President
Muhammadu Buhari Medical Status Profile February 12, 2019
-Confidential-
Table of Contents
Executive Summary
2
Timeline of international travel alongside medical assessments
3
Travel Patterns Summarized
13
Information from sources in independent private hospitals
14
A list list of of docto doctors rs consid considere ered d the the bes bestt in the UK for for the treatm treatment ent of pros prostat tate e canc cancer er
15
Rumours and theories
16
Other points of interest - Media Coverage
22
Criticism for lack of disclosure and treatment abroad
22
Addendum
24
1
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Executive Summary
analys yse e whet whethe herr Pres Presid iden entt Muha Muhamm mmad adu u Buha Buhari ri is fit fit to serv serve e as pres presid iden entt and and fit fit The The Goal Goal:: To anal to be a presidential candidate in the upcoming elections. Back Backgr grou ound nd and and Susp Suspic icio ions ns:: Buhari’s health has long been under scrutiny in Nigeria. His prol prolon onge ged d abse absenc nces es for for medi medica call trea treatm tmen ents ts abro abroad ad rais raised ed doub doubts ts.. His His appe appear aran ance ces s indi indica cate te a deteriorating mental state, in addition to his changed physical appearance. Finds: A detailed review of data revealed that Buhari sought medical treatment abroad (mainly in the UK) multiple times. He had visited both Nigerian and European hospitals, and spent almost half of 2017 being treated in London. The president may suffer from more than one cond condit itio ion, n, all all of them them seve severe re.. He is bein being g cons consta tant ntly ly trea treate ted d for for pros prostate tate cancer cancer in in UK. UK. The first irst diagnosis of prostate cancer dates back to 2014 at the latest. The underlying cause of this cancer may be Croh Crohn’ n’s s dise diseas ase e (re (relati latio onship ship betwe tween the these dise iseases is explain laine ed in the the repo report rt). ). More Moreov over er,, he like likely ly suff suffer ers s from from sick sickle le cell cell dise diseas ase e , whic which h also also coul could d incr increa ease se the the risk risk of prostate cancer and complicate cancer treatment. Buhari was recently mocked for incoherency and confusion in his public appearances. Dementia may be due to age age and fatig tigue from rom medica ical tre treatmen ment, but is also lso assoc sociate iated d wit with a common treatment (ADT) for prostate cancer. Therefore dementia may be either an independent condition, or a result of lengthy cancer treatments. Data analysis suggests a certainty of the prostate cancer diagnosis, a high probability of Cro Crohn’s dise isease, se, and a like likeli lih hood of bot both dementia tia and sic sickle kle cell cell anemia mia. Each cond onditio ition n in itse itself lf can can be seen seen as debi debili lita tati ting ng;; toge togeth ther er,, and and give given n the the natu nature re of canc cancer er trea treatm tmen ents ts,, they they are are preventing Buhari from fulfilling his presidential functions. Conclusions: The The pres presid iden entt suff suffer ers s from from mult multip iple le seve severe re medi medica call cond condit itio ions ns,, that that are are like likely ly to sig signific ifica antly imp impair his abil abilit ity y to serv serve e for another term term.. His His trea reatme tment patte ttern (de (detaile ailed d in the repo report rt)) sugg sugges ests ts that that his his canc cancer er may may have have beco become me incu incura rabl ble. e. In 2017 2017 he was was inte intens nsiv ivel ely y trea treate ted d and spent most of the year in the UK. In 2018 he only took short trips for medical reasons, imp implyin lying g he was was no lon longer undergo rgoing ing sig signific ifica ant cance ncer trea reatme tments. ts. This This is compa mpatible ible wit with stat statem emen ents ts from from indi indivi vidu dual als s asso associ ciat ated ed with with the the hosp hospit ital al wher where e Buha Buhari ria a unde underw rwen entt trea treatm tmen ent. t. They They stat state e he unde underw rwen entt a surg surger ery, y, foll follow owin ing g whic which h he must must unde underg rgo o foll follow ow-u -ups ps at leas leastt once once in 3 months for 5 years. Whether due to cancer or to dementia, he did not resume work travels and rarely leaves the country - which raises many concerns, given his previous extensive travel pattern. Ther There e can can be litt little le doub doubtt that that the the prov provis isio ion n made made by the the Nige Nigeri rian an cons consti titu tuti tion on (sec (secti tion on 41), 41), that that a pres presid iden entt shou should ld ceas cease e to hold hold offi office ce if a medi medica call pane panell find finds s evid eviden ence ce of an “inf “infir irmi mity ty of body body or min mind as ren renders him perman rmane ently inc incapable of disc ischargin rging g the the functio ctions ns of his offic ffice e” can and should be applied in Buhari’s case.
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1. Timeline of international international travel alongside medical assessments assessments
Dates
Destination
2-3/12/2018
Krakow, Poland
Official Visit Goal Working Visit: 24th Session of the Conference of the Part Partie ies s1
Remarks Arrived on December 2nd, 17:44; 17:44; had engagement engagement the same evening to meet with Nigerians living in Poland. Apparently Apparently disclosed during this this meeting that some of the work meetings he missed were due to flying to London to see doctors. doctors .2
8-12/05/2018
London, UK
Medical vacation
Probably another follow up with his doctors.
30/4/2018 (+”technical stopover” in London until 3.5.2 3.5.201 018) 8)3 4 5
Washington, Washington, USA
Working Visit 6
Met with Trump on on 30.04.2018 30.04.20187 Left USA the the day after the the meeting (01.05.201 (01.05.2018). 8). 8 On the way back from USA, had a “technical stopover for aircraft maintenance” in London. The story broke on May 3rd, when Buhari was still in London.9 10 11 He reportedly returned to Nigeria Nigeria later later that day, 22:35 22:35 on May 3rd.12 13 In reality, the stop was for Buhari to meet his doctors for a follow up. up . This was revealed when he set out to London again on May 8th. 8th .14
1
https://en.wikipedia.org/wiki/List_of_international_presi https://en.wikipedia.org/wiki/Lis t_of_international_presidential_trips_made_by_Muham dential_trips_made_by_Muhammadu_Buhari#cite_ madu_Buhari#cite_ note-50 2 https://www.premiumtimesng.com https://www. premiumtimesng.com/news/298601-buhari-arri /news/298601-buhari-arrives-poland-for-climat ves-poland-for-climate-change-summit.htm e-change-summit.htmll 3 https://punchng.com/pdp-questions-buharis-technical https://punchng.com/pdpquestions-buharis-technical-stopover-in-london/ -stopover-in-london/ 4
https://punchng.com/breaking-buhari-in-technical-stopover-in-london-presidency-says/
5
https://www.thecable.ng/buhari-retur https://www. thecable.ng/buhari-returns-nigeria-us-trip-t ns-nigeria-us-trip-technical-stopover-london echnical-stopover-london
6
https://en.wikipedia.org/wiki/List_of_international_presi https://en.wikipedia.org/wiki/Lis t_of_international_presidential_trips_made_by_Muham dential_trips_made_by_Muhammadu_Buhari#cite_ madu_Buhari#cite_ note-50 7 https://www.cfr.org/blog/buharishttps://www. cfr.org/blog/buharis-visit-washington-sm visit-washington-small-win-presidentall-win-president-trump trump 8 https://punchng.com/breaking-buhari-in-technical https://punchng.com/bre aking-buhari-in-technical-stopover-in-london-presi -stopover-in-london-presidency-says/ dency-says/ 9 https://twitter.com/OfficialPDPNig/status/992061998459482112 10 https://www.vanguardngr.com/2018/05/pdp-quer https://www .vanguardngr.com/2018/05/pdp-queries-president-buharis-l ies-president-buharis-london-technical-stopover/ ondon-technical-stopover/ 11 http://dailypost.ng/2018/05/03/buhari-current http://dailypost. ng/2018/05/03/buhari-currently-london-due-technical-s ly-london-due-technical-stopover-presidency/ topover-presidency/ 12 https://www.thecable.ng/buhari-retur https://www .thecable.ng/buhari-returns-nigeria-us-tripns-nigeria-us-trip-technical-stopover-london technical-stopover-london 13 https://www.vanguardngr.com/2018/05/983790/ 14 https://allafrica.com/stories/201805080062.html
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16-20/4/2018 (However, actual departure was departure was 09.04.2018) 09.04.2018 )15
London, UK
07/05/2017 19/08/2017 (104 days absence!)
