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Opinion: Lekki massacre: How did we get here? | By: Niran Adedokun

Once again, leadership failed Nigeria massively this past week. Someone said that if you do not know the purpose of a thing, abuse of that thing is inevitable. A lot of those in leadership positions in Nigeria do not know the purpose of their remit and as a result, they abuse it wantonly.  The abuse of the purpose of leadership, stemming from gross incompetence and lack of know-how about modern governance is why the otherwise peaceful #EndSARS protests initiated by concerned Nigerian youths, have been so badly mismanaged, becoming a disgraceful show where the state turned against her own people.

As of Wednesday morning, tens of people, mostly innocent, have lost their lives from violence, (partly state-sponsored, partly instigated by hoodlums) resulting from #EndSARS.

And as I write, almost 24 hours after military men turned their guns on peaceful protesters, (an unspecified number believed to have been killed and 25 being treated in various hospitals), Major General Muhammadu Buhari (retd), the man elected by these same youths as President and Commander-in-Chief of the Armed Forces has not said a word as to how regrettable the incident was. That is unpardonable. It’s an indictment of the President and an indication of his inability to comprehend the essence of his high office.

In 2014 or so, Buhari told Nigerians that he had become converted to the principles of democracy. Well, the President just faced the most difficult test of that self-proclaimed conversion and failed woefully! In fact, what Nigerians have witnessed in the past 48 hours brings back memories of the struggle for the restoration of the June 12 election during the Babangida and Abacha military regimes of the 1990s. It’s a shame that anyone who canvassed the votes of Nigerians would allow them go through their most recent experience. It didn’t have to get to this extent if the President had learnt anything from democracy and Nigeria’s recent history.

Democracy is built on the culture of engagement and negotiation. Agents of this regime have continued to regale us with their response to the five demands of the protesters. While one cannot take anything away from the regime’s gesture on these fronts and the steps that have been taken by some state governors, the fact that the protesters refused to be persuaded indicates that there is a justifiable distrust of government and that these seeming knee-jerk responses didn’t and understandably so, convince.

For instance, the decision of the Inspector General of Police, Mohammed Adamu, to replace SARS with the Special Weapon and Tactics Team within 72 hours raised legitimate questions about how much rigour went into the formation of the new squad and how much of the ills of the defunct irritant structure might be retained in the new entity.

If your country’s young population refuses to be persuaded by this move, the President should have addressed the issues directly and not through proxies! This is more so because the protesters made it clear that the major disconnect results from a distrust of government. All the President needed to have done was to come off his high horse to calm frayed nerves by making measurable promises that should reassure the youths.   Such relational engagements have proved to be a very effective instrument in the hands of democratic leaders even here in Nigeria when we recall how the late President Umaru Yar’Adua persuaded youths of the Niger Delta to sheathe their swords just a little over a decade back. The failure or refusal of Buhari to seize this unique opportunity left this issue to fester until fifth columnist began to take advantage of it as is wont to happen.

Another instance of leadership failure one sees here is the meeting where the 36 governors could not agree on a single way to deal with SARS. While most governors of the states in the South with the possible exception of Babajide Sanwo-Olu of Lagos and Nyesom Wike of Rivers were either equivocal or totally silent about whether SARS should continue or not, governors of the northern states outright rejected any attempt to scrap SARS. That is very unfortunate. It is unfortunate to the extent that it brought about a conflict in the messaging of the management of the situation. While the IGP had already proclaimed the disbanding of SARS, northern governors insisted on its importance and within long, some youths in the north started to toe the line of the governors and threatened #EndSARS protesters. This, to my mind was the beginning of the pockets of violence that have now engulfed the country.

Also Read: Opinion: NDDC: What manner of leaders are these? | By: Niran Adedokun

Now, without prejudice to the right of governors from any part of the country to decide what is good for them, leaders of the country have to make up their minds as to whether they want a united country with common destiny or not. If SARS had become an object of significant contention in any part of the country, true leaders from across the country should work together to see to the dismantling of the structure especially as the Federal Government already had plans for a succeeding unit. Nigerian leaders, even if they desire to split Nigeria, must realise that what affects one part currently affects the other. This demands a sense of universal responsibility.

The failure to understand that leadership and the privilege of power are service to the people is why Nigeria is where it is today. That’s why head of security agencies prioritise loyalty to the President over the country and her people. Of course, this mentality transcends generations of Nigerian leaders, but nothing exemplifies this abuse and misuse of the people’s mandate as Tuesday’s attack on innocent protesters at the Lekki toll gate and a number of other places in and outside Lagos.

