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Nigeria – Measles-related admissions reach record at MSF facilities in Maiduguri
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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Ahidjo commends vigilance of security team at the UMTH gate
Ahidjo commends vigilance of security team at the UMTH gate
By: Bodunrin Kayode
Chief Medical Director of the University of Maiduguri Teaching Hospital (UMTH) Prof Ahmed Ahidjo has commended the vigilance of the security personnel who stopped the suicide bombers from entering the facility last week.
Prof Ahidjo said that he was satisfied with the tightness of the security mounted by the personnel at the main entrance who helped save the hospital from clear damnation cooked up by boko haram suicide bombers on that black Monday night.

Prof Ahidjo who chatted casually with this reporter last week during iftah said that if the security whose name is being withheld for security reasons was not vigilant enough, it was the intention of the suicidal criminals to drive to a sensitive area in the facility and unleash worse damnation than was witnessed on that day.
” I have a strong feeling that these criminals were headed for somewhere more sensitive and busy in the facility. But God used the young man to stop them from wasting peoples lives.

“The young security was very brave because he was quite vigilant. They came with an unmarked keke napep not registered with us and were so desperate to drive into our environment by force.
” when the young man stopped them, out of desperation, they threw a food flask containing the improvised explosive device (IED) on him. But he quickly picked the thing and returned it to them. By the time the flask landed on the criminal, it exploded and sent the security boy on the ground tearing some parts of his legs.

” He sustained some injuries and we are treating him. We are happy with his performance and will surely do more for him and all his colleagues to stay alert and to continue doing more for the hospital. ” said Ahidjo
Day two, stabilizing the hospital after the daring attempt
After the entire mop up exercise in the city of Maiduguri, several people were admitted in all the major secondary hospitals in the capital city with UMTH alone treating about 100 patients with 70 on admission in different departments including the heart centre depending on where the fragments pierced into their bodies.

A youth corp member name withheld serving in Damaturu was one of those who lost his life in the Monday market explosion while several others were wounded at the third site under the post office bridge too.
As I drove into the UMTH on the second day, calm had been restored and every one went about their lives as has always being the case.
The trauma centre gate was locked and restricted with policemen making things easy for anyone who is authorized to be there for any reason.
Counting the costs through a press release
A release signed by the spokesperson of the facility Justina Anaso indicated that management was excited about the goodwill it received from well meaning Nigerians who stopped by to sympathize with them at such a trying time.

The UMTH had survived throughout the insurgency and it will not fall now.
The release went on: “The Management of the UMTH regrets to state that an unfortunate incident occurred Monday night at the hospital’s main gate involving two suicide bombers who came in with Keke Napep and were turned back twice from entering the hospital by a security guard because it was not registered.
“On their third attempt, they disembarked and wanted to force themselves in by jumping the search queue. When the guard asked them to go back and join the queue, one of them threw a food flask he was carrying at the security guard who picked it up and threw it back at him.
“It was at this point that the flask exploded bringing the security man down and the second man immediately detonated his explosive device he was wearing.

“The explosion,which took place at about 7:20 pm Monday night, resulted in casualties and varying degrees of injuries.
“Emergency response teams were immediately activated, and all affected individuals were promptly attended to and taken to appropriate care units within the hospital.
“The hospital had over 100 victims, with 25 confirmed dead and 70 patients on admission with some others discharged. These figures are what the hospital received from the Metropolis except two who were casualties at the gate of the hospital.
“We wish to assure the general public that the situation has been brought under control. Security agencies are currently on ground, working closely with the Hospital Management to secure the premises and commence full investigation into the incident.
“Hospital Services within the Facility remain operational although access may be temporarily restricted as a precautionary measure to ensure the safety of patients, staff and well-wishers.
” The Hospital Management and the entire staff appreciates and are profoundly grateful to the Federal government through his Excellency,the Vice President, the Governor of Borno State, represented by the Deputy Governor, the Honorable Minister of Health and Social Welfare who were very supportive and in touch with the hospital throughout the night of the event.
” We thank the Secretary to the State Government, Hon Commissioners, Committee of Chief Medical Directors, Medical Directors and Security forces, our hospital workers, partners with us throughout this trying period.” Said the release.
Management condemns the attack by the criminals
The release also aligned with the Governor Prof Babagana Zulum in condemning the dastardly act which was meant to forcefully send many more souls to the great beyond at a time when they were celebrating the end of the Ramadan fast.
“We would like to state that the Management strongly condemns this act of violence and extends its deepest sympathy to the families of those affected.
“We urge members of the public to remain calm and co-operate with security operatives during this period.
“The Hospital remains committed to providing the highest level of care to all victims and ensuring the safety of everyone within our facility.” Said the release.
As the days rolled by people started coming in for treatment from all corners of the town, Umaru Shehu, Nursing home and the specialist hospitals respectively at the very centre of one of the explosion sites.
The Trauma centre became like a barracks with all the seas of white coated professionals depicting the sub sectors working as a team to save lives.
Eye witnesses told this reporter that humanity was at play because we all share a common humanity with those who had died instantly and non of the team workers wanted it to be recorded that these vulnerable people came to the biggest hospital in the country and died in the process.
As at the time of writing this report more people had fallen from the different hospitals due to lack of blood to keep them going but sources said that “they went all out to get O negative from anyone” they could get to save lives because the blood bank was overwhelmed.

