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World TB Day Event: Federal Ministry of Health, LASG, USAID/ SHOPS Plus Unveil New 16 Modular GeneXpert Machine

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World TB Day Event: Federal Ministry of Health, LASG, USAID/ SHOPS Plus Unveil New 16 Modular GeneXpert Machine at EL-LAB Medical Diagnostics Lagos
The Federal Ministry of Health, Lagos State Government and USAID/SHOPS Plus unveiled a 16-Module GeneXpert Machine, the first of its kind in the country, on Monday, March 22nd, 2021 at the Diagnostics Complex of EL-Lab in Festac Town, Lagos.
According to WHO, TB is a major public health concern in Nigeria with the country ranked 6th among the 30 high TB burden countries globally and about 15 percent of the global gap in TB case notification.
The machine, which is for molecular diagnosis of tuberculosis (TB), was purchased by the United States Agency for International Development (USAID) through its funded Sustaining Health Outcomes through the Private Sector Plus project (SHOPS Plus) for the government of Nigeria to facilitate case detection in the private sector.  The machine was launched at EL-Lab Ltd, one of the leading indigenous medical diagnostic and research centres in Nigeria, with a view to closing the gap in TB case detection, notification, and treatment. EL-Lab is one of the 118 engaged stand-alone laboratories trained by SHOPS/Plus and has been very active in PPM Mix activities in Lagos State.
Mrs. Ayodele Iroko, the Senior Private Sector Advisor USAID/SHOPS Plus who anchored the event started by commending all private sector partners that have remained committed to the proactive screening, testing, and treating of TB in their various communities. She also encouraged all engaged health professional associations to work tenaciously at expanding the pool of private sector TB providers by scaling up engagement to include more of their members while facilitating efforts to integrate tested approaches into facilities service provision for ownership and sustainability.
In his opening remarks, the National Coordinator, National Tuberculosis and Leprosy Control Programme (NTBLCP), Dr Chukwuma Anyaike identified two main national goals as regards TB; to find the missing cases, and to ensure all cases found are adequately treated.
He applauded the efforts of the private sector partners, citing the increase in TB case finding and recent times but also emphasised that there is still a lot of room for improvement. Anyaike also stressed the need for more up-to-date statistical data on TB cases in Nigeria.
Anyaike described the introduction of the 16-Module GeneXpert Machine as a “milestone” and encouraged optimal use of the machine to achieve maximal results. He pointed out, however, that the mission goes beyond case finding, to ensuring treatment for all cases.  He encouraged stakeholders to re-strategize and think outside the box in order to “fish out all TB cases.”
Omosalewa Oyelaran, Deputy Director at USAID Nigeria office for HIV/AIDS & TB also commended the efforts of all stakeholders and encouraged them to take up the challenge of finding and treating all cases of TB in Nigeria. She expressed her excitement about the launching of the 16-Module GeneXpert Machine stating that it will increase the testing capacity, allowing patients to know their status and be placed on treatment as quickly as possible. Oyelaran expressed her organization’s commitment to supporting private sector engagement while encouraging them to take ownership and add value to success stories. She also encouraged all stakeholders to continue to raise awareness around the upcoming World Tuberculosis Day.
In a brief goodwill message, Mr. Mayowa Joel, the Executive Director of STOP TB Partnership expressed gratitude to USAID and SHOPS Plus for their efforts in facilitating and supporting private sector engagement.  He emphasized the need to strengthen and sustain the public -private collaboration.
Individual remarks were also given by Dr Makinde Akinlemibola, Chairman, Association of General and Private Medical Practitioners of Nigeria, Lagos State; Mr. Clement Olaifa, Chairman, Lagos State Association of General & Private Nursing Practitioners of Nigeria, Mr. Anorue C.J Chairman, Guild of Private Medical Laboratory Directors, Lagos State. Pharm. Lawrence Ekhator – Chairman, Association of Community Pharmacists of Nigeria, Lagos State. Each pledged their commitment to vision of 100 percent case finding and treatment, promising to improve their contributions with sustainable strategies, particularly emphasizing their willingness to work with the government in achieving the common goal.
