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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
News
Troops Intervene in Farmer-Herder Clash in Riyom, Recover 37 Sheep
Troops Intervene in Farmer-Herder Clash in Riyom, Recover 37 Sheep
By: Zagazola Makama
Troops of Operation Enduring Peace (OPEP) have intervened in a farmer-herder clash in Riyom Local Government Area of Plateau State, rescuing the injured parties and securing livestock pending peaceful resolution of the dispute.

Security sources Zagazola Makama that the incident occurred at about 2:00 p.m. on May 11 at Potok Fongon village in Ganawuri District of Riyom LGA.
The sources said troops of Sector 6 OPEP deployed at Ganawuri responded swiftly following reports of a clash between a farmer, Mr Fon Gehgeh, and a herder, Mr Usman Iliyasu, over alleged grazing on farmland.

According to the sources, troops arrived at the scene and found both men with varying degrees of injuries sustained during the altercation.

The victims were immediately evacuated to the Primary Health Centre in Ganawuri for medical treatment.

The troops also recovered 37 sheep belonging to the herder and moved them to a safe location pending amicable settlement of the dispute by relevant authorities and community leaders.

Security officials said efforts were ongoing to ensure peaceful resolution of the matter and prevent escalation of tensions within the community.
Troops Intervene in Farmer-Herder Clash in Riyom, Recover 37 Sheep
News
Alleged Coup Trial: Cleric Says He Warned That The Plot Would Fail
Alleged Coup Trial: Cleric Says He Warned That The Plot Would Fail
*Admits he received money for ‘prayers’
By: Zagazola Makama
A Federal High Court in Abuja, on Monday, viewed a video- recorded statement by Sheikh Sani Abdulkadir, the sixth defendant in the ongoing trial of persons accused of conspiring to overthrow the government of President Bola Tinubu.
In the recording, the Sheikh, who admitted receiving money to pray for the success of the operation, however, claimed that he warned the alleged plotters that their plan was doomed and that they would be sabotaged from within.
The video recording was played during the continuation of trial proceedings, with the fourth prosecution witness (PW4) still in the witness box.
In the recording, Abdulkadir, an Islamic cleric, said he had known the alleged ringleader, Colonel Maaji, for less than a year and was approached through an intermediary identified as Sanda to offer spiritual support for the plot.
He told investigators that Sanda informed him that his “Oga” intended to stage a coup and needed prayers regarding its likely success. After conducting the prayers, Abdulkadir said he advised them the operation would fail and that two persons would eventually expose those involved.
A subsequent request was relayed back to him, he said, asking for further prayers to prevent those two individuals from speaking out. Money was later transferred to him for prayers and charity, and names of alleged participants were forwarded for inclusion.
Abdulkadir said he first learnt of the arrests through media reports, after Sanda had informed him that Colonel Maaji had been unreachable for four days. He maintained throughout the recording that the funds he received were strictly for prayers and not in support of any coup attempt.
He also acknowledged understanding that a coup meant a military overthrow of government but said he did not report the plot because he did not know who to report to.
The cleric said his arrest came after he visited the Economic and Financial Crimes Commission (EFCC) to resolve restrictions placed on his bank account.
Upon contacting an EFCC deputy director, he was invited to the commission’s office to explain the source of the funds. He denied making any coup-related statement while in EFCC custody and stated that he was neither assaulted nor tortured, and that all his statements were made voluntarily.
Following the playback, the prosecution sought to tender extra-judicial statements made by all six defendants before a Special Investigation Panel and military police authorities.
However, defence lawyers of all six defendants objected, arguing the statements were either involuntarily obtained or made in violation of the Administration of Criminal Justice Act (ACJA).
Their objections include failure to inform defendants of their right to legal representation; alleged discrepancies between video recordings and corresponding written statements; allegations of coercion, inducement and torture; and claims that the footage did not adequately establish the physical condition of defendants during recording.
Counsel to the fifth defendant further argued that, given the number of accused persons, the court should conduct separate trial-within-trial proceedings for each disputed statement rather than a combined exercise.
Responding, the prosecution urged the court to dismiss the objections, maintaining that the law does not mandate separate proceedings for each defendant and that the trial judge holds discretion over how evidence is received.
Justice Joyce Abdulmalik ruled in favour of a single joint trial-within-trial to determine the voluntariness and admissibility of all the disputed statements.
The case was then adjourned to May 12.
Alleged Coup Trial: Cleric Says He Warned That The Plot Would Fail
News
Gov. Mutfwang Urges Responsible Reporting, Says Plateau Remains Safe for Visitors
Gov. Mutfwang Urges Responsible Reporting, Says Plateau Remains Safe for Visitors
By: Zagazola Manama
Plateau State Governor, Caleb Mutfwang, has urged journalists and social media users to exercise restraint and professionalism in reporting security incidents in the state, warning that unverified reports and sensational narratives were damaging Plateau’s image.
The governor made the appeal during a stakeholders’ engagement in Barkin Ladi Local Government Area following recent security challenges in parts of the state.

Mutfwang said while the government remained committed to transparency and accurate documentation of security incidents, the spread of rumours and misleading reports on social media was negatively affecting public perception of Plateau State.

“I don’t want to suggest to anyone that any incident should be swept under the carpet. We keep accurate data of all accounts, but many people are in a hurry to put things on social media, and in the process, they are destroying the state,” the governor said.
He cautioned against publishing unverified information, noting that false reports often distort facts and create unnecessary panic among residents and outsiders.

According to him, there was a deliberate attempt by some individuals to portray Plateau State as unsafe and discourage tourism and investment in the state.
“There is a deliberate plan to de-market Plateau State and tell the world that Plateau is not a place anybody should visit. But let me reassure Nigerians and the international community that Plateau still remains the Home of Peace and Tourism. Nobody will take that away from us,” he stated.

The governor appealed to media practitioners to remain responsible in their reportage and support ongoing efforts aimed at restoring lasting peace and stability across affected communities.
He reiterated his administration’s commitment to strengthening security operations, protecting lives and property, and creating an enabling environment for economic and tourism activities to thrive in the state.
Gov. Mutfwang Urges Responsible Reporting, Says Plateau Remains Safe for Visitors
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