Mon. May 25th, 2026
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The National Executive Council, NEC, of the National Association of Resident Doctors, NARD, on Saturday, rejected the 25 per cent increment in the basic salary of doctors as well as the accoutrement allowance.

 

They insisted that their earlier demand is for full restoration of the Consolidated Medical Salary Structure to its right value as at the time of the approval of the structure in 2009.

 

The doctors also maintained that there was no going back on the ongoing nationwide total and indefinite strike until reasonable progress is made by the government to address their demands as contained in their ultimatum issued to the federal government on July 5.

 

Declaring this position in a communique jointly signed by the President, Dr Orji Emeka Innocent, Secretary-General, Dr. Chikezie Kelechi, and Publicity & Social Secretary, Dr Uma Musa, the striking doctors described the 25 per cent as a ‘paltry’ and said the strike continues.

 

The communique issued at the end of its NEC meeting in Lagos, tagged: “LasGIDI 2023”, with the theme: “Bullying in Medical Practice: a matter of Perspective?”, demanded the immediate release of the circular on the One-for-One policy for the replacement of exited clinical workers for implementation, as they cannot continue to watch their members lose their lives and break down under the weight of work overload occasioned by massive depletion of clinical staff in the hospitals on account of brain drain.

 

They observed that the 2023 Medical Residency Training Fund (MRTF) has not been paid even after several promises made by the government.

 

The communique further states: “After critical consideration, NEC resolved as: to demand the payment of all salaries and arrears including the salary arrears of 2014-2016, arrears of hazard allowance, arrears of consequential adjustment of the minimum wage, and promotion arrears to our deserving members without further delay;

 

“To call on the MDCN to reverse herself on the downgrading of the membership certificate as this is an ill wind that blows no one good, adding that continuing on this path would only reduce the value placed on the postgraduate medical training in Nigeria;

 

“To call on the governors of Abia, Kaduna, and Enugu states as well as other states where our members’ welfare is neglected, to as a matter of urgency look into these challenges to resolve them amicably;

 

“For the avoidance of doubt, these governors are expected to among others, clear all salary backlogs, pay promotion arrears, adopt/review the CONMESS salary structure, review the hazard allowance, and domesticate the medical residency training act as well as pay the MRTF using the new circular issued by NSIWC in January 2023 (as was done by their counterparts in Delta, Benue Ogun and Osun states);

 

“To vehemently reject the casualization of doctors under any guise in all tertiary health institutions in Nigeria, warning that this could be a subject of industrial action shortly if not nipped in the bud now;

 

“To call for the immediate unconditional release of our trainer, Prof. Ekanem Philip-Ephraim of UCTH Calaber, and to call on the government to beef up security in the country to forestall such occurrences;

 

“To persuade the federal government to consider ways of placating Nigerians who have to grapple daily with the burden of living in the post-subsidy era, while calling on the government to ensure that savings from the subsidy removal would be prudently utilized for the common good.”

 

They further appealed to the Federal and state governments to urgently resolve these demands to forestall the further escalation of the ongoing industrial disharmony in the health sector nationwide.

