Tag: Tuberculosis

  • $280m TB funding gap: States should emulate Lagos, Kaduna, stakeholders plead

    $280m TB funding gap: States should emulate Lagos, Kaduna, stakeholders plead

    As Nigeria currently faces a shortfall of 70 percent of the $400m needed to combat and eradicate tuberculosis (TB) by the global goal of 203, state governments across the nation have been urged to follow the lead of Lagos and Kaduna states in closing the funding deficit in the battle against tuberculosis in Nigeria.

    During a pre-World TB Day press conference held on Tuesday in Abuja, Labaran Shehu, the National Coordinator of the National Tuberculosis and Leprosy Control Programme (NTLCP), highlighted that while the Federal government and other development partners have provided substantial support for disease control efforts, it is imperative for State and Local Governments nationwide, as well as the private sector, to enhance their contributions to facilitate the effective dissemination and impact of efforts to grassroots levels.

    However, he emphasized the importance of advocacy to key stakeholders for increased funding while expressing optimism that conducting high-level advocacy with the government and the National Assembly would result in increased budgetary allocations for TB control.

    Bethrand Odume, the Executive Director of KNCV Tuberculosis Foundation Nigeria, echoed Shehu’s sentiments, noting Lagos’s proactive approach to combating tuberculosis.

    He commended Lagos for its commitment, noting that it became the first State to receive Global Fund grants by fulfilling the prerequisite of contributing its counterpart funds.

    According to him, that determination has enabled the State to make strides in controlling the disease.

    Similarly, he said Kaduna’s significant commitment, noting that the State procured four Wellness on Wheels (WoW) trucks for TB diagnostics, adding that the mobile health clinics have facilitated the diagnosis and treatment of people in remote areas with limited access to healthcare.

    He expressed hope that other States could be encouraged to follow suit if they understand the benefits derived from these initiatives.

    However, Odume emphasized that ongoing initiatives to involve State governments in the fight against the disease through engagement with the Nigerian Governors Forum (NGF) are expected to lead to increased funding for disease control.

    Read Also: FG tackles HIV, malaria, tuberculosis with global fund’s $933m

    Temitope Adetiba, Senior Manager and TB Lead for the Global Fund Project at the Institute of Human Virology, Nigeria (IHVN), stated that over the past five years, collaborative efforts with partners across 31 States have resulted in the notification of over 200,000 individuals affected by TB.

    He said in efforts to ensure that TB diagnosis and care are accessible to all Nigerians, the Institute has trained patent medicine vendors in its focal states to have basic knowledge of the disease such as collecting sputum specimens for laboratory tests and initiating treatment for patients.

    Adetiba, who disclosed that the institute is entering another phase of the Global Fund grant in Nigeria to expand services across each state, also revealed plans for a new TB survey to gather more accurate data for improved planning.

    Meanwhile, Queen Ogbu-Ladipo, the acting Board Chair of the Stop TB Partnership, emphasized that despite progress in medicine and healthcare, TB continues to pose a significant challenge, particularly impacting vulnerable populations and underserved communities.

    “However, amidst these challenges, there lies hope in the tireless dedication of healthcare professionals, researchers, policymakers, and advocates who work tirelessly to combat TB and improve the lives of those affected”, she noted.

    The annual World Tuberculosis (TB) Day, celebrated on March 24 of March, is a day set aside globally to raise awareness of the TB burden, its prevention, detection, diagnosis, treatment, and care, and to mobilize political commitment to resources and healthcare financing for TB.

    Diagnosis and care for the disease are provided free of charge to patients, with services available in every Local Government Area and 50 percent of all health facilities nationwide.

    Similarly, dialling the toll-free code 3340 will provide callers with access to answers regarding all TB diagnostic and care services, including referrals to appropriate facilities for specific complaints as well as legal service, when necessary.

  • ‘Stop linking TB to spiritual attack’

    ‘Stop linking TB to spiritual attack’

    Executive Director, Grassroots Development and Empowerment (GRADE) Foundation, Dr. Patrick Amah, has advised the citizenry to always seek medical attention over symptoms of Tuberculosis.

    He gave the advice in Enugu during media training in Gender and Human Rights for Tuberculosis Programmes, organised by GRADE Foundation and Centre for Development and Reproductive Health (CDRH), with the support of Stop TB Partnership Challenge Facility for Civil Society (CFCS).

    The one-day training with the theme: ‘Empowering Women Drives Change, Project for the Promotion of Gender for Transformative and Right based TB Programme’, involved journalists, on-air personalities, bloggers and content creators from Anambra and Ebonyi states.

