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Death For Sale! Toxic Cigarettes Flood African Market

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Nigeria at risk of circulation of dangerous brands

Few years back, manufacturers of cigarettes sold in Nigeria were compelled to carry warnings on their packs such as “Cigarette smokers are liable to die young” . Warnings such as “The Federal Ministry of Health warns that tobacco smoking is dangerous to health”, “Smoking causes lung cancer, heart disease, and emphysema and may complicate pregnancy”,   and “Quitting smoking now greatly reduces serious risks to your health” are widespread, but perhaps what they failed to point out is that cigarettes are licensed to kill. Cigarette smoking Even though smoking is a “gradual killer”, it is a deadly finisher. A cigarette is the only consumer product guaranteed to kill the user when used exactly as prescribed. All over the world, smoking is routinely linked with adverse health and declining wellness. Smoking is the No.1 cause of preventable death, killing more people than many known non-communicable disorders. Approximately one person dies every six seconds due to tobacco, accounting for one in 10 adult deaths. Up to half of current users will eventually die of a tobacco-related disease such as cancer, cardiovascular and metabolic diseases and other respiratory diseases. Now there are fears that cigarettes sold in some African countries are more toxic than those smoked in Europe. Ordinarily, cigarettes are toxic to human health, but some brands are even more toxic because they contain higher levels of addictive nicotine and tar. The chemicals in cigarette smoke harm nearly every organ of the body. Tobacco smoke contains a deadly mix of more than 7,000 chemicals. Hundreds are toxic. About 70 are known to cause cancer. None of these chemicals has an overall health benefit. One of the components of cigarettes is nicotine, which is deadly and habit-forming. While smoking harms the smokers’ health, it also puts lives of people around in danger because they inhale the smoke exhaled (second hand smoking). An investigation by Marie Maurisse, winner of Public Eye’s Investigation Award found that every year, Switzerland exports more cigarettes than it does chocolate. Also, exclusive tests showed that the tobacco industry has double standards: cigarettes sold in Africa are more toxic than those smoked in Europe. One of the major destinations of the toxic cigarettes, according to the report, is Casablanca in Morocco where every smoker favours cigarettes made in Switzerland.      It was found that cigarettes produced on Swiss soil and sold in Morocco are much stronger, more addictive and more toxic than those sold in Switzerland or France. For each substance tested, according to the report, nearly all cigarettes produced in Switzerland and consumed in Morocco contained levels higher than that found in Swiss and French cigarettes. The results reveal a double standard – if Moroccans smoke cigarettes that are more harmful than those smoked by Europeans, it can be taken for granted that every other African who smokes actively or passively is at risk. According to the report, Switzerland often promotes the fact that it exports its delicious chocolate, or prestigious watches, to the world. Yet there is another Swiss product that is just as successful, but far less vaunted: cigarettes. In 2016, Switzerland produced 34.6 billion cigarettes – nearly two billion packets. Some 25 per cent were sold on the domestic market. Nearly 75 per cent were exported, providing enough cigarettes for over four million people to smoke a packet a day over the year. Although tobacco sales have fallen by 38 per cent in Europe, over the past 20 years, thanks to preventative campaigns and price increases, the reverse is the case in Africa where producers are increasingly pushing so-called new “reduced-risk products”, which supposedly provide consumers with nicotine without the harmful effects of tobacco. The implication of smoking such toxic cigarettes, according to medical experts, is rise in deaths from lung cancer, chronic obstructive pulmonary disease and pneumonia, and other respiratory diseases. Emerging markets such as Nigeria remain attractive target, no thanks to ineffective regulatory and enforcement activities and weak health policies. Researches estimate that 80 per cent of smokers live in low- or middle-income countries. The World Health Organisation (WHO) estimates that there are 77 million smokers in Africa, namely 6.5 per cent of the continent’s population. The institution predicts that by 2025, the figure will rise by nearly 40 per cent compared to 2010 – the steepest increase globally. The number of tobacco-related deaths on the continent will double by 2030 in what the WHO describes as an “epidemic”. Marie Maurisse said: “It’s very difficult to investigate the tobacco industry because it’s very secretive”.   Morocco appears to be an excellent gateway into these markets: according to a study carried out by the Moroccan Ministry of Health, 13 per cent of smokers in the country are aged 15 and under. And the proportion of girls who smoke is starting to rival that of boys.   Producers use very aggressive advertising campaigns to attract new and young customers and to promote their cigarettes. In many African countries, there is weak enforcement of laws for preventative measures against tobacco. However, the reverse is the case in Western countries.   According to the WHO: “Evidence shows that measures such as taxing tobacco, graphic warning pictures, a full ban on advertising and promotion of, patronage for and help to stop smoking, all serve to reduce demand for tobacco products. Many of the big global tobacco manufacturers engage in widespread lobbying and legal procedures against evidence-based anti-smoking policies going as far as opposing introduction of health warnings on cigarette packets in some countries. In Morocco just like in Nigeria, there is law adopted to ban smoking in bars and restaurants but it is not enforced.   However, the bottom line is that smoking is no longer fashionable. Many countries have pushed out some of the toughest anti-tobacco laws and restrictions in history. In many countries smoking openly in public places such as restaurants, airports or bus stops is forbidden. Smoking is restricted in designated places and even when you smoke in privacy, people who see you smoking consider you a nuisance and threat to public health. Family and friends repeatedly tell you smoking will kill you. And they are right. The National Tobacco Control Bill, NTCB 2014 stipulates a minimum of six months imprisonment or N50,000 or both for individuals that smoke outside public places designated as smoking areas. However, stronger policies are required to protect the citizens from the dangers of tobacco. Enforcing the ban on public smoking   and saving lives and reducing health costs through the new smoke-free laws are continue to be relevant.

