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Resident doctors threaten nationwide strike over unpaid arrears, welfare concerns

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The Nigerian Association of Resident Doctors (NARD) has threatened to embark on a nationwide indefinite strike from 10 August if the federal government fails to address outstanding salary arrears, welfare concerns and other longstanding issues affecting its members.

The association announced the decision in a communiqué issued after its National Executive Council (NEC) meeting in Gombe State, where it reviewed the implementation of previous agreements reached with the government.

NARD said the proposed Total and Comprehensive Industrial Strike (TICS) would commence at 8 a.m. on 10 August unless its demands are met before the deadline.

“The NEC reaffirmed its commitment to constructive engagement and dialogue but reiterated that the welfare of resident doctors and the survival of Nigeria’s healthcare system remain non-negotiable,” the communiqué stated.

Unpaid arrears

Among its demands, the association called for the immediate payment of outstanding arrears arising from the 25 and 35 per cent Consolidated Medical Salary Structure (CONMESS) review, 19 months of unpaid professional allowance arrears, as well as outstanding salary and promotion arrears owed to doctors in several federal health institutions.

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It also urged the government to ensure that all eligible resident doctors omitted from the 2026 Medical Residency Training Fund (MRTF) disbursement are paid without further delay.

While acknowledging the federal government’s recent disbursement of the residency training fund to eligible beneficiaries, NARD said many financial obligations to resident doctors remain unresolved.

LUTH crisis

The association also raised concerns over what it described as the continued intimidation of resident doctors at the Lagos University Teaching Hospital (LUTH).

It accused the hospital management of refusing to provide call duty meals despite repeated engagements and called on the federal government to intervene.

NARD warned that failure to resolve the issues at LUTH before 10 August would leave it with no option but to proceed with industrial action.

Assaults on doctors, broader healthcare challenges

NARD condemned what it described as persistent assaults, harassment and intimidation of doctors across the country, saying such incidents threaten an already fragile healthcare system.

It called for a national protocol to prevent violence against healthcare workers and urged lawmakers to criminalise assaults on health personnel.

The association expressed concern over deteriorating infrastructure in public hospitals, citing inadequate medical equipment, unreliable electricity supply and poor maintenance of health facilities.

It also highlighted chronic underfunding of the health sector, shortages of healthcare workers and high out-of-pocket healthcare costs, saying these continue to limit access to quality healthcare for millions of Nigerians.

NARD urged federal and state governments to increase investment in healthcare, strengthen primary healthcare services, improve health financing and recruit more health workers to advance universal health coverage.

READ ALSO: NARD renews call to protect health workers following assault on doctor in Kwara

The association further called for the speedy conclusion and implementation of the Medical and Health Workers’ Collective Bargaining Agreement and the recommendations of the ministerial committee reviewing excessive workloads, prolonged call duty hours, casualisation of doctors and the abuse of locum appointments.

It also demanded urgent action to address salary delays, unpaid arrears and internship placement challenges affecting house officers.

Nigeria has experienced several industrial actions by resident doctors in recent years, with disputes largely centred on unpaid salaries and allowances, poor working conditions, residency training funding and the implementation of agreements reached with the government.

Health experts have repeatedly warned that prolonged strikes disrupt access to healthcare, delay surgeries and worsen pressure on an already overstretched health system, particularly for patients who rely on public hospitals.


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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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