    Read Also; Iwuanyanwu: Tinubu should prioritise restructuring Nigeria

    The medical expert regretted that rather than seek medical help when infected by TB, some patients would spiritualise the matter, jumping from one church to another for solution.

    He said the training was targeted at equipping the media to assist in disseminating information about TB for those yet to be informed so they could start early to prevent the scourge.

    Executive Director, Centre for Development and Reproductive Health (CDRH), Dr Alobu Isaac, decried lack of infection control mechanisms at health facilities across the country.

    He said several health workers have lost their lives as a result of lack of control measures and negligence at hospitals.

  • Nigeria, others to end TB by 2030

    Nigeria, others to end TB by 2030

    Nigeria, some United Nations (UN) member states, civil society representatives and other stakeholders have approved a declaration to advance efforts to end Tuberculosis (TB) by 2030.

    The document lays out ambitious new targets for the next five years that include reaching 90 per cent of people with TB prevention and care services, providing social benefit packages to those who have the disease, and licensing at least one new vaccine.

    TB is the second leading infectious killer disease worldwide after COVID-19, with some 1.6 million deaths in 2021 alone, according to the World Health Organisation (WHO).

    Also, the only available vaccine of TB is more than a century old.

    All the 193 member states and stakeholders made the political commitment at a High-level meeting on the fight against Tuberculosis at the ongoing 78th of the UN General Assembly.

    “Why, after all the progress we have made – from sending man to the moon, to bringing the world to our fingertips – have we been unable to defeat a preventable and curable disease that kills over 4,400 people a day?” the President of the UN General Assembly, Dennis Francis, said.

    TB had afflicted humanity for millennia, going by several names including the white plague and consumption.

    It is caused by bacteria and mainly affects the lungs, and treatment is with antibiotics.

    A WHO council established to facilitate the development and equitable use of new vaccines met for the first time this week.

    Read Also:‘Nigeria will shine at UN conference on Tuberculosis’

    Stamping out the TB epidemic is among the health targets of the Sustainable Development Goals (SDGs), the roadmap for a more just and green global future by the end of the decade.

    Five years ago, countries set the target of delivering TB treatment to 40 million people, reaching 34 million. They also aimed to provide 30 million with preventive treatment but fell short by half.

    UN Deputy Secretary-General Amina Mohammed called for action to tackle the main drivers of TB – poverty, undernutrition, lack of access to healthcare, the prevalence of HIV infections, diabetes, mental health, and smoking.

    “Stigma surrounding the disease also needs to be reduced so that people can get help without fear of discrimination,” she added, while urging governments to ensure universal health coverage that includes TB screening, prevention and treatment.

    Mohammed also shared her own reason for supporting the global fight.

    “My commitment is my personal story: losing my father to TB at 50, 37 years ago this week.

    “Today we have the tools to diagnose, treat, and what we need right now is a vaccine. Let’s end TB now. It is possible,” she said.

    Mongolian author Handaa Rea, who had survived the disease, urged world leaders to “treat TB not only medically but also socially.”

  • Government charged to increase funding forTB-related activities

    Government charged to increase funding for
    TB-related activities

    The Nigerian government has been charged to increase funding for tuberculosis-related activities to tackle the disease effectively.

    This charge is against the backdrop of the inadequate diagnosis and treatment of TB in the country despite that Nigeria has a high burden of TB.

    A legal and human rights group in Nigeria, Lawyers Alert at a joint press conference with Debriche Health Development Centre, called for the adaptation of the Civil Society TB Key Asks, ahead of the United Nations High-Level Meeting (UNHLM) on TB by Nigeria, and also demanding for specifics in the Declarations.

    The organisations are Grantees of the Stop TB Partnership Challenge Facility Grant. They noted that funding limitations for TB control were one of the challenges Nigeria faces in the fight against disease.

    The President of Lawyers Alert, Barrister Rommy Mom appealed to the Federal Government to prioritize TB across the healthcare system in the country.

    The organisations urged the government to ensure that all national TB responses are equitable, inclusive, gender-sensitive, rights-based, and people-centered.

    Mom said the TB Stakeholders Key Asks for The 2023 United Nations High-Level Meeting (UN HLM) on TB include reaching all people affected by tuberculosis (TB) with prevention, diagnosis, treatment, and care by implementing evidence-based and quality interventions and tools per the latest international guidelines.

