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  • WHO to continue support for Chagas disease programme that promotes patient self-care

    The World Health Organization (WHO) and the Catalan Ministry of Health say they’ll collectively support the dissemination of a programme that gives support to sufferers affected by Chagas disease to handle their very own well being and promote self-care.

    The Catalonian ‘Expert Patient Programme on Chagas disease’ includes interplay and sharing of knowledge amongst individuals affected by the disease and is performed by an knowledgeable patient. The programme is taken into account to have completed very properly because it was first initiated in 2017.

    “Over the previous few years we now have seen exceptional improve in consciousness and confidence amongst sufferers to pursue medical care and follow-up with physicians” stated Dr Pedro Albajar Vinas, who’s accountable for WHO’s Chagas disease programme. “When sufferers discuss to each other there may be higher deal with general perceptions of well being, life-style, bettering shallowness, self-care and particular person satisfaction.”

    The programme additionally encourages self-responsibility and features as a part of the Chronic Disease Prevention and Care Programme of the Government of Catalonia. It is predicated on three key approaches:

    • support supplied by sufferers and observing professionals to these in power part of the disease;
    • promote interplay in teams by 9 fastidiously deliberate periods;
    • consider efficiency of previous periods by questionnaires earlier than a brand new session begins.

    Many individuals who attended the programme over time say they might suggest it to household and associates because it vastly helps to enhance information about disease.

    Initiators of the programme are assured that the methodology used, and classes discovered can type a part of a broader technique to push for complete care for a disease that continues to be largely uncared for. For instance, regardless of the efforts of the previous decade, the worldwide detection fee for Chagas disease is lower than 10%.

    Through this settlement, WHO will present support in facilitating the interpretation of supplies and paperwork in languages utilized in its Member States in addition to help within the improvement of any mobile-based software if the necessity arises. The Government of Catalonia will print and distribute for advocacy functions.

    To promote international advocacy for the disease, the World Health Assembly – WHO’s decision-making physique – in 2019 adopted a call to have a good time World Chagas Disease Day on 14 April.

    The disease

    Chagas disease was as soon as confined to rural areas of Latin American international locations the place the primary route of transmission is vectorial transmission.

    But over the previous many years, the disease has been more and more reported in lots of international locations exterior Latin America primarily due to motion of populations and migration.

    According to WHO estimates, round 6-7 million individuals are contaminated with Trypanosoma cruzi – the protozoan parasite that causes Chagas disease.

    Vectorial transmission happens when people are available in contact with the faeces or urine of triatomine bugs (referred to as ‘kissing bugs’, amongst many different native names).

    These bugs – the vectors that carry the parasites – reside within the wall or roof cracks of properties – the place they disguise in the course of the day and lively at evening after they feed on human blood. They often chew an uncovered space of pores and skin such because the face (therefore its widespread identify ‘kissing bug’).

    Right after a chew, the bug defecates/urinates shut to the chew space. The parasites enter the physique when the particular person instinctively reacts to the chew and smears the bug faeces or urine into the chew, the eyes, the mouth, or into any pores and skin break.

    The parasite may also be transmitted by:

    • consumption of meals contaminated with T. cruzi by, for instance, contact with faeces or urine of contaminated triatomine bugs or marsupials (this type of transmission sometimes causes outbreaks with extra extreme morbidity and better mortality – infecting teams of individuals concurrently with extra frequent instances of extreme disease and better variety of deaths);
    • blood or blood product transfusion from contaminated donors;
    • passage from an contaminated mom to her new child throughout being pregnant or childbirth;
    • some organ transplants utilizing organs from contaminated donors; and
    • laboratory accidents.

    There is not any vaccine in opposition to Chagas disease. Domiciliary vectorial management and transfusional management, along with congenital transmission, stay the simplest strategies of stopping transmission in Latin America.

    Chagas disease was named after Carlos Ribeiro Justiniano Chagas, a Brazilian doctor and researcher who found the disease in 1909.

