Tag: epidemic

  • 500,000 residents cry out over ‘looming epidemic’ in Iponri

    No fewer than 500,000 residents of Iponri Low-Cost Housing Estate in Surulere, Lagos Mainland, yesterday appealed to the government to save them from a “looming epidemic.”

    They told the News Agency of Nigeria (NAN) that the sewage plant that drains dirty water from the soak-away of more than 400 housing units in the estate had been disconnected by Eko Electricity Distribution Company (EKEDC) because of unpaid bills.

    The non-functioning of the plant, they said, had resulted into flooding of the estate by dirty water from the soakaway, causing stench.

    Iponri Housing Estate Residents’ Association, President Abdul-Rasak Osho told NAN that the plant constructed by the Lagos State Government is being maintained by the Ministry of the Environment.

    He said: “The residents noticed that the sewage plant stopped working about three months ago. We met the engineer-in-charge who told us that the power supply to the plant had been disconnected because the state government is owing EKEDC.

    “We bought diesel for them to power the plant but it was exhausted within just five hours. We have appealed to EKEDC to restore the power supply but it said it would not do so until the Lagos State Government pays its debt.

    “The sewage plant has been under the government care since we bought flats in this estate and government has not told us that it can no longer maintain it.

    “Presently, the dirty water has flooded everywhere in the estate. We cannot even pass some routes now because of the flood,” he said.

    Osho appealed to the government to offset the bill so that EKEDC would restore power supply to the sewage plant and safe the estate from impending epidemic.

    The association’s Secretary-General, Francis Odukoya, said the group had written several letters to the Ministry of the Environment over the matter.

    The government, he said, had not replied.

    He said: “We have written about four letters to the Commissioner for the Environment as I am speaking to you now. They built the sewage plant for the estate and they have been servicing it for us for more than 30 years now, they should not relent on their efforts.

    “They should come to our rescue before the residents of the estate start to contract diseases because this odour is terrible.”

    Mrs Alake Oshodi, a old widow, living in Flat 103, told NAN that one of her granddaughters took ill recently and was admitted in hospital. She blamed the illness on the dirty water and bad odour.

    NAN correspondent could not speak with the engineer in charge of the plant because the entrance was locked.

  • Epidemic shifts Eaglets’ Korea tourney

    Epidemic shifts Eaglets’ Korea tourney

    An invitational tournament in Korea Republic to prepare the Golden Eaglets for the U17 World Cup in Chile has been moved on account of an outbreak of the ‘MERS’ (Middle East Respiratory Syndrome) epidemic, which has killed two in Korea thus far.

    The tournament was to have started next week. Over 700 people have been isolated as health officials seek to contain the epidemic.

    FIFA match agent, Jairo Pachon of Eurodata Sport, said on Wednesday that organisers are pained but feel it is the correct decision in the circumstances, in order to protect the participating players and officials of all four countries – Korea Republic, Nigeria, USA and Brazil.

    “It is an unfortunate situation for the Korean people and we feel their discomfort at this period. We hope that they will be able to solve the issue quickly,” said Jairo Pachon.

    A new date will be chosen for the invitational tournament in the month of August 2015.

  • Bank fraud epidemic

    •We need a mechanism that will reduce this to the barest minimum

    Nearly 10 years after consolidation, followed by an earth-shaking sanitisation exercise four years after, all would seem far from well with the Nigerian banking industry. While a lot may have changed for good in the general service landscape as a whole, thanks to the rapid deployment of new technologies, the same bad habits by the operators which once plunged the sector into ruin would appear to have endured.

    That, at least, was the picture as presented by Henry Semenitari, chief executive officer of one of the nation’s banks last week – himself quoting from the latest Financial Institutions Training Centre publication –the FITC Report on Frauds and Forgeries in Banks. According to the bank chief, between January and September 2014, a total of 8,502 fraud cases were recorded in the banking sector involving N23.34bn. As if this figure is not itself alarming enough, – the report, said to be based on 66 returns received from 22 banks – would appear a measure of how pervasive the scourge is to the entire financial services industry.

    As for the cases, they were said to stem from fraudulent ATM withdrawals, computer fraud, fraudulent withdrawals, suppression of entries and opening/operating fraudulent accounts.

    Admittedly, the situation at this time hardly requires hitting the panic button; rather, what it calls for is urgent action to check the scourge which has the potential both to erode the trust and ultimately bring the financial services industry to its knees. Nigeria, currently faced with a haemorrhaging public sector would certainly be doomed were the financial sector to suffer the same fate.

    Of course, we appreciate that no financial services sector can claim to be immune from fraudsters – either from within or without. We understand also that the layers of checks and controls instituted by the banks merely increase the chances of detection of frauds only after they occur; that the checks in themselves do not guarantee that abuses of the system by criminal delinquents would not occur. The challenge here is how our banks could put in place a mechanism that works, a system that reduces the chances of abuses to the very minimum – and when they occur – make the prospect of detection near-certainty.

    Obviously, the banking industry still has a long way to go in this regard. Indeed, it would appear that necessary infrastructure for such does not yet exist. Given that one notorious feature of the financial services environment is the absence of infrastructure for background checks on the sector’s potential employees, the result is an industry that harbours employees who ordinarily would have no business in the sector. Having been let in, they almost inevitably end up preying on the system. And in the atmosphere in which the security agencies that could have helped to ameliorate the situation are themselves bogged down by systemic failures and derelictions, the situation is left to thrive. We think the time has come for the Bankers Committee and the security agencies to work in concert – to deal with the problem once and for all.

    Of course, that nearly all the banks are involved itself says a lot. It is either the banks’ overall systems of financial controls are weak or simply inadequate. Again, who else but the Bankers Committee can fix it? The committee might wish to take a closer look at the system with a view to bringing it up to speed with the challenge.

  • Epidemic of cardiac and renal diseases and the Lagos panacea

    Epidemic of cardiac and renal diseases and the Lagos panacea

    Gboyega Alaka highlights the continued devastation of Nigerian’s by cardiac and renal diseases, as they attain epidemic level globally, even as he chronicles the recent Lagos State Cardiac and Renal Centre, as a panacea.

    Twice frontline actor, Prince Ifeanyi Dike had to go to India to attend to his ailing kidneys. Twice he also had to undergo kidney transplants because the first transplant failed, and to stay alive, he had to travel the delicate route one more time. For the first time, he also shared his well-kept secret of how felt too embarrassed to call for public help on the second mission; hence he had to go it secretly  probably with the help of a few close friends and family.  The good news however, was, he survived.

    Radio jockey, Steve ‘the sleek’ Kadiri wasn’t that lucky. Like Dike, his first transplant also failed. Like Dike, he too wasn’t able to call for public help until friends, led by Alariwo and co took up his case and launched another appeal. But unlike Dike, Kadiri did not survive. He died before the funding for the second transplant could be fully raised.

    President Umaru Yar’adua, with all of the Nigerian state’s machinery and endless cash at his disposal also did not survive. He lost his battle with the highly mortal kidney ailment, despite going to the best hospital in Saudi Arabia. Forget that he embarrassed the Nigerian nation in the process, as many thought the federal government as the sixth largest crude oil producer in the world had no business taking its president to a fellow oil producing state. Not even if it was the world’s number one in the OPEC ranking.

