MSF has established a 40 bed Cholera Treatment Unit (CTU) in Dala, which has so far admitted 70 patients. The organisation has also set up an Oral Rehydration Point (ORP) in Muna camp and has a team of 14 Community Health Workers (CHW) who are helping to find new cases and trace community members who may have come into contact with affected patients.
The majority of cholera patients come from Muna Garage, a camp for people who have fled other parts of the state due to the ongoing conflict between the Nigerian armed forces and Boko Haram. Following heavy rains, the camp is partly flooded, making the already poor sanitary conditions at the camp even worse, which is an additional risk factor during a cholera outbreak. A potential case has also now been reported from another part of the city.
“MSF has rapidly been responding to the cholera outbreak in Maiduguri. We set up a Cholera Treatment Unit in Dala earlier this year in anticipation of a potential outbreak. Since last weekend, we have witnessed a steady increase in the number of patients at our treatment centre and at the rehydration point in Muna camp,” said Anne-Cécile Niard, MSF Project Coordinator.
Since last weekend, we have witnessed a steady increase in the number of patients at our treatment centre and at the rehydration point in Muna camp.
“We are in the process of expanding the capacity of our treatment centre in Dala to 50 beds and are exploring the possibility of opening another treatment centre close to the most affected areas. We are worried that the number of beds that are currently planned will not be enough to cope at the peak of the outbreak."
MSF is also setting up rehydration points in places where new cases are being reported and is sharing its medical expertise by training state health workers and those from the World Health Organisation (WHO) in prevention and control methods. It also maintained that Maiduguri residents need not panic, but take adequate precautions. “With early diagnosis and treatment, people have a very good chance of survival; already 37 patients have been discharged from our treatment centre in Dala,” said Anna Cillers, MSF Medical Coordinator.
“If people are worried that they have cholera, they should drink oral rehydration solution and seek treatment as quickly as possible. However, to contain the spread of cholera in Maiduguri, the need for a coordinated response from state health authorities and the other responders to this outbreak cannot be overstated.” MSF is responding in coordination with the Ministry of Health and other organisations to make sure that affected households are sprayed with chlorine solution and that soap and water purifying tablets are distributed in Muna Camp.
Since 2014, MSF, a Nobel Peace Prize winning organisation, has been providing nutrition, primary and secondary healthcare, medical aid in disease outbreaks, and monitoring access to food, clean water and shelter across 11 locations in Borno State.
* Main picture : MSF’s Cholera Treatment Unit (CTU) in Dala, Maiduguri. © Nitin George/MSF
Cholera is an acute, highly contagious intestinal infection transmitted by the ingestion of water contaminated with the cholera bacillus. The contamination is oral, of fecal origin, and can be done through the ingestion of water or contaminated food.
The main symptoms are liquid diarrhea and vomiting, causing severe and rapid dehydration to cause death. Young children and the elderly are the most vulnerable.
The development of the disease is very rapid, even dazzling. Nevertheless, it is an easily treatable disease. In a CTC, which is a specialized structure, patients can be treated while limiting contamination.
To better understand how patients are accommodated and cared for in these structures, click on the image below.