Health
COVID-19: Test, Treat, Trace and Isolate, FG’s Structure to Response – Ehanire
The Federal Government has revealed its structure of response to COVID-19, which is TEST, TREAT, TRACE, and ISOLATE. The idea is to test people based on set criteria such as travel history, contacts or symptoms or clusters for the best prospects of high yield, then place those with positive test in treatment and isolation; trace all their contacts and quarantine them for 14 days.
This was revealed by the Minister of Health, Dr. Osagie Ehanire, on Thursday, as he disclosed that 873 people in 25 states and the Federal Capital Territory (FCT) had been confirmed to have COVID-19 from 9,522 tests. He said the 91 additional confirmations are as follows: 74 in Lagos, 5 in Katsina, 4 in Ogun, 2 each in Delta and Edo, 1 each in Adamawa, Kwara, Oyo and FCT. He stated that 197 persons had been treated for COVID-19 and had been discharged while 28 deaths were recoded.
The Minister said that, the high number of new cases was a manifestation of more efficient testing and ongoing community transmission. He further stated that the Federal Government through the Federal Ministry of Health and Nigeria Center for Disease Control had continued to support preparedness and response to COVID-19 in all States and the FCT. He added that Rapid Response teams were working closely with State Emergency Operations Center to strengthen operations.
The Minister informed that NCDC has the capacity to test 1,500 samples per day in 13 laboratories across the country; however he said “we are testing on average of about 600 samples per day because that is all the samples collected and sent for testing”. He hinted also that “Factors implicated in the process may include surveillance, sample collection and mode of transportation, which can be improved to increase operational efficiency”. This intensification of efforts could be seen especially in Lagos where there are improved logistic management increased sample collection and reduced turn –around time, he added.
According, to Dr. Ehanire, efforts are ongoing to further increase testing capacity and accredit more laboratories stating also that a robust sample transportation infrastructure was in place to promptly convey samples to any of the activated 13 laboratories. This would mitigate the need for urgent establishment of a PCR laboratory, as well as valuable time and personnel needed to priorise case findings.
Further speaking, Dr Ehanire emphasized that recommended global best practice is to admit persons who test positive for COVID-19 into designated accredited treatment facilities to contain the spread of the virus and ensure prompt management of cases to avoid complications. He revealed that there are persons who had tested positive for COVID-19 in Nigeria and are not in any designated accredited isolation centers. This the Minister added, is a significant threat to public health and national security as FMoH cannot account for such all persons and ascertain the containment of their infection. He encouraged States to ensure all persons tested positive to COVID-19 be admitted at designated centers.
Health Minister advised that contact tracing is the key to containing the infection “as persons are confirmed positive for COVID-19, we must trace all contacts they had in the previous 14 days”. He stated that, this aims to arrest transmission by corralling positive cases and potential cases before further transmission occurs, saying also that NCDC had finalized contact tracing guidelines with all states to actively aid case finding.
In view of the clamour of increased testing, Dr Osagie Ehanire said, “we must not lose sight of the ability to isolate and treat all persons found to be positive for COVID-19,” He said “challenging are persons who have mild or no symptoms, who test positive. These persons currently make up majority of COVID-19 cases in Nigeria, they are not unwell but are infectious, and must be referred to isolation and treatment centers with accredited infection prevention and control (IPC) protocols”.
The Minister of Health applauded health workers of the frontlines of the COVID-19 pandemic; he assured them that government will provide them with necessary personal protective equipment (PPE). The minister urged them to take precautions for their own safety by not treating patients without using adequate PPE. He advised frontline health workers take refresher training on IPC. This advice is due to the number of health workers who had tested positive for COVID-19 or been quarantined in the last 2 weeks due to exposure.
Dr. Ehanire reminded citizens to use the mask or face covering when leaving their homes, practice hand and respiratory hygiene, physical distancing and avoid mass gathering and non-essential travel. He reminded further, “if you suspect you or anyone around you may have COVID-19, call the toll- free NCDC number 112 or 0800 9700 0010. Informing also that resources and real time information could be found on the social media handles of FMoH and NCDC, the FMoH website and the NCDC COVID-19 microsite https://bit.ly/2wjr7Aq.
In his speech, the Secretary to the Government of the Federation, Mr Boss Mustapha, stated, The highly infectious nature of COVID-19 if not well managed in purpose-built facilities and specialist, pose a lot of danger not just to the medical staff in such hospitals but also to other patients and loved ones at home. We therefore appeal strongly to operators of private medical facilities wishing to continue to treat COVID-19 cases to apply to the Federal Ministry of Health urgently, for accreditation.
The Oyo State Ministry of Health has closed two hospitals in Saki West Local Government Area following a suspected outbreak of Lassa fever, which has claimed four lives.
The fatalities, confirmed by the Oyo State Rapid Response Team (RRT), include three males and a 32-year-old female who was preparing for her wedding. The closure of the hospitals aims to contain the spread of the disease and ensure thorough decontamination.
