Health

By Uzair Adam Imam

The Kano State Cancer Center has disclosed plan to establish Cancer Care Trust Fund to help the vulnerable indegene patients in the state with the cost of their health treatments.

The co-odinator of the Center, Dr. Aminu Magashi, stated this on Monday in a Facebook post sighted by The Daily Reality.

Magashi said the effort was in collaboration with some international development partners, NGOs and business community among others.

He added that it was also part of their plans to set up a Cancer Registry/Directory in collaboration with the Kano State Bureau of Statistics.

He further stated that also distinguished health committee members tasked them to establish the governing board and open the centre soon as well as be updating.

In the post, Magashi said, “In my humble capacity as the Coordinator of the Kano State Cancer Care Center, today, Tuesday 3rd October, I received in my office a powerful delegation of the Kano State House of Assembly Health Committee led by Hon. Zakariyya Alhassan Ishaq, Chairman Health Committee, Hon. Usman Abubakar Tasiu, Deputy Chair and other esteemed members of the committee and Clarks.

“It was a familiarisation visit. With me is our Legal Adviser/Secretary, Barrister Maryam Jibrin, from the Ministry of Justice.

“We updated them on our plans to commence work at the Cancer Centre with our ‘PPP’ partner H360 as well as our intention to establish the Cancer Care Trust Fund in collaboration with our international development partners, NGOs and business community to cater for indigent patients/vulnerable people’s cost of treatment, set up of Cancer Registry/Directory in collaboration with Kano State Bureau of Statistics.

“Distinguished health committee members tasked us to establish the governing board and open the centre soon as well as be updating,” he added.

As observed by The Daily Reality, many people who commented under the post have expressed their gratitude and prayed for the centre to succeed.

By Uzair Adam Imam

There have been moves for collective efforts between the Kano State Bureau of Statistics, Kano Cancer Center and AMG Foundation to establish a comprehensive cancer registry and directory in Kano State.

A statement by the Technical Assistant to the Statistician, General Kano State Bureau of Statistics, Muhammad Tasiu Abbas, disclosed this on Monday.

Abbas said that Dr. Aliyu Isa Aliyu, the Statistician General of Kano State Bureau of Statistics, met with Dr. Amin Magashi about the development.

He added that their meeting revolved around discussing the possibilities of collaboration in establishing a comprehensive cancer registry and directory in the state.

The statement read in part, “The meeting aimed to enhance efforts in collecting and analyzing cancer-related data, ensuring improved planning, prevention, and treatment strategies in the fight against cancer.

“The proposed partnership between the Bureau of Statistics, Cancer Center and AMG Foundation is expected to strengthen the state’s capacity to combat this disease and address the various challenges it poses to public health,” the statement added.

By Sabiu Abdullahi 

The Nigerian healthcare system faces a severe blow as the National Association of Nigeria Nurses and Midwives (NANNM) will officially commence their indefinite nationwide strike today, in solidarity with the Nigerian Labour Congress (NLC) and Trade Union Congress (TUC). 

The strike, initiated to protest the removal of fuel subsidies and the government’s anti-labour policies, has left the nation’s hospitals in a state of uncertainty. 

NANNM President Nnachi Michael Ekuma emphasised the necessity of the strike, citing the government’s failure to address issues crucial to healthcare workers, such as stagnant salaries, staff shortages, and subpar working conditions.

Ekuma’s letter to association members outlined the dire situation created by the removal of the fuel subsidy, leading to increased living costs for Nigerians without corresponding wage hikes for workers. 

Despite the government’s attempt to mitigate the situation by deploying military personnel to hospitals and clinics, the adequacy of these measures remains uncertain.

Patients are advised to proactively liaise with their healthcare providers to determine the status of their appointments and procedures.

Where possible, rescheduling appointments after the strike concludes is recommended to minimise disruptions to their healthcare services.

The unity of the Nigerian labour movement underscores the depth of dissatisfaction with the government’s economic policies, creating a challenging environment for negotiations and resolution.

By Ahmad Deedat Zakari 

The Jigawa State Government has confirmed the deaths of ten people due to an outbreak of diphtheria in the state, as there are currently about 100 suspected cases of the disease.  

