Appreciating WHO’s Responses To Cholera Outbreak
Established in 1948, the World Health Organisation (WHO) is a specialised agency of the United Nations (UN) which priority is public health; contributing to promoting a healthy population across the world.
WHO engages in tackling health crisis among member states of UN of which Nigeria is a member.
Nigeria is a direct beneficiary of the activities of WHO and particularly the north eastern part of Nigeria where millions were affected by the insurgency has been singled out for specific intervention.
Cholera is one of the health challenges being tackled by WHO in the area which is prone to epidemics in view of the current challenges.
So far, more than 377, 000 people have benefitted from the first ever cholera vaccination campaign in Adamawa facilitated by WHO.
Of recent, the frontline states of the north eastern Nigeria comprising Adamawa, Borno and Yobe recovering from the crisis resulting from the insurgency have had to battle cholera epidemic.
This has prompted WHO and other partners to respond to the challenges of containing the fatality of the epidemic.
In Adamawa State, particularly in Mubi area, the timely intervention of WHO-coordinated response last the outbreak of cholera in May, when health workers were on strike was the stitch in time that really saved many lives by bringing the fatality ratio of the epidemic from 17 per cent to 2.2 per cent.
WHO engaged 39 health workers on ad hoc arrangement to support the immediate response to the outbreak pending when the strike was called off.
The organisation also engaged 107 Community Health Champions (CHC) for house-to-house case search, risk communication, aqua tab distribution and referral of suspected cases for treatment.
Mobile health teams were also deployed to conduct household disinfection of suspected cholera cases.
The WHO’s Mid-Year Report for 2018 indicated that health workers were also engaged by the organisation to geo-coordinate mapping which enabled focused intervention, including disinfecting localised neigbourhoods in Mubi.
To further stem the outbreak which affected Mubi North, Mubi South, Maiha and Hong Local Government Areas of Adamawa, WHO not only activated an Emergency Operation Centre (EOC) for partners coordination and rapid decision making, it also provided technical supervision for the chlorination of water sources mainly responsible for the outbreak.
In Borno State where the epidemic occured in Kukawa Local Government area last February, WHO deployed its mobile health team that facilitated early detection and prompt intervention.
As a result of this strategy, 679 cases were detected and treated and, as such, Kukawa outbreak was restricted to the vicinity of the town.
In Yobe, the outbreak occurred in March in Gashua town of Bade Local Government Where the WHO trained Rapid Response Team swiftly responded.
The state ministry of health in collaboration with WHO and other partners contained the outbreak which affected 404 people.
Yobe officially declared the outbreak over in June following the concerted response coordinated by WHO.
Appreciating the interventions from WHO and other partners in containing the cholera outbreak in Adamawa, the State Commissioner of Health, Dr Fatima Atiku who noted the deadly nature of the epidemic said the collaborative effort was commendable.
She appreciated the benefit of collaborating with WHO in enhancing the health sector capacity in handling outbreaks and control of health challenges.
Atiku noted the engagement of volunteers and town announcers for effective community sensitisation and health education on cholera prevention, engagement of disease surveillance and notification officers for active case finding and surveillance.
She observed that setting up of active toll free lines for prompt feedback from the public on any observed symptoms related to cholera and other public health issues were some of the many measures supported by WHO in containing the cholera epidemic.
“As a result of this collaborative effort, the case fatality ratio of the outbreak which was 17 per cent as at May 12 was drastically reduced to 1.8 per cent as at June 1.
“Nigeria, no doubt sincerely appreciates the efforts of our development partners, volunteers and health workers who dedicated their lives to save others affected by the outbreak,’’ Atiku said.
The Director of Public Health in the Adamawa State Ministry of Health who is also the Head of Emergency Operation Centre, Dr Bwalki Dilli, urged the public to strictly observe cholera preventive and control measures such as drinking clean water and hygienically prepared food intake, hygiene promotion, hand washing with soap and water after defecation and before eating as a lasting solution.
“Media practitioners are also encouraged to scale up broadcast of Health promotion messages and programmes that will educate then people on imbibing healthy lifestyle,’’ Dilli said.
Mr Wondimagegnehu Alemu, the former WHO Country Representative in Nigeria, in his message contained in the organisation’s mid-year report of 2018 noted that the humanitarian crisis in the north east caused by Boko Haram insurgency has continued to make the population vulnerable to outbreaks.
