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Why Patients Maltreatment Must Stop

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The reported account
of a woman who died after being detained in a Lagos hospital for 43 days speaks volume of the atitude of some care givers to patients in Nigeria.
According to media reports, a 44-year old Adeyemi Oduyoye, a printer lost his wife, Folake Oduyoye, 35, to what he referred to as over-priced health service of the Lagos University Teaching Hospital.
He said Folake was delivered of their baby at a private clinic in Lagos through caesarean section on August 30, 2014. On conclusion of the operation, it was discovered that she developed an infection. Not being able to manage the case, Folake was referred to a maternity hospital which in-turn referred her to LUTH. At LUTH,  a major abdominal surgery and other treatments were given to Folake and she was revived. However, upon her discharge on October 31, she was not allowed to go home because her family was not able to pay the balance of about N1m out of a total bill of N3,382,700.00.
The hospital management allegedly detained Folake in a ward where she was locked up until her family could pay her outstanding bill. After much appeal, the hospital management reduced the bill by 20 percent, out of which Folake’s husband was able to pay N300,000 leaving a balance of just over N800,000.
All efforts made to see to the release of his wife, according to Oduyoye, yielded no result. After two weeks in detention, Folake’s health began to deteriorate but the hospital allegedly refused to treat her with the excuse that she had been discharged. On December 13, Folake died.
Expectedly, LUTH has exonerated itself from any blame, claiming that Folake was brought to the hospital with life  threatening complications but the hospital did all that should have been done to save her.
Folake’s unfortunate death brings to the fore the awkward happenings in our hospitals, both private and public . Record shows that patients are detained in hospitals across the country because they cannot pay their bills. A story of how the Federated Association of Women Lawyers (FIDA) threatened to sue a doctor in Port Harcourt for illegally detaining a woman after giving birth in his clinic is still fresh on our minds. In some other hospitals patients are made to pay as much as N5,000 as consultation at every visit to the hospital. Let’s not talk about the exorbitant cost of their drugs and other medical services. It is baffling that anti-malaria syrup one can buy for N650 at any pharmacutical  shop is sold at N2000.00 or more at a clinic. The most annoying is the attitude of some nurse, doctors and other hospital towards patients. They treat patients with  so mcuh neglect and disrespect. It is worst when the patients are poor.
The questions then are, should hospitals allow money to stand in the way of treating indigent patients? What should be the penalty for non-payment of  hospital fees?
What should the Nigeria  Medical Association and other health professional bodies do to correct the anomalies? Discussing Folake’s dilemma on the radio a few weeks back, a medical doctor made it clear that hospitals are not running free services hence patients must pay their bills. He emphasised that hospitals  have staff  to pay and other expenses to cater for and if patients after being treated are allowed to go free of change, then  most hospitals will be grounded.
One totally agree that patients must pay their bills in order to keep the hospitals alive but shouldn’t there be some exemptions to some of the rules? In the case of Folake, we were told that her husband after struggling to pay over N2m even wrote a letter to the management of LUTH where he agreed to pay N15,000 in installments over a period of time and also got a guarantor to stand for him, still the hospital refused to accept his appeal or release his wife.
One thinks that having shown this level of commitment, the hospital should have been more considerate.
Some civil rights activists had outlined the legal implications of detaining a patient in the hospital like infringement on the patients right to life and all that, advising that the best action to be taken by the hospital is to take the patient to court to compel him to pay his bill. Some people have also reminded doctors of the humanitarian accept of their profession.
But beyond all of that, there is need for the review of the National Health Insurance Scheme (NHIS), so that it can cover everything. As it is now, the scheme seems to be an elitist thing, known and beneficial to only a privileged few. There is no doubt that when there is proper, effective health insurance scheme that caters adequately for the generality of the people as it is obtainable in other countries, the ugly cases of patients trying to escape from hospitals after treatment or patients not being able to foot their medical bills will be minimized. Then there will be no need for illegal imprisonment of patients in hospitals.

