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Hepatitis E Outbreak in Niger Leaves 34 Pregnant Women Dead

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By Dipo Olowookere

In south-eastern Niger, the hepatitis E outbreak declared two months ago is particularly affecting pregnant women.

Of the 186 women admitted to the main maternal and paediatric health centre in the town of Diffa, 34 died of severe complications related to the disease.

Of the 876 cases of hepatitis E reported on June 11, the majority are displaced people and refugees, 247,900 according to the authorities.

As the disease spreads mainly through contaminated water, the current outbreak highlights poor water and sanitation conditions and the lack of adequate sanitation facilities among these people, already affected by the violence of the ongoing conflict between Boko Haram and the armies of the region.

Instability and lack of infrastructure

In Diffa, where access to healthcare has been hampered in particular by insecurity, the lack of adequate water, sanitation and hygiene infrastructure has an even greater impact on the health situation. Several sites within the displaced camps and communities do not have an adequate supply of drinking water, leaving some of the needs of the most vulnerable populations unmet. In addition, there is a lack of latrines, and those that are in place are in poor condition.

From the experience of other hepatitis E outbreaks in Africa, the Diffa one could last for several more months. The number of suspected cases may increase further in the near future, with the arrival of the rainy season, usually from June to September. “Given the scarcity of water for the most vulnerable populations, the risk is that alternative sources that can spread the outbreak will be used, such as the supply from streams and other natural water points formed by accumulated rain water. These collection points are considered as potential vectors of the disease”, explains Audace Ntezukobagira, emergency coordinator for MSF in Diffa. “It is also important to take into account that these people do not have the material or financial means to stock up on wood or gas, to boil the water in order to make it suitable for consumption”.

Water, hygiene and sanitation

To respond to the outbreak, one of the priorities is the strengthening of water and sanitation activities. However, the current response has not yet reached the standard required due to insufficient resources and coordination between humanitarian actors.

At certain sites, for example, it can be seen that jerry cans which are unsuitable for transporting water are not systematically collected when they are replaced. “This provokes a clear problem in terms of the risk of spreading the disease, as well as creating confusion as new jerry cans could be distributed several times in the same place”, says Sabiou Mansour, logistics manager for the MSF emergency team in Diffa. “It is deplorable, considering the efforts already provided in the region and the magnitude of the needs”.

Since April, MSF has strengthened its capacity to deploy emergency sanitation and hygiene measures at eleven sites. The teams working on more than 130 functional water points ensured that more than 6,300 m³ of water was chlorinated, 127,300 jerry cans were washed, nearly 3,400 old ones were replaced with new ones, and cleaning kits, including more than 36,800 soaps, were distributed.

For Sani Toubomrabo, a Nigerian community leader based in Garin Wazam, “the chlorinated water we bring home is useful to avoid getting sick, which is why we collaborate with the health agents present at the water points”.

Patient treatment

The response to the outbreak also includes free management of patients in health facilities at the community level and referral to hospital for those patients who develop complications.

In this respect, MSF teams are supporting the health authorities with human and material resources that have been deployed to deal with the situation. In addition to medical treatment, patients with hepatitis E receive psychological support. The organisation also provides technical support for health staff in the structures in which it operates in order to ensure free and high-quality care for patients. A decrease in mortality was also observed among women with severe complications related to the disease admitted to the main maternal and paediatric health centre in the town of Diffa.

Awareness-raising in the heart of the community

Health promotion activities in the health facilities and the community have also been set up by MSF. To date, nearly 32,000 people have been informed, including patients and their families. At the same time, MSF is actively looking for cases in villages, which has already led to the referral of more than 400 people to health centres.

MSF in Diffa

Since the end of 2014, MSF has been working in the Diffa region to help those fleeing violence related to the presence of the Boko Haram group and military intervention in the region. MSF provides free medical and psychological assistance in seven health centres in the region. In addition, the organisation supports the supply of drinking water supply, the construction of latrines and the distribution of essential items in several villages and places where refugees, returnees and displaced people have gathered.

