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Stakeholders Call for More Youths Inclusion in the Fight Against TB 

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By Laide Akinboade, Abuja

Stakeholders in the Health Sector, at the weekend called for more youths engagement in the fight against Tuberculosis, TB, challenges in Nigeria.

The theme of the workshop is ‘Empowering Young Champions to End TB:Flag off of the one minute silence for TB campaign’.

 

Among those who spoke at Debriche Health Development Center, DHDC 2024 volunteers workshop with support from Stop TB Partnership Geneva, in Abuja included, Director of Public Health, Ministry  of Health, Dr.

Chukwuma Anyaike, Chief Austin Obeifuna, Vice Board Chair, Stop T partnership, Geneva, Dr. Amos Omoniyi, National professional officer, World Health Organization, WHO, Nigeria, Dr.
Jemila Amin, Head of ACSM unit, National Tuberculosis  and Leprosy, and Buruli Ulcer Control Program, Nigeria, etc, in Abuja.  

Dr. Omoniyi, of WHO, who was represented by Dr Emmanuel Opeyemi, a national professional officer, WHO, in his presentation, titled ‘Role of Young Champions in advocacy, communication,social mobilization to end TB in Nigeria’, lamented the fact that in Nigeria, people die of TB in every 5 minutes, Nigeria is first in Africa .

He said 285,561, (59.6%), are notified our of 479,000 cases, 19,989 (26%), children are notified our of reported cases. 

Nigeria among 8 countries that accounted for two third of global TB case.

According to him, “TB is a concerning disease and 1 person is infected every minute.TB is number one killer in Nigeria today oner person die of TB every five minutes , that means in 1 hour about 20 person have gone, on 24 hours  

about 480 have died,and this is a disease that has been with us for over 100 years . TB is driven my mal nutrition and HIV, malnutrition is an open secret because Nigeria is poverty capital in the world. 

“Only 30% of Nigerians are aware of TB, in terms of right information. 71% of TB patients have to pay for one TB treatment service.  The youth sub group are very important in addressing the challenges of TB”.

The WHO professional officer said, even though Nigeria has achieved some feats in its fight against TB, “The youths engagement to fight TB has been sub optima, prior to now, a lot of efforts  has on in order to addressing the challenges of TB. 

In the past there has been  involvement of lots of stakeholders, cross section of the society  in addressing the challenges of TB but the involvement of youths who constitute the larger population in the society, is still very sub-optimal and that is why WHO through it ‘one plus one’ youth initiative’ is pushing for more youths involvement and more engagement to be able to address TB challenge. 

“Reach one, each one’ ,  ‘Reach one Teach one’,  ‘Teach one for each one’ ,   initiative. The initiative is a gateway to create the needed social supports (this address issues around discrimination  and stigmatization), awareness and mobilization, (this is about been able to reach out to the needed millions of youths that are needed to create awareness)”.

Bethrand Odume is the Executive Director of KNCV Tuberculosis Foundation Nigeria, said it imperative to address the issue of stigma especially in the rural area, through the use of youths in the communities. 

“stigma has actually become a key barrier to access to TB care. We know that most of us come from the village. We know that in the village,  people actually are not yet informed on the key fundamentals around TB disease. Some feel that it is  not curable, some feel 

 it’s related to witches and witch craft and  we all know it’s a preventable disease.

 “I think reaching out to people with the right information and empowering them would actually be a major way we will be able to prevent TB sigma. A lot of the youth now are on social media, which is why getting social media influencers, creating some of these apps that would impact on people and can share their opinions and some of these barriers. Stakeholders will be able to address some of these barriers that they face daily in accessing TB care”.

The Executive Director of DHDC,Deborah Ikeh, said her organization is trying to use the youths 

their voices,  their platforms to mobilise the needed awareness and the needed attention for TB.

She said, “We all know that lot of people do not know that this disease is treatable, curable and preventable. We heard during the presentation that only 30% of people are aware of TB signs and symptoms. This is a huge challenge. And that is why, mobilising young people and empowering them as champions to be advocates is very important because we want to leverage the platform of the young people, the voices, the movement of young people to be able to speak on these issues. For example today, we know that almost everyone is on social media”.

Dr Jamila, from Ministry of Health, said in order to fight the disease effectively the Federal Government, has made 

 TB tests, TB treatment for six months all free. 

“So you can walk into any government facility and get tested and get treated free of charge without having to spend a penny from your pocket” she noted.

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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