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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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Reps order IG to produce fake, PFIPC agency DG Adeyemi within 48 hours

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The House of Representatives Committee investigating the operations of the controversial Presidential Foreign Investment Promotion Council has directed the Inspector-General of Police, Olatunji Disu, to produce the self-acclaimed Director-General of the organisation, Adeyemi Adeniyi, before it on Wednesday.

The directive was issued on Monday during the resumed investigative hearing at the National Assembly Complex, Abuja.

Representing the IG, Assistant Commissioner of Police, Bashir Abdullahi, appeared before the committee and was instructed to ensure Adeyemi’s appearance by noon on Wednesday to assist lawmakers in their ongoing investigation into the activities of the organisation.

The committee is probing the circumstances under which the PFIPC, despite not being legally established, allegedly secured office accommodation in Phase III of the Federal Secretariat Complex in Abuja and received a budgetary allocation of ₦1.32bn in the 2026 Appropriation Act.

The directive followed the Nigeria Police Force’s confirmation of key aspects of its criminal investigation, including petitions from the Office of the Chief of Staff to the President alleging that Adeyemi fraudulently presented himself as the Director-General of both the Presidential Economic Advisory Council and the Presidential Foreign Investment Promotion Council.

The Committee Chairman, Yusuf Gagdi, said Adeyemi’s appearance had become imperative given the seriousness of the allegations and the institutions implicated in the matter.

“This committee clearly needs the suspected DG to appear before this committee. People’s names are involved. People’s integrity are involved. Institutional names are involved. Institutional integrity is involved.

“It is not an option now. We will need him here to confirm some documents to us in such a way that will not undermine our investigation to enable us to submit our report on time,” Gagdi said.

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The committee subsequently directed its clerk to formally communicate its resolution to the Inspector-General of Police.

“The committee hereby resolves that the Inspector-General of Police of the Federal Republic of Nigeria do kindly present Mr Adeyemi on Wednesday by 12 noon. That is the ruling of the committee,” Gagdi declared.

Earlier, ACP Abdullahi informed lawmakers that although investigations were ongoing, the police had already filed an eight-count charge against Adeyemi before the Federal High Court.

“The Nigerian Police Force investigated part of this case late last year and filed eight-count charges before a Federal High Court. The case is ongoing,” he said.

He disclosed that the suspect had been arrested and arraigned, but cautioned against making public disclosures that could prejudice the ongoing investigation or judicial proceedings.

“We don’t want to say things that are under investigation. It is definitely going to prejudice the ongoing investigation and make people have opinions that may prejudge the outcome of an investigation or judicial decision,” Abdullahi stated.

Despite the police’s reservations, the committee sought confirmation of documentary evidence already in its possession.

The police confirmed that on October 17, 2025, the Office of the Chief of Staff to the President petitioned security agencies over allegations against Adeyemi, prompting investigations that culminated in criminal charges bordering on conspiracy and fraud.

Investigators also confirmed receiving another petition alleging that Adeyemi falsely presented himself as the Director-General of both the Presidential Economic Advisory Council and the Presidential Foreign Investment Promotion Council.

According to the police, the petition alleged that Adeyemi used the purported office to obtain accommodation within the Federal Secretariat, sought approval to recruit about 300 personnel, attempted to secure a $1.3 billion allocation in the 2026 Appropriation Act for the non-existent agency, and planned to organise a World Investment Summit under the platform of the purported council.

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One of the highlights of the hearing came when the committee compared signatures on documents allegedly issued from the Office of the Chief of Staff to the President with signatures on authentic official correspondence obtained by the police.

When asked whether the signatures matched, the police witness responded unequivocally,”They are not the same.”

The committee said the discrepancy reinforced concerns that official State House documents may have been forged.

Gagdi further asked, “So, it is not only a letter that was suspected to be forged? We are dealing with documents that include what is said to be a forged Act of the National Assembly in an attempt to establish a fake agency,” he added.

