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Nigeria – Measles-related admissions reach record at MSF facilities in Maiduguri
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
News
Ogwashi-Uku Palace Attack Trial: Gunshot Victim Identifies Mike Nwaukoni As Ringleader As Multiple Witnesses Place Defendants At Scene With Weapons
Ogwashi-Uku Palace Attack Trial: Gunshot Victim Identifies Mike Nwaukoni As Ringleader As Multiple Witnesses Place Defendants At Scene With Weapons
Ogwashi-Uku Palace Attack Trial: Gunshot Victim Identifies Nwaukoni As Ringleader As Multiple Witnesses Place Defendants At Scene With Weapons
Fresh revelations emerged at the Federal High Court, Asaba, as the trial over the October 12, 2023 terrorist-style attack on the Palace of the Obi of Ogwashi-Uku resumed, with witnesses giving direct, consistent, and corroborated testimony identifying Mr Mike Nwaukoni as the principal actor who led an armed mob to the palace, resulting in gunfire, injuries, and destruction of property.
On Tuesday, January 13, the court heard the gripping testimony of PW2, Mr Lawrence Obasi, an Otulu vigilante who sustained gunshot injuries that left his right arm paralysed for months.
PW2 told the court that he was officially deployed alongside the police to protect the palace on the day of the attack, having undergone formal vigilante training by the police two years earlier. According to him, Mike Nwaukoni personally led a large mob armed with dangerous weapons to the palace gate at Ogbe-Nti.
He testified that despite clear warnings and instructions from the Divisional Police Officer and the police commander at the scene, the mob—acting on Nwaukoni’s direct encouragement—attempted to forcibly break into the palace.
“He told them to break the gate and said he had money to take care of anything that happened,” the witness told the court.
Moments later, gunshots rang out.
PW2 narrated how armed supporters opened fire, damaging police and vigilante vehicles and hitting him with live ammunition as he sought cover inside one of the vehicles. He positively identified Elue Adigwe and Francis Okolie as being present at the scene and fully armed.
His account directly corroborated the earlier testimony of PW1, the police commander who had testified last year that Mike Nwaukoni personally led the armed crowd, stressing that no police officer accompanied the mob and that it was not a lawful procession but an armed attack.
The police commander had also told the court that Nwaukoni had invited him and the DPO to his residence days before his testimony in what observers concluded was an attempt to obstruct justice by getting him to stop his testimony scheduled for the next week.
THIRD WITNESS CONFIRMS IDENTITIES, WEAPONS, AND HISTORY OF VIOLENCE
On Wednesday, PW3, Mr Emeka Nwaolisa, a palace vigilante, took the stand and reinforced the prosecution’s case, confirming the identity of the same defendants, their presence at the palace gate, and the use of offensive weapons during the attack.
PW3 testified that he was stationed at the locked palace gate when over 200 persons marched toward the palace, among them Mike Nwaukoni, Elue Adigwe, Francis Okolie, and others. He stated that on Nwaukoni’s orders, gunfire erupted as the mob attempted to force entry, leading to chaos and injuries.
During cross-examination, PW3 also revealed that Eugene Ojo Izediunor had previously boasted at a public drinking spot that he used money to “settle” his way out of an earlier case, a conversation witnessed by multiple persons.
He further told the court that the defendants had a long-standing history of orchestrated violence and unrest aimed at destabilising the community and undermining the traditional institution.
SPIN FAILS TO DENT CORE FACTS
While defence counsels consisting of four senior advocates attempted to divert attention to procedural arguments and minor inconsistencies, the central facts remained unshaken:
• Multiple eyewitnesses independently identified the same defendants
• Weapons were present and used
• Gunshots were fired
• A vigilante suffered gunshot injuries
• Vehicles were damaged
• The palace came under armed siege
The court admitted two statements made by PW3 as exhibits and adjourned the matter to April 21 and 22, 2026, with the trial set to continue.
The five defendants—Mike Nwaukoni, Elue Adigwe, Francis Okolie, Eugene Ojo Izediunor, and John Nwona—were all present in court.
As proceedings continue, the testimony so far paints a clear, consistent, and deeply troubling picture of a coordinated armed assault on a traditional institution, now firmly laid before the court under oath.
News
Armed bandits kill man, abduct nine in macitta village, niger state
Armed bandits kill man, abduct nine in macitta village, niger state
By: Zagazola Makama
Nine people were abducted and one man killed when armed bandits attacked Macitta village in Mariga Local Government Area (LGA) of Niger State late Wednesday night, sources confirmed.
Sources said that around 11:30 p.m., a large group of armed bandits entered the community via Kotonkoro District, shooting sporadically. One of the residents, Aliyu Dan Tsohon Soja, 35, was shot dead during the attack. The identities of the nine abducted victims are yet to be confirmed.
Security forces , local vigilantes, and hunters were mobilized to the area, and the body of the deceased was evacuated to the General Hospital, Bangi, for autopsy. Efforts are ongoing to track down the attackers and ensure the safe rescue of the kidnapped individuals.
Authorities have urged residents to remain alert and report any information that may assist in the rescue operations and apprehension of the bandits.
Armed bandits kill man, abduct nine in macitta village, niger state
News
Three children die in bush fire while grazing cattle in Mokwa, Niger state
Three children die in bush fire while grazing cattle in Mokwa, Niger state
By: Zagazola Makama
Three children lost their lives after being engulfed by fire while grazing cattle in Tungan-Noma village, Mokwa Local Government Area (LGA) of Niger State on Wednesday, sources confirmed.
According to sources, the children Huzairu (12), Aliru (11), and Kabiru Surajo (12) went out for cattle grazing around 12:30 p.m. and entered a deep gully in the bush.
They reportedly set dried grasses on fire in an attempt to trap small bush animals. Unfortunately, the flames spread rapidly, trapping the children and preventing their escape.
The lifeless bodies were recovered and evacuated to the General Hospital, Mokwa, for autopsy. Authorities visited the scene to assess the circumstances surrounding the tragedy.
The incident draw attention to the dangers children face in rural areas, particularly when engaging in outdoor activities without supervision.
Parents have been urged to exercise caution and ensure children’s safety during such activities.
Three children die in bush fire while grazing cattle in Mokwa, Niger state
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