Editorial
End Tuberculosis, Now
The soaring prevalence of tuberculosis-related deaths declared in Nigeria annually makes it mandatory for exigent and unyielding response by the government to contain the spread of the disease. There is barely anyone who venerates human life that would not cringe at the news that more than 250,000 Nigerians are extirpated every year by the deadly disease. Yet, it is preventable and, with the right medical intervention, curable.
While joining the rest of the world to mark this year’s World Tuberculosis (TB) Day yesterday, March 24, 2022, the disease has been rightly described as an epidemic, not only because of the deaths it causes in Nigeria but the peril it constitutes to the entire world. Nigeria is positioned seventh among the 30 high TB burden nations and second in Africa. The quandary of tuberculosis in the country has been worsened by drug-resistant TB and the HIV/AIDS epidemic.
As usual, the root of Nigeria’s poor showing is the lack of dedication by the government to fund the programme of detection and treatment of the ailment. The same attitude of nonchalance that has encumbered the fight against other lethal diseases has also been transposed to the TB containment, allowing the illness to take advantage of the apathy to burgeon in Nigeria even when the incidence has witnessed a global drastic reduction over the past 20 years.
Despite calls for enhanced funding for TB control, Nigeria has recorded a 69 per cent ($257.4 million) funding gap in 2020. Of the $373 million required for TB control in the nation in 2020, only 31 per cent was available to all the implementers of TB control undertakings in the country and only seven per cent of the 31 per cent was dispensed by the Nigerian government while 24 per cent of the funds came from donors.
This was divulged by the Stop TB partnership and the National Tuberculosis and Leprosy Control Programme (NTBLCP) at the 2022 pre-World TB Day press conference in Abuja. The partners called on world leaders, including governments at the national and sub-national levels to step up and triple or quadruple the funding to save lives and end TB by 2030.
Tuberculosis and HIV are strongly linked. Whereas people with healthy immune systems may not fall ill from latent TB infection (when a person has TB but does not have any symptoms), those living with HIV are much more impressionable to active TB (when TB infection leads to illness). The risk of developing active TB is estimated to be 20 times greater in people living with HIV than in persons who are HIV negative.
Worldwide, TB is the 13th principal cause of death and the second primary infectious killer after COVID-19. In 2020, approximately 10 million people fell ill with tuberculosis globally — 5.6 million men, 3.3 million women and 1.1 million children. The baneful ailment is present in all countries and age groups.
Tuberculosis is effectuated by bacteria (Mycobacterium tuberculosis) that most often affect the lungs. It stretches from person to person through the air. When people with lung TB cough, sneeze or spit, they impel the TB germs into the air. A person needs to inhale only a few of these germs to become infected. About one-quarter of the world’s population has a TB infection, which means people have been infected by TB bacteria but are not ill with the disease and cannot transmit it.
The Millennium Development Goal for tuberculosis is to discontinue the increase in incidence and halve the mortality of the disease between 1990 and 2015. This goal has now been reached on a global scale, although not in the most affected region of Africa. The new target is TB elimination, defined as one case of active TB per one million population per year, which is to be reached before 2050.
Tuberculosis is a malady that affects mostly the poor and low economic population in Nigeria, leaving the patient and households with pestilential financial loss. Many patients are unable to pay for treatment from their income alone but have to rely on loans or dispose of their assets to have sufficient means for treatment. We prompt the government and development partners to demonstrate strong support to the patients.
Following stigmatisation in Nigeria, many people with TB fail to come out candidly to seek treatment. It is for this reason that the World Health Organisation (WHO) recommends the directly observed treatment, short course (DOTS) strategy. The technique combines five elements of commitment with increased and sustained funding; case detection through quality-assured bacteriology; standardised treatment with supervision and patient support; effective drug supply and management system; and monitoring and evaluation system and impact measurement.
The DOTS strategy was expanded to all the states of the federation in 1993. About 969 TB microscopy centres were established in 494 local government areas, according to the National Strategy Plan for Tuberculosis and Leprosy Control. Sadly, these centres have largely remained moribund. They must be made to work to reduce infection and death.
WHO, in its World TB observation this year, chose “Invest To End TB. Save Lives”. This communicates the crucial necessity to invest resources to ramp up the fight against the menace and achieve the commitments to end it. Nigeria has to key into the global vision of ending TB by 2030, which is also a component of the Global Goals of Sustainable Development. Early detection and treatment are paramount to prevent spread.
Editorial
2027: Beyond IGP’s Billboards Protection Order
As Nigeria moves toward the 2027 general elections and campaign activities intensify, violence against opposition politicians has become an issue that can no longer be overlooked. What should be a season of competing ideas is increasingly turning into a test of intimidation, and early signs suggest that those challenging the ruling establishment are the primary targets.
