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95% Of Fever Cases In Lagos Not Malaria – Commissioner

Published

3 months ago

June 21, 2025

Editor

Data now shows an astounding 95 out of every 100 fevers experienced in Lagos are not caused by malaria, the Lagos State Commissioner for Health, Prof. Akin Abayomi says.

The critical finding is at the heart of a new, multi-pronged approach to fever management, designed to combat misdiagnosis and, crucially, to avert a looming crisis of antimicrobial resistance.

Abayomi said this at a three-day Study Kick-Off of Pathway to Pre-Elimination and Digitization Project in Lagos state.

The focus was Malaria Rapid Diagnostic Test and Microscopy Comparative Study & Assessment of PPMVS’ Capacity to Manage Malaria and Febrile Illnesses.

Abayomi said: “We need to get malaria out of the region.

“It is very, very important that we do that once and for all, perform the mind shift in our healthcare providers that on average, 95 out of every 100 fevers that you may see are not caused by malaria.”

“For too long, the default response to fever in Lagos, and indeed nationwide, had been to administer anti-malarial drugs, often without proper diagnostic testing.”

This practice, the commissioner warned, was not only wasteful but dangerous.

According to him, the widespread, often unnecessary use of anti-malarials and antibiotics is accelerating Antimicrobial Resistance (AMR), a global threat where common infections become untreatable.

“We are really sitting on a very major problem of microbial resistance. And we have to be careful how we dispense antimicrobials and how we dispense antibiotics.”

He cited recent research indicating significant AMR in animals, with 60 per cent of human infections originating from them, stressing the interconnectedness of the problem.

Under the new “test, treat, and track” pathway/strategy, he said that Lagos residents presenting with fever will first undergo a Rapid Diagnostic Test for malaria.

“ If the result is negative, which is anticipated for the vast majority, healthcare providers will then conduct thorough examinations and investigations to pinpoint the true cause of the fever, be it pneumonia, gastroenteritis, or other infections.’

“The ministry is also tightening regulations on pharmacies.

“It is illegal to walk into a pharmacy and say, give me an antimalarial, or give me an antibiotic without a doctor’s, or healthcare practitioner’s, accredited healthcare practitioner’s certificate.”

Underscoring the urgency of the situation, he urged the Pharmacy Council of Nigeria to enforce this, stressing, “If we don’t stop that practice, we are going to be the capital of antimicrobial resistance”.

To combat this, the ministry, with support from a World Bank grant, and in collaboration with the Prof. Wellington Oyibo’s Research Team, is instituting an evidence-based “test, treat, and track” pathway for fever management.

“The cornerstone of this approach is rigorous testing for malaria first.

“If negative—which is expected for over 90 per cent of cases in Lagos—healthcare providers are then mandated to investigate other potential causes of the fever, ranging from common colds to more serious bacterial or viral infections like E. coli, salmonella, or dengue.”

Oyibo, Director of the Centre for Transdisciplinary Research for Malaria and Neglected Tropical Diseases, who explained to the News Agency of Nigeria the grave consequences of not testing, also underscored the severity of misdiagnosis.

Oyibo, the study Coordinator, said: “If it’s a child that has pneumonia, pneumonia will present just the way you see some symptoms of malaria presenting.

“And you now give anti-malaria medicine without a test. What will happen to that child? That child will die quickly of pneumonia.”

According to Oyibo, key strategy to eliminating malaria in the state also includes a policy shift toward Rapid Diagnostic Tests over traditional microscopy due to RDTs’ proven accuracy and operational feasibility in low-resource settings.

He noted that Lagos state was the only state that epidemiological parameters qualified as a state at pre-elimination.

“This is significant milestone in the history of Nigeria but fever and other malaria-like symptoms, which are non-specific to malaria, are still diagnosed as malaria. this forms a significant contribution to high malaria burden reporting.

“This bold initiative aims to usher in an era of evidence-based medicine, where intellectual capacity and accurate diagnosis protect society from the cascading harms of incorrect treatment and drug resistance.”

(NAN)

News

Tinubu Unveils Plan To Restart Oil Production In Ogoniland

Published

9 hours ago

September 24, 2025

Editor

President Bola Tinubu has moved to restart oil production in Ogoniland in Rivers State.

