Editorial
Ending TB Mortality Rate In Nigeria
Last Friday, the 24th of March 2023, commemorated World Tuberculosis Day 2023 to raise awareness about the deadly infection. The World Tuberculosis Day, one of eight global health campaigns marked by the World Health Organisation (WHO), is observed to build public awareness about the global epidemic of tuberculosis and efforts towards the eradication of the disease.
WHO proclaimed the day World Tuberculosis Day in 1882, when Dr Robert Koch of the University of Berlin’s Institute of Health announced to the scientific community that he had discovered the cause of tuberculosis. He explained the aetiology of the deadly disease and pioneered the diagnosis and avenues of treatment. Tuberculosis, also known as TB, is a contagious respiratory infection caused by the bacterium mycobacterium tuberculosis, which attacks a patient’s lungs.
Before Koch’s discovery, tuberculosis not only ravaged Europe and the Americas, killing one in seven people, but was wrongly thought to be hereditary.
Tuberculosis remains one of the world’s deadliest infectious killers, spread by inhaling tiny droplets produced when an infected person coughs or sneezes. Although a serious infectious disease, with proper treatment, it is not only preventable but also curable.
This year is critical for all who are engaged in TB work and should be championed as the ‘year of hope’ to get full support, attention, and energy for a collective ‘YES! We Can End TB’. There are several key areas to focus on, such as funding needs to scale up implementation and accelerate development of new tools, including new TB vaccines, access to new rapid molecular diagnostics and new shorter and more effective treatment regimens, TB prevention, childhood TB, strengthen and fund the community.
The world is grappling with this contagious and devastating disease. WHO’s commemoration of it is the means by which it highlights its impact on national life and the need to work together to eradicate it. The annual themes in this global fight have reflected the various and cumulative aspects of the fight. For example, the theme in year 2000, “Forging New Partnerships to Stop TB,” emphasized the need for a collaborative effort in the fight.
In 2001, it was DOTS: TB Cure For All, and while in 2010 it was “Innovate To Accelerate Action” and “It’s Time To End TB” in 2020. The theme for this year, “Invest To End TB. Save Lives”, conveys the urgent need to invest resources to ramp up the fight against TB and achieve the commitments to end TB made by global leaders.
This is especially critical in the COVID-19 pandemic that has put ‘End TB’ progress at risk, and to ensure fair access to prevention and care in line with WHO’s drive towards achieving Universal Health Coverage. WHO estimates that each day, over 4,100 people lose their lives to TB and close to 28,000 people fall ill with this preventable and curable disease.
Unfortunately, WHO states that the COVID-19 pandemic has reversed years of progress made in the fight to end TB. According to the WHO Global TB Report 2021, which includes data from over 200 countries, approximately 1.5 million people died from TB in 2020, up from 1.4 million in 2019. Worldwide, the WHO estimates that 9.9 million people fell ill with TB in 2021, but 4.1 million of those infected were not diagnosed or reported to national authorities. That’s up from 2.9 million in 2019.
It is instructive that this is the first increase in global TB deaths in more than a decade. Furthermore, WHO attributes the increase in deaths and decline in diagnoses and notifications to the COVID-19 pandemic and resulting lockdowns, which have reduced countries’ capacity to provide TB services and interfered with people’s ability to get diagnosed and treated.
This year’s theme reiterates the understanding that more investment in the fight against the disease will save a million more lives, prevent its spread and speed up the eradication of the TB epidemic. Despite significant progress over the last decades in the fight against the disease, regrettably, TB continues to be the top infectious killer worldwide.
Unfortunately, Nigeria ranks fourth in the world and first in Africa among countries with high prevalence of this killer disease. The Acting Board Chair, Stop TB Partnership Nigeria, Dr Queen Ogbuji declared in Abuja at the Pre-World TB Conference that over 156,000 Nigerians die of tuberculosis annually. This, she said, translates to 18 Nigerians dying of tuberculosis–related disease every hour and 432 daily.
This high fatality from a disease that is not only treatable, curable but preventable also, should not be allowed to continue on this dangerous curve. As usual in our environment, plenty of factors ranging from ignorance, poor environment, inadequate medical facilities, late diagnosis, cultural biases to poor budgetary provision and actual fund release accounts for this high fatality rate of the disease.
All tiers of government must commit to investing more in the health sector and in the fight against TB. Sadly, most Primary Health Centres (PHC) that ought to be the first point of call for TB patients are in comatose. Since TB thrives in poor environments and enhanced by population congestion, most times, those affected resort to presumptuous self-medication, hence giving rise to drug resistance at a later stage.
