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Japa Syndrome Cripples Igbobi Orthopaedic Hospital

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The National Orthopaedic Hospital Igbobi, Lagos (NOHIL) is barely limping along, as it contends with the exodus of a large volume of its personnel for better working conditions outside Nigeria.
In recent years, Nigeria’s health sector has suffered, and continues to suffer, from huge depletion of critical manpower fleeing abroad for more attractive conditions of service. The trend has been labelled Japa syndrome in local Nigerian parlance.
Checks revealed that NOHIL is particularly hit by Japa syndrome; as its operations have been greatly hobbled by acute shortage of personnel across many of the departments and units.
At the premier orthopaedic institution, which serves as a centre of the World Health Organisation (WHO), patients who do not make the cut for the day’s booking to be registered as fresh patients or for such procedures as X-ray or physiotherapy or be attended to by doctors, routinely resort to passing nights within complex at the mercy of the elements.
Patients and their relatives or other caregivers, according to findings, opt for such arduous nights in the open as an effective strategy for minimising logistics expenditures and other costs of booking the names of patients early enough for their various appointments.
It was learnt that the worst-hit by acute personnel shortages is the Radiology Unit, which, as early as 7:00am attains its daily count of 20 patients booking for X-ray, as any or all other persons reporting after that figure are firmly ordered to try out another day and subsequently dismissed.
It was observed, however, that staff of the hospital also indiscriminately smuggle in names of persons favoured based on familial or pecuniary relationships for X-ray services at the Radiology Unit.
There is also an X-ray centre operated besides that of the hospital’s by a private sector service provider, Crestview Radiology Limited, which was recently overwhelmed by huge demand when NOHIL’s X-ray machine broke down.
Notably, patients can only be attended to at the Crestview X-ray centre strictly based on request forms referrals endorsed by NOHIL doctors.
It was gathered that, in order to ensure that each of their patients get adequate care, physiotherapists at the Physiotherapy Unit have resorted to keeping the maximum number of patients they attend to daily at below 10.
Speaking under anonymity, a female outpatient, who is a resident of Ijoko in neighbouring Ogun State, lamented that she had suffered several misses while seeking to have her initial X-ray session.
She confessed with a hint of a victorious smile that she was only able to have that initial x-ray, having risen and reported at the Radiology Unit at 4:30 AM after she joined many others who did same in passing the night along the hospital’s corridors.
She disclosed that she had adopted the same strategy of sleeping over at the hospital in order to successfully keep up with the appointments for other X-rays and her physiotherapy sessions.
Explaining that bills for the various hospital services were high and already draining her purse, she noted that her finances, in the prevailing harsh economic conditions in Nigeria, had been dealt additional blows because she, until she settled for sleepovers at the hospital, has been expending so much on transportation to cover all what turned out to be fruitless trips between her Ijoko, Ogun State residence and NOHIL.
Affirming to have eased so much of the stress on her purse by passing nights at the hospital in order to meet appointments next mornings, the woman said that she was actively passing on the very beneficial advise that someone offered her for others to follow to access services at the hospital more promptly while keeping their costs in check.
Several other outpatients, all under anonymity, had spoken in a similar vein of resorting to passing nights at NOHIL in order to cut costs in accessing services promptly.
Located along the arterial Ikorodu Road, NOHIL, which is projected to accommodate 450 patients, reportedly had started as a Military Rehabilitation Camp for prisoners of war returning from the Second World War.
Following the recognition by the Colonial Medical Services in 1945, the institution had become a medical establishment known as Igbobi Orthopaedic Hospital.
NOHIL had undergone a number of name changes, including from Igbobi Hospital to Royal Orthopaedic Hospital and onto its current name.
At various times between 1945 and 1977, the institution had come under the administration of the Federal Government and Lagos State Government. Since 1977 to date, however, the hospital has remained a Federal Government health institution.
In its early days, according to website of NOHIL, “the sphere of influence of the hospital extended to other parts of the West African sub-region, Central Africa and Angola.”
The hospital further stated that the facility was a repository of materials and resources for students during the same period.
In the present times, except the Federal Government takes urgent remediation steps to arrest the exodus of NOHIL’s personnel for greener pastures abroad, the hospital may very soon be rendered comatose.
Checks confirmed that the Japa syndrome does not only cast a pallor on the bragging rights of NOHIL to the tag of “premier health institution”, but also poses an existential threat to the hospital.

