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Only 55,000 doctors left in Nigeria – ARD *Warns of impending doomsday  

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Nigeria is sure to witness an impending doomsday sooner than later if the Federal government fails to take definite and decisive steps to arrest the current parlous state of the nation’s medical system.

Association of Medical Doctors (ARD), which dropped the warning, cited how Nigeria currently boasts of just 55,000 doctors to serve a population of more than 220 million people, warning that with the current paucity in its healthcare system, an impending doomsday was only a matter of time.

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The doctors, who raised the alarm at the Ordinary General Meeting and Scientific Conference of the association, held at the Federal Neuropsychiatric Hospital (FNPH), Yaba, Lagos, the doctors, among whom were mental health experts, also said the present situation was worsening access to psychiatric care and leaving millions of vulnerable Nigerians untreated.

Citing no fewer than 16,000 Nigerian doctors, who have emigrated in the last five years, had worsened an already dire manpower shortage in the country’s health sector, they warned that the sustained exodus of healthcare workers under the “Japa” syndrome had severely depleted the country’s mental health workforce, widened treatment gaps, increased the cost of care and placed enormous pressure on the few specialists remaining in the system.

Vanguard quoted Omoti Ernest, President of Nigerian Medical Association (NMA), as saying that recent data showed that the Medical and Dental Council of Nigeria (MDCN), had registered over 130,000 doctors but noted only about 55,000 are actively practicing within Nigeria.

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Stressing that with a population exceeding 220 million, this translated to roughly one doctor for every 3,600 to 4,000 people, he added: “This ratio is far below the World Health Organisation’s recommended threshold of one doctor to about 600 people, highlighting the significant shortage of medical personnel and the strain on healthcare delivery.

“Many Nigerian-trained doctors have emigrated or are no longer engaged in active clinical practice, contributing to the country’s healthcare workforce shortage. The emigration of skilled professionals in search of better opportunities abroad has had a significant impact on Nigeria’s hospitals and healthcare workforce.

“Thousands of doctors and other healthcare professionals have left the country in recent years, leading to severe staff shortages, increased workload for those who remain with many suffering from burnout, longer waiting times for patients, and declining quality of care in many public hospitals.

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“Rural and under-served communities have been particularly affected, as they already struggle with limited access to healthcare services. ’The reasons behind this migration include poor remuneration, inadequate working conditions, insecurity, limited opportunities for career advancement, and insufficient investment in healthcare infrastructure, among others.

“Many professionals are attracted by better pay, improved facilities, and more stable environments in countries such as the United Kingdom, Canada, and the United States.”

‘What can be done’

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To address the trend, he said the Federal Government should prioritise salaries and welfare packages for healthcare workers, invest more in modern medical equipment and hospital infrastructure, expand residency and specialist training opportunities, and create clear career progression pathways.

“Strengthening security, ensuring timely payment of wages, and providing incentives for professionals to work in under-served areas will also help retain talent. ’In addition, partnerships with the private sector and diaspora engagement programmes could encourage Nigerian healthcare professionals abroad to contribute their expertise and support  development of the country’s healthcare system.”

Yesir Kareem, a Consultant Psychiatrist at the Neuropsychiatric Hospital, Aro, also lamented how Nigeria’s doctor-to-patient ratio had fallen to about one doctor for more than 10,000 patients, far below the World Health Organisation’s recommended ratio of one doctor to 600 people.

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The consequences, he argued were particularly devastating for mental healthcare, he said, adding: Only about 55,000 doctors remain to serve a population of over 220 million Nigerians. More than 40 million Nigerians suffer from mental health disorders, yet about 85 per cent of them do not have access to mental healthcare services,” Kareem said.

He noted that Nigeria’s shortage of psychiatrists and other mental health specialists has reached alarming levels, warning that untreated mental illnesses contribute to family breakdowns, substance abuse, unemployment, delayed diagnosis and premature deaths.

“The economic consequences are equally devastating, with billions of dollars lost annually due to untreated mental health conditions. Over 94,000 doctors and nurses have left Nigeria since the Japa syndrome started some years ago due to poor remuneration and delayed salaries, competitive salaries in destination countries, overwhelming patient loads (1:10,000+), better work-life balance and conditions, and inadequate medical equipment & facilities.

