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Brain Drain: Nigeria lost 16,000 doctors to foreign countries in five years— Health Minister

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Nigeria’s Coordinating Minister of Health and Social Welfare, Prof Ali Pate, has confirmed that no fewer than 16,000 medical doctors left the country to foreign lands in search of greener pastures in the last five years.

The minister, who disclosed this during a guest appearance on a television programme on Sunday, said the brain drain phenomenon, popularly known as ‘Japa Syndrome’, had robbed Nigeria of its best hands in the health sector, as other health professionals had taken the same route by fleeing the country to foreign countries.

Pate who lamented that Nigeria has seen a generation of young doctors, health workers, tech entrepreneurs and a number of professionals abandoned the for greener pasture abroad, however, assured that the government was taking measures to reverse the trend.

The Minister decried that presently, only 55,000 licensed doctors are in the country to attend to the growing population of patients following the exodus of health professionals to hospitals and health facilities abroad.

“In the last five years, the country lost about 15,000 to 16,000 doctors to the Japa syndrome while about 17,000 had been transferred,” he said.

“There are about 300,000 health professionals working in Nigeria today in all cadres. I am talking about doctors, nurses, midwives, pharmacists, laboratory scientists and others. We did an assessment and discovered we have 85,000 to 90,000 registered Nigerian doctors.

“Not all of them are in the country. Some are in the Diaspora, especially in the US and UK. But there are 55,000 licensed doctors in the country.”

“The issue overall, in terms of health professionals, is that they are not enough. They are insufficient in terms of the skills mix. Can you believe most of the high skilled professional doctors are in Lagos, Abuja and a few urban centres? There is a huge distribution issue.

“The population of doctor overall is about 7,600 doctors in Lagos and 4,700 or thereabout in Abuja. The doctor to population ratio in Abuja is 14.7 per 10,000 population. These are numbers that you can verify. In Lagos, it is about 4.6, even though the average is 2.2 by 10,000.

“There are huge distributional issues and they are, of course, the opportunities even for some of those who have been trained to get into the market.

“So you have to look at it from a perspective that is holistic. Not only doctors but other cadres that are important in the delivery of health care. For doctors, we have been losing many that have been trained.”

“Now to the Japa you talked about, it is not only limited to Nigeria. It is a global phenomenon. Other countries don’t have enough.

“They are asking to take more. It is not only in Nigeria. It is happening in India, Philippines and other parts of Africa. In the last five years, we have lost about 15,000 to 16,000 and about 17,000 had been transferred. We’re barely managing.

“That’s why expanding their training will become logical. The same thing with nurses and midwives; they are also leaving. That’s why expanding the training is important to ensure those still around are well trained.

“We are beginning to take steps to expand the training and work environment, taking some steps to encourage salaries and incomes commission to do certain things that will encourage them to feel at home.

“But even the issue of working hours that has come about recently, particularly for the junior doctors, is being addressed.

“We are beginning to take steps to expand the training and work environment, taking some steps to encourage salaries and incomes commission to do certain things that will encourage them to feel at home.

“But even the issue of working hours that has come about recently, particularly for the junior doctors, is being addressed.

“This is because when some of their colleagues leave and they remain at home, the burden has not reduced.

“And so they work extremely hard. We’ve listened to that. We are looking at how we can alleviate that and with the Medical and Dental Council of Nigeria, we are looking at how, within the code of ethics and the guidelines for the physician, to provide some safeguards to ensure they are treated as valuable assets so they are not burnt out,” the Minister said.

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‘Don’t start what you can’t finish’, ex-Nigerian official replies President Tchiani

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Former Nigerian Aviation Minister, Femi Fani-Kayode, has told President Abdourahamane Tchiani of Niger Republic to refrain from making infantile and puerile allegations that Nigeria is conniving with France and the Lakurawa terrorists to destabilize his country.

Tchiani had, during an interview with Radio-Télévision du Niger on December 25, accused the Nigerian government of using the sect, with the help of foreign security forces notably from France, to wreck havoc in his country, insinuating that President Bola Tinubu had been paid by the France government to allow their military to establish a base in Borno State.

