Tag: healthcare

  • Big Tent for Peter Obi hosts listening clinic on healthcare

    Big Tent for Peter Obi hosts listening clinic on healthcare

    Consistent with its mantra of big thinking and innovation in policy direction driven by the need of the Nigerian people, the umbrella body of the Peter Obi Presidential campaign organisation, the BIG-TENT for Peter Obi has organised the first-ever global town hall meeting on healthcare, the first in a series, designed to listen to Nigerians in every facet of national development.

    In his opening remarks at the town hall meeting on Monday, attended online and physically by medical practitioners in the country and from across the globe, appropriately tagged “Listening Clinic on Healthcare,” convener of the BIG-TENT for Peter Obi, Professor Pat Utomi, regretted that policy articulation in the country so far is not driven by listening because people in government hardly listen with the attendant consequence of misplaced prioritization in allocation of scarce resources.

    Charles Odibo, Director of Media and Communications for the BIG-TENT for Peter Obi, quotes Professor Utomi as reiterating the importance of effective healthcare delivery in our country as no nation can be prosperous without a viable healthcare delivery system, hence the imperative of the listening clinic to elicit informed feedback from doctors and medics to enunciate healthcare policies that will build a healthy and productive nation that the country desires.

    Opening the discussion, a representative of Doctors and Medics for Peter Obi, a group of voluntary medical practitioners supporting Peter Obi’s candidacy identified primary healthcare delivery as being central in fixing the nation’s decayed healthcare system. Other critical factors needed to improve healthcare delivery, according to this group include the need to give adequate health education to the general public, especially in the rural areas, required infrastructure for primary healthcare, and the need to curb the incessant misapplication of funds in the healthcare system.

    Other medical practitioners, at home and from across the globe regretted that the nation still lacks electronic medical record system and harped on the need for it to be developed urgently so that patients can have unified and integrated records in the system across hospitals nationwide.

    Other issues raised by the participating doctors and medics include the need for effective implementation of the nation’s healthcare insurance scheme to ensure that citizens have access to quality healthcare and guarantee proper funding of the sector; regulation of production, supply, storage, and consumption of drugs; enacting and enforcing regulations to prevent non-certified pharmacists owning and running pharmacies.

    Overall, participants at the town hall meeting were delighted and appreciative of the distinctive and differentiated direction in policy formulation by the Peter Obi team to ignite a bottom-up engagement driven by a common purpose.

    As pointed out by Professor Pat Utomi, this new thinking on governance is about Nigerians getting together to follow a well-articulated national agenda based on Peter Obi’s new approach to governance, an approach that underlies his perspective and future-forward positioning on the polity and state of the nation.

  • FACT CHECK: Did power outage result in death of 14 babies at UPTH?

    Over the weekend, social media was awash with a report that fourteen (14) babies in the neonatal unit of the University of Port Harcourt Teaching Hospital (UPTH), Rivers State died as a result of an epileptic power supply.

    Findings by TheNewsGuru.com (TNG) revealed that the report titled: “Doctors suspend surgery procedures as 14 babies die at UPTH’s incubator due to power outages” was first published by an online news platform called Standard Observers on July 1.

    “I’m saddened. We lost those twins yesterday (June 29) because of power failure at the hospital. More than 14 babies have died at the incubator in the past weeks due to power failure”, the publication quoted a doctor to have said.

    The publication also alleged that the mother of the said twins had been childless for the past seven years.

    How True are these claims?

    Reacting to the report, Special Envoy of the World Health on Organisation Ayoade Alakija, tweeted: “In any country this is a national tragedy and a clean out of ministers. A university teaching hospital is Federal responsibility. 14 babies DEAD! Because no NEPA, no diesel! Our social contract is gone”.

    However, the UPTH issued a statement on July 3 to debunk the report which, it described as an attempt by certain persons to tarnish its image by spreading false messages and information that are inaccurate.

    “We did not record any infant mortality as a result of our electrical power outage due to the faulty transformer. The standby generator serviced the hospital for that period, with all emergency areas fully powered.

    “The management of UPTH frowns seriously at such scandalous social media propaganda that is damaging its image,” the hospital stated.

    TNG investigations revealed that there has been prolonged power outage at the hospital in recent months and while the hospital has an alternative source of power as back up, it is only used a limited number of hours in the day.

    Our sources informed us that due to the erratic power supply, babies in incubators were discharged and parents were asked to seek care elsewhere.

    Nevertheless, two persons, Ada Chukwuokike and Erinma Ukonu claimed to know two of the affected families.

    While Chukwuokike said she’s a family friend to one of the victims who had been childless for 10 years, Ukonu said “My town brother child die there too last week in their Incubator. It hurt a lot”.

    VERDICT

    MISLEADING: There is not enough evidence to prove that recent infant mortality at the hospital, where they exist, was caused by epileptic power outage. The report that 14 neonatal deaths occurred at the UPTH due to power outage is therefore misleading.

