Editorial
Making Medical Care Available For Diabetics

In commemoration of this year’s World Diabetes Day today, 14 November 2022, medical experts have
emphasised the need to raise awareness of the growing burden of this disease, and strategies to prevent and manage the threat. This year’s theme is again “Access To Diabetes Care”, as it was last year, and will be again in 2023, highlighting the importance of prevention and response efforts.
This theme is focused on intensive diabetes education for healthcare professionals and the people living with diabetes which would enable better access to quality educational platforms educating and encouraging early diagnosis and adhering to a better lifestyle and preventive tips to fight the escalating prevalence of diabetes worldwide.
Furthermore, the theme concentrates on providing better educational content and coaching to the healthcare professional on effectively detecting and diagnosing diabetes and utilising their precious time to impart education to diabetes patients on how to prevent this disease by having lifestyle changes. This would provide mental support to the patients and help them to understand their current situation to assist prevent any further complications.
WDD was founded by the International Diabetes Foundation (IDF) in collaboration with the World Health Organisation (WHO) in 1991, and it became an official United Nations Day in 2006 under UN Resolution 61/225. The day 14 November was chosen to commemorate the birthday of Sir Frederick Banting, co-discoverer of Insulin along with Charles Best, in 1922.
Diabetes is a disorder in which the body fails to process and utilise the glucose which is produced from the food we consume. Glucose is the leading source of energy in the body. Inefficient assimilation of glucose can hamper one’s day-to-day activity, and unmanaged diabetes could lead to fatal complications like cardiovascular issues, nerve damage, kidney damage, foot damage, skin infections, erectile dysfunction, depression, dental problems and more.
According to International Diabetes Foundation (IDF), diabetes caused 67 lakhs death in 2021, and it is estimated that 53.7 crore (1 in 10) people were living with this disease in the same year and there is an indication that this count will rise to 64.3 crore in 2030 and 78.3 crore by 2045.
It is considered that 1 in 2 adults, affected with diabetes remains undiagnosed, the majority of them suffering from type 2 diabetes, which can be prevented with few lifestyle changes and healthy dietary habits. Because of the lack of proper information and guidance to understand the signs and symptoms and get an early diagnosis to start the preventive measures, it is projected that nearly 54.1 crore adults are at risk of developing type 2 diabetes.
World Health Organisation says about 422 million people worldwide have diabetes, the majority living in low and middle-income countries like Nigeria, and 1.6 million deaths are directly attributed to the ailment each year. Both the number of cases and the prevalence of diabetes have been steadily increasing over the past few decades.
Africa’s diabetes statistics illustrate the depth of the challenge: 24 million adults are currently living with diabetes, with that number predicted to swell by 129% to 55 million by 2045. Last year, diabetes mellitus took the lives of 416,000 people on the continent and is forecast to become one of the leading causes of death in Africa by 2030. Diabetes is the only major non-communicable disease (NCD) for which the risk of dying early is increasing, rather than decreasing.
Experts’ assessment of the illness in Nigeria reported that its prevalence had increased from 2.2 per cent in 1992 to 5.77 per cent in 2017, a 2.6-fold increase in prevalence over the past two and half decades. Researchers’ analysis of diabetes reported its prevalence was highest in South-South Nigeria. It was 3.0 per cent in the North-West; 5.9 per cent in the North-East, 3.8 per cent in the North-Central, 5.5 per cent in the South-West, 4.6 per cent in the South-East, and 9.8 per cent in the South-South.
They found that urban dwellings, physical inactivity, advanced age, and an unhealthy diet are critical risk factors for the ailment among Nigerians, recommending a national diabetes care and prevention policy. The modest improvement in living standards witnessed over the past few years in Nigeria has resulted in the ageing of its populace. Insulin resistance tends to worsen with advancing age. This, coupled with decreased physical activity among the aged, increases the risk of type 2 diabetes.
As Nigeria joins the rest of the world to mark the 2022 World Diabetes Day, the Federal Government should initiate policies that would put the care and management of diabetes on the front burner in the country in the interest of millions of Nigerians living with the disease. State governments should commence an immediate campaign for diabetes prevention and control, beginning from this year’s edition of WDD.
Healthcare providers and other stakeholders should also intensify their efforts in screening for diabetes and providing adequate information to assist people living with it on the basic management of the disease and assist the public in recognising the signs and symptoms of the condition and the available prevention options.
Nigerians should be aware that diabetes is essentially a lifestyle disease and can be prevented simply by adopting a healthy lifestyle which involves good diets, regular exercise and health consciousness. It is a silent killer, which is why many people do not know they have it and live without taking the necessary precautions to control it. Everyone in the country should join hands and prevent the illness, while those already diagnosed should adhere strictly to their doctor’s recommendations on control measures.
