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Lesotho moves towards mass treatment of worm infections
Lesotho moves towards mass treatment of worm infections
By: Michael Mike
To address the severe impact of parasitic worm infections on children’s health, nutrition, and education, the Ministry of Health in Lesotho, in collaboration with the World Health Organization (WHO), has initiated steps to re-establish its Mass Drug Administration (MDA) programme for Soil-Transmitted Helminths (STH).
This is done through the annual administration of albendazole tablets to target both preschool-aged children (1–5 years) and school-aged children (6–15 years). To prepare for the implementation of this critical intervention, a three-and-a-half-day multi-sectoral workshop was held in Leribe District, focusing on the development and validation of a comprehensive operational manual to guide future MDA implementation.
WHO has reported that over 1.5 billion people globally are infected with soil-transmitted helminths (STH), making it one of the most widespread infections. This parasitic disease is particularly prevalent in low-income and tropical regions.

The AFRO region faces the highest burden, with more than 800 million people at risk. Around 290 million school-age children in this region require preventive chemotherapy.
All Saharan African countries are endemic for STH, underscoring the critical need for comprehensive health interventions.
Lesotho conducted its initial national STH mapping survey in 2015, which revealed an overall prevalence of 47.6%, with significant district level variations, some reaching as high as 99%. This led to the launch of an MDA program in 2017, which, however, ceased operations after 2019 due to various challenges,including the COVID-19 pandemic, leaving at-risk populations vulnerable once more. Population at risk in Lesotho is around 550,000.
STH infections are classified by the WHO as Neglected Tropical Diseases (NTDs), characterized by their prevalence in populations with limited access to adequate sanitation and healthcare facilities. These parasitic infections contribute to adverse health outcomes, particularly among children, impacting their nutrition, growth, and educational performance.
A multi-sectoral approach is key to effectively and sustainably controlling and eventually eliminating STH infections in Lesotho and other high-burden areas. It involves not just the health sector (like mass drug administration), but also other sectors that address the main causes of transmission, such as poor sanitation, unsafe water, and poor hygiene.
Dr. Dhruv Pandey, the Technical Expert on Tropical and Vector-Borne Diseases, WHO Multicounty Assignment Team for the Southern Africa Hub countries, emphasized that the discontinuation of MDA since 2019 could have a detrimental impact on both public health and socioeconomic development in Lesotho.
He stressed the need for renewed political and intersectoral commitment, stating:
“It is essential for the Ministry of Health to prioritize the resumption of MDA by initially integrating it within existing health programmes, such as immunization and HPV campaigns.STH is not merely a health issue; it is a social issue, influenced by multiple social determinants and should be addressed through coordinated action.”
Ntsoaki Mamoeketsi Mokete, National Integrated Disease Surveillance and Response (IDSR) Focal Person at the Ministry of Health, highlighted the significance of the newly developed operational manual.
“Developing the operational manual is an important step towards controlling and eliminating neglected tropical diseases in Lesotho,” Mokete said. She outlined future plans, including five years of continuous MDA followed by an impact assessment survey to determine the status of STHs in the country.
“Our next steps will be to continue with the MDA for five years,which will be followed by the impact assessment survey to determine the distribution of schistosomiasis and soil-transmitted helminths (STHs) among the general population. This will enable us to implement effective deworming strategies for the elimination of STH as a public health problem in the Kingdom of Lesotho.
In addition, we will focus on advocacy for the revitalization of school health programmes, developing NTD clinical guidelines, integrating NTDs into the IDSR strategy, and developing a coherent and well-coordinated approach in collaboration with the Ministry of Education and other related organizations.”
The Ministry of Education and Training (MoET) also affirmed its commitment to the program. Mpheng Molapo, Coordinator of the Learner Care and Welfare Support Unit at MoET, underlined the direct benefits for students.
“The Ministry of Education strongly supports the implementation of the (MDA) for (STH) as a key public health intervention with direct impact on learner well-being, educational performance, and school attendance,” Molapo stated.
Dr. Pabolo Nonyane, District Veterinary Officer and National Focal Point for the Ministry of Agriculture, Food Security and Nutrition, underscored the importance of the MDA to the agricultural sector.
