Health
Nigeria runs out of Cholera Vaccine, as over 90,000 cases is reported
About 400km northeast of the Nigerian capital Abuja, a two-year-old Mohammad Sheriff is on the road to recovery from cholera. The child sits with his father in MSF’s cholera treatment centre (CTC) in Bauchi, the capital of one of the states hit hardest by Nigeria’s worst cholera outbreak in a decade.
“He vomited twice and later started having diarrhoea,” says Mohammad’s father, who immediately recognised the symptoms as cholera. “I told his mother that I’d take him to the hospital as we are constantly being informed through the radio that one should immediately go to the hospital when vomiting and diarrhoea starts.”
Cholera is simple to treat in most cases, and people with mild to moderate forms of the disease usually recover through treatment with fluids and oral rehydration solution. Severely dehydrated patients may need to be admitted to a CTC and be given fluids intravenously.
Mohammed’s case was serious, but after two days of receiving medical care in the CTC, he is now in the recovery ward – the last step before being discharged and returning home. “If we had not come when we did, the situation might be very bad,” his father says.
Cholera is endemic in Nigeria, but the outbreak this year has been especially severe, with more than 90,000 people infected so far. While nearly all of Nigeria’s 36 states have reported cholera cases in 2021, the vast majority have been concentrated in the six northern states of Bauchi, Kano, Jigawa, Zamfara, Sokoto and Katsina.
The population of this region is already extremely vulnerable; hundreds of thousands of people have been displaced from their homes by conflict and violence, and most live in conditions with poor sanitation and no safe drinking water.
But the MSF emergency teams working alongside the Nigerian Ministry of Health are trying and bring the spiralling outbreak under control, opening six cholera treatment centres across the region and treating more than 20,000 patients so far.
In many areas, security poses an additional challenge. In Zamfara state, many patients arrive in a serious or critical condition, having delayed seeking treatment for fear of encountering violence or danger on the roads.
“Vulnerable populations in Nigeria were already in a dire situation,” says Dr Simba Tirima, MSF country representative in Nigeria. “Cholera has added to a complex web of medical and humanitarian vulnerabilities, coming on top of heightened insecurity, a chronic state of acute humanitarian and medical needs, and the direct and secondary impacts of COVID-19.”
At the peak of the outbreak in July, the Nigerian Centre for Disease Control reported more than 7,500 new cases per week and many medical facilities were at risk of being overwhelmed.
“We had to admit 80 or 90 patients during a single work shift,” says Anas Al-Hassan, a nurse at MSF’s CTC in Kano, where the outbreak spread quickly throughout the community. “There was no time for rest because of the number of patients. The work at that time was overwhelming.”
“The patients would come devastated, their caregivers worried they might not make it,” says Philip Esenwa, MSF medical activity manager for the Nigeria Emergency Response Unit. “Some were so weak they that they couldn’t speak.”
“We used to have patients who were brought in dead,” says MSF nurse supervisor Mustapha Mahmud, who also works at Kano CTC.
The challenges were immense in cities such as Kano and Bauchi, where many people live in overcrowded conditions, with dilapidated or non-existent sewage systems and no access to clean drinking water. Water sources can easily become contaminated with sewage, especially in the rainy season, causing waterborne diseases such as cholera to spread quickly.
“The areas with high numbers of cholera cases are congested, with no adequate ventilation or proper drainage,” says Mustapha Mahmud. “The sources of water are usually from shallow wells and boreholes; with rainfall, they become contaminated, and that is the water people here drink.”
Many medical facilities in these areas are also poorly equipped and were unable to deal with the surge in patients. Some medical facilities charge for their services, which put treatment out of reach of those who could not afford to pay.
In some states, a one-dose oral vaccine is available to help reduce the spread of the disease. However, global supply is limited and the vaccine is not available in all states.
In 2024, the Minister of Health and Social Welfare, Prof. Muhammad Pate, revealed that Nigeria had about 55,000 licensed doctors.
Speaking during an interview on Channels TV’s Politics Today, Pate disclosed that no fewer than 16,000 doctors had left the country in the past five years, while about 17,000 others had been transferred out of active service.
Worrisomely, a new revelation by the Lagos State Commissioner for Health, Prof. Akin Abayomi, indicates that the number of practising doctors in Nigeria has declined from 55,000 to 40,000 within just one year.
