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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
IED explosion injures two security personnel during patrol in Anambra
IED explosion injures two security personnel during patrol in Anambra
By: Zagazola Makama
Two security personnel have been injured following the detonation of an improvised explosive device (IED) during a fighting patrol in Ihiala Local Government Area of Anambra State.
Security sources said the incident occurred on April 3 at about 12:30 p.m. when troops of Sector 5, Operation UDO KA, deployed at Forward Operating Base (FOB) Lilu, conducted a patrol alongside Nigeria Police personnel.
It was gathered that the team sighted the IED within the Lilu general area and attempted to destroy it.
However, the explosive device detonated during the process, injuring an Explosive Ordnance Disposal (EOD) personnel and a police officer.
The injured personnel were immediately administered first aid at the scene before being referred to a medical facility for further treatment.
Authorities said the situation has been brought under control, while operations continue in the area to ensure safety and prevent further incidents.
IED explosion injures two security personnel during patrol in Anambra
News
Troops neutralise two terrorists, destroy hideouts in Plateau clearance operations
Troops neutralise two terrorists, destroy hideouts in Plateau clearance operations
By: Zagazola Makama
Troops of Operation Enduring Peace (OPEP), under Operation Wutan Daji, have neutralised two suspected terrorists and destroyed several hideouts during clearance operations in Wase Local Government Area of Plateau.
Security sources said the operations were carried out in conjunction with local vigilantes across Babangida, Adua and Bokayi villages within the Dutsen Zaki forest.

It was gathered that troops made contact with the terrorists along the Babangida–Adua road, leading to a gun battle in which two of the suspects were neutralised, while others fled with possible gunshot wounds.
No casualties were recorded among the troops, and all equipment was accounted for.
During the operation, troops recovered one locally fabricated gun, a belt containing 105 rounds of 7.62mm PKT ammunition, 30 rounds of 7.62mm special ammunition and a cutlass.

In a related development, troops of CSI Battalion XIV, in collaboration with 332 Artillery Regiment and vigilantes, conducted further clearance and raid operations in Dadin-Kowa and Dada villages.

The operation involved 47 soldiers and four vigilantes, supported with motorcycles, gun trucks, a Mine-Resistant Ambush Protected (MRAP) vehicle and an artillery gun.
The troops established a gun position and carried out fire missions on suspected terrorist locations in Madam Forest to deny them freedom of action.

Subsequent raid operations in Dadin-Kowa village led to the destruction of suspected terrorist hideouts, although no contact was made with the fleeing elements.
Troops neutralise two terrorists, destroy hideouts in Plateau clearance operations
News
Madiba Advocates Raise Alarm, Urge Presidency, Labour Ministry, NSITF Management Board & relevant authorities to Probe Alleged ₦297bn NSITF Irregularities Linked to MD Faleye Oluwaseun
Madiba Advocates Raise Alarm, Urge Presidency, Labour Ministry, NSITF Management Board & relevant authorities to Probe Alleged ₦297bn NSITF Irregularities Linked to MD Faleye Oluwaseun
Madiba Advocates for Good Governance has criticised what it described as the continued silence of authorities over serious allegations of financial irregularities at the Nigeria Social Insurance Trust Fund (NSITF), calling on President Bola Ahmed Tinubu, the Honourable Minister of Labour and Employment, the NSITF Management Board, and other relevant agencies to urgently initiate a comprehensive investigation.
The group said the allegations, which have persisted in the public domain for weeks, involve the Managing Director/Chief Executive Officer of NSITF, Mr. Oluwaseun Mayomi Faleye, and have yet to receive any clear institutional response despite their gravity.
The call follows a series of petitions and public disclosures that have brought increased scrutiny to the management of the Fund, particularly in relation to financial transactions and governance processes within the institution. Madiba Advocates noted that the scale of the allegations and the sensitivity of the funds involved make immediate intervention both necessary and urgent.

