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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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Tinubu has concluded his work vacation ahead of schedule and will return to Abuja on Tuesday, Says Onanuga

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President Bola Tinubu will on Tuesday, September 16, return to Abuja to resume official duties after ending his vacation earlier than planned.

The Special Adviser to the President on Information and Strategy, Bayo Onanuga, confirmed the development in a statement on Monday.

He said, “President Bola Ahmed Tinubu has concluded his work vacation ahead of schedule and will return to Abuja on Tuesday, September 16, 2025, to resume official duties.”

The President had departed Nigeria for France on September 4, 2025, to spend part of his annual holiday. He was initially scheduled to split the period between France and the United Kingdom.

While in Paris, Tinubu held a private luncheon with French President Emmanuel Macron at the Élysée Palace.

Both leaders reportedly reviewed key areas of bilateral cooperation and agreed to strengthen partnerships in pursuit of mutual prosperity and global stability.

This trip is Tinubu’s seventh visit to Paris since assuming office in May 2023 and his first since the BRICS summit in July and August’s TICAD9 in Japan.

In the first nine months of 2025, the President has undertaken 15 international trips across 11 countries.

These include high-level summits, bilateral engagements, presidential inaugurations, and annual leaves.

On January 6, Tinubu kicked off his diplomatic itinerary with a visit to Accra, the capital of the Republic of Ghana, to attend the inauguration of President-elect John Dramani Mahama on January 7.

He was in the United Arab Emirates to attend the Abu Dhabi Sustainability Summit from January 12 – 16, where he held side meetings with Gulf investors and officials on trade and energy cooperation.

From January 27-28, he visited Dar es Salaam, Tanzania, to participate in the Africa Heads of State Energy Summit.

February saw the President travel to France before attending the 37th African Union Summit in Ethiopia, where he joined other African leaders in discussions on regional security, climate adaptation, and continental trade integration under the AfCFTA.

From April 2-21, Tinubu embarked on a two-week working visit that included France and the United Kingdom.

In mid-May, the President travelled to Vatican City, attending the historic inauguration of Pope Leo XIV in Rome.

From June 28 to July 4, Tinubu undertook a landmark state visit to Saint Lucia, where he addressed CARICOM leaders in Castries.

From Saint Lucia, he proceeded to Brazil, arriving in Rio de Janeiro for the 17th BRICS Summit (July 4–7).

The Brazil visit continued into August, with President Tinubu returning for a two-day state visit.

This came after he visited Japan in the same month to attend the Tokyo International Conference on African Development, where he pitched Nigeria’s investment readiness to Japanese multinationals and met Prime Minister Fumio Kishida on maritime security and digital infrastructure.

Before he arrived in Japan, Tinubu and his entourage stopped over in Dubai, UAE, on August 15 and arrived in Yokohama early in the morning on August 18.

It was his second visit to the Gulf state within the year.

In September, he again embarked on a working vacation to the United Kingdom and France, his third visit to Paris this year and second to London.

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Catholic Bishops Conference : Let us build prosperity together and promoting interfaith harmony, Tinubu urges church leaders

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President Bola Ahmed Tinubu has urged faith leaders to join hands with him to build a strong economy in which the people will prosper.

He also urged them to remain steadfast in promoting interfaith harmony and denouncing violence.

He pledged to partner them and their institutions to tackle poverty, unemployment and inequality.

Tinubu spoke at the opening of the Second Plenary Meeting of the Catholic Bishops Conference of Nigeria (CBCN) in Ikot Ekpene, Akwa Ibom State, yesterday. He said his request to the religious leaders was hinged on the fact that faith-based organisations are “a vital bridge for peace, unity and moral renewal in the country.”

‘’Our efforts in tackling insecurity, expanding social investment programmes, strengthening agriculture and revitalising infrastructure are geared towards creating an enabling environment for Nigerians to live in peace and fulfill their potential.

“I reassure you that the Federal Government will deepen collaboration with the Catholic Church and other faith-based Organisations in key sectors as education, healthcare, social welfare and skills development.

‘’Together, we can tackle poverty, reduce inequality and build stronger communities,” the President said.

He was represented at the event by Secretary to the Government of the Federation (SGF), George Akume.

Senate President, Godswill Akpabio, and Akwa Ibom State Governor, Umo Eno, attended the event, which was witnessed by the representative of Pope Leo XIV, Apostolic Nuncio Most Rev. Michael Francis Crotty, and some members of the National Assembly.

Tinubu told the bishops that genuine reconciliation and national cohesion can only be achieved when spiritual leaders preach peace, discourage extremism, hatred, and divisive tendencies.

He challenged them ‘’to continue speaking truth to power, not only to government but to society.’’

Read Also: Be patient with Tinubu’s reforms, prosperity will come — Akpabio tells Nigerians

Tinubu, in a statement by Akume’s Special Adviser on Media and Publicity, Yomi Odunuga, reminded the clerics that while ‘’speaking truth to power,’’ they should ‘’offer constructive solutions that will help us build a nation where integrity, hard work and compassion are hallmarks of public and private life.”

He lauded the Catholic Bishops and other clerics across denominations for championing dialogue and tolerance in a diverse nation like Nigeria.

“The Catholic Church has been a credible partner in the journey towards national renewal. Your investments in education, health and social welfare—often in remote and underserved communities—speak louder than words. You have stood with the people in times of hardship, provided comfort in times of grief and raised your voice against injustice and corruption,” Tinubu said.

