Health
Japa: Council, nurses begin legal battle over new certification guidelines
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Some Nurses in the country have sued the Nursing and Midwifery Council of Nigeria, and the Minister of Health among others over the new certificate verification guidelines.
The NMCN had on February 7, 2024, issued a circular revising the guidelines for requesting verification of certificates for nurses and midwives.
The council stated, among others, that applicants seeking verification of certificates from foreign nursing boards and councils must possess two years of post-qualification experience from the date of issuance of the permanent practising licence.
The new guidelines came into force on March 1, 2024.
But nurses and midwives, under the aegis of the National Association of Nigeria Nurses and Midwives, expressed concern that the NMCN’s revised guidelines for certificate verification were targeted at preventing them from going abroad in search of greener pastures.
They are particularly uncomfortable with the provision in the guidelines that a nurse seeking NMCN certification must have a minimum of two years post-qualification experience.
They are also opposed to the requirement that a nurse applying for NMCN’s certification must obtain a letter of good standing from the Chief Executive Officer of their place of work and the last training institution attended while the processing of application shall take a minimum of six months.
As a result of this, nurses in Abuja and Lagos protested to demand the reversal of the new guidelines.
Pushing their demands forward, some dissatisfied nurses on behalf of their colleagues dragged the Registrar, NMCN; the Coordinating Minister of Health and Social Welfare; Federal Ministry of Health; and the Attorney General of the Federation before the National Industrial Court in Abuja.
The complainants in the suit marked: NICN/ABJ/ 76/2024, are Desmond Aigbe; Kelvin Ossai; Catherine Olatunji-Kuyoro; Tamunoibi Berry; Osemwengie Osagie; Abiola Olaniyan; Idowu Olabode, and Olumide Olurankinse.
They are urging the court to restrain the defendants and their agents from implementing the NMCN circular pending the determination of the suit.
The nurses also urged the court to suspend the commencement of the new guidelines.
They want “an interlocutory order suspending the commencement of the 2nd defendant’s Revised Guidelines for Verification of Certificate(S) with the Nursing and Midwifery Council Of Nigeria, earlier proposed to take effect from the 7th of March, 2024 as indicated on the 2nd defendant’s circular dated 7th February, 2024, pending the hearing and determination of the claimants/applicants Originating Summons in this suit.”
They also want “an interlocutory order restraining the defendants, their partners, parastatals, subjects, counterparts and agents from taking any further step that may hinder, restrict, or infringe on the constitutional rights and freedom of nurses and midwives in Nigeria from emigrating to the country to seek better career opportunities and training abroad.”
At the proceedings on Wednesday, counsel for the complaints, Ode Evans, told the court that he had just received the preliminary objection filled by the first and second defendants.
He pleaded with the court to adjourn the matter to enable him to reply to their applications.
Evans said, “I confirmed the receipt of the application from the first and second defendants this morning. We shall be asking for a date to enable us to file our responses.”
Justice Osatohanmwen Obaseki-Osaghae adjourned the matter till May 20 for hearing.
She ordered that the hearing notice be served on the Federal Ministry of Health and the Attorney General of the Federation who had no legal representation in court.
Health
Ebola deaths exceed 300 in DR Congo – Heath authorities
The Ebola epidemic has claimed more than 300 lives in the Democratic Republic of Congo (DRC), a little over one month after it was declared, health authorities said on Friday.
The deadly viral disease, which spreads through direct contact with bodily fluids, can cause severe bleeding and organ failure.
A total of 304 people in the DRC have now died of the virus, from 1,115 confirmed infections since the outbreak was detected on May 15, giving a mortality rate of 26.3 percent, the National Public Health Institute (INSP) said.
This is a jump from the 202 deaths confirmed on June 18 by the African Union’s health agency, from 875 confirmed infections — a mortality rate of 23 percent.
The Red Cross warned last week that the outbreak of the haemorrhagic fever has yet to peak and could take up to a year to contain.
In some rare good news, the DRC authorities announced in early June that several Ebola patients had been treated and cured.
Responders to the epidemic, the 17th to hit the vast, unstable central African country, face towering challenges.
No approved vaccines or treatments exist for the Bundibugyo strain of the virus responsible for the latest outbreak to hit the DRC, which is one of the world’s poorest countries.
The three affected provinces in eastern DRC — Ituri, North Kivu and South Kivu — have been plagued for three decades by conflict and mass displacement, complicating the response.
The outbreak has spread to neighbouring Uganda, where containment measures have been effective.
Kampala has reported 20 confirmed cases nationwide, including two deaths since May 15. Most of those infected are Congolese nationals who have travelled to Uganda.
On Wednesday, France reported the outbreak’s first confirmed case of Ebola outside Africa — a Congolese doctor who was working in the DRC for the international medical aid NGO ALIMA.
The World Health Organization says there is minimal risk of the virus spreading in Europe and there is no need for travel restrictions.
Air France, on which the doctor flew back to France, has nevertheless suspended all flights to Kinshasa for several days.
– Ituri –
The vast majority of cases in the DRC have been detected in Ituri.
The mineral-rich province is plagued with unrest from a string of rival armed groups, and frequent population movements favour the spread of the disease.
More than 91 percent of all infections have been registered in the provincial capital, Bunia, and more than 82 percent of all deaths.
Efforts to contain the virus have been ratcheted up in Ituri.
But healthcare facilities -– which often operate with limited resources — still lack basic equipment and supplies, such as personal protective equipment and chlorine.
