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Medical Negligences: Dr Agbakoba urges FG to bring back supervisory body for Nigerian hospitals

The last Chief Medical Officer of Nigeria was Dr. Samuel Layinka Manuwa.Today, under the National Health Act and State Health Laws, this essential regulatory infrastructure no longer exists.

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Dr Olisa Agbakoba has called on the Federal Government to immediately restablish an independent Health Regulatory Authority with powers to inspect facilities, enforce standards, and sanction non-compliance public and private hospitals.

Agbakoba, SAN Senior Partner & Head Medical Practice, Olisa Agbakoba Legal, made the call today, citing the case of Chimamanda Ngozi Adichie’s son , and other Nigerians who have died as a result of medical negligences.

While commiserating with Chimamanda Ngozi Adichie and her husband, Dr. Ivara Esege, Agbakoba noted that the fundamental problem underlying these tragedies is the complete failure of the legal and regulatory framework governing Nigeria’s health sector.

Agbakoba noted that in the old days, the healthcare system functioned under a robust supervisory structure. Chief Medical Officers and Health Inspectors were responsible for oversight of critical care, ensuring compliance with standards, and holding practitioners accountable.

“The last Chief Medical Officer of Nigeria was Dr. Samuel Layinka Manuwa.Today, under the National Health Act and State Health Laws, this essential regulatory infrastructure no longer exists.

He emphasised, ” Our health sector has become over centralised under the Federal Minister of Health, causing states to become lax in oversight responsibilities.

As a result, health facilities and medical practitioners operate with alarming impunity.

There is no requirement for routine submission of reports, no systematic inspections, and no effective enforcement of professional standards. Ministers of Health and Commissioners of Health have assumed roles that conflate policy-making with regulatory enforcement—a fundamental governance failure.

There must be a clear separation of functions: Health Ministers and Commissioners should focus on policy development and strategic direction, whilst independent Health Inspectors and regulatory bodies must be empowered to enforce standards, conduct inspections, and ensure accountability,” he said.

” As a medical negligence legal specialist, I must express grave concern about the recurring incidents of absolutely preventable deaths resulting from medical negligence by health practitioners across Nigeria.

“There must be a clear separation of functions: Health Ministers and Commissioners should focus on policy development and strategic direction, whilst independent Health Inspectors and regulatory bodies must be empowered to enforce standards, conduct inspections, and ensure accountability.”

Agbakoba, therefore emphasised for:

1.Reinstitution of the Office of Chief Medical Officer at federal and state levels with clear enforcement mandates;

2. Mandatory registration and periodic inspection of all health facilities with transparent reporting requirements;

3. Independent investigation mechanisms with powers to access and preserve medical records, preventing tampering or alteration;

4. Clear separation between policy formulation and regulatory enforcement within the health sector governance structure;

5.Comprehensive legislative reform to update Nigeria’s health laws to reflect modern standards of care, accountability, and patient protection; and the time for comprehensive overhaul of Nigeria’s health system is long overdue.

“We cannot continue to lose precious lives to preventable medical errors whilst the regulatory framework remains in shambles.

This is a matter of national emergency that demands immediate legislative and executive action,” he said.

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Health

Federal Ministry of Health Orders Immediate Retirement of Directors After 8-Year Tenure

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The Federal Ministry of Health has directed the immediate retirement of all directors who have served at least eight years in the directorate cadre, effective from December 31, 2025.

The directive, outlined in a memo signed by Tetshoma Dafeta, Director overseeing the Office of the Permanent Secretary, enforces the eight-year tenure policy for directors as stipulated in Section 020909 of the Revised Public Service Rules 2021.

It applies to directors across the ministry, federal hospitals, agencies, and parastatals under its supervision.

The move aligns with a broader Federal Government circular from the Office of the Head of the Civil Service of the Federation, which reiterated the compulsory retirement rule for directors (Grade Level 17 or equivalent) after eight years in the position, as part of efforts to ensure compliance across all Ministries, Departments, and Agencies (MDAs).