    WHO to continue support for Chagas disease programme that promotes patient self-care
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    https://www.who.int/news-room/detail/29-03-2020-who-to-continue-support-for-chagas-disease-programme-that-promotes-patient-self-care

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  • World Health Worker Week – April  5 – 11, 2020

    The COVID-19 pandemic and different international emergencies present us as soon as once more the heroic efforts well being staff on the entrance traces make day-after-day to maintain their communities—and the world—protected and wholesome.  The WHO and the Global Health Workforce Network is happy to associate with civil society companions—the Frontline Health Workers Coalition and its members—to honor well being staff throughout World Health Worker Week: April 5-11, 2020. The Eighth Annual World Health Worker Week is yet one more alternative to mobilize communities, companions, and policymakers to extend assist of well being staff worldwide.

    The 2020 theme is Leaders on the Front Line. This theme highlights the want to offer higher management alternatives for frontline well being staff—significantly ladies well being staff, who make up greater than 70% of the worldwide well being workforce. At the identical time, this theme emphasizes how well being staff usually put themselves on the road, usually at nice private danger to themselves and their households, to avoid wasting and enhance lives.

    We invite all well being workforce stakeholders to affix us by elevating public consciousness and fascinating on well being workforce points, and acknowledge the lifesaving contribution of the well being workforce. All actions can be filtered by a World Health Worker Week portal, hosted by the Frontline Health Workers Coalition secretariat at IntraHealth International.

     Some key methods to get entangled:

    • Add your voice to the #WHWWeek dialog on social media! Use the WHWW Social Media Guide with key messages, graphics, and steered tweets.
    • Participate within the WHWW Video Testimonial Series and inform well being policymakers why frontline well being staff are Leaders on the Line and the way we will higher assist them. It’s straightforward to participate—see the guidance and add your video.
    • Celebrate World Health Day on Tuesday, April 7. In this International Year of the Nurse and the Midwife, World Health Day will shine a lightweight on the important function nurses and midwives play in offering well being care world wide, and name for a strengthening of the nursing and midwifery workforce. Share and promote World Health Day belongings here.

     

     

    World Health Worker Week - April  5 - 11, 2020
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    https://www.who.int/news-room/detail/02-04-2020-world-health-worker-week-2020

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  • Buhari: An Illiterate Jubril? By Ozodinukwe Okenwa

    Buhari: An Illiterate Jubril? By Ozodinukwe Okenwa

    SOC Okenwa
    SOC Okenwa

    Buhari: An Illiterate Jubril? By Ozodinukwe Okenwa 1SOC Okenwa


     

    “President Buhari is an illiterate, he does not know what restructuring means, he is less concerned about the future of Nigeria, he is only bothered about his cows.”— Pa Ayo Adebanjo, Afenifere Chieftain and elder Nigerian statesman.

    Illiteracy is outlined by the dictionary merely as the lack to learn and write. Someone unable to learn or write might categorical themselves orally however when it comes all the way down to placing pen to paper or studying a guide or newspaper, as an illustration, their incapacity is uncovered to their disgrace. Nigeria boasts of tens of millions of instances of analphabetism particularly within the rural areas. While 1000’s graduate yearly from the colleges increasingly more numbers be part of the illiteracy class.

    Analphabetism is a harmful phenomenon given the ignorance it propagates. An illiterate is as harmful to themselves as they’re to the society at giant. That is why it’s mentioned that schooling will endlessly govern ignorance! Serious-minded and well-governed societies make investments closely in schooling as a result of it ensures each improvement and the longer term.

    President Muhammadu Buhari, even previous to his common election in 2015 and controversial ‘re-election’ final 12 months, had been embroiled in educational scandal bothering on his WAEC certificates. To the opposition he by no means possessed any; maybe he by no means sat for one. As a septuagenarian Buhari’s technology could possibly be mentioned debatably to have had little or no educational data, so his claims and counter-claims of the opposition concerning his academic profile are comprehensible.

