Contributed by
Ken Sikaris, Chair, IFCC Committee on Analytical Quality
The IFCC Education and Management Division (EMD)
supervises the Visiting Lecture Program (VLP) which allows member
societies to seek some support for visiting lecturers in an area of
need. The Nigerian Association of Clinical Chemists requested a
lecturer on the topic of analytical quality for their biannual
scientific meeting to be held in Calabar in 2005. Naturally, the
EMD approached its own Committee on Analytical quality (CAQ) to
provide a speaker and preferred the speaker to be one of the CAQ
members. The CAQ was actually in transition so as one of the two
continuing members, and chair of the committee, I accepted the
invitation.
Most biochemists know only anecdotes about Nigeria, such
as Internet scams and Miss Universe Pageant protests. More
importantly, Nigeria has a burgeoning population of about 160
million, the largest in Africa and is blessed by fertile soils and
reliable rainfall. Furthermore a prosperous oil industry was
established in the 1950's, although even since independence from
the British Commonwealth in 1960, the economic strength of this
resource has not had major benefits to the population as a whole
leading to protests against the foreign oil companies.
It is also a paradox that in a country blessed with so
many natural resources; many Nigerians only have access to a health
system typical of a developing country. The NACC was established in
1975 and reborn in 1999 largely under the drive and benefaction of
Dr 'Popo' Akinyanju. This great man died in September 2004 and this
was the first NACC meeting without him. However, he will always be
remembered, especially during the memorial lecture established in
his honour that should open all future meetings.
Dr Sonny F. Kuku, a private laboratory director as well as
a truly internationally qualified endocrinologist gave a plenary
lecture which was directed toward laboratory leadership and called
for the various professions that make up laboratory medicine to
acknowledge each others training and strengths and get on with
advancing laboratory medicine in Nigeria as his close colleague
'Popo' would also hope.
Following that opening, Prof Jack Ladenson from Washington
University in St Louis and I gave a symposium on quality assurance.
Prof Ladenson spoke on laboratory quality assurance that should
always include pre-analytical and post-analytical procedures while
I spoke on the value of external quality assessment. We were both
aware that many laboratories in Nigeria have limited analytical
quality control and a national external quality assurance does not
exist. Nevertheless, it is important to reinforce the value of
these global standards while trying to establish some in house
approaches in these areas appropriate to the resources available to
the laboratory such as patient pools and sample
exchange.
The second day and third days of the conference included
numerous presentations, largely from trainees which were of a good
standard and often focused on problems such as environmental
toxicology and diabetes in this challenging health environment.
Prof Ladenson also spoke on his work with Pathologists Overseas Inc
supporting laboratory projects particularly in Eritrea and Bhutan.
My second lecture addressed the clinical interpretation of our
results and how understanding the basis of reference intervals,
biological variability and measurement uncertainty facilitates
interpretation while also determining the minimum standards that
should be applied in any laboratory. I was especially heartened by
the enthusiastic interest in these topics by the senior trainees
which suggested to me the future of laboratory medicine in Nigeria
could be in good hands.
The Nigerian capital is now Abuja which is centrally
located but I flew into Lagos, a sprawling city of around 20
million people and previous capital before flying on to Calabar in
Cross River State. Calabar is a much quieter, cleaner and greener
city than Lagos. It has always been a trading port and
unfortunately its history includes a prolonged period as a major
slave port from Africa. Another historical peculiarity of the area
is the story of revered Mary Slessor, the missionary that convinced
people that baby twins were not evil and their lives have been
spared ever since.
Calabar is renowned for its cooking and its peculiar
cuisine which includes yams, cassava, plantain bananas, Afang soup
and edikaingkong soup were unusual and delicious. I enjoyed the
fish and ox stripe casserole and lamb pepper soup. Most people in
Calabar travel around as pinion passengers on commercial motorbikes
but our hosts provided transport provided through the host
institution; The University of Calabar and the UniCal
Hotel.
The weather at this time of year is very warm and humid
which makes refreshing breezes particularly pleasant. I am grateful
for the considerable advice and support required to ensure a
successful visit to Nigeria. The appreciation and desire of our
colleagues in Nigeria to be equivalent members of our global
professional community was well worth that support.
Some of the registrants at Day 3 of the NACC Biannual
meeting in Calabar, Cross River State, Nigeria. Front row: Dr J
Anetor (Treasurer), Prof A E Udoh (Meeting Chair), Prof J E Ahaneku
(VP), Dr K Sikaris (Aus), Dr P H O Amodu (Pres. NACC), Dr O. O.
Oladipo (Secretary), Prof J Ladenson (USA), Prof D M Bolarin, Prof
O A Dada and Mr PO Bassey. Prof A B Okesina (behind KS) and J.A.A.
Onakoya (behind Dr Amodu), Dr. Itam (behind Prof Ladenson), Prof
Agbedana (behind Prof Okesina), Dr Tunji Soriyan (behind Prof JL),
Dr. Maisie Etukudo (extreme left rear in blue with
glasses)
|