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Hospitals are Established to Admit Sick Patients, Not Turn Them Away: The LASUTH Perspective

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LASUTH

By Oluwaseyi Adewale

With good intent, every generation has reasons for taking certain humanitarian decisions for the betterment of the society. This can also be said of the evolution of the Cottage Hospital located in Ikeja, Lagos, which has metamorphosed into the Lagos State University Teaching Hospital (LASUTH).

The hospital began operations in 1955 as a cottage hospital founded by the Old Western Regional Government to provide healthcare services for the people of Ikeja and its suburbs. A cottage hospital is a small rural hospital with a few beds. This cottage hospital concept is a type of hospital mostly located in the United Kingdom. As the need for quality medicare increased in Ikeja and environs, the hospital was transformed and became known as the Ikeja General Hospital before the administration of Asiwaju Bola Ahmed Tinubu who then transformed it into a tertiary healthcare institution now known as LASUTH.

As is typical of a tertiary institution that aims to become a quaternary healthcare institution in the nearest future, its utmost priority should be in the areas of advanced medicare.

This is supposed to be the core of the healthcare services provided by the institution but there are a lot of distractions because uncomplicated cases that could be handled by the many Primary Health Centres and the 27 General hospitals located across the state are usually brought to LASUTH. As such, this impedes the core activities of the institution. Eighty per cent of cases brought to LASUTH as emergencies are not tertiary cases.

It is very important to add that the management of LASUTH is poised to provide optimal care to all patients that come into its facilities. The ever-recurring tales of no bed space within the hospital have become disconcerting. Currently, LASUTH has a 750-bed capacity and with the bourgeoning cases of emergencies in the state, only 36 beds are available for medical and surgical emergency cases. Unfortunately, the demand for emergency beds is much more than what is available.

Under the leadership of the Chief Medical Director (CMD) of the hospital, Prof. Adetokunbo O. Fabamwo, the hospital has a policy of not turning any emergency back but in the event no available bed space, first aid is administered to the patient before any form of referral to any other reputable tertiary institution. Prof. Fabamwo noted that the hospital is established to admit patients and not turn them back but when all the beds are occupied, it is not feasible. In addition, it is unethical and unprofessional for patients to be admitted and treated on the floor.

With the strides of the current administration of Mr Babajide Sanwo-Olu in the health sector, the Lagos State Government has assiduously improved and empowered the primary and secondary healthcare facilities. A lot of infrastructural upgrades are ongoing. In addition, massive recruitment of health personnel was recently embarked upon at the three levels of health care.

As Lagosians keep thronging to LASUTH, the hospital keeps expending both human and material resources on primary healthcare cases rather than the serious and complicated cases that the hospital should be focused on delivering. Also, Lagos, as the most populous state in the country and with the influx of more people into the Centre of Excellence, massive strain is constantly on its healthcare resources.

In the 4th quarter of 2021, the total number of visits to the hospital was a total of 50,959, 3,861 were in-patients on admission, while 47,098 were out-patients. 2,658 patients admitted have been discharged. The percentage of bed occupancy averaged 98% approximately.

As an institution that is keen on improving its services, the hospital commenced the use of bed space managers who ensure speedy transfers of stable patients from the Emergency Units to the wards.

As of now, there is a construction of a 200-bed facility within the hospital in progress. In addition, the Lagos State Government has approved massive recruitment of relevant health workers. This process is ongoing.

We appeal to the general public to make use of Primary Healthcare Centres and General Hospitals to ease the burden on LASUTH.

Oluwaseyi Adewale is the Head of the Public Affairs Department of LASUTH

Health

Resident Doctors Suspend Proposed Indefinite Strike

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Resident Doctors

By Adedapo Adesanya

The Nigerian Association of Resident Doctors (NARD) has suspended its planned indefinite strike following the federal government’s reversal of the implementation of the reviewed Professional Allowance Table (PAT) and renewed assurances on outstanding payments.

The decision was announced in a communiqué issued at the end of an emergency National Executive Council (NEC) meeting held virtually on Saturday.

NARD had earlier resolved to embark on a total and indefinite strike over the government’s suspension of the reviewed allowance structure and other unresolved welfare concerns affecting resident doctors nationwide.

However, the association said it reconsidered its position after reviewing the outcomes of high-level engagements with key government officials and health-sector stakeholders.

According to the communiqué signed by NARD President, Dr Mohammad Usman Suleiman; Secretary-General, Dr Shuaibu Ibrahim; and Publicity and Social Secretary, Dr Abdulmajid Yahya Ibrahim, the Federal Government has now reversed its earlier decision on the allowance table.

“The NEC observed that the earlier decision to halt the implementation of the reviewed Professional Allowance Table (PAT) has been reversed, with implementation expected to reflect in the April salary and beyond,” the statement read.

The association also noted the government’s renewed commitment to settling outstanding promotion and salary arrears owed to resident doctors in affected institutions.

In addition, NARD said initial approval had been secured for the 2026 Medical Residency Training Fund (MRTF), with assurances that the disbursement process would be concluded.

“The NEC observed that the Budget Office has indicated its readiness to commence the process for the payment of the outstanding nineteen months’ arrears of the Professional Allowance,” the communiqué added.

Despite the progress, the doctors expressed concern about the continued delay in paying house officers’ salaries and called for urgent action to address the issue.

Following its deliberations, the NEC demanded the sustained implementation of the reviewed allowance structure, the prompt payment of all outstanding arrears, and the expedited disbursement of the residency training fund.