    Litigations over his educational qualification for the presidency lingered for years with none definitive judicial pronouncement. He had as soon as claimed that his CV was with the navy excessive command! Yet the difficulty right here just isn’t whether or not he was certified to vie for the presidency or not however whether or not he dedicated perjury by affirming what he by no means possessed.

    A patriotic devoted ‘illiterate’ who demonstrated uncanny skill to offer management could also be preferable to a PHD holder who manifested crass incompetence in main a brand new technology of Nigerians. Former President Goodluck Jonathan was mentioned to be a PHD holder but his presidency was riddled with corruption and ineptitude. So the place is the educational hyperlink to sound management right here?

    We usually are not advocating for a Barkin Zuwo as President right here. Sound schooling and management has one thing in widespread globally however sure elements might present an avenue for ‘divorce’ particularly within the African political context.

    Is President Buhari a Jubril from Chad or Sudan? Nnamdi Kanu and his proscribed IPOB “terrorists” assume that the Buhari we knew earlier than he went for medical tourism that lasted months in London some years again had ‘died’ and was instantly changed surgically with a Jubril from Chad or Sudan. Why Sudan or Chad and never Niger or Guinea? The so-called Jubril might have come from elsewhere!

    Personally this commentator has by no means believed such wild declare as a result of there was by no means any tangible proof to help identical. It may be very low cost to allege that the primary citizen of a nation was useless and chirurgically changed with a look-alike with out the key leaking in a digitally-powered world.

    Telling us that proof existed within the President’s head coated all the time with cap is like asking us to replay Thomas biblically by seeing earlier than believing. Pray, how might anybody aside from the First Lady, Aisha, or the distinguished members of the infamous Aso Villa cabal ever see Buhari with out his customary cap? Or can we rent a detective to do the job for us by planting a digital camera in his toilet or bed room?

    A former Head of State, former Minister and former Chairman of the Petroleum Trust “Fraud” (apology to Ray Ekpu) can’t ordinarily be mentioned to not be certified to be President, one democratically elected. When he led us by the Jackboot within the early 80s nobody of their proper senses dared questioned his educational credentials. But that’s irrelevant.

    His case just isn’t distinctive in a continent the place barbarians and cannibals just like the late Idi Amin Dada of Uganda had dominated their nations ignorantly for many years. It is nothing particular in our continental political house the place the likes of ex-President Yahya Jammeh dictatorially caged the Gambians for many years; the place the likes of Dadis Camara dominated their Guinean animal kingdom.

    Is President Buhari an illiterate Jubril? Or higher nonetheless, is he a glorified illiterate? A Jubril from Sudan or Chad? Well, all issues thought-about we refuse to simply accept that our President can’t learn and write if sure educational indices are utilized. He couldn’t have been as good as Prof. Wole Soyinka in class or Alassane Ouattara as President however he ‘troopers’ on taking us all down the abyss of despair.

    To begin with it might quantity to uncharitable insolence to insinuate {that a} retired General who has put in a long time into the Nigerian navy service is barely educated or an outright case of analphabetism. It can’t stand any mental crucible.

    You don’t rise by the ranks and file in your chosen career as an illiterate, do you? Besides, he did navy programs overseas and these research had been carried out in English and never Hausa, Fulani or Fulfulde. It is subsequently disingenuous to say that Buhari is something close to illiteracy!

    The President could also be grammatically challenged; he might not be fluent sufficient, he could not possess the required presidential grit and charisma to guide an ideal nation like ours however that’s secondary in our reckoning. He could also be sluggish to taking selections and might not be conversant sufficient with world realities (Covid-19 pandemic for instance) however he has been ‘elected’ twice to offer management on the nationwide stage — though such management is manifestly missing in our embattled nation.