The Jigawa State Ministry of Health disclosed on Saturday that ten people have died following an outbreak of diphtheria across the 14 local government areas of the state.  

The Permanent Secretary of the Jigawa State Ministry of Health, Dr Salisu Mu’azu, disclosed this while fielding questions from reporters in Dutse.

He said that two cases have been confirmed in Kazaure and Jahun local government areas, while some samples have been taken to Abuja for confirmation. 

He said the outbreak occurred in areas with zero-dose routine immunisation against the epidemic. 

Dr Ma’azu also said the ministry had already investigated, collected necessary information and data in the affected areas, and updated the National Primary Health Care Development Agency (NPHDA) and the National Centre for Disease Control (NCDC) for further action. 

He said the state government is making arrangements to administer vaccines once available. 

Dr. Muazu attributed the outbreak to healthcare service disruptions some years ago during the COVID-19 pandemic, when everything was suspended; hence, routine immunisation has become a major challenge in the state.

By Aisha Mahmud Yusuf

In August 2020, when my father was admitted to the hospital, my friend, who was doing her youth service (NYSC) at the same hospital, visited him. She later came when I was with him and told me something no one else had. She said, “I know exactly how you feel, and it’s okay to have all those emotions.” She understood that because her father had also been sick for years.

A few years later, some of my friends whose parents became sick would ask me, “Is that how you feel?” I would tell them it would get better with time and pray for the sick to get better. It made me realize that we don’t talk about it because without experiencing it, one doesn’t know how it feels to have a sick loved one and take care of them. 

Often, when someone is sick, what people see is the financial burden on the family members. But there is much more that they don’t see. The stress, anxiety, fear, and sometimes even guilt that the family members, especially the caregivers, go through is rarely acknowledged. Unfortunately, sometimes people even add to all these with their judgements and (sometimes accusations) unsolicited suggestions and advice on how to care for the patient.

People expect one to be a caregiver without showing emotions, to be on one’s feet 24/7 without a break, forgetting that we are humans too and there is a limit to what we can endure. 

In a society where mental health is still not a priority, you as a caregiver should take time to process your emotions and, if possible, take a break to avoid burnout. You cannot give from an empty cup. If it becomes overwhelming, find someone to listen and talk to them. 

When next you visit a sick person, check their caregivers too, share a few kind words, and appreciate them.  That will go a long way for them. Also, if a caregiver opens up to you, listen with empathy even if you don’t understand because you are not in their shoes and ask if you can help in any way.

Aisha Mahmud Yusuf wrote via aishatyusuf63@gmail.com.

By Uzair Adam Imam

Governor Abba Kabir Yusuf of Kano State has expressed his deepest displeasure over the dilapidated conditions of Muhammad Abdullahi Wase Teaching Hospital, a government-owned and one of the busiest hospitals in the state.

The Governor showed dissatisfaction concerning the state of the facility when he led other top government functionaries on an unscheduled visit and on-the-spot assessment of the hospital over the weekend.

Sunusi Bature Dawakin-Tofa, the state’s Chief Press Secretary, made this disclosure in a statement he signed and made available to journalists on the weekend.

Dawakin-Tofa quoted the governor to have said, “As a teaching hospital for training medical professionals and provision of tertiary medical care, the hospital needs to be overhauled and expand its services, especially maternity services and care for the children.

“It is disheartening to meet the hospital that caters for the medical needs of thousands of patients daily in a condition uncomfortable for human inhabitation, a situation that needs to be checked and corrected,” Governor Yusuf stressed.

“I do instruct the management of the hospital to, as a matter of urgency, forward the request for rehabilitation and expansion of the hospital for immediate action to restore the lost glory of the gigantic health facility,” he added.

The Daily Reality, in an investigative report last year, recounted the monstrous condition of another state-owned hospital, Sir Muhammadu Sunusi Specialist Hospital, Yankaba, where patients were living miserably without water and light.

Our reporter visited the hospital and met some patients in dire situations, fighting excessive heat with their hand fans, which has thrown many of them into a dilemma.

The Daily Reality learned that all the taps in the hospital were not working, except one borehole, which the patients said works for less than one hour every day.

Recounting their experiences, some patient sitters complained that they used sachet water, alias pure water, to bathe, flush toilets, make ablutions and wash their dishes.

