Health
Monkeypox on the Rise in Africa, United States and Europe—WHO
By Kestér Kenn Klomegâh
With rising cases of Monkeypox, not only in Africa but also in the United States and Europe, the world is now experiencing shivering fears for the next tremendous negative impact similar to Covid-19. It all began the same way, as the first case of Covid-19, and rapidly spread throughout the world. Soon to forget the worldwide border closures, self-isolation and other restrictions.
After documenting more than 7,000 cases in early July, World Health Organization (WHO) Director-General Tedros Adhanom Ghebreyesus has said about the plans on reconvening a meeting of his organization’s Emergency Committee to critically assess the current state of the monkeypox outbreak in Western countries.
Ghebreyesus’s statement implies directing a special focus, considering the current spread and scale of the monkeypox virus outbreak, in Western countries. According to WHO estimation and description or better still categorization, the western countries are “nonendemic” countries.
In his office, Ghebreyesus calculated that more than 7,000 cases have been confirmed in 60 countries so far, with Europe currently the epicentre of the outbreak. Cases began emerging in Europe and the United States in May. Many of the individuals who contracted the virus had travelled internationally. Monkeypox is endemic in some central and western African countries, but Tedros noted that the pathogen was now also being detected in nonendemic African countries.
“My teams are following the data closely. I plan to reconvene the Emergency Committee July 18 or sooner so they are updated on the current epidemiology and evolution of the outbreak, and implementation of counter measures,” he said, Reuters reported.
In June, the WHO’s Emergency Committee said the monkeypox outbreak did not warrant declaring a global health emergency despite the rapid rise in cases. At the time, the health organization said the situation was “unusual” but did not constitute a global health emergency, despite opposing views expressed by some members of the committee.
Health experts, however, referring to official statements that many out of thoughtlessness, have a wide variety of interests to defend and routinely calculate figures, without dealing with the root cause and place of origin. Until today the root cause and place of origin of Covid-19 still remains a mystery.
The recent outbreak has raised cries of double standards from global health activists, who argue that monkeypox has been an ongoing health issue in some African countries for years but is only now garnering sincere attention as it affects Western nations. More than 70 deaths due to monkeypox have been reported in Africa so far this year, while no deaths directly linked to the virus have been confirmed in nonendemic countries.
The WHO has previously acknowledged that monkeypox has been neglected for several years now. Reports, carefully monitored by this author, indicate that the disease is endemic in parts of Africa, where people have become infected through bites from rodents or small animals. The monkeypox virus does not usually spread easily among people. Most monkeypox patients experience fever, body aches, chills and fatigue. People with more serious illnesses may develop a rash and lesions on the face and hands that can spread to other parts of the body.
WHO said it counted 6,027 laboratory-confirmed cases of monkeypox from 59 countries as of the first week of July, an increase of 2,614 cases since its last count that ended June 27. It said three people have now died in connection with the outbreak, all of them in Africa. Most of the cases were reported in Europe and Africa. New cases have also been reported in Ghana and Benin in addition to previously mentioned Cameroon, Central African Republic, Democratic Republic of Congo and Nigeria.
Therefore, WHO should not depend on the continuity of mysterious outbreaks, but go to the roots and take the needed actions. It has, appreciable for now, confined its health recommendations to a standard set of hygienic requirements and did not insist on travel and trade restrictions. Beyond that, it has to establish a task force for keeping high surveillance across the Central and West African region and monitor travellers from these regions.
The Centre for Disease Control (Africa CDC) and the African Society for Laboratory Medicine (ASLM) have jointly held their first training on Real-Time PCR-based Monkeypox virus (MPXV) testing for 20 African Union Member States in Abuja, Nigeria. It was the first in the series of hands-on training on real-time PCR-based monkeypox virus (MPXV) diagnosis launched and organized in partnership with the Nigeria Centre for Disease Control (NCDC) in June.
