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Cholera outbreak: Nigeria runs out of vaccine as death toll hits 40
The NCDC boss stressed the need for the country to embrace the use of vaccines and other preventive measures to curb the spread of the acute diarrhoeal infection.
Cholera is a food and water-borne disease caused by the ingestion of the bacterium, Vibrio cholerae, in contaminated water and food.
Cholera kills 4,364 in four years
No fewer than 4,364 people have died out of the 139,730 Nigerians suspected to have been infected with the disease across the country in the last four years, an investigation by Saturday PUNCH has indicated. The incidence rate was derived from an analysis of the weekly cholera situation reports released by the Nigeria Centre for Disease Control between 2021 and 2024.
Recall that the NCDC recently alerted the public to the increasing trend of cholera cases across the country as the rainy season intensifies. In a statement signed by Idris on Thursday, June 13, 2024, the agency said that from January 1 to June 11, 2024, a total of 1,141 suspected cases, 65 confirmed cases, and 30 deaths from cholera had been reported from 96 local government areas in 30 states of the federation.
The NCDC listed the 10 states that contributed 90 per cent to the burden of cholera as Bayelsa, Zamfara, Abia, Cross River, Bauchi, Delta, Katsina, Imo, Nasarawa, and Lagos. As of then, the Lagos State Ministry of Health said it had recorded 350 suspected cases of the disease in 29 wards across multiple LGAs with 17 confirmed cases and 15 fatalities attributed to severe dehydration caused by delayed presentation.
However, on Friday, the state Commissioner for Health, Prof Akin Abayomi, said the cholera incidence rate in the state had risen to 417 suspected cases, and 35 confirmed cases, with 24 deaths.
In a post made on his Instagram handle on Friday afternoon, Abayomi said, “The situation report as of June 19, 2024, indicated 417 suspected cases, 35 confirmed cases, and 24 recorded deaths.”
“Let’s adhere strictly to personal and environmental hygiene. Let’s stay safe #ForAGreaterLagos.”
He said the cases were reported from the Agege, Badagry, Ikeja, Mushin, Ajeromi-Ifelodun, Epe, Ikorodu, Ojo, Alimosho, and Eti-Osa areas of the state.
Others he mentioned include Kosofe, Oshodi-Isolo, Amuwo-Odofin, Ibeju-Lekki, Lagos Island, Shomolu, Apapa, Ifako-Ijaiye, Lagos Mainland, and Surulere.
Also, the Ogun State Commissioner for Health, Dr Tomi Coker, told our correspondent on Thursday that the state had recorded one death and 14 cases.
This implies that in the last 12 days, the incidence rate of the disease in the country for this year had hit 1,222 suspected cases, 88 confirmed cases, and 40 fatalities.
The NCDC, however, stated that a multi-sectoral National Cholera Technical Working Group, led by the centre and comprising the Federal Ministries of Environment and Water Resources, the National Primary Health Care Development Agency, the World Health Organisation, the United Nations Children’s Fund, and other partners, had been providing support to the affected states.
With the latest incidence rate from Ogun and Lagos, investigations by Saturday PUNCH showed that a total of 4,364 deaths had been recorded out of the 139,730 people suspected to have been infected by the disease across the country since 2021.
Going by one of the NCDC’s cholera situation reports for week 52, there were a total of 111,062 suspected cases of the disease with 3,604 deaths across 435 local government areas in 34 states of the federation in 2021.
Another Cholera Week 52 report published by the NCDC and analysed by our correspondent revealed that in 2022, the country recorded 23,763 suspected cases with 592 deaths across 271 LGs in 33 states of the federation.
In 2023, there was a reduction in the incidence rate of the disease as the country recorded 3,683 suspected cases with 128 deaths across 166 LGs in 31 states of the country.
The prevalence rate of the disease further went down in 2024 with 1,141 suspected cases and 30 deaths recorded across 84 LGs in 30 states of the federation.
