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Diagnosis, Research Crucial in Managing Lassa Fever—Doctors

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By Modupe Gbadeyanka

Rapid diagnosis and intensified research have been identified as the crucial elements in the management of dreadful Lassa fever.

Last week, the international medical humanitarian organization Médecins Sans Frontières/Doctors Without Borders (MSF) participated in the first ever international conference on Lassa fever. The event took place on January 16 and 17, 2019 in Abuja, Nigeria.

A presentation by MSF doctor Hilde De Clerck, the Emergency Infectious Disease Referent, discussed MSF experience in managing Lassa fever in a pediatric reference centre in Godoma (Bo), Sierra Leone.

“It has been half a century since Lassa fever was discovered in northern Nigeria, but healthcare workers in West Africa still urgently need appropriate equipment and training to safely manage patients of all ages affected by the disease. Research into better tools for timely diagnosis and treatment is also necessary to save more lives in the future,” said Dr De Clerck, who joined fellow international experts and local health authorities at the conference with the theme Fifty Years of Lassa fever: Rising to the Challenge.

Despite affecting up to 300,000 people per year across West Africa, and leading to more than 5,000 deaths annually, Lassa fever is a poorly understood disease that is challenging to diagnose and treat.

Only a few laboratories in affected areas can diagnose the virus—which can lead to delays in starting treatment.

While initially spread through contact with infected rats, managing Lassa fever requires appropriate use of personal protective equipment and other infection prevention and control measures, to protect healthcare workers and relatives of patients.

“One of the major challenges of treating Lassa fever is the nature of the disease itself because at the onset, it mimics diseases like malaria.

“A lot of time is wasted before the patient actually presents for treatment, and the prognosis gets very bad if treatment is not commenced within six days from the onset of symptoms.

“What we can actually do to contend is to carry out routine tests on almost everybody that has fever to make sure we provide the appropriate treatment,” said Health Commissioner of Ebonyi State, Dr Umezurike Daniel.

In March 2018, MSF teams joined the response to one of Nigeria’s largest ever Lassa fever outbreaks. Twenty-three states in Nigeria reported 3498 Lassa fever suspects during 2018, with 45 healthcare workers among the 633 confirmed cases.

MSF continues to support the 700-bed Federal Teaching Hospital, Abakaliki (FETHA), and the Ministry of Health (MoH) in Ebonyi State, which was one of the hardest hit by the outbreak.

“A major goal of the MSF collaboration with FETHA and the Ebonyi State MoH is to train hospital staff to protect themselves from infection, by rapidly identifying and safely isolating suspected Lassa fever cases presenting in the wards.

“We also aim to develop improved case management practices, and facilitate preventive actions in the community; all these measures are important steps in saving lives and curtailing transmission of the disease,” said Dr. Maikere Jacob, MSF Medical Coordinator in Nigeria.

MSF is present in nine states in Nigeria. In addition, to supporting Lassa fever management in Ebonyi State, the organization responds to humanitarian needs due to the conflict in various locations across Borno and Yobe states.

In Sokoto state, MSF provides reconstructive surgery and comprehensive treatment to children suffering from Noma.

In Port Harcourt, survivors of sexual violence are offered healthcare and psychological support. In Zamfara State, MSF treats children affected by lead poisoning, while in Cross River state, MSF provides primary health care to refugees from Cameroon.

Modupe Gbadeyanka is a fast-rising journalist with Business Post Nigeria. Her passion for journalism is amazing. She is willing to learn more with a view to becoming one of the best pen-pushers in Nigeria. Her role models are the duo of CNN's Richard Quest and Christiane Amanpour.

Health

Lagos Steps up Mandatory Health Insurance Drive

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Mandatory Health Insurance Drive

By Modupe Gbadeyanka

Efforts to entrench mandatory health insurance through the Ilera Eko Social Health Insurance Scheme in Lagos State have been stepped by the state government.

This was done with the formal investiture of the Commissioner for Health, Professor Akin Abayomi, and the Special Adviser to the Governor on Health, Mrs Kemi Ogunyemi, as Enforcement Leads of the Lagos State Health Scheme Executive Order and ILERA EKO Champions.

The Commissioner described the recognition as both symbolic and strategic, noting that Lagos is deliberately shifting residents away from out-of-pocket healthcare spending to insurance-based financing.

“We have been battling with how to increase enrolment in ILERA EKO and change the culture of cash payment for healthcare. Insurance is a social safety net, and this mindset shift is non-negotiable,” he said.

He recalled that Lagos became the first state to domesticate the 2022 National Health Insurance Authority (NHIA) Act through an Executive Order issued in July 2024, making health insurance mandatory. He stressed that the decision reflected the Governor’s strong commitment to healthcare financing reform, adding, “When Mr. Governor personally edits and re-edits a document, it shows how critical that issue is to the future of Lagosians.”

Mr Abayomi also warned against stigmatisation of insured patients, describing negative attitudes towards Ilera Eko enrolees as a major barrier to uptake. “If someone presents an Ilera Eko card and is treated as inferior, uptake will suffer. That must stop,” he said, pledging to prioritise insurance compliance during facility inspections. “The key question I will keep asking is: ‘Where is the Ilera Eko?’”

In her remarks, Mrs Ogunyemi, said the enforcement role goes beyond a title, stressing that the health insurance scheme is now law.

“This is about Universal Health Coverage and equitable access to quality healthcare for everyone in Lagos State,” she said, noting that ILERA EKO aligns with the state’s THEMES Plus Agenda.