While it is true that the #EndSARS protests were exploited by hoodlums to unleash terror on Nigerians, that the planners could have been a bit more circumspect  and that no responsible government would allow such destruction and loss of lives go without check, the deployment of military men who fired live bullets at defenceless Nigerians is evidence of overlord mentality as well as the lack of understanding of the spirit of leadership by those who rule Nigeria. This becomes even more obvious when you consider the fact that rather than head for well-known hotspots within the city to arrest hoodlums, the shooters directed their mindless attack on young men and women who had protested for 12 days without violence, had the presence of mind to hold the national flag and sing the anthem as a sign of their allegiance to the country. So, you leave the miscreants who make life difficult for others and fire live bullets at those who represent the best that future could hold for the country! What warped logic is that? In any case, which country puts the lives of those who constitute her future at such jeopardy when they bear no immediate harm?

And in fact, exhibiting such command and control mentality at this time in the history of the country is an indication of the country’s failure to learn from history. Close to two decades ago, the extrajudicial execution of a man known as Mohammed Yusuf was what ignited the Boko Haram sect that has tormented Nigeria for the better part of the last 15 years. For how long do Nigerian leaders want to put the country on the path of avoidable danger?

Having said all of these however, it should be pointed out that the whirlwind that Nigeria is battling with today is a direct consequence of the wind it has sown over the years. The good, the bad and the ugly that Nigeria has made of its youths have come back to demand recompense for the years of neglect and carelessness. Government should also note that no amount of force against the youth would suppress agitations for the very basic things that make life meaningful for them.

In “We kill militants but in vain,” published in this column in August 2016, I wrote: “And this is one of the points that Nigeria needs to urgently contemplate alongside, if not ahead of, military actions like the one under discussion.  According to a 2012 survey of the National Bureau of Statistics, youths in the 15 to 35 age brackets were nearly 70 million of the 166 million Nigerians then. Fifty-four per cent of this number of youths were unemployed as of August 2014. Hundreds of thousands of more youths would have joined the number in the past 24 months, what does a country expect when the majority of its most productive population have no jobs and practically nothing to hope for? There is also the issue of young school leavers who are unable to gain admission into higher institutions while the nation offers no alternative for them…”

Hope for a bright future is all these youths ask for and any attempt to quench this agitation will only postpone the evil day. Strength and the exuberant display of the same are two of the advantages of youth, and the President and other leaders, must employ the advantage of wisdom that is expected to attend age to positively engage the vigour of the youth for national development.  Otherwise, Nigeria will only be building a militarised population (especially from the army of the untrained), which would do the future of the country no good, that is if we allow any future at all.


Niran Adedokun is a Public Relations practitioner, lawyer and journalist.  He tweets @niranadedokun

Opinion: Developing entrepreneurship in a digital economy | By: Tonny Tugee

With a shift away from physical commerce, consumers are increasingly taking their daily activities online. This shift has resulted in new opportunities for emerging digital entrepreneurs to reap the dividends from digital and grow in the digital economy.

The digital economy as we know it refers to the economic activities enabled by digital technologies that connect people, businesses, and processes. It’s the hyper-connectiveness of this economy that allows the ecosystem to grow, and redefines how typical businesses are structured. But how exactly? Through the opportunities created by digital tech, including the Internet, the cloud, mobile technology, and the Internet of Things (IoT).

It’s these emerging technologies that are disrupting traditional business models, leading digital transformation, and redefining how businesses interact with customers and how customers receive and experience services and goods. Being able to thrive in a digital economy will be key to ensuring a competitive edge and business sustainability.

The role of connectivity and cloud solutions in the digital economy

There’s no denying that customer expectations are changing around the world, and we’ll be seeing this increasingly in Africa too. Whether your customers are businesses or consumers, they are becoming more reliant on Internet connectivity to make purchases, drive business outcomes, and stay connected with the world around them. At the core of the digital economy is connectivity, and reliable connectivity is a prerequisite for joining the digital economy.

Enabled by connectivity, cloud technologies allow businesses to streamline their processes in cost-effective, reliable ways, and they offer the flexibility required to scale operations and adjust to demand.

