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100 Days of Nigeria COVID-19 Response

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On the 27th of February 2020, Nigeria confirmed its first case of coronavirus disease (COVID-19). One hundred days after, the Nigeria Centre for Disease Control (NCDC) has reported 11,844 confirmed cases and 333 deaths.

 

Additionally, 3,696 people have been treated and discharged successfully. The COVID-19 pandemic has affected over 100 countries across the world. Over 6 million people have been affected, and the number of deaths has exceeded 300,000 as at the 6th of June 2020.

As Nigeria’s Public Health Institute, NCDC continues to work alongside other agencies under the supervision of the Federal Ministry of Health, in leading the public health response to the outbreak. In addition, the agency has played a key role in the multi-sectoral response, within the Presidential Task Force on COVID-19 (PTF-COVID-19), established by President Muhammadu Buhari.

One hundred days after the first case, we remember all Nigerians who have passed away from the disease. We commiserate with their families and friends who have had to deal with the difficulty of losing loved ones at this time.

To ensure a well-coordinated emergency response, NCDC activated a Level 3 Emergency Operations Centre (EOC) on the 27th of February 2020. Prior to this, the National EOC was in alert mode; monitoring the spread in other countries, carrying out risk assessments and strengthening Nigeria’s preparedness. During this time, NCDC developed technical guidelines, response plans and trained health workers across the country. The National EOC includes representatives from the Federal Ministry of Health, other sister agencies and partners.

Prior to the confirmation of the first case, NCDC supported four laboratories within its molecular laboratory network to activate testing for COVID-19. Since then, the number of laboratories has increased to 30, with a combined minimum capacity of 10,000 tests daily. The goal is to expand to at least 10 more laboratories by the end of June, leveraging on Gene-Xpert capacity for Tuberculosis diagnosis.

The safety of health workers has been at the forefront of Nigeria’s response strategy to COVID-19. Since the first case was confirmed, NCDC has supported the training of 13,000 health workers in infection prevention and control (IPC) as well as case management. In collaboration with the Departments of Hospital Services and Food and Drugs of the Federal Ministry of Health, NCDC has also ensured that health workers are provided with the required personal protective equipment (PPE) to reduce the risk of health workers’ infection.

As part of its mandate, NCDC has provided support to all states in Nigeria. Over the last three years, in preparedness for major outbreaks, the agency supported the establishment of State Public Health Emergency Operations Centres in 23 of the 30 states in Nigeria, without polio or public health EOCs. These EOCs have served as the coordination hub at state level since the first case was confirmed in Nigeria. The NCDC has deployed its highest number of rapid response teams – with 37 teams across 34 states and the FCT. The extent of this response has been supported by the deployment of additional surge teams from the Nigeria Field Epidemiology and Laboratory Training Programme (NFELTP), the World Health Organization (WHO) and Africa Centres for Disease Control (Africa CDC). NCDC continues to support every State with medical supplies, transportation of samples, training of health workers, risk communications and other response activities.

The NCDC launched the #TakeResponsibility campaign which has formed the cornerstone of public health messaging. This is done by leveraging on social media, mainstream media and other avenues to encourage Nigerians to take responsibility for protecting themselves and loved ones and preventing the spread of COVID-19. Over 150 jingles currently air on radio and television, reaching communities across the country. With the support of Nigeria’s telecommunication companies, over 100 million text messages have been sent out since February 2020 reminding Nigerians about measures that can be taken to protect themselves from COVID-19. The NCDC continues to work closely with the Federal Ministry of Information and Culture, as well as the National Orientation Agency to educate Nigerians on how to protect themselves.

A key strength of Nigeria’s response has been the strong collaboration among Federal Government Ministries, Departments and Agencies, as well as with partners. As part of the global and regional response, NCDC has received guidance and support from WHO, Africa Centres for Disease Control and the West African Health Organisation.

The response to the pandemic has not been without challenges – global competition for access to reagents and medical supplies limited the initial testing capacity of the molecular laboratories. Today, the Presidential Task Force paid a visit to the National Reference Laboratory in Gaduwa, Abuja, in recognition of the role the apex laboratory is playing in response to the pandemic. Strengthening laboratory capacity nationwide and increasing access to testing is a major priority for Nigeria’s response, in the coming months. The NCDC continues to work with the Nigerian Institute of Medical Research, Medical Laboratory and Science Council of Nigeria and other partners to carry out laboratory related research and validation, as Nigeria scales up its testing capacity.

