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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
Seven dead, five injured in multiple-vehicle crash along Lokoja–Abuja highway
Seven dead, five injured in multiple-vehicle crash along Lokoja–Abuja highway
By: Zagazola Makama
At least seven persons were killed and five others injured on Tuesday morning in a multiple-vehicle collision along the Lokoja–Abuja highway near Gadabiu Village, Kwali Local Government Area of the Federal Capital Territory (FCT).
Sources told Zagazola Makama that the accident occurred at about 9:00 a.m. when a Howo truck, with registration number ANC 665 XA, driven by one Adamu of Tafa Local Government Area, Kaduna State, lost control and rammed into three stationary vehicles parked along the road.
The affected vehicles included a Golf 3 (GWA 162 KZ), another Golf and a Sharon vehicle.The drivers of the three stationary vehicles are yet to be identified.
The sources said the Howo truck had been travelling from Okaki in Kogi State to Tafa LGA in Kaduna State when the incident occurred. Seven victims reportedly died on the spot, while five sustained various degrees of injuries, including fractures.
The injured were rushed to Abaji General Hospital, where they are receiving treatment. The corpses of the deceased have been released to their families for burial according to Islamic rites.
The police have advised motorists to exercise caution on highways and called on drivers to ensure their vehicles are roadworthy to prevent similar accidents in the future.
Seven dead, five injured in multiple-vehicle crash along Lokoja–Abuja highway
News
How misdiagnosis, narratives are fuelling Nigeria’s banditry escalation
How misdiagnosis, narratives are fuelling Nigeria’s banditry escalation
By: Zagazola Makama
Nigeria’s banditry crisis is no longer escalating simply because armed groups are growing bolder. It is escalating because the country continues to misdiagnose the threat, apply blunt policy tools to differentiated actors, and unintentionally feed a violent criminal economy through ransom payments, politicised narratives and delayed state consolidation.
Across the North-West and parts of the North-Central, banditry has evolved beyond rural violence into a structured, profit-driven security threat. Yet public debate remains trapped between emotional appeals for dialogue and absolutist calls for force, leaving little room for the strategic clarity required to halt the violence.
At the heart of the escalation is money. Banditry today survives on a diversified revenue architecture that includes ransom payments, cattle rustling, illegal mining, arms trafficking, extortion levies on farming and mining communities, and collaboration with transnational criminal networks. Each successful kidnapping or “peace levy” reinforces the viability of violence as a business model.
Data released by the National Bureau of Statistics (NBS) in December 2024 underlined the scale of this economy with the North-West accounting for the highest number of kidnap incidents and victims.
Zagazola argue that as long as communities remain unprotected and ransom payments continue as a survival strategy, banditry will regenerate faster than military operations can suppress it. This is not ideology-driven violence at its core; it is cash-flow-driven criminality as every payment funds the next attack.
Another accelerant is Nigeria’s persistent failure to differentiate categories of armed actors. Security assessments increasingly point to at least two distinct groups operating within the banditry ecosystem.
The first consists of low-level, defensive armed actors, often rural residents who acquired weapons after suffering attacks and whose violence is reactive rather than predatory. The second group comprises entrenched, profit-driven bandit networks responsible for mass kidnappings, village destruction, sexual violence, arms trafficking and territorial control.
Yet public discourse and policy responses frequently collapse these actors into a single category of “bandits,” resulting in indiscriminate dialogue offers, blanket amnesty rhetoric or, conversely, broad-brush security operations that alienate communities. This conceptual error, allows high-value criminal leaders to masquerade as aggrieved actors while exploiting negotiations to buy time, regroup and rearm.
Dialogue has repeatedly been applied in contexts where the state lacks coercive leverage. Experiences in Zamfara, Katsina, Sokoto and Kaduna states and parts of the North-West show a consistent pattern: temporary reductions in violence following peace deals, followed by rapid relapse and escalation. Officials who participated in the dialogue have openly acknowledged that many agreements collapsed within months.
The negotiations conducted without sustained military pressure, intelligence dominance and post-agreement enforcement mechanisms merely incentivise armed groups to pause tactically. When criminals negotiate from a position of strength, dialogue becomes appeasement.
Perhaps the most dangerous accelerant is the ethnicisation of banditry. Although criminal gangs include actors of identifiable ethnic backgrounds, the violence itself is not driven by ethnic grievance. Nonetheless, selective media framing and political rhetoric like what had been witnessed in Plateau have increasingly cast banditry through identity lenses, particularly in farmer–herder contexts.
This framing obscures the criminal logic of the violence and deepens mistrust between communities that are themselves victims. In Nigeria today, the fulani herdsmen and pastoralists communities are being weaponized and stereotyped as bandits. This dangerous persecution has strengthens bandit recruitment narratives, allowing criminal leaders to cloak profit-driven violence in claims of ethnic persecution or genocide.
