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Tackling twin peaks of malaria and malnutrition in Kano, northwest Nigeria

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Tackling twin peaks of malaria and malnutrition in Kano, northwest Nigeria

By: Michael Mike

Zuwaira Muhammad, 26, sits on a hospital bed at the Inpatient Therapeutic Feeding Centre (ITFC) at the Unguwa Uku Primary Healthcare Centre in Kano, northwest Nigeria. Here, Médecins Sans Frontières (MSF) offers critical treatment to children suffering from malnutrition. By her sides, lie her 10-month-old twins—Safwan, a boy, sleeping peacefully on her right, while Safuna, a girl, lying on her left-hand side is currently receiving a blood transfusion.

Safuna is one of the over 40,000 children treated for malnutrition in Kano in 2024. The children brought to MSF-supported facilities primarily come due to malnutrition but upon screening, most of them are found to also have malaria.

From January to May 2024, about 9,000 out of the 14,000 children diagnosed with malnutrition tested positive for malaria after screening. Malaria and malnutrition have a complex relationship, with malnutrition increasing the risk of malaria and malaria increasing the risk of malnutrition. This relationship can lead to a cycle of malnutrition and malaria, which can be especially harmful to children under five.
“Malaria can reduce appetite and make it harder for the body to absorb nutrients, leading to malnutrition. Conversely, malnutrition can weaken the immune system, making children more susceptible to infections like malaria,” says Dr. Yanu Mbuyi, MSF Medical Coordinator in Nigeria.

Malaria is one of the leading causes of death in Nigeria. According to the WHO’s 2024 World Malaria Report, Nigeria accounts for 26 percent of malaria cases globally. Kano state contributed an estimated nine percent of Nigeria’s 68 million malaria cases in 2021 and 30 percent of admissions to Nigeria’s hospitals are because of malaria.

Our teams in Kano have observed a distressing increase in the number of children suffering from malnutrition, as evidenced by the rise in admissions. In 2022, MSF treated 7,798 children for malnutrition; that number rose to 23,800 in 2023 and 46,304 in 2024.

“What we had in 2024 was a twin peak of malaria and malnutrition with 36,546 confirmed cases of malaria, the highest number recorded since we started working in Kano”, says Dr. Hemmed M Lokonge, the MSF Project Coordinator in Kano.

In response to the rising rates of malnutrition, MSF expanded its operations by opening additional outpatient treatment facilities in Kumbotso, and Rijiyar Lemo, alongside the already established one in Unguwa Uku. During the malnutrition crisis, the 75-bed inpatient facility in Unguwa Uku reached full capacity, prompting the opening of an additional 90-bed centre at Murtala Mohammed Specialist Hospital. This was full in just two hours.

“Safuna is feeling better now compared to when I brought her here a few days ago,” Muhammad says, having travelled over 40 kilometres from Wudil to access MSF services. “She was weak and could hardly move, but now she has more energy and can even laugh.”

MSF activities in Kano, which began as a response to the COVID-19 pandemic, evolved to include general outpatient department support and response to the growing malnutrition crisis. Presently, MSF is the only organisation providing inpatient therapeutic feeding services in Kano, with patients coming from 37 out of the 44 local government areas (LGAs) in the state, as well as from neighbouring states.

Since 2022, MSF has consistently raised concerns about the increasing number of children admitted for malnutrition at its facilities across northern Nigeria. In 2024, our teams treated over 357,000 children who were suffering from malnutrition in the facilities where we are working in the north. This is an increase of 35 per cent compared to the 265,500 children treated in 2023. Among those treated in 2024, 75,000 required inpatient care, while 282,000 received outpatient treatment.

In 2024, the surge in malnutrition cases began as early as March, well before the usual peak season in July, and extended through November, a time when cases are typically expected to decline. This situation raises fears that the severity of malnutrition in 2025 could exceed that of previous years.

The persistent malnutrition crisis in northern Nigeria stems from a variety of factors such as inflation; food insecurity; insufficient healthcare infrastructure; ongoing security issues, and disease outbreaks worsened by low vaccine coverage.

Tackling acute malnutrition in northern Nigeria requires a multi-faceted approach. Immediate measures include strengthening healthcare facilities to diagnose and treat malnutrition. Additional steps involve reinforcing vaccine programmes, enhancing access to nutritious food, improving water and sanitation, and raising awareness.

Currently, MSF operates outpatient clinics in only three Local Government Areas (LGAs) of Kano State: Tarauni, Fagge, and Kumbotso. This limited geographical coverage is significant, considering that Kano State is made up of 44 LGAs. It underscores the insufficient number of clinics available to address the large volume of children suffering from malnutrition.

MSF advocates for establishing outpatient feeding centres across all LGAs in Kano to enhance community-based management of malnutrition and reduce severe cases. In 2025, MSF’s health promotion activities will shift focus to community education, empowering families to recognise early signs of malnutrition and address them before hospitalisation is necessary.