    “Also, to accelerate the research, development, roll-out, and access to new TB vaccines, diagnostics, drugs, and other essential new tools, including digital health technologies geared to the needs of the most neglected, key, and vulnerable populations,” he said.

    Rommy said “Government should invest the funds necessary to end TB. It needs to prioritize TB across systems for health: Universal Health Coverage (UHC), Primary Health Care (PHC), Pandemic Prevention, Preparedness and Response (PPPR) and AMR.”

    Read Also: Tackling tuberculosis

    “Ensure decisive and accountable global, regional and national leadership, including regular UN reporting and review. There is a low level of public awareness about TB, which leads to an increase in stigma and discrimination against people affected by TB.”

    The organisations said Nigeria’s commitments at the UN HLM in 2023 and the adoption of the TB Key Asks can enable Nigeria to intensify its efforts to control TB and MDR-TB, saying that adopting the TB key Asks would have significant benefits for Nigeria’s current TB control program.

    They noted that speeding up access to TB prevention, diagnosis, treatment, and care would reduce the incidence of TB in Nigeria and prevent the spread of the disease.

    According to the statement “Ending TB stigma and discrimination and promoting equitable, rights-based, and person-centred TB care would improve the well-being of people living with TB and encourage them to seek care, consequently reducing disease transmission. Also, ensuring sufficient and sustainable financing for TB response would help improve Nigeria’s healthcare infrastructure and strengthen its health systems.

    “There must be increased awareness about the importance of early detection and prevention of TB to reduce its spread among vulnerable populations. With increased funding and improved access to healthcare services, Nigeria can make progress towards achieving its goal of eliminating TB by 2030.

    “In order to ensure that all national TB responses are equitable, inclusive, gender-sensitive, rights-based and people-centred, it is important to focus on enacting TB Legislation that caters for Community rights and gender-based response to TB, TB care, diagnosis and vaccination.

    “These elements are essential for preventing and treating tuberculosis (TB). By providing access to quality care and diagnosis and ensuring that those affected by TB have access to the right vaccines in a timely manner, we can reduce the burden of TB on individuals and communities.”

    “It is also important that these responses are gender sensitive and right-based so that women have equal access to services regardless of their gender identity or expression and give access to the same level of care regardless of their socioeconomic status or other factors.”

    “Finally, they should be people-centred so that those affected by this disease have their voices heard in decision-making processes related to TB care”, the organisations stated.

  • Tuberculosis and other breathing problems

    GIRD your loins … tuberculosis is sweeping through the land, killing as many as 400 Nigerians every day, and roaming, inactive, in the bodies of more than 300,000 people it is yet to hack down. The government requires billions of Naira in this tight economy to contain the upsurge and spread of tuberculosis. As the money is not easily forthcoming, traditional medicine and alternative medicine will be the last resort of many sufferers and those who will be seeking protection against infection. There is, indeed, hope for such health seekers.

    I am on standby inside me these days whenever anyone around me is coughing. The possibility of infection is enormous in buses. Many people do not cover their mouths. Many others are not brought up at home or trained at school in the culture of handkerchief. So, shaking hands with an infected person, who covered his/her mouth with his/her hand while coughing can easily cause peril to other people, who come in contact with this hand. Not only that, dropplets of saliva which bear the mycobacterium tuberculosis, the germ which causes tuberculosis, may fall on another person’s clothes or skin. Back home, these germs may find their ways into the bodies of many people through food or contact.

    There have been cases where tuberculosis is spread or contracted by humans from cats, some fish and even red meat. I suspect that cow meat may be a major vector in Nigeria. Cows are headed through forests day and night under very stressful conditions, which deplete their immunity by the time they arrive at the abattoir for slaughter. In Lagos alone, about 10,000 cows are slaughtered every day. This is a lucrative business, which balloons every year. So, it may not be out of place to assume that, today, the Lagos abattoir may be dealing with about 15,000 cows every day. At about N150, 000 for a cow, the arithmetic should add up to N2, 250,000,000(two billion, two hundred and fifty million naira only) every day. This may be worth more than the value of petroleum products consumed in the city of Lagos every day, and suggests why cow herding through farms have become such a huge political question, which the herders protect with AK 47 guns. That is an aside, really. Where we are heading is that cows are required by law to be certified fit for human consumption before they are slaughtered at the abattoir and sold there or anywhere. The certification is to be done by veterinary doctors. To carry out this job efficiently, there must be enough veterinary doctors on stand-by.

