Rohingya at risk of deadly diphtheria, face shortage of medics, antitoxins

Rohingya refugee Nur Islam, 24, who suffers from diphtheria, is examined by a doctor at a Medecins Sans Frontieres (MSF) clinic near Cox's Bazar, Banglades, in this Dec. 18 file photo. (Reuters)
Updated 28 December 2017
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Rohingya at risk of deadly diphtheria, face shortage of medics, antitoxins

COX’S BAZAR: Health workers in Rohingya refugee camps in Bangladesh are struggling with a shortage of medics able to administer antitoxins to patients infected with diphtheria that has killed nearly two dozen people, aid officials said.
Neighboring Myanmar’s military cracked down on Muslim Rohingya from Rakhine state following Rohingya militant attacks on an army base and police posts on Aug. 25. More than 650,000 Rohingya have fled mainly Buddhist Myanmar to Bangladesh since August, on top of more than 200,000 who fled earlier, according to latest UN data.
Doctors Without Borders (MSF), the lead agency dealing with an outbreak of the bacterial disease in camps sheltering the Rohingya, has treated around 2,000 patients in the past few weeks and is receiving around 100 new cases daily.
The World Health Organization (WHO) describes diphtheria as a widespread, severe infectious disease with epidemic potential and a mortality rate of up to 10 percent. MSF has called diphtheria a disease “long forgotten in most parts of the world thanks to increasing rates of vaccination.”
MSF has managed to provide antitoxins to only around 12 patients daily due to the lack of trained medics, said Crystal van Leeuwen, an MSF emergency medical coordinator now in Cox’s Bazar where the refugee camps are located.
“Once we do have enough people and other organizations start to administer as well, we may get into a situation where we don’t have enough antitoxins anymore,” she told Reuters by phone on Thursday.
“It’s a double-edged sword. We need both the human resources to administer it, and we need more antitoxins at the same time.”
According to a UN report in February, supply of diphtheria antitoxin serum has been limited for many years and the shortage is expected to continue through 2017.
The British government said on Thursday it was sending a team of more than 40 doctors, nurses and firefighters to Cox’s Bazar for six weeks to deal with the diphtheria outbreak following a request by the WHO and Bangladesh government.
The refugees live in densely populated camps and shacks made from bamboo and plastic sheets, with poor access to clean water, sanitation and health services.


Nigeria signals more strikes likely in ‘joint’ US operations

Updated 26 December 2025
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Nigeria signals more strikes likely in ‘joint’ US operations

  • Nigeria on Friday signalled more strikes against jihadist groups were expected after a Christmas Day bombardment by US forces against militants in the north of the country

LAGOS: Nigeria on Friday signalled more strikes against jihadist groups were expected after a Christmas Day bombardment by US forces against militants in the north of the country.
The west African country faces multiple interlinked security crises in its north, where jihadists have been waging an insurgency in the northeast since 2009 and armed “bandit” gangs raid villages and stage kidnappings in the northwest.
The US strikes come after Abuja and Washington were locked in a diplomatic dispute over what Trump characterised as the mass killing of Christians amid Nigeria’s myriad armed conflicts.
Washington’s framing of the violence as amounting to Christian “persecution” is rejected by the Nigerian government and independent analysts, but has nonetheless resulted in increased security coordination.
“It’s Nigeria that provided the intelligence,” the country’s foreign minister, Yusuf Tuggar, told broadcaster Channels TV, saying he was on the phone with US State Secretary Marco Rubio ahead of the bombardment.
Asked if there would be more strikes, Tuggar said: “It is an ongoing thing, and we are working with the US. We are working with other countries as well.”
Targets unclear
The Department of Defense’s US Africa Command, using an acronym for the Daesh group, said “multiple Daesh terrorists” were killed in an attack in the northwestern state of Sokoto.
US defense officials later posted video of what appeared to be the nighttime launch of a missile from the deck of a battleship flying the US flag.
Which of Nigeria’s myriad armed groups were targeted remains unclear.
Nigeria’s jihadist groups are mostly concentrated in the northeast of the country, but have made inroads into the northwest.
Researchers have recently linked some members from an armed group known as Lakurawa — the main jihadist group located in Sokoto State — to Islamic State Sahel Province (ISSP), which is mostly active in neighboring Niger and Mali.
Other analysts have disputed those links, though research on Lakurawa is complicated as the term has been used to describe various armed fighters in the northwest.
Those described as Lakurawa also reportedly have links to Al-Qaeda affiliated group for the Support of Islam and Muslims (JNIM), a rival group to ISSP.
While Abuja has welcomed the strikes, “I think Trump would not have accepted a ‘No’ from Nigeria,” said Malik Samuel, an Abuja-based researcher for Good Governance Africa, an NGO.
Amid the diplomatic pressure, Nigerian authorities are keen to be seen as cooperating with the US, Samuel told AFP, even though “both the perpetrators and the victims in the northwest are overwhelmingly Muslim.”
Tuggar said that Nigerian President Bola Tinubu “gave the go-ahead” for the strikes.
The foreign minister added: “It must be made clear that it is a joint operation, and it is not targeting any religion nor simply in the name of one religion or the other.”