For aspiring digital entrepreneurs in particular, connectivity and cloud solutions are critical as they enable them to collaborate and access resources from any location with a secure network – meaning they can work effectively without having to invest in a physical office space. This reduces start-up costs, providing small businesses and start-ups alike the opportunity to compete with larger companies that have bigger budgets, ultimately leveling the playing field. Thus, improving access to connectivity is key to developing the digital economy.

Emerging digital trends and opportunities

The digital economy enables new business models, but it also gives more traditional companies the opportunity to increase productivity and enhance customer experience through various digital solutions. Social media, mobile computing, data analytics, the cloud, IoT, and cyber solutions can lead to new market opportunities, remote service provision, faster time-to-market, higher revenue streams, and streamlined processes.

We know that customers desire engagements with brands that are seamless, omnichannel, direct, contextual, and above all else, personalised. Something as simple as social media, for instance, can help entrepreneurs connect with their audience base on a personalised level, giving them unprecedented access to consumer feedback. When combined with data analytics tools that help companies predict consumer needs from online activity, this gives businesses a unique opportunity to offer consumers exactly what they want, when they want it.

Entrepreneurs can help change the way products and services are managed, optimised, and deployed, as well as how customers perceive their brands, fostering brand loyalty. If we are to develop digital entrepreneurship, it is critical to ensure that more aspiring entrepreneurs are exposed to emerging tools and trends.

Africa is full of examples of companies that are harnessing the digital economy. Front-runner M-Pesa has made remarkable achievements in the mobile communication industry. Its investment in inclusive infrastructure to help launch a microfinance product and lower consumer barriers to banking entry has been a true win for Kenya, and its people. More recently, Kobo360, a logistics start-up that serves as a marketplace for shippers and transporters, is giving companies access to a flexible fleet of over 17 000 drivers and trucks that operate in Nigeria, Ghana, Kenya, and Togo. In South Africa, RapidDeploy uses cloud-based software to help public safety officials to reduce emergency response times.

Thriving in the digital economy

There are various ways for entrepreneurs to join the digital economy, starting with moving past traditional business structures and re-aligning value creation. However, this doesn’t necessarily mean rethinking all aspects of your offering, but rather focusing on switching from physical to digital interactions and operations that will enable new business and service models.

What’s needed is an integration strategy that takes existing physical structures and processes into account and integrates them with digital systems. Omnichannel customer engagement, for example, allows entrepreneurs to visualise the actual lifecycle of its customers and helps identify gaps or weaknesses. It gives entrepreneurs a unique chance to identify opportunities, respond quickly, and thrive in this new economy.

It’s this level of agility that will help entrepreneurs create and deliver services and goods more in tune with their customers’ wants and needs, helping to grow the digital economy, and Kenya’s wider economy along with it.

In this new, highly competitive digital world, entrepreneurs need to assess whether the services they are offering are truly adding value in the most efficient way possible. As the digital economy grows, we will see more entrants using a myriad of digital tools to bring more services and goods to market faster. Staying competitive in this ecosystem requires a combination of connectivity, innovative thinking, and smart partnerships to help differentiate your business. But as international giants, such as Amazon and Alphabet, have shown, for those companies that do get it right, the digital economy offers unprecedented opportunities.

“What a beautiful story you are writing”. Ronaldo celebrates Neymar on his latest milestone.

Football heavyweight, Ronaldo has hailed his fellow countryman Neymar after he surpassed him in the all-time goal scoring charts for Brazil. Neymar  scored a hat-trick in Brazil’s 4-2 World Cup qualifying match against Peru on Tuesday, October 14, 2020. The 28 year-old paid tribute to Ronaldo on social media after he posted a photo of him replicating his iconic celebration.

He is now the country’s 2nd-highest men’s scorer of all-time, coming right behind Legendary Brazilian Pele who is the country’s all-time record scorer with 77 goals to his name.

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The two-time World Cup winner posted hailed the former Barcelona striker on his Instagram page.

“All my respect for you Neymar. He plays a lot, gives assistance, plays, dribbles and thrashes. The sky is the limit. Fly, kid! What a beautiful story you are writing. A complete and increasingly mature player. Crack! Handling the pressure off the pitch is sometimes more challenging than the ball itself. Now tell me: where did we come from, where did we arrive…who is going to tell us what is impossible? Keep trusting your instincts because the talent is yours and nobody can take it from you. You have a lot of records to overcome and marks to leave. Proud to see a Brazilian at the top!”

 

 

Stephanie Linus Appointed as National OPS-WASH Ambassador by the Honourable Minister of Water Resources.

