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Update : Medical feat! Lagos hospital performs successful open-heart surgery on 13-day-old baby

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,,Complicated procedure lasted 19 hours

,,,Baby was born with fatal congenital abnormality of the heart

Lagos-based Tristate Hospital, Lekki, has successfully carried out complicated open heart surgery on a 13-day-old baby. The unnamed baby was born with a rare congenital abnormality of the heart known in medical parlance as “transposition of the great arteries”.

In layman’s terms, the two major arteries leaving the baby’s heart were transposed (wrongly connected) to the lower chambers of the heart (ventricles).

Our correspondence gathered that the life-saving procedure, known as an “arterial switch operation” – a complex type of pediatric cardiothoracic surgery, lasted 19 hours, and was carried out by a Nigerian team of specialists. Only the most skilled paediatric surgeons in the world are known to carry out the procedure successfully.

The medical team was led by Professor Kamar Adeleke, a professor of medicine/cardiology, interventional cardiologist, and the Founder/CEO, of Tristate Healthcare system – a conglomeration of best-in-class super-specialty healthcare providers.

Speaking on the medical feat, Adeleke, who is the President/CEO, Tristate Cardiovascular Institute, and Chief, Division of Cardiac Catheterization and Interventional Laboratory, University College Hospital, Ibadan, Oyo State, said the arterial switch operation is an open-heart procedure that is done within two weeks of life or it will be too late.

He explained that as a result of the abnormality, blood containing oxygen from the baby’s lungs was being pumped back into the lungs, while blood that lacks oxygen was pumped throughout the body.

“We did an arterial switch in a 13- day- old baby. Normally, the heart has two sides; the right side takes in blood from the organs of the body. This blood is devoid of nutrients, and from here the blood is pumped into the lungs where it is oxygenated and purified and then transported into the left side of the heart where it is pumped to all parts of the body.

Adeleke noted that normally, the left side of the heart pumps out 4-6 litres of blood every minute.

“This baby was born with a badly structured heart. What happened to this baby was that the left and right structures were switched, so the baby was not getting any purification of the blood. The mortality of this condition is 100 percent.

“What we did was to restructure the heart in addition to a bypass. All the blood vessels coming from the wrong sides were correctly repositioned. It was a complex surgery that took from 10.15 in the morning till 5 am the following day.”

Noting that congenital heart defects occur in about 0.01 percent of the Nigerian population, Adeleke argued that the feat is significant in the sense that the condition was being tackled locally for the first time.

“These cases are usually hopeless except flown abroad for surgery and they may still die eventually. It is a huge achievement we have done it here, if we can achieve this in Nigeria, there is nothing that we cannot do medically.

On a scale of 10, the complexity of the surgery is about 9, so we are moving forward.

“Fortunately, this type of abnormality is very rare in- utero (in pregnancy). The human heart is very complex and is completely formed at six weeks of gestation even before the woman may realize she is pregnant.

“We advise women that when you know you’re likely to get pregnant, you don’t do certain things like smoking cigarettes, taking drugs carelessly, try to stay away from stress, and eat well. However, the abnormality may not even be because the mother did something wrong. It could just be an unfortunate occurrence.

Adeleke, who pioneered the Tristate Cardiovascular Institute in Wilmington, Delaware, and later founded First State Diagnostic Centre, Peninsula Medical Associates, and Wilmington Cardiovascular Associates, called for an urgent need to establish paediatric cardiac centers in Nigeria, and said the best time to prevent any type of congenital anomaly is before conception.

“It is important that we investigate every pregnant woman at multiple levels. There is what is known as the level 3 ultrasound that detects all these abnormalities. Some congenital heart defects can be detected and corrected before the baby is born, but if it cannot be done before birth, it is essential that the mother should, at least know, and be prepared for it.

“What we need to do is reduce infant mortality by paying attention to the care of the mother so that before and during pregnancy, abnormalities can be detected and addressed early. If we invest in the mothers, we are going to be saving a lot of money in the future. Things as simple as lacking the right vitamins and developing a nutrient deficiency can cause neurological problems after delivery, but if these nutrients are given during pregnancy it will avoid potential anomalies.”

Every newborn must also be properly evaluated. “Take your stethoscope, examine the baby and if you detect a heart murmur, then you can quickly do the ultrasound. It takes just 30- 45 minutes to do this you can then follow up on the baby.