He assured the public that WHO would continue to do its best in line with its vision of ensuring access to healthcare by all despite the challenges.
“Although, funds received for planned activities in the first half of 2018 were scarcely enough, WHO continues to appreciate the government of Nigeria, ECHO, USAID, CERF, OFDA, CIDA, governments of Japan, Germany and Republic of Korea among others, that have remained steadfast with funding WHO’s emergency operations in Nigerian.
“It is therefore, crucial, that donors and partners continue to support WHO to enable comprehensive delivery of life-saving interventions to populations in need,’’ Alemu said.
Indeed, being at the centre of steady improvement in public health, WHO really deserves all the support it can get to continue the humanitarian work in the north eastern part of Nigeria and beyond.
“WHO’s work is about serving people; about serving humanity. It’s about serving people regardless of where they live; be it in developing or developed countries, small islands or big nations, urban or rural settings,’’ said the Director General of WHO, Dr Tedros Ghebreyesus while stressing the unique role of the organisation in impacting positively in public health.
With this feat, public analysts note that WHO has lived up to this vision as witnessed in the north eastern Nigeria.
Uba writes for News Agency of Nigeria.
Developing The Non-Oil Sector
A common feature in the Christmas messages last year, was “hope”. From the political leaders to religious heads and many others, Nigerians were encouraged to be hopeful for a better Nigeria from this year and beyond despite the daunting challenges facing the nation. The citizens were urged to do everything within their powers to ensure that Nigeria bounces back again both economically and otherwise.
The most striking of them all was the message by the Catholic Bishop of Sokoto Diocese, Hassan Mathew Kukah. It partly reads, “… So, we need a change of strategy so that we can turn a new page. We need a new strategy to confront those who sit on the throne of power in arrogance and are determined to reduce our country to a jungle. We need a new strategy that separates men and women of honour from those who have chosen dishonour. We need a new strategy that provides a clearer moral guide for ordinary citizens who, based on the moral strength of culture and religion, are seeking to build a good society, even if with straws. We need to stand up and stand firm. We need new mechanisms for saying no to the violence of governance”.
Indeed, in the coming year, 2023, there must be a deliberate effort to change how things have been done in the past in the country so as to birth a better Nigeria. One of the greatest desires of any nation is the need to build a resilient economic system that is self-sustaining, highly competitive, and externally visible. Citizens of every nation too desire a strong and reliable economy and a conducive environment where they could live and operate satisfactorily. To this end, nature endowed nations of the world with natural and human (intellectual) resources through which they could develop economically and sustain her citizens.
However, no country of the world, Nigeria inclusive, could grow or develop effectively despite her natural endowments without depending on another country. This growth is mostly enhanced through trade and export.Before Nigeria gained independence in 1960, her economy was dominated by trade and export and the non-oil sector (agricultural and solid mineral sub-sector) was the mainstay of her economy and the greatest foreign exchange earner contributing about 65 per cent of her (Nigeria) aggregate income.The non-oil economy can be defined as economic activities that are not directly or indirectly related to the petroleum and gas industries. These are the manufacturing, agriculture, services, telecommunications, the financial sector (banking and insurance) activities and tour operator (hotel, restaurant, park) aside others.
According to a recent research, seven non-oil activities in percentages contributed to the Nigeria Economy in Q2 of 2022 and they include Agriculture – 23.2 %, Trade- 16.8 %, Telecoms -15.0%, Manufacturing- 8.65 %, Crude oil and Gas -6.33 %, Real Estate -5.33% while Financial and Insurance contributed 4.25%. On August 23, 2022, the Nigerian Export Promotion Council (NEPC) announced that Nigeria exported over 4.146 million metric tons of non-oil products worth $2.593 billion from January to June 2022.
From the Executive Director of NEPC, Dr Ezra Yakusak, the progress report of $2.593 billion represents a 62.37 per cent increase in non-oil export recorded in the year as against the $1.59 billion and $981.44 million recorded in the first half of 2021 and 2020 respectively. Yakusak said that the report was also the highest half year non-oil export performance since 2018 which contributed significantly to the nation’s economic growth in the face of a global economic recession that affected most businesses in 2021.
