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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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Breaking : Nigeria Gets New Electoral Act as Tinubu Signs 2026 Reform Bill

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President Bola Tinubu has signed the Electoral Act 2026 (Amendment) into law, days after the Independent National Electoral Commission (INEC) released the timetable for the 2027 general elections.

The signing ceremony took place at the State House, Abuja, at about 5:00pm on Wednesday, with principal officers of the National Assembly in attendance.

The National Assembly had on Tuesday passed the Electoral Act 2026 (Amendment) Bill.

The latest amendment comes amid intense public debate over the electronic transmission of election results in real time.

Last week, protests erupted at the National Assembly complex as civil society organisations and opposition figures mounted pressure on lawmakers to mandate live transmission of results from polling units directly to INEC’s central server.

The protesters argued that real-time transmission would reduce result manipulation and strengthen public confidence in the electoral process.

However, the ruling All Progressives Congress (APC) and some stakeholders have raised concerns about the technical feasibility of live transmission, particularly in communities with weak telecommunications infrastructure. They have argued for a phased or hybrid approach that would allow manual collation where electronic systems fail.

 

 

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EFCC Extends El-Rufai’s Stay in Custody Amid ₦432bn Probe

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Former Kaduna State Governor, Nasir El-Rufai, on Tuesday spent the second night in the custody of the Economic and Financial Crimes Commission, as his lawyer, A.U Mustapha (SAN), pushes for his release on bail.

There are, however, indications that the commission may seek a remand order to extend his stay in custody to enable him to respond to questions posed by investigators handling his matter.

The former governor arrived at the EFCC headquarters in Abuja on Monday around 10 a.m. for questioning in connection with an alleged N432bn corruption probe. He was, however, detained at the commission, where investigators continued to grill him.

An official of the commission who pleaded anonymity said the anti-graft agency was considering obtaining a remand order after the expiration of the hours allowed by law to enable investigators conclude questioning him.

“Forget the speculations being peddled on social media that he has been released. He has not. El-Rufai is still with us and will be spending another night in custody.

“He is very much with us and will remain so because the investigators are considering getting a remand order after the expiration of the 48 hours allowed by law.

“The investigators need some time with him to answer questions arising from his eight years as governor in Kaduna State,” the source said.

Speaking in a telephone conversation with The PUNCH on Tuesday, El-Rufai’s counsel, Mustapha, confirmed that the former governor remained with the anti-graft agency, while insisting that his client had fully cooperated with investigators.

He described his client as a responsible citizen who is not a flight risk if granted bail.

Mustapha said, “Well, as a responsible citizen, he was invited and, true to his word, he honoured the invitation.

“As we speak, he is still with the EFCC. He is cooperating to the best of his capacity, and we hope that the EFCC, given its integrity, will be kind enough to admit him to bail because he is presumed innocent, and I am sure if he is granted bail, he will not jump bail.

“He is a responsible citizen, and everybody knows him. He came to Nigeria on his own volition. He wrote a letter that he was going to honour the EFCC invitation, and he kept his word as a man of integrity. We’re hopeful that very soon he will be granted bail.”

When asked about the specific allegations against his client, Mustapha declined to offer details.

“You’re asking the right question from the wrong person. That question can only be answered by the EFCC and not by me. I would just be speculating, and lawyers don’t do that.”

Pressed further on whether he witnessed parts of the interrogation and what it was about, Mustapha responded, “That would be prejudicial. It’s a confidential matter and not meant for public consumption.”

The EFCC’s interrogation is linked to the report of an ad hoc committee of the Kaduna State House of Assembly set up in 2024 to probe finances, loans, and contracts awarded between 2015 and 2023 during El-Rufai’s administration.

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The committee, chaired by Henry Zacharia, had alleged that several loans obtained during the period were not utilised for their intended purposes.

While presenting the report, the Speaker, Yusuf Dahiru Leman, claimed that about N423bn was allegedly siphoned under the former governor’s administration.

The committee recommended the investigation and prosecution of El-Rufai and some former cabinet members over alleged abuse of office, diversion of public funds, money laundering, contract awards without due process, and reckless borrowing.

The Assembly subsequently forwarded petitions to the EFCC and the Independent Corrupt Practices and Other Related Offences Commission.