She stated that: “This initiative is vital for achieving sustainable food and nutrition security, particularly within our high-risk agricultural communities. Farmers and herd boys are uniquely vulnerable due to their exposure to contaminated soil. By using this operational manual to protect their health, we preserve the human capital essential for our agricultural future. This effort truly reflects the ‘One Health’ principle, ensuring that our work on STH contributes not only to public health but also directly to Sustainable Development Goal 2: Zero Hunger.”
“The development of Standard Operating Procedures (SOPs) for the MDA campaign against Soil-Transmitted Helminths is essential,” stated Matebele Setefane, UN-Water Global Analysis and Assessment of Sanitation and Drinking-Water (GLAAS) Focal Person, Ministry of Natural Resources.
“This manual provides a structured, standardized approach that ensures clarity of roles and alignment with broader health and Water, Sanitation and Hygiene (WASH) goals. Given that STH infections are strongly linked to inadequate sanitation and poor hygiene, integrating WASH elements into the MDA operational SOPs helps address not just treatment but also prevention.”
Setefane further emphasized the collaborative nature of the initiative: “The success of the MDA campaign depends not only on drug distribution but also on addressing the environmental drivers of STH transmission. Our ministry is committed to supporting the campaign through WASH integration, by collaborating with the Ministry of Health to ensure safe water access, functional sanitation facilities, and hygiene promotion are prioritized in targeted communities and schools.”
The workshop convened a multidisciplinary team, including representatives from the Ministries of Education, Nutrition, Water, Sanitation and Hygiene (WASH), and Environment. This collaborative approach aims to ensure the operational manual is pragmatic and implementable across all levels of engagement, marking a critical step towards establishing a sustainable, multisectoral intervention for STH control and eventual elimination as a public health problem in Lesotho.
WHO, working with other partners, has been instrumental in operationalizing the implementation of MDA in many countries, providing support at every stage of the process. This includes ensuring the sustainability of high-quality MDA, facilitating annual reporting, and conducting a comprehensive impact assessment after five years of optimal coverage.
Lesotho moves towards mass treatment of worm infections
News
Kashim Shettima: Of Betrayal, Power, and Survival.
Kashim Shettima: Of Betrayal, Power, and Survival.
By: Inuwa Bwala.
“March has returned, and with it the Ides. Beware the men who call you brother.”
Julius Caesar was perhaps Rome’s most trusted general. He crossed the Rubicon for Rome, conquered Gaul for Rome, and pardoned enemies for Rome.
Yet it was neither Gaul nor Pompey: his avowed rivals, that killed him. It was Brutus: his friend, and confidant yet his protégé, who was described as “the noblest Roman of them all.”
Julius Caesar did not slump and died because the daggers were too many, rather, bacause he noticed the person he least expected could betray him amongst those stabbing him: Brutus. In utter shock and disbelief, Caesar slumped, but not before he uttered the word,”And you too Brutus?”.
There is no doubt that, Kashim Shettima was Borno’s most tested governor. He walked into boiling areas, when others fled the state. He rebuilt schools bombed by Boko Haram. He chose to stay in Maiduguri when Abuja offered comfort.
As Vice President, he has carried himself as a true statesman abs the face of the Tinubu administration at national and international meets.
He always speaks of “the sanctity of human life” and calked for swifter and total mobilisationagainst terror.
Yet today, whispers from Borno and Abuja suggest the daggers are not in the bush like that of Boko Haram, they are in the hands of his kinsmen, those he hold family meetings and political meetings with.
Those who could read between the line, may be able to tell, when Shettima gave an anecdote at a recent public function, about the visit by his kinsmen to his boss, Bola Ahmed Tinubu, just three months into the life of the administration.
Like Brutus and the conspirators of the Shakespearean fame, who claimed they did not hate Caesar, but loved Rome more, those who visited Tinubu claimed to love Nigeria more and her President, abd not brcause thry hated Shettima.
Brutus in particular played on a so-called republican pride and his fear of tyranny, which he used in convincing himself that betrayal was patriotism. He struck to “save” Rome.
Shettima’s own “Brutuses” use a different script, relying on Shetyima’s perceived ambition and the attendant battle to keep himself in the balance of power as an alibi.
And in the face of contending forces, they recruited people to plsy out the cards, while remaining in the shadows. The charges may appear different with that if Caesar, but the intents are same. And while still smarting from the Muslim-Muslim debacle, Shettima had hradly setyled in office when they began to spread rumours of him, being too Borno, not enough to be a northerner. Too ambitious, fetish, independent minded and growing too popular. One thing they could not take away from him though us the fact that Shettima is intelligent, shrewd and a master schemer, which his boss knows too well.
