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Nigeria – Measles-related admissions reach record at MSF facilities in Maiduguri

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Nigeria – Measles-related admissions reach record at MSF facilities in Maiduguri

By: Our Reporter

Measles admissions to Médecins Sans Frontières (MSF) facilities in Maiduguri, Northeast Nigeria, spiked between October and December 2023, reaching record numbers.

Despite the vaccination efforts, this worrying situation calls for a rapid reinforcement of routine immunization campaigns.In 2023, MSF teams treated a total of 9,618 patients with measles in both of its healthcare facilities – Gwange Paediatric Hospital and Nilefa Kiji nutrition hospital – and in MSF-supported primary healthcare (PHC) centres in Maiduguri.

“We did not expect such a large influx of patients, particularly at the end of the year” explains Abdulwahab Mohamed, MSF medical coordinator, referring to the 3,965 patients treated from October to December, which represent almost three times more than for the same period in 2022.

“Dr. Jombo Tochukwu-Okoli, MSF Medical Activity Manager at Gwange Paediatric Hospital, attributes this alarming rise in the number of cases to an inability of public health actors “to achieve the 95% vaccination rate, required to suppress measles.

“This is notably due to the difficulties for the health workers in accessing rural communities surrounding Maiduguri”, Dr. Tochukwu-Okoli continues, as the insecurity has made vaccination campaigns a difficult endeavour.

This is not the only difficulty to achieve a higher vaccination coverage. The interruption of routine childhood vaccination during the Covid-19 pandemic has disrupted the health systems thus having a negative impact on the implementation of routine immunisations campaigns. Technical complications also lead to interruptions in the cold chain making the vaccine defective.

The measles spike coincides with an unprecedented diphtheria outbreak in Northern Nigeria and a longer-than-usual malaria season. The diphtheria outbreak, with 24,500 suspected cases and more than 600 deaths reported since it was officially declared in January 2023, is yet another strong indicator of the dramatic setback in routine immunisation programs and the lack of long-term efforts to increase vaccination coverage in the country.

In 2021, Maryam Umar’s son contracted measles. Aware of the danger the disease poses to young children, Maryam took the toddler to the MSF-run Gwange hospital in Maiduguri where he eventually died.

“I was really scared and started crying when he had measles because [I knew] of the severity of the disease” the mother of six children recalls.

Last year, when her youngest daughter contracted measles, Maryam took no chances. She immediately brought her to Gwange hospital, where MSF staff operate two wards dedicated to treating measles.

The toddler was discharged after one week of oxygen therapy.Measles is one of the most contagious viral diseases in the world. Infecting the immune cells, the virus quickly spreads all over the body and eventually affects the respiratory system. This causes a cough that can spread the virus to others.

“One infected child can spread the virus to between 9 and 12 other unvaccinated children” explains Dr. Tochukwu-Okoli.

Although there is currently no specific cure to treat measles, there are life-saving drugs that can keep patients stable and prevent complications.As the virus affects the immune system it can lead to serious complications long after measles is gone.

“This makes the virus so deadly as it leaves a child open to other, specifically diarrhoeal, diseases”. Dr. Tochukwu-Okoli is worried about the significance of a measles spike in a context where malnutrition is so prevalent, “Measles is notorious for precipitating malnutrition” because of the degenerative impact the virus has on the gastrointestinal lining.

“The diarrhoea,” Dr. Tochukwu-Okoli, continues, “makes it difficult for the child to retain and absorb nutrients in the post measles phase, and purges the child of essential micronutrients further depressing a child’s immunity”.

In the Northeast of Nigeria, where access to nutritious food is seasonally limited, diseases like measles among other factors, leads to higher levels of malnutrition and creates a vicious cycle, as the malnourished status also leads to further immune suppression. In turn this generates greater morbidity and mortality linked to measles and other diseases.

The complex security situation in Northern Nigeria, significant funding cuts by international donors for Nigeria, and the continuous neglect of public health infrastructure is alarming.

Considering the high prevalence of vaccine-preventable outbreaks, such as measles, diphtheria and meningitis, MSF is cautioning international and national stakeholders not to look away at what could be an oncoming perfect storm for a worsening of the humanitarian crisis this year, 2024.

