to aide e-learning? If we are truly a serious country, by now, all the schools in urban and rural areas should have been connected to the e-learning services.

No doubt, COVID-19 has exposed Nigeria’s unpreparedness for e-learning. But, we can’t afford to remain where we are. That is why it is important for every institution to start thinking of how to deploy available technology in the world for the good of their students at this critical period. Universities should as a matter of urgency migrate online. This shouldn’t be another season of waiting and probably wasting for the Nigerian student. There is no reason why any higher institution worth its name should suspend all academic activities until the end of Corona Virus with all the available resources and technology in the world today. The minimum expected of them is to upload teaching resources online for students to have access to them. At least this will give the students the opportunity to learn on their own.

This is also an opportunity for telecommunications companies like Glo, MTN and the rest of them to make a difference in Nigeria’s educational institutions. They can as part of their corporate social responsibility decide to boost internet facilities in universities and other educational institutions; or provide data at cheaper rates to help poor students have access to the internet for online learning.

I know there are obvious stumbling blocks to digital learning in Nigeria. Many students don’t even have access to devices while the cost of buying data is still high. These challenges and others have provided   telecommunications companies a huge opportunity of making a difference in Nigerian higher institutions by providing e-learning solutions and broadband connectivity to universities and other higher institutions.

They can as part of their corporate social responsibility decide to boost internet facilities in universities and other higher institutions; or help poor students who have limited or poor internet access to enhance online learning.

Olabisi Deji-Folutile is the Editor-in-Chief of Franktalknow.com and member of the Nigerian Guild of Editors. Email: bisideji@yahoo.co.uk

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March 27, 2020