London, UK
Commonwealth Heads of Government Meeting16
Trip raised concern & rumours regarding doctor visits. Reportedly visits. Reportedly was longer than the summit (arrived (arrived in advanc advance e to visit doctors doctors). ). 17
(+arrived early to visit doctors)
Medical visit 20
On 19.8 returns to Nigeria, but not to work as “his office furniture was damaged by rats” and he was going going to work from home. home. 21 22 Accordin According g to reports, reports, returned to work in the office on Nov. 10th 2017 81 days days after the the announ announced ced “rat “rat infestat infestation. ion.”” 23 24
18
(+out of office until 10.11.2017) 19
A few days days prior, on May 4th, British doctors doctors arrived arrived to take take care care of the the preside president nt in Nigeri Nigeria. a. 25 On May 5th, the president asked the senate to take a medical medical leave leave in Lond London. on. 26 (See Append Appendix ix 4) It is during this stay that reports such as AlJazira’s connected the president to the Princess Grace Hospital (se Hospital (see e deta detail ils s belo below) w).. 27
16
https://en.wikipedia.org/wiki/List_of_international_presi https://en.wikipedia.org/wiki/Lis t_of_international_presidential_trips_made_by_Muham dential_trips_made_by_Muhammadu_Buhari#cite_ madu_Buhari#cite_ note-50 17 https://allafrica.com/stories/201804090079.html 15
https://www.pulse.ng/news/local/pulse-opinion-presidencys-l https://www.pulse.ng/news/local/pul se-opinion-presidencys-lie-on-buharis-medicalie-on-buharis-medical-vacation-was-totall vacation-was-totally-un y-un necessary/8c89n0w 20 https://punchng.com/diary-of-buharis-medical-vacation/ 19 https://www.icirnigeria.org/r https://www .icirnigeria.org/rats-now-aso-rock-buhari ats-now-aso-rock-buhari-returns-office-81-day -returns-office-81-days/ s/ 18
https://www.pulse.ng/news/local/buhari-all-the-tim https://www.pulse.ng/news/local/buha ri-all-the-times-president-has-flow es-president-has-flown-to-london-for-medical n-to-london-for-medical-vacation/9 -vacation/9 3brd45 21 https://www.bbc.com/news/world-africa-41016366 22
https://www.pulse.ng/news/local/buhari-all-the-tim https://www.pulse.ng/news/local/buha ri-all-the-times-president-has-flow es-president-has-flown-to-london-for-medical n-to-london-for-medical-vacation/9 -vacation/9 3brd45 23 https://www.icirnigeria.org/r https://www .icirnigeria.org/rats-now-aso-rock-buhari ats-now-aso-rock-buhari-returns-office-81-day -returns-office-81-days/ s/ 24 https://www.myjoyonline.com/w https://www .myjoyonline.com/world/2017/august-22nd/ratsorld/2017/august-22nd/rats-chase-buhari-from-off chase-buhari-from-office.php ice.php 25
https://www.pulse.ng/news/local/buhari-3-british-doctor https://www.pulse.ng/news/local/buha ri-3-british-doctors-reportedly-arrives-reportedly-arrive-aso-rock-to-treat-presi aso-rock-to-treat-president/bdg dent/bdg mvn4 26
https://www.premiumtimesng.com/news/top-news/230812-buhar https://www.premiumtimesng.com /news/top-news/230812-buharis-vacation-letteris-vacation-letter-national-assembly-osin national-assembly-osin bajo-different-previous-ones.html 27 https://aljazirahnews.com/london-doctorhttps://aljazir ahnews.com/london-doctor-certify-buhari-fi certify-buhari-fit-set-return/ t-set-return/
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It seems that by this time, Buhari’s prostate cancer had degenerated into stage 4, which is considered to be an incurable stage. At these stages, doctors recommend starting experimental treatments that usually last several months and require direct control (Consistent with the long stay of 3 consecut cons ecutive ive mont months). hs).28 29 30 31 It is also pos possible sible that he had another surgery/ several surgeries in order to remove additional tumors. 19.1-10.03/2017 (49 days long medical vacation!)
London, UK
Medical vacation
After this prolonged leave, Buhari also missed several events - was rumoured to fly back to London, and this is somewhat confirmed by what he said said in 2018 2018 in Poland Poland (see abov above). e). 32 Reports from February 2017 placed Buhari in Princess Grace Hospital (see (see deta details ils below below). ).33 34 35 36 Some claim that during this time he was treated both in Princess Grace and in St. JosefsJosefs -Hospital (Wiesbaden, Germany). Germany) .37 On 17.01.2017 Buhari submitted a letter informing the senate of going on a medical leave from 23.1 till 6.2 6.2 (10 days days long). long).38 On 05.02 05.02 anoth another er letter letter was submitted to the senate, letting it know the
28
https://zerocancer.org/learn/current-patie https://zerocancer.or g/learn/current-patients/clinical-tri nts/clinical-trials/ als/
29
https://www.cancer.org/cancer/prostat https://www .cancer.org/cancer/prostate-cancer/treating/by-st e-cancer/treating/by-stage.html age.html
30
https://www.medicalnewstoday.com/ https://www .medicalnewstoday.com/articles/321713.php articles/321713.php
31
https://www.independent.co.uk/news/health/hope-for-20000-prostatehttps://www.independent.co.uk/news/healt h/hope-for-20000-prostate-cancer-patients-aftercancer-patients-after-worlds-biggest worlds-biggest -treatment-trial-a7770871.html 32 33
https://punchng.com/diary-of-buharis-medical-vacation/ http://breaking.com.ng/nigeria/nigeriahttp://breaking.com .ng/nigeria/nigeria-president-treated-at-pr president-treated-at-princess-grace-hospital-l incess-grace-hospital-london/ ondon/
34
http://igberetvnews.com/334256/revealed-the-london-hospital-where-pres http://igberetvnews.com/334256/revealed-the-l ondon-hospital-where-president-buhari-is-being-t ident-buhari-is-being-treated-vid reated-vid eo/ 35 https://www.nairaland.com/3617029/raw https://www .nairaland.com/3617029/raw-fact-buharis-heart -fact-buharis-heart 36
https://newsrescue.com/report-buhari-undergo-chemotherapy-treatment-c https://newsrescue.com/report-buhari-undergochemotherapy-treatment-cycle-six-months-met ycle-six-months-metastatic-pros astatic-pros tate-cancer-princess-grace-hospital-london/ 37 http://pointblanknews.com/pbn/exclusive/buhar http://pointblanknew s.com/pbn/exclusive/buhari-90days-receiving-chemot i-90days-receiving-chemotherapy-london/ herapy-london/ 38
https://www.premiumtimesng.com/news/top-news/230812-buhar https://www.premiumtimesng.com /news/top-news/230812-buharis-vacation-letteris-vacation-letter-national-assembly-osin national-assembly-osin bajo-different-previous-ones.html
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leave will be extended for as long as his doctors deem deem necessar necessary. y.39 On 13.03. 13.03.2017 2017 he he submitte submitted da 40 letter letter re resumpti resumption on of office office to the the senate senate.. (see Appendix Appendix 4)
The long stay can indicate a deterioration in the condition (Stage 3-4) and recurrence of the disease after surgery. Stage 3 means that the cancer had spread beyond the prostate, but had not reached the bladder or rectum (T3), and had not spread to lymph nodes or distant organs. 3rd stage cancer is more likely to come back after treatment than earlier stage tumors. 41 42 13-14/1/2017
Bamaco, Mali
27th Africa-France Africa-Franc e Summit
13/1/2017
Banjul, Gambia
ECOWAS mediation meeting44
7/1/2017
Accra, Ghana
Inauguration of Nana Akufo-Addo Akufo-Addo45
13/12/2016
Banjul, Gambia
ECOWAS Summit
5-7/12/2016
Dakar, Senegal
Third Dakar International Forum on Peace and Security in Africa
14-18/11/2016
Marrakech, Morocco
UN Climate Change Conference
The trip was from Gambia Gambia to to Mali. Mali. 43
39
