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Amidst Coronavirus, Ogun Health Workers Underpaid By Tao Bakare

Tao Bakare

Tao Bakare

As the global pandemic continue to hold the world to ransom, nations all over the world continue to search for the ‘messiah vaccine’. Despite the fact that Covid-19 has successfully exposed even the supposed perfect and big countries in terms of inadequate health facilities, Cuba have come to the rescue.

However, Nigeria remains wanted in the battle for cure as the President have never for once failed to disappoint Nigerians.

Meanwhile, Ogun State, in the South-West region, which is one of the hotspot of the virus, has failed woefully in responding to the deadly situation.

Since the outbreak of the pandemic in Nigeria, Ogun State has recorded over three cases, while the state government has done almost nothing, but, mere cheap talk on radio, television and print. The governor has announced several millions of naira, while in reality, nothing is there to show for it.

Recently, Governor Dapo Abiodun announced that the state is working on an isolation centre in Ikenne Local Government. Good news, I am writing this piece from Ikenne right now, there is nothing in Ikenne. I call on Governor Dapo Abiodun to prove me wrong.

Also, with the state housing one of the major (but poorly funded) teaching hospitals in Nigeria, Olabisi Onabanjo University Teaching Hospital, Sagamu, one would think that the state will be more active in response to the pandemic. But the fact is that Olabisi Onabanjo University Teaching Hospital cannot even boast of a broken ventilator, let alone a functional one. Shame on the state government.

It is also sacrosanct to note that the welfare of health workers in Ogun State especially at Olabisi Onabanjo University Teaching Hospital is nothing to write home about. Apart from the fact that these ‘warriors’ have to work restless shifts of about 10 hours everyday, they do not even have enough items to discharge their duties properly. The sad news is, it is in OOUTH that nurses run out of face masks, gloves and sanitiders amidst a deadly virus.

Another major point of call is the remuneration of these health workers. The administration of former governor, Ibikunle Amosun, paid just four months out of the nine months arrears owed workers by the Gbenga Daniel regime still the present regime of Dapo Abiodun continue to hover around the same trend.

Of course, it is reasonable enough that amidst this pandemic, the welfare of our health workers should be held paramount by any reasonable government. But in Dapo Abiodun’s Ogun State, the shadow is the reality.

On arrival of Dapo Abiodun’s administration, thousands of promises were made to the people but a lot has remained unfulfilled.

The situation in Ogun State is no different from scenes in horror movies as both doctors and nurses are lamenting underpayment and little or no remuneration at all.

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April 2, 2020
Legal Issues Arising From Management Of Covid-19 Patients By Ahmed Adetola-Kazeem

A lot of legal issues are bound to arise as an aftermath of the outbreak of Coronavirus otherwise referred to as COVID-19. There is therefore a need to shed light on some of the issues that may arise and how to navigate them. This article will x-ray the rights of patients, the rights of health workers and the basic minimum obligations of the government.

The Code of Medical Ethics in Nigeria 2008 lists acts that constitute professional negligence. Rule 29.4 of the Code outlines some of these acts as follows:-

a)      Failure to attend promptly to a patient requiring urgent attention when the practitioner was in a position to do so;

b)     Manifesting incompetence in the assessment of a patient;

c)      Making an incorrect diagnosis particularly when the clinical features were so glaring that no reasonable skillful practitioner could have failed to notice them;

d)     Failure to advise, or proffering wrong advice to a patient on the risk involved in a particular operation or course of treatment, especially if such an operation or course of treatment is likely to result in serious side effects like deformity or loss of organ, or function;

e)      Failure to obtain the informed consent of the patient before proceeding on any surgical procedure or course of treatment when such consent was necessary;

f)       Making a mistake in treatment e.g. amputation of the wrong limb, carelessness that results in the termination of a pregnancy, prescribing the wrong drug, or dosage in error for a correctly diagnosed ailment, etc;

g)     Failure to refer, or transfer a patient in good time, when such a referral or transfer was necessary;

h)     Failure to do anything that ought reasonably to have been done under any circumstance for the good of the patient;

i)       Failure to see a patient as often as his medical condition warrants or to make appropriate comments in the case notes of the practitioner’s observations and prescribed treatment during such visits. It also includes failure to communicate with the patient or with his relatives as may be necessary with regards to any developments, progress or prognosis in the patient’s condition.

