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Cholera Outbreak: 74 dead, over 7,800 cases strain Borno facilities

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A cholera outbreak has infected thousands of people and placed growing pressure on health facilities in Borno State, with 74 deaths and 7,850 suspected cases recorded in the state since early May.

In a statement issued on 9 June, the international medical humanitarian organisation Médecins Sans Frontières (MSF), also known as Doctors Without Borders, said the outbreak had spread across 14 local government areas and 50 wards, citing figures from the Borno State Ministry of Health.

According to the organisation, the number of patients requiring urgent treatment has been rising since the first suspected case was reported on 1 May.

Health facilities stretched by rising admissions

MSF said it partnered with the Borno State Ministry of Health to establish a Cholera Treatment Centre (CTC) in the Ngarannam area of Maiduguri on 7 May to support the response.

Patients with suspected cholera receiving initial sstabilisationin the triage of the cholera treatment centre run by MSF in collaboration with the State Ministry of Health in Ngarannam, in Maiduguri, Borno state (CREDIT: Merel van de Geyn/MSF)
Patients with suspected cholera receiving initial sstabilisationin the triage of the cholera treatment centre run by MSF in collaboration with the State Ministry of Health in Ngarannam, in Maiduguri, Borno state (CREDIT: Merel van de Geyn/MSF)

The organisation said admissions increased rapidly in the weeks that followed, forcing an expansion of the facility’s bed capacity from 121 to 271.

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It added that a separate 20-bed Cholera Treatment Unit (CTU) had been opened in the Dalaram area of the state capital to accommodate the growing number of patients.

As of 7 June, MSF said it had treated 7,439 patients at the two facilities, averaging about 230 admissions per day.

A wide shot of patients with suspected cholera receiving treatment at the cholera treatment unit run by MSF in collaboration with the State Ministry of Health in Dalaram, in Maiduguri, Borno state (CREDIT: Merel van de Geyn/MSF
A wide shot of patients with suspected cholera receiving treatment at the cholera treatment unit run by MSF in collaboration with the State Ministry of Health in Dalaram, in Maiduguri, Borno state (CREDIT: Merel van de Geyn/MSF

The organisation added that more than 500 patients suffering from acute watery diarrhoea were admitted on 5 June alone, the highest single-day admission figure recorded since the response began.

“Every day, we see more people arriving with severe watery diarrhoea and dehydration, many of whom have travelled long distances to reach care,” said Bienfait Tombola, MSF’s project medical coordinator for the emergency response in Maiduguri.

“The collaboration between the Ministry of Health, MSF and other partners has enabled a rapid scale-up of several aspects of the response, but the continued increase in cases shows that more needs to be done to prevent transmission and ensure people can access care as early as possible,” he said.

Vaccination, water access key to containment

Beyond treating patients, MSF said it is supporting healthcare worker training, establishing oral rehydration points in affected communities, conducting health promotion activities, strengthening disease surveillance and referral systems, and supporting water chlorination and sanitation interventions.

MSF infection prevention and control manager James Moriea standing at the entrance of the wards of the cholera treatment centre run by MSF in collaboration with the State Ministry of Health in Ngarannam, in Maiduguri, Borno state. ©Merel van de Geyn/MSF
MSF infection prevention and control manager James Moriea standing at the entrance of the wards of the cholera treatment centre run by MSF in collaboration with the State Ministry of Health in Ngarannam, in Maiduguri, Borno state (CREDIT: Merel van de Geyn/MSF

However, the organisation warned that the scale and speed of the outbreak continue to exceed current response capacity.

MSF noted that cholera and other water-borne diseases thrive in communities with inadequate access to clean water, sanitation facilities, hygiene infrastructure and healthcare services, particularly in informal settlements.

READ ALSO: Cholera kills 37 in Borno, endangers 3,000 lives

Mr Tombola said a cholera vaccination campaign planned by the Ministry of Health could help reduce transmission. Still, it stressed that long-term investments in water, sanitation and hygiene infrastructure remain critical.

“While treatment is essential to save lives, a cholera vaccination is foreseen to be conducted by the Ministry of Health, and this would help cut the chains of transmission,” he said.

“Sustainable improvements in access to clean water, sanitation and hygiene are equally critical to reducing transmission and preventing risks of a continued surge in cases of waterborne diseases.”

MSF said it would continue supporting the Borno State Ministry of Health and other partners in efforts to contain the outbreak and provide lifesaving care to affected communities.


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WHO launches seven-point strategy to curb global drowning deaths

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The World Health Organisation (WHO) has launched a new technical package containing seven proven strategies to help governments and communities prevent drowning, one of the leading causes of death among children globally.