The Medical Laboratory Science Council of Nigeria, through its registrar and CEO, Dr Tosan Erhabor also congratulated EL-Lab Diagnostics on the official unveiling of the First ever 16 modules GeneXpert machine in Nigeria. He also pledged his commitment, on behalf of the organization, to scale up TB case finding and treatment.
Dr Bolanle Olusola –Faleye, TB Technical Director of SHOPS Plus, while sharing the successes of the involvement of the private sector commended the synergy between the private sector and government, as well as the high level of dedication demonstrated by partners and donors.
Expanding further on these successes, Mr. Elochukwu Adibo, CEO of EL-Lab Medical Diagnostic Ltd explained that the involvement of the private sector is gradually ensuring that Nigeria’s unenviable ranking as  6th globally among the high burden countries and first in Africa with high burden for TB becomes a thing of the past.
He noted that the adoption of GeneXpert MTB/RIF test as the entry point diagnostic tool for TB case detection was done in 2016, and Federal Government’s wisdom in engaging the private health sector has tremendously helped to increase case detection and treatment.
Adibo stated that out of over 4000 networks of standalone Laboratories under Guild of Private Medical laboratory Directors, (GMLD), the Hon. Minister for Health donated a 4-module GeneXpert machine on September 4, 2018, to EL-lab Medical Diagnostics, Lagos.
EL-Lab, applying private sector efficiency, optimized testing with the machine which brought about significant improvement in TB case detection and testing with a tremendous support and partnership from the USAID /SHOPS Plus program network and their technical/logistic excellence.
He pointed out the need for infrastructure and logistics upgrade, especially with regards to power supply to meet the demand for uninterrupted service delivery.  He also called on the government and all concerned parties to remove the bottlenecks in the current partnerships to enable unhindered private sector contribution, to meet Country goals and National Strategic Plan for TB which will ultimately improve Nigeria’s global ranking.
Speaking before formally unveiling the new 16 modular machine, Dr Agbolagorite Olurotimi, Director of Disease Control, Lagos State who represented the Commissioner for Health, Lagos State, Prof Emmanuel Akinola Abayomi commended the private sector for their contributions at all levels, to the case finding and treatment of TB cases. He particularly commended EL-Lab’s commitment in testing samples both from government and private facilities. He urged stakeholders to continue to work at the desired goal, as Nigeria still has a long way to go with regards to TB case finding and treatment. He promised to investigate the identified bottlenecks that hinder private sector involvement and encouraged stakeholders to keep identifying and reporting such hindrances.
After his speech, the Commissioner for Health, Lagos State, Prof. Emmanuel Akinola Abayomi, who was represented by Dr Agbolagorite Olurotimi with other guests led by Dr Elochukwu Adibo proceeded on a walk-through tour of the laboratory that culminated into the formal cutting of ribbons and unveiling the new machine to the joy and excitement of both the physical and virtual audience present at the event.
Testing of samples from public and private health institutions was demonstrated using the
new 16 module GeneXpert machine.
Mr. Ifeanyi Okekearu, the Chief of Party of SHOPS/Plus commended the involvement of all partners and appreciated their time at the event.
PHOTO CAPTION:
(L-R) Lawrence Ekhator – Chairman, Association of Community Pharmacists Lagos State, Prince Elochukwu Adibo –Laboratory Director, EL-LAB Diagnostics and National President, Guild of Private Medical Laboratory Directors, Dr Agbolagorite Olurotimi – Director of Disease Control Lagos State representing the Commissioner for Health, Lagos State, Mrs Ayodele Iroko –  Senior Private Sector Advisor, USAID/SHOPS Plus, Dr Makinde Akinlemibola – Chairman, Association of General and Private Medical Practitioners of Nigeria, Lagos State

