Editorial
Down Syndrome: Addressing The Plight Of Patients
Today, March 21, 2022, is World Down Syndrome Day (WDSD). The day is marked each year on March 21, beginning in 2006. WDSD is observed to create awareness about Down syndrome, standing up for those suffering from this genetic and bodily disorder. Still on this day, people globally celebrate the lives and achievements of Down syndrome victims.
Every year, the United Nations determines the theme of the commemoration of WDSD. This year’s theme is: “Inclusion Means…” The theme illustrates that we should make efforts to include the people affected with Down syndrome or other disabilities in all matters of life. People suffering from Down syndrome should not be discriminated against or regarded as “ugly” because of their physical appearance.
To identify with the day, the UN advises everyone to wear blue and yellow colours representing sensitivity to Down syndrome. Wristbands, ribbons, or lapel pins of blue or yellow colours can be used to show support or fund-raising for WDSD. Moreover, blue and yellow colour paintings, candles, bulbs, and nail polish of these colours can be utilised on this special day.
Down syndrome is a genetic and physical disorder that is caused by an additional chromosome 21 within the human body of 46 chromosomes (23 pairs). Individuals with the disease can be seen with stunted growth. It takes the form of diminished muscles, a short neck with excess skin, a flattened face and nose and little ears, eyes, mouth, among others.
During the process of cell division and production of sperm and egg, an instructive alteration occurs in the 21st chromosome that causes the likelihood of Down syndrome. It is one of the most commonly occurring chromosomal abnormalities in humans. Statistical analysis, however, shows that the chances of Down syndrome are greater in infants whose parents are either under the age of 20 or over the age of 35.
The goal of WDSD is to demonstrate awareness among people of this disorder and to stand alongside the victims of the illness. The occasion illustrates that a good diet and lifestyle without depression of an expectant mother are necessary. Another purpose that determines the observance of the day is to let people set a suitable age for marriage (between 25 and 34) to decrease the probability of this disorder through these precautionary steps.
The syndrome occurs in all parts of the world without any prior reason. It is estimated that every year 3,000 to 6,000 children are born with this type of chromosomal disorder which threatens the world community regarding the mental and physical health of people at a larger scale and worldwide range. The disease has no remedy. There is evidence that education and appropriate care improve quality of life.
As Nigeria joins the rest of the world to commemorate the WDSD, there is a need to strongly condemn discrimination of all forms against children and young adults living with Down syndrome in the country as it affects their welfare and well-being. Segregation is unwarranted since the condition does not limit, but the bias does.
In line with the global theme, the Nigerian government should undertake activities to raise public awareness, promote inclusion, encourage advocacy and support the well-being of people living with Down syndrome. One of the things we must hope to achieve is to get Nigerians to understand what Down syndrome means and what life can be for people who live with the condition.
Studies on Down syndrome spanning nine years revealed an incidence of one in 865 live births in a Nigerian hospital. Cytogenetic analysis in 386 patients showed 369 (95.5%) cases to be the result of regular trisomy 21, and translocation trisomy 21 was found in nine (2.5%) patients. Six (1.5%) patients were mosaics, and the remaining two (0.5%) cases were classified as miscellaneous. A high incidence rate among young mothers was observed.
This is why there should be massive information campaigns. Media, government, non-governmental organisations, and faith-based groups should be involved in raising public awareness about Down syndrome. Parents must recognise this destructive disease. Limiting campaigns to social media platforms may not be enough, because many parents are not educated enough to participate in social media.
The Federal Government, especially, must play an active role in ensuring the safe education of children suffering from this disease and providing adequate health care systems to improve them. It has to sponsor children with Down syndrome, build and implement diagnostic centres that will help detect kids who may be born with the syndrome to begin early intervention.
Since the challenges in training children who experience the syndrome are enormous for caregivers and parents lacking adequate resources to cater for their needs, the various tiers of government should be committed by enabling patients to be taken to public hospitals for proper care with all expenses paid by the authorities. Wealthy individuals can establish Down syndrome resource foundations to support educational programmes and therapy services for children, youth and young adults with the ailment.
With an average life expectancy of about 50 to 60 years, particularly in the developed world with adequate health care, those with the syndrome demand to be shown passionate love. Children should not be isolated from their peers. Parents or guardians should never abandon victims, as this may worsen the situation. Early identification of this syndrome is helpful. The good news is that Down syndrome can be found as early as pregnancy.
