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World TB Day 2020 Newsletter

Latest news and updates from WHO

Dear colleagues and friends,

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

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

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

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

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

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

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

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

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

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

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

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

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

It’s time to End TB!

Dr Tereza Kasaeva
Director
Global TB Programme
World Health Organization

World TB Day Talk Show

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

Spotlight on TB Preventive Treatment

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

24 March 2020 News release

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

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

WHO Civil Society Taskforce on TB: Progress Review

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

Access link here

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

WHO Global TB Programme / McMaster University

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

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

WHO eTB guidelines platform

Infographic

TB and COVID-19

24 March 2020 News release

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

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

Ksenia Schenina

Ksenia Schenina

24 March 2020 Photo story

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

Commentary

To end TB, we must invest in research and innovation

24 March 2020 Commentary

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

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

Emily: A Day in the Life of a TB Nurse

Maria Emily C. Ballesteros

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

Updates and messages

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

24 March 2020 TDR news item

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

World TB Day 2020: It’s Time for solidarity

24 March 2020 HIV/TB news item

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

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

24 March 2020 news item

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

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March 31, 2020
Presidential Order Not Enforceable Without Legal Backing! By Femi Falana

Following the national broadcast of President Muhammadu Buhari on the COVID-19 pandemic on Sunday, some lawyers have questioned the constitutional validity of the restriction of locomotion of people in Abuja, Lagos and Ogun states. No doubt, the President is empowered to adopt any measures deemed fit to combat the dangerous disease but such measures have to be spelt out in a Regulation made pursuant to section 305 of the constitution or under the Quarantine Act. Otherwise the presidential order on restriction of movement in the affected areas cannot be enforced by the police.

Even though civil rule was restored in the country 21 years ago the psyche of the political class has not been demilitarised. Hence, decisions taken by rulers are required to be obeyed “with immediate effect” without any legal backing. But in Okafor v Governor of Lagos State (2016) LPELR-41066 (CA) the Court of Appeal called on all authorities to appreciate the need to govern the country under the rule of law. Thus, the directive of the Governor of Lagos State restricting the movement of citizens and residents during the state’s monthly environmental sanitation exercise was struck down because of its unconstitutionality. It was the unanimous view of their lordships that the arrest of appellant for flouting the order or directive of the governor was completely illegal. According to Georgewill , J.C.A.

“It is my view, that democracy thrives more on obeying and promoting the rule of law rather than the whims and caprices of the leaders against the lead. I find the conduct of the Respondent in not only persecuting the Appellant, yes that is what in my view it amounts to when a free citizen of this great country such as Citizen Faith Okafor, is put through the rigours of criminal process for an offence not prescribed in any written law but merely on the directive of the governor of the Lagos State. An action which if allowed to thrive in a democracy such as ours could confer on such office holders infinite, absolute and autocratic powers contrary to the clear provisions of the constitution of the land, to which both the leaders and the led are subject. I refuse to allow such autocratic, absolute and infinite powers to fester upon our nascent democracy.”

Lawyers who are saying that the law should be completely relegated to the background in combating the coronavirus pandemic reminds me of the dissenting judgment of Lord Atkins in the case of Liversidge v Anderson 1944 UKHL 1. While accusing his learned brethren of being “more executive minded than the executive”, his Lordship said inter alia:

“In England, amidst the clash of arms, the laws are not silent. They may be changed, but they speak the same language in war as in peace. It has always been one of the pillars of freedom, one of the principles of liberty for which on recent authority we are now fighting, that the judges are no respecters of persons, and stand between the subject and any attempted encroachments on his liberty by the executive, alert to see that any coercive action is justified in law.”

However. while the nation’s armed forces should be commended for making their medical facilities available to members of the public in the fight against the highly dangerous virus the plan to dispatch armed soldiers to the streets to enforce the COVID-19 guidelines should be shelved because it is illegal. For the umpteenth time, I am compelled to draw the attention of the military authorities to the case of Yussuf v Obasanjo (2005) 18 NWLR (Pt ) where Salami JCA (as he then was) held that “It is up to the police to protect our nascent democracy and not the military, otherwise the democracy might be wittingly or unwittingly militarized. This is not what the citizenry bargained for in wrestling power from the military in 1999. Conscious steps should be taken to civilianise the polity and thereby ensure the survival of and sustainance of democracy.”

In the same vein, in the celebrated case of All Progressive Congress v Peoples Democratic Party (2015) LPELR 24349 Aboki JCA held that the President lacks the power to call on the Armed Forces to restore law and order in any part of the federation without the approval of the National Assembly as provided in sections 217(2) and 218(4) of the constitution as amended. His Lordship reminded the Federal Government of its legal obligation “to confine the military to their demanding assignments especially in these trying times of insurgencies and encroachment into the country’s territories…”

Finally, just last week the satanic Boko Haram force was reported to have massacred 47 Nigerian troops and 92 Chadian soldiers in two separate attacks. In view of such enormous challenge our patriotic armed forces should concentrate efforts on the counter insurgency operations being carried out in the north east region while the police and allied security agencies are allowed to enforce the COVID-19 regulations and guidelines.

