Editorial
Ending The Scourge Of Malaria
The fight against malaria experienced some setbacks worldwide in 2020. The outbreak of Coronavirus
shifted global attention towards its fight and prevention and away from several other diseases. The result was an increase in deaths from malaria from 558,000 in 2019 to 627,000 in 2020. Moreover, the number of cases increased from 227 million in 2019 to 241 million in 2020. This shows a 6.17% increase in incidents and a 12.37% increase in deaths to malaria in 2020.
To put the world back on track, this year’s World Malaria Day (WMD) is tagged “Harness Innovation to Reduce the Malaria Disease Burden and Save Lives.” This aims to rechannel funds, efforts, and attention towards the fight against malaria to eradicate it by 2030. The World Health Organisation (WHO), which established April 25 each year as WMD in 2007, explained that this is to underscore the collective energy and commitment of the global malaria community in uniting around the common goal of a world free of malaria.
Given the ravages of the disease globally and particularly in Nigeria, this project should be strongly prosecuted and with many more resources. Experts are disturbed that despite efforts to contain the illness, Nigeria loses over $1.1 billion (N645.7 billion) yearly to prevention and treatment of the disease and other costs. According to them, malaria killed no fewer than 200,000 Nigerians and afflicted 61 million others in 2021. They also said Nigeria, the Democratic Republic of Congo (DR Congo), Tanzania and Mozambique accounted for over half of all malaria deaths.
Malaria is a life-threatening disease. It is caused by a parasite transmitted to humans through the bite of an infected female Anopheles mosquito. It is the most deadly creature in the world in casualty rates. Through its bite, it injects the plasmodium parasite in humans, which has five species, with P falciparum, the most deadly. WHO said there were 241 million cases of malaria reported worldwide in 2020. It killed 627,000 persons that year. Not surprisingly, 95 per cent of the cases were found in sub-Saharan Africa and 96 per cent of the deaths.
The World Malaria Report 2021 reaffirmed the sorry reality of Nigeria and other sub-Saharan African countries: 80 per cent of all malaria deaths in the region were of children under age five. This is an unacceptably high toll that should be reversed at all costs. President Muhammadu Buhari and all the state governors should pay attention to these appalling figures.
Nigeria, with 31.9 per cent of the total, led three other African countries to account for over half of the total global deaths. It was followed by Congo DR’s 13.2 per cent; Tanzania’s 4.1 per cent, and Mozambique’s 3.8 per cent. One study described malaria as Nigeria’s topmost public health challenge, accounting for 30 per cent of all under-five deaths, 25 per cent of deaths in infants and 11 per cent of maternal mortality.
The United States Centers for Disease Control declared, “Costs to governments include maintenance, supply, and staffing of health facilities; purchase of drugs and supplies; public health interventions against malaria, such as insecticide spraying or distribution of insecticide-treated bed nets; lost days of work with resulting loss of income; and lost opportunities for joint economic ventures and tourism.” It estimates combined direct costs to the afflicted areas at $12 billion each year.
In addition, malaria increases Africa’s GDP by 1.3 per cent yearly. This is heart-wrenching for a continent that lags behind all others on the development index. Nevertheless, the good thing is that the disease is both preventable and curable. Following the disturbing statistics from the global health body, Nigeria must purposefully trigger and restart old operations.
Nigeria has been unable to utilise global interventions to reduce the intensity of the disease. Sadly, both the 1998 Roll Back Malaria project aimed at malaria burden reduction by at least 50 per cent, and the 2005 Abuja Declaration to upturn malaria encumbrance, were improperly implemented. To date, the country has not done much to reverse the trend. Like other national programmes, inconsistency and poor enforcement have dogged it.
Both the federal and state governments have to carry out actions to exterminate malaria. They should execute programmes to preserve a healthy environment for vector control, make insecticide-treated nets available free to homes, finance preventative and remedial medicines, and rigorously embrace the WHO regulations on malaria control. Corrupt government officials who misappropriate donated insecticide-treated nets for personal profit should be prosecuted.