Rule 11.2 of the 2008 Code of Medical Ethics in Nigeria provides that, “A physician shall preserve absolute confidentiality on all he knows about his patient even after the patient has died.”

             Rule 44 of the Code of Medical Ethics has extensive provisions on Confidentiality and when disclosure of information can be made. The Rule provides in part that:

“Disclosure of information on the patient by the doctor can only be made following an informed consent of the patient in writing. It is clear that the ethic covers even such information as induced abortion, venereal disease, attempted suicide, concealed birth and drug dependence but would exclude situations in which a discretionary breach of confidentiality is necessary to protect the patient or the community from danger and this must be made clear to the patient at the time of the confidential disclosure. Where statutory notification of disease is involved, the consent of the patient is not required.”

            Confidentiality: To Disclose Identity Of Covid-19 Patients Or Not To Disclose?

COVID-19 is an infectious disease caused by a newly discovered coronavirus. Most people infected with the COVID-19 will experience mild to moderate respiratory illness and recover without requiring special treatment. Older people, and those with underlying medical problems like cardiovascular disease, diabetes, chronic respiratory disease, and cancer are more likely to develop serious illness.[1]

The Federal Ministry of Health confirmed the first case of COVID-19 in Nigeria on the 27th of February 2020. It is the case of an Italian citizen who works in Nigeria and returned from Milan, Italy to Lagos, Nigeria on the 25th of February 2020. In reaction to the report, the social was divided between those who want the name of the Italian disclosed and those that preferred it remains confidential. The outcry was even more when the Chief of Staff to the President tested positive according to reports from various media houses[2], but the Minister of Health decided to keep mute on the identity of the President’s aide who contacted the virus, citing confidentiality.

It will ordinarily be wrong to disclose the medical status of someone infected with COVID-19, for instancethe case of the Italian who was the index case. However in view of the proviso to Rule 44 of the Code of Medical Ethics 2008 which provides that a discretionary breach of confidentiality is necessary in order to protect the community from danger, I am of the view that the test results of popular figures who hold strategic offices like the Chief of Staff to the President or a Governor must be disclosed to guaranty public safety. This is necessary in view of the countless number of people from all works of life they come in contact with on a daily basis. It will be correct to have made their status public in the overriding interest of the public, since it will enable those who have come in contact with them isolate, just like we have seen in the cases of the British Prime Minister, the Bauchi State Govenor, Prince Charles, the First Lady of Canada and many more. We must commend those who announced their status in public themselves-it is the best thing to do in the interest of humanity

The World Health Organization (WHO) provides additional guidelines for the management of coronavirus patients specifically.[3]

Health workers should:

•follow established occupational safety and health procedures, avoid exposing others to health and safety risks and participate in employer-provided occupational safety and health training;

•use provided protocols to assess, triage and treat patients;

•treat patients with respect, compassion and dignity;

•maintain patient confidentiality;

•swiftly follow established public health reporting procedures of suspect and confirmed cases;

•provide or reinforce accurate infection prevention and control and public health information, including to concerned people who have neither symptoms nor risk;

•put on, use, take off and dispose of personal protective equipment properly;

•self-monitor for signs of illness and self-isolate or report illness to managers, if it occurs;

•advise management if they are experiencing signs of undue stress or mental health challenges that require support interventions; and

•report to their immediate supervisor any situation which they have reasonable justification to believe presents an imminent and serious danger to life or health.

Doctors and health workers in Nigeria must endeavor to digest the guidelines in the Code of Medical Ethics as well as the WHO Guidelines for management of Coronavirus victims and ensure they work strictly by their provisions. A breach of these duties have dire consequences.

Options Available To Covid-19 Patients Who Are Victims Of Medical Negligence

A Coronavirus patient who has suffered medical negligence has a number of options:

1. He could file a complaint with the regulatory body (e.g. the Medical and Dental Council of Nigeria, in the cases involving a Doctor). The Doctor will in the first instance be investigated by the Medical and Dental Practitioners Investigation Panel, after which he will be tried by the Medical and Dental Practitioners Disciplinary Tribunal. If found culpable, the Doctor may be warned, suspended from practicing for a period not exceeding 6 months or in very serious cases, have his name can be removed from the Register of Medical Practitioners. The Medical and Dental Practitioners’ Disciplinary Tribunal does not award monetary damages.

