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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AstraZeneca may have used outdated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included "outdated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.