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PAGE 28—SUNDAY VANGUARD, FEBRUARY 7, 2021<br />

Why we still have<br />

labora<strong>to</strong>ry misdiagnosis<br />

despite competent<br />

professionals – Adibo<br />

• Lists gains of ISN Award<br />

Mr. Elochukwu Adibo, National President of the<br />

Guild of Private Labora<strong>to</strong>ry Direc<strong>to</strong>rs of <strong>Niger</strong>ia, was<br />

the Chairman of the Panel of Judges for the justconcluded<br />

ISN Medical Labora<strong>to</strong>ry Scientist of the<br />

Year Award. In this interview, Adibo shares his<br />

perspectives on the project and gives his<br />

recommendations for subsequent editions among<br />

other issues.<br />

How do you assess the inaugural<br />

edition of the ISN Medical<br />

Labora<strong>to</strong>ry Scientist of the Year<br />

Award?<br />

I think the entire project was quite<br />

excellent. I say this because it was a novel<br />

project that required completely new<br />

concepts, ideas, implementation and<br />

coordination. The host organization, ISN<br />

Products <strong>Niger</strong>ia Limited, as well as the<br />

consultants, was very committed and<br />

extremely positive in the delivery despite<br />

the odds arising <strong>from</strong> COVID-19. Even<br />

when the pandemic was at its peak, they<br />

were not deterred. This alone gave a very<br />

key foundation for the eventual success<br />

recorded in the project.<br />

Do you think this award has impacted<br />

positively on the labora<strong>to</strong>ry practice and<br />

services in the country?<br />

I think, by and large, there has been a<br />

positive impact on labora<strong>to</strong>ry practice<br />

and standard based on what I have seen<br />

since. This is because it has reawakened<br />

the consciousness of medical labora<strong>to</strong>ry<br />

'Private military contrac<strong>to</strong>rs' advice on B/Haram ignored'<br />

Continued <strong>from</strong> page 27<br />

the committee of ambassadors. Those<br />

reports are still gathering dust. Their<br />

reports were not implemented as if there<br />

were no will <strong>to</strong> do it. Therefore, ‘stick and<br />

carrot’ is the best. Our own military with<br />

a reputation should not be denigrated.<br />

Somebody, in the name of protest,<br />

infiltrated Lagos <strong>to</strong> destroy things and kill<br />

people, and then, government stepped in<br />

<strong>to</strong> completely pull it down rather than<br />

using the internal mechanism <strong>to</strong> punish<br />

the culprits. It is possible <strong>to</strong> do things<br />

rather than pull down a well trained force<br />

because of the excesses of few individuals.<br />

I do not like the way the police were<br />

humiliated the other time (during<br />

#ENDSARS), and they also started<br />

denigrating the military. We have the best<br />

police in Africa. The media should be able<br />

<strong>to</strong> tackle those who look down on our own<br />

military. And at the same time, the<br />

President and his Vice should arrange<br />

surprise visits <strong>to</strong> the commands <strong>to</strong><br />

encourage our troops at the warfront and<br />

know what is happening. President<br />

Buhari has released enough money <strong>to</strong> the<br />

military <strong>to</strong> implement whatever they want<br />

<strong>to</strong> do. So why is the situation still down?<br />

But I could still see some military<br />

personnel carrying AK-47 rifles which<br />

cannot fire beyond 800 meters. What<br />

about modern weapons that should be<br />

higher than what the insurgents use, with<br />

night visual equipment?<br />

Looking at the relationship between<br />

the military, the police and the people,<br />

the military often times says they are<br />

not provided with real time intelligence<br />

by civilians. From your point of view, is<br />

there trust between the people and the<br />

scientists all over the country on <strong>to</strong>tal<br />

adherence <strong>to</strong> standards, as this is the only<br />

way one can be outstanding, recognized<br />

and become a potential winner of such a<br />

prestigious award.<br />

All the stakeholders in the medical<br />

labora<strong>to</strong>ry space including regula<strong>to</strong>rs<br />

made very positive statements. And for<br />

me as a leader of a key group in private<br />

practice, my participation further<br />

impacted positively on our message of<br />

quality management system principles<br />

and practice which is the only way <strong>to</strong><br />

measure up <strong>to</strong> international standards as<br />

expected in all countries all over the<br />

world. The award itself passed a clear<br />

message that nothing less than the best is<br />

acceptable and of course this would<br />

translate <strong>to</strong> more quality results <strong>to</strong><br />

<strong>Niger</strong>ians and better health indices<br />

considering the very key role medical<br />

