Editorial
End Tuberculosis, Now
The soaring prevalence of tuberculosis-related deaths declared in Nigeria annually makes it mandatory for exigent and unyielding response by the government to contain the spread of the disease. There is barely anyone who venerates human life that would not cringe at the news that more than 250,000 Nigerians are extirpated every year by the deadly disease. Yet, it is preventable and, with the right medical intervention, curable.
While joining the rest of the world to mark this year’s World Tuberculosis (TB) Day yesterday, March 24, 2022, the disease has been rightly described as an epidemic, not only because of the deaths it causes in Nigeria but the peril it constitutes to the entire world. Nigeria is positioned seventh among the 30 high TB burden nations and second in Africa. The quandary of tuberculosis in the country has been worsened by drug-resistant TB and the HIV/AIDS epidemic.
As usual, the root of Nigeria’s poor showing is the lack of dedication by the government to fund the programme of detection and treatment of the ailment. The same attitude of nonchalance that has encumbered the fight against other lethal diseases has also been transposed to the TB containment, allowing the illness to take advantage of the apathy to burgeon in Nigeria even when the incidence has witnessed a global drastic reduction over the past 20 years.
Despite calls for enhanced funding for TB control, Nigeria has recorded a 69 per cent ($257.4 million) funding gap in 2020. Of the $373 million required for TB control in the nation in 2020, only 31 per cent was available to all the implementers of TB control undertakings in the country and only seven per cent of the 31 per cent was dispensed by the Nigerian government while 24 per cent of the funds came from donors.
This was divulged by the Stop TB partnership and the National Tuberculosis and Leprosy Control Programme (NTBLCP) at the 2022 pre-World TB Day press conference in Abuja. The partners called on world leaders, including governments at the national and sub-national levels to step up and triple or quadruple the funding to save lives and end TB by 2030.
Tuberculosis and HIV are strongly linked. Whereas people with healthy immune systems may not fall ill from latent TB infection (when a person has TB but does not have any symptoms), those living with HIV are much more impressionable to active TB (when TB infection leads to illness). The risk of developing active TB is estimated to be 20 times greater in people living with HIV than in persons who are HIV negative.
Worldwide, TB is the 13th principal cause of death and the second primary infectious killer after COVID-19. In 2020, approximately 10 million people fell ill with tuberculosis globally — 5.6 million men, 3.3 million women and 1.1 million children. The baneful ailment is present in all countries and age groups.
Tuberculosis is effectuated by bacteria (Mycobacterium tuberculosis) that most often affect the lungs. It stretches from person to person through the air. When people with lung TB cough, sneeze or spit, they impel the TB germs into the air. A person needs to inhale only a few of these germs to become infected. About one-quarter of the world’s population has a TB infection, which means people have been infected by TB bacteria but are not ill with the disease and cannot transmit it.
The Millennium Development Goal for tuberculosis is to discontinue the increase in incidence and halve the mortality of the disease between 1990 and 2015. This goal has now been reached on a global scale, although not in the most affected region of Africa. The new target is TB elimination, defined as one case of active TB per one million population per year, which is to be reached before 2050.
Tuberculosis is a malady that affects mostly the poor and low economic population in Nigeria, leaving the patient and households with pestilential financial loss. Many patients are unable to pay for treatment from their income alone but have to rely on loans or dispose of their assets to have sufficient means for treatment. We prompt the government and development partners to demonstrate strong support to the patients.
Following stigmatisation in Nigeria, many people with TB fail to come out candidly to seek treatment. It is for this reason that the World Health Organisation (WHO) recommends the directly observed treatment, short course (DOTS) strategy. The technique combines five elements of commitment with increased and sustained funding; case detection through quality-assured bacteriology; standardised treatment with supervision and patient support; effective drug supply and management system; and monitoring and evaluation system and impact measurement.
The DOTS strategy was expanded to all the states of the federation in 1993. About 969 TB microscopy centres were established in 494 local government areas, according to the National Strategy Plan for Tuberculosis and Leprosy Control. Sadly, these centres have largely remained moribund. They must be made to work to reduce infection and death.
WHO, in its World TB observation this year, chose “Invest To End TB. Save Lives”. This communicates the crucial necessity to invest resources to ramp up the fight against the menace and achieve the commitments to end it. Nigeria has to key into the global vision of ending TB by 2030, which is also a component of the Global Goals of Sustainable Development. Early detection and treatment are paramount to prevent spread.
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.
