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Ngige under fire as NMA, MDCAN bash him for saying Nigeria has more than enough doctors

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BY: Sandra Ani

The Nigerian Medical Association, the National Association of Resident Doctors, the Socio-Economic Right and Accountability Project and human rights groups on Wednesday took a swipe at the Minister of Labour and Employment, Dr Chris Ngige, over his comment that the country had enough medical doctors.

Ngige, had on Channels Television’s Sunrise Daily on Wednesday, said doctors who felt they wanted to relocate in search of greener pastures were free to do so as the nation had enough medical personnel.

Ngige had, while responding to a question on brain drain and the deliberate recruitment of Nigerian doctors by foreign embassies in Nigeria, said there was nothing wrong with doctors leaving the country as they would continue to send foreign exchange home which would, in turn, grow the economy.

He said, “No, I am not worried (about doctors leaving the country). We have surplus. If you have surplus, you export. It happened some years ago here. I was taught chemistry and biology by Indian teachers in my secondary school days.

“Who says we don’t have enough doctors? We have more than enough. You can quote me. There is nothing wrong in them travelling out. When they go abroad, they earn money and send it back home here. Yes, we have foreign exchange earnings from them and not just oil.”

When asked if he was sure of what he was saying, the minister said it was good for doctors to travel out as they would receive training from abroad and open up medical centres in Nigeria.

“Will you call that brain drain? I know a couple of them who practise abroad but set up medical centres back home. They have scanners and magnetic resonance imaging, which even the government cannot maintain. So, I don’t see any loss,” he said.

When asked if brain drain was not hurting the health sector, he said, “Brain drain will only be inimical when for instance neurosurgeons travel and we don’t have neurosurgeons here.”

But in separate interviews with our correspondents, the NMA president, Dr Francis Faduyile and his NARD counterpart, Dr Segun Olaopa, said Ngige did not have the knowledge of the World Health Organisation’s recommendation on doctor-patient ratio.

Nigeria not bothered about citizens’ health – NMA

The NMA president said Nigeria had no enough doctors, stressing the need to ensure the country retained its medical personnel.

Faduyile said Nigeria fell behind in the WHO’s doctor/patient ratio recommendation, while questioning the minister’s understanding of the health sector challenges.

He said, “That is an unfortunate statement which shows that he has done nothing in medical practice. The WHO stated that for optimal health care to be achieved, we need doctor/patient ratio of one to 600. In Nigeria, we have 40,000 doctors taking care of 200 million people.

“It is unfortunate; we do not have enough doctors. Maybe he is looking at the monetary part but there is the opportunity cost. He says it will generate revenue when the doctors bring back money. But that is coming at the expense of our people that are dying daily because of lack of facilities in the health sector to take care of simple ailments and complex ones like cancer.

“Nigeria has a maternal mortality rate that is about the highest in the world. To correct it, we need more health professionals around. Now that Ngige says they are free to go, it means that he missed the point. Africa’s head of states met in Abuja and declared that at least 15 per cent of annual budgets should go to the health sector. Nigeria has never gone beyond six per cent since 2001. The current budget gives about 3.8 per cent to health. You can see that Nigeria has no interest in taking care of its citizens.”

Some states owing doctors 10 months’ salaries, says NMA President

The NMA president alleged that in some states, doctors had not been paid for 10 months while in others; the total number of doctors employed was less than 40.

He added, “There are states that have not employed doctors. We have states that have fewer than 50 doctors in their health sector and some have not paid doctors for 10 months. There is a state where over 80 doctors resigned because the state did not take care of their welfare.

“The populace is docile and that is why someone will come out and say we have more than enough doctors. It will take Nigeria 15 years to have adequate number of doctors and that is if none of them leaves the country.”

Faduyile stated that Nigeria had one of the highest infant mortality rate in the world.

“We have one of the highest maternal mortality rate. Our life expectancy is one of the lowest among the comity of nations. These are the direct effect of poor health care management,” he stated.

Source: Punch

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FP2030 Report Links Family Planning & Gender Equality

…The 2023 data report reveals that more women and girls than ever have access to family planning

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FP2030 Report
Source - internet: mother and child having a moment

FP2030 has launched its 2023 measurement report, Meeting the Moment: Family Planning and Gender Equality.

