Keep It Up Aminu Magashi: A Response to Adalat Yusuf

By

Ahmed Awaisu A., M.Pharm.

pharmahmed@yahoo.com

 

Dear Adalat,

 

I am happy to inform you that I follow the persistent polio imbroglio in Nigeria with keen interest. Recent events on this issue and comments issued by some commentators have nudged me to wander into this issue. Notwithstanding that, it has never been my intention to present any article on this issue to the media. However, most recently I feel compelled to write and reflect on some of your articles and attitudes towards this long-standing controversy. A recent response you made on article by Aminu Magashi posted to www.gamji.com made me take to undertake this endeavor. That article is a surrogate marker of your incompetence and a clear indicator of your bias nature. In his piece, Aminu Magashi has attempted to reflect on some inter-professional complexities among healthcare professionals ranging from doctors who specialize in immunology, virology to pharmacists who specialize in pharmaceutics/pharmaceutical technology, pharmaceutical chemistry, pharmacology, and the rest. I was also opportune to have read in the past, many of your publications regarding this matter, most notably the one in February 2004. That of last week focused on Dr Aminu Magashi (herein after called he/him), Yusuf Adalat (hereafter called you/yours) and some other distinguished parties (hereafter called they/them). Whereas my opinion for or against the OPV (oral polio vaccine) issue in Nigeria is reserved within me, your contribution to the whole issue is becoming nauseating to the wide readership of this website.

 

I would like to begin by a reminder that, public health is a societal effort to protect, promote, and restore the health of the public. It is a combination of sciences, skills, and beliefs that are directed to the maintenance and improvement of the health of the people through collective and social actions. Having this at the back of my mind and other ideas, I must admit that poliomyelitis is a vaccine-preventable disease of childhood, alike with measles, meningitis, tetanus, mumps, whooping cough, and diphtheria. A new cohort of children is born every year, and obviously, all will require immunization, especially before entry into the school system. I am an ardent believer that such life-threatening diseases of childhood should be eradicated. I don’t want to talk about malaria because vaccines against it are still under scientific investigations and perhaps clinical trials are still on. Yet, I sometimes question myself how much effort is focused towards its treatment and prevention as a notable contributor of infant morbidity and mortality in Nigeria . It looks imperative to many people that there is also the need to look into the epidemiology ranging from incidence to prevalence, morbidity and fatality rates of diseases before initiating any preventive health projects or prioritizing them. The controversy all began when people realized and felt that many other killer diseases of their infants were or are neglected. They raised an objection that it looked questionable to them! This culminated into the involvement of elites and intellectuals into the whole issue that led to some scientific researches to determine the contents, safety and efficacy of the vaccines in question (OPV). Remember that the people of Kano State are still very conscious of the unethical, fatal, and illegal Clinical Trial of Trovafloxacin (TrovanÒ) vs Ceftriaxone (RocephinÒ) conducted by an American Pharmaceutical giant, in the face of meningococcal meningitis epidemics in 1996. As a sequalae to that trial it was claimed that many children died and others were left deformed subsequent to the administration of the investigational agent. Be it as it may, whether the morbidities and mortalities claimed to be the aftermath of this trial are associated with the complications of the disease or with the toxicity of the test drug, I am of the opinion that the company had violated the ethical mandates of a clinical research. I therefore would find it difficult to explain to a common man to understand the benefits and risks associated with that massive polio immunization. Whatever the truth is, to my understanding the columnist Magashi has neither denied the existence of the disease (poliomyelitis) nor has he ever argued the need for combating it.

 

I thought you deserve some benefits of doubt, but I guess you do not. Magashi! A health columnist that others and I cherish writes with professional competence and has written on diverse health-related issues. I applaud him for being consistently consistent and frown at you for being consistently inconsistent. I have neither reservation nor hesitation to inform you that he has won the respect of not only his peers, but also many people. His readers are really impressed with the quality and consistency of his contributions to the pressing health issues. In fact, Magashi is an astute health columnist of the present days. Please keep it up and maintain the reputation for high quality public health contributions.

