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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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National Progressive Hub (NPH) Urges Support for President Tinubu’s Second Tenure

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National Progressive Hub (NPH) Urges Support for President Tinubu's Second Tenure

National Progressive Hub (NPH) Urges Support for President Tinubu’s Second Tenure

By Comrade Philip Ikodor

The National Progressive Hub (NPH), a leading support group for the All Progressives Congress (APC), has called on all Nigerians to rally behind President Ahmed Bola Tinubu GCFR for a successful second term in office come 2027.

In a statement, National Coordinator/Convener, Honorable Bukie Okangbe, praised the APC administration for its efforts towards nation-building and economic stability. Okangbe highlighted the NPH’s previous support for President Tinubu, including a National Security and Endorsement event in 2022 that contributed to the party’s successful general election outcome.

The NPH is gearing up for a Grand Endorsement event for President Tinubu’s second term, scheduled to hold on February 26th at the Musa Yaradua Center, CBD, Abuja. The event will also feature the inauguration of 36 state coordinators, including the FCT, and address critical national issues.

“We invite everyone to join us at this significant event,” Okangbe said. “Your presence will be a testament to our collective commitment to Nigeria’s progress and the APC’s vision for a better future.”

The event promises to be a landmark occasion, showcasing the NPH’s dedication to the APC and President Tinubu’s leadership.

National Progressive Hub (NPH) Urges Support for President Tinubu’s Second Tenure

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Borno: Zulum distributes farm tools, commissions school in Damasak

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Borno: Zulum distributes farm tools, commissions school in Damasak

By: Our Reporter

Borno State Governor, Professor Babagana Umara Zulum, on Sunday, distributed farm tools to farmers and commissioned a new high Islamic school in Damasak, headquarters of Mobbar Local Government Area.

Governor Zulum was accompanied by the Minister of Budget and Economic Planning, Senator Abubakar Atiku Bagudu, and the Minister of Agriculture and Food Security, Senator Abubakar Kyari.

Zulum’s agricultural intervention aimed to boost dry-season farming and enhance the livelihoods of returnees who are gradually resettling in the community.

Zulum said, “From the beginning of this administration, dry season irrigation farming was adopted as a strategic component of the state’s food security framework. Recognising the limitations of rain-fed agriculture in the context of climate variability, insecurity, and population growth, the government implemented a dual-season production strategy to ensure year-round farming.”

He added, “Today’s distribution of 1,000 solar-powered water pumps and 200 complete tubewell drilling kits build upon earlier targeted interventions in Damasak and surrounding communities, including irrigation infrastructure development, mechanisation services, farmer-training, cooperative support, and security stabilisation measures.”

He stated, “The state remains aligned with the Presidential Food Systems Coordinating Unit and continues collaboration with relevant Federal Ministries and development partners to strengthen agricultural productivity, processing, and market integration.”

At the commissioning of the newly constructed high Islamic school, Zulum noted, “the commissioning of the Higher Islamic College, Damasak, represents a major milestone in the state government’s policy to expand and modernise sangaya education across Borno State. This intervention reflects our commitment to building an inclusive education system that integrates spiritual development with academic and vocational advancement.”

“All Higher Islamic Colleges operate under the approved curriculum of the National Board for Arabic and Islamic Studies (NBAIS), enabling students to obtain O-Level equivalent certification and pursue further education where desired.”

In his remarks, the commissioner of education, Engr Lawan Abba Wakilbe, underscores Governor Zulum’s giant strides, stating, “this institution forms part of a wider education recovery and expansion programme implemented across Borno State. Under the leadership of His Excellency,”

“The state has constructed One Hundred and Four (104) Mega Schools, rehabilitated and remodelled One Thousand and Eighty-Seven (1,087) classrooms, executed major works in forty (40) additional schools, restored thirty (30) flood-affected schools, and delivered numerous classroom projects through the State Universal Basic Education Board.”

“These strategic investments have yielded measurable progress. The number of out-of-school children has declined significantly from approximately 2.2 million to fewer than Eight Hundred Thousand (800,000). Current enrolment for the 2025 academic year stands at One Million Four Hundred and Eighteen thousand two hundred and seventy-nine (1,418,279) learners, with further increases expected as Women Leader, Hajiya Fati Alkali Kakenna.

Borno: Zulum distributes farm tools, commissions school in Damasak

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Air-ground offensive foils Kukawa attack, destroys gun trucks

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Air-ground offensive foils Kukawa attack, destroys gun trucks

By: Zagazola Makama

Troops have thwarted a coordinated multi-pronged terrorist assault on positions in Kukawa after a prolonged overnight battle supported by air strikes.

Military sources said the attackers, mounted on gun trucks, motorcycles and on foot, launched the assault from multiple directions late on Feb. 20.

Troops mounted a determined defence, engaging the insurgents in intense combat that lasted into the early hours of Feb. 21 before forcing them to withdraw while dragging away casualties.

Air strikes later destroyed one gun truck and several motorcycles carrying fleeing fighters, neutralising additional terrorists.

During follow-up exploitation, troops recovered 13 AK-47 rifles, 16 loaded magazines, three handheld radios, and other items believed to have been used by the attackers, as well as evidence of casualties evacuated by the group.

One soldier was killed during the encounter, while some equipment was damaged by rocket fire. Injured personnel were evacuated and are reported to be in stable condition.

Military authorities said the coordinated operations demonstrated sustained pressure on insurgent elements and continued efforts to degrade their combat capability across the theatre.

Air-ground offensive foils Kukawa attack, destroys gun trucks

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