I had cause to warn of this years ago seeing Shettima’s passive refusal to pick between kinsmen in place of statesmen to work with him.
I could see through the plots to denigrate a fine emergent nationalist by linking him with Boko Haram, painting him as fetish, portraying him as a religious and ethinic checkbox, all in a bud to undo him. The weapon when he was govetnor was insurgency, but the weapon now is political naivity and stereotyping . The tactic includes convincing his Kanuri kinsmen to fight him, so that “when Kanuri fights Kanuri, others will win. But beyond that, even his Kanuri brothers seem to have an axe to grind with him.
The painful truth remains, that, Caesar’s killers were senators in the Capitol, but Shettima’s challengers may be his own kinsmen: some of whom, he nentored snd no one can ever convince him that, they could ever work against him. In both cases, the dagger is dipped in familiarity.
It cuts deeper because the hands holding it, are either those he mentored or once broke bread with him.
Caesar died because he ignored omens. Not even Calpurnia, his wife’s dream could deter him. He ignored the soothsayer, and shunned the Senate’s mood, thinking goodwill was a good sheild and armor.
Shettima’s March 2027 is loaded with omens too, arising from fresh attacks by vested interests, intrigues amongst political players, betrayal by kinsmen, espionage by aides and attachees, dissertion by hitherto close allies, manipulations in the media, ethnic or religious profiling, clandestine meetings that without communiqués, but with lethal intents, contending forces in the party who whisper that 2027 needs a “new pairing.” indeed, the ides are here, because a second term is near, and second terms birth daggers.
As governor, perhaps Shettima survived by moving rather faster than conspiracy. He outrun, those who want to either even scores or shake off his dominace, and those people have remained at daggers drawn with him
How Shettima Survives, will definitely be a refrence point in power struggles in Nigeria.
But unlike Caesar who never learnt, Shettima is a good student of Robert Greens 48 Laws of Power, and must have drawn lessons from the falls of others before him.
To survive, Shettima must learn to trust, but audit the Praetorians. Caesar trusted Brutus with his life. Shettima cannot afford blind trust. The INEC database compromise and probe shows how insider access kills. Shettima must do what he did as governor: forensic audits, no sacred cows. As I earlier said, he must have his own policy, which must not be changed simply because some people want to determine its content.
He must learnt to keep the people, his own trusted people, and must not loose, as Caesar lost Rome due to his belief in his personal prowess and capacity. Shettima still owns Borno’s streets and still conttols the larger and more lethal political forces in the North.
He should be able to name the Brutus, but should not become an Antony, whom at Caesar’s funeral sparked civil unrest. Shettima cannot afford chaos. He should have a machinery on ground that will expose the plot, without burning the Forum. He should expedite action in uniting the North, and rally the support of kinsmen, even as a counterforce, or risks allowing the real enemies to win.
Importantly, he should bear in mind, that, the parabolical March is not the end, the ides pass. For Caesar, it ended at Pompey’s statue, but for Shettima, March can end with a stronger alliance. He must do what he told the nation: “We choose light over shadow, and hope over despair”.
The Verdict of History, had
Brutus dying on his own sword, muttering, “Caesar, now be still.” Betrayal did not save the Republic, rather it buried it.
Shettima’s kinsmen face the same choice. They can strike and wait for the verdict of history, or they can sheathe the dagger and remember: the real enemy still sleeps someehere else.
Twelve years ago, I wrote that Shettima’s ides would test Borno. In 2026, I state without fear of contradiction, that, they will test Nigeria.
Caesar ignored the soothsayer because he was in so much hurry. Shettima, as always, may not be in a hurry, but should he decide to, that hurry may yet save him.
Kashim Shettima: Of Betrayal, Power, and Survival.
News
FACT CHECK: No School Attack, No Student Abduction in Kautikari — What Really Happened During the ISWAP Raid
FACT CHECK: No School Attack, No Student Abduction in Kautikari — What Really Happened During the ISWAP Raid
By Zagazola Makama
A wave of alarming reports circulating across social media and some online platforms has claimed that Boko Haram insurgents attacked a school and abducted students in Kautikari community of Chibok Local Government Area, Borno State.
The claims, predictably amplified by emotionally charged references to the 2014 Chibok schoolgirls’ abduction, have generated anxiety among Nigerians following developments in the troubled region.
