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Changing Nature of Covid: Is it Just a Regular Winter Bug Now?

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By Nick Triggle

Before the pandemic, Sally enjoyed regular trips abroad and played golf three or four times a week, socialising with the other members at her club.

Now in her mid-70s, she enjoys good health. But despite having been vaccinated against Covid, Sally says the virus has changed her approach to life.

“I’ve not been on a plane since the pandemic started,” she says.

“I just don’t think it is worth the risk.

“I still play lots of golf – and in the summer, I enjoy having a drink on the terrace. But I don’t really do any socialising inside. I skip the Christmas parties and other events when the weather turns.

Sally is not alone, with research suggesting anxiety over Covid continues. And in recent weeks, it appears to have intensified, with internet searches for Covid having shot up with news of a new variant and a rise in hospital admissions.

But there is plenty of evidence to suggest the virus is on its way to becoming just another respiratory bug to contend with, alongside flu and others maybe lesser known, such as respiratory syncytial virus (RSV), rhinorvirus and adenovirus.

And last winter, there were estimated to be more flu deaths than Covid ones, in England – just over 14,000 compared with 10,000 – according to the UK Health Security Agency.

That comes as no surprise to Prof Paul Hunter, an infectious-diseases expert at the University of East Anglia.

The immunity to serious illness built up from vaccination and infection means the death rate per Covid infection is now well below that of flu, he says.

Although there was a lot more Covid around in 2022, with a series of peaks over the 12 months, rather than it being largely confined to the winter months like other respiratory viruses – so for the year as a whole, the Covid death toll would outstrip that of flu.

But, crucially, that trend has not been repeated in 2023. Instead, there is a much more seasonal pattern to the virus, with a long lull during spring and summer.

Covid is “well on the way” to becoming seasonal, Prof Hunter says, with flu likely to cause more deaths from now on. And eventually, Covid will become “just another cause of the common cold”, like the other coronaviruses that circulate.

Prof Adam Kucharski, who advised the government during the pandemic, agrees there are positive signs but remains a little more cautious.

“With flu, we see a lot of pre-existing immunity,” Prof Kucharski says, “which makes it difficult to spread outside of winter.”

The colder months tip the balance, he says, because of more indoor mixing and lower temperatures, which affect susceptibility to infection as well as allowing the virus to survive for longer outside.

“The question with Covid is whether it can evolve enough to escape the immunity built up and cause problems outside of winter,” Prof Kucharski says.

“We are seeing hints of seasonality but I wouldn’t say we’re definitely there.”

But people can find it difficult to put Covid in context, Prof Kucharski says, pointing out there is still much more data on Covid than other respiratory viruses.

“Data is good for scientists but it can cause alarm when interpreted wrongly,” Prof Kucharski says. “With recent new variants, we’ve sometimes seen people exaggerate the level of risk – that’s not helpful.”

Prof Mike Tildesley, a modeller in infectious diseases, at the University of Warwick, is also encouraged by changes in Covid but says it could still end up causing more deaths than flu this winter.

“There was quite a rebound for flu last year,” he says, “partly because immunity was down following a few years of not much flu circulating – so we may see the picture change this winter.”

It is also hard to judge to what extent Covid deaths are coming on top – or instead – of flu. Combined, the number of Covid and flu deaths last winter was on a par with the worst two winters of the past decade.

The changing nature of Covid also poses an interesting question about testing – is there any point to it?

The era of free Covid tests may be over but plenty of people still test when they feel ill. Although, the experts have their doubts about whether this is entirely necessary.

“If you have symptoms,” Prof Tildesley says, “the question you have to ask yourself is whether you would do anything different if you tested and it wasn’t Covid.

“If there is one thing we have learnt from the pandemic, it is the importance of trying to stay away from people if you are ill with a respiratory virus. That is as true for flu and other respiratory viruses as it is for Covid.”

