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COVID-19: Kwara Nurses, Midwives Protest Non- provision of PPE

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From Alfred Babs, Ilorin


Members of the National Association of Nurses and Midwives, (NANNM) working at the General Hospital, Ilorin on Thursday down tools in protest against what they described as poor and risky condition of work.


Speaking during their protest in the hospital premises, the health workers claimed the state government did not provide personal protective equipment (PPE) for them in the accident and emergency units as well as other units despite the coronavirus pandemic in the state.


The nurses and midwives also said they now work bi-shift of ten to fourteen hours daily without provision of call food or allowances for nurses as being provided for some other health workers.


The auditor of the association, Funke Alo, added that designated pick-up points for workers on duty are few, which makes workers go through stress before finding their way to the pick-up points.


While accusing the government and top management of disregarding their letter where they pointed out their challenges and the risk involved in their working condition, the protesting health workers at the General Hospital said they would not resume work until the issues were addressed.


Efforts to get the response of Kwara state government proved abortive as the state Commissioner for Health, Dr Raji Razak did not pick all calls made to his telephone number while the text message sent to the number was not replied as at the time of sending the report.


In another development, Kwara state chapter of the Nigeria Medical Association (NMA) has directed its members not to consult or treat any patient without Personal Protective Equipment (PPE).

In a statement jointly signed by the Chairman and Secretary, Dr Kolade Solagberu and Dr Majeed Mohammed respectively on Wednesday in Ilorin, the association said it noted that there was inadequacy of PPEs in majority of the public and private hospitals in the state.

The NMA also said there was lack of preparedness for the pandemic by majority of the hospitals in the state.

”We commend the efforts of the state government on COVID-19 in equipping the Kwara State Isolation Centre at the Specialist Hospital, Sobi.

”But there is lack of motivation for the front line health workers in terms of securing life insurance, indemnity and other incentives.

”All doctors/health workers should be provided with the appropriate PPEs in the line of duty in all private and public hospitals.

”Government and heads of hospitals should make provision for these items and they should be readily available for use.

”In view of this, the State Executive Committee (SEC) has therefore directed its members not to consult or treat patients without PPEs,” it said.

The association added that basic and intensive care equipment such as infrared thermometers, monitors, ventilators and others should be made available.

”The isolation centre should be well furnished and manned by trained personnel,” it said.

The NMA also encouraged doctors to have high index of suspicion as many cases may be asymptomatic.

”Lockdown should be properly enforced and there should be availability of public ambulances and emergency medical teams to convey emergencies to the hospital.

”We enjoin the public to avoid panic and stigmatisation as COVID-19 is not a death sentence, ” the association said.

It, however, encouraged exposed members of the public to the two COVID-19 cases in the state to volunteer information freely and ensure self-quarantine.

Regarding the index case of COVID-19 in the state which unduly exposed some of its members, it said the Ethical Committee of the association would investigate and submit its report to SEC.

”We also advise University of Ilorin Teaching Hospital(UITH) to follow due process on the matter and the association will follow it to a logical conclusion,” the NMA said.

It, however, proposed a compensation package for front line doctors and health workers while calling on federal and state governments to make available a diagnostic centre in each state of the federation.

Health

Psychiatrists Demand Decriminalization of Attempted Suicide 

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By Ubong Ukpong, Abuja 

Association of Psychiatrists in Nigeria (APN) President, Prof. Taiwo James Obindo, has asked for the decriminalization of attempted suicide in the country.

He made the call at a stakeholders meeting organized by the House of Representatives Committee on Specialty Healthcare on the need to prioritize and implement the Mental Health Act.

Obindo said the establishment of the National Counselling Centers all over the country in an attempt to address mental health was like putting the cart before the horse, because suicide attempt was still a criminal offense in both the Criminal Act and the Penal Code.

 

“Hence the first step would be a move to decriminalize attempted suicide.

Criminalizing  attempted Suicide has proven to be a major barrier for suicide prevention intervention service uptake. 

“The archaic law, inherited from our Colonial masters, in an attempt to stop the act of suicide did not address the thoughts and social determinants of Suicide. Significant evidence showed that 90% of those who take their lives through suicide had a background history of Mental Health Conditions; out of which 80% are attributable to Depression due to various bio-psycho-social aetiologies. 

“Why do we, as a Nation, then punish individuals who are ill and need medical attention rather than prosecution? It will shock you to know that Nigeria, the giant of Africa, is lagging behind as quite a number of our neighbouring nations have abrogated that law.

“Establishing a Counselling center, without abrogating this archaic law would put, even the counselors at risk because the law also prescribes penalties for those who are aware of the plan but did not report,” he said.

The psychiatrists Association President called for the implementation of the Mental Health Act, which he said was a product of legislation that went through rigorous processes by the legislature, assented to by the President of the Federal Republic of Nigeria in 2022, and has been gazetted as a law in the Country. 

