Tag: misdiagnosis

  • Medical Lab scientists blame govt for high rate of misdiagnosis

    THE Association of Medical Laboratory Scientists of Nigeria, (AMLSN) has blamed the  government for the high rate of misdiagnosis in public and private hospitals.

    The body said the government’s refusal to recognise the practice and accord it its rightful place in policy and planning attests to the failure in the medical sector.

    Addressing reporters at the public presentation of new national executive officers of the group in Abuja, the asscociation’s National President, Dr. Bassey Enya Bassey, said Medical Laboratory Science is a key profession that deserves a  department and a budget in the Federal Ministry of Health.

    Bassey stressed that a nation’s health system is as good as its medical laboratory system.

    He, therefore, noted that strengthening the health system must begin with strengthening Medical Laboratory Services as, according to him, data generated from the laboratories constitute about 70 per c ent of the information needed for management of patients, policy formulation and budgeting or allocation of resources in the health sector.

    Bassey said the sector would not succeed with the status quo.

    “The laboratory is the only organ in health care that can notify you of an outbreak of any disease in the world. But, if you look at the position of laboratory in Nigeria, do we have something that is desirable for it? The answer is no.

    “Now, look at the Federal Ministry of Health. What is the structure of laboratory in the  ministry?

    ‘’The Office of the Head of Service has since 2001 moved for the establishment of the Department of Medical Laboratory Services in the Federal Ministry of Health. Till today, that department has never been established.

    “That translates to the fact that in the Federal Ministry of Health, there is no foundation for laboratory services. And, if there is no foundation for it, ab-initio, we have planned to fail. We are going to see more cases of misdiagnosis because the foundation is supposed to provide a structure for its professionals at in ministry.

    “We have cases of misdiagnosis that are planned for. We have seen a lot of disease outbreaks, which the system cannot contain. So, laboratories outside Nigeria come in to contain the system, whereas we have the capacity in terms of personnel, resources and infrastructure.

    ‘’But, deliberately, the Federal Ministry of Health has failed to put all these things in place. That will translate to the fact that we have planned that the laboratory system in Nigeria should not work,” he said.

    While praising President Muhammadu Buhari for the presentation of the 2018 budget to the National Assembly, AMLSN urged the lawmaking organ to ensure the implementation of the Abuja Declaration on budgetary allocation to the health sector, which recommended a minimum of 15 per cent of annual budget be appropriated to the health sector.

    The group also said: “The government must ensure equity, fairness and justice for all health professionals in Nigeria; hence the inability of the government to enforce various court judgments pronounced in favour of Medical Laboratory Scientists in Nigeria is demoralising and demotivating and a portrayal of government bias against medical laboratory scientists.

    “Governments at both federal and state levels must establish the Directorate of Medical Laboratory Services at the Federal and state Ministry of Health to enable medical lab scientists effectively participate in policy formulation and implementation at the highest level.

    “That government must implement the National Health Act so as to achieve Universal Health Coverage, aimed at ensuring accessibility, affordability and availability of health services to the citizenry.”

    The leaders are: Dr Bassey Enya Bassey, President; Chief Chris Elemunu, National Vice President 1; Dr Emenike Felix, National Vice President 2; Dr. James Damen, National Secretary; Prince Adeyinka Adedire, National Assistant Secretary; Dr Casmir Ifeanyi, National Publicity Secretary; Margaret Oche, National Welfare Secretary; Muktar Mainasara Yelda, National Financial Secretary; Dr Gloria Achibong, National Treasurer.

  • Medical Lab scientists blame govt for high rate of misdiagnosis

    Medical Lab scientists blame govt for high rate of misdiagnosis

    THE Association of Medical Laboratory Scientists of Nigeria, (AMLSN) has blamed the  government for the high rate of misdiagnosis in public and private hospitals.

    The body said the government’s refusal to recognise the practice and accord it its rightful place in policy and planning attests to the failure in the medical sector.

    Addressing reporters at the public presentation of new national executive officers of the group in Abuja, the asscociation’s National President, Dr. Bassey Enya Bassey, said Medical Laboratory Science is a key profession that deserves a  department and a budget in the Federal Ministry of Health.

    Bassey stressed that a nation’s health system is as good as its medical laboratory system.

    He, therefore, noted that strengthening the health system must begin with strengthening Medical Laboratory Services as, according to him, data generated from the laboratories constitute about 70 per c ent of the information needed for management of patients, policy formulation and budgeting or allocation of resources in the health sector.

    Bassey said the sector would not succeed with the status quo.

    “The laboratory is the only organ in health care that can notify you of an outbreak of any disease in the world. But, if you look at the position of laboratory in Nigeria, do we have something that is desirable for it? The answer is no.

