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On World Tuberculosis Day, Nigeria said cases of the disease increased by nearly 50 percent last year. At a summit Thursday to heighten awareness of the disease, health authorities said to tackle the epidemic, they need to close a huge funding gap.  

At least 200 people attended the ministerial briefing Thursday in Abuja, where health authorities said confirmed cases jumped from about 138,000 in 2020 to more than 207,000 cases last year.

Health minister Osagie Ehanire said the actual number of cases is probably higher.  

“There’s still a significant gap between the estimated and the notified cases,” he said. “The 207,000 which I spoke of represents only 45 percent of what we estimated.” 

Health authorities said the increase was as a result of heightened surveillance and that Nigeria was one of the few countries in the world to sustain its TB detection program despite COVID-19 disruptions. 

Authorities said there is still a huge funding shortage when it comes to tuberculosis interventions, as only 31% of funding needed for TB control in 2020 was achieved. 

“This year’s world TB Day theme, ‘Invest to End TB, Save Lives,’ is a call to action that resonates with the most critical needs of Nigeria’s national TB program,” said Rachel Goldstein, officer for HIV and TB control for the U.S. Agency for International Development. “We know that the program currently has a significant funding gap, and that’s something we’ve got to work together to advocate for additional resources.”  

Every year, about 590,000 new cases of tuberculosis occur in Nigeria, and around 200,000 people die. 

Experts said apart from low awareness, stigmatization prevents early reporting of the disease.

Joyce Agerl was diagnosed with tuberculosis in 2019, but only began her treatment late last year. Now, she’s helping to warn others about the dangers of the disease. 

“For me, one way I’ll help to give more to the society is to talk to someone about TB,” she said, “and another way is to also do my own publicity on social media.” 

Tuberculosis is a bacterial disease that affects the lungs. Nigeria has the sixth-highest TB burden in the world, and has the most cases in Africa.  

 
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Cameroon’s public health ministry says a cholera outbreak is sweeping across the towns of Limbe, Buea and Tiko, near the border with Nigeria.

The government says 12 of the 600 patients rushed to hospitals in those towns died within the past 72 hours.

Nyenti Annereke, director of the Limbe government hospital, said the facility, which has a capacity of 200 beds, has received more than 240 cholera patients.

“We built three tents in Limbe hospital yesterday because patients were at the veranda, in the corridors of the wards,” he said. “All the beds were full. The Tiko district hospital, the capacity also is overpowered. The hospital in Bota is another crisis zone.”

To cope with the overflow, humanitarian workers are helping to erect tents at the hospitals in Limbe and Buea.

Still, The government says many families are rushing their sick relatives to surrounding towns, including Mutengene and Douala, a commercial hub on the Atlantic coast.

Bernard Okalia Bilai, governor of the South West region where Limbe, Tiko and Buea are located, chaired at least three crisis meetings on Wednesday.

Bilai said the cholera outbreak is caused by a shortage of clean drinking water in western towns and villages provoked by the long dry season and civilians should desist from drinking open stream water. He said the disease is spreading fast because cattle and civilians defecate in the open and in rivers.

“Our structures, the hospitals are overloaded, but thank God that the medical officers in charge of those hospitals have been proactive and they have taken measures to receive various patients,” he said. “All the patients are under treatment.”

Bilai said the government will provide water to arid towns like Limbe, Buea and Tiko and surrounding villages but did not say when.

Meanwhile, health officials are moving from door to door encouraging civilians to boil water from wells and streams before drinking it.

The government says people should also eat only properly cooked food and wash their hands before and after meals, and after using the bathroom.

Another cholera outbreak in Cameroon in February affected 1,300 people and killed about three dozen.
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The World Health Organization warns the fight against tuberculosis is at a critical juncture. It says the COVID-19 pandemic has reversed gains made since 2000 in saving lives from the infectious disease. For the first time in over a decade, the WHO says TB deaths increased in 2020.

It says around 1.5 million people died of TB during that pandemic year because of disruptions in services and lack of resources. Most deaths have occurred in developing countries, with conflict affected countries across Eastern Europe, Africa, and the Middle East at greatest risk.

The director of the WHO’s Global Tuberculosis Program, Tereza Kaseva, says an extra $1.1 billion a year is needed for the development of new tools, especially new vaccines, to achieve the goal of ending TB by 2030.

She says investing in the fight against tuberculosis is a no-brainer given the benefits gained for each dollar spent.

“For every one dollar invested to end TB, 43 is returned as the benefits of a healthier, functioning society…Ending TB by 2030 can lead to avoiding 23.8 million tuberculosis deaths and almost 13 trillion U.S. dollars in economic losses.”

The WHO says extra funding would allow the world to treat 50 million people with TB, including 3.7 million children and 2.2 million with drug-resistant TB. WHO officials say that would be particularly beneficial for children and young adults who lag adults in accessing TB prevention and care.

Team leader of vulnerable populations in the WHO’s global TB program, Kerri Viney, says 1.1 million children and young adolescents become ill with tuberculosis every year.
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