Stephanie Linus has been recognized for her role in inspiring improved personal and community hygiene with an appointment from the Federal Government as the National OPS-WASH Ambassador. She was appointed on Thursday, 24th September by the Honourable Minister of Water Resources Engr. Suleiman H. Adamu at a special decoration ceremony in Abuja. This appointment is the highest form of recognition given by OPS-WASH (Organized Private Sector in Water, Sanitation and Hygiene) to any member of the private sector.

In his address, Engr. Adamu charged Mrs Linus to inspire behavioral change among Nigerians for people to take responsibility for their environment in her role as OPS-WASH Ambassador. While applauding her efforts with the Hygiene First campaign, he also implored her and her team to map out different activities that would encourage environmental sustainability across the nation.

Also present at the ceremony was Dr Nicholas Igwe, the National coordinator for OPS-WASH. The premise of OPS-WASH is based on multi-stakeholder collaboration. He thus expressed excitement at the involvement of the entertainment industry in the WASH sector towards creating behavioral change.

As the OPS- WASH Ambassador, Mrs Linus promised that she will use her role to challenge Nigerians to make good hygiene a culture, as well as inspire citizen participation and responsibility. This appointment comes as a public sector recognition of the Hygiene First campaign which she launched in May 2020.

OPS-WASH (Organised Private Sector in Water, Sanitation and Hygiene) is an umbrella body for private sector collaboration and multi-stakeholder innovation. It was inaugurated by the Federal Ministry of Water Resources with a goal to end open defecation in Nigeria by 2025 and alleviate other water-related challenges in Nigeria.

Nigerian film Eyimofe set for London premiere.

As part of activities to celebrate Nigeria’s 60th Independence Day anniversary, a film, Eyimofe (This is my desire) (www.Eyimofe.film) is set to premiere in the United Kingdom, at the BFI London Film Festival on October 11. The film, which had its world premiere at the 70th Berlin International Film Festival in February, is also billed to celebrate its U.S premiere at the AFI Fest on October 20.

Ahead of the London screening, which will create an opportunity for the Nigerian community in the United Kingdom to join in the country’s 60th anniversary celebration, Eyimofe has debuted its official trailer for the festival, which is already generating interest from the global film community.

A GDN Studios production, the 114 minutes film directed by twin brothers Arie and Chuko Esiri, features Jude Akuwudike, Temi Ami-Williams, Cynthia Ebijie, Sadiq Daba, Tomiwa Edun, Jacobs Alexander, Tomiwa Edun, Chioma ‘Chigul’ Omeruah and others.

Funded entirely in Nigeria and shot in 16mm and filmed across 48 locations in Lagos, the two chapter drama follows the stories of Mofe (Jude Akuwudike), a factory technician, and Rosa (Temi Ami-Williams), a hairdresser, on their quest for what they believe will be a better life on foreign shores.

A passport, photos and a visa form recurring elements. The characters’ misfortunes are part of their everyday life and they are sketching out the need to leave Nigeria at the same time. At the bottom of the socio-economic ladder, status, money, gender, skin colour and family structures are inextricably connected. The longing for another life is but one thread in this complex mesh, a promise that floats above things at once near and far away.

It would be recalled that Eyimofe is the 2020 official selection for Vancouver International Film Festival, an annual film festival held in Vancouver, British Columbia.

COVID-19 Lockdown Violation – Funke Akindele and hubby granted state pardon.

Lagos State Governor, Babajide Sanwo-Olu, has granted State pardon to actress Funke Akindele-Bello and her husband, Abdulrasheed Bello aka JJC Skillz, who are both non-custodial convicts for offences related to the disobedience of COVID-19 lockdown regulations. The Governor also approved the release of 56 inmates from various correctional Centres.

Read previous reports on the story here  here  and here

Recall that the celebrity couple were arrested for organising a birthday party in their Amen estate residence on Saturday, April 5th despite the restriction of movement order and social distance order in the state. They were arraigned before a Chief Magistrate court in Ogba on April 6 for breaching the Lagos Infection Diseases Regulations 2020 (the Regulations) which prescribes a jail term of one month or N100,000 fine or both for persons found guilty of hosting gatherings or flouting the lockdown order.

The court fined them and also ordered them to do 14 days of community service. The court also ordered them to visit 10 important public places within Lagos state to educate the public on the consequences of not complying with restriction orders imposed by the government.