    The President might not be used to hiring and firing as circumstances dictate however nothing much less might have been anticipated from an outdated health-challenged lacklustre chief. The cabal led by Mamman Daura and Abba Kyari might have seized the chance to avoid energy by taking presidential selections on behalf of Buhari. But, happily, the ship of state continues to be afloat, not but run aground.

    SOC Okenwa

    soco_abj_2006_rci@hotmail.fr

     

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  • Legal Issues Arising From Management Of Covid-19 Patients By Ahmed Adetola-Kazeem

    Legal Issues Arising From Management Of Covid-19 Patients By Ahmed Adetola-Kazeem

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

    Legal Issues Arising From Management Of Covid-19 Patients By Ahmed Adetola-Kazeem 3


    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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  • What Are the Top Five Marketing Trends in 2012?

    Examining customer behavior gives you the chance to support your current clients and attract new consumers.

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  • OHCHR, IOM, UNHCR and WHO joint press release: the rights and health of refugees, migrants and stateless must be protected in COVID-19 response

    In the face of the COVID-19 crisis, we are all vulnerable. The virus has shown that it does not discriminate – but many refugees, those forcibly displaced, the stateless and migrants are at heightened risk. 

    Three-quarters of the world’s refugees and many migrants are hosted in developing regions where health systems are already overwhelmed and under-capacitated.  Many live in overcrowded camps, settlements, makeshift shelters or reception centers, where they lack adequate access to health services, clean water and sanitation. 

    The situation for refugees and migrants held in formal and informal places of detention, in cramped and unsanitary conditions, is particularly worrying. Considering the lethal consequences a COVID-19 outbreak would have, they should be released without delay. Migrant children and their families and those detained without a sufficient legal basis should be immediately released.

    This disease can be controlled only if there is an inclusive approach which protects every individual’s rights to life and health.  Migrants and refugees are disproportionately vulnerable to exclusion, stigma and discrimination, particulary when undocumented.  To avert a catastrophe, governments must do all they can to protect the rights and the health of everyone. Protecting the rights and the health of all people will in fact help control the spread of the virus.

    It is vital that everyone, including all migrants and refugees, are ensured equal access to health services and are effectively included in national responses to COVID-19, including prevention, testing and treatment. Inclusion will help not only to protect the rights of refugees and migrants, but will also serve to protect public health and stem the global spread of COVID-19.  While many nations protect and host refugee and migrant populations, they are often not equipped to respond to crises such as Covid-19. To ensure refugees and migrants have adequate access to national health services, States may need additional financial support. This is where the world’s financial institutions can play a leading role in making funds available. 

    While countries are closing their borders and limiting cross-border movements, there are ways to manage border restrictions in a manner which respects international human rights and refugee protection standards, including the principle of non-refoulement, through quarantine and health checks. 

    More than ever, as COVID-19 poses a global threat to our collective humanity, our primary focus should be on the preservation of life, regardless of status.  This crisis demands a coherent, effective international approach that leaves no-one behind.  At this crucial moment we all need to rally around a common objective, fighting this deadly virus. Many refugees, displaced, stateless people and migrants have skills and resources that can also be part of the solution.

    We cannot allow fear or intolerance to undermine rights or compromise the effectiveness of responses to the global pandemic. We are all in this together. We can only defeat this virus when each and every one of us is protected. 

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  • Nigerian Red Cross Calls For Support To Scale Up Coronavirus Response

    Nigerian Red Cross Calls For Support To Scale Up Coronavirus Response

    Nigerian Red Cross Calls For Support To Scale Up Coronavirus Response 4

    Nigerian Red Cross Calls For Support To Scale Up Coronavirus Response 5


    The Nigerian Red Cross has appealed to members of the public to support its ongoing efforts at creating more awareness on the dangers of Coronavirus and how citizens can avoid contracting the pandemic. 