    53 year-old Rahila Jiboyewa, an economics teacher at the University of Maiduguri Staff School is currently facing the battle of her life. After an initial mis-diagnosis in Nigeria that focused treatment on her diabetes, doctors in India have confirmed that her problems were indeed caused by her ailing kidneys, which they say have all but packed up.

    So she has been busy in the last couple of weeks, raising money through good-spirited Nigerians to go for treatment that includes series of dialysis and a kidney transplant in India. She would need a whopping N8million in the least to pay for the treatments and all the appendages of flight for herself and her companion, feeding and accommodation. She needs so much money because her country ‘does’ not have the capacity to take care of her situation, otherwise, she just have had to raise half of that amount for her treatment. The mis-diagnoses and other nasty experiences she went through in Nigerian hospitals and in the hands of fellow Nigerian health personnel, would not even make her consider a Nigerian option, if there were any.  Not even a dialysis session, as she has seen how a Nigerian hospital infected a fellow renal disease patient, during a pre-dialysis operation, complicating her situation in the process.

    Of course the cases of actor Muna Obiekwe and radio guru Chaz B are still fresh in our minds.

    So much for renal-related diseases.

    Just last month, 13-year old Prince Tomiwa Adewale Abegunde returned from the United States of America, where he had gone for a vital hole in the heart operation, sponsored by the America-based Gift of Life Foundation. Today, Adewale lives, to the glory of God and the goodwill of a foreign NGO and a foreign facility. Truth however was that before the NGO came on the scene, Prince Adewale’s parents’ hopes were only hinged on prayers and a miracle, which they probably didn’t believe, deep down, could surface. The whole of their country, Nigeria didn’t have the ability to take care of their boy’s cardiac ailment, and unless they raised about N5million, together with flight and accommodation fee, their lovable son’s fate was probably dicey.

    Also, one is not likely to forget too soon, the pathetic story of Adetokunbo and Peace Kalejaye, published in the Nigerian media about a year ago, where their three-year old girl, Desola had been diagnosed with a 12.5mm hole in the heart situation and needed urgent surgery overseas. Even before her birth, the couple had known that difficult times lay ahead, having been forced to bring their daughter to the world prematurely through a caesarean section. Then the doctors had warned that the foetus was not feeding well and was losing too much weight. On delivery, tests showed that she was suffering from hernia, which they said required an operation, that they recommended should be differed till a bit later, when she is older and stronger. The hole in the heart diagnosis, which came seven months after her birth, was therefore a case of double sorrow for both parents.

    Aside the trauma they suffered as parents, they still had to contend with the hard task of raising N3.5 million.

    A sizable number of Nigerian children suffer from hole in the heart ailments on a regular basis, putting their parents in desperate and panicky situations. That most of these parents are average Nigerians, who can hardly afford three square meals and the regular health treatments, have also meant them coming out cap in hand to seek for public support before accessing the treatment. Inevitably, many die in the process, literally extinguishing their parents dream build around them.

    Just last week, Sulaimon Owolabi walked into The Nation’s office in Ladipo, Mushin, desperately crying for help. He wanted a public appeal story done for his three-year old son, Fatai, who has been diagnosed with celebral palsy, and is in the throes of death. Cerebral Palsy by the way is strange situation, where a child is neither able to talk, sit, stand nor even eat properly, but only roll on the bed or floor.

    According to Wikipedia, it ‘is caused by an abnormal development or damage to the parts of the brain that control movement, balance and posture.’  Often, the problem occur during pregnancy, during childbirth or shortly after birth, but causes remain largely unknown, leaving doctors to hazard guesses at premature birth and some infections suffered by mothers during pregnancy, as risk factors.

    Due to its strangeness, the elder Owolabi took the condition for a spiritual one, taking his son from one spiritual healer to the other until a friend told him it is a health condition and that he should go to a proper hospital.

    So now, he needs N4.8million to go to India and access proper definitive treatment.

    Pain of a Nation

    Even as there does not seems to be any accurate statistics that one can quote, since a good number of Nigerians suffering from the above diseases have died without going to the proper treatment channels, while others still wallow in their predicament, waiting to die in their homes, due to poverty, Lagos State Commissioner for Health, Dr. Jide Idris said in a recent interview that the World Health Organisation’s declaration in 2012 that non-communicable diseases led by cardiovascular and renal diseases have attained epidemic proportion globally, suffices.

    Almost on a daily basis, Nigerians wake up to read or watch on TV how their compatriots, even celebrities have to debase themselves to go cap in hand in public, seeking financial help to access treatment for their cardiac, renal or even cancer-related diseases.

    Prince Ifeanyi Dike, who incidentally is also chairman board of trustees of the actors Guild of Nigeria recalled how his wife had to jettison shyness and go public after they had virtually ran out of every cash they could squeeze, treating his nagging kidney illness. According to him, for such illnesses, it really does not matter how much money one has, because it is expensive to manage or treat, and at the same time, the victim is no longer able to make more money.

    To make matters worse, Nigeria, with all the petro-dollars and resources at her disposal has been unable to institute and develop adequate health facility, causing gravely sick Nigerians to always have to travel to India, Europe or America.

    It is instructive to note here that even almighty America with its advanced facilities still loses a great number of its citizens to these ailments.

    According to the American Heart Association, cardiovascular diseases, led by Heart diseases and stroke remain the top two killers in the country. A more specific figure claimed that it lost over 787 of its citizens to heart disease, stroke and other cardiovascular diseases in 2010; which is about one in every three deaths in America.

    In the same vein, the National Kidney Foundation of America, said that with 47,000 American deaths caused by kidney disease in 2013, the disease is the 9th leading cause of death in the country. The body also says one out of every three American adult is at risk of kidney disease and that  wait for this, black Americans are 3 times more likely to experience kidney failure. This is probably to say that the black man is more predisposed to the disease. It also kind of tally with the various medical guess that change in lifestyle and diet are major causative factors, since the genealogical composition of people of this race was never designed for the kind of diets and lifestyles they suddenly found themselves living.

    Above all, the World Health Organisation’s declaration in its recent report that the burden of diabetes and cardiovascular disease will have increased by 130% in Africa by 2020, calls for great concerns.

    Lagos State to the rescue

    Wednesday March 18 witnessed the historic commissioning of the Cardiac and Renal Centre in Gbagada, Lagos, by His Excellency, Governor Babatunde Raji Fashola (SAN). In his commissioning remarks, the governor said “Year on year, I watched as we exported Nigerians abroad, with family members to care for and support them; all at high cost in foreign exchange, because there was no local alternative.”

    Continuing, he said his government between 2008 and 2014, sponsored 42 cardiac cases and 28 renal cases abroad for treatment abroad at tax-payers’ expense on the recommendation of the Ministry of health. And this is in spite of the fact that the country has well over 20,000 experts scattered across the globe and working to serve other societies, while their own people waste away, for lack of adequate facilities.

    He had also interacted with some of them and discovered that “they wanted to come home and practice but there were no hospitals comparable to where they were accustomed to working.”

    So he took a decision to do something.

    The turning point for him however was when a former president of the country had to be flown to Saudi Arabian hospital to manage a kidney ailment.

    The commissioning of the facility, six years after it was kicked off in 2008 was therefore a fulfilment of that promise. He therefore congratulated the team that put it together, and indeed the Nigerian people, while inviting them to take advantage of the facility.

    According to the governor, the hospital “has 24 dialysis bed stations, 20 beds for recovery and general ward use, 2 high dependency wards with five beds each for patient who have come out of intensive care, five beds for patients in intensive care, four post surgery beds, two post cathlab beds and two surgical theatres built to the most contemporary; along with instant multimedia equipment for live transmission to students in the lecture rooms.

