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Nigeria Tops TB Burden In Africa …Ranks 2nd In HIV Spread

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The Nigeria Medical Association has called on the Federal Government to make the fight against Tuberculosis one of its centenary anniversary projects by massively investing in TB research activities towards the discovery of the much needed anti-TB vaccine.

In a statement as part of the group’s efforts to mark the 2013 World Tuberculosis Day yesterday with the, theme, ‘Stop TB In My Life Time,’ the President of the association, Dr. Osahon Enabulele said different stakeholders in the society needed to wake up to the reality that Nigeria has the highest TB disease burden in Africa and 10th largest in the whole world.

According to the 2012 global TB report, considerable progress has been made all over the world despite the insurgence of HIV/AIDS considered hitherto as a major impediment to the control efforts.

Dr. Enabuelele emphasized the need for the Government to take heed to the slogan ‘Stop TB In My Life Time’, and called on research organisations to give greater attention to Nigerian prone issues like TB.

The NMA said there are over 84,263 new infections yearly and over 27,000 mortality rate.

According to the NMA, “tuberculosis is an infectious disease caused by the bacteria Mycobacterium tuberculosis. It is mostly transmitted from person to person via inhalation and ingestion of droplets from the throat and lungs of infected individuals with the active form of the disease.”

“The disease also affects a wide range of other organs such as the lymph nodes, intestines, kidneys, reproductive organs, skin, central nervous system and the bones including the spine which are all susceptible.”

The World Health Organisation (WHO) said over 2 billion people in the world are infected with the Mycobacterium tuberculosis.

The NMA said the disease mostly affects those between 25-34 years (36.6 per cent) with Lagos, Kano, Oyo and Benue states being the states with the highest level of infections; while Ekiti and Bayelsa States have the least cases of infections.

People with HIV/AIDS are mostly vulnerable to the disease with 26 per cent of them infected with 3.1 per cent of this number infected with the Multi Drug Resistant Tuberculosis (MDR-TB).

The association decries the unavailability of drugs and modern treatment facilities to treat the disease in the country.

“Poor availability of microscopy (smear), culture, drug susceptibility centre and presence of only one national reference laboratory at the national tuberculosis and leprosy control programme headquarters in Kaduna,” it said.

It also decried the poor budgetary allocations and dwindling international funding to fight the spread of the disease.

“Funding of TB control activities was another area of poor performance with only 71% budget implementation; only 28% came from domestic sources and 48% from the Global Fund an international funding partner of the United States Government, an observation considered as ominous.

“Confirming those fears, 2013 budget estimates show that whereas there is a marginal increase of 2% in domestic funding, the contribution from the Global Fund has depreciated to 42%, a sign for Nigeria to start looking inwards for other funding options for the fight against TB,” the doctors said.

With Nigeria lagging behind in all areas of rolling back the disease, the association doubts that the country “will be able to achieve the goal of 50% reduction in the prevalence and death from TB compared with the 1990 baseline by 2015 and eliminating TB as a public health problem by 2050.”

The NMA said the realisation of the fact the tuberculosis “is an entirely preventable and easily curable disease if simple public health regulations, hygiene practices and the treatment guidelines are strictly adhered to” makes the difficulties being faced in fighting the disease more disheartening.”

The association therefore called on the government to increase its commitment in the fight against the disease by increasing budgetary allocations for health to 15 per cent. It also called on the government to “establish a National Centre for Disease Control for effective surveillance and control of diseases,” including tuberculosis.

The association also said the government should embark on a massive vaccination campaign as a means to eradicate the disease.

Meanwhile, Nigeria has been ranked the second highest prevalence of people living  with HIV in the world while only 30 per cent of people requiring HIV treatment are receiving antiretroviral therapy.

This was made known by the head, Grant Management Division of the Global Fund, Mark Edington in Lagos during the signing of five grant agreements worth $335million.

The agreements were signed between Nigeria and Global Fund to support programmes aimed at fighting AIDS, tuberculosis and malaria in Nigeria.