They also complained about the lack of electricity, which they said was responsible for many problems in the hospital.

By Aliyu Musa Dada

Today, I want to bring our attention to a heartbreaking incident that highlights the shortcomings in our government’s support system. Dr. Tijjani Ibrahim, a young and dedicated medical doctor, fought bravely against decompensated chronic liver disease caused by Hepatitis B infection.

Despite the efforts of his friends to raise funds for his treatment, Dr Ibrahim tragically passed away before realising the required amount. This unfortunate event raises serious concerns about lacking a robust system to assist individuals, even those tirelessly dedicated to serving others, like Dr. Ibrahim.

We, as citizens, deserve a government that prioritises the well-being of its people, especially those in critical need of medical support. It is disheartening to witness the struggles faced by individuals who have dedicated their lives to saving others, only to be let down by a system that fails to provide adequate assistance.

Dr. Ibrahim’s passing is a stark reminder of the urgent need for reforms and investment in healthcare infrastructure. It should not rely solely on the goodwill and generosity of friends and well-wishers to fund essential medical treatments. Our government should be responsible for ensuring accessible and affordable healthcare for all citizens, especially those in dire situations.

In this moment of grief, let us remember Dr. Ibrahim as a compassionate and dedicated doctor who selflessly served his patients until the end. Our thoughts and prayers go out to his family and friends during this difficult time.

May Dr. Tijjani Ibrahim’s soul rest in peace, and may his legacy inspire us to advocate for change. Let us raise our voices and demand better support systems for individuals facing medical challenges.

We must unite as a community to address these issues and hold our government accountable. We can start by engaging in constructive conversations, raising awareness about the gaps in healthcare support, and urging policymakers to prioritise the well-being of their citizens.

Remember, change begins with us. Let us honour Dr. Ibrahim’s memory by actively working towards a healthcare system that provides timely and accessible support for all those in need.

By Fadhila Nuruddeen Muhammad

The journey towards becoming a doctor often begins in childhood, driven by a deep desire to help others and positively impact people’s lives. For many, like myself, the path may take unexpected turns, leading to different callings. I recall my childhood fascination with medicine, even playfully emulating the role of a doctor in my school days, using improvised tools such as cloth face masks and hand gloves to “perform surgery” on classmates’ pens. I’d then transfer the ink from one tube to another, all to save my classmates from running out of ink. Life has a way of guiding us, and for me, that path led to journalism.

Tijjani Ibrahim, however, followed his childhood passion to become a committed and dedicated young medical doctor. His journey was filled with promise, but it took an unfortunate turn when he was diagnosed with advanced Chronic Liver Disease, Liver Cirrhosis, a consequence of Hepatitis B Viral Infection in June 2023.

Dr Aisha Danbatta, a medical consultant at Murtala Muhammad Specialist Hospital, explained Hepatitis B as a global health challenge that targets the liver, causing both acute and chronic illnesses. “This virus can be transmitted through various means, such as from mother to child, unscreened blood transfusions, exposure to contaminated materials, sexual contact with an infected partner, and even through saliva. Unlike HIV, Hepatitis B has a longer lifespan, making it easier to transmit.”

Dr Danbatta emphasised the prevalence of undiagnosed cases due to a lack of immunisation, leaving many unaware of their condition. Those diagnosed often struggle to afford vital tests like viral load measurements, which determine the quantity of the virus in the blood and assess the extent of liver damage. Physical examinations, ultrasounds, and fibroscans are also crucial in evaluating liver fibrosis and scarring monitoring the progression of the disease.

Dr Tijjani was first at the National Hospital, Abuja, where he was doing his house job and diagnosed with Liver Cirrhosis at the same hospital in June this year. The cost of his treatment was quite high, and he could not afford it. The National Hospital Abuja could only support his medical bills by creating an official memo. He was later transferred to Aminu Kano Teaching Hospital in Kano.

Hamza Danyaro, a friend of the late Dr Tijjani Ibrahim, explained that “his return to Kano was motivated by the hope that the National Medical Association (NMA) Kano State chapter could provide support. However, it was revealed that to benefit from their assistance, he needed to complete his National Youth Service Corps (NYSC), pay his dues, and work for at least a month or two before becoming eligible.”