Many clinics set up by the WHO and aid agencies are close to full, the country’s public health agency said.
At least 78 healthcare workers have been infected with the virus, and 18 have died, it added.
Medical and aid workers also have to contend with deep mistrust from some local communities.
Some families have demanded that hospitals hand over the bodies of the deceased, not realising that touching the body puts them at risk of contamination.
The reluctance of some families to allow post-mortem examinations on the victims is also leading to an underestimation of the number of cases, officials said.
AFP
Health
DR Congo Ebola outbreak tops 1,000 cases, kills 254
More than 1,000 Ebola infections have been recorded in the Democratic Republic of Congo, where the latest outbreak has killed more than 250 people, official figures showed Monday.
The country’s National Institute of Public Health (INSP) confirmed 1,003 cases and 254 deaths, with a fatality rate of 25 percent.
The latest outbreak of the deadly haemorrhagic fever was declared on May 15.
Almost all cases are in Ituri province in the northeast, a conflict-weary region plagued by armed groups.
In total, three provinces have been affected: Ituri, neighbouring North Kivu and South Kivu, home to around 15 million people.
The virus has also spread to neighbouring Uganda, where the World Health Organization has recorded 20 cases and two deaths, though Kampala said the situation was “under control” earlier this month.
The outbreak is caused by the rare Bundibugyo strain of the virus, for which there is no vaccine or specific treatment.
Existing Ebola vaccines, developed between 2018 and 2019, are only effective against the Zaire strain, which caused previous major outbreaks.
The World Health Organization has declared an international public health emergency, warning the outbreak could last months.
“The outbreak was declared around two months after the first suspected deaths were reported… During that time, the disease spread unchecked in ways we still don’t fully understand,” an international aid group representative told AFP, speaking anonymously.
AFP
Health
Fed govt moves to prevent Ebola outbreak, sets up presidential task force
The federal government on Thursday inaugurated a Presidential Task Force on Ebola Virus Disease Preparedness, declaring that Nigeria would not wait for an outbreak before taking action and vowing to prevent a repeat of the 2014 Ebola scare.
Chief of Staff to the President, Femi Gbajabiamila, said the task force was established as a proactive measure to ensure the country is fully prepared against any possible outbreak of the deadly disease, even as he confirmed that no case of Ebola has been reported in Nigeria.
Speaking with State House correspondents after inaugurating the task force at the State House, Abuja, Gbajabiamila said the government’s focus is on prevention rather than response, stressing that authorities were determined not to be caught unprepared.
“We did the inauguration today on the preparedness of Nigeria for the Ebola virus disease. We’ve covered a lot of ground. Right now, there’s no reported case, which is good news, and that’s why all hands have to be on deck to make sure the measures we are taking are preventive, not curative.
“We don’t want to be in the situation we were last time, where we had a carrier in the country and we’re all running helter-skelter”, he said.
He disclosed that the task force had established several subcommittees to coordinate critical areas of preparedness, including surveillance, border control, immigration management and emergency response.
According to him, one of the key lessons from the 2014 outbreak is the need for stronger coordination among all stakeholders, particularly between the Federal Government and states with international points of entry.
Gbajabiamila noted that governors and representatives of states hosting international airports, including Lagos, Rivers, Enugu and the Federal Capital Territory, participated in the meeting, describing the collaboration as essential to preventing the virus from entering the country.
He said special attention was also being given to Nigeria’s extensive land borders, warning that disease transmission through informal migration routes posed a significant risk.
“Normally, when people talk about emergency preparedness and cross-border diseases such as this, they think about airports. But now we’re covering not just airports; we’re placing greater emphasis on land borders.
“We have a lot of cross-migration through the land borders, and the Border Control Development Agency is involved, immigration is involved, and a lot of the border communities are involved”, he said.
The Chief of Staff said the government had drawn valuable lessons from the country’s successful containment of the Ebola outbreak in 2014 and was building stronger structures to eliminate gaps in preparedness.
“What we want is a zero case, as we have now. We want to maintain a zero case”, he added.
Also speaking, Director-General of the Nigeria Centre for Disease Control and Prevention (NCDC), Dr. Jide Idris, said surveillance systems had already been strengthened at major points of entry across the country, particularly airports.
He confirmed that Nigeria currently has no recorded case of Ebola but stressed that preparedness remained critical given recent developments in parts of Africa.
“The focus is to be prepared. We don’t have any Ebola case here now, but we need to be prepared. We need to ensure that we don’t get that Ebola virus here.
“However, just in case one slips in, we want to be prepared nationally to identify and deal with the case”, Idris said.
The NCDC boss explained that existing disease surveillance and emergency response structures were being upgraded and adapted specifically to address Ebola-related threats.
He said the preparedness framework brings together multiple government institutions, including the ministries of health, interior and education, as well as immigration, border control agencies and state governments.
According to him, emergency preparedness requires a coordinated national response built on teamwork, clearly defined responsibilities and an effective command-and-control structure.
“The bottom line is that the objective is that we do not allow Ebola to come in. If it does come in, we are prepared to rapidly identify and manage the case nationally”, he said.
Idris added that state governments across the federation had already been mobilised as part of the preparedness strategy, with efforts focused on surveillance, early detection, rapid response and public health coordination.
The inauguration of the task force comes amid heightened vigilance across several African countries following renewed concerns over Ebola outbreaks in parts of the continent.
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