Since the first confirmed case was reported one hundred days ago, several health workers have been at the forefront. We remain grateful to State Task Forces, Emergency Operations Centres, Rapid Response Teams, laboratory scientists and all health workers who continue to work very hard for national health security.

The NCDC remains committed to working under the supervision of our parent Ministry, the Federal Ministry of Health, and in collaboration with other Ministries, Departments and Agencies through the PTF, to scale up Nigeria’s response. Our strategy is to ensure more people are tested, contacts are traced early to prevent further spread and confirmed cases are treated.

In the absence of a vaccine, Nigeria and the rest of the world must depend on public health, social measures and supportive management of confirmed cases. We urge all Nigerians to take individual and collective responsibility by adhering to public health advice such as;

• Frequent hand hygiene through hand washing or use of alcohol-based sanitiser.

• Use of face mask in public places

• Observing physical distancing of at least two metres

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WASPEN Urges Tinubu to Prioritise Fight Against Clinical Malnutrition

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Files: WASPEN’s Founder and President, Dr. Teresa Pounds

The West African Society of Parenteral & Enteral Nutrition (WASPEN) has called on President Bola Ahmed Tinubu to make clinical malnutrition a national healthcare priority, warning that the crisis is growing but remains largely overlooked in Nigeria’s healthcare system.

WASPEN’s Founder and President, Dr. Teresa Pounds, made this appeal on Monday during a press conference ahead of the 2025 WASPEN Clinical Nutrition Conference, scheduled for June 17–19 in collaboration with the National Hospital Abuja.

Themed “Bridging the Gap: Integrating Hospital and Community Malnutrition Care in Developing Countries,” the event aims to foster solutions for hospital and community malnutrition.

Describing malnutrition as “the skeleton in the hospital’s closet,” Dr. Pounds emphasised the need for urgent awareness, policy reform, and collaboration among healthcare stakeholders to ensure effective hospital nutrition programs.

“Many patients in Nigerian hospitals suffer from inadequate nutritional support, leading to prolonged hospital stays, increased complications, and higher mortality rates. This issue must be addressed at the highest level,” she stated.

The press conference was attended by the management of Genrith Pharmaceuticals Limited, a major partner, led by its CEO, Chief Emmanuel Umenwa.

Addressing malnutrition will add $29bn, says FG

Call for National Clinical Nutrition Policy

Dr. Pounds, a U.S.-based specialist in critical care nutrition and a board-certified nutrition support pharmacist, urged the government to implement a national policy framework to support specialised clinical nutrition interventions. She stressed the importance of integrating mandatory nutrition screening and intervention into all healthcare facilities.

She also called on the Federal and State Ministries of Health to expand and enforce standardised clinical nutrition policies, ensure hospitals conduct structured nutrition screening for all patients, makes medical nutrition therapy accessible and affordable, and support research and local production of specialised nutritional products.

She further encouraged NAFDAC, NIPRD, pharmaceutical companies, and NGOs to collaborate on research, funding, and product development to improve hospital and community-based nutritional care.

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“We need a national framework that ensures no patient suffers due to a lack of proper nutrition,” the expert stressed.

Conference to Attract Top Medical and Policy Experts

Speaking on the upcoming conference, Dr. Pounds noted that it will bring together leading medical experts, policymakers, and healthcare stakeholders to develop strategies for addressing malnutrition.

Prominent figures expected at the event include Prof. Ali Pate, Coordinating Minister of Health (Special Guest of Honour), Nyesom Wike, Minister of the FCT (Chief Host), Prof. Muhammad Raji Mahmud, Chief Medical Director, National Hospital Abuja (Host), Prof. Audu Bala, President, Nigerian Medical Association (Keynote Speaker), Pharm. Ibrahim Tanko Ayuba, President, Pharmaceutical Society of Nigeria (Guest of Honour), and Prof. Salisu Maiwada Abubaka, President, Nutrition Society of Nigeria (Guest of Honour) admiration.

Pre-Conference Activities

Prof. Raji Mahmud, Chief Medical Director of the National Hospital Abuja, represented by the Chairperson of the Local Organising Committee (LOC), Pharm. Adesola Clara assured that the hospital has the necessary facilities and expertise to host a successful conference. He emphasised that the hospital is fully prepared for the programme.

