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FULL TEXT: FG’s COVID-19 Guidelines

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The Presidential Task Force (PTF) on COVID-19 on Monday, announced a new wave of restrictions following the increase in cases of COVID-19 as it said all bars, nightclubs and recreation centres nationwide are to be closed till further notice.

It also ordered all federal civil servants on Grade Level 12 and below to stay at home for the next five weeks from Monday.

It also announced that all schools would remain closed till January 18 while also announcing that restrictions are placed on social and religious gatherings for five weeks.

Below is the full speech of the Chairman Of the PTF, Boss Mustapha:

​I welcome you all to the National Briefing for Monday 21st December, 2020

2.​ Over the past four briefings, the PTF has been raising the alert flag on the rising number of infections in the country and the possibility of a second wave arriving at our shores.

  1. Recent Epidemiology records confirm to the PTF that Nigeria is now facing a rise in confirmed COVID-19 cases nationwide which is similar to the second wave of infections occurring in other countries across the world. Particularly, Lagos, Kaduna and the FCT have emerged as the new epicentres during this period, with over 70% of all confirmed cases.

4.​ Two major indicators highlight the current increase in cases and transmission across Nigeria. These are:

i. Notwithstanding the fact that our testing numbers are fast approaching the peak recorded in July 2020, the number of cases being reported are disproportionately higher. For example, in the FCT, despite recording an increase of 85% in tests conducted over the last week, the number of confirmed cases increased by 285% during the same time period; and

ii. These trends point to a higher Test Positivity Rate (TPR- the number of positive cases detected as a proportion of all tests). The TPR was below 5% through September and October and we recorded a low point of 3% nationally in late October 2020. However, recent trends in cases has seen this number increase to 10% in the second week of December.
These high numbers are further reflected in the increase of admissions to COVID-19 treatment centres and fatalities, particularly in the three epicentre states.

5.​ The result of the analysis carried out by the PTF further indicate that the current pattern of spread, and the surge is likely to be driven by the following factors:

i. the lack of compliance with non-pharmaceutical interventions – particularly the disregard for mask use in public, large gatherings as a result of events linked to the yuletide season and recent civil demonstrations.

ii. Further disregard for other public health preventive measures, such as hand hygiene and physical distance requirements;

iii. The activities and assumptions of our youthful population which has resulted in an increase in the infection rate among young people, who are subsequently infecting older and more vulnerable family members.

6.​From our assessment, the current situation are clearly the consequences of certain occurrences and events of the last few weeks. These include:

i. Sudden increase in social gatherings involving large congregations from different parts of the country, and the world, at events such as weddings, religious activities, political rallies, conferences and end of year celebrations;

ii. These events, classified globally as ‘supers-spreader events’, make the risk of a single infection causing a large outbreak among attendees significantly higher;

iii. Furthermore, as we reopened the economy, we experienced increased economic, social and religious gatherings and activities all of which have combined to play a part in viral transmissions. These include:

a) The opening of the international airspace in September 2020 – While the average number of daily imported infections into the country in the last 90 days is estimated to be about 7 cases, compared to 100-150 reported new infections in the community since the beginning of community transmission, the test positivity rate in travellers arriving Lagos has recently doubled to 6.3%;

b) The resumption of schools – outbreaks have been reported in schools following the resumption of physical classes;

c) The resumption of NYSC orientation camps – this risk has been mitigated by ensuring that all NYSC members were screened for COVID-19 prior to admission to camp, but confirmed cases have still been identified through tests carried out;

d) The full opening of offices with the return to work of government workers from GL. 12 and below – outbreaks have also been reported in public offices, most likely linked to overcrowding, poor ventilation and the lack of compliance with non-pharmaceutical interventions; and

e) The opening of the economy with progressive relaxation of restrictions in congregational areas such as places of worship, restaurants, bars, lounges, shopping and event centres.

7.​ You will also recall that the PTF established the Nigeria International Travel Portal for the control of possible importation of the virus. Statistics show that a good percentage of in-bound travellers have breached the travel protocols thereby making surveillance and testing suffer undue setbacks. The following statistics will be of interest.

a) As at date, 163,818 inbound travellers have been captured on the portal;

b) Out of this number, 77,025 (47%) made payment for post arrival testing;

c) 64,405 (84%) of the number are due for post-arrival test;

d) Out of 44,189 (69%) that were due for post-arrival test, 44,189 representing (59%) of those tested; and

e) 20,216 (31%) have not shown up for post arrival test thereby endangering members of the community and breaching the protocols they signed up to.

