Health
2023: Politicians who seek health services abroad shouldn’t be voted – Nurses
Nurses, under the auspices of the University Graduates of Nursing Science Association (UGONSA), have advised Nigerians to be wiser in selecting leaders in the coming general election.
In a communique issued at its Conference in Abakaliki on Thursday the nurses expressed regrets that successive leaders have neglected the country’s health facilities.
The communique made available to Journalists was signed by the UGONSA National President, Chief (Hon.) S.E.O. Egwuenu, and the National Secretary, Nurse G.I. Nshi.
The association said it was beyond shame that the Nigerian health system that once ranked among the best ten in global ranking and benefited from medical tourism treating the likes of the Saudi Royals in the 1960s has become shadow it’s old self.
They said it’s shameful that the same health system is ironically being celebrated in a ranking said to have improved from 187 out of 191 countries two decades ago to 163 out of 191 countries today.
“How do we come to terms with the Federal Ministry of health’s estimation that Nigeria loses about $2 billion (1.1 trillion naira) annually to Medical Tourism? It is heart wrecking, especially when it is obvious that this money, if put together over the next five years and deployed for the upgrade of our health facilities, health research capabilities, and healthcare infrastructures, can lunch our health system to among the best five in the world.
Rather than pay premium on fixing our health system, alas!, our politicians are shamelessly busy competing on whom to win the ignoble title of “Medical Tourist 1 of Nigeria”.
“Our hospitals are in shambles because our politicians and their families are not treated in our hospitals. Our hospitals will be fixed to be in the world-class ranking any day our political class starts getting treatment from our hospitals.
“It is high time medical tourism became a topic for the acceptance or rejection of politicians at the polls. Politicians who seek treatment abroad are directly telling other Nigerians that it is their own lives alone that matter and that the rest of us are sub-humans that deserve to be treated in the “mere consulting clinics” they have egregiously reduced our hospitals to.
“The callousness and insensitivity of our politicians to our health system have forced our seasoned healthcare professionals, especially Doctors and Nurses, to seek shelter in the responsive health system of other countries with responsible leaders where their skills, professional development, and remuneration are enhanced.
Ironically, our politicians are treated abroad by these same seasoned Nigerian healthcare professionals that left our health system for abroad out of sheer frustration.
“The poor performance of our health system in global ranking has never been the fault of our healthcare professionals.
It is a systematic fault of not putting the right facilities and motivation in place by the country’s successive leadership to enable our healthcare professionals to replicate the type of wonders they have been performing when they travel abroad in our own health system.
“The monies wasted on medical tourism are enough to rejig our health system and make a competing payment to the healthcare professionals that will dissuade those currently practicing in the country from contemplating going abroad and compel those that have left for greener pasture to return home.
“It is an affront to our collective sensibility to see our politicians abandon our hospitals that they have run aground through age-long fund deprivation and neglect for the treatment of helpless Nigerians that elected them while they themselves jet out abroad at the slight of a headache to be treated in well organized, well-furnished, and well-funded hospitals with taxpayers’ monies. Such is abominable and unacceptable and must not be allowed to continue.
We, therefore, charge Nigerians to get their permanent voter’s cards (PVC), prepare to vote out, and never vote for any politician who has a penchant for embarking on medical tourism abroad.
“Politicians whose pastime is medical tourism have testified that they do not believe in the Nigerian system. If our health system is not good for you, our political system should also not be good for you.
“The level of corruption among our politicians is very pathetic as it is obvious that we now practice “Lootocracy” instead of “Democracy.”
The spate of borrowing for consumption and re-looting with no obvious commensurate project on ground is unacceptable to nurses as it is to the generality of Nigerians.
“We therefore strongly call for accountability and transparency in governance to rescue the country from its economic doldrums occasioned by financial profligacy as this will have an unimaginable economic enslavement of our unborn future generation.
The spate of insecurity in this country is also a severe concern to nurses as it has callously led to loss of precious lives that nurses strive to protect and preserve.
“We call on both States and Federal Government to do more in the area of security to tame the ugly trend of worsening insecurity.
UGONSA also thanked the Head of Civil Service of the Federation for releasing the circular for the proper placement of graduate nurses that was approved by the National Council on Establishment (NCE) at its 43rd meeting held in Abuja in January 2022 and called for its speedy implementation in all health institutions where nurses work.
“Any delay in implementation of the circular will amount to further traumatization of the already traumatized and frustrated nurses who have been psychologically and financially bruised by the inexplicable injustice of under placement meted on them in the civil service over the years despite their unalloyed loyalty to Nigeria and to the patient- the statement concluded.
