Editorial
Confronting High TB Burden
Today, March 24, 2021, is observed as World Tuberculosis (TB) day by the United Nations, with the theme: The Clock Is Ticking. The day is commemorated every year since 1982 to raise awareness and educate the public about the impact of the deadly disease around the world. The UN designated the date in memory of Dr Robert Koch who announced his discovery of Mycobacterium tuberculosis, the organism that causes tuberculosis on March 24, 1882. At a time when TB killed one out of every seven persons in the United States and Europe, Dr Koch’s discovery became the most important step that opened the way towards diagnosing and curing this disease.
However, nearly 150 years after, TB has remained one of the world’s deadliest infectious killers, claiming nearly 4,000 lives and close to 28,000 people falling ill on a daily basis. The Mycobacterium tuberculosis, the TB bacteria, usually attack the lungs, and any other part of the body such as the kidney, spine, and brain, and though not everyone infected with TB bacteria becomes sick, if not properly treated, the disease can be fatal.
The TB bacteria are spread when a person with TB disease of the lungs or throat coughs, speaks or sings with nearby persons breathing in these bacteria and become infected. Symptoms of the disease in the lungs include a bad cough that lasts for three weeks or more; pain in the chest; coughing up blood or sputum; weakness or fatigue; weight loss; loss of appetite; chills; fever; sweating at night.
Tuberculosis mostly affects adults in their most productive years. However, all age groups are at risk with over 95% of cases and deaths occurring in developing countries. The risk of active TB is greater in persons suffering from other medical conditions that impair the immune system with people who are infected with HIV being 18 times more likely to develop active TB.
Worldwide, TB is one of the top 10 causes of death and the leading cause from single infectious agent. In 2019, an estimated 10 million people fell ill with tuberculosis, comprising 5.6 million men, 3.2 million women and 1.2 million children, while a total of 1.4 million people died from the disease (including 208,000 people living with HIV).
In same 2019, the 30 high TB burden countries accounted for 87% of new cases of the disease while eight countries including India, China, the Philippines, Pakistan, Nigeria, Bangladesh and South Africa account for two thirds of the total burden.
Nigeria is the country with the highest TB burden in Africa and the 5th in the world with children, women of reproductive age and people living with HIV the hardest hit. Not less than 400,000 people contract TB while more than 150,000 lives are lost to the disease each year in the country. This is in addition to 63,000 people living with HIV that get it annually.
Tuberculosis incidence in Nigeria is said to have risen from 418,000 cases in 2017 to 429,000 cases in 2018, and deaths also rose from 155,000 to 157,000 within the same period while treatment coverage for the disease remained stagnant at 24%.
On the heels of the first global ministerial conference on TB hosted by the WHO and the Russian government in November, 2017, followed by the UN’s first ever high-level meeting on TB which elevated the discussion about the status of the TB epidemic and how to end it to the level of heads of state and government on September 26, 2018, leading to the political declaration agreed by all UN member-states, in which existing commitments to the Sustainable Development Goals (SDGs) and WHO’s End TB Strategy were reaffirmed and new ones added, on this year’s World TB Day, the global health body calls on everyone to keep the promise to:
Accelerate the End TB Response to reach the target set in Sustainable Development Goals, WHO End TB Strategy, the Moscow Declaration to: End TB and political declaration of the UN High-Level Meeting on TB; diagnose and treat 40 million people with TB by 2022, including 3.5 million children and 1.5 million people with drug-resistant TB; reach 30 million people with TB preventive treatment, including 24 million household contacts of TB patients – 4 million of whom are children under 5 – and 6 million people living with HIV; mobilise sufficient and sustainable financing to reach $13 billion a year to support efforts to end TB; invest in TB research to reach at least $2 billion a year for better science, better tools and better delivery.
As a member-state of the UN and particularly, as a country that is so heavily impacted, The Tide expects Nigeria to be committed to the vision and mission of the WHO in its effort to reverse the negative narrative of TB. To this end, we urge government at all levels in the country to muster the political will and strike right partnership with relevant stakeholders –and strengthen existing ones where necessary – to achieve the desired objective.
Government must also step up continuous sensitisation and advocacy to women and children, especially in the rural areas. Training and retraining of health workers to build and strengthen their capacity in order for them to be able to deliver quality services to the people must be taken seriously. In this regard, efforts must be made to ensure industrial harmony and stability in the primary health care sector in particular and the health sector in general. Continuous and sustainable community engagement and good data collection are as well pivotal to achieving desired results beyond clinical treatment.
It is not untrue that there are many misconceptions about TB. While some believe that tuberculosis is caused by smoking and drinking, others believe that it is caused by witchcraft or even that it is hereditary. The result of such erroneous beliefs is that people ignorantly seek solutions where there are none and compound the problem when they resort to traditional fetish and religious rituals instead of accessing the tested, proven and reliable medical treatment.