El-Rufai has denied the allegations, describing the probe as politically motivated, and insisted that loans obtained during his tenure were properly appropriated and used for infrastructure, education, healthcare, and security.

On Monday, an EFCC source said the commission had been investigating the matter for about a year, noting that suspects are usually invited after investigations have reached an advanced stage.

“The commission has been investigating him for about a year now. As a commission, we don’t just rush to invite suspects. Persons accused are always the last; that is, after we might have done our investigation to an advanced stage.

“We are investigating him on the allegations against him by the Kaduna State Assembly,” the source said.

Meanwhile, in a separate development, the Department of State Services has filed criminal charges against El-Rufai before the Federal High Court in Abuja over alleged unlawful interception of the phone communications of the National Security Adviser, Nuhu Ribadu.

The three-count charge, marked FHC/ABJ/CR/99/2026, was filed under the Cybercrimes (Prohibition, Prevention, etc.) Amendment Act, 2024, and the Nigerian Communications Act, 2003.

According to the charge sheet, El-Rufai allegedly admitted during a February 13, 2026, appearance on Arise TV’s Prime Time Programme that he and unnamed associates unlawfully intercepted Ribadu’s communications.

Count One alleged that El-Rufai “did admit during the interview that you and your cohorts unlawfully intercepted the phone communications of the National Security Adviser, Nuhu Ribadu,” an offence said to be punishable under Section 12(1) of the Cybercrimes Amendment Act.

Count Two accused him of acknowledging knowledge of an individual involved in the alleged interception without reporting it to security agencies, while Count Three alleged that he and others still at large used technical equipment that compromised public safety and national security.

The prosecution further claimed that the alleged act, reportedly admitted during the television interview, caused “reasonable apprehension of insecurity among Nigerians.”

He is yet to be arraigned.

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Real-Time Results: Senate, House Fail to Align on INEC Powers

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Harmonisation of versions begins •Red Chamber okays e-upload to IREV

The controversy over the passage of the Electoral Act (Amendment) Bill 2026 at the Senate was laid to rest yesterday.

The Red Chamber endorsed electronic transmission of election results, without including the contentious “real-time” provision.

This was shortly before it adopted the Votes and Proceedings of the passage of the Bill, which scaled third reading on February 4, during a rowdy session.

Because the version passed by the Senate did not include “real-time” transmission, unlike the version earlier passed by the House of Representatives, a conference committee of both chambers will harmonise the bills before final approval and eventual presentation for presidential assent.

The amendment of Section 60(3), effected yesterday and passed along with other sections read by Senate President Godswill Akpabio, states: “The Presiding Officer shall electronically transmit the results from each polling unit to the INEC Result Viewing Portal, and such transmission shall be done after the prescribed Form EC8A has been signed and stamped by the Presiding Officer and countersigned by the candidates or polling agents where available at the polling unit.

“But if the electronic transmission of the result fails as a result of communication failure, and it becomes impossible to transmit the result electronically, the signed and stamped Form EC8A by the Presiding Officer, and countersigned by the candidates or polling agents where available, shall in such a case be the primary source of collation and declaration of results.”

This differs slightly from the version passed by the House of Representatives in December, which states: “The Commission shall electronically transmit the results from each polling unit to the IREV portal in real time, and each transmission shall be done simultaneously with the physical collation of results.”

The House also passed Section 60(5), which provides: “The Presiding Officer shall transmit the results, including the number of accredited voters, to the next level of collation.”

The Electoral Act 2022, under which the 2023 elections were conducted and which is in the process of being repealed, states in part under Section 60(5): “The Presiding Officer shall transfer the result, including the total number of accredited voters and the result of the ballot, in a manner as prescribed by the Commission.”

Before senators began proceedings yesterday, protesters, for the second consecutive day, gathered in front of the National Assembly to call for the passage of real-time electronic transmission of election results.

Among the protesters was the former Governor of Rivers State and immediate past Minister of Transportation, Chibuike Amaechi.

The police prevented the protesters from gaining access to the National Assembly complex.

Inside the chamber, the Senate passed the Electoral Act Amendment Bill after a heated debate in a rowdy plenary session.

At the session presided over by Senate President Godswill Akpabio, senators modified their earlier position on real-time electronic transmission of poll results.

