
Health
Strange: Baby starts menstruating at four months


A baby girl who started menstruating at the age of four months has survived sex cord stromal tumors, described by doctors as ‘rare ovarian cancer.’
Experts say that sex cord stromal tumors is a rare type of cancer that forms in the tissues that support the ovaries or testes.
“These tumors may release sex hormones, and it is also called sex cord tumor and sex cord-gonadal stromal tumor,” doctors say.
Baby Bibian developed ovarian cancer when she was four months old, her mother, Faustine Andeso, tells The Standard at their Likuyani home in Kakamega County, Kenya.
Bibian, her parents’ first child, was born on April 16, 2019. “She was born weighing 4.2kg. She looked healthy,” her mother recalls.
Things started assuming fearful dimensions when the baby girl turned four months old and started manifesting symptoms of puberty as she developed acne.
Her breasts became enlarged, and pubic hair also began to sprout. About a month after the symptoms appeared, Bibian started to bleed from the vagina.
“The bleeding lasted five days,” says her mother of what is the standard bleeding duration for a menstruating female.
Faustine took her daughter to hospital.
“She was treated for blood infection and given antibiotics,” the mother says. However, the situation didn’t improve.
The following month, she bled again, “like she was having menses,” Bibian’s mother says, recalling the beginning of a hard-fought battle to save her baby.
By now abandoned by her husband whom she had married on March 24, 2018, Faustine says that she moved from one hospital to another searching for proper diagnosis and treatment, but nothing much came of it.
She narrates how she borrowed money from friends, families and church to be able to pay the mounting medical bills.
In December 2019, she travelled up country to mark holiday festivities with her mother.
“At some point, my mother was bathing Bibian and she noticed that the girl was bloated. She advised me to take her to hospital. I attributed the bloating to her big body because I am also big bodied,” Faustine says.
They went to Likuyani Sub-County Hospital, Kenya, where medics prescribed antibiotics and other medicines to treat bloating and indigestion.
“But my daughter’s symptoms got worse. She now had no appetite, was breathing heavily and could not stomach food,” Faustine says. So, they went back to the hospital where Bibian was asked to undergo an ultrasound.
Results showed that Bibian’s abdomen was filled with fluids. The patient was referred to Moi Teaching and Referral Hospital. Faustine heeded the advice on December 26, 2019, and Baby Bibian was admitted and a fresh round of tests and scans were ordered.
“Around 10am on January 7, 2020, we were in the ward when I saw many doctors come in. One of them – their leader – called out my name and I responded.
“He then explained that Bibian had a growth in her reproductive system. It was the growth that was producing fluids. He recommended surgery immediately.
“My heart sank. I feared that she wouldn’t make it through surgery,” Faustine recalls.
The lead doctor was Elly Odongo, an obstetrician and gynaecologist and the head of gynaecological oncology at MTRH.
“Bibian’s case was brought to my attention in early 2020. From tests, the girl had a type of ovarian cancer known as sex cord stromal tumour,” Dr. Odongo says.
Bibian’s cancer was at stage 2 when she was taken to MTRH. Odongo advised parents of young girls to be on the lookout for symptoms that mimic puberty.
“Cancer? Of the ovaries? In a baby? I thought this disease only affects women of reproductive age,” Bibian’s mother recalls.
Dr. Odongo told Bibian’s mother that the tumour was functional, meaning, it was producing hormones – oestrogen and testosterone; noting that it was the reason the baby presented with symptoms of a child entering puberty.
“The blood she was shedding is equivalent to menstruation in a woman of reproductive age. Of course, in an eight-month-old, this means something is wrong,” Odongo says.
The following day, Odongo and his team operated on Bibian and removed the tumours. The surgery was followed by chemotherapy – which Fausine says was brutal on Baby Bibian.
Now at age two years and five months, Bibian has been declared cancer-free. She, however, needs immune boosters and multivitamin supplements to help her fight common infections as chemotherapy has affected her immunity.
