 Welcome to the breakfast in Plasti, Africa, away from politics and aspiration. We head straight to our second conversation. We're looking at the fact that the case of COVID-19 there's a decrease in COVID-19 cases in Lagos state, right? And we do have a physician who joins the conversation this morning. Now, the Lagos State Commissioner for Health, Professor Akin Abayumi, said that there's been a decrease in COVID-19 positive cases. And as a result, the government has been focusing on having more people take the COVID-19 vaccine. And we're going to ask ourselves, what have we done? What's the implication of the development in the rural fight against COVID-19? Like I mentioned earlier on, we have a health physician who joins the breakfast this morning, Dr. Ganyu Jamiyu is a public affairs, I mean, a bigger part than a health practitioner. Good morning. It's good to have you join us on the breakfast. So let's talk about this. What are we doing differently? And what does this mean? Does this also mean that we have been testing very frequent? And does it also mean that there's been 100% compliance with the COVID-19 protocols? We're having a reduction right here in Lagos State. Okay. Thank you very much for the question. I would like to respond to your last question for the first one. I don't think we will conform it to the non-pharmaceutical measures. It has been a huge concern. We go around the Lagos State. Maybe you see a number of people wearing practice clothes, maintaining social distancing, or washing their hands. Even in places where there needs to be facilities for an hygiene, I don't think you can apply some of those things anymore. Also, I reckon that in terms of protocol of the capacity of passengers and vehicles and so on, I don't think such has been complied anymore. And even some commercial buildings, you at least see what has been there at the peak of the pandemic in 2020. So I would want to say on the part of the government, but even the citizens that are tied, that they are partying as regards to complying with the non-pharmaceutical measures. As for the testing, it has been a concern, but at least we've improved on that. And I think compared to the earlier period where we are having challenges with that. And again, looking at our protocol on travel advisory, you find that at least we've done very well with regards to people going out of the country, coming out of the country. At least you must get tested. The status of an inbound passenger need to be satisfied to be sure before you or she can travel. I think on that aspect, we've done very well. Thank you. Okay. Dr. Jamiu, so you're saying that maybe we've done well with travel policies, but not so well with the non-pharmaceutical interventions as far as COVID-19 is concerned. When the Omicron variant was announced, we had that it had increased transmissibility. And there was palpable fear amongst those in the developing world like Nigeria that since it has increased transmissibility, maybe this was the one that would get us, because we've been surviving the other ones, variants and all that, not like how it's been a broad way. We have a lot of cases and we see chaos everywhere. So what happened? What happened? Why didn't we see that fear come to pass in terms of the transmissibility and our carelessness in this part of the world? Thank you. The idea of transmissibility does not translate to severe transmission. You have to believe in me again that there is a lot of speculation. Today, the way in which we say it's highly transmissible, it's most severe to want to be here in another country. But all in all, I think regarding it, yes, it's highly transmissible, but in terms of the rate of infection, it has been transferred as being my, you know, I admire it, and I think that has contributed to that, because the rate of especially Nigerian broadcasts, you know, just by having some spice between November and December 2021, we see from that the rate of hospitalization was normal. The way in which case mortality was normal, we only record a few and a few are dead. So I think, as I've said, transmissibility does not translate to the rate of infection. In the year, I think it's better, but the test of clinical presentation and severity that there will be not too severe. Thank you. Yeah, the end of this fourth wave was announced in Lagos State by the Commissioner for Health, Prof Saki and Bayoumi, of course, in an interview on air. This is Lagos State. How about the rest of Nigeria? Do you expect that probably the presidential task force on COVID-19 will make an announcement regarding this fourth wave? That's number one. Number two, do you foresee government relaxing some of its measures? Like we said, not for some pharmaceutical measures, it's the directives put in place, limit limitations in terms of gathering and size of crowds and events and even things like curfew in Lagos State, at least, after the announcement of this. Well, after the announcement, what you need to understand is that Lagos State on Nigeria in particular is not in isolation. As long as the virus continues to be transmitted among citizens or other clients, we are not safe free. So we cannot just relax our measures. We need to continue until we are able to achieve a kind of global control. That's why we can be talking about relaxing all the measures. Before now, even before the announcement of this fourth wave, people have not been compliant, measures that the citizens need to be well informed or they need to take a safe responsibility and they need to increase the number of cases we are witnessing. A reminder that if you are not under complying, there is a need for you to comply. A reminder that if you have not been fascinated, you need to get yourself fascinated. I think those are pointers to what was stated when we were to Lagos State within the fourth wave. But