    “Now, look at the Federal Ministry of Health. What is the structure of laboratory in the  ministry?

    ‘’The Office of the Head of Service has since 2001 moved for the establishment of the Department of Medical Laboratory Services in the Federal Ministry of Health. Till today, that department has never been established.

    “That translates to the fact that in the Federal Ministry of Health, there is no foundation for laboratory services. And, if there is no foundation for it, ab-initio, we have planned to fail. We are going to see more cases of misdiagnosis because the foundation is supposed to provide a structure for its professionals at in ministry.

    “We have cases of misdiagnosis that are planned for. We have seen a lot of disease outbreaks, which the system cannot contain. So, laboratories outside Nigeria come in to contain the system, whereas we have the capacity in terms of personnel, resources and infrastructure.

    ‘’But, deliberately, the Federal Ministry of Health has failed to put all these things in place. That will translate to the fact that we have planned that the laboratory system in Nigeria should not work,” he said.

    While praising President Muhammadu Buhari for the presentation of the 2018 budget to the National Assembly, AMLSN urged the lawmaking organ to ensure the implementation of the Abuja Declaration on budgetary allocation to the health sector, which recommended a minimum of 15 per cent of annual budget be appropriated to the health sector.

    The group also said: “The government must ensure equity, fairness and justice for all health professionals in Nigeria; hence the inability of the government to enforce various court judgments pronounced in favour of Medical Laboratory Scientists in Nigeria is demoralising and demotivating and a portrayal of government bias against medical laboratory scientists.

    “Governments at both federal and state levels must establish the Directorate of Medical Laboratory Services at the Federal and state Ministry of Health to enable medical lab scientists effectively participate in policy formulation and implementation at the highest level.

    “That government must implement the National Health Act so as to achieve Universal Health Coverage, aimed at ensuring accessibility, affordability and availability of health services to the citizenry.”

    The leaders are: Dr Bassey Enya Bassey, President; Chief Chris Elemunu, National Vice President 1; Dr Emenike Felix, National Vice President 2; Dr. James Damen, National Secretary; Prince Adeyinka Adedire, National Assistant Secretary; Dr Casmir Ifeanyi, National Publicity Secretary; Margaret Oche, National Welfare Secretary; Muktar Mainasara Yelda, National Financial Secretary; Dr Gloria Achibong, National Treasurer.

  • Nwankwo’s misdiagnosis of Nigeria’s problems

    Nwankwo’s misdiagnosis of Nigeria’s problems

    Last week I reproduced a shortened version of the keynote address I delivered in July 2012 on the occasion of the 4thMedia Lecture Series of the Wole Soyinka Centre for Investigative Journalism, Lagos, under the title “Food for thought from 2012.” The address itself was headlined”Media and civil liberties when the cloud of fear gathers”.

    I reproduced it believing that it contained lessons for the media about the way it has been reporting – more like one-sided misreporting – the much-ballyhooed herdsmen/farmers clash. At least one reader, Aladetohun Moyosore, seemed to agree with me through his text, but offered one more food for thought which, he said, was from an inside story in The Nation, also of May 4, which quoted the Oloro of Oroland in Irepodun Local Government Area of Kwara State, Oba Abdul Rafiu Oyelara, as saying: ”The herdsmen boasted that they have people in government who will rescue them. These days herdsmen carry AK47 guns.”

    Moyosore’s question then was “Who arms them with AK47 and who are their sponsors in government?”

    Many a newspaper pundit and southern politician apparently believe there is a clear and simple answer; the northern elite is the chief, if not the sole, villain.

    Funke Egbemode, managing director ofTelegraph and an accomplished satirist, said as much in her back page column of Sunday Sun (May 1) entitled “The farmer and his Fulani herdsman”.

    Using the literary devise of dialogue, she had a fictitious farmer in the South ask his presumably marauding Fulani neighbour why his cows are no longer content to eat northern grass. “Does the southern grass have sugar?”, the farmer asked, obviously tongue-in-cheek.

    Fulani: The grass is greener here.

    Farmer: No. You just need to get out from under the thumbs of your slave owners who send you into the wilds so their children can ride brand new cars and eat chocolate on imported sofa in air-conditioned houses.”

    What Egbemode was clearly saying through the mouth of her fictitious farmer was that the problem with this country is the North’s feudal system. However, if hers was a satirical dig at the northern elite, Tatalo Alamu, the well-regarded columnist at The Nation on Sunday made the same point with a direct hit. “While the northern master-class send their children to the best school in the world and enjoy luxury of the latest western consumer goods,” he said in his column also of May 1,”the underclass are the herdsmen who are armed to roam the length and breadth of the nation tending their cows.”

