The Oyo State Task Force on COVID-19, on Friday, recorded a major victory in its ongoing fight against the novel Coronavirus when it discharged 11 persons after they tested negative to COVID-19 twice.
The Chief Press Secretary to Governor Seyi Makinde, Mr. Taiwo Adisa, in a statement quoted a member of the Task Force and former Chief Medical Director of the University College Hospital (UCH), Ibadan, Professor Temitope Alonge, as saying that after the discharge of the 11 cases, the Centre now had 32 patients and that all but one, were in stable condition.
The statement added that of the 11 persons discharged at the Infectious Disease Centre, Olodo, Ibadan, three were females and eight were males.
According to Alonge, eight of the discharged persons were the Northerners who came from Sokoto axis.
He said: “We all must have behind our minds that this novel coronavirus, even though it belongs to a particular family, is not in any way similar to the HIV virus, meaning that it does not reside in you forever as it were. It has a span of time that it stays and your body’s immune system is built up enough to be able to get rid of it and you come back to normal.
“But, of course, if at the time you have a high load of the virus, you happen to have some other co-morbidities or you are under some treatment that reduces your immunity, then you can have a full flare. So, it is not like the HIV virus that you have to use medications to suppress or reduce their effects.
“When patients come down and they are tested as positive, it means the load of the virus is enough to make them feel sickly. When they are in isolation, what we do is to boost their immunity. There are so many regimens in the world that are being tried and used but here, our patients have stuck to a very simple regimen. They all have 500mg of azithromycin daily for three days. They also have zinc on a daily basis. 2gram of Vitamin C, Chloroquine 500mg and 250mg for another three days.
“We are privileged to have linked up with our colleagues in UCH, who have been exceptionally wonderful. So, we are not only looking at their symptoms but also the viral load and their CT. But the value of the CT is also in correlation with the value of the viral load. The higher the viral load, the lower the CT value.”
The ex-CMD maintained that there were now 32 active patients at the Infectious Disease Centre, noting that all of them except one were in stable condition.
“We have 32 (patients). All of them are very stable. We only have one of them who has a comorbid issue and, as I speak, one of our senior consultants from the University College Hospital is attending to him. Also, another consultant in the Psychiatry Department will come and counsel this particular client on the use of medications, because we found out that he was using too many medications that can be injurious to his health.
“Apart from that, everybody is fine. We even have a family here; father, mother, and children and they are doing exceptionally well.
“Eight of those cases discharged are the Northerners who came from the Sokoto axis. Since they are now negative, they want to go back to Sokoto.”
Speaking earlier, one of the discharged persons (names withheld), who spoke on behalf of the other patients, appreciated the state government, the governor and the medical personnel at the Centre.
She said: “On behalf of all of us here who are COVID-19 patients, we want to appreciate Governor Seyi Makinde. We pray that God will reward him.
“We experienced good care. They took us as their sisters and brothers. They did not stigmatise us. So, we really appreciate all the doctors and nurses. We really appreciate the Oyo State government.”
When asked what her experience was while in isolation, she maintained she and most of those in the Centre were asymptomatic, saying: “I did not show any symptoms. I just went for the test voluntarily. So, after nine days, they called me that the test came out positive and I was asked to come to the isolation centre to quarantine myself.
“The test was conducted on me on the 22nd of April at Etiosa Local Government, but I was already in Ibadan when they told me the result and I was asked to go into isolation in Ibadan because there was no isolation centre in Lagos again.”
CACOVID donates 150-bed isolation center, multi-million naira medical equipment to Lagos govt.
The Private Sector led Coalition Against COVID-19 (CACOVID) has donated a 150-bed fully equipped isolation facility with medical equipment worth millions of naira to the Lagos State Government, to provide support in the fight against the virus within the state.
Speaking at the commissioning of the Yaba Isolation center, Lagos State Governor, Babajide Sanwo-Olu noted that the isolation center would further strengthen the state’s healthcare system in dealing with the challenges of the Pandemic as the state currently leads the toll of Nigeria’s COVID-19 infections with over 10,000 confirmed cases.
The Governor commended the Coalition’s efforts in mobilising resources quickly to support emergency responses and pledged that the donated facility would be used to provide adequate treatment to those who are infected and help to stop the overall spread of the virus within the state.
He urged all citizens to continue to take responsibility and follow directives of the government and health professionals towards reducing the spread of the virus and saving lives across communities.
“We need to take responsibility because the virus knows no race, ethnicity, religion or boundary. We need to take responsibility for our loved ones by wearing face mask, maintaining social distancing and hand hygiene to reduce morbidity and mortality,” the governor said.
