Tag: NMA

  • Ebola: Colleagues raise questions as NMA prepares to honour Adadevoh

    Ebola: Colleagues raise questions as NMA prepares to honour Adadevoh

    TRIBUTES poured endlessly during the week soon after Dr. Stella Adadevoh’s death became public. The Senior Consultant Physician at First Consultants Medical Centre Ltd gave up the ghost after she was infected by the deadly Ebola Virus Disease (EVD) by the late Liberian diplomat, Patrick Sawyer.

    While the now famed late female doctor’s life-style was likely to have been largely a private affair, her colleagues have thrown their weight behind her even at death, and declared her a heroine.

    According to the Vice Chairman of the Lagos State Medical Guild, Dr. Oseni Salau, he did not know her (the late Dr. Adadevoh) nor did he interact with her. “She worked at First Atlantic Consultants, while I work with the Lagos State Government. Our path never crossed. But as a colleague, I feel her death is an unfortunate one. Those doctors that are rendering medical services to these Ebola victims should be declared heroes. That is because they are the ones that have made it possible for us to be able to at least try to contain the disease. She, particularly, I mean the late Dr. Adadevoh from what I heard, resisted all entreaties from the Liberian Embassy for late Liberian Dr. Patrick Sawyer to be released from hospital.

    “If the Liberian had been released, he would have spread the disease all over the place. So the reality here is that, she and her colleagues were the first to attend to him and were vigilant to ensure that he does not leave the hospital to spread the virus.” On his part, the Secretary of the Nigerian Medical Association, Lagos State, Dr. Babajide Saheed told us that he did not know her personally, but he knew she was a Consultant with First Consultants Medical Centre. “I wish she is alive,” said the doctor, “As far as I am concerned, the family of those affected should be compensated because they are actually the ones that have contained the spread of Ebola disease this far. If they had allowed the man to move out, it would have been a worse situation now. Dr. Adadevoh is a hero but a big loss to her family.”

    As regard honour for the late Adadevoh, Dr. Salau, the Vice Chairman of Lagos State Medical Guild, said: “Well, she will be honoured. It will more likely be the Nigeria Medical Association (NMA) that will do that. But as a guild, that may come up later when we have got full details of what has taken place and so on. But in the meantime, most of my colleagues and I agree that she is a heroine based on the fact that she prevented the man from spreading the disease around to the general public as he the Liberian Patrick Sawyer, intended.

    “Yes, we are already working on a befitting honour for her,” said the Secretary of the Lagos NMA, Dr. Babajide Saheed. “My colleagues and I will come up with something soon.”

    But while that arrangement is going on, the doctors are calling attention to more hair-raising issues about the outbreak of Ebola in the country and its management.

    For instance, Dr. Oseni Salau believes that the on-going doctors strike has really been a blessing in disguise because “if the strike was not on, Sawyer would probably had been taken to LASUTH. And I can bet you that not less than 10 doctors would have come in contact with him. There would also have been the possibility that the Medical Director of LASUTH would have come in contact with him and even the Lagos State Commissioner for Health too would have had to come in contact with him at the hospital because of his diplomatic nature. They would have contacted it.

    “And if we had got one patient that had it there in LASUTH, with the least information on Ebola as it were then, the thing would have gone around like wild fire. The truth is that, government should not blackmail us with resuming because of Ebola. The reality is that the lesser the number of people that get in contact with the Ebola patients, the better. For all those that are being cared for right now, they do not need more than five doctors to take care of them. So saying that the strike should be called off because of that is not related at all. Also, even if the strike is called off, what do we have on ground to prevent or protect us from the patients when they come to the hospital?”

    “This is exactly what the NMA is fighting for,” added Dr. Babajide Saheed. “Doctors deserve to have better allowances, most especially life insurance. It is sad that people do not understand this matter that doctors are fighting for. The doctors presently at the Ebola Centre are okay. They have gone through test and have been found negative. But from the study, they have to be monitored. Though they are said not likely to come up with the disease because they now have a defence mechanism against the disease. But they still have to be monitored for about 60 days. And that includes their blood and so on. After the 60 days, they can then be wholly confirmed to be negative. That life insurance has not been done by the government even as at today. It is very unimaginable that we are working without life insurance at this period in time.”