With Covid-19, China has been alleged or suspected as the country of origin. With Monkeypox Nigeria, the most populated West African nation, has come under the spotlight, allegedly as the place of origin of the monkeypox virus, and was detected in several European countries during the past three months. Besides, Central and West African regions, it’s been detected in external countries namely Spain, Portugal, the United Kingdom, Belgium, Italy, France, Germany, Sweden, Canada, the United States, and Australia.
By Adedapo Adesanya
The National Health Insurance Authority (NHIA) says the number of Nigerians enrolled in health insurance has risen to more than 22 million.
The Director-General of NHIA, Mr Kelechi Ohiri, said this resulted from the implementation of the mandatory health insurance, which has gained momentum nationwide.
He said this on Wednesday at the Annual General Meeting of the Nigerian Association of Insurance and Pension Editors (NAIPE) in Lagos.
Mr Ohiri said enrolment had increased to 22.03 million, representing a 35 per cent year-on-year growth, attributing this to stronger collaboration with state social health insurance agencies, ministries, departments and agencies, organised labour, employers, the private sector, and the gradual implementation of the mandatory health insurance provisions of the NHIA Act.
He said that the country had moved beyond policy formulation to delivering measurable improvements in healthcare access, service quality and consumer protection in line with the federal government’s health sector reform agenda.
According to him, Nigeria already has the necessary policies and legislation to achieve Universal Health Coverage, positing that the key challenge was effective implementation.
“The decisive variable is now implementation- consistent, rigorous and accountable execution that converts political commitment into healthcare access for real Nigerians,” he said.
Mr Ohiri said that the transition from the former National Health Insurance Scheme to the NHIA had strengthened regulation, consumer protection, accountability and strategic purchasing, while providing the legal and operational framework for achieving Universal Health Coverage.
He added that improving the experience of enrollees remained central to the Authority’s reform agenda.
According to him, NHIA has strengthened its complaints management system, introduced faster resolution timelines, and intensified compliance monitoring of Health Maintenance Organisations (HMOs) and healthcare providers.
He further added that NHIA had sanctioned facilities that failed to meet the required standards, adding that his organisation had resolved 3,878 complaints, representing an 87 per cent resolution rate, while 95 per cent of the cases were concluded within prescribed timelines.
Mr Ohiri noted that more than N14.2 million had been refunded to enrollees, while non-compliant healthcare facilities had been sanctioned.
He said NHIA had also introduced service standards, including a one-hour treatment commencement target for enrollees requiring urgent care, to improve access to timely and quality healthcare services.
The NHIA boss further disclosed that capitation payments to healthcare providers had been increased by 93 per cent.
He said fee-for-service reimbursements rose by 378 per cent to enable providers to invest more in personnel, equipment and infrastructure.
According to him, 7,592 healthcare facilities have been assessed under the SafeCare quality framework as part of efforts to institutionalise continuous quality improvement across the country.
Mr Ohiri also highlighted interventions targeted at vulnerable groups, including support for more than 48,500 pregnant women, expanded maternal and newborn healthcare services, the Vulnerable Group Fund, and improved access to healthcare for pensioners and retirees.
He said Universal Health Coverage could only be achieved if every Nigerian, regardless of income or location, had access to quality healthcare services.
By Modupe Gbadeyanka
The new one-hour authorisation response time ultimatum policy introduced by the National Health Insurance Authority (NHIA) has received the full backing of SUNU Health Nigeria Limited.
This policy was introduced by the agency to ensure enrollees get prompt approval codes to access care.
Healthcare service providers have been urged to report any Health Maintenance Organisation (HMO) that violates this initiative through an email, with the HMO in copy and a timestamp attached as evidence of the request. They may proceed to offer services to enrollees thereafter.
Speaking at the company’s second-quarter Providers’ Forum for the Lagos-Ogun region in Lagos recently, the chief executive of SUNU Health, Dr Moyosore Olomola, expressed optimism that this policy would improve healthcare delivery in the country, especially for enrollees, who crave quality service.