Editorial
Benue Killings: Beyond Tinubu’s Visit

The recent massacre in Yelewata, Benue State, ranks among Nigeria’s deadliest attacks of
2025. While official figures put the death toll at 59, media reports and Amnesty International estimate between 100 and 200 fatalities. This atrocity extends a decade-long pattern of violence in Nigeria’s Middle Belt, where Beacon Security data records 1,043 deaths in Benue alone between May 2023 and May 2025.
President Tinubu’s visit on 18 June—four days after the 14 June attack—has drawn sharp criticism for its lateness. This delay echoes a history of inadequate responses, with Human Rights Watch documenting similar inaction in Plateau and Kaduna states since 2013, fuelling a culture of impunity. The attack lasted over two hours without meaningful security intervention, despite claims of swift action.
The violence bore hallmarks of genocide, with survivors recounting systematic house burnings and executions. More than 2.2 million people have been displaced in the region since 2019 due to comparable attacks. Data show Benue’s agricultural output falls by 0.21 per cent in crops and 0.31 per cent in livestock for every 1 per cent rise in violence.
Security forces continue to underperform. No arrests were made following the Easter attacks in April (56 killed) or May’s Gwer West massacre (42 killed). During his visit, Tinubu questioned publicly why no suspects had been detained four days after Yelewata, highlighting entrenched accountability failures.
The roots of the conflict are complex, with climate change pushing northern herders south and 77 per cent of Benue’s population reliant on agriculture. A Tiv community leader described the violence as “calculated land-grabbing” rather than mere clashes, with over 500 deaths recorded since 2019.
Government interventions have largely fallen short. The 2018 federal task force and 2025 Forest Guards initiative failed to curb violence. Tinubu’s newly announced committee of ex-governors and traditional rulers has been met with scepticism given the litany of past unkept promises.
The economic fallout is severe. Benue’s status as Nigeria’s “food basket” is crumbling as farms are destroyed and farmers displaced. This worsens the nation’s food crisis, with hunger surges in 2023-2024 directly linked to farming disruptions caused by insecurity.
Citizens demanding justice have been met with force; protesters faced police tear gas, and the State Assembly conceded total failure in safeguarding lives, admitting that the governor, deputy, and 32 lawmakers had all neglected their constitutional responsibilities.
The massacre has drawn international condemnation. Pope Leo XIV decried the “terrible massacre,” while the UN called for an investigation. The hashtag “200 Nigerians” trended worldwide on X, with many contrasting Nigeria’s slow response to India’s swift action following a plane crash with similar fatalities.
Nigeria’s centralised security system is clearly overwhelmed. A single police force is tasked with covering 36 states and 774 local government areas for a population exceeding 200 million. Between 2021 and 2023 alone, 29,828 killings and 15,404 kidnappings were recorded nationally. Proposals for state police, floated since January 2025, remain stalled.
Other populous nations offer alternative models. Canada’s provincial police, India’s state forces, and Indonesia’s municipal units demonstrate the effectiveness of decentralised policing. Nigeria’s centralised structure creates intelligence and response gaps, worsened by the distance—both physical and bureaucratic—from Abuja to affected communities.
The immediate aftermath is dire: 21 IDP camps in Benue are overwhelmed, and a humanitarian crisis is deepening. The State Assembly declared three days of mourning (18-20 June), but survivors lack sufficient medical aid. Tragically, many of those killed were already displaced by earlier violence.
A lasting solution requires a multi-pronged approach, including targeted security deployment, regulated grazing land, and full enforcement of Benue’s 2017 Anti-Open Grazing Law. The National Economic Council’s failure to prioritise state police in May 2025 represents a missed chance for reform.
Without decisive intervention, trends suggest conditions will worsen. More than 20,000 Nigerians have been killed and 13,000 kidnapped nationwide in 2025 alone. As Governor Hyacinth Alia stressed during Tinubu’s visit, state police may be the only viable path forward. All 36 states have submitted proposals supporting decentralisation—a crucial step towards breaking Nigeria’s vicious cycle of violence.
Editorial
Responding To Herders’ Threat In Rivers

Editorial
Democracy Day: So Far…

Nigeria’s return to democratic rule in 1999 marked a watershed moment in the nation’s political history. After enduring nearly 16 years of successive military dictatorships, Nigerians embraced a new era of civil governance with the inauguration of President Olusegun Obasanjo on May 29, 1999. Since then, the country has sustained a democratic system for 26 years. But, this democratic journey has been a complex mix of progress and persistent challenges.
The formal recognition of June 12 as Democracy Day in 2018 by former President Muhammadu Buhari acknowledged a long-standing injustice. The annulment of the 1993 presidential election, Nigeria’s freest, betrayed the democratic aspirations of millions. That it took decades to honour this date reflects the nation’s complex relationship with its democratic memory.