Hospitals need to be equipped, while medical workers should be motivated. There is a need to clear drainages and retool the Primary Health Centres to turn the tide against malaria. Local governments should fund health centres, accompanied by effective sanitation activities. The sanitary inspection system that was effective in the First Republic should be revived, upgraded, well-funded and its staff trained and encouraged.
In a goodwill message on the occasion, the Rivers State Government reiterated its political will and commitment to reducing the disease burden of Rivers people. The Deputy Governor, Dr Ipalibo Harry Banigo, stated this in Government House, Port Harcourt, to commemorate World Malaria Day 2022. Under the watch of the state governor, Chief Nyesom Wike, the prevalence rate of malaria had reduced significantly to 11.3 per cent against the national prevalence of 24 per cent, she noted.
Further statistics from WHO State Coordinator, Dr Okafor Chinenye, revealed that Rivers State was closest to achieving WHO’s pre-elimination phase of 5 per cent positivity rate. Chinenye, who was represented by WHO’s Information, Planning, Monitoring, and Evaluation Focal Point in the state, Mr Akuneto Reagan, said the last national survey of 2018, showed that the state had the lowest malaria prevalence in the entire South-South zone at 11%.
With that, Rivers modestly ranks among the best five states in Nigeria. This gigantic success, no doubt, is credited to Governor Wike whose robust health policy in the state is second to none. While we sincerely commend the government for the monumental achievement, the good news is a reason to be more cautious to ensure that more is done to keep the state continuously on the malaria elimination track.
As part of our commitment to the reduction of the malaria burden and saving lives in the state, Rivers people must take responsibility to keep their environment clean, get rid of stagnant water, sleep under insecticide-treated bed nets, and test for malaria before medication in the quest to control and eliminate the ailment. Importantly, the federal and state governments should fund preventive treatment during pregnancy to decrease the burden of malaria in pregnant women, as experts say pregnancy reduces a woman’s immunity to malaria.
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Editorial
That Oshiomhole’s Call On FG’s Road Projects
There are moments in the life of a legislature when plain speaking becomes a public service. Senator Adams Oshiomhole provided such a moment on the floor of the Senate when he accused the Minister of Works, Senator David Umahi, of manifestly neglecting critical federal arteries in Edo and Delta States, and implored his colleagues to prevail on the Minister to adopt a more equitable and genuinely national approach to road infrastructure delivery. It was blunt, it was uncomfortable, and it was necessary.
The specifics of his complaint deserve restating. Drawing attention to the recent approval of some 20 new road projects despite the parlous state of existing ones, the former Edo State governor lamented that Nigerians cannot travel from Benin to Warri, Benin to Asaba, Benin to Auchi, or Auchi to Okene without encountering severe distress. He alleged a deliberate omission of these corridors from the national budget in the last three years, save for palliative interventions directed by President Bola Tinubu through tax credit arrangements. His question — “What have we done wrong?” — resonates far beyond the chambers of the National Assembly.
We lend our full and unequivocal support to that call. The Auchi-Benin Road, for instance, has been in a deplorable and near-impassable condition for several years, turning what should be a two-hour journey into an all-day ordeal of broken axles, extortionate fares, and despondent commuters. The media have, on multiple occasions, chronicled the suffering of motorists, traders, and students who ply that route. To describe it as a federal road today is to stretch the meaning of the term beyond recognition.
This pattern of sidelining is not confined to Edo or Delta. Even here in Rivers State, the disposition of the Federal Ministry of Works has left much to be desired, particularly along the Eleme axis of the East-West Road. That road, which ought to be a flagship of federal presence in the Niger Delta, has remained in a wretched state for long. Those who use it daily — workers at the Eleme Petrochemical Complex, the two refineries, Onne Port, and the countless ancillary industries — can attest to its deterioration. Work has proceeded in fits and starts without the sustained urgency such a strategic road demands.