In addition, MSF is supporting the Ministry of Health in two hospitals: the Nguigmi Hospital and the main maternal and child health centre in the Diffa town. In both hospitals, MSF is working in reproductive and paediatric health units, and provides mental health support. At the hospital in Nguigmi, the team also treats children suffering from severe acute malnutrition.

Dipo Olowookere is a journalist based in Nigeria that has passion for reporting business news stories. At his leisure time, he watches football and supports 3SC of Ibadan. Mr Olowookere can be reached via [email protected]

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Jacaranda Gets Funds to Expand Affordable Maternal Healthcare in Kenya

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Jacaranda Maternity

By Modupe Gbadeyanka

To expand affordable healthcare in Kenya, Swedfund has invested about $600,000 into Jacaranda Health Limited (Jacaranda Maternity) to support innovations in neonatal intensive care and strengthen Jacaranda’s ability to provide life-saving services to underserved populations.

Jacaranda Maternity provides high-quality maternal health care at more affordable pricing than typical private providers, focusing on women in Nairobi’s low- and middle-income communities.

The new funding will support the opening of new hospitals, upgrading of neonatal care, and improvements to existing facilities.

Maternal and newborn health outcomes in Kenya remain a challenge, with maternal mortality still high despite improvements in skilled birth attendance.

Public health facilities play a central role but face capacity constraints, while access to reliable, quality care varies across regions and income groups.

Private healthcare providers offering essential maternity services at accessible price points can complement public provision.

Jacaranda Maternity aims to expand its network to six hospitals to achieve financial sustainability while scaling its impact. The healthcare provider is a recognised leader in promoting women’s health, with 71 percent of its staff being women, and a track record of effective environmental and social management.

“This investment will help Jacaranda Maternity provide life-saving care to more women and families while furthering Swedfund’s mission to promote inclusive and sustainable healthcare,” a Senior Investment Manager at Swedfund, Audrey Obara, said.

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Nigeria Secures $350,000 FAO Support to Tackle Rising Bird Flu

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bird flu

By Adedapo Adesanya

Nigeria will get a $350,000 intervention from the Food and Agriculture Organisation of the United Nations (FAO) to support its response to the ongoing outbreak of Highly Pathogenic Avian Influenza (bird flu) and strengthen the country’s animal health systems.

An agreement was reached on Wednesday during a strategic meeting between the Minister of Livestock Development, Mr Idi Mukhtar Maiha, and the FAO Representative to Nigeria and the Economic Community of West African States, Mr Hussein Gadain, in Abuja.

The intervention, approved under FAO’s Technical Cooperation Programme, will support disease containment efforts in 11 affected states and enhance surveillance, coordination and response mechanisms to prevent further spread of the disease.

Speaking during the meeting, Maiha said effective disease control remains critical to improving livestock productivity and protecting the livelihoods of farmers across the country.

He explained that factors such as drought, scarcity of feed, interaction between livestock and wildlife, as well as cross-border movement of animals have contributed to the spread of diseases in some areas.

“We must continue to strengthen our animal health systems and build the capacity required to respond effectively to disease outbreaks. Our collaboration with FAO will help protect livestock assets, improve productivity and support the broader transformation of the sector,” the minister said.

Mr Gadain commended the federal government’s commitment to the development of the livestock sector and assured that FAO would continue to provide technical support to Nigeria.

He stressed the need to strengthen veterinary services at the state and community levels, improve early detection of diseases and promote biosecurity practices among livestock farmers.

The meeting also reviewed progress on the global campaign to eradicate Peste des Petits Ruminants, a highly contagious disease that affects sheep and goats.

To advance the initiative, the ministry plans to convene a national technical meeting involving veterinary institutions, researchers and practitioners to review Nigeria’s eradication strategy and address gaps in vaccine supply.

