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Country’s clinical waste increases by 17% since Covid-19

PUTRAJAYA: Clinical waste at various medical facilities has increased by 17% since early February, in the wake of the Covid-19 outbreak, said Environment Minister Datuk Tuan Ibrahim Tuan Man (pix).

He said the Department of Environment (DOE) had a comprehensive clinical waste management system (SW404 scheduled waste) in which all clinical waste is separated first at hospitals and clinics, before being collected and transported by special vehicles for disposal in 12 incinerators nationwide.

At the moment, Tuan Ibrahim said, seven companies were licensed by the DOE to manage clinical waste from medical facilities (hospitals, clinics and medical institutions) – this comprises the collection, transportation, treatment and disposal of such waste.

“Clinical waste management is controlled to ensure the waste is properly managed and does not cause harm to public health,” he said in a statement, here today.

Tuan Ibrahim said all treatment and disposal facilities of the seven companies were licensed under section 18 of the Environmental Quality Act 1974 and were subject to strict conditions stipulated in the DOE licence compliance schedule.

The companies are Radicare Sdn Bhd, Edgenta Mediserve Sdn Bhd, Medivest Sdn Bhd, Sedafiat Sdn Bhd and One Medicare Sdn Bhd, which are concessionaires appointed by the government through the Health Ministry to manage clinical waste from public medical facilities, while Kualiti Alam Sdn Bhd and Future NRG Sdn Bhd manage all clinical waste from private hospitals and clinics.

“Treatment and disposal facilities are essential services that are allowed to operate during the imposition of the Movement Control Order,” he explained, adding that the illegal management and disposal of scheduled waste including clinical waste without a licence, was an offence under Section 34B of the Environmental Quality Act, which carries a penalty of a maximum of five years in jail and a fine of not more than RM500,000. – Bernama

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March 26, 2020
WHO urges countries to ensure the continuity of malaria services in the context of the COVID-19 pandemic

The COVID-19 pandemic is testing the resilience of robust health systems around the world. Recognizing the heavy toll that malaria exacts on vulnerable populations in sub-Saharan Africa, as well as the region’s fragile health infrastructure, WHO underlines the critical importance of sustaining efforts to prevent, detect and treat malaria.

“As COVID-19 continues its rapid spread, WHO would like to send a clear message to malaria-affected countries in Africa,” said Dr Pedro Alonso, Director of the WHO Global Malaria Programme. “Do not scale back your planned malaria prevention, diagnostic and treatment activities. If someone living in a place with malaria develops a fever, he or she should seek diagnosis and care as soon as possible.”

Ensuring access to core malaria prevention measures is an important strategy for reducing the strain on health systems; these include vector control measures, such as insecticide-treated nets and indoor residual spraying, as well as chemoprevention for pregnant women and young children (intermittent preventive treatment in pregnancy, intermittent preventive treatment in infants and seasonal malaria chemoprevention). Additional special measures could ease the burden on health systems in the context of COVID-19, such as presumptive malaria treatment and mass drug administration.

Any interventions must consider the importance of both lowering malaria-related mortality and ensuring the safety of communities and health workers. WHO will provide guidance for countries to safely maintain essential health services in the context of the COVID-19 response.

About COVID-19

COVID-19 is the infectious disease caused by the most recently discovered coronavirus. This new virus and disease were unknown before the outbreak began in Wuhan, China, in December 2019. Essential information on the COVID-19 pandemic can be found in a dedicated WHO site.

About malaria

Malaria is a preventable and treatable disease caused by parasites that are transmitted to people through the bites of infected female Anopheles mosquitoes. In 2018, there were an estimated 228 million cases of malaria worldwide and 405 000 malaria-related deaths. For more on malaria, visit: www.who.int/malaria

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March 26, 2020
Coronavirus: Shehu Sani Donates Protective Items, Food To Churches, Mosques

A former federal lawmaker, Senator Shehu Sani, has distributed protective items and foodstuffs to churches, mosques and correctional centers.

Sani while making the donation in Kaduna on Wednesday, urged Nigerians to stand together and fight Coronavirus.

He berated the elites and political leaders for neglecting and destroying the public healthcare system over the years.

He added that the days of reckoning had come for those charged with the responsibility of turning around Nigeria’s hospitals but refused to take action.

A modest intervention in the fight against #Convid_19;today we distributed free Face masks,Hand Sanitizers & foodstuffs to some Mosques,Churches & the Correctional Services in Kaduna.#CoronaVirusInNigeria #CONVID19 #StopTheSpread #CoronaCrisis #FightCOVID19 #Covid19Out #CONVID pic.twitter.com/0LXL0fG611

— Senator Shehu Sani (@ShehuSani) March 25, 2020

Sani said, “Coronavirus will not bring an end to the world but surely return it to its beginning and basics where love, brotherhood and compassion was the spirit.

“If Coronavirus had come during electioneering period, political leaders could have distributed free and customised sanitisers, masks and ventilators.”

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March 26, 2020
Justice For Sambo Abdullahi, Victory For Whistleblowers In Nigeria By Chido Onumah and Godwin Onyeacholem

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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March 26, 2020
Singapore entry: Work pass holders from Malaysia must get prior approval from MOM

SINGAPORE: All new and existing work pass holders, including dependants, planning to enter Singapore from Malaysia, are required to obtain the approval from the republic’s Ministry of Manpower (MOM) before they commence their journey.

In its website, the ministry said upon arrival in Singapore, all affected work pass holders will be placed on a mandatory 14-day Stay-Home Notice (SHN).

“When applying for entry approval, employers will be required to declare to MOM that they have arranged for suitable housing premises for these employees and have made appropriate arrangements for food for the duration of their SHN,” it said.