He also alleged that Nigeria, acting in collaboration with the French government and the terrorist group, was responsible for an attack on the Niger-Benin oil pipeline on December 13, 2024, in Gaya, Dosso Region of Niger Republic.

But in a statement he posted on his official X handle on Sunday, Fani-Kayode who is popularly called FFK, said Nigeria does not need the help of France and thr Lakurawa terrorist to destabilize Niger Republic.

FFK insisted that Nigeria is not part of the western powers sponsoring terrorists organizations to wretch havoc on the West African sub region.

“If Nigeria wanted to destabilise Niger Republic, I do not believe that we would need France or any terrorist organisation to do so,” the politician wrote.

He noted that on the contrary, western powers are the ones behind terrorist organizations operating in the region and other parts of Africa.

“I have maintained that the western powers are behind the terrorist groups that have plagued the West African sub region over the last 15 years and for the last ten years I have publicly stated this and given my reasons.

“I am equally certain that Nigeria, being one of the major victims of these terrorist organisations, has had no part in it and that no Nigerian President, past or present, has indulged in such grave and dangerous actions.”

He went on to advice Tchiani against provoking Nigeria with unguarded and infantile utterances capable of stoking Nigeria against his country.

“The Nigerien Military Head of State, Abdourahamane Tchiani, would do well to be careful not to provoke our wrath with his absurd assertions and remain mindful of the fact that the defence budget for his country, Mali and Burkina Faso COMBINED is not up to 25% of Nigeria’s.

“Tchiani’s grave allegations that President Tinubu and NSA Nuhu Ribadu have been bought by the French to destabilise Niger Republic, that our Government is jointly sponsoring a terrorist group with France to do same and that there are French military bases in Nigeria are infantile, puerile, mendacious and asinine.

“It is a squalid attempt by the Nigerien Head of State to sow the seeds of dissention in our country, to alienate our people from constituted authority, to divide our people and to undermine the Tinubu administration,” he added.

“It is also highly provocative and the FG should consider the possibility of taking other more extreeme measures if this reckless provocation continues.

“We are under no obligation to show restraint when we are being undermined and maligned.

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Zambia announces second case of Mpox as country battles cholera outbreak

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The Zambian Ministry of Health has reported a second case of Monkeypox, popularly known as Mpox, in Kitwe region of Copperbelt Province.

Acting Health Minister, Douglas Syakalima, who made the announcement on Friday during a press conference in Lusaka, revealed that the Ministry is intensifying contact tracing and surveillance to curb further spread of the disease.

Syakalima who also addressed the ongoing cholera outbreak in Nakonde, Muchinga Province, said thus far, seven cases have been confirmed.

“The second Mpox case involves a 34-year-old female from Ndeke, Kitwe, who presented with symptoms including rash, fever, swollen lymph nodes, and oral ulcers on December 21,” Syakalima said at the press parley.

He noted that there was an initial misdiagnosis with chickenpox in Lumwana, North-Western Province, but laboratory tests on December 26 confirmed that it was Mpox.

Syakalima added that the patient’s husband, who works in a neighboring country with confirmed Mpox cases, had experienced similar symptoms earlier this month.

“Both patients are now stable and under close monitoring. A rapid response team has been deployed to trace contacts and prevent further spread,” he said, adding that eight close contacts of the couple are currently under observation, while nationwide surveillance has been heightened.

The Health Minister added that on December 26, five cholera cases were confirmed at Nakonde Urban Clinic with the first three patients, a husband, wife, and their son, admitted on December 24 with symptoms of diarrhea, vomiting, dehydration, and shock.

“Today, two more cases have been reported, bringing the total to seven confirmed cholera cases from the same household,” Syakalima stated.

He explained that Nakonde’s location as a border town with high cross-border movement poses a risk for the disease to spread to other parts of the country.

The Minister however, assured that the Ministry has deployed teams to trace contacts, chlorinate water sources, disinfect affected homes, and activate Incident Management Systems at district and provincial levels while surveillance has been heightened, and contact tracing is ongoing for 33 individuals.

“The government remains committed to preventing further spread of these diseases,” Syakalima assured.

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