    This theory of northern feudalism as the problem with Nigeria looks appealing given the region’s dominance of Nigeria’s politics since independence nearly 56 years ago. Certainly it is popular in the South. However, on closer examination, few explanations of Nigeria’s problems can be more simplistic and untenable.

    Worse, fewer still are more dangerous as a basis for finding solutions to these problems.Take, for example, the claim by Yinka Odumakin, the voluble spokesman for Afenifere, in an interview in Sunday Vanguard (May 1), that the attacks by alleged Fulani herdsmen have never taken place in the overwhelmingly Hausa/Fulani Northwest geo-political zone.

    He made this claim while condemning a press conference by the Chairman of the Northern Governors’ Forum and the Governor of Borno State, Alhaji Kassim Shettima, during which the governor cautioned Nigerians against profiling Fulani herdsmen and blaming all recent farmer/herdsman clashes on them. For simply stating the universally accepted truism that it is wrong to visit the crime of anyone on his entire ethnic group, religion or race, Odumakin said the governors should all “bury their heads in shame.”

    “If,” Odumakin added, “the attackers are not Fulani herdsmen, where have they struck in the Northwest? Why are their activities only in the Middle-Belt and in the South? That is the question these northern governors should answer.”

    Their answer would simply be that either the Afenifere spokesman had been away from Nigeria, at least since 2011, or he had chosen all this while not to be bothered about news, lots of news, in our media, old and new, about how cattle rustling and the wholesale sacking of communities had become endemic in the entire North all these years.

    However, if Odumakin’s claim is untenable and dangerous for the unity and harmony of this country, it is mere child’s play compared to a 4224-word article in saharareporters.com by the septuagenarian, Dr. Arthur Nwankwo, whose self-portrait on his own blog says he is “a publisher, award winning author, political scientist, historian and chairman of Fourth Dimension Publishing Company, the largest publishing company in sub-Saharan Africa with over 1,500 titles.”

    For a self-proclaimed political scientist and an historian it was truly amazing how he could take so much liberty with facts and stand logic on its head as he did in his article which he gave the rather sensational title: “The National Grazing Reserve Bill And Islamisation Of Nigeria: Matters Arising.”

    Against all evidence that there is no such bill before the National Assembly, Nwankwo went ahead full blast to try to make a straw man out of President Muhammadu Buhari the easier to destroy him. Of course, Nwankwo is only one of so many Nigerians who have come out to condemn the bill – and with it the president as its alleged sponsor – but the gentleman stands virtually alone as someone who has chosen to denounce both bill and its alleged sponsor with a pretence to the vigour scholarship requires.

    The bill, he claimed, was a deliberate attempt by Buhari,”to take our lands and hand them over to the Fulani cattlemen since it is only the Fulani that rear cattle in Nigeria.” Not only that, Buhari, he said, was also intent on Islamising Nigeria through the bill, presumably because all Fulani are Muslims.

    First, for someone who lays claim to scholarship you would expect him to respect the dictum that he who asserts must prove. He says there is a bill before the National Assembly and in spite of the denial by the spokesman for the Senate which he praised, he still refuses to let the fact get in the way of his decision to attack Buhari and his religion and region.

    Yet all he needed to do to save himself the embarrassment of looking like a Don Quixote attacking non-existent windmills was to go to the website of the National Assembly where he would have found out that the bill in question was initiated by Senator Zainab Kure who lost her seat in the last election and the bill, in any case, died after its second reading long before the end of the Seventh Senate.

    Second, for someone who claims to be a political scientist and a historian, it is truly amazing that he can assert that only the Fulani rear cattle in Nigeria and also assume that there are no Fulani Christians anywhere who would resist any attempt by anyone to Islamise Nigeria.

    Again, even for a layman it is truly incredible that anyone can claim with absolute certainty, as Nwankwo did in his article, that Boko Haram is a “Fulani-dominated insurgent group.” I’d thought every Nigerian knew Boko Haram was essentially a Kanuri phenomenon and that historically the older Borno Empire and the bigger Sokoto Caliphate have been rivals.

    Because he’d obviously made up his mind to attack Buhari and his religion and region regardless of the facts and of logic, it was not surprising Nwankwo would succeed only in making a laughing stock of himself before any intelligent and reasonable person.

    “The whole essence of Islam”, he said in his article,”is Jihad or simply put terrorism.” I would’ve thought such a piece of demagoguery was beneath anyone who lays claim to scholarship. For, Jihad, as any scholar of Islam and Arabic knows, simply means “struggle” and it has more to do with the struggle with one’s inner demons than converting people to Islam at sword point.