While some reliable sources say the mortality figure has reached 28 as at today, others told this reporter that the UMTH has recorded only 26 from the initial figure of 25.
The big questions observers keep asking about this wicked lingering war
The big questions observers keep asking about this war now is when will all this madness stop? Can’t the security managers in this country seek for help from military contractors since we don’t have enough boots on ground? Is it shameful to seek for help in terms of boots on ground to clear these criminals away? Is it not time for the chief of operations himself to create a second office here in Maiduguri and come motivate his men here himself?
Responding to the Defence Chief Oluyede who came here last week on the orders of the commander in chief, What else have we not done to support the military to win this war? Or is it really time for the government through the minister of defence to call for a seize fire and begin talks with these insurgents? Why do we pretend to be on top of the situation as the Americans did in Afghanistan until they had to leave ignominiously?
Ahidjo commends vigilance of security team at the UMTH gate
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Report any suspicious character to security operatives, Gudi Emir tells his people.
Report any suspicious character to security operatives, Gudi Emir tells his people.
By: Yahaya Wakili
The Emir of Gudi in Yobe State, Alhaji Ismail Ahmed Dala Ibn Madugu, has called on his people to report any suspicious characters to the nearest security agents and uphold the virtues of love, sacrifice, and tolerance beyond the month of Ramadan.
The emir made the call in Gadaka, the headquarters of the emirate, in his Sallah message, which marked the end of the fasting period. He called on the people to continue to remain prayerful for peace for their leaders, the emirate, Yobe state, and the nation in general.
Alhaji Ismail Ahmed urged the community to continue supporting the policies and programs of His Excellency, Governor Hon. Dr. Mai Mala Buni CON, COMN, which he said Buni’s administration has provided us the dividends of democracy across the state, and our people were included as beneficiaries.
“Buni’s administration has done a lot for us, and we hope our people will reciprocate the gesture of the government, and the communities should live peacefully and obey the laws of the land,” the royal father said.
He charged the youths to be law-abiding for the nation and always to be self-reliant and called on all the citizens of the emirate to start preparing their land cultivation, as most of our people were predominantly farmers.
The emir also called on the people of the emirate to report any suspicious characters to the nearest security agents so that it can be curtailed in time and pray to Almighty Allah to guide us all.
Report any suspicious character to security operatives, Gudi Emir tells his people.
News
Zulum Spends Night Coordinating Security in Pulka
Zulum Spends Night Coordinating Security in Pulka
… Disburses Cash, Palliative to over 30,000 Ngoshe, Pulka Households
By: Michael Mike
Borno State Governor spent the entire Saturday night coordinating security activities in Pulka following the recent attacks in Ngoshe, Pulka and other communities in Gwoza.
This is the first time a sitting governor has slept in Pulka, a community 22 kilometres from Gwoza.
Governor Zulum held a security meeting with the Brigade Commander, military officers, security personnel, and civilian JTF to discuss strengthening security in the general area.
He said leadership is all about commitment and sacrifice which has been the hallmark of his administration since he assumed office.

“Leadership is not about living in your comfort zone and addressing people and their concerns, but coming directly to the doorsteps of the less privileged. This has been my tradition, this has been my culture since I assumed duty as the governor of the state,” Zulum said.
“I cannot remember when I lived consecutively for 10 days in my office or even one week since I assumed duty. I’m always in the remote areas attending to people, and I believe this is what we should do from now on to the end of my own administration,” he added.
… Zulum Disburses Cash, Palliative to over 30,000 Ngoshe, Pulka Households
Governor Babagana Umara Zulum has distributed cash, food, and non-food items to over 30,000 affected households of Ngoshe and Pulka communities.
The relief item is intended to provide succor to victims of the recent attack and to the host communities.

“Each male and female heads of household in Ngoshe will receive N30,000, while married women will receive N20,000. In addition, mattresses and clothing will be distributed to both men and women,” Zulum announced.
The governor disclosed that the intervention would also cover Pulka community which has been impacted by the influx of displaced persons from neighbouring areas.
He further acknowledged the support of the Federal Government and Alhaji Aliko Dangote, who donated 30,000 bags of 10kg rice to support vulnerable populations in the state.
“Out of the 30,000 bags, Pulka community will benefit from the scheme. We are distributing both food and non-food items not only to Ngoshe but also Pulka, which is also a displacement-affected community,” Zulum noted.
Governor Zulum called on residents of affected communities in Gwoza to remain patient and cooperate with security agencies, assuring them of sustained efforts by both the federal and state governments to restore lasting peace.
“They should give the necessary cooperation to all security agencies with a view to identifying culprits within the society. Information is a very valuable tool for addressing insecurity. Without the support of the community, insecurity will never end,” he added.

Items distributed include rice, maize, guinea corn, mattresses, and plastic mats.
Those on the governor’s entourage include Senator Mohammed Ali Ndume, member representing Gwoza, Damboa, and Chibok at the national assembly, Hon. Ahmed Jaha, Chairman Palliative Distribution Committee and member representing Monguno, Nganzai, Marte, Hon. Bukar Talba, member representing Gwoza state constituency; Commissioners for Local government and that of Transport and Energy; Special Advisers and other government officials.
Zulum Spends Night Coordinating Security in Pulka
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