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.”

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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.

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“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.

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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)

The United Nations Children’s Fund (UNICEF), through its Fathers for Good Health (F4GH) initiative has been making a whole lot of impact and improving the level of people’s access to healthcare services in Bauchi state.

This initiative was developed by UNICEF and funded by the Canadian Government in order to encourage men to support and mobilise their women for clinic visits, routine immunization, antenatal care and better hygiene practices within their communities.

Speaking in an interview with newsmen on Saturday while commemorating Fathers’ Day, John Eki, the Social Behaviour Change Specialist, UNICEF Bauchi Field Office, explained that the initiative was specially introduced to ensure that children that have not received any form of vaccine before were reached and vaccinated in Bauchi state.

In doing this, he said UNICEF in collaboration with the state’s Primary Healthcare Development Board did a rapid assessment where they went to two Local Government Areas, Misau and Ningi.

“We went to find out by ourselves the reason behind the parents not allowing their children to be vaccinated.

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“It was quite interesting to see some of the underlying reasons why some parents were not vaccinating their children but increasingly, many of the respondents especially, mothers pointed out that the power to give consent to vaccinate a child rests with the fathers.

“They told us that if we want their children to be vaccinated, then we need to work with the men to be able to give them permission to vaccinate their children and that’s exactly what we did and we recorded huge success in this regard,” he said.

According to him, the group had been able to reach a total number of 113 wards, mobilized 9,252 communities as well as 109,444 children to be immunized with different routine immunization antigens in seven LGAs of Bauchi state.

The UNICEF specialist further explained that F4GH has a total number of 1,130 members with more volunteers showing interest in joining the group.

“What this means is that in every LGA we work, there are ten men in each ward meeting the fathers and convincing them to bring their children to health facilities for vaccination.

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“We are mainstreaming nutrition, education, and child protection activities into the work the F4GH are doing now.

“This will enable them to address not only the issue of non-compliance with vaccine uptake but all the related issues affecting children and mothers,” Eki said.

While commending the group during a field trip of journalists organized by UNICEF to Misau LGA, Turaki Goje, a father who had once rejected vaccination owing to the fact that he grew up without receiving any form of immunization, admitted that he was ignorant and negligent.

“Members of the Father for Good Health support team visited my house at different times but I chased them away each time until one day I decided to listen to them to receive their messages.

“After listening to them, I was convinced about the message and I immediately allowed all my children that are within the immunization ages to receive the vaccination. Today, I have healthy children and grandchildren in my family.

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“In fact, I later invited them and took them to my village where they enlightened the people there and they all accepted it especially, the women. We are now accepting any form of vaccination they bring to us.

“Another reason why I rejected any vaccination before was because we used to think that there was some kind of hidden agenda behind it because we thought these vaccination exercises only took place in the Northern part of the country,” he said.

One of the members of the group, Nura Aliyu, said before the coming of the initiative, there was a lot of resistance to polio immunization, low attendance of antenatal sessions by pregnant women and home deliveries were on the high side which sometimes resulted in health complications.

“Thanks to the Fathers for Good health Initiative, people now recognize the importance of going to the hospital, particularly pregnant women, even our malnourished children have recovered.

”Before now, there was a lot of resistance to immunization, most households were against immunizing their newborns and many of the pregnant women were not educated on attending antenatal and giving birth in a health facility.”

Similarly, another member of the group, Ibrahim Maina, called on the state government to help provide the group with the necessary mobility especially, motorcycles in order to effectively reach some of the hard to reach areas for awareness campaigns in no distant time.

Edo State deputy governor, Hon. Dennis Idahosa on Friday inaugurated three Sienna vehicles and two motor cycles for the use of security personnel in Ovia South West local government as part of effort to strengthen the security architecture of the area.

Idahosa used the occasion to reiterate Sen. Monday Okpebholo-led administration’s commitment to securing lives and properties of the citizenry.

In a statement by his Chief Press Secretary, Mr Friday Aghedo, the deputy governor, commended the
acting Chairman of the council, Hon. Charles Edobor for his foresight at actualizing the vision of the governor to safeguard his people.

Idahosa noted that deployment of the vehicles and motorcycles to patrolling the area by security agencies will enhance the security of lives and properties.

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The deputy governor advised him to always consider the interest and well-being of his people in every project he initiates.

He further said that the council chairman displayed grit and tenacity by making the legislative arm of the council functional and active with the provision of an operational vehicle.

Idahosa said the display of hard work, by Edobor shows resilience at ensuring development, peace and prosperity of Ovia people.

In a related development, the deputy governor carried out the groundbreaking ceremony for the construction of a block of six classrooms at Udo Primary School.

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He praised the council boss for facilitating the construction of the classrooms.

He used the occasion to call for cooperation from the local, state, and federal governments to make life meaningful for the people.

The council chairman, Edobor, commended the leadership of the All Progressives Congress (APC) for their support that led to the execution of these projects.