Edington said that the grant agreements were a critical part of the  $3billion in 169 grants that the Global Fund has committed in 2012.

“For Nigeria, the grant agreements address a tremendous need: Nigeria has the second highest number of people living with HIV in the world and only 30 per cent of people requiring HIV treatment are receiving antiretroviral therapy,” he said.

Mr. Edington said that the grant-signing followed the launch in October by  President, Goodluck Jonathan, of a national programme aimed at “Saving One Million Lives” by 2015 by increasing access to effective basic health services.

He said the country announced that it was committing $500 million to support the programme.

“Nigeria has made some big strides and to turn back now is unthinkable, but the challenges are formidable and much remains to be done,” he said.

He said there is now an excellent opportunity for government to close the funding gap for antiretrovirals.

The Global Fund leader said that the HIV epidemic in Nigeria is highly concentrated among high-risk groups with 20 per cent of infections attributed to female sex workers.

He added that Injecting drug users and men who have sex with men account for 9 per cent and 10 per cent, respectively, of annual new infections.

“Grant resources will be targeted to achieve a very significant increase in numbers of patients receiving antiretroviral therapy and prevention of mother-to-child-transmission services.

“During a transformation of the Global Fund’s grant management structure this year, Nigeria was identified as one of the 20 “high impact” countries.

The Minister of Health, Prof  Onyebuchi Chukwu, while speaking, said that the grant signing was another giant step in the fight against HIV/AIDS, tuberculosis and malaria.

“With the commitment of a spirited organisation such as the Global Fund, solutions are being offered and answers are emerging.

Also, the Secretary to the Government of the Federation, Anyim Pius Anyim, commended Global Fund for the attention they gave to Nigeria, saying “we are greatly encouraged that the Global Fund is paying particular attention to Nigeria.

“I look forward to a very fruitful future relationship between Nigeria and the Global Fund. But that relationship must be based on performance and accountability,” he said.

Global Fund is an international financing institution dedicated to attracting and disbursing resources to prevent and treat HIV and AIDS, TB and malaria.

The Global Fund also promotes partnerships between governments, civil society, the private sector, and local communities.

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You Failed Nigerians, Falana Slams Power Minister

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Human rights lawyer, Femi Falana, SAN, has passed a vote of ‘no confidence’ in the Federal Government, saying that the Minister of Power, Adebayo Adelabu, has failed Nigerians.

Falana was reacting to Adelabu’s appearance before the Senate to defend the increase in the electricity tariff and what Nigerians would pay on Monday.

The rights activists also claimed that the move is a policy imposed on the Nigerian government by the International Monetary Funds (IMF) and the World Bank.

Speaking on the Channels TV show on Monday night, Falana said, “The Minister of Power, Mr Adebayo Adelabu has failed to address the question of the illegality of the tariffs.

“Section 116 of the Electricity Act 2023 provides that before an increase can approved and announced, there has to be a public hearing conducted based on the request of the DISCOS to have an increase in the electricity tariffs. That was not done.

“Secondly, neither the minister nor the Nigeria Electricity Regulatory Commission has explained why the impunity that characterised the increase can be allowed.”

Falana also expressed worry over what he described as impunity on the part of the Federal Government and electricity regulatory commission.

““I have already given a notice to the commission because these guys are running Nigeria based on impunity and we can not continue like this. Whence a country claims to operate under the rule of law, all actions of the government, and all actions of individuals must comply with the provisions of relevant laws.

“Secondly, the increase was anchored on the directives of the commission that customers in Band A will have an uninterrupted electricity supply for at least 20 hours a day. That directive has been violated daily. So, on what basis can you justify the increase in the electricity tariffs”, Falana queried.

The human rights lawyer alleged that the Nigerian government is heeding an instruction given to her by the Bretton Wood institutions.

He alleged, “The Honourable Minister of Power is acting the script of the IMF and the World Bank.

