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Over 70% of TB Budget Still Unfunded – Stakeholders

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By Laide Akinboade, Abuja

Stakeholders in the Health Sector have raised alarm for over 70% of Tuberculosis, TB, budget in Nigeria that are not being funded.

This was revealed on Tuesday, at the 2024 pre-World TB Day press conference, that was organized by National Tuberculosis and Leprosy Control Programme, NTBLCP, Stop TB Partnership Nigeria and Ministry of Health and KNCV foundation in Abuja.

It was revealed in 2023 there was huge funding gap of over 70%, and there was less than 10% domestic funding.

In 2018 $278million was needed for TB control, 40% was only made available to all the implemented TB control activities, 60% funding gap, 8% domestic and 32% donor funds.

The WTBD which hold every 28th of March 2024,but have started on the 19th of March to 28th March, with the theme ‘Yes! We can end TB, No gree for TB, check Am oo’.

Stakeholders who spoke at the press conference included Dr. Queen Ogbuji-Ladipo, Ag. Board Chair, Stop TB TB Partnership Nigeria, Dr. Chukwuma Anyaike, Director, Public Health, Federal Ministry of Health, Dr. Bolatito Aiyenigba, Chair, 2024 WTD planning committee, Dr. Labaran Shehu, National Coordinator, NTBLCP and DR. Bethrand Odume.

Dr. Amos Omoniyi of World Health Organization, WHO, in his presentation said in 2022 285,561 TB cases were notified in Nigeria, while 58% were males, 42% were Females.

He lamented that only about 50% of health facilities in Nigeria provide TB treatment services. About 48% of Local Government Areas, LGAs, have GeneXpert MTB/RIF machines.

He decried the fact that treatment of TB have pushed more people into poverty due to the fact that 71% of Nigerians faces catastrophic costs in 2020.

Omoniyi said though TB is about 142 years old, one person infected can infect 12-15 other persons in less than a year, if not treated as soon as possible, when he coughs, sneezes, sings and talk.

He added once an infected person starts treatment the risk of infecting others reduces.

Dr. Odume, said the theme brings hope and builds on the amazing work done in 2023 by many TB high burden countries and champions around the world.

He said the theme also centers on increased engagement of those affected by TB.

He therefore urged stakeholders to accelerate all efforts towards ending TB now more than ever before.

Earlier, Dr. Ladipo in her welcome address said after over a century, it unfortunate that TB is still a major Health burden in Nigeria.

She said, “Tuberculosis continues to be a major public health concern, claiming far too many lives each year, particularly in our beloved Nigeria. Despite advancements in medicine and healthcare, TB remains a formidable adversary, disproportionately affecting vulnerable populations and underserved communities. However, amidst these challenges, there lies hope in the tireless dedication of healthcare professionals, researchers, policymakers, and advocates who work tirelessly to combat TB and improve the lives of those affected.

“In the Nigeria 57,000 children get TB every year, 80,000 eligible to receive preventive treatment, 10,522only actually receive this preventive treatment.

“In Nigeria 18 Nigerians die of TB every hour”.

Health

Lassa Fever: NCDC Registers 1 Death, 15 New Cases in 1 Week

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The Nigeria Centre for Disease Control and Prevention (NCDC) has reported one death and confirmed 15 new cases of lassa fever within one week across the country.

The NCDC said this in a situation report for week 13 published on its website on Friday.

Reports says that lassa fever is an acute viral hemorrhagic illness transmitted to humans through contact with food or household items contaminated by infected rodents or contaminated persons.

Its symptoms include fever, headache, sore throat, general body weakness, cough, nausea, vomiting, diarrhoea, muscle pains, chest pain, and, in severe cases, unexplainable bleeding from ears, eyes, nose, mouth and other body openings.

The NCDC noted a decrease in the number of confirmed cases from 25 cases in week 12 to 15 cases in the reporting week, although the number of suspected cases increased compared to the same period in 2023.

Cumulatively, from week one to 13, the country recorded 806 confirmed cases and 150 deaths, with a case fatality rate (CFR) of 18.6 per cent, higher than the CFR for the same period in 2023 (17.5 per cent).

“Twenty-five states have recorded at least one confirmed case across 125 local government areas in 2024.

“Sixty-two per cent of all confirmed cases were recorded from Ondo, Edo, and Bauchi, with Ondo State accounting for 24 per cent, Edo 22 per cent, and Bauchi 16 per cent,” it said.

According to the report, no health worker was infected in the reporting week, and individuals between the ages of 31 and 40 were predominantly affected by the infection.

The NCDC said the National Lassa Fever Multi-partner, Multi-sectoral Incident Management System had been activated to coordinate response at all levels at the Emergency Operations Centre (EOC).

The NCDC highlighted some challenges in the fight against lassa fever, including the late presentation of cases leading to increased CFR and poor health-seeking behaviour.