at this moment, I don't think so. And you have to agree with me that on a daily basis, we have people coming to the country and that is another source of infection. And even in December, when we recorded that spike, you will believe with me, that was a time when people are coming in for Christmas and New Year holiday. And that also contributed to that increase in spike in the country. So I think we need to continue. What is our vaccination coverage? It's still below 10%. So that's barely 10%. For the fourth doses around 10%. Then for the second doses, I'm not sure it's up to 10%. Where we're by now, we should be talking about 40%. And by the end of this year, we should be talking about 70% problems. So we are still far, far behind. So the only way is for us to go, people to get themselves fascinated and to continue to comply with enough pharmaceutical measures, which I'm sorry, people are not doing that anymore. So Dr. Jamiu, just as we cross it down now, I would like you to tell us because you are an expert now, a health expert. So how did we then arrive at the decrease? What is it that we have been doing in Lagos? Because if we have not been compliant, I mean, not to say that we, because I see that on a daily basis, the level of compliance with not where I mean, it's almost nothing. At the end of the day, you find out that a lot of persons are out there not wearing nose masks, not respecting social gatherings. You see the transport sector, people are being packed in buses and what have you. So what exactly did we do to arrive at this particular, you know, statistics and incident that we're having a decrease and that has ended the second, I mean, the fourth wave of the virus? I think you have to give some level of explanation. You believe in me that the virus tend to, we tend to record more spikes when we're doing cold temperature. That is when the temperature is relatively low, maybe a lower degree or so. For the past two, three months, you know, we've been witnessing that that may be a factor. Therefore, the fact that, as I've said, we recorded these spikes during the first few years when people are coming from other parts of the country, you know, to come and see their loved ones. I think that has also contributed to that because, you know, there are a lot of funny, funny and sharp practices among able passengers at times. You find that some people, what we notice is that some people, we actually register to any of the convenient laboratory with the attention that when they get to the country, they will go for testing. And then they don't comply with those protocols. And that also will have contributed to how you've heard of cases of people presenting a fake result and so on. So what do you expect? Maybe if there is somebody, and coupled with the fact that we are talking about Omicron Vera, we tend to present with a Mida presentation. So what do you expect in the future? Maybe somebody has it and he's not showing, he says it's traumatic or presenting mild with Mida symptoms. What do you turn that kind of person, you know, go and, you know, mingle with the family member? What do you expect? That would be a kind of community transmission. And I want to believe that has actually contributed to what the despite we just recently recorded. But as I've said, we are not new with our surveillance capacity. This is not the first time we'll be recording any force, I mean, any wave in the country. So in terms of capacity, I think we are we are we are more prepared in terms of dictating, isolating people, providing management. And so that is not in what we don't need. We'll just also, you know, go back to what we are used to and try to improve more so that we can put the wave under control and which I believe that will make us in another society. Thank you. And again, sorry to say you in one sentence, one sentence, please. Yes. Okay. All right. We have to we have to leave that Dr. Ganiu Jamiu, of course, we wish we had more time, but it's interesting to see, like Messi said, the statistics and the numbers and the reasons for the end of this fourth wave you've given us, especially the fact that we had a spike towards the end of last year. Thank you very much for your time. Dr. Ganiu Jamiu is a public health physician and has been a guest on the final leg of the breakfast this morning. Thank you very much. Thank you. It's quite interesting these numbers and the fact that we had we had a serious spike, you know, and a lot of people were concerned, you know, for this spike as far as COVID-19, you know, and then the transmissibility and all of that. And so it's so interesting to see that despite, you know, for that people are not adhering to the known pharmaceutical advice. Are we seeing it deep? Well, I mean, he probably might just have a point because at the time we also remember where the government mentioned December. I think we said I experienced in that spike for, you know, December the 7th, 2021, and that's reduced. It probably might make some kind of sense, but we hope to have more conversations surrounding what we're doing differently. Because if you look at you want to ask, yes, we know we're testing, but how much are we testing? You want to talk about the compliance? What exactly could be responsible? Could he also be the weather? These are some questions that we need more answers to, but that's the size of our package this morning on the breakfast. And we hope you've had a great time. The breakfast will return tomorrow. The time again is seven o'clock. In the meantime, if you missed out on any part of the conversation, it's all right to catch up on Facebook, Twitter, and Instagram, what plus TV Africa and on YouTube. It's okay to subscribe plus TV Africa lifestyle and plus TV Africa as well. I am messy before do have a fantastic Monday. And I'm Cuffee Patel, so return tomorrow morning.