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How Lack of Equipment Exposes Health Workers To COVID-19 In Kano

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Primary Health Centre, Panshekara

When the federal government declared Kano as epicenter of COVID-19 there was no exact figure of health workers affected by the global pandemic in the state.

As in many places ravaged by the pandemic, health workers are in the forefront of the fight against COVID-19 in Kano State.

The high rate of COVID-19 cases in very densely populated metropolitan local government areas of Kano has exposed many health service providers to coronavirus infection.

During this reporter’s visit to Panshekara Primary Health Centre in Kumbotso Local Government area amidst COVID-19 pandemic, there was violation of NCDC protocol by health workers and patients.

At the immunisation unit of the health centre, health practitioners were sighted working without hand gloves, while visitors did not use face masks.

The situation was also the same at one of general hospitals in Kano metropolis where a medical doctor on duty was sighted diagnosing patients without hand gloves.

One dead, 64 doctors, 30 nurses test positive for COVID-19 in Kano

The Kano State chairman of the Nigerian Medical Association (NMA), Sanusi Bala told this reporter that 64 doctors had tested positive for the novel coronavirus in the state.

Mr Bala explained that many of the victims were the doctors working at the Aminu Kano Teaching Hospital (AKTH) and other private clinics in the state. He said many of them were infected through normal clinical routines while attending to unsuspected COVID-19 cases.

Mr Bala attributed the high number of COVID-19 infection among medical doctors in Kano to lack of adequate personal protective equipment at the initial stage of the pandemic.

“We have 64 doctors infected. And I think about 30 nurses and a number of medical laboratory scientists were also infected. We lost one senior colleague to the fight. We thank Allah subhanahu wa ta’ala. Apart from the one we lost, the remaining 63 doctors recovered without any hitches.

“Initially, we didn’t have adequate PPE. That was because the number of cases in Kano within a short time kept skyrocketing. They came in large number. And the number of PPE supplied was less than what was required. And there was shortage of training for individuals.

“But Alhamdulillah later, together with the NCDC and the task force, we sat and re-strategised. As I am talking to you, everywhere you go, there is PPE, from the gown, the N-95, boot and all other kits required for people to work. We have less cases now,” he said.

The chairman of Aminu Kano Teaching Hospital’s branch of the Association of Resident Doctors, Abubakar Nagoma, confirmed the revelation of NMA chairman. He said 54 doctors got infected while treating patients who came to the hospital with symptoms that later turned to be COVID-19.

Mr Nagoma said the affected health professionals included resident doctors who were undergoing training and consultant doctors. He attributed the vulnerability of the doctors to non-use of face masks by patients and lack of adequate personal protective equipment for doctors.

He highlighted the deliberate hoarding of information by some patients as one of challenges.

“On our part, we lack protective equipment. And you will see many doctors at accident and emergency unit of the hospital wearing only face masks. This is the only protection we have in addition to hand gloves and hand sanitizer,” he noted. “This is not the standard protection protocol guidelines according to NCDC. If you have any suspected (COVID-19) patient, you are supposed to have boots, suit, face mask, goggles, cap and face shield. These are what is obtainable in the developed world and this is the recommendation of the National Centre for Disease Control. To be sincere we don’t have them on ground. We don’t have complete protective suit.

“Another thing, a lot of patients coming from various places within Kano, don’t come with face mask. And some of them will present their pre-existing medical condition, and subsequently the symptoms of COVID-19 start manifesting. To some extent, sometimes patients conceal information until after series of diagnosis, then you find symptoms of COVID-19. You are already exposed by then. It is unfortunate we are working in a very constrained environment.

“Then there is the issue of the number of patients. There are lots of patients coming to the hospital. And they don’t use any barrier that will serve as protection between you and them.

