Health
National Hospital seeks cleft care inclusion in NHIS

The Chief Medical Director, National Hospital Abuja (NHA), Dr. Jeff Momoh has called for the inclusion of treatment for cleft lip and palate in the National Health Insurance Scheme (NHIS), to relieve parents/patients who are mostly from poor homes, the difficulties associated with management of the condition.
Dr. Momoh made the call at the National Cleft Stakeholders Forum- North Central Zone, themed; “Planning for Sustainable Comprehensive Cleft Care,’ on Friday in Abuja which was organized by Smile Train, a global cleft charity. He said the care and management of cleft lip palate patients was a long-term journey.
Smile Train has been in Nigeria for more than 10 years, having treated over 25,000 cleft patients using the scalable sustainable approach to cleft care.
Represented by the Head Clinical Services of the Hospital, Dr. Aisha Umar, he insisted that health insurance would be the best way to capture patients and families with cleft lip and palate, considering the four main components associated with its care and management.
He said,” It is a long term care that needs to take care of four main problems that the patient has; it starts with correcting the teeth of the patient which will require a team of doctors as well as psychosocial support by professionals for the family to know that they have not done anything wrong.”
“After that, they have to plan for the surgery usually three months after birth but in between this period the child needs to have support through special feeding and health. When the surgery is done, you still need assessment for hearing by going to ENT, and finally, they need to correct any speech problems. All these components have to be paid for holistically in the NHIS System.”
“I call upon the stakeholders to propose all-encompassing cleft care, where the child will eventually get all the care and follow-up they need until finally discharged. Health insurance will be the best way to capture it.”
On her part, Smile Train Programme Director, West and Central Africa, Mrs. Nkeiruka Obi, said cleft is a congenital anomaly viewed as a medical mystery, as the definitive cause of the anomaly was yet to be ascertained, even though genetic and environmental factors were postulated as possible causes.
While noting that Nigeria has the highest annual incidence of over 6,000 new cleft births in Africa with more prevalence in the North, she said based on the Smile Train data base, an average of about 3,000 to 4,000 cases were addressed every year.
“Children with cleft experience difficulty eating, breathing or even speaking and if left untreated, some children die while those who grow up are often neglected and isolated. Causes of cleft are unknown but associated with risk factors such as environmental, lack of proper nutrition as well as genetics. Once treated, the child can go on to live a normal and productive life. We need to work together to support the families to receive free comprehensive and quality care under the Smile Train Program,” noted Mrs. Obi.
On preventive measures, she advised women to maintain proper care especially during pregnancy, pay close attention to their nutrition, ensure consumption of folic acid, ensure strict compliance to antenatal care for guidance through the pregnancy period and avoid taking drugs not prescribed by doctors.
On his part, The Secretary General, West African College of Surgeons, Prof. Philip Mshelebwala stressed that capturing care and management of cleft in the NHIS would make a huge difference. He commended Smile Train for its many years of support which has made care and management of cleft completely free in the country. He also called for collaboration among stakeholders and the government to prioritize sustainable and comprehensive cleft care in Nigeria.
“Most of the people affected are poor people and if they can enroll in the NHIS, that will make a big difference. It should be discussed at the high level of government to include not just the surgery but the comprehensive care and support; that will go a long way in relieving the difficulties parents face when they give birth to children with cleft.”
Prof. Mshelbwala, added, “If the stakeholders can come together as a team and come up with policies that are sustainable and workable, it will make a whole lot of difference.”
Earlier, prof. Emmanuel Ameh, Smile Train meeting coordinator for North Central zone disclosed that the objective of the meeting was to educate stakeholders on nature and challenges of cleft, provide information on how to access care, promote close interactions and share ideas and experiences on the cleft management amongst other issues.
Health
Milestone; Kwara LG Declared Open Defecation Free by FG