It attributed the latter to the high cost of treatment and clinical management of lassa fever, as well as poor environmental sanitation and awareness in high-burden communities. (NAN)

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Nigeria First to Introduce New 5-in-1 Vaccine Against Meningitis – WHO

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Nigeria has become the first country in the world to roll out a new vaccine – Men5CV – recommended by World Health Organisation(WHO), to protect people against meningitis.

The world health body, in a statement on Friday, said that the vaccine would protect people against five strains of meningococcus bacteria, and described Nigeria’s feat as historic.

It said that health workers would begin an immunisation campaign aimed at reaching one million people.

The statement said that the vaccine and emergency vaccination activities are funded by Gavi, the Vaccine Alliance, which funds the global meningitis vaccine stockpile and supports lower-income countries with routine vaccination against meningitis.

According to the WHO, Nigeria is one of the 26 meningitis hyper-endemic countries of Africa, situated in the area known as the African Meningitis Belt.

It noted  that in 2023, there was a 50 per cent jump in annual meningitis cases reported across Africa.

“In Nigeria, an outbreak of Neisseria meningitidis (meningococcus) serogroup C outbreak, led to 1,742 suspected meningitis cases, including 101 confirmed cases and 153 deaths in seven of 36 Nigerian state, between October 2023 and March 2024.

The states are Adamawa, Bauchi, Gombe, Jigawa, Katsina, Yobe, Zamfara.

“To quell the deadly outbreak, a vaccination campaign was undertaken on 25–28 March 2024 to initially reach more than one million people aged 1-29 years,” it said.

The statement noted that meningitis was a serious infection that leads to the inflammation of the membranes (meninges), that surround and protect the brain and spinal cord.

“There are multiple causes of meningitis, including viral, bacterial, fungal and parasitic pathogens.

“Symptoms often include headache, fever and stiff neck. Bacterial meningitis is the most serious, and can also result in septicaemia (blood poisoning). It can seriously disable or kill within 24 hours,” the statement added.

It quoted Dr Tedros Ghebreyesus, WHO Director-General, as saying that meningitis was an old and deadly foe, adding that the new vaccine holds the potential to change the trajectory of the disease, preventing future outbreaks and saving many lives

“Nigeria’s rollout brings us one step closer to our goal of eliminating meningitis by 2030,” Ghebreyesus said.

He said that the revolutionary new vaccine offers a powerful shield against the five major strains of the meningococcal bacteria – A, C, W, Y and X – in a single shot.

All five strains cause meningitis and blood poisoning.

According to him, this provides broader protection than the current vaccine used in much of Africa, which is only effective against the A strain.

He said that the new vaccine has the potential to significantly reduce meningitis cases and advance progress in defeating meningitis.

“This is especially important for countries like Nigeria where multiple serogroups are prevalent.

“The new vaccine uses the same technology as the meningitis A conjugate vaccine (MenAfriVac®), which wiped out meningococcal A epidemics in Nigeria,” the WHO boss said.

The statement quoted Prof. Muhammad Pate, Nigeria’s Minister of Health and Social Welfare, as saying that Northern Nigeria, particularly the states of Jigawa, Bauchi and Yobe, were badly hit by the deadly outbreak of meningitis.

“This vaccine provides health workers with a new tool to both stop this outbreak and also put the country on a path to elimination,” Pate said.

According to him, Nigeria has done a lot of work preparing health workers and the health system for the rollout of the new vaccine.

“We got an invaluable support from our populations in spite of the fasting period, and from our community leaders, especially the Emir of Gumel in Jigawa, who personally launched the vaccination campaign in the state.

“We’ll be monitoring progress closely and hopefully expand the immunisation in the coming months and years to accelerate progress,” he said.

The minister said that the new multivalent conjugate vaccine took 13 years of efforts and was based on a partnership between PATH and the Serum Institute of India.

“Financing from the UK government’s Foreign, Commonwealth and Development Office was critical to its development,” he said.

Pate said that in July 2023, WHO prequalified the new Men5CV vaccine (which has brand name MenFive®), and in October 2023 issued an official recommendation to countries to introduce the new vaccine.

According to him, Gavi allocated resources for the Men5CV rollout in December 2023, which is currently available for outbreak response through the emergency stockpile managed by the International Coordinating Group (ICG),  on Vaccine Provision.

He added that the roll-out, through mass preventive campaigns, was expected to start in 2025 across countries of the Meningitis Belt.

Mr Andrew Mitchell, UK Minister for Development and Africa, was also quoted as saying that the rollout of one million vaccines in northern Nigeria would help save lives, prevent long-term illness and boost the goal of defeating meningitis globally by 2030.