    He also declared that the centre is being managed through concession partnership by Renescor Team, a multidimensional consortium of specialised Nigerian and American doctors and nurses who are cardiac and kidney specialists in America.

  • The teenage marijuana smoking epidemic

    The teenage marijuana smoking epidemic

    With the rate at which teenagers in Lagos are smoking Indian Hemp as if it is a candy, and going out of fashion, stakeholders are at a crossroad on how best to handle the helpless situation reports Sina Fadare & Medinat Kanabe

    They are helpless, homeless, hopeless and perhaps do not know the implications of their actions.  They are smoking marijuana, popularly called Indian hemp, igbo, eja or kukuye on a 24-hours basis as if their lives depend on it. They are products of broken homes and carefree parents who care less about where, when and how they are surviving.  They live their lives on the streets and under the bridges. During the day, they are noticeable at major bus stops and parks across Lagos and other states. And these are aside those permanently operating under the bridge at Oshodi towards the Ilupeju end. Often, you can identify them by their tell-tale unkempt looks, wrapped weed in between their fingers, thick smokes unfurling and melting into the atmosphere, and of course the nauseating odour. Welcome to the little world of teenage hemp smokers,

    As early as 5 am, their day starts. They are on the streets, snatching bags, phones and money. Investigation by The Nation revealed that they rarely sleep, preferring to occupy themselves with smoking Indian hemp almost throughout the night. And they’re freshly out of the cradle, their ages ranging between 12 -16 years.

    “How can they sleep, when throughout the day they are smoking Indian hemp? Definitely sleep will elude them and that is why they are ready-made recruits for buglers and armed robbers,” a newspaper vendor under the bridge, who knew virtually all of them, due to years of interacting with them lamented.

    We also discovered that some of them have turned under the bridge to their homes. Their clothes could be seen littering the base of the bridge, while those recently washed hung on the barbed wire, supposedly used as demarcation by the authorities to discourage people from making the place a bypass.

    A repeat visit to the place on weekends confirmed that the kids actually live under the bridge. Some of them could be seen washing few of pieces of cloths, while others naturally busied themselves with their pastimes, hemp smoking. It did not matter that it was just 6:30 in the morning. We also discovered that they are threats to commuters who trooped to the popular bus terminus to take early bus rides to Lagos Island and other cities and towns outside the state. At one time or the other, a good number of them have fallen prey to these urchins, losing bags, phones and other belongings in the process.

    After the morning rush of passengers, some of them move to the garage adjacent their abode to begin a long session of dice and card games, using money, wrist watches and sometimes shoes, most of which were stolen,  to bet. During this time, the big white stick never leaves their fingers. They just can’t seem to have enough of the illicit weed.

    How teenagers between the ages of 11 to 15 years of age could become hemp addicts in the glare of the ever busy Oshodi, with so many people troop in droves on a per minute basis beats the imagination and raises cause for concern.  More worrisome is the fact that a police station sits just about 10 meters from this spot.

    This team of The Nation was however dazed to discover that this trend cuts across the major bus parks and bus stops across the Lagos metropolis. From Fadeyi to Mushin to Bariga; right across to Somolu, Ketu, Pen Cinema, Abbatoir, Mile 12, Olodana Oto Apapa,  Agege, Ajelogo, Agric Ikorodu, Agbole area of Ikotun, Itire, Ojuelegba, Obalende; the story is the same. And so it is official, hordes of teenagers, who should be in school or at vocational training, preparing themselves for a meaningful future, are smoking away their future with impunity.

    At Agege area of the state, a middle age man, who identified himself as Baba Kabiru, said he almost fainted the day he learnt that his son who was in primary six was smoking Indian hemp.

    He said the poor boy learnt to smoke the weed during his regular trips to the Quranic lesson, which he used to attend after school hours. “Some of the bad boys were living in the same building that is housing the evening class and were using these innocent children as errand boys whenever their master was not around. Gradually my son and some others were inducted into smoking. I got to know one day when my wallet was missing. In the confusion of searching everywhere, l checked his school bag where l saw two raps of Indian hemp.”

    Baba Kabiru who disclosed that he was unable to sleep that night said upon investigation he learnt that they have a group and they have been involved for a while. “l had to change his school and move away from the environment because l was too shocked to see my son, a primary school pupil smoking Indian hemp. The experience is still strange to me.” He lamented.

    The entrance of Our Lady Lourdes Girls Primary School on Clegg Street in Surulere area of Lagos is another notorious joint that harbours hemp-smoking kids. On a daily bases, immediately the school closes for the day, these kids take charge and smoke marijuana till the wee hours of the day.

    Again, the Area  ‘C’ Police Division  is very close to the school compound, but somehow, they seem to be content with looking elsewhere, whilst this atrocity go on.

    Speaking to The Nation on condition of anonymity, a police officer from the command said most of the parents of these kids are within the vicinity, but unfortunately they cannot put them under control, adding that “there is little the police can do because some of these kids are under-age and cannot be put behind bars.”

    As a panacea, he challenged the government to wake up to its responsibility and send these kids to rehabilitation homes, where they can learn different vocations to make useful to themselves and society later in life.

    At Obalende, another kid hemp smoking rendezvous assailed our reporter. Here we gathered that weed smoking, particularly among the teenagers, is like a carnival. A middle-aged woman, Labake Ilori who sells assorted wines in the area questioned this reporter’s naivety, asking if he was new in Lagos not to know that smoking of Indian hemp in the vicinity by the teenagers is a daily occurrence.

    “Are you new in Lagos? All these kids are chain hemp smokers, virtually from morning till late into the night. Some of them don’t have anywhere to go; therefore they live on the streets and sleep in most of the kiosks. Occasionally the police come here to raid them, but after few days you see them again,” she explained.

    She lamented that at the dawn or night, they become uncontrollable and there is nothing they cannot steal. “You can see all of us are very careful and keep our money inside our inner purse otherwise they can do anything.”

    Candidates for nuthouse

    If the kid hemp smokers are potential recruits into the world of crime, they are also potential patients at psychiatric homes. The question thus arises; why are they left to waste away their future under the bridges and at bus terminals, when their parents, government officials and even the police could have kept them in check?

    Lagos State Police Public Relation Officer, Mr.  Nwosu Kenneth said that the police in the State are doing everything within its power to arrest the situation.

    He pointed out that Oshodi area of the state is a peculiar terrain that remains a concern to the police authority, adding that “when we arrest people we know are underage and cannot really be arrested under the criminal justice system, we take them to juvenile homes for care because some of them get involved in it because of lack of care.”

    He said the police in partnership with the National Union of Road Transport Workers, NURTW and the government of Lagos State are trying to mop up the area in order to save the future of the kids. “Most of the kids you see there are not from a home; they are on their own, fending for themselves; so they are vulnerable and easily lured into these things. We do clean up there about twice a week. We rescue these kids because they cannot be arrested. If you have information about how we can get the kids, so they can be rescued, it will be much appreciated.”

    Kenneth however regrets that the kids keep returning to the dark areas, despite being rescued on a daily basis. He ascribed this to the fact that these are places where they earn their living, albeit illegitimately.

    Speaking in the same vein, Head of Public Affairs of National Drug Law Enforcement Agency, NDLEA, Mr.  Ofoyeju Mitchell said kids get involved in marijuana due to their ignorance of the consequences of the drug.