A statement signed by the State Attorney-General and Commissioner for Justice, Moyosore Onigbanjo, SAN, said Governor Sanwo-Olu acted based on the recommendations of the State Advisory Council on Prerogative of Mercy, under the powers conferred on the Governor by Section 212 (1) & (2) of the Constitution of the Federal Republic of Nigeria as amended.

The Attorney General has also enjoined the beneficiaries to be good citizens and stay away from crime.

 

 

 

‘Bad Boy’ Nigeria @ 60 | By: Tony Ogunlowo

Independence Day! It’s Birthday Time as Nigeria turns 60.

The President will  light the candles on the nations cake and cut it (- probably imported from Harrods in London) and there will be a big bash at Aso Rock with past presidents, important dignitaries and foreign ambassadors invited. They will drink, make merry and pose for countless photo sessions.

But is there really anything to celebrate?

No!

The country is in a worse state than it was 60 years ago when the Union Jack came down and Nigeria’s green and white flag went up: a Man doesn’t know where his next loaf of bread is going to come from or whether he’ll even live to see the next day; mass unemployment has created a generation of people who’ll never work for a living; the crime wave is spiraling out of control as is poverty and incessant killings; corruption has taken a front seat and with the current Covid-19 Pandemic nobody can see the fabled light at the end of the tunnel!.

If Nigeria were to be a person it would have nearly lived a full life by now having gone through childhood, puberty, adulthood, middle age and about to enter the blissful age of retirement. That is to say Nigeria should have got over its teething problems by puberty, settled into a steady growth rhythm by adulthood and now at retirement should be a nation everybody should be happy to live in.

But alas, ‘Bad Boy’ Nigeria (- and its inhabitants) has refused to grow up and revels in its alter-ego of a ‘Man-Child’ still acting irresponsibly with no clear sense of direction. Haba! Na only you waka come?

In an attempt to govern ourselves we’ve tried every form of governance known to Man – without success- from military dictatorships to the US- Presidential Style we currently practice. We haven’t tried Socialism or Communism yet because it’s not in our DNA to call one another ‘comrade’, dress and eat like peasants and live in unpalatable hovels. It won’t work unless we adopt the Animal Farm maxim of “ All Animals are Equal but Some are More equal Than Others!”.

Nigeria is probably the only nation in the World that doesn’t have a national airline: Ethiopia we belittle has the best airline in Africa, flying modern aeroplanes that don’t fall out of the sky! What does it take to buy of lease a few planes, slap the national emblem on it and run an airline? In Nigeria that’s a Mission Impossible and recent attempts to revive the national airline have flat lined. That’s probably because they’re still bickering about who’s going to run it: is it going to be Mallam Muslim from the North or Christian Chief from the South? Or how much money they can ‘chop’ from the venture even before it takes off.

We have the largest deposits of crude oil in Africa yet our ancient and crumbling refineries ( – are any of them still working?) can’t pump out cheap petrol and kerosene for the populace to consume: to make matters worse fuel subsidies have been removed and a litre of petrol now costs a fortune. We have to import refined petroleum products – even from countries like Niger who only started commercial oil production in 2011.

Boko Haram and other insurgents are still busy terrorising the land killing and kidnapping hundreds of people at random and sacking villages while the Nigerian Army is powerless to bring their reign of terror to an end. Is it because they are cowering in their barracks or they have no guns to fight?

Still after sixty years building and maintaining simple basic structures such as roads and bridges is alien to our culture. We build them (-if we do!) and forget about them or “Who build that garda?”, as a past military leader once asked. It is the year 2020 and driving from Lagos to Abuja is like a daytrip to Hell! If the pot-holed roads or non-existent roads, rickety bridges and other reckless motorists don’t kill you, you are bound to meet your Waterloo at the hands of marauding robbers, kidnappers – or the police! (SARS are the guilty ones here!).

The minority ruling elite are well-heeled (- and corrupt!); well educated (- well most of them!) ; live in palatable mansions; drive the latest cars (- and may have a private plane or two!); send their kids abroad to proper schools; order cooked pizza from London while the rest of the country wallows in poverty and uncertainty. “Let them eat cake”, they tell the rest of the country – and mean it!