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Fear, Hopelessness Fuel Corruption in Nigeria, Says Amb. Steve Nwose

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Fear, Hopelessness Fuel Corruption in Nigeria, Says Amb. Steve Nwose



‎By Ifeoma Ikem


‎Ambassador Steve Nwose has said corruption continues to thrive in Nigeria because many citizens have surrendered to fear, hopelessness and weak institutions that reward greed while punishing integrity.

‎Speaking during an online interview while reacting to first quarter reports on corruption trends in 2026, Nwose said Nigerians are not inherently corrupt but have become victims of a system that often encourages dishonest practices.

‎According to him, corruption has evolved into a self-sustaining cycle where public officials act with impunity while ordinary citizens feel powerless to challenge wrongdoing.

‎He explained that many Nigerians have gradually normalized corruption because they believe speaking out could expose them to victimisation, intimidation or denial of essential services.

‎“Nigerians are not uniquely corrupt people. People respond to systems that reward greed and punish integrity. Impunity has led the populace to surrender and normalize corrupt practices,” he stated.

‎Nwose noted that real national transformation would only happen when citizens stop waiting for political messiahs and begin to build institutions that can outlive individuals.

‎He urged Nigerians to demand greater accountability from public office holders, support credible leadership and reject corruption at every level of society.

‎According to him, history has shown that meaningful reforms often begin with a few courageous individuals who inspire others to act.

‎“Real change has never come because everyone was brave. It came because a few courageous people inspired others to stand up little by little. Fear is real, but silence has never built a better nation,” he added.

‎The ambassador lamented that many Nigerians now fear the same institutions established to protect them, including security agencies, making it difficult for citizens to report corrupt practices.

‎He said this growing distrust has weakened public confidence in governance and further emboldened corrupt actors within the system.

‎Nwose also described corruption as a deeply rooted cultural and systemic challenge, noting that some citizens often participate in bribery simply to gain access to basic services.

‎He warned that such participation only strengthens the cycle of corruption and makes reforms more difficult to achieve.

‎He further expressed concern over the judiciary, describing it as an institution whose credibility has been damaged by widespread perceptions of compromised justice.

‎Highlighting the economic burden on citizens, Nwose said many Nigerian households now spend more than 70 percent of their income on food, leaving little for other necessities and forcing families to focus on survival rather than long-term economic advancement.

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Customs, NDLEA Intercept N16.7bn Cannabis Shipment at Tin Can Port ‎

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Customs, NDLEA Intercept N16.7bn Cannabis Shipment at Tin Can Port


‎By Ifeoma Ikem


‎The Nigeria Customs Service, Tin Can Island Port Command, has intercepted a major consignment of illicit drugs valued at N16.7 billion at the Lagos Port Complex, in what authorities described as a significant breakthrough in Nigeria’s ongoing anti-smuggling operations.

‎The seizure, which occurred barely two weeks after a similar interception, involved 4,173.5 kilograms of Cannabis Indica concealed in 8,347 packages and packed inside a 40-foot container.

‎Speaking during a media briefing in Lagos, the Customs Area Controller of Tin Can Island Port Command, Comptroller Frank Onyeka, said the operation was carried out through intelligence sharing and strategic collaboration between the Nigeria Customs Service and the National Drug Law Enforcement Agency.

‎Onyeka explained that officers of the command’s Enforcement Unit intercepted the container marked HAMU 247034/8 after receiving credible intelligence reports from relevant security agencies.

‎He said the container was immediately flagged for detailed physical examination upon arrival at Tin Can Island Port.

‎According to him, the container originated from Canada and was discovered to contain large quantities of Cannabis Indica hidden among cargo items.
‎He disclosed that the illicit substance weighed 4,173.5 kilograms and carried an estimated street value of N16.694 billion.

‎The Customs boss said the interception highlights the increasing use of maritime trade routes by international criminal syndicates seeking to penetrate Nigeria’s market with illegal substances.

‎He noted that such criminal activities pose serious risks to national security, public health and economic productivity, particularly among young Nigerians.

‎Onyeka stated that the command would continue to strengthen surveillance systems, improve cargo profiling and enhance intelligence gathering to safeguard Nigeria’s ports.

‎He also warned that port insiders and other individuals aiding smuggling activities would be identified and prosecuted in accordance with the law.

