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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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Polaris Bank Sponsors Free Breast, Prostate Cancer Screenings

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Polaris Bank free cancer screenings

By Modupe Gbadeyanka

To commemorate World Cancer Day observed on Wednesday, February 4, 2026, Polaris Bank Limited is bankrolling free screenings for breast and prostate cancers across the country.

The financial institution partnered with a non-governmental organization (NGO) known as Care Organization and Public Enlightenment (COPE) for this initiative.

At least 100 women would be screened during the exercise, scheduled for Saturday, February 21, 2026, at the C.O.P.E Centre on 39B, Adeniyi Jones Avenue, Ikeja, Lagos, from 10:00 am to 2:00 pm.

The exercise will be conducted by trained health professionals and volunteers, ensuring participants receive both screening services and educational guidance on cancer prevention, self-examination, and follow-up care.

To participate in the free breast cancer screening programme, the applicants must be women, must be Polaris Bank account holders, and must have registered ahead of the day via bit.ly/BCS2026, with selection based on early and confirmed submissions.

Polaris Bank said the initiative was designed to promote awareness, screening, early detection, and preventive care, reinforcing its belief that access to health services is a critical foundation for individual and economic well-being.

The organization is already supporting an on-going free prostate cancer screening programme for 250 men aged 40 years and above across Nigeria.

The prostate cancer screening is being conducted at the Men’s Clinic, situated at 18, Commercial Avenue, Sabo, Yaba, Lagos, providing accessible, professional medical support for male participants seeking early detection and preventive care for prostate cancer.

Both initiatives (free breast and prostate cancer screenings) directly aligns with the United Nations Sustainable Development Goals, particularly SDG 3 (Good Health and Well-being) through improved access to preventive healthcare and early detection services, SDG 5 (Gender Equality) by prioritizing women’s health and empowerment, and SDG 17 (Partnerships for the Goals) through strategic collaboration with civil society organizations such as C.O.P.E to deliver community-centered impact.

Educational materials, community engagement sessions, and digital awareness campaigns will be deployed to reinforce key messages around early detection, lifestyle choices, and the importance of regular medical check-ups.

The Head of Brand Management and Corporate Communications for Polaris Bank, Mr Rasheed Bolarinwa, emphasised that early detection remains one of the most effective tools in the fight against cancer.

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NSIA Gets IFC’s Naira-financing to Scale Oncology, Diagnostic Services

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NSIA MedServe

By Adedapo Adesanya

International Finance Corporation (IFC), a subsidiary of the World Bank, and the Nigeria Sovereign Investment Authority (NSIA) have partnered to provide Naira-denominated financing to NSIA Advanced Medical Services Limited (MedServe), a wholly owned healthcare subsidiary of the country’s  wealth fund.

Supported by the International Development Association’s Private Sector Window Local Currency Facility, this financing enables MedServe to scale critical healthcare infrastructure while mitigating foreign exchange risks. IFC is a member of the World Bank Group.

The funds will support MedServe’s expansion program to establish diagnostic centers, radiotherapy-enabled cancer care facilities, and cardiac catheterisation laboratories across several Nigerian states.

These centres will feature advanced medical technologies, including CT and MRI imaging, digital pathology labs, linear accelerators, and cardiac catheterisation equipment, thereby enhancing specialised diagnostics and treatment.

MedServe provides sustainable service delivery with pricing that matches local income levels, helping ensure broader access to affordable oncology care for low-income patients.

The initiative will deliver over a dozen modern diagnostic and treatment centers across Nigeria, create 800 direct jobs, and train more than 500 healthcare professionals in oncology and cardiology specialties.

The total project size is $154.1 million, with IFC contributing roughly N14.2 billion ($24.5 million) in long-tenor local currency financing, marking IFC’s first healthcare investment in Nigeria using this structure.

This comes as Nigeria advances its aspirations for Universal Health Coverage. This partnership provides an opportunity to leverage private investment to complement government efforts to expand oncology care and diagnostic services.

IFC’s provision of long-tenor Naira financing addresses a significant market gap and unlocks institutional capital for healthcare infrastructure with strong development upside while MedServe’s co-location strategy with public hospitals maximises capital efficiency and strengthens the public-private ecosystem, establishing a replicable platform for future investment.

