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Editorial

Combating TB In Rivers

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Rivers State, on March 24, joined the rest of humanity to mark the 2020 World Tuberculosis Day, with the major target to do everything possible, with its array of influential religious leaders and other stakeholders, to change her fifth high burden status among the 36 states and Abuja, with its current burden estimated at above 16,000 cases.
Speaking at an event to mark the day, the state Commissioner for Health, Prof Chike Princewill, noted that in 2019, about 3,728 persons were diagnosed and treated for TB in the state, adding that apart from the 12 approved rapid diagnostic machines for free TB diagnosis provided in Rivers State, key players should join hands with the government to provide additional 15 TB diagnostic machines for the state in order to reduce the health burden on Rivers people.
The WTBD, observed by member states of the United Nations each year, is designed to build public awareness about the global epidemic of tuberculosis and efforts to eliminate the disease. Proposed by International Union Against Tuberculosis and Lung Disease (IUATLD) as an official UN Observance in 1982, a century after its discovery, with the theme, “Defeat TB: Now and Forever”, WTBD was not officially recognised as an annual occurrence by WHO’s World Health Assembly and the UN until over a decade later.
Tuberculosis is caused by bacteria (Mycobacterium tuberculosis) that most often affect the lungs. It’s curable and preventable, and is spread from person to person through the air. People who are infected with HIV are 19 times more likely to develop active TB. The risk of active TB is also greater in persons suffering from other conditions that impair the immune system. Common symptoms of TB are cough with sputum and blood at times, chest pains, weakness, weight loss, fever and night sweats.
In his message to mark World TB Day, WHO Director-General, Dr Tedros Adhanom Ghebreyesus, emphasized that, “COVID-19 is highlighting just how vulnerable people with lung diseases and weakened immune systems can be. Millions of people need to be able to take TB preventive treatment to stop the onset of disease, avert suffering and save lives”.
The Director of WHO’s Global TB Programme, Dr Tereza Kasaeva, also echoed the same sentiment, saying, “As people around the globe come together to commemorate World TB Day, WHO is calling on governments, affected communities, civil society organisations, health-care providers, donors, partners and the industry to unite forces and step up the TB response – notably for TB preventive treatment – to ensure no one is left behind. We stand in solidarity with those affected by COVID-19 and those at the frontlines of the fight to combat the infectious disease. We need to act with urgency to ensure that in line with our vision of Health for All, no one with TB, COVID-19 or any health condition will miss out on the prevention and care they need. The time for action is now.”
Despite that linkage between TB and COVID-19, among others, as some of the infectious diseases complications ravaging humanity, Rivers State has effectively prosecuted the fight against TB over the last two decades and half, and the result has been crystal clear. Although the state ranked 5th in 2019 in high burden in Nigeria, The Tide is glad that the treatment for TB has been exponentially high in the state, even as the major challenge still remains in identifying infected persons. We note that last year, over 3,728 people were diagnosed of TB and subsequently placed on treatment. We also reckon the good treatment outcome in Rivers State, where cure rate is high; and treatment success rate is almost 90%, even as the World Health Organisation (WHO) target for success rate is about 25%.