https://www.vanguardngr.com/2017/02/read-buharis-letter-senate-st https://www.vanguardngr.com/2017/02/read-buhar is-letter-senate-stating-reasons-extension-m ating-reasons-extension-medical-vac edical-vac ation/ 40 https://www.tori.ng/news/56184/nohttps://www .tori.ng/news/56184/no-mention-of-his-healt mention-of-his-health-status-see-president-buha. h-status-see-president-buha.html html 41 https://www.cancer.org/cancer/prostat https://www .cancer.org/cancer/prostate-cancer/treating/by-st e-cancer/treating/by-stage.html age.html 42 https://www.cancer.net/cancer-types/pr https://www .cancer.net/cancer-types/prostate-cancer/stages-and-gr ostate-cancer/stages-and-grades ades 43
https://www.premiumtimesng.com/news/top-news/220031-gam https://www.premiumtimesng.com /news/top-news/220031-gambia-buhari-lead-ecowasbia-buhari-lead-ecowas-delegation-anothe delegation-anothe r-meeting-jammeh.html 44
https://www.premiumtimesng.com/news/top-news/220031-gam https://www.premiumtimesng.com /news/top-news/220031-gambia-buhari-lead-ecowasbia-buhari-lead-ecowas-delegation-anothe delegation-anothe r-meeting-jammeh.html 45
https://www.vanguardngr.com/2017/01/gambia-buhari-african-leaders https://www.vanguardngr.com/2017/01/gambi a-buhari-african-leaders-decide-jammehs-fate-decide-jammehs-fate-ghana-saturd ghana-saturd ay/
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13-16/1 13-16/10/20 0/2016 16
Berlin, Berlin, Germany Germany
State State Visit 46
11-15/09/2016
New York, USA
71st Session of the UN General Assembly
The session’s actual opening was September 13th. 48
47
27-28/08/2016
Nairobi, Kenya
Tokyo Conference on Africa49
08/08/2016
N’Djamena, Chad
Inauguration of Idris Deby50
6-19/06/2016
London, UK
Medical Visit
Trip planned to be 10 days for surgery, extended extended to 3 more more for rest. rest.51 Official Official statements were that the president had a persistent “ear infection”, then suspected to be Méni Ménièr ère' e's s52 dise diseas ase. e.53 A letter was submitted to the senate disclosing this medical vacation and stating stating Buhari Buhari intend intends s to be away away 6.6.-16. 6.6.-16.6. 6. 54 (See Appendix Appendix 4) Potential surgery: Surgery to remove prostate cancer is performed in one day, and then the patient is left for a review for a duration of 1-2 weeks. Estimated cancer stage at this point: stage 2-3 55
13-15/05/2016 (seems to have
46
London, UK
Anti-Corruption Anti-Corru ption Summit
Buhari attended enough of the summit to have his picture picture taken taken with with Came Cameron ron et al. al. 57
https://www.dw.com/en/in-berl https://www .dw.com/en/in-berlin-nigerias-presidentin-nigerias-president-buhari-seeks-business-ties buhari-seeks-business-ties/a-36043996 /a-36043996
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https://www.premiumtimesng.com/news/more-news/210630https://www.premiumtimesng.com /news/more-news/210630-buhari-arrives-u-s-un-ge buhari-arrives-u-s-un-general-assembly.html neral-assembly.html http://www.un.org/en/ga/71/
48 49
https://www.thisdaylive.com/index.php/2016/08/26/buhari-to-at https://www.thisdaylive.com/index .php/2016/08/26/buhari-to-attend-tokyo-conference-on-af tend-tokyo-conference-on-africa-in-kenya-2 rica-in-kenya-2 / 50
http://www.africanews.com/2016/08/08/chad-african-leaders-gr http://www.africanews.com/2016/08/ 08/chad-african-leaders-grace-deby-s-inauguration-a-day ace-deby-s-inauguration-a-day-after-violen -after-violen t-protest/ 51 https://www.vanguardngr.com/2016/06/buhari https://www .vanguardngr.com/2016/06/buhari-returns-nigeria-sunday-returns-nigeria-sunday-osinbajo/ osinbajo/ 52 https://en.wikipedia.org/wiki/M https://en.wiki pedia.org/wiki/M%C3%A9ni%C3%A %C3%A9ni%C3%A8re%27s_disease 8re%27s_disease 53 https://allafrica.com/stories/201805080062.html 54
https://www.premiumtimesng.com/news/top-news/230812-buhar https://www.premiumtimesng.com /news/top-news/230812-buharis-vacation-letteris-vacation-letter-national-assembly-osin national-assembly-osin bajo-different-previous-ones.html 55 https://www.cancer.org/cancer/prostat https://www .cancer.org/cancer/prostate-cancer/treating/by-st e-cancer/treating/by-stage.html age.html
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arrived on 11th at the latest! 56)
He likely arrived a few days early - according to article, he gave a speech “on Wednesday” (should be May 11th) at “at a pre-Cameron-Summit conference titled “Tackling Corruption Together” (this event was hosted by Baroness Patricia Scotland). ”58
11-14/0 11-14/04/20 4/2016 16
Beijing, Beijing, China China
State State Visit 59
30.03-3.04/2016
Washington DC, USA
4th Nuclear Security Summit60 61
04.03.2016
Malabo, Equatorial Guinea
State Visit
27-28/0 27-28/02/20 2/2016 16
Doha, Doha, Qatar Qatar
OPEC OPEC Meeting Meeting 62 63 64
22-27/02/2016
Riyadh, Jeddah, Mecca, Medina
State tate Visit isit65 66
18.02.2016
Sharm El Sheikh, Egypt
Sharm El-Sheikh ‘Afr ‘Afric ica a 201 2016’ 6’67
5-10/02/2016 (was scheduled to arrive in London from France on Feb. 4th for official
London, UK
Vacation
Of note: according to original statement, Buhari was going to an official trip to France and then to London and was due back in Nigeria on the weekend (should be Feb. 6th-7th). Could be that the “vacation” was not planned/not announced in advance advance on purpo purpose. se.69 Another Another source source confir confirms ms
57
https://www.vanguardngr.com/2016/05/buhari-in-london/ https://www.vanguardngr.com/2016/05/buhari https://www .vanguardngr.com/2016/05/buhari-in-london/ -in-london/ 58 https://www.vanguardngr.com/2016/05/buhari https://www .vanguardngr.com/2016/05/buhari-in-london/ -in-london/ 56
59
https://www.premiumtimesng.com/news/top-news/201873-pr https://www.premiumtimesng.com /news/top-news/201873-presidency-lists-nigeri esidency-lists-nigerias-benefits-buharis-chi as-benefits-buharis-china na -visit.html 60 https://www.vanguardngr.com/2016/06/buhari https://www .vanguardngr.com/2016/06/buhari-returns-nigeria-sunday-returns-nigeria-sunday-osinbajo/ osinbajo/ 61
https://www.bellanaija.com/2016/03/president-buhari-going-t https://www.bellanaija.com/2016/03/ president-buhari-going-to-usa-tomorrow-findo-usa-tomorrow-find-out-his-stance-on-nigeri out-his-stance-on-nigeri a-nuclear-energy/ 62
https://www.premiumtimesng.com/news/top-news/198843-buhar https://www.premiumtimesng.com /news/top-news/198843-buhari-arrives-riyadh-of i-arrives-riyadh-official-visit-sa ficial-visit-saudi-arabiaudi-arabiaqatar.html 63 https://allafrica.com/stories/201602231455.html 64 https://www.vanguardngr.com/2016/02/oil https://www .vanguardngr.com/2016/02/oil-prices-totally-unac -prices-totally-unaceptable-buhari-tellseptable-buhari-tells-qatars-ruler/ qatars-ruler/ 65
https://www.premiumtimesng.com/news/top-news/198843-buhar https://www.premiumtimesng.com /news/top-news/198843-buhari-arrives-riyadh-of i-arrives-riyadh-official-visit-sa ficial-visit-saudi-arabiaudi-arabiaqatar.html 66 https://allafrica.com/stories/201602231455.html 67 https://www.vanguardngr.com/2016/02/seven-t https://www .vanguardngr.com/2016/02/seven-take-aways-from-presi ake-aways-from-president-buharis-visit-t dent-buharis-visit-to-egypt/ o-egypt/
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business; continuation of the trio to France. Can assume it indeed happened this way)68
the vacation was not announced in advance, and that the president told local Nigerians he had doctors he’s been seeing “since 1978” based in London. Stated he visited them 3 times in the rece recent nt past past..70 It is possible that this visit was for medical purposes, as the visit was short and it is reasonable to assume that he underwent general tests and that the stage of the disease remained the same.