    Mitchell while speaking to The Nation in his office noted that “some are so carried away by the type of peer groups they keep that they don’t even know when get involved.  If they are unfortunate to have friends who are involved, they are likely to succumb to pressure by their peers to try it out.”

    According to Mitchell most of the kids do not have what you can call a home; therefore they are ready-made tools for such a gamble. “Lack of good upbringing also leads to it because when children are not properly cared for, it affects. You don’t know their friends or what they do; when they keep late nights, nobody asks where they are coming from. And children being what they are, like to experiment, even when they know that government have said the drug abuse is bad. They want to experiment and have a taste of that much-talked-about euphoric pleasurable feeling, forgetting that the feeling is addictive.”

    He lamented that these kids are products of broken homes, who possibly have nobody to lean on for survival and therefore take solace in bad peer groups. “There are children that don’t even know where they are from or where their parents are. We have counseled some that we expect them to go back home, but they can’t because of one reason or the other. Some live under the bridge in Lagos but their parents are in Osogbo.  And when they are on the streets, they are exposed to all forms of abuses because they don’t have guidance.”

    Mitchell pointed out that the NDLEA has put up a lot of enlightenment programmes to assist them. “We have introduced drug free clubs in schools. The club builds capacity among the children. They have their NGO. We  talk to them and give them  fliers, and whenever they are having programmes like debate or seminar within their school, they invite us as patrons to come and present talks and we believe that by involving them in anti-drug abuse programme, it will help to inculcate a drug free lifestyle in them, and it is working.”

    Mitchell said that in as much as the agency wants these kids off the street, it has its limitations. “We have challenges of accommodation for them. After we counsel them, we can give them money to go back to their various homes around the country, but there is no proper follow-up or monitoring to know if they actually went home.

    “There are some others that after the counseling process, they go back home but because of lack of follow-up we re-admit them again. We expect that their parents would take over after they complete the process. Some say that nobody cared for them after getting home, but their friends came and they followed them and started taking the substance again.”

    He argued that the daunting challenge at hand is that all hands must be on deck to monitor these kids, particularly by their parents who have greater responsibility towards them before they turn to social menace.

    “We have raided Oshodi, Obalende and some other notorious spots in Lagos and we do that on regular bases, but we cannot do it alone. Parents must be involved; NGOs, civil society groups, opinion leaders, traditional rulers, individuals. We have a dedicated phone line on our website that people use but we also advise other people to use it. I cannot know what is happening in your area even though we have people who go out to raid notorious places.” He said.

    Reacting to the allegation that the government of Lagos State is not doing enough to take these kids off the streets, a deputy director at the ministry of Environment, Lagos State, who spoke to The Nation on condition of anonymity said the government is trying to do its best but challenged parents not to give birth to children they cannot take care of, lest they become social deviants.

    According to him the government in conjunction with relevant security agencies raids these notorious dark spots, but the kids are always back there after “escaping from our custody at juvenile homes.”

    He lamented that the government is busy about electioneering at the moment and most of these kids have been conscripted into pasting posters, especially at night; therefore he said “To have a meaningful programme for them will be after this election palaver.”

  • Ebola…Not quite farewell to an epidemic

    Ebola…Not quite farewell to an epidemic

    From Nigeria to Liberia and elsewhere, there are new developments on the Ebola disaster, some good, others bad. As Nigeria faces new realities, two doctors in Liberia recover after taking ZMapp and fears of insurance claim trail flights cancelations, writes Asst. Editor OLUKOREDE YISHAU

    ealth Minister Onyebuchi Chukwu was happy to announce that only one patient was still in isolation as a result of the dreaded virus. The development made many feel that eventually Nigeria has caged Ebola and pretty soon, its death knell would sound. Chukwu was, however, cautious and said it was not time for uhuru.

    After briefing the Federal Executive Council (FEC) on efforts to contain the deadly disease, the minister said Nigeria is not yet immune to another outbreak.

    Chukwu said the virus could still find its way into Nigeria as long as there is any case of Ebola anywhere in the world and there is free movement of persons from country to country.

    He said: “Nigeria has been successful in containment of the disease but we have not eliminated the disease. As long as there is any case of Ebola virus anywhere in the world and people are allowed to travel, we are still at risk.

    “We are not banning mass gathering and we are not panicking because of the disease. More people have even died from accident than Ebola since the disease came to Nigeria. Ebola is not the greatest killer of Nigerians.

    “We don’t want to panic, but we still need to be careful because we are still at risk until the last case is eliminated. Since, we have one case of Ebola, it is still an epidemic because it is deadlier than other diseases.”

    Just a day after Chukwu’s cautious note, it emerged that Ebola had killed another doctor, Dr. Ikechukwu Enemuo, this time in Port Harcourt, the Rivers State capital. The doctor was said to have been infected by a diplomat who had contact with the index patient, the late Patrick Sawyer. The diplomat, Olubukun Koye, was said to have gone to Port Harcourt to seek treatment for ill-health. He returned to Lagos after the government insisted all who had contact with the late Sawyer must be at the isolation centre in Yaba. He is said to have since recovered and back with his family. The doctor was not lucky. He was the owner of “Samsteel Hospital” in Rumuokoro, in Obio/Akpor Local Government Area, where he worked as the Chief Medical Director until he died on August 22.

    With his death, Ebola has gone beyond Lagos. There is panic in Bayelsa and other states close to the Rivers State capital.

    Two employees of the late Dr. Enemuo have shown signs of the disease and have been quarantined, Rivers State Commissioner of Health Sampson Parker

    said yesterday. A patient in “Good Hart” Hospital where Enemuo was admitted until he died has also been quarantined. Results of their samples were being awaited. The attendants at the morgue where the late doctor’s body was deposited have been placed under watch. The hospitals where the late Enemuo was treated, the Mandate Garden Hotel, Rumudamanya, where he treated his patient, Koye and his residence have been decontaminated.

    Dr Enemuo was the sixth victim and the third doctor to die of the virus in the country.

    Parker announced the ban on movement of bodies within and outside the state, adding that before any body was moved, the relatives of the diseased must obtain clearance from the Ministry of Health.

    Parker said: “Governor Chibuike Amaechi will be meeting all church leaders in the state tomorrow(today). He will also be meeting with traditional rulers on Tuesday.

    “Just as I earlier said, 200 persons that had contacts with the late Enemuo have been traced and put under watch. We have identified 50 high-risked persons, 60 others that had contacts with him are yet being traced.

    “Three patients are at the treatment centre now, a Doctor and pharmacist that worked with the victim at the SamSteel hospital and a lady that was at Good Hart hospital while Dr. Enemuo was there. However, their results are being awaited.

    “Enemuo’s widow is still in a stable condition in Lagos. Anyone that had any form of contact with the late Dr. should please come up. Ebola is curable, if diagnosed early, people have survived it and more people will. So, there is no need to run away. It is important that churches close their secret admission wards in their various places of worship. Some of them are running into churches and pastors are laying hands on them. It is wrong.

    “Movement of bodies within and outside the state must be supervised. Death certificate must be produced to ascertain the cause of death, and the state Ministry of Health must give approval before anybody is allowed to move.

    “The UPTH morgue has been decontaminated. However, all the bodies there must be buried under supervision, especially those that were there at the same time with Dr. Enemuo’s body.”