    Dr. Oseni Salau absolved the late Adadevoh of any negligence in protecting herself from the disease. “I do not think in any way that it was her fault to have contracted the disease. A doctor does not wear a glove for all patients, especially when there were no epidemic diseases in circulation. At the time the late Dr. Sawyer came around, when he was being interviewed, he denied ever coming in contact with any Ebola victim. He denied that he had ever interacted with anyone that has such. There was another issue about him urinating indiscriminately.

    “But the reality is that until now at hospitals, doctors were not really wearing gloves for all patients, unless of course they have their suspicions. Moreover, Ebola starts like malaria. Most doctors will not ordinarily wear gloves because they want to attend to a patient that has malaria. Even when you wear gloves, how about sitting on a seat that someone with Ebola has sat down or laid down on the bed that someone with Ebola has laid? So all those risks are always there.

    “There is also the possibility that Sawyer might have decided to pass the disease to those who did not let him go after all entreaties from his country’s embassy had fallen on deaf ears. The possibility is there. They resisted it and made sure he didn’t leave. Don’t forget that it is said that the man was urinating indiscriminately and even said to have spilled blood around. If that was the case, there is the possibility of deliberate attempt to unleash the disease on those that took care of him at the hospital. And you know, there were a thousand and one possibilities of how he could have passed it to late Dr. Adadevoh.

    “That is why we insist and ask for personal protective equipment. If the man had urinated on them, they probably rinsed it with water, not knowing that it was a tragedy. It was only much later that the awareness became more and people got better informed about Ebola.

    “The necessary gadgets should be made available for those that are caring for the patients. The government says that it has the protective gear, but we have not seen it. All we see are those shots of it taken in countries outside Nigeria. Where are the protective gadgets? Please, let the government bring out what they have and let those caring for those people use it. The Lagos State Government says it has 20 and the Federal Government claims it has 1,000. Are the Ebola victims in Abuja or Lagos? Let them (FG) send it down here.

    “From the normal operations of that place, you need 30 per day. So, if we have 20, where do we stand? I must tell you, it is not good enough. I have not been able to go in there, and they have not shown to us any of the patients that are there. Our people have been volunteering. Some of them are even working in there. A lot too are presently involved in advocacy and so on.

    “We have a committee in the NMA and in the Guild working on that. But those having direct contact with the patients must be well protected. We are not sure that they are well protected. Nobody is giving us that information. Right now, as I am talking to you, neither I nor the NMA Chairman has seen any of these patients. It shouldn’t be so. We are professionals; we are ready to do our work. We are also saying that the government should protect us too.”

    Dr. Babajide Saheed, the NMA Secretary, insisted that the Minister of Health lied when he recently said that the resident doctors are not part of those caring for the Ebola victims. “The minister lied that resident doctors are not part of those caring and managing the patients. That shows that the minister is not in tune with what is happening with Ebola response treatment. If he knows what is happening there, he wouldn’t have made such comments. It is unfortunate that a minister and a doctor should say such about his colleagues. He was once a resident doctor before he became a consultant and a minister. With that comment, he has successfully made the resident doctors working there to be devastated. He is trying to discourage a lot of people from responding to the volunteer call for eradication of Ebola.”

  • Mark, Uduaghan, Ogbeha meet NMA over strike

    Mark, Uduaghan, Ogbeha meet NMA over strike

    Senate President David Mark has again held a closed door meeting with the leadership of the Nigeria Medical Association (NMA) over the ongoing doctors’ strike.

    The meeting took place at the Apo residence of the Senate President, in Abuja, from Tuesday night till Wednesday morning.

    Governor of Delta State, Emmanuel Uduaghan, Senator Tunde Ogbeha and Senior Special Assistant to the President on Public Affairs, Dr. Doyin Okupe, reportedly attended the meeting.

