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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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EFCC Kano zonal office secures 340 convictions in 2022 – official

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Nasiru Yusuf

 

 

 

The Kano zonal office of Economic and Financial Crimes Commission (EFCC) has secured 340 conviction and loses only three cases in 2022.

KANO FOCUS reports that commission’s Deputy Director of Legal and Prosecution, Aisha Habib announced this on Thursday at Financial Crime Reporting Workshop organised for some selected journalists in Kano.

Aisha Habib

While giving the breakdown of both civil and criminal convictions achieved by the Kano Zone Mrs Habib said they have had 160 criminal convictions losing only two and 180 civil convictions losing only one in Kano State. She added that this put the conviction rates at over 90 per cent.

The EFCC counsel also listed a series of challenges that stalled financial crimes prosecutions amongst which are unwarranted frivolous acts of defendant counsels, constant cases adjournment and elevation or transfer of judges.

She said one of the difficulties they face while prosecuting financial crime is also unavailing of the identity of individuals behind some criminal transactions.

Mrs Habib hinted that although Section 6 of the Commission’s laws empowered them to investigate and prosecute persons suspected to be holding illegal money and properties, it is, however, highly difficult to get the original person behind illicit transactions.

Speaking, the commission’s chairman, Abdulrasheed Bawa declared that the EFCC recorded 3, 440 convictions on financial and cyber crimes across the country from January to November 2022.

The chairman, who was represented by the Kano Zonal Commander, Farouk Dogondaji, also stated that the commission will work to ensure the enforcement of the Electoral Act as the 2023 general elections approach.

Farouk Dogondaji

“In terms of prosecution of cases in court, I am glad to inform you that, between January and November 25, this year, EFCC recorded 3440 convictions. The potentials for improvement are good as more ongoing cases are concluded in the remaining four weeks of the year.

“Remarkable as this feat is, we are not resting on our oars. We believe there is still a lot to be done which is the reason why we are actively seeking the support of all stakeholders, including the media,” he stated.

Participants

He also said: “On our part, we are working in close collaboration with the Independent National Electoral Commission (INEC), and other stakeholders to preserve the integrity of the electoral process. We will ensure that the Electoral Act is fully enforced and those who seek to influence voters through financial inducement are brought to justice.”

He described journalists as critical allies who are at the workshop to improve their capacity to be able to help in the fight against cyber and financial crimes in the country.

Wilson Uwjaren

Others who spoke at the occasion include the commission’s spokesperson Wilson Uwjaren and Dele Oyewale.

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Huawei names Computer Lab after Umar Garba Danbatta

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Prof. Umar Garba Danbatta commissioning the Lab

Nasiru Yusuf

 

 

A computer lab, constructed by Huawei Technologies and commissioned at the weekend to serve the community of Koguna Town of Makoda Local Government of Kano State, has been named “Prof. Umar Garba Danbatta Computer Lab”.

 

KANO FOCUS reports that Director, Public Relations of Huawei Nigeria, Lola Fafore, said at the commissioning, which was witnessed by the Executive Vice Chairman of the NCC, Prof. Umar Danbatta, and the District Head of Makoda, Alhaji Labaran Abdullahi, that the project was among the company’s contribution to Nigeria as part of its corporate social responsibility. Fafore assured that Huawei will continue to promote digital inclusion, primarily through the provision of access to technology.

“Huawei has been operating in Nigeria for over 22 years now and we can say that Nigeria is a great country filled with many great talents and potential. We love the Nigerian people and are happy to always give back through Corporate Social Responsibility initiatives such as this,”

“Huawei is therefore constantly making more effort in terms of connectivity, applications, and skills transfer to promote digital inclusion for all. This is in line with Huawei’s mission to bring digital services to every person, home, and organization for a fully connected intelligent world. As part of our contribution to this great nation, we believe in making technology accessible to all. Technology should not be for the few, but for everyone,” she said.

In appreciation of naming the centre after him and donating to the community, Danbatta commended Huawei Nigeria Limited. He also thanked the company for the central role it has played in the development of the telecommunications industry in Nigeria.

“This computer laboratory was built through a huge donation by Huawei. And Huawei is a household name in Nigeria. They provide and manage services for major telecommunications companies in Nigeria. They are dominant in that sector. I can’t imagine the state of telecoms in Nigeria without the invaluable role that Huawei is playing in the country,” Danbatta said.

Traditional ruler of Makoda who doubles as Barayan Bichi, poured encomiums on the donors and the NCC boss, whose philanthropic disposition attracted the gesture to the community.

He said Danabatta has been making invaluable contributions to the development of our communities, the state, and the nation at large. The community leader stated that Danbatta has implemented many philanthropic and people-oriented projects in his Danbatta community in addition to his strides in driving the development of ICT adoption and usage, through numerous initiatives as the country’s Chief Telecoms Regulator.

Those who attended the commissioning ceremony include, the Vice Chairman of Makoda Local Government, Alhaji Yusif Bala, the Director of Human Capital and Administration of NCC, Barrister Usman Malah, the Chief of Staff to the EVC, Malam Hafiz Shehu, and the Controller, NCC Zonal Office in Kano, Malam Shuaibu Swade among others.

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AIDS Day: Kano’s HIV prevalence drops to 0.5% – Report

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Nasiru Yusuf

Kano state government said it is winning the fight against HIV in all parts of the state as prevalence rate has come down to 0.5 percent from the previous figure of 2.5 percent.

KANO FOCUS reports that the Commissioner for Health Dr. Aminu Ibrahim Tsanyawa stated this during a press briefing on the commemoration of the 2022 World AIDS Day.

He said the state government has invested hugely in the aspect of enlightening the public on HIV especially by knowing their status.

“At this juncture I wish to inform that the most recent survey conducted in all the states of the Federation (NAIIS), the prevalence rate for Kano has come down to 0.5 percent from the previous figure of 2.5 percent.

“Currently in Kano there are over 38,000 people living with HIV who are currently placed on treatment , 83% of which have attained virological suppression across our 43 comprehensive sites, with about 84% pregnant women attending ANC being counseled,tested and have received their results from over 600 PMTCT testing sites in the state,” Dr Tsanyawa said.

The Commissioner maintained that the achievements was as a result of the efforts and dedication of the state government through the Kano State Agency for the Control of AIDS (SACA).

Dr. Tsanyawa maintained that the present administration in Kano has placed highest priority on saving the lives of women and children through the provision of essential health service both at primary and secondary care levels.

He said this year’s theme of the world HIV day is”Putting Ourselves to the Test: Achieving Equity to end HIV”, adding that it was in line with the state government policy for free HIV/AIDS test in all its hospitals.

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