She commended the Lagos State Health Management Agency (LASHMA) for aggressive sensitisation efforts across the state, saying constant visibility was necessary to address persistent gaps in public knowledge. “People are still asking, ‘What is Ilera Eko?’ ‘Where do I enrol?’ Those questions tell us the work must continue,” she said.

She urged all directors and health officials to mainstream Ilera Eko promotion in every programme and engagement, emphasising that responsibility for health insurance advocacy does not rest with LASHMA alone. “When people come with medical bills, the first question should be: are you insured?” she said, adding that early enrolment remains critical as premiums rise over time.

Earlier, the Permanent Secretary of LASHMA, Ms Emmanuella Zamba, said the investiture marked a critical step in positioning leadership to drive enforcement of the Executive Order across the public service.

“What we are undertaking is pioneering in Nigeria. All eyes are on Lagos as we demonstrate how mandatory health insurance can work,” she said.

Ms Zamba disclosed that enforcement nominees across Ministries, Departments and Agencies have been trained, with a structure in place to ensure compliance beyond the health sector.

According to her, “This initiative cuts across the entire public service, particularly public-facing MDAs, in line with the provisions of the Executive Order.”

She explained that the formal designation of the Commissioner and the Special Adviser as Enforcement Leaders was meant to strengthen compliance, alongside the Head of Service, while also recognising their consistent advocacy for universal health coverage. “This decoration is to amplify their roles and appreciate the leadership they have shown,” she said.

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Tinubu Transmits 24 Bills to Reduce Bloated Health Sector Boards to Senate

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Tinubu's Portrait

By Adedapo Adesanya

President Bola Tinubu has transmitted 24 bills for consideration of the Senate which seeks to reduce the country’s over-bloated board memberships in the health sector.

The bills were conveyed alongside a letter addressed to President of Senate, Godswill Akpabio, and read at plenary on Tuesday, in line with Section 58(2) of the 1999 Constitution of Federal Republic of Nigeria.

President  Tinubu said the proposed legislations followed a comprehensive review of existing health sector laws by the Attorney-General of the Federation and Minister of Justice.

He said the review, approved by the Federal Executive Council (FEC), was in collaboration with the Minister of Health and Social Welfare, Professor Muhammad Ali Pate.

According to the President, the bills aims at streamlining governance structures across health institutions by reducing over-bloated board memberships.

This, he said, would improve efficiency, effectiveness, and service delivery within the sector.

According to him, the proposed legislations cover a wide range of health institutions and regulatory bodies, including tertiary and teaching hospitals, specialty hospitals, professional councils, and regulatory agencies.

He said the bills transmitted to the Senate includes the National Hospital for Women and Children, Abuja, Federal Medical Centres, National Specialty Hospitals Management Board; Orthopaedic Hospitals Management Board

Others are the National Eye Centre, National Ear Care Centre, Nursing and Midwifery Council of Nigeria; Medical Laboratory Science Council of Nigeria, the National Agency for Food and Drug Administration and Control (NAFDAC) and the National Blood Service Agency, among others.

The President also listed additional legislative proposals such as the Records Officers Registration and Digital Health Bill 2025 and the Federal College of Complementary and Alternative Medicine Bill 2025.

President Tinubu expressed confidence that the Senate would give the bills careful and judicious consideration in the interest of strengthening Nigeria’s health sector.

After the letter accompanying the bills was read, Senate President referred all the 24 bills to the Senate Committee on Rules and Business for further legislative action.

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Africa Wellness Voices Initiative Promotes Mental Wellbeing

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Africa Wellness Voices Initiative AMVI

By Adedapo Adesanya

A new pan-African mental wellness campaign, the Africa Wellness Voices Initiative (AWVI), is set to launch this February, bringing together voices from across Africa to promote mental wellbeing, reduce stigma, and encourage supportive conversations around mental health.

Led by SereniMind, a mental health and wellness organization, AWVI will spotlight different African countries daily throughout February by sharing short wellness statements from individuals, organizations, youth leaders, and institutions.

Each daily feature will highlight local perspectives on mental wellbeing while reinforcing a shared continental message: mental health matters, it said in a statement shared with Business Post.

Mental health remains a critical but under-addressed issue across Africa. According to the World Health Organisation (WHO), depression affects more than 66 million people in the African Region, while mental health services remain limited in many countries. Young people are particularly affected, facing stigma, lack of awareness, and barriers to accessing support.

AWVI said it aims to address these gaps through a unified, prevention-focused awareness campaign that leverages digital platforms to reach communities across borders. In addition to featured voices, members of the public are encouraged to participate by sharing short wellness videos on social media, fostering grassroots engagement and peer-to-peer support.

Speaking on the initiative, Mr Oyenuga Ridwan, Founder of SereniMind, said: “Across Africa, too many people suffer in silence when it comes to mental health. Africa Wellness Voices Initiative is about unity, bringing together Africans from different countries, ages, and backgrounds to normalize conversations around wellbeing and remind people that seeking support is a strength, not a weakness.”

The February campaign is expected to reach 15–25 African countries, feature 60–120 individuals and organizations, and generate over 500,000 digital impressions across platforms including Instagram, LinkedIn, X (formerly Twitter), and TikTok. The organizers hope to scale the initiative in future editions to include all 54 African countries.

AWVI says it aligns with broader continental and global priorities on health, youth empowerment, and wellbeing, contributing to conversations around preventive mental health, community resilience, and inclusive development.

Through technology, partnerships, and community engagement, SereniMind works to promote wellbeing and reduce stigma around mental health.

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