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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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KARAN Appeals for Support for the ministry of Livestock Development

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KARAN Appeals for Support for the ministry of Livestock Development

By: Michael Mike

The Kulen Allah Cattle Rearers Association of Nigeria (KACRAN) has appealed to President Bola Tinubu to urgently support the Ministry of Livestock Development in getting its office ready.

The association decried that nearly eight months after the establishment of this crucial ministry, the renovation of the permanent office allocated to it for its operations is yet to be started, noting that this delay has impeded the
implementation of essential policies and programmes aimed at promoting the livestock sector and its value chains across Nigeria.

KACRAN, in a statement on Saturday, signed by its National President, Hon. Khalil Bello said: “When the Ministry was established on July 9, 2024, we, Nigeria’s pastoralists, viewed it as a long-awaited answer to our prayers and a significant step towards addressing over 50 years of
neglect in the livestock sector.

“However, the lack of progress since then has been disheartening, preventing the Ministry from fulfilling its critical role in ensuring food security and contributing to
the national economy.

“Currently, the Ministry functions more as a Directorate of Animal Husbandry Services, lacking the resources and infrastructure necessary for it to operate independently and effectively.

“Despite the critical nature of its mission, the allocated office space/building remains unrenovated and a timeline for starting the renovation or completion has not been provided. This situation severely hampers the ability of the Honorable Minister, Permanent Secretary, Directors and staff to coordinate effectively and execute
their responsibilities.

“Moreover, the financial resources allocated to the Ministry for the 2025 fiscal year are
insufficient for the Ministry to achieve its objectives.

“KACRAN is deeply concerned that without immediate attention to these challenges, the foundational goals of the Ministry will remain unattainable. As the political landscape evolves, it is vital that the focus remains on policy timely implementation rather than allowing the future of this very important Ministry to be muddling through uncertainties.

“We urge President Bola Ahmed Tinubu to prioritize the renovation and operation of the Ministry’s office so that the Honourable Minister and staff can effectively promote and develop the livestock sector.

Additionally, we implore the President to invest significantly in the livestock
sector, for enabling the Ministry to actively engage in ensuring food security, enhancing the nation’s GDP, and reducing heavy reliance on imported milk and food products, which costs Nigeria billions of
dollars annually.

“Finally, KACRAN expresses gratitude to President Tinubu for appointing Professor Muhammadu Attahiru Jega as an Advisor on Presidential Livestock Reform Programmes. We hope that under his
guidance, the Ministry can achieve its goals and bring tangible benefits to Nigeria’s pastoralists and the wider population.”

KARAN Appeals for Support for the ministry of Livestock Development

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Crime

Armed Robbers Kill Watchman, Injure Another in Katsina School Attack

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Armed Robbers Kill Watchman, Injure Another in Katsina School Attack

By: Zagazola Makama

Armed robbers attacked Government Secondary School Yashe in Kusada Local Government Area of Katsina State, killing one night watchman and injuring another before escaping with a solar inverter.

Intelligence sources told Zagazola Makama that the attack occurred at about 5:00 a.m. when the hoodlums stormed the school and assaulted the security guards with machetes.

One of the watchmen, Abdullahi Sanusi, 50, died on the spot, while his colleague, Aliyu Ahmed, 65, sustained serious injuries and was rushed to Kankia General Hospital for treatment.

Armed Robbers Kill Watchman, Injure Another in Katsina School Attack

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Police, Security Operatives Foil Kidnap Attempt in Kaduna EX LGA Chairmans home

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Police, Security Operatives Foil Kidnap Attempt in Kaduna EX LGA Chairmans home

By: Zagazola Makama

Security operatives in Kaduna have rescued a former Executive Chairman of Kaura Local Government Area, Seimon Matthias, from a kidnap attempt at his Kagoro residence.

Intelligence sources told Zagazola Makama that the attack occurred on February 14 at about 11:00 p.m. when an unspecified number of kidnappers stormed Matthias’ residence, shooting sporadically in an attempt to abduct him.

However, the sound of gunfire attracted the attention of police officers and other security operatives stationed nearby, leading to a fierce exchange of fire.

The assailants, overwhelmed by superior firepower, abandoned their victim and fled to the mountains.

Police said the victim was rescued unhurt, and a joint operation involving the Army and Kaduna Vigilante Service (KadVS) was ongoing to flush out the criminals from the surrounding bush areas.

Police, Security Operatives Foil Kidnap Attempt in Kaduna EX LGA Chairmans home

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