The Eleme stretch is not a mere intra-state byway. It is the gateway to the nation’s economic jugular. According to the Federal Ministry of Works and Housing’s 2023 Highway Condition Survey, only about 35 per cent of the country’s 36,000 kilometres of federal roads are rated as being in good or fair condition, with the remainder classified as poor or very poor. The East-West Road, conceived in the 1970s to bind the entire Niger Delta, remains unfinished in critical sections more than four decades after. If it had been treated as a priority, the perennial gridlock, carnage, and economic loss on the Eleme-Refinery junction would have long been consigned to history.
The irony is as painful as it is glaring. The Niger Delta remains the goose that lays the golden eggs. Data from the Nigeria Extractive Industries Transparency Initiative [NEITI 2023 Oil and Gas Audit] show that the region still accounts for over 78 per cent of Nigeria’s federally collected export earnings and about 65 per cent of total government revenue. The National Bureau of Statistics [NBS Foreign Trade Report Q4 2024] similarly confirms that crude oil continues to dominate export receipts. By every metric of equity and economic logic, a region that sustains the national purse deserves first-rate consideration in the allocation of infrastructure, not afterthoughts and tokenism.
Road infrastructure is not largesse to be dispensed by favour; it is the skeleton upon which commerce, cohesion, and citizenship hang. When contracts are concentrated in one geopolitical zone while other zones are left to contend with craters, it erodes trust in the federation itself. The World Bank’s Nigeria Development Update [June 2023] estimated that poor transport connectivity inflates the cost of moving goods by up to 40 per cent and costs the Nigerian economy an estimated $1.5 billion annually in lost man-hours and vehicle maintenance. If we profess to be one country, then equity must be the compass that guides key institutions before any project is executed. Development must spread round, not pool in one place as though other regions do not matter.
There is also a grave security dimension that can no longer be ignored. The deplorable condition of federal roads has become a veritable enabler of criminality. The NBS Crime Experience and Security Perception Survey reported over 2.5 million incidents of kidnapping-related occurrences nationally, with transport workers identifying bad road spots as prime ambush points. When vehicles are forced to crawl at 10 kilometres per hour through failed sections at Auchi, Sapele Road, or Eleme, they become sitting ducks for armed gangs. Fixing bad roads, therefore, is not merely about convenience; it is about safeguarding lives.
By his intervention, Senator Oshiomhole has hit the nail on the head and reminded Minister Umahi of a fundamental constitutional truth: public office is held in trust. The Ministry of Works is not a personal estate where contracts are awarded according to whim or political convenience. It is a national institution funded by the collective resources of Nigerians, including the oil and gas rents from the very communities whose roads are now neglected. The Minister must demonstrate balance, transparency, and a pan-Nigerian outlook in the distribution of projects that impact the daily existence of citizens. Selective neglect breeds suspicion, and suspicion is corrosive at a time when the nation is preaching unity, oneness, equity, and justice.
Consequently, the National Assembly must go beyond rhetoric and assert its oversight powers with vigour. Sections 88 and 89 of the 1999 Constitution [as amended] empower the legislature to investigate and expose any maladministration in the execution of federal projects. If an office holder is not acting rightly, it is the duty of the Senate and the House of Representatives to call him to order. Oversight must not be reduced to budget approval ceremonies; it must translate to field verification, public hearings, and insistence that the Federal Character principle, as enshrined in Section 14(3) of the Constitution, reflects in road awards.
Let the Auchi-Okene, Benin-Warri, Benin-Asaba, and Eleme East-West gangways be restored to motorable dignity. Let priority be given to completing existing, economically vital roads before embarking on new ones. If those who, through their resources, sustain the federation are sidelined in the distribution of tangible dividends, it tells poorly of our nationhood. Bad roads must be fixed, and they must be fixed now, with fairness as the guiding standard.
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