Health
Japa: Nigeria needs 300,000 doctors but has only 40,000
In 2024, the Minister of Health and Social Welfare, Prof. Muhammad Pate, revealed that Nigeria had about 55,000 licensed doctors.
Speaking during an interview on Channels TV’s Politics Today, Pate disclosed that no fewer than 16,000 doctors had left the country in the past five years, while about 17,000 others had been transferred out of active service.
Worrisomely, a new revelation by the Lagos State Commissioner for Health, Prof. Akin Abayomi, indicates that the number of practising doctors in Nigeria has declined from 55,000 to 40,000 within just one year.
In his presentation at a one-day leadership dialogue in Lagos themed “Strengthening PHC Systems: A Joint Leadership Dialogue,” Abayomi identified manpower shortage as one of the most critical challenges facing the health sector.
The dialogue, organised by the Lagos State Primary Health Care Board with support from development partners, addressed barriers hindering PHCs from meeting expectations and proposed practical solutions for building sustainable PHCs with lasting impact.
Abayomi stated that Lagos currently has only 7,000 doctors serving an estimated 30 million residents, far below the number needed for optimal care delivery.
The commissioner raised concerns over the acute shortage of health workers in the state, disclosing that the state requires an additional 33,000 doctors to meet the healthcare demands of its growing population.
“Nigeria currently has about 40,000 doctors against an estimated need of 300,000, while Lagos alone requires about 33,000 doctors but has only about 7,000,” he said.
According to him, Lagos’ doctor-to-population ratio remains far below what is required for optimal healthcare delivery, noting that the state’s doctors are serving an estimated population of nearly 30 million people.
To address the shortfall, Abayomi said the state government is investing in its newly established University of Medicine and Health.
“Within five years, UMH will produce about 2,500 healthcare workers annually, including laboratory scientists and other essential cadres,” he stated.
The mass exodus of healthcare professionals popularly known as japa syndrome, especially doctors, nurses, and pharmacists has remained a major concern in Nigeria.
A 2017 survey conducted by a Nigerian polling organisation in partnership with Nigeria Health Watch revealed that about 88 per cent of Nigerian doctors were seeking job opportunities abroad at the time.
The President of the Nigerian Medical Association, Prof. Bala Audu, recently warned that Nigeria has moved beyond passive brain drain and has become a direct recruitment hub for foreign governments seeking skilled medical professionals.
In an interview, Audu revealed that international recruiters now visit Nigeria to directly hire doctors—particularly specialists such as obstetricians, gynaecologists, and paediatricians—offering them superior working conditions, remuneration, and infrastructure.
He lamented that while Nigeria’s population continues to grow and mortality rates remain high, the country is losing specialists at an alarming rate.
“Many of our doctors are not even going abroad to look for jobs. Foreign governments now come into Nigeria to pick doctors and take them away,” Audu said.
“We are still having more births, yet maternal deaths remain high because the skilled birth attendants who should care for these women are reducing every day.”
Audu added that in some specialties, the number of Nigerian doctors practising abroad may already exceed those still working within the country, a situation worsened by the government’s failure to significantly improve doctors’ welfare despite existing policy frameworks.
Experts have warned that with the current pace of emigration, it would be impossible for Nigeria to produce enough health workers to meet its growing healthcare demands. They estimate that it would take at least 20 years to train the over 400,000 health workers required to close the gap.
A former President of the NMA, Prof. Mike Ogirima, described Nigeria’s doctor-to-patient ratio as “horrible,” noting that the country currently has about one doctor to 8,000 patients—far below the World Health Organisation’s recommendation of one doctor to 600 patients.
Health
Neglect of routine self-breast examination, routine PSA test fueling cancer deaths
Nigerian health communication researcher, Ifesinachi Ayogu, has attributed the rising number of cancer-related deaths in the country to the neglect of routine self-breast examination among women and routine Prostate-Specific Antigen (PSA) testing among men.
Ayogu told journalists on Monday that the failure to prioritise regular screening had contributed significantly to late detection of breast and prostate cancers, which are among the leading causes of cancer-related deaths in Nigeria.
He said many cancer cases were only discovered when the disease had reached advanced stages, making treatment more complex and survival chances lower.
According to him, the increasing burden of cancer deaths calls for a more intentional and sustained approach to cancer awareness, early detection, and preventive health behaviour.
“Early detection saves lives, but many people are not practising simple, routine screening that could help detect cancer early,” Ayogu said.
He noted that breast cancer and prostate cancer were often manageable when detected early, but ignorance, fear, stigma, and limited awareness continued to discourage people from carrying out regular checks.
The researcher explained that self-breast examination allows women to notice unusual lumps or changes early, while routine PSA testing helps detect prostate abnormalities before symptoms become severe.
