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Japa: Doctors Proffer Solutions At Tinubu Town Hall

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A number of medical professionals have tabled viable solutions for the next administration to use as a workable strategy to resolve the perennial problem of brain drain plaguing the health sector.

The brain drain phenomenon, which was rechristened as ‘Japa’, has seen a generation of young health workers, tech entrepreneurs and a number of professionals dumped Nigeria as a result of insecurity, corruption, failed leadership and several other factors.

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Speaking at a medical town hall meeting on BAT Health Agenda in Abuja on Saturday, a medical doctor and serving lawmaker representing Ogun Central Senatorial District in the National Assembly, Dr. Lanre Tejuosho, explained that ‘Japa’ is a problem any serious government can tackle.

While stating that he is happy that the presidential candidate of the All Progressives Congress, Asiwaju Bola Tinubu, has indicated tackling ‘brain drain’ as one of his priorities in his ‘Renewed Hope’ manifesto, he said the problem can be resolved if the right policies and initiatives are implemented.

READ ALSO: 2023: Buhari, Tinubu Meet Behind Closed-doors

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Tejuosho, who is also the pro-chancellor of University of Lagos, told our reporter that if the president and the health minister are willing to tinker with the idea of allowing doctors to be self employed, it will go a long way in tackling brain drain.

According to him, having the feel of ownership of over 30,000 Primary Health Centres and knowing that they are in charge of drugs procurement, provision of water and power would give doctors, nurses and other health workers a sense of belonging.

We should try to think in the direction of making all our health professionals self-employed. When I say self employment, I am talking about taking advantage of the over 30,000 Primary Health Centres in Nigeria today.

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“Let’s say, as you graduate as a medical doctor or as a senior nurse, you are put in charge of that particular health centre. We will allocate to that centre about 10,000 Nigerians that are already insured in terms of health insurance.

“That means the money to run the place is guaranteed because the monthly allocation from National Health Insurance Scheme of the 10,000 patients attached to that centre will be able to pay the salaries of the staff including the nurses and the doctors.

“With that, they should be able to also maintain the drugs, water, electricity and basic needs of those centres. I am aware that the NHIS pays around N750 per patient every month.

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“If we sum this figure up with 10,000 patients, it should give each centre about N7.5m per month. Let it be given to these doctors and nurses to run.

“Of course, we know not all the 10,000 patients will come to the centre every month. But you will always have money to run PHC,” he said.

When reminded that the plan looks good only on paper, the UNILAG Pro-Chancellor agreed that implementation of the initiative is paramount.

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Tejuosho claimed that as Chairman of Senate Committee on Health, it was one of those ideas he has been pushing for the attention of the Federal Government and health ministry.

He said, “That is why I am telling you that the implementation is key. It is part of what we are here to talk about. It is part of what Asiwaju as president must pursue with the implementation of that Health Insurance Act. This is my idea that I will be proposing to him. It is not in the Act or any law.

READ ALSO: Tinubu’s ‘Bala Blu’ Comment Doctored – Campaign Director

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“As Chairman of Senate Committee on Health, I have been saying this for a long time. We will also make sure that there is enough money in the basket. It’s now a matter of making it practical.

“We have the infrastructure, give it to the medical doctors. Our doctors abroad will come back because they won’t be making that kind of money in London or other part of the world.

“All we need to set up is a monitoring committee that will ensure that we monitor what these doctors are doing. Anyone that doesn’t perform, we will take it from them and give to another person.

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“In no time, doctors from London and other places will be queuing to come and be self employed.”

The Executive Director of the National Primary Health Care Development Agency, Dr Faisal Shuaib, on his part said he has nothing against doctors, nurses and other health care sectors are leaving the country in droves.

He, however, encourage the incoming president to upgrade the health sector including a better pay package that would appear irresistible to even those who dumped the country for prospects abroad.

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Shuaib also canvassed that the incoming administration should focus on special arrangements for doctors and health workers on annual leave abroad to return to the country to share their expertise and help in technology transfer.

