The name Osahon Enabulele may not readily ring a bell to the average Nigerian. Perhaps, only the few who are involved in the politics of the medical profession within and outside the country would be familiar with it. But this 50-year old Nigerian physician has traversed the hierarchies of the local and international health sector associations to an extent that should ordinarily have garnered for him instant name recognition.
Enabulele currently works as a chief consultant in Family Medicine at the University of Benin Teaching Hospital. Beyond that, he is also president of the Commonwealth Medical Association (CMA) and the first medic of Nigerian and West African extraction to be elected as president of the World Medical Association (WMA) – a body established in 1947 for all medical doctors in the world.
For his new WMA post, reports said the Edo State-born physician beat Prof Muhammad Nizami, an orthopaedic surgeon and president of the Pakistan Medical Association, to emerge victorious after a voting process which lasted for nearly one week by members of its affiliate national medical associations.
At his age, Enabulele’s resume is as impressive as it is intimidating. After secondary education at Federal Government College, Wukari, in Taraba State (1982-1988), he was said to have proceeded to read Medicine at the University of Benin (1988-1996) before undergoing internship in the same institution (1996-1997) and serving in the National Youth Service Corps (NYSC) scheme at a health facility in Odukpani Local Government Area of Cross River State.
The WMA president-elect, whose tenure begins next year, is also a holder of Masters in Health Planning and Management (MHPM) and Fellow West African College of Physicians (FWACP). He was Edo state chairman of the Nigerian medical Association (NMA) from 2008 to 2010 and later, president of NMA (2012-2014). Over time, he was variously on the Management Boards of the federal Neuropsychiatric Hospital, Enugu; University of Ilorin Teaching Hospital; and the Lagos University Teaching Hospital (LUTH).
As NMA president, Enabulele is credited with successfully negotiating the unconditional recall of 788 medical doctors who were unjustly dismissed from service by the Lagos State Government in 2012. His executive committee fought for improved welfare, conditions of service and favourable salary adjustments for Nigerian doctors. He also saw to the establishment of a legislative desk for the NMA in both chambers of the National Assembly to help track bills and matters related to the association, among a plethora of other accomplishments.
Frankly, I have this knack for reading interesting personality profiles. But nothing had prepared me for the intimidating attainments and the accompanying accolades listed for Enabulele. In short, the man appears to have begun amassing awards right from his secondary school years and on to the present. A WMA post-election press statement described his latest feat as ‘a testimony to his global acceptability and profound recognition of his many years of hard work within the WMA, his profound intellect, sagacity and excellent performance in all responsibilities assigned to him, and his undeniable progressive contributions to the global body’.
Now, is it not absurd that this citation came from a world association concerning a physician whose entire training was at an institution in a country that has earned for itself a very low reputation on how badly it treats such professionals? Surely, the healthcare sector in Nigeria is in a shambles and has continued to suffer brain drain since the early 1990s. Low budgetary allocations to the sector had resulted in poor remunerations, denial of welfare entitlements, poor facilities and incessant protests. A recent example was the strike by the National Association of Resident Doctors (NARD) between June and September this year during which over 350 doctors were reportedly licensed by the UK General Medical Council to reside and work in Britain following stalemated negotiations between the doctors and the federal government.
The figures would have far exceeded this had some persons suspected to be security agents not dispersed Nigerian doctors participating in a recruitment exercise by Saudi government officials at the Sheraton Hotel in Abuja, a week after the conclusion of a similar exercise in Lagos.
Rather than adequately fund the health sector in their country, Nigeria’s political leaders, a sizeable number of whom are experienced medics, prefer travelling overseas for medical treatment in countries where health systems are designed to function optimally.
Apart from poor salary and appalling working environment, insecurity is another major reason our medical personnel are emigrating en masse. For instance, here in Rivers State, about four years ago, medical doctors were so harassed by kidnappers that they began to see themselves as an endangered species. So much so that in the three months between March and June of 2017, no fewer than five doctors were abducted in the state, sparking a protest by consultants at the University of Port Harcourt Teaching Hospital.
Datonye Alasia was the state NMA chairman at the time. “We have become endangered species in Rivers State. We wonder why we suddenly became targets for attacks. As doctors, we do humanitarian work. We save lives; but here we are, fearing for our lives,” he had lamented.
Luckily, the police were able to arrest about eight suspects who reportedly confessed to have spent one month planning the abduction of one of the doctors.
