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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
21 passengers rescued by troops as bandits attack multiple vehicles on Kogi highways, 2 security personnel killed
21 passengers rescued by troops as bandits attack multiple vehicles on Kogi highways, 2 security personnel killed
By: Zagazola Makama
At least twenty-one passengers were rescued unhurt following coordinated attacks by armed bandits on multiple vehicles along Kogi State highways on Thursday, while two security personnel were confirmed dead during the ensuing rescue operations.
Sources reported that about 100 armed bandits attacked a Toyota Siena with registration number YAB 968 AX traveling from Oshogbo to Kaduna, a Toyota Hiace bus (7BGT-78LG) conveying passengers from Owo, Ondo State to Abuja.
Another Toyota Hiace (GKP 178 XA) from Abuja to Ekiti State, a Toyota Carina (JMU 648 AA) from Lokoja to Kabba, a Dangote truck transporting 900 bags of cement, and a J5 bus (FTA 313 XV) carrying bags of pepper from Kano to Lagos.
The attacks occurred around 2:00 p.m., leaving passengers vulnerable to abduction.
A joint rescue operation involving the 12 Brigade of the Nigerian Army, Quick Response Units (QRU), Nigeria Security and Civil Defence Corps vigilantes, local hunters, and other security operatives swiftly engaged the bandits in a gun duel.
The operation successfully secured the release of 21 passengers, including men, women, and infants. Rescued passengers include Moses Oladimeji, Adele Jacob, Obed Onche, Babayemi Ajayi, Funmilayo Ajayi, Samuel Olawoyin, Samuel Job, Jemima Joseph, Nanko Joseph, Enenche Paulina, Bright Enenche, Rachael Enenche, Deborah Enenche (9 days old), Bukola Clement, Toyin Clement, Glory Clement, Faith Clement, Peter Olawale, and the drivers of the Dangote truck and J5 bus.
Tragically, one soldier attached to the Oshokoshoko sector and one vigilante from Odoape lost their lives during the exchange of fire. Their identities are yet to be confirmed.
Rescue operations are ongoing to track down any remaining abducted victims and apprehend the perpetrators.
Communities along the highways remain on high alert following the attacks, highlighting the continued threat of organized banditry in Kogi State.
The operation demonstrates the effectiveness of coordinated efforts between military, vigilante, and local security forces in responding to large-scale armed bandit attacks, although the loss of personnel underscores the dangers faced by security operatives during such missions.
21 passengers rescued by troops as bandits attack multiple vehicles on Kogi highways, 2 security personnel killed
News
Kogi communities reeling as fleeing bandits from Kwara kill four
Kogi communities reeling as fleeing bandits from Kwara kill four
By: Zagazola Makama
Residents of several Kogi State communities are counting their losses after fleeing armed bandits from Kwara State, displaced by ongoing military clearance operations, stormed the area on Thursday morning, leaving four men dead.
According to local sources, the attackers, travelling on motorcycles, entered Kogi through bush paths from Patigi in Kwara State and moved through Bunu and Kiri communities, firing indiscriminately.
The victims included Dare Olorunfemi, 34, of Ihale community; John (surname unknown), 33, of Taki area; Abdul Siworo, 33, of Ike area; and Oladele Samuel, 25, of Ayetoro-Kiri community.
Eyewitnesses reported that the bandits, heavily armed and in large numbers, continued towards the Kakanda/Ankumi forest in Obajana, Lokoja Local Government Area, leaving the communities in shock and fear.
intelligence sources suggesting that the attackers have taken refuge around Masalacin Boka area.
Residents described the tension as “palpable,” urging urgent intervention to dislodge the bandits before they consolidate in the forests.
The incident illustrated the ripple effect of security operations in neighbouring states, as armed groups displaced by military offensives migrate and wreak havoc on adjacent communities, threatening livelihoods and local stability.
Efforts to safeguard the affected communities and prevent further attacks are ongoing by security forces.
Kogi communities reeling as fleeing bandits from Kwara kill four
News
Police arrested four suspected kidnappers arrested, identified accomplices
Police arrested four suspected kidnappers arrested, identified accomplices
By: Zagazola Makama
The Police have reportedly arrested four suspected kidnappers and their informants following the abduction of ten persons between Koso Likoro and Soba villages in Mashegu Local Government Area, Niger State.
Sources said the suspects were traced to a hideout around Ibbi Forest, where a joint operation led to the arrest of Sanda Dan, Mallam Wantau, and Atiku.
During interrogation, the suspects reportedly confessed and implicated Buba Maiyara, Mantile Alh Majo, and Bilya Musa Baushe, all from Koso village, as their accomplices.
In a subsequent operation, Manu Malami Shehu Maiyara was also arrested and admitted that his son, Buba Maiyara, together with his associates, were responsible for the abductions and cattle rustling in the area.
Sources said that the case remains under investigation.
Police arrested four suspected kidnappers arrested, identified accomplices
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