FP2030 Report
Dr. Martin Migombano-FP2030

The 2023 report shows significant achievements in family planning across the globe, even in the face of stagnant funding.

Speaking during the launch of the 2023 annual measurement report in Washington DC, Dr. Samukeliso Dube, FP2030 executive director, said:

“In this report, you will hear more success stories: more people than ever before are using voluntary, rights-based contraception. You will also learn more about the opportunities ahead.”

The links between family planning and gender equality are the central theme of this year’s measurement report.

The data set covers 85 countries, including for the first time Botswana and Namibia, two middle-income countries that have now made commitments to FP2030, and Jordan, which has moved into the lower-middle income category.

The report showed that in the 85 countries reviewed there are over 1 billion women of reproductive age; an estimated 377 million of those women are using a modern method of contraception, 92 million more than were using a method in 2012. 

“This year’s report comes at a critical time in our movement. We are at the intersection of several crises: globally, 800 women are dying every day in childbirth. 218 million women in the global south countries have an unmet need for modern contraception – meaning they want to avoid a pregnancy but are not using a modern method,” added Dr. Dube.

The movement for rights-based family planning is an integral part of the global push for gender equality.

Gender is at the root of every person’s ability to make and carry out decisions about sex, contraception, and sexual and reproductive health.

As the global push for gender equality gains strength, FP2030 affirms the central importance of rights-based, gender-transformative family planning. 

Dr Sheila Macharia -FP2030 Report
Dr Sheila Macharia

The report is the first to fully reflect the impact of FP2030’s move to decentralize from one secretariat in Washington DC, to five regional hubs in Nairobi, Kenya; Abuja, Nigeria; Kuala Lumpur, Malaysia; and Panama City, Panama; to ensure that the partnership is driven by regional priorities.

The report contains demographic updates from each region, as well as a special focus on postpartum family planning, a topic chosen by the Regional Hubs, as a high impact practice with demonstrated ability to improve maternal and newborn health outcomes and increase uptake of contraception.

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Cybercriminals Successfully Encrypted Data in Ransomware Attacks on Nearly 75% of Healthcare Organizations, Sophos Survey

Only 24% of Healthcare Organizations Were Able to Disrupt a Ransomware Attack Before Attackers Encrypted Their Data. This is the Lowest Rate of Disruption in 3 Years, reports SANDRA ANI

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Chester Wisniewski, director, field CTO, Sophos
Chester Wisniewski, director, field CTO, Sophos

Sophos, a global leader in innovating and delivering cybersecurity as a service, today shared its sector survey report, “The State of Ransomware in Healthcare 2023,” which revealed that, among those organizations surveyed, cybercriminals successfully encrypted data in nearly 75% of ransomware attacks.

 This is the highest rate of encryption in the past three years and a significant increase from the 61% of healthcare organizations that reported having their data encrypted last year.

In addition, only 24% of healthcare organizations were able to disrupt a ransomware attack before the attackers encrypted their data—down from 34% in 2022; this is the lowest rate of disruption reported by the sector over the past three years.

“To me, the percentage of organizations that successfully stop an attack before encryption is a strong indicator of security maturity. For the healthcare sector, however, this number is quite low—only 24%. What’s more, this number is declining, which suggests the sector is actively losing ground against cyberattackers and is increasingly unable to detect and stop an attack in progress.

“Part of the problem is that ransomware attacks continue to grow in sophistication, and the attackers are speeding up their attack timelines. In the latest Active Adversary Report for Tech Leaders, we found that the median time from the start of a ransomware attack to detection was only five days. We also found that 90% of ransomware attacks took place after regular business hours. The ransomware threat has simply become too complex for most companies to go at it alone. All organizations, especially those in healthcare, need to modernize their defensive approach to cybercrime, moving from being solely preventative to actively monitoring and investigating alerts 24/7 and securing outside help in the form of services like managed detection and response (MDR),” said Chester Wisniewski, director, field CTO, Sophos.