This year’s theme, “It’s Time”, is aimed at drawing attention to the urgent need to act, by ensuring equitable and people-centred TB response and increased access to prevention and treatment, reduce stigma and discrimination as well as build accountability. This is why we suggest innovative ways to increase access to TB treatment while emphasizing collaboration with private sector by engaging private health practitioners, patent medicine vendors and community pharmacists to scale up the fight. Health workers as key stakeholders are enjoined to be more painstaking in the discharge of their duties, by among other things, obtaining information about patients’ history of cough, and make effective use of modern diagnostic services.
With this year’s target aimed at mobilising religious leaders in the fight, we urge those with large congregants to be in the frontline and use their exalted positions to raise awareness at the various churches and mosques on the need to go for diagnosis, and subsequently be treated, which will ultimately lesson the infection burden on the state. We equally advise them to be part of the crusade against TB by encouraging their followers to visit health facilities for diagnosis and treatment, if need be, with a view to combating the scourge and reversing the spike in the state.
Even as Rivers State ranks 5th in high burden of TB among the 36 states and the FCT, Nigeria regrettably ranks first among TB burden nations in Africa, and sixth globally, with 300,000 cases missing in most communities. About 18 Nigerians die hourly from TB, while 49 develop active TB; seven of which are children. In 2012, approximately 1.4 million deaths were attributed to TB infection, and Nigeria ranked 10th of the 22 high burden TB countries, and recorded over 190,000 new cases and over 280,000 prevalent TB cases. In 2016, Nigeria ranked 4th out of the 22 high tuberculosis burden countries worldwide and had the highest burden of tuberculosis in Africa, with an estimated 407,000 cases.
As we mark World TB Day 2020, the disease remains the world’s top infectious killer. Each day, over 4,000 people lose their lives to TB and close to 30,000 people fall ill with this preventable and curable disease. We join WHO, its partners, civil society and governments, especially Rivers State, in asking for support of major stakeholders, including religious leaders in scaling up the TB response, to achieve the Sustainable Development Goals targets of ending the TB epidemic by 2030.
As the world comes together to tackle the COVID-19 pandemic, it is important to ensure that essential health services and operations are continued to protect the lives of people with TB and other infectious diseases or health conditions. Health services, including national and state programmes to combat TB, need to be actively engaged in ensuring an effective and rapid response to COVID-19 while ensuring that TB services are maintained. We urge continued efforts to tackle longstanding health problems, including TB during global outbreaks such as COVID-19. At the same time, we suggest that programmes already in place to combat TB and other major infectious diseases can be leveraged to make the response to COVID-19 more effective and rapid.
We, therefore, challenge religious leaders, community leaders, policy makers, and the media community to join other stakeholders to collectively win the war against infectious diseases, including TB, COVID-19, and their likes. It is a task that must be done for the benefit of humanity. We urge leaders across all levels to put the accent on the urgency to act on the commitments made to: scale up access to prevention and treatment; build accountability; ensure sufficient and sustainable financing including for research; promote an end to stigma and discrimination, and encourage equitable, rights-based and people-centred TB response. We charge all to join forces under the banner “Find. Treat. All. #EndTB” to ensure no one is left behind. Let us unite forces in raising our voices for the millions suffering and dying due to TB, especially in the midst of the COVID-19 pandemic. It’s time for action. It’s time to end TB.