    I imagine this would involve elaborate checks, including blood tests e.t.c. For 15,000 cows to be tested every day, the Lagos abattoir would require 150 veterinary doctors and their assistants, each working on about 100 cows. But is it possible for one vet doctor or one vet assistant to attend efficiently to 150 cows in one day? Your guess is as good as mine. Some infected cows would pass through the eye of the needle! And this may be one reason tuberculosis has again become a big deal in Nigeria, especially in the urban areas where cow meat is not properly cooked in food canteens. When I was a boy, women always boiled meat and then fried it before they cooked it in stew or sauce. In today’s canteens, the cook avoids this long process to prevent the beef from shrinking and losing economic value. Do not get me wrong. I am not, by this, advocating frying, because when proteins are overheated, they transform into nitrosomes, which can cause cancer. It is possible that the diet of those days gave rise to the wide range of cancer occurrences exhibited in the elderly of this generation.

     

    The Signs

     

    The symptoms of tuberculosis are not too difficult to know. Persistent coughing is, most likely, the primus inter pares. The cough type has the capacity to defy many fist-line pharmaceutical cough remedies. A second symptom is a streak or specs of blood in the sputum. Again, persistent night sweats may be observed. Then, there is a gradual weight loss, which the infected person or persons around him/her may mistaken for stress or poor diet. On top of these, serious damage to tissue may be going on inside the body. There is a mistaken notion that tuberculosis is, strictly, a lung disease. True, it predominantly features in the lungs. But it affects other organs as well. In earlier commentaries in this column, I explained how two of my male cousins from the same mother died of tuberculosis of the spinal bones, which eventually ate up parts of their livers, before it was discovered that the fever presented in those cases was not due to back pain alone. Tuberculosis may unleash some serious havoc, also in the adrenal glands, chest cavity, bones, throat, kidneys, eyes and even the sex organs.

     

    Mycobacterium Tuberculosis

     

    When the bacterium is “shelled” out of the mouth through amplest of saliva into the air or by coughing and spitting out the sputum, it mixes with dust. If this occurs in dry, hot weather, which threatens its existence, the germ would form a protective chiteneous material around itself to prevent dehydration and death. The snail, too, does this. The germ awaits the good day or time when wind would rouse the dust and some unfortunate person would inhale it. How many of us do not inhale dust? If the dust is infected, the germs get into us. We would be lucky if our immune systems, defenders of our bodies, would knock them out. This job falls largely on the macrophages, the large white blood corpuscles, which engulf and eat up germs, and are then killed themselves. If the macrophages are healthy and many and the immune system can produce as many of them as are needed during such an emergency as this, the battle is won without the infected person knowing that anything is going on inside his/her body. But if the macrophages die, and the bacteria they engulf survive them for no reason or another, these germs travels through the blood circulation to safe havens, which they then colonise and damage inadvertently in the poisonous waste products of their metabolism and other activities. Sometimes, the body may have successfully boxed them up in cages, so to say, in which they are inactive, but the day stress overtakes the body and the immune system cannot keep an eagle watch, as during an HIV infection, the “cages” are thrown open in a sort of jail break, and the tuberculosis germ, once again, becomes ambulatory, that is free moving and infective.

     

    Treatment

     