“All we need is proper evaluation of the baby. Let’s take care of the mother during pregnancy. The routine should be that any woman that is pregnant should be automatically covered by insurance. By doing that, we are investing in the baby even before it is born,” Adeleke stated.

Lamenting that Nigeria currently has only one pediatric intervention cardiologist, Adeleke described it as grossly inadequate.

“We must concentrate on manpower. To bring foreign manpower is a fortune and is not sustainable. We have several pediatric cardiologists, who can pick up these defects, but the services and skills of a pediatric intervention cardiologist are required to fix the problems. How can only one pediatric interventional cardiologist attend to over 200 million Nigerians?

“Right now we have about seven intervention cardiologists in Nigeria and five of them are in Lagos State. Tristate alone has two; certainly, we need to be serious about manpower. Who is going to cure you if you cannot fly abroad within 60 minutes if you have no competent specialists on the ground here in Nigeria?”

Noting that one of the goals of the Tristate Hospital was to contribute to the growth of medical care in the country, the CEO remarked that what is required is the improvement of the environment so that those going abroad will be encouraged to stay back.

“We are prepared to turn the brain drain into brain gain. Nigerian medical specialists abroad want to return to Nigeria, but the facilities and infrastructure must improve. If we can give more opportunities for training, we will get more of these specialists. I am bringing another interventional cardiologist from abroad to Tristate, once we are training more of our own people, we will turn the tide against brain drain.”

“Eleven years ago, the West African College of Surgeons took the training of cardiothoracic surgeons to Ghana because there were no reputable facilities in Nigeria, and there was nobody to do the training.

“Then in 2021, I received a letter from the College. Tristate was doing 70 percent of open heart surgeries in Nigeria and has done more open heart surgeries than the whole of Ghana as a country. The College now wants to bring the training of cardiothoracic surgeons back to Nigeria, so they told the three institutions that are doing the surgeries continuously to come together and form a training institution.

.“The three institutions are the Lagos State University Teaching Hospital, LASUTH, Obafemi Awolowo University Teaching Hospital Complex, OAUTHC, and Tristate to form the training institution to be known as LOT. We are signing an MoU to this effect and that is huge. It will help us to advance the training of surgeons and that will bring down the cost of training further.

“When we wanted to begin open heart surgery at TriState, the people that could afford the surgery did not want to be our guinea pigs while those that did not have money were ready. At that time, to do open heart surgery cost between N2.0 – 3.0 million. I paid $2,500 for a patient because we had to show Nigerians that we could do this. We had to do it for those that did not have the money. The first 75 cases that we treated either had no money or could only pay the minimum.

“In the first two years after Tristate began doing open heart surgery, we did not make any money. In fact, we could not pay any expatriates because the exchange rate that year went from N175 to N520. There were about 13 of them, but we moved on.

“As of 2021, we had about 124 open heart surgeries, excluding the non-open heart surgeries. The total number of cases that we handled is close to about 600. Now we have seen that the medical tourism story is gradually changing because these medical interventions are being done right here.”

“I want to see the cardiac programme grow. Our aim is to achieve accessibility, affordability, and quality care. We must have a hospital that is within reach of everyone in the country. We started at Babcock University Teaching Hospital, Ogun State, and then went to Ado Ekiti at the Afe Bablola University, ABUAD, and after a year, we had done about 36 surgeries. The following year we were at Reddington Hospital and did the first open heart surgery there, and then continued.

“At the Duchess Hospital, Ikeja, Lagos State, the 5th floor is called the Duchess-Tristate Heart Institute. We moved to the Lekki on December 9, 2021, put everything together in the operating room, and two months ago, we began open heart surgery here.

“In two months we have done 20 surgeries. The first case we had was a 15 -year-old boy called Kassim. He is alive and well. His surgery started at 5 pm and ended at 5 am the following day. The youngest procedure that we have done was on a 13-day-old baby. It is also the longest. We started at 10 15 am and finished at 5.15 am the following day.”

The professor of cardiology Close to seven specialist centres in Nigeria are now carrying out open heart surgery. This is the beginning for Nigeria and if we do all these things well we do not need to go abroad again. What people thought was impossible is actually possible. Our goal is to save life first. Our mission is being accomplished.