  • Monkeypox: Nigeria reports six cases, one death in May

    Monkeypox: Nigeria reports six cases, one death in May

    The Nigeria Centre for Disease Control (NCDC), in its latest report on Monkeypox, said the country recorded six cases and one death in May.

    The centre said that Nigeria’s risk of exposure to the Monkeypox virus was high based on the recent risk assessment it conducted.

    The NCDC in its latest epidemiological summary on Monkeypox which was published on Sunday evening noted that since January 2022, Nigeria had continued to report sporadic cases of the disease.

    Monkeypox is an uncommon disease caused by infection with the Monkeypox virus, which belongs to the Orthopoxvirus genus in the Poxviridae family.

    According to the World Health Organization, the disease is only seen in West and Central African countries.

    It has, however, been reported in other countries of the world, including the United States, the United Kingdom, Canada, and Italy.

    According to it, this year, as of 29th May 2022, a total of 21 confirmed cases with one death have been reported from 9 states and the FCT – Adamawa (5), Lagos (4), Bayelsa (2), Delta (2), Cross River (2), FCT (2), Kano (2), Imo (1), and Rivers (1).

    It stated that one death was reported in a 40-year-old patient who had underlying co-morbidity and was on immunosuppressive medications.

    The NCDC said that among the 21 cases reported in 2022 so far, there had been no evidence of any new or unusual transmission of the virus, nor changes in its clinical manifestation documented (including symptoms, profile and virulence).

    It said a National Technical Working Group (TWG) was set up and saddled with the task of monitoring infections and strengthening preparedness and response capacity.

    The Disease Agency said that Genomic surveillance was ongoing at NCDC’s National Reference Laboratory in Abuja and so far all of the cases have been confirmed to be caused by the West African clade Monkeypox virus.

    “The TWG coordinated the development of national Monkeypox guidelines, capacity building of healthcare workers and surveillance officers on case detection, sample collection, laboratory testing for confirmation and sequencing of the virus at NCDC’s National Reference Laboratory”.

    It also intensified public awareness through risk communication.

    The Agency said that the Emergency Operations Centre for Monkeypox would continue to monitor the evolving situation to inform public health action accordingly.

    “Symptoms of monkeypox include sudden fever, headache, body pain, weakness, sore throat, enlargement of glands (lymph nodes) in the neck and under the jaw, followed by the appearance of a rash (often solid or fluid-filled at the onset) on the face, palms, soles of the feet, genitals and other parts of the body,” it said.

    The NCDC emphasised that members of the public should remain aware of the risk of Monkeypox and adhere to public health safety measures.

    The centre also urged the public to report to the nearest health facility if they noticed the known signs and symptoms of the disease.

    It also advised Healthcare workers to maintain a high index of suspicion for Monkeypox and report any suspected case to the relevant state Epidemiology Team for prompt public health intervention including sampling for confirmatory testing.

  • Anambra Govt. to utilise telemedicine to improve healthcare delivery — Commissioner

    Anambra Govt. to utilise telemedicine to improve healthcare delivery — Commissioner

    The Anambra Government says plans are underway to commence the utilisation of telemedicine to make up for the deficit in healthcare professionals in the state.

    The Commissioner for Health, Dr Afam Obidike, said this in an interview with newsmen in Awka on Tuesday.

    According to him, the initiative will increase access and improve healthcare delivery in the state.

    He said telemedicine is the use of telecommunication technology to remotely diagnose and treat patients from any location, adding that it could be through telephone conversation, e-mail or instant messaging conversation.

    He added that “it is an innovative way of getting access and delivering healthcare through digital devices such as the mobile device and computers.

    “We are aware that we have a shortage of health personnel in some hospitals when we took over office. We cannot prevent the issue of brain drain, but we are not perturbed.

    “This is why Gov. Charles Soludo is working to ensure that Anambra becomes one of the first states to implement what we call ‘Telemedicine.

    “Telemedicine means that you can be in the comfort of your home and book appointment to see a doctor that is working anywhere in the world.

    “Telemedicine can prospectively improve the health and well-being of people by making up for the shortage in healthcare personnel, reduce delays in accessing healthcare due to distance and increasing access to quality health.

    “We have reached advanced stage of the agreement with some partners that came in from U.S. and UK recently and we are having positive discussions. By God’s grace, it will commence by August.”

    The commissioner also said that the Ministry of Health was waiting for the governor’s approval to commence the employment of health personnel.

    “I have visited about six general hospitals unannounced since I resumed office and it is so sad to see that some hospitals do not have doctors, while some workers do not report to work.

    “So, in terms of monitoring of health personnel, we are planning to have a health management information system in hospitals whereby workers will clock-in and it will reflect attendance to work.

    “Our plan is to give residents of Anambra quality healthcare.”

