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Poor diagnostic capacity driving misdiagnosis of acute fever – US CDC

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The United States Centres for Disease Control and Prevention on Wednesday said limited laboratory diagnostic capacity for Acute Febrile Illness is leading to misdiagnosis or underdiagnosis of diseases, and inappropriate treatment and management of patients in Nigeria.

The US CDC made this known at a media roundtable in Abuja to highlight its support for AFI surveillance in the country, in collaboration with the Nigeria Centre for Disease Control and Prevention and other partners.

Experts say addressing gaps such as weak policies, limited testing facilities, and poor diagnostic capacity is essential to strengthen AFI surveillance in Nigeria.

Delivering his presentation, the Senior Public Health Specialist for Epidemiology and Surveillance at the US CDC Nigeria, Oladipupo Ipadeola, said AFI is an illness characterised by the rapid onset of fever, with or without other symptoms.

Ipadeola stated that AFI, which can be caused by bacteria, viruses, protozoa, and fungi, is more prevalent in children and young adults but can affect all age groups.

He noted that AFI presents with overlapping symptoms and that limited laboratory diagnostic capacity complicates its management.

He highlighted that AFI surveillance is crucial for early identification of infectious disease outbreaks, understanding their epidemiology, and implementing control measures.

“AFI surveillance refers to the systematic monitoring and investigation of cases of acute fever that occur suddenly and typically have a short duration. In Nigeria, limited laboratory diagnostic capacity for AFI is leading to misdiagnosis or underdiagnosis of diseases, and inappropriate treatment and management of patients.

“Addressing AFI surveillance gaps, such as a lack of clear policy, limited geographical spread of testing facilities, and poor diagnostic capacity, is essential. A good understanding of AFI cases in a country allows ministries of health and other public health institutions to strengthen surveillance and laboratory capacity,” he said.

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He, however, added that the Federal Government has shown commitment and implemented several strategies and initiatives to address AFIs.

“Some of the key actions include surveillance and monitoring to improve early detection and response, public health education campaigns, malaria control programmes, vaccination initiatives, strengthening healthcare infrastructure, and collaborating with partners to enhance AFI activities,” he noted.

He explained that the U.S. CDC, in collaboration with the NCDC and other partners, has established sentinel surveillance sites across Nigeria’s six geopolitical zones, testing over 11,000 samples for priority diseases such as malaria, dengue, yellow fever, Lassa fever, and COVID-19.

The agency also enhanced laboratory capacity by upgrading equipment, introducing multiplex PCR testing, and training staff in selected laboratories.

He emphasised that AFI surveillance is a key component of the U.S. CDC’s work to advance global health security and noted that AFI surveillance is helping to identify disease patterns, co-infections, and strengthen diagnostic capacity in Nigeria.

He added that since August 2024, coordination of the programme has been handed over to the NCDC, while the US CDC continues to provide technical support, rapid diagnostic kits, and laboratory reagents to improve testing at sentinel sites.

In her opening remarks, the Programme Director at the Division of Global Health Protection, U.S. CDC Nigeria, Farah Husain, emphasised the importance of strengthening surveillance for AFI in Nigeria, as they are among the most common but often misunderstood health conditions.

She explained that a robust surveillance system will help identify the causes, burden, and spread of such diseases, enabling better and faster responses to outbreaks.

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“Today’s engagement is a broader effort by the U.S. CDC in collaboration with the NCDC to establish a sustainable AFI surveillance system in Nigeria.

“The overall intent of this system is to help improve early detection, enhance laboratory capacity, strengthen data, and ultimately help us respond better and faster to outbreaks,” she stated.

The Director of Surveillance at the NCDC, Fatima Saleh, stressed the need to strengthen surveillance systems, improve response capacity, and scale up outreach efforts.

Saleh emphasised the need for strong advocacy across all levels of government to ensure evidence-based action, wider inclusion, and sustained support for protecting the health of Nigerians.

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Photos: Jonathan Visits Tinubu At Presidential Villa

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President Bola Ahmed Tinubu on Wednesday met former President Goodluck Jonathan at the Presidential Villa.

It was reports that this was disclosed by Tinubu’s Special Adviser on Information and Strategy, Bayo Onanuga.

A reason for the meeting has not been disclosed as at the time of filing this report.

Former President Goodluck Jonathan meets President Bola Ahmed Tinubu
Former President Goodluck Jonathan meets President Bola Ahmed Tinubu

Meanwhile, Jonathan has responded to erstwhile Vice President Atiku Abubakar over his submission on his competency during his time in office.

It was reports that Atiku, during a live television interview, claimed that Jonathan made many mistakes while he was President because he was inexperienced.

“I know Goodluck Jonathan very well. He is a decent young man, but also inexperienced, and I believe that contributed to his inability to manage the affairs of the country, particularly when he was faced with challenges,” he said.

Reacting to Atiku’s statement during the 2025 Association of Retired Career Ambassadors of Nigeria awards ceremony in Abuja on Monday, Jonathan said no one who becomes a governor or president would say he did not make mistakes.

He defended his administration, adding that he did his best while in office.

Jonathan said: “So not too long ago, a very senior politician said, ‘Oh, Jonathan was too young and probably that’s why he made mistakes.’