“Most of the lives of people we have saved are those unable to pay out of pocket, that is why health insurance is essential. Cash and carry healthcare must go. Nigeria is better off medically today than in the recent past, this is reality. Give us another five years, and the health care system will be booming.”

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Alleged Coup Attempt Against Tinubu, Fraud Charges: Sylva Faces Possible Arraignment in Absentia

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Former Bayelsa State Governor, Timipre Sylva, has yet to return to the country months after his Abuja residence was raided by operatives of the Defence Intelligence Agency.

It was reported that the raid was connected with investigations into the alleged coup attempt against President Bola Tinubu.

Our correspondence gathered that Sylva, who was also declared wanted by the Economic and Financial Crimes Commission over alleged $14,859,257 fraud, might be arraigned in absentia for financial crimes.

Top officers of the Department of State Services and the EFCC told one of our correspondents that the International Criminal Police Organisation and other Nigerian partners in the war against crime were currently trailing the former governor.

The Defence Headquarters had, in October 2025, dismissed reports of a coup attempt, despite the arrest and detention of 16 officers accused of sponsoring the plot.

The DHQ, in a statement by its Director of Defence Information, Brig Gen Tukur Gusau, on October 18, 2025, denied a Sahara Reporters story linking the detention of the officers to a failed coup and the cancellation of the October 1 Independence Day parade.

Gusau described the report as “intended to cause unnecessary tension and distrust among the populace.”

“The ongoing investigation involving the 16 officers is a routine internal process aimed at ensuring discipline and professionalism within the ranks. An investigative panel has been duly constituted, and its findings will be made public,” he said.

However, last Monday, the military backtracked, confirming that there was indeed a plot to topple Tinubu’s administration.

Presenting the outcome of investigations on the detained officers, the new Director of Defence Information, Maj Gen Samaila Uba, said the findings identified several officers with cases to answer over allegations of plotting to overthrow the government.

He said, “The findings identified a number of officers with allegations of plotting to overthrow the government, which is inconsistent with the ethics, values and professional standards required of members of the AFN.”

He noted that those indicted would be formally arraigned before relevant military judicial panels to face trial in line with the Armed Forces Act and other applicable service regulations.

Following the arrest of the 16 military officers, Sylva’s Abuja residence was raided on October 25, 2025, by operatives of the DIA.

Sylva was out of the country at the time his house was raided, but his younger brother, Paga, who serves as his Special Assistant on Domestic Affairs, along with his driver, was arrested during the operation.

Also, the former governor was declared wanted on November 10, 2025, over an alleged case of “conspiracy and dishonest conversion” of $14,859,257, part of funds injected by the Nigerian Content Development and Monitoring Board into Atlantic International Refinery and Petrochemical Limited for the construction of a refinery.

However, Sylva’s Special Assistant on Media and Public Affairs, Julius Bokoru, dismissed reports linking his principal to the coup plot, describing them as baseless and politically motivated.

He described the reports as the handiwork of “desperate and self-seeking politicians seeking to actualise their ambitions ahead of the 2027 elections.”

In a statement, Bokoru condemned the EFCC’s action, noting that the former minister was undergoing medical examination in the UK and would honour the commission’s invitation upon his return to Nigeria.

However, three months after being declared wanted, Sylva has yet to return to the country.

Our Findings revealed that the EFCC had alerted Interpol to facilitate the arrest of the former governor.

Although the Interpol spokesperson in Nigeria, Benjamin Hundeyin, who also doubles as the Force Public Relations Officer, neither answered calls nor responded to messages sent to his phone, top security officers, including DSS and police personnel, said Interpol was involved in efforts to apprehend Sylva.

“Interpol was contacted immediately after the former governor was declared wanted. Apart from the EFCC, the service is also after him. He can’t hide forever. He should submit himself for investigation if he is indeed innocent.

“Nnamdi Kanu was out of the country for a while, thinking he was off the radar. But where is he today? We will also get Sylva,” said a DSS operative knowledgeable about the matter.

Similarly, an EFCC officer, who spoke  with our correspondence on condition of anonymity because he was not authorised to speak on the matter, disclosed that Sylva would be arraigned.

“He is still on our wanted list. We are looking for the right time to arraign him. However, investigations are ongoing. We are building our case against him and, when concluded, he will be charged,” the source said.