With nothing else to do many are jumping on planes to go abroad – many vowing never to come back home again. Abroad the pastures are greener, the opportunities are unlimited, proper healthcare, police you don’t have to bribe and the chance to live at least a decent life – something you can’t do in Naija (- unless you are ‘connected’) A nation is losing its top brains to institutions and organisations abroad  and the government is doing nothing to stem the flow: there are no incentives to stay other than you’ll earn less than what a cleaner or nurse earns in the U.K (- that’s if you get paid at all!) and you’re not killed by ritualists or cultists or kidnapped by herdsmen! And those who don’t jump ship have to face the humiliating task of finding any kind of job. How many Ph.D. holders work for Dangote driving trucks?

Faced with hopelessness many are forgetting that “Get Rich quick or die trying” is meant to be lyrics in a rap song and not a mantra a great many Nigerians live and swear by: so kidnapping, armed robbery, embezzlement or sacrificing your granny or brother for a money ritual are not honest ways to make a fast buck.

So after 60 years of independence Nigeria has managed to wangle its way into the infamous club of failed nations, hardly something worth celebrating: it’ll be like a younger me coming home from school with ‘Fail’ on my report card and thinking my parents will throw a party to celebrate.

Grow up Nigeria@60!


Tony Ogunlowo is on Twitter: @Archangel641 or visit http://www.archangel641.blogspot.co.uk

 

Opinion: COVID-19 and HIV: so far it seems the outcome is not what was feared| By: Morgan Morris

Based on official figures – which may be somewhat under reported – COVID-19 has not been as devastating in South Africa as initially feared.
 
Back in March and April this year case numbers on the continent were still modest. But predictions and projections were sombre. There seemed to be consensus that African countries had weak public health systems and few testing facilities, and containment and social distancing were going to be problematic in poor communities.
 
More specifically, local and international organisations pointed to the fact that these areas typically have the highest incidence of immuno-compromised individuals. Experts feared that the tens of millions with HIV and tuberculosis would be disproportionately affected by COVID-19.
 
That did not bode well for South Africa, where well over seven million people are believed to have HIV. The immune systems of these individuals are notoriously weak, often unable to fight infections. Fears were that COVID-19 would be devastating to this community.
 
Those dire forecasts have, so far, not been realised. Around half of the COVID-19 cases on the continent were from South Africa. The country’s COVID-19 cases were around 653,400 as of mid-September. Some 15,705 people are estimated to have died from COVID-19; a tragic number, but not nearly as many as predicted by some. Early predictions were that symptomatic cases of COVID-19 in South Africa could surpass a million by July with 30,000 deaths by November 2020.
 
These comparatively “low” numbers have come as a surprise. Many possible explanations for this modest-by-comparison outbreak are being floated.
 
Some insights into previous outbreaks of human coronaviruses may be useful in this regard. My laboratory recently reviewed what is known at this stage – and what is still unknown – about co-infections of HIV and coronaviruses.
 
Human coronaviruses
There are currently seven known human coronaviruses.
 
Of these, the four most common and still circulating are reported to cause about 10%-30% of all common colds globally. Fortunately, research shows that they cause no more than mild to moderate cold symptoms. In rare cases, these human coronaviruses can cause more serious respiratory disease in children, the elderly, the immuno-compromised such as people with HIV and people with underlying illness. But, as far as we know, deaths as a result of infections from the “common” human coronaviruses are quite rare.
 
Then there are three more pathogenic or life-threatening coronaviruses. The first among these to appear among humans is the Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV), which causes severe acute respiratory syndrome, or SARS, which killed around 10% of the just-over 8,000 people who were infected.
 
The next was the Middle East Respiratory Syndrome coronavirus (MERS-CoV), which causes the Middle East Respiratory Syndrome (MERS) that killed an estimated 34% of about 2,494 people known to have been infected.
 
And now there’s the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2), the virus behind COVID-19.
 
We have learned that there are a number of factors linked to severe disease and death from SARS-CoV-2. These include advanced age; being a male; and the presence of other pre-existing medical conditions including obesity, diabetes, heart disease, lung disease and kidney disease. This doesn’t mean that the young and women are immune to the disease. They can catch the virus, and pass it on to others.
 
Of particular interest in South Africa is the risk of COVID-19 and HIV co-infections.
 
The HIV and CoV interactions
Before the COVID-19 pandemic, there was a lack of published academic work on HIV and coronavirus co-infections. This is, in part, why the spectre of COVID-19 running amok in countries with large numbers of people living with HIV – like South Africa – raised anxiety levels. Particularly because, as early as the late 1980s, coronaviruses had been shown to be agents of opportunistic infections in immunocompromised hosts, and were linked to diarrhoeal disease among AIDS patients.
 
