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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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Military Air precision bombardment neutralises over 50 terrorists after attack on Ngoshe in Borno

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Military Air precision bombardment neutralises over 50 terrorists after attack on Ngoshe in Borno

By: Zagazola Makama

The Air Component of Operation Hadin Kai has neutralised over 50 suspected Boko Haram/ISWAP terrorists following precision air strikes on their withdrawal routes after a failed attack on Ngoshe in Gwoza Local Government Area of Borno.

Sources told Zagazola Makama that the officer said the terrorists had, at about 7:30 p.m. on March 3, launched a coordinated assault on artillery positions in Ngoshe, a community located about 12 kilometres from Pulka and 31 kilometres from Gwoza town.

“The insurgents attempted to overrun the artillery positions in a surprise evening attack. Troops on ground responded effectively but conducted a tactical withdrawal under intense fire to preserve personnel and equipment while reinforcements were being mobilised,” he said.

The sources explained that the insurgents had adopted a hit-and-withdraw tactic, abandoning the scene before reinforcement troops fully secured the area.

The sources added that additional troops were immediately deployed, while surveillance platforms tracked the fleeing terrorists along identified withdrawal corridors.

“Upon receipt of real-time intelligence from ground troops, the surveillance aircraft were scrambled to engage the terrorists on their egress routes. The terrorists were sighted moving in clusters in both locations.

“Precision bombardment was conducted on confirmed target clusters and movement trails. Battle Damage Assessment indicates that over 50 terrorists were neutralised in two separate strike runs,” the officer said.

“The air-ground synergy under Operation Hadin Kai ensured that although the terrorists attempted to escape into forested enclaves, they were decisively engaged from the air.

“The strikes also disrupted their logistics and mobility capability within the Ngoshe–Pulka corridor,” he said.

The sources further stated that clearance and area domination operations were ongoing to forestall any regrouping attempts by the insurgents.

He noted that the Ngoshe–Gwoza axis remains a historically volatile corridor due to intermittent activities of Boko Haram and ISWAP remnants exploiting difficult terrain and proximity to cross-border forest zones.

“Operation Hadin Kai remains resolute in sustaining offensive pressure. The message is clear any attempt to attack our positions will attract overwhelming and coordinated firepower,” he said.

He assured residents of Gwoza and surrounding communities of the military’s commitment to protecting lives, supporting resettlement efforts, and consolidating gains recorded in the ongoing counter-insurgency campaign in Borno.

Military Air precision bombardment neutralises over 50 terrorists after attack on Ngoshe in Borno

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Two arrested over alleged child trafficking in Cross River

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Two arrested over alleged child trafficking in Cross River

By; Zagazola Makama

Two suspected child traffickers have been arrested by the Police in Oboho Ito community, Odukpani Local Government Area of Cross River, following a foiled attempt to allegedly sell a one-month-old baby.

Security sources told Zagazola Makama that the suspects were apprehended on March 2 after youths of the community intercepted them based on a tip-off.

According to the source, the mother of the baby, Favour Effiong, reported that on March 1, one Happiness Etim Udoh, allegedly persuaded her to bring her one-month-old child under the pretext of taking her to receive financial assistance for the upkeep of the baby.

“On suspicion, the mother informed her landlord, and community youths laid ambush for the suspect,” the source said.

Udoh was subsequently arrested alongside an alleged accomplice, Ekpo Inyang, said to have no fixed address.

Police say preliminary investigation revealed that the suspects allegedly planned to snatch and sell the baby to a woman in Abuja.

The source further disclosed that during interrogation, the suspects allegedly confessed to previously selling a child for N200,000 to a buyer in Abuja.

It was also alleged that arrangements had been made to hand over the one-month-old baby to a relative of one of the suspects in Abuja, who was reportedly pretending to be pregnant.

The baby was safely recovered and handed back to the mother.

Police said investigation into the matter had commenced, while efforts were ongoing to identify and apprehend other members of the suspected trafficking network.

They reiterated commitment to tackling child trafficking and protecting vulnerable children across the state.

Two arrested over alleged child trafficking in Cross River

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Troops of Operation HADIN KAI repel ISWAP attack in Damasak, three residents shot

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Troops of Operation HADIN KAI repel ISWAP attack in Damasak, three residents shot

By: Zagazola Makama

Troops of Operation HADIN KAI, in collaboration with Civilian Joint Task Force (CJTF)/Hunters Group, successfully repelled an attack by suspected ISWAP terrorists in Damasak town, Nganzai Local Government Area.

According to sources, the assailants invaded the town around 10:30 p.m., opening sporadic gunfire that sent residents fleeing in panic.

“Three civilians, Goni Dauda, 25, of Zanna Umarti Ward; Modu Ya’asham, 32, of Gajiram Town; and Asinamai David, 25, of Bula Kara, Gubio Town, were fatally hit by stray bullets, while Kellu Bukar, 40, an IDP camp resident, sustained a chest wound and is currently receiving treatment at General Hospital Damasak.

The troops stormed the scene and engaged the terrorists in a heavy gun battle forcing them to flee with bullets wounds.

The troops later visited the scene and evacuated the victims.

The corpses of Goni Dauda and Modu Ya’asham were released to their families for burial according to Islamic rites, while Asinamai David was buried according to Christian rites.

Security forces confirmed that normalcy has returned to the town, and monitoring continues to prevent further incidents.

Troops of Operation HADIN KAI repel ISWAP attack in Damasak, three residents shot

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