Faustino states that her daughter’s battle with cancer has cost her friendships, her (old) job, peace of mind, and, worst of all, her marriage.
Health
Enugu Shuts Down Four Illegal Private Hospitals, Warns Operators Against Unsafe Practices

The Enugu State Government has sealed four private hospitals operating illegally in Enugu South Local Government Area as part of efforts to check unsafe medical practices and protect residents from substandard healthcare services.
The enforcement exercise was carried out by officials of the state Ministry of Health during an on-the-spot inspection led by the Commissioner for Health, Prof. George Ugwu.
The monitoring team comprised directors of the ministry and was coordinated by the Director of Medical Services, Dr. Chinyere Ezeudu.
Speaking on Monday in Enugu, Ugwu reaffirmed the commitment of Governor Peter Mbah’s administration to safeguarding the health and wellbeing of residents through effective regulation, quality assurance and regular monitoring of healthcare facilities.
He warned that the government would not tolerate illegal medical operations, professional misconduct or any activities capable of endangering patients’ lives.
The commissioner urged private healthcare operators across the state to ensure that their facilities were duly registered, licensed and operated strictly within the scope of services approved by the relevant authorities.
“The ministry will sustain its monitoring and enforcement exercises to ensure that only qualified and authorised healthcare providers deliver services to the people of Enugu State,” he said.
During the exercise, ministry officials inspected about 12 private healthcare facilities to assess their operational standards, verify their registration status and determine their level of compliance with established healthcare regulations and professional guidelines.
Reacting to the findings, Ezeudu described the situation as unacceptable, expressing concern over what she termed a flagrant disregard for healthcare regulations and professional standards.
She disclosed that four of the facilities inspected were subsequently sealed and ordered to cease operations immediately.
According to her, the enforcement action was necessary to protect residents from unqualified medical practitioners, substandard healthcare services and other practices capable of putting human lives at risk.
The ministry reiterated its commitment to sustaining regulatory inspections and enforcement measures to ensure that healthcare facilities across Enugu State operate within the law and adhere to established professional standards.
Health
Ebola Scare: FG Moves to Establish Treatment Centres in States as Contacts Rise to 53

The Federal Government has intensified emergency measures to contain the possible spread of Ebola Virus Disease in Nigeria, with plans to establish treatment and isolation centres in states hosting designated ports of entry.
The development follows an increase in the number of persons identified as contacts of Nigeria’s confirmed Ebola patient from 44 to 53.
The national incident management system has also been activated under the coordination of the Minister of Health and Social Welfare, Prof Muhammad Ali Pate.
The confirmed case involves a woman who travelled to Nigeria after visiting Uganda, following an earlier trip to the Democratic Republic of the Congo.
She reportedly developed symptoms on October 7, sought medical attention in Abuja on October 11 and tested positive for the Bundibugyo strain of Ebola on October 20.
The World Health Organisation is investigating the possible source of the infection.
Health authorities have urged Nigerians to remain calm, maintain proper hygiene, avoid direct contact with the bodily fluids of suspected Ebola patients and promptly report suspected infections.
The NCDC also warned against stigmatising persons undergoing monitoring, stressing that public cooperation, early detection and effective contact tracing remain critical to preventing further transmission.
Health
Nigeria’s Ebola Patient Identified as Wife of Swiss Diplomat, Infection Traced to Uganda

The woman who tested positive for Ebola in Nigeria has been identified as the wife of a Swiss diplomat stationed in Abuja, with preliminary investigations suggesting that she contracted the deadly virus during a recent trip to Uganda.
According to Reuters, Switzerland’s Federal Department of Foreign Affairs confirmed on Thursday that the 42-year-old Ugandan-born woman tested positive on October 20, marking Nigeria’s first confirmed Ebola case in over a decade.
The Swiss authorities disclosed that the patient had spent approximately one week receiving treatment at a private hospital in Abuja after developing symptoms before laboratory tests confirmed the infection.