But otherwise, there were few known associations between HIV and coronaviruses. I know of only one reported case of an HIV-positive person infected with SARS during the 2003 outbreak. This person recovered fully from SARS.
 
During the same period, another study reported on a connection between HIV and SARS. In this case, 19 HIV-positive patients shared a hospital ward with 95 patients confirmed positive for SARS. Somehow, none of the HIV-positive patients became infected with the SARS-CoV. Six of the 28 medical personnel who worked in the ward were infected. At the time, researchers began speculating that antiretroviral treatment was offering patients with HIV some protection against the SARS-CoV. But, since SARS-CoV disappeared so quickly from the human population, this was not positively established.
 
The COVID-19 pandemic has propelled the study of HIV-coronavirus co-infections.
 
My laboratory recently published an overview of studies that looked at COVID-19 infections among more than 11,000 HIV-positive individuals. The risk associated with coinfections is still a matter of debate. But the estimated COVID-19 prevalence reported in various studies does not suggest increased rates of hospitalisation or mortality in HIV-positive patient populations. Clinical characteristics and disease outcomes were comparable to those described for the general population with COVID-19.
 
The reasons for these infection and mortality rates are still unclear. But scientists have come up with several interesting hypotheses.
 
One is that antiretroviral treatments have anti-CoV properties and offer some level of protection against COVID-19 infection. Another is that the weakened immune system of people with HIV stops it from “overreacting” to the presence of the coronavirus. In this way it averts the elevated inflammation that is being associated with COVID-19. A related argument has been made that because the helper T-cells have been deactivated in HIV-positive patients, the response of the immune system is tempered, again limiting the risks of excessive inflammation.
 
A more intriguing hypothesis suggests that the original HIV infection changes the host cells so they no longer offer a favourable environment for other viruses. This phenomenon is called “viral interference”. And it’s been argued that some cold-causing viruses have stopped at least one flu pandemic in Europe in its tracks in 2009.
 
Moving forward
Concern over HIV-positive patients is understandable. But current data from the COVID-19 pandemic – and past experiences with SARS and MERS – suggest that they do not form an at-risk group. This raises the question of whether HIV serves as an immunological shield against more severe forms of the new disease.
What has been quite apparent from the start is that old age and co-morbidities such as obesity, hypertension and diabetes are more telling considerations in both general infections and HIV/SARS-CoV-2 co-infections.
 
Based on what we now know, should a second or even a third wave of COVID-19 be forthcoming, state and health officials should consider a more strategic and targeted approach to containment.


Morgan Morris, a freelance writer for the WHO, amongst others, and filmmaker based in Cape Town, contributed to this article.
Credit: Afolabi Sotunde—Reuters

Nigerian physician Dr. Tunji Funsho named one of TIME’s Most Influential People in the world.

TIME named Nigerian physician Dr. Tunji Funsho to the 2020 TIME100, its annual list of the 100 most influential people in the world. The full list and related tributes are available now at time.com/time100, and Dr. Funsho’s TIME100 profile is available here (https://bit.ly/3ky8pZg).

The list, now in its seventeenth year, recognizes the activism, innovation and achievement of the world’s most influential individuals.

Dr. Funsho, a cardiologist based in Lagos, Nigeria, is the first Rotary member to receive this honor for the organization’s work to eradicate polio, having played an essential role in ensuring Africa’s certification as wild polio-free in August of 2020.

“I’m honored to be recognized by TIME for my part in ensuring that no child in Africa will ever again be paralyzed by wild polio, a disease that once disabled 75,000 African children every single year,” said Dr. Funsho. “Eradicating the wild poliovirus in Africa was a team effort that required the cooperation and dedication of governments, partners, Rotary members, hundreds of thousands of health workers, and countless parents who chose to have their children vaccinated against polio.”

As the leader of Rotary’s Nigeria National PolioPlus Committee, Funsho has worked alongside Rotary members throughout the country to raise awareness about the importance of polio immunization, encouraged governments and public figures to support polio eradication, and served as a vocal leader and advocate for Rotary’s fight to end polio in Africa.

Dr. Funsho works closely with Rotary’s partners in the Global Polio Eradication Initiative (GPEI): the World Health Organization (WHO), UNICEF, the U.S. Centers for Disease Control and Prevention, the Bill & Melinda Gates Foundation, and Gavi, the Vaccine Alliance. As a member of Nigeria’s Presidential Task Force on Polio, he has coordinated immunization and advocacy campaigns with the Minister of State for Health and the Inter-Agency Coordination Committee for Polio Eradication. He has also worked closely with the Sir Emeka Offor Foundation, the Dangote Foundation, the Traditional Leaders Council and the Federation of Muslim Women’s Association of Nigeria.