  • Senate probes abandoned N400bn project initiated by ex-President Obasanjo

    Senate probes abandoned N400bn project initiated by ex-President Obasanjo

    The Senate has mandated the Committees on Health, Primary Health Care and Communicable Disease, Works, and Housing to investigate the abandoned N400 billion naira National Primary Health Center Project initiated by former President Olusegun Obasanjo across the 774 Local Government Areas in Nigeria.

    The resolution was reached on Wednesday during plenary by the chamber after it considered a motion to that effect.

    The motion, “Need to investigate the abandoned Four Hundred Billion Naira National Primary Health Center Project”, was sponsored by Senator Yahaya Oloriegbe (Kwara Central).

    Oloriegbe, in his presentation, noted that the National Primary Health Center project was initiated by the administration of former President Olusegun Obasanjo in 2006.

    According to the lawmaker, the project was to build in each of the 774 Local Government Areas in Nigeria, a sixty (60) bed Primary Health Center to be complimented with a three bedroom flat, doctors quarters, an ambulance, all basic hospital equipment and drugs.

    He explained that, “in order to achieve this lofty project, the Federal Government deducted monies from the excess crude account of all the 774 Local Government Areas on a monthly basis, warehouse the same with the then Platinum Habib Bank (now Keystone Bank) until the funds required for the actualization of the project was realized;

    “Aware that the Bill of Quantities for the project was prepared by the then Federal Ministry of Works and Housing and approved by the Bureau of Public Procurement;

    “Further aware that despite all those professional pre-contract activities, the contract for the execution of the projects in the entire 774 Local Government Areas was awarded to Messrs Mattans Nig. Ltd without any known tendering and selection process;

    “Observes that Messrs Mattans Nig. Ltd Proceeded and sub-contracted out the jobs to consultant and sub-contractors without any verification of capacity and capabilities to properly execute the jobs a consent of the government or its agencies involved then;

    “Further observes that various sums of money were released to these sub-contractors through the accounts of Messr Mattans Nig. Ltd domiciled with the then platinum Habib Bank (now Keystone Bank) to carry out the projects at the selected locations across the 774 Local Government Areas in the Country; and

    “Disturbed that some of these projects were commenced and abandoned at various stages while majority of them were never started despite huge sums of money released to all the sub-contractors.”

    Contributing, Senator Sadiq Suleiman Umar (Kwara North), said that the delivery of good health care to Nigerians is an aspect that can ensure the development of the country.

    He observed that the recorded successes in health care delivery in developed climes are directly tied to the quality of primary health services.

    “The key policy for primary health care in Nigeria is that every ward across the country must have a functional primary health care center where people can access health care delivery to be able to take care of maternal mortality rates that we are concerned about and other related health issues”, Umar said.

    He lamented that the National Primary Health Center projects dispersed across the various constituencies have been abandoned by the contractors, some of whom are unknown.

    “We need to take this very seriously, investigate this and make sure we know exactly what happened”, he said.

    On his part, Senator Matthew Urhogide (Edo South), said the merit of the National Primary Health Center project cannot be downplayed in view of its importance to health care delivery in Nigeria.

    He added that the project was supposed to be the basis for the establishment of primary health centers in the 774 local government areas.

    He disclosed that recently, some of the representatives of companies who were awarded the contracts appeared before some of the Senate Committees to claim that they haven not been paid for the execution of the projects.

    He added further that there are several committees of the Ninth Senate that have been inundated with several complaints about the projects.

    “I think this is an opportunity for us to really look into this matter dispassionately and put the blame where it is, because Nigerians have been shortchanged by the project.

    “The money has been paid substantially but there in nothing to show for it”.

    “Some of the persons who are connected with this have been trying to talk to people here and there, even in government, to see to it that they are compensated. They cannot be compensated when there is no work done.

    “This Senate will do good if we get our appropriate committees to look into the matter and bring the recommendations to the Senate, so that we can be on the side of the people”, he said.

    Senator Biodun Olujimi (Ekiti South), said the abandoned project was a “commitment to primary health gone wrong”.

    Accordingly, the chamber mandated the Committees on Health, Primary Health Care and Communicable Disease, Works, and Housing to investigate the abandoned N400 billion naira National Primary Health Centre Project initiated by former President Olusegun Obasanjo across the 774 Local Government Areas in Nigeria.

    It resolved that the investigation must determine the status of the 100 percent project funds warehoused with the then Bank PHB (now Keystone Bank); determine the level of progress and status of the projects in each of the 774 Local Government; carry-out evaluation of the consultant, contractor and sub-contractors that participated in the project; carry-out a schedule of dilapidation on the projects; and recommend ways of completing the projects nationwide.

    The Joint Committee was given six weeks to complete the investigation and report back to the chamber in plenary.

  • Army foil attempt to kidnap doctors, nurses providing free healthcare in Imo

    Army foil attempt to kidnap doctors, nurses providing free healthcare in Imo

    Troops of Exercise Golden Dawn have foiled an attempt to abduct a group of doctors and nurses providing free healthcare for residents in Amauju Isu Local Government Area of Imo State.