2. A suit can be filed against the Medical Doctor, the Hospital, Agency or Government in the High Court for Medical Negligence and monetary damages will be awarded if the Defendant(s) are found culpable.

      3. If there is an element of Crime, a report could be made to the Police who would conduct Criminal Investigation and where the investigation reveals gross negligence, recklessness or wanton disregard for life of the victim, the police can prosecute or forward the case file to the office of the Attorney General of the State for possible prosecution in deserving cases.

A Need To Do More For Doctors And Other Professionals In The Health Sector

Health workers are at the front line of any outbreak response and as such are exposed to hazards that put them at risk of infection with an outbreak pathogen (in this case COVID-19). Hazards include pathogen exposure, long working hours, psychological distress, fatigue, occupational burnout, stigma, and physical and psychological violence.

During the outbreak of Ebola more than 500 health care workers died in Guinea, Liberia and Sierra-Leone alone. We also lost some of our finest doctors and health workers to the disease in Nigeria, the most prominent being Dr. Stella Adadevoh, who is credited with having curbed a wider spread of the Ebola virus in Nigeria by placing the index patient, Patrick Sawyer, in quarantine despite pressures from the Liberian government. As we speak, The coronavirus is waging a war of attrition against health care workers throughout the world, but nowhere is it winning more battles at the moment than in Italy and in Spain, where protective equipment and tests have been in severely short supply for weeks. In Spain 13.6% (6500) of those affected with the coronavirus are health workers and in Italy 10% (7400) of those affected with the virus are health workers. [4] In New York dozens of health workers have been affected with the virus, while hundreds are in quarantine.[5] According to reports filtering in as the time of concluding this article, three health workers have been infected with COVID-19 in Abuja, Nigeria.[6]

Human Rights Watch research into health system collapse in Hungary and Venezuela suggests the nations’ mismanaged, underfunded, and understaffed public healthcare system is poorly equipped to handle a COVID-19 outbreak. Patients and medical experts described a lack of basic hygiene protocol, lack of isolation rooms, and a shortage of health professionals, doctors and nurses, and medical supplies in general.

The situation is not too different in Nigeria at the moment and except something drastic is done we might be witnessing a devastating effect of the pandemic. Nigeria’s, public health capacity has been diminished by large scale public sector corruption. Medical personnel lack surgical masks and local supplies have been diverted and shipped to other markets partly due to corruption. Many states are ill-prepared to combat the impeding surge in patients. A senior health worker with a government hospital in Abuja, in an interview with Sahara Reporters, lamented the lack of quality Personal Protective Equipment for them, adding that government must invest in the protection of health workers at the frontline of the battle against the virus. He said, “The unfortunate thing is that the government is not providing us with what to work with. It is sad that our PPE are not up to the world standard and can be penetrated by viruses. Some of us (health workers) have to use our personal funds to purchase gloves as we do not trust the ones government supplied. Nigerians should please remember us in their prayers and government should provide us with what we really need to work.” [7]

There was report that in Bauchi State a Coronavirus patient rejected the isolation centre at the Bauchi Specialist Hospital and went back home while describing it as “too dirty”.[8]

It is disappointing to hear that the hazard allowance for doctors and health workers is N5,000 per month in Nigeria. The amount is very paltry compared to the risks and the attendant emotional and psychological stress suffered by the health-care workers (HWCs) particularly during monumental outbreaks like this. Unfortunately, when a patient is mismanaged, these doctors and health workers bear the burden of paying huge compensation and sometimes losing their jobs. More importantly, the brain-drain in the health sector is monumental, almost all my friends who are doctors, work abroad. Unfortunately, there are concerted efforts by the US Government to engage foreign Doctors to further fortify its health work force as COVID-19 ravages. Many young Nigerian doctors are already considering the offers because the Nigerian government has paid little attention to their welfare and the welfare of the general health workforce. To stop the exodus of our doctors, who are already in short supply, the government must act fast by improving their welfare packages in line with acceptable international standards.