“We have made so many requisitions to the hospital to ensure constant provision of all the necessary protective equipment. In fact, we even went to the extent of threatening the hospital that we will stop diagnosing patients if this equipment is not available. But you know as healthcare providers we cannot fold our arms watching our patients dying. We are always seeing patients whether with or without the supply of what we requested. We are still pushing for this to be available. Even the hospital management are complaining they have yet to be supplied by the federal government. What we have has already been exhausted.”

Fifteen additional health workers tested positive for coronavirus while treating patients at the National Orthopeadic Hospital, Dala. Aliyu Kabara, the chairman of the hospital’s branch of Association of Resident Doctors (ARD) confirmed this to this reporter.

Mr Kabara said the 15 infected health personnel included three consultant doctors, nine resident doctors and three nurses that treated asymptomatic COVID-19 patients who came to the hospital for orthopaedic treatment.

“We were the first hospital in Kano to record infected COVID-19 doctors,” he noted. “During the first screening, 15 persons out of 25 samples were positive for COVID-19.”

According to him, the hospital has scaled down operation, and restricted services to emergency cases and inpatients.

On how the doctors got infected, Mr Kabara said they contracted the disease from a female patient who had undergone a surgery.

“When she came back for follow-up, she exhibited some COVID-19 symptoms. Most of the infected doctors are from that unit where this woman was treated,” he said. “We don’t always use personal protective equipment because we don’t have enough. No one will refuse to attend to a patient with life threatening illness and send him back because of lack of personal protective equipment. Some of these patients have COVID-19 beside their known clinical challenges.”

Apart from the doctors, about six members of the Kano State task force on COVID-19 were also infected with the virus. Prominent among them were co-chairman AbdurRazaq Garba Habib, the secretary of the committee Imam Wada Bello, and state commissioner of health, Aminu Tsanyawa.

Cleaner, billing official, 32 other health workers test positive for COVID-19 at AKTH

A total of 34 additional health workers at Aminu Kano Teaching Hospital (AKTH) had contracted the COVID-19 virus at the time of filing this report.

This was revealed by the chairman of the hospital’s branch of the Joint Health Sector Union (JOHESU), Murtala Umar.

Mr Umar listed the infected health workers to include 12 nurses, five medical laboratory scientists, three technicians, two medical record officers, one billing officer, one hospital attendant and one cleaner.

He added that eight members of the union had earlier contracted the coronavirus.

Kano government reacts

Despite health workers outcry of inadequate PPE in public hospitals, Kano State commissioner of health, Aminu Tsanyawa, said the government had taken adequate measures in protecting front line healthcare workers working in response team and those at facilities.

“His Excellency is keen about protecting front line healthcare workers and other healthcare workers that are working in our facilities,” he noted. “His Excellency has come up with the strategies and intervention to ensure that our healthcare workers are protected as they are doing their work of protecting the people of Kano.

“First and foremost is orientation and training at various level of healthcare workers to ensure that those working directly at response team are protected, and to also ensure that those working at facilities providing services are protected.

“They were trained on infection prevention and control (IPC). Many of our healthcare workers were trained to ensure they keep safe. This is one singular intervention that is important in safeguarding our healthcare workers.”

13% of Kano residents tested for COVID-19 were positive

About 13 per cent of Kano residents tested for COVID-19 tested positive for the virus, according to an official report.

The report released by the Kano State Ministry of Health was titled “COVID-19 response update: Kano laboratory overview.”

It indicated that as of June 20, the state had collected 9,103 samples, 8,948 results were retrieved, 155 samples pending and 1,191 confirmed positive cases.

The Kano positive rate is less than the overall for Nigeria where about 19 per cent of tests have come out positive.

The Nigeria Centre for Disease Control (NCDC), which coordinates the COVID-19 testing and treatment across the country, does not, however, provide a regular state by state breakdown of the tests done.

However, over 40 per cent of people who have tested positive for COVID-19 in Nigeria are in Lagos, indicating the state also has the highest number of people tested.

The Kano data

The breakdown of the data by the Kano health ministry showed that from March 20 to April 20, the state collected 1,765 samples and recorded 219 positive cases.