Healthcare Organizations Were Able to Disrupt a Ransomware Attack
Sophos report

Additional key findings from the report include:

  • In 37% of ransomware attacks where data was successfully encrypted, data was also stolen, suggesting a rise in the “double dip” method
  • Healthcare organizations are now taking longer to recover, with 47% recovering in a week, compared to 54% last year
  • The overall number of ransomware attacks against healthcare organizations surveyed declined from 66% in 2022 to 60% this year
  • Compromised credentials were the number one root cause of ransomware attacks against healthcare organizations, followed by exploits
  • The number of healthcare organizations surveyed that paid ransom payments declined from 61% last year to 42% this year. This is lower than the cross-sector average of 46%

“In 2016, the Red Cross Hospital of Córdoba in Spain suffered a ransomware attack that reached servers and encrypted hundreds of files, medical records and other important patient information. It was a major disruption to our operations and interfered with our ability to care for our patients. The stakes are high in ransomware attacks against healthcare organizations—and attackers know that—meaning we’ll always be a target. After this ransomware attack, we worked hard with Tekpyme to bolster our defenses, and now we have reduced our incident response time by 80%. I think the industry as a whole is making improvements, but there is still work to do, because of the constantly changing nature of cybercrime. Hopefully healthcare organizations can leverage the help that is available from security vendors such as Sophos to prevent a very real ‘threat to life’ if systems go offline due to a ransomware attack,” said José Antonio Alcaraz Pérez, head of information systems and communications at Cruz Red Andalusia in Spain.

“Cyberspace today is ripe with technically sophisticated actors looking for vulnerabilities to exploit. What all this translates to is a multidimensional cyberthreat of actors who have the tools to paralyze entire hospitals. Partnering with the private sector is critical to our mission. The information [they] share has real-world impacts and can save real businesses and real lives,” said Christopher Wray, FBI Director.

Sophos recommends the following best practices to help defend against ransomware and other cyberattacks:

  • Strengthen defensive shields with:
    • Security tools that defend against the most common attack vectors, including endpoint protection with strong anti-ransomware and anti-exploit capabilities
    • Adaptive technologies that respond automatically to attacks, disrupting adversaries and buying defenders time to respond
  • Optimize attack preparation, including regularly backing up, practicing recovering data from backups and maintaining an up-to-date incident response plan
  • Maintain security hygiene, including timely patching and regularly reviewing security tool configurations

To learn more about the State of Ransomware in Healthcare 2023, download the full report from Sophos.com.

*The State of Ransomware 2023 survey polled 3,000 IT/cybersecurity leaders in organizations with between 100 and 5,000 employees, including 233 from the healthcare sector, across 14 countries in the Americas, EMEA and Asia Pacific.

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LUTH Doctor Slumps And Dies After 72hrs Call In The Neurosurgery Unit

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Outrage As LUTH Doctor Dies After 72-hour Non-stop Shift

Tweeps have taken to X to share their thoughts on the death of a young doctor, identified as Dr. Umoh Michael, who died on Sunday after allegedly working 72 hours straight.

According to reports, Michael died during a church service at the United Evangelical Church on September 17. He was said to have worked a 72-hour non-stop shift at the Lagos University Teaching Hospital, Idi-Araba, where he was a resident doctor.

Doctors under the aegis of the Association of Resident Doctors, LUTH chapter, in a letter addressed to the Chief Medical Director, LUTH, Prof. Wasiu Lanre Adeyemo, attested to the fact that the young doctor was overworked.

They claimed Michael returned home at about 3:00 a.m. Sunday after a 72-hour shift in the hospital, adding that he had barely slept in their apartment before that day.

The statement partly read, “We the house officers are in deep grief over the loss of our colleague, a co-house officer (Dr Umoh Michael) who died on 17th September, 2023, after having a 72hrs call in the Neurosurgery Unit.

“He is said to have been on call 72hrs before arriving home on Sunday morning to get set for church service, reaching his worship center (United Evangelical Church) where he slumped in the church at about 11 am.”

“His roommate attested to the fact that Umoh Michael had barely slept in their apartment over the past one week as he was always on call or the day he returned home was around 3 a.m. after surgeries and other activities in the Neurosurgery Unit.”

Reacting to the sad incident, LUTH’s Public Relations Officer, Omolola Fakeye, who spoke on an online platform (not PUNCH) Online said, “It is not true that anybody worked for 72 hours. I have not been briefed about his death.

“We were at a programme yesterday (Monday), but I will find out; I can’t say anything now. I will check the medical report of what could have happened because anybody can say anything, but the medical report will show us what happened.”

May his soul rest in peace.

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