“We need to stop the one-way traffic. There is nothing wrong with people wanting to seek greener pastures abroad.

“What we need to put in place measures that will make sure that they also give back to Nigeria where they are trained.

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“In a lot of instances you find in countries with similar situations as ours, their professionals abroad actually remit a fixed amount of money back to their home countries.

“And this is something that is agreed with the host countries so that we always find people come in bringing resources.

“It should also be done in a way that is well organised. We don’t even have adequate doctors and nurses in the health care sector.

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“It’s not about saying that people should not go. Focus should be also be on how to encourage them to come back, even if it is during their annual leave.

“They can come back and also give back to our health sector some of the advanced technologies, advanced capabilities that they’ve learnt,” he advised.

Appreciating the participants and speakers at the town hall, the APC PCC head of Medical Directorate, Dr. Ikechukwu Odikpo, noted that he observed many Nigerians are not particularly asking questions on what Tiinubu presidency has to offer.

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READ ALSO: Supreme Court Lambasts Critics Of Recent Judgements

According to the medical doctor, healthcare as presented in his principal’s manifesto covers critical areas such as human resources, brain drain, health tourism, infrastructure, universal health care and health financing.

“That is why today we have assembled the very best across Nigeria medicare to dialogue on how to better our health care sector and services.

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“But we want Nigerians especially Medicare professionals and our youths to be part of our actions and decisions hence this town hall meeting.

“When health is absent, wisdom cannot reveal itself, strength cannot fight, intelligence cannot be applied, art cannot become manifest and wealth becomes useless.

“Let’s create a wealthy nation by putting our health care services in the right perspective,” he said

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Edo Hospital Denies Complexity In Death Of Twin Babies

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Management of the Med-Vical Medical Centre in Benin City, has denied allegations of medical negligence, secrecy and incompetence in the handling of the very ill extreme pre-term twin babies referred from another facility to them.

Med-Vical Medical Centre is specialized in paediatric and neonatal intensive care services with state of the art facilities for respiratory care and life support

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The pre-term babies died on separate days at the neo-natal intensive care centre.

Parents of the babies, Mr. and Mrs. Jerry Sylvester had petitioned the Police calling for discreet investigation into the death of their babies.

They accused the hospital of taking one of the babies to the mortuary without informing them.

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But the hospital said the babies were delivered pre-term in another hospital, but subsequently referred from a second private hospital to our facility at about 9pm on July 9th.

READ ALSO: Edo Govt Demolishes Building Owned by Suspected Cultist

The Consultant Paediatrician/Neonatologist of the hospital, Dr. Enato Gertrude said she received the babies who were in a critical condition and diagnosed them to have severe prematurity, severe respiratory distress syndrome, severe neo-natal sepsis and peri-natal asphyxia.

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Dr. Enato said despite the fact that the parents of the babies could not provide 50 percent of what was needed to start treatment, they commenced treatment in a race to save the babies.

She said the parents were counseled, informed and their consent sought on every step taken to treat the babies.

Dr. Enato said the first twin died after eight days of being admitted at the facility, while the second one died after three weeks.

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According to her, “I wasn’t there at the delivery. I don’t know what transpired. I don’t know everything that happened until they got to our facility which was several hours after the children were born, because they came into our facility very ill.

“When the children came, we diagnosed them and put the babies on the machine and started treatment, there is a minimum deposit that is supposed to be paid. The babies needed tubings, surfactants and caffeine citrate, which are expensive. They are not even readily available over the counter.

READ ALSO: Otedola Shares Journey From School Dropout To Business Mogul

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“They’re actually specially ordered, specially packaged, and cold chain must be maintained with them. And they are quite expensive. I don’t produce them. I buy them to use for the babies. And it’s supposed to help these babies. So at this point, the parents didn’t have enough money for all of this. I think the father had less than 50% of the money because he said he couldn’t get the money at that time.