    In a briefing with journalists on Tuesday, the organisation said that support in form of food and other essential items were needed to distribute to households in order to help cushion the effect of the lockdown ordered by President Muhammadu Buhari on Sunday. 

    The lockdown is to be observed in Lagos, Ogun and FCT.  

    Head of Communications and Advocacy of Nigeria Red Cross, Nwakpa O. Nwakpa, said they will continue to work with relevant stakeholders to help curtail the spread of the virus in the country. 

    Nwakpa said, “Following the first confirmed case in Nigeria, the Nigerian Red Cross Society trained and mobilised 100 volunteers in Lagos and Ogun states for intense mass mobilisation to create awareness on preventive measures through radio jingles, live radio shows, distribution of flyers, sensitisation in religious centres, markets, motor parks and streets for two weeks.

    “As we all are aware, number of confirmed cases is still rising, thus there is urgent need for the Nigerian Red Cross Society to scale up her response in all affected states and neighbouring states. 

    “Thus, the Nigerian Red Cross Society is planing to scale her response to 20 states including the Federal Capital Territory. 

    “The Nigerian Red Cross hereby calls on donor agencies, international agencies, well-spirited Nigerians to partner with it to be able to scale up the fight against COVID-19 spread and imminent hardship should the lockdown persist.

    “The Nigerian Red Cross therefore will be willing to receive support in cash, food, household items.

    “All Nigerians should adhere strictly to government’s directives at all times including staying at home and observing optimal personal hygiene.” 

     

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  • Nigerian Army Redeploys Senior Officers In Major Shake-up

    Nigerian Army Redeploys Senior Officers In Major Shake-up

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    Nigerian Army Redeploys Senior Officers In Major Shake-up 7


     

    As earlier reported by SaharaReporters, the Nigerian Army has announced the redeployment of senior officers, claiming that the move was in a bid to add freshness into the war against terrorism in the country.

    The posting, which was approved by the Chief of Army Staff, Lt Gen Tukur Yusuf Buratai, led to the removal of Maj. Gen. Olusegun Adeniyi as Theatre Command Operation LAFIYA DOLE, the group fighting Boko Haram terrorists in the North-East region of the country.

    Adeniyi, who spoke out against the lack of weapons and accurate intelligence to fight terrorists in the region in a video that went viral a few days ago, was moved to the Nigerian Army Resource Centre as Senior Research Fellow after his outburst embarrassed the military authorities. 

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    In a statement on Tuesday, Acting Director Army Public Relations, Col. Sagir Musa, said, “The major highlight of the posting includes the posting and appointment of Maj Gen ACC Agundu from Special Task Force, Operation SAFE HAVEN, Jos, to Nigerian Army Resource Centre (NARC), Abuja, as Senior Research Fellow, Major General HI Bature from Defence Headquarters (DHQ), Defence Liaison Office, National Assembly Abuja, to Army Headquarters, Department of Civil Military Affairs and appointed Chief of Civil-Military Affairs, Maj Gen UM Mohammed from Nigerian Army Property Limited (NAPL) to the Office of the Chief of Army Staff and appointed Special Adviser Nigerian Army University Biu/Deputy Chairman Board of Trustees NAPL, while the erstwhile Special Adviser Nigerian Army University Biu Maj Gen CC Okonkwo now redeployed to STF Operation SAFE HAVEN Jos  and appointed Commander, Maj Gen F Yahaya from Headquarters 1 Division Kaduna to Headquarters.

    “Theatre Command Operation LAFIYA DOLE (OPLD) Maiduguri and appointed Commander, while Maj Gen OG Adeniyi is redeployed from Headquarters Theatre Command OPLD Maiduguri to NARC as Senior Research Fellow, Maj Gen S Idris from Sector 2 OPLD Damaturu- Yobe State redeployed to DHQ Abuja and appointed Director Liaison. 