    Doctors and pharmacists have struggled for hundreds of years to find a cure for tuberculosis and to even eliminate the germ. But many factors make this dream illusory. The victims are largely poor people, who live in overcrowded conditions in which the air content of oxygen is depleted. They do not eat well enough to give their body the protein it requires to form a formidable immune system. They over work to earn meager incomes, thereby stressing themselves. I encounter a big picture of the air pollution at Oshodi bus terminal everyday on my way home to Abule-egba by LAG BUS. The mini buses charge between 400 and 500 in place of 100 or 150 because heavy traffic has held down the big buses. Hundreds, if not thousands of commuters stand on their feet, all stressed up, for more than one hour, waiting for the traffic to move and for the big buses to come. Everyone, whether at the terminus platforms or in the stuck buses, is inhaling carbon monoxide instead of oxygen, ignorant that this would de-oxygenate their blood and that de-oxygenated blood does not support healthy immune system. They finish off their immune systems all the more when they arrive home and eat junk food and spray their bedrooms with dangerous anti-mosquito insecticides. what could be more disheartening in this regard than a story I heard on radio this morning (8 June 2018). A man and his wife who had just built a home in Shagamu, Ogun State, died in his house on their first night there. There were seven of them in one room. When their neighbour’s smelled stench coming from the house, they called the police, the police broke through the room and found seven decomposed bodies. It was speculated that they would have tried to clear rodents from the property with a powerful insecticide. Among poor Nigerians, SNIPER is widely used for the purpose despite many warnings to the contrary. Even in their single-bed apartments in face-me, I slap you, or face to face (apartment) single-bed houses, some cook in their rooms, or inhale petrol fumes when their neighbours refill the tanks of their “I better pass my neighbour” electricity generating sets. All these factors and more pre-dispose many people to tuberculosis infections and attacks and to the failure, sometimes, of pharmaceutical drugs. Accordingly, and especially because some strains of tuberculosis are becoming resistant to these drugs, some doctors now prefer to add chemotherapy to their treatment regimen. Even this has many side effects, which are now well known. To the doctors’ prescriptions, traditional medicines and alternative medicine protocol may be used as adjunct to conventional treatment or for prophylactic (prevention) purposes. The recipes, which I will mention hereafter have been used by some orthodox doctors either alone or as adjunct medication, with successful result. They have been found useful, also, in other pulmonary (lung) or breathing problem such as asthma, congestive obstructive pulmonary disease (COPD) and emphysema, to mention a few of them. The therapeutic goals in employing them revolve around, as usual, detoxification, alkalisation, mineralisation, oxygenation, parasite killing and immune boosting, among other objectives. An acidic system weakens the immune system and disorient it, whereas an alkaline system does the opposite, there are herbs, which stimulates the excretory organs (the lungs, liver, kidneys, skin and the bowels) to empty their toxic wastes for evacuation, and there are anti-oxidant, and there are anti-oxidant herbs, which destroy free radicals in the toxins, to prevent their overload in the blood during detoxification from mauling the system.

    I would like to begin with Astragalus, which has demonstrated the capacity to help the body produce more macrophages. Zinc is useful in more than 250 ways for equilibrium the body biochemical processes. Women know it is good for hair, skin and nails, robust breasts, fertility and all that. Many men, too, have found it helpful to combat prostate gland challenges and improve sperm count and sperm health. Without zinc, there is little vitamin A can do for healthy vision. In its immune system function, zinc helps the Thymus Gland to maintain its size and efficiency. It is inside this gland that T-Cells or fighter cells mature. It is like their finishing defense academy.

    I doff my heart for Golden Seal Root, one of nature’s most dependable antibiotic, antiviral and antifungal herbs. Maria Treben, that great Austrian herbalist of blessed memory, eulogised Calamus root for practically all health needs, including tuberculosis in her HEALTH THROUGH GOD’S PHARMACY Mark Treben says: “A year ago, a man 1.8 meters tall in his late fifties had become a skeleton without knowing the reason for his illness. Weighing only 45 kilos, he in company of a nurse stepped into the surgery of his doctor, who was telephoning another doctor and heard: I am sending you my most hopeless-patient … cancer of the lungs: so unwittingly the man learnt the diagnosis of his illness”. Afterwards, someone advised him to chew Calamus root to break his smoking habit and to drink yarrow tea mornings and evenings. Slowly, his weight increased, and since he felt better, he did not return to the doctor. About half a year later, he again went to the surgery of the doctor, who was most taken aback since he had thought this man dead. What did you do?, was all he could say. “Chewed Calamus root and drank yarrow tea”, replied the man. ‘ Calamus root? . Where did you find them? They are sold in herbal shops for a few shillings’. The man at this time reached his normal weight of 86 kilos and it was half a year later that he undertook a mountain hike, carrying a full laden back pack when I met him.’

    The book, which I recommend for your health library, tells, also, the story of a man aged 36 years, who literally lost his balance after surgery to free the liver of a tumor. He was thin and went to develop tuberculosis in the intestine. Calamus root helped these conditions as well, reported Maria Treben. There are other startling cures achieved in the stomach and intestinal disturbances, including cancers. To Calamus and Yarrow we may add her suggestion of Horse Tail. I guess this is because of the high Silica content of this herb. Silica, called the homeopathic surgeon because it breaks up growths, is now available in 100 per cent biochemist tissue or cell salt No 12 and 96 per cent in Diatomaceous Earth (DE) or Diatom. Stinging Nettle has small amount of it.

    We cannot address all useful remedies. Before I move on to Dr. Robert Atkens, one of those conventional doctors, who made the United States adopt nutritional food supplements. I would quickly like to add to the list Grape Seed Extract (GSE), which is highly antioxidant and one of those few supplements substances, which easily cross through Brain Blood Barrier. Dr. Raymond Strand reports that a man, who declined chemotherapy and opted instead for dietary supplements, especially GSE, normalise his Anti-Nuclear-Antibody (ANA) results within one year. His ANA had risen well over 1,000 per cent of normal. Dr. Strand mentioned this case in his “What Your Doctor Does Not Know About Nutrition May Be Killing You.”