The President assured them that his administration is committed to addressing insecurity and social unrest, including poverty, unemployment and inequality.

He cited removal of fuel subsidy, unification of exchange rates and efforts to curb leakages in public finances as steps toward stabilising the economy and laying a foundation for long-term prosperity.

These policies, though demanding sacrifices in the short term, Tinubu noted, are necessary to put the nation back on the path of growth and long-term prosperity.

The President emphasised that beyond stabilisation, his government is working to attract local and foreign investments by creating an enabling environment for businesses to thrive.

He highlighted reforms in key sectors, such as agriculture, energy, and infrastructure, which are expected to stimulate job creation, boost productivity, and expand opportunities for young Nigerians.

Tinubu said while the results may not be immediate, the reforms are structured to deliver enduring benefits that will uplift lives and secure a brighter economic future for the nation.

He said: “This administration came into office with a firm commitment to renew hope, strengthen our democratic institutions and build a Nigeria that works for all. We have taken steps to stabilise the economy, attract investment and implement reforms that will, in due course, yield enduring benefits for our people.

‘’We recognise that good governance is not just about economic growth, it is about justice, fairness, transparency, accountability and the dignity of every Nigerian.

“It’s also about ensuring that no one is left behind – whether in urban centres or rural communities, whether majority or minority, whether rich or poor.

Tinubu called on religious leaders to complement the government’s initiatives by nurturing honesty, hard work, and compassion in their communities.

He urged the church to continue offering guidance in civic education, environmental protection and youth empowerment.

The President further urged the church to collaborate with the government in advancing civic education, protecting the environment, and empowering young people, so future generations will gain not only academic knowledge but also values needed to uphold the moral fabric of society.

Akpabio urges patience

Akpabio urged Nigerians to be patient with the Tinubu administration’s reforms, as they will soon yield results.

“Let me urge my compatriots to be patient with your government as we lay again the foundations of this house. Do not despair when the winds blow strong or the scaffolding shakes,’’ Akpabio said in a statement by his Special Assistant on Media/Communication, Anietie Ekong.

He said it was important for people to note that a country is like a cathedral that cannot be built in a short space of time

“A nation is like a mighty cathedral — it is not raised overnight, but stone by stone, prayer by prayer, hand by hand – They that wait upon the Lord shall renew their strength; they shall mount up with wings as Eagles (Isaiah 40:31), he said.

“Let us renew hope in the Nigerian enterprise. Let us believe again that our land can be great, that our children can inherit a future brighter than our present.

“Let us bind the wounds of division, banish the cynicism of despair, and walk together—Church and State, pulpit and parliament, faith and policy—towards the dawn.

“Transformation is not the burden of one arm of society, or the privilege of a select few. It is a covenant of partnership. As St. Paul declares: ‘We are co-workers in God’s service; you are God’s field, God’s building.’”

Governor Eno noted that the Catholic Church has played key roles all over the world in fighting injustice, enthroning democratic governance and placing the welfare of the people at the centre of its policies.

Eno called for continued support of the Church in delivering dividends of democracy to the people.

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Update : No going back on free fuel distribution, says Dangote

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‘We offer cheaper fuel despite importing 60% of crude’
Recent attacks against Dangote Petroleum Refinery from some associations in the oil and gas industry were orchestrated to derail the planned free fuel distribution logistics initiative, the management of Dangote Refinery said last night.

It however foreclosed backtracking on the initiative, adding that the attacks lack genuine and patriotic concerns.

In a statement last night, the Refinery said the position of National Union of Petroleum and Natural Gas Workers (NUPENG) and Depot and Petroleum Products Marketers Association of Nigeria (DAPPMAN) lacks legitimacy and has nothing to do unionisation as being claimed.

“Their position”, according to the statement , “have made it abundantly clear that the actions and threats issued by them is not borne out of legitimate concerns about unionisation, but a calculated campaign of economic sabotage that is orchestrated by vested interests who perceive progress as a threat to their entrenched positions.”

Reacting to a press statement by DAPPMAN, which was published, in some newspapers at the weekend, Dangote Refinery accused the association of misleading Nigerians, noting that their claims were contradicted by established facts.

The statement by Dangote Refinery reads: “In January 2022, the Nigerian National Petroleum Company (NNPC) reported that one of DAPPMAN’s members had supplied petrol containing over 15% methanol, well above acceptable limits (Methanol which is not a standard industry practice or procedure for refinery, but blenders use it to prompt up the octane rating to an acceptable level that is well above anti-knocking ratio).

“The result was widespread engine damage for thousands of end users. Yet, no transparent government inquiry or independent investigation was ever conducted to determine the source, intent, or full impact of the adulterated fuel.”

The refinery also described as incorrect, the claim that the price of petrol in Togo is lower than in Nigeria. It revealed that the average pump price in Lomé stands at approximately 680 CFA francs per litre, equivalent to N1, 826.

“This figure reflects the very scenario that DAPPMAN and its affiliates appear to advocate for in Nigeria. The Dangote Refinery has positioned Nigeria as a primary source of affordable petrol feedstock for West Africa, despite the refinery importing over 60% of the crude oil it processes. Remarkably, the refinery is able to offer petrol at prices below the international benchmark within the sub-Saharan region.

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