Prof Hunter agrees: “The only situation where it is useful is if you are vulnerable with a lung condition and would benefit from antivirals.”

So what continues to hold some people back?

Dr Martyn Quigley, a psychologist from Swansea University, says: “Covid had a huge impact on our lives – unlike anything we have lived through, for most – and for some, uncertainty and worry persist even though the risks have changed.

“There are still lots of social cues – hand sanitiser, signs and screens in shops – that remind us of what happened.

“It is similar with data. It is that unique history that is associated with Covid that induces worry and concern. It will take a long time for that to go for those affected in this way.” BBC

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World Breastfeeding Week: UNICEF Engages Media on Field Mission

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From Mike Tayese, Yenagoa

As the World mark the 2025 World Breastfeeding Week championed by World Health Organisation (WHO), United Nations Children’s Fund (UNICEF), and other partners, the Bayelsa government through the Ministry of Health last Wednesday kickoff the activities with sensitization on the importance of breastfeeding to mother and child at the Yenizue-Epie Primary Health Care Center at the heart of the state capital witnessed by who is who in the health sector, nursing mothers and expectant mothers.

During the field mission on Sunday at various churches in Yenagoa the state capital monitored by our Correspondent sponsored by UNICEF, the team visited Mount of Eternal House of Prayer Cathedral GRA Otiotio, DOC&S Church, Mount of Deliverance Okaka and CCC Palace of Mercy Arietalin Ovom in Yenagoa local government area of the state.

The team were warmly welcomed in the churches visited, addressing members of the various churches, Rose Okparan: Director Nutrition Department Primary HealthCare Board (PHCB) said World Breastfeeding Week is celebrated globally and not only in Bayelsa state every August each year.

She said breastfeeding is very important because it is the foundation of man. Breastfeeding to humans is the foundation of life. “The first breast milk that comes out when a woman delivers newly that is yellowish and creamy is very important because it contains what we called antibodies that fight against sickness and which we also called the first immunization, help the babies fight against any infection and diseases that come across the baby as it is newly born.

“The first milk also contains vitamin A to brighten the child’s eyes and it also contains protein. That yellowish one called colostrum is the richest and that is why we say don’t throw it away. It is the best and richest, it also builds child immunity, exclusive breastfeeding prevents stunted growth. Adding no water before six months is the recommended practice.

“UNICEF, WHO have carried out survey and discovered that a child breastfed for the six months exclusively are more brilliant than those that were not exclusively breastfed, it makes the brains to develop well”, she said

Grace further said, exclusive breastfeeding prevents the mother from ovarian and breast cancer, while it also helps to prevent the child from diabetes in future and several other benefits to the mothers and child.

Also speaking, the state Chairman Person of Women Wing of the Christian Association of Nigeria Bayelsa state Mrs. Grace Iyabi advised women to give their children exclusive breastfeeding for six months.

According to her, some women are afraid that their breasts will sag if they exclusively breastfed their babies, but saying whether they breastfed or not the breast will still sag because it is nature.

“It is a responsibility that God has given to everybody, it is not a choice but a priority. We have to give our children breast milk, especially exclusive breastfeeding for six months without water. Every woman is breastfed with breast milk and when you have issues of breast milk not coming contact nurses and they will tell you what to do and breastfeeding is one of the things you owe your child”.

In an interview with our Correspondent after the sensitization, Snr Apostle Michael Makpa thanked UNICEF and the Ministry of Health for the initiative about talking to churches on exclusive breastfeeding.

He said the lecture was very educational and eye opening, especially when she talked about the first milk and also how to alternate between the two breasts when breastfeeding. “It is eye opening that exclusive breastfeeding creates a lower rate of ovarian and breast cancer which most of our one younger ones should be educated about. And the belief of most of our women saying that when they breastfeed their breast will sag, she has been able to enlighten the people that either way, the breast will still sag. I think that is very very educational to us”.