The initiative, known by the acronym PROTECT, was unveiled ahead of World Drowning Prevention Day, observed annually on 25 July.

In a statement issued on Thursday, WHO said nearly 300,000 people die from drowning every year, making it one of the 10 leading causes of death among children aged five to 14 years worldwide.

WHO Director-General Tedros Ghebreyesus described every drowning as a preventable tragedy and urged governments to adopt practical, evidence-based measures to save lives.

Mr Ghebreyesus said preventing drowning requires coordinated action across sectors rather than the efforts of a single ministry.

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“The seven measures are packaged under the acronym, PROTECT, translating the Global Strategy for Drowning Prevention into practical policy guidance for countries,” he said.

According to him, the package focuses on safer physical infrastructure around water, improved rescue and resuscitation services, occupational safety for water-related work and stronger safety standards for water transport.

It also promotes swimming and water safety education, stronger childcare and safeguarding systems, and better preparedness for floods and other emergencies.

Mr Ghebreyesus said WHO launched the PROTECT package in Ghana in recognition of the country’s growing commitment to drowning prevention and efforts to improve water safety.

He said it estimated that more than 1,100 people died from drowning annually in Ghana, equivalent to approximately three deaths every day.

READ ALSO: Nearly 2.7 billion people cannot have healthy diet – WHO

Mr Ghebreyesus said that children and young adults accounted for the highest burden.

WHO boss said that Ghana’s leadership demonstrated how evidence-based policies could reduce drowning deaths and encouraged other governments to adopt similar preventive measures.

Kelly Henning, who leads the public health programme at Bloomberg Philanthropies, said the framework would save lives, while strengthening global efforts to reduce drowning through proven interventions.

Mr Henning said that since 2014, Bloomberg Philanthropies had partnered with WHO on drowning prevention.

World Drowning Prevention Day theme, “Unite to Turn the Tide,” calls for coordinated action by governments, partners and communities to prevent drowning and save lives.

(NAN)


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Cholera outbreak in Borno overwhelms health facilities as suspected cases exceed 35,000

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Healthcare facilities in Borno State are under increasing pressure following a rise in suspected cholera cases, with more than 35,500 people infected and 198 deaths recorded since May.

In a statement sent to PREMIUM TIMES on Wednesday, Médecins Sans Frontières (MSF), also known as Doctors Without Borders, cited data from the Borno State Ministry of Health showing that the outbreak has spread rapidly since the first suspected cases were reported on 1 May.

The organisation attributed the surge to overcrowded informal settlements, limited access to safe drinking water, poor sanitation and inadequate waste management.

MSF said the growing number of infections has overwhelmed healthcare facilities, with health workers struggling to keep pace with patients requiring treatment.

Response

Cholera is an acute bacterial infection transmitted through contaminated food and water. It causes severe watery diarrhoea and dehydration, and can become life-threatening within hours if treatment is delayed.

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Given the danger of the disease, MSF said it has expanded its emergency response in collaboration with health authorities and other humanitarian organisations by supporting two Cholera Treatment Centres, five Cholera Treatment Units and 17 oral rehydration points across Borno State.

The organisation said it had treated more than 24,000 patients with suspected cholera as of 12 July, adding that more than one in four arrived with severe symptoms.

Speaking on the outbreak, Bienfait Tombola, MSF project medical coordinator in Maiduguri, said the organisation had significantly expanded its response over the past two months.

However, he noted that the disease was continuing to spread faster than efforts to contain it, mainly because many communities still lacked access to clean water, sanitation and healthcare.

Limited awareness

Beyond the strain on health facilities, MSF said limited public understanding of how cholera spreads remains a challenge to containing the outbreak.

READ ALSO: Five dead, 11 cases confirmed in Plateau cholera outbreak

According to the organisation, it has intensified community awareness campaigns, trained healthcare workers in cholera management, and supported water, sanitation, and hygiene interventions, including chlorinating water at key collection points.

It added that health authorities, with support from MSF, conducted an oral cholera vaccination campaign in early July, reaching more than 2.6 million people.

Despite these efforts, the organisation said many communities, particularly those in informal settlements, continue to lack access to safe water, sanitation and healthcare, allowing transmission to persist.

MSF also noted that the outbreak has spread beyond Borno to neighbouring Plateau State, where the state Ministry of Health had reported 102 suspected cholera cases as of 12 July.

The organisation stressed the need to strengthen access to clean water, sanitation, disease surveillance and timely treatment, while expanding vaccination campaigns in affected communities to curb transmission and prevent further deaths.


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