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What Japan’s milestone centenarians teach Nigeria about future-building

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By Ebuka Ukoh

This columnist explores African public health, institutions, and governance, connecting global lessons to local challenges to promote systemic reform and investment in Nigeria’s human capital.

Japan has just crossed an extraordinary threshold.

As of September 1, the country had 107,677 people aged 100 or older, the first time its centenarian population has exceeded 100,000.

In 1963, Japan counted only 153 centenarians. The number has now risen for 56 consecutive years. Women account for nearly 88 per cent of the total today.

One hundred and seven thousand, six hundred and seventy-seven people have lived for at least a century. I read that number and marvelled. Then, as a Nigerian, another thought entered my mind. Who will build the health systems that will enable our own people to grow old?

Not merely hospitals. Systems. Because perhaps one of the greatest differences between nations is not whether their citizens dream of longevity. We all do. It is whether their institutions make long life more possible.

Longevity Isn’t an accident
We should be careful not to romanticise Japan.
Its extraordinary longevity isn’t due to hospitals alone. Diet, genetics, sanitation, education, income, social conditions, public health, lifestyle and community all matter. An ag(e)ing population also presents Japan with enormous challenges, including rising healthcare needs, pension pressures, and a shrinking workforce.

But 107,677 centenarians do not emerge from nowhere. Somewhere along the journey from birth to 100, a society has to work. Children must survive infancy.

Mothers must survive childbirth. Vaccines must reach people. Clean water must flow. Diseases must be detected. Doctors must be trained. Nurses must be retained. Medicines must be available. Emergency services must function. And when people grow old, a system must still be able to care for them.

Longevity is therefore not simply a biological achievement. It is partly an institutional achievement. That is what Nigeria should think about.

We have the young people
Nigeria has something many ageing societies increasingly wish they had: youth. Most of our population is young. That is routinely described as our demographic advantage. And it can be. But a young population is not automatically a demographic dividend. It is only potentially so.

The dividend arrives when young people are educated, healthy, productive, skilled, and able to build institutions stronger than those they inherited. Otherwise, an unplanned demographic dividend can be disappointing. The question, therefore, is not simply how many young Nigerians we have.

It is: What are we preparing them to build? Who among today’s children will become the epidemiologists who stop the next outbreak? Who will become the nurses who transform maternal care? Who will design our emergency-response systems? Who will build diagnostic laboratories in communities where people currently travel hours for basic tests? Who will develop Nigerian medical technologies? Who will modernise primary healthcare? Who will research diseases that disproportionately affect Africans? Who will build the hospitals in which Nigerians will one day turn 100?

They are probably already here.

Some are sitting in overcrowded classrooms. Some are studying by generators. Some are brilliant children whose parents cannot afford university fees. Some are medical students wondering whether the future they want exists in Nigeria. And some of the doctors and nurses we have already trained are preparing to leave our shores for greener pastures.

We cannot keep training other people’s health systems
Nigeria’s health workforce problem should trouble us.
The WHO’s 2025 health-system profile says Nigeria’s supply of doctors, nurses, and midwives remains below recommended levels, with shortages compounded by uneven distribution, poor working conditions and the movement of health professionals abroad.

This is painfully ironic. Nigeria can educate a child from primary school. Subsidise parts of that child’s education. Train that child to become a doctor or nurse. Then create working conditions so frustrating that another country receives the mature product of that investment.

The Nigerian professional is not wrong for seeking a better life. People have families. They have ambitions. They want functioning equipment, professional development, reasonable compensation, and environments where doing their jobs doesn’t require daily heroism.

So perhaps the better question is not: Why are they leaving?

It is: What have we built that should persuade them to stay? Patriotism cannot substitute indefinitely for functioning institutions. A surgeon cannot operate with patriotism. A laboratory cannot run on patriotism. An ambulance cannot be fuelled with patriotism. And a nurse cannot feed a family with applause.