Between April 20 and May 20, the state collected 2,930 samples with 735 testing positive.

Also, between May 20 and June 20, the samples collected doubled to 4,408 while the number of positive cases dropped to 237.

According to the data, the samples were treated at five NCDC designated laboratories with a combined total of 530 testing capacity daily.

The laboratories are Aminu Kano Teaching Hospital with 90 testing capacity daily, Bayero University, Kano (180), 54Gene (90), IFRAN (80) and EHA (90).

Controversial deaths

The update provided on Kano State ministry of health’s twitter handle showed that the total samples collected as of Saturday, December 26, 2020, was 57,484; the confirmed cases were 2,169 with 284 active cases and 1,825 persons have been recovered and discharged.

The twitter handle revealed that so far 60 persons who tested positive of COVID-19 in Kano had lost their lives.

The 60 recorded deaths were separate from the mysterious deaths recorded in the state, about 500 of which were suspected to be from COVID-19.

The northwestern state had in April experienced a spate of about 979 unexplained deaths, including first-class traditional rulers, health workers and academics.

Abbatoir Cemetery

The health minister, Osagie Ehanire, had said about 60 per cent of the “mysterious deaths” recorded in Kano State may have been triggered by COVID-19.

“With regard to unexplained deaths in Kano which occurred in April over a five-week period, the team confirmed that a total of 979 deaths were recorded in eight municipal LGA in the state at a rate of 43 deaths per day,” Mr Ehanire said.

“The peak was in the second week of April. By the beginning of May, the death rate had reduced to 11 deaths per day it used to be.

“The verbal autopsy revealed that about 56 per cent of deaths had occurred at home while 38 per cent were in a hospital.

“Investigation suggests that between 50-60 per cent of the deaths may have been triggered by or due to COVID-19, in the face of pre-existing ailments.”

A verbal autopsy is carried out to find the cause of death when the corpse is not physically available or has been buried.

The Kano government, however, disputed the federal government’s report, saying its findings showed that only about 16 per cent of those strange deaths could have been from COVID-19.

Kano State government findings

Kano State government report was presented to the public at Kano Government House by Mukhtar Gadanya, a Consultant Public Health Physician at Aminu Kano Teaching Hospital AKTH.

Mr Gadanya who read out all parts of the report said: “A retrospective study of mortalities was conducted over two weeks (27th April – 15th May, 2020), across eight metropolitan local government areas (Gwale, Fagge, Tarauni, Kumbotso, Ungogo, Nassarawa, Kano Municipal and Dala).”

According to him, the mortalities in the identified LGAs “were line-listed, which made a provision for the questionnaire to be administered house to house.”

He revealed that, as part the committee’s scientific approach, “mortalities reviewed were for a period of 1 month (1st April to 2nd May 2020).”

“Relatives of those who passed away were interviewed by respective Ward Focal Persons (WFP), using a structured questionnaire into an electronic platform (ODK), he said.

“Data from the questionnaire were reviewed for categorisation into most probable causes of mortality by medical specialists using “two-symptoms’ criteria (at least presence of two of any of fever, cough and shortness of breath).”

According to Mr Gadanya, “an inter-play of various factors contributed to the mysterious deaths, causes this study shed light on. Mortality in community is cyclical and vary by seasons and months.”

Mr Gadanya disagreed with the earlier report by the minister of health saying that, “COVID-19 might have contributed 15.9% of the cases of mortality, but within the limitations of the verbal autopsy method, that cannot provide confirmation.”

He added that, “Some deaths may be related to disruption of medical care and socio-economic activities due to fear of contracting COVID-19, which usually happens during epidemics.

“If the mysterious deaths were COVID-19 related, the deaths could have come more from local governments that have more COVID-19 cases.

“Tarauni Local Government for example, with 100 confirmed COVID-19 cases is the first in pandemic ranking, but in the mysterious deaths it is rated 7th.”