There were 473,000 cholera cases reported to the World Health Organisation in 2022, which was a 100 per cent increase compared to the rate reported to the global health organisation in 2021.
More so, a further increase in cases by 700,000 was estimated in 2023, while the latest data from the WHO showed that a cumulative total of 145,900 cholera cases and 1,766 deaths had been reported from 24 countries across five WHO regions.
In the latest global rate, Africa recorded the highest numbers, followed by the Eastern Mediterranean region, the region of the Americas, the South-East Asia region, and the European region.
However, speaking with Saturday PUNCH, the NCDC boss said while it is the National Primary Health Care Development Agency that is dealing with the issue of cholera vaccines, he is aware that the health minister has requested more vaccines from donor agencies.
“I know that the minister has requested more vaccines. But, I don’t know when they will come, because other countries also make requests internationally. I know that when they come, NPHCDA will decide how to distribute or use them.
“We don’t have enough to prevent an outbreak, because we need to give these things before that time. The problem is that to get vaccines, we need to plan ahead, and we don’t have the funds. Most countries plan ahead. When it comes to health security, we are supposed to stockpile some things in anticipation of an emergency.
“We don’t manufacture vaccines. We get them from donor agencies, just like any other country does. Whatever they supply will not be enough for us to use and in any case, it doesn’t give long-lasting immunity, so it has to be a combination of all control measures.
“The minister has requested support for these vaccines. He told me that last week. When they will come, I don’t know. However, we don’t necessarily have to rely on all those things if we can adopt other control measures,” the NCDC boss said.
Dr Idris also noted that the demand for cholera vaccines outpaces supply, adding that to consistently have adequate vaccines to curb diseases, the nation must plan ahead. He also stressed that Nigeria must embrace a combination of preventive measures to curb cholera outbreak, noting that cholera vaccines are not long-lasting.
“Cholera vaccine demand is far ahead of supply so most people who need them place orders and plan ahead. It is the same thing with all vaccines, not just cholera.
“We also know that cholera vaccines are not long-lasting. They only work for some time, so a combination of vaccines where necessary and all other preventive measures are the mainstay of the effort to curb the infection.
“The mainstay is to treat people if they are dehydrated, so they can replace lost fluids, maintain personal, environmental and sanitary hygiene, etc. We talk about boiling water before eating, washing hands after using the toilet, and before and after preparing food. If anybody suspects contamination, they should boil water before drinking and using it. It is a combination of all these preventive measures that will go a long way in helping to curb the outbreak,” Idris said.
Also speaking during a recent programme on Channels Television, the NCDC Director General had said that prevention was key in fighting the disease in Nigeria.
Idris noted that as the rainy season intensified, there were possibilities of increasing cases of cholera in the country. He said, “The Nigerian Meteorological Agency has said that the rains this year are going to be heavier, and when you have rains, you’re going to have floods, and this leads to contamination of our water sources. So, the chances are that cholera cases will increase.”
The DG, who blamed the outbreak of the infection on poor sanitation, personal and environmental hygiene, and lack of access to clean water, noted that the agency was conducting a risk assessment, and had alerted all the states about the outbreak. He said the state governments must ensure access to clean water and toilets for their citizens. (Saturday PUNCH)
A married father of two has been exposed in Kenya for allegedly posing as a Catholic priest and conducting religious activities in several parishes in Turkana County.
The man, identified as Jones Bogonko Onchonga, reportedly gained access to the Catholic Diocese of Lodwar by allegedly presenting forged church documents to support his claim of being an ordained priest.
According to Kenyan publication Tuko, Onchonga reportedly celebrated Mass and took part in other religious activities at various Catholic worship centres, including St Augustine Cathedral in Kalokol, St Thomas Chapel and St Mary’s Lodaraja.
His alleged impersonation came to light after photographs surfaced showing him celebrating Mass alongside the Bishop of Lodwar, Rt. Rev. John Mbinda, C.S.Sp.