The ministry also advised the employers to inform their affected employees, including their dependents, not to make travel plans to Singapore until approval has been received from MOM.

“The employers will be required to send the MOM approval letter to the employees who will need to show it to the airline staff upon check-in (if travelling by air) and at the Immigration and Checkpoints Authority (ICA) checkpoint upon arrival in Singapore,” the statement said.

However, those conveying essential services, or supplies – lorry drivers, vegetable supply truckers, frozen supply truckers – via land and sea crossings will be exempted from MOM’s entry approval and SHN requirements.

This is following the Singapore-Malaysia Special Working Committee which has agreed that the transport of all types of goods between Malaysia and Singapore will be facilitated during the duration of Malaysia’s Movement Control Order (MCO), it said.

The MCO period has been extended to April 14, Prime Minister Tan Sri Muhyiddin Yassin announced today. – Bernama

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March 25, 2020
Spain overtakes China virus toll with 3,434 deaths: Govt

MADRID: Spain’s coronavirus death toll overtook that of China on Wednesday, rising to 3,434 after 738 people died over the past 24 hours, the government said.

Across the world, only Italy now has a higher death toll than that of Spain. In China, where the virus emerged late last year, 3,281 people have died.

The spiralling number of deaths came as Spain entered the 11th day of an unprecedented lockdown to try and rein in the Covid-19 epidemic that has now infected 47,610 people, the health ministry said.

As the authorities stepped up testing, the number of cases showed a 20 percent increase on the figures for Tuesday, while the death toll showed a 27 percent rise over the same period.

Despite the national lockdown imposed on March 14, which is to be extended until April 11, both deaths and infections have continued to mount, with officials warning this week would be particularly bad.

“We are approaching the peak,“ the ministry’s emergencies coordinator Fernando Simon said in announcing the figures.

Health authorities are hoping it will soon become clear whether the lockdown is having the desired effect.

The Madrid region has suffered the brunt of the epidemic with 14,597 infections – just under a third of the total – and 1,825 deaths, or 53 percent of the national figure.

With hospitals on the brink of collapse from the surge in patients, troops have set up a massive field hospital in Madrid’s vast IFEMA exhibition centre which currently has 1,500 beds but which could be expanded to take in up to 5,500 people – making it the largest hospital in Spain.

And with the city’s funeral services overwhelmed, officials have commandeered the Palacio de Hielo ice skating rink to serve as a temporary morgue. – AFP

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March 25, 2020
How to Avoid Giving Freebies

You have really established your business and your products and/or services are top notch and well developed. You aren?t the only person who understands how well you are doing. Other people seem to have a good sense of your capabilities as well. Whether you own a product- or service-based business, requests for freebies can be a touchy subject…

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March 25, 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
World TB Day 2020: It’s Time for solidarity
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).

Despite being preventable and treatable, tuberculosis remains the world’s biggest infectious killer and the leading cause of death among people living with HIV (PLHIV), responsible for 32% of the 770 000 lives lost to HIV in 2018. People
living with HIV are far more vulnerable (nearly 20 times more) to TB infection than people without HIV and are three times more likely to die during TB treatment.

While there are proven interventions that reduce TB deaths – such as provision of TB preventive treatment, adoption of novel diagnostics for earlier TB diagnosis and linkage to treatment, and antiretroviral therapy (ART) – we are far behind
in scaling these up, and diagnostic and treatment gaps remain, with only half of estimated TB cases among PLHIV reaching care in 2018, only half of estimated PLHIV with TB receiving ART, and less than half of PLHIV new on ART initiating TB preventive
treatment in a subset of countries which reported globally.

On this World TB Day, WHO highlights two key interventions to reduce unnecessary TB deaths among PLHIV:
- (1) provision of TB preventive treatment for all eligible PLHIV; and
- (2) increased uptake of newer diagnostic tests such as the lateral flow urine lipoarabinomannan assay (TB-LAM.)
As the new Director for the Department of Global HIV, Hepatitis and STI Programmes, I support current efforts to continue and to take to scale TB activities. It’s Time for solidarity!

-Meg Doherty, Director Global HIV, hepatitis and STI Programmes, WHO

HIV programmes are encouraged to ensure that TB preventive treatment, including shorter WHO-recommended regimens, with updated guidance launched today, are provided to all eligible PLHIV as part of a routine package of care, including provision of ART, and that treatment completion is ensured.

In recent months, WHO has also released guidelines for use of a bedside urine TB-LAM test to accelerate earlier TB diagnosis, with significantly expanded eligibility criteria. As this test is “point of care” with the potential for earlier
TB diagnosis and treatment initiation, HIV programmes should consider these recommendations as they enhance strategies for TB diagnosis among PLHIV, including as part of a routine package of advanced HIV care.

It’s Time to urgently scale up TB preventive treatment and TB diagnosis and strengthen referral and linkages to TB treatment at HIV service delivery points in all countries and continue to scale-up ART among PLHIV with TB. This applies to all populations
at risk, including children, pregnant women and marginalized groups, to ensure no one is left behind.

WHO calls for continued collaboration in countries across health programmes for harmonized and integrated policies and service delivery, and engagement with communities and other sectors. Unless HIV programmes scale up interventions to close these
gaps in prevention, diagnosis and treatment both for TB and HIV, countries and their development partners will not meet our common target: a 75% reduction in TB deaths among PLHIV between 2010 and 2020. HIV mortality cannot be reduced without addressing
the leading cause: tuberculosis.

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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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https://www.who.int/news-room/detail/20-03-2020-who-information-note-ensuring-continuity-of-tb-services-during-the-covid-19-pandemic

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March 25, 2020