The president disclosed this on Wednesday when he conferred posthumous national honours of Commander of the Order of the Niger, CON, on the late Ogoni four; Albert Badey, Edward Kobani, Theophilus Orage, and Samuel Orage.

Conferring the honours at the Presidential Villa in Abuja, Tinubu urged the Ogoni people to embrace reconciliation and unity after decades of division.

He assured them of his administration’s support for peace, environmental remediation, and economic revival in the land.

“I am encouraged by the overwhelming consensus of the Ogoni communities to welcome the resumption of oil production.

“The government will deploy every resource to support your people in this march towards shared prosperity,” he said.

The president directed the National Security Adviser, NSA, Mallam Nuhu Ribadu, to begin engagements between Ogoni communities, NNPCL, and other stakeholders to finalise modalities for restarting operations.

Earlier in his report, the NSA stated that the consultations engaged all four Ogoni zones and the diaspora, capturing demands for structured participation in oil production, accelerated cleanup, and sustainable development.

News

Former Oyo Police Commissioner Is Dead

Published

11 hours ago

September 24, 2025

Editor

A Former Commissioner of Police in Oyo State, Abiodun Odude is dead.

The shocking news of his death was shared by the Chairman, Ibadan branch of Government College, GCI Old Boys Association, Akin Orowale on the Association’s platform.

Abiodun Odude, an old boy of GCI, served as Oyo CP between 2017 and 2019.

In the meantime, reactions have continued to trail the death of Odude.

A former Director General, Oyo State Signage and Advertisement Agency (OYSAA), and GCI OBA stalwart, Dr Yinka Adepoju posted this on platform.

“Hmmm, another deep cut in the GCI Old Boys Association and Boys of 71 Set in particular!

“May the Soul of Biodun rest in peace as l pray that the Lord comforts all members of this Great 71Set and his entire family members, ‘Yinka Adepoju @71, 2356# Grierson”

“So sad to lose such a personality NOW. But what can we do? Nothing absolutely than to wish him eternal rest and divine consolation to the loved ones left behind, particularly his immediate family and GCIOBA,” another old boy, who is an Ibadan based politician, Mr Adeniyi Adeoti said.

The late Odude served in the Intelligence Department, Zone 2, Lagos State as Deputy Commissioner of Police, CID, Panti, Yaba; he was Commissioner of Police, Administration; Department of Finance and Admin., Force Headquarters, Abuja.

News

Lagos Govt Gives Computer Village Traders Ultimatum To Relocate To Katangowa

Published

15 hours ago

September 24, 2025

Editor

The Lagos State Government has given traders at the popular Computer Village in Ikeja an 18-month deadline to move to a new permanent site at Katangowa, in the Agbado/Oke-Odo Local Council Development Area.

The Permanent Secretary of the Ministry of Physical Planning and Urban Development, Gbolahan Oki, disclosed this during a stakeholders’ engagement with market leaders and traders on Tuesday.

According to him, the state government has provided the necessary infrastructure and facilities at the Katangowa site to ensure a conducive business environment once the relocation takes effect.

“The government wants your cooperation to ensure the relocation comes to pass. The time is now. We have to make the project a reality. The relocation period is 18 months,” Oki said.

He explained that Computer Village currently sits on land originally designated as a residential area, which over time was converted into a bustling commercial hub without formal approval from the government.

Oki also revealed that plans to move traders from Ikeja to Katangowa have been in the works since 2006 but were stalled due to delays in completing the new site.

Emphasizing Governor Babajide Sanwo-Olu’s commitment to inclusive governance, he noted that the stakeholders’ meeting was convened to carry traders along in the government’s plans.

“The governor is passionate about infrastructure development and the welfare of Lagosians. Katangowa has been designated as the permanent site for this market. It sits on 15 hectares of land, well-planned and strategically located near essential resources for your businesses.

“The present location in Ikeja was never meant to serve as a trading hub. What we are offering at Katangowa is a structured market environment that supports growth while addressing environmental and urban planning concerns. We want to work with you and jointly plan this relocation,” Oki said.