Gagdi disclosed that investigators had identified about 29 allegedly forged documents, including purported approvals from the State House, the Office of the Head of the Civil Service of the Federation, the Office of the Secretary to the Government of the Federation, the Ministry of Finance and several other government institutions.

According to him, representatives of many of the affected agencies had already appeared before the committee and disowned the documents attributed to their offices.

Gagdi, however, stressed that the committee had deliberately avoided compelling the police to disclose information that could compromise ongoing criminal investigations.

“We are avoiding a situation whereby they will be pushed to make statements that will undermine their ongoing investigation,” he added.

He assured that the House investigation would continue independently and that its final report could recommend further action by relevant security agencies.

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Forged state house letter used to create fake PFIPC agency, Acct-General reveals

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The House of Representatives’ investigation into the operations of the controversial Presidential Foreign Investment Promotion Council took a dramatic turn on Monday after the Accountant-General of the Federation, Shamseldeen Ogunjimi, revealed that a forged State House letter was used to obtain official government recognition for the ‘fake’ agency.

Appearing before the House Ad Hoc Committee probing the circumstances surrounding the establishment and operations of the council, Ogunjimi disclosed that the Office of the Accountant-General acted on what appeared to be an authentic correspondence from the presidency requesting the creation of an administrative code for the PIFPC, only for investigations to later establish that the letter did not originate from the State House.

The revelation is the latest in a series of disclosures before the committee, which is investigating how a non-existent presidential agency allegedly secured office accommodation in the Federal Secretariat, sought budgetary allocations, recruited personnel and obtained official government recognition through what investigators believe were forged documents.

Presenting his report, Ogunjimi said the Office of the Accountant-General first interacted with the purported council in November 2024.

According to him, “a letter dated November 7, 2024, bearing a State House reference number, requested the creation of an administrative code for the Presidential Economic Advisory Council to facilitate budgeting, accounting and financial reporting.”

He explained that, in line with established procedures, “the Office of the Accountant-General processed the request, created the administrative code and communicated its approval to the State House,” with a copy sent to the Office of the Auditor-General for the Federation.

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Following that approval, the office received additional requests from the purported council, including applications for self-accounting status, deployment of personnel, opening of Treasury Single Account and domiciliary accounts, as well as funding approvals.

Ogunjimi, however, stressed that although some administrative processes were carried out, no public funds were ever released to the council.

“It is important to note that no funds were released under salaries, overhead, capital, or any form of intervention or special allocation to the council,” Ogunjimi told the committee.

He further disclosed that while the council requested an establishment grant of ₦27.4bn, the application was rejected because there was no budgetary provision for such expenditure.

The Accountant-General also explained that although the Central Bank of Nigeria opened two domiciliary accounts for the organisation to receive inflows, the accounts never became operational because the council failed to satisfy the regulatory conditions required for their activation.

Lawmakers expressed concern over how the purported agency was able to navigate several layers of government bureaucracy without raising suspicion.

Responding, Ogunjimi made what committee members described as one of the most significant revelations of the hearing.

“The letter that was received by the Treasury was respectfully addressed as coming from the State House. That letter was never issued by the State House”, he said

The disclosure prompted members of the committee to conclude that a “hijacked” State House letter had allegedly been used to mislead government institutions into processing official requests for an agency that had no legal existence.

The committee also questioned how civil servants originally posted to the Office of the Chief Economic Adviser to the President eventually became attached to the purported council without the knowledge of the Office of the Accountant-General.

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Ogunjimi explained that two officers deployed to the Office of the Chief Economic Adviser in 2010 and 2013 remained in the office after it was allegedly taken over by the new council, but no formal communication was sent to the treasury notifying it of any change.

“It was never assumed or written to us that those two officers were being taken over. The staff also never reported to the office to say that another council had taken over the office and the name had changed. As far as I was concerned, we were dealing with a new agency, not the Office of the Chief Economic Adviser,” he said.

