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MSF Raises the Alarm, Malnutrition Records Now Overwhelming in North East

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MSF Raises the Alarm, Malnutrition Records Now Overwhelming in North East

By: Michael Mike

Médecins Sans Frontières (MSF) otherwise called Doctors Without Borders has raised the alarm that inpatient facilities in northern Nigeria have recorded an extraordinary increase in admissions of severely malnourished children with life-threatening complications, exceeding last year’s figures by over 100 per cent in some locations.

The organisation in a statement on Tuesday said the latest figure was the result of admission records in the last few weeks at facilities in the area, insisting that for MSF teams, this is an alarming indication of a premature peak of the lean season and the increase in acute malnutrition that accompanies it, typically anticipated in July.

Speaking on the situation, the MSF’s Country Representative in Nigeria, Dr Simba Tirima said: “We are resorting to treating patients on mattresses on the floor because our facilities are full. Children are dying. If immediate action is not taken, more lives hang in the balance. Everyone needs to step in to save lives and allow the children of northern Nigeria to grow free from malnutrition and its disastrous long-term, if not fatal, consequences.

“Humanitarian assistance must be urgently scaled up. MSF calls upon the Nigerian authorities, international organisations and donors to take immediate action to diagnose and treat malnourished children to prevent associated complications and deaths, but also to engage in sustained, long-term initiatives to mitigate the underlying causes of this urgent problem.

“We’ve been warning about the worsening malnutrition crisis for the last two years. 2022 and 2023 were already critical, but an even grimmer picture is unfolding in 2024. We can’t keep repeating these catastrophic scenarios year after year. What will it take to make everyone take notice and act?” Tirima added.

According to the statement, in April 2024, MSF’s medical team in Maiduguri in northeast Nigeria admitted 1250 severely malnourished children with complications to the inpatient therapeutic feeding centre, doubling the figure for April 2023. Forced to urgently scale up capacity, by the end of May the centre accommodated 350 patients, far surpassing the 200 beds initially designated for the peak malnutrition season in July and August.

Also in the northeast, the MSF-operated facility in Bauchi state’s Karfin Madaki hospital recorded a significant 188 per cent increase in admissions of severely malnourished children during the first three months of 2024 compared to the same period in 2023.

The statement added that in the northwestern part of the region, in Zamfara state, the inpatient centres in Shinkafi and Zurmi have received up to 30 per cent more monthly admissions in April compared to March. Talata Mafara’s facility saw about 20 per cent increase in the same period. Similarly, MSF inpatient facilities in major cities like Kano and Sokoto are also reporting alarming surges, by 75 and 100 per centrespectively. The therapeutic feeding centre in Kebbi state also documented a rise of more than 20 per cent in inpatient admissionsfrom March to April.

The statement read that despite the alarming situation, the overall humanitarian response remains inadequate. Other non-profit organisations active in the north are also overwhelmed. The United Nations and Nigerian authorities issued an urgent appeal in May for $306.4 million to address the pressing nutritional needs in Borno, Adamawa, and Yobe states. Yet this will be insufficient, ignoring as it does other parts of northern Nigeria where needs also outweigh the currentcapacity of the organisations to respond sufficiently.

It added that the catastrophic nutritional situation seen in recent years in northern Nigeria calls for a bigger response. Persistently excluded from the formal humanitarian response, reductions in the already limited funding available for the northwest have also dangerously affected the provision of crucial therapeutic and supplementary food. These supplies were completely unavailable in Zamfara for the first four months of this year and are now only available in lower quantities. This reduction has meant that it is only possible to provide treatment for more severe malnutrition cases, compromising an effective response that also addresses malnutrition earlier in its progression and avoids exposing children to a higher risk of mortality.

Tirima said: “We are alarmed by the reduction in aid at these critical times. Reducing nutritional support to only severely malnourished children is akin to waiting for a child to become gravely ill beforeproviding care. We urge donors and authorities to increase supporturgently for both curative and preventive approaches, ensuring that all malnourished children receive the care they desperately need.”