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From Tramadol to Canadian to Exol-5 The New Drug Destroying Nigerian Youths An Investigative Article .From Tramadol to Canadian to Exol-5: The New Drug Destroying Nigerian Youths An Investigative Report on the Shifting Landscape of Substance Abuse in Nigeria Nigeria faces a severe and evolving drug crisis, particularly among its youth. What began with the widespread abuse of Tramadol has progressed through mixtures like “Canadian” to newer pharmaceutical diversions such as Exol-5. This shift reflects deeper issues: easy access to prescription drugs, weak regulation, socioeconomic pressures, and aggressive street-level marketing. NDLEA operations and health studies reveal a public health emergency that threatens an entire generation. Phase 1: The Tramadol Epidemic (2010s–Early 2020s) Tramadol, a synthetic opioid prescribed for moderate to severe pain, became Nigeria’s most notorious street drug. Cheap, potent, and widely smuggled (often from India and other Asian countries), it offered users energy, euphoria, and pain relief — appealing to commercial drivers, laborers, students, and young men seeking confidence or stamina. Scale of the Problem: Millions of tablets seized annually by NDLEA. High prevalence among young males aged 15–35. Linked to increased crime, sexual violence, organ damage (kidney failure, seizures), and mental health breakdowns. Contributed to broader opioid misuse alongside codeine cough syrups. Government responses included tighter import controls and public awareness campaigns, but these only displaced demand to other substances rather than eliminating it. Phase 2: The Rise of “Canadian” (Mid-2020s) “Canadian” or “Canadian Loud” emerged as a popular code for high-grade cannabis (often indica-dominant strains) or cannabis mixed with other synthetics. It gained traction as users sought alternatives or combinations to Tramadol’s effects. This phase marked a move toward imported or locally cultivated premium weed, sometimes laced with stronger chemicals. Youths in urban centers like Lagos, Kano, Jos, and Onitsha embraced it for its perceived “cleaner” high compared to opioids. However, it fueled polydrug use — combining cannabis with opioids, sedatives, or alcohol — amplifying health risks. Phase 3: Exol-5 – The Current Threat (2024–2026) Exol-5 (Benzhexol Hydrochloride / Trihexyphenidyl 5mg), originally a prescription medication for Parkinson’s disease and drug-induced movement disorders, has become the latest pharmaceutical being heavily abused. Why Exol-5? Euphoric Effects: Users report intense euphoria, hallucinations, and a sense of detachment — making it attractive as a cheap “upper” or escape. Accessibility: Sold over-the-counter or on the black market despite being a controlled prescription drug. NDLEA has seized millions of pills in single operations (e.g., 3.1 million pills in Kano in late 2024, and over 5.6 million combined with Tramadol in other busts). Street Names: Exol, Artane, Benzhexol, “Farin Mallam” (in Northern Nigeria). Demographics: Prevalent among youths, laborers, and even psychiatric patients who divert prescriptions. Studies show abuse rates as high as 25% among certain outpatient groups. Health Consequences: Anticholinergic toxicity: Confusion, dry mouth, blurred vision, urinary retention, constipation, and in high doses — delirium, psychosis, seizures, and heart issues. Long-term: Cognitive impairment, addiction, exacerbated mental health disorders. Often mixed with Tramadol, codeine, or cannabis, creating dangerous synergies. In cities like Jos, Exol-5 sits alongside diazepam, Rohypnol, and Tramadol on street markets, easily available to teenagers and young adults. Why This Evolution Continues Supply-Side Failures: Porous borders, corrupt officials, and overproduction of pharmaceuticals enable diversion. Demand Drivers: Unemployment, poverty, peer pressure, trauma, and the pursuit of performance enhancement (e.g., for “hustle” culture). Weak Regulation: Many pharmacies sell restricted drugs without prescriptions. Online and street vendors fill gaps. Displacement Effect: Cracking down on one substance (Tramadol/codeine) pushes users and dealers toward the next available option. NDLEA reports ongoing large seizures, but the problem persists due to high profitability and low risk for mid-level distributors. Broader Impacts on Nigerian Youths Education: Increased dropout rates and poor academic performance. Mental Health: Rising cases of psychosis and depression. Economy: Lost productivity among the working-age population. Crime and Violence: Drug-fueled robberies, cultism, and family breakdowns. Public Health System Strain: Overburdened hospitals treating overdoses and chronic complications. Young people aged 15–39 remain the hardest hit, with national surveys showing drug use prevalence significantly above global averages. What Must Be Done Stronger Enforcement: Consistent prosecution of corrupt enablers and large-scale traffickers. Regulation: Crackdown on rogue pharmacies and better tracking of prescription drugs. Prevention & Rehabilitation: School programs, community outreach, and expanded treatment centers (currently woefully inadequate). Economic Alternatives: Address root causes like youth unemployment. Public Awareness: Honest campaigns highlighting real dangers of “Exol-5” and similar drugs. Conclusion From Tramadol’s opioid grip to “Canadian” cannabis culture and now Exol-5’s anticholinergic highs, Nigeria’s drug crisis is mutating faster than responses can contain it. Exol-5 represents the dangerous new frontier — a legitimate medicine turned youth destroyer due to misuse and greed. Without urgent, multi-layered intervention — combining supply disruption, demand reduction, and socioeconomic support — an entire generation risks being lost to addiction. The time for half-measures is over. Nigeria’s future depends on winning this fight.