The ministry explained that the woman was believed to have contracted the virus during a visit to Uganda about two weeks earlier.
Her husband, who accompanied her on the trip, has since been placed in isolation as a precautionary measure, although he has not exhibited any symptoms of the disease.
However, uncertainty remains over the actual source of the infection, as international health agencies intensify efforts to reconstruct the patient’s travel history and identify possible exposure routes.
Ugandan authorities had suggested that the woman visited eastern Democratic Republic of the Congo before travelling through Uganda, but the World Health Organisation (WHO) and Africa Centres for Disease Control and Prevention (Africa CDC) said the claim had not been independently verified.
Africa CDC official Wessam Mankoula disclosed during an online briefing that Nigerian and Ugandan health authorities were exchanging information to establish the patient’s movements.
He maintained that there was currently no validated evidence confirming that the woman travelled to the Democratic Republic of the Congo.
Providing further clarification, WHO Representative in Nigeria, Pavel Ursu, said available records indicated that the patient travelled to Uganda on September 16 and returned to Abuja on October 3.
Ursu also confirmed that the woman remained hospitalised, adding that medical indicators showed signs of improvement.
Meanwhile, WHO Emergency Response Manager Patrick Otim said investigations were continuing to establish where the infection originated and identify health facilities the patient visited after developing symptoms.
The Nigerian case has been linked to an outbreak involving the Bundibugyo strain of Ebola, first reported in the Democratic Republic of the Congo in May.
Ebola is transmitted through direct contact with the blood or bodily fluids of infected persons, including deceased victims. Common symptoms include fever, vomiting and diarrhoea, while severe infections can result in death.
Health authorities are currently tracing the patient’s contacts and reviewing her movements to identify individuals who may have been exposed and prevent further transmission of the virus.
Health
Abuja Ebola case: Enugu Govt strengthens surveillance, puts health officials on alert

The Enugu State Government says it has strengthened its disease surveillance and puts health officials on alert within the 17 council areas in the state.
The Commissioner for Health, Prof. George Ugwu, said this on Wednesday in Enugu during a press conference on Actions of the State Government in Response to Confirmed Case of Ebola in Abuja.
Ugwu said that following the confirmation of the case, the government had reactivated and strengthened the Enugu State Public Health Emergency Operations Centre (PHEOC) to coordinate preparedness, surveillance and response activities.
“Specifically, the State has intensified disease surveillance across its 17 Local Government Areas and strengthened coordination with relevant agencies and partners.
“Surveillance activities around the Akanu Ibiam International Airport are also being strengthened in collaboration with Port Health Services and other relevant stakeholders.
“The state is further maintaining its Rapid Response Teams and relevant technical personnel on standby, while preparedness measures are being reviewed to ensure that the state is able to respond promptly should a suspected case be identified.
“Public awareness and risk communication activities are also being strengthened to ensure that members of the public receive accurate and timely information,” Ugwu, who is a Member of Presidential Committee on Ebola Prevention, said.
He said that health ministry would continue to work closely with Federal Ministry of Health and Social Welfare, its agencies and other partners to ensure effective preparedness, early detection, appropriate response and timely communication
The commissioner said that the government considers the health security of the state’s residents as a major priority and had taken appropriate precautionary measures without creating unnecessary fear or panic.
He urged health workers to maintain a high index of suspicion, strictly observe infection prevention and control measures, use appropriate protective equipment, and promptly report any suspected case through the established channels.
According to him, the government will continue to provide the necessary support and guidance to ensure health workers safety and effective response.
“To the good people of Enugu State, I urge you to remain calm and vigilant. There is currently no confirmed case of Ebola in Enugu State, and the measures being taken are precautionary.
“The public is advised to maintain good hand hygiene, avoid contact with the body fluids of sick persons, seek medical attention promptly when necessary, and report suspected sick person,” he said.
He specifically urged public and private health facilities across the state to remain on heightened alert and maintain a high index of suspicion for suspected cases, particularly among persons with relevant travel or exposure history.