He further disclosed plans by the State Government to build an International Infectious Disease Research Centre, Doctors’ quarters and permanent isolation wards at the Mainland Infectious Disease Hospital, Yaba as part of Lagos COVID19 response and other infectious disease preparedness in post COVID19 era.
In his remarks, the State Commissioner for Health, Prof. Akin Abayomi, said that the center was the sixth facility in the state dedicated to the treatment of COVID-19 patients, and is coming onboard at a time when the state is ramping up its testing capacity.
He further said the 150-bed facility donated by CACOVID would be used for the management of moderate to severe COVID-19 patients and would assist in admitting and providing care for more patients.
Also speaking at the event, the Central Bank Governor, Mr. Godwin Emefiele, said that collaboration between the private sector and government was vital to prevent the spread of the virus and save the lives of the citizens,
He further said that the center would enhance the state’s healthcare system and the management of COVID-19 within the state.
According to him, N29 billion has been donated so far by members of the coalition towards supporting government’s efforts in fighting the COVID-19 pandemic and that the funds have been used to build and equip isolation centers across the country.
Mr. Emefiele said that 32 isolation centers have been built as of today, with a target to reach 39 isolation centers by the end of July.
The CBN governor added that CACOVID had also provided in-kind food palliatives to members of the public across the country to ameliorate the effects of the virus on their welfare.
He commended members of the coalition for their generous and selfless donations which have helped in achieving its common goal of helping the nation fight the spread of COVID-19. He also lauded the healthcare workers and the state government for their efforts in implementing strategies, caring for the infected patients and reducing the spread of the virus in the state.
Also, the Chief Executive, Dangote Industries Limited, Aliko Dangote said the Lagos Isolation Center was a model for what the coalition would build in other states.
Dangote, represented by Ms Zouera Youssoufou, Managing Director Aliko Dangote Foundation (ADF), said: “It is with great pride that we hand over the Yaba Isolation Center to Lagos State. More supports will come to the state from the coalition and we appreciate everyone’s contribution towards our goal.”
In his remarks, the Managing Director, Access Bank Plc, Mr. Herbert Wigwe said that Lagos was more vulnerable to spread of the virus due to its large population. He commended the state government for its efforts to reduce the spread and effect of the virus on the citizens. He also appreciated the state government’s support to CACOVID.
The Yaba Isolation center comes with a fully equipped medical laboratory and high dependency unit; personal protective equipment and other critical medical consumables; water and sewage treatment plants; 11kv power generator amongst other essentials. This is in addition to 34,000 test kits, sample collection swabs and infrared thermometers recently delivered to the NCDC.
Till date, CACOVID has committed billions of naira to build 38 fully equipped isolation centers across Nigeria with over 5,000 beds and critical medical equipment needed to fight the pandemic, exemplifying sustainable value addition from a partnership that truly works.
Minister seeks support for national health sector COVID-19 response plan
The Minister of Health, Dr. Osagie Ehanire has sought for the support of the Health Partners Coordinating Committee (HPCC) for the newly developed Integrated National Health Sector Covid-19 Response Plan derived from Pillar 4, Priority Area 1 of the NSHDP 11.
The plan, as learnt is to ensure defined responsibilities and harmonization of efforts across the Federal and States and non-interruption of non COVID-19 routine health services. This came to fore when the Minister held a virtual meeting with the Health Partners Coordinating Committee (HPCC) last Friday.
Dr. Ehanire sought for the HPCC to recall that Nigeria had earlier demonstrated commitment towards improving its health sector outputs and outcomes and achieving Universal Health Coverage (UHC) with the signing of the National Health Act, 2014 that gave birth to the Basic Health care Provision Fund (BHCPF).
He said, “The effective implementation of the BHCPF which requires partnership and robust collaboration with all the relevant stakeholders particularly the development partners is key to the realization of set goals towards the UHC”.
The Minister emphasized that maintaining strong collaboration with donors/partners and private sector will ensure alignment and achieving a balanced allocation of funds for financial sustainability.
The Minister also explained that the BHCPF launched in January 2019 by President Buhari was suspended afterwards following observations by the Health Committees of the National Assembly (NASS) in a document entitled, ‘Design and Implementation of the BHCPF- A Review,’ in November, 2019 on grounds that some portions of the earlier developed 2018 operational manual for the implementation of the fund were not in compliance with the National Health Act and as such it’s further implementation would amount to deliberate flouting of the law.
