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Nigeria records gain in fight against tuberculosis amidst COVID-19 pandemic

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Response to the coronavirus pandemic notwithstanding, data indicate that there has been an increase in annual tuberculosis (TB) case notification due to strategic intervention by the National Tuberculosis, Buruli Ulcer and Leprosy Control Program (NTBLCP), in collaboration with World Health Organization (WHO) and other stakeholders working on TB control and elimination in Nigeria.

For instance, in 2020 a total of 138,591 cases were notified;15 % higher compared to 106,533 and 120,266cases notified in 2018 and 2019 respectively. Also, comparing first quarters of 2019, 2020, 2021 case notification are 28,823, 33,132 and 43,838 (32% increase in Q1 2021 compared to Q1 2020) respectively.

Commending the collaborating organizations for their efforts, the National Coordinator, NTBLCP, Dr Chukwuemeka Anyike, says “the country is very impressed with the 2020 program performance despite the COVID-19 pandemic”.

He echoed that active TB case finding is vital in reducing the burden of the disease in the country because Nigeria has over 440,000 incident TB cases, and over 300,000 are estimated to be missed annually.

“This implies that with additional resources channeled towards TB case finding, scale-up of innovative strategies and a focused and targeted approach the country can actualize its goal of finding all missing TB cases and possibly ending TB in Nigeria” he continued.

Initiating result-producing results

In other climes, when the pandemic triggered lockdowns in March 2020, diagnosis and enrollment for TB treatment fell in many high TB burden countries.  In Nigeria, the key component of the intervention began in the second quarter of the 2020 with WHO and partners integrating TB case finding into the COVID-19 structure in all outreach in 12 states (e.g., Anambra, Bauchi, Benue, Cross River, Delta, Imo, Kaduna, Kano, Lagos, Niger, Osun, and Rivers States).

The response included training TB case officers’ /community informants on advocacy, house-to-house case search, contact tracing, and social mobilization for Tuberculosis and COVID 19.  Effort to locate TB and Covid-19 cases included screening programme, laboratory services engagement with key community stakeholders in the 12 states, and services in the health facilities were intensified in collaboration with USAID-KNCV, using Genexpert and the ‘WOW’ Trucks.

In the cause of the search, 48 years old Mrs Oguejiofor C, living in Ogbaru Local Government Area of Anambra State, was diagnosed of TB after a house to house visit by the TB case officers to her locality. She had been coughing severally for some months, experiencing weight loss, sweating at night and having constant fever.

“I am glad I heeded the advice of a health officer who came to sensitize people in my area about Covid-19 and TB during the Covid-19 lockdown. I approached her with my symptoms, and she said it could be TB and advised I visit the hospital where sputum and X-ray tests were conducted. I started treatment immediately, and I am already feeling better,” she said.

Unlike Mrs Oguejiofor, 25 years old Chimeze Kenneth Obi did not present any symptoms when diagnosed in May 2020. His case was notified by the TB/Covid-19 case officers on house to house search in Ogbaru LGA, Anambra state.

“I provided sputum sample for testing, and I was later informed of my TB status. I started treatment immediately. The treatment lasted for six months, and all the treatments were free. I am happy I was detected before it became a serious health problem”, he said while appreciating the government and WHO for the search initiative.

With early lesson from the recovery effort, all 36 states and the Federal Capital Territory (FCT) have included TB in the covid-19 response to ensure that new cases detected are placed on treatment.

Speaking on the intervention, WHO National Professional Officer (NPO), Dr Moses Onoh says, “Tuberculosis is curable and preventable, yet millions of people are infected annually, with many unable to access diagnosis and life-saving treatment. WHO will continue to support governments at all levels to ensure that the Covid-19 management programme takes the advantage of the extensive structures and human resource capacity available in the TB control programme to increase detection, diagnosis and management of cases at the community level.”

 

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Oyo: Tragedy As Bride-to-Be Among Four Dead in Suspected Lassa Fever Outbreak

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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.

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Oyo: Oseni to Launch Mobile Clinic Initiative to Revitalize Rural Healthcare

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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.

 

 

 

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NAFDAC Shuts Maiduguri Market Over Sun-Dried Drugs After Flood

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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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