Health
130 LGAs Records Outbreak of Meningitis, Kills 183
Nigeria has reported a total of 287 confirmed cases out of 2,707 suspected cases of meningitis, including 183 deaths, with a case-fatality ratio of 6.8 per cent.
Their cases were reported from 130 Local Government Areas in 24 states, including the Federal Capital Territory in Nigeria from From October 2022, to July 2, 2023.
This is according to the epidemiology situation of the disease released by the Nigeria Centre for Disease Control and Prevention.
Meningitis is a serious infection of the meninges, the membranes covering the brain and spinal cord. It is a devastating disease and remains a major public health challenge. The disease can be caused by many different pathogens including bacteria, fungi or viruses, but the highest global burden is seen with bacterial meningitis.
Several different bacteria can cause meningitis. Streptococcus pneumoniae, Haemophilus influenzae, and Neisseria meningitidis are the most frequent ones. N. meningitidis, causing meningococcal meningitis, is the one with the potential to produce large epidemics.
Meningococcal meningitis is transmitted from person to person through droplets of respiratory and throat secretions, usually by asymptomatic carriers. Close, prolonged contact with an infected person, or living with a carrier, facilitates the spread of the disease. The average incubation period is four days but can range between two and 10 days.
Abia, Adamawa, Bauchi, Bayelsa, Benue, Borno, Delta, Ebonyi, Gombe, Imo, Jigawa, Kano, Katsina, Kebbi, Kogi, Kwara, Nasarawa, Niger, Oyo, Plateau, Sokoto, Taraba, Yobe and Zamfara states reported the suspected CSM cases.
The report partly read that as of July 2, “A total of 2,707 suspected cases including 183 deaths have been reported from 24 states in this 2022/2023 CSM season. A total of 667 samples collected (25 per cent) from 2,707 suspected cases from beginning of the outbreak, and 298 confirmed (45 per cent positivity rate).
“The five to 14-year-old age group was the most affected. 54 per cent of the total suspected cases were Males. 98 per cent of all suspected cases were from six (10) states – Jigawa (1508 cases), Yobe (654 cases), Katsina (177 cases), Bauchi (123 cases), Zamfara (53 cases), Adamawa (45 cases), Gombe (26 cases), Kano (10 cases) and Sokoto (10 cases).
“Nineteen LGAs across five states, Jigawa (10), Katsina (4), Yobe (2), Bauchi (2) and Zamfara (1), reported more than 20 cases each this 2022/2023 CSM season.”
The NCDC, however, said it will continue to support affected states with essential response commodities.
Health
FG effects 20% tarrif slash on pharmaceutical products
Reacting to the development, the President of the Pharmaceutical Society of Nigeria (PSN), Ayuba-Tanko Ibrahim, described the tariff cut as a positive step but cautioned that the gains would depend on complementary policy actions.
the Federal Government had in a document dated April 1, 2026, by the Minister of Finance and Coordinating Minister of the Economy, Mr. Wale Edun, approved sweeping tariff adjustments across 127 product lines, including antimalarial medicaments now pegged at 20 percent, as part of efforts to stimulate growth and ease the cost of critical imports.
Reacting to the development, the President of the Pharmaceutical Society of Nigeria (PSN), Ayuba-Tanko Ibrahim, described the tariff cut as a positive step but cautioned that the gains would depend on complementary policy actions.
“A drop in duties on drugs and pharmaceutical products is quite laudable. In normal circumstances, this should signpost a drop in prices of these products and promote accessibility to drugs and healthcare, albeit legitimately.
“The PSN appreciates and commends the commitment of the federal government in the ensuing scenario,” he said.
Emphasising that more is needed to be done to sanitise the sector, Ibrahim said: “It is noteworthy that the federal government must do a little more in terms of regulation and control of drug matters in Nigeria.
‘’Government must see a need for urgent intervention with a template akin to an all-purpose special vehicle that can help fix fundamental issues pertaining to local manufacture and drug prices.
” There is also a need to support local content in Active Pharmaceutical Ingredients, APIs, and vaccines availability to increase the contribution of the pharmaceutical sector to national GDP, ’’ he said.
Health
Resident Doctors Suspend Strike, Ask Members to Resume on Wednesday
The Nigerian Association of Resident Doctors (NARD) has suspended its planned indefinite nationwide strike and directed all members to resume duties on Wednesday, April 8, 2026.