    Let’s hurry to Dr. Robert Atkins. Among his suggestions for all lung diseases is vitamin A. But, like all doctors, this mega-dosage physicians will not touch regular (i.e. oil soluble) Vitamin A with a long pole. Not more than 5000 I.U of it every day is often suggested, to prevent liver discomfort or damage, and birth defects. Dr. Atkins, like many physicians, prefer the water soluble variant of Vitamin A. which is often mentioned in this column as solubilised or water soluble Vitamin A. Dr. Atkins calls it by its other name.

    Mycellized Vitamin A, saying: “If your body’s Vitamin A stores must be replenished in a hurry, as would be necessary at the outset of an acute respiratory infection, use the mycellized version, which by-passes the liver and is absorbed easily, thus reducing the likelihood of a toxic accumulation. Even in amounts of 100,000 I.U a day, for months at a time, mycellized Vitamin A has never caused any documented side effect. This safety record does not mean, however, that therapeutic dosages need not be mentioned by a doctor. Mycellized A performs impressively against sinus and other acute infections, especially when combined with mycellized Vitamin E.’’ Dr. Atkins suggests carotenoids, not just Beta Carotene, a mere member of the 600-member plus family, which is offered today for even cancer prevention and cure, except lung cancer caused by smoking, which at least, one study has shown is worsened by it. It warns against synthetic Beta Carotene in particular, saying it has been found to lower the blood presence of other caroteneoids. One of such affected caroteneoids is Lutein, which is needed for healthy eyes and crucial in “glaucoma” management. He salutes “natural” beta carotene, a deficiency of which he says has been linked to many cancers, including that of the lungs, and says it works best when it is combined with, say, mycellized Vitamin A and other natural carotenoids.

    Maria Treben has an interesting handle on emphysema as well as cardiac asthma and disorders of the thyroid gland with their shortness of breath and is caused largely through liver trouble. The upward pressure of the liver contributes to the swelling and enlargement of the bronchial tubes, lungs and the heart. The constant pressure on the sensitive thyroid gland causes abnormal changes. In such a case, one cup of common club moss tea is drank in the morning and swedish bitters is applied as a compress for four hours during the day. I will round off with Dr. Atkins. The lungs and bronchial airways of the body are amazing, but delicate tissues. They are assaulted daily with both outdoor and indoor pollution, not to mention cigarette smoke and the toxic chemical found throughout our environment. Compound this inflammatory insult with lack of anti-inflammatory nutrients such as fish oil and anti-oxidants in our diets and you will understand why asthma and other pulmonary problems are continually on the rise. Food allergies can also be involved.

    The bottom line approach for inflammation of the bronchial passage is to relax them with magnesium, protect them with anti-oxidants and reduce their exposure to environmental insults. He suggests Vitamin C, Vitamin A, essential oils formula, N-Acetyl cysteine, magnesium, Beta carotene, quercitine, selenium, taurine, Vitamin E and Co Q10.

  • ‘335 TB deaths recorded in Kano last year’

    Kano State Commissioner of Health Dr. Kabiru Ibrahim Getso said yesterday that about 335 persons lost their lives as a result of Tuberculosis- related diseases in Kano State last year.

    Briefing reporters as part of activities to mark the 2019 World TB Day, Getso said the deaths could have been prevented, if TB patients gain access to free medical services provided by the state government.

    Getso noted: “Kano State, being the most populous state in Nigeria, is one of the six states currently having the highest burden of Tuberculosis in Nigeria.”

    Dr. Getso added that “since the inception of the present administration under the leadership of Dr. Abdullahi Umar Ganduje, the state government has been doing very well in reducing significantly, the burden, socio-economic impact and the transmission of tuberculosis in line with the Sustainable Development Goals (SDGs)”.

    He said the state government, in collaboration with development partners, has been able to expand Directly Observed Treatments (DOTS) centres from 381 in 2016 to over 770 in 2019.

    Read also: Ondo records 1,606 tuberculosis cases in 2018

    The government has also increased access of diagnostic equipment and services from 86 laboratories in 2016 to 255 in 2019, adding that the government also installed 10 additional Genexpert machines from 2015 to date, bringing it up to 18 Genexpert sites.