    After all, as the Qur’an says in Chapter 2 Verse 256, “There is no compulsion in religion…” The same Qur’an also makes it abundantly clear to Prophet Muhammad (Peace be upon him) in chapter after chapter, verse after verse, that what is incumbent on him, or on any prophet for that matter, is merely to deliver God’s message; that his is not guardianship over humanity.

    Of course the Holy Book, as Nwankwo said from several quotations, does enjoin Muslims to fight unbelievers. In doing so, however, it is merely in the good company of most other religions, especially those, like Christianity and Judaism, that lay claim to universality. Even then nowhere in the Qur’an, as Nwankwo claimed in quoting Chapter 4:89, did God say “Those who reject Islam must be killed”!

    It does say Muslims should fight and kill those who reject their religion, as he quotes from the verse. But then if he was honest with himself he would also have quoted from the very next verse which says a Muslim must desist from fighting a non-Muslim who does not persecute him and, instead, is willing to live with him in peace.

    What is true of Nwankwo’s quotation of Qur’an 4:89 was also true of all his other quotations from the Holy Book; he either misquoted them or did so deliberately out of context.

    Because, like so many other Nigerians, Nwankwo has misdiagnosed Nigeria’s problems, it is not surprising that he has come up with the wrong prescription for their cure.

    Next week, God willing, we shall examine his cure.

  • Malaria misdiagnosis common, says don

    A don at the Lagos University Teaching Hospital (LUTH), Idi Araba, Lagos, Dr Wellington Oyibo, has said malaria is often misdiagnosed by people in Nigeria.

    Oyibo, who spoke at a workshop organised by Malaria No More in Lagos, said no fewer than 300 diseases have similar symptoms like malaria.

    Malaria, he said, can only be diagnosed by using rapid diagnostic test (RDT), adding: “Fever is the only way the body reacts when there are external factors in the body. Pneumonia, malaria and gastroenteritis; among other diseases can cause fever but the RDT would show if it is malaria or not.”

    Oyibo said chloroquine is not a recommended malaria drug despite being sold in the market, saying: “Artemisinin-based Combination Therapy (ACT) remained the ideal therapy for malaria treatment.”

    He said there was a policy since 2005 that people should not use chloroquine, stressing that it is a malpractice to use it.

    Oyibo said the capacity to test for malaria is just growing in Nigeria, adding: “There is communication gap.”

    He said commodities for malaria control are expiring where they are kept because people are not using them.

    The country, he said, is moving towards getting a vaccine, adding that the RTSS vaccine has gone through the clinical trials and it should be approved soon.

    He said the vaccine would bring hope to malaria prevention, especially in protecting. “However, there is still much to be done for it to be desirable,” he said.

    The expert charged the Federal Government to provide policy and guidance, adding that public-private partnership (PPP) was very critical to malaria control.

    “The state governments should take full responsibility for malaria control. Also, advocacy and communication are necessary for effective control of the disease,” he said.

    The health system, Oyibo said, is weak, adding that this impacts on the health status.

    He said about N132 billion is lost in the economy because of malaria attacks yearly.

    This, he said, is alarming despite the preventable and curable nature of the disease.

    “Over 90 per cent of malaria infections in Nigeria are caused by plasmodium falciparum carrying anopheles mosquitoes, which is most dangerous,” he said.

    He said malaria can cause continuous abortion in expectant mothers, adding that it may also cause stillbirth.

    “Expectant mothers may not have fever because the parasite goes into the placenta to attack the foetus. Sometimes, malaria kills the mother and the baby in uterus,” he said.

    The don said malaria figures are coming down but a lot still has to be done because the disease happens differently in different places.

    He said Nigeria is still controlling the disease, adding: “We are still reducing the disease burden to a level at which it is no longer a public health problem.”

    His words: “At least 80 per cent of targeted population should utilise appropriate preventive measures by 2020. Also, we should be able to expand universal access and increase the use of insecticide treated materials (ITM) and indoor residual spray (IRS) as well as expanding the larviciding and intermittent preventive therapy (IPT) in expectant mothers”.

    National Coordinator, National Malaria Elimination Programme (NMEP), Federal Ministry of Health, Dr Nnenna Ezeigwe identified lack of fund as a major obstacle to malaria control.

    She said 97 per cent of people are at risk of the disease in the country, adding:  “Nigeria accounts for a quarter of malaria burden in Africa. Under-five mortality is 201 out of 1000 in 2003; in 2006, it is 157 in 1000 while that of 2013 is 128 in 1000.

    “Malaria is responsible for 30 per cent of childhood mortality; 11 per cent of maternal mortality and out-patient attendance. Only 30 per cent of under-5 receives treatment within 24 hours.”

    Ezeigwe said 50 per cent of the population has malaria episode yearly, stressing that the disease is still a public health problem in Nigeria.