By: Nkpemenyie Mcdominic, Lagos

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Bonny-Bodo Road: FG Offers Additional N20bn, Targets December Deadline

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The Federal Government has agreed to offer additional N20.5 billion for the completion of the Bonny-Bodo road project in December.
The government, however, said if the construction company, Julius Berger, was not ready to accept the offer, the contract will be terminated.
Minister of Works, David Umahi, said this during a meeting with the Managing Director of Julius Berger, Lars Ritcher and members of Bodo-Bonny Road Peace Committee, on Wednesday in Abuja.
The reports that Julius Berger had requested asking for a N28 billion variation on the 82 per cent completed project.
The company hinged its request on the rise in exchange rate, construction materials, and diesel among others.
Umahi, however, said the government was willing to provide N20 billion out of the N28 billion that Julius Berger requested for.
According to him, the Bonny-Bodo road contract which was initially awarded at the cost of N120 billion in 2015, was later varied at N199 billion with a completion dateline of December 2023, which has since elapsed.
The Tide’s source recalls that in 2017, an agreement between the Federal Government, Nigeria Liquefied Natural Gas (NLNG) and Julus Berger on modalities for funding the project cost of N199.923 billion, without any further increase.
“If you do not accept the Federal Government’s offer by Friday and resume work on the site, the previously expired 14-day ultimatum for termination of project will be enforced.
“I want to let you know that we are the client. No contractor will dictate for this ministry, and there is no job that is compulsory that a particular contractor must do.
“We give you an offer. If you do not like the offer, you walk away. You don’t force us or we don’t force you.
“Agreement of contractual relationship is a mutual understanding,’’ the minister said.
Umahi said that had Julius Berger adhered to the project timetable, the project would have been completed on schedule before the impact of foreign exchange.
“Our position is very simple, we reject the conditions of Julius Berger totally and we ask Berger to please go back to the site to complete the project based on our offer.
“Our offer is unconditional and we say, accept or reject, so you cannot subject our offer to your conditions ,’’ he added
Umahi said the company should be humble in its dealings and exhibit solidarity during challenges.
Earlier, Richter had explained that the company suspended work on the site to seek some clarifications from the ministry.
According to him, the company asked for the augmemtation of N28 bilion because as at the time the contract was awarded the exchange rate was N305 to a dollar and diesel was N350 eor litre.
“We will still require some outstanding materials; that means that the initial agreement can’t fly because the variation of project is not sufficient and the exchange rate is also not in our favour to compensate the additional costs.
“That is why we decided to go back to our original proposal of the augmentation. Augmentation is a very normal process for all contracts,” the managing director said.
Chief Abel Attoni, Palace Secretary, Bonny Kingdom, expressed gratitude to President Bola Ahmed Tinubu over the decision to complete the Bodo-Bonny road project.
Attonu urged the parties to be patriotic and make the necessary sacrifice for the actualisation of the project.

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Court Vacates Arrest Warrant Against Ehie, Five Others