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Making Rivers’ Seaports Work
When Rivers State Governor, Sir Siminalayi Fubara, received the Board and Management of the Nigerian Ports Authority (NPA), led by its Chairman, Senator Adeyeye Adedayo Clement, his message was unmistakable: Rivers’ seaports remain underutilised, and Nigeria is poorer for it. The governor’s lament was a sad reminder of how neglect and centralisation continue to choke the nation’s economic arteries.
The governor, in his remarks at Government House, Port Harcourt, expressed concern that the twin seaports — the NPA in Port Harcourt and the Onne Seaport — have not been operating at their full potential. He underscored that seaports are vital engines of national development, pointing out that no prosperous nation thrives without efficient ports and airports. His position aligns with global realities that maritime trade remains the backbone of industrial expansion and international commerce.
Indeed, the case of Rivers State is peculiar. It hosts two major ports strategically located along the Bonny River axis, yet cargo throughput has remained dismally low compared to Lagos. According to NPA’s 2023 statistics, Lagos ports (Apapa and Tin Can Island) handled over 75 per cent of Nigeria’s container traffic, while Onne managed less than 10 per cent. Such a lopsided distribution is neither efficient nor sustainable.
Governor Fubara rightly observed that the full capacity operation of Onne Port would be transformative. The area’s vast land mass and industrial potential make it ideal for ancillary businesses — warehousing, logistics, ship repair, and manufacturing. A revitalised Onne would attract investors, create jobs, and stimulate economic growth, not only in Rivers State but across the Niger Delta.
The multiplier effect cannot be overstated. The port’s expansion would boost clearing and forwarding services, strengthen local transport networks, and revitalise the moribund manufacturing sector. It would also expand opportunities for youth employment — a pressing concern in a state where unemployment reportedly hovers around 32 per cent, according to the National Bureau of Statistics (NBS).
Yet, the challenge lies not in capacity but in policy. For years, Nigeria’s maritime economy has been suffocated by excessive centralisation. Successive governments have prioritised Lagos at the expense of other viable ports, creating a traffic nightmare and logistical bottlenecks that cost importers and exporters billions annually. The governor’s call, therefore, is a plea for fairness and pragmatism.
Making Lagos the exclusive maritime gateway is counter productive. Congestion at Tin Can Island and Apapa has become legendary — ships often wait weeks to berth, while truck queues stretch for kilometres. The result is avoidable demurrage, product delays, and business frustration. A more decentralised port system would spread economic opportunities and reduce the burden on Lagos’ overstretched infrastructure.
Importers continue to face severe difficulties clearing goods in Lagos, with bureaucratic delays and poor road networks compounding their woes. The World Bank’s Doing Business Report estimates that Nigerian ports experience average clearance times of 20 days — compared to just 5 days in neighbouring Ghana. Such inefficiency undermines competitiveness and discourages foreign investment.
Worse still, goods transported from Lagos to other regions are often lost to accidents or criminal attacks along the nation’s perilous highways. Reports from the Federal Road Safety Corps indicate that over 5,000 road crashes involving heavy-duty trucks occurred in 2023, many en route from Lagos. By contrast, activating seaports in Rivers, Warri, and Calabar would shorten cargo routes and save lives.
The economic rationale is clear: making all seaports operational will create jobs, enhance trade efficiency, and boost national revenue. It will also help diversify economic activity away from the overburdened South West, spreading prosperity more evenly across the federation.
Decentralisation is both an economic strategy and an act of national renewal. When Onne, Warri, and Calabar ports operate optimally, hinterland states benefit through increased trade and infrastructure development. The federal purse, too, gains through taxes, duties, and improved productivity.
Tin Can Island, already bursting at the seams, exemplifies the perils of over-centralisation. Ships face berthing delays, containers stack up, and port users lose valuable hours navigating chaos. The result is higher operational costs and lower competitiveness. Allowing states like Rivers to fully harness their maritime assets would reverse this trend.
Compelling all importers to use Lagos ports is an anachronistic policy that stifles innovation and local enterprise. Nigeria cannot achieve its industrial ambitions by chaining its logistics system to one congested city. The path to prosperity lies in empowering every state to develop and utilise its natural advantages — and for Rivers, that means functional seaports.
Fubara’s call should not go unheeded. The Federal Government must embrace decentralisation as a strategic necessity for national growth. Making Rivers’ seaports work is not just about reviving dormant infrastructure; it is about unlocking the full maritime potential of a nation yearning for balance, productivity, and shared prosperity.
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