    “Others affected include – Maj General AA Adesope from Office of the Chief of Army Staff Directorate of Audit and Financial Management to NAPL and appointed Group Managing Director, Maj Gen MG Ali from Headquarters Theatre Command OPLD Maiduguri to Headquarters 4 Special Forces Command Doma, Nasarawa State as Commander while the erstwhile Chief of Civil-Military Affairs AHQ Abuja Maj Gen US Mohammed has been redeployed to 1 Division Kaduna and appointed General Officer Commanding. 

    “Similarly, Brig Gen HI Daniel from the Defunct  Army Special Forces Command Maiduguri to Headquarters Training and Doctrine Command Minna and appointed Director Army Training Support, Brig Gen BE Onyeuko is to remain in DHQ Abuja as Acting Director Defence Media Operation, Brig Gen NM Jega from Training and Doctrine Command Minna to Infantry Corps Centre Jaji and appointed Chief of Staff, Brig Gen LA Araba from Nigerian Army Welfare Limited by Guaranty Abuja now redeployed to Sector 2 OPLD Damaturu, Yobe State as Ag Commander, Brig Gen VO Ita from DHQ, Abuja to Headquarters 402 Special Forces Brigade Azare and appointed Commander while Brig Gen JAL Jimoh from Sector 3 Artillery Brigade OPLD Monguno to Headquarters 31 Brigade Minna and appointed Commander and Brig Gen GTO Ajetunmobi has been redeployed from 31 Brigade Minna to Nigeria Army Welfare Limited by Guaranty, Abuja as Executive Director Operation. 

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    “Others are – Brig Gen LG Lepdung from Headquarters Infantry Corps Centre Jaji to DHQ Abuja and appointed Deputy Director Procurement (Logistics), Brig Gen MO Ihanuwaze to remain in Office of the Chief of Army Staff Directorate of Audit and Financial Management as Acting Director, Brig Gen EC Obi – Osang from the defunct Headquarters 707 Special Forces’ Brigade Makurdi to Headquarters 401 Special Forces’ Brigade Makurdi as Commander while Brig Gen GM Mutkut is redeployed from the Defunct Nigerian Army Amphibious Command OPLD Baga to Headquarters 403 Amphibious Brigade Baga and appointed Commander and Brig Gen JR Lar from Nigerian Army School of Artillery Kachia to Sector 3 Artillery Brigade OPLD Monguno as Commander.

    “Also, Colonel DJ Abdullahi from the defunct Headquarters Nigerian Army Special Forces’ Command Maiduguri to Headquarters 4 Special Forces’ Command Doma Nasarawa State and appointed Acting Chief of Staff, Colonel EC Emere from Nigerian Army Archives to Nigerian Military School Zaria as Deputy Commandant and Col MO Agi is to remain in Headquarters Nigerian Army Armour Corps Bauchi as Acting Chief of Staff among others.

    “All the postings and appointments take effect from the 1st of April 2020. 

    “While wishing all the officers well in their respective appointments, the Chief of Army Staff enjoins them to take their new responsibilities/appointments seriously and discharge all duties professionally with utmost loyalty to the Nation and the Service.” 

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  • Losing Her Religion: Nigeria’s Faith Unveiled In The Face Of COVID-19 By R. Evon Benson-Idahosa

    Losing Her Religion: Nigeria’s Faith Unveiled In The Face Of COVID-19 By R. Evon Benson-Idahosa

    Me, circa 1984, in my choir uniform and what was possibly the now infamous tambourine.
    Me, circa 1984, in my choir uniform and what was possibly the now infamous tambourine.