At the event themed Improving Quality and Access to Care Through Stronger Provider Network, and held at the Nigerian Institute of Medical Research (NIMR) in Yaba, Lagos, Mr Olomola reaffirmed the HMO’s commitment to operating within legal and operational frameworks to guarantee adequate care for enrollees.
“Access to care and quality of care remain key priorities in our healthcare systems. We know quite well that deliberate collaboration, strategic partnerships, and a shared commitment to excellence are required to achieve these priorities.
“A strong provider network is doubtless the backbone of any effective healthcare system. It ensures that our mutual enrollees receive the right care, at the right time, in the right place, and at the right price,” Mr Olomola, represented at the programme by the organisation’s Chief Operating Officer (COO), Dr Faith Nwachi, stated.
He further assured that SUNU Health would strictly adhere to the one-hour authorisation limit, stressing that this aligns seamlessly with one of the organisation’s core values—promptness and its corporate slogan, Humanity is the centre of our initiatives.
In a bid to further improve access and quality of care, SUNU Health also demonstrated its new operational software and Mobile app, aptly named SUNU Legacy.
Also speaking at the event, the NHIA Lagos State Coordinator (Ikeja), Dr Bethuel-Kasimu Abraham, noted that the forum’s expected outcome is to significantly reduce delays in accessing medical care.
Other key expectations include ensuring continuity of care, improving patient outcomes, and strengthening accountability among HMOs.
Addressing specific pain points faced by enrollees, the NHIA Ogun State Coordinator, Mr Dare Adefeso, acknowledged that the agency had received complaints regarding out-of-stock drugs and the discrimination of enrollees by certain providers.
He affirmed that the NHIA is actively addressing these issues, stressing that moving forward, every facility must ensure enrollees are properly catered to regardless of their status, provided they have an active health insurance plan.
Corroborating the long-standing legacy of SUNU Health, the Ogun State Director of the National Orientation Agency (NOA), Mrs Aishat Tiamiyu, shared that her agency is responsible for public information dissemination and has been enrolled with SUNU Health for over 25 years.
Commending the HMO’s stellar service over two decades, she called for the immediate enrollment of new NOA staff into the scheme.
The Providers’ Forum remains one of the strategic channels employed by SUNU Health to consistently engage healthcare providers, understand their operational challenges, introduce new software updates, and solidify partnerships aimed at fostering premium healthcare delivery across Nigeria.
By Aduragbemi Omiyale
The National Agency for Food and Drug Administration and Control (NAFDAC) has announced the recall of a sexual enhancement product known as WAP Sensual Enhancement Capsules.
In a statement on Monday, the Nigerian agency disclosed that the recall is due to “undeclared pharmaceutical ingredients” in the product, whose country of origin is unknown, but is marketed and distributed online in the US through eBay.
It was emphasised that the recall is being “voluntarily” made by the manufacturer, Best Supplements Best Prices Company.
The detection of the undeclared pharmaceutical ingredients was made by the US Food and Drug Administration (FDA).
Laboratory analysis by the US FDA revealed that the product contained undeclared sildenafil, tadalafil, and flibanserin, which were not mentioned on the product label. Such substances may include phosphodiesterase type-5 (PDE-5) inhibitors or related compounds commonly used for the treatment of erectile dysfunction, the statement by NAFDAC stated.
Sildenafil and tadalafil are ingredients in FDA-approved prescription drugs used to treat erectile dysfunction.
It was noted that these undeclared ingredients may interact with nitrates found in some prescription drugs, such as nitroglycerin, and may lower blood pressure to dangerous levels. Consumers with diabetes, high blood pressure, high cholesterol, or heart disease often take nitrates.
Flibanserin is the active ingredient in an FDA-approved prescription drug used to treat low sexual desire in women. Flibanserin can cause drowsiness, sedation, dangerously low blood pressure, and fainting, especially when combined with alcohol.
Consumers have been encouraged to report compromised products (medicines or medical devices) to the nearest NAFDAC office, call 0800-162-3322, or send an email to sf******@********ov.ng.
