Opinion
RSG’s Fight Against Tuberculosis
Igoni, a native of
Omelema community in Abua/Odual Local Government Area of Rivers State has been coughing ceaselessly and decided to seek medical attention in one of the primary health facilities in the state. She had earlier submitted samples of her sputum to the facility’s laboratory, where it was confirmed that she had tuberculosis.
Even though she had started receiving treatment for the dreaded disease, she is worried about the future, she is also battling with how to manage the information, should she tell her husband? What about her head teacher at the primary school where she has secured a teaching job? How will people react? Although there are drugs to help her condition, is it possible that those around her could also have been infected by the virus?
Ibeka, a clinical nurse (one of the few men found in a female dominated profession) seems to be happy with his job and is quite under pressure in his health facility in Oyigbo. At home, his wife is not comfortable with his job especially the fact that he handles tuberculosis patients and often complains that he spends more time in the clinic than at home.
The above scenarios highlight the problems and challenges posed by tuberculosis. Though awareness is on the increase, people identified with the disease are often marginalised and isolated by the society.
Tuberculosis, an ancient disease caused by a bacterium called micro bacterium tuberculosis which affects the lungs of an infected individual generally presents with cough of two weeks and above, low grade fever as well as tiredness, body weakness and weight loss.
According to statistics from the state Primary Health Care Management Board department of disease control, a total of 2,592 T.B cases were detected and placed on anti-T.B. drugs in 2012 and a treatment success rate of 79.5% and cure rate of 72.5% was recorded. Also a total number of 674 cases were detected in the first quarter of 2013 with recorded treatment success rate of 86% and cure rate of 80%
Even though such marked success has been recorded in the treatment of the disease, the state government, with the support of the German Leprosy and Tuberculosis Relief Association (GLRA) has made free treatment of the disease available in over 112 D.O.T.S centres and one in-take centre in Emohua.
At a training session, organised for Local Government Area Tuberculosis/Leprosy supervisors and Primary Health care facility focal persons recently in Port Harcourt, Executive Secretary of the Board, Dr. Claribel I. Abam urged the TBL Local Government Desk Officers to be more committed to their duties so as to increase case detection rates of the disease in various communities from the present 17% to a set target of 50% before the end of 2014.
Dr. Abam said “more is expected of the health workers to reduce the statistics, we all know that the disease (TB) we are talking about here when there is multiple drug resistance, we are talking about death, not just death of the person carrying the disease but death of all the people around there”.
In addition to improvement of case detection rates, Dr. Abam gave assurances of the Board’s commitment to improve treatment success rate and total reduction of defaulter rates (those who stop treatment halfway) from the present 9% to 3% by the end of 2014.
Meanwhile, the Director, Disease Control Services at the Board, Dr. Roland Obed Whyte, believes that with proper health education of patients, families and communities as well as training and supervision of health care personnel at all levels of treatment, the burden of TB can be reduced in line with the Millennium Development Goals.
On his part, Dr. Whyte said “treatment is available in all primary health care centres, all general hospitals and even some private hospitals are partnering with us and the good side of it is that it is free, you don’t need to pay”.
He noted that a facility based survey carried out by his department, shows that HIV infection makes treatment outcome of TB worse and the prevalence of tuberculosis among HIV positive people in the state stands at 27%.
However, Dr. Whyte thinks that with training and retraining of health workers along with community volunteers, the low case detection would greatly improve.
Though, the war against tuberculosis seems to be making appreciable progress in the state, Mr. Messiah Mozan, the state focal person TB Network, an N.G.O. involved in the eradication of the disease in the country thinks that more could be done in the area of sensitization and awareness creation.
“We have in the last one year trained over 160 volunteers in eleven pilot L.G.A’s so that they can go into the communities, create awareness and sensitise the people on TB and they have been working in these areas but we need to scale up to the 23 LGA’s and the volunteers need to be encouraged and motivated with some financial reward, to be able to do the job very well” Mr. Mozan said.
As for Enume Joshua, the TBL supervisor for Ogu Bolo Local Government, she is grateful to the state government for the refresher training course for DOTS focal persons on how to handle TB cases in line with global best practices and encouraged other health workers who are not TB focal persons to be warm and receptive in managing TB patients and not stigmatise them stressing that the job is not only for the TBL focal person.
Owhonda is RSPHC MB’s Information Officer
Joy N. Owhonda
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Wike VS Soldier’s Altercation: Matters Arising
The events that unfolded in Abuja on Tuesday November 11, 2025 between the Minister of the Federal Capital Territory, Chief Nyesom Wike and a detachment of soldiers guarding a disputed property, led by Adams Yerima, a commissioned Naval Officer, may go down as one of the defining images of Nigeria’s democratic contradictions. It was not merely a quarrel over land. It was a confrontation between civil authority and the military legacy that still hovers over our national life.
Nyesom Wike, fiery and fearless as always, was seen on video exchanging words with a uniformed officer who refused to grant him passage to inspect a parcel of land alleged to have been illegally acquired. The minister’s voice rose, his temper flared, and the soldier, too, stood his ground, insisting on his own authority. Around them, aides, security men, and bystanders watched, stunned, as two embodiments of the Nigerian state clashed in the open.