    The parley was in continuation of efforts by Mark to ensure that the current impasse between the striking doctors and the Federal Government is resolved.

    The Chief Press Secretary to the Senate President, Paul Mumeh, in a statement, said the NMA was set to end the industrial action embarked upon following disagreement with the federal government over unpaid allowances.

    The statement said that Mark reminded the doctors of the implications of the strike on the health of the citizens during the meeting.

    It noted that there were indications that government has complied with a reasonable number of the doctors’demands following which they resolved to brief their members before agreeing to call off the strike.

    The statement quoted the President of the NMA, Dr. Kayode Obembe, as saying that he would not give the exact date and time when the strike would be called off until he reports back to his members since “the meeting with the Senate President was very useful and successful.”

    On assumptions that the striking doctors abandoned the nation in this period of major heath challenge, Obembe said “there was never a time we refused to respond to the national emergency. We have been alive to our duties as professionals and to our father land.”

     

  • NMA seeks life insurance for volunteers

    The Edo State chapter of the Nigerian Medical Association (NMA) has urged the state government to provide life insurance for those who volunteer to treat the Ebola Virus Disease (EVD) patients, should there be an outbreak.

    The union said proper remuneration should be spelt out for such volunteers.

    Its State Chairman Prof. Afekhide Ernest Omoti spoke yesterday in Benin, the state capital, at the inauguration of a 44-member Rapid Response Committee against EVD.

    He said the association had assembled a number of volunteers, in case of an EVD outbreak.

    Prof. Omoti said doctors would participate fully in the treatment and control of deadly virus, despite the NMA strike.

    The Chief Medical Director (CMD) of the University of Benin Teaching Hospital (UBTH), Prof. Michael Ibadi, urged the state government to create an isolation centre to avoid a fire brigade approach.

    Prof. Ibadi said protective gears and infrared thermometers should be among the major tools for hospitals.

    Information and Orientation Commissioner Louis Odion said the government was putting machineries in place to prevent and control the virus, though no Ebola case had been recorded in the state.

    Odion urged journalists to crosscheck their facts to avoid misleading the public.

    The committee has representatives from the Ministries of Health, Environment, Women Affairs, Local Government and Education.

    Other members are from the University of Benin Teaching Hospital (UBTH), Irrua Specialist Teaching Hospital, Nigeria Immigration Service (NIS), Nigerian Medical Association (NMA), the state Traditional Medicine Board and the Department of State Service (DSS), among others.

    The committee’s terms of reference include to review and approve the epidemic preparedness and response plan, mobilise resources for epidemic prevention and control, coordinate and monitor control activities during outbreaks, including information dissemination to the public and the media.

  • NMA protests resident doctors’ sack

    NMA protests resident doctors’ sack

    •Open further talks with union, Ajimobi tells Fed Govt

    Nigerian doctors, under the aegis of the Nigerian Medical Association (NMA), protested yesterday at the Lagos University Teaching Hospital (LUTH), Federal Government’s sack of over 16,000 resident doctors.

    NMA is also asking the government to lift the ban on doctors’ residency training.

    It noted that the sack would retard medical practice because “it is the building-block of medicine”.

    Lagos State NMA chairman Dr Tope Ojo said the solution was for the government to dialogue with the doctors and an “unconditional” reverse the sack order.

    The union leader said the government should recall the sacked doctors to hasten discussions on an amicable solution.

    Ojo said this would save the Health sector from imminent collapse.

    He added: “Doctors should not be threatened with sack.”

    According to him, sacking the resident doctors means shutting down the hospitals because “an injury to one is an injury to all”.

    Ojo said doctors were not asking for a pay rise but for a Universal Health Coverage under the government’s National Health Insurance Scheme (NHIS).

    The union leader explained that only 30 per cent of Nigerians were covered under the programme, whereas “it should be 100 per cent”.

    Lagos State NMA Second Vice Chairman, Dr Olusegun Akinwotu, noted that banning doctors’ residency training to prevent crisis in the sector was unreasonable.