    There was tension among workers and patients of the University of Port Harcourt Teaching Hospital (UPTH) Friday, following the news of the presence of the remains of Dr. Enemuo in the hospitals mortuary.

    As Nigeria deals with this new reality, Liberia has some good news. The World Health Organisation yesterday announced that two doctors who were treated with the experimental drug ZMapp have recovered and issued certificate of discharge. Three of them received the treatment, but one died last week. The two health workers become the first Africans to survive after taking the experimental drug. Two American, who contracted the virus in Liberia, have also survived after taking the drug.

    Dr. Senga Omeonga and physician assistant Kynda Kobbah were discharged from a Liberian treatment center at the weekend. Both indicated that they will return to work soon.

    The WHO said they were received by Liberian President Ellen Johnson-Sirleaf after being discharged. A third person who was infected and treated with ZMapp died last Sunday.

    The lethal virus has spread to five countries in West Africa — Liberia, Guinea, Sierra Leone, Nigeria and Senegal — during this year’s outbreak. Senegal confirmed its first case of the virus on Friday, one week after closing its border with Guinea, the Senegalese Press Agency reported.

    There have been 3,069 probable, confirmed and suspected cases of Ebola in West Africa — more than 40 per cent of which have occurred within the past three weeks, according to the WHO. Some 1,552 of those have died.

    It also emerged yesterday that there are concerns about likely insurance claims from flights cancellations by airlines. London-based insurers are facing claims for cancelled travel and events. Insurers said they are receiving claims relating to the outbreak.

    Amanda Lewis, an underwriter at insurer Aegis, said: “The outbreak has caused some isolated event cancellations. Losses are being reported into the London market and I would expect that to gain some momentum. People’s perception is that it is the whole of Africa. The detail gets lost in the hysteria.”

    Lewis added that even when disease is covered, insurance contracts do not generally cover losses caused by the fear of a disease rather than the disease itself. Insurers started excluding disease outbreaks in standard contracts as a result of the SARS epidemic in 2002.

    In Senegal, which recorded its first case a few days ago, the WHO said the effort to contain Ebola is “a top priority emergency,”. The government continues tracing everyone who came in contact with a Guinean student who tested positive for the deadly disease in the capital, Dakar. Senegal is the sixth country in Africa with the epidemic. Guinea, Congo, Sierra Leone, Liberia and Nigeria are the others.

    Senegal, said WHO, faces an “urgent need” for support and supplies including hygiene kits and personal protective equipment for health workers.

    “These needs will be met with the fastest possible speed,” the WHO said.

    The U.N. agency also provided new information on the movements of the 21-year-old student in the city before he was diagnosed with Ebola.

    The student showed up at a hospital in Dakar on August 26 but did not reveal that he had been in contact with other Ebola victims, said Senegalese Health Minister Awa Marie Coll Seck.

    He said Senegalese authorities were alerted next day by an epidemiological surveillance team in neighboring Guinea that it had lost track of a person it was monitoring three weeks earlier, and that the person may have crossed into Senegal.

    Seck said the student was tracked to the hospital in Dakar and was immediately quarantined, and a test confirmed he had Ebola.

    The WHO said the student arrived in Dakar by road on August 20 and stayed with relatives “in the outskirts of the city”, before going to a medical facility on August 23 seeking treatment for fever, diarrhea and vomiting.

    He was treated for malaria and continued staying with his relatives before going to the Dakar hospital on August 26.

    “Though the investigation is in its early stages, he is not presently known to have traveled elsewhere,” said the WHO.

    A doctor was quoted yesterday as saying the Guinean student “is doing very well,”.

    “This morning when I called the hospital, the doctor told me that the patient had no complaints and that his fever had disappeared,” said Dr. Gallaye Ka in an interview with the private radio station RFM.

    The WHO believes the epidemic could affect as much as 200,000 people before it will eventually be reined in.

    For now, there is no approved rug or vaccine for the dreaded disease. ZMapp and others are still being tested. While some have survived after using ZMapp, others have died despite taking it.

    Countries, such as Canada, are developing vaccines for the disease. Pharmaceutical companies are reluctant to invest in Ebola drugs because it is the sort of disease that comes once in a while and disappears, a situation which is not good for commercial purpose.

  • Epidemic of premature birth, baby diabetes? (2)

    We all take every gift of Mother Nature for granted, not realising that, to enjoy them, there are input we must make as our own contribution to the equation. We breathe. But does everyone breathe well? Asthmatics certainly do not. There must be one or two things or more they are not getting right about their breathing or respiratory systems. The same can be said of the man or woman who eats three square meals everyday but voids the waste once a day, instead of twice or three times and, in terrible cases, such as a young woman with bulky abdomen I saw last week who defecates once a week. There is no difference with getting pregnant or maintaining pregnancy to full term devoid of one complication or the other. Thank you Mr. Adeniji, of Shagamu for your text message in response to the first part of this series last Thursday which says:

    “With your column today, you have done a lot of favour to humanity. Medicine, like many other professions in Nigeria, is taken up for pecuniary reasons rather than love for it. It is a pity and government does not help matters by providing strict regulations or basic facilities in its own establishments. It is said.”

    The comments were in response to the huge cost of keeping premature babies alive in private hospitals which average between N100,000 and N250,000 every week. Incidentally, premature birth would appear to afflict the poor more than any other social group, with deep roots in stress and malnutrition.

    A male reader said in a mail: “I just went through your article in The Nation 30/01/14 about preterm labour. I got married 2010 and my wife had miscarriages four times. We are still childless and confused on what to do. We are an average young couple. It was as if you know what we’re going through. What can we do?

    I know, like the back of my palm, a young couple who asked a similar question about 30 years ago after the third successive miscarriage, often at about four months of pregnancy but without any relationship with incompetent cervix. Their nutrition was the standard South, western Nigerian Diet: bread, milk, sugar, egg, carbonhydrate foods of all kinds, fried foods, no food supplements and drinking water from galvanised aluminum tank storage coated inside with coal tar to prevent rust. No fruits. Little or no vegetable. The wife was a woman in a man’s world, intellectually and achievement driven, and an A – Type and perfectionist personality who sought to always be in control of her environment. She disliked the neighbourhood where she lived, but she and her husband did not have the money to immediately relocate. She was happy at work but became sad as the work hours wore out and it was time for the office to close. The nearer she got home after work, the worse her emotional unbalancing became. Today, doctors talk about the impact of the mind on the body, and of how stress hormones, when elevated beyond normal values in the bloodstream, negatively affect foetal blood vessels and, how in turn, this may cause preterm labour. At that time, I knew next to nothing about Eastern ideas about medicine. Much later, I learned that the reproductive organs of a woman are controlled by the Second Chakra.

    A Chakra is like an electricity transformer which steps down the high voltage from the national grid to domestic voltage. The Chakra is said to be the points in the body through which the human spirit, that is the being who occupies his or her physical human body nourishes the body and its organs with spiritual power.