This investigation was commissioned by the African Centre for Media & Information Literacy (AFRICMIL) as part of its whistleblowing initiative under its Corruption Anonymous project supported by the MacArthur Foundation. Published materials do not reflect the views of the MacArthur Foundation.

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NCC orders telecom operators to block SIMs without NIN

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Nasiru Yusuf Ibrahim

 

The Nigerian Communications Commission has reiterated its directive to telecom operators to bar telephone subscribers not linked to their National Identification Numbers on or before February 28, 2024.

KANO FOCUS reports that the Executive Vice Chairman, National Communication Commission, Dr Aminu Maida, spoke at the NCC’s Special Day during the ongoing 45th Kaduna International Trade Fair on Wednesday.

Maida who was represented by Reuben Mouka, NCC’s Director of Public Affairs, insisted that as a matter of critical national security, telecom consumers must link their NIN to their SIM.

He reaffirmed that the February 28th deadline given to telecom operators to bar subscribers who failed to link their NIN to SIM, stands.

“To this end, the National Communication Commission has directed all telecommunication operators to bar phone lines of subscribers whose lines are not linked to their NINs on or before February 28, 2024,” he added.

This, the executive vice chairman said, was apt as the theme resonated with the principles and objectives of the commission in promoting local content development in the telecom industry.

Maida also said the NCC was committed to protecting consumers’ rights while ensuring their satisfaction and noting that the commission has created a universally acceptable environment to access “affordable and equitable service and supports the nation’s economic growth.”

“As a regulator of the telecommunications sector in the country, the Commission carries out its functions to ensure service availability, affordability, and sustainability for all categories of consumers, who are leveraging on ICT/Telecoms to drive personal and business activities,” he said.

For instance, he continued that the Telecom Consumer Assistance, Resolution and Enquiries (TELCARE) Desk at the Nnamdi Azikiwe Internatonal Airport Abuja The TELCARE desk was set up to further provide an additional platform to make enquiries on customer issues, receive and facilitate the resolution of telecom consumer complaints.

He explained that by “working together, we can create a more vibrant telecommunications industry that contributes significantly to the economic recovery and growth.”

According to him, as of 2023, the telecoms industry’s contribution to the nation’s GDP stood at 13.5% (Source – Nigerian Gross Domestic Product Report November 2023-A publication of the National Bureau of Statistics.

“Conversely, as we promote economic growth through the development of local content, we must also address the challenges faced by consumers and NCC is committed to protecting their rights while ensuring their satisfaction.

The NCC boss, therefore urged telecom firms to prioritize customer satisfaction and uphold the highest standards of service delivery, noting that the commission has implemented measures to safeguard the interests of consumers and businesses alike.

One such measure, he said, was the NCC’s directive on May 17, 2023, that all licensed Mobile Network Operators commence implementation of approved Harmonised Short Codes for providing services to Nigerian telecom consumers.

“The new initiative is enabling consumers using the over 224 million active mobile telephone lines in Nigeria to use the same codes to access services across all networks,” he added.

Meanwhile, the NCC boss disclosed that as of 2023, the telecoms industry’s contribution to the nation’s GDP stood at 13.5 per cent, according to the Nigerian Gross Domestic Product Report November 2023 – A publication of the National Bureau of Statistics.

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ACT closure: Kano beneficiaries share testimonies

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Nasiru Yusuf Ibrahim

 

As the the Agents for Citizen-driven Transformation (ACT) programme held a close out event in Kano, some beneficiaries have shared their testimonies during their engagement.

KANO FOCUS reports that the beneficiaries take a cue to share positive experience obtained during their engagement with ACT programme.

The president of Kano Civil Society Forum (UCSF) Comrade Ibrahim Waiya was the first to share experience on the benefits derived from ACT programme.

Comrade Ibrahim Waiya

KCSF had received €1 084,63 to create awareness and sensitise the public on
the spread of COVID-19 in Kano State.

