The Columbus Dispatch

Nigeria faces resurgence of cholera cases

- Chinedu Asadu

LAGOS, Nigeria – Nigeria is seeing one of its worst cholera outbreaks in years, with more than 2,300 people dying from suspected cases as Africa’s most populous country struggles to deal with multiple disease outbreaks.

This year’s cholera outbreak, with a higher case fatality rate than the previous four years, is worsened by what many consider to be a bigger priority for state government­s: the COVID-19 pandemic. Nigeria faces a resurgence of cases driven by the delta variant, and less than 1% of the population has been fully vaccinated.

At least 69,925 suspected cholera cases were recorded as of Sept. 5 in 25 of Nigeria’s 36 states and in the capital, Abuja, according to the Nigeria Center for Disease Control. Children between 5 and 14 are the most affected age group, and the overall case fatality rate is 3.3%, more than double that of COVID-19’S 1.3% case fatality rate in Nigeria.

At least 2,323 people have died from suspected cholera this year, but there are concerns that might be an undercount given that many affected communitie­s are in hard-to-reach areas.

States in Nigeria’s north, where flooding and poor sanitation increase the risk of transmissi­on, are the hardest hit. The 19 states in the north account for 98% of the suspected cases.

Cholera is endemic and seasonal in Nigeria, where only 14% of the population of more than 200 million has access to safely managed drinking water supply services, according to government data from 2020, which also shows that open defecation is still practiced by at least 30% of residents in 14 states.

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