Even with all the odds littering their professional path, there are still Nigerian doctors who are silently walking the ropes like Enabulele. Some have also been able to catch international notice like Chikwe Ihekweazu, erstwhile Director General of the Nigerian Centre for Disease Control (NCDC) who is now Assistant Director General of the World Health Organisation (WHO).
My advice for Enabulele is that he should ensure that the exposure resulting from these high-profile engagements rubs off maximally on his students who will now be holding fewer classes with their busy lecturer.
By: Ibelema Jumbo
·Of Happy Endings And New Beginnings
May 29, 2015, was like every other day in Nigeria; nonetheless, it was very remarkable because, on that day, one who could accurately be called the Anti-Nigerian was given the reins of power. His reemergence after a 32-year hiatus in political Siberia, (following his first coming as head of state) warmed the heart, of millions of Nigerians who had the misconception that he was a disciplined man, a man who favoured law and order, a man who was capable of taking charge, (unlike the one many openly called a ‘woman’ due to his peaceful disposition). The hyping was so much that a political whiz like former President Olusegun Obasanjo was so deceived that he commented that “even if Buhari fails in everything, security won’t be one of them”. But we now know better.
However, under President Buhari, Nigeria was dealt a bad hand. In the past eight years, Aso Rock has been occupied by a President who had been overseeing the flow of blood like a river in the mountains of the Plateau, the savannah forest of Southern Kaduna, in the Benue Valley, and across every nook and cranny of this country. Under his assumed incorruptible posture, Nigeria has been fleeced by the most fantastically corrupt administration in her history. This is in terms of the spread, and value of what has been stolen from our commonwealth. In other words, under President Buhari’s administration, corruption was deep and wide. As if all that were not enough, the economy has been left in tartars, and the dollar he promised Nigerians would be able to exchange for one naira, now goes for almost eight hundred naira leaving millions in abject poverty. Today, Nigeria is not just the poverty capital of the world, it is estimated that under President Buhari, Nigeria is also home to 133 million multi-dimensionally poor people.
Things have fallen so far apart that those who were gloating over President Jonathan, and cheering when hurricane Buhari made landfall (according to one newspaper headline on April 13, 2015) are now discombobulated. I am sure the editor who coined the infamous headline would forever be self-loathing for being a prophet of doom. Thankfully, Nigerians are resilient. The average Nigerian, according to Fela Kuti, knows how to smile in the midst of suffering and tyranny. But like the Holy Bible says in the Book of Ecclesiastes: “To everything, there is a season and a time to every purpose under the heaven. A time to weep, and a time to laugh; a time to mourn, and a time to dance.” For most Nigerians, this week is a joyous week, full of laughter and dancing, for the singular reason that they survived the Buhari years against all odds. Just as in nature and the seamlessness of the cosmos, specifically as it relates to endings and beginnings, so also is history being made once again before our very eyes as we witness the peaceful transition of power one more time in our country.
The curtain is brought down on Buhari, yet there is no vacuum because Act-1 and Scene-1 of the four-year tenure of Bola Armed Tinubu as president begins. It is a miracle of unfathomable proportions, and we must, in spite of our national aches, pains, and miscarriages of justice, and the apparent lack of a cohesive national story after 62 years of nationhood, thank God for what we have. If you are in doubt of our blessings despite the conglomeration of forces both within and without, working unremittingly to derail the destiny of the largest black nation on earth, look no further than Chad, Mali, Sudan, Congo, and Somalia. It must be noted, that the civil war in Somalia and Congo has been on for more than 30 years. Even though we are stepping into the unknown with the new Commander-in-Chief, in the person of Bola Armed Tinubu, we must count our blessings, and see what God has done for us.
Coming back to Rivers State, even though we can not say it’s a garden of bloom, we have every reason to be thankful. In fact, about a fortnight ago, I was in gathering where someone was reeling out what he felt was the state’s litany of woes. But to his shock, a response came from a most unlikely place, Abia State; and the response was: “Una dey see flyover everywhere and other projects, una still dey talk, come to Abia state, just go to Aba alone, you will weep for us.” That response in its simplicity has vindicated Governor Wike a million times. However, Governor Wike’s Legacy is beyond brick and mortar. Governor Wike once said: “Now that we have become victorious and have arrived at the homeward end of our beautiful water-side, it is time to work, to erect landmarks of progress and prosperity. Yes, it is time to deconstruct, reconstruct, rehabilitate, and restore…our commonwealth. Now is the time for us to rebuild our state; to rebuild our educational and health institutions; to rebuild our occupations, and to rebuild our infrastructure. It is time to provide new opportunities to maximally touch the lives of our people. It is time to restore hope.”