    He added that the government has also expanded TB services to prisons, military barracks, police academy and tertiary institutions.

    “The state government with the support of KNCV/Challenge TB Project, who are one of our strongest partners, have supported the establishment of TB services across prisons and military sites in the state.

    “The Wellness on Wheels (WOW) Truck was one of the innovations by KNCV/Challenge TB, which has yielded positive results.

     

  • Kaduna records 4,023 new TB cases

    A total of 4,023 new cases of tuberculosis were recorded across Kaduna State in 2018, the state Commissioner for Health, Dr Paul Dogo, has said

    Dogo however said at a news conference on Tuesday in Kaduna to mark the World Tuberculosis Day 87 per cent of the new cases were treatment successfully.

    He attributed the high number of new TB infections to low level awareness of its causes and insufficient gene Xpert machines used for detecting the disease in the state.

    Dogo said that the state would scale up access to prevention and treatment, build accountability and ensure sufficient and sustainable financing for TB treatment and research.

    “We hope to promote an end to the stigma and discriminations, and promote an equitable rights-based and people-centered TB response,” he said.

    The commissioner said the state would sustain its house-to-house search for new active cases of tuberculosis to raise the detection rate in the state.

    According to him, the state government will increase the number of Gene Xpert machines from 11 to 23 and strengthen its tuberculosis surveillance department to track all cases.

    READ ALSO: Tuberculosis patients affected by catastrophic cost, says Fed Govt

    He added  that the government would make it mandatory for all private health care providers to report tuberculosis cases and improve the participation of the media in raising awareness on tuberculosis and leprosy.

    “Currently, there are 444 health centres carrying out the TB control and treatment activities in the state and we urge the residents to visit any of the health centres.”

    The commissioner explained that testing and treatment of TB was free and urged those having running cough for two weeks to go for test in any of the health centres.

    In his comments, the Director, Public Health, Dr Ado Zakari urged the state government to scale up its awareness programmes as many residents are not aware that the disease was curable.

  • Ondo records 1,606 tuberculosis cases in 2018

    The Ondo State Government has said that no fewer than 1,606 tuberculosis cases were recorded in 2018 in the state.

    The Desk Officer on Tuberculosis and Leprosy in Ondo State Primary Healthcare Development Board, Mrs Olufunke Adeniyi, said this yesterday during World Tuberculosis Day in Akure.

    The theme is: “It is Time”.

    Adeniyi noted that many members of the public were still walking around with tuberculosis infection despite the fact that the treatment is free.

    She added that the test and treatment of the disease are free in all public health facilities in the state.

    Adeniyi said an infected person should be a concern to those around him because they could get infected as well, hence the need to support the fight against the disease.

    According to her, the state government is doing a lot to sensitise residents to the disease because it is highly contagious and deadly if not cured.

    “The state government is motivating the health workers across the 18 local government areas of the state. Every public healthcare facility is equipped to adequately treat tuberculosis in the state.

    “The government has engaged the health workers to be more responsive and it carries out community outreaches and aggressive awareness,” she said.

    Adeniyi enjoined members of the public to join hands with the government to fight the disease.

    According to her, anyone coughing for two weeks with heavy sweat and inability to sleep with chest pain should report at nearest public health facility.

    The Coordinator of Tuberculosis Networks in the state, Mr Martin-Mary Falana, said it was high time to end the disease, hence the need for everyone to play their impactful roles in achieving this.

    “We all have a responsibility in joining hands to end tuberculosis in our society by referring anyone coughing for two weeks to health facility for treatment which is totally free,” he urged.

    He, however, decried poor funding in nipping the disease in the bud despite being the second deadliest disease in the world.

    “Tuberculosis is the second deadliest in the world, yet it has cure but people could not access healthcare because there is limited funds to create awareness.

    “Even, only 12 per cent out of the money released by Global Funds is given to tackle the disease. We need more political will and impactful responses and resources for motivation like HIV activities are given good attention,” he said.

  • Tuberculosis patients affected by catastrophic cost, says Fed Govt

    A ‘catastrophic cost survey’ conducted by the Federal Government, in collaboration with its partners in 2017, showed that 71 per cent of TB patients are affected negatively by the ‘catastrophic cost due to tuberculosis (TB).’

    Minister of Health Prof. Isaac Adewole spoke at a news briefing  at the World Tuberculosis Day and the official launch of the report on the ‘catastrophic cost survey’ yesterday in Abuja.

