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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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Ondo bans unverified alcohol after 29 die

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The Ondo State Government has ordered the immediate ban on the sale and distribution of unverified alcoholic drinks and other substances following the deaths of 29 people in Odigbo Local Government Area of the state.

The government also directed security agencies to take immediate action against the sale and distribution of illegal and unapproved products across the state.

The Commissioner for Information and Orientation, Idowu Ajanaku, announced the directive in a statement on Saturday following the deaths and reported cases of illness in several communities in Odigbo.

The state Commissioner for Health, Dr Banji Awolowo-Ajaka, had earlier confirmed that 29 people had died after consuming a suspected contaminated alcoholic drink, while 60 suspected cases had been recorded.

Ajaka said three of the affected persons were receiving treatment in hospitals, while 27 others were under medical observation.

According to him, 95 per cent of those affected were males aged between 16 and 55, with cases reported mainly in Orita Odigbo, Araromi-Obu, Newtown, Odole, Okele and Oniparaga communities.

The commissioner listed the symptoms recorded among the victims as headache, body pain, general weakness, visual disturbance, difficulty in breathing and altered consciousness.

He said some of the patients deteriorated rapidly, resulting in death within a few hours.

Ajaka, however, said the government had yet to establish scientifically that the suspected alcoholic drink was responsible for the deaths.

“The pattern of illness and reported history of exposure have raised strong epidemiological suspicion of exposure to a probable toxic alcoholic substance.

“However, we are yet to have laboratory evidence of the cause of the deaths,” he said.

The commissioner said 36 blood and urine samples had been collected from affected persons for laboratory analysis, while samples of the suspected alcoholic substances had also been submitted for toxicological investigations.

Meanwhile, the state government said scientific officers from the Ministry of Health had been deployed to the affected communities to investigate the substance suspected to be responsible for the deaths and determine its exact composition.

The government urged residents to stop purchasing or consuming unverified alcoholic drinks and other substances, particularly products packaged in sachets or bottles without the approval of the National Agency for Food and Drug Administration and Control.

It also warned sellers and distributors against purchasing, selling or making available for public consumption any substance whose source, content or regulatory status could not be verified.

“Anyone found violating this directive will face the full wrath of the law,” the government warned.

The government said the directive was aimed at preventing further loss of lives and ensuring that the incident did not spread to other parts of the state.

It urged residents to remain vigilant and report suspicious products and activities to the relevant authorities.

The government said the directive was part of the efforts of the administration of Governor Lucky Orimisan Aiyedatiwa to unravel the circumstances surrounding the deaths, protect residents and prevent further casualties.

It assured residents that the investigation would continue until the substance responsible for the deaths, if confirmed, was identified.

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Ebola: WHO seeks 5,000 health workers for DR Congo

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Health workers in Personal Protective Equipment (PPE) practice safety check protocols on each other during a training by medical charity, Médecins Sans Frontières (MSF) to reinforce regional emergency response capacity for Ebola in the Democratic Republic of Congo (DRC) at Ongata Rongai, Kajiado County in Kenya on July 10, 2026.

The World Health Organisation (WHO) on Tuesday said it needed an additional 5,000 health workers to help contain the Ebola outbreak spreading across the Democratic Republic of Congo.

The outbreak, officially detected on May 15, has spread to six provinces in the country’s conflict-affected eastern and northeastern regions.

The WHO, citing official Congolese figures, said more than 6,600 people had been confirmed infected, while 3,175 had died since the outbreak began.

The development has put further pressure on health facilities in the affected areas, many of which are already struggling with shortages of medical personnel and other essential resources.

Ebola is a highly contagious viral disease transmitted through contact with the bodily fluids of infected persons. It can cause severe bleeding, organ failure and death.

The UN health agency said it was working to establish 3,000 beds in Ebola treatment centres across the affected areas to cope with the rising number of patients.

A senior technical official with the WHO, Luca Fontana, said the expansion would require thousands of additional healthcare workers.

“More than 900 beds have been built within the first two months of the response, and we have now reached close to 1,400 beds across 59 treatment centres,” Fontana told a press briefing in Geneva.

He said another 1,600 beds would be required to meet the rapidly increasing demand.