2-4/02/2 2-4/02/2016 016
Strasbou Strasbourg, rg, France France
Official Official Visit 71
27-29/01/2016
Eldoret, Nairobi, Kenya
State tate Visit isit72
26/01/2016
Addis Ababa, Ethiopia
26th Summit of African Union Union Heads of State and Govern vernme men nt73
17-20/01/2016
Abu Dhabi, UAE
World Future Energy Summit74 75
08/01/2016
Cotonou, Benin
11th summit of the Heads of State of the Niger Basin Authority 76
4-5/12/2 4-5/12/2015 015
Johann Johannesbu esburg, rg,
China China Africa Africa Summit Summit 77
69
https://www.vanguardngr.com/2016/02/president-buhari-to-continue-pus https://www.vanguardngr.com/2016/02/presi dent-buhari-to-continue-push-for-global-unity-agai h-for-global-unity-against-terroris nst-terroris m-at-talks-in-strasbourg-and-london/ 68
https://www.vanguardngr.com/2016/02/president-buhari-to-continue-pus https://www.vanguardngr.com/2016/02/presi dent-buhari-to-continue-push-for-global-unity-agai h-for-global-unity-against-terroris nst-terroris m-at-talks-in-strasbourg-and-london/ 70
https://www.vanguardngr.com/2016/02/president-buhari-to-continue-pus https://www.vanguardngr.com/2016/02/presi dent-buhari-to-continue-push-for-global-unity-agai h-for-global-unity-against-terroris nst-terroris m-at-talks-in-strasbourg-and-london/ 71
https://www.vanguardngr.com/2016/02/president-buhari-to-continue-pus https://www.vanguardngr.com/2016/02/presi dent-buhari-to-continue-push-for-global-unity-agai h-for-global-unity-against-terroris nst-terroris m-at-talks-in-strasbourg-and-london/ 72 https://www.vanguardngr.com/2016/01/604684/ 73 https://www.vanguardngr.com/2016/01/604684/ 74 https://www.bellanaija.com/2016/01/ https://www .bellanaija.com/2016/01/pres-buhari-arrives-uaepres-buhari-arrives-uae-for-world-futurefor-world-future-energy-summit/ energy-summit/ 75 https://www.vanguardngr.com/2016/01/buhari https://www .vanguardngr.com/2016/01/buharis-visit-to-uae-thes-visit-to-uae-the-major-takeaways/ major-takeaways/ 76 https://www.legit.ng/690526-presidenthttps://www. legit.ng/690526-president-buhari-jets-arrivesbuhari-jets-arrives-cotonou-niger-basin-authori cotonou-niger-basin-authority-summit.html ty-summit.html 77 https://www.legit.ng/656038-photos-seehttps://www .legit.ng/656038-photos-see-president-buhari-receivedpresident-buhari-received-south-africa-china-afr south-africa-china-africa.html ica.html
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South Africa 30/11-01/12/201 5
Paris, France
Paris Conference of Parti artie es 2178 79 80
28-30/11/2015
Vallette, Malta
2015 Commonwealth Heads of Government Summit81
22-24/11/2015
Tehran, Iran
3rd Gas Exporting Coun Countr trie ies s Foru Forum m82
30/10/2 30/10/2015 015
Khartou Khartoum, m, Sudan Sudan
State State Visit 83
26-30/10/2015
New Delhi, India
Third India Africa Foru Forum m Summ Summit it85
24-29/09/2015
New York, USA
70th Session of the UN General Assembly
Described as “technical stopover” in press - but he did meet the president. Happened on the way back fro from In India. ia.84
86
14-16/0 14-16/09/20 9/2015 15
Paris, Paris, France France
State State Visit 87
07.09.2 07.09.2015 015
Accra, Accra, Ghana Ghana
State State Visit 88 89
78
https://www.pulse.ng/news/local/buhari-president-arriv https://www.pulse.ng/news/local/ buhari-president-arrives-in-paris-after-t es-in-paris-after-trip-to-malta-photos rip-to-malta-photos/wwvzxbx /wwvzxbx https://www.pulse.ng/news/local/ https://www .pulse.ng/news/local/buhari-president-returns buhari-president-returns-to-nigeria-from-to-nigeria-from-paris-photos/pz2j145 paris-photos/pz2j145 80 https://allafrica.com/stories/201511302008.html 81 https://www.pulse.ng/news/local/ https://www .pulse.ng/news/local/buhari-president-arriv buhari-president-arrives-in-paris-after-t es-in-paris-after-trip-to-malta-photos rip-to-malta-photos/wwvzxbx /wwvzxbx 82 https://www.vanguardngr.com/2015/11/presi https://www .vanguardngr.com/2015/11/president-buhari-arrives-t dent-buhari-arrives-tehran-for-3rd-gecf-summ ehran-for-3rd-gecf-summit/ it/ 79
83
http://www.thescoopng.com/2015/10/31/pres-buhari-made-a-brief-st http://www.thescoopng.com/2015/10/31/presbuhari-made-a-brief-stop-in-sudan-before-returni op-in-sudan-before-returning-to-nigeri ng-to-nigeri a-last-night-photos/ 84
http://www.thescoopng.com/2015/10/31/pres-buhari-made-a-brief-st http://www.thescoopng.com/2015/10/31/presbuhari-made-a-brief-stop-in-sudan-before-returni op-in-sudan-before-returning-to-nigeri ng-to-nigeri a-last-night-photos/ 85
https://www.ibtimes.co.uk/nigerias-president-muhammaduhttps://www.ibtimes.co.uk/niger ias-president-muhammadu-buhari-arrives-new-del buhari-arrives-new-delhi-india-africa-f hi-india-africa-forum-15 orum-15 26036 86 https://www.pulse.ng/news/local/ https://www .pulse.ng/news/local/buhari-president-to-tr buhari-president-to-travel-to-new-york-on-s avel-to-new-york-on-september-24/6zsrg5e eptember-24/6zsrg5e 87
https://www.ibtimes.com/buhari-france-nigerian-preside https://www.ibtimes.com/buhari -france-nigerian-president-meet-french-president nt-meet-french-president-defense-officials-defense-officials-oil-209 oil-209 4536 88 http://vibeghana.com/2015/09/07/buhari-presidenthttp://vibeghana.com/ 2015/09/07/buhari-president-of-nigeria-arrivesof-nigeria-arrives-in-ghana/ in-ghana/ 89
https://www.ibtimes.co.uk/niger https://www. ibtimes.co.uk/nigerias-president-muhammaduias-president-muhammadu-buhari-travels-ghana-fi buhari-travels-ghana-first-official-vi rst-official-visit-1518783 sit-1518783
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02-03/08/2015
Cotonou, Benin
Independence Cele Celebr brat atio ions ns90
29-30/07/2015
Yaounde, Cameroon
State tate Visit isit91
19-23/0 19-23/07/20 7/2015 15
Washingt Washington, on, USA
State State Visit 92
12-13/06/2015
Johannesburg, South Africa
25th African Union Summit94
07-08/0 07-08/06/20 6/2015 15
Munich, Munich, Germany Germany
42nd G7 Summit Summit 95 96
04/06/2015
N’Djamena, Chad
State Visit
03/06/2015
Niamey, Niger
Anti Boko-Haram Summit97
2015 (prior to taking office on 29.05.2015. Exact dates unknown) - 6 days
Lond London on,, UK
Medica Medicall Visit Visit98
90
Met with with Oba Obama ma on 20.0 20.07. 7.20 2015 15 93
Apparently the cancer Apparently cancer was first first discovered discovered through through a blood test that showed an elevated PSA level. This was followed by needle biopsy to confirm prostate pros tate tumo tumorr (Stage (Stage T1C-T2 T1C-T2 “Clinical “Clinical stagin staging). g). 99 PSA level of 13 is considered to be Stage 2A out of 4.100 Stage 2 cancers that are not treated with surgery or radiation are more likely than stage I cancers to eventually spread beyond the prostate and
https://www.vanguardngr.com/2015/08/beninhttps://www .vanguardngr.com/2015/08/benin-sends-800-troops-to-fight sends-800-troops-to-fight-boko-haram/ -boko-haram/
91
https://www.prc.cm/en/news/1372-the-president-of-nigeriahttps://www.prc.cm/en/news/1372-t he-president-of-nigeria-muhammadu-buhari-in-ca muhammadu-buhari-in-cameroon-from-29-to-3 meroon-from-29-to-3 0-july-2015 92
https://www.premiumtimesng.com/news/headlines/186743-howhttps://www.premiumtimesng.com /news/headlines/186743-how-i-will-spend-m i-will-spend-my-four-day-stay-in-am y-four-day-stay-in-americaericabuhari.html 93 https://www.npr.org/2015/07/20/424722402/ni https://www .npr.org/2015/07/20/424722402/nigerian-president-muhamm gerian-president-muhammadu-buhari-makes-first adu-buhari-makes-first-u-s-visit -u-s-visit 94
https://www.premiumtimesng.com/news/more-news/184944https://www.premiumtimesng.com /news/more-news/184944-buhari-off-to-south-af buhari-off-to-south-africa-for-african-uni rica-for-african-union-su on-su mmit.html 95
https://www.ibtimes.com/g7-summit-2015-buhari-request https://www.ibtimes.com/g7-sum mit-2015-buhari-requests-help-boko-haram-nigeri s-help-boko-haram-nigeria-economy-wish-list a-economy-wish-list-gr -gr oup-seven-1956460 96
https://www.premiumtimesng.com/news/more-news/184522https://www.premiumtimesng.com /news/more-news/184522-buhari-arrives-germanybuhari-arrives-germany-with-nigerias-wi with-nigerias-wish-lis sh-lis t.html 97 https://www.bbc.com/news/world-africa-32990848 98 https://punchng.com/diary-of-buharis-medical-vacation/ 99 https://www.cancer.net/cancer-types/pr https://www .cancer.net/cancer-types/prostate-cancer/stages-and-gr ostate-cancer/stages-and-grades ades 100 https://www.healthline.com/health/ https://www.he althline.com/health/psa-levels-prostate-cancer psa-levels-prostate-cancer#staging-prostate-cancer #staging-prostate-cancer
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become symptomatic. symptomatic . At this stage doctors recommend surgery only for young adults. He was proba pro bably bly reco recomme mmend nded ed a hormo hormone ne thera therapy. py. 101
101
https://www.cancer.org/cancer/prostatehttps://www.c ancer.org/cancer/prostate-cancer/treating/by-stage. cancer/treating/by-stage.html html
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. Travel Patterns Summarized
2
This table shows a dramatic annual drop in international travel, alongside an increase in the number of medical trips. Year
Number of all known trips abroad
Number of known medical trips
Estimated number of days missed due to medical treatments
2015
32 (calculated based on the 16 known trips that occured in H2 2015 after he took office on May 29th)
0
0
2016
21
2 (at least)
18
2017
5
2 (very long stays in England)
155 abroad + likely 82 at least in Nigeria (=237)
2018
4
4 (1 medical + 3 work trips that included medical consultations/treatments)
14
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. Information from sources in independent private hospitals
3
A seni senior or medi medica call sour source ce conf confir irme med d that that the the medi medica call repo report rt from from 2014 2014 that that high highli ligh ghte ted d Buha Buhari ri condition and provided a diagnosis for his condition was found to be accurate in terms of medical language and did not show any signs of being forged or false. A form former er staf stafff nurs nurse e was was of the opinio inion n that there is a 95% cha chance tha that Buhari was was examin mined for for prepre-op op prep prepar arat atio ion n had had unde underg rgon one e surg surger ery y and and then then rema remain ined ed in hosp hospit ital al for for post postop oper erat ativ ive e treatment. An inte intern rnat atio iona nall rela relati tion ons s mana manage ger r (whose role is to look after VIP patients coming from overseas) and and othe otherr sour source ces s rela relate ted d to pros prosta tate te canc cancer er trea treatm tmen entt in that that hospi hospita tall concl conclud uded ed that it is most likely that Buhari had an operation for prostate cancer that was diagnosed foll follow owin ing g a biop biopsy sy in 2014 2014 in his his nati native ve coun countr try. y. He atte attend nded ed the the hosp hospit ital al for for prepre-op op exam examin inat atio ion, n, underwent an operation and remained in the hospital care for postoperative treatment. The The over overal alll conc conclu lusi sion on is that that Buha Buhari ri unde underw rwen entt an oper operat atio ion n and and will will need need to be moni monito tore red d as well as undergo tests (at least once every 3 months) to check if the cancer has been treated and cleared, or has returned and requires more attention. It has has been been medi medica call lly y esta establ blis ishe hed d that that Buha Buhari ri’s ’s cond condit itio ion n coul could d need need post postop oper erat ativ ive e moni monito tori ring ng for up to five years. However, it is also believed that he could carry out his duties without too much interference.