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Editorial

That Odili’s Health Centre Gesture 

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Ndoni, a small, but peaceful community in Ogba/Egbema/Ndoni Local Government Area of Rivers State
was recently filled with excitement when eminent dignitaries, including Governor Siminalayi Fubara, attended the inauguration of the new Comprehensive Primary Healthcare Centre. This generous donation came from the PAMO Educational Foundation, established by former Rivers State Governor, Dr Peter Odili, who hails from the Ndoni community where he is deeply revered. The Foundation holds a special place in the hearts of the local people.
The inauguration ceremony was a source of great joy and celebration for the community, as the new healthcare facility promises to provide much-needed medical services to the people of Ndoni. The facility is built to provide a wide range of healthcare services, including maternal and child health, immunisation, family planning, and treatment for common illnesses. It is expected to significantly improve the health outcomes of the community, especially for women and children.
PAMO Educational Foundation’s unwavering dedication to enhancing the well-being of the Ndoni community and its environs is exemplified by the establishment of this health facility. The Foundation has consistently invested in initiatives that foster education and healthcare, and this new amenity is a testament to its ongoing commitment. PAMO’s rich history of supporting educational endeavours and healthcare programmes in the community has laid the groundwork for the Foundation’s continued contributions. The health resource stands as a beacon of hope, providing much-needed medical services and improving the quality of life for countless individuals.
Undoubtedly, the presence of dignitaries underscored the necessity of the event and the value placed on the health centre by the community and the state government. The Ndoni people expressed their profound gratitude to PAMO Educational Foundation and former Governor Odili for their generosity and commitment to the well-being of the community. They pledged to make good use of the health appliance and ensure that it served its intended purpose for many years to come.
The former health centre, a vital lifeline for the town and its neighbouring communities, fell victim to the relentless floods of the River Niger in 2020 and 2022. The torrential waters ravaged buildings, destroyed crops, killed livestock, and tragically claimed lives. In the wake of this devastation, residents were left without access to essential medical services, a cruel blow that compelled them to undertake arduous journeys to distant communities like Omoku for over two years. The old primary health amenity was erected during the administration of Odili and inaugurated  in 2008.
The unveiling of the new health institution brought a surge of palpable relief and gratitude to the beneficiaries. The modern facility, equipped with state-of-the-art apparatus and dedicated medical professionals, stood as a symbol of hope and resilience. It marked a new chapter in healthcare for the community, providing them with the means to access quality medical services in the comfort of their own surroundings. The trauma of the floods was slowly fading into memory, replaced by a sense of renewed optimism and a profound appreciation for the gift of healthcare.
Governor Fubara inaugurated the event, which provided a platform for reconciliation as numerous politicians who had previously distanced themselves from the current government were seen at the gathering, showing their support for Fubara’s administration. In his address, the governor thanked Dr Odili, the founder of the PAMO Educational Foundation, and a key political figure in the state, for standing by his administration in the wake of the political turmoil in the state.
He pledged his government’s support to the Ndoni people by enhancing the healthcare accommodation and highlighting Odili’s legacy as a valuable gift. The administration aims to provide quality education, healthcare services, and empowerment, including agriculture and human capital development. Fubara has already approved the recruitment of 1,000 medical doctors for primary health, Hospital Management Board, and Rivers State University Teaching Hospital to improve healthcare delivery and ensure the use of zonal hospitals in the state.
Odili praised Fubara for his humility and commitment to protecting Rivers people in line with the constitution, and encouraged him to focus on providing good governance. He said: “Politics is over, it is now time for governance and you have to hit the ground running, you have touched the critical sectors. In less than one year in office, you have touched education, you have touched health, but the key to what you have done so far is the focus on human beings, on the people, especially the poor amongst you. Human beings are the soul of society. So touching the lives of human beings is more important, you have started showing signs of that.”
We express our sincere gratitude to the former governor for his incredible determination in establishing the health facility. This admirable deed will always be remembered in history as a symbol of his unwavering dedication to the health of the people in our state. By generously donating his personal resources, he has shown true patriotism and a deep love for his community. His selfless actions have not only provided essential healthcare services but have also inspired others to do the same.
For the Ndonis, the inauguration of the health facility marks a critical milestone in the provision of accessible and affordable healthcare. It is an attestation to Odili’s visionary leadership and his unwavering belief in the importance of investing in the health and well-being of his people. We celebrate this Rivers son for his exceptional foresight and humanity. His legacy will be forever linked to this exceptional facility, which will continue to serve as a beacon of hope and healing for generations to come.
All the elites in our state should emulate Odili by embracing a spirit of collaboration with the government to foster the development of the state rather than disparage aimlessly. Needless criticisms, on the other hand, can hinder progress and create an atmosphere of distrust. While constructive animadversion is essential for holding leaders accountable, excessive or unfounded negativity can undermine morale and discourage alliance. If we focus on solutions rather than problems, we can create a positive and productive environment that attracts investment, promotes innovation, and ultimately leads to a better future for all.
Peter Odili’s exploit underscores the critical role private sector infrastructural initiative plays in enhancing the economic landscape of a state. He has not only bridged the gap between the government and private entities, but has also set a precedent for cooperation that fosters innovation, attracts investments, and creates job opportunities. These partnerships are vital for unlocking the untapped potential of the state, laying the foundation for sustainable development. The government’s recognition and support of the private sector as a driver of economic progress are essential. Rivers State can progress towards a future characterised by robust economic transformation and an improved quality of life for its people, if it emulates Odili’s example of promoting synergy.