“This partnership with IFC represents a significant milestone in NSIA’s commitment to strengthening Nigeria’s healthcare ecosystem through sustainable, locally anchored investment solutions,” said Mr Aminu Umar-Sadiq, managing director & chief executive of NSIA.

He added, “By deploying long-tenor Naira financing, we are addressing critical infrastructure gaps while reducing foreign exchange risk and ensuring that quality diagnostic and cancer care services are accessible to underserved communities. MedServe’s expansion underscores our belief that commercially viable healthcare investments can deliver strong development impact while supporting national health priorities.”

“This ambition is consistent with our broader vision for Africa, one where resilient health systems and inclusive growth reinforce each other to deliver long-term impact across the continent,” said Mr Ethiopis Tafara, IFC Vice President for Africa.

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Health

Lagos Steps up Mandatory Health Insurance Drive

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Mandatory Health Insurance Drive

By Modupe Gbadeyanka

Efforts to entrench mandatory health insurance through the Ilera Eko Social Health Insurance Scheme in Lagos State have been stepped by the state government.

This was done with the formal investiture of the Commissioner for Health, Professor Akin Abayomi, and the Special Adviser to the Governor on Health, Mrs Kemi Ogunyemi, as Enforcement Leads of the Lagos State Health Scheme Executive Order and ILERA EKO Champions.

The Commissioner described the recognition as both symbolic and strategic, noting that Lagos is deliberately shifting residents away from out-of-pocket healthcare spending to insurance-based financing.

“We have been battling with how to increase enrolment in ILERA EKO and change the culture of cash payment for healthcare. Insurance is a social safety net, and this mindset shift is non-negotiable,” he said.

He recalled that Lagos became the first state to domesticate the 2022 National Health Insurance Authority (NHIA) Act through an Executive Order issued in July 2024, making health insurance mandatory. He stressed that the decision reflected the Governor’s strong commitment to healthcare financing reform, adding, “When Mr. Governor personally edits and re-edits a document, it shows how critical that issue is to the future of Lagosians.”

Mr Abayomi also warned against stigmatisation of insured patients, describing negative attitudes towards Ilera Eko enrolees as a major barrier to uptake. “If someone presents an Ilera Eko card and is treated as inferior, uptake will suffer. That must stop,” he said, pledging to prioritise insurance compliance during facility inspections. “The key question I will keep asking is: ‘Where is the Ilera Eko?’”

In her remarks, Mrs Ogunyemi, said the enforcement role goes beyond a title, stressing that the health insurance scheme is now law.

“This is about Universal Health Coverage and equitable access to quality healthcare for everyone in Lagos State,” she said, noting that ILERA EKO aligns with the state’s THEMES Plus Agenda.

She commended the Lagos State Health Management Agency (LASHMA) for aggressive sensitisation efforts across the state, saying constant visibility was necessary to address persistent gaps in public knowledge. “People are still asking, ‘What is Ilera Eko?’ ‘Where do I enrol?’ Those questions tell us the work must continue,” she said.

She urged all directors and health officials to mainstream Ilera Eko promotion in every programme and engagement, emphasising that responsibility for health insurance advocacy does not rest with LASHMA alone. “When people come with medical bills, the first question should be: are you insured?” she said, adding that early enrolment remains critical as premiums rise over time.

Earlier, the Permanent Secretary of LASHMA, Ms Emmanuella Zamba, said the investiture marked a critical step in positioning leadership to drive enforcement of the Executive Order across the public service.

“What we are undertaking is pioneering in Nigeria. All eyes are on Lagos as we demonstrate how mandatory health insurance can work,” she said.

Ms Zamba disclosed that enforcement nominees across Ministries, Departments and Agencies have been trained, with a structure in place to ensure compliance beyond the health sector.

According to her, “This initiative cuts across the entire public service, particularly public-facing MDAs, in line with the provisions of the Executive Order.”

She explained that the formal designation of the Commissioner and the Special Adviser as Enforcement Leaders was meant to strengthen compliance, alongside the Head of Service, while also recognising their consistent advocacy for universal health coverage. “This decoration is to amplify their roles and appreciate the leadership they have shown,” she said.

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