The discovery reportedly prompted concern among members of the Catholic community, leading the Diocese of Lodwar to clarify his status.
In a statement signed by Bishop Mbinda, the Diocese distanced itself from Onchonga and stated that he has no priestly authority or official position within the Catholic Church.
The Diocese also cautioned parishioners and members of the public against allowing him to perform priestly or other religious duties.
Onchonga has been charged with identity theft under Article 382 of Kenya’s Penal Code, an offence that carries a possible prison term of up to three years upon conviction.
He initially pleaded guilty to the impersonation charge when he appeared before Chief Magistrate Evanson Ngigi on August 14.
However, he later changed his plea to not guilty when he appeared before Magistrate Michael Lokitam on August 17.
According to the charge sheet, Onchonga allegedly posed as a duly ordained Catholic priest between July 31 and August 12 in Turkana Central Sub-County.
He is accused of falsely presenting himself to Bishop Mbinda and officials of the Catholic Diocese of Lodwar as a priest authorised to hold church meetings a and administer the sacraments.
He remains in custody after failing to meet the bail terms set by the court. The conditions include a KSh100,000 ($773.10) bond with a surety or KSh50,000 ($386.25) cash bail.
The United States Department of Homeland Security has added 10 Nigerians to its “Worst of the Worst” register, a database highlighting immigrants arrested by Immigration and Customs Enforcement over alleged criminal offences.
The latest names were published on the official DHS website and include individuals linked to cases involving fraud, identity theft, drug offences, assault, conspiracy and offences involving children.
The 10 Nigerians listed in the latest update are:
Temitope Bashua — Wire fraud, identity theft and fraud — Allenwood, Pennsylvania
Ojehoro Lewis — Cruelty towards a child — Conroe, Texas
Osemudiamen Kingsley Oziegbe — Wire fraud — Louisville, Kentucky
Daniel Oworen — Dangerous drugs — Conroe, Texas
Raymond H. Ekevwo — Wire fraud — Oxford, Wisconsin
Franklin Dikeocha — Sex offence against a child – fondling — Dallas, Texas
Johnson Ogunlana — Fraud and identity theft — White Deer, Pennsylvania
Chukwuemeka Okorocha — Wire fraud, dangerous drugs, possession of a weapon and aggravated assault involving a non-family gun — Allenwood, Pennsylvania
Tunde Korede — Conspiracy — Allenwood, Pennsylvania
Chukwuemeka Chinye — Larceny from a banking-type institution, fraud, larceny, identity theft and conspiracy — Pollock, Louisiana
DHS said the register was established to draw attention to immigrants it describes as the “worst of worst criminal aliens” arrested by ICE.
“Every day, the patriots of ICE are working to target the worst of the worst criminal illegal aliens from our country. Just yesterday, ICE arrested murderers, pedophiles, kidnappers, and other violent criminals to make America safe again,” said Secretary of Homeland Security Markwayne Mullin.
“Under President Trump’s leadership, there will be no safe haven for illegal aliens, including in sanctuary cities which put illegal aliens over their own citizens. We will never apologize for arresting and deporting illegal aliens, because that’s how we protect American lives.”
The department said the latest immigration enforcement actions were part of the Trump administration’s deportation policy.
“Under DHS leadership, the hardworking men and women of DHS and ICE are fulfilling President Trump’s promise and carrying out mass deportations – starting with the worst of the worst – including the illegal aliens you see here,” the department said.
The latest publication comes after DHS released another list in July containing 124 Nigerians arrested by ICE and identified on the same register.
The July list featured Nigerians associated with a range of criminal offences, although the department did not provide specific deportation dates for those individuals
…Orders CCTV installation to stop vandalism
The federal government on Friday announced the closure of the River Niger bridge for one week.
The closure is to carry out repairs on the vandalised sections of the River Niger bridge road and install security architecture in the area.
Minister for Works, Engr Dave Umahi, disclosed this at Ogbunike in Oyi Local Government Area of Anambra during an inspection tour of the bridge and other roads under construction in the South East and South South geopolitical zones of the country.