    The Director of Army Public Relations, Brigadier General Onyema Nwachukwu, disclosed this via a statement.

    While noting that a suspected member of the outlawed Indigenous People of Biafra (IPOB) was killed in a shootout, Nwachukwu said another was nabbed with a gunshot wound.

    “Members of the outlawed group had attempted to kidnap a group of medical doctors and nurses known as, ‘Doctors on the Move Africa’, who were providing free medical care to inhabitants of Amucha Community in Njaba Local Government Area of Imo State,” the statement read.

    “The troops in conjunction with the Nigerian Air Force 211 Quick Response Group and the Nigerian Police on receipt of actionable intelligence on the criminal plot, swiftly moved in and rescued the medical team. The medical team has been escorted to a safe location.

    “The troops afterward went after the hoodlums and made contact with them at Amauju Isu Local Government Area of Imo State, where they were found enforcing the illegal sit at home order in Amauju.

    “In the firefight that ensued, one of the criminals was neutralized, while the others took to their heels. One of them, who had escaped with a gunshot wound was later apprehended by the local Vigilante and handed over to the police.”

  • JOHESU shelves plans to shutdown healthcare services in Nigeria

    JOHESU shelves plans to shutdown healthcare services in Nigeria

    The Joint Health Sector Unions (JOHESU) and Assembly of Healthcare Professional Associations (AHPA) have suspended their threat to shut down healthcare services in the country.

    The unions had earlier threatened to disrupt normal services in hospitals and other healthcare facilities across the country over Federal Government’s inability to meet their members’ demands.

    Mr Matthew Ajorutu, the JOHESU Acting General National Secretary, said this in a communique issued on behalf of JOHESU National Chairman on Tuesday in Abuja.

    Ajorutu said the decision to put on hold their planned industrial action was taken in the interest of giving the federal government an ample opportunity to meet their demands.

    Recall that the union had on Sept. 2, issued the federal government a 15-day ultimatum to meet its demands without which it will embark on nationwide strike at the expiry date.

    The union however stepped down the notice of strike that expired mid-night Sept. 17 and issued a fresh notice of 15 days.

    Ajorutu said that the decision was reached at the end of an emergency meeting of the union’s expanded National Executive Council(NEC) held on Monday in Abuja.

    He also said the decision was unanimously reached by “the Presidents and General Secretaries of affiliate unions and Professional Associations, NEC members of affiliate unions and JOHESU Chairmen and Secretaries at the State and branch levels.

    ”The leadership of JOHESU reasoned that it was necessary to give the Federal Government a conducive environment to present an update on developments with regards to the major demands of JOHESU.

    ”This, especially in the area of adjustment of CONHESS as it was done with CONMESS while also showing evidence based data of the circularisation of the redress of all highlighted service delivery challenges peculiar to members of JOHESU.

    “The expanded NEC lauded the Federal Government for the marginal paradigm shift in resolving some of its demands particularly as it relates the on-going payment of outstanding COVID-19 Special Inducement and Hazard Allowance.

    “In a bid to avoid an endless circus show, the leadership of JOHESU needs to make it unambiguously clear that the meeting with the Federal Government on Wednesday, October 6, will be the ultimate litmus test to evaluate the seriousness of the Federal Government to resolve once and for all.

    ”The tortuous subject matter of adjustment of CONHESS which has lingered since January 2, 2014 (almost 8 years) now and also determine the depth of industrial harmony in the Health Sector.

    “Finally, NEC-in-Session unanimously adopts a resolution to put on hold the notice of strike action due to expire mid-night today, October 4, and wait for the outcome of the meeting with Federal Government on October 6, before issuing a fresh notice of fifteen days,” the communiqué read in part.