One of the most momentous successes of Nigeria’s democracy has been the uninterrupted civilian rule over the last two and a half decades. The country has witnessed seven general elections, with power transferring peacefully among different political parties. This is particularly notable considering that prior to 1999, no civilian government had completed a full term without military intervention. The peaceful transitions in 2007, 2015, and 2023 are testaments to Nigeria’s evolving democratic maturity.
Electoral participation, while uneven, has also reflected a level of democratic engagement. In 2003, voter turnout stood at about 69 per cent, but this figure dropped to approximately 34.75 per cent in 2023, according to the Independent National Electoral Commission (INEC). Although the declining turnout raises concerns, it also highlights the increasing expectations of the electorate, who demand credible and transparent elections.
Another area of progress is the growth of a vibrant and free press. Nigerian media has played a crucial role in holding governments accountable and fostering public discourse. Investigative journalism and civil society activism have exposed corruption and human rights abuses. The rise of social media has further expanded the democratic space, enabling young Nigerians to mobilise and advocate for change, as evidenced by the 2020 #EndSARS protests.
Judicial independence has seen mixed results. On one hand, the judiciary has occasionally demonstrated resilience, such as in landmark rulings that overturned fraudulent elections or curtailed executive excesses. On the other hand, allegations of political interference and corruption within the judiciary persist, undermining public confidence in the legal system’s impartiality.
Nigeria’s democracy has also facilitated the decentralisation of power through the federal system. State governments now wield some autonomy, allowing for experimentation in governance and service delivery. While this has led to innovative policies in some states, it has also entrenched patronage networks and uneven development across the federation.
Despite these successes, Nigeria’s democratic journey faces formidable problems. Electoral integrity remains a critical concern. Reports from election observers, including those from the European Union and ECOWAS, frequently highlight issues such as vote-buying, ballot box snatching, and violence. The introduction of the Bimodal Voter Accreditation System (BVAS) and electronic transmission of results in 2023 elections showed promise, but technical glitches and alleged manipulations dampened public trust.
Corruption continues to be a pervasive issue. Nigeria ranks 145th out of 180 countries on Transparency International’s 2023 Corruption Perceptions Index, with a score of 25/100. Democratic institutions meant to check graft—such as anti-corruption agencies and the legislature—often struggle due to political interference and weak enforcement mechanisms.
Security challenges have also strained Nigeria’s democracy. Insurgency in the North East, banditry in the North West, separatist agitations in the South East, and herder-farmer conflicts across the Middle Belt have collectively resulted in thousands of deaths and displacements. According to the Global Terrorism Index 2024, Nigeria ranks as the eighth most impacted country by terrorism. The government’s difficulty in ensuring safety erodes public confidence in the state’s capacity and legitimacy.
The economy poses another critical remonstrance. Nigeria’s Gross Domestic Product (GDP) per capita stands at approximately $2,400 as of 2024, with over 40 per cent of the population living below the national poverty line. High unemployment and inflation have fueled discontent and disillusionment with democratic governance, especially among youth. Without addressing economic grievances, the democratic dividend will remain elusive for many Nigerians.
Ethnic and religious divisions further complicate Nigeria’s democratic consolidation. Politicians often exploit identity politics for electoral gains, exacerbating social tensions. Although federal character principles aim to promote inclusiveness, they have also sometimes fostered a quota mentality rather than merit-based appointments.
Gender representation remains inadequate in Nigeria’s democratic institutions. Women occupy less than 10 per cent of seats in the National Assembly, one of the lowest rates globally. Efforts to pass gender parity bills have faced stiff resistance, highlighting deep-seated cultural and institutional barriers to female political participation.
Civil liberties, while constitutionally guaranteed, are under threat. Crackdowns on protesters, restrictions on press freedom, and surveillance of activists reveal an authoritarian streak within the democratic framework. The controversial Twitter ban in 2021 exemplified the country’s willingness to curb digital freedoms, prompting domestic and international criticism.
The political crisis in Rivers State embodies broader democratic struggles. Attempts to control the state through undemocratic means expose weaknesses in federal institutions and the rule of law. Immediate restoration of democratic governance in Rivers State is vital to preserving Nigeria’s democratic integrity and institutional credibility.
Local governments remain under the control of state governors, depriving citizens of grassroots democracy. Last year’s Supreme Court judgment on local government autonomy is promising, but state-level resistance threatens its implementation. Genuine autonomy would bring governance closer to the people and foster democratic innovation.
As we mark Democracy Day, we must honour the sacrifices of Chief M.K.O. Abiola, Kudirat Abiola, Femi Falana, Chief Gani Fawehinmi, Pa Alfred Rewane, President Bola Tinubu, and countless others, who fought for Nigeria’s freedom. As democracy in Nigeria continues to evolve after 26 years, this day should inspire action toward its renewal. With despotism and state failure as real threats, both citizens and leaders must take responsibility—citizens by demanding more, and leaders by delivering. Excuses are no longer acceptable.