The followings, Dr. Osagie said were the issues raised by the National Assembly on the BHCPF:
1. Lack of clarity on “take off” of the implementation of BHCPF
• States were being asked to deposit a uniform counterpart funding of N100 million not known to law;
2. Poor system thinking and tendency not to go outside “the box”
• Section 11 of NH Act expected to be implemented as part of the whole whereas it will be great to implement it with sections 12 & 13;
• Putting money into PHCs without established minimum standards of quality is not what it intends;
• Provisional accreditation given to PHCs per ward is dangerous in a country where almost all temporary measures become permanent;
• Allocating 2.5% of BHCPF to DHS is not the best use of funds;
• Sub-national health experts not involved in the evolution of the guideline as much as the law expects and community needs to be more involved and engaged;
3. Concern of partners for their investments and theory of change to be safeguarded
• Partners concerned that money in BHCPF is efficiently utilized. Everything should be done to do that but not at the expense of implementing the law;
• Therefore, an accountability mechanism must be put in place to ensure various gateways are accountable;
• Since this is a system strengthening intervention that should continue ad infinitum, funds from donors should not constitute a distortion to the BHCPF.
4. Preference for unwieldy and complex bureaucracy
• Creating a National Steering Committee and Secretariat are perceived as creating extra bureaucracy which may make the implementation of BHCPF quite unwieldy.
5. Desire to indulge/exclude governments at sub-national levels in spite of the law
• Eligibility required by law for any State to spend money from the pot is development of costed plan and payment of not less than 25% of the cost of the project;
• It is not clear what criteria were used to determine the sums allocated to the States as well as why percentages are paid.
6. Poor preparedness of the States for this very important health reforms.
Consequently a committee set up by the Office of the Honourable Minister of Health to review the 2018 Operational Manual and correct the errors. It submitted a guideline entitled, ‘Guidelines for the Administration Disbursement and Monitoring of the BHCPF’ which was subsequently harmonized with the 2018 Operations Manual with the 2020 Draft Guideline in existence, with respect to issues raised by the NASS Health Committees.
In a related note, on the signing of the Nigeria Country Compact Agreement with Development Partners scheduled for the HPCC meeting, the Minister said, “The compact is not in any way legally binding, but just a mutual understanding that we will work together to implement our National Strategy towards achieving UHC and attainment of SDG3.”
Speaking further, he said, “To track implementation of the National Health Plan, the M&E plan of the NSHDP 11 has provided for a Joint Annual Review (JAR). On this, the NSHDP 11 JAR governance structure was inaugurated during the previous HPCC meeting’.
The Minister expressed appreciation to all for their continued support to the health sector while expressing his desire for more partnership and collaboration in concerted efforts to reposition the sector to be more efficient.
Citizens in doubt of COVID-19 should take precaution in their daily activities – Mamora
The Minister of State for Health, Dr. Olorunnimbe Mamora has urged citizens especially those who are in doubt of the existence of COVID-19 in the country to at least take extra pre-caution in their daily activities to avoid being a victim of the disease.
The Minister made this counsel at the Presidential Task Force on COVID-19 Press Briefing held on Thursday. He said that as the number of Covid-19 deaths continues to increase in Nigeria, citizens, especially those who are in doubt of the corona virus pandemic should take extra pre-caution in their daily activities.
Dr. Mamora reported that “We had 649 new confirmed cases bringing the total number of cases in the country to 22,020. We have so far successfully treated and discharged 7,613 persons while 542 deaths have been recorded.”
Continuing, the Minister stated that on Tuesday, 23rd June, 2020, an Emergency National Council on Health was held virtually, attended by State Commissioners of Health, Head of Agencies, Directors at the Federal Ministry of Health, Development Partners and other stakeholders in the health sector to review status and align all responses to COVID19 outbreak in States. “The Council approved the Health Sector COVID-19 Pandemic Response Action Plan which was developed by the Federal Ministry of Health in collaboration with the Departments and Agencies to present one response in the health sector delivered in a coordinated and strategic manner.”
The Minister said: “As we learn more about the disease, we continue to evolve response actions. The community transmission has resulted in the high number of confirmed cases with the challenge that in some States, the facilities for case management may become overwhelmed. Bearing in mind the importance of managing cases in facilities, the Federal Ministry of Health through the National Primary HealthCare Development Agency (NPHCDA) has developed a guideline for the establishment of Community Support Centres.”
Dr. Mamora informed that the central objective of the guideline is the establishment of Community Support Centres (CSCs) in selected clusters of Local Government Areas (LGAs) for the management of COVID-19 cases.
According to the Minister, those community support centres would strengthen the capacity of the health system at the community level to respond to the outbreak and result in the reduction of the transmission of COVID-19 within communities in high burden and high density States.
He therefore stated that Nigerians must be reminded daily of the challenges COVID-19 poses to the country and the world, and further reinforce our resolve to tackle the pandemic. “We can reduce case fatality in Nigeria, if non-pharmaceutical interventions are scaled up and we become more proactive in dealing with positive cases. We can scale up testing, tracing, treatment and isolation, with priority on offering more protection to elderly citizens and those with co-morbidities, from the threat of infection”, Dr. Mamora stated.
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