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10 — Vanguard, WEDNESDAY, MARCH 24, 2021<br />

AstraZeneca may have used outdated<br />

information in trial, US health officials allege<br />

.As Nigeria vaccinates 215,277 eligible persons<br />

By Sola Ogundipe &<br />

Chioma Obinna<br />

RESULTS from a US trial<br />

of AstraZeneca's Covid-<br />

19 vaccine may have<br />

included "outdated<br />

information" and that could<br />

mean the company<br />

provided an incomplete<br />

view of efficacy data,<br />

American federal health<br />

officials have stated.<br />

This development came<br />

as 215,277 eligible<br />

Nigerians were vaccinated<br />

with with the 1st dose of the<br />

vaccine.<br />

AstraZeneca reported<br />

Monday that its Covid-19<br />

vaccine provided strong<br />

protection among adults of<br />

all ages in a longanticipated<br />

US study.<br />

In the study of more than<br />

30,000 people, the company<br />

reported that the vaccine<br />

was found to be 79 percent<br />

effective at preventing<br />

symptomatic cases of<br />

Covid-19 — including in<br />

older adults.<br />

There were no severe<br />

illnesses or hospitalisations<br />

among vaccinated<br />

volunteers, compared with<br />

five such cases in<br />

participants who received<br />

dummy shots — a small<br />

number, but consistent with<br />

findings from Britain and<br />

other countries that the<br />

vaccine protects against the<br />

worst of the disease.<br />

AstraZeneca also said the<br />

study's independent safety<br />

monitors found no serious<br />

side effects, including no<br />

increased risk of rare blood<br />

clots like those identified in<br />

Europe, a scare that led<br />

Nigeria records worst TB burden in Africa<br />

— EL-Lab boosts case detection with 16-module GeneXpert machine<br />

By Chioma Obinna<br />

ONE hundred years<br />

after the launch of the<br />

Tuberculosis (TB) vaccine,<br />

Nigeria ranks worst in<br />

Africa and 6th among 20<br />

countries with the highest<br />

burden of TB in the world.<br />

To this end, the country<br />

yesterday launched the<br />

first 16 Module GeneXpert<br />

machine for the detection<br />

of TB in a private laboratory<br />

in Lagos even as the<br />

Federal government has<br />

been urged to step up<br />

private sector contribution<br />

to improve the poor global<br />

ranking in TB burden.<br />

Speaking during the<br />

official launch at the El -<br />

Lab Medical Laboratory<br />

Diagnostic Ltd, Festac<br />

Lagos as part of the USAID<br />

funded SHOPS Plus<br />

project, the Lagos State<br />

Commissioner for Health,<br />

Prof Akin Abayomi said<br />

Nigeria contributes 8 per<br />

cent of the million missing<br />

numerous countries to<br />

briefly suspend<br />

vaccinations last week.<br />

But just hours after those<br />

encouraging results were<br />

reported, the US National<br />

Institute of Allergy and<br />

Infectious Diseases issued<br />

an unusual statement.<br />

The agency said the Data<br />

and Safety Monitoring<br />

Board "expressed concern<br />

that AstraZeneca may have<br />

included outdated<br />

information from that trial,<br />

which may have provided<br />

an incomplete view of the<br />

efficacy data."<br />

"We urge the company to<br />

work with the DSMB to<br />

review the efficacy data and<br />

ensure the most accurate,<br />

up-to-date efficacy data be<br />

made public as quickly as<br />

possible," the statement<br />

added.<br />

Nigeria vaccinates<br />

215,277 persons<br />

The National Primary<br />

Healthcare Development<br />

Agency, NPHCDA,<br />

Tuesday said it has<br />

vaccinated a total of 215,277<br />

eligible Nigerians with the<br />

first dose of the<br />

AstraZeneca COVID-19<br />

vaccine as of 23rd of March<br />

2021.<br />

In an Electronic<br />

Management of<br />

Immunisation Data<br />

(EMID) System made<br />

available to Vanguard,<br />

Lagos is still topping the list<br />

with a total of 58,461<br />

persons, (11.5%).<br />

However, seven states are<br />

yet to commence COVID-<br />

19 vaccination. These<br />

TB cases in the world while<br />