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Also, the WASPEN Central Planning Committee, led by Mrs. Ghinsel Blessing, revealed that pre-conference activities will include a hands-on training workshop on nutritional kits in hospitals, scheduled for June 16, a health walk to raise awareness about hospital malnutrition, expected to be led by First Lady Sen. Oluremi Tinubu.

With malnutrition posing a silent but deadly threat to healthcare outcomes, WASPEN hopes that the Tinubu administration will take decisive action to integrate nutrition-focused interventions into Nigeria’s health policies.

The 2025 WASPEN Clinical Nutrition Conference is expected to be a game-changer in shaping the future of clinical nutrition in Nigeria and West Africa.

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US Grants Approval for Pig Kidney Transplant Trials

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A young genetically altered pig looking out from a warming box, in its pen at Revivicor Research farm, in Blacksburg, Virginia.PHOTO: AFP

Two US biotech companies say the Food and Drug Administration has cleared them to conduct clinical trials of their gene-edited pig kidneys for human transplants.

United Therapeutics along with another company, eGenesis, have been working since 2021 on experiments implanting pig kidneys into humans: initially brain-dead patients and more recently living recipients.

Advocates hope the approach will help address the severe organ shortage. More than 100,000 people in the United States are awaiting transplants, including over 90,000 in need of kidneys.

United Therapeutics’s approval, announced Monday, allows the company to advance its technology toward a licensed product if the trial succeeds.

The study authorization was hailed as a “significant step forward in our relentless mission to expand the availability of transplantable organs,” by Leigh Peterson, the company’s executive vice president.

The trial will initially enroll six patients with the end-stage renal disease before expanding to as many as 50, United Therapeutics said in a statement. The first transplant is expected in mid-2025.

Meanwhile, rival eGenesis said it had received FDA approval in December for a separate three-patient kidney study.

“The study will evaluate patients with kidney failure who are listed for a transplant but who face a low probability of receiving a deceased donor offer within a five-year timeframe,” the company said.

Xenotransplantation — transplanting organs from one species to another — has been a tantalizing yet elusive goal for science.

Early experiments in primates faltered, but advances in gene editing and immune system management have brought the field closer to reality.

Pigs have emerged as ideal donors: they grow quickly, produce large litters, and are already part of the human food supply.

United Therapeutics said trial patients would be monitored for life, assessing survival rates, kidney function, and the risk of zoonotic infections — diseases that jump from animals to humans.

Currently, there is only one living human recipient of a pig organ: Towana Looney, a 53-year-old from Alabama who received a United Therapeutics kidney on November 25, 2024.

She is also the longest-surviving recipient, having lived with a pig kidney for 71 days as of Tuesday. David Bennett of Maryland received a pig heart in 2022 and survived 60 days.

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Switzerland Moves to Legalize Egg,Sperm Donations

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This frame grab from AFPTV video taken on November 8, 2023 shows a researcher inspecting the extracted eggs prior to the freezing procedure at a fertility research lab of CHA Bundang Medical Center in Seongnam. (Photo by Yelim LEE / AFPTV / AFP)

 

The Swiss government said Thursday it aimed to overhaul its law on medically-assisted reproduction to legalise egg donations and give broader access to sperm donations.

 

Currently egg donations are not allowed and only married couples can access sperm donations.

 

The Swiss parliament has long said it wants to change that, and has asked the government with coming up with a proposal to provide broader access.

 

A government statement said it had “decided to completely revise the law on medically assisted reproduction in order to adapt it to the current context” and had asked the interior ministry to draft a proposed law by the end of next year.

The government said it wants to legalise egg donations in cases where a woman in a couple is infertile, as a parallel to the already legal use of sperm donations in cases of male sterility.

Bern said its priority was “the protection of donors and the welfare of the child”, stressing that “this protection cannot be guaranteed if parents resort to egg donation abroad”.

The government also said it wanted to expand access to both egg and sperm donation to unmarried couples.

After Switzerland legalised same-sex marriage in 2022, married lesbian couples have also had access to sperm donations.

But the government said the current law barring unmarried couples from access to such medically assisted reproduction was “outdated and no longer corresponds to social reality”.

 

 

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