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. A list of doctors considered the best in the UK for the treatment of prostate cancer
4
102
Doct Doctor or DECL DECLAN AN CAHI CAHILL LL - Surgeon at the Roya Royall Mars Marsde den n Hosp Hospit ital al in Lond London on.. An incredibly talented young surgeon and one of the highest volume surgeons for prostatectomy in the country 48 Minu Minute tes s driv drive e from from Wind Windso sorr Cast Castle le (Buh (Buhar ari’ i’s s last last docu docume ment nted ed visi visitt to Brit Britai ain n was was 103 to Wind Windso sorr Cas Castl tle) e).. Doctor PROFESSOR CHRIS EDEN - surgeon at the Royal Surrey County Hospital in Guildford. He was the leading keyhole surgeon with prostatectomies — his cancer margins were one of the lowest in the country (in other words, no cancer cells were found at the edge of the remove removed d prosta prostate) te).. 35 Minu (Buhari’ ri’s s last last docum documen ented ted visit visit Minute tes s driv drive e from from Wind Windso sorr Cast Castle le (Buha 104 to Britai Britain n was was to Windso Windsorr Cast Castle. le.)) PROF PROFES ESSO SOR R PROK PROKAR AR DASG DASGUP UPTA TA - surg surgeo eon n at Guy’ uy’s & St Thom homas’ Hos Hospita pitall in London ndon.. He pioneered robotics use in urology in this country. 1 hour and 9 Minutes drive from Windsor Castle. (Last (Last docum document ented ed visit visit to to Brit Britain ain)) 105 More Centers Centers for for prost prostate ate cance cancerr treatme treatment nt in the UK: UK: 106 ■ South Southme mead ad Hospi Hospita tall in Bristo Bristoll ■ Weston Weston General General Hospital Hospital in Weston-s Weston-supe uper-Ma r-Mare re ■ Royal Royal Surre Surrey y Coun County ty Hospi Hospita tall in Guild Guildfo ford rd ■ List Lister er Hos Hospi pita tall in Ste Steve vena nage ge ■ Quee Queen n Eliza Elizabe beth th Hospi Hospita tall in Birmi Birming ngha ham m ■ Weste Western rn Gen Genera erall Hospi Hospita tall in Edin Edinbu burgh rgh ■ The Christ Christie ie Hospit Hospital al in Man Manche cheste sterr ■ Kent Kent & Can Cante terb rbur ury y Hos Hospi pita tall ■ South Southme mead ad Hospi Hospita tall in Bristo Bristoll ■ Chelse Chelsea a & Westm Westmins inste terr Hospit Hospital al in Lon Londo don n ■ Adde Addenb nbroo rooke’ ke’s s Hospi Hospital tal in Camb Cambrid ridge ge ■ Free Freema man n Hosp Hospit ital al in New Newca cast stle le ■ New Cross Cross Hosp Hospita itall in Wolve Wolverha rhampt mpton on
102
https://www.dailymail.co.uk/health/article-5808997/Meet https://www.dailymail.co.uk/heal th/article-5808997/Meet-best-urologists-Br -best-urologists-Britain.html itain.html https://www.dailymail.co.uk/heal https://www.da ilymail.co.uk/health/article-5808997/Meet th/article-5808997/Meet-best-urologists-Br -best-urologists-Britain.html itain.html 104 https://www.dailymail.co.uk/heal https://www.da ilymail.co.uk/health/article-5808997/Meet th/article-5808997/Meet-best-urologists-Br -best-urologists-Britain.html itain.html 105 https://www.dailymail.co.uk/heal https://www.da ilymail.co.uk/health/article-5808997/Meet th/article-5808997/Meet-best-urologists-Br -best-urologists-Britain.html itain.html 106 https://www.dailymail.co.uk/heal https://www.da ilymail.co.uk/health/article-5808997/Meet th/article-5808997/Meet-best-urologists-Br -best-urologists-Britain.html itain.html 103
15
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. Rumours and theories
5
In 2017, some attributed the weight loss suffered by the president to Crohn’ Crohn’s s disea disease se.. This was said to be one of the severa verall probl roble ems London doctors tors were were tre treating ing the pres reside ident for, incl includ udin ing g pros prosta tate te prob proble lems ms.. According to a source familiar with the President’s President’s medical tre treatmen ments, Buhari had had parts rts of his colon lon remo remov ved in 2013 and also lso had another operat ration ion to have hemorr morrh hoids ids (sw (swollen llen veins ins near the rect rectu um) rem removed ved in 2016 in London duri durin ng one of 107 his secre cret trip trips s to seek urge rgent med medica ical trea reatme tment. The The artic rticle le sta states tes tha that “th “the lat latest rev revelati latio on appears to validate a claim by Mr. Buhari’s wife, Aisha Buhari, to the effect that her husband was was deal dealin ing g with with “int “inter erna nall orga organ n fail failur ure. e.”” The The site site inte interv rvie iewe wed d seve severa rall doct doctor ors s that that conf confir irme med d that that 108 this this was was poss possib ible le and and cong congru ruen entt with with evid eviden ence ce.. The loss of weight had been previously attri ttribu bute ted d to pros rostate tate cancer. er.109 According to a study published in Europ Europea ean n Urolog Urology y in Dec Decembe mber 2018, men wit with IBD (In (Inflamm lamma atory tory Bowel Dise isease - that incl inclu udes Croh rohn’s n’s dise isease and ulce lcerati rativ ve coliti litis s) have a sign signif ific ican antl tly y grea greate terr risk risk (4-5 (4-5 time times s grea greate terr risk risk)) of pros prosta tate te 110 111 112 cancer. This had already been demonstrated in earlier studies, so must have been know known n to Buha Buhari ri’s ’s doct doctor ors. s. It is the therefo refore re enti ntirel rely poss ossible ible tha that Buha Buharri suffe ufferrs from from both both Crohn’s disease and prostate cancer. Some sources report that on May 4th, 2017, 3 white British doctors (2 men and a woman) arrived in Nigeria to treat Buhari. 113 114 On May 7th, the president left to receive medical tre treatmen ment in Englan land (se (see tab table above) and rem remain ained the there for for 104 days. 115 Keeping ing in lin line with ith the the usua usuall poli policy cy of deni denial al,, disi disinf nfor orma mati tion on and and secr secrec ecy, y, no pict pictur ures es of said said doct doctor ors s with with Buha Buhari ri or even in Nigeria can be found. This is clearly Buhari's’ way to show “business as usual” when actually, behind closed doors he is likely surrounded by doctors and medical staff.