The first River Niger Bridge linking Asaba and Onitsha
He said motorists would, at the closure of the bridge, be directed to the Second Niger Bridge in order to give the contractors an adequate time frame to carry out the necessary repairs.
Recall that suspected vandals had looted vital bolts and irons used in the construction of the bridge, thereby exposing the bridge to obvious collapse and, in the process, threatening the lives of millions of road users and passersby.
He explained that security measures are being taken to avert a repeat occurrence of vandalism on the bridge.
“Bridges are designed for light load and dynamic loads so we have directed that work should start immediately and the entire asphalt be removed and put another one and there will be solar lights on that bridge in the next one week and we shall fix CCTV and connect it to the one in the 2nd Niger Bridge so that security will observe and whoever that tries to touch the bridge again is going to be arrested.
“Now on the first Niger bridge, we have seen the wickedness of the underworld. We have seen the man’s inhumanity to man; those things that they are removing is very dangerous to the beauty of that bridge and we have commenced action on that bridge,” he said.
He added; “There Is so much accumulated workload on that bridge, like it was with the 3rd Mainland Bridge, and every government that comes will put asphalt, and it is causing a lot of gridlock on that bridge.
“So these are the actions that we have taken and then getting down we came to the Enugu – Onitsha express and they are working in three sections and there the Enugu -Onitsha and another one is 17.5 km and the last one is about 20km by two and so I have directed them not to start any asphalt work or concrete work so what they are to do is to take measurements of all the failed sections and it should be milled out and then use 16mm binder to cover them very well all the way from head bridge to 21.5 km and they will finish one carriage way before they go to the other one.
“We have to attempt to work at night so that we don’t interfere with traffic and we have to get the road safety involved and our own local traffic managers they should commence the desilting of the drainage before commencing.
“To that effect we may have to close down the first Niger bridge in seven days time and we direct traffic to the second Niger bridge for us to fix the first Niger bridge in good time,” he stated.
At the ongoing construction of the second Niger Bridge access road, Engr Timothy Emenike, Controller, and Engr Nnamdi explained that there would be no more slow pace of work on the project, adding that the project is being executed from both fronts in order to beat the deadline.
“The project starts from Obosi down to Mkpor and Ogidi and now we are in Ogbunike and along this alignment between the last time you came we are working on several stops along this alignment and you have just seen the second bridge that is ongoing and we are almost about to start the third one”.
“Work pace will not be a hindrance until we exhaust what was given to us by the Anambra state government and I am happy to inform you that since the new Commissioner took over we have been going to the new Commissioner’s office and have been pressuring him to give us more work space.”
According to him, in the next week we shall have another work space of 5km between Obosi axis, working from both ends.
“We are cutting through the hill at Ogbunike to continue the work in that area,” they stated.
Anambra State Commissioner for Works, Arc Okey Ezeobi, announced that the right of way being demanded by the contractors would be granted to them, adding that an additional 5km has been added to the contractors.
Ezeobi thanked President Ahmed Bola Tinubu and Engr Dave Umahi for providing democracy dividends for the people of Anambra and the South East.
He reiterated the support of the people of the state ahead of the 2027 general elections.
“There is no better way to describe this as a renewed hope and not fit saying it and the Hon Minister with what you are doing with our wonderful President for the first time Easterners can come in and move out with ease and the bottleneck they had been a great harassment and that is sending people out of the South East, has been taken care of.
“One can now bypass Onitsha, bypass Asaba and you are on your way.
“You don’t know how glad the people of Anambra and the South East is and thank Mr President for us.
“There is no way to ask for democracy dividend than this and that is when you have a visionary leadership tailored towards alleviating the sufferings of the masses.
“Mr President is developing every part of Nigeria and regarding the right of way for this project, we are finalizing it and we are adding another 5km to what we have now and there will be more than enough for the contractor to work with,” he added.
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