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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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Rep felicitates Wike on emergence as THISDAY/Arise TV Minister of the Year

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Wike visits scene of collapsed building, insists structures without approval will go down

The Chairman House of Representatives Committee on Federal Capital Territory (FCT), Rep. Aliyu Betara (APC-Borno), has congratulated the FCT Minister, Mr Nyesom Wike, on his emergence as THISDAY/Arise TV Minister of the Year.

Betara, in a congratulatory message issued in Abuja, eulogised the leadership virtue and dedication of the minister to infrastructural development in the territory.

The lawmaker, representing Biu/Bayo/Shani/Kwaya Kusar Federal Constituency of Borno, said that the award was well-deserved.

“On behalf of the House of Representatives Committee on FCT, I wish to extend my warmest congratulations to the FCT Minister, Mr Nyesom Wike, on your well-deserved recognition as the Minister of the Year by THISDAY/Arise TV.

“This prestigious honour is a testament to your visionary leadership, tireless dedication and exceptional contributions to the infrastructural transformation in the territory.

“Your unwavering commitment to service and your determination to improve the lives of residents and visitors alike to the FCT has been nothing short of exemplary.

“Through your bold initiatives and strategic policies, you have not only enhanced the aesthetics and functionality of Abuja, but have also reaffirmed the FCT’s position as a beacon of progress and modernity in Nigeria,” he said.

Betara said that the recognition was a reflection of the positive impact of Wike’s work and the admiration he had earned across various sectors.

While describing the recognition as an outstanding achievement, the lawmaker prayed that the milestone would serve as an inspiration for greater accomplishments in service, with integrity and purpose.

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Court adjourns case against ex-Kogi governor, others

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A Federal Capital Territory High Court on Wednesday, adjourned hearing in the alleged money laundering case against  former governor of Kogi, Yahaya Bello until April 3 and April 24.

Justice Maryann Anenih adjourned the case for continuation of hearing after the first witness, Fabian Nworah, a property developer, was called to testify.

The Prosecution Counsel, Kemi Pinheiro, SAN, informed the court that he had five witnesses to call for the day.

Justice Anenih said she could only take one witness as she had other matters to attend to.

The court also announced that it would not be sitting on Thursday as previously scheduled.

Counsel for the 1st and 2nd Defendants, Joseph Daudu, SAN, however, informed the court that the prosecution had not made the statements on oath of the 2nd defendant available to the defence team.

He said he was aware that the first defendant had not made any statement.

Daudu also objected to the witness presented by the prosecution, arguing that the defendants had no prior knowledge of the witness and were only seeing him in court for the first time.

Citing authorities, he emphasised that legal proceedings should not be a “hide and seek” game, stating that the prosecution was required to provide the witness’ statements on oath in advance so the defence could adequately prepare for cross-examination.

“The statements of the second defendant have not been served on us to be able to know if we will be able to represent him or not.

“So, it is a serious handicap on us. They need to serve us all the statements made by the defendants.

“I understand the first defendant has not made a statement. Fortunately, we are still within the house keeping stage of the proceeding,” he added.

Corroborating this, counsel for the 3rd Defendant, Abubakar Aliyu, SAN, said, “mine is not a comment but an observation my lord. My application is for the court to order the prosecution to provide us with the statements of the 2nd and 3rd defendants.”

When the judge asked if he had requested for the statements, Aliyu SAN said, he discovered on Tuesday that the said statements were not part of the proof of evidence served on the defendants.

He said: “I am also applying that the court order the prosecution to provide us with copies of recovered digital device and the report or the extract therefrom mentioned on Page 14 of Volume 1 of the proof of evidence and the report of the forensic expert if any.

“I am following the procedure followed in Okoye against the Commissioner of Police, which was adopted by the Supreme Court in Okemini Vs Commissioner of Police.”

The prosecution witness, however, disagreed, saying the defendants were trying to delay speedy trial.

He insisted that the proof of evidence was served on the defendants on Nov. 27, 2024.

“The constitutional provisions, which they rely on, does not imply that the prosecution should provide all the documents which it relies on.

“The law only provides that the prosecution should oblige the defence with all the documents requested for,” Pinheiro argued.

He noted that the issues would be addressed whenever they receive formal applications from the Defendants and urged the court to proceed on the business for the day.

“As it is, we have almost utilised more than an hour on these arguments,” he stated.

The judge asked the defendant’s counsel why he did not raise the issues in December.

Daudu SAN replied that it was because it had to be done after arraignment.

“I have applied and they are not obliging me. It is absolutely necessary for our defence,” counsel for the 3rd defendant said.

The judge, however, declined the application for adjournment and directed the prosecution to proceed with the case.

The prosecution then proceeded to call its first witness, Fabian Nwora, a property developer with EFAB Property Nigeria Limited.

Nwora testified that he was invited to the Economic and Financial Crimes on Feb. 8, 2023, regarding a transaction between Shehu Bello and EFAB Property concerning a property located at No. 1 Ikogosi Street, Maitama.

He stated that he sold the said property to Shehu Bello but observed that the name on the sale agreement was Dr Bello Ohiani, not Shehu Bello.

He said, in 2023, Shehu Bello approached EFAB Property, informing them that the property was under investigation by the EFCC.

He returned all documents related to the purchase and demanded a refund of the N550million that was paid.

Subsequently, he said, EFAB Property was invited by the EFCC to explain what transpired between them and Shehu Bello.

The EFCC instructed the company to refund the entire sum to an EFCC-designated account. EFAB Property complied in two batches of N400 million and N150 million.

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Kebbi to upgrade Zuru hospital to referral centre

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The Kebbi Government says it is assessing the condition of the Zuru General Hospital with the aim of upgrading it to a referral centre.

Gov. Nasir Idris stated this when he visited the Emir of Zuru, Alhaji Muhammadu Sani-Sami on Wednesday in Zuru.

Idris visited the emir to thank the people of Fakai, Sakaba, Danko/Wasagu and Zuru Local Government Areas that make up the emirate.

Idris said that upgrading the Zuru General Hospital to a referral centre would ease the difficulties faced by people of the emirate.

The governor said that quality healthcare services remained an utmost priority of his administration.

He said that the Sir Yahaya Memorial Hospital, Birnin Kebbi and the State Medical Centre, Kalgo, currently serving as referral health institutions were overstretched.

“The government is committed to reversing the trend by making referral hospitals close, accessible and affordable to the people of the state,” he said.

On the expansion of the Zuru Water Works and construction of urban township roads, Idris promised to reappraise the facilities for necessary action.

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