“All suspected cases should be promptly isolated and immediately reported to the appropriate Disease Surveillance and Notification Officer (DSNO) or the State Public Health Emergency Operations Centre, while strict infection prevention and control measures are observed.
“I urge all health facilities to cooperate fully with the Enugu State Ministry of Health and other response agencies, as early detection and prompt notification are critical to preventing transmission,” he said.
It would be recalled that state government, through the Ministry of Health, for months had been undertaking Ebola Prevention Preparedness mesdures at Akanu Ibiam International Airport, Enugu, which is an international entry point.
The current Ebola Prevention measures at the airport is undertaking with collaboration of the Nigeria Centre for Disease Control and Prevention (NCDC), Federal Ministry of Health and Social Welfare, Port Health Services, airport authorities and other relevant partners.
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Health
There is no confirmed case of diphtheria in Enugu State’

The Enugu State Government says there is no confirmed case of diphtheria in the state, urging residents to disapprove unfounded ongoing rumours.
The Commissioner for Health, Prof George Ugwu, made the clarification in a briefing on Wednesday in Enugu on update on the rumoured suspected case of a diphtheria patient in University of Nigeria Teaching Hospital (UNTH), Ituku/Ozalla, Enugu.
“In response to this, the Public health and Surveillance unit of the State Ministry of Health are already at alert and to ensure appropriate prevention control measure and early detection as may be necessary.
“A few days ago, there was a report of suspected case of diphtheria at the University of Nigeria Teaching Hospital (UNTH), Enugu which was followed by our team.
“However, the diagnosis of diphtheria could not be sustained or confirmed; while the patient, wito was rumoured and suspected to have diphtheria,
had tonsillitis,” he said.
The commissioner noted that accordingly, contact traces and other appropriate measures are ongoing and “yet diphtheria are not diagnosed or confirmed in the state.”
He explained that the suspected patient had been traced to his home in Achara Layout in Enugu and he did not have any record of travel and had not being to the northern part of the country as rumoured.
“Our surveillance and tracing teams have also contacted his family members and others but no trace of diphtheria established,” he said.
Ugwu noted that although the state had remained on high alert against infectious diseases, “Enugu State is never at high risk of contacting diphtheria”.
“For the state, we have a robust routine and mop up vaccination especially on Penta 3, which provides effective immunisation against diphtheria for a whole life time.
“In 2026 Vaccination, we had 91 per cent record of coverage on Penta 3 vaccination, which is even above the national target or threshold,” he said.
The commissioner urged residents to remain calm and avoid spreading rumours or unverified information as well as seek medical attention promptly if they develop symptoms of any sickness.
He said, “The ministry is calling on parents and caregivers to ensure children are fully immunised with diphtheria containing vaccines (Penta 3).
“Residents are urged to follow the advice of health authorities during contact tracing and monitoring.
“Healthcare workers are urged to maintain appropriate standard precautions, promptly notify suspected cases through the surveillance system and ensure appropriate infection prevention and control measures.
“The Enugu State Ministry of Health, in collaboration with UNTH and relevant international partners, continues to monitor the situation and will be proactive for further information as necessary,” he added.
It would be recalled that there is an outbreak of diphtheria in Nigeria and 19,799 suspected cases sent to molecular laboratory test; with 15,309 confirmed cases and 517 confirmed death across 26 states and 357 Local Government Areas.
The worst affected states accounting for over 98 per cent cases of diphtheria are Kano, Bauchi, Borno, Kastin, Sokato, Zamfara, Kaduna and Plateau according to Nigeria Centre for Disease Control and Prevention (NCDC).
Diphtheria is a serious but vaccine preventable bacterial disease that can spread though respiratory droplets and close contact.
Symptoms of Diphtheria include: fever, sore throat, difficulty or pain when swallowing, cough, difficulty breathing, swelling of the neck and greyish/white membrane in the throat.
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