In his presentation at a one-day leadership dialogue in Lagos themed “Strengthening PHC Systems: A Joint Leadership Dialogue,” Abayomi identified manpower shortage as one of the most critical challenges facing the health sector.
The dialogue, organised by the Lagos State Primary Health Care Board with support from development partners, addressed barriers hindering PHCs from meeting expectations and proposed practical solutions for building sustainable PHCs with lasting impact.
Abayomi stated that Lagos currently has only 7,000 doctors serving an estimated 30 million residents, far below the number needed for optimal care delivery.
The commissioner raised concerns over the acute shortage of health workers in the state, disclosing that the state requires an additional 33,000 doctors to meet the healthcare demands of its growing population.
“Nigeria currently has about 40,000 doctors against an estimated need of 300,000, while Lagos alone requires about 33,000 doctors but has only about 7,000,” he said.
According to him, Lagos’ doctor-to-population ratio remains far below what is required for optimal healthcare delivery, noting that the state’s doctors are serving an estimated population of nearly 30 million people.
To address the shortfall, Abayomi said the state government is investing in its newly established University of Medicine and Health.
“Within five years, UMH will produce about 2,500 healthcare workers annually, including laboratory scientists and other essential cadres,” he stated.
The mass exodus of healthcare professionals popularly known as japa syndrome, especially doctors, nurses, and pharmacists has remained a major concern in Nigeria.
A 2017 survey conducted by a Nigerian polling organisation in partnership with Nigeria Health Watch revealed that about 88 per cent of Nigerian doctors were seeking job opportunities abroad at the time.
The President of the Nigerian Medical Association, Prof. Bala Audu, recently warned that Nigeria has moved beyond passive brain drain and has become a direct recruitment hub for foreign governments seeking skilled medical professionals.
In an interview, Audu revealed that international recruiters now visit Nigeria to directly hire doctors—particularly specialists such as obstetricians, gynaecologists, and paediatricians—offering them superior working conditions, remuneration, and infrastructure.
He lamented that while Nigeria’s population continues to grow and mortality rates remain high, the country is losing specialists at an alarming rate.
“Many of our doctors are not even going abroad to look for jobs. Foreign governments now come into Nigeria to pick doctors and take them away,” Audu said.
“We are still having more births, yet maternal deaths remain high because the skilled birth attendants who should care for these women are reducing every day.”
Audu added that in some specialties, the number of Nigerian doctors practising abroad may already exceed those still working within the country, a situation worsened by the government’s failure to significantly improve doctors’ welfare despite existing policy frameworks.
Experts have warned that with the current pace of emigration, it would be impossible for Nigeria to produce enough health workers to meet its growing healthcare demands. They estimate that it would take at least 20 years to train the over 400,000 health workers required to close the gap.
A former President of the NMA, Prof. Mike Ogirima, described Nigeria’s doctor-to-patient ratio as “horrible,” noting that the country currently has about one doctor to 8,000 patients—far below the World Health Organisation’s recommendation of one doctor to 600 patients.
Nigerian health communication researcher, Ifesinachi Ayogu, has attributed the rising number of cancer-related deaths in the country to the neglect of routine self-breast examination among women and routine Prostate-Specific Antigen (PSA) testing among men.
Ayogu told journalists on Monday that the failure to prioritise regular screening had contributed significantly to late detection of breast and prostate cancers, which are among the leading causes of cancer-related deaths in Nigeria.
He said many cancer cases were only discovered when the disease had reached advanced stages, making treatment more complex and survival chances lower.
According to him, the increasing burden of cancer deaths calls for a more intentional and sustained approach to cancer awareness, early detection, and preventive health behaviour.
“Early detection saves lives, but many people are not practising simple, routine screening that could help detect cancer early,” Ayogu said.
He noted that breast cancer and prostate cancer were often manageable when detected early, but ignorance, fear, stigma, and limited awareness continued to discourage people from carrying out regular checks.
The researcher explained that self-breast examination allows women to notice unusual lumps or changes early, while routine PSA testing helps detect prostate abnormalities before symptoms become severe.
Ayogu said deaths resulting from breast and prostate cancers were often preventable, stressing that delayed diagnosis was a major factor contributing to high mortality rates.
He added that many Nigerians still lacked basic information on how to conduct self-breast examinations, when to go for PSA tests, and where to seek appropriate medical care.