Also speaking, Mother Christina Olali said, for all her children she breastfed them from zero to six months without water, only the breast milk. I even wondered that people this day within one or two months started giving their children milk instead of breastfeeding them exclusively. “Try and feed your babies with breast milk and for the lecture we heard today, I am very very happy, UNICEF and the government are trying”.

Also in the team is Gwegwe Yimuze, Head of Block DOC&S Church.

Earlier in the week, United Nations Children’s Fund (UNICEF) Field Office Enugu in collaboration with the Broadcasting Corporation of Abia held a Zoom meeting with the twelve state correspondents on Media Dialogue on Dissemination of Key Messages on the 2025 World Breastfeeding Week.

In her welcome remark, Mrs. Juliet Chiluwe, UNICEF Field Office Enugu said,2 6 out of 36 states in Nigeria have not created an enabling environment in which women can exclusively breastfeed their babies.

Saying Nigerian babies are weaned too early.

She commended 10 states which includes Lagos, Kwara, Ekiti, Oyo, Cross River, Kaduna, Niger, Ondo, Enugu, for six months’ pay maternity leave for women.

In his remark, the General Manager Broadcasting Corporation of Abia Mr. Francis Nwubani said, World Breastfeeding Week is celebrated every year in the first week of August, championed by WHO, UNICEF, Ministries of Health and civil society partners around the globe. Saying It’s a time to recognize breastfeeding as a powerful foundation for lifelong health, development, and equity.

According to him, World Breastfeeding Week shines a particular spotlight on the ongoing support women and babies need from the healthcare system through their breastfeeding journey.”This means ensuring every mother has access to the support and information she needs to breastfeed as long as she wishes to do so by investing in skilled breastfeeding counselling, enforcing the International Code of Marketing of Breast-milk Substitutes, and creating environment at home, in healthcare, and at work—that support and empower women.

“However, breastfeeding can be challenging when parents are not fully supported. Breastfeeding delivers a hopeful future not only for children, but for societies. It reduces healthcare costs, boosts cognitive development, strengthens economies, and sets children up with healthy beginnings.

“As we mark World Breastfeeding Week under the theme, “Prioritise breastfeeding: Create sustainable support systems”, WHO and UNICEF are calling on governments, health administrators, and partners to invest in high-quality breastfeeding support in so many ways especially by ensuring that all health service providers are equipped with the skills and knowledge required to support breastfeeding, including in emergency and humanitarian settings”.

Francis further said, to ensure that adequate information is passed to nursing mothers, caregivers and the general public on the numerous benefits of breastfeeding, UNICEF in collaboration with BCA Umuahia have gathered professionals from both electronic and print media for this media dialogue.

“It is indisputable that all the information about breastfeeding cannot be well disseminated without the media. You play a key role in this agenda of informing the public about breastfeeding”.

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UNICEF Preaches Six-month Maternity Leave Policy to Private Sector

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The UNICEF Chief of Field Office in Kaduna, Dr. Gerida Birukila has appealed to the private sector to adopt a six-month maternity leave policy to support breastfeeding mothers.

Birukila made the appeal on Thursday at a “Youths Lead the Circle of Support for Breastfeeding” event, organised in Kaduna as part of the activities marking this year’s World Breastfeeding Week.

She said that working mothers face challenges in breastfeeding exclusively due to the work environment and the lack of support.

She, therefore, said a six-month maternity leave policy would enable mothers to stay at home and breastfeed their babies without interruption.

Birukila said that exclusive breastfeeding for six months can significantly reduce infant mortality rate and improve cognitive development.

“Breast milk contains all the necessary nutrients for infants, and exclusive breastfeeding can boost infants’ immune system.

“Proper nutrition is crucial for the health and development of infants.

“A well-nourished mother can provide her baby with the necessary nutrients for growth and development.

“Pregnant women should eat well, take essential supplements and micronutrients, and attend antenatal care,” she said.