He said it also contributed to poverty alleviation, industrial development and foreign exchange employment earnings for the country. “The figures of 4.146 million metric tons of product worth $2.593 billion exported between January and June 2022 culled from the non-oil export performance reports of various pre-shipment inspection agents, reinforces NEPC’s campaign to embrace non-oil export trade as a viable means of economic growth,” he said. The NEPC Executive Director equally hinted that over 200 different products, ranging from manufactured, semi-processed, solid minerals to raw agricultural products, were reportedly exported in the period under review.He said that unlike what was applicable in the past, products exported from the country were gradually shifting from the traditional agricultural products to semi-processed/manufactured goods.
Yakusak equally said that during the period under review there was no incidence of export rejections while different Nigerian products were exported to 112 countries including America, Asia, Europe, Oceania regions and some Africa countries adding that of this number Brazil, US and India were the top three export destinations based on the value of imports. “With 572 companies reportedly participating in exporting products, analysts’ belief it is an indication that Nigerian businesses are gradually embracing the diversification campaign of the NEPC by venturing into non-oil exports,” he said.
On their own part, the Federal Ministry of Industry, Trade and Investment (FMITI) said it is working assiduously with other Ministries, Departments and Agencies to end the rejection of Nigeria’s products in the international market. To this end, the Minister of FMITI, Otumba Adeniyi Adebayo, recently inaugurated a Technical Committee on Export Rejects charged with the responsibility of identifying the major causes of the rejection of the agro produce and proffering appropriate recommendations.
The committee headed by the Director, Commodities and Export Department, Mr. Suleiman Audu, is expected to make recommendations that would assist the promotion of non-oil commodity exports which had led to farmers and product aggregators partnering to explore the export market for their products. Before Nigeria gained her independence in 1960, her economy was mainly dominated by trade and export of non-oil producing products. With the discovery of crude oil, the country’s economic dependence shifted from non- oil products to crude oil. Today, the near negligence of non-oil products is having its toll on the nation’s economy.
Despite its abundant arable land and over 200 million people, Nigeria cannot feed its citizens. Successive administrations at both federal and state levels have claimed to be investing in agriculture with little or nothing to show for it. Rather, the country has become one of the largest importers of food in the world. All kinds of good items from all over the world find their way into Nigeria. We import wheat, sugar, fish, milk, vegetables, fruits, rice and other food items which could be abundantly produced locally. Incidentally, the constant plummeting of the naira has sky-rocketed the prices of virtually every item in the market. The result is that many Nigerians today go hungry. The incoming administration across all levels must therefore make improvement in agriculture, manufacturing, the creative industry and other non-oil sectors a top priority.
As stated earlier, the current administration claims to have done so well in exportation of non-oil products, although many Nigerians have disputed such bogus claims, the incoming government is therefore expected to take it a notch higher. Some stakeholders in the agricultural sector have posited that with over 79 million hectares of arable land, diversified ecological conditions, abundant water resources and adequate rainfall and sincere commitment by the government, poverty, joblessness, and hunger will be completely eliminated in the country and the country will have enough to export. But all these will remain a tall order, thereby dashing the hope of a better nation if the problems of insecurity and corruption are not sincerely dealt with.
Other issues affecting the non-oil sector like the weakening of the naira, lack of infrastructure, poor power supply and many others must be adequately addressed. The next leaders of the country must think outside the box and come up with innovative solutions that will skyrocket the Nigerian non-oil sector to an all-time high performance. It is important that Nigerians take their fate by their hand by ensuring that they elect the best persons that will pilot the affairs of government at various tiers of government in this general elections.
By: Calista Ezeaku
Gender Equality And Path To Sustainable Development Goals
Disparities between women and men with regards to access to and control of economic resources and political power constitute a hindrance to bridging gender equality gaps.
As the gender variable enters the sustainable development equation, attention is now drawn to creating a better understanding of the role of gender equality and equity in poverty alleviation and achievement of Sustainable Development Goals (SDGs).
It is pertinent to advance that gender equality agitation does not ignore the biological differences between men and women especially as regards reproductive roles.
Rather, it helps to appreciate the uniqueness of each gender group and the importance of bringing the different needs and priorities of both women and men into development plans.