The health communication researcher emphasised the need for community-based education, especially in rural areas, using trusted platforms such as churches, markets, women’s groups, and radio programmes to promote routine screening practices.
He also urged healthcare providers and public health institutions to intensify public education on cancer prevention and ensure that screening information was simple, accurate, and accessible.
Ayogu advised individuals with a family history of breast or prostate cancer to be particularly vigilant about routine screening and healthy lifestyle practices.
He stressed that promoting routine self-breast examination and PSA testing would play a critical role in reducing late presentation and improving cancer survival outcomes in Nigeria.
Ifeshinachi Ayogu is a PhD graduate student, at the University of Oklahoma United States of America, his core interest is cancer communication, according to him, he believes that the next breakthroughs in cancer care for Nigerian women and men will not come from medicine alone.
The Federal Government said it had intensified monitoring and screening procedures at all points of entry in response to the ongoing outbreak of the Ebola Virus Disease in the Democratic Republic of Congo.
The Director of Port Health Services at the Federal Ministry of Health and Social Welfare, Dr Akpan Nse, disclosed this in an exclusive interview with Saturday PUNCH on Friday.
Nse also noted that additional staff had been employed to strengthen border surveillance in the country.
Health authorities in the Democratic Republic of Congo declared an outbreak of Ebola virus disease in Kasai Province, where 28 suspected cases and 16 deaths, including four health workers, had been reported as of September 5, 2025.
The outbreak comes at a time when much of Central and West Africa is grappling with overlapping health and humanitarian crises, including cholera, malnutrition, and population displacement.
The DRC’s last outbreak of Ebola virus disease occurred in the north-western Equateur Province in April 2022.
It was brought under control within three months.
In Kasai Province, previous Ebola outbreaks were reported in 2007 and 2008. Overall, the country has experienced 15 outbreaks since the disease was first identified in 1976.
Ebola virus disease is a rare but severe, often fatal illness in humans.
It is transmitted to people through close contact with the blood, secretions, organs, or other bodily fluids of infected animals such as fruit bats (believed to be the natural hosts). Human-to-human transmission occurs through direct contact with the blood or bodily fluids of an infected person, contaminated objects, or the body of someone who died from the disease.
In the ongoing outbreak, samples tested on September 3 at the National Institute of Biomedical Research in the capital, Kinshasa, confirmed that the cause was Ebola Zaire, a strain of the Ebola virus.
Dr Nse noted that although Nigeria was at risk of importing the virus due to high levels of international travel with the DRC, Port Health Services was on alert and had strengthened surveillance to prevent this.
He said, “We have intensified surveillance at all points of entry across the country—airports, land borders, and seaports. Every inbound traveller coming from Congo to Nigeria is thoroughly screened, and we collect their medical history through mandatory forms.
“We have also reactivated our portals. Every passenger on every flight coming to Nigeria from Congo is screened upon arrival. This applies to airports, seaports, and land borders. Even if passengers transit through Congo on their way to Nigeria, they must undergo screening.
“In addition, with support from WHO, we have recruited more staff to enhance surveillance. Increasing the workforce allows us to effectively prevent the importation of the virus and ensure thorough screening at all borders.”
He added that some private organisations had partnered the Federal Government to ensure that thermal scanners at airports remained fully functional.
Meanwhile, the WHO has released $500,000 from its Contingency Fund for Emergencies to support the response to the Ebola Virus Disease outbreak in the DR Congo.
Announcing this at a media briefing on global health issues on Friday, the WHO Director-General, Dr Tedros Adhanom Ghebreyesus, disclosed that 28 suspected cases and 16 deaths had been reported so far, including four health workers.
He highlighted that the UN body already had staff on the ground in Kasai, with more on the way.
“We’re joining rapid response teams to trace contacts and find cases; we’re collecting and testing samples, and we’re providing technical expertise in surveillance, infection prevention and control, treatment, risk communication, and more. WHO has also delivered personal protective equipment, laboratory equipment, medical supplies, and a mobile laboratory.
“We had previously prepositioned 2000 doses of Ebola vaccine in Kinshasa, which we are releasing to vaccinate contacts and health workers. This is the 16th outbreak of Ebola in the DRC, and the government has rich experience from those previous outbreaks,” the WHO boss stated.
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