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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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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