Northeast Nigeria: Urgent need for improved hygiene facilities to combat deadly cholera outbreaks

Report
from Norwegian Refugee Council
Published on 12 Nov 2018

The number of people who have been affected by cholera in northeast Nigeria has increased to 10,000. The disease is spreading quickly in congested displacement camps with limited access to proper sanitation facilities, warned the Norwegian Refugee Council (NRC).

"One of the major causes of the outbreak is the congestion in the camps that makes it difficult to provide adequate water, sanitation and hygiene services. The rainy season has also worsened the conditions," said Janet Cherono, NRC's program manager in Maiduguri.

NRC is calling on the local governments in Nigeria's northeastern states of Borno, Adamawa and Yobe to end the cycle of yearly cholera outbreaks.

"If more land is not urgently provided for camp decongestion and construction of health and sanitation facilities, Nigeria is steering towards yet another cholera outbreak in 2019," warned Cherono.

Over the last decade, northeast Nigeria and other areas of the Lake Chad Basin have been affected by cholera outbreaks almost every year, due to poor hygiene facilities in displacement camps and host communities. More than 1.8 million people are displaced in Nigeria, as a result of ongoing conflicts.

Maiduguri has the highest concentration of displaced people, with 243,000 displaced people cramped in camps, camp-like settlements and already crowded host communities, according to figures from the International Organization for Migration. In Kagoni Sangaya displacement camp, the eight latrines that were built to cater for about 150 displaced people are now being shared by 500 people. Camp residents said they end up defecating in the open which causes cholera and other water borne diseases in the area.

More than 10,000 people have been afflicted by the ongoing cholera outbreak in Nigeria, according to the government. Of these, 175 were reported dead in the states of Adamawa, Borno and Yobe as of early November 2018.

The number of deaths resulting from the disease is higher than would be expected in a situation where timely and efficient treatment is available. This indicates inexistent or insufficient access to clean water, sanitation, hygiene and health services.

"We are calling on the authorities to provide more space in camps and host communities for the construction of new water and sanitation facilities, and for the international community to provide the necessary funding. Only this way can we prevent new cholera outbreaks," Cherono said.

NRC has responded to the cholera outbreak by transporting at least 180,000 liters of clean water daily from Maiduguri to communities around Tungushe and Konduga towns, constructing more latrines where there are space and by sharing information about hygiene and choleraprevention with affected communities.

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