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March 31, 2020
Wearing digital tracking tag is not a punishment: Uggah

KUCHING: The use of digital tracking tag to monitor the movement of individuals who have just returned from abroad is not a punishment, says Sarawak Deputy Chief Minister Datuk Amar Douglas Uggah Embas (pix) today.

He said the wearing of the tracking tag in the state is a measure to curb the spread of Covid-19 as well as to monitor the presence of a person under quarantine for 14 days.

“Most of the Covid-19 cases detected were imported, which is what we want to avoid. We hope they understand and cooperate by wearing the tag during quarantine to protect their families and close relatives,” he told a media conference at Wisma Bapa Malaysia here.

Uggah who is also the State Disaster Management Committee chairman said so far individuals wearing the digital tracking tag are adhering to the instructions given and they are monitored from time to time.

Sarawak today recorded two more Covid-19 deaths, bringing the total fatalities to seven cases since the first positive patient was reported on March 13 in the state.

In another development, he said police had arrested 67 individuals on the 13th day of the Movement Control Order in the state for violating the order with 39 cases charged in court today while the remaining cases are still under investigation. – Bernama

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March 30, 2020
HEDA Tells Nigerian Government To Stop Harassment Of Sowore

The Human and Environmental Development Agenda (HEDA Resource Centre) has asked the Nigerian Government to stop the harassment and intimidation of SaharaReporters Publisher, Omoyele Sowore.

The group said Sowore was kept in detention amidst a rash of court orders — none of which guaranteed his freedom in recent past.

It said there were concerns in the human rights circle that in the wake of the COVID-19 outbreak, Sowore’s life may be at risk.

Recall that Sowore had raised the alarm over plans by the authorities to rearrest him to a military barracks where he alleged he would be tortured and infected with COVID-19.

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Sowore said he had written through his lawyers to the Chief Judge of the Federal High Court to inform him of plots by the Nigerian Army to detain him for revealing “classified information on SaharaReporters”.

SaharaReporters had reported that Chief of Staff to President Muhammadu Buhari, Abba Kyari, tested positive for Coronavirus.

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HEDA’s Chairman, Olanrewaju Suraju, said the organisation was worried about the fate of Sowore in the light of growing lockdown occasioned by COVID-19 spread.

Suraju said the group was also touched by the recent outcry from Sowore over alleged plans to endanger his life.

Suraju said, “The Federal Government can better guarantee protection for Sowore and other citizens by issuing a stern and clear warning to officials of government to refrain from any form of political or unwarranted arrest of citizens under the current situation.

“At this period of COVID-19 pandemic, this is a difficult moment for Nigerians who are free. For those in detention, their ordeal will multiply.

“They fall into the category of those that would have been vulnerable if in detention. We are worried about precautions taken by the government to protect Sowore and other citizens from repressive actions of government officials.”

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March 30, 2020
Taraba Governor Bans Movement In And Out Of State

Taraba State Governor, Darius Ishaku, has banned movement in and out of the state, SaharaReporters can confirm.

A statement from the governor’s Chief Press Secretary, Hassan Mijinyawa, said that the ban takes effect from Sunday, March 29, 2020.

He said, “The decision to close the state’s land borders was taken as part of continued efforts by the government to protect the state from the spread of the dreaded Coronavirus.

“The Commissioner of Police and the Commandant of National Security and Civil Defence Corps have been directed to ensure strict compliance.”

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March 29, 2020
WHO Director-General calls on G20 to Fight, Unite, and Ignite against COVID-19

Dr Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization, addressed Heads of State at today’s extraordinary G20 Leaders’ Summit focused on COVID-19.

He told them, “You have come together to confront the defining health crisis of our time: We are at war with a virus that threatens to tear us apart – if we let it.“

He welcomed the G20‘s initiative to find joint solutions and work together: “This is a global crisis that requires a global response.”

“Fight, unite, ignite“

Dr Tedros’ call was clear. First, he urged leaders to fight without excuses, without regrets – thanking countries who have already taken steps and urgently asking that they do more.

Second, he encouraged them to unite, stressing that no country can fight this alone, and calling on all countries to build on the solidarity already sparked by the crisis.

Third, he exhorted them to ignite a global movement to ensure this never happens again.

He welcomed G20 leaders‘ commitment “to do whatever it takes to overcome the pandemic” to protect lives and livelihoods, as well as restore confidence and shore up stability currently threatened in trade and other sectors, and to commit to take all necessary health measures and seek to ensure adequate financing to contain the pandemic and protect people, especially the most vulnerable.“

The G20 committed to support and further strengthen WHO’s mandate in coordinating the response, and called for full funding of WHO‘s Strategic Preparedness and Response Plan.