  • Buhari, Nigeria’s healthcare and COVID remedies (7), By Ehichioya Ezomon

    Buhari, Nigeria’s healthcare and COVID remedies (7), By Ehichioya Ezomon

    By Ehichioya Ezomon
    As more vaccines are being approved for use against COVID-19, a couple of factors compels the “urgent need” for Nigeria to have the capabilities to develop and manufacture vaccines.
    One: The potential for “vaccine owners” to withhold doses from poor and developing countries, in the face of more rapid spread of the virus “driven largely by surges in South America and India.”
    Two: Nigeria, for lack of the capabilities, reportedly spends over N7 billion annually to import vaccines, with about 80 per cent of the cost subsided by the Global Vaccine Initiative (GAVI). What happens if GAVI withdraws its subsidy?
    So, it’s time the Buhari government took development and production of vaccines seriously, by acquiring the “necessary infrastructure needed for the arduous standardized processes.”
    Enter the National Vaccine Production Laboratory (NVPL), located in Yaba, Lagos, Nigeria’s flagship vaccine producer that went comatose in 1991, with recent efforts to revive it lagging.
    As reported by The Guardian, from 1940 to 1991, the lab even produced vaccines for smallpox, yellow fever, and rabies for export to Cameroon, Central African Republic and a few other countries.
    The lab stopped production in 1991, but the Buhari administration, in 2017, signed a Memorandum of Understanding (MoU) with May and Baker Plc., an indigenous industry, to resuscitate a manufacturing line at the lab, to produce essential vaccines.
    The project handler, Biovaccines Nigeria Limited (BVNL), was to “build local capacity in vaccine production, as well as develop a centre of excellence for research and development of vaccine technology and other biologics.”
    But three years on, the expected roll out in July 2019 of its first locally-produced remedies against yellow fever, tetanus toxoid and hepatitis B hasn’t materialized, as the outfit failed to build a World Health Organisation (WHO) pre-qualified state-of-the-art facility, before vaccine production commences.
    Still, the Project Manager of Biovaccines, Everest Okeakpu, sounds optimistic in an interview: “The Biovaccines initiative is well on track with its mandate to revive local vaccines production, and achieving vaccine security for our country,” he says.
    Mr Okeakpu partly blames the delays on the global lockdowns and restrictions to contain the COVID-19 pandemic, prompting the Board of BVNL to revise and approve “a business plan to align with “the revised GAVI transition plan (2018-2028) for Nigeria.”
    Yet, he insists that “the implementation of the plan is well underway,” as the outbreak of the virus “has further underscored the need to quickly set up the Biovaccines Nigeria Ltd facility.”
    He says this would “help fill in the huge gap that will arise as a result of the large volumes of the COVID-19 vaccines… required to vaccinate people simultaneously in different parts of the world.”
    In November 2020, Health Minister Osagie Ehanire signed an MoU “for market access conditional for technology transfer with BVNL,” with Mr Okeakpu stating, “We are now concluding negotiations with our would-be tech-transfer partners, most of whom are also manufacturers for COVID-19 vaccines.”
    As Biovaccines has begun “procurement for architectural, structural and conceptual, basic and detailed engineering services for the construction of a Greenfield,” the groundbreaking is primed for the first quarter of 2022, eliciting bringing forward the timeline.
    Mr Okeakpu explains: “For projects of this nature, it would usually take about three to four years to go through faculty construction and equipment procurement; facility and equipment commissioning and qualification; process optimization and media fill validation; facility certification; process validation and product registration.
    “But, BVNL is working not only to compress this timeline but also fast-tracking some of them by already importing modular facility to be ready for filling and finishing the COVID-19 vaccine locally. BVNL is working with the Federal Ministry of Health to secure COVID-19 vaccines supply for our country through some of her partners.”
