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Assault: The Albatross of LASUTH Healthcare Workers

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LASUTH Healthcare Workers

By Olutayo Irantiola

The spate of physical violence in our society has increased tremendously, daily; the media is inundated with the news of all forms of assaults. It seems as if people have not taken lessons from all this reportage as it keeps rising astronomically. Unfortunately, this ugly trend has not spared healthcare workers and this is a dangerous position that must be discouraged.

The World Health Organization (WHO) defines workplace violence as, “Incidents where staff are abused, threatened, or assaulted in circumstances related to their work, including commuting to and from work, involving an explicit or implicit challenge to their safety, well-being, or health.”

WHO considers both physical and psychological harm, including attacks, verbal abuse, bullying, and both sexual and racial harassment, to be workplace violence.

In a study conducted by the New England Journal of Medicine, there are 4 types of violence that can occur in the workplace. The first type is by perpetrators who have no association with the workplace or employee.

In the second type, the assailant is a customer or a patient of the workplace or employee. The second type of violence, usually committed by the patient, their families, or their friends, is most prevalent against healthcare workers.

A third type is when the attacker is a current or former employee of the workplace. The fourth type occurs when the perpetrator has a personal relationship with the employee but not with the workplace.

Also, in an article published by BMC Health Services Research titled Manifestations of verbal and physical violence towards doctors: a comparison between hospital and community doctors by Tamar Nevo et al, doctors often are a target for workplace violence.

About a quarter of emergency room doctors reported that they were the victims of physical abuse over the previous year. In a study conducted at Michigan University, 89% of the violent incidents were by patients, 9% by family members, and 2% by friends of the patient.

The primary reasons for violence directed at the medical staff are long waiting times, dissatisfaction with treatment, a hurtful comment by a staff member, or the influence of drugs and alcohol on the attacker.

According to the US Department of Labour, 12% of the injuries sustained by registered nurses are from violent acts. These injuries can be deadly.

Last year in Nigeria, the former National President of Nigerian Association of Resident Doctors (NARD), Dr Aliyu Sokomba, Secretary-General, Dr Bilqis Muhammed, and Publicity and Social Secretary, Dr Egbogu Stanley, the association condemned the recent attack on members who were performing their legitimate duties in Maitama District Hospital, Abuja and Nnamdi Azikiwe University Teaching Hospital, Nnewi.

The recent happening at the Lagos State University Teaching Hospital (LASUTH) wherein the relative of a patient, who was presented with a gunshot injury, assaulted the staff has brought the discourse to the fore again.

In the process of trying to resuscitate the patient, the relative attacked 3 nurses and a doctor in the line of work. In fact, one of the nurses had a deep cut on the head, while one was almost stripped naked. However, the security personnel of the hospital later got him apprehended and arrested.

With the significant rise in the population of Lagos, both in numbers and in age, the waiting time to see a doctor gets longer in both the emergency room and the wards. These frequent acts of violence against employees can have on their morale over time.

“Emergency care is one of the specialties that do have a high burnout rate. How many other places do you go to work, and it’s commonplace and almost accepted that people are going to swear and scream at you? Eighty per cent of the emergency physicians say that patients threaten them or threaten to return to the emergency department to harm them. The cumulative effect of both kinds of violence does wear and it creates burnout. I think it’s contributing to nurses leaving the profession.”

Although the hospital has put up “zero tolerance” signs, patients and their relatives do not adhere to this instruction. With the various ways of escalating the pain of patients and their relatives to the hospital management, people still find it easier to be violent rather than engage with the management team. Every day across the country, people are verbally and physically abusing staff.

The apprehended relative of the patient has been taken to court and the law would take its due course. All hands are on deck waiting for the verdict. It is wise to state that everyone needs to be calm even in the face of utmost provocation and seek other methods of dispute resolution rather than resorting to violence.

According to the Chief Medical Director of the hospital, Professor Adetokunbo Fabamwo, with the level of innovative solutions that LASUTH is bringing to Lagosians through its dedicated healthcare workers, it can only be done in an atmosphere free of chaos and agitation.

Violence against healthcare workers is unacceptable. It harms the psychological and physical well-being of the staff but also affects their job motivation.

“The management of the hospital, under any circumstances, would not tolerate any assault against her staff going forward. The hospital provides for checks and balances within the hospital which is available to treat situations if they occur, and the hospital on several occasions appealed to aggrieved members of the public to seek redress through various channels.