8.​The PTF has concluded arrangements with the Nigeria Immigration Service to impose sanctions on these defaulters for breaching the public health protocols, within ambit of the law.

9.​ The PTF has surveyed developments and actions taken by governments around the world, assessed our domestic environment and has accordingly submitted its recommendations to Mr. President on immediate measures to be taken.

10​. Accordingly, His Excellency, Muhammadu Buhari, President of the Federal Republic of Nigeria has authorised the PTF to engage with the States and the FCT to assume full ownership of this stage of the response by deploying legal structures and resources, including enforcement to manage the pandemic within their jurisdictions:

  1. In line with the authorisation, the PTF wishes to issue the following advisories to sub-national entities for implementation over the next five weeks because these activities are considered super spreader events:

a. Close All bars, night clubs, pubs and event centres, and recreational venues;

b. Close all restaurants except those providing services to hotel residents; takeaways, home deliveries and drive-ins shall remain closed;

c. Restrict all informal and formal festivity events including weddings, conferences, congresses, office parties, concerts, seminars, sporting activities, end of year events shall be restricted to not more than 50 persons;

d. Limit All gatherings linked to religious events to less than 50% capacity of the facility of use during which physical distancing; mandatory use of face masks shall be strictly enforced

e. Where more than 50 persons are attending, any such events, the gathering should be held outdoors only;

f. Public transportation systems are to carry passengers not more than 50% of their capacity in compliance with social distancing rules.

g. Enforce compliance with NPI protocols especially the advisory on wearing of face masks in public spaces;

(ii) To reduce overcrowding in public spaces, markets, shopping centres, offices and schools States are advised to implement the following:

a. Encourage virtual meetings in government Offices. The leadership of such offices are to ensure that all offices are well-ventilated offices, and encourage staff to work from home where possible;

b. All government staff on GL.12 and below are to stay at home for the next 5 weeks; Permanent Secretaries and Chief Executives are to be held accountable for enforcing NPI rules in their domains with frequent spot checks;

c. The PTF on the advice of the Federal Ministry of Education, expects that schools would have vacated from the 18th December 2020 and remain closed till at least the 18th of January, 2021 to enable the measures introduced to take effect;

d. All persons above the age of 60yrs and/or with comorbidities are to be encouraged to stay at home and avoid crowds;

e. All non-essential travels – both domestic and international during the holiday season are seriously discouraged;

(iii) To strengthen risk communication and community engagement activities over the next 5 weeks, States are encouraged to;

a. Engage community and religious leaders, arrange town hall meetings (ideally set outdoors) to address concerns;

b. Intensify public messaging activities, leveraging on existing government and partner assets;

c. Reach out to youths and younger adults with health promotion activities;

d. Invest in local face mask purchase and distribution to the general public to encourage use.

(iv) Where applicable, the PTF shall also implement these authorisations. For example, it shall work with the Nigeria Immigration Service to impose sanctions on all in-bound travellers who violated the travel protocols and endangered the lives of their loved ones and other citizens by refusing to take the post-arrival test.

(v) The PTF will similarly work with the Head of the Civil Service of the Federation to implement aspects related to the Public Service.

12.​ A lot of discussion is still going on around the calls for the restriction of international travels due to the discovery of new strains of the virus in certain countries. The PTF, Aviation and health authorities including the WHO , are assessing the situation closely and would take a position as soon as cogent scientific basis are established. The protection of Nigerians remains our primary concern and we reassure Nigerians of our resolve not to relent.

  1. Tomorrow, Tuesday 22nd December, 2020 at 3.00pm, the PTF shall be submitting its end of year (2020) Report to Mr. President and Nigerians shall be kept abreast of developments in this regard.
  2. ​I now call on the Hon. Minister of Health, the Director General (NCDC) and the National Coordinator to update you on the technical developments.
  3. ​I thank you for listening.
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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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