The psychological needs of doctors and health workers are also often ignored. Unsafe working conditions contribute to health worker attrition in many countries due to work-related illness and injury and the resulting fear of health workers of occupational infection, including from HIV and Tuberculosis. The 2006 World Health Report – Working Together for Health reported on a severe health workforce crisis in fifty-seven countries, most of them in Africa and Asia. [9]

Protecting the occupational health of health workers is critical to having an adequate workforce of trained and healthy health personnel. Governments at the Federal and State levels are urged to do more by complying fully with the World Health Organization’s guidelines regarding the Rights of Health Workers while combating COVID-19. Some of the rights are:

·         assume overall responsibility to ensure that all necessary preventive and protective measures are taken to minimize occupational safety and health risks;

·         provide information, instruction and training on occupational safety and health, including; Refresher training on infection prevention and control(IPC); and Use, putting on, taking off and disposal of personal protective equipment(PPE);

·         provide adequate IPC and PPE supplies (masks, gloves, goggles, gowns, hand sanitizer, soap and water, cleaning supplies) in sufficient quantity to healthcare or other staff caring for suspected or confirmed COVID-19 patients, such that workers do not incur expenses for occupational safety and health requirements;

·         not be required to return to a work situation where there is continuing orserious danger to life or health, until the employer has taken any necessary remedial action;

·         allow workers to exercise the right to remove themselves from a work situation that they have reasonable justification to believe presents an imminent and serious danger to their life or health. When a health worker exercises this right, they shall be protected from any undue consequences;

·         honour the right to compensation, rehabilitation and curative services if infected with COVID-19 following exposure in the workplace. This would be considered occupational exposure and resulting illness would be considered an occupational disease,

·         provide access to mental health and counselling resources; and

·         enable co-operation between management and workers and/or their representatives. Etc.

In conclusion, professional care givers for COVID-19 patients should uphold four basic principles formulated by Beauchamp and Childress in their book ‘Principles of Biomedical Ethics’ in order to protect themselves from liability for negligence. The four basic principles are autonomy, beneficence, non-maleficence and justice.

Autonomy: People have the right to control what happens to their bodies. This principle simply means that an informed, competent adult patient can refuse or accept treatments, drugs, and surgeries according to their wishes. People have the right to control what happens to their bodies because they are free and rational. And these decisions must be respected by everyone, even if those decisions aren’t in the best interest of the patient.

Beneficence: All healthcare providers must strive to improve their patient’s health, to do the most good for the patient in every situation. But what is good for one patient may not be good for another, so each situation should be considered individually. And other values that might conflict with beneficence may need to be considered.

Non-maleficence: “First, do no harm” is the bedrock of medical ethics. In every situation, healthcare providers should avoid causing harm to their patients. You should also be aware of the doctrine of double effect, where a treatment intended for good unintentionally causes harm. This doctrine helps you make difficult decisions about whether actions with double effects can be undertaken.

Justice: The fourth principle demands that you should try to be as fair as possible when offering treatments to patients and allocating scarce medical resources. You should be able to justify your actions in every situation. For instance, it will amount to a professional misconduct for a Health-care Worker to remove a poor man from the ventilator because a Senator was rushed in.

Ahmed Adetola-Kazeem is a partner in Adetola-Kazeem Legal Practice and specializes in Medical and Health Law

Email: aadetolakazeem@gmail.com;aadetolakazeem@gaklp.com

[1] https://www.who.int/health-topics/coronavirus#tab=tab_1(Accessed on the 28th of March 2020)

[2] https://businessday.ng/coronavirus/article/abba-kyari-tests-positive-for-coronavirus-buhari-negative/

https://www.channelstv.com/2020/03/24/buharis-chief-of-staff-abba-kyari-reportedly-tests-positive-for-coronavirus/ (Accessed on the 28th of March 2020)

[3] Coronavirus Disease (Covid-19) Outbreak: Rights, Roles and Responsibilities Of Health workers, Including Key Considerations For Occupational Safety And Health”. https://www.who.int/docs/default-source/coronaviruse/who-rights-roles-respon-hw-covid-19.pdf?sfvrsn=bcabd401_0   (Accessed on the 26th of March 2020)