It is essential that health authorities, international organisations, and donors intensify their efforts to address the escalating malnutrition crisis in Kano and throughout northwest Nigeria—a region currently lacking sufficient humanitarian response, to prevent further lives from being lost in 2025.

Tackling twin peaks of malaria and malnutrition in Kano, northwest Nigeria

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How propaganda and exaggerated genocide narratives triggered punitive international actions against Nigeria

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How propaganda and exaggerated genocide narratives triggered punitive international actions against Nigeria

By: Zagazola Makama

Recent United States visa restrictions and mass deportation measures affecting Nigerian nationals have reopened debate on how sustained propaganda, misinformation and alarmist narratives about insecurity in Nigeria shaped international perceptions and policy responses against the country.

While Nigeria continues to face real security challenges including terrorism by ISWAP, Boko Haram, AlQaeda, banditry, farmer–herder clashes and transnational jihadist infiltration, the framing of these conflicts as an organised, state-backed “Christian genocide” has increasingly been questioned by Nigerians.

Yet, for several years, a powerful campaign driven largely by Nigerian activists, politicians and diaspora-based pressure groups portrayed Nigeria as the world’s epicentre of religious extermination, with claims that were grossly exaggerated, unverifiable or outright false.

The agitations grew domestic grievance to international propaganda. Between 2021 and 2024, a wave of advocacy emerged accusing the Nigerian state of deliberately sponsoring or protecting jihadists allegedly engaged in the daily slaughter of Christians. Some campaigners claimed that 1,500 Christians were being killed every day, a figure that would translate to more than 540,000 deaths annually, a number exceeding fatalities recorded in most active war zones globally.

One widely circulated narrative claimed that between 2010 and October 2025, 185,000 people were killed on account of their faith, including 125,000 Christians and 60,000 Muslims, allegedly based on reports from Intersociety, one of the NGO created to push the false claims.” The same narrative alleged that 19,100 churches had been burned and 1,100 Christian communities completely seized and occupied by jihadists supposedly backed or shielded by the Nigerian government.

However, independent verification of these figures consistently failed. No global conflict-monitoring organization, including ACLED, UN agencies, or major international human rights bodies as well as official bodies like Police, DSS, and the NHRC, corroborated such numbers. Nigeria’s total population stands at approximately 240 million, making such casualty claims statistically implausible without triggering global humanitarian emergency responses on the scale of Gaza, Syria or Ukraine.

Zagazola Makama report that while religiously motivated attacks occur, Nigeria’s violence landscape is far more complex, driven by criminal banditry, resource conflict, insurgency, arms proliferation, climate stress and weak border control, affecting Muslims, Christians, Pagan, traditionalist and adherents of other faiths alike.

Despite the lack of empirical grounding, these activities keep weaponizing faith to internationalise pressure. The genocide narrative gained traction in U.S. political circles, evangelical advocacy groups and sections of Western media. Some Nigerian politicians amplified these claims at international forums, urging sanctions, arms embargoes and even military intervention against their own country.

The expectation among agitators was that Trump’s administration would deploy American forces or impose targeted sanctions against Nigerian officials and groups like Miyetti Allah, Boko Haram, Bandit and those that once push for Shariah laws. Instead, the policy response took a different and far more consequential direction. Rather than physical military intervention, Washington opted for strategic intervention with the armed forces of Nigeria through technical support while in their country they opted for tougher penalties like border control, immigration enforcement and visa restrictions, citing insecurity, terrorist activity, document integrity issues and vetting challenges.

Nigeria was subsequently placed under partial U.S. travel restrictions, with the U.S. government explicitly referencing the activities of Boko Haram and ISWAP, and difficulties in screening travellers from affected regions.

The unintended security backlash
Ironically, following persistent framing of Nigeria’s violence as a religious war produced outcomes opposite to what campaigners claimed to seek. Rather than protecting Christians, the rhetoric emboldened extremist groups to carry even more deadlier attacks.

Terrorist organisations, including ISWAP, JAS and al-Qaeda-linked JNIM elements now infiltrating North-Central Nigeria, capitalised on global narratives portraying Nigeria as a battlefield of faith. By attacking churches, clergy and Christian communities, these groups sought to validate the propaganda, provoke sectarian retaliation and trigger a broader religious conflict. This strategy mirrors jihadist doctrine across the Sahel: manufacture sectarian violence, polarise society, delegitimise the state and attract recruits.

Security intelligence from Kwara and Niger States, for instance, shows JNIM’s Katiba Macina exploiting communal tensions along the Benin–Nigeria corridor, recruiting Fulani youths while framing attacks as resistance against “tyranny” language deliberately aimed at feeding international narratives of persecution.