A hospital is built long before brick and mortar arrive

When politicians speak about healthcare infrastructure, we often see buildings. A new hospital is commissioned. There are cameras. There is a ribbon. There are speeches. But a health system is neither concrete nor brick and mortar. A beautiful building without nurses is architecture. An intensive-care unit without working equipment is just a room. An ambulance without an emergency network is a mere vehicle. A medical school without research investment is an incomplete promise. A hospital’s most important infrastructure is ultimately human. That human infrastructure takes decades to build. The consultant physician of 2050 may be sitting in a secondary school today. The biomedical engineer who will design equipment suited to Nigerian hospitals may currently be a child taking apart broken electronics somewhere in Aba.
The public-health specialist who will prevent an epidemic may be sitting in a classroom in Kano. The nurse who will hold a 99-year-old’s hand may not yet have been born. Nation-building requires the imagination to invest in people whose contributions may mature long after the politicians making today’s decisions have left office.

Real meaning of centenarian
Japan’s milestone should therefore not make us ask whether Nigerians can live to 100. Some already do. Nor should we turn longevity into a competition between countries. The better question is whether an ordinary Nigerian child born today can reasonably expect to live, supported by institutions that value survival.

Will pregnancy be safer? Will childbirth be safer? Will infancy be safer? Will cancer be detected earlier? Will emergency care arrive faster? Will people treat the elderly as human beings rather than burdens? Will quality healthcare depend less on whether your surname opens doors or your bank account can purchase treatment abroad? That is the journey from birth to 100.

And we must understand something else. The health system we refuse to build today is the one we will desperately need tomorrow, and won’t have.

Politicians grow old too. Civil servants grow old. Business leaders grow old. Presidents grow old. Governors grow old. The body eventually makes everyone equal.

Our young are the infrastructure
Nigeria’s youth are frequently described as a problem to be managed. Too many are unemployed. Many more are leaving. So are the frustrated. Countless have lost faith in their nation. Perhaps we should see them differently. They are the people who must build what does not yet exist.

Our responsibility is to give them the education, healthcare, laboratories, mentorship, research funding, employment opportunities, and functioning institutions that let their abilities become national assets.

Japan’s 107,677 centenarians tell one story about a country growing older. Nigeria’s millions of young people tell another story about a country still extraordinarily young. Neither youth nor longevity guarantees prosperity. Both require planning.

One country must ask how it will care for an ageing population. Nigeria must ask whether it will prepare its young population to build a country where growing old is worthwhile. That is our assignment. Because somewhere in Nigeria today is a child who could transform African medicine.

Somewhere is tomorrow’s surgeon. Tomorrow’s nurse. Tomorrow’s scientist. Tomorrow’s hospital administrator. Tomorrow’s biomedical engineer. Tomorrow’s public-health leader. The question is whether we will find them, educate them, equip them, and give them a country where they can do their best work.

Japan has more than 107,000 people who have reached 100. I celebrate them.
But in Nigeria, I think about the future. Who will build the health systems that will carry our children safely into old age? The answer is already among us. We have to stop wasting them.

Ukoh, a PhD student and coauthor of Built By The Ancestors, writes from his base in New York, the United States.

Foreign News

Iran Urges Saudi Arabia to Pursue Diplomacy as Attacks Escalate

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Iran has urged rival Saudi Arabia to pursue a diplomatic solution to its escalating conflict with the Houthi militia in Yemen.

Iran warned that continued military action would only worsen the situation.

Iranian Foreign Minister Abbas Araghchi told his Saudi counterpart, Faisal bin Farhan, during a telephone call that “Insisting on a military approach and disregarding a political solution would only further complicate the situation”.

Iran was prepared to “provide any form of support” to help initiate talks, the Iranian Foreign Ministry said.

The conflict between Saudi Arabia and the Iran-allied Houthi militia escalated sharply over the weekend.

More than a dozen people were killed and hundreds injured in the most serious attack to date on Riyadh’s international airport, according to officials.

The Houthis claimed responsibility and warned that Saudi airports and airspace were “legitimate targets.”

The militia said it had launched ballistic missiles, cruise missiles and drones at airports and energy facilities, including sites belonging to state-owned oil giant Aramco.