[4] https://abcnews.go.com/Health/wireStory/collapsing-virus-pummels-medics-spain-italy-69789413 (Accessed on 26th March 2020)

[5] https://www.washingtonpost.com/health/covid-19-hits-doctors-nurses-emts-threatening-health-system/2020/03/17/f21147e8-67aa-11ea-b313-df458622c2cc_story.html (Accessed on 28th of March 2020)

[6] http://saharareporters.com/2020/03/28/exclusive-two-nurses-one-doctor-infected-coronavirus-abuja-hospital

[7] Supra

[8] https://www.dailytrust.com.ng/coronavirus-patient-rejects-bauchi-isolation-centre-returns-home.html (Accessed on 28th March 2020)

[9] https://www.who.int/occupational_health/topics/hcworkers/en/(Accessed on 26th March 2020)

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April 2, 2020
43,462 clinical samples taken for testing so far: Health DG

PUTRAJAYA: A total of 43,462 clinical samples have been taken for Covid-19 testing to date, Health director-general Datuk Dr Noor Hisham Abdullah said today.

Of those, 2,908 samples tested positive, 32,894 turned out negative while 7,660 samples are pending results, he said.

Dr Noor Hisham said the MOH is capable of handling 11,500 tests daily, now that 48 of its laboratories are working together with those from public and private higher learning institutions, the Malaysia Genome Institute (MGI), Institute For Medical Research (IMR) and Malaysian Armed Forces hospitals.

He said the MOH was also conducting tests on the rapid antigen test kits from South Korea, adding that if the accuracy level to locate Covid-19 is found to be high, the ministry will then order 200,000 units.

Dr Noor Hisham said with those kits, clinical samples need not be sent for laboratory testing any longer.

“Testing can be done at the clinics or hospitals and they would only require biosafety cabinets, so with these test kits from Korea, we would be able to obtain results much faster,” he said at the ministry’s Covid-19 daily briefing, here today. – Bernama

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April 1, 2020
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.

R. Evon Benson-Idahosa, Esq

R. 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.

Me, 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.

Four new cases of #COVID19 have been reported in Nigeria; 3 in Osun and 1 in Ogun

As at 11:15 am 31st March there are 135 confirmed cases of #COVID19 reported in Nigeria with 2 deaths pic.twitter.com/6ziPXCPVMu

— NCDC (@NCDCgov) March 31, 2020

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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April 1, 2020
World TB Day 2020 Newsletter

Latest news and updates from WHO

Dear colleagues and friends,

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

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

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

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

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

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

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

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

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

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

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

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

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

It’s time to End TB!

Dr Tereza Kasaeva
Director
Global TB Programme
World Health Organization

World TB Day Talk Show

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

Spotlight on TB Preventive Treatment

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

24 March 2020 News release

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

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

WHO Civil Society Taskforce on TB: Progress Review

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

Access link here

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

WHO Global TB Programme / McMaster University

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

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

WHO eTB guidelines platform

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
3 Elements of Network Marketing Success

There are great deals of people that are making moves online, and they are profiting at every turn. You might see them living lavish lives without having to wake up and work the traditional 9 to 5 job. If that’s something that you want to jump into, you’ll need to master a few elements of network marketing success. Working on the net and having a lot of money doesn’t come without its own set of headaches. There are millions of people that realize that too late and end up losing a lot of money in the process. Instead of making those common mistakes that most people make, you can dodge bullets with ease if you just think about the 3 elements below…

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March 30, 2020
Information sharing on COVID-19
WHO’s focus at all times is to ensure that all areas of the globe have the information they need to manage the health of their people. In a recent interview, the WHO official who headed the joint international mission to China, did not answer a question on Taiwan’s response to the COVID-19 outbreak.

The question of Taiwanese membership in WHO is up to WHO Member States, not WHO staff. However, WHO is working closely with all health authorities who are facing the current coronavirus pandemic, including Taiwanese health experts.