It also called for the immediate commencement of the process to clear the 19-month arrears and the convening of an urgent stakeholders’ meeting to resolve delays affecting house officers’ salaries.

“In light of the above developments, the NEC resolves to suspend the proposed total, indefinite, and comprehensive strike action, with a review of progress to be undertaken at the May Ordinary General Meeting (OGM) in Kano,” the statement said.

NARD expressed appreciation to President Bola Tinubu, Vice President Kashim Shettima, and several ministers, government agencies, and stakeholders for their interventions in resolving the dispute.

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Over 1.5 million Nigerian Children Living With Sickle Cell Disease—Report

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sickle cell disease

By Modupe Gbadeyanka

More than 1.5 million children under the age of 15 are living with sickle cell disease in Nigeria, a new international study published in The Lancet Child & Adolescent Health, one of the world’s leading medical journals, has revealed.

In the report made available to Business Post, it was disclosed that Nigeria carries the highest burden of disease globally, far exceeding other high-burden countries such as the Democratic Republic of the Congo and Ethiopia.

The findings highlight both the scale of the challenge in Nigeria and the opportunity for the country to lead Africa in tackling one of the most preventable causes of childhood illness and death.

The study shows that nearly nine million children across sub-Saharan Africa are living with sickle cell disease in 2023, including around 1.17 million infants and 2.75 million children under five, who face the highest risk of early death without treatment.

Sickle cell disease is an inherited blood disorder present at birth. With early diagnosis and access to simple, low-cost interventions such as newborn screening, penicillin prophylaxis, routine vaccinations, malaria prevention, and hydroxyurea, most complications and deaths can be prevented.

However, in Nigeria, access to these essential services remains limited. Many children are only diagnosed after severe and avoidable complications, while others are never diagnosed at all, contributing to high levels of preventable illness and early childhood deaths.

The researchers emphasise that strengthening Nigeria’s health system response will be critical. This includes expanding newborn screening programmes, improving access to essential medicines, and integrating sickle cell care into primary healthcare services.

They called for urgent and coordinated action across government, health institutions, and development partners, including expanding newborn screening programmes, improving access to essential medicines and vaccines, and embedding sickle cell care within primary healthcare services.

The researchers, led by Professor Davies Adeloye, Professor of Public Health at Teesside University, United Kingdom, and Director of the International Society of Global Health (ISoGH), also called for increased domestic investment, supported by international partnerships, as well as stronger data systems to improve surveillance and guide policy decisions.

They concluded that even modest improvements in early-life screening and treatment in high-burden countries like Nigeria could transform child survival and significantly reduce preventable deaths.

“Nigeria now stands at the centre of the global sickle cell crisis. With over 1.5 million children affected, the scale is enormous, but so is the opportunity to act. We already know what works. Newborn screening and early treatment are effective, affordable, and can be delivered through existing health systems.

“If Nigeria prioritises sickle cell disease within its national health agenda and integrates care into routine maternal and child health services, we could save hundreds of thousands of young lives and significantly reduce avoidable deaths.” Professor Adeloye noted.

It was learned that the study analysed data from 40 studies across 22 African countries to produce the most comprehensive country-level estimates of childhood sickle cell disease to date.

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Helical Secures $10m Funding Package for Expansion

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Helical

By Dipo Olowookere

A $10 million capital has been raised by Helical to support expansion across more top-20 pharma programmes and growth of its deployed science engineering team.

The firm will also use the money to build the compounding evidence layer that improves performance across diseases, as its mission is to make every scientist able to test hypotheses at the speed of inference and to turn in-silico discovery into a reliable engine for R&D throughput.

The funding package was from redalpine, Gradient, BoxGroup, Frst and notable angels, including Aidan Gomez (CEO Cohere), Clement Delangue (CEO HuggingFace) and Mario Goetze (pro soccer player).

Helical has a product known as the virtual AI lab for pharma, an application layer that turns biological foundation models into decision-ready, reproducible in-silico discovery workflows.

The platform has two product surfaces — the Virtual Lab for biologists and translational scientists, and the Model Factory for ML engineers and data scientists — built on the same data, the same models, and the same results.

By putting both sides in the same system, Helical closes the gap between computational predictions and biological decision-making, so teams that traditionally worked in silos can collaborate on the same evidence.

Helical was founded in early 2024. It was created by three school friends who took different paths to the same problem.

Rick Schneider built tech at Amazon and later helped the German enterprise Celonis scale in France and Japan. Maxime Allard led data science teams at IBM before pursuing a PhD focused on reinforcement learning and robotics. Mathieu Klop became a cardiologist and genomics researcher.

When bio foundation models emerged, the trio saw the chance to build the missing application layer that would let pharma teams move from model experimentation to reproducible, production discovery.

“The models alone don’t discover drugs. The system does. Pharma teams need a system that turns foundation models into workflows scientists can run, validate, and defend.

“We built Helical to make in-silico science reproducible at pharma scale, so teams can go from hypothesis to decision in days instead of months,” the co-founder of Helical, Mr Rick Schneider, said.

“We are at a unique point in time where biological foundation models and general language reasoning models are converging.

“We backed Helical because we strongly believe they have what it takes to build the pharma AI orchestration platform that will drive this transition from siloed AI models to integrated virtual AI labs,” the General Partner at redalpine, Mr Daniel Graf, stated.

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