 

I wish to recall back your column of February and inquire you of ‘what would you have been without the taxpayers’ money’. This is in response to a statement you made thereof, in which you were questioning him as to ‘what would he have been without taxpayers’ money’. In the same article you advised him to go back to the hospital to take care of malnourished women and children. Before I go into any professional argument with you and ask you about epidemiology of diseases in Nigeria , which you seem to be ignorant of, I would be delighted to know your educational qualifications and place of origin. I would also be glad if you may kindly highlight to the public what malnourishment is all about, statistics of its distribution in Nigeria including the geographical area you come from. This you need to support with evidence, and then only we are rest assured that you can tell someone his/her responsibilities. Magashi is proud that he was privilege to have acquired the knowledge, skills, expertise, and legal responsibilities to take care of the health of the people (Hausa/Fulani as you mentioned in your article). You equally in the write-up argued that he was able to convince his colleagues to join the bandwagon of war against polio immunization in Kano and some other States. If you were realistic why didn’t you convince your colleagues that the benefits outweigh the risks, instead of resorting to baseless arguments and attack of personalities? For any watchful reader most of your articles are based on personal vendetta. I am worried that you always respond to Magashi’s writings with obnoxious and insulting rejoinders. It is too personal brother! In fact, it is doubtful that the proliferation of misinformation by you will ever slow. Haba…It is becoming nauseating and disgusting to many readers.

 

Not only that, Adalat spearheads an effort to castigate, blackmail, and blemish the characters and personalities of other distinguished people. In the Tuesday issue (June 8, 2004) of Daily Trust under the Health-Interactive Column, Magashi has attempted to clear the misconceptions of many readers regarding some professional disciplines and their roles, especially in scientific and clinical investigations such as the ones involved in polio vaccines. In the article titled ‘Rivalry among Health Professionals: The Polio Experience’, he highlights without prejudice or disregard to any health professional or party thereof, the various academic backgrounds, expertise and professional responsibilities of various stakeholders who felt that they were the alpha and omega of leading a research team in the above mentioned controversy. He further explained though in brief terms, giving some literal hints on the general role of each of them. Though, Magashi’s article was neither exhaustive nor exclusive, readers are impressed with the manner in which he presented it. I strongly believe that a research on the safety and efficacy of polio vaccine is a multi-disciplinary one, in which professionals in different specializations of pharmacy, medicine, statistics, or microbiology have a role to play. In response to this, Adalat discredits, disregards, and undermines respected professionals, academicians, and intellectuals like Prof. Abdullahi Mustapha, Dr. Haruna A. Kaita, Dr. Alhassan Bichi, and Dr. Ibramim Adamu Yakasai (wrongly cited Ibrahim Ahmed Yakasai). The faculty of reasoning of these individuals is far beyond yours and their contribution to humanity (I may not need to tell my readers). That is why they do not write garbage in the national dailies. No one seems to benefit from the contents of your articles, but many stand to benefit always from prolific writers like Magashi. To clear one misconception from your mind, no reader would be interested to know specifically who the professionals you were referring to were. In that you termed them ‘faceless characters’; whereas his aim was not to tarnish anybody’s image, but rather enlighten people who are not familiar with the concepts. The objective of Adalat’s rejoinder was not and would never be beneficial in anyway to anybody. I would have preferred anonymity, but I feel that people like you do not deserve that. Further, I would like to inform you that Haruna Kaita is a scientist and a researcher with international reputation and recognition. Please find out! It is unethical for you to therefore make such assertions on his character. His contributions to both the pharmaceutical and biomedical sciences are well respected and appreciated by all.

 

To my surprise Adalat has condemned most of the people in Magashi’s article without any basis or considerations. This is an eloquent testimony of your uncompromising ideas, bigotry, and narrow-mindness. I strongly advise you that you stop writing garbage in the media and concentrate on your career. 

 

Lest I forget! You keep on claiming that you are ‘an expert on polio’. By virtue of what academic qualification are you a polio expert? I stand to be corrected that you are neither scientific nor objective in most of your arguments and write-ups. People cannot see the expertise in you and there is reasonable doubt as to the validity of such charlatan claims.

 

Hence, in your ‘X-ray analysis’ there are two possibilities. Either you got a false-positive result or you were misinterpreting the findings!!! Writers like you should be banned from public write-ups if possible, because you have knowledge deficit of the ethics of media writing and etiquette education. Actors and actresses of your sort end up as failures.

 

Finally, I would like to conclude by saying that the impact Aminu Magashi has been making through vital health columns is remarkable. He provides information that will be of direct value to community health and patients’ care.

 

Ahmed Awaisu Writes in from the Dept. of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia , 11800 Minden , Pulau – Pinang , Malaysia