Lagos contributes 11 per<br />

cent in the country’s TB<br />

burden.<br />

Abayomi, represented by<br />

a Director at the State<br />

Ministry of Health, Dr<br />

Agbo Lagoritie said it is<br />

important to recognize the<br />

contribution of private<br />

sector facilities such as EL-<br />

Lab.<br />

The occasion marked this<br />

year’s World Tuberculosis<br />

Day with the theme: “The<br />

clock is Ticking”, and the<br />

slogan adapted by Nigeria<br />

is “That cough, e fit be TB,<br />

not COVID, check am ooo!”<br />

It was organised in<br />

collaboration with the<br />

National Tuberculosis and<br />

Leprosy Control<br />

Programme, NTBLCP,<br />

Lagos State TB<br />

Programme, and the<br />

USAID SHOPS Plus<br />

project.<br />

The Chief Executive<br />

Director of EL-Lab, Dr<br />

Elochukwu Adibo said<br />

data made available by<br />

states are Abia, Kebbi, Oyo,<br />

Zamfara, Niger, Kogi and<br />

Taraba. Other states that<br />

have made significant<br />

NTBLCP, has shown that<br />

private sector engagement<br />

has increased TB case<br />

detection by 68 per cent in<br />

the first quarter of 2020<br />

compared to 2019.<br />

Further, Adibo said<br />

private sector participation<br />

increased case detection<br />

from 104,904 cases in 2017,<br />

to 106,533 in 2018 and<br />

120,266 in 2019<br />

respectively.<br />

”TB is still a major public<br />

health problem in Nigeria<br />

and a leading cause of<br />

death among infectious<br />

diseases. The adoption of<br />

the GeneXpert MTB/RIF<br />

test as the entry point<br />

diagnostic tool for TB case<br />

detection was done in 2016<br />

and the Federal<br />

Government in its wisdom,<br />

through the FMOH<br />

NTBLCP, engaged private<br />

health sector including<br />

Guild of Medical Directors,<br />

GMLD, of Lab Private<br />

Sector, Association of<br />

General Private Medical<br />

Practitioners, AGPMPN,<br />

progress includes; Bauchi,<br />

23,827, Jigawa, 20,800,<br />

Kaduna, 14572, Kwara<br />

state, 12, 016 among others.<br />

community pharmacists<br />

and Association of General<br />

Private Nurses<br />

Practitioners of Nigeria,<br />

AGPNPN and others to<br />

help increase case detection<br />

and treatment.<br />

Adibo said with the<br />

donation, EL-Lab, applied<br />

private-sector efficiencyoptimised<br />

testing with the<br />

machine and brought<br />

about significant<br />

improvement in TB case<br />

detection and testing with<br />

tremendous support and<br />

partnership from the<br />

USAID SHOPS PLUS<br />

programme network and<br />

their technical and logistic<br />

excellence.<br />

Citing what EL-Lab has<br />

done with other private<br />

labs, he said In Lagos state,<br />

private sector contribution<br />

was less than 3 per cent in<br />

2018 to TB detection but<br />

has now risen to 21 per cent<br />

in 2021, bringing the<br />

Nigerian case detection rate<br />

to 31 per cent up from 24<br />

per cent in 2017<br />

How <strong>Buhari</strong> administration’s<br />

ESP helped Nigeria tackle<br />

COVID-19 challenges<br />

— OSINBAJO<br />

NIGERIA’S priorities in<br />

a post-COVID-19<br />

world include restoring<br />

economic growth in the<br />

immediate term, building<br />

resilience in the health<br />

sector, and repositioning<br />

the economy on a<br />

sustainable footing in the<br />

medium term while saving<br />

jobs and building domestic<br />

capacity and local<br />

production in critical areas.<br />

The Vice President, Yemi<br />

Osinbajo, who disclosed<br />

this during a virtual<br />

Chatham House interactive<br />

session on Tuesday<br />

highlighted the significant<br />

impact of the <strong>Buhari</strong><br />

administration’s Economic<br />

Sustainability Plan (ESP) as<br />

a crucial pivot in helping<br />

the country respond to the<br />

fallouts of the pandemic.<br />

In the chat themed:<br />

“Priorities for Nigeria’s<br />

Post-COVID Recovery”,<br />

Osinbajo discussed the<br />

challenges posed to<br />

Nigeria by the global<br />

COVID-19 pandemic and<br />

the Nigerian government’s<br />

response aimed at ensuring<br />

