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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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Kano gets 3,148 new polling units

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Mukhtar Yahya Usman

The Independent National Electoral Commission (INEC) has expanded the polling units in Kano state from 8,074 to 11,222 to create easy access to polling units.

Kano Focus reports that the INEC chairman, Mahmoud Yakubu revealed this to journalists on Wednesday in Abuja.

Mr Yakubu revealed that Kano Central has 1,978 more polling units while Kano South and Kano North have 658 and 513 respectively.

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The 10 local governments that have the highest number of additional polling units are Nassarawa 334, Kumbotso 220, Gwale 207, Tarauni 207, and Ungoggo 179.

Others are Dala 163, Fagge 163, Kano Municipal 160, Danbatta 94, and Dawakin Kudu 92.

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Nigerian Navy to establish desert warfare institute in Kano

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Nasiru Yusuf

The Chief of Naval Staff CNS Real Admiral Awwal Zubairu Gambo, has agreed to move Desert Warfare Institute to Kano.

KANO FOCUS reports that this was disclosed by, Chief of Policy and Plans, Nigerian Navy, COR Ezekobe

when he led a delegation to governor Ganduje at his office, in Kano, Wednesday, to brief the governor about development so far.

He said “We are here to actualize the fruitful engagement we had when His Excellency visited us on the 3rd of June. He Chief of Naval Staff directed me to lead this team in actualising some of the promises made to you when you visited the Naval headquarters.”

“Our project standing on 12 hectares of land, is a multi-purpose project. We are moving our Desert Warfare of our Special unit to Kano Your Excellency. This unit is highly trained in both United States of America and Britain. And they are recognized to be of best performance.”

“This is where we will use for a garment industry and other things that will be of significant benefit to the society.”

“We would like to develop a Barack, so that when the need arises we can defend ourselves and also the state. That will definitely help in improving the security of the state in particular and the nation in general.”

He requested that, the Chief of Naval Staff would want to deliver a lecture on Maritime in either Bayero University, Kano, for people here up North to understand the activities of the Nigerian Navy in the national scheme of things.

Ezkobe, a rear admiral in Nigerian Navy, requested another piece of land on behalf of the Naval Officers Wives Association (NOWA) for the establishment of hospital in the state.

“Naval Officers Wives Association (NOWA) is desirous of establishing a 200-bedded hospital in Kano. We also need to get a piece of land for this effort to see the light of the day,” he requested.

“Your Excellency we witnessed the tremendous development in your state. This is highly commendable Sir,” he concluded.

In his response, governor Ganduje appreciated the speed of the process for the visibility of the Nigerian Navy in the state, appreciating that, “We are so happy to have you here. I can see that the return match is so quick. This shows the level of seriousness from your part.”

“Your presence in Kano will definitely boost the morale of our youth in joining the Nigerian Navy. It will also improve our security of the state generally,” he stated.

“We are very much ready for all the requests you came with pertaining this and other projects for the development of the state. And for improving the security of our dear state. We are always ready.”

Concerning the Chief of Naval State Conference, Ganduje said the state would always be ready to see to the realisation of the proposed Conference, adding that, “For the Conference we will create an enabling environment for it to hold.”

“We will also facilitate for the proposed Maritime lecture by the Chief of Naval Staff in one of our universities. There is no doubt about this. Tell him he is always welcome.”

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EFCC asks Kano Internal Revenue Service to report tax evaders

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Nasiru Yusuf

The Economic and Financial Crimes Commission EFCC, has urged the chairman of Kano State Internal Revenue Service KIRS, to report tax evaders to the commission as the Zonal office now have a full pledged tax fraud section.

KANO FOCUS reports that the Head of the Kano Zonal office of the commission, Mualledi Farouq Dogondaji stated this on Monday during a courtesy visit to KIRS in Kano.

“We are ready to continue to work together to put our economy back on track. Tax is what is used to pay our wages and salaries. That is why we are here to tell you that our doors are open. If you have tax evasion cases, do not hesitate to come to us. We now have a special section dealing with that,” he said.

In his response, the Chairman of Kano State Internal Revenue Service, Abdulrazak Datti Sani assured the EFCC of his agency’s cooperation in tackling tax evasion and other malpractices.

Chairman of KIRS Abdulrazak Datti Sani and Head of the Kano Zonal office of EFCC, Mualledi Farouq Dogondaji

He stated that, though KIRS has its enforcement unit, they would still require the intervention of the EFCC to be able to handle some cases.

He assured the EFCC that his officers will be working hand-in-hand with Commission to ensure compliance by companies and other government agencies in tax remittances.

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