The U.S. Department of Homeland Security has since justified its tougher posture using data-driven assessments: visa overstay rates, terrorism risks, weak civil documentation systems and law-enforcement information gaps.
For Nigeria, these translated into: Partial visa suspensions for B, F, M and J categories, increased scrutiny of Nigerian travellers, inclusion in broader immigration enforcement actions, Indirect reputational damage affecting trade, education and diplomacy

Meanwhile, The Department Homeland Security announced record deportations and self-removals, over 2.5 million exits since January 2025, a development that disproportionately affects nationals of countries portrayed as high-risk, Nigeria included. Crucially, those most affected are ordinary Nigerians students, professionals, families and entrepreneurs, not terrorists, bandit leaders or militia commanders.

The Fulani bandit in the forest has no interest in a U.S. visa. It is the Nigerian student, pastor, doctor and trader who bears the cost.

Notably, as sanctions and restrictions took effect, the loud genocide rhetoric largely faded from public discourse. The activists who once dominated international media cycles have grown quieter, perhaps confronted by the reality that the consequences fell on Nigeria as a whole, not on imagined perpetrators. This pattern point to a broader lesson in strategic communication: when a nation’s internal crises are exaggerated into existential falsehoods, external actors respond not with rescue but with containment.

A cautionary lesson for national discourse is that; Nigeria’s security challenges are real and demand sustained reform, diplomatic support, and international cooperation. But weaponising religion, spreading unverifiable casualty figures and lobbying for foreign punitive action against one’s own country undermines national security rather than strengthening it. More dangerously, it feeds extremist propaganda, deepens communal mistrust and invites external decisions based on distorted perceptions.

When internal challenges are projected internationally without context or factual balance, foreign governments respond not with solidarity but with restrictions, sanctions and containment. In this environment, propaganda even when framed as advocacy, erodes diplomatic goodwill and inflicts long-term harm on citizens whose lives and opportunities are shaped by external policy decisions.

False alarms and absolutist narratives fracture social trust, embolden extremists and inflame the very fault lines terrorists seek to exploit. Ultimately, propaganda however emotionally persuasive does not protect communities; it weakens national resilience and leaves society more vulnerable to the forces it hopes to defeat.

Zagazola Makama is a Counter Insurgency Expert and Security Analyst in the Lake Chad region

How propaganda and exaggerated genocide narratives triggered punitive international actions against Nigeria

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Gunmen kill soldier, abduct 13 passengers on Okene–Auchi highway

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Gunmen kill soldier, abduct 13 passengers on Okene–Auchi highway

By: Zagazola Makama

Suspected kidnappers disguised in military uniforms have killed a serving soldier and abducted 13 passengers during coordinated attacks on two commercial vehicles along the Okene–Auchi Federal Highway.

Zagazola Makama report that the incident occurred at about 5:35 p.m. on Dec. 16 when unknown gunmen intercepted a green Toyota Sienna, conveying nine passengers from Abuja to Delta State.

The source said six passengers were abducted from the vehicle, while three others were rescued.

According to the source, the attackers also stopped a white Toyota Hiace bus, conveying 11 passengers from Delta State to Abuja, during the same operation.

“Seven passengers were abducted from the Hiace bus, while four were rescued,” the source said.

Tragically, the source said a serving Non-Commissioned Officer of the Nigerian Army, who was among the passengers and had identified himself as a soldier, was shot by the attackers.

“He sustained gunshot injuries to his legs and thighs and was later confirmed dead,” the source added.

Both vehicles were recovered and towed to a police station for safe keeping, while five empty shells of 7.62mm ammunition suspected to be from an AK-47 rifle were recovered at the scene as exhibits.

The corpse of the deceased soldier was deposited at the Okengwe General Hospital mortuary for autopsy, while statements were obtained from the rescued victims to aid investigation.

It was gathered that troops have launched joint rescue operations, including bush combing and intensive surveillance along the highway, with a view to rescuing the abducted passengers and arresting the perpetrators.

The authorities assured motorists that measures were being intensified to secure the Okene–Auchi corridor and prevent further attacks.

Gunmen kill soldier, abduct 13 passengers on Okene–Auchi highway

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Bandits kill one, abduct several in Zamfara

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Bandits kill one, abduct several in Zamfara

By: Zagazola Makama

Armed bandits have killed a young man and abducted several others during an attack on a store area in Bungudu Local Government Area of Zamfara State.

Zagazola report that the incident occurred at about 12:30 a.m. on Dec. 16 when gunmen, carrying AK-47 rifles and other sophisticated weapons, launched a sporadic shooting spree in Karakkai district.

The source said one Lukman Rabe, aged 21, was shot dead during the attack, while an unspecified number of people were abducted and taken to an unknown location.

Army troops in collaboration with joint Police, and local hunters, were immediately mobilised to the scene to secure the area.

Sources said that efforts are ongoing to rescue the abducted victims and apprehend the fleeing suspects, while residents have been urged to remain vigilant and report any suspicious activity to security agencie
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