Ayogu said deaths resulting from breast and prostate cancers were often preventable, stressing that delayed diagnosis was a major factor contributing to high mortality rates.
He added that many Nigerians still lacked basic information on how to conduct self-breast examinations, when to go for PSA tests, and where to seek appropriate medical care.
The health communication researcher emphasised the need for community-based education, especially in rural areas, using trusted platforms such as churches, markets, women’s groups, and radio programmes to promote routine screening practices.
He also urged healthcare providers and public health institutions to intensify public education on cancer prevention and ensure that screening information was simple, accurate, and accessible.
Ayogu advised individuals with a family history of breast or prostate cancer to be particularly vigilant about routine screening and healthy lifestyle practices.
He stressed that promoting routine self-breast examination and PSA testing would play a critical role in reducing late presentation and improving cancer survival outcomes in Nigeria.
Ifeshinachi Ayogu is a PhD graduate student, at the University of Oklahoma United States of America, his core interest is cancer communication, according to him, he believes that the next breakthroughs in cancer care for Nigerian women and men will not come from medicine alone.
Health
Fresh Ebola outbreak: Nigeria tightens border control
The Federal Government said it had intensified monitoring and screening procedures at all points of entry in response to the ongoing outbreak of the Ebola Virus Disease in the Democratic Republic of Congo.
The Director of Port Health Services at the Federal Ministry of Health and Social Welfare, Dr Akpan Nse, disclosed this in an exclusive interview with Saturday PUNCH on Friday.
Nse also noted that additional staff had been employed to strengthen border surveillance in the country.
Health authorities in the Democratic Republic of Congo declared an outbreak of Ebola virus disease in Kasai Province, where 28 suspected cases and 16 deaths, including four health workers, had been reported as of September 5, 2025.
The outbreak comes at a time when much of Central and West Africa is grappling with overlapping health and humanitarian crises, including cholera, malnutrition, and population displacement.
The DRC’s last outbreak of Ebola virus disease occurred in the north-western Equateur Province in April 2022.
It was brought under control within three months.
In Kasai Province, previous Ebola outbreaks were reported in 2007 and 2008. Overall, the country has experienced 15 outbreaks since the disease was first identified in 1976.
Ebola virus disease is a rare but severe, often fatal illness in humans.
It is transmitted to people through close contact with the blood, secretions, organs, or other bodily fluids of infected animals such as fruit bats (believed to be the natural hosts). Human-to-human transmission occurs through direct contact with the blood or bodily fluids of an infected person, contaminated objects, or the body of someone who died from the disease.
In the ongoing outbreak, samples tested on September 3 at the National Institute of Biomedical Research in the capital, Kinshasa, confirmed that the cause was Ebola Zaire, a strain of the Ebola virus.
Dr Nse noted that although Nigeria was at risk of importing the virus due to high levels of international travel with the DRC, Port Health Services was on alert and had strengthened surveillance to prevent this.
He said, “We have intensified surveillance at all points of entry across the country—airports, land borders, and seaports. Every inbound traveller coming from Congo to Nigeria is thoroughly screened, and we collect their medical history through mandatory forms.
“We have also reactivated our portals. Every passenger on every flight coming to Nigeria from Congo is screened upon arrival. This applies to airports, seaports, and land borders. Even if passengers transit through Congo on their way to Nigeria, they must undergo screening.
“In addition, with support from WHO, we have recruited more staff to enhance surveillance. Increasing the workforce allows us to effectively prevent the importation of the virus and ensure thorough screening at all borders.”
He added that some private organisations had partnered the Federal Government to ensure that thermal scanners at airports remained fully functional.
Meanwhile, the WHO has released $500,000 from its Contingency Fund for Emergencies to support the response to the Ebola Virus Disease outbreak in the DR Congo.
Announcing this at a media briefing on global health issues on Friday, the WHO Director-General, Dr Tedros Adhanom Ghebreyesus, disclosed that 28 suspected cases and 16 deaths had been reported so far, including four health workers.
He highlighted that the UN body already had staff on the ground in Kasai, with more on the way.
“We’re joining rapid response teams to trace contacts and find cases; we’re collecting and testing samples, and we’re providing technical expertise in surveillance, infection prevention and control, treatment, risk communication, and more. WHO has also delivered personal protective equipment, laboratory equipment, medical supplies, and a mobile laboratory.
“We had previously prepositioned 2000 doses of Ebola vaccine in Kinshasa, which we are releasing to vaccinate contacts and health workers. This is the 16th outbreak of Ebola in the DRC, and the government has rich experience from those previous outbreaks,” the WHO boss stated.
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