‎The Comptroller commended the Comptroller-General of Customs, Bashir Adewale Adeniyi, for promoting inter-agency cooperation in anti-smuggling operations.

‎Receiving the seized consignment on behalf of the National Drug Law Enforcement Agency, Director of Seaport Operations, ACGN Ibinabo Archie Abia, described the seizure as a major disruption of transnational drug trafficking networks.

‎She revealed that the operation followed months of surveillance and international intelligence collaboration involving Homeland Security Investigations, the United States Drug Enforcement Administration and the Royal Canadian Mounted Police.

‎Abia added that the latest interception, alongside previous seizures of 4,729 kilograms on April 27 and 610.5 kilograms on April 30, reflects growing efficiency in intelligence-driven enforcement operations aimed at protecting Nigeria’s maritime trade environment.

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Menopause Is Not the End – It is a Critical Transition Hidden Behind Silence and Stigma 

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*Menopause Is Not the End – It is a Critical Transition Hidden Behind Silence and Stigma* 

– *Dr Nelson Aluya MD, MBBS* 

 

Menopause is universal, inevitable, and often misunderstood.

It is not merely the end of menstruation; it is one of the most consequential biological transitions in a woman’s life. The danger of menopause does not lie in the transition itself, but in how poorly it is understood, recognized, and treated—by societies, healthcare systems, and often by women themselves.

Women constitute approximately 49.6–49.7% of the global population, amounting to over 4 billion women worldwide as of 2024–2025. Although slightly more boys are born than girls—about 106 boys for every 100 girls—higher male mortality means women increasingly outnumber men in older age groups. Globally, the sex ratio evens out to nearly 50/50, with women dominating later decades of life (United Nations; World Bank; INED). And every woman who lives long enough will experience menopause.

 

Menopause is defined as 12 consecutive months without a menstrual period, typically occurring between ages 45 and 55, with an average age of 51–52. Today, over one billion women globally are experiencing perimenopause, menopause, or postmenopause. In the United States alone, 1.3 to 2 million women enter menopause annually, roughly 6,000 women every day. As populations age and life expectancy increases, this number will continue to rise.

Yet despite affecting nearly half of humanity and 100% of women who reach midlife, menopause remains one of the most neglected and poorly integrated areas of modern meLimitations?

 

*A Critical Biological Turning Point:*

Menopause represents a sharp decline in estrogen and progesterone—hormones that influence far more than reproduction. Estrogen plays a protective role in cardiovascular health, bone density, brain function, metabolic regulation, and emotional stability. When estrogen levels fall, risk rises.

This is why menopause is increasingly recognized as a critical health inflection point, not a benign milestone.

 

*Cardiovascular Disease: The Greatest Threat:*

Cardiovascular disease is the leading cause of death in women worldwide, surpassing all cancers combined. Before menopause, estrogen confers relative cardiovascular protection. After menopause, that protection rapidly diminishes.

Menopause Is Not the End – It is a Critical Transition Hidden Behind Silence and Stigma* 

- *Dr Nelson Aluya MD, MBBS* 

Research shows that the menopausal transition is associated with: Worsening lipid profiles Increased insulin resistance

Central weight gain

 

Vascular stiffness and endothelial dysfunction

Collectively, these changes double the risk of heart disease compared with premenopausal women.

Compounding this risk is misdiagnosis. Women experiencing myocardial infarction often do not present with classic symptoms such as crushing chest pain or dramatic shortness of breath. Instead, they may report fatigue, nausea, heartburn, dizziness, jaw or shoulder pain—symptoms frequently dismissed as anxiety, stress, or “menopausal complaints.”

The consequences are stark. Studies show that women aged 45–64 have higher mortality following a first heart attack than men of the same age. One-year mortality rates approach 23% in women versus 18% in men, and within five years, 47% of women die, develop heart failure, or suffer a stroke compared with 36% of men.

 

“Menopause does not cause heart disease.

Ignorance of menopause does.”

