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Resident doctors give FG 14-day ultimatum to meet demands or face industrial action

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Resident doctors have given the federal government a 14-day ultimatum to begin implementing outstanding agreements on their welfare and working conditions or face “further industrial action.”

The ultimatum takes effect from 1 October 2026, according to a communique issued at the end of the Nigerian Association of Resident Doctors’ (NARD) 46th Annual General Meeting (AGM) in Calabar, Cross River State.

According to the document signed by the association’s new President, Ogar Idoko, Secretary-General, Besongngem Akotanchi, and Publicity and Social Secretary, Ashimom Msughter, the meeting was held from 21 to 26 September.

The doctors said the ultimatum became necessary due to ongoing delays in resolving several welfare and professional issues, despite the government’s previous engagements and commitments.

Outstanding allowances, salaries

The resident doctors demanded the immediate payment of 19 months of outstanding Professional Allowance Table (PAT) arrears.

They also demanded payment of outstanding arrears arising from the 25/35 per cent upward review of the Consolidated Medical Salary Structure (CONMESS) for doctors and other affected health workers.

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The association said several medical doctors were still owed salary and promotion arrears in various federal health institutions.

It also demanded the immediate correction of omissions and errors in the payment of the 2026 Medical Residency Training Fund (MRTF). It called for an upward review of the fund to reflect the current cost of residency training.

The doctors said the reviewed MRTF should also be captured in the 2027 Appropriation Act.

Other demands

The resident doctors called for the accelerated conclusion of the long-running Collective Bargaining Agreement between the Nigerian Medical Association and the federal government.

They said the unresolved review of the CONMESS salary structure had remained outstanding for about 17 years and was contributing to the brain drain affecting the health sector.

The association also called for a sustainable recruitment system to address “the critical manpower shortages occasioned by brain drain and guarantee safe and effective healthcare delivery.”

It demanded the implementation of the approved work-hour regulation policy, including functional biometric systems to document working hours and a standardised system for compensating doctors for excess workload.

The doctors also called for the implementation of “the Assault on Health Workers Prevention Policy across all health institutions with clear accountability mechanisms” and the payment of outstanding pension contributions.

The association further demanded urgent improvements in healthcare infrastructure, equipment and essential medical facilities across the country.

It said poor infrastructure and inadequate equipment were affecting patient safety, healthcare delivery and the training of resident doctors.

Threat of industrial action

Under the resolution, the AGM mandates that the NARD National Executive Council (NEC) “closely monitor” the government’s response over the next two weeks.

The association said it would take “all necessary lawful and constitutionally sanctioned actions”, including further industrial action, if the authorities failed to demonstrate meaningful compliance within the stipulated period.

The latest ultimatum follows several rounds of disputes between resident doctors and the federal government this year.

In January, the doctors suspended a planned nationwide strike scheduled to begin on 12 January after the National Industrial Court restrained the association from embarking on the action, and the government made fresh commitments.

READ ALSO: Resident doctors commend Uba Sani for prioritising healthcare workers’ welfare

In April, resident doctors commenced a nationwide strike over the reversal of the Professional Allowance Table and other outstanding financial obligations. The action was suspended less than 24 hours later following government interventions.

In June, the association issued another 21-day ultimatum over unpaid allowances, salary arrears and delays in the residency training fund.

The resident doctors’ latest ultimatum, therefore, gives the federal government until 1 October to “commence demonstrable implementation of the resolutions contained in this communique.”


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Health

Nigerian drugmaker Fidson selected to manufacture generic influenza antiviral under global licence

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A Nigerian pharmaceutical company, Fidson Healthcare Plc, has been selected to develop and manufacture a generic version of baloxavir marboxil, an antiviral medicine used to treat influenza.

The selection makes Fidson one of 11 manufacturers across nine countries chosen under a voluntary licensing agreement between the Medicines Patent Pool (MPP) and Swiss pharmaceutical company Roche.

The company disclosed this in a press release signed by its media contact, Tope Akindele. The MPP, a United Nations-backed public health organisation, also announced the sublicence agreements on 25 September.

The selected manufacturers are from Brazil, China, India, Indonesia, Malaysia, Nigeria, Uganda, Ukraine and Vietnam. The MPP said the arrangement is intended to “diversify supply pathways for influenza treatment, support regional production, and strengthen preparedness for future outbreaks and pandemics.”

What it means for Fidson, Nigeria

The selection makes Fidson one of the manufacturers that would develop, manufacture and supply generic versions of baloxavir in 129 countries covered by the licence, subject to regulatory authorisation.

The agreement also gives selected manufacturers access to technical data, reference products for bioequivalence studies and other support to facilitate product development and regulatory approval.

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The MPP said it selected the manufacturers following an open Expression of Interest process and an assessment of their technical and regulatory capacities and commitment to producing quality-assured baloxavir products.

The organisation said having manufacturers in different regions would help build production capacity closer to the populations the medicines are intended to serve and strengthen the resilience of global supply.