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Editorial

For Peace In The M’East

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Tensions in the Middle East have been a cause for concern for decades now. The region has been plagued by conflicts, violence, and instability, with countries such as Israel, Iran, Iraq, Yemen, and Syria being at the centre of many disputes. The failure to resolve these concerns may have devastating consequences for the people living in the region. It also has what it takes to escalate into much larger encounters.
If the international community fails to act swiftly to end the hostilities, there is a real risk that a Third World War might ensue. The clashes in the region are perplexing and passionately rooted in historical, religious, and political distinctions. The inability to address these underlying matters and uncover peaceful solutions has only fueled the fire of discord and contentions among the nations involved.
The Middle East is a crucial geopolitical region, with significant reserves of oil and natural resources, as well as being a hotbed of religious and cultural diversity. The fracas in the region has far-reaching socioeconomic aftereffects. Any intensification in the brunt could have widespread upshot for global security, trade, and stability.
No one should take the probability of a Third World War arising from the region lightly. The use of nuclear weapons, the involvement of major world powers, and the potential for an expansive regional conflagration could have catastrophic backlash. The international community must unite to address the root causes of the apprehensions in the region and work towards sustainable solutions.
The ongoing feud between Iran and Israel suggests that there may be challenging days ahead for international peace. It is troubling that what started with Israel’s offensive on Iran’s consular building in Syria on 1st April may not end with Tehran’s Operation True Promise. The bombing in Damascus, which killed at least two top Iranian generals, resulted in the first-ever direct strikes launched against Israel from Iranian territory. The Jewish State’s recent reprisal for the Iranian onslaught may open a new vista in the conflict.
During the intrusion, Iran reportedly launched more than 300 missiles and drones. Almost all were annihilated by Israel’s air defences, augmented by forces from the United States, United Kingdom and Jordan. The Iranians had made their intentions clear, giving Israel and its allies time to prepare themselves, and quickly issued a statement at the United Nations in New York that their retaliation was over.
With the current war in Gaza between Israel and Palestinians, there are fears that the region is on the brink of an all-out war, with conceivably fatal aftermath. This is a defining moment in the Middle East. That is why it is right for world leaders to pressure Israeli Prime Minister, Benjamin Netanyahu, to exhibit restraint. Then both Israel and Hamas could engage in talks to free Israeli hostages and end hostilities.
In addition to the Israel-Palestine strife, the civil wars in Syria and Yemen have further exacerbated the crisis in the region. The fray has resulted in massive deracination of people, extirpation of infrastructure, and loss of lives. The international community must seek a political solution to these inessential wars and provide humanitarian abetment to those affected by the violence.
Moreover, the rise of extremist groups such as ISIS has also destabilised the region, posing a threat to global security. Nations in the locale and beyond should interface and combat terrorism and extremism. A coordinated effort is required to address the very causes of the commination, such as poverty, lack of education, and political marginalisation. Clearly, the status quo in the bailiwick is unsustainable. A new approach is vital to end the dire straits in the region.
Intense diplomatic endeavours, dialogue, and cooperation are cardinal in resolving the impasse in that portion of the world. The use of military force or unilateral actions will only further escalate the situation and increase the risk of a larger conflict. It is time for all parties involved to set aside their disparities, and build a stable future for the Middle East.
Global amity is indispensable for the well-being of all individuals and nations. It is the foundation upon which sustainable development, economic prosperity, and human rights can thrive. The United Nations was established with the primary goal of advancing peace and security among countries, and it is obligatory that the organisation achieves this objective.
Super powers should animate collaboration and diplomacy to attain harmony. These nations have the wherewithal to make necessitous strides in promoting stability and security on a global scale if they set aside political dissimilarities and focus on common goals. Through open communication and mutual respect, super power countries can lead by example and inspire other nations to follow suit in creating a more nonbelligerent world for present and future generations.
Efforts must be made to avert a Third World War. Its idea is deeply disturbing and contentious. It is one that evokes fear, uncertainty, and global disquietude. The possibility of such a cataclysmic event occurring is something that many would rather not think about, yet the signs and anxieties among countries are becoming increasingly apparent. States must be vigilant, proactive, and committed to building a better future for the world.