In August 2019, Nigeria reached three years without a case of wild poliovirus. Nigeria’s progress, led by Rotary, its GPEI partners and local and national governments, was the result of decades of sustained efforts, including domestic and international financing, the commitment of hundreds of thousands of health workers, and innovative strategies to immunize children who previously couldn’t be reached due to insecurity in the country’s northern states.

On 25 August, the African region was certified wild polio-free. This historic announcement means that five of the WHO’s six regions, representing more than 90 percent of the world’s population, are now free of the wild poliovirus. The virus is now endemic in just two countries, Afghanistan and Pakistan.

Rotary’s nearly 32,000 members in Africa have played a critical role in helping the region achieve its wild polio-free status by holding events to raise funds and awareness for polio, and working with world governments and national and local leaders to secure funding and support for polio eradication.

Corona Virus pandemic

Opinion: Issues in ensuring COVID-19 vaccine compliance | By: Derek Yach

An effective COVID-19 vaccine could help us emerge from isolation and end the social distancing required during this pandemic; but it will only work if people are willing to be vaccinated.

We conducted a survey in June of 2020 that addressed whether people’s willingness to use a COVID-19 vaccine and adopt other preventive healthcare measures was associated with trust.  The survey was conducted in nine countries: China, India, Indonesia, Italy, Japan, South Africa, Sweden, the United Kingdom, and the United States. A thousand individuals were surveyed in each country, and the responses were weighted to the most recent census data.

While an average of 86% of the respondents had increased the number of times they washed their hands in April and May of 2020, an average of 21% said that they would not get vaccinated. These figures were highest in Sweden (31%) and South Africa (30.6%), but were not much better in the United States (28%) and Italy (23%) (Figure A). Unfortunately, many of these levels barely reach the cusp of vaccine coverage needed to achieve population-wide herd immunity against COVID-19

Sources show that the public is most concerned with vaccine effectiveness and the risk of vaccine side effects. Worry about side effects has historically had a big influence on vaccine acceptance. In the UK, concern about reported neurological complications from common childhood vaccines lowered the vaccination rate from 81% in 1974 to 31% in 1980, leading to a resurgence of pertussis that resulted in over 100,000 cases . In 2018, 20% of respondents to the Wellcome Global Monitor survey in the UK said they believed that the risk of vaccine side effects was fairly high or very high

Interestingly, our survey showed that respondents who said they would get vaccinated had more education than those who said they would not get vaccinated. These results were highest in the U.S. and Sweden (Figure B). This may mean that people with more education have more information, but this correlation will need to be further explored before it can be explained.

Dr. Bruce Gellin, U.S. Deputy Assistant Secretary for Health and Director of the National Vaccine Program in the Department of Health and Human Services, has said that the foundation that underpins vaccination acceptance is trust [9]. Our survey explored respondents’ trust of both their national government and the medical profession (Figures C and D). With the exception of China, India, and Indonesia, most respondents had relatively low levels of trust in their national government, but most of the respondents said they trusted the medical profession. Trust in both entities, but especially in the medical profession, was generally higher among those who said they would get vaccinated. These findings emphasize the importance of having medical professionals lead messaging about vaccine safety, effectiveness, and benefits.

A recent piece in the Journal of the American Medical Association [12] on flu vaccination during the COVID-19 pandemic stated that strong, unified messaging is essential to vaccine compliance. The article cites the CDC’s call to action that urges physicians to make every effort to get their patients vaccinated and acknowledges that physicians and healthcare professionals are the most trusted source for accurate information on vaccine risks. The role of medical professions in preventing larger public health crises that could overwhelm the world’s healthcare resources cannot be overestimated.

We suggest that healthcare professionals partner with their national governments and international healthcare experts, such as the World Health Organization, to create consistent, accurate messages about the benefits of vaccination for COVID-19. These messages should use simple language that people with no more than an elementary education can understand; acknowledge peoples’ fears about vaccine side effects and cite accurate, verifiable data on side effect risks; and state whatever data is available on vaccine effectiveness. This will ensure that the greatest number of people will get vaccinated as soon as a vaccine is ready leading to a potential end to the current COVID-19 pandemic.

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