    R. Evon Benson-Idahosa, Esq
    R. Evon Benson-Idahosa, Esq

    Losing Her Religion: Nigeria’s Faith Unveiled In The Face Of COVID-19 By R. Evon Benson-Idahosa 10R. Evon Benson-Idahosa, Esq


     

    I remember falling asleep at a Tuesday evening church service as a 9 year old child. I had a tambourine on my lap and as I fell to the floor, it reverberated thunderously throughout the hall, drawing the attention of everyone who had been attentively listening to the dynamic preacherman. I awakened to piercing stares and side eyes- particularly from my father- whose message I had disrupted. Every Nigerian child knows that stare, that glare that silently speaks a thousand words, cloaks you in debilitating fear and assures your quivering being that there will be consequences. Needless to say, it was a quiet ride home and for the rest of the revival week, I was ushered to the front row where I forced my eyes open, humming tunes to myself to stay awake.

    Losing Her Religion: Nigeria’s Faith Unveiled In The Face Of COVID-19 By R. Evon Benson-Idahosa 11Me, circa 1984, in my choir uniform and what was possibly the now infamous tambourine.


    Saying that I literally grew up in church would be an understatement. Week long revival services, such as the one I reference above, were customary. I was also in the choir, went to Sunday school before church services on Sunday, Agape Force Children’s meetings on Saturdays, mid-week services and the occasional 6:30 am morning prayer services, followed by our home bible study with Auntie B. And because my father was Archbishop Benson Idahosa, there were no negotiations. It just was.

    At the age of10, shortly after the infamous “tambourine experience,” the truth of those messages became real and I earnestly became a follower of The Way. And so, as news began to sweep the globe of the novel corona virus and its import, I found myself immediately turning to my faith as a source of comfort and peace. I also called my mother, who now heads CGMI, the global ministry my father left when he passed away 22 years ago. Her words of encouragement and the tone of her voice assured me that, as we like to say in Nigeria, ‘it is well.’

    And it will be.

    But for now, the pandemic continues to rage, as thousands succumb to its will. First China. Then South Korea. Japan. An epidemic. Then Italy, the UK, the US. Thousands upon thousands of cases were being reported and every day brought the reality closer to home. Then it became a global pandemic and as it stands, the WHO estimates that there are 719,700 confirmed cases globally, with almost 34,000 deaths.

    On February 28th, Nigeria, Africa’s most populous nation, confirmed its index case of the corona virus which arrived the country via an Italian businessman. As I write, her Centre for Disease Control is reporting a total of 135 confirmed cases and two deaths, having conducted just several hundred tests, even though thousands of passengers have arrived from varying countries since the index. Self isolation has been deemed an advisory, not mandatory measure.

    Nigeria has taken what some would consider drastic, yet in this writer’s opinion, insufficient and strikingly Western style measures to address what is likely to come in the absence of a miracle. In addition to finally closing her borders from international travelers, including Nigerians, schools have been shut down, civil servants are being asked to work from home, “social distancing” policies are being enacted and several states, including my home state of Edo, have prohibited religious, social and public gatherings of more than 20 persons.

    In a country where over 90% of her citizens profess to be religious, most Nigerians are accustomed to turning to their faith in times of crisis. The corona virus pandemic is no exception. Many who had strayed from God are now repenting of their sins and brandishing the sign of the cross as they leave their homes. Others are praying for a “Passover,” as CNN and other news outlets flood us with “end of the world,” doomsday messaging. As a result, many of us are yearning to collectively gather to pray.

    Whether the desire to collectively gather is buttressed by denial (“coronavirus is not here” — “the spirit of corona virus is dead in Nigeria”) or stems from a deep seeded longing for God to show mercy to a healthcare system that is wholly unprepared to handle the worst case scenario, the fact remains that Nigeria’s religious faithfuls are unaccustomed to missing gatherings for anything. Services are considered sacred times to commune with God and to be encouraged by the brethren. Others hang on to every word of their clerics who, in some cases, insist on serving as a religious crutch- intermediaries between their congregants and God. Many believers who engage with God on a transactional basis come bearing tithes and/or offerings in the hopes that God will hear their prayers. (He hears them regardless.)