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He listed access to modern medical technology, limited career advancement opportunities, professional development and training, unsafe working conditions and long hours, unstable political and economic environment and insecurity and socioeconomic instability as factors encouraging migration of doctors from the country.

Vanguard, also quoted Veronica Nyamali, President of the Association of Psychiatrists in Nigeria (APN) as saying that the manpower shortage was a crisis that had forced consultants to abandon higher-level responsibilities, such as research and specialist care, in order to fill gaps left by departing doctors.

She said: “There are gaps everywhere. Work that should be done by four psychiatrists is now being handled by one or two people. Consultants are increasingly forced to work at lower levels because the doctors they are supposed to supervise are no longer there.

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“Those we train are leaving. Junior registrars, senior registrars, many complete their examinations and return abroad. The result is that we have shortages at every level of care. Nigeria has less than 150 psychiatrists. The dwindling number of specialists is making mental healthcare increasingly expensive and inaccessible, especially for patients in rural communities where psychiatrists are virtually non-existent.

“When specialists become scarce, services become more expensive. Access becomes difficult because patients must travel long distances to find care. This is contrary to the principle of universal health coverage, where mental health services should be available, affordable and accessible to everyone.

 

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BREAKING! Appeal Court halts Atiku! Says, Mark can’t be ADC Chairman!

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Atiku Abubakar seventh attempt at the presidency has been halted by the Court of Appeal in Abuja, which held that David Mark is not the fit and proper person to assume the position of the National Chairman of the African Democratic Congress (ADC) – the camp that produced the former Vice President as candidate of the party.

Hours after the former VP, who had attempted the bid for the nation’s number one job and is on the seventh edition by virtue of his nomination for the 2027 presidential election by the Mark, agreed with the position of the Federal High Court, Abuja, restraining the Independent National Electoral Commission (INEC) from recognising or participating in any state congresses organised by the former Senate President.

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Justice Okon Abang, while reading the lead-judgement in the three-to-one split, said there was no reason for the appellate court to set aside the April 29 order by the lower court, adding that Justice Joyce Abdulmalik, who barred Mark and his executives from interfering with the tenure and functions of the party’s elected state executives, was in order.

Agreeing that the responsibility for conducting state congresses of political parties rested with elected state executive committees and not with the national leadership, he ordered INEC not to recognise the executive produced as a result of the defective process.

Though his position was echoed by Donatus Okorowo in the majority, Justice Abba Mohammed, who disagreed sharply, with a dissenting judgment, held that the case that precipitated the restraining order bordered on a non-justiciable internal affair of a political party, adding that lower court was wrong to have assumed jurisdiction to entertain the matter.

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Lest we forget: Ibom Deep Seaport and Senator Godswill Akpabio — A prophecy foretold?

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By Ken Harries Esq

Some speeches disappear with the applause that greets them. Others acquire greater force with the passing of time. Their words do not change; history simply grows into them. Years later, they resonate with fresh power, not because they have been rewritten, but because the nation has finally arrived at the realities they foresaw.
One such speech was delivered in April 2012 at the 2nd South South Economic Summit in Asaba. There, Senator Godswill Akpabio, then Governor of Akwa Ibom State, presented what many regarded as an ambitious vision for maritime corridor and blue economy development.

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Speaking before political leaders, investors, and development stakeholders at the 2nd South South Economic Summit in Asaba, Akpabio outlined what many regarded as an ambitious vision for a model state in particular and regional development in general. Long before the Ibom Deep Seaport became a national priority, he argued that Nigeria needed new maritime gateways, integrated industrial clusters, aviation maintenance facilities, and modern logistics infrastructure to unlock economic growth. His vision was not simply about building a port; it was about creating an economic ecosystem capable of transforming a region and strengthening the nation’s competitiveness.

Fourteen years later, those remarks read less like political advocacy and more like an economic blueprint whose underlying logic has steadily been vindicated by events and times. Looking back today, his address appears almost prophetic—not because it predicted the future in mystical terms, but because Nigeria has gradually grown into the ideas it contained.

Truly visionary speeches never fade; they gather strength with time. This one deserves renewed attention, not because every prediction has materialised exactly as envisioned, but because it reveals a quality increasingly scarce in public leadership: the ability to think beyond electoral cycles.
Nigeria has never lacked projects. What it has often lacked are leaders willing to imagine the infrastructure of tomorrow while grappling with the demands of today. Akpabio’s vision was shaped by precisely that instinct.