However, a detailed fact-check by Zagazola Makama, based on assessment from field sources, and video evidence from the scene, has found the claims to be entirely FALSE.
According to sources, the incident occurred at about 7:30 p.m. on June 13 when ISWAP terrorists launched an attack on a hunters’ patrol base located within the premises of a disused primary school in Kautikari.
The facility being used by the hunters was not functioning as a school at the time of the attack, nor were students present at the location. Rather, local hunters had established a patrol outpost within the structure, using some of the classrooms as temporary accommodation and operational shelters while supporting troops of Operation HADIN KAI’s efforts in the area.
The terrorists specifically targeted the hunters’ base and not a school populated by students as widely claimed. Initial resistance by the hunters successfully repelled the first assault.
However, the terrorists later regrouped in larger numbers and launched a second attack, forcing the hunters to temporarily withdraw after running low on ammunition.
Military sources disclosed that reinforcement teams comprising troops of the 117 Task Force Battalion from Kwada, supported by a Quick Response Force, local hunters and vigilante personnel, rapidly mobilized to the scene and engaged the terrorists. The coordinated response eventually overwhelmed the attackers and forced them to retreat.
No Student Was Abducted
Contrary to viral claims, there is no evidence that any student was abducted during the attack. Operational reports from the scene recorded no missing students, no reports of schoolchildren being taken away, and no indication that the terrorists targeted an educational institution in session.
Security sources confirmed that accountability checks conducted after the attack found no cases of student abduction.
In fact, the only confirmed casualties were one civilian who was reportedly struck by a stray bullet fired by the terrorists and one member of the Civilian Joint Task Force (CJTF) who sustained a gunshot wound to the arm.
Sources said also that the terrorists set fire to clothing and personal belongings belonging to the hunters stationed at the outpost. No troops were killed or injured during the engagement.
Further undermining the false reports is video footage obtained by Zagazola Makama from the aftermath of the attack. In the footage, one of the affected hunters is seen showing the damaged facility and burnt belongings while lamenting the destruction caused by the terrorists.
The hunter can be heard explaining that the location served as their place of accommodation and operational base.
“This is where we sleep,” he says while pointing to the affected section of the building.
The footage clearly supports military accounts that the target was a hunters’ outpost and not an occupied school hosting students.
The confusion likely arose because the hunters’ base was situated within the premises of a primary school building.
Photographs and videos showing damaged classrooms were subsequently circulated online without context, leading some platforms to incorrectly conclude that a school had been attacked and students abducted.
The result was the rapid spread of misinformation that failed basic verification standards.
Given Chibok’s painful history, any report involving schools and abductions naturally attracts national and international attention. This makes accurate reporting even more important.
FACT CHECK: No School Attack, No Student Abduction in Kautikari — What Really Happened During the ISWAP Raid
News
Police Foil IED Attack, Destroy Explosive Device in Zamfara
Police Foil IED Attack, Destroy Explosive Device in Zamfara
By: Zagazola Makama
The Zamfara State Police Command says it has successfully foiled a planned attack after its Explosive Ordnance Disposal (EOD) unit discovered and safely destroyed an Improvised Explosive Device (IED) in Tsafe Local Government Area of the state.
The Command said the operation was carried out on Friday at about 4:15 p.m. along the Kunchin Kalgo axis following credible intelligence received through community engagement efforts.

According to a statement issued by the Command, operatives of the Violence Crime Response Unit (VCRU), in collaboration with the EOD team, swiftly mobilised to the area after receiving information about a suspected explosive device planted by bandits.
Preliminary findings indicated that the device was strategically planted along the road with the intent of causing mass casualties among commuters and other road users.
The statement added that the timely response of the operatives led to the safe detection, evacuation and controlled destruction of the explosive device before it could cause any harm.
The Command commended the vigilance and cooperation of local residents, describing community support as critical to ongoing security operations in the state.
It further assured residents that efforts were ongoing to identify, arrest and prosecute those responsible for planting the device.
The police also disclosed that patrols had been intensified across vulnerable areas to prevent similar incidents and ensure the safety of road users.
The Commissioner of Police, A.M. Bello, reiterated the Command’s commitment to sustained operations against banditry and other violent crimes in Zamfara State.
Police Foil IED Attack, Destroy Explosive Device in Zamfara
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