Birukila emphasised the importance of exclusive breastfeeding for the first six months of a child’s life, adding that it would promote the health and wellbeing of both mothers and infants.

She said that the State Government had set an example by providing a supportive work environment for breastfeeding mothers by establishing creches in some Ministries, Departments and Agencies (MDAs).

“The state’s six-month paid maternity leave policy and crèches in MDAs are examples of best practices that can be adopted by the private sector,” she said.

The State’s Nutrition Officer, Ramatu Haruna, also highlighted the state’s support system for breastfeeding mothers.

“The state has a six-month paid maternity leave policy and crèches in MDAs, enabling working mothers to balance work and breastfeeding responsibilities,” she said.

Haruna said that the private sector could play a significant role in promoting breastfeeding.

She said that employers could provide paid maternity leave, flexible working arrangements, and other benefits that support breastfeeding mothers, helping them balance work and breastfeeding responsibilities.

She also said that the benefits of exclusive breastfeeding for six months are numerous, including reduction of infant mortality rates, improving cognitive development, and boosting the immune system.

Speaking further, Haruna said that breast milk contains all the necessary nutrients for infants, and exclusive breastfeeding can promote healthy growth and development.

She also said that employers could provide other benefits that support working mothers, including crèches or childcare services, flexible working arrangements and other benefits that support work-life balance.

“By providing these benefits, employers can help mothers balance work and family responsibilities,” she said.

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Nigeria’s Fight To Eliminate Hepatitis In Prisons

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By Abujah Racheal

In Nigeria, estimates from the National AIDS, STIs and Hepatitis Control Programme (NASCP) show that 8.1 per cent of adults aged 15–64 live with hepatitis B, and 1.1 per cent with hepatitis C.

On a worrisome note, more than 80 per cent of those infected are unaware of their status, enabling the virus to spread silently, in homes, hospitals, and correctional facilities.

Public health experts say correctional centres are among the highest-risk environments for viral hepatitis due to overcrowding, unsafe medical practices, limited access to testing, and stigma.

According to the World Health Organisation (WHO), viral hepatitis, particularly types B and C, is a global public health threat that kills approximately 1.

3 million people each year, making it second only to tuberculosis among infectious diseases.

In spite of its deadly toll, hepatitis is often overlooked, especially in low- and middle-income countries like Nigeria.

More than 91 million people in the WHO African region live with hepatitis B or C, representing 26 per cent of the global burden.

Shared razor blades, contaminated injection equipment, and poor sanitation all contribute to the spread.

When 34-year-old Malam Musa Danladi was arrested, tried and sentenced in 2022, he knew prison would be tough; but what he did not expect was that a place of punishment would become a place of diagnosis, for a disease he had never heard of.

“They called me to the clinic one morning; I was confused; the nurse said I had hepatitis B; I did not even know what that meant.”

He is one of thousands of Nigerians living with viral hepatitis, a disease that often shows no symptoms until it causes irreversible damage to the liver.

Danladi is also among the few who discovered their status within prison walls.

“We used to share everything, razors, clippers, even toothbrushes; Nobody told us we were at risk.

“Incarcerated people face a triple burden: poverty, stigma, and disease, with few resources or pathways to care,” Danladi said.

In a bid to reverse this trend, the Nigerian government, in July, unveiled  Project 365, a year-long national campaign to test, treat, and vaccinate millions of Nigerians for hepatitis, including those in prison settings.

The unveiling coincided with World Hepatitis Day, with the theme: “Hepatitis Can’t Wait- Test. Treat. Eliminate.”

According to Prof. Muhammad Ali Pate, Coordinating Minister of Health and Social Welfare, Nigeria is losing between ₦10.3 trillion and ₦17.9 trillion annually to hepatitis-related productivity and healthcare costs.

“Project 365 is about saving lives and saving our economy,” he said.