“Tijjanii was not strong enough to go through these. Instead, we rallied to seek help from dignitaries such as politicians, the House of Representatives members of his local government in Kumbotso, and organisations. Unfortunately, the lengthy protocols inherent in today’s politics prevented direct outreach,” Danyaro added.

Tijjani was left with no other option than to seek funds. His friends organised the fundraising. The campaign was expected to raise a sense of urgency and necessity to help support a young medical doctor with funds to support his medical bills. This kind of transparency can prompt people to contribute to the cause. But only a tiny amount was raised after several days of campaigns.

Fauziyya D. Sulaiman, a philanthropist with a heart of gold, shared her disappointment on social media, writing, “It’s unfortunate that despite our community boasting politicians and business leaders among us, we couldn’t muster N25,000,000 to support Tijjani. If this were about some trivial matter, you would have seen some of us at the forefront. This is undeniably a disgrace.”

Dr Khalid Sunusi Kani, a medical doctor and health advocate, penned an open letter addressed to President Bola Ahmad Tinubu through Solacebase online newspaper. In this heartfelt letter, he expressed the critical need for Dr Tijjani Ibrahim’s services in Nigeria, emphasising the pressing issues within the country’s healthcare sector and the alarming rate of “brain drain syndrome.”

He wrote, “Your Excellency, Nigerians too are in desperate need of his services, looking at the manpower deficit in the health sector and the rate at which we suffer from ‘brain drain syndrome.’ I strongly believe Nigeria and Nigerians are unprepared and cannot afford to lose someone like Dr. Tijjani Ibrahim.”

Chronic Hepatitis B places individuals at a high risk of cirrhosis and liver cancer, leading to severe health consequences. In July 2023, the World Health Organization revealed that 296 million people were living with chronic hepatitis B infection in 2019, with 1.5 million new conditions occurring yearly. While there is no specific treatment for acute hepatitis B, medicines can effectively slow the progression of cirrhosis, reduce the incidence of liver cancer, and improve long-term survival.

Dr Tijjani Ibrahim died on September 6, 2023. His dedication to the medical field and his efforts to make a difference in the lives of others will be remembered and cherished.

Witnessing a doctor who devoted his life to saving countless others facing such challenging circumstances is genuinely disheartening. He dedicated his life to the mantra of ‘One Life, One Liver,’ yet our society struggled to come together to save his life. In a world where trivial issues on social media can garner an astonishing number of likes, it’s heartbreaking that Tijjani needed just 25,000 people to contribute a mere dollar each or someone who can just pay the total amount.

Tijjani’s story serves as a poignant reminder of the power of collective action and the importance of rallying together to support those in need, especially those who have dedicated their lives to serving others. Let us reflect on this unfortunate situation and take it as a call to action. Together, we can make a difference and ensure that the heroes who dedicate their lives to saving others do not suffer in silence.

“One Life, One Liver”: A heartfelt tribute to a fallen hero leaving an indelible mark on the world. May Allah rest his soul, amin.

Fadhila Nuruddeen Muhammad is a social media influencer based in Kano and can be reached via fadhilamuhd@gmail.com.

By Bello Hussein Adoto

Medicine is a sacred profession where trust is vital. Yet, fakes and their accomplices undermine this trust and put everyone at risk. Medical doctors must stand up and sanitise the system first by not promoting quackery.

Meet Abawulor Omenka, a 35-year-old Nigerian who made headlines after presenting a second-class upper degree in Medicine and Surgery to Covenant University Medical Centre, Ota, Ogun state, for employment.

For those who don’t know, medical degrees are not classified. It is either you pass or you don’t. There is no first-, second-, or third-class, as you have in education, law, engineering, and pharmacy programmes.

So, for Mr. Omenka to present a second-class upper degree shows something was wrong. True to suspicion, he was found to be a fake doctor and handed over to the police. Omenka’s case is symptomatic of how doctors contribute to quackery, deliberate or not.

The role of doctors in quackery is subtle yet significant. For instance, Omenka, in his interview, talked about the different hospitals he has worked for. One of his interviewers told The Punch, “…he (Omenka) had worked at the hospital owned by some of our colleagues that we know. We put a call across to them, and two of them actually confirmed that they knew him very well. I told them he was trying to apply as a medical officer, and they told me he worked with them as an auxiliary nurse or, better put, as a hospital assistant.”