“He came to meet me and I just told the billing officer not to bother them, let’s attend to these babies first, collect what he had. So I think then he had just 250,000 or so for each baby. But we were not focusing on the money. We just needed to save the lives of the babies of which we continued the care.

“We placed both babies on the machine and we continued to give antibiotics and oxygen therapy. And at a point, we noticed that the respiratory distress was not getting better and we informed the parents.

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“while on admission we noticed the babies had thrombocytopenia (low platelets) and immediately we told the parents to get what they call platelets. Due to the severe sepsis, we also requested for blood culture.

“At a point on day eight, we noticed that the thrombocytopenia for baby two was not getting better despite all that we had done. A diagnosis of severe neonatal sepsis with multiple organ dysfunction and disseminated intravascular coagulation was made.

READ ALSO: 2025 NYG: Enabulele Charges Edo Coaches On Performance

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“So we called the parents and counselled them that we needed to put the baby on the ventilator for complete life support but at this time the baby was bleeding from thrombocytopenia and we carried the parents along. They saw what happened. Despite all our resuscitation efforts for the baby, the baby succumbed to the illness. The father wasn’t happy after we explained everything to him. It was quite painful at that time for everybody.

“Following the passing of the first twin, the father became hostile and we tried to counsel him but he was difficult to get him to calm down. We even suggested referring the second twin to UBTH, but he quickly declined and pleaded for treatment to continue, as they had no where else they preferred to go to.

“We did a lot for these babies to ensure that the second baby continued to live but two weeks after the passing of the first baby, we noticed bleeding continued for the second one despite blood transfusion with platelets administration, and the baby needed a mechanical ventilator (life support).

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“We counseled the mother and told the mother that at this point that the baby had poor prognosis. Chances of survival was slim and she said yes that we should continue to do everything she has faith that the baby will survive.

“On wednesday we saw a little bit of improvement but it declined again and the baby had to be continued on mechanical ventilator life support, but the baby succumbed to the illness.”

She said the parents were contacted, the mother came to see the corpse of the child, she left and didn’t return.

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Due to the delay in claiming the corpse after 12 hours of demise and after several attempts to reach the father to no avail, we decided to take the corpse to the mortuary. We never denied the parents access to their child’s corpse.”

The hospital further added that they are committed to transparency and accountability in their operations adding that at Med Vical Medical Centre, patients safety and well-being are top priorities as they strive to provide highest quality care.

 

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OPINION: A Voyage To Caligula’s Rome

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By Suyi Ayodele

Rome’s history offers timeless lessons for all nations to jealously guard their freedom. Consider one of its emperors, Caligula: Born Gaius Caesar Augustus Germanicus, he reigned from AD 37 to AD 41. Known as Little Boots, Caligula’s four-year reign epitomised tyranny.

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Albert Camus captured his ruthlessness in his 1938 play “Caligula”, while Stephen Dando-Collins’ 2019 book, “Caligula: The Mad Emperor of Rome”, and Kate Zusmann’s article, “Roman Emperor Caligula: The Mad Tyrant of Rome”, give vivid portraits of his excesses.

Zusmann wrote: “Caligula’s reign lasted only four years, but his cruel and unpredictable behavior earned him a reputation as one of the most notorious emperors in Roman history… He engaged in construction projects to emphasize his power and divine status. He humiliated senators by forcing them into menial tasks or public spectacles.”

Though he initially presented himself as a noble leader, he soon became Rome’s worst emperor. He wielded taxation and reckless spending as weapons of control.

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One account records: “Caligula squandered 2.7 billion sesterces in his first year and addressed the deficit by confiscating estates, levying fines, and even imposing the death penalty to seize wealth. He crippled the Roman Senate in the process.”

Freed from opposition, he built an extravagant bridge at Baiae and introduced crippling taxes on everything, taverns, artisans, slaves, food, litigation, weddings, even prostitutes and their pimps. Taxes doubled in just four years, leaving ordinary Romans broken and resentful.