 

Calista Ezeaku

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Opinion

Tackling Noise Pollution in Nigeria

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Quote:”Noise pollution is not merely an inconvenience; it is a silent threat to health, dignity, and the right of every Nigerian to live in peace. Worship should uplift the soul, not assault the ears.”
The viral video of former Abia State Commissioner for Local Government and Chieftaincy Affairs, Mr. Charles Ogbonna, chasing worshippers out of a worship center in Ibeku, Umuahia, with a cutlass sparked widespread outrage—and understandably so. No citizen, regardless of provocation, has the right to threaten others with a weapon. Such behavior is unacceptable in a civilized society and must be condemned. Yet outrage alone does not capture the full picture. Reports indicate that Mr. Ogbonna acted after enduring prolonged and excessive noise from the Umuobasi Town Hall, allegedly used for religious activities, which made life unbearable for residents. A resident, Chinedu, told journalists that the former commissioner stormed the hall around 1 a.m., after hours of blaring noise deprived people of sleep. While self-help was the wrong approach—he should have reported the matter to authorities—this incident highlights a deeper problem:
 Nigeria’s culture of unchecked noise pollution and the failure of authorities to protect citizens’ right to peace, rest, and a healthy environment. When legitimate complaints are ignored, frustration builds—sometimes with dangerous consequences. Noise pollution in Nigeria is pervasive. Worship centers, commercial activities, motor parks, roadside traders, and private generators create an environment of relentless noise. So normalized is this that many Nigerians feel powerless to act. This culture of indifference—trampling on the right to quiet in the name of worship, celebration, or business—must end. Noise is not a minor inconvenience. It is a serious environmental and public health hazard. Medical experts warn that prolonged exposure to excessive noise can cause hearing loss, hypertension, cardiovascular disease, sleep disorders, anxiety, and other psychological conditions
. The British Medical Bulletin notes that constant noise triggers stress responses that may lead to illness. Sleep deprivation—a common consequence—reduces productivity, undermines emotional stability, and worsens overall wellbeing. In a country already struggling with health challenges, noise pollution quietly compounds the problem. So what are Nigerian authorities doing? The truth is: the laws exist but enforcement is weak. Section 22 of the National Environmental Standards and Regulations Enforcement Agency (NESREA) Act, 2007 empowers NESREA to regulate noise from industrial, commercial, domestic, recreational, and transport sources. Violations can attract fines or imprisonment. Likewise, the National Environmental (Noise Standards and Control) Regulations, 2009 clearly define permissible noise levels across residential, commercial, and industrial zones.
The problem is not the absence of laws—it is the absence of will. Many citizens are unaware of their rights or where to report violations. Regulatory agencies are often underfunded, poorly equipped, and hesitant to act, particularly when influential religious or commercial interests are involved. The Umuahia incident is a textbook example of institutional failure: when lawful channels fail repeatedly, some individuals take the law into their own hands. Enforcement must be firm, consistent, and impartial. Environmental agencies need funding, modern noise-monitoring equipment, and trained personnel capable of responding swiftly. Laws must apply to all—churches, mosques, clubs, hotels, and individuals alike. There have been rare instances of decisive action. A decade ago, the Lagos State Government sealed 53 churches, mosques, and hotels for noise violations, following complaints from residents.
In October 2025, Lagos again sealed several establishments over excessive noise. Yet, such crackdowns are often temporary. Churches and mosques continue to dominate neighborhoods with blaring loudspeakers, making sleep a luxury during week-long vigils or pre-dawn sermons. For the elderly, the sick, and those who work long hours, this is more than an annoyance—it is harmful. Compared to many developed countries, Nigeria’s situation is embarrassing. Elsewhere, worship is associated with calm, reflection, and serenity. Noise levels are strictly regulated, and places of worship are often soundproofed. The question arises: is God in Nigeria hard of hearing, or has shouting simply become the default mode of expression?The rapid proliferation of worship centers has worsened the problem. Many spring up indiscriminately in high-density areas, markets, and private compounds, with little regard for zoning laws or environmental standards.
 This neglect undermines productivity, social harmony, and quality of life. Noise pollution is a silent threat, eroding health and dignity in ways that often go unnoticed. Decisive action is urgently needed. Agencies must be strengthened, insulated from political and religious pressure, and empowered to enforce laws consistently. Offenders must face consequences regardless of influence. Public enlightenment is equally crucial: many Nigerians are unaware that excessive noise is harmful or that they have a legal right to quiet enjoyment of their environment. Sustained education through media, schools, and community forums can shift attitudes. Religious leaders, in particular, must understand that consideration for neighbors is not an attack on faith but a moral responsibility. Soundproofing standards for worship centers and entertainment venues should be adopted nationwide.
Worship should uplift the soul, not assault the ears. Freedom of religion and expression must coexist with responsibility and respect for others. Noise is an inevitable part of urban life, but chaos is not. Nigeria cannot continue as a society where “anything goes.” Psychologists argue that education, stricter enforcement, and changes in personal habits can make a significant difference. If citizens are empowered to demand accountability and authorities act decisively, Nigeria can become a healthier, more livable society.
The Umuahia incident should serve as a wake-up call—not just about individual misconduct but about systemic failure. Protecting citizens from noise pollution is not merely about silence; it is about dignity, health, and the right to live in peace.
By: Calista Ezeaku
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Opinion