To this end, Governor Wike specifically promised to, “subject to available funds, prioritise the completion of all ongoing road projects; construct the Trans-Kalabari coastal road network, dualise the Ahoada-Omoku road; Saakpenwa-Bori road; and Oyigbo-Afam road, among others. We shall also tackle the challenges of urban renewal, road congestion, and traffic gridlock in PortHarcourt City, Obio/Akpor, and other major population centres in Rivers State”. Did he keep his word? Overwhelmingly. Governor Wike started, finished and commissioned Phase 1, of the Trans-Kalabari Road which was only in the realm of possibility until he made it a reality with N14 billion. Other roads started from scratch and completed includes: the Obiri-Ikwerre-Airport Dual Carriageway, Chokocho-Umuechem-Ozuzu Road, and Chokocho-Igbo-Etche-Rumuokurushi Road, Igwuruta-Eneka-Rumuokurushi dual carriageway, the Federal Government-owned Igwurura-Chokocho Road, Iwofe-Rumuolumeni dual carriageway.
He also completed the reconstruction and dualisation of Creek Road, which was awarded by the previous administration but abandoned due to paucity of funds, Bori Skpenwa Road, and the ongoing phase two of Ahoada-Omoku – Egbema Road and the Emohua-Tema Junction Road projects that are ongoing are at the cost of N80bn.His giant strides in the Judiciary, where he rehabilitated existing facilities, built new ones and made both judges and magistrates comfortable enough to deliver justice without being needy. He also made lawyers and litigants happy by building an industrial court in the state. But the crowning jewel of his efforts in the Judiciary is without any doubt, the brand new N17 billion Nigerian Law School, Port Harcourt Campus that has been handed over to the Federal Government. In the Health Sector, thanks to Governor Wike’s effort, River State is set to become a regional destination for health tourism. The state is now home to two teaching hospitals three colleges of medicine, and several centres of tertiary health care: namely the Dr. Peter Odili Cancer and Cardiovascular Diagnostic Treatment Centre, the 258-bed Mother and Child Hospital, the Maxilo-Facial and Dental Hospital, the completion of six zonal specialist hospitals. Rivers State is poised to enjoy superb health care delivery and proper training of medical personnel for a long time to come.
His giant strides permeate every facet of the economy of Rivers State, which this article has only managed to skim. He touched Oil and Gas, Education, Agriculture, and ICT. By his exceptional approach to governance, Governor Wike has already made his protégé, Sir. Sim Fubara a successful governor even before he took the oath of office. Sadly, President Buhari will bequeath a house of cards (Nigeria) to Bola Armed Tinubu. In the end, it’s a happy ending because we survived, and a time of honour for the old boys and girls of Comprehensive Secondary School Opobo Town, my alma mater. We have produced a governor, His Excellency Sir. Sim Fubara.
By: Raphael Pepple
Nigeria’s Dev: Task Before Bola Tinubu
Asiwaju Bola Ahmed Tinubu coming on the political stage as Executive President of Nigeria on this day, May 29, 2023, is heralded by much expectations from the people of Nigeria on what he can do to salvage the oil and gas-rich country. He is perceived as the man that will fight corruption, fix the porous economy, provide adequate security and build the long forgotten nation. Since Nigerians expect much from Tinubu’s administration in this regard, he should not disappoint. The stakes, are indeed, so high and to whom much is given, much is also expected. Nigerian electorates have through their votes expressed their trust and love for Bola Tinubu. It is time for him and his team to reciprocate that gesture in equal measure.
This is the time for the president elect to unite the people that have been fractured by ethnicity, religion and politics. He should give the people a sense of belonging in the country especially those at the rural communities of the country and to lay to rest all divisive tendencies that have worked against the growth and progress of Nigeria. To move the country forward, the President should run all- inclusive type of government in his dispensation as President of Nigeria.
The winner-takes all types of leadership in the country previously have not helped our cause; hence he should be optimistic in his quest to resuscitate Nigeria’s battered image that had torn the people apart. This is time for radical change; and a change in this direction is apt and timely.
It is necessary to stress that Asiwaju Bola Ahmed Tinubu can only rebuild the country if he can set up credible and formidable team of technocrats to work with. He should put the best men and women to the work of revamping the economy to stimulate growth.
Tinubu should put the best materials in key positions for him to achieve his government’s objectives. His promise to run a transparent and listening government will aid him immensely if he abides by it. Let the political leader in the country bear in mind that he is now President of Nigeria and not that of the All Progressives Congress (APC).