As part of preparations, the ministry will engage the National Veterinary Research Institute to assess its vaccine production capacity while exploring other options for vaccine procurement to meet national demand.

Both parties also agreed to accelerate Nigeria’s access to financing under the Pandemic Fund through the One Health approach in collaboration with the Nigeria Centre for Disease Control and the Federal Ministry of Health to strengthen preparedness and response to zoonotic diseases.

Plans are also underway for the Director-General of FAO to participate in the Antimicrobial Resistance Conference scheduled for June 2026 in Abuja, where President Bola Tinubu is expected to be recognised as the African Champion for the eradication of Peste des Petits Ruminants.

The meeting further agreed to inaugurate a Livestock Donor Working Group to coordinate development partner support and advance key initiatives, including the development of a national feed and fodder strategy aimed at improving productivity and sustainability in the livestock sector.

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Chimamanda: Euracare Raises Concerns Over MDCN Investigation Panel Process

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Euracare

By Aduragbemi Omiyale

A Lagos-based healthcare facility currently in the limelight, Euracare Multi-Specialist Hospital, has faulted the outcome of the investigation panel of the Medical and Dental Council of Nigeria (MDCN) on the death of a 21-month-old Nkanu Nnamdi Esege, son of a renowned author, Chimamanda Ngozi Adichie.

The toddler died some weeks ago after an alleged overdose of sedative propofol, with the family alleging medical negligence.

This week, the panel suspended the two doctors of Euracare, Dr Tosin Majekodunmi and Dr Titus Ogundare.

Reacting to the development in a statement, the hospital claimed it observed “a number of serious concerns that have arisen in the course of these proceedings.”

In the statement made available to Business Post, Euracare emphasised that it vouches for the “professionalism and integrity of our clinical team,” pointing out that “certain established processes and protocols have not been followed in the manner required” during the probe.

While it empathised “with the family of Master Nkanu Nnamdi Esege” over the unfortunate incident, the healthcare firm said there was a “serious breach” by the investigators that “cannot go unaddressed.”

It identified this breach as the disclosure of “matters covered by patient and institutional confidentiality” outside the appropriate channels.

Below is the full statement from Euracare;

Our attention has been drawn to widespread media reports concerning the interim suspension orders and other findings issued by the Medical and Dental Practitioners Investigation Panel against thirteen doctors, two of whom are our clinical staff members in connection with the ongoing proceedings relating to the death of Master Nkanu Nnamdi Esege. We remain fully committed to cooperating with all relevant regulatory and judicial authorities in the course of their inquiries.

We however wish to place on record our confidence in the professionalism and integrity of our clinical team. Dr. Tosin Majekodunmi and Dr. Titus Ogundare who are experienced professionals whose records of service to patients in Nigeria span many years. Both doctors have, in their respective careers, contributed meaningfully to the delivery of quality healthcare to Nigerian patients at a standard comparable to what is obtainable in the world’s leading medical facilities.

In the interest of transparency, since the commencement of this matter, we have conducted a thorough internal review of the clinical events in question, in line with our clinical governance standards and best practices. We have actively demonstrated our commitment to transparency and will continue to engage openly with all inquiries directed at us.

We are also compelled to draw attention to a number of serious concerns that have arisen in the course of these proceedings. It is our position that certain established processes and protocols have not been followed in the manner required. We have further noted, with deep concern, that matters covered by patient and institutional confidentiality appear to have been disclosed outside the appropriate channels, and we consider this a serious breach that cannot go unaddressed.

We wish to state that we stand by the principles of equality, fairness, and good governance. Every party in this matter, including our institution and our staff, is entitled to a process that is conducted with rigour, impartiality, and respect for the rules that govern it. We will be raising these concerns through the appropriate legal and regulatory channels.

We continue to empathize with the family of Master Nkanu Nnamdi Esege. The loss of a child is a grief without measure, and we carry that awareness in everything we say and do in relation to this matter.

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