This, he said, would address the “many years of neglect of this important aspect of our nationhood.”

Obindo said a requirement for the effective implementation of the Act was the establishment of a Mental Health Services Department in the Federal Ministry of Health. 

“It will shock you to hear that, more than a year later, the department is yet to be established. Most of, if not all, the items in your plan are meant to be supervised by this department in obedience to the rule of law! Hence, the establishment of the department is germane to the success of all your plans,” he said.

He said the Association of Psychiatrists in Nigeria was an umbrella body of all Psychiatrists in the Country and other allied Practitioners. 

He said they have been at the forefront of campaigns and advocacy for global best practices.

He lauded the Committee for the initiative, saying when well-implemented, would positively impact the hitherto neglected Mental Health, persons affected by Mental Health Conditions, and Mental Health Practitioners. 

Chairman of the Committee on  Special Healthcare, Dr Alex Egbona, said all stakeholders must partner to address mental health challenges and other related health cases.

The lawmaker said the committee was created to provide the requisite legislative frameworks for improved healthcare delivery in Nigeria.

He said the session was a collaborative initiative of the committee to share its mandate and planned activities with identified relevant institutions and organisations.

“I, therefore, solicit the support and partnership of all stakeholders, our development partners, international NGOs, and CSOs, you are all urged to take interest in building the capacity of the committee members and staff to enhance the efficacy of the committee.

“Consider our five thematic areas of Mental Health, Trauma and Obstetrics Fistula, Oral Health and ENT, Blood Transfusion, Blood and Management, Traditional Complementary and Alternative Medicine and engage the committee for maximum impact,” he said.

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WHO Expresses Concern over Monkey Pox Outbreak in DRC

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25,318 suspected cases of monkey pox, including 1,204 deaths, have been reported in the Democratic Republic of the Congo (DRC) since the declaration of monkey pox outbreak in December 2022.

The World Health Organisation (WHO) said on Tuesday.

According to the latest report, the outbreak, which was declared by the DRC Health Ministry on Dec.

16, 2022, was prompted by a notable surge in cases and fatalities associated with monkey pox as well as a fast spread to non-endemic provinces.

Since the beginning of 2024, a total of 5,133 suspected cases, including 321 deaths, have been reported, according to the WHO report. It warns that the current situation of the outbreak in the DRC is of “grave concern” due to the sustained increase in suspected cases compared to previous years.

It added that with a significant burden in younger populations, particularly children under 15 years of age, who constitute the majority of both suspected cases and deaths.

In April 2024, a high-level emergency regional meeting on monkey pox in Africa was convened in DRC capital Kinshasa, gathering 12 health ministers of regional countries, aiming to develop common strategies to prevent and intervene effectively in the face of monkey pox in Africa.

“We must prevent the DRC from becoming the source of cross-border transmission, and our partnership must prioritise the health of those affected,’’ said Jean Kaseya, the director general of the African Centers for Disease Control and Prevention (Africa CDC) at the meeting.

“Over the years, monkey pox has become a real public health problem for our communities in the DRC, a regional threat and ultimately a global problem.

“We must now mobilise to resolve this crisis,” said Roger Kamba, DRC minister of public health, hygiene and prevention, said at the meeting.

Monkey pox, first detected in laboratory monkeys in 1958, is assumed to be transmitted from wild animals such as rodents to people or from human to human (Xinhua/NAN)

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WHO Warns of ‘Bloodbath’ as Rafah Offensive Looms

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The World Health Organisation (WHO) has warned of dire consequences if Israel goes ahead with an impending military operation in Rafah.

The planned push into the southern border city of Rafah would lead to “a bloodbath,” the organization wrote on X, formerly twitter on Saturday

The WHO said that more than 1.

2 million people were currently sheltering in the area, many unable to move anywhere else.

“A new wave of displacement would exacerbate overcrowding, further limiting access to food, water, health and sanitation services, leading to increased disease outbreaks, worsening levels of hunger, and additional loss of lives.

According to the WHO, only 33  per cent of Gaza’s 36 hospitals and 30 per cent of primary health care Centre’s were functional in some capacity amid repeated attacks and shortages of vital medical supplies, fuel, and staff.

WHO calls for an immediate and lasting ceasefire and the removal of the obstacles to the delivery of urgent humanitarian assistance into and across Gaza, at the scale that is required.

Israeli Prime Minister, Benjamin Netanyahu is determined to launch an offensive in Rafah to eliminate the remaining strongholds of Hamas.

The organisation said that although Israel’s allies have repeatedly urged caution, as a large majority of the approximately 2.2 million inhabitants of the Gaza Strip have fled to the south during the war. (dpa/NAN)

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