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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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Mob sets US-based doctor’s SUV ablaze over false kidnapping in Oyo

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The Oyo State Police Command has rescued a United States-based medical doctor from mob action following a false kidnapping alarm in Ibadan, the state capital.

The command disclosed this in a statement released on Wednesday by the state police public relations officer, DSP Ayanlade Olayinka.

According to the police, the incident occurred on Monday at about 2:30 p.m. around the 2nd Powerline Area, Ologuneru, along the Eleyele-Ido Road in Ibadan.

The statement said officers responded to a distress call alleging that a suspected kidnapper was about to be lynched and set ablaze by an angry mob.

“Upon receipt of the information, a combined team of Patrol and Detective Officers led by the Divisional Crime Officer Eleyele Police Station (DCO) immediately mobilized to the scene where the suspect was successfully rescued from the enraged crowd.

“However, before the arrival of the Police, his Lexus RX 330 SUV had already been set ablaze by the mob, while two young girls identified as Deborah, aged 15 years, and Rebecca, aged 12 years, found inside the vehicle, were equally taken into protective custody alongside the suspect for proper investigation,” the statement read.

Preliminary findings, according to the PPRO, revealed that the victim, identified simply as Dr. Afolabi, is a medical doctor practising in the United States and not a kidnapper as alleged in viral social media reports.

“Further findings established that the two girls found inside the vehicle were legally taken from one Mrs. Idowu Abimbola, aged 56 years, of Eleyele Area, Ibadan, with the intention of delivering them to the victim’s mother for the purpose of assisting with household chores.

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“In the course of investigation, Mrs. Idowu Abimbola was invited to the station where she confirmed the arrangement, while the two girls equally corroborated the account and related freely with the said woman, thereby dispelling the suspicion of abduction,” the statement added.

Olayinka explained that the misunderstanding began when Dr. Afolabi attempted to gain access through the Polytechnic gate and was stopped by a security guard for routine vehicle inspection.

“Upon lowering the vehicle’s window glass, the two girls were allegedly seen half-naked, a situation which immediately aroused suspicion among bystanders and security personnel.

“It was gathered that the victim’s inability to provide satisfactory answers to questions asked at the scene, coupled with his decision to turn away from the checkpoint, further heightened suspicion.

“The situation was compounded by the inability of the two girls to speak the local language or properly express themselves in English, thereby fueling the false alarm of kidnapping.

“The development consequently led to a mob chase and eventual interception of the victim by irate youths who reportedly ignored all explanations offered by him and descended heavily on him, inflicting severe bodily injuries before the timely intervention of the Police.

“The victim was immediately rushed to the Police Medical Services for urgent medical attention and is currently responding to treatment,” the statement said.

Scene of the incident. Credit: Oyo State Police Command

The police said statements had been obtained from eyewitnesses, including an okada rider allegedly hit during the confusion, while efforts were ongoing to identify and arrest those involved in the mob action and destruction of property.

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The Commissioner of Police in the state, CP Abimbola Olugbenga, condemned the mob action and the spread of false information capable of creating tension and undermining security in the state.

He warned against jungle justice, self-help, and the circulation of unverified reports on social media, saying such actions threaten public peace and order.

The commissioner also directed a full investigation into the incident and ordered the arrest of all those involved in the attack for prosecution in accordance with the law.

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Mahama approves evacuation of 300 Ghanaians from South Africa over Xenophobic attacks

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Ghana’s President, John Mahama, has granted approval for the immediate evacuation of 300 Ghanaian nationals from South Africa, following renewed xenophobic attacks in the country.

The Minister for Foreign Affairs, Samuel Okudzeto Ablakwa, disclosed this in a statement issued on Tuesday via his X handle.

According to him, the affected citizens had earlier complied with the Foreign Ministry’s advisory and registered with the Ghana High Commission in Pretoria for evacuation assistance.

He wrote, “His Excellency John Mahama has granted presidential approval for the immediate evacuation of 300 Ghanaians in South Africa.

“These distressed Ghanaians had earlier complied with the Foreign Ministry’s advisory and registered with our High Commission in Pretoria to be rescued following the latest wave of xenophobic attacks.”

Ablakwa added that the government remains committed to protecting its citizens both at home and abroad.

The evacuation comes as reports emerge of harassment and attacks on foreign-owned businesses, particularly in areas such as KwaZulu-Natal and Durban.

Other African nations have taken similar steps.

In response, Nigeria’s government, through Foreign Minister Bianca Odumegwu-Ojukwu, announced a voluntary repatriation program for its citizens.

Over 130 Nigerians have already registered with Nigerian missions in South Africa for assistance to return home, with the number expected to rise.

President Bola Tinubu has directed the establishment of crisis notification centres to support distressed nationals.

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FG deploys mining marshals for intelligence gathering, compliance monitoring

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The Federal Government has deployed Mining Marshals for intelligence gathering, compliance monitoring and operational oversight in the solid minerals sector.

This was disclosed in a statement issued on Tuesday by the Commander of Mining Marshals Operations and Assistant Commandant of Corps, Attah Onoja.

Onoja stated that the deployment is part of efforts to strengthen enforcement against illegal mining activities.

“The Mining Marshals are now participating in investigations, intelligence gathering, compliance monitoring and fact-finding missions conducted by the Federal Ministry of Solid Minerals Development.

“As part of the initiative, the Mining Marshals recently joined ministry officials on operational visits to mining sites in Nasarawa and Plateau states.

“The operations were carried out under the leadership of the Minister of Solid Minerals Development, Dele Alake,” the statement read.

The statement said that the operations were aimed at strengthening monitoring, regulatory compliance and operational oversight within the sector.

It read, “The team was led on different occasions by the Permanent Secretary of the ministry, Engr. Faruk Yusuf Yabo, who represented the minister during the field engagements.

“During one of the operational and fact-finding missions, the Commander of the Mining Marshals, ACC Attah John Onoja, accompanied ministry officials to a mining site allegedly being illegally exploited.

“The visit was part of efforts to verify allegations of unlawful mining activities, assess compliance with extant mining regulations and obtain field-based information necessary for administrative, regulatory and possible enforcement actions.”

“The delegation also included senior ministry officials such as Engr. Frank Odoom, Director of Special Duties; Engr. Imam A. Ganiyu, Director of Mines Inspectorate; Andrew Zubiri, Director of Legal Services; and Ibrahim Abdulmajeed J., representing the Director General of the Mining Cadastre Office.”

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According to the statement, the engagements created an important feedback mechanism between government authorities and mining communities.

It added that the engagements enabled concerns relating to illegal mining, environmental practices, security challenges and regulatory compliance to be communicated directly to authorities.

It further stated that the Mining Marshals have continued to support the ministry’s operations through “intelligence support, operational collaboration and inter-agency coordination across mining communities nationwide.”

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