    He said: “Resident doctors constitute over 50 per cent of the medical workforce in teaching hospitals across the country. Sacking them is like killing the patients, because they help consultants during surgery and teach house officers.”

    The NMA presented a letter on their demands to LUTH’s Chief Medical Director (CMD), Prof Akin Osibogun, who was represented by the hospital’s Chairman of the Medical Advisory Committee (CMAC), Prof Chris Bode, to the Minister of Health, Prof Onyebuchi Chukwu.

    Prof Osibogun said their message would be delivered to the minister.

    He said medicine is a noble profession, adding that protesting doctors should go about their activities peacefully.

    Prof Osibogun said: “The situation currently on ground calls for sober reflection and moderation. I am sure intervention will be carried out by the good people of Nigeria.

    “We are doctors. It is expected of us to be of high moral conduct. We must conduct ourselves with decorum. Let us not constitute a danger. I pray that peace will soon return to our body and country soon.”

    Also, the Oyo State branch of the association protested yesterday what it called the “illegal” sack of its members.

    Over 1,000 resident doctors, led by their chairman, Dr Muideen Olatunji, marched on the streets of Ibadan for the protest, after their congress.

    Addressing reporters after submitting a letter through Governor Abiola Ajimobi to President Goodluck Jonathan, Olatunji said no doctor should accept or collect any sack letter.

    He added: “No doctor in this state should sign any register opened by the government or its agents. For the avoidance of doubt, no doctor, no matter how hungry, should pick up any low appointment with the government hospitals, as directed by the circular.”

    Olatunji said any of its members who flouts the directive is on his own.

    According to him, the NMA directed doctors to work for the containment of the Ebola Virus Disease (EVD) outbreak.

    He urged government at all levels to ensure that people under surveillance for Ebola virus infection do not travel outside their domain.

    Oyo State Governor Abiola Ajimobi has urged the Federal Government to enter into further negotiations with the Nigerian Medical Association (NMA) to resolve the impasse on the sack of over 16,000 resident doctors.

    The governor spoke yesterday in Ibadan, the state capital, when he addressed members of the state chapter of the NMA, led by its Chairman, Dr. Muideen Olatunji.

    The members visited the governor during their peaceful protest against Federal Government’s sack of resident doctors.

    Ajimobi noted that rather than resort to punitive measure, the Federal Government should have continued dialoguing with the doctors to reach a compromise on their requests.

    The governor said the sack of the resident doctors would worsen the deplorable state of health care delivery in the land and lead to an increase in the death rate.

    Olatunji said members of the association condemned the Federal Government’s action.

    The union leader presented a letter of protest to Ajimobi to be delivered to the Federal Government.

    The NMA chairman said government at all levels should improve health facilities and improve doctors’ welfare.

    He added that no doctor in the state should accept or collect any sack letter or sign any register opened by the government.

     

  • Plateau NMA gets Ebola monitoring committee

    Plateau NMA gets Ebola monitoring committee

    The Plateau State chapter of the Nigeria Medical Association (NMA) inaugurated yesterday a 14-man ad hoc committee to monitor any case of the Ebola Virus Disease (EVD).

    NMA State Chairman Dr. Bupwatda Pokop said: “In spite of the ongoing strike by the NMA across the country, we are still contributing and committed to the control of Ebola Virus Disease.

    “This ad hoc committee will liaise with the Plateau State Government and other stakeholders to fight the spread of the Ebola virus in the state.”

    Dr. Chingle Moses and Dr. Raphael Solomon are the committee’s Chairman and Secretary.

    Moses said the committee members would use their knowledge to serve the state and the nation to tackle the deadly virus.

    He urged the residents not to fear of the virus but to go to medical facilities when they notice any symptom.

    On the sack of the striking NMA members, Dr Bupwatda urged the Federal Government to reposition the nation’s health facilities instead of abolishing residency training programme.

    He said: “The Federal Government’s stance on this strike is condemnable. I call on the government to withdraw its directive to sack medical doctors on strike. We consider this as an act of intimidation. We will not accept that…”

  • Mark seeks end to doctors’ strike

    Mark seeks end to doctors’ strike

    Senate President David Mark appealed yesterday to members of striking Nigeria Medical Association (NMA) to go back to work in the interest of the nation.