The Houthis also accused Saudi Arabia of carrying out more than 120 airstrikes on the Yemeni capital, Sana’a, and other provinces within 24 hours.

The claims could not be independently verified.

The Houthis have been fighting the Saudi-backed internationally recognized government in Yemen for more than a decade.

A truce reached in 2022 largely froze the conflict, but fighting has flared again against the backdrop of the wider war involving Iran.

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Beijing’s 12345 Hotline Sets Pace in Citizen-centred Urban Governance

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China’s Beijing 12345 Hotline Citizen Service Centre is emerging as a model of technology-driven urban governance, placing residents’ needs at the centre of public service delivery.

Journalists from Global South countries expressed admiration for the facility on Monday after visiting its headquarters in the Chinese capital.

The centre operates a 24-hour, non-emergency public service platform connecting residents and businesses with government departments, sub-district authorities and public utilities.

It receives questions, complaints and requests for assistance from thousands of people daily, using digital technologies and Artificial Intelligence (AI) to improve efficiency.

The platform integrates phone calls, text messages, photographs, videos, sign language and multiple languages, ensuring that people with different communication needs can access public services.

Each complaint or request is registered as a case, enabling officials to track concerns, direct them to appropriate departments and monitor responses.

AI also supports case assignment, quality control and data analysis, helping authorities identify recurring problems and improve decision-making.

Webster Clayeh, President of the Reporters Association of Liberia, said the provision of sign-language services particularly impressed him, describing accessibility for persons with disabilities as an important lesson for African countries.

Clayeh also highlighted the integration of different government departments within one operational framework, which he said demonstrated the benefits of coordinated service delivery.

Apenisa Waqairadovu, a senior multimedia journalist with the Fijian Broadcasting Corporation, similarly praised the arrangement, noting that requests were received centrally and channelled to the relevant departments for action.

Jacky Achan, a multimedia journalist from Uganda, said the centre’s commitment to serving everyone, regardless of background or circumstances, was among her major takeaways.

She observed that digital tools helped ensure that complaints were captured and routed for attention, reinforcing the principle that public services should be accessible to all.

“It’s not just for a specific group of people, it’s for everyone,” she said, describing the centre as a demonstration of inclusive governance.

Mark Longyen, said Nigeria could explore adapting the model to strengthen communication between citizens and public institutions.

Longyen said a responsive system capable of addressing everyday concerns could make urban life easier, strengthen public confidence and demonstrate the practical value of technology in governance.

The centre’s development reflects Beijing’s efforts to consolidate public feedback into a coordinated mechanism for identifying problems, responding to complaints and improving municipal services.

In 2019, the city integrated more than 60 separate hotline services into the unified 12345 platform to make it easier for its approximately 21 million residents to seek assistance.

Since its establishment, the hotline has handled about 200 million cases involving individuals and businesses, with reported resolution and satisfaction rates exceeding 97 per cent.

Wang Hao said the visit offered the journalists an opportunity to consider how public feedback could contribute to more responsive urban administration.

He said the value of the experience lay not in copying China’s system wholesale, but in examining how cities could adapt its principles to local conditions and use citizens’ voices to inform better decisions.

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Saudi Minister Vows Serious Response to Houthi Attacks on Airports

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Saudi Arabia’s energy minister has vowed a “serious” response to the deadly attacks on the kingdom’s airports and oil and gas facilities by Yemen’s Iran-backed Houthi movement.

“The events of recent weeks are serious.

Our response must be equally serious,” Prince Abdul Aziz bin Salman told the WPC Energy Congress in Riyadh.

On Sunday, a Pakistani man was killed in an attack on a terminal at the capital’s King Khalid International Airport, Saudi authorities said. It came a day after a Houthi missile hit another terminal, killing 13 people and forcing its closure.

The Houthis said they launched the attacks in retaliation for “brutal Saudi aggression” against areas they control in western Yemen.

The Houthi-run health ministry said a child was killed and six other people were injured in a Saudi air strike on a home in the capital, Sanaa, on Sunday.

A Saudi-led coalition is providing air support for Yemeni pro-government forces battling the Houthis on Yemen’s Red Sea coast and other areas.

