Editorial
Hepatitis: Need For Healthy Living
Today, July 28, Nigeria is joining the rest of the world to commemorate World Hepatitis Day. This annual
occasion was established by the World Health Organisation (WHO) to enhance global awareness about hepatitis, a group of contagious maladies comprising hepatitis A, B, C, D, and E. The fundamental objectives of the day are to promote prevention, diagnosis, and treatment of the disorder.
This year’s World Hepatitis Day, under the theme “One Life, One Liver,” emphasises the significance of a healthy liver and the necessity of broadening endeavours to prevent, test, and treat viral hepatitis. By prioritising liver health, we can avert liver defects and work towards realising the 2030 hepatitis eradication goals.
The liver handles over 500 integral functions daily, ensuring human survival. However, viral hepatitis bugs often remain unnoticed until the condition has blossomed considerably. Hepatitis B and C, in particular, pose widespread concerns, inducing practically 8,000 new infections each day, with a substantial number going undetected.
Hepatitis-associated deaths outstrip one million each year, with new infections emerging every ten seconds. Maintaining liver health is essential for overall human well-being, and the availability of vaccines and treatments for hepatitis B and C could cut down fatality estimates. We must note that the hepatitis B virus naturally results in liver cancer at a corresponding rate to daily cigarette smoking. Therefore, developing healthy living practices is indispensable.
With COVID-19 no longer an international health emergency, it is vital to drive home a hepatitis-free world and meet the global 2030 targets. The advancement made in curtailing hepatitis B infections, notably in children, shows that success can be attained. However, to secure further progress, we require streamlined primary care services for viral hepatitis.
In 2016, the World Health Assembly committed to getting rid of viral hepatitis as a public health menace by 2030, including ending mother-to-child transmission. However, Nigeria, despite possessing hepatitis B vaccines since 2004, has the highest number of children living with the virus. Disappointingly, in 2022, only 52per cent of infants received the prescribed birth dose and 62per cent completed the 3-dose sequence.
Thankfully, the Centre for Disease Control and Prevention, in partnership with the Nigerian Primary Health Care Development Agency, the African Field Epidemiology Network, and the Hepatitis B Foundation, conducts training programmes for healthcare workers and community volunteers in 40 healthcare facilities in Nigeria. These programmes aim to strengthen the administration of the hepatitis B birth dose (HepB-BD) and the subsequent 3-dose series (HepB3).
In Africa, hepatitis stands as a massive health consideration, with 70 million people touched and 200,000 deaths ensuing annually. Regardless of the availability of treatment, the impact of this illness recurs. Hepatitis B is the most predominant form of the disease, primarily disseminated through infected body fluids. Other modes of transmission include sexual contact with an infected partner, mother-to-child transmission during childbirth, direct contact with open wounds or infected blood, and sharing of contaminated needles, blades, or toothbrushes.
WHO recommends that all newborns receive a hepatitis B birth dose (HepB-BD) vaccine within 24 hours of delivery. However, by the end of 2022, only 114 out of 194 countries provided a HepB-BD to all newborns. In Africa, where the burden of hepatitis B is highest, only 16 out of 47 countries included hepatitis B beginning dosage vaccination in their routine immunisation programmes. Shockingly, in 2022, particularly, 18per cent of children in Africa received a delivery dose.
The dominant strategy for dealing with hepatitis B is prevention through vaccination. Treatment is possible with oral antiviral drugs, but it requires inveterate use. Treatment suppresses the virus rather than expunging it. Early treatment within the first three months of infection is very much recommended to halt the progression of the infection.
Efforts must be renewed to prohibit the transmission of hepatitis from mother to baby, by ensuring pregnant women are tested and treated. It is momentous to heighten awareness about the plague and promote testing and treatment. Governments should increase their investments in initiatives to expunge hepatitis. Despite the challenges presented by the pandemic, it is requisite to maintain and strengthen healthcare services.
Nigeria is encountering many health challenges following inadequate health infrastructure, insufficient healthcare investments, limited access to quality health services, and a stagnant health workforce. One of the pressing issues is the escalating pervasiveness of hepatitis, affecting over 18.2 million individuals. To address this pernicious illness, it is necessary for the federal and state governments to implement effective and consistent measures.
Notwithstanding the disruptions caused by the Coronavirus pandemic, Nigeria, the giant of Africa, must apportion supplemental domestic resources to accelerate the elimination of hepatitis. By implementing ingenious strategies to reinforce access to information and services, our country can make up for lost time.
Cape Verde, Uganda, and Rwanda have committed colossal resources to ensure a 99per cent birth dose vaccination rate, free national hepatitis B treatment, and free treatment for hepatitis B and C. Nigeria should follow suit. Cape Verde’s government has indeed bankrolled vaccine services and has maintained approximately 98per cent vaccine coverage for decades.
