Opinion
Decentralising NCDC For Efficiency
According to the American playwright, Silvia Pratt, in her poem entitled ‘Conversation Among The Ruined,’ …which such Blight Wrought on our bankrupt estate, what ceremony of words can patch the havoc.
Truly, what ceremony of words can patch the havoc caused by Coronavirus, also known as COVID-19?
Since the pandemic emerged from Wuhan, China, in December 2019, it has brought the world to its knees with about 109,000 deaths and about 1.8 million confirmed cases across the world.
Surprisingly, the pandemic has brought down to ground zero even the best of health care systems because the disease is new or novel.
As a result, many nations have announced travel ban on foreigners while others have declared a total lockdown, leading to a sudden global economic meltdown.
For instance, it has been reported that Coronavirus, at a point, was killing one person every 10 minutes in Iran; death tolls in Italy and Spain overtook China while United States of America is the new epicenter.
Africa has got its fair share of the emerging Coronavirus pandemic. This is evidenced from the number of African countries that have recorded suspected cases and fatalities as the case may be.
Nigeria, Africa’s most populous nation, has been adversely affected with about 320 confirmed cases, 10 deaths, while the Governors of Bauchi, Kaduna and Oyo States have been confirmed positive.
With the hindsight of Ebola epidemic in 2014, pundits expressed fear that the next state after Lagos would be Rivers State. This is because Rivers State remains the hub of oil and gas industry in Nigeria with the presence of two seaports in Port Harcourt and Onne, an international airport at Omagwa, supported by the Air Force Base as well as a train terminus in the heart of Port Harcourt- suggestive of an influx of people into the state.
The Rivers Commissioner for Health, Professor Princewill Chike, on Saturday, March 14 immediately addressed the media where he stated categorically clear that the suspected case of a 43 year- old Imo State man was negative.
Chike disclosed that the samples were taken to Lagos State University Teaching Hospital (LASUTH) infectious disease centre.
In his words: “The nasal, or pharyngeal and sputum samples were collected for analysis and dispatched to the reference laboratory in LASUTH.
He concluded thus: “The result from the test is available and is negative”.
Be that as it may, the state has recorded two confirmed cases while contact tracing is ongoing. About ten states, including the Federal Capital Territory (FCT), have recorded confirmed cases of COVID -19.
Interestingly, various state governments have constituted a COVID-19 awareness campaign committee or Response Team to control the pandemic. The Federal Government has Presidential Task-force on COVID-19.
In as much as awareness campaign, closure of schools, markets as well as total lockdown are necessary, COVID-19 offers the nations of the world, including Nigeria and her states, the opportunity to review health care delivery system in the country.
This is because even the best health care system in the world has succumbed to COVID-19 pandemic.
This review requires holistic scientific investigation into the manufacturing of vaccines and drugs needed for disease prevention and cure. It is commonly said that necessity is the mother of invention.
To this end, one strategic sector of health care delivery that must be reinvented is a virile public health laboratory system such as the Nigerian Centre for Disease Control (NCDC) and public health laboratories in some states of the federation such as Rivers State.
This is why the call for decentralization of NCDC is apt in our national life today as NCDC’s five centres alone cannot cope with about 6,000 people identified in contact tracing nationwide so far. The five centres are in Lagos where there are two, one in Abuja, one in Irrua (Edo State) and one in Osun State.
It is cheering news that a new NCDC Centre has been established in Ebonyi State while others are underway.
The Federal Government, through the Federal Ministry of Health, must act fast to decentralize NCDC through collaboration with the World Health Organisation (WHO), states and well-meaning individuals to establish molecular laboratories beyond the five existing centres of NCDC.
In this regard, collaboration and decentralization require the purchase of relevant calibrated laboratory equipment and hands-on training.
These public health laboratory equipment include, but not limited to, Polymerase Chain-Reaction (PCR), High Performance Liquid Chromatography, Spectrophotometer and Compound Microscope, particularly the brands designed for specific purposes.
For instance, PCR according to experts is required to identify causative organism to their specie level, Ribo Nucleic Acid in virus as well as amplify specific gene and acid detection and sequencing.
Better still, to qualify and specialize in virology and bacteriology in graduate studies in laboratory science and epidemiology, one must undertake scientific research in molecular laboratories such as the one used to analyse COVID-19 samples.
The absence and in fact obsolete equipment in tertiary institutions in the country have hampered research on emerging diseases.
The decentralization of NCDC and collaboration with state governments would aid the diagnoses and treatment of emerging zoonotic diseases ravaging mankind today.
These diseases include, but not limited to, COVID-19, SARS, Ebola, TB, Lassa fever, Psittacosis, Toxoplasmosis and Rabbies, among others.
As organisms continue to mutate, humans must be determined to control emerging diseases.
The time to act is now.
By: Baridorn Sika
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