According to the Gender Snapshot 2022 Report by UN women and the UN Department of Economic and Social Affairs (UN DESA), at the current rate it will take close to 300 years to achieve full gender equality, one of the 17 Sustainable Development Goals (SDGs).
The report further reveals how gender disparities are worsening due to COVID-19 pandemic, violence, climate change and backlash against women’s sexual and reproductive health rights.
It said these factors will make it difficult for many countries to meet SDG number 5 by 2030 deadline. SDG number 5 seeks to achieve gender equity and empowerment of women and girls.
The report highlighted the need for cooperation, partnership and investment to put the world back on track towards achieving the goal.
“Without swift action, legal systems that do not ban violence against women, or protect their rights in marriage and family, may continue to exist for generations to come”, it said.
Some stakeholders have advocated increased gender response in budgeting to promote awareness, equity and equality as part of the measures to close the widening gaps.
They said there is the need to ensure that women and men are free to develop their full potential and are able to make choices without restrictive gender roles.
Mrs Felicia Onibun, National Coordinator, 100 Women Lobby Group, at a workshop on Gender Responsive Budgeting Framework in Abuja, highlighted the need for a gender budgeting that is inclusive and captures women, Persons with Disabilities (PWDs) and all vulnerable people.
“Budgeting for gender response is important because women’s needs are different from men’s need. What a woman needs to achieve her goal is different from what a man needs”, she said.
Similarly Mrs Tayo Erinle, Executive Director, Talitha Cumi Foundation, said increased gender budgeting and budget performance will address discrimination, bias and other forms of violence against women and children.
Therefore, women and men’s need and interests are to be equally valued and protected if any nation is to achieve sustainable development.
Countries with wide gender gaps are found to exhibit poor indicators of growth like poor nutrition, high maternal and infant mortality rates, poverty, low life expectancy, low level of education and high prevalence of HIV/AIDS.
A major concern in many African countries is the continued low representation of women at all levels of governance and economic negotiations, especially at grassroots level.
A gender activist, Chinonso Okechukwu, at a recent media forum in Lagos said this anomaly must be addressed for any meaningful development to take place.
Okechukwu, the Focal Person of Nigerian Feminist Forum (NFF), decried the low female representation and participation in the public service and politics in Nigeria.
According to her the national average of women’s political participation has remained at 6.7 per cent in elective and appointive positions, a figure she said was not good enough
Women and men’s voices must be heard in all areas of development, including climate change, poverty and drafting of strategies and programmes for sustainable development.
Experts say governance must be gender-sensitive for it to be equitable, sustainable and effective.
Prof. Joy Ezeilo, the Founder of Women of Aid Collective (WACOL), an NGO, also frowns at the dismal participation of women in politics, saying many of them have continued to be disenfranchised.
“And there is no way we can make claims to sustainable development without full participation of women in governance and indeed in all sectors including economy,’’ she was quoted by the media as saying.
According to her because of the ‘mercantile politics‘ practiced in Nigeria most women cannot afford to venture into politics and be part of decision making and implementation processes.
“Sometimes women economic status also affects their political careers,’’ she said.
The Church And A New Hope For Nigeria
When a famous French statesman and writer,Alexis de Tocqueville,visited the United States of America not too long after its revolutionary independence from the colonial English power, he discovered a pleasant serenity that was present all over the vast land. He said he sought the answer everywhere, schools, offices, government institutions etc. After a diligent search, he got nowhere near resolving the puzzle.
Finally, the European wrote: ‘’I sought for the greatness of the United States in her commodious harbours, her ample rivers, her fertile fields and boundless forests and it was not there. I sought for it in her rich higher learning and it was not there. I looked for it in her democratic congress and her matchless constitution and it was not there. Not until I went to the Churches of America did I understand the secret of her genius and power.’’ Tocqueville said the prosperity of the United States at the time of his trip in the first half of the 19thCentury was due to the reliance of the citizens and their leaders on the messages of their Church leaders.
He was not speaking of a US version of Christian theocracy. He was simply saying that although the Americans ran a secular system with human beings and their business, administrative, educational and economic organs fully in place, they still allowed room for the messengers of God to guide them. In other words, the people were not overwhelmed and distracted by physical pursuits to satisfy physical needs. They sought the balance commanded by Jesus Christ: man must not live by bread alone, but by every word that flows from God.
