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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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Zamfara: Troops neutralise terrorist, recover arms in Shinkafi LGA

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Zamfara: Troops neutralise terrorist, recover arms in Shinkafi LGA

By Zagazola Makama

Troops of the 1 Brigade of the Nigerian Army operating under Operation FANSAN YANMA have neutralised a suspected terrorist and recovered arms during an offensive operation in Shinkafi LGA.

Security sources told Zagazola Makama that the operation was carried out on March 13 by troops of CT 5, who launched a deliberate clearance mission targeting terrorist camps located at Tubali and Zangon Danmaka.

The sources said the operation followed credible intelligence on the presence of armed bandits and other criminal elements using the locations as operational hideouts.

During the operation at Tubali, troops made contact with the suspected terrorists and engaged them in a brief gun battle, forcing the criminals to flee into nearby forested areas.

“During the engagement, one terrorist was neutralised, while others escaped with possible gunshot wounds,” the source said.

Following the encounter, troops conducted exploitation of the area and recovered one AK-47 rifle, a magazine containing two rounds of 7.62mm special ammunition, and a motorcycle believed to belong to the fleeing terrorists.

The recovered items were secured by the troops while further search operations were carried out around the camp to ensure that no other threats remained in the vicinity.

The sources added that when troops advanced to Zangon Danmaka, no contact was made with terrorists as the suspects were believed to have fled the area ahead of the troop arrival.

However, troops maintained dominance in the general area while conducting further patrols and surveillance operations aimed at preventing the terrorists from regrouping.

Zamfara: Troops neutralise terrorist, recover arms in Shinkafi LGA

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Troops arrest suspected ISWAP spy in Kanama, Yobe

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Troops arrest suspected ISWAP spy in Kanama, Yobe

By Zagazola Makama

Troops of 159 Battalion in collaboration with members of the Civilian Joint Task Force have arrested a suspected spy linked to terrorists operating in the North-East in Kanamma Yobe state.

Security sources told Zagazola Makama that the suspect, identified as Malam Fantami, a native of Dikwa was apprehended during a security operation by troops deployed in the area.

The sources said the suspect was intercepted following credible intelligence indicating that he might be working as an informant for terrorists affiliated with the ISWAP.

According to the sources, items recovered from the suspect at the time of his arrest included a mobile phone, a smart watch, prayer beads, a motorcycle key, and a cash sum of ₦7,000.

Preliminary examination of the suspect’s mobile phone by security personnel reportedly revealed several suspicious materials, including photographs of motorcycles, large sums of cash, AK-47 rifles and other items believed to be linked to terrorist activities.

“The discovery of these materials has raised serious suspicion about the suspect’s role as a possible logistics informant or intelligence asset for insurgent elements operating in the region,” the source said.

The suspect is currently in military custody, where he is undergoing further interrogation to determine the extent of his involvement with terrorist networks and to identify possible collaborators.

The military high command said the arrest forms part of ongoing counter-terrorism efforts by troops in the North-East aimed at dismantling the intelligence and logistics networks that support insurgent operations.

Kanama, located in Yunusari Local Government Area of Yobe State near the border with Niger Republic, has remained an important corridor frequently exploited by insurgent groups for movement and supply activities.

Troops arrest suspected ISWAP spy in Kanama, Yobe

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Troops repel ISWAP attack in Bita, Borno

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Troops repel ISWAP attack in Bita, Borno

By: Zagazola Makama

Troops of Operation HADIN KAI successfully repelled an attack by terrorists suspected to be members of ISWAP in Bita area of Borno state following a fierce overnight encounter.

Security sources said the attack began at about 1:09 a.m. on Saturday, when the insurgents launched a coordinated assault on troops of the 26 Task Force Brigade deployed in the Bita axis.

According to the sources, the terrorists attempted to overwhelm the troops’ position but were met with stiff resistance from the soldiers who engaged them in a sustained gun battle.

“In a decisive and coordinated operation, gallant troops of Operation Hadin Kai launched a simultaneous land and air assault on terrorist positions in Bita in the early hours of today,” the source said.

The coordinated response involved ground troops engaging the insurgents while aerial support conducted precision strikes and surveillance over the battlefield, forcing the attackers to retreat.

The intense engagement compelled the terrorists to withdraw towards their enclaves after suffering heavy pressure from the combined land and air assault.

Following the withdrawal of the insurgents, troops immediately commenced exploitation operations to pursue fleeing elements of the terrorist group and prevent them from regrouping.

Troops repel ISWAP attack in Bita, Borno

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