Historical records and sociological studies show that Fulani, Hausa, Tiv, Berom and other communities coexisted for decades through complementary economic systems. The breakdown of this coexistence has been exploited by armed groups seeking cover, recruits and informants. Security agencies possess significantly more intelligence on bandit networks than is visible in public debate. Lawful interceptions, human intelligence and post-operation assessments routinely reveal financial motives, supply routes and internal hierarchies within armed groups.
However, public advocacy for dialogue often relies on forest-level engagements that security officials describe as “theatrical performances” by bandits choreographed grievances designed to elicit sympathy and concessions. The disconnect between classified intelligence and public narratives has allowed emotionally compelling but strategically flawed arguments to dominate national discourse.
Another escalation factor is the emerging convergence between bandit networks and ideological terrorist groups as Nigeria’s internal security landscape firmly indicates that what has long been treated as banditry especially in the North-West and parts of North-Central Nigeria has evolved into a hybrid jihadist campaign, driven by Boko Haram (JAS faction) and reinforced by JNIM elements operating from Sahelian-linked forest sanctuaries. Shared arms supply chains, training exchanges and joint operations could transform banditry from criminal violence into full-spectrum insurgency if unchecked. Nigeria’s past experience with Boko Haram demonstrates the cost of dismissing such convergence as isolated or exaggerated.
Military operations have succeeded in degrading bandit camps in several corridors, but the absence of immediate governance has allowed violence to recycle. Clearing operations not followed by permanent security presence, functional courts, reopened schools, healthcare and markets leave vacuums that criminal actors quickly refill. Bandits and other criminals thrive where state authority is episodic rather than continuous. Security victories without governance consolidation merely displace violence spatially and temporally.
Therefore, Nigeria must urgently reset its approach by formally adopting threat differentiation, choking financial lifelines, regulating community defence structures, and ensuring intelligence-led, precise enforcement against high-risk criminal networks. Dialogue, they say, must be selective, conditional and embedded within formal disarmament and reintegration frameworks not deployed as a moral reflex.
Above all, the state must reclaim narrative control by defining banditry clearly as organised criminal violence, not a sociological misunderstanding. As one senior official put it, “Banditry escalates where sentiment overrides strategy. The cure begins with honesty.”
Without that honesty, Nigeria risks allowing a violent criminal economy to entrench itself deeper into the country’s security architecture at a cost measured not just in money, but in lives, legitimacy and national cohesion.
How misdiagnosis, narratives are fuelling Nigeria’s banditry escalation
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ISWAP kills 10 JAS fighters in Kukawa as rivalry clashes escalates
ISWAP kills 10 JAS fighters in Kukawa as rivalry clashes escalates
By: Zagazola Makama
No fewer than 10 fighters of the Jama’atu Ahlis Sunna Lidda’awati wal-Jihad (JAS) were killed on Jan. 8 during a night attack by the rival Islamic State West Africa Province (ISWAP) at Dabar Ledda, within the Doron Naira axis of Kukawa Local Government Area (LGA) of Borno State.
Security sources told Zagazola Makama that ISWAP fighters launched a surprise assault on a JAS checkpoint, locally referred to as an Irasa, in the Dabar Ledda area, overwhelming the position after a brief but intense clash.
Sources familiar with developments in the area told Zagazola Makama that the attack ended decisively in ISWAP’s favour, with about 10 JAS fighters killed. Following the operation, ISWAP elements were said to have withdrawn swiftly to their major stronghold located between Kangarwa and Dogon Chuku, also within Kukawa LGA.
Both group has, in recent years, focused on degrading each other’s capabilities in an attempt to consolidate control over key corridors around Lake Chad as well as Sambisa Forest.
However, the latest clash is expected to trigger a violent response. Intelligence reports suggest that JAS leadership, acting on directives allegedly issued by Abu Umaima, has ordered mobilisation of fighters across the northern and central parts of the Lake Chad region of Borno (LCRBA) in preparation for retaliatory attacks.
The planned counter-offensive could lead to an upsurge in large-scale attacks in the days and weeks ahead, particularly around the Kangarwa–Dogon Chuku corridor, an area that has witnessed repeated factional battles due to its strategic value for logistics, recruitment and access routes.
While the infighting has historically weakened Boko Haram/ISWAP overall cohesion, Zagazola caution that intensified clashes often come at a heavy cost to civilians, as armed groups raid communities for supplies, conscripts and intelligence. Kukawa LGA, already battered by years of insurgency, remains highly vulnerable whenever such rivalries escalate.
ISWAP kills 10 JAS fighters in Kukawa as rivalry clashes escalates
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