More and sustained investments are necessary to strengthen the health system at all levels, upscale our pandemic preparedness and end preventable deaths. Governments must get more involved in the campaign against the disease, especially to screen, as this will provide avenues for early detection, treatment and curbing its spread.
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WPFD: Nigeria’s Defining Test
Nigeria stands at a critical juncture as the world marked World Press Freedom Day (WPFD) on May 3. This annual observance is a reminder that a free press is central to democratic life, good governance, and public accountability. For Nigeria, it is also a moment for sober reflection on how far the country has come and how far it still has to go in safeguarding the independence of its media.
World Press Freedom Day exists to highlight the fundamental importance of freedom of expression and to honour journalists who risk their lives in pursuit of truth. It underscores the idea that without a free press, societies cannot function transparently, nor can citizens make informed decisions. In countries like Nigeria, where democracy continues to evolve, the observance carries particular urgency.
This year’s theme, “Shaping a Future at Peace: Promoting Press Freedom for Human Rights, Development and Security”, places journalism at the heart of global stability. It emphasises that a peaceful society cannot be built on silence, fear, or manipulated information. Rather, it depends on the free flow of accurate, timely, and independent reporting.
At its core, the theme highlights the role of journalism in fostering accountability, dialogue, and trust. These are not abstract ideals. In Nigeria, where public confidence in institutions is often fragile, the media remains one of the few platforms through which citizens can question authority and demand transparency. When press freedom declines, so too does public trust.
Journalism serves as a foundation for peace, security, and economic recovery. Countries with robust media systems tend to attract greater investment, maintain stronger institutions, and resolve conflicts more effectively. Nigeria’s economic challenges, ranging from inflation to unemployment, require open scrutiny and informed debate, both of which depend on a free press.
However, the issue of information integrity has become increasingly complex in the digital age. Artificial Intelligence (AI) and online platforms have amplified the spread of misinformation and disinformation. In Nigeria, where internet penetration has grown rapidly, false narratives can travel faster than verified facts. This makes the role of credible journalism more vital than ever.
The challenge is not only technological but also ethical. AI-driven manipulation of information threatens to distort public discourse, influence elections, and deepen social divisions. In such an environment, professional journalism must act as a stabilising force, ensuring that truth prevails over sensationalism and propaganda.
Equally troubling is the safety of journalists. Across Nigeria, reporters face growing levels of online harassment, judicial intimidation, and physical threats. Self-censorship is becoming more common, as media practitioners weigh the risks of reporting sensitive issues. This trend undermines the very essence of journalism.
A particularly alarming incident involved a serving minister in the present administration, who openly threatened to shoot a journalist during a televised exchange. Such conduct, broadcast to the public, sends a dangerous signal that hostility towards the press is acceptable. It erodes the norms of democratic engagement and places journalists in harm’s way.
This year’s theme aligns closely with the United Nations Sustainable Development Goal (SDG)16, which promotes peace, justice, and strong institutions. Freedom of expression is a cornerstone of this goal. Without it, institutions weaken, corruption thrives, and justice becomes elusive. Nigeria’s commitment to SDG 16 must therefore include genuine protection for the media.
Historically, the Nigerian press has been a formidable force. From resisting colonial rule to challenging military dictatorships, our journalists have played a central role in shaping the nation’s political landscape. Today, however, that legacy appears to be under strain, as the media operates under what can best be described as a veneer of freedom.
Beneath this facade lies a troubling reality. Journalists are routinely harassed, detained, and prosecuted for performing their constitutional duties. Reports from media watchdogs indicate that dozens of Nigerian journalists face legal threats or arrest each year, often for exposing corruption or criticising those in power.
The Cybercrimes (Prohibition, Prevention, etc.) Act of 2015 has become a focal point of concern. Originally intended to combat cyber threats, it has increasingly been used to silence dissent. Sections 24 and 27(1)(b), in particular, have been invoked to target journalists, bloggers, and social commentators.
Although amendments introduced in February 2024 were meant to safeguard journalists, concerns persist. The law continues to be wielded in ways that stifle investigative reporting and restrict freedom of expression. Legal reforms must go beyond cosmetic changes to address the root causes of misuse.
To safeguard the future of journalism in Nigeria, decisive action is required. The Cybercrimes Act must be revisited to ensure it cannot be weaponised against the press. Law enforcement agencies must operate free from political influence, upholding the rule of law and protecting journalists’ rights. Civil society and international partners must also strengthen independent media through funding, training, and platforms for wider reach.
In this rapidly evolving world shaped by artificial intelligence and digital innovation, Nigeria faces a clear choice. It can either allow press freedom to erode under pressure, or it can champion a truly independent media landscape. The path it chooses will determine not only the future of journalism, but also the strength of its democracy and the peace it seeks to build.
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