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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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Three Fulani women abducted by gunmen in Kwara

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Three Fulani women abducted by gunmen in Kwara

By: Zagazola Makama

Atleast three Fulani women were abducted by armed hoodlums who attacked Awi village, a Fulani/Hausa camp near Omu-Aran, under sporadic gunfire.

Sources disclosed that the incident occurred on June 29 at about 1:00 a.m. and was reported later that morning by one Danbare Sarki Fulani, a community leader.

The victims were identified as: Halimi Kadiri, Gaaje Yusuf, and a nursing mother Maria Isah. All the victims are said to be of Fulani Bororo origin.

Upon receipt of the report at about 10:00 a.m., a team security operatives and members of the local vigilante group was immediately mobilised to the scene and began combing the nearby forests,” the statement said.

Additionally, the Anti-Kidnapping Squad (AKS) team attached to Omu-Aran, alongside neighbouring Divisional Police Officers (DPOs) and local vigilantes, have launched a coordinated search-and-rescue operation aimed at locating the victims and apprehending the perpetrators.

Police sources confirmed that investigation is ongoing and assured the public of continued efforts to ensure the safe rescue of the abducted women and restoration of peace in the area.

Three Fulani women abducted by gunmen in Kwara

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Troops neutralise 2 ISWAP insurgents planting IEDs on Borno highway

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Troops neutralise 2 ISWAP insurgents planting IEDs on Borno highway

By: Zagazola Makama

The Nigerian Army troops of Sector 2, Operation Hadin Kai, have neutralised two suspected fighters of the Islamic State West Africa Province (ISWAP) attempting to plant Improvised Explosive Devices (IEDs) along a critical highway in Borno State.

Intelligence sources told Zagazola Makama on Monday that the ambush operation occurred along the strategic Trans-Timbuktu (TT) corridor, extending towards the Katarko–Goniri axis.

The sources said that the operation was conducted following credible intelligence on the movement of a terrorist IED-laying party along the route.

“During the encounter, troops engaged the terrorists in a brief but decisive firefight, killing two insurgents and forcing others to flee.

“Items recovered at the scene included two AK-47 rifles, several magazines, a motorcycle, and materials intended for constructing IEDs. Equipment designed to cut through tarred roads for the concealment of explosives was also found.

“The swift response by the troops not only thwarted a potential attack on military and civilian vehicles but also helped to secure a major supply route frequently targeted by terrorists,” a security source said.

The military has since intensified patrols and route clearance operations in the general area to prevent further attempts by the insurgents.

Troops neutralise 2 ISWAP insurgents planting IEDs on Borno highway

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Bandits kill two, abduct four in Katsina community

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Bandits kill two, abduct four in Katsina community

By: Zagazola Makama

Armed bandits have killed two persons and abducted four others in a late-night attack on Gidan Tamba village in Kankara Local Government Area of Katsina State.

Zagazola Makama learnt that the incident, which occurred on June 29 at about 10:45 p.m., threw the quiet rural community into panic as the gunmen stormed the area and opened fire indiscriminately.

One of the victims, Ashiru Shafiu, aged 60, was reportedly shot dead on the spot, while another resident, Suleiman Yusuf, also 60, collapsed during the raid and later died of cardiac arrest. Both were rushed to the General Hospital in Kankara, where they were confirmed dead.

In addition to the fatalities, four residents were abducted during the attack. They have been identified as: Kazeem Nuhu, Shafiu Aliyu, Rama Dan Mallam and Ummah Abdulwahab.

The attackers reportedly arrived on motorcycles and disappeared into the surrounding forest with the kidnapped victims.

Bandits kill two, abduct four in Katsina community

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