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Nigerian hospitals explore deceased-donor kidney transplant

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…As cases rise amid low living donation

With kidney failure on the rise in Nigeria, hospitals are exploring the deceased-donor transplant option as organ donation, which is often transactional, from living donors remains low.

They are pushing for a highly regulated cadaveric system to take root as the primary source of kidney transplantation, a process where people can offer their organs for the use of others after they have been certified dead.

Health facilities with the capacity for renal care are recording increases in late presentation of cases which may lead to permanent placement on dialysis treatment or transplantation.

BusinessDay’s findings show that a new dialysis unit, which opened only a few months ago at the Lagos State University Teaching Hospital (LASUTH), is currently oversubscribed due to a plethora of kidney problems.

At the Federal Medical Centre, Ebute-Meta, cases seeking dialysis daily are on the rise, especially among young people and those challenged by long-standing cases of hypertension, diabetes, or inflammation of the kidney.

Almost two in every 10 Nigerian adults suffer either chronic or acute kidney failure, according to the Nigerian Association of Nephrology (NAN).

Dialysis has remained the most common and accessible form of treatment in the country, even though many do not make it through either as a result of financial constraints or deterioration of their condition. Only a few well-heeled patients are able to get kidney donation in a process that some experts worry could have been induced by financial rewards.

Experts say there is a wave of cadaveric organ donation being explored across the world, and Nigeria can benefit from it.

Adetokunbo Fabamwo, LASUTH’s chief medical director, said in an interview that while the laws that guide the process are currently being pushed at the Lagos State House of Assembly for ratification, the hospital is also building structures to begin trials.

“We have already designed how we are going to do it. We are going to keep a register of people that need kidneys and another register of those that want to donate. We will set up a unit that is going to manage it. We can do it,” the director said.

“The challenge about transplant is the donor. A lot of relations do not like to donate to their relatives. So they are looking for commercial donors. We don’t encourage that. If you are going to have a transplant in LASUTH, you must bring a relative who will consent to donate. Nigeria should have very strict regulations about donation.”

He explained that through the system, people before they die, if suffering from some other fatal illnesses that do not affect their kidney, could sign up for donation. Immediately after they die, the kidney can be removed for someone who has been waiting for a kidney, he said.

Olugbenga Awobusuyi, president-elect of NAN and the Transplant Society of Nigeria, similarly explained that the primary donor source in advanced countries has shifted to organs from deceased individuals.

According to him, the organs used are those from people who die in the hospital, mostly those in the intensive care unit and are being maintained on life support.

“Their brains can die but because they are on life support, we are able to assist the breathing and beating of the heart of the dead person. We can sustain the function of other organs, even though the brain is dead,” the nephrology expert said.

“We believe that if we can have such a programme in the country, it is going to benefit society a lot, in that people don’t have to buy organs. Organs from dead people are highly regulated strictly by established criteria.”

For instance, in the United States, hospitals are required to have written agreements with organisations that coordinate organ and tissue donation and recovery. There are 58 organ procurement organisations, according to the US Centre for Diseases Control and Prevention.

For screening and testing, organ and tissue recovery organisations are required to obtain a medical and social history of deceased donors by asking their next-of-kin, and sometimes other persons who knew the potential donor, questions about behaviours that may have exposed the potential donor to certain diseases. This questionnaire serves as one of several resources to assess the donor’s risk for having a disease.

Hospitals are required to evaluate living potential kidney donors for the presence of behaviours or medical history that may increase the risk of infection in the donor.

Read also: Police rescue kidnapped Italian priest in Edo

Hospitals that perform organ recovery from kidney donors are also required to perform certain tests to see if the potential donor may have infections such as human immunodeficiency virus (HIV), hepatitis B or hepatitis C virus, syphilis, and cytomegalovirus. These test results are provided to the healthcare facility where transplantation of the organ or tissue will occur.

Awobusuyi said NAN had been pushing the adoption across the country, with Lagos State leading the charge.
Drivers of kidney failure

Fabamwo lamented that many are drinking different sorts of toxic concoctions that are being sold by traditional vendors, without minding the toll it takes on their health.

He listed the abuse of some medications, hypertension, and diabetes as some of the commonest causes of kidney failure, saying people are not checking their blood pressure and sugar levels until the kidneys are affected.

Olamide Olowoyo, consultant nephrologist and head of Nephrology Unit, Department of Internal Medicine, Federal Medical Centre Ebute-Metta, said the prevalence of chronic kidney disease now ranges between 11 and about 15 percent.

According to him, unlike what happens in other countries where it is mainly elderly people who suffer chronic kidney failure, “in Nigeria, we tend to have a younger population who are the economically productive population. Ours is a bit worse”.

She said the inflammation of the kidney, HIV, hereditary kidney diseases, toxic concoction and obstruction of the urinary tract are also drivers.

Olowoyo said one of her patients, a security officer, who should get routine dialysis every week only appears twice due to lack of funds.

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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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