The Taiwanese caseload is low relative to population. We continue to follow developments closely. WHO is taking lessons learned from all areas, including Taiwanese health authorities, to share best practices globally.

With respect to the COVID-19 outbreak, the WHO Secretariat works with Taiwanese health experts and authorities, following established procedures, to facilitate a fast and effective response and ensure connection and information flow.
- There is a Taiwanese International Health Regulations Point of Contact, who receives IHR (2005) communications and has access to the Event Information Site (EIS) Platform (a password-protected database and information exchange mechanism supporting the IHR (2005)).
- The Taiwanese Field Epidemiology Training Program is a member of the Training Programs in Epidemiology and Public Health Interventions Network (also known as “TEPHINET”). WHO shares Global Outbreak Alert and Response Network alerts and requests for assistance with TEPHINET, and those messages are cascaded to the TEPHINET members.
- Two Taiwanese public health experts participated in the Global Research and Innovation Forum organized by WHO on 11-12 February 2020, thus contributing, alongside other world scientists, including from mainland China, to critical research questions and to finding ways to work together to advance the response.
  WHO staff work around the world to respond to this pandemic with the best evidence-based guidance and operational support available for all people, based on public health needs. Membership in WHO and status issues are decided by Member States and the rules they set at WHO’s governing body, the World Health Assembly.
  
  Information about COVID-19 can be found here: https://www.who.int/emergencies/diseases/novel-coronavirus-2019
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March 30, 2020
BREAKING: Buhari’s Chief Of Staff, Kyari, Says He Is Transferring To Lagos For Medical Treatment, Confirms SaharaReporters Story

Abba Kyari, Chief of Staff to Nigeria’s President, Muhammadu Buhari, who tested positive for Coronavirus, has said that he will be moving to Lagos for “additional care and observation”.

Recall that SaharaReporters had exclusively reported that Kyari was seriously ill and tested positive for the virus after returning from a trip to Germany and Egypt.

SaharaReporters had also reported that the Presidency was making plans to move Kyari to Lagos for intensive care.

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EXCLUSIVE: Presidency To Move Abba Kyari To Lagos For Treatment After Testing Positive For Coronavirus

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Kyari in a statement on Sunday said, “I am writing to let you know that on medical advice I will transfer to Lagos later today for additional tests and observation.

“This is a precautionary measure: I feel well, but last week I tested positive for Coronavirus, the pandemic that is sweeping the world. I have followed all protocols government has announced to self-isolate and quarantine.

“I have made my own care arrangements to avoid further burdening the public health system, which faces so many pressures.

“Like many others that will also test positive, I have not experienced high fever or other symptoms associated with this virus and have been working from home. I hope to be back at my desk very soon.

“Like the whole world, we are dealing with a new disease. Our experts are learning more all the time about Coronavirus, what it does and how we can combat it.

“This is a disease that recognises no difference between North and South, men or women, rich or poor. We are all in this together.”

Nigeria so far has 97 confirmed cases of the virus and one recorded death.

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March 30, 2020
Coronavirus: United States Urges Doctors, Nurses Worldwide To Apply For Its Visas

The United States Government has urged nurses and doctors around the world interested in working in America to put in for its work visas at the nearest US Embassy to them.

The move is part of strategies the United States was adopting to increase the number of health workers combating the Coronavirus pandemic in the country.

In a statement on Friday, the US authorities called on foreign medical professionals already in America to be in touch with their sponsors to extend their programmes.

The statement read, “We encourage medical professionals seeking to work in the United States on a work or exchange visitor particularly those working to treat or mitigate the effects of COVID-19, to reach out to the nearest embassy or consulate to request a visa appointment.

“For those foreign medical professionals already in the United States: J-1 Alien Physicians (medical residents) may consult with their programme sponsor, ECFMG, to extend their programmes in the United States.

“Generally, a J-1 program for a foreign medical resident can be extended one year at a time for up to seven years.”

At least 63,570 people have been infected with the virus and nearly 884 have died in the United States.

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March 28, 2020
COVID-19: Should Education Hit A Pause Or Are We Just Unprepared In Nigeria? By Olabisi Deji-Folutile

Olabisi Deji-Folutile

Olabisi Deji-Folutile

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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March 27, 2020