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Nigeria records progress in the fight against TB amidst the COVID-19 pandemic

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

This is contained in a press statement distributed by APO Group on behalf of the WHO Regional Office for Africa.

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 channelled 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 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 the 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. The effort to locate TB and Covid-19 cases included screening programs, 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 with 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 a 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 lessons 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 program takes the advantage of the extensive structures and human resource capacity available in the TB control program to increase detection, diagnosis, and management of cases at the community level.”

 

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Commission, journalists partner to revamp water sector in Kaduna

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The Kaduna State Water Services Regulatory Commission (KADWREC) says it is partnering media practitioners towards revamping water services in the state.

Mr Dogara Bashir, the Executive Chairman of KADWREC, disclosed this on Monday at a one-day workshop organised for media practitioners on regulation of ‘Water, Sanitation and Hygiene’ (WASH) activities held in Kaduna.

Bashir said the commission was aware of the importance of the role media practitioners played in the society.

He stated that the workshop was to provide an avenue to liaise with them as important stakeholders on water supply and sanitation services in the state.

Bashir said: “As media practitioners, we believe you are a gateway to the citizens so, the workshop would acquaint you with some of the regulations already in place so that you can in turn transmit it to the public

“The state of water services in Kaduna State is in dire need of attention and the State Water Corporation and KADWREC were established towards addressing the seeming challenges.

“The commission is mandated to ensure better service delivery and regulation of water and sanitation services in the State.

“The idea is that once the regulations are developed, we send them to the State Ministry of Justice to gazette and then we get the state government to endorse and give the go ahead to commence the implementation of the regulations

“We intend to implement them fully come January, 2025 God willing, as we have embarked on advocacy activities having gone to zones 1 and 2 where we talked to traditional rulers, security agencies and the Judiciary.”

He disclosed that a special Court has already been attached to the commission by the Chief Judge of the State for service providers who may likely violate regulations.

The chairman further said that amongst the commission’s objectives include ensuring security, reliability and quality of service in the production and delivery of water to the consumers as well making regulations to control the sinking of boreholes.

Others included; maximising access to water services by promoting and facilitating consumer connections to distribution systems in urban and rural areas.

According to Bashir, they also include ensuring that regulatory decision-making has regards to all the relevant health, safety, environmental and social legislation applying to the water sector.

Bashir further said that the commission collaborate with the relevant state and federal agencies on water policies.

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Crime

2 ladies docked for allegedly obtaining money by fraud

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The police in Lagos have dragged two women, Mmesuma Ofunna, and Blessing Adimekwe, before an Ojo Magistrates’ Court in Lagos, over alleged obtaining money by false pretence.

Ofunna, 22, and Adimekwe, 25, were arraigned before the Magistrate, Mr L K J Layeni, on a four-count charge bordering on conspiracy, obtaining by false pretence, stealing and conduct likely to breach peace.

They each, however, pleaded not guilty to the charge.

The prosecutor, ASP Simon Uche, told the court that the defendants conspired with others now at large, to commit the offence on Oct. 26 at the Okokomaiko area of Ojo.

He alleged that they had obtained the sum of N70, 000 from one Faith Ahamefule, with a promise not to post her nude photo on social media.

The prosecutor alleged that the defendants later posted the nude photo of the nominal complainant on social media, knowing that their promise was false.

He alleged that they stole the N70, 0000, thereby conducting themselves in a manner likely to breach public peace.

The offence contravenes the provisions of sections 168(d), 287, 314, and 411 of the Criminal Law of Lagos State 2015.

The court granted the defendants bails in the sum of N500, 000 each, with two sureties each in like sum.

He adjourned the case until Jan. 8, 2025 for mention.

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Driver jailed 6 months for attempting to steal a car

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A Jos Magistrates’ Court on Monday, sentenced a 37-year-old driver, Ahmad Umar to six months in imprisonment for attempting to steal a car.

The Magistrate, Shawomi Bokkos, summarily tried and sentenced the convict after he pleaded guilty to the charge.

Bokkos in his judgment, ordered the convict to pay an option of N30, 000 fine or spend six months in prison.

Earlier, the Prosecutor, Insp Ibrahim Gokwat, told the court that the case was reported on Oct. 10, at the Area Command Police station through a distress call by one Sydney Peacemorie the complainant.

Gokwat said the complainant parked his Toyota RAV4 in front of Access Bank and went inside to carry out some transactions, only to return to find the convict inside his car.

“The convict unlawfully opened the car and was in the driver’s seat when the complainant raised alarm and he was apprehended, but his accomplice escaped.

“The convict was severely beaten by a mob but was rescued by the police,” said Gokwat.

“The prosecutor said that the offence contravened the Plateau Penal Code Law.

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