“If I made mistakes, yes, nobody who becomes a governor or a president will say you did not make mistakes. Even when you promote yourself to the level of a god, you become a deity.

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“All human beings must make mistakes. I became president in 2010 at the age of 53. I left in 2015 at the age of 58, and they say I was too young. Must it have been 100 years before I ran the affairs of the state?”

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Alleged coup plot: DSS moves detained Islamic cleric, Zaria to court for trial

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Sheik Abdukadir Sani Zaria, the Islamic scholar arrested by Defence Intelligence Agency, DIA, in connection with the alleged plot to overthrow the government of President Bola Tinubu has been moved to the Federal High Court in Abuja for prosecution.

He was brought to court with a retinue of security escorts and his personal associates.

Sani who has been in the detention facility of the DIA and later the Department of the State Service, DSS, since December 2025, was named among the six coup plotters on the charge sheet filed by the Federal Government and billed for arraignment in court today, Wednesday.

He is to be put on trial by the Office of the Attorney General of the Federation and Minister of Justice, AGF, along with five others, including military officers accused of plotting to wage war against the Federal Republic of Nigeria.

The Islamic cleric was named in counts 1, 2, 3,4, 6 and 7 of conspiring with others to commit felony while he was separately charged on count 9 of the 13-count charge.

Among the accusations against him were that he conspired to bring down a legitimate government, concealed information on the coup plot and rendered support to the coup plotters.

In count 9, the cleric was accused of retaining a sum of N2 million in his account with number 0005620270 domiciled at Jaiz Bank and transferred into the account by a Company, “A & A Express Link Concept” whose ownership was traced to one Colonel Mohammed Alhassan Ma’aji, said to be the arrow head of the coup plot.

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His offense of terrorism financing was said to be contrary to section 18 (2) (d) of the Money Laundering Prevention and Prohibition Act 2022 and punishable under section 18 (3) of the same Act.

Justice Peter Odo Lifu of the Federal High Court in Abuja had on Monday ordered immediate unconditional release of the Islamic scholar from the custody of the
DIA and later the DSS.

The judge had imposed a fine of N2 million each on DIA and DSS to be paid to the cleric for breaching sections 35 and 36 of the Federal Republic of Nigeria’s Constitution in the ways and manners the 75 year old man was hauled into detention for more than four months without trial.

In a judgment on the fundamental rights suit instituted against DIA and others by the detained Islamic cleric,

Justice Lifu ordered the Economic and Financial Crimes Commission, EFCC, and Jaiz Bank to pay N1 million each as compensation to him for freezing his bank account without order of any law court.

Besides, the Federal High Court directed the DIA and DSS to tender a public apology to the detained islamic scholar for the breach of his fundamental rights.

Sheikh Sani Abdulladir Zaria was hauled into detention without order of court for allegedly associating with one of coup plotters against President Bola Ahmed Tinubu.

Justice Lifu had lambasted the DIA for its refusal to subordinate itself to civil rule and rule of law by refusing to produce the detained man in court when ordered to do so.

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He said that as agency established by law, the DIA should not place itself above the laws of the land in the discharge of its statutory functions.

The judge held that the provisions of Section 36(1)(5) and (6) of the 1999 Constitution avail him and “for all citizens.”

He noted that Nigeria, being a signatory to different international conventions on human rights, cannot afford to be held behind on such issues.

The judge noted that since December 11, 2025, the applicant was kept in “safe custody” without access to family and associates after an investigation was opened about him, on grounds described as security reasons.

Justice Lifu ordered the AGF to ensure immediate compliance with the judgment of the court.

The cleric had been hauled into the DIA custody since December last year following the discovery of N2 million in his Jaiz Bank account paid by one of the indicted coup plotters.

Although he agreed to forfeit the amount to the Federal Government to regain his freedom, the security agency held him to determine the level of his complicity in the alleged coup plot.

The Islamic cleric claimed innocence of the alleged crimes adding that the person who transferred the money into his account was just one of his disciples.

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IGP Disu meets NAPTIP DG, pledges stronger action against human trafficking

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The Inspector-General of Police Olatunji Rilwan Disu, has pledged stronger collaboration with the National Agency for the Prohibition of Trafficking in Persons, NAPTIP, in efforts to tackle human trafficking and organised crime.

The development was disclosed in a statement shared on April 22, 2026 on the official page of the Nigeria Police Force.

According to the statement, the commitment was made when the Director-General of NAPTIP, Binta Adamu Bello, paid a courtesy visit to the Force Headquarters in Abuja on April 21.

Discussions during the meeting focused on improving cooperation between both agencies, particularly in the areas of intelligence sharing, joint operations and capacity building.

The NAPTIP boss sought increased technical support and operational collaboration to strengthen the agency’s ability to address human trafficking and related crimes.

In his response, Disu assured that the police would support NAPTIP through intelligence-led strategies and coordinated operations aimed at dismantling criminal networks.

“The Force will deploy its operational and intelligence capabilities to support NAPTIP’s mandate,” the statement said.

Disu noted that specialised units, including the Intelligence Response Team and the police cybercrime unit, would provide technical assistance, while training programmes would also be expanded for NAPTIP personnel.

The two agencies agreed to sustain regular engagements to monitor progress and strengthen efforts against trafficking and organised crime across the country.

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