 

*Mental Health, Depression, and Suicide Risk:*

Menopause is also a period of heightened psychological vulnerability. Fluctuating and declining estrogen affects neurotransmitters such as serotonin and dopamine, increasing susceptibility to major depression, anxiety, irritability, and emotional dysregulation.

 

*This risk is not theoretical:* Epidemiological data indicate that women are more likely to die by suicide between the ages of 45 and 49, coinciding with the late perimenopausal and early menopausal years. While suicide is multifactorial, menopause represents a biological and psychosocial stressor that intersects with caregiving burdens, career pressures, aging awareness, and sleep deprivation.

 

“o dismiss these symptoms as “normal” is to trivialize a period of genuine risk.”

 

*Cognitive Decline and Neurological Vulnerability:*

Emerging evidence suggests that estrogen plays a role in maintaining synaptic health and cerebral blood flow. The menopausal transition has been associated with brain fog, memory lapses, and reduced processing speed, symptoms frequently minimized or ignored.

 

Women account for nearly two-thirds of Alzheimer’s disease cases worldwide. While causality remains under investigation, declining estrogen during menopause is increasingly viewed as a potential contributor to long-term neurological vulnerability, particularly when combined with cardiovascular risk factors.

 

*Bone Loss and Physical Frailty:*

Bone density declines precipitously after menopause. Without estrogen, women experience accelerated bone resorption, placing them at high risk for osteoporosis and fractures. Nearly half of a woman’s lifetime bone loss occurs during the menopausal years.

 

Hip fractures, in particular, are associated with loss of independence, chronic disability, and increased mortality—yet bone health screening and prevention remain underutilized.

 

*The Burden of Symptoms—and Silence:* Hot flashes, night sweats, sleep disruption, fatigue, vaginal dryness, reduced libido, and cognitive changes are not trivial inconveniences. Moderate-to-severe vasomotor symptoms peak in the first two years after menopause and can persist for a decade or longer.

Despite this, menopause remains dramatically under-treated. Many women are told to endure symptoms without explanation or support. This silence has consequences—not only for individual health, but for families and communities.

 

*Menopause and the Social Fabric:*

Menopause often coincides with peak life stress: caring for aging parents, supporting adolescent or adult children, managing career demands, and confronting aging itself. The cumulative effect can strain relationships.

 

Surveys suggest that up to 70% of women report menopause as a contributing factor to marital breakdown, citing increased conflict, reduced intimacy, and emotional distress. Divorce rates among adults over 50—so-called “gray divorce”—have risen dramatically in recent decades, with menopause frequently acting as an unrecognized catalyst.

When menopause is misunderstood, women are blamed for biological changes they cannot control.

A Shift Toward Evidence and Empowerment

Menopause is not a disease, but it demands medical respect.

 

Lifestyle interventions—regular physical activity, balanced nutrition, smoking cessation, reduced alcohol use—remain foundational. Medical care is equally vital: cardiovascular screening, bone density assessment, mental health support, and treatment of genitourinary symptoms.

 

Hormone therapy, long stigmatized, is undergoing reevaluation. In November 2025, the U.S. Food and Drug Administration initiated the removal of outdated “black box” warnings from most hormone replacement therapies, acknowledging that prior risk assessments were based on misinterpreted data. Current evidence indicates that for women under 60 or within 10 years of menopause, hormone therapy can reduce cardiovascular risk, fractures, and possibly dementia when appropriately prescribed.

 

Legislative efforts, such as the New Jersey Menopause Coverage Act, reflect growing recognition that menopause care is not optional—it is essential healthcare.

 

Beyond Survival: The Postmenopausal Years

For many women, life after menopause brings increased confidence, clarity, and freedom—a phase sometimes described as postmenopausal zest. But reaching that stage safely requires awareness, education, and systemic change.

 

Conclusion

Menopause is not a footnote in women’s health.

 

It is a defining chapter.

Ignoring it places billions of women at unnecessary risk—of heart disease, depression, cognitive decline, fractured families, and preventable death.

 

“Menopause does not weaken women.

Silence does.”

 

Recognizing menopause as a critical health transition is not only a medical obligation—it is a moral one.

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