Health
Ebola lessons for fighting COVID-1 by Ngozi Okonjo-Iweala
The Democratic Republic of Congo will soon pass a milestone marking its success in the fight against Ebola. As Africa braces for COVID-19, one lesson from the DRC is that the best hope for defeating the coronavirus is not social distancing, but a vaccine that is distributed equitably.
CAMBRIDGE – On April 12, the Democratic Republic of the Congo will mark 42 days since the last person who tested positive for Ebola was discharged from the hospital. The date is a significant milestone. It refers to twice the maximum incubation period – 21 days – of the virus, which is how the World Health Organization stipulates when an outbreak is over.
If all goes well, it will be a remarkable turnaround for the DRC and a testament to the bravery and dedication of health workers, some of whom lost their lives treating the sick. The DRC’s success in combating Ebola was overshadowed by the fact that, during that fight, approximately twice as many people died from a preventable measles outbreak.
One essential lesson for policymakers grappling with the greatest global health crisis in a century is that they must do everything in their power to prevent overstretched health systems from battling two epidemics simultaneously.
Bloodshed and fighting during a brutal civil war exacerbated the challenge facing the DRC as it fought the Ebola and measles outbreaks. The country experienced profound difficulties immunizing its population against entirely preventable diseases.
It found itself fighting a multi-front health battle when it desperately needed to marshal its available resources against a major threat.
The trajectory of COVID-19 may be less advanced in many of the world’s poorest countries, but we must not fool ourselves that a warmer climate, or a younger demographic profile, will blunt its impact.
The potential for death and disruption is even more pronounced than in the richer countries where the virus has hit hardest.
And yet weathering two significant health threats simultaneously has shown us how to prevent this nightmare scenario.
Our first priority is to maintain existing immunization programs. For measles, polio, or any other disease for which a low-cost vaccine is routinely available, it is critical that herd immunity is maintained in order to prevent any unnecessary drain on scarce health-care resources.
Next, we must bolster preparedness. A number of organizations, including Gavi, the Vaccine Alliance (of which I am Chair), have made funds available – $200-$300 million in Gavi’s case – to help the world’s poorest health systems step up surveillance activities, invest in testing, procure protective equipment, and train health workers.
Technology is playing a part, too: Despite valid privacy concerns, some countries are rolling out tracing apps – a relatively low cost, effective way to mitigate the virus’ spread. Africa is also using drones to distribute vaccines, protective equipment, and other vital supplies to remote areas.
Social distancing will slow the spread of COVID-19, but it will not win the war. Our best hope lies in finding a vaccine. While there may be 41 candidates of varying promise in the pipeline, we must learn from past mistakes.
Too often, governments have sequestered vaccines in the countries where they were manufactured. We must ensure that when an effective vaccine becomes available, it is accessible to anyone who needs it, not just the rich, fortunate few.
There are ways to avoid the inequitable distribution of vaccines. Gavi, which procures and distributes vaccines to 60% of the world’s children at affordable prices, regularly employs innovative mechanisms such as the International Finance Facility for Immunization, Advanced Market Commitment, and Advanced Purchase Commitment to encourage vaccine production and delivery.
In the case of Ebola, Gavi created incentivizes for Merck to stockpile an experimental Ebola vaccine that was then made available to the WHO, which deployed it in the DRC.
It can incentivize the production, scale, and equitable global distribution of a vaccine for COVID-19 as well. Poorer countries in Africa and elsewhere may be unable to deal with both the health and economic fallout of this pandemic on their own. The global effort that is already underway is essential, because COVID-19 knows no borders.
No country is safe until every country is safe. We are not yet near the end of the beginning of the COVID-19 crisis. We must use what precious time we have to bolster our weakest health systems and economies. But shoring up our defenses is not enough. We must go on the offensive by making the development and global distribution of a vaccine our highest priority.
Health
Enhancement of Military Health Services: Matawalle Meets U.S. Deputy Assistant Secretary of Defence for Health
In a significant move to bolster Defence Health Services and strengthen the partnership between the United States and Nigeria, the Minister of State for Defence, H.E. Dr. Muhammad Bello Matawalle, met with a U.S. delegation led by Dr. David Smith, Deputy Assistant Secretary of Defence for Health.
A statement endorsed by Henshaw Ogubike, director of Information and PR at the Ministry, shows that the the meeting focused on enhancing the existing collaboration in defence health between the two nations, which has previously facilitated the establishment of high-tech laboratories in Nigeria.
The Honourable Minister commended the U.S. for their efforts and urged for the expansion of these medical facilities beyond Abuja and Lagos to reach more derserved regions.
Dr. Matawalle emphasized the strategic integration of health services to improve the welfare of the Armed Forces of Nigeria, stating, “A healthy military is the backbone of a strong nation.” He reiterated the government’s commitment to ensuring that military personnel have access to top-tier healthcare services and facilities. To this end, he called for an increase in the defence budget allocated to health, viewing it as a vital investment in the nation’s future and stability.
