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.
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A New Dawn For Rivers’ Workers
Workers in the Rivers State civil service have been eulogising Governor Siminalayi Fubara for delivering on his promise to implement a new minimum wage of N85,000, which was reflected in the salaries paid for November. This increase is N15,000 higher than the national minimum wage of N70,000. This represents not only an enhancement in the financial welfare of civil servants but also a recognition of their hard work and dedication to public service. The raise has been met with widespread jubilation among the workforce, who have long advocated for a better wage to cope with rising living costs and economic challenges.
As the news spread, offices filled with laughter and sigh of relief, as employees exchanged stories of how this financial boost would positively impact their families and dependants. The new minimum wage is not just a number; it symbolises the government’s commitment to improving the standards of living for civil servants and fostering a more equitable workforce. Many workers expressed their gratitude for the governor’s timely intervention, highlighting how important it is for public servants to feel valued and adequately renumerated.
Governor Fubara’s decision is expected to reinforce morale within the civil service, fostering greater productivity and dedication among employees who contribute significantly to the state’s development. With the new wage in place, there is a renewed sense of optimism among civil servants, who now feel more empowered to serve the government and the citizens with greater enthusiasm and commitment.
The Governor had declared an increase in salaries for state workers, emphasising that this adjustment is not only a reflection of the government’s commitment to improving the welfare of its employees but also a strategic move fueled by the state’s enhanced Internally Generated Revenue (IGR). He assured workers that the financial backing for this increment is sustainable, stemming from the state’s focused efforts to bolster revenue through various initiatives, including tax reforms and enhanced efficiency in public service delivery.
Furthermore, the governor’s promise of funding the increment solely through increased IGR signifies a commitment to fiscal responsibility and transparency. It reassures the people that the government is proactively managing resources while investing in their future. As the state continues to explore opportunities for revenue enhancement, Fubara’s administration remains focused on ensuring that these initiatives translate into tangible benefits for the workforce, ultimately fostering a more motivated and dedicated public sector.
The decision by Fubara to be the first in Nigeria to implement the new national minimum wage is a commendable step that reflects a proactive approach to governance and an understanding of the pressing needs of the workforce. In an economy where many families struggle to make ends meet, especially in the face of rising living costs, this enterprise will improve the quality of life for workers and also set a precedent for other states to follow.
In recognising the various drives and support provided by Fubara’s government, it is necessary that the workers reciprocate by embodying a spirit of productivity and commitment to the current administration’s goals. They should align their daily operations with the administration’s objectives to enhance effectiveness and foster an environment of collaboration and trust. This reciprocal relationship can lead to innovative solutions and efficient service delivery, ultimately benefiting the state and strengthening public trust in government institutions.
Surprisingly, despite the political challenges the government has been navigating, alongside the myriad of ambitious projects it is embarking on, it has managed to raise funds to implement a minimum wage of N85,000 This achievement reflects a commendable level of resilience and resourcefulness within the government’s fiscal strategies. In a nation often marred by economic volatility and political discord, finding a way to sustain and even elevate the livelihoods of its employees is no small feat.
Workers in the state have truly found themselves in a remarkably advantageous position under this administration, especially when compared to the previous regime. The immediate past government’s blatant refusal to implement the minimum wage of N30,000 left many employees disheartened and struggling to meet their basic needs. What was even more disconcerting was the absence of meaningful negotiations with labour representatives, leaving workers feeling unheard and undervalued. In contrast, the present administration has prioritised dialogue and engagement with labour unions, recognising the importance of fair wage for workers’ contributions to the state’s economy.
With the current government’s commitment to improving wages and working conditions, it is clear that a major shift has taken place. This renewed focus on the welfare of workers empowers them and instils a sense of hope and optimism for the future, as they can now look forward to a more equitable and supportive work environment. Ultimately, the ongoing trajectory suggests a promising era for labour relations in the state, one where workers are valued and their rights upheld.
Siminalayi Fubara has consistently demonstrated his dedication to workers’ welfare since taking office in May last year. Unlike his predecessor, who left many employees feeling overlooked and unsupported, Fubara wasted no time in addressing the longstanding stagnation of promotions that had plagued the workforce for eight years. He took further steps towards financial justice by initiating the long-overdue payment of gratuities that were neglected during the last administration.
Similarly, we urge the governor to take another step forward by reviewing the stipends received by pensioners. The current pension amounts have become woefully inadequate, leaving many of them who dedicated their lives to public service struggling to make ends meet. These dedicated individuals who have contributed to the development of our dear state now find themselves in a precarious financial situation, receiving stipends that are alarmingly low and insufficient to cover basic living expenses. The rising cost of living has rendered their pensions nearly meaningless. Therefore, a comprehensive reevaluation of these stipends is a required measure to ensure that those who have served our state with honour can live their remaining years with dignity and security.
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