    There are seven of these Chakras. Incidentally, their arrangement tallies with the location of the endocrine glands in other words, while Western Medicine recognises the powerful impact of the endocrine glands on the functions and health of the physical body, Eastern Medicine seems to suggest that these glands are themselves controlled in part by another force, the Chakras. Turn and twist as the Western trained doctor may, he cannot deny that acupressure or acupuncture, based on Eastern Medicine Philosophy, are forms of medicine, like allopathy, western or drugs medicine. Last week a woman came to see me for dietary and food supplements advice. She had had a tumour removed from one breast. On examination, the lump was found to be cancerous. When I held her hand and pressed the point on the back of the palm on the side of the ailing breast, she shouted in pain and wrenched the hand free. I did not immediately tell her and her elder sister what had just happened. I took the hand a second time, with some reluctance on her part and, this time, did not easily let go; she yelled this time, and scrambled up from her seat. Then, I told them this was the idea of the Indian author of YOUR HEALTH IN YOUR HANDS Deventer Vera, who treats more than two million patients every year, first by massaging acupressure points on the front and back of their palms, diagnose their conditions and, thereafter treat them. It was for this same purpose that, also from the Eastern World, the Guardian Angel has finally come to Nigeria and I, from here, to the rest of Africa. It is a gold plated acupressure hand massage device which, messaging the Chakras meridian points on the hands and other parts of the body, help to break congestions in these meridian and, as a consequence, stimulate etheric energy circulation. I believe I have some explanations to make here. One is that the meridians are pathways through which the Chakra passes energy from the spirit to different parts of the body. Like the physical blood circulation system, this may be likened to an etheric (unseen) spiritual energy circulation. These meridians serve the endocrine glands. In a second sense, they may be seen as electricity cabling which to the house or factory energy stepped down by the transformer. In a third sense, they are like the underground water channel system which feeds overland water system (streams, rivers, seas, and oceans etc). Any trouble in the Chakra or Meridian, therefore, may be like a transformer or cable failure which causes electricity disconnection or black out. In a woman, the ovaries, fallopian tubes, womb, cervix and vagina lie in the province of the second Chakra. The breasts lie in the fourth Chakra. The second Chakra has to do with power and control.

    The fourth Chakra has to do with Love. Where a person seeks power and control over persons or situations but fails and becomes unbalanced as a result, with negative feelings, this creates a second Chakra problem. Dr. Norman G. Shealy M.D., Ph.D., a neurosurgeon, and Norman Caroline Myss, a journalist and spiritual healer, have been working since the last few decades of the last century to popularise energy or Chakra Medicine in the United States. They found, for example, that some cases of breast cancer healed spontaneously without drugs or any other Western Medical intervention when the women forgave whoever they passionately hated. Often, these were spouses who disappointed them either through cheating, divorce, separation or things like that. Dr. Shealy and Caroline, in their CREATION OF HEALTH, say breast cancer often comes up within about 18 months of the onset of passionate hatred. There is no doubt that hatred alters the body’s biochemistry, evident even in a frown on the face, causes disturbance of the spirit, and in mind over matter analysis, shows it disturbs the endocrine glands, produces damaging chemicals, alters the body’s biochemistry, and, at the level of the fourth Chakra, shuts down this transformer and reduces or terminates etheric energy flow to the breasts in the fourth Chakra or to reproductive organs in the second. Thus, apart from treating these conditions from the outside, physicians may achieve more results by counseling their patients to give up hatred and, in the case of the second Chakra, the penchants to control other people.

    People who are challenged with uterine fibroids or prostate disorders may wish to try this therapy. Why must we seek control over other peoples lives, be they husbands, wives, children, neighbours, business colleagues, office, subordinates etc. It is a serious lesson in chakra medicine expects us to have been taught by age 14 seven years lesson for every chakra) so that at age 49, all lesson well learned, we arrive at 50 with wisdom. Maybe we need to change the saying’ A FOOL AT 40…to A FOOL AT 50 IS A FOOL FOREVER! The woman with the breast question admitted her marriage failed in the first week. At her next visit, she would have the Guardian Angel. My sister, Mrs Bukola Yemisi Amaku, and niece, Mrs Folake Ogunje, say it helps them sleep like babies. If it helps open blocked meridians of the second chakra region, it may help to tone the organs there, but I am yet to confirm if a pregnant woman can use it.

    In the 1980’s, when I had to help the woman with three consecutive miscarriages, all I could do was try out the experience of an American Pharmacologist whose book is still sited today in the infertility literature. His wife too, had three miscarriages in a row. He gave her Vitex, Red raspberry leaves and squaw vine. Vitex acts beneficially on the pituitary gland which controls the ovaries, to normalise or balance female hormones, without which pregnancy can hardly occur or be maintained to term. These herbs helped this woman, Red Raspberry leaves in particular supports uterine health for the task ahead while Shepherd’s Purse, apart from supporting the muscle fabric of the uterus, stips internal bleeding.

    Today, there is an abundance of nutritional support for women who wish to become pregnant or already are. Dr Sheally and Caroline made it clear that health is a product and it must like the motor car, for example, be created to be possessed, hence the title of their book, THE CREATION OF HEALTH. The subtitle is no less explanatory, It invites attention to THE EMOTIONAL, PSYCHOLOGICAL AND SPIRITUAL REPSONSES THAT PROMOTE HEALTH AND HEALING. Help come also from Edgar Caycee, that remarkable Christian seer who made his diagnoses and prescription in a trance. For fertility questions, he suspects spinal subloxations and weak nerve impulses reaching the uterine region. Could this be a consequences of second chakra and meridian problems. Many women bend down too often to pick one object after the other while working around the house and may not bend knee down but waist down. This may misalign muscles and weaken the nerves. Apart from suggesting a complete and high dosage Vitamin B complex for the nerves, I will suggest also nerve tonics such as valerian Root (this may induce sleep) may be taken as a night cap. Vervain helps as well. It is slightly diuretic and sedative and helps the liver and gums. So should algavera A-V vigor. It stabilises the brain and nerves and should help the pituitary gland. What I would consider one of the best support for the nerves is LION’S MANE MUSHROOM, which encourages the brain to produce nerve growth hormone (or factor) to improve nerve flow and energy.

     Preparation

    A farmer hardly gives to cultivate his farm without first removing the weeds, fertilising the soil and making heaps and ridges in which to plant. A woman who wishes to get pregnant and keep it full term MUST prepare her body for it. Never mind that some women easily scale the fence. They pay for the deficit with maternal depletion or secondary infertility.

    The thyroid gland wreaks more than 250 havocs in the body if its underactive or over-working. Many women are hypothyrodic. Such women may find it difficult to get pregnant or to sustain it. To know if you are hypothyrodic, perform, Dr. Bames Basal Body Temperature as taught on the internet keep or any iodine contacting food will help. Foods that contains the Halogen chemicals (Chlorine, Flourine, Bromine etc.) which inhibit thyroid function must be avoided. Bread is suspect because it is often baked with potassium bromate so call pure water contains too much chlorine for comfort. Alkaline water (with pH well above 7) is ideal. Where this is not readily available, alkaline food supplements such as wheatgrass tea, Horsetail, Stinging nettle, Moringa and Spirulina are wonderful. The digestive system must be cleaned up. The use of PROBIOTIC( friendly bacteria) helps a lot. Many people write or phone to thank me for recommending FARM FRESH UNSWEETENED YOGHURT.