“Those two agencies insisted and they continue to insist that the government of Nigeria must remove all subsidies. Fuel subsidy, electricity subsidy and what have you; all social services must be commercialised and priced beyond the reach of the majority of Nigerians.

“So, the government cannot afford to protect the interest of Nigerians where you are implementing the neoliberal policies of the Bretton Wood institutions.”

The Senior Advocate of Nigeria accused Western countries led by the United States of America of double standards.

According to him, they subsidize agriculture, energy, and fuel and offer grants and loans to indigent students while they advise the Nigerian government against doing the same for its citizens.

Following the outrage that greeted the announcement of the tariff increase, Adelabu explained that the action would not affect everyone using electricity as only Band A customers who get about 20 hours of electricity are affected by the hike.

Falana, however, insisted that neither the minister nor the National Electricity Regulatory Commission (NERC) has justified the tariff increase.

The senior lawyer said that Nigerian law gives no room for discrimination against customers by grading them in different bands.

He insisted that the government cannot ask Nigerians to pay differently for the same product even when what has been consistently served to them is darkness.

Following the outrage over the hike, Adelabu on Monday appeared at a one-day investigative hearing on the need to halt the increase in electricity tariff by eleven successor electricity distribution companies amid the biting economic situation in Nigeria.

However, Falana said that nothing will come out of the probe by the Senate.

He advised that the matter has to be taken to court so that the minister and the Attorney General of the Federation can defend the move.

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1.4m UTME Candidates Scored Below 200  -JAMB 

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The Joint Admissions and Matriculation Board (JAMB) on Monday, released the results of the 2024 Unified Tertiary Matriculation Examination, showing that 1,402,490 candidates out of  1,842,464 failed to score 200 out of 400 marks.

The number of candidates who failed to score half of the possible marks represents 78 per cent of the candidates whose results were released by JAMB.

Giving a breakdown of the results of the 1,842,464 candidates released, the board’s Registrar, Prof. Ishaq Oloyede, noted that, “8,401 candidates scored 300 and above; 77,070 scored 250 and above; 439,974 scored 200 and above while 1,402,490 scored below 200.”

On naming the top scorers for the 2024 UTME, Oloyede said, “It is common knowledge that the Board has, at various times restated its unwillingness to publish the names of its best-performing candidates, as it considers its UTME as only a ranking examination on account of the other parameters that would constitute what would later be considered the minimum admissible score for candidates seeking admission to tertiary institutions.

“Similarly, because of the different variables adopted by respective institutions, it might be downright impossible to arrive at a single or all-encompassing set of parameters for generating a list of candidates with the highest admissible score as gaining admission remains the ultimate goal. Hence, it might be unrealistic or presumptive to say a particular candidate is the highest scorer given the fact that such a candidate may, in the final analysis, not even be admitted.

“However, owing to public demand and to avoid a repeat of the Mmesoma saga as well as provide a guide for those, who may want to award prizes to this set of high-performing candidates, the Board appeals to all concerned to always verify claims by candidates before offering such awards.”

Oloyede also noted that the results of 64,624 out of the 1,904,189, who sat the examination, were withheld by the board and would be subject to investigation.

He noted that though a total of 1,989,668 registered, a total of 80,810 candidates were absent.

“For the 2024 UTME, 1,989,668 candidates registered including those who registered at foreign centres. The Direct Entry registration is still ongoing.

“Out of a total of 1,989,668 registered candidates, 80,810 were absent. A total of 1,904,189 sat the UTME within the six days of the examination.

“The Board is today releasing the results of 1,842,464 candidates. 64,624 results are under investigation for verification, procedural investigation of candidates, Centre-based investigation and alleged examination misconduct”, he said.

Oloyede also said the Board, at the moment, conducts examination in nine foreign centres namely: Abidjan, Ivory Coast; Addis Ababa, Ethiopia; Buea, Cameroon; Cotonou, Republic of Benin; London, United Kingdom; Jeddah, Saudi Arabia; and Johannesburg, South Africa.