“Despite this extraordinary effort, we estimate that another 1,600 beds will be required to meet the rapidly growing needs,” he said.

Fontana said nearly 4,000 healthcare workers were currently working in the treatment centres, adding that 5,000 more were urgently needed.

He said the Congolese Ministry of Health was racing against time to identify qualified medical personnel from other parts of the country for deployment to the affected provinces.

“The problem is to identify those fast enough to make sure that we can cover the growing need,” Fontana said.

He stressed that fully staffed treatment centres would be critical to saving lives and bringing the outbreak under control.

“Every treatment centre that is fully staffed and functional means more life saved and a stronger chance of bringing this outbreak under control,” he said.

The current outbreak is caused by the Bundibugyo strain of Ebola, for which there is currently no approved vaccine or treatment. Several vaccines and treatments, however, are being tested.

The outbreak has also been complicated by the security situation in the affected regions, where government presence is weak, healthcare infrastructure is limited and armed groups have operated for decades.

Fontana said the geographical spread of patients seeking treatment was another indication that the outbreak was expanding.

He explained that while most patients initially admitted to treatment centres came from Bunia, the capital of Ituri Province, infected people were now arriving from villages “far beyond” the original epicentre.

He described the development as “a clear sign” that the outbreak was spreading and said the WHO response would have to adapt accordingly.

Ebola has killed more than 15,000 people in Africa over the past 50 years.

The previous major Ebola outbreak in the Democratic Republic of Congo, which lasted from 2018 to 2020, killed nearly 2,300 people out of about 3,500 reported infections.

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Trump cleared for office, doctor orders weight loss ahead of 80th birthday

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United States President Donald Trump has been declared medically fit to continue in office, with his physician describing him as being in “excellent health” while recommending weight loss and increased physical activity weeks before his 80th birthday.

The White House disclosed on Friday that Trump underwent his annual medical and dental examination on Tuesday at Walter Reed Military Hospital near Washington, amid growing scrutiny over his health and fitness for office.

In a three-page medical memo released by the White House, Trump’s physician, US Navy Captain Sean Barbabella, said the president demonstrated strong overall physical and mental capacity.

“President Trump remains in excellent health, demonstrating strong cardiac, pulmonary, neurological, and overall physical function,” Barbabella stated, adding that the president was “fully fit to carry out all duties of the Commander-in-Chief and Head of State.”

However, the physician advised Trump to adopt healthier lifestyle measures, including dietary adjustments, increased physical activity, continued weight loss and low-dose aspirin therapy for cardiovascular prevention.

According to the report, Trump, who will turn 80 on June 14, stands at 6ft 3in tall and weighs 238 pounds (108 kilograms), about 14 pounds more than he weighed during his last full annual medical check-up in April last year.

Despite concerns surrounding his age, the report noted that Trump’s cardiac health reflected an estimated age roughly 14 years younger than his chronological age.

The president also reportedly scored a perfect “30 out of 30” in a cognitive assessment, a result Trump has repeatedly cited in public while contrasting himself with his Democratic predecessor, former President Joe Biden.

The medical report further addressed concerns over bruising frequently seen on Trump’s right hand, attributing it to “minor soft tissue irritation” caused by repeated handshaking and aspirin use.

The memo also referenced scarring on Trump’s right ear linked to the assassination attempt against him during a campaign rally in Butler, Pennsylvania, in 2024, when a gunman opened fire, killing a supporter and slightly wounding the president.

Trump’s latest health evaluation comes amid public concerns after he was occasionally seen appearing drowsy during White House meetings and events. He had also previously been diagnosed with chronic venous insufficiency, a condition that affects blood circulation in the veins and can lead to swelling in the legs.

Reacting shortly after Tuesday’s examination, Trump wrote on his Truth Social platform that the medical exercise had gone “PERFECTLY,” while the White House later shared his photograph online with the caption, “PERFECT BILL OF HEALTH!”

The release of the report also sparked debate in the United States after the White House initially delayed making the medical details public, breaking with the traditional practice of releasing presidential health summaries shortly after such examinations.

Trump has long faced criticism over transparency regarding his health records, with questions also raised over the scheduling and description of his medical evaluations since returning to office.

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