107
http://saharareporters.com/2017/02/28/president-buhari%E2%80%99s-doctors http://saharareporters.com/2017/02/28/presidentbuhari%E2%80%99s-doctors-also-treating-crohn%E -also-treating-crohn%E2% 2% 80%99s-disease-intestinal-malady 108
http://saharareporters.com/2017/02/28/president-buhari%E2%80%99s-doctors http://saharareporters.com/2017/02/28/presidentbuhari%E2%80%99s-doctors-also-treating-crohn%E -also-treating-crohn%E2% 2% 80%99s-disease-intestinal-malady 109 https://www.news24.com/Africa/ https://www.ne ws24.com/Africa/News/muhammadu-buhari News/muhammadu-buhari-nigerias-anti-graf -nigerias-anti-graft-president-20180409 t-president-20180409 110
https://www.webmd.com/ibd-crohns-disease/news/20181214/crohns-col https://www.webmd.com/ibd-crohnsdisease/news/20181214/crohns-colitis-may-be-tieditis-may-be-tied-to-prostate-cance to-prostate-cance r 111 https://www.healthline.com/healthhttps://www.he althline.com/health-news/diseases-such-as-crohnsnews/diseases-such-as-crohns-linked-to-prostate-can linked-to-prostate-cancer-risk cer-risk 112 https://academic.oup.com/annonc/article/20/3/574/186036 113
https://www.pulse.ng/news/local/buhari-3-british-doctor https://www.pulse.ng/news/local/buha ri-3-british-doctors-reportedly-arrives-reportedly-arrive-aso-rock-to-treat-presi aso-rock-to-treat-president/bdg dent/bdg mvn4 114 http://saharareporters.com/2017/05/04/three-doctor http://saharareporters. com/2017/05/04/three-doctors-arrive-aso-rock-tr s-arrive-aso-rock-treat-president-buhari eat-president-buhari 115
https://www.pulse.ng/news/local/buhari-all-the-tim https://www.pulse.ng/news/local/buha ri-all-the-times-president-has-flow es-president-has-flown-to-london-for-medical n-to-london-for-medical-vacation/9 -vacation/9 3brd45
16
-ConfidentialRepo Report rts s from from 2015 2015 clai claim m Buha Buhari ri has has a “liv “liver er-k -kid idne ney y dise diseas ase” e” and and visi visite ted d the the Lond London on Brid Bridge ge Hos Hospita ital for it. it. The They provi rovid de a photog tograp raph of a med medical ical reco ecord fro from tha that vis visit (Se (See Appendix 3). The document diagnoses Buhari with sickle cell anemia and is dated to January 12th, 2015 (bef (befor ore e Buha Buhari ri assu assume med d offi office ce). ).116 Usua Usuall lly, y, sick sickle le cell cell anem anemia ia beco become mes s symp sympto toma mati tic c alre alread ady y in 117 early childhood. However, sickle cell anemia cannot be entirely discounted as one of his prob roblems lems - his elde ldest daughter ter died ied after ter thir third d birth irth due to sick ickle cell rela relatted issu issue es. 118 Sickl ickle e cell cell anemia mia is an inh inherite rited d dise isease. Nige igeria ria has the hig highest burde rden of Sick ickle Cell Cell Dis Diseas ease (SC (SCD) in the world and is also the top sickle cell endemic country in Africa. People with sickle cell sometimes suffer a breakdown or degeneration of the hip joint/bones and end up unable to walk. Persons with sickle cell tend to suffer extensive, chronic leg ulcers or sores that cause them them much much debi debili lita tati tion on and and soci social al isol isolat atio ion. n. Soci Social ally ly,, they they suff suffer er stig stigma ma and and disc discri rimi mina nati tion on.. Bone Bone Marrow Transplantation (BMT) is a cure for sickle cell, but it is not widely accessible and not everyone with sickle cell is a suitable candidate. 119 120 Norm ormally lly, sickle kle cell anem nemia is not associated with prostate cancer, 121 but some studies have now shown an increased likeliho likelihood od of prostate prostate cance cancerr among among people people with sickle sickle cell cell diseas disease. e. 122 Seve Severa rall Afri Africa can n sour source ces s repo report rtin ing g on Buha Buhari ri’s ’s pros prosta tate te canc cancer er clai claim m that that he’s he’s bein being g trea treate ted d at 123 124 125 126 the Prin Prince cess ss Gr Grac ace e Hosp Hospit ital al,, 42-5 42-52 2 Nott Nottin ingh gham am Plac Place, e, Lond London on.. Aljazira Ni Nigeria reported that in 2017, while the Buhari was being treated, the acting president visited him at Princess Grace Hospital. 127 Some sources claimed outright that Buhari will be receiving chemotherapy for prostate cancer at the Princess Grace Hospital (08.02.2017). 128 129 130 It is a
116 117
http://shopmartk.blogspot.com/2015/12/buhari-down-with-kidney-li http://shopmartk.blogspot.com/2015/12/buhari-dow n-with-kidney-liver-disease.html ver-disease.html https://en.wikipedia.org/wiki/Si https://en.wikipedi a.org/wiki/Sickle_cell_disease ckle_cell_disease
118
http://fabmagazineonline.com/news-general-muhammad-buhari-loses-40http://fabmagazineonline.com/news-general-m uhammad-buhari-loses-40-year-old-daughter-zulaiyear-old-daughter-zulai-buhari-j buhari-j unaid-to-sickle-cell/ 119
https://www.premiumtimesng.com/health/health-news/27300 https://www.premiumtimesng.com /health/health-news/273006-world-sickle-cel 6-world-sickle-cell-day-why-disease-rem l-day-why-disease-remainsainsendemic-in-nigeria.html 120 https://www.ncbi.nlm.nih.gov/pubmed/23208475 121 http://www.bloodjournal.org/content/130/13/1597 122 https://www.ncbi.nlm.nih.gov/pmc https://www.nc bi.nlm.nih.gov/pmc/articles/PMC /articles/PMC4976723/ 4976723/ 123 https://www.news24.com/Africa/ https://www.ne ws24.com/Africa/News/muhammadu-buhari News/muhammadu-buhari-nigerias-anti-graf -nigerias-anti-graft-president-20180409 t-president-20180409 124 http://breaking.com.ng/nigeria/nigeria-pr http://breaking.com. ng/nigeria/nigeria-president-treated-at-pri esident-treated-at-princess-grace-hospital-london/ ncess-grace-hospital-london/ 125
http://igberetvnews.com/334256/revealed-the-london-hospital-where-pres http://igberetvnews.com/334256/revealed-the-l ondon-hospital-where-president-buhari-is-being-t ident-buhari-is-being-treated-vid reated-vid eo/ 126
https://newsrescue.com/report-buhari-undergo-chemotherapy-treatment-c https://newsrescue.com/report-buhari-undergochemotherapy-treatment-cycle-six-months-met ycle-six-months-metastatic-pros astatic-pros tate-cancer-princess-grace-hospital-london/ 127 https://aljazirahnews.com/london-doctor-cer https://aljazirahnew s.com/london-doctor-certify-buhari-fit tify-buhari-fit-set-return/ -set-return/ 128 https://www.nairaland.com/3617029/rawhttps://www.na iraland.com/3617029/raw-fact-buharis-heart fact-buharis-heart 129
https://newsrescue.com/report-buhari-undergo-chemotherapy-treatment-c https://newsrescue.com/report-buhari-undergochemotherapy-treatment-cycle-six-months-met ycle-six-months-metastatic-pros astatic-pros tate-cancer-princess-grace-hospital-london/ 130 https://ikengachronicles.com/doctors-reporthttps://ikengachronicl es.com/doctors-report-buhari-suffers-frombuhari-suffers-from-acute-prostate-cancer/ acute-prostate-cancer/
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-Confidentialprivate hospital that offers multiple advanced services. 131 132 The hospital’s Nottingham branch offers advanced robotic surgery machinery and has a “digestive health” specialization. 133 Moreover, its Wimpole Street London branch has a prostate center. 134 (List of urologists at the Prince Princess ss Grace Grace Hospit Hospital, al, Lond London on). ). 135
The Princess Grace Hospital location
131
https://en.wikipedia.org/wiki/The_Princess_Grace_Hospit https://en.wikipedia.org/wiki/Th e_Princess_Grace_Hospital al https://www.hcahealthcare.co.uk/facil https://www.hc ahealthcare.co.uk/facilities/the-princess-gr ities/the-princess-grace-hospital/ ace-hospital/ 133 https://www.hcahealthcare.co.uk/facil https://www.hc ahealthcare.co.uk/facilities/the-princess-gr ities/the-princess-grace-hospital/ ace-hospital/ 132
134
https://www.hcahealthcare.co.uk/facilities/the-princesshttps://www.hcahealthcare.co.uk/facil ities/the-princess-grace-hospital/units-an grace-hospital/units-and-teams/the-prostate-ce d-teams/the-prostate-centre ntre / 135
https://www.hcahealthcare.co.uk/view-all-consultants/?S https://www.hcahealthcare.co.uk/view -all-consultants/?ServicesTag=5D1D002491CE ervicesTag=5D1D002491CE4ABD86A76F4D5C 4ABD86A76F4D5C 8D4B12&Facility=414F5BCFDA 8D4B12&Facili ty=414F5BCFDAD0495F99B0CDCC D0495F99B0CDCCC9CC35A1&fil C9CC35A1&filter=consultants&page=2 ter=consultants&page=2
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The main entrance to Princess Grace Hospital Hospital in London 136 It is possible that that VIP patients use use a different different entrance entrance