The decision was announced on Tuesday following successful last-minute engagements with the Federal Government and other stakeholders over the contentious suspension of the Professional Allowance Table (PAT) and other welfare issues.
NARD had earlier declared a total and comprehensive strike effective from 12:00 a.m. on Tuesday, April 7, protesting the government’s move to halt implementation of the revised allowance structure, unpaid promotion arrears, and other outstanding agreements.
In a statement, the association said the suspension was reached after productive discussions, though it issued a fresh ultimatum, warning of renewed industrial action if demands are not fully met by April 21, 2026.
Patients and healthcare facilities across the country, which had braced for disruption in services, are expected to see normal operations resume from Wednesday morning.
NARD urged its members to return to work promptly while maintaining that the core issues remain unresolved and will be reviewed at the next National Executive Council meeting.
The development brings temporary relief to the public health system amid ongoing concerns over doctor shortages and welfare in Nigerian teaching and specialist hospitals.
Health
Women giving birth on their backs or squatting – Which is Better?
Squatting can enlarge the pelvic diameter by at least 2.5cm (1in), while working with gravity makes it far easier to give birth.So why do so many women today give birth on their backs?
Credit: Getty images
For thousands of years, across the world, women tended to give birth in an upright position – whether kneeling as per Cleopatra, using birthing stools and chairs, or squatting.
In fact, squatting can enlarge the pelvic diameter by at least 2.5cm (1in), while working with gravity makes it far easier to give birth.So why do so many women today give birth on their backs?”
There is a generalised ignorance amongst professions and pregnant women about the physiology of birth,” says Janet Balaskas, founder of the Active Birth Centre in the UK, and author of a number of books detailing how mothers can take control of their birth experience.
In 1982, Balaskas published an “active birth manifesto” that became the central tenet of her organisation.
“Throughout the world, and for thousands of years, women have spontaneously laboured and given birth in some form of upright or crouching positions,” the manifesto reads. “Whatever the race or culture… the same upright positions predominate.”
Most women in post-industrial countries are confined to hospital in recumbent positions, Balaskas says. “This practice is illogical, making birth needlessly complicated and expensive, turning a natural process into a medical event and the labouring woman into a passive patient,” she argues.
“No other species adopts such a disadvantageous position at such a crucial time.”
Other experts agree.
In fact, giving birth lying down is a “relatively modern phenomenon”, Hannah Dahlen, professor of midwifery at Australia’s Western Sydney University, wrote in a 2013 op-ed for The Conversation.
Pregnancy as ‘illness
‘It’s only in the past 300 to 400 years that women have been largely giving birth on their backs. They can thank a French man named François Mauriceau.
He claimed that the reclining position would be both more comfortable for the pregnant woman and more convenient for the male physician attending to her (there was already a movement emerging to dispense of midwives and instead have male surgeons present at births).
Mauriceau viewed pregnancy as an illness.
In his 1668 book The diseases of women with child and in child-bed, Mauriceau advised: “The best and surest is to be delivered in their bed, to shun the inconvenience and trouble of being carried thither afterwards.”
However, some scholars argue that the change in birthing position may actually be due to another Frenchman who lived the same time as Mauriceau – King Louis XIV.
” Since Louis XIV reportedly enjoyed watching women giving birth, he became frustrated by the obscured view of birth when it occurred on a birthing stool, and promoted the new reclining position,” wrote Lauren Dundes, a professor of sociology at McDaniel College in Maryland, US, in her 1987 paper on the evolution of birthing positions.
The influence of the king’s policy is unknown, although the behaviour of royalty must have affected the populace to some degree,” she added. “Louis XIV’s purported demand for change did coincide with the changing of the position and may well have been a contributing influence.”
Regardless of how giving women birth on their backs came about, the trend stuck, much to the detriment of their birthing experience.
“Birth has become institutionalised with options such as home birth – which is more conducive for many women wanting a physiological or ‘natural’ birth – declining,” says Balaskas.
Proven by science
The main reason women have given birth in upright positions for so many thousands of years is simple: gravity. A baby has to travel downwards through the birthing canal, and gravity is beneficial to the process.
It has been shown that left to their own devices, women will instinctively lean forward during labour – not backwards – adopting positions such as squatting, leaning forward on their hands and knees, or leaning against a low piece of furniture.
Credit: BBC
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