It was, therefore, welcome news when the Inspector-General of Police, Olatunji Disu, warned politicians, political thugs and others against destroying, defacing or removing campaign posters, banners and billboards. In a statement issued in Abuja by the Force Public Relations Officer, CSP Ani Iniedu, the police condemned such acts as political intolerance, directed Commissioners of Police in all 36 States and the Federal Capital Territory to take preventive measures, and warned that sponsors would also face prosecution. The police rightly described such vandalism as a criminal act that undermines parties’ and candidates’ freedom to canvass for votes.
But billboards are replaceable; human lives are not. While applauding the IGP’s stance, we urge him to extend the same stern warning and enforcement zeal to thugs who assault opposition members during campaigns. A police force that punishes the tearing of a poster but ignores the breaking of a skull will have its priorities questioned. Allowing such attacks to continue could erode the foundations of our democracy.
Consider the African Democratic Congress (ADC) presidential campaign flag-off in Sokoto State on November 4, 2026. The party alleged that the State Government denied it access to public facilities, sealed its campaign venue and pressured hotels to reject its delegates, forcing it to hold the rally at its secretariat. The Sokoto authorities, however, denied instructing hotels to turn guests away. More seriously, two suspected ADC supporters were reportedly shot along the Sokoto–Wurno Road while travelling to the venue, allegedly by operatives of the Sokoto State Community Guards.
Whatever the truth of these competing accounts, a shooting demands more than press statements. It requires a transparent, independent investigation and prosecution where warranted. Sokoto was not an isolated incident. The following day in Birnin Kebbi, the ADC presidential campaign convoy was reportedly attacked by armed gangs. Amnesty International said vehicles were vandalised, people assaulted with cutlasses and roads blocked, while the party’s Kebbi governorship candidate, Abubakar Malami, alleged that media equipment was destroyed and tear gas deployed. His convoy had suffered a similar attack in the city in September 2025.
The Nigeria Democratic Congress (NDC) has suffered similar attacks. On November 4, hoodlums stoned the motorcade of its presidential candidate, Peter Obi, and running mate, Rabiu Musa Kwankwaso, at Watt Market roundabout in Calabar, Cross River State. Police reported arresting a 27-year-old suspect, Victor Edet, although it remains unclear whether he has been arraigned. The State Government has denied suggestions that ruling-party supporters were responsible. Worse, in Asaba, Delta State, one person was killed and five injured when suspected thugs attacked an NDC rally. A death at a political rally is no longer a warning; it is a damning indictment of the prevailing political climate.
Even critics of the establishment who are not frontrunners have not been spared. Omoyele Sowore, presidential candidate of the African Action Congress (AAC), was attacked by suspected thugs at a restaurant in Ado-Ekiti on October 30. He alleged that the assailants were linked to the Ekiti State Government House and that the Department of State Services leaked his location. Both the State Government and the security service denied involvement, while the police reported a minor injury and a discreet investigation. These conflicting accounts make an independent, publicly reported inquiry indispensable.
What deepens the concern is the Federal Government’s apparent silence. We are unaware of any specific, forceful condemnation of these assaults, even as All Progressives Congress (APC) rallies appear to proceed nationwide without incident. Such silence can easily be misconstrued as complicity, regardless of intent.
According to the Centre for Democracy and Development, 109 election-related deaths were recorded in the build-up to the 2023 polls. The Kimpact Development Initiative separately documented 238 incidents and 24 deaths during the general elections. Beyond Nigeria, Kenya’s 2007–08 post-election violence claimed more than 1,000 lives, according to the Waki Commission. Ghana, by contrast, enacted the Vigilantism and Related Offences Act in 2019 to curb party vigilante groups, a model worth studying.
The remedies are neither exotic nor expensive. The IGP should extend his directive to cover assaults on individuals and disruptions of rallies, while establishing a dedicated investigative unit to probe the Sokoto shooting and the attacks in Kebbi, Calabar, Asaba and Ado-Ekiti. It should publish the status of each case within a fixed period. Suspects must be prosecuted and their sponsors, regardless of party or position, brought to justice. State-backed security outfits, including the Community Guards, should be audited and barred from partisan duties.
The Federal Government must speak and act unequivocally. President Tinubu should specifically condemn attacks on opposition candidates and direct all security agencies to guarantee equal protection for every party. Governors must ensure equal access to public facilities for registered parties. The Independent National Electoral Commission (INEC), which has warned of fines and imprisonment under the Electoral Act 2026 for inflammatory campaign conduct, should enforce the Code of Conduct for Political Parties. Working with the Inter-Agency Consultative Committee on Election Security, it should publish a joint security plan covering campaigns, polling, and collation. Parties must discipline their supporters, courts expedite electoral-violence trials, and civil society and the media maintain a public record of incidents and their outcomes.
The credibility of the 2027 elections is at stake. An election is credible only when every contender can campaign, travel, assemble and speak freely, without fear. Without a free opposition, there can be no meaningful democracy. Nigeria is not a one-party State, and law enforcement agencies must demonstrate their neutrality through action, not communiqués. The campaign atmosphere is too tense to be left to chance. Billboards deserve protection, certainly, but citizens deserve it far more.
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