“The essence of this foreign component of the examination is to market our institutions to the outside world as well as ensuring that our universities reflect the universality of academic traditions, among others. The Board is, currently, fine-tuning arrangements for the conduct of the 2024 UTME in these foreign centres,” he explained.

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Ex-CBN Director Admits Collecting $600,000 Bribe For Emefiele 

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A former Director of Information Technology with the Central Bank of Nigeria, John Ayoh, has alleged that he collected on behalf of the former governor of the apex bank, Godwin Emefiele, a sum of $600,000 in two installments from contractors.

Ayoh, the second witness of the Economic and Financial Crimes Commission (EFCC), disclosed this on Monday while recounting instances where he facilitated the delivery of money to Emefiele, claiming it was for contract awards.

Under cross-examination at the Ikeja Special Offences Court in Lagos by the defence counsel, Olalekan Ojo (SAN), Ayoh admitted to facilitating the alleged bribery under pressure.

The embattled former governor of the apex bank is having many running legal battles both in Abuja and Lagos and is being tried by the EFCC at the Special Offences Court over alleged abuse of office and accepting gratification to the tune of $4.5 billion and N2.8bn.

He was arraigned on April 8, 2024, alongside his co-defendant, Henry Isioma-Omoile, on 26 counts bordering on abuse of office, accepting gratifications, corrupt demand, receiving property, and fraudulently obtaining and conferring corrupt advantage.

Emefiele’s defence, however, challenged the court’s jurisdiction over constitutional matters, urging the quashing of counts one to four and counts eight to 24 against him.

Ayoh, who was led in evidence by the EFCC prosecution counsel, Rotimi Oyedepo (SAN), said the first money he collected on Emefiele’s behalf was $400,000 which his assistant, John Adetola, came to collect at his house in Lekki, Lagos State.

He further told the court that the second bribe of $200,000 was collected at the headquarters of CBN, at the Island office.

He said the money was brought in an envelope, adding that when the delivery person, Victor, was on the bank’s premises, he contacted Emefiele, who insisted on receiving the package directly from Ayoh without involving third parties.

He said when he went to deliver the package, he saw many bank CEOs waiting to see the former apex bank governor.

When questioned if he had ever been involved in any criminal activity, he responded in the negative but admitted that he had facilitated the commission of crime unknowingly.

“I believe I did admit in my statement that I was forced to commit the crime. I don’t know the exact word I used in my statement, but I said we were all forced with tremendous pressure to bend the rules,” he said.

When asked if he opened the envelopes he collected on the two occasions and counted the money to confirm the amount, he was negative in his reply, adding that he did also write in his statement that the money was given to influence the award of contracts.

On whether the EFCC arrested him, the witness said he was invited on February 20, 2024, and returned home after he was granted bail.

Earlier, Emefiele asked the court to quash counts one to four and counts eight to 24 against him, as the court lacks the jurisdiction to try him.

Speaking through his counsel, Ojo, he said counts one to four were constitutional matters, which the court lacked the jurisdiction to determine.

In his argument, citing Sections 374  of the Administration of Criminal Justice Act and 386(2), the defence counsel told Justice Rahman Oshodi that Emefiele ought not to be arraigned before the court on constitutional grounds.

He, therefore, urged the court to resolve the objection on whether the court had the jurisdiction to try the case or not.

The second defendant’s counsel, Kazeem Gbadamosi (SAN), also relied on the submissions of Ojo.

The EFCC counsel, Oyedepo, however, objected, as he asked the court to disregard the decision of the Court of Appeal relied upon by Ojo, saying that the Court of Appeal could not set aside the decision of the Supreme Court on any matter.

Ruling on the submissions of the counsel, Justice Oshodi said he would give his decision on jurisdiction when he delivered judgment as he adjourned till May 3.

He also directed the EFCC to serve the defence proof of evidence on witness number six and his extrajudicial statement.

 

 

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