“The hospital is committed to providing quality healthcare services to our patients and their relatives and we urge everyone to cooperate with our staff to facilitate their care,” he added.

As a responsible workplace, LASUTH has continued to investigate workplace violence incidents, risks, or hazards; provide training and education to employees who may be exposed to workplace violence hazards and risks; meet record-keeping requirements; and prohibit acts of discrimination or retaliation against employees for reporting workplace violence incidents, threats, or concerns.

It has become expedient, therefore, for policymakers, hospital managers, and supervisors should work collaboratively to minimize workplace violence and ensure the safety and psychophysical stability of all healthcare workers in Lagos and the nation at large.

Olutayo Irantiola is an astute PR Consultant and Public Affairs Analyst. He can be reached via [email protected] and he blogs on www.peodavies.com

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Nigeria on High Alert as WHO Declares Ebola Emergency of International Concern

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By Adedapo Adesanya

The Nigeria Centre for Disease Control and Prevention (NCDC) has said that although the country currently has no confirmed case of Ebola Virus Disease (EVD), it is, nevertheless, actively strengthening surveillance.

This comes as the World Health Organisation (WHO) declared the Ebola outbreak in Congo and Uganda a public health emergency of international concern, after 80 deaths were attributed to the disease.

The WHO, however, stopped short of declaring a pandemic, saying it did not meet the necessary criteria. The United Nations agency advised countries against closing borders or restricting trade.

Early symptoms include fever, muscle pain, fatigue, headache, and sore throat, and are followed by vomiting, diarrhoea, a rash, and bleeding.

In a statement by its Director General, Mr Jide Idris, on Sunday, the NCDC noted that it is also ramping up laboratory readiness, infection prevention, and public awareness efforts across the country.

He said the centre was closely monitoring the situation due to increasing regional movement across African countries and was working with relevant stakeholders, including the Port Health Services under the Federal Ministry of Health and Social Welfare, to strengthen preparedness within Nigeria’s public health system.

“NCDC is closely monitoring the situation and working with relevant stakeholders, including the Port Health Services, to ensure continued vigilance and preparedness within the public health system,” he stated.

The NCDC boss described Ebola virus disease as a severe viral illness transmitted through direct contact with the blood, bodily fluids, secretions, or contaminated materials of infected persons or animals.

He noted that the disease has an incubation period ranging from two to 21 days, while symptoms include fever, weakness, headache, muscle pain, sore throat, vomiting, diarrhoea, and, in severe cases, unexplained bleeding.

Recall that Nigeria gained international recognition for successfully containing an Ebola outbreak in 2014 after an infected traveller arrived in Lagos from Liberia.

Healthcare workers were advised to maintain a high index of suspicion for Ebola, especially in patients presenting symptoms compatible with the disease alongside relevant travel or exposure history.

Idris stressed the importance of strict adherence to infection prevention and control measures, including early identification and isolation of suspected cases, proper use of personal protective equipment, hand hygiene, and prompt reporting through established channels.

“NCDC will continue to monitor the situation closely and provide updates as necessary,” he added.

NCDC advised Nigerians to remain calm, maintain good hand hygiene, avoid misinformation, and report unusual illnesses promptly.

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NNPC Donates MRI Machine, Others to Nnewi Teaching Hospital

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NNPC MRI Machine Nnewi teaching hospital

By Modupe Gbadeyanka

A 1.5 Tesla Magnetic Resonance Imaging (MRI) machine has been donated to the Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi, Anambra State, by the corporate social responsibility arm of the Nigerian National Petroleum Company (NNPC) Limited, NNPC Foundation.

In a statement on Sunday by its Chief Corporate Communications Officer, Mr Andy Odeh, the state-owned oil organisation said the medical item was given to the healthcare institution as part of its commitment to improving healthcare access and strengthening medical infrastructure across Nigeria.

The MRI system is expected to significantly improve access to advanced diagnostic imaging services for millions of Nigerians across the South-East (Anambra, Enugu, Imo, Abia and Ebonyi States) as well as neighbouring Delta State.

The foundation also provided critical supporting infrastructure, including RF shielding systems, chillers, backup UPS systems, electrical installations, specialised imaging accessories, ventilation systems, CCTV and oxygen monitoring systems, intercom communication facilities, and other patient comfort technologies designed to ensure optimal operation of the facility.

Before now, patients requiring advanced MRI diagnostic services often faced prolonged waiting periods, exorbitant costs, and the burden of travelling long distances in search of functional imaging centres.