As Sim Turns Golden 

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Quote:”The milestone of fifty provides an opportunity to reaffirm commitment to ethical leadership, and to envision a legacy that will outlast any political cycle.”
 
Milestones invite reflection. They prompt us to pause, look back, and anticipate the road ahead. Today, as Governor Siminalayi Fubara marks his 50th birthday, Rivers State and Nigerians at large are given the opportunity to reflect not just on the life of a man, but on the journey of leadership, the test of governance, and the enduring responsibilities of public office. Fifty years is not merely a number; it is a marker of experience, a testament to resilience, and a challenge to the imagination of what the next chapter can hold. Governor Fubara’s rise to leadership was built on the twin pillars of professional discipline and political acumen. Long before he assumed the mantle of governance, he distinguished himself as a technocrat. His years as Accountant-General of Rivers State demonstrated a meticulous understanding of public finance, an ability to manage complex systems, and a commitment to efficiency.
In a political culture too often shaped by spectacle rather than substance, Fubara’s early career reflected a quiet diligence that few could ignore. This reputation positioned him not merely as a politician, but as a steward — a custodian of resources, institutions, and trust. Fifty is an age at which experience meets expectation. For Governor Fubara, this is particularly significant. The administration he now leads has faced scrutiny from every conceivable quarter: political opponents, civil society, the media, and citizens whose expectations have never been higher. Rivers State is a microcosm of Nigeria’s complexities — rich in resources, brimming with potential, but also marked by deep-seated political tensions and societal demands. Leadership here requires more than charisma; it demands judgment, prudence, and a capacity for calm under pressure. On this front, Fubara has shown steadiness.
A hallmark of Governor Fubara’s leadership has been restraint. In an era where governance is too often performed as theater, where loud voices overshadow measured action, he has consistently chosen law over intimidation, procedure over impulse. Decisions are referenced against statutes, governance is framed by institutional norms, and the public is reminded that authority comes with accountability. For a society still consolidating democratic norms, such temperance is both rare and necessary. It is, in many ways, the quiet hallmark of leadership that values stability over spectacle.Yet, birthdays are also moments for honest evaluation. Rivers people will rightly look beyond ceremony and expectation to tangible outcomes. Stability and process matter, but they must ultimately translate into progress: roads that improve mobility, policies that create jobs, systems that empower citizens, and governance that bridges divides rather than deepening them
. Leadership is judged not only by restraint but by results, not only by patience but by purpose. Fifty is a time when reflection must guide action, and where the lessons of experience inform a vision for the future. Governor Fubara’s milestone is also an opportunity to consider the human dimension of governance. Leadership at this level is taxing; the weight of responsibility is constant, and the scrutiny relentless. At 50, a leader is expected to balance firmness with flexibility, authority with empathy, decisiveness with dialogue. These qualities define whether governance is perceived as merely functional or as transformative. Rivers State, with its history of political turbulence, needs a governor who can navigate competing interests without sacrificing principle — and it is here that Fubara’s personal discipline and professional rigor can be leveraged for enduring impact.
Importantly, this birthday offers a chance for strategic reflection on inclusiveness and unity. Great leaders understand that reconciliation is not a concession, but a strategic tool for lasting peace. Rivers State has long been challenged by divisions — political, social, and economic. Leadership at this stage of life demands not just administrative efficiency, but a capacity to bring people together, to heal fractures, and to inspire confidence across divides. As the governor enters his sixth decade, the expectation is that wisdom will translate into bridge-building, that vision will extend beyond immediate political calculations, and that the interests of the state will outweigh the allure of short-term gains.On a personal note, Governor Fubara’s 50th birthday is a celebration of a life defined by service. Public office is not a ceremonial honor; it is a calling with obligations that extend beyond one’s personal ambitions
. It requires courage to make difficult decisions, patience to see policies take root, and humility to acknowledge limitations. The milestone of fifty provides an opportunity to reaffirm commitment to these ideals, to recommit to ethical leadership, and to envision a legacy that will outlast any political cycle. In conclusion, while birthdays are often private affairs, Governor Fubara’s milestone is unavoidably public. It is a moment to celebrate achievement, reflect on lessons learned, and anticipate the challenges ahead. At 50, a leader is expected to combine experience with vision, composure with courage, and principle with pragmatism. Rivers State and Nigerians at large have reason to observe this juncture with hope, expectation, and a measure of optimism.
So today, as the governor marks his 50th year, we offer not just congratulations, but also a reminder: leadership is measured in deeds as much as in years. The next chapter will define legacy, and the people will judge both the man and his administration by the tangible improvements in their daily lives. A toast, therefore, is not only to fifty years of life, but to fifty more years of leadership guided by wisdom, foresight, and the enduring pursuit of the common good. Happy birthday, Governor Siminalayi Fubara — may the next fifty be even more defining.
By: Sylvia ThankGod-Amadi
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Opinion