He should act as the leader of the entire nation of Nigeria and treat all parts of the country as his constituency. He should set achievable goals based on his early promises during electioneering campaign that brought him this far. There is no doubt that the country’s citizens and residents are so eager to have the power sector, security, education, youth and women development, job creation and the establishment of cottage industries in the 774 local government areas of Nigeria, among other demanding necessities given priority attention this time around.
If these sectors are taken care of, the rest will fall in shape with time. There is no point for the administration to bite more than it can chew. Our past experience has shown that setting too many objectives can only lead to failure to achieve sufficient results in any of them. The time for rhetoric is, indeed, over, this is time for practical action. Let the President, Asiwaju Bola Ahmed Tinubu and his yet to be formed team make a positive difference in the Nigeria’s story. Since government is a continuum, Bola Tinubu should continue with his predecessors’ good programmes and complete them. The bane of government in this part of the globe is lack of continuity of good and result- oriented programmes from one administration to another.
Let the Tinubu- led government retain his predecessors’ quality governance and improve on them while initiating his own roadmap. The continuing fall in power and water supply in the country previously dictates that Nigeria reliance on this, will not augur well for the country’s economy. Therefore, Bola Tinubu should map out adequate and pro-people development programmes to actually diversify the nation’s economy.
Exploitation of solid minerals that abound in some parts of Nigeria will be a right step in the effort to rebuild the country’s stagnated economy.
Another gold mine waiting to be tapped in Nigeria is agriculture. The nation’s agricultural potentials, if well harnessed can fetch us more foreign exchange than any other thing. Fortunately, Nigeria has enormous arable land for mechanised farming especially in the rural communities. The future of the country’s economy solely lies in agriculture and manufacturing. Government should tap our other natural resources which are more largely wasted to boost the ailing economy. Our fishing equipments should be made to work and new ones built to end the culture of exploitative petroleum and power subsidy by importation of fuel.
Above all, Bola Tinubu as President was elected by the people of Nigeria on the belief that he will fight corruption, which has been the bane of development in Nigeria. He must not disappoint the people in this regard now that democracy has entered its crucial stage as far as development remains paramount. In the same vein, he must be civil and careful to respect human right and stay on the side of the electorate. The task before Asiwaju Bola Ahmed Tinubu to choose the right and God-fearing leaders are indeed, huge, but they are not insurmountable. We therefore enjoined him to carefully monitor his team to ensure that they remain on track. He must make himself clear on his ministers and other political appointees and ensure zero tolerance for corruption and incompetence.
Bola Tinubu must also remain resolute and focus on his objectives to ensure that he is able to make a positive impact on the lives of the people of the country, especially those of them in the rural areas in his administration. We, congratulates Asiwaju Bola Ahmed Tinubu on his election victory at the polls and wish him and his team of technocrats great successes in their administration of Nigeria.
By: Bethel Toby
Drug Abuse: Bayelsa State At A Tipping Point? (II)
This is the conclusion of this article first published on Wednesday, May 17.
This is the concluding part of the opinion piece on the ongoing drug-related crisis in the State of Bayelsa. The initial instalments of this article were drawn from news stories in the past few months of 2023 to show that all is not well in the war against drug trafficking, and drug abuse in the state. This huge mortal problem is staring us in the face, such that the average Bayelsan might be compelled to ask if there is any hope. Yes, there is hope, but not with old approaches that have been tried and proven ineffective. Preventing the growth of substance use and dependence in the state, as well as the zone calls for a multi-pronged approach that must entail thinking outside the box.
In my opinion, the major key to tackling the monster of drug addiction in South-South is to set up a special regional task force, drawing men from all the relevant agencies and governments within the zone, and give them resources and clear targets, which must include making it hard to access drugs, reducing the prevalence rate of any drug use in the zone to a single digit. Firstly, it must be made clear from the onset that the purpose of the task force is to save lives. Secondly, since the 2018 report mentioned the paucity of rehabilitation centres, states in the zone must improve existing facilities, or put new ones in place.
Thirdly, two key lessons learnt during the COVID-19 pandemic must be brought to bear. In the first instance, there must be daily state-wide randomised drug testing (using a fingerprinting technology uniquely designed to expose substance abusers using what is called the fluorescence-based lateral flow competition assay) in every local government to constantly track prevalence, and death rates through the duration of the task force.It must be noted that in spite of the losses during the recent global COVID-19 pandemic, the experince was a major teacher in that, it show the world how, and how not to manage a global health crisis. For instance. The Diete- Spiff administration appointed and recruited seasoned academics, administrators and technocrats to join in the task of building the nascent State particularly after the civil war. COVID-19 pandemic, the experience was a major teacher, in that, it showed the world how, and how not to manage a global health crisis. For, instance, with hindsight, medical practitioners and policymakers across the globe can to a reasonable extent agree that lockdowns does not work.