They consequently approved a revised clause mandating electronic transmission of results from polling units to the INEC Result Viewing Portal (IREV), with a fallback mechanism in the event of network failure.

In such instances, Form EC8A, on which results are recorded, would serve as the basis for collation.

The amendment, once harmonised with the House of Representatives’ version and signed into law by the President, is expected to legalise the use of IREV in the result transmission process, unlike what obtained during the 2023 elections.

There was palpable tension in the hallowed chamber as the initial proposal to adopt the Votes and Proceedings of the previous sitting led to heated procedural disputes, which were carefully managed by Akpabio.

Outside the National Assembly, protesters continued to agitate for the inclusion of the real-time electronic uploading clause, which had been upheld in the House of Representatives’ version of the bill.

The modification followed the approval of a motion by the Senate Chief Whip, Mohammed Tahir Monguno (Borno North), titled: “Motion for Rescission on Clause 60(3) of the Electoral Act, 2022 (Repeal and Enactment) Bill, 2026.”

Moving the motion, Monguno recalled that the bill had been passed by the Senate on February 4 but said “fresh issues have emerged in respect of Clause 60(3), which require further legislative consideration to ensure the conduct of smooth, transparent and credible elections in Nigeria.”

Invoking Orders 1(b) and 52(6) of the Senate Standing Orders, 2023 (as amended), he urged the chamber to rescind its earlier decision on the clause and recommit it to the Committee of the Whole for reconsideration and passage.

Trouble began when Monguno rose to move the motion while the Senate President was reading out the rules on Votes and Proceedings.

His action triggered confusion, with many senators questioning whether the Senate could revisit a decision already taken within the same legislative session.

Some senators argued that Order 1(b) empowered the Senate to suspend normal procedure.

Following a voice vote, the chamber agreed to allow Monguno to proceed.

Monguno said ambiguity surrounding the earlier amendment, particularly the controversy over the use of the words “transfer” and “transmission” of election results, had generated public concern and required urgent legislative clarification.

He proposed a fresh amendment stipulating that presiding officers at polling units must electronically transmit results to the INEC Result Viewing Portal (IREV) after completing and signing Form EC8A.

He added that where electronic transmission fails due to communication challenges, the signed and stamped Form EC8A would serve as the primary source for collation and declaration of results.

After the motion was seconded by Senator Abba Moro, who described the development as “a victory for democracy,” the chamber descended into disorder when the Senate President declared that the voice vote had carried the amendment.

Several senators protested and invoked Order 72, which allows any senator to challenge the opinion of the presiding officer by calling for a division.

Citing Order 72, Senator Enyinnaya Abaribe demanded individual voting, triggering loud protests, shouts of points of order, and repeated calls to order by Akpabio.

At the height of the confusion, Abaribe withdrew his request for a division, a move that further unsettled the chamber.

Akpabio ruled that Abaribe’s withdrawal stood, thereby upholding the voice vote that carried the amendment.

Following the approval of the revised clause, the Senate adopted the Votes and Proceedings of the previous sitting, bringing the stormy session to a close.

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To fast-track harmonisation of the Electoral Bill with the House of Representatives’ version, the Senate expanded its conference committee from nine to 12 members to match the number of conferees from the House.

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The committee is chaired by Senator Simon Bako Lalong, with Mohammed Tahir Monguno, Adamu Aliero, Orji Uzor Kalu, Abba Moro, Asuquo Ekpenyong, Aminu Iyal Abbas, Tokunbo Abiru, Adeniyi Ayodele Adegbonmire, Jibrin Isah (Echocho), Banigo Ipalibo and Onyekachi Nwebonyi as members.

Expressing optimism that the committee would conclude its work swiftly, Akpabio said: “This is a matter of urgency. If you are able to conclude within the next few days or one week, the President should be able to sign this amended Electoral Bill within this month.”

Former Vice President Atiku Abubakar, who spoke in Minna, the capital of Niger State, said electronic transmission of results would restore sanity and avert chaos.

However, he expressed doubts about the ability of the proposed law to guarantee real-time transmission.

Atiku said: “This is below the expectations of Nigerians. During the last elections, Nigerians were expecting real-time electronic transmission of election results at various levels of the election, but what we got was a mixture of electronic and manual uploading, which caused more confusion and chaos.

“It will be best if we have a single-tier electronic transmission, which is real-time electronic transmission, which is the preference of all Nigerians.”