Unfortunately, there are yet people who neither are aware of nor believe that tuberculosis testing and treatment are free in public health facilities in Nigeria.
It is the goal of the UN to eliminate tuberculosis by year 2030 and if an estimated 60 million lives were saved through TB diagnosis and treatment between year 2000 and 2019, the target is not unachievable with the right attitude, commitment and action. A TB-free Nigeria is as well possible in record time even as The Clock Is Ticking for ending a preventable and curable deadly disease.
Editorial
That Call to End Girl-Child Marriage
Nigeria joined the world in commemorating the International Day of the Girl-Child on 11 March 2026, an observance dedicated to advancing girls’ rights and amplifying their voices. This year’s theme, “End Child Marriage and Invest in Girls’ Rights,” confronts a deep-rooted injustice and demands an end to sacrificing girls’ futures to prejudice and expediency.
The focus is child marriage, not as an unavoidable misfortune but as a preventable injustice. Though prevalent in many societies, the practice remains particularly troubling in parts of northern Nigeria, where it has become normalised. Reports of girls aged 10 to 13 being married off are disturbing. The controversy surrounding a Nigerian senator and former governor who married a 13-year-old girl further exposed the practice to global scrutiny, yet accountability at home appeared limited. When lawmakers disregard the law, society’s moral compass is compromised.
UNICEF’s statistics reveal the scale of the crisis. Globally, an estimated 650 million women and girls alive today were married before turning 18, while more than 12 million girls enter marriage annually before adulthood. In Nigeria, about 33 per cent of girls marry before 18 and 11 per cent before 15. The prevalence reportedly reaches 63 per cent in Jigawa and Zamfara States and 61 per cent in Sokoto and Katsina. These figures represent millions of childhoods interrupted and futures imperilled.
These statistics explain why the United Nations continues to campaign against child marriage and advocate investment in girls. The consequences are devastating. Girls whose bodies are not fully developed face increased risks of maternal death, obstetric fistula, sexually transmitted infections and psychological trauma. The economic cost is equally significant. A 2017 World Bank and International Centre for Research on Women Study estimated that ending child marriage could generate an additional $7.6 billion in earnings and productivity for Nigeria, as early marriage deprives girls of education, skills, and opportunities to contribute to national development.
Educating a woman benefits the entire society. As a mother, she often becomes her children’s first teacher and a vital influence on their character. An educated mother helps raise enlightened children, just as one candle can light many others without losing its flame. Denying women education undermines families and communities. To expect wisdom while deliberately withholding knowledge is to demand the impossible.
Several reasons are offered for marrying off young girls, including economic hardship, cultural practices and religious beliefs. In some households, daughters are treated as commodities, married early so that their bride price can finance their brothers’ education. While boys enter classrooms, their sisters are sent to matrimonial homes. This discriminatory practice is shortsighted, depriving the nation of half its human potential. A country cannot expect to run effectively after deliberately crippling one side of its capacity.
Beyond these justifications lies the entrenched belief that women ultimately belong in the kitchen, regardless of their education. This outdated notion is demonstrably false. Countries where women lead governments, businesses, research institutions and other sectors show what investment in female talent can achieve. Rwanda’s substantial female parliamentary representation is one example. Confining women to domestic roles limits not only their ambitions but also the nation’s progress.
A girl-child must not surrender her childhood to poverty or prejudice. Some traditions discourage women from attaining educational heights comparable to or greater than those of men, driven by the baseless fear that educated women will disrespect their husbands. Such thinking equates enlightenment with insubordination and empowerment with threat. This patriarchal mindset perpetuates inequality and keeps society trapped in backwardness.
Consequently, some parents consider educating their daughters a waste of resources, likening it to watering another man’s garden. This attitude is deeply misguided. Every girl deserves the opportunity to learn, grow and pursue her dreams. Early marriage mortgages her future, stifles her potential and traps her in circumstances she might otherwise overcome. No society can justify sacrificing a child’s prospects to outdated customs or immediate financial gain.
Ending child marriage must, therefore, go hand in hand with investing in girls’ education, safety and rights. Every girl should have the opportunity to realise her potential. This requires more than annual declarations, billboards, posters and seminars held in air-conditioned halls. Awareness without action is like a cloud without rain: promising, yet incapable of nourishing the ground.
The campaign must move beyond tokenism to practical intervention, particularly at the state level, where the problem is acute. Governments should formulate policies that protect girls and make education accessible. Scholarships, bursaries, conditional cash transfers, school feeding programmes and other incentives can help keep girls in school. When education is affordable and adequately supported, more girls can choose the classroom over the bridal chamber.