Another source claimed, on February 19th, 2017, that Buhari will be absent from Nigeria for seve severa rall mont months hs to rece receiv ive e chem chemot othe hera rapy py both both at St. JosefsJosefs-Hosp Hospital ital,, Wiesbade Wiesbaden, n, Germany Germany137 and The Princess Grace Hospital. Sources revealed that Buhari flew to London, then to Germany and returned to London again. The sources to the article stated that even if the president returns earlier to Nigeria, he won’t be able to work. 138 We know now that Buhari was away for treatments 19.1.17-10.03.17, and soon after was absent for even longer, 7.5. 7.5.17 17-1 -19. 9.8. 8.17 17.. The The seco second nd visi visitt in part partic icul ular ar was was foll follow owed ed by a prol prolon onge ged d abse absenc nce e from from offi office ce (81 days). See above for details. In 2018, Buhari’s son Yusuf was transferred to this same German hospital following injury in moto motorb rbik ike e acc accid iden ent. t.139
An early evidence that Buhari has prostate cancer was obtained from Ahmadu Bello Teaching Hosp Hospit ital al (in (in Zair Zaira, a, Nort Northe hern rn Nige Nigeri ria) a).. Appe Append ndix ix 2 incl includ udes es phot photog ogra raph phs s of path pathol olog ogy y repo report rts s and and 140 141 prostate cancer diagnosis from 2014. Note that pathology report concludes likeliness of pros prosta tate te canc cancer er and and inde indeed ed show shows s find finds s indi indica cati tive ve of pros prosta tate te canc cancer er - and and in part partic icul ular ar elev elevat ated ed 136
https://www.hcahealthcare.co.uk/facilities/the-princess-gr https://www.hcahealthcare.co.uk/facil ities/the-princess-grace-hospital/ ace-hospital/ https://www.joho.de/ 138 http://pointblanknews.com/pbn/exclusive/buhari http://pointblanknews .com/pbn/exclusive/buhari-90days-receiving-chemother -90days-receiving-chemotherapy-london/ apy-london/ 137
139
http://saharareporters.com/2018/01/10/yusuf-buhari-be-transferred-germa http://saharareporters.com/2018/01/10/yusuf-buhari -be-transferred-germany-further-treatment ny-further-treatment-over-brain-i -over-brain-i njury 140 https://www.nairaland.com/2098575/photo-docum https://www.na iraland.com/2098575/photo-documents-gen-buhari-sufferi ents-gen-buhari-suffering ng 141
http://newswirengr.com/2015/01/17/document-reveals-muhammadu-buhari http://newswirengr.com/2015/01/17/documentreveals-muhammadu-buhari-suffers-from-prost -suffers-from-prostate-cancer-r ate-cancer-r eport/
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-ConfidentialPSA levels (13 ng/ml, when upper normal find is 4 ng/ml) - see Appendix 2. Several outlets wro wrote to stat tate that the the rep report is falsif lsifie ied d, point inting ing out that the the doc documen ment (da (dated Octo ctober ber 16th, 2014) descri scrib bes the pat patien ient as “72 “72 years old male” le” - but Buhari ari only turn urned 72 in Dec Decembe mber tha that year. They also cast doubt at the authenticity of the official paper, as the full name should be “Ahmad “Ahmadu u Bello Bello University Teaching Hospital.” 142 The hospital had also denied the veracity of the documents. 143 However, these attempts at refutation do not seem convincing. Hospitals ofte ften cou count age by the year, not exac xact birth irth date. te. It is apparen arentt that the the deniers iers were were grasp raspin ing g at stra straws ws in an atte ttempt mpt to quash the sto story, ry, tha that was was publish lishe ed in Jan January 2015, jus just a few mon months ths before the 2015 elections. An article from February 2019 states that Buhari inaugurated inaugurated the advanced advanced Cancer treatment centre in Lagos, and pledged to replicate this model across the country to bring quality, firs firstt-cl clas ass s heal health thca care re serv servic ices es to canc cancer er pati patien ents ts in Nige Nigeri ria a 144 Apparently Apparently promoted this to serve his personal interests, to be able to receive treatment in Nigeria. If he can be treated in Nigeria, he won’t have to find excuses and explanations for his prolonged trips abroad. In additio ition n, he’ll ’ll be able to avoid void criti ritic cism ism for for going ing abroa road to get tre treatmen ment inste nstea ad of promo romotting ing Nigerian health system. An article from May 16th, 2018 reports that the federal government government set up a committee to inve invest stig igat ate e “the “the rece recent nt reve revela lati tion on that that ahea ahead d of the the 2015 2015 gene genera rall elec electi tion on a Nige Nigeri rian an bill billio iona nair ire e and sup supporter rter of form forme er Presi resid dent Goodlu odluc ck Jonatha than, paid £2m to Cambri mbrid dge Analyti lytic ca, to hack into the medical records of President Muhammadu Buhari, then candidate of the All Prog Progre ress ssiv ives es Cong Congre ress ss,, had had dema demand nded ed more more info inform rmat atio ion n from from some some coun countr trie ies. s. The The comm commit itte tee e had written to the United Kingdom and the United States of America over the matter.” 145 Additional Additional sources have reported the alleged hiring of Cambridge Analytica or SCL (its parent com company) to hack int into this this data. The They cite ite “se “seven ind individ ividu uals wit with clo close kno knowle wledge of Nig Nigeria ria cam campaign ign” who who imp implica licate te Cambri mbrid dge Analyti lytic ca and “wh “who the they belie lieve to be Isra Israe eli hacke ckers”. rs”. Whil While e the the comp compan any y deni denied ed usin using g hack hacked ed or stol stolen en info inform rmat atio ion, n, they they conf confir irme med d “tha “thatt it had had been been hired to provide advertising and marketing services in support of the campaign of Jonathan [fo [forme rmer presi resid dent of Niger igeria ia]]. Tha That work see seems to have come about throu rough Britt ritta any Kaise iser, a senior director at Cambridge Analytica, and a senior strategist on the campaign team of President Donald Trump. ”146
142
https://www.pulse.ng/news/politics/muhammadu-buhari-f https://www.pulse.ng/news/politi cs/muhammadu-buhari-fake-medical-report-cl ake-medical-report-claims-presidential-c aims-presidential-candidate andidate -has-cancer-photo/57kggyt 143
http://newswirengr.com/2015/01/17/ahmadu-bello-university-teachi http://newswirengr.com/2015/01/17/ahmadu-bel lo-university-teaching-hospital-discredit ng-hospital-discredit-buhari-cancer-rep -buhari-cancer-rep ort/ 144
https://www.pulse.ng/news/local/buhari-pledges-first-cl https://www.pulse.ng/news/local/buha ri-pledges-first-class-healthcare-servicesass-healthcare-services-for-cancer-patients/l for-cancer-patients/lp08kw p08kw 4 145 https://punchng.com/fg-writes-uk-usa-over-al https://punchng.com/fgwrites-uk-usa-over-alleged-hacking-of-buharisleged-hacking-of-buharis-medical-records/ medical-records/ 146 https://www.vanguardngr.com/2018/03/2015-buhari https://www.v anguardngr.com/2018/03/2015-buharis-medical-historys-medical-history-financial-records-hackedfinancial-records-hacked-report/ report/
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-Confidential6. Dementia - Evidence, Rumours Faro Faroo oq Kperog rogi 147 - a Nig Nigeria rian academic mic (Ph (Ph.D), .D), jou journa rnalist list and public lic speaker ker init initia iatted a twit twittter thre threa ad (17 (17.01 .01.201 2019) dedica icated to evid vidence of Buhari’s ri’s demen mentia. ia. He claim laims s tha that a docto octorr who met Buhari noticed tell-tale signs of dementia. He initially published this on his twitter on 23.11 .11.2018.148 He added tha that a non med medica ical prof rofessio ssion nal who met wit with Buhari came came to the the sam same 1 49 49 1 50 50 conclusio conclusion n based based on on person personal al experi experience ence with deme dementia ntia.. After the town hall meeting Buhari held on 27.01.2019, 27.01.2019, there was a lot of talk about dementia and and his his unfi unfitt sta state te.. 151 In 2018, there were many rumours (and multiple refutations 152 153 154 155 156) that Buhari died and was was rep replac laced by a double (so (some name Jib Jibril ril Aminu inu fro from Suda udan as the the double). le). Som Some rep reports rts 157 158 159 160 161 162 163 provide a hand-filled form from London Bridge Hospital as a proof. Note that this seems to be the exact same note cited above in relation to sickle cell diagnosis from London Bridge Hospital - only the dates are changed, and in a very obvious manner. 164 The
147
https://en.wikipedia.org/wiki/Farooq_Kperogi https://twitter.com/farooqkperogi/status/1086011065408897026 149 https://twitter.com/farooqkperogi/status/1086011065408897026 150 http://news-af.op-mobile.opera.com/news http://news-af.op-m obile.opera.com/news/detail/f8ec6f08be5315df8f3e8cd /detail/f8ec6f08be5315df8f3e8cd54123f2f2_ng 54123f2f2_ng 151 https://punchng.com/buharis-performance-at-tow https://punchng.com/buhari s-performance-at-town-hall-meeting-a-com n-hall-meeting-a-comedy-show-says-atiku/ edy-show-says-atiku/ 152 https://www.bbc.com/news/world-africa-46424562 148
