Editorial
Drug Resistance: Action Today, Cure Tomorrow
Yesterday, the global community marked World Health Day (WHD), a day set aside to commemorate the founding of the Geneva, Switzerland-based World Health Organisation (WHO), an organ of the United Nations responsible for surveillance, control, monitoring, regulation and coordination of health-related issues across the world.
As it is customary, the UN health watchdog had identified drug resistance and its global spread as key health issue of significance that should be combated before it becomes a hydra headed challenge to humanity, and consequently gave this year’s WHD celebration, the theme: “Antimicrobial Resistance: No Action Today, No Cure Tomorrow”. With this action, the WHO, has reeled out a six-point policy initiative to fight the spread of antimicrobial resistance, and kick started a year-long local, regional and international events linked to drug resistance, and efforts to curb the menace.
Before the discovery of antimicrobial drugs, such as antibiotics, man fell easy prey to infections. But with the addition of antimicrobials, as arsenals to his health kitty, he has survived longer and continues to lead healthier life. Today, due to the use and misuse of drugs, WHO says that humans are now on the ‘brink of civilisational collapse’ as more microorganisms are becoming resistant to antimicrobials. Drug resistance occurs when microorganisms such as bacteria, viruses, fungi or parasites mutate or change in such a way that the medications used to treat them are rendered ineffective.
Put in perspective, antimicrobial resistance is facilitated by the inappropriate use of antibiotic medicines such as taking substandard doses or not finishing a prescribed course of treatment, in addition to low-quality medicines, wrong prescriptions and poor infection prevention and control. Lack of government commitment to address these issues, poor surveillance and a diminishing arsenal of tools to diagnose, treat and prevent infections also hinder the control of drug resistance.
It is a major concern as it has the potential to result in prolonged illness, can easily kill, or spread to others, and imposes huge costs to individuals, governments and society. Indeed, if infections caused by resistant microorganisms fail to respond to standard treatment, prolonged illness or death looms large. It, therefore, hampers the control of infectious diseases, threatens a return to the pre-antibiotics era, increases the costs of healthcare, jeopardizes healthcare gains, and threatens health security and damages trade, tourism and economies.
In her message to mark the day, WHO Director General, Margaret Chan, called for a new and urgent action plan to raise accountability, and halt the spread of drug-resistant microorganisms through surveillance, control and prevention, as well as treatment mechanisms. Specifically, Chan called on governments, industry and all stakeholders, to, as matter of deliberate policy, synergise in strategic planning, surveillance, stricter drug regulation, rational use of medicines, infection prevention and control, innovation and research.
She listed 30 medicines that “are essential for treating common diseases of mothers and children” including those for the treatment of severe bleeding after childbirth and pneumonia, already being abused. Other medicines are those for the treatment of sexually transmitted infections, high blood pressure, tuberculosis (TB), hepatitis, malaria, diarrhea, and AIDS-related illnesses.
Chan regretted that 50 per cent antibiotics are being prescribed inappropriately across the world, as physicians do not adhere to standard treatment guidelines, and lamented that increasingly, antibiotics are available, usually over the counter, without prescription, compounded by laxity in monitoring. She, therefore, announced a six-point policy package to curtail drug resistance, and tasked policy-makers and planners, the public and patients, healthcare service practitioners and prescribers, pharmacists and dispensers, and the pharmaceutical industry to think, act and take responsibility for combating drug resistance.
Also speaking, UN Secretary General, Ban Ki-moon, warned against the increase in microbial resistance to antibiotics and other antimicrobial medications across the globe, stressing the need for the ‘urgent’ addressing of the issue through concerted international efforts.
Although the UN chief praised the health improvements caused by the discovery of antibiotics and the availability of antibacterial medications for poorer communities over the past two decades, he expressed concern about growing threats due to the emergence of drug-resistant organisms, and their negative impact on humanity.
It is important to note that drug resistance is not a new problem. However, its consequences are becoming increasingly ominous now than ever before. It is against this backdrop that The Tide urges governments across the world, particularly the federal and state governments in Nigeria, to initiate proactive strategies to curb the menace of drug-resistant microbes in the society. We insist that governments should make it an offence punishable by imprisonment for any hospital, clinic, pharmacist or drug-dispensing store to sell antibiotics without a certified physician’s prescription.
The Tide challenges the government to strengthen the National Agency for Foods, Drugs Administration and Control (NAFDAC), Pharmaceutical Society of Nigeria (PSN), Standards Organisation of Nigeria (SON), and other regulatory agencies to effectively implement and enforce policies to check drug abuse, adulteration, quackery, improper preservation, and corruption in drug prescription and administration. The government and all stakeholders should work spiritedly to reduce poverty rate, and increase literacy level through education and public awareness campaigns on the consequences of drug abuse.
Although, the Rivers State Government’s policies of massive investment in primary and secondary healthcare infrastructure development and equipment, training and recruitment of healthcare service providers, house-to-house sanitary inspection, fumigation of residential premises, and unscheduled raids on unauthorized pharmacies and patient medicines stores, as well as NAFDAC’s collaboration to check adulteration of drugs have yielded some positive dividends, The Tide believes that more concerted efforts are required to give needed impetus to the fight against antimicrobial resistance, as a veritable means of promoting healthier and longer living of our people for decades to come.