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The Federal High Court, sitting in Abuja, yesterday, set aside the warrant of arrest against Rt. Hon. Edison Ehie, the Chief of Staff, Government House, Rivers State, and five others.
Justice Emeka Nwite stated this while delivering his ruling in an application seeking to vacate the warrant of arrest which he issued on January 31, 2024.
The Judge said he was misled by the police in ordering the arrest of Ehie in connection with the burning of the Rivers State House of Assembly on October 30, 2023.
The Police, had told the court that Ehie and five others masterminded the bombing of the Rivers State House of Assembly amid a plot to impeach Rivers State Governor, Siminalayi Fubara.
The five others are Jinjiri Bala, Happy Benedict, Progress Joseph, Adokiye Oyagiri, and Chibuike Peter, alias Rambo.
Justice Emeka Nwite while setting aside the warrant said it has now become a mere academic exercise.
The judge further granted same to the 2nd to 5th Defendant/Applicant in same suit.
Femi Falana, SAN, and Oluwole Aladedoye, SAN, who appeared for the defendants in separate suits, held that the court lacked the jurisdiction to have granted the order.
While Falana filed a motion seeking an order to set aside the January 31 order by Justice Nwite, Aladedoye applied for a stay of execution of the arrest order.
In a motion marked: FHC/ABJ/CS/112/2024 dated February 2 and filed on February 7 by Falana, Ehie sought two orders, including “an order setting aside the order made on January 31 for want of jurisdiction.
“An order of this honourable court staying the execution of the order made on the 31st January 2024, pending the hearing and determination of this application.”
Giving six grounds of argument, Falana argued that the complainant had not filed any criminal charge or motion before the court.
The senior lawyer argued that the court lacked the territorial jurisdiction to entertain the ex-parte application as the alleged offences of conspiracy, attempted murder, murder and arson took place in Port Harcourt, the state capital.
“He submitted that the court lacked the vires to grant an application to arrest and declare his clients wanted in respect of the alleged offences.
“The complainant/respondent (IG) did not adduce evidence of terrorism in the affidavit in support of the application.
“The complainant/respondent did not cite any section of the Terrorism Prevention Act, 2013 (as amended) alleged to have been contravened by the applicants,” he argued.
Aladedoye in a motion on notice dated and filed February 9, on behalf of the five defendants, sought two orders, including
“an order staying execution or further execution of the order(s) of this honourable court made on the 31st of January, 2024, pending the hearing and determination of the appeal filed by the applicants.
“An order of injunction restraining the complainant from carrying out or further carrying out the orders of this honourable court made on the 31st January 2024, pending the hearing and determination of the appeal filed by the applicant in this case.”
Giving a three-ground argument, Aladedoye said that a notice of appeal had already been filed against Justice Nwite’s orders.
According to the senior lawyer, the notice of appeal contains grounds that challenge the jurisdiction of the honourable court.
The Inspector-General had, in a charge marked: FHC/ABJ/CR/25/2024, arraigned the defendants on a seven-count criminal charge bordering on terrorism and murder.

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13 Students Bag First Class, 182 PhD As IAUOE Graduates 5,550, Today

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The authorities of Ignatius Ajuru University of Education (IAUOE), Rumuolumeni, in Rivers State, have stated that 13 students will be graduating with first class while 182 graduands will bag Ph.D during the 42nd convocation ceremony of the university billed to hold today and tomorrow.
The Acting Vice Chancellor of the University, Prof. Okechuku Onuchuku, disclosed this during pre-convocation press briefing held in his office, yesterday, to unveil the programme for the convocation ceremony.
Onuchuku said that the 13 students were among the 4,653 graduands expected to graduate for the 2022/2023 academic session with first degree, while 897 students will be graduating with postgraduate degrees.
The Acting Vice Chancellor while giving the breakdown stated that 13 students made first class, 890 students bagged second class upper while 2,739 students had second class lower for first degree.
He further stated that 182 graduands bagged PhD, 667 got master’s degree and 48 got postgraduate diploma, adding that the convocation ceremony will hold today and tomorrow for first degree graduands and postgraduate graduands respectively.
He said that a total of 47 programmes out of the 54 programmes being undertaken at the first degree levels had been given full accreditation by the National University Commission (NUC) as well as all the programmes at the postgraduate school.
“We have ensured that our programmes both at the first degree and post graduates are in line with the NUC stipulated guidelines and speculations. We have also ensured that we are in line with both our academic and administrative policies,” he said.
Prof. Okechukwu urged the graduating students of the institution to always remember to use thier positions to help their alma mater as well as project the institution in a good image in the larger society.
“Try to ensure you finish any project you want to do, evaluate it first and avoid unfinished or abandoned projects. We will be graduating first degree graduands on Friday while Saturday will be for postgraduates, “he added.
Prof. Onuchukwu also said his administration had achieved a lot since he assumed office as Acting Vice Chancellor, stressing that his administration had improved on the welfare of the staff and the students.
“There are a lot of projects completed in the school; we have also given scholarship to some students and also encouraged departments to do same. We also impacted positively on our host communities”, he said.

Akujobi Amadi

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