MSF Raises the Alarm, Malnutrition Records Now Overwhelming in North East

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Nigeria: MSF/Borno Govt. Vaccinates 350,000 Children Against Diphtheria in Maiduguri

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Nigeria: MSF/Borno Govt. Vaccinates 350,000 Children Against Diphtheria in Maiduguri

By: Our Reporter

The humanitarian medical organization Médecins Sans Frontières (MSF) and the Borno State Ministry of Health have successfully completed a vaccination campaign against diphtheria targeting children up to 14 years old in Maiduguri Metropolitan Council (MMC), Borno State, northeast Nigeria.

The campaign began with a first round from 9 to 15 February 2026, which reached 490,000 children, far exceeding the initial target of 387,000. A second round was conducted from 9 to 15 April 2026, targeting 360,000 children reached during the first round to strengthen immunity. Despite the high number of children reached, limited vaccine availability constrained the scale of response.

Nigeria is grappling with one of its most severe diphtheria epidemics in history, with the National Centre for Disease Control (NCDC) reporting 65,759 suspected cases and 2,229 deaths as of 22 March 2026 since May 2022 and officially declaring an outbreak in 2023. In Borno State, one of the most affected areas, MSF has treated more than 7,400 suspected cases since 2023, with 4,200 treated in the past year alone. Furthermore, MSF is treating thousands of people suspected or confirmed to have diphtheria across the country, in close collaboration with state Ministries of Health, and currently supports activities in Bauchi, Borno, Kano, and Sokoto states.

Diphtheria is an acute infectious disease that spreads primarily through respiratory droplets or contact with infected wounds. Symptoms include a sore throat, fever, swollen lymph nodes, and a thick grey membrane in the throat that can obstruct breathing. In severe cases, the bacterial toxin can damage the heart, nerves, and kidneys, potentially leading to complications such as paralysis. For unvaccinated persons without proper treatment, diphtheria can be fatal in around 30% of cases, with young children at higher risk of dying.

MSF supported the Borno State Ministry of Health to run the vaccination campaign, providing comprehensive logistical support including vaccine storage, transportation, and remuneration for vaccination teams; health promotion and awareness activities; and program supervision. The Ministry of Health provided the vaccines used in the campaign. This collaborative effort ensured high coverage, with communities responding enthusiastically to outreach efforts across both rounds.

“This vaccination will help to significantly boost immunity levels of children below 14 years old in Maiduguri, the area responsible for most of the diphtheria cases we saw in our treatment center. This proactive step is essential to controlling and preventing the disease,” said MSF emergency coordinator for the project, Nao Muramoto.

In addition, MSF supported the diphtheria treatment unit (DTU) at Maiduguri Teaching and Training Hospital in collaboration with the Ministry of Health. The DTU saw a surge in suspected cases during the campaign, reflecting heightened awareness and improved referrals by community health workers during the vaccination efforts.

“Sustained routine immunization against diphtheria, improved access in volatile areas, and tackling vaccine hesitancy remain essential to prevent future surges of vaccine-preventable diseases like diphtheria. “Access to more vaccines is needed, as efforts to reach the children of Borno State should remain a priority to avoid further contaminations, to cut the transmissions, and to save lives,” concludes Nao Muramoto.

Beyond its support to diphtheria treatment and vaccination, MSF also supports the Comprehensive Emergency Obstetric and Newborn Care (CEmONC) in Maiduguri, a 60-bed referral maternity and obstetric emergencies hospital with an intensive care unit (ICU) and neonatal ICU, and the Shuwari Primary Healthcare Centre and the Nilefa Kiji nutrition hospital, where our teams treat children under five suffering from severe and moderate acute malnutrition with medical complications.

Nigeria: MSF/Borno Govt. Vaccinates 350,000 Children Against Diphtheria in Maiduguri

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Fiscal Storm: ActionAid Slams ₦34trn Revenue Deductions, Calls for Transparency

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Fiscal Storm: ActionAid Slams ₦34trn Revenue Deductions, Calls for Transparency

By: Michael Mike

ActionAid Nigeria has called for an urgent forensic audit of Nigeria’s revenue management system following revelations that more than ₦34 trillion was deducted from federal earnings before allocation to the three tiers of government.

The organisation said the scale of the deductions—accounting for over 40 per cent of federal revenue in recent years—points to systemic weaknesses in public financial management and poses a serious threat to fiscal stability and development financing.