But then, on the other hand, the world saw what difference testing made, especially in isolation and the treatment of the infected. The same can be applied to the ongoing drug abuse crises in the Bayelsa State.The Health and Safety departments of most corporations have been managing alcoholism and drug abuse for decades using on-the-spot testing, during accidents for drivers, and routine and impromptu testing of members of staff. The merit of this approach is that alcoholic beverages like beer remain in the blood for eight hours and spirits, like whisky and brandy, can last up to 20 hours in the bloodstream. Interestingly, this technology is not exclusive to the safety departments of multinational corporations.
Currently, a fingerprinting technology uniquely designed to expose substance abusers has been developed. The system is designed to work with the process by which the human body metabolises substances to generate a plethora of metabolites, some of which are excreted through the sweat glands. Currently, the system is only able to capture amphetamines, cannabis, cocaine, and opiates.Like alcohol, different drugs are metabolised by the body in a variety of ways, generating a myriad of metabolites, some of which are excreted through the sweat glands. For instance, Tetrahydrocannabinol, the primary psychoactive component in cannabis can be detectable in the sweat of an individual following consumption for up to a week in most cases; while cocaine can passively diffuse through capillaries into sweat glands in its non-ionised form and can diffuse directly through the skin.
Similarly, opiates such as heroin produce the major metabolite 6-acetylmorphine, which is the main indicator in the sweat that confirms opioid use. Opiates too are generally detectable within two hours and up to a week in the sweat following consumption. Cocaine and ethyl methyl ecgonine are detectable in the sweat as soon as two hours following consumption, whereas benzoylecgonine is detectable in four to eight hours. The metabolites are detected by performing a lateral flow assay, utilising fluorescent tagged probes to indicate that particular complementary molecules are present in a sweat sample. In plain language, this test is akin to the instant pregnancy test available at pharmacies.
The taskforce must also work in collaboration with telecommunication companies and every media house in the zone to keep the public informed on daily basis. To achieve a downward trend in the prevalence rate quickly, every state governor must use this daily information to put their local government chairmen to work. They must be held accountable for using this information in driving awareness at every level in their various local governments, including churches, mosques, and markets. Since most of the victims are from institutions of higher learning in the states within the zone, they should be viewed as epicenters that merit extra attention. Consequently, that taskforce should work with the management of these institutions to make one random testing mandatory for every student, at least once every semester.
On the face alone, since the students might be invited for drug tests without prior information, it would serve as a major deterrent. Beyond that, because of the consequences tied to it, truant students might also rethink their movements, especially if reporting to parents, guardians, or scholarship bodies happens to be one of the consequences.The testing is not an end in itself; rather, it is also a means to apprehend the dealers on the street. Therefore, for everyone who tests positive for any drug, the intention is to extract actionable information to arrest his/her dealer with confidentiality guaranteed. Just imagine that 100 tests reported a positive result, across various local governments within a state, and the users volunteer valuable information about their dealers, this war can easily be won in six months.
But then, the fourth term of reference for the taskforce is most critical, because it deals with those who are already vulnerable, or dying due to the miseries of extended drug abuse or substance dependence. It is very important that each state within the zone puts in place an emergency medical unit ready to move at a moment’s notice in every Senatorial District at least. The purpose of this team is primarily to save lives, and they should be given all they need to enable them to save lives.Furthermore, Local Government Areas must regularly hold seminars in schools, churches, mosques, and markets to educate their people on the current drug epidemic ravaging our region.
It is in the general interest of parents, Pastors, Imams, and community leaders to be fully aware of how far this cancer has eaten into the fabric of society. It is also very important for leaders to understand what is about to happen to our common way of life if the average youth on the street is a druggy. Clearly, Bayelsa State is at a tipping point, but almost all other states within the zone are more or less next-door neighbours to each other, therefore is safe to assume that other states are not faring better. This is more reason all the states in the region must work together to end the menace of drug trafficking and drug addiction. Lastly, the National Drug Law Enforcement Agency (NDLEA) and other security agencies should take the war against drugs personal, because the next victim might just be a member of their family.
By: Raphael Pepple
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