 

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Health

Power shortage unsettles patients at UCH as FG keeps mum on humongous bills

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AJAGBE ADEYEMI TESLIM

SPONSORED BY: H&H

The management of University College Hospital, UCH, has accused Ibadan Electricity Distribution Company, IBEDC, of forcing the hospital into Band A, stating that despite paying N60 million in the past month, the power company two weeks ago disconnected the health facility.


The Chief Medical Director of the hospital, Prof. Jesse Otegbayo said despite efforts to meet its obligations, the power company has remained adamant in charging the highest rates and is unfazed by the humanitarian services rendered by the nation’s premier tertiary hospital.


It would be recalled that IBEDC had several times disconnected the hospital this year citing unpaid accumulated debts.


‘’We have been making efforts to pay. IBEDC forced us on Band A. Our latest bill for one month is N99 million. We paid N60 million but they refused to reconnect us’’, said the CMD.


An analysis of payment scheduled offered by the UCH indicates that the power company sent a bill of N723, 095, 841.55 from January 1, 2019 to November 10, 2024 while the hospital has paid N676, 990,174.04. “The distribution company has, against all entreaties, categorised this hospital a business concern”, the CMD lamented.


The hospital management, in a memo circulated on November 5, acknowledged the “chaotic and unbearable experience” arising from the disconnection by IBEDC and pleaded with staff, students and patients to exercise patience while alternative power sources are being strengthened.


“Management has initiated the process to ensure that power is restored to the hospital as soon as possible. Nonetheless, provision of alternative power supply to some critical areas in the hospital, with priority to the service areas which are in high demand, has been put in place through generators and solar panels/inverters, as well as pumping of water to all areas of the hospital,” the memo explained.


Last Monday, families of patients at the health facility protested the persistent power outages bedevilling the hospital. They decried recent epileptic electricity and water supply, claiming that lives of patients may be at risk.


It was reported that members of the hospital’s Public Relations Office tried to pacify the protesters who expressed anger and helplessness, citing harrowing instances where treatment and care have been disrupted due to erratic power supply.
One of the protesters said: “We are tired seeing our loved ones suffering; patients are dying because they cannot receive the medical tests needed for treatment. The outages have not only hindered immediate medical assessments but have also severely complicated ongoing treatments, leaving families in a state of despair.”


But the hospital has dismissed the claims that patients’ lives were at risk during the period of power outage and that the claims do not reflect the current operational status of the hospital.


In an official statement, UCH firmly dismissed the reports as “false and misleading,” assuring the public that the hospital’s utilities remain functional and adequate for patients care.


While acknowledging the severity of incessant power cuts by IBEDC, the public relations department affirmed that despite the power cuts, the hospital made provision for alternative power supply in its critical departments namely operating theatres, intensive care units, and the accident and emergency department.


The lamentation at UCH is experienced by many government hospitals and educational institutions.

The University of Medical Sciences, Ondo, was disconnected from public power supply eight weeks ago.


The institution detected an over billing in its record, receiving a monthly bill of N10m from Benin Disco when it consumed power worth about N7m. “We confronted them with metered data of all premises.

They did not like that. They wanted to transfer us to Band A, and forthwith presented us with N25m bill the following month.


“We approached the Courts and got an injunction against arbitrary transfer. Now they went berserk. Our light suddenly developed fault: transformer was not working. When we approached them to fix their transformer, they replied we had taken them to Court.

After the intervention of the state government, they called for a truce! Take case out of court, revert to BAND B. We are in a state of all motions, but no movement,” said a top management staff at the institution.

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Africa CDC Congratulates Democratic Republic of the Congo on Launching Mpox Vaccination Campaign

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AJAGBE ADEYEMI TESLIM

Africa Centres for Disease Control and Prevention (Africa CDC) congratulates the Democratic Republic of the Congo (DRC) on the successful launch of its Mpox vaccination campaign in two high-priority provinces.

