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Respite as resident doctors suspend nationwide strike

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Respite as resident doctors suspend nationwide strike

The Nigerian Association of Resident Doctors (NARD) has suspended its five-day warning strike.

President of the association, Dr Orji Emeka Innocent, told Daily Trust Sunday evening that the doctors would resume by 8am on Monday.

The NARD president said, “progress made will be reviewed on 2nd June 2023 during the association’s general meeting where next line of action will be decided.”

The association had embarked on the strike on Wednesday following the failure of the federal government to meet its demands.

Before the strike, NARD had given the government a two-week ultimatum to meet its demands.

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Some of the association’s demands include an immediate increment in the Consolidated Medical Salary Structure (CONMESS) to the tune of 200% of the current gross salary of doctors.

It also demanded the immediate withdrawal and jettisoning of the “ill-conceived” bill by Honorable Ganiyu Johnson on the “enslavement of young doctors in Nigeria”.

NARD also demanded immediate payment of the 2023 Medical Residency Training Fund (MRTF) in line with the agreements reached at a meeting convened by the Federal Ministry of Health.

While calling for massive recruitment of clinical staff in the hospitals, NARD also called for immediate infrastructural development in hospitals without further delay.

The association called for immediate implementation of CONMESS, domestication of MRTA, and review of hazard allowance by all the state governments as well as private tertiary health institutions where any form of residency training is done, among others.

Respite as resident doctors suspend nationwide strike

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UNICEF Nigeria raises alarm over unprecedented diphtheria outbreak

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UNICEF Nigeria raises alarm over unprecedented diphtheria outbreak

…urges urgent vaccination

IN the midst of the most severe diphtheria outbreak in recent global history, UNICEF Nigeria is sounding the alarm about the urgent need for widespread vaccination. The outbreak has so far resulted in over 11,500 suspected cases, more than 7,000 confirmed cases, and claimed the lives of 453 people, mostly children.

Most cases are children aged between 4 to 15 years who have not received even a single dose of the vital vaccine, laying bare the urgency of the vaccination situation in Nigeria.

UNICEF is providing urgent support to the Nigerian government in its efforts to combat the outbreak. A crucial part of this support includes the procurement of vaccines to support the government’s response. So far, on behalf of the government, UNICEF has deployed 9.3 million doses of diphtheria vaccines to affected states including Kano, Bauchi, Borno, Yobe, Katsina, Kaduna and Jigawa. Of these, 4 million doses have been dispatched to Kano, the epicentre of the outbreak. Another 4 million doses of vaccines are being procured and will be handed over to government in the coming weeks.

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“The devastating impact of this diphtheria outbreak is a grim reminder of the importance of vaccination. Nigeria is home to a staggering 2.2 million children who haven’t received even a single dose of vaccine – the second largest such cohort in the world. We must collectively take urgent actions to drastically reduce this number. Every child deserves protection from preventable diseases. This is not negotiable”, said Dr. Rownak Khan, UNICEF Representative a.i.

UNICEF Nigeria calls on partners, stakeholders, and the international community to rally together to ensure that every child in Nigeria is reached with life-saving vaccines. The children’s agency emphasizes the importance of strengthening routine immunization, community engagement, and health systems to avoid similar outbreaks in the future.

To respond effectively to the outbreak, UNICEF Nigeria needs to raise an additional US$ 3.3 million until the end of the year.

UNICEF Nigeria raises alarm over unprecedented diphtheria outbreak

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10 die as Jigawa records 91 suspected diphtheria cases

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10 die as Jigawa records 91 suspected diphtheria cases

The Jigawa State Ministry of Health has confirmed the death of 10 people following an outbreak of 91 suspected cases of diphtheria across 14 local government areas in the state.

The permanent secretary in the ministry, Dr Salisu Mu’azu, who said this while fielding questions from newsmen in Dutse, said that so far, two cases had been confirmed at Kazaure and Jahun local government areas, while some samples have been taken to Abuja for confirmation.

He said the outbreak occurred in areas where there was zero-dose of routine immunisation against the epidemic.

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Dr Ma’azu said the ministry had already conducted investigation and collected necessary information and data in the affected areas and updated the National Primary Health Care Development Agency (NPHDA) and the National Centre for Disease Control (NCDC) for further action.

He said the state government was making arrangements to administer vaccines in state once they are available.

Dr Muazu attributed the outbreak to health care service disruptions some years back during the COVID-19 pandemic when everything was suspended; hence, carrying out routine immunisation was a challenge.

10 die as Jigawa records 91 suspected diphtheria cases

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Boy With Missing Intestine: New twist as private Medical Doctors accuse Lagos Assembly of bias

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Adebola Akin-Bright

Boy With Missing Intestine: New twist as private Medical Doctors accuse Lagos Assembly of bias

The Association of Nigerian Private Medical Practitioners (ANPMP), Lagos State Chapter, has accused the ad-hoc committee constituted by the Lagos House of Assembly to investigate the circumstances surrounding the alleged disappearance of the small intestines of late Adebola Akin-Bright of bias.

