Growing concern for nearly 1.4 million internally displaced people living in cholera ‘hotspots’ as outbreak spreads in northeast Nigeria


Growing concern for nearly 1.4 million internally displaced people living in cholera ‘hotspots’ as outbreak spreads in northeast Nigeria

On 13 June 2017, children collect water in Maiduguri, capital of Borno state in north-east Nigeria.

Each year, the countries around Lake Chad (Niger, Nigeria, Chad and Cameroon) suffer from severe flooding as part of the seasonal rains in the region in June 2017. Many children are at increased risk of waterborne disease as the rainy season begins in crisis-affected areas around Lake Chad. The flooding and muddy roads are expected to severely limit humanitarian access to remote areas for several weeks. This reduced access comes at a time when the needs of the population are sharply increasing with ongoing displacement and overcrowding in IDP camps. To exacerbate the risk brought by unstable weather, security concerns are significantly heightened during the month of Ramadan. There has been a sharp escalation in violence in recent weeks, including a deadly attack on Borno state capital. Security concerns are further complicating plans to preposition humanitarian supplies before the rains as the supplies could become a valuable target. UNICEF warns that there is an increased risk for children of cholera, diarrhoea and malaria. UNICEF is particularly concerned for children living in cholera “hotspots” for both returnees as well as new arrivals in flood prone areas, as they are the most vulnerable and their needs must be immediately addressed.

© UNICEF/Abubakar

Children collect water in Maiduguri, capital of Borno state in north-east Nigeria.

Heavy rains bring deadly disease to children in northeast Nigeria already battling malnutrition.

MAIDUGURI/DAKAR/NEW YORK/HONG KONG, 7 September 2017 – There is growing concern for the health and wellbeing of 1.4 million displaced people, including 350,000 children under the age of five, living in cholera ‘hotspots’ in northeast Nigeria, UNICEF warned today.

The outbreak occurs as ongoing violence and military efforts against insurgents in the region have displaced more than 1.7 million people and left over 3.6 million without adequate access to basic water services.

An estimated 28 people have died from cholera, while 837 are suspected to have been infected with the disease, including at least 145 children under the age of five. The outbreak was first identified in the Muna Garage camp for the displaced in Maiduguri, the state capital of northeast Nigeria’s Borno state. The outbreak spread quickly to as many as six other locations across the state. UNICEF and partners have rapidly scaled up their response to the cholera outbreak, as heavy rains multiply the risk of disease and malnutrition for conflict affected children.

“Cholera is difficult for young children to withstand at any time, but becomes a crisis for survival when their resilience is already weakened by malnutrition, malaria and other waterborne diseases,” said UNICEF Deputy Representative in Nigeria, Pernille Ironside. “Cholera is one more threat amongst many that children in northeast Nigeria are battling today in order to survive.”

A cholera preparedness plan has been in place since before the rains began. Religious leaders, community heads and local volunteers have been mobilised to encourage good hygiene practices and help refer suspected cases to health facilities. Water
is chlorinated at access points in the camps and across host communities in an effort to curb the spread of disease as the rainy season continues.

Since the outbreak was confirmed there has been a closely coordinated water, sanitation and hygiene (WASH) and health rapid response, driven by the Borno State Government with support from WHO, UNICEF and international non-governmental organisations, including the setup of a cholera treatment centre at the Muna Garage Camp.

As the impact of the rains is felt, UNICEF has also scaled up its nutrition and child health programmes across the three northeast Nigerian states most affected by conflict. So far this year, UNICEF has treated over 110,000 children suffering from severe acute malnutrition, distributed nearly 120,000 mosquito nets and provided emergency primary health care services to over three million people in these states. The response continues despite increased security concerns, reduced access because of floods and a heavily damaged health system.

Even in the face of a deadly cholera outbreak, the WASH sector remains critically underfunded. To date, UNICEF has only received 49% of funding needed to provide two million people with access to clean water, one of the main interventions that can protect children from deadly waterborne diseases and offer some protection against the threat of malnutrition.