In a statement issued on Thursday, ActionAid said findings by the World Bank confirmed that a significant portion of government income is being absorbed through pre-distribution charges, including cost-of-collection frameworks and agency remittances, with limited transparency on their composition and utilisation.

“These findings reinforce long-standing concerns about Nigeria’s widening fiscal constraints and rising debt burden,” the group said. “The persistence of large-scale revenue leakages represents both a governance failure and a missed opportunity to strengthen fiscal stability.”

According to the organisation, the deductions—estimated at more than ₦34 trillion—have continued to rise alongside government revenues, leaving federal, state, and local governments with significantly reduced resources to fund public services.

ActionAid warned that the trend is worsening Nigeria’s reliance on borrowing, citing projections by the International Monetary Fund that the country’s debt-to-GDP ratio could climb to 33.1 per cent by 2027.

“The widening gap between gross revenue and distributable income is constraining development financing and increasing dependence on debt,” the statement added.

The group expressed particular concern over what it described as “opaque and fragmented” revenue channels, noting that substantial portions of national income pass through multiple layers before reaching the Federation Account.

It said the lack of public disclosure around these deductions—including their justification, structure, and end-use—raises critical accountability questions.

“There is limited transparency on how these funds are managed,” the organisation stated. “This opacity weakens fiscal oversight and undermines public trust in governance.”

ActionAid also pointed to broader implications for national development, warning that reduced public revenue is limiting government capacity to invest in essential sectors such as healthcare, education, security, and social protection.

The Country Director of ActionAid Nigeria, Andrew Mamedu, said the consequences are already being felt by millions of Nigerians.

“For citizens grappling with rising inflation, declining purchasing power, and economic hardship, the continued reduction in available public resources means fewer investments in essential services,” he said.

He added that weakening fiscal capacity is also exacerbating insecurity, as economic pressures fuel crime, displacement, and social instability.

“At a time when livelihoods are becoming more fragile, the erosion of public revenue further limits the government’s ability to respond effectively to these challenges,” Mamedu said.

The organisation further criticised the lack of transparency surrounding major public expenditures, citing concerns over projects such as the Nigeria Revenue Service building, where cost details and procurement processes have not been publicly disclosed.

“Citizens have a right to know how public funds are utilised,” the group said, stressing that accountability must extend beyond revenue collection to expenditure.

ActionAid warned that without urgent reforms, Nigeria risks entrenching a system where public resources are consistently depleted before they can deliver meaningful impact.

“The continued expansion of unchecked deductions poses a direct threat to equitable development, fiscal stability, and public trust,” it said.

To address the issue, the organisation called on the Federal Government to undertake a comprehensive and transparent review of all revenue deduction frameworks, with a view to ensuring accountability and efficiency.

It also demanded the immediate publication of detailed breakdowns of all deductions, strengthened independent oversight of revenue-generating agencies, and reforms to eliminate systemic leakages.

In addition, ActionAid urged the National Assembly to intensify its oversight role through public hearings and scrutiny of deduction structures, while calling on state governments, civil society, and the media to increase pressure for transparency.

“An independent forensic audit of all deduction mechanisms is critical to restoring public confidence,” the organisation said.

ActionAid added that Nigeria’s development trajectory depends not only on revenue generation but on how effectively public resources are managed and deployed.

“This is not just a fiscal issue; it is a matter of justice,” Mamedu said. “Every naira that fails to reach essential services denies Nigerians access to healthcare, education, and dignity.”

Fiscal Storm: ActionAid Slams ₦34trn Revenue Deductions, Calls for Transparency

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Troops rescue two kidnapped victims in Benue

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Troops rescue two kidnapped victims in Benue

By: Zagazola Makama

Troops of Sector 1 under Operation Whirl Stroke (OPWS) have rescued two kidnapped victims in Ukum Local Government Area of Benue State.

Security sources said the incident occurred at about 3:50 a.m. on April 15 when troops deployed at Kyado responded to a distress call on kidnapping activities in the area.

According to the sources, the troops swiftly moved to the scene, prompting the kidnappers to abandon their victims and flee.

The sources added that the troops successfully rescued the two victims and reunited them with their families.

Security operations have been intensified in the area to track down the fleeing suspects and prevent further incidents.

Troops rescue two kidnapped victims in Benue

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