    It is about the best yoghurt brand in the country today, calamus root and Pau d’Arco deal devastating blow to intestinal parasite, especially candida which, when it crosses into the bloodstream, and reaches the ovaries may inhibit hormone production by this organ and trouble any other organ, Coral calcium bring more than just 40 nutrients into the body almy with calcium. Vitamin D3 and Apple Ciden Vinegar help Calcium absorption Bee propolis will bring B Vitamins, Minerals and energy. Lets not forget Bee Pripohs, food of the queen bee, which makes her fertile, or Macca which supports hormone production in men and women. Many couples know next to nothing about essential fatty Acids(EFAS) and their roles in this matter. I suggest they have a copy of Dr. Udo Erasmis FATS THAT HEAL AND FAT THAT KILL in their libraries. H.K BAKHRUS FOODS THAT HEAL is good, too. So are his VITAMINS THAT HEAL AND HERBS THAT HEAL. Remember that health has to be created and nothing is too little or to much to do in this regard. I prefer the alkaline Vitamin C to Pharmaceutical Ascorbic acid. We cannot forget Vitamin E, the fertility vitamin, or zinc, the fertility mineral for men and women and Magnesium, which prevents those uterine muscles cramps and the resultant preterm labour.

    The blood has to be well-oxygenated. Most women do not have enough oxygen in their blood; not only from insufficient exercise but also, because they are inhaling smoke everywhere… in the traffic and in the kitchen. They need to promote blood circulation and improve their energy stock using power herbs such as Ginseng and Ubiqyuinol, one of the world’s best energisers today. Energy helps every cell of the body. Energy is life. It doesn’t come cheap. It has to be sourced. It is hardly present in all the overcooked Nigerian foods or all the junk and fast foods around embalmed with MSG. above all, put potassium in your body. It strengthens and soothes muscles. The womb is a tough muscle.

    Sometimes, I eat banana for a meal and down with wheatgrass, spirolina or horsetail or bits of them in drink to which I may add one teaspoonful of Blackstrap molasses in a glass or two of water to which I add juice of one or two limes or lemons or even oranges. For me, no bread, milk, sugar, butter, margarine, fried food, MSG, convemence meals, processed beverages… And now I have changed my cooking pots to non-stick, avoid plastics as much as possible. It’s a beautiful dietary world!. What I plan to do next is get Algavera Av-Silver. It is an earthing bedsheet. It is plugged to an electricity socket and spread on the bed. When one lies on it, it removes all dangerous radiations from the body and earths them. Those radiations come from food, air and water and from the metabolic wastes of the body. Walking barefoot connects us to the earth, the source of our physical bodies. This connection helps to balance electrons and protons in our bodies and make us robustly healthy for everything, including capacity for healthy, high-count sperm and pregnancy. But, alas, the modern man no longer walks herefoot… even in the bedroom. Any wonder, then, that many things about our health are unbalanced, and using pharmaceutical drugs to unbalalnce the equation worsens it in the end? We must return to Mother Nature.

     

     

  • Fear of cholera epidemic grips community

    Residents of Garki village are afraid they might soon have a cholera epidemic on their hands because sewage is spilling into the streets from broken channels.

    Investigation revealed that officials of the Abuja Environmental Protection Board (AEPB) in charge of monitoring hardly visit the community, leaving most residents to rely on local plumbers to repair broken sewage.

    A resident of Garki village, Mr. Laid Olamipo who spoke with Abuja Review said that the area may experience outbreak of cholera in matter of days following the negligence by AEPB.

    His words: “We have been experiencing acute littering of rubbish water coming from most broken sewages and environmental officials who are supposed to carry out their duty by evacuating the filled sewage are nowhere to be found and entrance of the Enugu Street has been polluted.

    “We have been abandoned to face the consequences which may be disastrous if no urgent action is taken. How can we have people in charge and things are going bad this way. We are not safe with the situation.”

    A visit to the area shows that both defecation and toilet water flow freely around the streets as some roadside traders still ply their trade even as a roadside local restaurant boom in the area.

    Another resident, who pleaded anonymity because of security reasons expressed fear of possible outbreak of water-borne disease in the community, even as he lamented that most residents in such area may be infected by diseases.

    A source said: “The concern of women in this community is to prevent imminent outbreak of water-borne disease. I call on the FCT Minister to set up a committee to checkmate the activities of the AEPB contractors.”

    In his reaction, Head Information and Outreach Programme of the AEPB, Mr. Joe Ukairo who described Garki Village as an unplanned settlement in the midst of city centre, added that “it is against best practices the world over. They must be relocated for sanity to be sustained.

    “The existence of a village which is an unplanned settlement in the midst of city centre is against best practices world over. They must be relocated for sanity to be sustained.

    “Garki Village is an aberration! It ought not to be there still. We are trying our best to help in any way possible. No access road, no infrastructure for the high-tech equipment and services AEPB renders,” he said.

  • Africa’s trauma epidemic

    LAGOS — It was dusk and I was on my way home from Abeokuta, a vibrant city in southwest Nigeria. My driver had switched off the car’s air-conditioning so I could open the windows and feel the breeze. He was weaving between potholes in the road when suddenly, the scene ahead changed.

    A large truck had pulled out carelessly onto the road, knocking a car straight into the median.

    That stretch of road is notoriously dangerous, not just because of traffic accidents but also because of armed robbers. It’s for that reason that I suppressed my natural instinct to stop and help.

    I was filled with guilt as we passed the wrecked car, because I knew that if the young man at the wheel had been badly injured, there was only a small chance that he would get the emergency treatment he needed.

    I knew this because I am a trauma doctor and the founder of West Africa’s first indigenous air ambulance service. Nigeria, a country of more than 170 million people, has no organized trauma response system and no formal training for paramedics. Injured people are often taken to the hospital in a car or minibus or draped across the motorcycle of a good Samaritan, sometimes several hours after the accident has occurred.

    Even if the patient does reach a local hospital, it may not have the skilled staff or equipment needed. (There are only a few that do, and there are huge distances between them.) Most of those who are seriously injured probably bleed to death.

    So I couldn’t help it when, a few moments later, I said “Stop the car, please.”

    I grabbed one of our emergency response bags from my trunk and walked back. I tried to concentrate on the types of injuries the driver might have rather than how unsafe it was walking on that stretch of road, particularly in the evening. Was he bleeding? Was he conscious?

    The crash scene had quickly attracted some of the people who typically gather around accidents in Nigeria. Bystanders were pulling the driver out of the car. Before long they were joined by a barefoot “prophet” in a white robe. No Nigerian accident scene is complete without a prophet who commands everyone to stand by while he loudly predicts that the patient will stop bleeding. The patient is often drained of blood by the time the prophecy is complete.

    Sadly, these prophets are the best hope that many Nigerians have. Trauma has become a silent epidemic in Africa, an epidemic that will only spread as the economy grows. More and more Africans are buying cars and working in heavy and dangerous industries. At the same time, infrastructure is poor, safety laws lax, and cars badly maintained.

    Sub-Saharan Africa has the world’s smallest number of motorized vehicles but the highest rate of road traffic fatalities, with Nigeria and South Africa leading the pack.

    The World Bank predicts that in the next two years, road accidents could be the biggest killer of African children between 5 and 15. By 2030, according to the Global Burden of Disease study, road accidents will be the fifth leading cause of death in the developing world, ahead of malaria, tuberculosis and H.I.V.

    If you add to these numbers the injuries caused by violent crime and communal conflict, then you have all the ingredients for a public health emergency.

    And yet, trauma receives only a tiny fraction of the attention and money given to these three infectious diseases. Every health care conference I attend focuses on vaccines, treatment and training to combat the infamous “triple epidemic.”

    Over the last decade, billions of dollars have poured into Africa with the laudable aim of defeating these killer diseases. But that most basic killer, injury, remains neglected.