    Mr Okeakpu says the BVNL Board, chaired by Prof. Oyewale Tomori, is pleased with the support of the Buhari administration that would enhance other benefits of a revived vaccine production.
    These include: Job creation, export earnings, development of biotechnological base, ability to develop novel vaccines for fighting Africa-specific diseases, security of quality vaccines, dealing efficiently with pandemic diseases and outbreaks, socio-economic development and enduring partnership opportunities.
    “The future is indeed very bright and has come early,” Mr Okeakpu enthuses, amidst collaborative efforts by the Ooni of Ife, Oba Adeyeye Enitan Ogunwusi (Ojaja II), Lagos-based YEMKEM International Ltd and the Afe Babalola University Ado-Ekiti (ABUAD) in Ekiti State, for local remedies for life-threatening diseases.
    The Ooni, on the platform of Herbal Remedies that he chairs, has unveiled a series of traditional medicines made from herbs, to boost the immune system, and tackle diabetes and high blood pressure, which are underlying ailments susceptible to COVID-19 infection.
    The herbal drugs the Ooni says have received NAFDAC’s approvals in September 2020, are Verozil, an immune booster, and Bitter Leaf Capsule, a remedy for diabetes and high blood pressure.
    At their launch, the Ooni not only testified to the efficacy of the products produced in partnership with Dr. Akintunde Ayeni, the CEO/Chairman of YEMKEM International Ltd, but also to the about 100,000 jobs derivable in the production chain within 15 months.
    “To the glory of God, these products have been tested, especially on thousands of COVID-19 patients, including some in positions of authority, who are now free from the pandemic,” the Ooni said.
    Stakeholders in the health sector that witnessed the ceremony include: the National Agency for Food and Drug Administration and Control (NAFDAC); Standards Organisation of Nigeria (SON); Osun State Ministry of Health; and a representative of the Presidency.
    Dr Ayeni described the development of the herbal products as the greatest achievement in his over 40 years of practice, noting, “it’s more spectacular coming from Ile-Ife, the ‘source of mankind’.”
    He said the Ooni, who conceived the idea of the herbal products, “gave us all the support, including huge sums of money,” and appealed to other monarchs to emulate the Ooni’s good virtues.
    The Ooni has shared his ideas with ABUAD’s founder, Aare Afe Babalola, who has constituted a research group to develop drugs and vaccines from the herbal mixture “proffered” by the Ooni, and presented by a team of researchers, including Prof. Olapeju Esimai, from the research unit of the House of Oduduwa Initiative.
    Consequently, the ABUAD College of Medicine, an outstanding institution in Africa, is upgrading its Laboratory to Level 4 Biosafety, to handle very sensitive and deadly infections like COVID-19.
    Other enhancers of the Ooni’s pursuit in remedies for diseases are an Executive Bill in the National Assembly for a Trado-Medicine Law, and a Foundation established for indigenous research-based initiatives in traditional medicines.
    The Ooni is worried that Africa imports medicines and medical ingredients from developed countries, whereas the continent, as proven, “has the best herbs… for vaccine production.”
    “But he says: “Now that the House of Oduduwa… and Afe Babalola University are about to start aggressive clinical research against deadly diseases, including COVID-19, it is about time we stopped looking up to foreigners to solve our problems for us.”
    Kudos to the Ooni, Oba Ogunwusi, for choosing to add his quota to the advancement of science in finding local remedies for life-threatening diseases, especially in Nigeria and Africa.
    The government should intensify its provision of the conducive environment, and financial interventions, to enable Nigeria produce drugs and vaccines against infectious and deadly diseases.
    Mr. Ezomon, Journalist and Media Consultant, writes from Lagos, Nigeria.
  • Buhari, Nigeria’s healthcare and COVID remedies (5), By Ehichioya Ezomon