Nigeria – Measles-related admissions reach record at MSF facilities in Maiduguri

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What Niamey’s Airport attack means for Niger, West Africa and Sahel

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What Niamey’s Airport attack means for Niger, West Africa and Sahel

By: Zagazola Makama

Niamey woke up in the morning of Thursday to disturbing reports of heavy gunfire and explosions around the airport zone an area that hosts Niger’s air force base, the headquarters of the joint Sahel force with Mali and Burkina Faso, and a strategic stockpile of uranium.

For nearly two hours, residents heard detonations, saw flashes in the sky resembling anti-aircraft fire, and reported buildings and vehicles in flames. Calm has since returned, but clarity has not.

At the time of writing, no official statement has fully explained what happened. No group has claimed responsibility. And while authorities insist the situation is under control, the silence leaves space for speculation in a region already on edge.

The location alone makes the event highly sensitive. The Niamey airport zone is not an ordinary district. It is the nerve centre of Niger’s air power and regional military coordination. It also hosts uranium stocks, a strategic resource with both national and international implications.

Any shooting in this area automatically raises three big questions: Was this an external attack, an internal security incident, or a mutiny? Some sources suggest the firing may have come from inside the base, which points to the possibility of an internal breach or unrest. If true, this would indicate deep cracks within Niger’s security architecture.

Was a strategic asset targeted? Even if the uranium was not hit, the fact that fighting occurred near such a site elevates the risk level for Niger and its partners. What does this say about control under the current junta? Since Gen. Abdourahamane Tiani took power, Niger has continued to lose it grip on issues of national security. An incident of this scale in the capital challenges that narrative.

For Nigeria, the situation in Niger is not remote. The two countries share a long, porous border, strong trade ties, and deep security interdependence. If Niger’s capital can experience hours of unexplained gunfire around its most sensitive installations, then cross-border insecurity risks increase. Any weakening of control in Niamey could embolden armed groups across the Sahel, including those operating near Nigeria’s northern frontier.

The Sahel’s security architecture looks more fragile. Niger, Mali and Burkina Faso have positioned themselves as a new security bloc after breaking with ECOWAS. Incidents like this brings to the fore about how cohesive and effective that bloc really is. Strategic resources become geopolitical flashpoints. Uranium is not just a Nigerien issue; it has global implications. Any instability around such assets invites international concern and possible pressure.

There is no confirmed evidence yet of a foreign attack, a coup attempt, or a direct operation against uranium. So panic would be premature.
But silence is just as dangerous. In security matters, the absence of clear communication feeds rumours, conspiracy theories and political manipulation. In the Sahel’s volatile environment, that can quickly become destabilising.

What Niamey’s Airport attack means for Niger, West Africa and Sahel

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Mysterious attack rocks Niger Air Base in Niamey, raises fears of mutiny

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Mysterious attack rocks Niger Air Base in Niamey, raises fears of mutiny

By: Zagazola Makama

A major security breach has hit Niger’s capital, Niamey, following a midnight attack on Air Base 101, damaging key military assets and deepening concerns about instability under the junta led by Gen. Abdourahamane Tchiani.

Multiple security sources said explosions were heard around 12:00 a.m. on Wednesday at the strategic air base located near the Diori Hamani International Airport.

The attack reportedly destroyed or disabled several aerial assets, including drones and fixed-wing aircraft, and severely damaged the Unified Force Command Centre.

Four civilian aircraft on the tarmac, including one operated by ASKY Airlines, were also affected, though no passengers were onboard at the time.

Sources said two trucks transporting uranium materials within the base perimeter were hit, but their cargo remained intact, averting a potentially larger disaster.

There were confirmed casualties, with ambulances seen moving in and out of the base area through the night. Some of the attackers were reportedly killed, while others were arrested and taken into custody by Niger’s intelligence services.

However, the identity of those behind the assault remains unclear.

While early speculation pointed to jihadist involvement, no armed group has claimed responsibility. Other security sources told Zagazola that the operation appeared to have been launched from inside the air base, suggesting a possible mutiny rather than an external terrorist strike.

“The pattern of the attack and access to sensitive areas strongly indicate insider involvement,” one regional security analyst said.

The incident has intensified fears that Gen. Tchiani is losing control over key institutions, especially the military, raising serious implications for Niger’s stability and for neighbouring countries, including Nigeria.

