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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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Bomb explodes inside mosque in Maiduguri market, worshippers killed

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Bomb explodes inside mosque in Maiduguri market, worshippers killed

By: Zagazola Makama

Several worshippers were killed on Tuesday after an explosive device detonated inside a mosque at Gamborun Market in Maiduguri, the Borno State capital.

The explosion occurred while worshippers were gathered for prayers, causing panic and chaos within the busy market area.

Eyewitnesses said the blast ripped through part of the mosque, killing some worshippers instantly and leaving others with varying degrees of injuries.

Traders and residents in the area were seen fleeing the scene as thick smoke billowed from the mosque, while others attempted to assist victims before emergency responders arrived.

Security operatives cordoned off the area shortly after the incident to prevent further casualties and to allow for preliminary assessment of the situation.

As of the time of filing this report, the exact number of casualties had not been officially confirmed.

Bomb explodes inside mosque in Maiduguri market, worshippers killed

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Igbo Association Raises Alarm Over Abuja–South East Highways, Seeks Urgent Federal Action

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Igbo Association Raises Alarm Over Abuja–South East Highways, Seeks Urgent Federal Action

By: Michael Mike

Igbo residents in the Federal Capital Territory (FCT), Abuja have expressed worries about the worsening condition of major highways linking Abuja to the South East, warning that continued neglect has turned the roads into serious safety hazards for commuters and businesses.

In a statement released on Tuesday, the Igbo Community Association in the Federal Capital Territory (ICA FCT) said the poor state of the road network had persisted for decades, despite repeated appeals for rehabilitation.

The group in a statement signed by the association’s President General, Engr. Ikenna Ellis-Ezenekwe, and Secretary General, Mazi Emmanuel Chinwoke Onah,

noted that large sections of the highways are riddled with potholes, failed portions and weak security presence, making travel dangerous and discouraging economic activities between the North Central and South East regions.

The group argued that the situation reflects long-standing infrastructure neglect and an uneven distribution of national resources, adding that the dilapidated roads have become attractive routes for criminal operations, including armed robbery and kidnappings.

According to ICA FCT, the impact of the bad roads goes beyond transportation challenges, contributing to youth frustration, reduced commercial exchanges and a growing sense of exclusion among people of the South East. The association urged the Federal Government to declare an emergency on the affected corridors and begin immediate reconstruction to ensure the safety of travelers, particularly during the festive season.

The association also called on lawmakers from the South East and the Minister of Works to take responsibility for restoring the roads to acceptable standards, stressing that infrastructure development is critical to national cohesion and economic growth.

Warning of political consequences, the group said communities in the South East would hold their representatives accountable if tangible progress is not recorded before the 2027 general elections. It added that voters would be mobilized to oppose the re-election of lawmakers perceived to have failed in addressing the issue.

Reaffirming its commitment to the welfare of Igbo people, the ICA FCT said it would continue to advocate for improved infrastructure, enhanced security and equitable development across all regions of the country.
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Yuletide: NEMA flags off emergency rescue operation in Gombe

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Yuletide: NEMA flags off emergency rescue operation in Gombe

The National Emergency Management Agency (NEMA), Gombe State, in collaboration with the Federal Road Safety Corps (FRSC) has inaugurated Operation Eagle Eye, to ensure rapid response during the festive periods.

While declaring the operation open in Gombe on Wednesday, the state’s Head of Operations, Mrs. Ummuna Ahmed, said that the initiative was in view of increased road and human activities during the festive season.

Ahmed said that the operation was a strategic initiative designed to enhance timely rescue operations towards saving lives in the event of road traffic crashes, fire outbreaks, and other emergencies.

She reaffirmed NEMA’s commitment to protecting lives and property through effective coordination, early response mechanisms, and the strategic deployment of Search and Rescue personnel.

She appealed to motorists and other road users, to observe traffic regulations, drive responsibly, and cooperate with emergency responders to minimise preventable incidents.

“As part of the operation, NEMA Search and Rescue teams have been strategically deployed along major routes linking Gombe State to neighbouring states.

“These include the Gombe–Bauchi, Gombe–Yola, Gombe–Maiduguri, and Gombe–Kano corridors.

“The routes were identified based on their high traffic volume and strategic importance, with emergency personnel and assets, positioned to ensure swift intervention and life saving support whenever the need arises,” she said.

Ahmed urged members of the public to promptly report emergencies through appropriate channels to enable timely response.

She expressed NEMA’s readiness to respond promptly to emergencies, in collaboration with relevant stakeholders to ensure the success of Operation Eagle Eye.

On his part, the Sector Commander of FRSC in the state, Mr Samson Kaura, said that motorists would be sensitised on the need to observe traffic rules and regulations during and after the yuletide celebration.

Kaura said that the collaboration with NEMA was to ensure quick response to emergencies towards saving lives and property in cases of crash.

The News Agency of Nigeria (NAN) reports that following the inauguration, two emergency incidents were recorded at the Bauchi road axis of Gombe State, involving a total of seven casualties.

No deaths were however recorded.

The victims were promptly rescued and evacuated to the Federal Teaching Hospital, Gombe, for medical attention. recorded.

Yuletide: NEMA flags off emergency rescue operation in Gombe

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