Is this not eerily familiar? In some places in Nigeria today, task force agents harass even mourners transporting corpses. They must pay the State.

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Caligula’s Rome is a warning. When opposition disappears, tyranny grows unchecked, and taxation becomes limitless. Nigeria is already on that path.

Read this report: “It was gathered that governors on the shopping list of the APC include the Enugu State governor, Peter Ndubuisi Mbah, Bayelsa State governor, Douye Diri, Plateau State governor, Caleb Muftwang and the Zamfara State governor, Alhaji Dauda Lawal.”

That was how the Nigerian Tribune concluded its lead story on page five of its Monday, August 25, 2025, edition, titled: “Tension grips PDP leaders as APC targets more govs.” Two riders followed: “South-East, South-South, North-Central govs on shopping list” and “Tinubu to receive another PDP gov on arrival.”

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An average student of Nigeria’s political history should be deeply troubled by this report. The concern is not just the well-known fact that Nigeria’s political elite rarely show fidelity to principles, loyalty, or decency, but rather the imminent danger this trend poses to the survival of democracy and to the ordinary masses.

We must ask ourselves: what awaits the common man if Nigeria slides into a one-party state? Can the current wielder of power – the architect of this emerging no-opposition order – truly manage such a system? If today, under the pretense of multiparty democracy, impunity has already reached its peak, what happens when there is no one left to challenge those in power?

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History warns us that we are about to repeat our mistakes. Nigeria has a peculiar habit of forgetting her sordid past. Some call it resilience; I disagree. What we parade as resilience is actually a battered psyche. Nigerians have been beaten into submission by those who weaponized poverty. With crumbs thrown here and there, leaders get away with political robbery. We have been conquered.

The sages warned us that thunder must not be allowed to strike twice in the same place. Their reasoning was simple: if bad history repeats itself, its second coming will be catastrophic – so tragic that no one will have the words to describe it.

That Nigeria is gradually sliding into a one-party state should raise an alarm. Euphemism has no place here. A one-party Nigeria under President Bola Ahmed Tinubu is an invitation to disaster. The consequences will not stop with the opposition; even those within the president’s inner circle will eventually taste the venom. Tyrants spare no one—not even their favourites. We are headed down that perilous road.

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Make no mistake: a one-party state will kill this democracy. It has happened before—not once, but twice. Some of us lived through it, others read about it. Nigeria lost two republics because those in power chose tyranny and crushed opposition.

The First Republic collapsed when the ruling Northern People’s Congress (NPC) attempted to monopolise political power. It formed alliances, coerced defections, and silenced dissent. Opposition leaders were detained on trumped-up charges. Resistance sparked the violent Operation Wetie in Western Nigeria in 1962. By January 15, 1966, the First Republic was dead.

What followed were the January and July 1966 coups, and then a 30-month civil war that consumed over two million lives. Yet we learnt nothing. When the chance came again in 1979, we squandered it.

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By mid-1982, the ruling National Party of Nigeria (NPN) had perfected its plan to decimate opposition. It swallowed the PRP in Kano and Kaduna, captured the NPP in old Anambra, and went after the Unity Party of Nigeria (UPN). Oyo and Bendel fell to its onslaught, while only Ondo resisted—and that resistance produced bloodshed. By December 1983, the Second Republic collapsed, swept away by the military coup of Major-General Muhammadu Buhari. For the next 16 years, Nigeria was under the jackboot.

Whichever way we spin it, the truth is clear: the destruction of opposition in both the First and Second Republics laid the foundation for their collapse.

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Those who defend the current defections as freedom of association miss the point. We are not disputing that right. What we warn against is the danger of acquiescing while political and economic power concentrate in the hands of one man. As Aesop warned: “Those who voluntarily put power into the hands of a tyrant must not wonder if it be at last turned against themselves.”