The images spread fast, igniting debates across drawing rooms, beer parlours, and social media platforms. Some hailed Wike for standing up to military arrogance; others scolded him for perceived disrespect to the armed forces. Yet beneath the noise lies a deeper question about what sort of society we are building and whether power in Nigeria truly understands the limits of its own reach.
It is tragic that, more than two decades into civil rule, the relationship between the civilian arm of government and the military remains fragile and poorly understood. The presence of soldiers in a land dispute between private individuals and the city administration is, by all civic standards, an aberration. It recalls a dark era when might was right, and uniforms conferred immunity against accountability.
Wike’s anger, even if fiery, was rooted in a legitimate concern: that no individual, however connected or retired, should deploy the military to protect personal interests. That sentiment echoes the fundamental democratic creed that the law is supreme, not personalities. If his passion overshot decorum, it was perhaps a reflection of a nation weary of impunity.
On the other hand, the soldier in question is a symbol of another truth: that discipline, respect for order, and duty to hierarchy are ingrained in our armed forces. He may have been caught between conflicting instructions one from his superiors, another from a civilian minister exercising his lawful authority. The confusion points not to personal failure but to institutional dysfunction.
It is, therefore, simplistic to turn the incident into a morality play of good versus evil.
*********”**** What happened was an institutional embarrassment. Both men represented facets of the same failing system a polity still learning how to reconcile authority with civility, law with loyalty, and service with restraint.
In fairness, Wike has shown himself as a man of uncommon courage. Whether in Rivers State or at the FCTA, he does not shy away from confrontation. Yet courage without composure often feeds misunderstanding. A public officer must always be the cooler head, even when provoked, because the power of example outweighs the satisfaction of winning an argument.
Conversely, soldiers, too, must be reminded that their uniforms do not place them above civilian oversight. The military exists to defend the nation, not to enforce property claims or intimidate lawful authorities. Their participation in purely civil matters corrodes the image of the institution and erodes public trust.
One cannot overlook the irony: in a country where kidnappers roam highways and bandits sack villages, armed men are posted to guard contested land in the capital. It reflects misplaced priorities and distorted values. The Nigerian soldier, trained to defend sovereignty, should not be drawn into private or bureaucratic tussles.
Sycophancy remains the greatest ailment of our political culture. Many of those who now cheer one side or the other do so not out of conviction but out of convenience. Tomorrow they will switch allegiance. True patriotism lies not in defending personalities but in defending principles. A people enslaved by flattery cannot nurture a culture of justice.
The Nigerian elite must learn to submit to the same laws that govern the poor. When big men fence off public land and use connections to shield their interests, they mock the very constitution they swore to uphold. The FCT, as the mirror of national order, must not become a jungle where only the powerful can build.
The lesson for Wike himself is also clear: power is best exercised with calmness. The weight of his office demands more than bravery; it demands statesmanship. To lead is not merely to command, but to persuade — even those who resist your authority.
Equally, the lesson for the armed forces is that professionalism shines brightest in restraint. Obedience to illegal orders is not loyalty; it is complicity. The soldier who stands on the side of justice protects both his honour and the dignity of his uniform.
The Presidency, too, must see this episode as a wake-up call to clarify institutional boundaries. If soldiers can be drawn into civil enforcement without authorization, then our democracy remains at risk of subtle militarization. The constitution must speak louder than confusion.
The Nigerian public deserves better than spectacles of ego. We crave leaders who rise above emotion and officers who respect civilian supremacy. Our children must not inherit a nation where authority means shouting matches and intimidation in public glare.
Every democracy matures through such tests. What matters is whether we learn the right lessons. The British once had generals who defied parliament; the Americans once fought over states’ rights; Nigeria, too, must pass through her own growing pains but with humility, not hubris.
If the confrontation has stirred discomfort, then perhaps it has done the nation some good. It forces a conversation long overdue: Who truly owns the state — the citizen or the powerful? Can we build a Nigeria where institutions, not individuals, define our destiny?
As the dust settles, both the FCTA and the military hierarchy must conduct impartial investigations. The truth must be established — not to shame anyone, but to restore order. Where laws were broken, consequences must follow. Where misunderstandings occurred, apologies must be offered.
Let the rule of law triumph over the rule of impulse. Let civility triumph over confrontation. Let governance return to the path of dialogue and procedure.
Nigeria cannot continue to oscillate between civilian bravado and military arrogance. Both impulses spring from the same insecurity — the fear of losing control. True leadership lies in the ability to trust institutions to do their work without coercion.
Those who witnessed the clash saw a drama of two gladiators. One in starched khaki, one in well-cut suit. Both proud, both unyielding. But a nation cannot be built on stubbornness; it must be built on understanding. Power, when it meets power, should produce order, not chaos.
We must resist the temptation to glorify temper. Governance is not warfare; it is stewardship. The citizen watches, the world observes, and history records. How we handle moments like this will define our collective maturity.
The confrontation may have ended without violence, but it left deep questions in the national conscience. When men of authority quarrel in the open, institutions tremble. The people, once again, become spectators in a theatre of misplaced pride.
It is time for all who hold office — civilian or military — to remember that they serve under the same flag. That flag is neither khaki nor political colour; it is green-white-green, and it demands humility.
No victor, no vanquish only a lesson for a nation still learning to govern itself with dignity.
By; King Onunwor