Furthermore, the Minister highlighted that these initiatives align with Nigeria’s broader commitment to enhancing military readiness while addressing public health challenges that affect both service members and the civilian population. He noted that President Bola Ahmed Tinubu’s administration is dedicated to improving healthcare for military personnel and civilians, recognizing healthcare as a cornerstone of national security.
In his remarks, the Permanent Secretary of the Ministry of Defence, Dr. Ibrahim Abubakar Kana mni, stated that this initiative would positively impact military health and serve as a model for strengthening Nigeria’s overall healthcare system. “This collaboration marks a turning point for Nigeria’s defence health system,” he asserted.
Dr. Smith praised the Minister for his proactive approach to health readiness, underscoring the critical connection between health systems and military effectiveness. “Health is as crucial as any weapon system in ensuring military success, and we are committed to supporting Nigeria’s efforts to enhance its defence health system,” he remarked.
The U.S. delegation is in Nigeria to further advance initiatives aimed at sustaining progress against HIV, accelerating efforts towards the United Nations’ 95-95-95 goals, and working towards the elimination of HIV as a public health threat by 2030.
Health
Neptune Prime publisher to unveil cancer clinic, school, foundation for late journalists’ families as son weds in Yobe
The publisher of Neptune Prime newspapers, Dr Hassan Gimba, has announced plans to commission three major projects in his home state, Yobe State
In an invitation letter sent to newsmen on Wednesday, the publisher disclosed that the event, which is scheduled to take place on August 31, is coinciding with the wedding Fatiha of his son, Barrister Suleiman Gimba.
According to the letter, the wedding Fatiha will take place by 11:00am at the residence of Mohammed Babate, Behind Water Board, Army Barracks, Potiskum.
“Immediately after the wedding Fatihah, we will be commissioning the Hafsatu Gimba Ahmed Memorial School located at VIO Street, Unguwar Jaji, Potiskum.
“This institution is dedicated to the memory of my late mother, aiming to serve the educational needs of our community,” the letter noted.
Dr Gimba added that as part of the launch programme, the Abubakar Monja Lifeline Foundation for Late Journalists’ Families, which he founded to cater to the families of journalists who have passed away, will be empowering youths it trained in tailoring and plumbing.
“Additionally, I would like to invite you to inspect the ongoing construction of the Lami Fatima Babare Cancer Outreach and Clinic situated nearby, also in Unguwar Jaji.
“The clinic is an initiative of the Lami Fatima Babare Cervical Cancer Foundation, which was founded in 2020 – in memory of my late wife, Lami Fatima Babare – to provide medical services and referrals to cancer patients,” the letter noted.
The Enugu State Government has announced its intention to revamp the existing infrastructural facilities to give the Enugu State College of Health Technology in Oji River a face-lift and also scale-up institution to a technology-savvy citadel of learning.
The government made this known during a meeting with the management, staff, and students of the institution at the Enugu State Government House at the weekend, stressing its commitment to ensuring quality health service delivery in the state.
The government, which made this known through the Special Adviser on Health Matters, Dr. Yomi Jaye, also asked the students of the institution to go back to school and continue with their academic calendar, as all those involved in the recent breach of security in the school’s neighborhood had been rounded up and now facing the law.
The governor equally gave the college management a two-week ultimatum to develop a workplan, which the government would work on to ensure that the school functions at its optimum level.
Briefing Government House correspondents after the meeting, Dr. Jaye said, “We interacted with the management, staff and students of the Enugu State College of Health Technology, Orji River, to come up with a strategic plan to revamp the college and restore its lost glory.
His Excellency, Governor Peter Mbah, has expressed his willingness not only to revamp the school, but to upscale it to a technology-savvy teaching community.
“As you can see, the government is bullish about building Type-2 Healthcare Centre in each of the 260 wards and this college will produce some of the qualified workers that will deliver quality healthcare services to Ndi Enugu.
“We appeal to the parents and guardians to allow the students to go back to school and resume their academic activities as more security personnel have been deployed to make sure that both Oji River and its neighbouring communities are properly secured.
“It is also important to inform you that those who perpetrated the security breach have since been arrested and the victims, which included one student, also freed,” he maintained.
Also speaking, the Provost of the College, Dr. Lazarus Ezugwu, expressed his happiness over the state government’s move to revamp the institution, saying he was optimistic that the glory of the institution would be restored in no distant time.
When commending Governor Peter Mbah and the security agencies for their swift response to the recent security breach at the College, he also confirmed that security had been strengthened around the institution and Oji River in general.
“The meeting is such a commendable one. It goes a long way in telling us the type of visionary leader we have in the state. To be sincere, the total overhaul that will be done in the college is going to be enormous. What is coming to the college cannot be imagined because the governor has shown both special interest and political will. This is what we have been yearning for, for so many years,” Dr. Ezugwu stated.
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