But it is believed that the intervention of the NNPC Foundation would provide succour to patients.

At the presentation of the items to the institution over the weekend, the chief executive of the NNPC, Mr Bashir Bayo Ojulari, represented by the Managing Director of NNPC Foundation, Mrs Emmanuella Arukwe, described the intervention as a strategic investment in healthcare access, diagnostic precision, and improved patient outcomes, noting that the facility aligns with the company’s commitment to building sustainable systems and impactful national institutions.

“The installation of the MRI in NAUTH exemplifies our commitment, as our intent is to build enduring institutions, sustainable systems and legacies. This intervention aligns with our conviction that access to quality healthcare underpins human dignity, longevity and economic productivity,” Mr Ojulari stated.

‎He described the company’s social investments as viable currencies that strengthen the relationship between the Company’s core mandate of providing and managing energy for Nigerians and meeting stakeholders’ expectations.

‎In his remarks, the Governor of Anambra State, Mr Charles Soludo, who was represented by the Commissioner for Health, Dr Afam Obidike, said the intervention would enhance safe and precise diagnosis and treatment for patients across the South-East region.

He also commended NNPC Foundation for donating the MRI facility to the state, noting that the intervention would significantly improve access to quality healthcare services for the people.

The Chief Medical Director of NAUTH, Prof Joseph Ugboaja, thanked the donor for the items, saying NNPC Foundation has demonstrated that corporate social responsibility is not just a policy statement but a lifeline for institutions like ours.

“For too long, patients in our catchment area have had to travel long distances to access this level of diagnostic precision, often at prohibitive costs. With this installation, we will eliminate that burden,” he enthused.

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Nigeria Launch €4.2m Initiative to Boost Capacity Against Outbreaks

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By Adedapo Adesanya

Nigeria has launched a €4.2 million programme supported by the European Union (EU) and implemented by the World Health Organisation (WHO) to strengthen the country’s capacity to detect and respond to disease outbreaks.

The initiative, known as the EU Support to Public Health Institutes in Nigeria (EU SPIN), will be carried out over four years in partnership with the Federal Ministry of Health and Social Welfare.

It is aimed at improving the performance of selected public health institutions through better coordination, faster information sharing and enhanced workforce capacity.

Speaking at the launch in Abuja on Monday, the Minister of State for Health and Social Welfare, Mr Iziaq Adekunle Salako, described the programme as a significant step towards strengthening Nigeria’s healthcare system.

“This initiative is designed to strengthen our health institutions, and it is truly a welcome development. It will improve the well-being of Nigerians, especially our vulnerable populations,” he said, noting that it aligns with the federal government’s broader health reform agenda.

Nigeria continues to face a dual health burden, with recurring infectious disease outbreaks alongside a growing prevalence of non-communicable diseases such as hypertension and diabetes.

According to the WHO, non-communicable diseases now account for 27 per cent of deaths in the country, while malaria alone contributes about 30 per cent of global malaria fatalities.

Recurrent outbreaks of cholera, diphtheria, Lassa fever, meningitis and Mpox also remain a major public health concern.

The EU SPIN programme is expected to address systemic gaps that slow outbreak response by strengthening collaboration among public health institutions and clarifying roles across federal, state and local levels.

It will also support real-time data systems to enable quicker and more informed decision-making during health emergencies.

A key component of the initiative is workforce development, with plans to train up to 75 per cent of public health staff in leadership, prevention and response strategies, as well as digital skills.

The European Union Ambassador to Nigeria, Mr Gautier Mignon, said the programme reflects a shared commitment to building resilient health systems.

“Through EU SPIN, the European Union is investing in strong, digitally enabled public health institutions in Nigeria. This partnership underscores our commitment to health security and sustainable systems strengthening,” he said.

Also speaking, the WHO Representative in Nigeria, Mr Pavel Ursu, noted that improved coordination and digital tools would enhance the country’s ability to protect lives.

“By improving coordination, skills and digital tools, the project will help protect lives and keep communities healthier,” he said.

Officials said the programme would ultimately strengthen links between public health systems and primary healthcare services, ensuring that communities benefit from faster and more effective responses to health threats.

By 2028, the initiative is expected to deliver more efficient inter-agency coordination, clearer institutional responsibilities and more reliable public health data nationwide, with progress tracked through national monitoring systems and periodic reviews involving government and development partners.

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