Man is in grave danger if he dwells on materialism to the utter neglect of the spiritual. This is the point repeatedly made by Pastor William FolorunsoKumuyi, the General Superintendent (GS) of Deeper Christian Life Ministry, DCLM, as he mounts the rostrum to preach at his now well-received world-wide revival programmes called Global Crusade with Kumuyi, GCK. Being an unrepentant servant of Heaven determined to heed the call of God to preach only the truth that frees man from bondage, Kumuyi has been noted to do just that over the decades.
So, when in October 2021, Kumuyi’s GCK train arrived in Port Harcourt, capital of Nigeria’s South-South Rivers State, no one doubted that he brought a message amounting to a full-orbed teaching to humanity. Like the Frenchman Tocqueville, Kumuyi showed that true and lasting prosperity goes beyond material wealth and riches, plenty of which Rivers State, through its oil resources could boast of. But the point is not to trust in the gift of this abundance. Instead, the Lord wants man to honour the Giver of these riches more. That, according to Kumuyi, is the non-negotiable demand from Heaven to trigger more blessings.
So, coming with the theme, Showers of Blessingsthrough Christ, the cleric said that all humanity was truly promised the goodness of their Creator. Starting with God’s famous proclamation in the Bible in Ezekiel 34:26 where He prophesizes ‘’showers of blessing’’, Kumuyi said man should go deeper than thinking of these showers only in terms of material possessions. He spoke of a transcendent possession, namely salvation of the soul, which, according to him, opens up fuller and more meaningful relationship with Heaven, the headquarters and home of all good and lasting riches.
In effect, the revered evangelist was taking his audience back to the spiritual grundnorm enunciated by Jesus Christ in Matthew 6:33: Seek ye first the kingdom of God and his righteousness; and all these things shall be added unto you.
This is the message the whole materialistic world needs. But let’s start with Port Harcourt, capital of wealthy oil-soaked Rivers State. Its people must not be spiritually complacent, feeling self-sufficient, not conscious of a missing factor, because they have some showers of blessings already. Pastor Kumuyi said he brought the crusade to Port Harcourt to open the eyes of the people to see more depths of blessings. He told them that without first embracing Jesus as their Lord and Saviour, they would not only lose those blessings, but also they would be bereaved of joy here in the world and in the life after death. Kumuyi said “all humanity comprising all races, tribes and peoples have sinned and stand condemned before God,’’ no matter the level of their prosperity. The General Superintendent of Deeper Christian Life Ministry said the only solution is Christ’s Salvation, not a rat race for more riches or acquisition of property.
This applies to a world ensnared in the fever of explosive scientific and technological inventions and discoveries. Of course, all these are leading man to an unprecedented age of material blessings, threatening to ostracize God altogether from his world. This, argues Kumuyi, is the path of destruction, self-immolation. He called on the people to step away from the tip overlooking the consuming valley.What will follow such a wise decision to renounce worldliness and opt for the counsel of God?
Kumuyi said man will be positioned for unspeakable bliss as he settles for Christ. He proved this at the Port Harcourt crusade as he led thousands of sinners to salvation. Thereafter, following breakthrough prayers byKumuyi, God brought down miracles, healings, deliverances and signs with wonders to the people.
A man afflicted with prostate enlargement and high blood pressure was delivered. Another who was a member of a cultic society said after Pastor appeared to him in a dream he was saved from the demonic affiliation. There was the case of one who was freed from the unbearable pain after 13 years’ dislocation of his right arm. There was also the great miracle of a woman who was born with two navels. She lived with that condition for 21 years, until Kumuyi prayed and one of the navels disappeared. Incredible!
Pastor Kumuyi says the lesson from all these supernatural miracles from Heaven is that there is hope for lost man with room for more blessings than the relatively meagre showers we are celebrating at the moment. But first, he pleads, we must forsake the waywardness that separates us from God and prevents us from enjoying Him full length.
That is how Nigeria and its people can also be delivered from the challenges besetting us, the same way the United States of America was in the first half of the 19th Century.
By: Israel Mkpaoro
Dr. Mkpaoro is the Coordinator of the International Friendship League (IFL), Port Harcourt, Rivers State.
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