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Chukwuedu Nwokolo

Nigerian medical doctor

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Chukwuedu Nathaniel II Nwokolo (19 April 1921 – 18 May 2014) was a Nigerian physician specialist in tropical diseases. He was recognised for discovering and mapping out the area of paragonimiasis lung disease in Eastern Nigeria, with a study of the disease in Africa and clinical research for its control. He founded SICREP: Sickle Cell Research Programme to effectively fight the disease in Nigeria and globally.

Nwokolo was born on Tuesday, 19 April 1921 – at Amaimo, now located in Imo State: Nigeria, where his parents worked for Church Missionary Society as evangelists. He was the first male child amongst seven children His father: Nathaniel Ezuma Nwokolo, was a church teacher; and his mother was trained at the Niger CMS: Church Missionary Society Onitsha.

Nwokolo started primary school at Ezinihitte-Mbaise in today's Imo State, and then proceeded to Government College Umuahia. In 1939, he entered Higher College Yaba, studying medicine. Most of the students that went to Government College Umuahia went on to Yaba College which was the only science-based institution of higher learning in Nigeria at the time. Nwokolo's medical course lasted seven years including internship, with the General Hospital Lagos and Aba General Hospital as teaching hospitals. Nwokolo qualified as a medical doctor in 1946, and consequently got the LMS: Licenciate of the School of Medicine.and won the Walter Johnson prize in public health.

After his internship at Lagos General Hospital, Nwokolo was posted from 1947 to 1949 at General Hospital Enugu.

In 1948, as the University College Ibadan was opening its teaching hospital temporarily at the Ibadan Adeoyo Hospital, the university made a request to the government for junior doctors to work as house officers. Nwokolo was the first of such assistant medical officers to be seconded in 1949. Nwokolo worked in the department of medicine at the University College Hospital from 1949 to 1950, and subsequently proceeded to London, uplifted with a professional letter of recommendation from professor Alexander Brown.

Arriving in England in 1950, he studied at Queen Mary's Hospital, Sidcup, and worked in medicine and surgery house jobs in Dover, becoming qualified to register and practice in Great Britain. He then became a senior house physician in the geriatrics unit of Queen Mary's Hospital, Sidcup. There, Nwokolo worked towards getting his MRCP: Membership of the Royal College of Physicians.

In 1952, Nwokolo moved to Edinburgh to prepare further for the MRCP. He attended lectures and tutorials of the Royal College of Physicians of Edinburgh, and clinics of some consultants. Early in 1953, Nwokolo took the MRCP examination. He was one of the few Africans to obtain Member of the Royal College of Physicians qualification, and the second Nigerian to do so, the first being Dr. Olu Mabayoje. Armed with the MRCP, Nwokolo went back to his former Queen Mary's Hospital, Sidcup, London. There, he served as a physician. He returned to Nigeria – as a specialist in internal medicine – just on time for his marriage to Njideka Priscilla Nwokolo: née: Okonkwo – on Saturday 4 July 1953.

When he came back from London, Nwokolo returned to the civil service. He was appointed a special grade medical officer. Reorganisation in the service enabled all assistant medical officers to become medical officers after serving a period of one year as house officers. Nwokolo did one year house job in Ibadan before going to the United Kingdom for specialist medical qualification. He also did another year of house jobs in Dover after his highly successful conjoint LRCP and MRCP examination.

With his senior house officer appointment and post MRCP working experience in the United Kingdom, Nwokolo earned his designation as a full medical officer on special grade. General Hospital Enugu was where he mainly served. Nwokolo had his extramural private practice in his home in the evenings. He was in charge of medical wards where patients were admitted and treated.

Nwokolo carried out medical research in the wards as well as in the field. He did major research in endomyocardial fibrosis, endemic goitre, sickle-cell disease and other areas of national need. Fieldwork was usually done during weekends, and included travelling in his car to different locations in Eastern Nigeria plus Northern and Mid-Western Nigeria, as well as to Obudu. Nwokolo published about nine papers based on his research while in the civil service. On the strength of his research and papers, he was made a Fellow of the Royal College of Physicians (F.R.C.P.) in 1960, based on recommendations by his supervisors, Professor Alexander Brown and Professor Harold Scaborough, a visiting scholar from University of Wales. Nwokolo was also invited to teach as senior lecturer at University College Ibadan by professor Brown. In addition, working with the Rockefeller Foundation, Professor Brown recommended Nwokolo for a research fellowship in gastroenterology at the University of Minnesota.

Rockefeller Foundation fellowship

For his 1963 to 1964 Rockefeller Foundation fellowship at Minnesota, Nwokolo was assigned to the gastroenterology unit under James Carey, chief of gastroenterology.

Gastroenterology department founding

After his return from the United States, Nwokolo was appointed associate professor of medicine. Subsequently, he set up a sub department of gastroenterology, with senior registrar Dr. Lewis. Nwokolo led research on various gastro-intestinal problems using intestinal biopsies and procedures he learnt in the United States at University of Minnesota.

In 1966, before the Nigerian Civil War with Biafra broke out in 1967, with hostilities and killing of Igbo people rising, Nwokolo left Ibadan for Enugu with his wife and children.

For those, such as Nwokolo, who escaped from Ibadan and Western Nigeria, the experience was so terrible that twenty-one specialist doctors mainly from Ibadan and Lagos met and resolved to establish a University Teaching Hospital in Enugu. At the meeting were doctors: Nwokolo, Onuaguluchi, Udekwu, Nwako, Nwachukwu, Eziashi, Ikeme, Udeh, Ogan, Uche, Okoro, Kaine, Udeozor, Okafor, Njoku-Obi, Ifekwunigwe, and others. Through Dr. Nlogha Okeke plus permanent secretary and chief secretary to the government: chief Onyegbula, approval was rapidly obtained from the military governor: Chukwuemeka Odumegwu Ojukwu to open a teaching hospital with Enugu General Hospital as base. Ojukwu also approved swift establishment of the faculty of medicine, headed by professor Kodilinye, while Nwokolo became the first head of the department of medicine and associate dean of medicine at the new medical school.

Nwokolo continued to work as head of the department of medicine of the university teaching hospital which had moved to Awka-Etiti when Enugu was threatened during the civil war. Nwokolo also carried out research especially relevant to the terrible war conditions of starvation and malnutrition. He toured churches and public gatherings to educate the people on nutrition and feeding for survival. Several mimeographed papers were produced and distributed for public education.

With the approval of the Nigerian Federal Government for the re-opening of the University of Nigeria Nsukka, Nwokolo returned to his position as head of the department of medicine. He was appointed full professor in 1971. Accordingly, renowned Welsh academic, professor Eldryd Parry, who previously served at University College Hospital, Ibadan from 1960, affirms that Nwokolo led and facilitated the establishment of medical schools in Enugu and Nsukka.

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