Asked if the commission would proceed to court before his apprehension, the source said Sylva could be arraigned in absentia.

“It is possible, and the law makes provision for it. However, we have not concluded that this is the option we will take. But legally, it is possible,” he added.

Speaking with one of our correspondents, another EFCC operative urged the former governor to turn himself in.

“When a suspect of such status is declared wanted, all our partners around the world are placed on notice. Wherever he is, he will be traced. The right thing to do is to turn yourself in,” he added.

However, when contacted last Thursday, Sylva’s spokesperson declined to comment on the matter.

“Given the confirmation by the Defence Headquarters, this is now a national security matter. I am not in a position to comment on speculations, travel or investigations. Relevant authorities are best placed to speak when appropriate,” Bokoru said in a text message.

 

 

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Nigeria and Türkiye Agree to Accelerate Trade, Energy and Defence Partnerships, Says Tinubu

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President Bola Tinubu says Nigeria and Türkiye have agreed to fast-track cooperation in trade, energy and defence to boost jobs, investment and shared prosperity.

The President disclosed this on Tuesday via his official X handle during his ongoing State Visit to Ankara, Türkiye.

Tinubu said discussions with Turkish President Recep Tayyip Erdoğan focused on deepening bilateral relations and delivering tangible economic benefits for citizens of both countries.

“President Recep Tayyip Erdoğan and I reaffirmed our shared ambition, which speaks directly to jobs, investment and opportunity for our people,” the President said.

He said both leaders agreed on the need to expand trade volumes and remove structural barriers limiting business growth between Nigeria and Türkiye.

“We are creating a clear pathway to a five-billion-dollar trade volume between Nigeria and Türkiye,” Tinubu stated.

The President described the talks as practical and forward-looking, driven by mutual interests and shared regional and global responsibilities.

“Our conversations were practical and forward-looking: trade and investment, energy, education, defence cooperation, peace and security,” he said.

Tinubu announced the establishment of a Joint Economy and Trade Committee to drive implementation of agreements and attract fresh investments.

“The creation of a Joint Economy and Trade Committee will unlock new flows of capital,” the President noted.

He said the committee would also support industrial growth, technology transfer and stronger private sector participation.

Tinubu welcomed President Erdoğan’s acknowledgement of Nigeria’s ongoing reforms, especially in the energy and investment sectors.

“I welcome President Erdoğan’s recognition of Nigeria’s reform momentum, particularly in the energy sector,” he said.

The President said the renewed confidence reflected Nigeria’s commitment to transparency, stability and sustainable economic growth.

“We are determined to build an economy that works for everyone, including the most vulnerable,” Tinubu added.

On regional security, Tinubu reaffirmed Nigeria’s responsibility to promote peace and stability across Africa.

“Nigeria will continue to play its role in peace and stability in Africa,” the President said.

He said Türkiye’s expertise in counter-terrorism and defence cooperation would strengthen collective responses to emerging security threats.

“Türkiye’s experience and readiness to cooperate in training, intelligence sharing and counter-terrorism strengthen our resolve,” he stated.

Tinubu said nine bilateral agreements were exchanged at the end of the meetings between both leaders.

The agreements cover defence, education, media cooperation, diaspora policy, trade facilitation, social development and institutional collaboration.

“Nigeria remains open for serious partnership. Open to trade without barriers, ideas, skills and investment that create value and shared prosperity,” he said.

Tinubu reaffirmed Nigeria’s commitment to inclusive growth, peaceful coexistence and active global engagement.

“We are building an inclusive economy. We are strengthening peace. Nigeria will continue to engage the world with confidence and clarity,” Tinubu said.

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Strengthening Cultural Leadership to Eliminate Violence Against Women and Girls

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Op-Ed | By Maxime Houinato

As Africa stands at a crossroads in the fight against violence targeting women and girls, the continent’s traditional leaders hold a uniquely powerful key to unlocking lasting change. Their influence—rooted in culture, authority and community trust—positions them not just as custodians of heritage, but as essential partners in redefining norms, protecting rights and leading a continental shift toward safety, dignity and equality for every woman and girl.