    Buhari, Nigeria’s healthcare and COVID remedies (5), By Ehichioya Ezomon

    By Ehichioya Ezomon
    The issue of “vaccine nationalism” has taken root amid worries over inadequate or irregular delivery of COVID-19 vaccines to poor countries, especially in Africa, that are behind in inoculation.
    Of the billion plus vaccine doses administered worldwide, “31 per cent have gone to North America, and under two per cent have gone to Africa” that faces threats of a new, more infectious South African virus variant, 501Y.V2, discovered in December 2020.
    With a surge in infections and deaths in India that’s the main artery of getting the AstraZeneca vaccine administered in Africa; and the COVID-19 vaccine “owners” racing to help out India, Africa will have to wait longer than even anticipated at the best of times.
    Vice President Yemi Osinbajo lately speaks against hoarding of the coronavirus vaccines, warning that current trends in global distribution “is headed towards vaccine nationalism.”
    Prof. Osinbajo says leaders must apply the principle of fairness in addressing challenges in health, the economy, and other issues. He spoke at a virtual forum organised by the Liberty University, an American Christian University, with the theme: “Equity for Africa: Transforming the World through Judeo-Christian Values.”
    “The principle of fairness obliges us, as people of faith, to strive to build a fairer world, a world which takes account of the interests of the poor and marginalised,” Osinbajo said, adding, “It means a world that does not impose unfair burdens on developing countries when global cooperation is required.”
    The Africa Centres for Disease Control and Prevention (Africa CDC) echoes Osinbajo’s anxiety over a seeming lack of “global cooperation” in equitable distribution of COVID-19 vaccines.
    John Nkengasong, head of the Africa CDC, told reporters on April 15 that, “We cannot predict when the second doses will come and that is not good for our vaccination programme.”
    “Africa lags behind most other regions in COVID-19 vaccinations, with just less than 14 million doses having been administered on the continent of 1.3 billion,” Nkengasong said, using Ghana as an example of the dilemma faced by African countries.
    Administering around 742,000 of the 815,000 doses it had received, and about running out, “Ghana, even if they had the money, will not know where to go get the vaccine,” Nkengasong said. “We are in a bind as a continent. Access to vaccines has been limited for us.”
    The World Health Organisation has forewarned in February 2021 of the danger countries withholding COVID-19 vaccines from other countries posed to their own citizens.
    “Once countries with vaccines have vaccinated their health workers and older people, the best way to protect the rest of their own population is to share vaccines to other countries,” WHO said.
    “The longer it takes to vaccinate those most at risk everywhere, the more likely the virus will mutate and evade vaccines,” the global health body said in a weekly epidemiological update.
    Similarly, the Executive Director of Nigeria’s National Primary Health Care Development Agency (NPHCDA), Dr. Faisal Shuaibu, has fingered “a global shortfall of COVID-19 vaccines” as arising from “vaccine nationalism” by producing countries, and manufacturers not meeting their projected targets.
    Reuters/NAN reports that the WHO-backed COVID-19 Vaccines Global Access (COVAX) facility has delivered majority of the vaccines available in African countries, and “aims to deliver 600 million shots (for the two-dose jab) to some 40 countries this year, to vaccinate 20 per cent of their populations.”
    The Serum Institute of India that produces AstraZeneca’s vaccine administered majorly in Africa, suspended its exports in March, “to meet rising domestic demand amid a surge in COVID-19 cases,” with new infections setting global daily record of over 300,000.
    Between March and April, Nigeria was expected, via the African Acquisition Task team, to take delivery of 41 million doses of Pfizer, AstraZeneca and Johnson & Johnson COVID-19 vaccines.
    NPHCDA’s executive director, Dr Shuaib, who stated this, revealed that the COVAX facility had informed it would supply Nigeria with about 16 million doses of the AstraZeneca vaccine in February.
    Nigeria has received four million AstraZeneca doses, with no clear timeframe to receive the shortfall – due to incapacity to participate in vaccine clinical trials, and thus couldn’t monitor their production and distribution, and pick a vaccine(s) suitable for its population.
    The dire situations painted by Prof. Osinbajo, Mr Nkengasong, the WHO and Dr Shuaibu might affect those that have received their first shot of the COVID-19 vaccine in several African countries.
    For instance, Nigeria has four phases for inoculation of its 208 million citizens, beginning with the first phase involving frontline health workers, other frontline workers and strategic leaders.
    Nigeria, which has administered the AstraZeneca vaccine on 1,191,563 citizens (0.6 per 100 people) as at April 30, aligns its immunization eligibility period “between the first and second doses of the vaccine from 12 weeks to between eight and 12 weeks.”
    The inoculation commenced on March 5, and recipients of the first shot will begin their second jab from May 4 (eight-week interval) or June 3 (12-week interval). Yet, with one day left from today, May 3, Nigeria hasn’t taken deliveries of note of COVID-19 vaccines.
    With such uncertainty over fresh consignments, experts have urged the government to prioritize the vaccination of only “two million citizens… who are sure of getting their second shot of the vaccine” from the first four million doses it has received.
    On that premise, Dr. Shuaibu said Nigeria “needs to reassess its vaccine supply forecasts” and “take the decision to ensure that everyone, who has taken the vaccine in the current phase, gets the second dose before the next consignment is delivered.”
    The government has rationalized the vaccination by preserving 50 per cent of available vaccines for the second shot, with each state, and the FCT, administering only 50 per cent of allocated doses.
    “The remaining 50 per cent will be administered to clients who had earlier received the first dose and this would be scheduled between 8-12 weeks from the date of their first dose,” Dr Shuaibu said.
    Nigeria has signed off to receive up to 29.8 million doses of the Johnson & Johnson vaccine; and deliveries from COVAX by the end of May or early June 2021,” and Dr Shuaibu said by then, “we would have completed the process of administering the second doses of the AstraZeneca vaccine to those who got the first dose.”
    May this optimism turn into reality, so that Nigeria, despite global “vaccine nationalism” by powerful nations, would smoothly roll out the second phase of COVID-19 inoculation of its population.
    LAST LINE: Next on the serial: Executive-legislative collaboration on home-made COVID-19 remedies, as relayed by Senate President Ahmad Lawan, who says he listened to a U.S.-based Nigerian scientist, who said, “It’ll require only one year for a Nigerian project to get its own vaccine.” That ‘expat’ Nigerian scientist revealed!
    * Mr. Ezomon, Journalist and Media Consultant, writes from Lagos, Nigeria.
  • Buhari, Nigeria’s healthcare and COVID remedies (3), By Ehichioya Ezomon