Policy Intervention: More Than Administrative Reform  

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Quote:”This policy intervention proves that education reform is not just about administration, but about restoring dignity, equity, and integrity to the learning process.”
On September 24, 2025, the article” A Growing Emergency: How Marked-Up Textbooks Are Sabotaging Nigeria’s School Children”, written by King Onunwo, was published in The Tide Newspaper. In the said article, the writer expressed pains in what he viewed as ‘a silent but damaging practice’  taking root in homes across Nigeria,  one that threatens the academic future of millions of children in primary and secondary schools. From the paintings of the writer,  this seemingly minor convenience where older siblings complete their homeworks directly inside their school textbooks, may seem  harmless on the surface. On the contrary, it is creating a dangerous ripple effect. What used to be a normal practice—siblings reusing textbooks year after year to ease the financial burden on families—has now turned into a nightmare. The writer could best describe its impact in our educational system as a stumbling block for students, and a ticking time bomb for the education system and to say the least, a  source of distress for countless parents.
The core message of the article is that writing homework and classwork inside textbooks has evolved from a harmless household habit into a national educational crisis that is quietly undermining learning outcomes in Nigeria. Specifically, the article argues that: marked-up textbooks sabotage learning by denying younger students the opportunity to think independently, practice problem-solving, and engage meaningfully with lessons. Economic hardship has normalized textbook reuse, but misuse has turned a cost-saving strategy into an educational disadvantage. The problem is systemic, not merely individual, reflecting failures in policy enforcement, public awareness, and educational support structures. Hence, government’s intervention is urgently required, including regulations, awareness campaigns, textbook audits, penalties, and subsidized writing materials.
Violation of education equity  was also fingered as children are academically punished due to circumstances beyond their control—birth order and family income. King Onunwo opined that small oversights can cause large-scale damage, and ignoring such “minor” issues threatens Nigeria’s broader educational goals. Ultimately, he   called for a national textbook integrity policy to protect learning materials and ensure fairness in education. Deductively, the writer ‘s feelings and emotional tone  conveyed a deep concern and alarm, repeatedly framing  the issue as a “growing emergency,” “ticking time bomb,” and “quiet academic crisis.” which signals a genuine fear  that the problem if unchecked, may have irreversible consequences.
The writer ‘s tone is outrightly that of an advocate, not a neutral observer,  speaking with a strong sense of justice, emphasizing on  education  as  a right, meaning that children should not be academically disadvantaged by family circumstances, hence, the need for society  to protect educational tools.The repeated calls for “immediate,” “urgent,” and “no time to waste” action showed impatience with delays and excuses. The writer believes every academic term lost worsens the damage. It is not just about textbooks—it is about educational dignity, equality, and systemic responsibility. The closing metaphor (“the handwriting is on the wall”) reinforces the writer’s belief that the consequences are already visible and that failure to act would be inexcusable. By responding decisively to growing concerns around the misuse and rising cost of learning materials, the Federal Government has demonstrated that thoughtful advocacy still matters—and that public interest writing can indeed influence policy in meaningful ways.
