Editorial
Tackling TB, HIV Scourge
The Nigeria Medical Association (NMA) on March 24, raised serious concerns over rising spate of tu-berculosis and HIV infections and spread in Nigeria, saying that while significant progress has been made globally in the fight against the two diseases, Nigeria still topped the list of TB most infected nations in Africa and 10th in the world while ranking second in HIV prevalence on the global scale.
Speaking at the forum to mark 2013 World Tuberculosis Day, with the theme: “Stop TB In My Life Time”, in Lagos, President of NMA, Dr Osahon Enabulele, charged the Federal Government to make the fight against TB one of the priority projects of the centenary anniversary by massively investing in TB research activities towards the discovery of the much-needed anti-TB vaccine, while increasing budgetary allocations to programmes aimed at reducing the scourge of HIV/AIDS.
Enabulele revealed that there are more than 84,263 new infections and 27,000 deaths annually from tuberculosis, adding that those most vulnerable are between 25 and 34 years, representing 36.6 per cent of all infected, with Lagos, Kano, Oyo and Benue states harbouring the highest infections rate, and Ekiti and Bayelsa states with the lowest rate of infection.
He decried the lack of drugs and modern treatment facilities to treat TB, saying that the fact that it is an entirely preventable and easily curable disease, if simple public health regulations, hygiene practices and treatment guidelines are adhered to, makes the difficulties being faced in fighting the disease more disheartening and called on government to establish National Centre for Disease Control for effective surveillance and control of diseases.
While regretting that international funding allocations have dropped from 48 per cent in the previous year to 42 per cent with marginal rise from domestic budgetary allocation from 28 per cent to 30 per cent in the face of heightening spread of the disease, he said it may be impossible for Nigeria to achieve the goal of 50 per cent reduction in prevalence and death from TB, if aligned with the 1990 baseline by 2015, let alone eliminating it as a public health problem by 2050.
Enabulele’s concern was again, corroborated by Head, Grant Management Division of Global Fund, Mark Edington in Lagos, at the signing of $335million five grant agreements to march Federal Government’s ‘Saving One Million Lives’ $500million allocation to support programmes aimed at curbing AIDS, TB and malaria pandemic in Nigeria by 2015. Edington revealed that the country had second highest prevalence of people living with HIV in the world, with only 30 per cent of those requiring treatment having access to anti-retroviral therapy.
He noted that HIV epidemic in Nigeria is highly concentrated among high-risk groups with 20 per cent of infections attributed to female sex workers while injecting drug users and men who have sex with men account for 9 per cent and 10 per cent, respectively, of annual new infections, adding that the grant resources will be targeted to achieve very significant increase in number of patients receiving anti-retroviral therapy and prevention of mother-to-child transmission services.
The Tide feels particularly pained by these revelations and grim statistics of the prevalence rate and deaths attributable to both TB and HIV against the availability ratio and access to anti-TB vaccine and antiretroviral therapy. Even more troubling is the dwindling fund allocations, because what we see is obviously a nation at the verge of losing a mass of critical human capital required to drive its development process in all fields and sectors. This is why we insist that the time for swift stakeholders’ concerted action to address the fundamental challenges of resources allocation by significantly increasing funding to solve the most critical health problems of our time, is now.
It’s sad that at a time when most preventable diseases have been eliminated in developed countries, Nigeria is still topping the list of nations with the highest number of infections and deaths arising therefrom. Government must invest adequately in research and production of anti-TB vaccines while increasing availability of microscope, culture, drug susceptibility centres and reference liboratories across the country. TB and leprosy control centres must also be opened in all the states and local governments for effective coverage of infected persons and pursue of programmes aimed at reducing the spread of the epidemics.
Also, there is all urgent need for National Orientation Agency (NOA), the state and federal ministries of information and of health to embark on sustained enlightenment and re-orientation campaigns targeted at the most vulnerable of societal chain to ensure that the prevalence rate of these diseases are reduced to the barest minimum, if not completely eliminated from the list of our public health problems.
Improving investments and allocations in human capital development and economic empowerment initiatives may play a serious role in reversing this ugly trend. We, thus, appeal to governments at all levels and other stakeholders to continue to increase their commitments to programmes aimed at building the capacity of the people and ensure the creation of an economic foundation that would sustain rubost development and growth for posterity.
These steps would help save this generation of leaders the shame that the present TB, HIV and malaria prevalence rates have exposed us to as a people in such a resource-blessed nation.
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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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