Editorial
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Editorial
That Oshiomhole’s Call On FG’s Road Projects
There are moments in the life of a legislature when plain speaking becomes a public service. Senator Adams Oshiomhole provided such a moment on the floor of the Senate when he accused the Minister of Works, Senator David Umahi, of manifestly neglecting critical federal arteries in Edo and Delta States, and implored his colleagues to prevail on the Minister to adopt a more equitable and genuinely national approach to road infrastructure delivery. It was blunt, it was uncomfortable, and it was necessary.
The specifics of his complaint deserve restating. Drawing attention to the recent approval of some 20 new road projects despite the parlous state of existing ones, the former Edo State governor lamented that Nigerians cannot travel from Benin to Warri, Benin to Asaba, Benin to Auchi, or Auchi to Okene without encountering severe distress. He alleged a deliberate omission of these corridors from the national budget in the last three years, save for palliative interventions directed by President Bola Tinubu through tax credit arrangements. His question — “What have we done wrong?” — resonates far beyond the chambers of the National Assembly.
We lend our full and unequivocal support to that call. The Auchi-Benin Road, for instance, has been in a deplorable and near-impassable condition for several years, turning what should be a two-hour journey into an all-day ordeal of broken axles, extortionate fares, and despondent commuters. The media have, on multiple occasions, chronicled the suffering of motorists, traders, and students who ply that route. To describe it as a federal road today is to stretch the meaning of the term beyond recognition.
This pattern of sidelining is not confined to Edo or Delta. Even here in Rivers State, the disposition of the Federal Ministry of Works has left much to be desired, particularly along the Eleme axis of the East-West Road. That road, which ought to be a flagship of federal presence in the Niger Delta, has remained in a wretched state for long. Those who use it daily — workers at the Eleme Petrochemical Complex, the two refineries, Onne Port, and the countless ancillary industries — can attest to its deterioration. Work has proceeded in fits and starts without the sustained urgency such a strategic road demands.
The Eleme stretch is not a mere intra-state byway. It is the gateway to the nation’s economic jugular. According to the Federal Ministry of Works and Housing’s 2023 Highway Condition Survey, only about 35 per cent of the country’s 36,000 kilometres of federal roads are rated as being in good or fair condition, with the remainder classified as poor or very poor. The East-West Road, conceived in the 1970s to bind the entire Niger Delta, remains unfinished in critical sections more than four decades after. If it had been treated as a priority, the perennial gridlock, carnage, and economic loss on the Eleme-Refinery junction would have long been consigned to history.
The irony is as painful as it is glaring. The Niger Delta remains the goose that lays the golden eggs. Data from the Nigeria Extractive Industries Transparency Initiative [NEITI 2023 Oil and Gas Audit] show that the region still accounts for over 78 per cent of Nigeria’s federally collected export earnings and about 65 per cent of total government revenue. The National Bureau of Statistics [NBS Foreign Trade Report Q4 2024] similarly confirms that crude oil continues to dominate export receipts. By every metric of equity and economic logic, a region that sustains the national purse deserves first-rate consideration in the allocation of infrastructure, not afterthoughts and tokenism.
Road infrastructure is not largesse to be dispensed by favour; it is the skeleton upon which commerce, cohesion, and citizenship hang. When contracts are concentrated in one geopolitical zone while other zones are left to contend with craters, it erodes trust in the federation itself. The World Bank’s Nigeria Development Update [June 2023] estimated that poor transport connectivity inflates the cost of moving goods by up to 40 per cent and costs the Nigerian economy an estimated $1.5 billion annually in lost man-hours and vehicle maintenance. If we profess to be one country, then equity must be the compass that guides key institutions before any project is executed. Development must spread round, not pool in one place as though other regions do not matter.
There is also a grave security dimension that can no longer be ignored. The deplorable condition of federal roads has become a veritable enabler of criminality. The NBS Crime Experience and Security Perception Survey reported over 2.5 million incidents of kidnapping-related occurrences nationally, with transport workers identifying bad road spots as prime ambush points. When vehicles are forced to crawl at 10 kilometres per hour through failed sections at Auchi, Sapele Road, or Eleme, they become sitting ducks for armed gangs. Fixing bad roads, therefore, is not merely about convenience; it is about safeguarding lives.
By his intervention, Senator Oshiomhole has hit the nail on the head and reminded Minister Umahi of a fundamental constitutional truth: public office is held in trust. The Ministry of Works is not a personal estate where contracts are awarded according to whim or political convenience. It is a national institution funded by the collective resources of Nigerians, including the oil and gas rents from the very communities whose roads are now neglected. The Minister must demonstrate balance, transparency, and a pan-Nigerian outlook in the distribution of projects that impact the daily existence of citizens. Selective neglect breeds suspicion, and suspicion is corrosive at a time when the nation is preaching unity, oneness, equity, and justice.
Consequently, the National Assembly must go beyond rhetoric and assert its oversight powers with vigour. Sections 88 and 89 of the 1999 Constitution [as amended] empower the legislature to investigate and expose any maladministration in the execution of federal projects. If an office holder is not acting rightly, it is the duty of the Senate and the House of Representatives to call him to order. Oversight must not be reduced to budget approval ceremonies; it must translate to field verification, public hearings, and insistence that the Federal Character principle, as enshrined in Section 14(3) of the Constitution, reflects in road awards.
Let the Auchi-Okene, Benin-Warri, Benin-Asaba, and Eleme East-West gangways be restored to motorable dignity. Let priority be given to completing existing, economically vital roads before embarking on new ones. If those who, through their resources, sustain the federation are sidelined in the distribution of tangible dividends, it tells poorly of our nationhood. Bad roads must be fixed, and they must be fixed now, with fairness as the guiding standard.
Editorial
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