The WPC Energy Congress opened on Sunday at a convention centre about 10km (6 miles) from Riyadh’s airport, which has been attacked four times over the past week.

Last Thursday, three Saudis, including a pilot for the national airline Saudia, were killed in two strikes on an airport facility and an aircraft on the ground.

Another four Saudis, as well as two Bangladeshis, one American, one Egyptian, one Jordanian, one Syrian, one Palestinian, one Sudanese and one Indian, were killed in Saturday’s missile strike on Terminal 3.

On Sunday, a Pakistani resident was killed when a projectile hit Terminal 4, according to the General Authority of Civil Aviation (GACA).

King Fahd International Airport in the north-eastern city of Dammam was also attacked on Sunday evening, it said, but no casualties were reported.

Later, the Saudi-led coalition said its forces had intercepted a drone in Eastern Province and a missile launched by the Houthis towards the south-western city of Khamis Mushait.

In his inaugural address to the WPC Energy Congress on Monday, Prince Abdul Aziz thanked industry executives and policymakers for attending despite the attacks.

But he also acknowledged that “energy security cannot be taken for granted” and that recent developments had “tested our infrastructure, our institutions, our people, and our resilience”.

Prince Abdul Aziz promised that his country would overcome those challenges.

There was no immediate comment from the Houthis.

On Sunday evening, Houthi military spokesman Yahya Sarea said in a video statement that its forces had launched missiles and drones at Riyadh and Dammam’s airports, as well as two oil and gas facilities in Eastern Province, in response to 124 Saudi air strikes in Yemen over the previous 24 hours.

Sarea also reiterated a warning to airlines and passengers against using Saudi airports and airspace, except for journeys to and from the Islamic holy cities of Mecca and Medina.

The Houthis’ forces, he vowed, would “continue their escalating operations deep inside Saudi, imposing the equation of ‘a blockade for a blockade’ and ‘an escalation for an escalation’ and targeting Saudi enemy reinforcements until the aggression ceases and the siege on our dear people is lifted”.

Saturday’s attack on Riyadh airport drew widespread international condemnation.

UN Secretary General António Guterres said he was “deeply shocked” and warned that attacks on civilians and civilian infrastructure were a violation of international law.

President Donald Trump said he would “make a decision” about the US joining Saudi Arabia’s strikes on the Houthis. The US military is reportedly already providing intelligence and targeting support to the Saudi-led coalition.

Iran, which has repeatedly denied allegations that it provides weapons and training to the Houthis, said it was “deeply concerned” by the escalation and called for “dialogue and engagement” to resolve the situation.

Yemen has been devastated by a civil war that began in 2014, when the Houthis ousted the government from Sanaa. The conflict escalated in 2015, after the Saudi-led coalition intervened in an attempt to restore the government’s rule.

A four-year-old informal ceasefire began to unravel in July, when the Houthis announced a “maritime embargo” against Saudi Arabia and began missile and drone attacks on Saudi airports, oil facilities and tankers in the Red Sea.

The Houthis said they were retaliating for what they call a Saudi blockade of ports and airports in their territory, as well as an air strike on Sanaa airport that they blamed on the kingdom. The Yemeni government claimed it was behind that strike, saying it was trying to prevent an unauthorised Iranian plane from landing.

Last month, the Houthis launched a surprise offensive along Yemen’s south-western Red Sea coast and ousted pro-government forces from areas overlooking the Bab al-Mandab Strait, at the southern end of the Red Sea.

They said they posed no threat to international shipping passing through the waterway but that they would continue to target vessels from Saudi Arabia.

However, the seizure of the strait contributed to a surge in global oil prices because Saudi Arabia had been relying on the Red Sea for oil exports after the US and Israel’s war with Iran effectively closed the Strait of Hormuz in the Gulf.

Last week, the Yemeni government announced the start of a new offensive aimed at retaking all territory held by the Houthis.

Pro-government forces said they were quickly able to retake areas around Bab al-Mandab with the help of intense Saudi air strikes, but the Houthis denied losing any territory.

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