Civil society organisations, faith-based groups, and traditional institutions must intensify efforts to challenge child marriage and dismantle harmful beliefs disguised as religious or cultural obligations. Parents must also uphold their responsibility to protect and educate their daughters, despite economic pressures. A society that educates its girls invests in its future; one that marries them off in childhood mortgages that future at an incalculable cost.
Editorial
Restructure the UN Power Arrangement
Editorial
Time To Resolve The Pension Crisis In Rivers
The prolonged suffering of Rivers State pensioners who have remained unpaid since retiring in July 2025 demands urgent executive and legislative intervention. The Nigeria Labour Congress (NLC) has rightly put its finger on the Contributory Pension Scheme (CPS) as the root cause of this crisis. The state government must now bite the bullet, dismantle this failed experiment, and bring the pensioners’ protracted ordeal to an end.
Since July 2025, the affected retirees have been left high and dry, their monthly pensions unpaid, and their dignity worn away. The NLC, under the leadership of Comrade Alex Agwuanwon, has also linked this deplorable situation to the political storm that engulfed the state, while expressing cautious optimism that the prevailing calm will pave the way for the payment of outstanding arrears. The Tide shares that optimism. However, optimism alone will not put food on the table for men and women who gave the best years of their lives to the service of the state.
The genesis of this crisis is not shrouded in mystery. The CPS was introduced in Rivers State in 2012 under the administration of former Governor Chibuike Rotimi Amaechi, pursuant to the Rivers State Pension Reform Law of that year. The scheme was ostensibly designed to bring the state into line with the federal Pension Reform Act of 2004, which had established a contributory framework for retirement benefits across the country. What was sold as a progressive reform has, in truth, become a millstone round the neck of the very workers it was meant to protect.
The CPS has failed in the state, and it has failed spectacularly. Its fundamental flaw lies in the government’s chronic inability, or unwillingness, to honour its counterpart funding obligations. The arrangement was meant to be a joint endeavour: employees contribute a portion of their salaries, and the employer matches it. But the state has consistently failed to keep its side of the bargain, leaving the pension fund anaemic and unable to meet its obligations. The result is as predictable as it is unconscionable. Retirees are left with only their own contributions to fall back on, a mere pittance that cannot see them through their twilight years.
The human cost of this institutional failure is staggering. Men and women who devoted decades to the civil service now find themselves cast adrift, their legitimate expectation of a secure retirement shattered. The psychological toll of such betrayal is beyond measure. A pension is not an act of charity. It is a contractual obligation, a deferred wage for services already rendered. To withhold it is to break a sacred trust. The authorities must understand that every delay in resolving this crisis costs lives, both in the literal sense as elderly retirees struggle to pay for healthcare and sustenance, and in the figurative sense as the social contract between the state and its workforce wears thinner with each passing month.
This development does not show the government in a favourable light. For a state to allow people who served it with dedication and integrity to languish in penury after retirement is morally indefensible. It sends a chilling message to serving civil servants that loyalty will be repaid with abandonment. This is precisely why organised labour must not rest on its oars. The NLC’s call for the termination of the CPS is not mere grandstanding. It is a necessary corrective. The scheme, as presently administered, is irredeemably broken and must be done away with.
The most damning indictment of the CPS since its inception is its one-sidedness. The government has failed to pay its counterpart funding, reducing the scheme to a hollow shell. Of what use is a contributory arrangement when only one party contributes? Retirees cannot be expected to live on the meagre sums they themselves set aside, sums which have been steadily eroded by inflation and administrative charges. Workers have been short-changed, left to carry the can while the government looked the other way. It is a quiet expropriation of their future.
The time to put this right is now in the interest of justice, equity, and fairness. The NLC should push harder for the swift implementation of its committee’s report to Governor Siminalayi Fubara. That report contains a sensible and pragmatic recommendation: that the CPS should apply only to those employed in the year it was enacted, thereby allowing existing civil servants to remain under the Defined Benefit Scheme (DBS) to which they were originally entitled. This is not a radical proposal. It is a reasonable compromise that recognises the legitimate expectations of long-serving workers and rights the wrongs of the past.
The authorities must act with dispatch. Governor Fubara should, without further ado, send a draft amendment of the Pension Law to the House of Assembly for passage into law. With such legislative intervention, those who retired from July 2025 to date would be returned to the DBS, receiving pensions calculated on their terminal salaries and years of service rather than the paltry sums available under the failed contributory arrangement. The NLC, for its part, should keep its foot on the pedal through dialogue, advocacy, and, if necessary, peaceful protest. Pensioners deserve not just fine words but concrete action.
Rivers State cannot lay claim to be progressive while its retirees are forced to go cap in hand for their rightful entitlements. The measure of any civilised society is how it treats its elderly. By that yardstick, the present situation is a blot on the state’s escutcheon. The government must clear the backlog of arrears, scrap the CPS for the category of workers it should never have applied to, and restore the DBS in full. Nothing less will suffice.
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