This marks a critical milestone in the ongoing efforts to control the Mpox outbreak and safeguard vulnerable populations across the country.


In collaboration with the DRC’s Ministry of Public Health and Prevention, Africa CDC, along with its global partners, including European Union / HERA, United States Government, World Health Organization (WHO), UNICEF, Gavi, and the World Food Programme (WFP) is supporting the vaccination of key at-risk groups in Equateur and North Kivu provinces. The campaign will soon expand to additional provinces to ensure more comprehensive coverage.


The arrival of 265,000 doses of the MVA-BN Mpox vaccines, generously donated by the European Union and facilitated by Africa CDC in collaboration with Bavarian Nordic, the Government of the United States, and Gavi, is a significant step toward improving the country’s capacity to manage the outbreak. Africa CDC applauds this collaboration, which underscores the collective global commitment to tackling Mpox in Africa.


“Africa CDC commends the DRC’s swift action in launching the vaccination campaign, which showcases the strength of its public health leadership. By prioritizing vulnerable populations, including frontline health workers and those most at risk, the country is taking critical steps to contain the outbreak. Africa CDC remains committed to working closely with the DRC to ensure vaccines reach those who need them the most, while also working to strengthen health systems to prevent future outbreaks. Our top priority is to secure safe and effective vaccines for children in the next phase of vaccination,” said Africa CDC Director General, H.E. Dr. Jean Kaseya.


Mpox continues to pose a serious threat, particularly to vulnerable groups such as children, individuals with compromised immune systems, and those living in areas with limited healthcare access. The Continental Incident Management Support Team (IMST) has been actively engaged in supporting the DRC’s response efforts by providing technical expertise, coordinating vaccine deployment, and offering logistical assistance to ensure effective distribution across affected regions.


Africa CDC also recognizes the crucial role of infection prevention and control measures, community engagement, and public awareness campaigns in curbing the spread of Mpox. These efforts, alongside vaccination, are essential in protecting populations and minimizing the impact of the outbreak.

As part of its commitment to the fight against Mpox, Africa CDC will continue to support DRC and all 16 other affected countries’ response through technical assistance, capacity-building, and coordination with international partners. The vaccination campaign serves as a critical tool in safeguarding public health, and Africa CDC looks forward to further collaborative efforts to protect communities and strengthen Africa’s resilience against future public health threats.

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Africa CDC congratulates Japan and DRC on the Signing of Notes for a donation of Mpox Vaccines

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AJAGBE ADEYEMI TESLIM

Africa CDC congratulates the Government of Japan and the Government of the Democratic Republic of the Congo (DRC) on the agreement to donate Lc16 Mpox vaccines, along with specialized inoculation needles.

A signing ceremony in Kinshasa formalized the exchange of notes for this crucial grant, marking a significant milestone in the cooperation between the two governments.

This donation comes at a pivotal time as the DRC continues to battle a regional Mpox outbreak, with cases rising significantly since November 2023. Japan’s contribution is a crucial boost as the Mpox vaccine is the only shot currently approved for children.

Mpox has been endemic in several African countries for decades. On 13 August 2024, the Africa Centres for Disease Control and Prevention (Africa CDC) declared Mpox a Public Health Emergency of Continental Security (PHECS). This declaration prompted a more coordinated international response. Vaccination is one part of a comprehensive response, including surveillance, case detection, clinical care, infection prevention and control, and risk communication and community engagement. The challenges in responding can quickly be exacerbated if Africa has limited access to critical countermeasures such as vaccines and diagnostics.

The outbreak has disproportionately affected vulnerable populations, with children accounting for 60% of cases and people living with HIV/AIDS experiencing the most severe outcomes. Given these challenges, Africa CDC has called for a united and coordinated response to address the crisis.

H.E. Dr. Jean Kaseya, Director General of Africa CDC, expressed his gratitude for Japan’s support, stating:
“I am deeply appreciative of Japan’s generous donation of Lc16 Mpox vaccines and specialized vaccination needles to the Democratic Republic of the Congo. This timely assistance will significantly bolster our ongoing efforts to contain the outbreak, and I am confident that this partnership will help mitigate the public health threat posed by Mpox, not only in the DRC but across the continent.”

The Senior Deputy Minister for Foreign Affairs of Japan, Takeshi Akahori, added:
“We are aware that the number of infection cases continues to rise in the DRC and other countries, and we are monitoring the situation closely in coordination with the WHO. I hope that these vaccines and needles will contribute meaningfully to the fight against Mpox.”

Japan remains committed to supporting the DRC in its fight against this public health threat, working closely with Africa CDC, the World Health Organization (WHO), and other global health partners.

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