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At a time when public discourse was largely focused on roads and recurrent expenditure, he spoke instead of logistics corridors, industrial ecosystems, aviation maintenance, manufacturing clusters, export processing zones, maritime and blue economy opportunities, and security reform—not as isolated initiatives, but as interconnected pillars of national competitiveness.

His vision for the then proposed Ibaka Deep Seaport, now known as the Ibom Deep Seaport, best illustrates this broader philosophy. Rather than presenting it as another state prestige project, he framed it as a strategic response to structural inefficiencies in Nigeria’s maritime sector and the wider economy. He argued that the Lagos ports were already burdened by severe congestion, with vessels waiting for extended periods to berth, driving up costs, disrupting supply chains, and delaying the delivery of critical imports, including pharmaceuticals.

His objective, however, was never to rival Lagos, but to complement it. The distinction is fundamental. No major trading nation concentrates all its strategic maritime infrastructure within a single corridor. Successful economies spread capacity, ease bottlenecks, and create multiple gateways through which commerce can flow efficiently. Nigeria has long recognised this principle in policy documents; Akpabio was among the few public leaders articulating it so clearly more than a decade ago.

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Equally significant was his emphasis on geography. He reminded his audience that Ibaka possessed a naturally deep coastline requiring little or no dredging, with water depths of approximately fifteen to seventeen metres. According to his account, the location had been identified as suitable for a deep seaport as far back as 1963, yet decades passed without meaningful progress. His observation that “being a minority area, there was nobody to push it” reflected a broader concern that strategic national investments have too often been influenced by political considerations rather than economic merit.

Whether one agrees entirely with that assessment is, in many respects, secondary. The larger point is that Akpabio consistently argued that national infrastructure should be driven by economic logic, strategic necessity, and long-term national interest rather than sentiment or political convenience. More than a decade later, that remains a lesson Nigeria is still striving to learn.

Yet, to see the 2012 Asaba address merely as a speech about a deep seaport is to miss its larger significance. The Ibom Deep Seaport was never presented as an end in itself. It was conceived as the anchor of a much broader economic ecosystem—a platform around which industries, manufacturing, aviation, logistics, free trade, and investment could flourish.

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Akpabio envisioned the acquisition of about 14,000 hectares of land to support a self-sustaining industrial city comprising fertiliser and ammonia plants, refining capacity, manufacturing facilities, and a Free Trade Zone. What development economists today describe as industrial clustering was already embedded in his thinking. The port was simply the gateway.

That broader vision deserves a discussion of its own. Today, Ibom Deep Seaport in that Asaba Speech has berthed.

•Ken Harries Esq is an Abuja-based Development Communication Strategist.

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Forgery: Nnaji, ex-Minister, regains freedom *Barred from leaving Nigeria!

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Justice Joyce Abdulmalik of the Federal High Court in Abuja, on Monday, granted allowed Uche Nnaji former Minister of Science and Technology, to go home, on the condition of a N20million bail bond.

Nnaji, who was arrested at Nnamdi Azikiwe International Airport (NAIA), Abuja on July 1 by officials of the Independent Corrupt Practices and other Offences Commission (ICPC), while returning to Abuja, was granted bail after pleading not guilty to a six-count certificate forgery charge.

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The anti-corruption agency alleged that Nnaji, Minister of Science and Technology between August 16, 2023 and October 6, 2025, when he resigned office after a crisis regarding his university degree broke out is currently the governorship candidate of the Peoples Democratic Party (PDP) in Enugu for in the 2027 general election, squaring up against Peter Mba, the incumbent, who incidentally won his office in 2023 under the same PDP, before defecting to the ruling All Progressives Congress (APC).

He was accused of forging his academic credentials, especially a degree certificate from the University of Nigeria, Nsukka (UNN) alongside presenting a bogus National Youth Service Corps (NYSC) discharge certificate during his ministerial screening process in 2023.

At the proceedings on Monday, the former Minister pleaded not guilty to the charges, and following an application by James Onoja (SAN), his lawyer, was granted to bail in the sum of N20 million with one surety in the like sum, who must also be a civil servant resident in Abuja, not be below grade level 15.

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The court, which ordered the surety to depose to an affidavit of means, mandated the former Minister to also surrender his international passport and not travel outside the country without permission, while fixing September 21 for the commencement of the trial.

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