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Editorial

Governor’s Pension Law Repeal, Otti’s Example 

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Abia State’s decision to repeal the governor’s pension law is a momentous move towards cutting down on
the expenses of governance and focusing on the welfare of pensioners in the State, who were last paid in 2014. Governor Alex Otti’s bold action in overturning this law demonstrates a dedication to financial prudence and transparency. This resolve will help in reducing the financial burden on the State.
Pension for governors and their deputies has been a contentious topic in Nigeria, with concerns raised about the ethics and morality of providing lifetime benefits to public officials who may only serve a limited term in office. Abia State has taken a bold step by repealing this law, setting a positive example for other States to follow. This move has sparked a much-needed conversation about the need for accountability and responsible governance in the country.
Governor Otti’s argument for repealing the governor’s pension law to alleviate the financial burden on the State and address the issue of unpaid pensions for Abia’s retirees is compelling. By prioritising the needs of the people over political considerations, Governor Otti is demonstrating strong leadership and a commitment to serving the best interests of the citizens.
The Abia State Governors and Deputy Governors Pension (Repeal) Law of 2024 has been widely reproached for its excessive provisions for former office holders. Not only does the law guarantee former governors and former deputy governors 100 per cent of the operative salary of their successors, but it also includes the provision of three police officers and two Department of State Services officers for life. Additionally, the State is responsible for paying for their domestic staff and building mansions for them in both their home State and in Abuja.
Proponents of these benefits assert that they are necessary to ensure that former governors are appropriately provided for after their tenure in office. They maintain that these benefits are in line with the sacrifices and responsibilities that come with holding a public office. Furthermore, supporters of the entitlements contend that these provisions are intended to attract qualified individuals to compete for gubernatorial positions, with the assurance that their welfare will be looked after once they leave office.
Despite efforts to eliminate these schemes in some States, about 18 States still retain pension for their former leaders, which many Nigerians view as a form of political hedonism. Zamfara set a precedent in 2019 by eliminating its pension law, signaling a shift away from the traditional practice of providing lucrative benefits to former governors and their deputies. Many other States continue to operate this practice, allowing former leaders to receive substantial pension and other perks even after leaving office.
In 2020, both Lagos and Kwara States announced their intentions to scrap their pension laws, acknowledging the increasing public outcry over the issue. Kwara went a step further by officially abrogating the law in January, 2021, demonstrating a commitment to reforming the system and promoting accountability. Meanwhile, Lagos took a more gradual approach by reducing the benefits for former leaders by 50 per cent in August , 2021. This move was perceived as a compromise between completely abolishing the scheme and maintaining the status quo.
According to the World Poverty Clock and the National Bureau of Statistics (NBS), Nigeria has been listed as the poverty capital of the world, with millions of people living in extreme poverty. The fact that States would continue to record more ex-office holders after every tenure only adds to the financial strain of these pension schemes. With the number of former office holders increasing each year, the costs associated with their pension become unsustainable for many States.
The funds that could be allocated towards alleviating poverty and improving infrastructure are instead being spent on providing lavish retirement benefits for a select few. The current pension schemes for ex-governors in Nigeria are not sustainable in the long term, especially in the face of the present economic realities. Reforms are needed to ensure that public funds are used more efficiently and effectively, and that the needs of the most vulnerable in society are given preference over the comfort of former government officials.
Pension for former governors often result in the enrichment of the wealthy elite at the expense of the struggling masses. These politicians typically only served in office for a maximum of eight years, yet, they are able to secure generous pension that allow them to maintain a life of luxury. Some even go on to hold positions as Ministers or Senators, further perpetuating their unjustified wealth.
Curiously, the 10th National Assembly is home to more than 12 former governors who continue to benefit from these lavish retirement benefits. In stark contrast, many public workers dedicate 35 years of their lives to serving the public and the government, only to receive meagre pension or sometimes none at all. Tragically, some pensioners pass away before ever receiving the benefits they are owed.
Other States should look to Abia State as a model for promoting democratic values and accountability. The active participation of civil society organisations, pressure groups, taxpayers, and activists is critical in upholding the principles of democracy and ensuring that the government is accountable to the people. The scandalous pension laws that have been passed in many States are not only unjust but also a detriment to the democratic process.
Nigerians should engage with their legislators and demand the immediate annulment of these obnoxious laws that serve to enrich a select few at the expense of the public. Citizens can help ensure that their voices are heard and that their rights are protected by actively participating in the legislative process and holding their representatives accountable. Abia is a constant reminder that democracy is a continuous process that requires the active involvement of all.

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