Editorial
Immunisation: No More Failure
Fresh alarm raised recently by two United Nations agencies about the failure of immunization inNigeria calls for urgent need by the three tiers of government and stakeholders in the health sector to redefine their strategies for a sustainable immunisation programme.
The World Health Organisation and United Nations Children’s Fund, which gave strong signal of Nigeria’s deteriorating health indicators at an African Vaccination Week said, diseases are escalating in the country because immunisation programmes are handled with levity.
Putting it in proper perspective, UNICEF said, “Ignorance, religion, culture and rumour are some of the reasons for the failure of nursing mothers and pregnant women to complete their immunisation schedule….” Immunisation, a bulwark against deadly diseases such as tuberculosis and diphtheria, is also failing in Nigeria because of inadequate funding and corruption.
According to UNICEF,Nigeria has the world’s second highest number of deaths in children under five, losing around 2,700 every day from a ratio of 120 per 1,000 in 2016, although it has declined since 2003, down from more than 200 per 1,000. Only one out of three babies is delivered in a health facility. The poorest among Nigeria’s population continue to be most in peril, whatever their age. While there have been drops of 31 per cent and 26 per cent in under-five and infant mortality rates, respectively, over the last 15 years, the decline in deaths of newborns over the same period is just 20 per cent, highlighting an urgent need to scale up interventions targeting the youngest in the country.
The indices indicate that the uptake of routine immunisation remains poor and full immunization coverage has failed to gain traction as only one in four children are fully vaccinated. The situation for rural children causes greatest concern – only 16 per cent are fully immunized, compared to 40 per cent of children in urban areas. Measles vaccination coverage has now fallen below 50 per cent.
Despite making significant progress in the eradication of polio, which led to Nigeria being declared polio-free in 2015, insurgency in the northeast and the resultant insecurity is beginning to reverse these gains: four new cases of wild poliovirus (WPV) re-emerged in Borno State.
Diseases such whooping cough, tuberculosis, diphtheria, polio, chicken pox and measles, some of which have been totally eradicated in several parts of the world, are still wasting away lives here because of the failure of immunisation. A disturbing May 2017 survey by the Abuja-based coalition, the Association for the Advancement of Family Planning, concluded that 90 per cent of women in northern Nigeria delivered their children at home because they did not have access to antenatal care, hospital and transport fees.
Immunisation was developed to prevent diseases, not to cure them. It protects children from contracting a broad range of dangerous diseases, including hepatitis and cervical cancer. Described as one of the greatest breakthroughs in modern medicine, British health authorities say “no other medical intervention has done more to save lives and improve quality of life.” For instance, small pox, which killed thousands of Europeans in the 18th century, was wiped out in 1980 through vaccination. If it were still common, it would have led to two million deaths annually.
WHO says that through immunisation, two to three million children are saved from vaccine-preventable deaths annually? The global measles mortality has declined by 79 per cent from 651,600 deaths in 2000 to 134,200 in 2015 as a result of immunisation. In 2016, a 22-year strategy saw the United States becoming the first country to eradicate measles. Finland’s determined immunisation drive has wiped out measles, mumps and rubella. With extensive vaccination, only Afghanistan, Pakistan and Nigeria still had cases of polio as at 2016.
The challenges before Nigeria are tough: First, vaccines are expensive. According to WHO, a dose of MMR costs £200. The National Primary Healthcare Development Agency, at the height of the meningitis outbreak, a disease which had killed 813 from 8,000 infections as at 2017 April, said that Nigeria required $1.1 billion to procure vaccines to stem the person’s fatalities. This is enough to call on government at all levels to allocate more resources to the sector, and also manage the funds more transparently, devoid of corruption that allows officials to sell vaccines, meant to be distributed free to those in need, at exorbitant prices.
It is on this premise The Tide welcomes the recent move by the Rivers State Government in collaboration with other agencies to address the challenges of immunization in the State. We believe that such a synergy will not only assuage the financial burden of getting children immunised, but will also encourage easy and unimpaired accessibility.
We equally urge other states of the federation to emulate the Rivers example and get serious about the political, social and technical constraints bedeviling immunisation campaigns. Efforts should be stepped up to make vaccines widely available and to motivate health workers to penetrate the rural areas. Research has linked immunisation to politics, lifestyle, religious beliefs, culture and trust of authority, in conjunction with access. There is therefore the need to disabuse the minds of the people who still feel that some vaccines are capable of causing sterilisation and other ailments.
While we commend the integrated awareness crusade currently put together by the Rivers State Government to sensitisethe people of the benefits of immunisation, the joint effort should target and weave the campaign around health organisations, religious leaders, educational institutions, the media and traditional institutions to achieve maximum impact.
Heartwarmingly, the world of medical science is developing new vaccines to combat diseases. One of such is the malaria vaccine, which should have been put on clinical trial in three African countries between 2018 and 2020. Through collaboration, all stakeholders have to key in to such projects, and also develop the local capacity to produce vaccines in partnership with our research institutions and the universities.
We also enjoin parents to take advantage of the efforts of government and their collaborators to ensure their children within the specified ages are brought forward for immunization. The fight against child killer diseases must be total and won now.
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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.
Editorial
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