For Nigeria, the selection places a local pharmaceutical manufacturer in a global effort to expand production of an influenza antiviral while strengthening domestic and regional pharmaceutical manufacturing capacity.

Selection strengthens Africa’s role

Fidson’s Managing Director and Chief Executive Officer, Biola Adebayo, described the selection as a validation of the company’s commitment to quality-assured pharmaceutical manufacturing and innovation.

“Being selected by the Medicines Patent Pool as a sublicensee under the Roche-MPP voluntary licensing programme for baloxavir marboxil is both an honour and a validation of Fidson’s longstanding commitment to quality-assured pharmaceutical manufacturing, innovation, and improving healthcare outcomes,” Mr Adebayo said.

He said the partnership would allow the company to contribute to efforts to strengthen regional health security and preparedness for future health emergencies.

“As an African healthcare company, we are proud to contribute to global efforts aimed at strengthening regional health security, enhancing preparedness for future health emergencies, and ensuring that life-saving medicines reach the patients who need them most,” he said.

Mr Adebayo said the partnership also demonstrated the growing role of African manufacturers in the global health ecosystem.

He said Fidson would work with Roche, the MPP and other stakeholders to support broader access to baloxavir across eligible markets.

READ ALSO: Fidson, Nigeria’s largest pharmaceutical company, delivers N3.6 billion dividend to shareholders

Part of pandemic preparedness

The announcement came as global leaders gathered in New York for the United Nations General Assembly to discuss pandemic prevention, preparedness and response.

The MPP said the licensing arrangement is designed to build manufacturing capacity before, rather than during, a health emergency.

Charles Gore, Executive Director of the MPP, said the organisation would work with the selected manufacturers on product development and regulatory approval, aiming to make quality-assured generic baloxavir available as quickly as possible.

“By combining global manufacturing capacity with regionally focused production, we are helping build a more geographically diverse and resilient supply base for the future,” Mr Gore said.


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Non-communicable diseases caused 74% of global deaths in 2023

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Non-communicable diseases (NCDs) such as heart disease, diabetes and dementia accounted for 74 per cent of global deaths in 2023, up from 58 per cent in 2000, according to the latest estimates released by the World Health Organisation (WHO).

The findings, contained in the WHO’s latest Global Health Estimates released on Friday, show that although global life expectancy has largely recovered from the disruption caused by the COVID-19 pandemic, the world’s disease burden is increasingly shifting towards chronic illnesses and mental health conditions.

According to the report, global life expectancy reached 73.3 years in 2023, almost returning to the 73.4 years recorded in 2019 before the pandemic. However, healthy life expectancy, which measures the number of years people live in good health, recovered more slowly, reaching 62.8 years in 2023, still 0.4 years below its pre-pandemic level.

The WHO noted that eight of the world’s 10 leading causes of death were NCDs in 2023, highlighting a long-term global shift away from communicable diseases.

Cardiovascular diseases remain leading killer

The report identified cardiovascular diseases as the leading cause of death and disease burden worldwide.

It said ischaemic heart disease alone caused approximately 9.5 million deaths and 210 million disability-adjusted life years (DALYs) in 2023. DALYs measure years of healthy life lost due to illness, disability or premature death.

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While many parts of the world have made significant progress in reducing the burden of ischaemic heart disease since 2000, the WHO reported rising individual-level risks in the Western Pacific and South-East Asia regions, highlighting persistent inequalities in cardiovascular health outcomes.

The organisation also reported substantial increases in the burden of other chronic diseases.

According to the report, the risk of dying from diabetes has risen considerably since 2000, particularly in South-East Asia.

Alzheimer’s disease and dementia have also become more prominent.

Dementia rose from the 19th leading cause of death globally in 2000 to the fifth in 2023, while deaths linked to the condition tripled during the period.

Mental health concerns

The WHO also highlighted the growing impact of mental health conditions on global health.

Between 2019 and 2023, the global age-standardised DALY rate increased by approximately 20 per cent for depressive disorders and nearly 45 per cent for anxiety disorders.

Together, depression and anxiety accounted for an estimated 110 million years of healthy life lost through premature death and disability in 2023.

The report further showed changing patterns in drug use disorders across regions.

Between 2000 and 2023, the WHO Region of the Americas recorded the largest increases in mortality risk and healthy life loss associated with drug use disorders, while the Western Pacific region experienced substantial declines.

READ ALSO: Drug-resistant bacterial infections kill one million people annually – WHO

Need for stronger health data systems

Speaking further on the findings, Alani Labrique, Director of WHO’s Department of Data, Digital Health, Analytics and AI, described rising life expectancy as one of public health’s greatest achievements.

However, Mr Labrique noted that the next challenge is ensuring that the additional years people live are spent in good health, while health systems adapt to the changing needs of ageing populations and the growing burden of chronic diseases.

He said the estimates provide countries with evidence on how patterns of death and disease burden are changing over time, helping governments shape health policies, strengthen digital and data infrastructure, and improve their ability to generate insights needed for targeted health interventions.


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