Imagine if he had earlier been reported to the police or the Nigerian Medical Association and removed from circulation. He wouldn’t have had the guts to apply to be a medical officer at a hospital.

Beyond that, doctors should not allow their hard-earned certificates and licenses to be used to register clinics run by unqualified individuals. Many quacks wouldn’t have had clinics to experiment on patients without doctors registering the clinics for them.

The practice of quacks using a doctor’s license to operate their clinics is well established. As Professor Shima Gyoh, a former provost of Benue State University College of Health Sciences, told the International Centre for Investigative Reporting, “A lot of these illegal clinics are run by cleaners in the hospitals; I knew some who started clinics without approval. What they do is you start a clinic, you ask a doctor to stand behind you and register the clinic in his name, then you pay the doctor something. Instead of the doctor inspecting what you are doing, he does not do that, and then you continue to run your clinic independently. Yet, you are not a doctor.”

Moreover, doctors are honourable people who should not be found near quacks and quackery. Yet, some doctors help quacks run their clinics. The quack will open a clinic and handle common illnesses while the trained doctor comes in for the severe ones. This partnership gives the quack a veneer of legitimacy, which allows him to attract more patients and handle even bigger cases.

Another factor is economical. I know things can be challenging for doctors, especially those in private practice. They must establish standard hospitals, hire competent staff, meet regulatory standards, and offer quality services. All these cost money.

Nevertheless, the need to balance the chequebook does not excuse hiring untrained hands as cheap labour or training them to become health workers themselves. The male trainees graduate to become ‘doctors,’ while the female ones are called ‘auxiliary nurses.’ Whatever that means.

Let’s be clear. I don’t have a beef with medical doctors. If anything, I am grateful for their remarkable job in the face of limited resources and an overwhelming workload. My aim is to call on them to sit up and excise this cancer eating into their noble profession.

Of course, fakes are not exclusive to the medical profession. Bogus certificates and fake professionals are around us in the form of fake doctors, fake lawyers, fake soldiers, fake engineers.

Nevertheless, patients place enormous trust on their caregivers and doctors should know better than to endorse quackery. They are trained, more than most, to know the value of health and wellness and respect the sanctity of their patients.

They have read tonnes of materials, done lots of practicals, and spent years doing exams upon exams to show they have studied human functionality and diseases and can apply the training to treat people. They shouldn’t be found contributing to quackery in any form.

Medicine should have no room for quackery. Human life is too sacred, and the burden of care is too great for those not qualified by training, experience, and certification to play poker.

One could say that doctors and non-clinical health workers can work together in a task-shifting, task-sharing arrangement. This way, routine, low-skill tasks can be shifted to health workers like community health extension workers (CHEWs) and health technicians so that we can have better use of our depleted workforce and ensure that everyone gets quality healthcare. I agree with this arrangement.

In a task-shifting, task-sharing arrangement, everyone knows their job. However, what some doctors do currently is not task-shifting or task-sharing. What they do instead is aiding and abetting an aberration fast becoming a norm. This needs to stop.

Bello Hussein writes from Ilorin via bellohussein210@gmail.com

By Muhammadu Sabiu 

Hon. Commissioner, Ministry for Higher Education, Dr. Yusuf Ibrahim Kofarmata, orchestrated a significant medical outreach programme in Kofarmata, Kano, in a remarkable display of commitment to public welfare. 

The event, organised under the esteemed patronage of His Excellency, Alhaji Abba Kabir Yusuf, the Executive Governor of Kano State, commemorated the Governor’s 100 days in office. 

The medical outreach, which took place over several days, brought essential healthcare services to approximately 3,000 residents from various parts of Kano.

This initiative aimed to address the healthcare needs of the community and ensure access to medical check-ups, diagnosis, and free medications. 

Dr. Yusuf Ibrahim Kofarmata’s commitment to the welfare of the people was evident as a team of skilled healthcare professionals, nurses, and doctors offered their expertise to those in need.

The services provided ranged from general medical check-ups to comprehensive diagnoses, ensuring that individuals received the appropriate care and attention. 

Furthermore, the programme distributed free medications to those requiring treatment, thereby alleviating the financial burden on many residents who often struggle to access healthcare services.