At the centre of the controversy are allegations involving the management of approximately ₦297,019,145,288.60 in funds collected under the Employees’ Compensation Act (ECA) between January 2 and October 9, 2025.
The Employees’ Compensation Scheme is funded through mandatory employer contributions designed to provide compensation to Nigerian workers who suffer injury, disability, or death in the course of employment. Stakeholders have consistently emphasised that these funds are not government revenue, but trust funds belonging exclusively to Nigerian workers, requiring strict oversight and accountability.
₦243bn Allegedly Spent Without Board Approval

Documents referenced in the public domain indicate that out of the total inflow of ₦297 billion, an estimated ₦243,203,518,621.17 was expended within the same period. Sources allege that a significant portion of these expenditures may have been carried out without the approval of the NSITF Management Board, raising concerns about compliance with the NSITF Act and established financial regulations.

‘No Approval Limit’ Raises Governance Concerns
Central to the allegations is an internal document reportedly linked to a March 4, 2025 Executive Committee (EXCO) meeting, which outlined financial approval thresholds for officials. While limits were reportedly set for other officers, the Managing Director was allegedly assigned “no approval limit”, a development that has raised serious concerns about internal controls and governance safeguards.
Multiple Accounts and Financial Flow Allegations
Further reports allege the existence of over 100 bank accounts linked to a single Bank Verification Number (BVN), alongside financial inflows amounting to over $7.3 million and hundreds of millions of naira into accounts linked to the Managing Director and associated entities. Analysts note that such patterns, if verified, would require thorough scrutiny by relevant financial and regulatory authorities.

₦5.5bn Commission Payments Queried
Additional concerns have been raised over alleged commission payments totalling ₦5.53 billion, reportedly made without clear evidence of requisite approvals from the Board or the supervising Ministry. The payments are said to range between 15 and 20 per cent commissions and were allegedly executed outside standard procedures.
Governance Gap Raises Further Questions
Observers have also pointed to a governance gap between July 2023, when the Managing Director was appointed, and January 2025, when the Management Board was reportedly constituted, raising concerns about the level of oversight during that period.
Madiba Advocates for Good Governance stated that the issues have now reached a critical point, requiring decisive action from all relevant authorities to ensure transparency and accountability in the management of the Fund.
Call for Urgent Investigation
Reacting to the development, Madiba Advocates for Good Governance, led by its Executive Director, Alhassan Kabiru, expressed concern over the prolonged delay in addressing the allegations and the absence of a coordinated institutional response.
The group called on:
• The Chairman of the NSITF Management Board,
• The Honourable Minister of Labour and Employment,
• Relevant regulatory and anti-corruption agencies, and
• President Bola Ahmed Tinubu
to urgently intervene and ensure a thorough and independent investigation into the matter.
“This matter has lingered in the public space without clarity. It is important that the appropriate authorities take decisive steps to investigate and establish the facts,” the group stated.
Madiba Advocates emphasized that transparency in handling the allegations is essential to restoring confidence in public institutions and safeguarding workers’ funds.
Responses and Presumption of Innocence
When contacted, Mr. Faleye reportedly stated that he was not aware of the allegations. Officials of the Ministry of Labour were also said to have denied prior knowledge of the claims, while the NSITF Management Board indicated that the issues would be verified.
All allegations remain unproven and subject to investigation.
A Test of Accountability
Analysts say the situation presents a significant test of Nigeria’s public finance accountability framework, particularly for institutions entrusted with workers’ welfare.
Madiba Advocates for Good Governance warned that the continued delay in addressing these allegations risks sending the wrong signal about accountability within public institutions. The organisation urged the Presidency, the Ministry of Labour, and the NSITF Management Board to act without further delay to investigate the issues and restore confidence in the system. It added that failure to act decisively could further erode public trust and undermine the Federal Government’s Renewed Hope Agenda on transparency, accountability, and good governance.
Madiba Advocates Raise Alarm, Urge Presidency, Labour Ministry, NSITF Management Board & relevant authorities to Probe Alleged ₦297bn NSITF Irregularities Linked to MD Faleye Oluwaseun
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