lasting socio-economic<br />

recovery and development.<br />

In his viewsm he<br />

emphasised that the <strong>Buhari</strong><br />

administration’s first<br />

priority was to protect<br />

people and their<br />

livelihoods in response to<br />

the fallout of the pandemic.<br />

One of the ways was to<br />

support the critical<br />

MSMEs sector through the<br />

Survival Fund scheme, a<br />

component under the ESP.”<br />

“One of the specific<br />

interventions under the ESP<br />

was what we describe as the<br />

Survival Fund, which<br />

essentially was a fund to<br />

protect jobs and to ensure<br />

that during the course of the<br />

pandemic and immediately<br />

thereafter, informal workers<br />

in particular or private<br />

sector workers especially<br />

those in the informal sector,<br />

were at least able to<br />

continue to earn some<br />

wages," the Vice President<br />

stated.<br />

He added that through<br />

the Survival Fund scheme,<br />

over 300,000 beneficiaries,<br />

as well as businesses have<br />

been supported during the<br />

pandemic “by providing<br />

salaries for three months for<br />

beneficiaries, which<br />

include private school<br />

teachers, artisans, road<br />

transporters, taxi cab<br />

operators, and commercial<br />

tricycle operators in the<br />

urban areas.<br />

“We also sought to protect<br />

the most vulnerable, in<br />

particular, the urban poor<br />

who were also hard hit. What<br />

we did was to provide direct<br />

cash transfers to the urban<br />

poor, many of them who are<br />

captured in a social register.<br />

“We also have a mass<br />

housing programme which<br />

is designed to deliver<br />

affordable homes through<br />

direct intervention in the<br />

housing construction sector<br />

aimed at creating 1.8<br />

million jobs together with<br />

the construction of 300,000<br />

homes in the first phase. At<br />

the moment, the<br />

programme is ongoing in<br />

12 states which will be<br />

expanded to all of the states<br />

in the federation.”<br />

“Since February 2020<br />

(when Nigeria confirmed its<br />

first COVID-19 case), we<br />

have significantly ramped<br />

up our testing and case<br />

management capacity. We<br />

have activated from about<br />

five molecular laboratories<br />

to about 120, most of them<br />

public laboratories.<br />

“We have expanded the<br />

footprint of our sovereign<br />

public health response<br />

capacity, especially at the<br />

sub-national level, and in<br />

areas where such<br />

capabilities didn’t exist<br />

before.<br />

“Going forward," he said<br />

"we are committed to<br />

building on the exemplary<br />

dedication of our health<br />

workers and strengthening<br />

the capacity of our health<br />

systems to withstand<br />

shocks created by infectious<br />

diseases and pandemics<br />

such as we are<br />

experiencing.<br />

“One reason why we've<br />

been able to manage this<br />

pandemic better than<br />

expected is that we did have<br />

some existing public sector<br />

infrastructure to work with,<br />

the Ebola outbreak in 2014,<br />

our ongoing battles with<br />

Lassa fever, our successes<br />

with polio eradication all<br />

helped us to tighten our<br />

pandemic contingency<br />

plans, strengthen our<br />

emergency coordination<br />

and surveillance capacity<br />

and also enhance<br />

investments in public<br />

health laboratories.”<br />

He highlighted the<br />

government’s efforts<br />

through the Nigeria Centre<br />

for Disease Control,<br />

NCDC, in tackling the<br />

pandemic, adding that it<br />

also prioritized the<br />

strengthening of the<br />

country’s public health<br />

infrastructure.<br />

“While it is true that in<br />

many respects, our hospital<br />

infrastructure still lags<br />

behind in standards,<br />

especially when compared<br />

with richer countries of the<br />

world, we've been able to<br />

draw on the resilience and<br />

adaptability of our tried and<br />

tested community health<br />

system,” he noted.

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