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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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NEDC Deploys ₦3bn Ophthalmic Equipment, Begins Training at Maiduguri Eye Hospital

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NEDC Deploys ₦3bn Ophthalmic Equipment, Begins Training at Maiduguri Eye Hospital

By: Michael Mike

The North East Development Commission (NEDC) has commenced a two-week Ophthalmology Equipment Set-Up and Training Programme at the Maiduguri Eye Hospital in Borno State, following the deployment of advanced eye-care equipment valued at over N3 billion.

The programme, which began on Monday, marks a major step in the Commission’s efforts to improve specialist healthcare delivery and address preventable blindness across the North-East region.

Activities on the first day included the installation, calibration, and coupling of cutting-edge ophthalmic equipment, alongside the start of hands-on technical and clinical training sessions. The exercise is aimed at ensuring the newly supplied equipment is fully operational and optimally configured for effective eye-care services.

The training is being led by Prof. Abdull Mohammed Mahdi, a Chief Consultant in Ophthalmology, with support from Dr. Abuh Sunday, also a Chief Consultant, and a multidisciplinary team of experts in ophthalmology and biomedical engineering.

Participants include consultant ophthalmologists, resident doctors, ophthalmic nurses, optometrists, and biomedical engineers from the Maiduguri Eye Hospital and the University of Maiduguri Teaching Hospital (UMTH). They will receive intensive practical training on the operation, maintenance, and efficient use of the equipment.

According to the NEDC, the initiative is expected to significantly enhance the hospital’s diagnostic and surgical capacity, particularly in the management of cataract and glaucoma cases. The Commission noted that the intervention aligns with its long-term objective of transforming Maiduguri Eye Hospital into a regional centre of excellence for ophthalmic care.

In addition to the equipment deployment and training, the Commission is undertaking extensive renovation and infrastructure upgrades at the hospital to support modern clinical operations and improve patient experience.

The NEDC is also extending similar ophthalmic interventions across other states in the North-East. Of note is the ongoing construction of an ultra-modern Eye Institute at the Abubakar Tafawa Balewa University Teaching Hospital (ATBUTH) in Bauchi, which commenced last year and is scheduled for accelerated implementation this year.

Officials of the Commission described the intervention as a strategic investment that combines modern medical infrastructure with deliberate human capacity development, noting that the ₦3 billion equipment deployment and training programme will have a lasting impact on access to quality eye-care services in the region.

NEDC Deploys ₦3bn Ophthalmic Equipment, Begins Training at Maiduguri Eye Hospital

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NSCDC personnel, 16 others arrested in raid of criminal hideout in Yobe

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NSCDC personnel, 16 others arrested in raid of criminal hideout in Yobe

By: Zagazola Makama

Security operatives in Yobe State have raided a notorious criminal hideout in the Saman Tudu area of Pompomari District, Damaturu, arresting a personnel of the Nigeria Security and Civil Defence Corps (NSCDC) and 16 other suspects.

A reliable source told Zagazola Makama that the raid was carried out on Jan. 18 at about 7:20 p.m. following a coordinated, intelligence-driven operation targeting criminal elements who use the area as a haven.

The source said the enclave served as a convergence point for trafficking and consumption of illicit drugs, as well as planning and execution of various criminal activities within the community.

“During the operation, the team stormed and ransacked the hideout, leading to the arrest of 17 suspects, including one Mohammed B. Kolo, identified as an NSCDC personnel attached to the Yobe State Command,” the source said.

He added that exhibits recovered from the scene included a knife, five bicycles, dried leaves suspected to be cannabis sativa, hemp wrapping papers, a long sack used as a mat and the sum of N8,500 found inside a sack suspected to contain the drugs.

The suspects are currently in custody while investigation is ongoing to determine their level of involvement in criminal activities.

The source said those found culpable would be charged to court for prosecution after the conclusion of investigations.

Residents were urged to continue supporting security agencies with timely and credible information to sustain the fight against crime in the state.

NSCDC personnel, 16 others arrested in raid of criminal hideout in Yobe

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Chadian security forces recover cache of arms, arrest suspects in N’Djamena

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Chadian security forces recover cache of arms, arrest suspects in N’Djamena

By: Zagazola Makama

Chadian security forces on Sunday recovered a large cache of weapons and ammunition during a joint search operation in parts of the capital, N’Djamena, as part of intensified efforts to combat insecurity.

Sources Zagazola Makama that the operation was carried out in the 10th arrondissement and parts of the 2nd arrondissement of the city.

According to the sources, the joint team of internal security forces seized 28 pistols, 14 other firearms, and more than 1,000 rounds of assorted ammunition during the raid.

They also recovered military equipment and six vehicles suspected to be linked to criminal activities.

“Two gun owners were arrested during the operation and are currently in custody for further investigation,” a senior security official said.

He explained that the exercise was conducted under the supervision of top security authorities and formed part of broader measures to dismantle criminal networks and curb the proliferation of illegal arms in the capital.

The official added that the recovery of the weapons had significantly disrupted the operations of armed groups and criminal elements in the affected districts.

He reaffirmed the commitment of the Chadian security services to sustaining pressure on all groups involved in arms trafficking, banditry and other threats to public safety.

“The security forces will continue intelligence-led operations to ensure the safety of lives and property across the country,” he said.

Chadian security forces recover cache of arms, arrest suspects in N’Djamena

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