labora<strong>to</strong>ry services play in patient care<br />

and safety.<br />

What are the flaws and pluses you<br />

may have identified in the process?<br />

military?<br />

To be candid, the trust has been<br />

exhausted because our people used <strong>to</strong><br />

send information <strong>to</strong> the military. And<br />

essentially, that information, no matter<br />

how confidential it is, there will be a<br />

phone call back <strong>to</strong> the person, telling him<br />

“we are aware of what you did.” That<br />

shows there are moles within the<br />

military. With technology,<br />

those moles are bound <strong>to</strong><br />

be fished out. The trust has<br />

been eroded and that is<br />

why there are so many<br />

leakages and the people<br />

s<strong>to</strong>pped cooperating.<br />

Secondly, what do you do<br />

with cooperation when<br />

insurgents will come at<br />

night and the military will<br />

not come <strong>to</strong> their rescue?<br />

It is not true that the<br />

people were not<br />

cooperating. They have<br />

done their best, and yet<br />

they are not protected.<br />

When their confidential<br />

information <strong>to</strong> the military<br />

is eventually leaked <strong>to</strong><br />

insurgents, who does it? Is<br />

it not the mole within the<br />

military?<br />

There are two things in the North; one<br />

is the Almajiri phenomenon, two is the<br />

number of young minds that have<br />

opportunity <strong>to</strong> make friends with the<br />

devil because of being out of school.<br />

How can these two things be tackled?<br />

It has <strong>to</strong> do with negligence in<br />

developing the rural areas. Basic<br />

infrastructure should be there for them <strong>to</strong><br />

get busy. Imagine, when a governor has<br />

Confidential<br />

information <strong>to</strong><br />

the military is<br />

eventually<br />

leaked <strong>to</strong><br />

insurgents<br />

•Adibo<br />

I think the areas of flaws were quite<br />

minimal for a maiden edition but <strong>to</strong><br />

mention a few, one of the flaws was<br />

limited publicity <strong>to</strong> very relevant<br />

professional platforms and direct<br />

information <strong>to</strong> associations and<br />

regula<strong>to</strong>rs <strong>from</strong> the onset. A lot needs <strong>to</strong><br />

be done in that regard <strong>to</strong> improving<br />

going forward. Secondly, the convener of<br />

the initiative must ensure that the entry<br />

criteria are clear enough <strong>to</strong> avoid<br />

unnecessary applications and save<br />

screening time for the assessors and<br />

organizers. Take, for instance, the issue of<br />

minimal years of practice post-internship<br />

training. Thirdly, assessors should be<br />

given the opportunity <strong>to</strong> participate in the<br />

setting of the questions for participants so<br />

that they will not just be assessing and<br />

setting marking schemes for other<br />

people’s examination questions. We must<br />

not exclude participating professionals’<br />

institutions whose workers happen <strong>to</strong> be<br />

among the finalists <strong>from</strong> receiving the<br />

reward. On the good side, I think the<br />

organisation did well in setting a very<br />

<strong>to</strong> visit a rural area said <strong>to</strong> be free <strong>from</strong><br />

insurgents and yet came under attack,<br />

what does it tell? If you go <strong>to</strong> the<br />

headquarters of the military, they have<br />

gadgets that can see the entire Borno<br />

terri<strong>to</strong>ry and even Boko Haram fighters<br />

moving on mo<strong>to</strong>rcycles through many<br />

kilometers unchallenged. When you say<br />

reintegration, it is nonsensical in the sense<br />

that it doesn’t take place<br />

when there is no ceasefire.<br />

It is only in a situation of<br />

complete ceasefire as it<br />

happened in Colombia<br />

after 50 years of insurgency<br />

that reintegration can<br />

work. These boys are<br />

running their guns and<br />

killing people, you profile<br />

those who surrender and<br />

retrain them and send them<br />

back <strong>to</strong> the society without<br />

taking care of those who are<br />

traumatized by insurgents,<br />

how can it work? Rather, it<br />

is better <strong>to</strong> keep them far<br />

away <strong>from</strong> people who are<br />

traumatized, and who have<br />

not gone back <strong>to</strong> their<br />

ancestral homes, than<br />

making them comfortable.<br />

Indirectly, you are<br />

encouraging the young ones<br />

who are peaceful at home, and not cared<br />

for at all, <strong>to</strong> join forces with insurgents.<br />

To s<strong>to</strong>p this trend, you must not integrate<br />

them in<strong>to</strong> society. Take them somewhere<br />

else, far away <strong>from</strong> <strong>Niger</strong>ia or away <strong>from</strong><br />