“This is exactly the kind of scientific innovation, supported by the UK, which I hope is replicated in years to come, to help us drive further breakthroughs, including wiping out other diseases,” Mitchell said.

He said that WHO has been supporting the Nigeria Centre for Disease Control and Prevention (NCDC), in responding to the meningitis outbreak in the country.

According to him, the areas of support include disease surveillance, active case finding, sample testing and case management.

“WHO and partners have also played a vital role in supporting Nigeria to prepare for the rollout of the new vaccine and training health workers,” he said.

Dr Nanthalile Mugala, PATH’s Chief of Africa Region, was also quoted as saying that meningococcal meningitis had tormented countries across Africa, year after year.

“The introduction of MenFive® in Nigeria heralds a transformative era in the fight against meningococcal meningitis in Africa.

“Building on the legacy of previous vaccination efforts, this milestone reflects over a decade of unwavering, innovative partnerships.

“The promise of MenFive® lies not just in its immediate impact but in the countless lives it stands to protect in the years to come, moving us closer to a future free from the threat of this disease,” Mugala said.

According to her, in 2019, WHO and partners launched the global roadmap to defeating meningitis by 2030.

“The roadmap sets a comprehensive vision towards a world free of meningitis, and has three goals including the elimination of bacterial meningitis epidemics.

Another goal is the reduction of cases of vaccine-preventable bacterial meningitis by 50 per cent and deaths by 70 per cent, as well as the reduction of disability and improvement of quality of life after meningitis, due to any cause.

Ms Aurélia Nguyen, Chief Programme Officer at Gavi, the Vaccine Alliance, was also quoted as saying that with outbreaks of infectious diseases on the rise worldwide, new innovations such as MenFive® were critical in helping the fight back.

She said that Vaccine Alliance funds the global stockpile as well as vaccine rollout in lower-income countries.

“This first shipment signals the start of Gavi support for a multivalent meningococcal conjugate vaccine (MMCV) programme which, with the required donor funding for our next five years of work, will see pentavalent meningococcal conjugate vaccines rolled out in high-risk countries.

“Thanks to vaccines, we have eliminated large and disruptive outbreaks of meningitis A in Africa, now we have a tool to respond to other serogroups that still cause large outbreaks resulting in long-term disability and deaths,” Nguyen said.

According to her, following Nigeria’s meningitis vaccine campaign, a major milestone on the road to defeat meningitis is the international summit on meningitis taking place in Paris in April 2024, where leaders will  celebrate progress, identify challenges and assess next steps.

“It is also an opportunity for country leaders and key partners to commit, politically and financially, to accelerate progress towards eliminating meningitis as a public health problem by 2030,” she said.(NAN)

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World Health Day: FG Reiterates its Commitment to Strengthening PHC

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By Laide Akinboade, Abuja

Coordinating Minister of Health and Social Welfare, Prof Muhammad Ali Pate, has reiterated the commitment of the Federal government, through the Basic Health Care Provision Fund, (BHCPF), I strengthening primary healthcare delivery system.As Nigeria joins the rest of the world to celebrate the 2024 World Health Day,Professor Pate, who stated this in a speech to commemorate the 2024 World Health Day, also noted that through the BHCPF and the Nigeria Health Sector Renewal and Investment Initiative and strategic partnerships, the government is also reaching remote and underserved communities, providing essential healthcare services and promoting health education.

He added that the FG is also committed to improving infrastructure to ensure the availability of essential drugs and commodities in health facilities across the country.In a statement signed by the Director of information in the ministry, Patricia Deworitshe, the minister maintained that the Primary healthcare remains the centre of the federal government focus, adding that the administration is determined more than ever before to ensure the delivery of quality, efficient and affordable health care through the Primary Health Care facilities.He stated that while the government continues to invest in improving healthcare infrastructure and services, the responsibility for health ultimately rests with each individual.Professor Pate said Nigerians must take proactive steps to safeguard our health and well-being by adopting healthy lifestyles, prioritizing preventive healthcare measures, and seeking timely medical attention when necessary, adding that it is only through collective action and mutual support that we can achieve the vision of a healthier Nigeria for all.He also reaffirms the ministry’s unwavering commitment to advancing the health and well-being of all Nigerians, noting that the right to health is not just a lofty ideal, but a fundamental human right enshrined in the Universal Declaration of Human Rights.The minister, however, recognizes that there is still much work to be done, noting that challenges such as inadequate infrastructure, healthcare worker shortages, and persistent health disparities continue to impact the health and well-being of our citizens.He reiterated that the Federal Ministry of Health and Social Welfare remains committed to strengthening our healthcare systems, improving health outcomes, and ensuring that no one is left behind.Pate noted that the theme for this year’s celebration, which is, “My Health, My Right,” underscores the fundamental principle that every individual has the right to attain the highest standard of physical and mental health without discrimination or barriers.

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