He further disclosed that when the purported council later requested the deployment of five additional officers, the treasury approved only three after determining that the organisation’s size did not justify the number requested.

“It was when all this matter came to light that I got to know that two of our staff were actually working or being absorbed by the agency. We never knew. We believed, based on the records available to us, that those officers were still with the Office of the Chief Economic Adviser,” he added.

The ongoing House investigation centres on allegations that forged presidential approvals, counterfeit State House correspondence, fake Acts of the National Assembly and other falsified government documents were used to create and operate the purported Presidential Foreign Investment Promotion Council and the Presidential Economic Advisory Council.

The committee has already heard evidence from the Nigeria Police Force, which confirmed that criminal charges bordering on conspiracy and fraud have been filed against the prime suspect, Adeyemi Adeniyi, at the Federal High Court.

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At its sitting on Monday, the committee also directed the Inspector-General of Police to produce Adeyemi before lawmakers by noon on Wednesday to answer questions relating to the alleged forgery of official government documents and the operations of the purported presidential agency.

The committee is expected to conclude its investigation with recommendations on possible administrative, legislative and criminal actions against those found culpable.

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See full list of African countries that do not need proof of funds for UK’s student visa

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The United Kingdom on Monday updated its financial requirements for applicants seeking Student and Child Student visas, retaining stricter evidence rules while exempting nationals of only three African countries from submitting proof of funds at the point of application.

The updated guidance, published by the UK government on its website, listed Botswana, Mauritius and Tunisia as the only African countries whose nationals will not be required to provide financial evidence upfront unless requested during the visa decision-making process.

Other countries on the exemption list include Australia, Canada, China, Japan, New Zealand, Singapore, the United States, France, Germany, Italy, Spain, the United Arab Emirates and Qatar, among others.

Despite the exemption, the UK clarified that applicants from the listed countries must still meet all financial requirements and could be asked to provide evidence during the application process.

The guidance stated, “You must meet the financial requirements for this route when you apply; however, you may not need to submit evidence upfront as part of your application. In these circumstances, the decision maker may still request the evidence from you during the application process to prove you meet the financial requirements.”

The development means applicants from major African source countries for UK education, including Nigeria, Ghana, Kenya, South Africa, Egypt and others not listed, will continue to submit financial documents as part of their visa applications.

Under the revised rules, applicants for a Student visa must demonstrate they have sufficient funds to cover tuition fees as stated on their Confirmation of Acceptance for Studies and living expenses.

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Students studying outside London are required to show they have £1,171 for each month of their course, up to a maximum of nine months, while those studying in London must show £1,529 per month for the same period.

Applicants travelling with dependants must also show additional funds. Those studying outside London must have £680 per month for each dependant, while applicants studying in London must show £845 monthly for each dependant, both for up to nine months.

For Child Student visa applicants, the required maintenance funds vary depending on their living arrangements, including boarding school accommodation, foster care, residence with parents or legal guardians, or independent living for eligible 16 and 17-year-olds.

The UK government also outlined acceptable sources of funds, including government-backed student loans, official financial sponsorship, personal savings and money belonging to parents or eligible partners.

However, it said applicants cannot rely on overdrafts, cryptocurrency holdings, stocks and shares, pensions or funds kept in unregulated financial institutions.

The guidance further requires applicants using personal or family funds to show that the required amount has been held for at least 28 consecutive days before the application, with financial evidence dated no more than 31 days before submission.

The UK also maintained exemptions from providing financial evidence for certain categories of applicants, including those applying to extend their stay after spending at least 12 months in the country on a valid visa, Student Union Sabbatical Officers, doctors and dentists in training, and applicants whose nationality qualifies for the reduced documentary requirement.

The latest update comes as the UK continues to tighten oversight of its international student visa system while maintaining financial eligibility requirements for prospective students seeking to study in the country.

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