Health

Surrey teenager died after reading about suicide on school iPad

A 15-year-old autistic girl took her own life after an “enormous and systemic failure” by her special needs school left her with unfiltered access to online materials about suicide, a coroner has concluded.

Frances-Rose Thomas, known as Frankie, took steps to end her life at home in Witley, Surrey, in September 2018, after earlier the same day reading a story on an iPad provided by her school in which a character died by suicide.

The inquest heard that the tablet computer had no internet filter software installed to prevent users from accessing unsuitable content, and that Frankie had been accessing suicide-related material for months.

Reading out her conclusion at Surrey coroner’s court on Wednesday, the assistant coroner Karen Henderson said she believed Frankie was influenced by the material she accessed.

“Frances-Rose Thomas had a number of underlying vulnerabilities, including significant childhood trauma, high-functioning autism and impulsivity,” Henderson said. “She died at 6.57pm on 25 September 2018 at Royal Surrey County hospital after being found unresponsive … at her home address at or around 5pm the same day, an hour after she was last known to be alive.

“On the day of her death Frances had unrestricted access to the internet at school and in the absence of any effective e-security monitoring system and personal supervision, she sought out and read stories about members of her favourite band featuring suicidal acts. She left a note declaring an intention to end her life.”

The inquest heard that that while attending Stepping Stones school in Hindhead, Frankie was given unfiltered access to an iPad despite having a “bespoke education plan” to avoid such a thing. An investigation into the computer after her death found she had been able to access material relating to self-harm and suicide over a few months. This was an “enormous and systemic failure on the part of the school”, Henderson said.

“I am satisfied that Frances-Rose Thomas died by way of suicide,” Henderson said. “I find the way in which Stepping Stones school failed to ensure sufficient e-monitoring of Frankie’s iPad, and follow her bespoke educational plan, more than minimally contributed to her actions later that day.”

After the inquest, Frankie’s parents, Judy and Andy Thomas, said they were horrified when they learned about the material their daughter had been able to access at school, “where we assumed she would be kept safe”. They called on schools, particularly special needs schools, to supervise pupils when online and to make sure their computers have “the highest levels of filtering”, not only to block unsuitable content but also to alert staff to any attempt to access it.

The Thomases also called on the Department for Education to ensure the safeguarding of pupils from online harms is standardised across all schools.

“Frankie was such a big part of our lives and it was a total privilege to be her parents and we were proud of her,” they said. “She had such potential and we believed in her 100%. She was seriously unique and we miss her terribly and still cannot believe she has gone.”

Health

NCDC records 832 Lassa fever, Mpox cases, 135 deaths

The Nigeria Centre for Disease Control and Prevention (NCDC) has confirmed the country has recorded 832 confirmed cases of Lassa fever and Mpox.

Speaking during a press briefing on Friday in Abuja, the agency’s Director General, Dr. Jide Idris, revealed that 132 fatalities were recorded from Lassa fever and three from Mpox.

While acknowledging a recent decline in Lassa fever infections during epidemiological week 16 (ending April 20, 2025), he warned that the overall risk remains high, particularly in endemic regions.

“Cumulatively, as of week 16, Nigeria has reported 4,253 suspected cases of Lassa fever, 696 confirmed cases, and 132 deaths, resulting in a case fatality rate of 19.0 percent,” he stated.

Dr. Idris attributed recent improvements to intensified surveillance, treatment efforts, and enhanced community engagement. He emphasized, however, the continued need for vigilance and collaboration to sustain progress.

Regarding Mpox, the NCDC boss disclosed that three deaths have been recorded in 2025—two in Abia and Ebonyi States in week 10, and one recently in Rivers State involving a patient co-infected with HIV and tuberculosis. As of week 16, 723 suspected cases and 136 laboratory-confirmed cases of Mpox have been reported across 35 states and the Federal Capital Territory (FCT). The national case fatality rate currently stands at 2.2 per cent.

“The epidemic curve reveals multiple peaks in Mpox cases, indicating ongoing transmission. While most states have reported suspected cases, confirmed infections are heavily concentrated in Nigeria’s southern and central regions,” Dr. Idris noted.

