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			 "There was a shortage," the 47-year-old, who did not wish to be 
			named in order to protect the staff who struggled to treat her, told 
			Reuters. "It was discussed all around. It felt like that was the 
			main issue – oxygen, oxygen, oxygen," she said, convalescing in a 
			private hospital to which she moved. 
 Authorities are battling a second wave of infections that has caused 
			nationwide oxygen shortages. Hospitals in the capital, Abuja, have 
			come close to running out, while demand in Lagos, the centre of the 
			outbreak, has increased as much as sevenfold since early autumn.
 
 "There was a national scarcity of oxygen. We were pulling from all 
			our normal suppliers, and finding new suppliers," Lagos State Health 
			Commissioner Akin Abayomi told Reuters in an interview.
 
			
			 
			
 Demand for cylinders in Lagos went from around 70 per day early last 
			year to as high as 500 daily from November, Abayomi said.
 
 Nigeria, population 200 million, was spared the worst in its first 
			COVID-19 wave that began in February last year. But a second wave 
			has hit hard. More than half of Nigeria's 131,242 confirmed cases 
			have been logged in the past three months. Fatalities now total 
			1,586.
 
 In December, the government enlisted Nigeria's Air Force to increase 
			liquid oxygen production at a plant in the northeastern city of Yola 
			and fly 117 cylinders to two COVID-19 centres in Abuja.
 
 Authorities pledged in January to build a new oxygen plant in each 
			of Nigeria's 36 states.
 
 FEES
 
 A Clinton Health Access Initiative study in 2018 found widespread 
			oxygen supply shortages across Nigeria well before the pandemic hit. 
			It said that due to high demand, hospital patients were often asked 
			to pay fees for oxygen that "vary by facility and ... can be quite 
			exorbitant".
 
 Nigeria has at least 30 oxygen plants but there are frequent 
			production disruptions due to poor maintenance, aging equipment and 
			the notoriously unreliable power supply, the global health 
			organisation said.
 
			
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			 Abayomi said patients are not 
								charged for oxygen, and none who need it have 
								been denied. But patients sometimes only need 
								oxygen for a few hours, and it is taken away 
								afterwards. "Oxygen is scarce at 
			this point in time, so we are not wasting it," Abayomi said.
 The businesswoman said scarcity prompted wealthy patients on her 
			ward to pay for oxygen from private suppliers.
 
 "Either you get it from outside or you find a way of accessing it 
			internally. These were the conversations that were going on," she 
			said.
 Declan Eugene, an oxygen dealer whose company 
			Feligene Global Enterprises supplies hospitals in Abuja, said oxygen 
			became "very scarce" in November when demand soared.
 Eugene said he received anxious calls from customers, some who had 
			not called in seven years.
 
 "It was a really terrible situation," Eugene said. "And it has 
			become a norm somehow."
 
 Tanks that he sold for 7,000 to 8,000 naira ($18 to $21) spiked to 
			20,000 naira ($52), he said.
 
 Eugene said oxygen supply had improved this year because more plants 
			were working at full capacity. Lagos state last month launched a new 
			oxygen plant that can fill 60 cylinders a day, and plans to build 
			two more.
 
 "You can't be in a position where you need oxygen and cannot give 
			it," Abayomi said. "That's just irresponsible and cruel."
 
 (Reporting by Libby George and Alexis Akwagyiram in Lagos; 
			Additional reporting by Abraham Achirga in Abuja; Editing by Giles 
			Elgood)
 
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