The chairman of the ad-hoc committee, Noheem Adams, had revealed that Doctor Abayomi Baiyewu of Obitoks Hospital who performed surgeries twice on Adebola is not a qualified surgeon.

Adams said during investigation, the committee learnt from Baiyewu that he is not a surgeon but only relied on his experience as a medical doctor to perform the surgeries.

Consequently, the Speaker of the House, Mudashiru Obasa, directed the Clerk, Olalekan Onafeko, to write to the state police command for the arrest of Baiyewu.

Obasa further asked the committee to look into other grey areas including inviting officials of the Health Facility Monitoring and Accreditation Agency (HEFAMAA) which has the law-backed responsibility to monitor private hospitals operating in the state.

But reacting in a statement jointly signed by its Lagos Branch Chairman, Dr Makinde Akinlemibola and General Secretary, Dr Debo Adebiyi, ANPMP said that the panel demonstrated witch-hunt.

According to the association, while the panel attempted to reduce the session of its member to a ‘yes’ or ‘no’, that of the doctor from the government hospital involved in the management of the boy was allowed to give a detailed report.

It pointed out that the panel not including a doctor, made it difficult for the panel to properly investigate the matter.

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ANPMP noted that there was clear evidence that members of the panel were ‘genuinely ignorant’ of some of the workings of the medical profession which became obvious from some of the questions posed during their sitting.

The association called for a thorough investigation by a well-constituted professional team, adding that the only body empowered by law to investigate this kind of case is the Medical and Dental Council of Nigeria (MDCN).

“It is important to note that the honourable members of the panel also demonstrated a clear case of witch-hunt and working to a predetermined answer by attempting to reduce the session to a “Yes” and “No” session for our member from the private hospital while the doctor from the government hospital involved in the management of the deceased was given the latitude to give a detailed report.

“The bias was taken to a ridiculous level when the same doctor who operated on the patient at the government hospital was asked to assess and determine the response of the doctor who operated on the patient in the private hospital. A case of being a judge in your case you would say!

“Of course, the doctor seeing the absurdity of the request cleverly declined.

“A similar panel set up earlier by the Ministry of Health (HEFAMAA) that had a surgeon on the seat had confirmed that the X-ray films taken while the patient was on admission at LASUTH also showed the presence of the intestines.

“Information available to us also confirms that a large mass of black tissue was removed at LASUTH and handed to the patient’s mother to take to the histopathology laboratory by the team that operated on the patient at LASUTH after they came out of the theatre.

“Strangely, the government through their agency, HEFAMAA rushed to seal up the theatre of the private hospital, while the government hospital where the patient was operated on and eventually died was left to continue to operate as if nothing happened.

“We have to emphasise here that matters of this nature deserve thorough investigation by a well-constituted professional team and the only body empowered by law to investigate such cases is the Medical and Dental Council of Nigeria, MDCN,” the statement read partly.

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ANPMP stated that based on available scientific evidence at its disposal, it has been able to establish some privileged and incontrovertible facts.

The association explained that an ultrasound scan and X-ray done at LASUTH on June 19 confirmed that there was the presence of normal intestinal movement.

“The patient was first operated on at Obitoks Hospital 6th of March 2023 on account of a ruptured appendix after he was referred from a medical centre where he was managed for typhoid enteritis.

“It was discovered on the operation table that there was an abscess which will require a different management approach to drain. (The appendix at that time must not be removed because of the abscess). The patient however got better afterwards.

“The patient presented again about 3 months later and a diagnosis of obstructed intestine was made which necessitated operating on the abdomen again to relieve the obstruction.

“It is a fact that the parents were invited into the operating room to see and confirm the point of obstruction and the 4 inches of the small intestine to be removed, out of the about 24 feet of the normal small intestine.

“It was also established that the patient was referred to the tertiary centre 8 days post-operation at the request of the parents. It is a fact that the patient was admitted to LASUTH on the 17th of June.

“The patient was however eventually operated upon on the 14th of July 2023 (i.e. 28 days after admission in LASUTH). It is therefore strange how the story of the missing/disappearing intestine gained prominence in the media in a patient who was on admission to a public facility (LASUTH) for almost 28 days.

“The question to then ask is, how did the patient survive for 28 days without intestine? In addition to this, it was also established as confirmed by ultrasound scan and X-ray done at LASUTH on the 19th of June (I.e. 3rd day on admission) that there was the presence of normal intestinal movement,” the statement added.

Adebola died on Tuesday, after two surgeries performed at a private hospital and a corrective surgery at the Lagos State University Teaching Hospital (LASUTH).

Boy With Missing Intestine: New twist as private Medical Doctors accuse Lagos Assembly of bias

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