To address these outbreaks, the NCDC has activated its Emergency Operations Centre (EOC), deployed National Rapid Response Teams to affected states, and prepositioned essential medical supplies, including personal protective equipment and laboratory consumables. Five additional Mpox diagnostic laboratories have also been optimized in Bauchi, Kano, Cross River, Rivers, and Enugu States.

“Healthcare workers are undergoing specialized training in infection prevention, case management, and cerebrospinal meningitis (CSM) care. Community outreach is being reinforced through public awareness campaigns, media engagement, and targeted health communication strategies,” he added.

On cerebrospinal meningitis, Dr. Idris reported a consistent decline in new cases and fatalities over the last three weeks.

He attributed the improvement to effective vaccination, early treatment, and adaptive surveillance strategies tailored to real-time data.

“Although the situation remains serious, strong national and state-level coordination is showing positive results. The response will continue until full containment is achieved and states take full ownership of the CSM Incident Action Plan,” he said.

Dr. Idris also expressed concern about the rising Mpox trend since its reemergence in 2017, with significant spikes recorded between 2022 and 2024, positioning Nigeria among the most affected countries globally. He warned that underreporting and delayed data entry remain challenges that need urgent resolution to ensure accurate and timely outbreak response.

A national mortality review for the recent Mpox deaths is being planned to further assess response effectiveness and identify areas for improvement.

The NCDC reaffirmed its commitment to safeguarding public health through timely surveillance, transparent reporting, and coordinated national response mechanisms aimed at reducing disease burden and preventing future outbreaks.

Health

Only 89 doctors left in Kwara Govt hospitals amid ‘Japa’ crisis – Health Board

The Executive Secretary of the Kwara State Hospital Management Board, Abdulrahman Malik, disclosed that there is an acute shortage of medical doctors in the state-owned hospitals.

Speaking at the state interministerial press briefing for the first quarter of 2025 on Tuesday, April 29, Malik said that due to the ‘Japa’ syndrome, doctors do not want to take up appointments with the state government, even when the government is ready to recruit them.

He lamented that while between 180 and 200 doctors are required in the government service, only 89 of them are available in the service.

He said the number of available doctors only recently became 89 from 86 when three who had left the service returned after the government introduced a new and improved salary for the doctors’ services.

The hospital board’s boss said the government had been trying to attract doctors to the state service with improved salaries and facilities that could encourage them to stay, especially in the rural areas where many of them do not want to go.

He also disclosed that the government has introduced an intern nurses programme for the training of nurses who would replace many nurses who had left the service for abroad.

“The mass exodus of health professionals is severely affecting our capacity to provide adequate care,” the official said.

“Gov. AbdulRahman AbdulRazaq has approved an upgrade in the salaries of our doctors to match federal pay in a bid to retain the few we have left.

“The revised salary structure has led to the return of three doctors who had previously resigned, bringing the total number on the state’s payroll to 89.

“However, the figure still falls short of the estimated 180 to 200 physicians needed to serve the state’s population effectively.

“Nigeria’s doctor-to-patient ratio is currently estimated at one doctor to over 5,000 patients, far below the World Health Organisation’s (WHO) recommended one doctor to 600 patients.”

Health

Wike approves recruitment of 34 resident doctors for FCT hospitals

The Minister of the Federal Capital Territory (FCT), Mr Nyesom Wike, has approved the recruitment of 34 resident doctors for a seven-year residency training to enhance health-care delivery in FCT.

Mr Lere Olayinka, Senior Special Assistant to the minister on Public Communications and Social Media, made this known in a statement in Abuja on Wednesday.

Olayinka explained that the 34 doctors would be the first batch of 60 medical doctors approved for residency training in eight specialities in FCT Administration hospitals.

He said that five out of the 34 doctors would work in the psychiatric department, four in internal medicine and one in general surgery.

Others, he said would comprise one in anesthesiology, eight in family medicine, six in ophthalmology and nine in obstetrics and gynaecology.

“This is the first time this is being done outside employees of the Health Management Board, thereby, giving doctors more opportunity and bringing more competent hands into healthcare delivery in the FCT,” he said.

The spokesman added that the remaining 26 doctors would be recruited in due course by the FCTA Civil Service Commission.

He said that the 26 doctors would comprise one for psychiatry department, four for internal medicine, eight for general surgery, five in anesthesiology, and eight paediatrics.