the areas they have terrorized. Remember<br />

that these boys were initiated by force.<br />

You never can tell what they have taken<br />

as oath. This formation is a cult. It has<br />

nothing <strong>to</strong> do with religion. Some were<br />

high standard for the award which makes<br />

it respectable and attractive for<br />

participation. Not only that, participants<br />

especially the finalists were highly<br />

dignified and treated very well as<br />

deserving medical professionals. The<br />

same thing applies <strong>to</strong> the entire process as<br />

it was found <strong>to</strong> be transparent and devoid<br />

of any form of influence by ISN or the<br />

consultant organization – Indigo. On the<br />

whole, all the pluses earned the award the<br />

high rating. As far as I am concerned and<br />

surely, I speak the minds of all the<br />

credible and well-selected five judges in<br />

my team who were drawn <strong>from</strong> the best in<br />

the profession. No doubt, the standard<br />

and quality of the award will increase<br />

interest and participation in subsequent<br />

editions.<br />

Judging <strong>from</strong> the scripts you<br />

evaluated, would you say <strong>Niger</strong>ians are<br />

safe in the hands of young medical<br />

labora<strong>to</strong>ry practitioners, particularly,<br />

now that there has been advancement in<br />

labora<strong>to</strong>ry practices globally?<br />

Judging <strong>from</strong> the scripts, I think it is a<br />

mixed feeling in terms of the knowledge<br />

base, exhibition of professional mastery<br />

and excellence in practical skills. This is<br />

because some very young medical lab<br />

scientists who were eventually<br />

disqualified for having less than five years<br />

post-internship qualification were very<br />

impressive in their answers <strong>to</strong> questions<br />

even though they did not make the cut.<br />

A number of the assessed MLS were<br />

very impressive, whereas other candidates<br />

<strong>to</strong> a fair extent had knowledge of Quality<br />

Management System and standard<br />

labora<strong>to</strong>ry practice, which can be traced<br />

<strong>to</strong> what is available at their various<br />

institutions. This did not apply <strong>to</strong> only the<br />

young but even the very experienced and<br />

long standing medical labora<strong>to</strong>ry<br />

scientists. <strong>Niger</strong>ians will benefit more if<br />

many organizations, both private and<br />

public, will improve on their standards<br />

and strict regula<strong>to</strong>ry control must be<br />

encouraged in all medical labora<strong>to</strong>ries in<br />

the country including the in-hospital<br />

based labora<strong>to</strong>ries at the private and<br />

public facilities.<br />

What are the missing links or things<br />

you may recommend which should be<br />

included in next year’s edition?<br />

For next year’s edition, I would repeat<br />

and re-emphasize the summary<br />

recommendations we had made as a<br />

team of judges as follows. They include<br />

request for a cumulative of three months<br />

Internal Quality Control (IQC), current<br />

External Quality Assurance (EQA),<br />

evidence of instrument calibration and<br />

traceability, attachment of academic<br />

publications <strong>to</strong> other documents required,<br />

years of experience must be clearly stated<br />

and increased level of publicity for the<br />

initiative.<br />

Continues on www.vanguardngr.com<br />

given ethnic task while some were given<br />

religious task but it has nothing <strong>to</strong> do with<br />

religion. It is the same thing with Al-<br />

Shabab, Taliban and Al Qaeda. When you<br />

see a child soldier involved in killing in<br />

Africa, you see resources involved. It is<br />

the way the arms industry makes their<br />

money. They create wars <strong>to</strong> sell their arms.<br />

That industry alone is worth over 2 trillion<br />

dollars. Without war, they will not make<br />

money. Secondly, it is by pitching one<br />

country against another that they will be<br />

invited in the name of peace keeping.<br />

<strong>Niger</strong>ia is the only country that is envied<br />

for not inviting foreign troops. I am not<br />

against foreign troops within Africa but<br />

troops <strong>from</strong> Europe, UK or America sent<br />

under the name of United Nations do not<br />

bring peace. In Central Africa, Congo and<br />

other African countries, they are there<br />

without peace in hand.<br />

In some other parts of the North, we<br />

have had cattle rustling, banditry,<br />

religious crisis, illegal mining and<br />

<strong>others</strong>. What do you make of this?<br />

It is part of the template created <strong>from</strong><br />

outside. The template has been there for<br />

long waiting for the leadership <strong>to</strong> start<br />

doing it. It is always easier in a<br />

democracy <strong>to</strong> mess up the system, because<br />

it was in democracy that a President<br />

decided <strong>to</strong> take weapons <strong>from</strong> the joint<br />

multinational task force in northern<br />

Borno around Lake Chad <strong>to</strong> the South.<br />

Some of them were transported <strong>to</strong> Lagos<br />

barracks, exploded and killed many<br />

people. Nobody asked questions about<br />

what happened?<br />

• Interview first aired on<br />

Channels TV Newsnight

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