Nigerians encounter a huge burden of illnesses, including hepatitis, requiring swift action to reduce the health encumbrance. To make hepatitis services more accessible, the authorities must take them from specialised hospitals to decentralised facilities, invest in primary healthcare centres, and train more workers to diagnose and treat the virus nationwide.
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Editorial
WPFD: Nigeria’s Defining Test
Nigeria stands at a critical juncture as the world marked World Press Freedom Day (WPFD) on May 3. This annual observance is a reminder that a free press is central to democratic life, good governance, and public accountability. For Nigeria, it is also a moment for sober reflection on how far the country has come and how far it still has to go in safeguarding the independence of its media.
World Press Freedom Day exists to highlight the fundamental importance of freedom of expression and to honour journalists who risk their lives in pursuit of truth. It underscores the idea that without a free press, societies cannot function transparently, nor can citizens make informed decisions. In countries like Nigeria, where democracy continues to evolve, the observance carries particular urgency.
This year’s theme, “Shaping a Future at Peace: Promoting Press Freedom for Human Rights, Development and Security”, places journalism at the heart of global stability. It emphasises that a peaceful society cannot be built on silence, fear, or manipulated information. Rather, it depends on the free flow of accurate, timely, and independent reporting.
At its core, the theme highlights the role of journalism in fostering accountability, dialogue, and trust. These are not abstract ideals. In Nigeria, where public confidence in institutions is often fragile, the media remains one of the few platforms through which citizens can question authority and demand transparency. When press freedom declines, so too does public trust.
Journalism serves as a foundation for peace, security, and economic recovery. Countries with robust media systems tend to attract greater investment, maintain stronger institutions, and resolve conflicts more effectively. Nigeria’s economic challenges, ranging from inflation to unemployment, require open scrutiny and informed debate, both of which depend on a free press.
However, the issue of information integrity has become increasingly complex in the digital age. Artificial Intelligence (AI) and online platforms have amplified the spread of misinformation and disinformation. In Nigeria, where internet penetration has grown rapidly, false narratives can travel faster than verified facts. This makes the role of credible journalism more vital than ever.
The challenge is not only technological but also ethical. AI-driven manipulation of information threatens to distort public discourse, influence elections, and deepen social divisions. In such an environment, professional journalism must act as a stabilising force, ensuring that truth prevails over sensationalism and propaganda.
Equally troubling is the safety of journalists. Across Nigeria, reporters face growing levels of online harassment, judicial intimidation, and physical threats. Self-censorship is becoming more common, as media practitioners weigh the risks of reporting sensitive issues. This trend undermines the very essence of journalism.
A particularly alarming incident involved a serving minister in the present administration, who openly threatened to shoot a journalist during a televised exchange. Such conduct, broadcast to the public, sends a dangerous signal that hostility towards the press is acceptable. It erodes the norms of democratic engagement and places journalists in harm’s way.
This year’s theme aligns closely with the United Nations Sustainable Development Goal (SDG)16, which promotes peace, justice, and strong institutions. Freedom of expression is a cornerstone of this goal. Without it, institutions weaken, corruption thrives, and justice becomes elusive. Nigeria’s commitment to SDG 16 must therefore include genuine protection for the media.
Historically, the Nigerian press has been a formidable force. From resisting colonial rule to challenging military dictatorships, our journalists have played a central role in shaping the nation’s political landscape. Today, however, that legacy appears to be under strain, as the media operates under what can best be described as a veneer of freedom.
Beneath this facade lies a troubling reality. Journalists are routinely harassed, detained, and prosecuted for performing their constitutional duties. Reports from media watchdogs indicate that dozens of Nigerian journalists face legal threats or arrest each year, often for exposing corruption or criticising those in power.
The Cybercrimes (Prohibition, Prevention, etc.) Act of 2015 has become a focal point of concern. Originally intended to combat cyber threats, it has increasingly been used to silence dissent. Sections 24 and 27(1)(b), in particular, have been invoked to target journalists, bloggers, and social commentators.
Although amendments introduced in February 2024 were meant to safeguard journalists, concerns persist. The law continues to be wielded in ways that stifle investigative reporting and restrict freedom of expression. Legal reforms must go beyond cosmetic changes to address the root causes of misuse.
To safeguard the future of journalism in Nigeria, decisive action is required. The Cybercrimes Act must be revisited to ensure it cannot be weaponised against the press. Law enforcement agencies must operate free from political influence, upholding the rule of law and protecting journalists’ rights. Civil society and international partners must also strengthen independent media through funding, training, and platforms for wider reach.
In this rapidly evolving world shaped by artificial intelligence and digital innovation, Nigeria faces a clear choice. It can either allow press freedom to erode under pressure, or it can champion a truly independent media landscape. The path it chooses will determine not only the future of journalism, but also the strength of its democracy and the peace it seeks to build.
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