Stephen Olufemi Oni, Ilorin
The Federal Ministry of Water Resources and Sanitation has officially declared Oke-Ero Local Government Area (LGA) in Kwara State as Open Defecation Free (ODF), following a comprehensive validation exercise conducted by the National Task Group on Sanitation (NTGS).
The validation exercise was carried out between 21st and 25th July, 2025 by the NTGS, during which Oke-Ero LGA was assessed in accordance with the revised national ODF protocol. Based on the findings, the LGA was found to have met all required indicators and was therefore approved for ODF status on 27th August, 2025.
The official communication of this development was conveyed to Mr. Olorunfemi Adewumi Oladipo, the General Manager of the Kwara State Rural Water Supply and Sanitation Agency (RUWASSA), through a formal letter authored by the Director of Water Quality Control and Sanitation at the Federal Ministry; Mrs. Elizabeth Ugoh. The letter was issued on behalf of the Minister of Water Resources and Sanitation.
Mrs Elisabeth Ugoh, who congratulated the Kwara State Government and the people of Oke-Ero on achieving this national milestone, noted that sanitation is a continuous activity.
The correspondence described the achievement as a significant step forward in the national effort to eradicate open defecation and commended the sustained efforts of the local government, community leaders, stakeholders, and sanitation partners.
It would be recalled that the NTGS validation team conducted detailed assessments across households, institutions, and public spaces in Oke-Ero LGA, confirming the absence of open defecation and the presence of functional sanitation facilities, hygiene awareness, and sustained behavioural change, all of which are prerequisites under the national ODF criteria.
As part of the formal process, the Minister, Prof. Engr. Joseph Terlumun Utsev, is expected to communicate this achievement in writing to Governor AbdulRahman AbdulRazaqn, as, in line with established national protocol, the Governor is expected to host an official event to commemorate the ODF declaration of Oke-Ero LGA.
Reacting to the development, the Commissioner for Water Resources, Hon. Yinusa Lade, lauded the milestone as a testament to the state’s unwavering commitment to improving sanitation and public health. He commended the people of Oke-Ero for their resilience, cooperation, and ownership of the sanitation initiatives, which he described as critical to the sustainability of this achievement.
Hon. Lade, who reiterated the State government’s commitment to scaling up similar interventions across other LGAs, noted that with Oke-Ero setting the pace, the Ministry will intensify efforts to ensure that the entire State is declared Open Defecation Free well ahead of the national 2030 target.
Responding to the announcement, Mr. Oladipo expressed appreciation for the recognition, describing it as a reflection of collaborative effort across multiple levels of governance and community participation. Mr Olorunfemi Oladipo reaffirmed RUWASSA’s continued commitment to supporting other LGAs in the State to achieve similar results.
Mr Oladipo also urged local authorities and stakeholders in Oke-Ero to ensure the sustainability of this status, by adhering to the recommendations outlined in the validation report, which has been enclosed with the official communication.
This development positions Kwara State as one of the leaders in sanitation progress and contributes meaningfully to Nigeria’s broader objective of eliminating open defecation nationwide by 2030, in alignment with the Sustainable Development Goals (SDGs).
End
Health
Nigeria Records 43,000 Snakebite Annually, Experts Urge Local Anti venom Production

By Hassan Taiye
The Toxinological Society of Nigeria (TSN) has called on the federal and state governments to invest in local anti venom production and strengthen healthcare facilities to curb the rising burden of snakebite envenoming across the country.
This was contained in a communique issued by the Society’s Secretary-General, Dr. Mustapha Shehu Muhammad, at the end of its 2nd Annual General Meeting held between September 14 and 17 at Gombe State University.
The four-day conference, with the theme “Exploring Indigenous Anti-Venom Development and Therapy in Nigeria: Policies, Challenges and Opportunities,” attracted over 1,000 participants, including policymakers, clinicians, researchers, traditional leaders, and students.
Experts at the meeting disclosed that Nigeria records about 43,000 snakebite cases every year, leading to nearly 1,900 deaths, with children accounting for 30 percent of victims.
They identified delayed treatment, the high cost of anti venom, and inadequate facilities especially in rural areas as key factors worsening outcomes.
In his keynote address, Prof. Abdulrazak Habib stressed the urgent need for government and private sector collaboration in developing indigenous anti venom, warning that failure to act would worsen mortality rates and economic losses.
Delegates also visited the Snakebite Treatment and Research Hospital in Kaltungo, describing it as overstretched and in dire need of expansion.
The Society recommended establishing a National Centre of Excellence for Venom, Anti venom, and Natural Toxins Research in Gombe, and upgrading the Kaltungo hospital into a fully equipped National Snakebite Hospital with modern equipment, surveillance systems, and training capacity.
It further urged the Gombe State Government to dedicate at least one percent of its internal revenue to snakebite response, including free anti venom distribution, and to integrate snakebite research and training into the curriculum of Gombe State University.
Headlines
FG Strengthens Border Checks as Fresh Ebola Outbreak Spreads in DRC

By: Fabian Apechihin
The Federal Government has stepped up health surveillance at all entry points into Nigeria following the confirmation of new Ebola Virus Disease (EVD) cases in the Democratic Republic of Congo (DRC).
Director of Port Health Services, Federal Ministry of Health and Social Welfare, Dr. Akpan Nse, announced on Friday that airports, seaports, and land borders are now under reinforced monitoring. Additional personnel, backed by the World Health Organisation (WHO), have been deployed nationwide, while thermal scanners at airports are being serviced in partnership with private firms to ensure continuous operation.
Health authorities in the DRC on September 5 confirmed an outbreak of the Ebola Zaire strain in Kasai Province, with 28 suspected cases and 16 deaths, including four health workers. The country, which has recorded 15 outbreaks since 1976, last battled the virus in 2022.
Dr. Nse warned that Nigeria remains at risk due to heavy travel links with the DRC. He said all passengers arriving from Congo or transiting through the country must undergo mandatory screening and complete health declaration forms.
“We have intensified surveillance at every point of entry,” he said. “All arrivals from Congo are screened—by air, land, or sea. We are on full alert to prevent importation of the virus into Nigeria.”
Ebola is a highly fatal disease transmitted through direct contact with the blood or bodily fluids of infected persons or animals, particularly fruit bats, which are considered natural carriers.
Want me to also add Nigeria’s 2014 Ebola response as context, to remind readers how the country previously contained the outbreak?
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