In a press statement issued by the Commissioner for Information and Orientation, Dotun Oyelade, the State Commissioner for Health, Dr. Oluwaserimi Ajetunmobi, revealed that the RRT was dispatched to Saki following distress calls from residents reporting mysterious deaths.
Findings and Immediate Actions
The RRT, comprising health officials, representatives from WHO and the Red Cross, and local health authorities, conducted a comprehensive investigation into the outbreak.
Preliminary findings suggest that an apprentice at one of the affected hospitals, who had recently returned from Iwajowa Local Government Area, might have introduced the infection.
The team disclosed that the deceased exhibited symptoms consistent with Lassa fever, such as craniofacial bleeding. The hospital owner, who was among the deceased, initially self-medicated with antimalarials and antibiotics before seeking hospital care when his condition worsened.
Containment Measures
Both the hospital where the fatalities occurred and the facility that admitted the hospital owner were shut down for decontamination.
Contact tracing efforts are ongoing, focusing on high-risk individuals who had contact with the deceased during their illness or burial.
Affected health workers were trained on Infection Prevention and Control (IPC) protocols, and public awareness campaigns were conducted to educate residents about Lassa fever.
Samples have been collected from a symptomatic individual, pending laboratory confirmation. Line-listing of contacts is underway to identify potential cases and prevent further spread.
Collaborative Efforts
The RRT also paid an advocacy visit to the Okere of Saki’s palace to brief traditional authorities on the situation. Local government officials in Saki West were engaged to coordinate containment strategies.
Reports indicate that while the outbreak initially affected Saki West, it has extended to Iwajowa and Kajola Local Government Areas.
Disease Surveillance and Notification Officers (DSNOs) in the affected LGAs have been instructed to commence preliminary containment measures as the State RRT ramps up its response.
Call for Vigilance
The Ministry of Health has urged residents to remain vigilant, report any symptoms suggestive of Lassa fever, and adhere to preventive measures.
These include proper hygiene practices, avoiding contact with rodents, and seeking medical attention promptly if symptoms arise.
A member representing Ibarapa East/Ido federal constituency of Oyo State at the House of Representatives, Engr. Aderemi Oseni, has announced a plan to launch a “Mobile Clinic” programme aimed at providing essential healthcare services directly to rural communities across the constituency.
Scheduled to begin in the first quarter of 2025, this initiative underscores Oseni’s commitment to expanding healthcare access, particularly for underserved populations.
Speaking on Saturday at the 10th-anniversary celebration of God’s Knot Hospital in Ologuneru, Ibadan, the lawmaker, who also chairs the House Committee on the Federal Roads Maintenance Agency (FERMA), highlighted the programme’s primary objective: bringing healthcare closer to the people.
“Every community deserves attention; healthcare should never be bound by geographical barriers,” Oseni stated.
He explained that the mobile clinics would deliver essential health check-ups, screenings, and preventive care in remote areas, allowing residents to access quality healthcare without traveling long distances.
As part of his broader healthcare agenda, Oseni informed, through a statement by his media aide, Idowu Ayodele, that he has already facilitated the construction of two fully equipped maternity centers within his constituency, both slated for commissioning before December 2024. He also disclosed plans to establish two modern general hospitals in 2025, further strengthening his commitment to building a healthier community.
The lawmaker expressed interest in collaborating with God’s Knot Hospital on the mobile clinic project, calling for partnerships to support sustainable healthcare initiatives that enhance the quality of life for vulnerable populations in the constituency.
“I resonate deeply with the mission of God’s Knot Hospital,” Oseni shared, adding that such partnerships would significantly improve healthcare in Oyo State”.
The anniversary event attracted distinguished guests, including former Ondo State Governor Dr. Olusegun Mimiko, whom Oseni commended for his contributions to healthcare, particularly through the Mother and Child Hospitals that transformed maternal and child healthcare in Ondo State.
Oseni urged philanthropists, government bodies, and international organizations to support healthcare projects like the upcoming mobile clinics, emphasising that the improvement of healthcare services is a shared responsibility.
The National Agency for Food and Drug Administration and Control (NAFDAC) has ordered the immediate closure of the Gomboru drug market in Maiduguri following severe flooding that submerged the area and contaminated the drugs sold within the market.
In a statement posted on its official X handle, NAFDAC disclosed that the decision was made after reports surfaced that contaminated drugs, which had been washed and sun-dried for resale, were being sold at the market.
“After the recent flooding in Maiduguri that submerged the Gomboru drug market where contaminated drugs were washed and sun-dried for resale, the @DGatNAFDAC ordered the immediate closure of the market to conduct a thorough shop-to-shop removal of these compromised drugs,” the agency wrote.
The flooding, which ravaged Maiduguri, was triggered by the rupture of the Alau dam on the Ngadda River, located 20 kilometers (12 miles) south of the city.
The floodwaters claimed at least 30 lives and displaced 400,000 residents, leaving large parts of the city and surrounding areas in devastation.
NAFDAC’s intervention is aimed at safeguarding public health by preventing the sale and consumption of contaminated drugs.
The agency has mobilized teams to inspect the market and ensure the removal of all compromised pharmaceutical products.
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