    Mark spoke in Abuja after meeting with the leadership of the association.

    He urged them to end their strike to avoid further deaths and inconvenience of innocent Nigerians.

    In a statement by his Chief Press Secretary, Paul Mumeh, the Senate President reminded the striking doctors of their strategic roles in saving lives.

    Mark, the statement said, told the doctors that they could not continue to overlook the suffering of Nigerians, who depend on them for medical care.

    Mark said the outbreak of the Ebola Virus Disease (EVD), which had assumed a national emergency, was enough for them to suspend their strike and save the lives of their fellow compatriots.

    The Senate President told the doctors that the government was not insensitive to their demands, adding that the situation in the country called for their patriotism.

    He promised to table the doctors’ grievances before President Goodluck Jonathan for solutions.

    NMA President, Dr. Kayode Obembe, who led members of the executive to the meeting, listed the union’s grievances to include improved hazard allowance for medical and health workers, payment of 10 months’ arrears owed the doctors and the appointment of a Surgeon-General of the federation.

    Obembe called for the immediate reversal of the Federal Government’s sack of over 16,000 resident doctors to pave the way for further negotiation.

    The union leader said doctors were not insensitive to the nation’s health challenges, especially with the outbreak of the EVD.

    He added: “We are demanding that government should do the needful to improve health care services.”

    The NMA meeting with Mark is expected to reconvene next Tuesday when both parties would report the progress they make on their differences.

     

  • Ajimobi urges Fed Govt, NMA to negotiate

    •Doctors protest sack

    OYO State Governor Abiola Ajimobi has appealed to the Federal Government to enter into negotiations with the Nigerian Medical Association (NMA) to resolve the impasse over the sack of 16,000 resident doctors.

    He made the appeal yesterday in Ibadan while addressing members of the state’s branch of the NMA, led by its Chairman, Dr. Muideen Olatunji.

    The doctors were on a peaceful protest to his office.

    Ajimobi said rather than resorting to punitive measures, the Federal Government should reach a compromise with them in the interest of Nigerians.

    He said the sack of the doctors would aggravate the already deplorable health condition of Nigerians and lead to increase deaths.

    Olatunji, in his response, said members of the association condemned the sack of the resident doctors.

    He presented a letter of protest to Ajimobi to be delivered to the Federal Government.

    The state NMA chairman said government at all levels should improve the nation’s health facilities and redouble their efforts in improving the welfare of doctors.

    About 1,000 doctors, shortly after their congress, marched on the streets of Ibadan to protest the sack.

    Olatunji, in an interview with reporters, announced that the association had directed that no doctor should accept or collect any sack letter.

    The NMA chairman added: “No doctor in this state should sign any register opened by the government or her agents. For the avoidance of doubt, no medical doctor no matter how hungry, should pick up any low appointment with government’s hospitals as directed by the circular.”

    Olatunji urged doctors to remain committed towards curtailing the Ebola outbreak.

    He advised governments to ensure that all persons under surveillance for the virus did not travel outside their domain or residence.

     

  • NMA to FG: reinstate our sacked members now

    NMA to FG: reinstate our sacked members now

    The Nigeria Medical Association (NMA) yesterday called for the unconditional reinstatement of sacked resident doctors and the immediate withdrawal of the circular suspending residency training programme.

    The President of the association, Dr Kayode Obembe, who made the call while briefing newsmen in Abuja, urged the Federal Government to find a better way of resolving the disagreement between the government and medical doctors.

    “The Nigeria Medical Association demands immediate withdrawal of the suspension circular and unconditional reinstatement of the so-called sacked resident doctors.

    “Government should show commitment on her part in resolving the current impasse with the Nigeria Medical Association.

    “By all means, any attempt by government to break her (NMA) ranks as an association, will be resisted.

    “Rather than abolishing residency training programme, government should show more commitment toward improving the already poorly funded programme.