The recent public health disaster in Ondo State, which claimed 48 lives and left 182 people severely ill, is a gloomy reminder of the dangers posed by unregulated beverages. According to NAFDAC Director-General, Prof. Mojisola Adeyeye, the victims consumed contaminated local alcoholic and herbal drinks in communities in Odigbo Local Government Area. The drinks contained high levels of industrial methanol, while 11 of 15 samples also contained Cannabis indica. The substances were linked to organ failure, neurological deterioration, and permanent blindness. The tragedy should serve as a warning to the entire country.
The incident underscores the wider problem of unregulated and adulterated drinks across Nigeria. From roadside kiosks and motor parks to informal markets, unverified alcoholic and herbal products are readily available, often marketed as cheap alternatives or medicines. The World Health Organisation estimates that about 25 per cent of alcohol consumed globally is unrecorded. Such products operate outside formal regulatory control and may expose consumers to toxic substances and serious health risks.
The problem is compounded by deliberate evasion of regulatory requirements. Products under NAFDAC’s mandate must be registered and subjected to regulatory checks before manufacture, distribution, or sale. Yet some producers ignore these requirements for profit, while others falsify NAFDAC registration numbers and markings and use them on substandard products. Such practices deceive consumers and undermine public confidence in the regulatory system.
The reported arrest of 15 suspects linked to the Ondo distribution network is an important first step. Those found responsible should be prosecuted and, where convicted, appropriately punished. However, enforcement must go beyond responding to tragedies. NAFDAC should strengthen preventive measures through regular post-market surveillance, random testing at transit points, and intelligence-led inspections of informal production centres.
Consumers also have a responsibility to exercise caution. Economic hardship, high inflation, and declining purchasing power have created opportunities for unscrupulous producers to market cheaper but potentially dangerous products. Consumers should, therefore, avoid unlabelled drinks, suspiciously cheap products, and goods sold through unverified outlets. Public education and consumer vigilance can help deny unscrupulous traders the opportunity to put profit before human life.
The danger extends beyond alcoholic and herbal drinks to medicines. Counterfeit and substandard medicines have entered both formal and informal supply chains, causing treatment failure, poisoning, and avoidable deaths. The WHO estimates that at least one in 10 medicines in low and middle-income countries is substandard or falsified, although the prevalence varies. Ensuring the safety and authenticity of medicines is essential to protecting lives and maintaining confidence in the healthcare system.
Food safety is another concern. Poor practices in food handling, processing, and preservation expose consumers to serious health risks, particularly when commercial interests override safety. Concerns over the improper use of chemical agents such as calcium carbide to accelerate the ripening of fruits further demonstrate the need for stronger monitoring throughout the food-supply chain.
These challenges expose weaknesses in Nigeria’s regulatory system and reinforce the need to strengthen it. NAFDAC faces the enormous task of monitoring products across all 774 local government areas. Meeting this challenge requires greater operational capacity, reduced bureaucratic delays, and modern systems capable of tracking regulated products from production to the point of sale.
Inadequate personnel, laboratory facilities, equipment, and logistics remain major obstacles. NAFDAC field offices, especially those serving remote communities, need modern testing equipment, reliable screening tools, and adequate transportation. The Federal Government should provide sustained funding to recruit specialised personnel, upgrade laboratories, and deploy technologies capable of rapidly detecting dangerous substances such as methanol.
Preventing the spread of adulterated products also requires coordinated action by federal and state governments. The Federal Ministry of Health, NAFDAC, and other relevant agencies should intensify operations to remove unregistered alcoholic and herbal products from motor parks, transit centres, and informal markets. The National Assembly should review existing laws and strengthen penalties for deliberately producing, falsifying, or distributing toxic and unregistered food, beverages, and medicines.
NAFDAC should expand its digital verification systems to enable consumers to confirm product registration before purchase. State ministries of health, local government councils, and community institutions should intensify grassroots education on the dangers of unlabelled drinks, unsafe food practices, and counterfeit medicines. Traditional, religious, and community leaders can also help identify and report illegal production and distribution activities.
The Ondo tragedy must not become another statistic that is quickly forgotten. The loss of 48 lives and the permanent blindness suffered by some survivors are devastating and unacceptable. Nigeria must respond by strengthening regulatory institutions, providing adequate funding, enforcing the law, and educating the public. A sustained, coordinated effort is essential to protect the nation’s food, beverage, and medicine supply chains and prevent another tragedy caused by products that should never have reached the market.