The recently unveiled education policy banning disposable workbooks and mandating the use of durable, reusable textbooks is a commendable step in the right direction. It directly addresses the very issues raised by King Onunwo and other concerned writers and parents who have long warned about the silent damage being done to Nigeria’s school children through poorly designed textbook practices and unchecked misuse of learning materials. For years, families—especially those with multiple children—have struggled under the weight of repeated textbook purchases. Worse still, the culture of writing directly into textbooks turned what should have been reusable learning tools into single-use items, sabotaging younger siblings who inherited books already filled with answers, errors, and confusion. The new policy does not merely reduce costs; it restores the integrity of textbooks as reference materials meant to guide thinking, not replace it.
By insisting on standardized, high-quality textbooks designed to last four to six years, the government has effectively validated the core argument of education advocates: that sustainability, affordability, and quality learning are deeply interconnected. The decision to prohibit the bundling of disposable workbooks—often used as a commercial tactic to force annual purchases—is particularly laudable. It signals a shift away from profit-driven educational practices toward child-centered learning. Equally important is the policy’s emphasis on strengthening assessment and quality assurance for instructional materials. This tackles another long-standing problem: superficial textbook revisions that compel parents to buy “new editions” without meaningful improvements in content. Such practices have eroded trust in the system and placed unnecessary financial strain on households already stretched thin.
Beyond textbooks, the introduction of a uniform academic calendar and the rationalization of graduation ceremonies show a broader sensitivity to the hidden costs of schooling. These reforms recognize that education expenses are not limited to fees alone but are compounded by traditions and inconsistencies that quietly drain family resources. This policy intervention is more than administrative reform; it is proof that government can listen, reflect, and act when issues are clearly articulated and grounded in lived realities. It affirms the value of public-interest writing as a bridge between citizens’ experiences and policy action.While implementation and enforcement will be the true test, the direction is encouraging. Parents, teachers, and school administrators must now play their part to ensure that these reforms translate into real change in classrooms across the country.
In acknowledging and addressing the concerns raised by writers, educators, and families, the government has taken a vital step toward protecting the learning future of Nigerian children. It is a reminder that when the handwriting on the wall is read early enough, it is still possible to rewrite the story—for the better.However, kudos to Federal Government for the intervention, but it should not end on the table rather should be given accelerated attention in order to ensure full implementation.
By: Sylvia ThankGod-Amadi
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