    “Government should improve the nation’s health facilities with a view to discouraging medical tourism abroad.

    “The Nigeria Medical Association believes that the current government’s stance will further worsen the present industrial disharmony in the country,” Obembe said.

    President Goodluck Jonathan had on Thursday approved the sack of the striking resident doctors across federal medical institutions in Nigeria on the basis of the current challenges facing the health sector.

    The approval came through a letter signed by the Permanent Secretary in the Ministry of Health, Linus Awute, on behalf of the Health Minister to Chief Medical Directors and management of federal tertiary institutions.

    It urged them to take all necessary actions to restore full medical services in their institutions.

    The News Agency of Nigeria (NAN) recalls that the resident doctors began the strike on July 1.

    Obembe said government refusal to resolve issues with the association and allowing the strike to extend had affected the health of many Nigerians.

    He also advised the government to ensure that all persons under surveillance for the Ebola virus infection did not travel outside their places of residence.

    Also speaking, Dr Jibril Abdullahi, advised government to find a way to resolve the crisis, stressing that government should not use the Ebola virus challenge in the country to force doctors to resume work without meeting their demands.

  • Doctors’ sack is illegal – NMA

    Nigeria Medical Association has expressed its disappointment at the sack of resident doctors by the Federal Government.

    The body on Friday directed its members not to collect any sack letter, saying the action is illegal because it did not follow status book.

    It also directed its members to shun any local appointment with the government hospitals as directed by the circular.

    The Federal Government had on Thursday issued a circular suspending residency training programmes for doctors.

    The country is currently groaning under the dearth of specialist doctors with 3,000 specialists to over 170 million Nigerians. Besides, there are over 25,000 Nigerian doctors in the United States and over 4,000 in the United Kingdom.

    The consequence of the government circular, according to a medical doctor with the National Hospital, Abuja, Ujam Kingsley,  is that in the next five-six years when the present ones passes out, there would be no specialist doctor in the country.

    The training which comes up immediately after National Youth Service, Dr. Ujam said lasts between six to eight years and it is designed to develop specialist doctors in different fields of medicine.

    Reacting to government’s order, NMA President, Dr. Kayode Obembe, noted that the current government’s stance will further worsen the present industrial harmony.

    Obembe insisted that government action was illegal as it did not follow the books, saying “It is our believe that the status book that established the residency training programme has not been followed.

    Residency Training programme is governed by status books.

    “No single person or individual no matter how highly placed can just directly and wishfully jettison all these documents and go and sack our doctors. It is illegal and we condemn it in its entirety. That is our position on that,” the NMA president said.

  • NMA: we won’t accept suspension

    NMA: we won’t accept suspension

    Lagos NMA Secretary Dr. Saheed Babajide said last night that Federal Government’s suspension of resident doctors was unacceptable, illogical and baseless.

    The union leader said doctors would not accept it, adding that the residency is the crux of medicine all over the world because it is into training, research and clinical management.

    He added: “That is why we have teaching hospitals. When you now close such hospitals, it means there won’t be any research and training. It means we are going 100 years backward.

    “The suspension came when we were moving the medical practice forward and developing it by putting in our best. Even the people involved in the treatment of Ebola are resident doctors. They are the volunteers working in IDH.

    “The main issue of the residency programme will affect the country because, if there are no resident doctors, there will be no consultants.

    “It is a stupid and illogical idea I have never seen in my years of practice. You are sacking more than 14,000 resident doctors at a go and without due process. Don’t you know these doctors are employed through MoU?

    “We are not in a military era when you can just issue a circular and sack someone you have a contract with that was supposed to span five or six years. The Lagos State Government tried it and it did not work. So, I do not see this one working. We won’t accept it.

    “All Nigerian doctors, not just resident doctors, will never accept it. Even international doctors won’t accept it.” he said.

    On the government’s allegation that it had met over 90 per cent of the NMA’s demands, Babajide said it was untrue because both parties were still negotiating.

    He said: “They said they would do something within a week, but they did not do it. That shows the kind of government we have. They are liars…”