Editorial
Diabetes: Halt The Rise Now!
Last Thursday, April 7, this year, the global
community, in line with the United Nations
declaration observed the World Health Day, with a focus on strategies to halt the alarming rise in diabetes and its negative effect on human health and socio-economic activities.
With the theme: “Halt the rise: Beat Diabetes”, the international community celebrated the day with sensitisation and enlightenment sessions, including public lectures, road shows and media discussions, to hammer home key ideas that could help tone down the spread of the disease, which the World Health Organisation (WHO) says may become the 7th leading killer of humans by the year 2030.
Diabetes is a chronic, progressive non-communicable disease (NCD) characterised by elevated levels of blood glucose (blood sugar), and occurs either when the pancreas does not produce enough of the insulin hormone, which regulates blood sugar, or when the body cannot effectively use the insulin it produces. The complications of diabetes can lead to heart attack, stroke, blindness, impotence, kidney failure and lower limb amputation.
According to WHO, “in 2014, the number of people living with diabetes almost quadrupled to 422 million adults or 8.5% of the population, compared with 108 million or 4.7% in 1980, with most living in developing countries. Diabetes caused 1.5 million deaths in 2012.”
WHO highlighted the need to step up prevention and treatment of the disease, listing needed measures to include expanding health-promoting environments to reduce diabetes risk factors, like physical inactivity and unhealthy diets, and strengthening national capacities to help people with diabetes receive the treatment and care they need to manage their conditions.
It was also stated that many cases of diabetes can be prevented and that measures exist to detect and manage the condition and improve the odds so that people with diabetes live long and healthy lives.” It added that change in the spread greatly depends on governments doing more, including implementing global commitments to address diabetes and other NCDs.
Here in Nigeria, the Diabetic Association of Nigeria (DAN), South-South zone confirmed that more than one million people were living with diabetes in Rivers State, with huge unspecified death toll in the last decade, and added that the number of people living with diabetes in the State was on the increase.
Interestingly, Rivers State Government says it is ready to work with all stakeholders in the health sector to reduce the burden of diabetes and its complications through various public enlightenment and intervention programmes. It further called on the people to make concerted effort to prevent and treat diabetes to achieve the Sustainable Development Goals.
The Tide is worried that even as diabetes is becoming so prevalent and deadly, a lot of people know very little about the medical condition. Often, it is the fear of diabetes rather than its causes, prevention and management that is thrown up.
Combined with a culture that does not have space for periodic health checks, diabetes is easily mistaken for other medical conditions until it becomes too late for some persons. In fact, very few people know that diabetes can also be hereditary, a point that should ordinarily be a guide for some persons.
Incidentally, there is now the emergence of type II diabetes that affects children. As in other health related situations, ignorance of the cause(s) can only spread the wings of the disease and multiply the casualty rate.
That is why we expect the Rivers State Government to, in addition to preparing the personnel and facilities of the health sector to deal with this rising evil, embark on extensive enlightenment programme. The Ministry of Health must collaborate with the Ministry of Information to come up with ingenuous ways of driving the message on diabetes home.
Because of the harsh realities of the economy, a good number of the people may not be able to pay for the diabetes test and the drugs. Government may need to do something in this direction with a view to removing the fangs from the jaws of diabetes.
On the whole, the rise in diabetes simply calls on men to take serious their health through a review of their lifestyle, what they consume and simple exercise. People must now pay attention, more than ever before, on health information and age-long admonitions from the major religions on health.
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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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