153
https://www.theguardian.com/world/2018/dec/04/nigeria-elect https://www.theguardian.com/world /2018/dec/04/nigeria-election-buhari-battles-bodyion-buhari-battles-body-double-rumours-and double-rumours-and -economic-woe 154
https://www.thecable.ng/connecting-the-dots-in-the-buhari-body-d https://www.thecable.ng/connecting-thedots-in-the-buhari-body-double-scam-and-atiku-abubakarouble-scam-and-atiku-abubakar-corrupti corrupti on-hoax 155
https://www.news18.com/news/buzz/nigerian-president-muhamm https://www.news18.com/news/buzz/ni gerian-president-muhammadu-buhari-denies-dying-andadu-buhari-denies-dying-and-being-repl being-repl aced-by-a-body-double-1958413.html 156 https://www.legit.ng/1206933-fact-checkhttps://www.l egit.ng/1206933-fact-check-how-true-claim-buhar how-true-claim-buhari-dead-replaced-a-lookal i-dead-replaced-a-lookalike.html ike.html 157
http://www.igbofocus.co.uk/Which-of-President-Muhammaduhttp://www.igbofocus.co.uk/Which-of -President-Muhammadu-B/which-of-presi B/which-of-president-muhammadu-buhari-dent-muhammadu-buhari--a a re-you-referring-to-the-de.html 158 http://www.thenewscable.com/2018/03/bre http://www.t henewscable.com/2018/03/breaking-buharis-alleged-londonaking-buharis-alleged-london-lab.html lab.html 159
http://www.igbofocus.co.uk/Which-of-President-Muhammaduhttp://www.igbofocus.co.uk/Which-of -President-Muhammadu-B/which-of-presi B/which-of-president-muhammadu-buhari-dent-muhammadu-buhari--a a re-you-referring-to-the-de.html 160
https://www.theguardian.com/world/2018/dec/04/nigeria-elect https://www.theguardian.com/world /2018/dec/04/nigeria-election-buhari-battles-bodyion-buhari-battles-body-double-rumours-and double-rumours-and -economic-woe 161 https://guardian.ng/features/focus/buharis-body-doubl https://guardian.ng/fea tures/focus/buharis-body-double-suspicion-that-wont e-suspicion-that-wont-go-away/ -go-away/ 162
http://republicreporters.com/b-o-m-b-s-h-e-l-l-buharis-doubl http://republicreporters.com/b-o-m-b-s -h-e-l-l-buharis-double-jibrils-fami e-jibrils-family-storms-aso-rockly-storms-aso-rock-demand-power demand-power -sharing-arrangement-at-the-federal-level-i -sharing-arrangement-at -the-federal-level-in-perpetuity-plus-50-per n-perpetuity-plus-50-percent-of-nigerias/ cent-of-nigerias/ 163 https://www.thecable.ng/buhari-the-dead-and-his-body-double 164 The 2015 document is here for comparison: http://shopmartk.blogspot.com/2015/12/buharihttp://shopmartk.bl ogspot.com/2015/12/buhari-down-with-kidney-l down-with-kidney-liver-disease.html iver-disease.html
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-Confidentialhand handwr writ itin ing g with with Buha Buhari ri’s ’s deta detail ils s is very very dist distin inct ct and and is defi defini nite tely ly the the same same.. (See (See Appe Append ndix ix 1 and and compare to the original in Appendix 3). It is worth noting that several studies have link linked ed canc cancer er and and deme dement ntia ia - and in particular, demen mentia as a resu result lt of com common monly used trea reatme tment (AD (ADT - Androg rogen Dep Depriv rivatio tion Therap rapy) for for 165 166 167 168 169 170 prostate cancer . Howe Howeve ver, r, some some stud studie ies s cont contra radi dict ct this this..
7. Other points of interest - Media Coverage An academic research published in December 2018 analyzed the manner in which Buhari’s med medica ical lea leaves were were covere vered d and fra framed in the the press ress.. It came came to sev several ral notab table conclu nclusi sio ons: tha that the covera verag ge was not full full (pie (piece cem meal rath rathe er tha than givin iving g the the entire ire sto story); ry); tha that mos mostly tly, the sto story was was not publis lished hed promi romin nently, ly, but rat rather, her, publish lishe ed in the mid middle pages of papers; rs; tha that the story was not published very often (they provide actual count of items in several major publica licattion ions). s).171
8. Criticism for lack of disclosure and treatment abroad Buhari was often criticized for not revealing his medical status and for seeking medical treatment abroad. 172 173 Buhari had previously (April 2016) condemned such behavior: “While this this admi admini nist stra rati tion on will will not not deny deny anyo anyone ne of his his or her her fund fundam amen enta tall huma human n righ rights ts,, we will will cert certai ainl nly y not not enco encour urag age e expe expend ndin ing g Nige Nigeri rian an hard hard-e -ear arne ned d reso resour urce ces s on any any gove govern rnme ment nt offi offici cial al seek seekin ing g med medica ical care abroa road, when suc such can can be handled led in Nig Nigeria ria.” He said durin uring g his firs firstt campa mpaign ign 165
https://www.sciencedaily.com/releases/2017/03/170330114954.htm
166
https://www.pennmedicine.org/news/news-releases/2017/march/l https://www.pennmedicine.org/news/new s-releases/2017/march/link-between-common-pr ink-between-common-prostate-cancer-tr ostate-cancer-tr eatment-dementia-detailed-in-new-penn-study 167 https://www.alzheimersresearchuk.org/p https://www.al zheimersresearchuk.org/prostate-cancer-treatment rostate-cancer-treatment-linked-dementia-ri -linked-dementia-risk/ sk/ 168
https://med.stanford.edu/news/all-news/2016/10/common-prostatehttps://med.stanford.edu/news/all-news/ 2016/10/common-prostate-cancer-treatment-link cancer-treatment-linked-to-later-deme ed-to-later-deme ntia.html 169
https://www.mensjournal.com/health-fitness/prostate-cance https://www.mensjournal.com/healt h-fitness/prostate-cancer-treatment-causes-dem r-treatment-causes-dementia-androgen-depriv entia-androgen-depriv ation-therapy-w445839/ 170
https://www.cancernetwork.com/prostate-cancer/adt-linked-dem https://www.cancernetwork.com/prost ate-cancer/adt-linked-dementia-men-prostate-ca entia-men-prostate-cancer-receiving-defin ncer-receiving-defin itive-radiotherapy 171
http://www.unimaid.edu.ng/Journals/Social%20Sciences/M http://www.unimaid.edu.ng/Journals/S ocial%20Sciences/Masscomm/MCC%20V asscomm/MCC%20Vol%201%20No%202%20 ol%201%20No%202%20 Dec%202017/MCC%20Vol%201%20No%202%20Article%2003.pdf 172 https://www.nytimes.com/2018/05/08/w https://www.ny times.com/2018/05/08/world/africa/niger orld/africa/nigeria-president-buhari-heal ia-president-buhari-health.html th.html 173
https://www.theguardian.com/world/2016/jun/07/muhammadu-buhar https://www.theguardian.com/world /2016/jun/07/muhammadu-buhari-nigeria-ear-infec i-nigeria-ear-infection-medical-treatm tion-medical-treatm ent-uk
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-Confidentialhe will “end medical tourism.”174 175 Buhari’s medical leave in 2018 came after three weeks of 76 1 77 77 strike strike by by medica medicall care care profe professio ssional nal in Niger Nigeria. ia. 1 76 Natu Natura rall lly, y, Buha Buhari ri’s ’s prol prolon onge ged d abse absenc nces es and and feeb feeble le excu excuse ses s (lik (like e “tec “techn hnic ical al stop stopov over ers” s” and and “rat “rat dama damage ge”) ”) drew drew many many crea creati tive ve resp respon onse ses s on soci social al medi media a as well well,, mock mockin ing g the the pres presid iden ent’ t’s s “rat “rat 178 179 180 prob proble lems ms”” and and simi simila lar. r.
174
https://www.nytimes.com/2018/05/08/world/africa/niger https://www.nytimes.com/2018/05/08/w orld/africa/nigeria-president-buhari-heal ia-president-buhari-health.html th.html https://www.bbc.com/news/business-36468154 176 https://www.myjoyonline.com/wor https://www.m yjoyonline.com/world/2017/august-22nd/rats-chas ld/2017/august-22nd/rats-chase-buhari-from-offi e-buhari-from-office.php ce.php 177 https://www.nytimes.com/2018/05/08/w https://www.ny times.com/2018/05/08/world/africa/niger orld/africa/nigeria-president-buhari-heal ia-president-buhari-health.html th.html 178 https://www.bbc.com/news/world-africa-41016366 179 https://www.youtube.com/watch?v=-z0pkl76f60 180 http://www.konbini.com/ng/lifest http://www.kon bini.com/ng/lifestyle/nigerians-react-t yle/nigerians-react-to-rat-devastation-ofo-rat-devastation-of-president-buharis-offi president-buharis-office/ ce/ 175
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Addendum Addendum
Appendix 1 2017 doctored medical report
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Appendix 2 Ahmadu Bello papers 2014
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Appendix 3 Bridge Hospital Sickle Cell 2015
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Appendix 4 Official requests to senate for medical leave 2017
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