The policy has sparked concerns from the Joint Health Sector Unions (JOHESU), which has criticized what it describes as selective implementation of retirement age reviews in the health sector.

JOHESU argues that such policies favor certain cadres over others, potentially undermining equity, teamwork, morale, and overall efficiency in healthcare delivery.

The ministry’s action follows recent government-wide enforcement of tenure limits for senior civil servants, including permanent secretaries. Affected directors are to be disengaged immediately, with institutions required to implement the directive without delay.

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Health

More than 95,000 died of suicide so far in 2026 — WHO

Certain vulnerable populations face disproportionately higher risks, including refugees and migrants, indigenous peoples, LGBTI persons, prisoners, and others who experience discrimination, social exclusion or limited access to support services.

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World Health Organization (WHO) data reported that more than 95,000 people have died by suicide globally since the start of 2026.

According to Worldometer, the figure as of the time of this report, stands at 95, 406 so far in 2026.

The early-year toll highlights the continuing scale of suicide as a major global public health challenge.

WHO estimates show that about 727, 000 people die by suicide every year worldwide, with millions more attempting to take their own lives.

Health experts note that while annual suicide figures are usually released with a reporting delay, real-time counters help illustrate how frequently lives are lost to a largely preventable cause.

Suicide occurs across all regions and age groups, but WHO data indicate that it remains one of the leading causes of death among young people aged 15 to 29, ranking third globally in that age group in 2021.

The impact extends far beyond individuals, leaving long-lasting emotional, social and economic consequences for families, communities and entire nations.

Contrary to common assumptions, suicide is not limited to high-income countries.

WHO reports that nearly three-quarters (73%) of global suicides occur in low- and middle-income countries, where access to mental health care and social support services is often limited.

While suicide is closely linked to mental health conditions such as depression and alcohol use disorders, particularly in high-income countries,WHO notes that many suicides occur impulsively during moments of acute crisis.

These crises may stem from financial stress, relationship conflicts, chronic pain, illness, exposure to violence, displacement, or a profound sense of isolation.

Certain vulnerable populations face disproportionately higher risks, including refugees and migrants, indigenous peoples, LGBTI persons, prisoners, and others who experience discrimination, social exclusion or limited access to support services.

WHO stresses that suicide is preventable and requires a coordinated public health response rather than isolated interventions.

Evidence-based and often low-cost measures, such as restricting access to lethal means, promoting responsible media reporting, strengthening life skills among adolescents, and ensuring early identification and follow-up care for those at risk, have been shown to save

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Health

WHO: United States membership withdrawal takes effect

Reacting to the development, WHO Director-General, Dr Tedros Adhanom Ghebreyesus, expressed regret over the decision and urged the United States to reconsider.

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The United States’ withdrawal from the World Health Organisation (WHO) officially took effect on Thursday, exactly one year after President Donald Trump ordered the country to pull out of the global health body.

Under the terms governing WHO membership, a withdrawal becomes effective after a mandatory one-year notice period, which expired on Thursday 22 January, following the executive order signed by Trump shortly after he took office in 2025.

Although the agreement requires the United States to settle all outstanding financial obligations before withdrawal, that condition has not been met. However, the WHO has no legal mechanism to enforce payment or prevent a member state from exiting the organisation.

Reacting to the development, WHO Director-General, Dr Tedros Adhanom Ghebreyesus, expressed regret over the decision and urged the United States to reconsider.

“The withdrawal is a loss for the United States and also a loss for the rest of the world,” Tedros said, adding that the organisation remains open to the country’s return.

President Trump had justified the decision by accusing the WHO of mishandling the COVID-19 pandemic, which originated in Wuhan, China, as well as other global health emergencies.

He also cited the organisation’s alleged failure to implement necessary reforms and its inability to operate independently of political influence from member states.

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