Niger plays a critical role in regional security in the Sahel, and any further breakdown of command and control could create new risks for border states already battling terrorism and banditry.

As of the time of filing this report, Niger’s authorities had yet to issue an official statement on the incident.

Mysterious attack rocks Niger Air Base in Niamey, raises fears of mutiny

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Alleged terrorism: Rescued victims filed complaints against Tukur Mamu- DSS Witness

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Alleged terrorism: Rescued victims filed complaints against Tukur Mamu- DSS Witness

A Department of State Services (DSS)’ investigator, on Thursday, told the Federal High Court in Abuja that many of the rescued victims of the 2022 Abuja-Kaduna bound train attack lodged complaints in their office against alleged terrorist negotiator, Tukur Mamu.

The DSS operative, who testified as 6th prosecution witness (PW-6) in the ongoing terrorism trial of Mamu, made the disclosure to Justice Mohammed Umar while being cross-examined by the defence counsel, Johnson Usman, SAN.

The lawyer had asked the witness, who gave his testimony behind a witness screen for security reasons, “to confirm to court if any of the rescue victims, including the wife of the Commandant in Jaji, made any complaint against the defendant to the DSS.”

Responding, the witness said: “Yes, my lord.”

When Usman further asked the witness if the complaint by the rescued victims was either in writing or oral, he said it was in writing.

The DSS’ lawyer, David Kaswe, however, prayed the court to restrain Usman from delving into questions that might touch on the identity of victims or witnesses in the case since the court had granted protection to all.

Responding, Usman told the court that none of the names he called was a witness before the court.

“Even though my lord has granted an order for trial in camera, a trial in camera is not to prejudice the defendant,” he said.

The witness said he interviewed six victims in the course of the investigation.

When he was asked if the six victims were interviewed in the presence of Mamu, the PW-6 responded in the negative.

The witness told the court that he was not a vocologist, having not studied sound in higher institution.

He, however, confirmed that the audio exhibit tendered by the prosecution was the extract of the transcribed audio between Mamu and the terrorists.

When he was asked if he interviewed a former Chief of Defence Staff, General Lucky Irabor (retd.), he said the army chief was not interviewed.

The witness, however, admitted that General Abdulkadir Abubakar was interviewed in the course of investigation.

“When you interviewed him, was it in the presence of the defendant?” the lawyer asked and he said: “No my lord.”

“Did you interview Sheikh Gumi?” Usman asked and the witness responded in the affirmative.

“Was it in the presence of the defendant?” Usman asked.

“No my lord,” the witness responded.

“Did you interview Major General Idris Garba?”

“No my lord,” the PW-6 said.

“Did you interview General Jalingo?” the lawyer asked, and he said: “Yes, my lord.”

The witness said General Jalingo was not interviewed in Mamu’s presence.

“Finally, did you interviewed Hannafi of Defence Military Intelligence,” the lawyer asked and the witness responded in the negative.

“Confirm to court, whether at any time in the course of your investigation, you brought members of the Chief of Defence Staff (CDS) Committee for interview in the presence of the defendant,” Usman asked and the witness responded in the negative.

“Please confirm whether you are aware that the defendant has requested that you brought members of the CDS Committee face to face with him for interview,” the lawyer asked and the witness said: “Yes, he did.”

“Confirm whether the request of the defendant to have the CDS and others involved gathered together for interrogation was granted,” Usman asked, and the witness said:”No, my lord.”

When Usman asked the witness to confirm that Mamu told him that he is a publisher of a newspaper and magazine, the witness said: “Yes, he said so.”

When the lawyer asked the witness to confirm that Mamu told him his means of income was derived from his journalism business, the PW-6 said: “Yes, he claimed “

“As investigator, did you investigate this claim,” the lawyer asked.

“Yes, we did,” he responded.

After the cross-examination, Kaswe told the court the prosecution’s intention to close its case.

“So that we can allow the defendant to enter his defence if they are ready,” he said.

But Usman told the court that they would rather apply for a date to open their defence, .

“We will not file a no-case submission so that the world can see it and God can see it all,” he said.

Justice Umar adjourned the matter until April 23 for Mamu to open his defence.

Alleged terrorism: Rescued victims filed complaints against Tukur Mamu- DSS Witness

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