In her testimony, the Executive Director of SACALSUN Hauwa Adamu Kakuri, a breast cancer survivor who set up an NGO for cancer awareness campaign recalled how the mentorship she received from CS-CRIN, one of the ACT grantees, empowered her to secured a 10,000 dollar grant.

Appraising the implementation of the programme in Kano state the programme officer of CARAV Abba Bello said they have secured a grant from ACT where they work on strengthening community response on gender based violence at Nassarwa Dala and Kumbotso local government areas.

He cited an example of one intervention at Sheka quartees in Kumbotso local government area where they rehabilitate some young girls who engages in commercial sex.

For Abdurrazaq Alkali, the Executive Director of OCCEN, said ACT has supported them to promote good governance and accountability in Kano where their advocacy led to the passage of procurement law.

Abdurrazaq Alkali

Also commenting chairman of Kano State Accountability Forum on Education (K-SAFE) Professor Muhammad Bello Shittu commended ACT for identifying credible Civil Society Organisations and supporting them.

Professor Muhammad Bello Shittu

He equally commended ACT engagement with regulatory bodies such as Corporate Affairs Commission (CAC) during the course of their intervention especially by developing a regulatory framework that is humanly understandable.

Professor Shittu expressed optimism that the lesson learned from the project would be sustained even after the exit of the programme.

He lamented that in many instances once the donor leave, the project dies, despite huge capital and material investmentinvestment.

The event featured presentation from the commissioner of special duties Hajiya Amina Abdullahi Sani (GOD), representative of Emir of Kano Alhaji Sule Gaya (Dan Goribar Kano), ACT National Programme Manager Damilare Babalola, ACT Kano state Focal Person Hajiya Rabi Adamu and ACT communication and media engagement adviser Hajiya Lauratu Abdussalam.

The Agents for Citizen-driven Transformation (ACT) is a four-year EU programme funded by the European Union and implemented by the British Council, Nigeria. The programme is linked to the reform objectives of the three EU focal sectors of the 11th National Indicative programme (NIP).

The ACT programme was designed as a response strategy to the EU’s identified need to invest and engage more with the Civil Society Organizations (CSOs) in Nigeria as required under the larger global EU CSO roadmap framework. EU-ACT recognises that strengthened civil society actors have great potential to contribute to thechange achievement of sustainable development, ACT programme focused on strengthening the capability of CSOs to become more effective and credible drivers of change.

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High Court jails two bureau de change operators in Kano

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Nasiru Yusuf Ibrahim

The Federal High Court Kano presided over by Justice Mohammed Nasir Tuesday, convicted and sentenced two illegal bureau de change operators to one year imprisonment each for operating BDC without an appropriate licence.

KANO FOCUS reports that the convicts: Munkaila Sani and Mohammed Sani were jailed after pleading guilty to one-count separate charge bordering on engaging in financial operations of bureau de change without a requisite licence, upon their arraignment by the Kano Zonal Command of the Economic and Financial Crimes Commission, EFCC.

The lone-count charge reads ‘’That you Munkaila Sani sometime in February, 2024 in Kano within the jurisdiction of this Honourable Court did engage in a financial operation of bureau de change without a valid licence and you thereby committed an offence contrary to Section 57 (5) of the Banks and Other Financial Institutions Act, 2020 and punishable under Section 57 (5) (B) of the same act.’’

Upon arraignment, the defendants pleaded guilty to their respective charges when they were read to them. Based on their pleas, prosecution counsel, Aisha Tahar Habib prayed the court to convict and sentence them accordingly.

Counsel to the defendants, Abdulrahman Isah pleaded with the court to temper justice with mercy as the suspect are elderly and have become remorseful for their actions.

Consequently, Justice Yunusa convicted and sentenced the defendants to one year imprisonment each.

The convicts’ began their journey to the Correctional Centre when they were arrested by operatives of the Commission around Wapa BDC market and Grand Central Hotel, Kano, following reliable intelligence about their involvement in a syndicate operating bureau de change businesses without an appropriate licence.

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