    The minister, represented by Dr. Felix Ogenyi, director of General Services at the Federal Ministry of Health, said: “A worrisome trend is that of funding. The catastrophic cost survey conducted in 2017 showed that 71 per cent of TB patients and their household are affected negatively by the catastrophic cost due to TB.”

    The report defines catastrophic cost as the total costs (indirect and direct combined) exceeding a given threshold (e.g. 20 per cent) of the household’s annual income, and as ‘dissaving’ (such as loans taken, property or livestock sale) incurred by patients to face health costs associated with the TB disease (Working definition adopted by the WHO Task force, March, 2015).

    “Our National TB treatment coverage for 2018 was 25 per cent. This implies that of the estimated 418,000 new TB cases, only 106,533 TB cases were notified in 2018, leaving over 300,000 cases undiagnosed.

    “Similarly, the current proportion of health facilities in the country with TB services is barely 26 per cent.

    “Let me add that the access to TB diagnostic services is also a challenge. The current LGA coverage of Gene Xpert (which is the first-line test for diagnosis of TB) is 41 per cent,” he said.

    He added: “To address these challenges, President Muhammadu Buhari participated in the first-ever United Nations high-level meeting (UNHLM) on TB in New York, United States in September 2018.

    “The President, with other leaders, made a firm commitment towards eradicating TB in the world.

    “To further demonstrate government’s determination to end TB, we have developed an action plan for translating the UNHLM commitments on TB into action.

    “Nigeria is committed to enhancing available services alongside expansion of TB diagnostics and treatment services to improve access in line with our Universal Health Coverage (UHC) agenda.”

    “Our plan going forward is to: Rapidly expand TB treatment and diagnostic services in both public and private health facilities; ensure capacity development of health care workers on diagnosis and management of TB;

    Read also: Ondo records 1,606 tuberculosis cases in 2018

    “Strengthen intra-facility linkage for TB services by ensuring every OPDs attendees are screened for TB in all health facilities; create an increased demand for TB services through awareness campaigns on TB in health facilities, schools and communities; ensure improved social protection packages for TB patients and families; and ensure a more robust engagement of professional associations and Civil Society Organisations,” he said.

    Dr. Adebola Lawanson, national coordinator for the National Tuberculosis and Leprosy Control Programme (NTBLCP), said: “TB is no more a disease that should be confined to the health care facilities alone. We see that social exclusion is one of the greatest problems we have for those who have TB.

    “Stigmatisation against people with TB is one major risk factor that we have found out that is also leading to the spread of the disease.

    “A lot of people with the disease shy away from coming out to access health care facilities. It is a social disease that must be tackled head-on to make sure that people with it are no more stigmatised.

    “The Federal Government wants Nigerians to be healthy.

    “With the support of our partners, these drugs and facilities are made available to ensure that people access them, and don’t expend a lot of their resources. In fact, they don’t expend any of their resources in taking care of themselves because service have been provided free of charge.”

    TB is curable; diagnosis and TB treatment are available free of charge in all DOTS centres nationwide; persistent cough for two or more weeks could be TB; Toll-free help-line for TB is 08002255282.

  • 1.6 million people die of Tuberculosis, says Fed Govt

    No fewer than 1.6 million people die of Tuberculosis (TB) globally, Minister of State for Health, Dr Osaghe Ehanire, has said.

    The implication of this death to Nigeria as a country, Ehanire said, was to drastically reduce the mortality due to TB.

    The minister made this known yesterday in Abuja during the community outreach programme aimed at increasing TB case finding.

    The programme, organised by the National TB and Leprosy Control Programme of the Federal Ministry of Health, is part of the activities to commemorate the 2019 World TB Day.

    The minister added that as a country, “we must be able to improve our capacity to diagnose, treat TB and improve TB case finding, hence the reach out programme.”

    He noted that only 41 per cent of local government areas in the country had gene expert machines that are used for diagnosis of TB.

    “We are short of about 460 diagnostic machines because we want to ensure that each local government has a diagnostic machine,’’ he said.

    He renewed the commitment of the government to procure more diagnostic machines to expand TB case finding and put more people found to be infected with TB on treatment.

    According to him, the Federal Government is committed to boost healthcare financing in line with the Abuja Declaration.

    He said the Abuja Declaration suggested that countries must try to allocate at least 15 per cent of their annual budget to increase health funding.

    “We are going to be asking for 15 per cent of the national budget to be allocated for funding the health sector. We know we will not get there immediately, but we are working towards getting the 15 per cent or more funding to solve the problems in the health sector,” he said.