    Buhari, Nigeria’s healthcare and COVID remedies (3), By Ehichioya Ezomon

    By Ehichioya Ezomon
    Heartwarming as government’s revelation of production of two candidate vaccines is, Nigeria, with even availability of the needed funds, cannot conduct clinical trials, much less produce COVID-19 vaccines or any vaccines, in the country.
    The “why” isn’t far-fetched: Absence of or inadequate infrastructure and equipment for such ventures. This might be the reason, and not lack of funds, as Health Minister Osagie Ehanire adduced, for halting the clinical trials of the candidate vaccines.
    It’s a given that with no capability to conduct clinical trials, the competency to develop and produce vaccines would be lacking, and hinders even the production of vaccines for clinical trials.
    South Africa, Nigeria’s African economic competitor, participated in the global clinical trials prior to the rolling out of COVID-19 vaccines in Europe, America, China and Russia in late 2020, with Britain to administer the world’s first jab on December 8, 2020.
    Experts as Profs. Oyewale Tomori and Simon Agwale speak about Nigeria’s incapability to carry out the large-scale clinical trials of COVID-19 vaccines. Both fielded questions from media sources, but below are some quotes from The Guardian’s version, prior to Nigeria receiving its first of AstraZeneca vaccines on March 2, 2021.
    Prof. Tomori, a consultant virologist, former Vice Chancellor of Redeemer’s University, Ede, Osun State, and Chairman of Expert Review Committee on COVID-19, says Nigeria has “neither the capability nor the facility” to conduct clinical trials, “to ascertain the potency of a vaccine before administering.”
    He lists the requirements for clinical trial procedure as “appropriate facilities and capabilities to recruit participants, administer, follow up and monitor the vaccines, and superb coordination and adherence to approved guidelines and protocols,” which “do not exist here.”
    Recall that because of its capability, South Africa was able to determine that the AstraZeneca vaccine was ineffective against the local virus variant of COVID-19, known as 501Y.V2, discovered on December 18, 2020, and described as more infectious than the COVID-19 virus identified at the start of the pandemic.
    South Africa acquired 1.5 million doses of the AstraZeneca vaccine from the Serum Institute of India, but “results from a small local study with only mild and moderate infections showed that the vaccine was not effective against the 501Y.V2 variant.”
    As South Africa has sold the vaccines to 14 African countries through the African Union (AU) vaccines acquisition teams, some experts, including the country’s ministerial advisory committee on vaccines, say the move to reject AstraZeneca vaccine “is in line with South Africa’s evidence-based approach to COVID-19 decisions.”
    It’s uncertain if Nigeria is among the “needy African countries” that bought the South African “rejected” doses of AstraZeneca vaccine, but the resale, said to be completed in March, became a matter of reversing the hackneyed axiom, “One man’s meat is another man’s poison,” to “One man’s poison is another man’s meat.”
    Nigeria fits into the latter jacket, as it didn’t participate, for reason of incapacity, in the clinical trials of vaccines across the globe. So, for failure to participate in the trials, the country is hamstrung in picking a particular vaccine suitable for its population, and when to expect the doses it acquired or received from donors.
    Hence, to Prof. Tomori, Nigeria had… “to wait, watch and monitor the unfolding story of AstraZeneca vaccine, to decide what to do with the expected and unknown arrival date of the 16 million doses” from the COVID-19 Vaccines Global Access (COVAX).
    Dr Faisal Shuaib, executive director, National Primary Health Care Development Agency, stated in February 2021 that the AU Commission, via the African Acquisition Task team, had approved 41 million doses of Pfizer, AstraZeneca and Johnson and Johnson COVID-19 vaccines, to be delivered between March and April.
    “Furthermore, the COVAX facility has informed us that they will be supplying Nigeria with approximately 16 million doses of the AstraZeneca vaccine this month (February),” Dr Shuaib said.
    Prof. Tomori also talks about the timeframe it takes to conduct clinical trials, explaining it depends on protocol, but long enough for antibodies to develop after “completion of dosage protocols.”
    Perhaps, due to the exigency of the pandemic, Prof. Tomori said: “You are looking at between one and three months. Ideally and certainly, it should be done prior to vaccination exercise.
    “Definitely, NAFDAC (National Agency for Food and Drug Administration and Control) has to be involved but not necessarily carry out the exercise. Research and clinical trial centres in our health institutions are the ones set up to carry out the trials… but again with active involvement of NAFDAC,” he said.
    However, Prof. Tomori’s claim that NAFDAC can only “test for safety and not efficacy of food and drugs” is disputed by a consultant pharmacist and Medical Director of Merit Healthcare, Dr. Lolu Ojo.
    He says every new product in Nigeria goes through “the rigours of clinical trials,” and stresses that NAFDAC “has an established process for conducting clinical trials to ensure that they are fit for purpose, safe and efficacious.”
    Dr Ojo states that NAFDAC would take COVID-19 vaccines through the efficacy and safety testing, “even if it had to be accelerated procedures,” as the clinical trial on the vaccines in Nigeria “belongs to the phase 4 variant… that does not take much time because there is enough documentation to guarantee FDA approval.”
    “It (clinical trials) may or may not be prior to the arrival of the vaccines,” Dr Ojo said. “If it were to be a commercial engagement, the samples will come first, which will be used for clinical trials before NAFDAC will grant registration approval.
    “But in this particular case, the trial and deployment can go on simultaneously. It is an emergency situation and Nigeria will not be alone in rapid adoption of vaccines for human use,” he added.
    Still, Prof. Agwale confirms that Nigeria lacks the wherewithal to conduct clinical trials, and urges the government to “invest in strengthening clinical trial capacities, focusing on the available two research institutes and selected universities.”
    Dr Agwale, a virologist and vaccinologist, who’s Chair of Africa COVID-19 Vaccine Manufacturing Initiative and Chief Executive Officer of Innovative Biotech USA and Nigeria, suggests a head-start for Nigeria on the road to developing vaccine capability.
    He wants Nigeria’s participation in all phases of clinical trials of new COVID-19 vaccines,” and to conduct a placebo-controlled phases I/II of existing COVID-19 vaccines “to assess safety, immunogenicity and efficacy before introducing them in the country.”
    Dr Agwale salutes South Africa’s smartness “to have subjected COVID-19 vaccines to clinical trials and noticed the efficacy wasn’t that strong and thereby, halting the rollout,” noting that the trials helped South Africa’s vaccines rollout “evidence-based” that would rub-off on Nigeria and other African countries.
    LAST LINE: Next on the serial: Dr Simon Agwale on “Why Nigeria, Africa’s largest economy, “cannot develop and produce COVID-19 vaccines, and any other vaccines,” and the solutions to the embarrassing situation for a country of 208 million inhabitants.
    * Mr. Ezomon, Journalist and Media Consultant, writes from Lagos, Nigeria.