G20 members pledged to work together to increase research and development funding for vaccines and medicines, strengthen international scientific cooperation, and leverage digital technologies.

In turn, they tasked WHO and other relevant organizations with assessing gaps in pandemic preparedness and report the findings of this assessment to the G20 Finance and Health Ministers, in order to establish a global initiative on pandemic preparedness and response together.

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

Embassy of the Republic of Indonesia in Abuja

Embassy of the Republic of Indonesia in Abuja

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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March 27, 2020
Ensuring continuity of TB services during the COVID-19 pandemic

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.

In the lead- up to World TB Day, Dr Tedros Adhanom Ghebreyesus, WHO Director-General emphasized in a news release, “COVID-19 is highlighting just how vulnerable people with lung diseases and weakened immune systems can be. The world committed to end TB by 2030; improving prevention is key to making this happen.”

The World Health Organization (WHO) Global TB Programme, along with WHO regional and country offices, has developed an information note, in collaboration with stakeholders. This note is intended to assist national TB programmes and health personnel to urgently maintain continuity of essential services for people affected with TB during the COVID-19 pandemic, driven by innovative people-centred approaches, as well as maximizing joint support to tackle both diseases.

“We stand in solidarity with those affected by COVID-19 and those at the frontlines of the fight to combat the disease,” said Dr Tereza Kasaeva, Director of the WHO Global TB Programme. “We need to act with urgency to ensure that in line with our vision of Health for All, no one with TB, COVID-19 or any health condition will miss out on the prevention and care they need. It’s time for action.”

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March 25, 2020
WHO Information Note: Ensuring continuity of TB services during the COVID-19 pandemic

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.

In the lead- up to World TB Day, Dr Tedros Adhanom Ghebreyesus, WHO Director-General emphasized in a news release, “COVID-19 is highlighting just how vulnerable people with lung diseases and weakened immune systems can be. The world committed to end TB by 2030; improving prevention is key to making this happen.”

WHO Global TB Programme, along with WHO regional and country offices, has developed an information note, in collaboration with stakeholders. This note is intended to assist national TB programmes and health personnel to urgently maintain continuity of essential services for people affected with TB during the COVID-19 pandemic, driven by innovative people-centred approaches, as well as maximizing joint support to tackle both diseases.

“We stand in solidarity with those affected by COVID-19 and those at the frontlines of the fight to combat the disease,” said Dr Tereza Kasaeva, Director of the WHO Global TB Programme. “We need to act with urgency to ensure that in line with our vision of Health for All, no one with TB, COVID-19 or any health condition will miss out on the prevention and care they need. It’s time for action.”

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March 25, 2020
EXCLUSIVE: Presidential Intensive Care Unit Activated As Buhari Self-isolates After Abba Kyari Tests Positive For Coronavirus

The Presidential Intensive Care Unit inside Aso Villa has been activated and placed on standby after President Muhammadu Buhari went into self-isolation on Tuesday evening.

A top government source told SaharaReporters that persistent coughing by the President raised fears in Aso Villa on Tuesday despite him earlier testing negative to Coronavirus.

Since it emerged that Abba Kyari, Buhari’s Chief of Staff, tested positive for the deadly virus, all had not been the same in the Presidential Villa.

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Already activities had been suspended at the place while all those, who came in contact with Kyari since his return into the country after a trip to Germany earlier this month, had been asked to self-isolate.

Germany has 29,056 confirmed cases of Coronavirus and 123 recorded deaths.

On Tuesday, SaharaReporters broke the story of how three of Kyari’s staff had tested positive for the virus.

This was after the online publication had exclusively reported on Monday that Kyari was gravely ill and may had contacted Coronavirus after his latest trip abroad.

According to SaharaReporters source, the Presidency was doing everything possible to protect Buhari and his immediate family hence the preparation of the Presidential ICU in case of an emergency.

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The source also said that Kyari was earlier denied the usage of the facility after Ministry of Health officials pointed out that crisis could arise should an emergency come up around Buhari.

Since returning from the trip abroad, Kyari has had contacts with several prominent persons including Garba Shehu, Senior Special Assistant on Media and Publicity to President Buhari, Babagana Kingibe, a prominent member of the ‘cabal’ and Kogi State governor, Yahaya Bello.

Aliko Dangote, Governor Bello Masari of Katsina and Inspector-General of Police, Mohammed Adamu, are among others that Kyari came in contact with after returning to Nigeria.

PHOTONEWS: Kyari Had Contact With Kogi Governor, @GovBello, @GarShehu, Others After Coronavirus Infection#CoronaVirusUpdate #COVID19 #COVIDã¼19 @NCDCgov pic.twitter.com/Z7Ml4ZtSsv

— Sahara Reporters (@SaharaReporters) March 24, 2020

Nigeria so far has 44 confirmed cases of Coronavirus with one death recorded.

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March 25, 2020