Those who think they can collaborate with the ruling party, pledging loyalty in opposition but serving power in secret, should think again. When tyranny consumes a nation, no one is spared. As the proverb goes, when heaven falls, it falls on everyone; the rain has no enemy.

Caligula reigned until his own guards turned on him. Tyranny and rebellion are monozygotic twins. Let today’s plotters of a one-party Nigeria take note.

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Steven Levitsky and Daniel Ziblatt, in “How Democracies Die” (2018), explain it best: democracies rarely collapse through external invasion. They are destroyed from within, through the slow erosion of norms and the ambitions of authoritarian leaders. Nigeria is walking that path again.

Chude Jideonwo and Adebola Williams, in How to Win Elections in Africa (2017), observe that political parties in Nigeria are not built on coherent ideology but on opportunism. The APC, they argue, never stood on any deep philosophy; it merely capitalized on the weaknesses of the PDP. That explains why even serving PDP governors are defecting in droves to join it. But what exactly is the attraction? To answer that, let us revisit one of our old moonlight tales.

Long ago, when animals behaved like humans, Ikún, the deaf squirrel, desired to live as long as mortals. It went to a diviner to seek the Oracle’s blessing.

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The divination was swift and stern: for Ikún to live long, it must avoid anything sweet that came from the enemy.

Ikún protested. Why should it shun sweet things when everyone knew it delighted in them?

MORE FROM THE AUTHOR:OPINION: Tinubu And His Northern Teachers

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The Oracle replied with finality: What is sweet kills faster than anything else.

Ikún left, troubled. It wondered who its enemy could be. The only one that came to mind was the groundnut farmer, whose produce it relished. Resolving to obey the warning, Ikún avoided the groundnut farm.

The farmer soon noticed that Ikún no longer raided his crops. Suspicious, he tried several tricks. He attempted to smoke Ikún out of its burrow, but failed—for as elders say, òrò burúkú kii ká ikún mó’lé (misfortune never meets the squirrel at home). He tried hunting it at night, but that too failed—for ikún kii jé l’óru (the squirrel never ventures out at night).

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At last, the farmer set a trap, using ripe banana as bait. The fruit was carefully placed over the blade, waiting to spring at the slightest tug.

Not long after, Ikún wandered by and spotted the banana. Overjoyed, it rushed forward. Banana was a delicacy, and its sweetness irresistible. Ikún took a bite, wagged its tail, and forgot all about the Oracle’s warning. It bit again, wagged its tail, and then tried to carry the whole banana away.

In a flash, the trap snapped. Ikún was caught between the jaws of death. Too late, it realised the truth: the sweet gift from the enemy was a lure to destruction. With its dying breath, it remembered the Oracle’s words.

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Our elders, who preserved this tale, summed it up in the saying: ikun ńjẹ ògèdè, ikún ńrè’dí; ikún ò mọ̀ pé ohun tó dùn mà únpa ènìyàn (the squirrel wags its tail while eating banana, not knowing that what is sweet is what kills a man).

And that, precisely, is what the defecting governors are doing today. The banana from the ruling APC is sweet, but beneath its sweetness lies a deadly trap.

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PHOTOS: Brazil Welcomes Tinubu With Full Military Honours In Brasília

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Brazil on Monday rolled out full military honours at the Planalto Palace in Brasília to receive President Bola Tinubu.

Tinubu’s Special Adviser on Information and Strategy, Bayo Onanuga, disclosed this on X on Monday.

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READ ALSO:Tinubu Signs Direct Flight, Other Agreements With Brazil

Onanuga said Tinubu was welcomed by his host, President Luiz Inácio Lula da Silva.

Onanuga said Tinubu was welcomed by his host, President Luiz Inácio Lula da Silva.

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He wrote, “More photos of the official reception for President Tinubu at the Planalto Palace in Brasília, Monday, August 25, 2025. Brazil’s President Luiz Inácio Lula da Silva welcomed President Bola Tinubu with full military honours.”

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