The African Democratic Congress (ADC) stalwart urged opposition political parties to reject the Senate’s decision to allow manual uploading of election results.

He said: “We need all opposition political parties to pursue this issue. We should not allow it to rest the way they wanted it to rest today at the Senate.”

The African Democratic Party (ADP) warned of likely public distrust of the electoral process if electronic transmission is not upheld.

The party’s National Chairman, Yabagi Sani, said in a statement that “while the Senate’s reversal of its earlier rejection of electronic transmission reflects public pressure and democratic expectation, the ADP notes that a reform that does not guarantee mandatory, real-time transmission cannot restore electoral credibility.”

The ADC National Publicity Secretary, Bolaji Abdullahi, described the Senate’s modified position as a victory for the resilience, vigilance and rising political consciousness of Nigerians.

He said in a statement: “It demonstrates, in the clearest possible terms, that when citizens act with unity, clarity of purpose and resolve, they can indeed move mountains.”

The ADC credited Nigerians’ coordinated civic actions, noting: “From the street protests to the digital campaigns, the Nigerian people have once again shown that sovereignty truly belongs to them.”

Hailing the protesters, Abdullahi added: “We salute the courage and tenacity of Nigerians. We commend every citizen who raised a voice, whether online or offline, to resist legislative mischief that threatened to undermine our electoral integrity.”

A former President of the Nigerian Bar Association (NBA), Dr Olisa Agbakoba (SAN), said the adoption of real-time upload of results would engender public trust and close electoral loopholes.

He said the regulatory process must be adequately backed by law.

Agbakoba noted in a statement that the 2023 election exposed a critical gap in the electoral legal framework, recalling that despite INEC’s deployment of the IREV portal for electronic transmission of results, the Supreme Court ruled that the innovation lacked legal force.

The human rights lawyer explained that the IREV portal currently serves only for public viewing and is not admissible as evidence of results in election petitions.

He said: “The message was unmistakable: without explicit statutory provision, electronic transmission remains optional and legally inconsequential, no matter how transparent or efficient it may be.

“This legal gap creates an insurmountable evidentiary burden in election petitions.”

The Tanimu Turaki-led faction of the PDP rejected the Senate’s position on transmission of election results, describing the senators as “clever by half.”

The party’s National Publicity Secretary, Comrade Ini Ememobong, said in a statement that the addendum introduced by the Senate to allow manual transmission was a backdoor attempt to achieve the same objective as the earlier rejection.

The statement reads in part: “We have taken note of the outcome of the Senate’s reconsideration of its earlier position on the real-time electronic transmission of election results, wherein an addendum was introduced to permit manual transmission where technology is said to fail.

“We hold the firm view that this addendum is nothing more than a backdoor attempt to achieve the same objective as the earlier outright rejection, while pretending to align with the wishes of the Nigerian people.

“Manual transmission is already sufficiently provided for under the Electoral Act. The current agitation for electronic transmission is aimed at introducing a second-layer authentication mechanism that prevents the alteration of results en route to collation centres, a malpractice that has historically been the bane of Nigeria’s electoral process.

“Furthermore, it is inconceivable that the same BVAS technology, which successfully undertakes accreditation throughout an election, would suddenly become unreliable for the transmission of results and accreditation data arising from that same exercise.

“This caveat is a clear indication of the humongous fear being harboured by senators opposed to electronic transmission, particularly Senate President Godswill Akpabio, whom we reasonably suspect remains haunted by the ghost of his 2019 election loss, occasioned by the deployment of technology to curb over-voting.

“They must be reminded that Nigeria is bigger than their narrow personal and political interests.

“We therefore urge members of the Conference Committee to adopt the version of the bill passed by the House of Representatives as the harmonised position, if indeed they are committed to delivering credible elections in 2027.

“They must rise above the instincts of politicians fixated on the next election and instead focus on the sustenance of democracy and the protection of future generations.

“Should this democracy fail, the names of Senator Akpabio and all senators who voted against electronic transmission will undoubtedly occupy a conspicuous chapter in the book of infamy.

“We also call on Nigerians to remain resolute in their demand for real-time electronic transmission of election results. This is no time for excuses. This hard-won democracy is far too valuable to be left in the hands of politicians alone.”

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