    As such, the prohibition on religious gatherings of more than 20 (which essentially translates to a prohibition of services in general) has resulted in many Nigerian believers losing their ‘religion,’ i.e., left bewildered as to how to make the adjustment to a God who potentially exists outside the four walls of their churches; to a God who speaks directly to them in God’s long forgotten voice. Who, precisely, are Nigerian believers without our religions and religious houses of worship?

    Could it be that for the first time in a long time, Nigerian believers are being presented with a church-less opportunity to develop even more meaningful personal relationships with their God; to ‘lay hands’ on themselves and speak words of healing into their children from a God who has always heard them? Could this pandemic serve as an opportunity for believers to be what Murray Bowen describes as a ‘non-anxious presence’ to those who may be paralyzed by fear? Or as a practical example, to give our hired staff the much deserved paid time off to assuage the fears of their own elderly parents? As we creatively consider our individual responses, it is imperative that we recognise that our actions are a reflection of what we truly believe about our faith and the One who implores us to be salt and light.

    As the Church, however, it is unhelpful that some of our pastors are refusing to comply. The other day, I was tagged on a rather unfortunate video of a pastor irresponsibly screaming to congregants that the corona virus cannot withstand Nigeria’s “corrosive anointing.” However, even Jesus instructed us to obey the law of the land (render unto Caesar what is Caesar’s). This blatant refusal to consider the reality that may most aggressively affect those on the margins begs the question of why some churches are so adamant against temporarily closing their doors.

    Sure, we all need hope and encouragement in these perilous and uncertain times, but have we not, after all these years, fed the flock enough “meat” to trust that they can and will turn to God for themselves? Or are we, draped in our own egos, more selfishly concerned that they may not return to our fold and thus, affect our financial bottom line?

    It is not a lack of faith to use wisdom or to be practical. Even Jesus reached out his hand to save Peter when he could easily have let him drown and then used his “corrosive anointing” to raise him from the dead. Wisdom is profitable to direct and I believe my father, who I consider one of the greatest men of faith to ever walk this earth, would have done the needful to protect the sheep. My mother most certainly is.

    To this end, some larger churches are offering their services online. However, for the working poor who faithfully make up the backbone of most Nigerian churches, internet connectivity and/or live streaming of an entire service make that option impractical and/or unaffordable. They are the ones, who because they live day to day, cannot afford to practice social distancing, “stay at home” and for some, even “wash your hands,” because soap becomes a luxury when one’s ‘daily bread’ is devoid of the ‘daily.’ If our government does not step up to courageously seek support that is tailored to our unique realities and then provide that support to those on the margins, the import of the corona virus in our beloved Nigeria could be felt by generations to come.

    As such, could this pandemic present an opportunity for churches to fill the glaring gaps and practically serve the last and the least in a manner that reveals who we profess to be as followers of The Way? Might this be an opportunity for the church to put our egos aside and creatively heed Jesus’ instructions to ‘feed my sheep’, to apply the Balm of Gilead, by serving those who will be most physically, mentally and economically impacted? Practically speaking, could we convert our sanctuaries to temporary hospitals or food pantries where those in need can obtain essentials? Can we use the funds of those who have faithfully donated over the years to buy ventilators and personal protective gear for our hospitals and health workers on the front lines? Can we purchase hygiene products and distribute them to those who may be confined to their homes? This, I believe, is our mandate.

    At the end of the day, my faith in God runs deep. It has guided my life since I was 10 and I prayerfully trust that we will get through this. But as the Nigerian Church temporarily loses her ‘religion’ and her faith is unveiled in the face of COVID-19, she is presented with an opportunity to reverberate thunderously and rise up to be who she professes for such a novel time as this. After all, in the words of Dietrich Bonhoeffer, ‘the church is the church only when it exists for others…not dominating, but helping and serving.’

    WRITTEN BY

    R. Evon Benson-Idahosa, Esq.

    Lead table turner and expert troublemaker at Pathfinders Justice Initiative (www.pathfindersji.org); creating more space for women at the table.

     

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