The Covid-19 era: the view from Nigeria
File(s)The Covid-19 Era The View From Nigeria.pdf (96.81 KB)
Accepted version
Author(s)
Oleribe, Obinna O
Oskouipour, Parysa
Nwanyanwu, Okey
Taylor-Robinson, Simon D
Type
Journal Article
Abstract
If we were told that one day the entire world would take its guidance for managing a health crisis from empirical thought, nobody would have believed it. However, with the December 2019 arrival of COVID-19 in China, the world subsequently went into a frenzied state that resulted in widespread adoption of untested strategies or potential cures; circumstantial evidence provided without randomized control trials (RCTs) was published rapidly and widely considered the gold standard in medical research and therapeutics. Nigeria and much of the rest of the world blindly adopted treatments like chloroquine or hydroxychloroquine and various prevention strategies, often without monitoring the efficacy of these treatment and social control strategies. COVID-19 provided Nigeria a critical opportunity to create or strengthen its national laboratory system by building up its Level 3 laboratories in all parts of the country with the capability to perform PCR tests and viral isolation. There was also an opportunity to establish hospitals in every region of a sufficient standard to reduce the numbers of Nigerians travelling abroad to seek medical treatment; to invest in building capacity to develop antiviral medications and vaccines in Nigeria, and to ensure better international health policies. Rather, Nigerian leaders, government, and health managers decided (like most other nations of the world) to shut down society using isolationist policies that were not necessarily tailored to local needs. Despite adopting these methods, COVID-19 cases continued to skyrocket in Nigeria. In the future, before adopting such broad sweeping policies, there should be local tailoring to assess their effectiveness in different communities. Given that the country has much experience in controlling Lassa and Marburg Fever outbreaks, Nigeria should lead by developing new strategies, new protocols, and new local guidelines, based on validated and reproducible studies to ensure that the public health authorities are not caught unaware by any new outbreaks of emerging or remerging diseases.
Date Issued
2021-01
Date Acceptance
2020-10-10
Citation
QJM: an international journal of medicine, 2021, 114 (1), pp.13-15
ISSN
1460-2393
Publisher
Oxford University Press (OUP)
Start Page
13
End Page
15
Journal / Book Title
QJM: an international journal of medicine
Volume
114
Issue
1
Copyright Statement
©The Author(s)2020. Published by Oxford University Press on behalf of the Association of Physicians.All rights reserved. For Permissions, please email: journals.permissions@oup.com
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/33118021
PII: 5942687
Subjects
COVID-19
Change Management
Civil Defense
Communicable Disease Control
Culturally Competent Care
Government Regulation
Humans
Nigeria
Physical Distancing
Policy Making
Public Health
SARS-CoV-2
Humans
Public Health
Communicable Disease Control
Civil Defense
Government Regulation
Policy Making
Nigeria
Culturally Competent Care
Change Management
COVID-19
SARS-CoV-2
Physical Distancing
General & Internal Medicine
11 Medical and Health Sciences
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2020-10-28