In the coming week, traditional leaders from across Africa will meet in Lagos to explore how culture can advance dignity, safety, and equality. Their convening could not be timelier. Violence against women and girls remains widespread, underreported, and a major obstacle to achieving Agenda 2063 and the SDGs. Recent UN and WHO findings confirm that intimate partner and sexual violence persist at alarming levels, underscoring the need for strong, locally led prevention and accountability.
This important convening in Lagos is made possible through the valued support and partnership of the Ford Foundation, whose long-standing commitment to gender justice, human rights, and community-led solutions continues to strengthen efforts across Africa to end violence against women and girls.
Sub-Saharan Africa records some of the world’s highest rates of intimate partner violence, with studies showing that over 40% of women surveyed have experienced emotional, physical, or sexual abuse. Regional data platforms confirm that both lifetime and recent intimate partner violence remain alarmingly common. The effects also span generations: research across 37 African countries links mothers’ experiences of violence to higher risks of illness, undernutrition, and even death among children under five, highlighting IPV as a major threat to child survival and public health.
Where culture must evolve
Africa has made notable strides, yet harmful practices still put millions of girls at risk. West and Central Africa remain the global epicentre of child marriage: nearly 60 million women and girls in the region were married before 18, with Nigeria bearing the largest absolute numbers. These figures, drawn from UNICEF’s databases, remind us that while progress is possible, it is not guaranteed without sustained, community-anchored change.
There are bright spots. In Kenya, the latest Demographic and Health Survey shows FGM prevalence fell to about 15% in 2022, down from 21% in 2014, a testament to policy commitment and local norm change. Yet prevalence remains extremely high among several communities, and sustained vigilance is required to prevent medicalisation or cross-border practices.
Nigerian realities, African momentum
Nigeria mirrors the continental picture: national surveys and administrative data point to widespread physical, sexual and emotional violence, with thousands of cases reported to authorities each year, figures that almost certainly undercount the true burden. The Government’s National GBV Data Collation Tool is an important step toward standardising reporting and improving coordination; scaling it nationwide and linking it to survivor-centred services will save lives.
Encouragingly, the upcoming Conference of African Traditional Leaders in Lagos, already drawing commitments from eminent leaders, signals growing recognition that cultural authority can be mobilised to protect women and girls. UN Women’s work with traditional councils across Africa has shown that when custodians of culture publicly denounce harmful practices, backed by evidence and community dialogue, norms shift and laws gain legitimacy. It is why we helped catalyse platforms like the Council of Traditional Leaders of Africa to champion the abandonment of child marriage and FGM.
Law works best when culture leads
Africa’s legal architecture has advanced. The Maputo Protocol, our continental bill of women’s rights, has spurred reforms, and the African Commission recently moved to develop a Model Law to accelerate domestication and harmonisation across countries. These instruments matter: they provide standards, remedies and budgets. But their power is realised when interpreted through community values that affirm women’s dignity.
Evidence from the Spotlight Initiative, the EU-UN partnership with the African Union, shows that multi-sector, locally-led approaches can reduce harmful practices, strengthen services, and improve prevention. Traditional and religious leaders who champion public declarations, alternative rites of passage, and community bylaws help convert state law into lived practice.
A practical agenda for traditional leaders
I urge traditional leaders to make clear, practical commitments that have been proven to drive change: publicly and repeatedly denounce harmful practices such as child marriage, widowhood rites and FGM, backing declarations with community bylaws aligned with national law; promote survivor-centred justice in customary systems through strong referral pathways, bans on forced reconciliation, and proper case documentation; safeguard girls’ childhoods by ensuring birth and marriage registration, enforcing 18 as the minimum age of marriage, and supporting re-entry to school for married or parenting girls; encourage alternative rites of passage and positive models of masculinity that reject violence; and use their influence to push for stronger laws, adequate funding, and community engagement to address all forms of violence against women and girls.
Culture is not a relic; it is a living promise we renew with each generation. As guardians of that promise, Africa’s traditional leaders can be the champions of a continental transformation: from harmful silence to protective speech, from permissive norms to zero tolerance. If we act with urgency and unity, a life free from violence can become every African woman’s and girl’s lived reality.

Maxime Houinato is the UN Women Regional Director for West and Central Africa, providing strategic leadership across 24 countries to advance gender equality, strengthen women’s rights, and accelerate the elimination of violence against women and girls. In this role, he guides UN Women’s regional programmes on women’s economic empowerment, governance and political participation, humanitarian action, and the prevention and response to gender‑based violence.

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