Pate said that the project 365 aimed to screen every federal constituency in Nigeria, totaling 360, and to deliver curative treatment for hepatitis C as well as vaccination for hepatitis B.

He said it also sought to expand outreach to prisons, internally displaced persons (IDP) camps, rural communities, and other underserved regions.

The minister said it would ensure sustainable financing for testing and treatment, and the initiative established the Viral Elimination Fund (VEL).

Additionally, he said that the project 365 would promote local production of hepatitis diagnostics and medications, supported by tax incentives and regulatory reforms, to reduce reliance on imports.

At Kuje Medium Security Custodial Centre, a pilot hepatitis programme under the Viral Hepatitis Action in Correctional Services screened 830 inmates between December 2024 and June 2025.

Dr Ibrahim Ehizogie, a clinician with the Nigerian Correctional Services, said that many inmates were already infected with the disease while in custody.

Ehizogie said that the programme was now being scaled across Nigeria’s six geopolitical zones, with a target to reach all 300 custodial centres in the country.

However, experts warn that without continued funding, education, and policy enforcement, these gains may be short-lived.

According the 2024 INHSU Global Guideline on the Elimination of Hepatitis C in Prisons, incarcerated individuals have the same right to healthcare as the general population, and that denying hepatitis services in custody violates international human rights standards.

The guideline recommends that inmates should be tested and initiated on treatment within seven days of incarceration.

It also emphasises the integration of harm reduction services, such as safe injection practices and opioid substitution therapy, to reduce transmission.

Furthermore, the guideline advocates for peer-led education and community-based screening models to increase uptake and reduce stigma, and stress the importance of ensuring continuity of care upon release, so that individuals can maintain their treatment and health outside prison walls.

Dr Mya Ngon, WHO Team Lead for Communicable and Non-Communicable Diseases, commended Nigeria’s efforts.

Ngon said that screening must be linked to treatment, and treatment must be linked to continuity of care, even after prison.

Since his release, Daladi has become a community advocate, telling others about hepatitis, its transmission, and the importance of testing.

“I did not die in prison; so, I want to use my voice; people need to know it is not a death sentence; you can treat it; you can live; but stigma remains.

“Some people say I brought prison sickness home; some would not even shake my hand,” he said.

According to him, at present, he works in his community to support reintegration and health education, urged the government to expand outreach to ex-inmates and low-income communities.

In spite of  the progress of Project 365, experts identify critical gaps in Nigeria’s hepatitis response; they say female inmates and pregnant women in custody are often excluded from routine hepatitis screening, leaving a critical gap in care.

Prof Taiwo Lateef, Professor at ABU and Africa Lead for Lifeline International, said that harm reduction services, such as access to sterile injecting equipment or safe drug treatment options, were largely absent in correctional centres.

In many cases, Lateef noted that the continuity of treatment after release remained uncertain, making long-term management of the disease difficult.

He said that youth offenders and first-time detainees typically received little to no education on hepatitis prevention, increasing their vulnerability.

Lateef said that Nigeria did not have a national hepatitis registry for prisons, making it challenging to track disease prevalence, monitor treatment coverage, or evaluate outcomes in custodial settings.

Dr Adebola Bashorun, National Coordinator for NASCP, said that without structured data and legal protections, prison health reform would remain incomplete.

Bashorun said that Nigeria’s hepatitis elimination strategy was ambitious and commendable.

He said that success would require multisectoral partnerships, political will, and a people-first approach.

According to, Dr Titilola Munkail, Technical Officer at Africa CDC, one cannot talk about ending hepatitis if one ignores people behind bars.

Munkail said that prisons were not separate from public health.

“They are central to it,” he said.

As Nigeria races toward the 2030 elimination goal, stakeholders urge the government, civil society, and citizens to act.

They say there is need for the government to institutionalise hepatitis services in all correctional facilities and primary healthcare centres (PHCs) to ensure consistent and equitable access to care. (NANFeatures)

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