    Part of the problem is that the solutions are so complex. It’s easy to quantify interventions like the number of AIDS-fighting anti-retrovirals or mosquito nets distributed. Pills can be counted, flown in on cargo planes and delivered to large numbers of people in a short time period. But a pill would do very little for someone on a rural road in Nigeria with a head injury and a collapsed lung.

    We need to put in place systems to provide lifesaving care for accident victims. They need to be moved to a fully equipped hospital — one with X-ray machines, CT scanners, a burn unit — within the space of 45 minutes. We need at least 10 of these proper hospitals. We need to improve our roads, and we need a high-quality ambulance system to drive on them. And we need paramedic schools — like the one my company is helping to open, the first of its kind in Nigeria.

    Some countries in other parts of the world have come up with proactive solutions. In Israel, a group called United Hatzalah helps volunteer emergency workers get quickly to accident sites, by “ambucycle” or on foot, if necessary. But Africa’s challenge will require an African response — and international support.

    On the road that night, I quickly assessed that the young man needed urgent medical attention. I gave him oxygen and inserted a makeshift airway. I noted that he probably had internal bleeding and did my best to stem whatever external bleeding I could detect.

    A passing taxi then transported him to the nearest hospital. He had a fighting chance. But too many injured Nigerians, forgotten on the side of the road, do not. It’s time the global public-health community paid attention to Africa’s urgent need for emergency medical care.

     

    • Orekunrin a trauma doctor and managing director of Flying Doctors Nigeria, contributed this piece for International New York Times

  • Bayelsa’s rumour epidemic:  A propagandist at work

    Bayelsa’s rumour epidemic: A propagandist at work

    Following my column for this newspaper (“Beware, rumour monger,” March 26, 2013) on the firm resolve of the authorities to break the stranglehold of rumour on the governance of Bayelsa State once and for all, I expected a full-court rejoinder, couched in the reader-unfriendly lingo of bureaucracy and bearing the intimidating signature of a senior official of Governor Seriake Dickson’s administration, possibly the Secretary to the Government.

    It must be that I have been gone too long and have lost touch with the way such things used to be done, for I least expected that the rejoinder would issue from someone who identifies himself not merely as a journalist, but as chair of the Bayelsa State chapter of the Nigeria Union of Journalists.

    Even in this era of unsophisticated careerism, many Nigerians must still find it unsettling that a journalist – the chair of the Bayelsa State chapter of the NUJ, who could one day become its national president – would enter a robust defence for a law designed ostensibly to curb the transmission of rumour – or “dem say, dem say” communication in Dickson’s felicitous coinage, but is sure in operation to constrict freedom of speech and of the press.

    My analysis of the subject, says Torinyo Akono (“Understanding Bayelsa’s anti-rumor law,” The NATION, April 1, 2013) is “fundamentally misplaced in conception” and “an outright oversimplification.” Nor, he adds, is there any “draconian tendency” to the proposed law.

    “We disagree with his position,” Akono wrote with reference to my column.

    I have it on the authority of my editor, by the way, that despite the publication date of April 1, Akono’s piece was no April Fools caper.

    Notice the collective pronoun he employs, which can with justice be deconstructed as the royal pronoun as well, given the hauteur, the overweening presumption that perfuses his rejoinder. It is not clear whether he is employing that inflated mode of speech by virtue of his being NUJ chair in Bayelsa, or because he is a member of the state’s anti-rumour squad that bears the Orwellian title of “State Public Information Management Committee.”

    One thing is clear however: Akono is not an official of the Bayelsa State Government and has no mandate to speak for it.

    But hear him:

    “The intention of the state government is to have in place functional structures where information can be easily accessed by members of the public as well as quickly disseminating information on current issues of public concern to the people, detailing what is true or false, thereby nipping in the bud such dangerous information capable of causing disaffection and indeed reducing the incidence of blatant misinformation among the people.”

    This is the language of bureaucracy, not journalism. But Akono is not done yet.

    “The idea,” he submits in the same vein, “is to avoid the bureaucracy in the ministries but have many centres so localised that you can easily find out the truth about anything relating to the government and the public. Here, people can contact or meet officials for quick response to whatever may be their concern or interest on the flow of information, including any rumour that may also affect the interest of an individual or organisation in the state. This is important because of the pervasive nature of rumour-mongering among the people with inherent social crisis if not curtailed or addressed so frontally.”

    And then, with the smug condescension of the all-knowing insider, he adds:

    “What Dare failed to note is the peculiar nature of the society where such falsehood is politically motivated to create pure mischief and blackmail which could be dangerous to proper functioning of the government and socio-economic activities in the state.”

    In the face of such clear and imminent dangers, Akono declares, “Government must respond by spelling out what constitutes a decent citizenship and why it is not a right to engage in conscious actions to create social crisis and looking at the strategic position of Bayelsa State in the Niger Delta, then taking legal means to have stability is a legitimate action of any serious government.”

    That is precisely what the state government has done, Akono states. For the benefit of those who might think that the anti-rumour project is another ill-considered scheme that will soon run out of steam, he makes it clear that the state government “will continue to impress it on the people to be law-abiding and responsible stakeholders in the current mission of restoring Bayesla to its deserved glory in leadership and development.”

    When the law comes into force, he hints darkly, people will find it “unprofitable” to wake up one day and begin spreading the rumour that the state government had been sacked by a court in Port Harcourt, in the process causing panic and among the teeming population “lamenting the future” of the restoration of the programme of the Dickson administration.”

    This is boosterism of the most unsubtle kind

    And thus has Akono sought to imbue Bayelsa’s proposed anti-rumour law with the context and nuance he said my analysis lacked. Neither the chief press secretary to Governor Dickson, nor for that matter the secretary to the Bayelsa State Government, could have entered a more robust justification of the proposed law.

    No one should make light of the pervasiveness and perversity of the rumour industry in Bayelsa. It was something Dickson’s predecessor, the defenestrated Timipre Sylva, had to contend with all the time, to the point that he actually appointed to the senior ranks of his administration a Special Assistant or Senior Special Assistant on Rumour-mongering.

    It is not clear whether that official’s remit was to squelch the “rumours” the authorities did not like or to plant the government’s own “rumours” in the public sphere. In whatever case,the epidemic refused to lift

    That is why a high-powered committee comprising, according to Akono, “eminent journalists chosen for their integrity and credibility not only in their individual and professional lives but also to give credence to the good intentions of the state government” has now been set up to perform a task previously assigned to an aide of the former governor — a governor whose tenure he calls “the locust years, in contradistinction, it must be supposed, to the present era of super-abundance in Bayelsa.

    All this has been done, says Akono, in keeping with the time-tested wisdom that “peculiar circumstances in any political or social formation will invariably demand some clear-headed answers but to the extent that such ameliorating mechanisms conform to the basic ethics of leadership and constitutionalism.”

    There you have it.

    On one issue, namely, the content of the “rumours” that had driven Bayelsa to contemplate such drastic measures, Akono has been less forthcoming.

    “We can boldly say,” he asserts, “that not only are the contents of such rumours spurious and ill-informed, they constitute nuisance to the sanity of the society. They are inimical to peace and progress and must be checked forthwith.”

    Deconstruction: “Those rumours are too vile to be repeated. Take my word for it.”

    I am gratefully the wiser and more enlightened for Akono’s pellucid clarification of the real purpose of Bayelsa’s anti-rumour law in the making. I believe the public is, too.

    With a state chairman of the NUJ like Akono, the Bayelsa State Government needs no official propagandist.